A 68-year-old woman presents with vaginal dryness and dyspareunia. She is on no medications nor HRT. TVS is normal. PV shows loss of rugae. Most appropriate next step:
Anonymous Quiz
0%
Outpatient hysteroscopy to assess the endometrium.
35%
Transdermal continuous combined HRT
8%
Water based vaginal lubricants.
58%
Estrogen-containing vaginal pessaries.
The effect of which hormone causes arborization on Fern test:
Anonymous Quiz
13%
Estrone.
75%
b Estradiol.
6%
Estriol
3%
d Progesterone.
3%
e Testosteron
A patient with high FSH and LH levels and low AMH probably suffers from:
Anonymous Quiz
4%
Endometriosis
11%
PCOS
7%
Hypogonadotropic hypogonadism.
0%
Sheehan Syndrome.
78%
Premature ovarian failure
Several follicles begin to grow in a menstrual cycle. Their ultimate fate is:
Anonymous Quiz
7%
Ovulation
13%
b Dominance.
3%
c. Cyst formation
63%
d. Atresia.
13%
e. Regression.
An 8-year-old sickle cell patient arrives at the emergency room in respiratory distress. the child has become progressively tired and pale. Which if the following viruses is suspected to be the cause
Anonymous Quiz
0%
Coxsacki a16
10%
Echovirus 11
10%
Herps simplex
80%
Parvovirus B19
On routine newborn screen, a two-week-old child in your clinic is noted to have a sickle cell disease. As you discuss treatment options with his family, which of the following is the most appropriate
Anonymous Quiz
0%
Education of the parents regarding abdominal palpitation and temperature taking
0%
Infusions of immunoglobulin every 6 weeks
83%
Meningococcal vaccine at 2,4, 6 months of age
17%
Monthly injections of Vitamin B12
A five-year-old child present with history of fever off and on for the past two weeks. Petechial spots all over the body with increasing pallor over the last month, and spleenimegaly of the diagnosis
Anonymous Quiz
50%
Acute leukemia
0%
Aplastic pancytopenia
17%
Hypersplenism
33%
Idiopathic thrombocytopenic purpra
During a routine screening, complete blood count of a 5-year-old child is noted to have pronounced eosinophilia . Which of the following is the most likely explanation?
Anonymous Quiz
0%
Bacterial infections
40%
Chronic allergic disease
20%
Fungal infections
40%
Helminth infection
You are evaluating a 7-year-old male child with cervical lymphadenopathy. Which of the following is the most likely finding that raises your suspicion of malignancy?
Anonymous Quiz
75%
Fixed nodes
0%
Fluctuating nodes
25%
No regression in the size of the nodes to its normal within 2 weeks
0%
Presence of systemic symptoms
A 3-year-old boy present with fever, pallor, anorexia, joint pain, petechia, and hepatospiromygaly. Which of the following investigations is the most important to reach the diagnosis?
Anonymous Quiz
0%
Abdominal ultrasound
75%
Bone marrow examination
25%
Complete blood count
0%
ECR,CRP
An anxious father who is having G6PD deficiency asked you, Can I feed my 9 months old son beans? Which should be your answer?
Anonymous Quiz
17%
Do not give him it is a male dominant disease
17%
Feed him one spoon only and check urine color
17%
Test for hemoglobin electrophoresis if it’s normal feed him
50%
Test his mother enzyme levels if it’s normal feed him
Which of the following statement is true regarding children with sickle cell anemia disease?
Anonymous Quiz
0%
Acute chest syndrome requires only supportive care.
0%
Gall stones typically develop before the age of 3 years.
100%
Hydroxyurea maintenance therapy decreases the number and severity of the vascular occlusion crisis.
0%
Vaccinations are not required because they receive benzaline prophylaxis.
The first laboratory marker in iron deficiency anemia is
Anonymous Quiz
0%
decrease hemoglobin synthesis
60%
decrease of serum iron and increase of iron binding capacity
0%
depletion of bone marrow hemosiderin
40%
falling of serum ferritin
Which of the following causeshemolysis in G6PD deficiency?
Anonymous Quiz
0%
Amoxicillin
0%
Gentamicin
0%
Steroids
100%
Aspirin
Which of the following is NOT a cause of sickle cell anemia complications
Anonymous Quiz
100%
E.coli urinary tract infection
0%
Hemophilus influenza meningitis
0%
Pneumococcus sepsis
0%
Meningitis infection
Vitamin K-dependent clotting factor don't include.
Anonymous Quiz
63%
Factor l
13%
Factor ll
25%
Factor Vll
0%
Factor lX
Hemolytic anemia are characterized by
Anonymous Quiz
67%
Anemia unresponsive to iron therapy
0%
Presence of red blood cells
0%
Decreased reticulocytic count
33%
Direct hyperbilirubinrmia
Beta-thalassemia major is not characterized
Anonymous Quiz
0%
bone marrow hyperplasia
0%
hemosiderosis
0%
mild jaundice
100%
vaso-occlusive crises
In beta-thalassemia major, what is the false statement.
Anonymous Quiz
20%
Hepatosplenomegaly is usually present
0%
It results from a defect in beta-globin chain production.
0%
Splenectomy may be needed later
80%
The newborn girl is clinically and hematologically normal.
A 15-month-old boy presents with seizures associated with fever. He has been in good health, except for a high fever that developed today (39.9°C). He has a slight cough and mild nasal congestion. Just before the seizures, he was playing with some toys. Past medical history is unremarkable. During the examination, convulsions completely stopped.
Which of the following is the most appropriate next step?
Anonymous Quiz
60%
Lower the body temperature
0%
Perform an EEG
20%
Perform CSF examination
20%
Start IV diazepam