#OSCE
◽CVS
🔹️AS

Q1_ What're the BP changes could you see in pt with AS ?
➡️Low BP with narrow pulse pressure

Q2_What're the puse changes could you see in pt with AS ?
1_Slow volume ( pulsus parvus)
2_Slow Rising pulse (pulsus tardus)
3_Pulses bisferiens (AS+AR)

Q3_ What's the type of murmur and it's radiation in pt with AS?
➡️ Ejection systolic murmur radiates to the root of neck

Q4_ How to differentiate between AS radiation and Carotid a atherosclerosis?
➡️Phonoangiography

#OSCE
◽CVS
🔹️Apex beat

Q1_ Prescribe the normal apex beat site and character ?
1_lt 5th intercostal space midclvicular line
2_gentle non sustained

Q2_ Mention 2 manoeuvres in case of impalpable?
1_Turn pt to lt lateral position
2_palpate at Rt side

Q3_Mension 3 abnormal character?
1_ Forceful sustained / AS
2_ Forceful unsustained / AR , MR
3_ Tapping / MS
4_ Diffuse / DCM
5_ Double / HOCM

Q3_What valve is responsible for S1 , S2 ?
1_S1 / Closure of M
2_ S2 / Closure of A

Q4_ What signs you should look for in case with Dextrocardia ?
1_ Cyanosis
2_ Clubbing
3_During measuring the liver span ➡️The liver is at Lt side ( if Dextrocardia with situs inversus )

Q5_ Pt with ⬆️ JVP , LL edema , ascitis what could be the cause ?
Rt side heat failure

#OSCE
◽GIT
🔹️Ascitis

Q1_ What is the mechanism of ascitis in liver cirrhosis?
1_ ⬆️ Hydrostatic pressure
2_ ⬇️ Osmotic pressure ( Hypoalbumenia)
3_ ⬆️ Aldesterone ( renal Na+ retention)
4_ lymphatic obstruction

Q2_ What is the most common organism which cause SBP ?
E.choli

Q3_What are the causes of absent bowl sounds?
1_ Postsurgical paralytic ileus
2_ Peritonitis

Q4_ What is the cause of Hepatomegally + LLO + ⬆️ JVP?
RHF

#OSCE
⬜Respiratory
🔹️ Percussion note

Q1_ What are the types of percussion notes + DD ?
👇
1_ Resonace ➡️ Normal
2_ Hyper_resonance ➡️ Emphysema, Pneumothorax
3_ Dullness➡️ Collapse, Consolidation
4_ Stony dullness ➡️Massive Pl.Eff

Q2_ Where are the sites of normal dullness over the chest on percussion ?
👇
Percussion over soild structures
1_ Liver/ Upper level of liver dullness at Rt fifth inercostal space midclavicular line
2_ Heart / Dullness over the anterior chest

Q3_ What are the examination findings of pt with lt side lung collapse ?
👇
1_ ⬇️ Chest expansion at lt side of chest
2_ ⬇️ TVF at lt side of chest
3_ Pulled Trachea to lt side
4_ Dullness percussion note
5_ ⬇️ air enty at lt side

Q4_ لما نبي نفحص ال middle lobe
وين ندير ال percussion ؟
👇
Over the Rt Axilla

Q5_ Who to do chest expansion by percussion?
👇
Tidal percussion

Q6_ What is the type of percussion in pt with pl.eff ?
👇
Stony dullness.

#OSCE
⬜CNC
🔹️Cerebellum

Q1_ What is the definition of Apraxia ?
👇
Apraxia is a neurological disorder characterized by the inability to perform learned (familiar) movements on command, even though the command is understood and there is a willingness to perform the movement.

Q2_ What are the types of apraxia ?
👇
1_ melokinetic (or limb‐kinetic)
2_ ideomotor apraxia
3_ ideational apraxia
4_ Conceptual apraxia
5_ Buccofacial apraxia
6_ Constructional apraxia
7_ Oculomotor apraxia
8_ Verbal apraxia


Q3_ How to examine constructional apraxia ?
⬇️
By writing words and numbers.

شرح مفصل للأنواع 💡

1_Limb-kinetic apraxia
👇
Pt is unable to use a finger, arm, or leg to make precise and coordinated movements. Although people with limb-kinetic apraxia may understand how to use a tool, such as a screwdriver, and may have used it in the past, they are now unable to carry out the same movement.
متلاً مش قادر يحرك يديه يفتح و يصكر .

2_Ideomotor apraxia
👇
Pt is unable to follow a verbal command to copy the movements of others or follow suggestions for movements.
مش قادر يقلد حركة.

3_Conceptual apraxia
👇
similar to ideomotor apraxia. Pt is also unable to perform tasks that involve more than one step.
مش قادر يقلد مجموعة من الحركات .

4_Ideational apraxia
👇
Pt is unable to plan a particular movement. They may find it hard to follow a sequence of movements, such as getting dressed or bathing.
مش قادر يلبس ملابسه

5_Buccofacial apraxia
👇
Pt is unable to make movements with the face and lips on command.
مش قادر يحرك عضلات وجهه

6_Constructional apraxia
👇
Pt is unable to copy, draw, or construct basic diagrams or figures.
مش قادر يقلد رسمة او يكتب حرف

7_Oculomotor apraxia
👇
Pt have difficulty making eye movements on command.
مش قادر يحرك عضلات عيونه

8_Verbal apraxia
👇
Pt find it challenging to make the movements necessary for speech. They may have problems producing sounds and understanding rhythms of speech.
مش قادر يحرك العضلات المسؤولة على الصوت بشكل سليم ، فيبدا صوته مش واضح و كلامه مش مفهوم.

السلام عليكم ورحمة الله وبركاته.❤

نصائح عالميديسن و قرايتها
طبعا هيا مادة معتمدة عال physiology/ pathology basic
بس تبي صبر في قرايتها و بإذن الله تصفوها و بتقدير✌

◽بالنسبة للنظري 👇
كله قريته من د.سيف ظريف شيتات و تسجيلات الا الرينال والانفكشوس قريتهم من د.عبد الروؤف

الاسئلة حليت تجميعة1001 فادتني هلبا هلبا ، كنت بعد كل شابتر نقراه نشوف عليه أسئلة ، تعرفوا منها طريقة الاسئلة لان نفس الفكرة و تتبيت للمعلومات و فيه محاضرات اسمهم Data ل د.عبد الرؤوف حتى هما شوفوهم يفيدوكم هلبا في إمتحان البيبر.

◽الديرما 👇
من د.محسن شيت و تسجيلات و PDF و فيديوات دكتورة مريم بريون

◽الاورال
👇
🔹️ECG و X.ray emergency
من د.عبد الرؤوف شيت و تسجيلات
🔹️instruments
قريته من شيت د.محسن

(واللي بيقراه كله من د.مصعب حتى هو كويس مختصر و ممتاز )

◽Examination
👇
شيت د.سيف مع فيديواته و الفيديوات القصار متع د.عبد الروؤف و لازم تمشوا للمستشفى باش تشوفوا و تسمعوا فاينديق خاصة في ال cardio / respiratory/ neuro 🧐

و اقروه زي توا ، متلاً تكمل شيت ال cardio اقرا بعده CVS examination و هكذا
لازم تكون مكمل النظري باش تفهم الكلينك كويس 👌
و تاني نقوللكم حضور المستشفى يفيدكم و الدكاترة اغلبهم كويسين ، لازم تحضروا حتى يومين في الإسبوع كويسات بإذن الله

◽History
👇
فيديوات د.محمد شلوف ابداع و طريقته في الشرح
حلوة و منظمة و فيه مواضيع مش كاتبها قريتها من شيت د.محسن و شيت د.سيف ظريف اللي كاتباته زميلتي في دفعة التغيير سارة الجمل

إن شاء الله تكونوا استفذتوا من كلامي و ربي يوفقكم و يفتح عليكم جميعاً.🌸