Evaluation of nonlactating nipple discharge

Breech types

Naegele’s rule for EDC

Respiratory Distress in the Newborn (RDS), Transient Tachypnea of the Newborn (TTN), Meconium Aspiration Syndrome (MAS)

Management of Ectopic Pregnancy

Risk of needles transmission:

HepB 30%
HepC 3%
HIV 0.3%

Degree of Dehydration

Noonan syndrome vs Turner's syndrome

Vaginitis differential diagnosis

Rheumatic Fever Prophylaxis

Recent MI. When to do cholecystectomy?
- If bare-metal stent PCI —> after 6 weeks
- If drug-eluting stent —> after 12 months

Open or laparoscopic?
- HF or low Ejection Fraction (below 50%) —> open
- Only MI —> laparoscopic

Management of Barret's esophagus:

🟪 Barrett alone (metaplasia):
PPIs and rescope every 2–3 years.

🟪 Low-grade dysplasia:
PPIs and rescope every 6–12 months.

🟪 High-grade dysplasia:
Ablation with endoscopy: photodynamic therapy, radiofrequency ablation, endoscopic mucosal resection.

CTG findings:
MgSo4 -> decreased variability
Oxytocin & cord compression-> variable deceleration
Epidural -> prolonged deceleration
Head position -> Early deceleration
Normal -> Acceleration

SBO Approach

Hepatitis B Serology

Hypertension in Pregnancy

Approach to Suspected Preterm Labor

Internal Hemorrhoids Grading and Treatment

What will decrease mortality in COPD patient? 🧐

1- Smoking cessation (if it is in choices it is always the best answer)
2- Vaccination (Pneumococcal and influanza vaccine)
3- Home oxygen therapy (only if indicated, don’t choose it unless indicated!)

Indications for long term home oxygen therapy in COPD patient:-
1- PaO2 in ABG (out of time of acute attack) less than 55
2- PaO2 55-59 + one of the following: dependent edema (Cor pulmonale), polycythemia (Hct > 56%), pulmonary hypertension, Nocturnal hypoxemia