Forwarded from Internal Medicine Questions Channel 💉💊
A 68-year-old patient with non-valvular atrial fibrillation has a CHA₂DS₂-VASc score of 3. What is the most appropriate management to reduce stroke risk?
Anonymous Quiz
8%
No antithrombotic therapy
19%
Aspirin only
54%
Oral anticoagulation
19%
Dual antiplatelet therapy
👍4❤2
Forwarded from Internal Medicine Questions Channel 💉💊
A patient with chronic obstructive pulmonary disease (COPD) presents with jugular venous distention, hepatomegaly, and pitting peripheral edema. What is the most likely diagnosis?
Anonymous Quiz
15%
Left-sided heart failure
9%
Acute pulmonary embolism
6%
Constrictive pericarditis
4%
Nephrotic syndrome
66%
Cor pulmonale
👍4
A child is found to have a grade II systolic ejection murmur that decreases with standing and has no other symptoms. What is the next step in management?
Anonymous Quiz
43%
Echocardiography
11%
Cardiology referral
33%
Reassurance
7%
Initiation of beta-blocker therapy
6%
Activity restriction
👍6❤4
Which cardiac murmurs increase in intensity with standing or the Valsalva maneuver?
Anonymous Quiz
27%
Aortic stenosis and pulmonic stenosis
23%
Mitral regurgitation and tricuspid regurgitation
13%
Ventricular septal defect and patent ductus arteriosus
26%
Hypertrophic cardiomyopathy and mitral valve prolapse
12%
Innocent (benign) flow murmurs
👍3
Forwarded from Black Lion | School of Medicine 💉💊
A newborn presents with cyanosis that does not improve with 100% oxygen and has a continuous machine-like murmur on auscultation. What is the next step in management?
Anonymous Quiz
7%
Initiate inhaled nitric oxide
25%
Immediate surgical closure of the ductus arteriosus
7%
Give loop diuretics
54%
Administer prostaglandin E1
7%
Observation and reassurance
👍2
Forwarded from Black Lion | School of Medicine 💉💊
A young child with cystic fibrosis is hospitalized for pneumonia. What should empiric antibiotic therapy include?
Anonymous Quiz
8%
No empiric antibiotics until cultures return
3%
Antiviral therapy alone
19%
Macrolide monotherapy
8%
Narrow-spectrum penicillin only
62%
Coverage against methicillin-resistant Staphylococcus aureus (e.g., IV vancomycin)
👍2
🖊 Laryngomalacia presents in infants with inspiratory stridor that worsens in the supine position and improves in the prone position.
Laryngoscopy shows collapse of the supraglottic structures during inspiration. Concurrent gastroesophageal reflux should be treated.
Laryngomalacia usually resolves spontaneously by age 18 months.
Laryngoscopy shows collapse of the supraglottic structures during inspiration. Concurrent gastroesophageal reflux should be treated.
Laryngomalacia usually resolves spontaneously by age 18 months.
❤2
Forwarded from Black Lion | School of Medicine 💉💊
🖊 Your immune system is a large network of organs, white blood cells, proteins (antibodies) and chemicals.
This system works together to protect you from foreign invaders (bacteria, viruses, parasites, and fungi) that cause infection, illness and disease.
This system works together to protect you from foreign invaders (bacteria, viruses, parasites, and fungi) that cause infection, illness and disease.
👍3❤1
A 7-year-old child presents with excessive thirst and frequent urination. What is the most likely diagnosis?
Anonymous Quiz
8%
Type 2 diabetes mellitus
20%
Diabetes insipidus
3%
Urinary tract infection
68%
New-onset type 1 diabetes mellitus
1%
Cushing syndrome
👍5
Which microorganism is the most common cause of urinary tract infection (UTI)?
Anonymous Quiz
6%
Staphylococcus aureus
4%
Klebsiella pneumoniae
3%
Proteus mirabilis
84%
Escherichia coli
3%
Enterococcus faecalis
👍3
What is the most common renal malignancy in children aged 2–5 years?
Anonymous Quiz
18%
Neuroblastoma
8%
Renal cell carcinoma
6%
Mesoblastic nephroma
5%
Clear cell sarcoma of the kidney
63%
Wilms tumor
👍3
A 3-year-old child is found to have a firm, smooth abdominal mass on routine examination. The mass is asymptomatic and does not cross the midline. What is the most likely diagnosis?
Anonymous Quiz
14%
Neuroblastoma
5%
Hepatoblastoma
72%
Wilms tumor (nephroblastoma)
4%
Burkitt lymphoma
5%
Congenital adrenal hyperplasia
Which congenital heart disease presents with severe cyanosis relieved by squatting?
Anonymous Quiz
11%
Transposition of great arteries
6%
TAPVR
8%
Tricuspid atresia
75%
Tetralogy of Fallot
A child presents with fever and signs of heart failure after several days of runny nose and nasal congestion. What is the most likely diagnosis?
Anonymous Quiz
35%
Acute rheumatic fever
11%
Bacterial endocarditis
5%
Congenital heart disease
9%
Kawasaki disease
39%
Viral myocarditis
👍4❤2
Forwarded from Surgery Questions Channel - AAU_2K11_Meds 💉💊
A bloody discharge from the nipple is consistent with which one of the following breast lesions?
Anonymous Quiz
9%
Fibroadenoma
58%
Intraductal papilloma
17%
Acute mastitis
11%
Phyllodes tumor
5%
Sclerosing adenosis
❤2
Forwarded from Black Lion | School of Medicine 💉💊
Lymph from glans penis drains into
Anonymous Quiz
14%
External iliac lymph nodes
19%
Internal iliac lymph nodes
34%
Deep inguinal lymph nodes
33%
Superficial inguinal lymph nodes
Forwarded from OBGYN Questions and Files Channel, AAU_2K11_Meds 💉💊
Fertilization usually occurs in
Anonymous Quiz
11%
Fundus of the uterus
6%
Body of the uterus
30%
The middle of fallopian tubes
31%
Medial third of fallopian tubes
23%
Lateral third of fallopian tubes
❤5
A 3-year-old child is developing normally. Physical
examination reveals a low-pitched cardiac murmur. An echocardiogram shows the presence of an ostium secundum, with
1-cm defect. Which of the ff abnormalities is most likely to be found in this child?
examination reveals a low-pitched cardiac murmur. An echocardiogram shows the presence of an ostium secundum, with
1-cm defect. Which of the ff abnormalities is most likely to be found in this child?
Anonymous Quiz
12%
Pulmonary hypertension
9%
Pericardial effusion
7%
Cyanosis at rest
67%
Left-to-right shunt
5%
Mural thrombosis
❤2
A 3-month-old infant had watery diarrhea and fever for
10 days. Rotavirus or adenovirus types 40 and 41 are the suspected
agents. What type of specimen would be most appropriate for detection of adenovirus type 40 and 41 infection in this patient?
10 days. Rotavirus or adenovirus types 40 and 41 are the suspected
agents. What type of specimen would be most appropriate for detection of adenovirus type 40 and 41 infection in this patient?
Anonymous Quiz
9%
blood
4%
urine
11%
conjuctival swap
54%
stool
20%
throat swab
2%
CSF
👍2❤1