This patient is at greatest risk for developing which of the following ?
Anonymous Quiz
23%
Pulmonary fibrosis
17%
Bronchiolitis obliterans
42%
Bronchogenic carcinoma
6%
Inflammatory bowel disease
13%
Hepatocellular carcinoma
😐3❤2🤔1
Case 5: باطنية - أهم أفكار التنفسية
حالة سريرية:
A 58-year-old man 👨⚕️ is brought to the emergency department after having a tonic-clonic seizure. His wife says he has had a dry cough for six months, along with fatigue and unintended weight loss (4.5 kg/10 lbs). He has no known medical conditions and takes no medications.
The patient has smoked one pack of cigarettes daily for 35 years.
Examination he is confused and only oriented to person.
Lab results:
Serum sodium: 119 mEq/L
Blood glucose: 102 mg/dL
Chest X-ray 🩻: shows an irregular mass near the right hilum.
شرح الحل
حالة سريرية:
A 58-year-old man 👨⚕️ is brought to the emergency department after having a tonic-clonic seizure. His wife says he has had a dry cough for six months, along with fatigue and unintended weight loss (4.5 kg/10 lbs). He has no known medical conditions and takes no medications.
The patient has smoked one pack of cigarettes daily for 35 years.
Examination he is confused and only oriented to person.
Lab results:
Serum sodium: 119 mEq/L
Blood glucose: 102 mg/dL
Chest X-ray 🩻: shows an irregular mass near the right hilum.
شرح الحل
Microscopic examination of this mass is most likely to confirm which of the following diagnoses?
Anonymous Quiz
24%
Squamous cell lung carcinoma
41%
Small cell lung carcinoma
17%
Bronchial carcinoid tumor
15%
Lung adenocarcinoma
3%
Large cell lung carcinoma
✍1
Case 6: باطنية - أهم أفكار التنفسية
حالة طوارئ 🚨:
A 35-year-old man is brought to the ER after multiple stab wounds and blunt chest trauma during a fight. He reports severe chest pain (worse with deep breathing) and intermittent coughing.
🔹 Vitals:
• Temp: 37.0°C
• HR: 110/min
• RR: 24/min
• BP: 85/58 mmHg
• SpO2: 93% (room air)
🔹 Exam:
✅ Alert but in moderate respiratory distress
✅ Multiple stab wounds & bruises on chest & back
📸 Chest X-ray done: بالتعليقات
حالة طوارئ 🚨:
A 35-year-old man is brought to the ER after multiple stab wounds and blunt chest trauma during a fight. He reports severe chest pain (worse with deep breathing) and intermittent coughing.
🔹 Vitals:
• Temp: 37.0°C
• HR: 110/min
• RR: 24/min
• BP: 85/58 mmHg
• SpO2: 93% (room air)
🔹 Exam:
✅ Alert but in moderate respiratory distress
✅ Multiple stab wounds & bruises on chest & back
📸 Chest X-ray done: بالتعليقات
Which of the following is the most likely diagnosis?
Anonymous Quiz
5%
Pulmonary contusion
15%
Pneumomediastinum
3%
Diaphragmatic hernia
51%
Tension pneumothorax
18%
Cardiac tamponade
8%
Flail chest
👏3
ضروري تشوفون الشرح بالتعليقات
كذااك مرات اضيف معلومات على الاسئلة داخل تعليقاتهم
حتى تبقون مواكبين ادخلو على هذا الكروب
كذااك مرات اضيف معلومات على الاسئلة داخل تعليقاتهم
حتى تبقون مواكبين ادخلو على هذا الكروب
Telegram
AnkiDIWAN (طبـ مان)
مرحبًا بكم ! 🌟
Case 7: باطنية - أهم أفكار التنفسية
حالة سريرية:
A 68-year-old man arrives at the emergency department with his wife due to a 3-day history of high fever and worsening productive cough. This morning, he noticed blood in his sputum. His wife mentions that he had nasal congestion and muscle aches about a week ago, which improved on their own.
He has type 2 diabetes mellitus, managed with oral hypoglycemic agents, and has not received a flu vaccine this year.
🔹 العلامات الحيوية:
Temperature: 39.3°C
Pulse: 82/min
Respiratory rate: 22/min
Blood pressure: 108/72 mmHg
Oxygen saturation: 97% on 2L nasal cannula
🔹 Examination & Labs:
Lung auscultation: Crackles and rhonchi over the right lung
WBC: 14,800/mm³
Hemoglobin: 13.8 g/dL
Platelets: 410,000/mm³
Chest X-ray: shows areas of consolidation with cavitation in the middle and lower lobe of the right lung; there are multiple thin-walled, gas-filled cysts within the right basal lung parenchyma.
الشرح
حالة سريرية:
A 68-year-old man arrives at the emergency department with his wife due to a 3-day history of high fever and worsening productive cough. This morning, he noticed blood in his sputum. His wife mentions that he had nasal congestion and muscle aches about a week ago, which improved on their own.
He has type 2 diabetes mellitus, managed with oral hypoglycemic agents, and has not received a flu vaccine this year.
🔹 العلامات الحيوية:
Temperature: 39.3°C
Pulse: 82/min
Respiratory rate: 22/min
Blood pressure: 108/72 mmHg
Oxygen saturation: 97% on 2L nasal cannula
🔹 Examination & Labs:
Lung auscultation: Crackles and rhonchi over the right lung
WBC: 14,800/mm³
Hemoglobin: 13.8 g/dL
Platelets: 410,000/mm³
Chest X-ray: shows areas of consolidation with cavitation in the middle and lower lobe of the right lung; there are multiple thin-walled, gas-filled cysts within the right basal lung parenchyma.
الشرح
❤3
📌 Which of the following is the most likely causative pathogen?
Anonymous Quiz
41%
Staphylococcus aureus
16%
Pneumocystis jirovecii
3%
Legionella pneumophila
5%
Mycoplasma pneumoniae
3%
Mycobacterium tuberculosis
30%
Klebsiella pneumoniae
3%
Aspergillus fumigatus
❤5
Case 8: باطنية - أهم أفكار التنفسية
حالة سريرية:
👩⚕️ A 27-year-old pregnant woman (24 weeks) presents with:
🔹 Shortness of breath & nonproductive cough for 1 month
🔹 Symptoms occur 3x/week (during housework & walks) and improve with albuterol
🔹 4 nighttime episodes of breathlessness waking her from sleep
💡 Medical History:
✔️ Intermittent asthma (previously well-controlled)
✔️ Uncomplicated pregnancy
🩺 Examination:
✔️ Vitals: Stable (SpO₂ 97%, HR 75/min, BP 122/84 mmHg)
✔️ Lungs: Clear to auscultation
✔️ Fetal heart rate: 146/min
✔️ Spirometry: FEV1 = 85% predicted
حالة سريرية:
👩⚕️ A 27-year-old pregnant woman (24 weeks) presents with:
🔹 Shortness of breath & nonproductive cough for 1 month
🔹 Symptoms occur 3x/week (during housework & walks) and improve with albuterol
🔹 4 nighttime episodes of breathlessness waking her from sleep
💡 Medical History:
✔️ Intermittent asthma (previously well-controlled)
✔️ Uncomplicated pregnancy
🩺 Examination:
✔️ Vitals: Stable (SpO₂ 97%, HR 75/min, BP 122/84 mmHg)
✔️ Lungs: Clear to auscultation
✔️ Fetal heart rate: 146/min
✔️ Spirometry: FEV1 = 85% predicted
Which of the following is the most appropriate next step in management?
Anonymous Quiz
6%
Supplement with low-dose vitamin D
50%
low-dose ICS
6%
Control environmental triggers only
11%
Initiate oral methylprednisolone
28%
Switch from inhaled albuterol to oral montelukast
Case 9: باطنية - أهم أفكار التنفسية
حالة سريرية:
A 49-year-old woman presents with 1 month of chest pain (worse with deep breathing), dry cough, and mild shortness of breath.
🔎 History:
🚬 33 pack-year smoker, 🍺 drinks 3–4 beers daily
🏠 Homeless, no medical follow-up for 20+ years
📊 Vitals: HR 115/min, RR 23/min, BP 113/65, SpO₂ 97%
📌 Exam:
👀 Jaundice, telangiectasias, pedal edema
🫁 ↓ Breath sounds & dullness on the right side
🏥 Abdominal distension, shifting dullness, spleen palpable 3 cm below the left costal margin
🖼 CT Scan: بالتعليقات
حالة سريرية:
A 49-year-old woman presents with 1 month of chest pain (worse with deep breathing), dry cough, and mild shortness of breath.
🔎 History:
🚬 33 pack-year smoker, 🍺 drinks 3–4 beers daily
🏠 Homeless, no medical follow-up for 20+ years
📊 Vitals: HR 115/min, RR 23/min, BP 113/65, SpO₂ 97%
📌 Exam:
👀 Jaundice, telangiectasias, pedal edema
🫁 ↓ Breath sounds & dullness on the right side
🏥 Abdominal distension, shifting dullness, spleen palpable 3 cm below the left costal margin
🖼 CT Scan: بالتعليقات
which of the following is the most appropriate next step in management?
Anonymous Quiz
25%
Insert a chest tube
38%
Obtain a pleural fluid specimen
13%
Release fluid in pericardial space
17%
Begin diuretic therapy
8%
Begin broad-spectrum antibiotic therapy
0%
Begin therapeutic anticoagulation
👏4😐2
Case 10: باطنية - أهم أفكار التنفسية
حالة سريرية:
🧑⚕️ 46-year-old man with 1-year of dry cough 🤧, worsening shortness of breath & fatigue for 2 months.
👷♂️ Worked in a quarry (miner) for 11 years, now a manager
💊 HTN (on enalapril), childhood asthma (hasn't required medication for 21 years)
🚬 Smokes 1 pack/day for 6 years
📋 Vitals:
🌡 37.2°C | ❤️ 78/min | 🫁 19/min | 🩸 124/80 mmHg
🫁 Lungs: Fine crackles over upper lung fields ☁️, no wheezes/rhonchi.
🩻 X-ray shown.
🧐 Most likely diagnosis?
حالة سريرية:
🧑⚕️ 46-year-old man with 1-year of dry cough 🤧, worsening shortness of breath & fatigue for 2 months.
👷♂️ Worked in a quarry (miner) for 11 years, now a manager
💊 HTN (on enalapril), childhood asthma (hasn't required medication for 21 years)
🚬 Smokes 1 pack/day for 6 years
📋 Vitals:
🌡 37.2°C | ❤️ 78/min | 🫁 19/min | 🩸 124/80 mmHg
🫁 Lungs: Fine crackles over upper lung fields ☁️, no wheezes/rhonchi.
🩻 X-ray shown.
🧐 Most likely diagnosis?
❤5
which of the following is the most likely diagnosis?
Anonymous Quiz
32%
Asbestosis
5%
Sarcoidosis
39%
Silicosis
3%
Berylliosis
21%
Hypersensitivity pneumonitis
🫁 Respiratory System - MCQ Cases
🔹 Case 1: Post-op patient + Sudden SOB + Chest pain
🔹 Case 2: مدخن + Memory loss + Hyperintense brain lesions
🔹 Case 3: TB patient + Numbness in legs + Microcytic anemia
🔹 Case 4: Progressive SOB + Barrel chest + Hyperinflated lungs
🔹 Case 5: Chronic cough + Seizure + Smoker + Hyponatremia
🔹 Case 6: Chest trauma + Respiratory distress + Low BP
🔹 Case 7: Fever + Productive cough + Hemoptysis + Cavitary lung lesions
🔹 Case 8: حامل + SOB + Nocturnal breathlessness + Asthma history
🔹 Case 9: الم بالصدر + Dry cough + Smoking + Jaundice + Pleural effusion
🔹 Case 10: Miner + Chronic cough + Crackles + Upper lung fibrosis (تعلم الاشعه)
🔹 Case 1: Post-op patient + Sudden SOB + Chest pain
🔹 Case 2: مدخن + Memory loss + Hyperintense brain lesions
🔹 Case 3: TB patient + Numbness in legs + Microcytic anemia
🔹 Case 4: Progressive SOB + Barrel chest + Hyperinflated lungs
🔹 Case 5: Chronic cough + Seizure + Smoker + Hyponatremia
🔹 Case 6: Chest trauma + Respiratory distress + Low BP
🔹 Case 7: Fever + Productive cough + Hemoptysis + Cavitary lung lesions
🔹 Case 8: حامل + SOB + Nocturnal breathlessness + Asthma history
🔹 Case 9: الم بالصدر + Dry cough + Smoking + Jaundice + Pleural effusion
🔹 Case 10: Miner + Chronic cough + Crackles + Upper lung fibrosis (تعلم الاشعه)
السؤال الجاي الي حتى اتذكر نقطة مهمة
الفكرة مكتوبة بدافيدسون لكن محد راح يسالكم عليها
اذا مهتمين اقروا السؤال
الفكرة مكتوبة بدافيدسون لكن محد راح يسالكم عليها
اذا مهتمين اقروا السؤال
❤2
Sexual Transmitted Infections
Case: 1
🩺 Clinical Case 🩺
👩⚕️ Patient: 28-year-old pregnant woman
🤰 Gestation: 10 weeks (G1P0)
🏥 Visit: First prenatal checkup
⚕️ Medical History: No significant illnesses
💊 Allergy: Penicillin
🔍 Examination & Tests:
✅ Vital signs: Normal
✅ Lungs: Clear
✅ Heart: No abnormalities
✅ Ultrasound: Intrauterine pregnancy, fetal HR 174/min, no anomalies
🧪 Lab Results:
📌 RPR (Rapid Plasma Reagin) – Positive
📌 FTA-ABS (Fluorescent Treponemal Antibody Absorption) – Positive
Case: 1
🩺 Clinical Case 🩺
👩⚕️ Patient: 28-year-old pregnant woman
🤰 Gestation: 10 weeks (G1P0)
🏥 Visit: First prenatal checkup
⚕️ Medical History: No significant illnesses
💊 Allergy: Penicillin
🔍 Examination & Tests:
✅ Vital signs: Normal
✅ Lungs: Clear
✅ Heart: No abnormalities
✅ Ultrasound: Intrauterine pregnancy, fetal HR 174/min, no anomalies
🧪 Lab Results:
📌 RPR (Rapid Plasma Reagin) – Positive
📌 FTA-ABS (Fluorescent Treponemal Antibody Absorption) – Positive
❤1
❓ What is the most appropriate next step in management?
Anonymous Quiz
30%
Reassurance
9%
Administer oral doxycycline
30%
Administer therapeutic dose of intramuscular penicillin G
13%
Administer intravenous ceftriaxone
4%
Administer penicillin desensitization dose
13%
Administer oral azithromycin
📢 نصائح للامتحانات الوزارية 📚🔥
هذه نصائحي لو رجع بي الوكت كان اللتزمت بهل شي
اصعب شي بالامتحانات هذه هو الصبر يعني شون تقعد ثلاث ساعات تحل اسئله بدون ماتمل
لهذا لازم تتدرب على ادارة الوقت
ترتيب الدراسه حسب نقاط ضعفك اكيد بس انا بلشت بالنسائيه وقتها لان كانت اول كورس وتقريبا كنت ناسيها
مبدئيا اذا انت فاهم (مو حافظ) كل الكورسات راح تعدي هل امتحانات
بخصوص الانكي (اذا تستخدمه) خلي قصة ماقبل النوم الساعة ١١ بالليل حلهم
اقل شي مرتين بالاسبوع شغل المؤقت وشوف كم سؤال تقدر تحل !! هذه ضروريه
لان بالامتحان راح تمل والملل يطير درجات مع الوقت راح تشوف صار عندك صبر وتحمل
وبالاخير من تطلع من الامتحان انسى الامتحان وركز على الي بعده
ضروري ماتحل الاسئله حتى تكمل الاربع امتحانات
ادرس بضمير حتى شمايصير انت حاولت (فماراح تتندم)
هذه نصائحي لو رجع بي الوكت كان اللتزمت بهل شي
اصعب شي بالامتحانات هذه هو الصبر يعني شون تقعد ثلاث ساعات تحل اسئله بدون ماتمل
لهذا لازم تتدرب على ادارة الوقت
ترتيب الدراسه حسب نقاط ضعفك اكيد بس انا بلشت بالنسائيه وقتها لان كانت اول كورس وتقريبا كنت ناسيها
مبدئيا اذا انت فاهم (مو حافظ) كل الكورسات راح تعدي هل امتحانات
بخصوص الانكي (اذا تستخدمه) خلي قصة ماقبل النوم الساعة ١١ بالليل حلهم
اقل شي مرتين بالاسبوع شغل المؤقت وشوف كم سؤال تقدر تحل !! هذه ضروريه
لان بالامتحان راح تمل والملل يطير درجات مع الوقت راح تشوف صار عندك صبر وتحمل
وبالاخير من تطلع من الامتحان انسى الامتحان وركز على الي بعده
ضروري ماتحل الاسئله حتى تكمل الاربع امتحانات
ادرس بضمير حتى شمايصير انت حاولت (فماراح تتندم)
❤14