In infancy, the most important sign of congestive heart failure is:
Anonymous Quiz
4%
a) Ascites
21%
b) Congested neck veins
29%
c) Edema of lower limbs
46%
d) Tender hepatomegaly
Which statement concerning rheumatic polyarthritis is not true?
Anonymous Quiz
0%
a) It usually affects the great joints
77%
b) Joint deformities develop if the appropriate treatment is not introduced in time
15%
c) It is associated with a high fever
8%
d) The affected joints are swollen,
Concerning rheumatic polyarthritis, which is the correct statement?
Anonymous Quiz
0%
a) It is usually associated with chorea
4%
b) It usually affects the small joints
22%
c) Joint deformities develop if the appropriate treatment is not introduced in time
74%
d) The affected joints are swoll
False statement about rheumatic carditis includes:
Anonymous Quiz
8%
a) It may lead to heart failure
15%
b) It occurs in about 50% of the initial attacks of rheumatic fever
50%
c) The pulmonary valve is commonly affected
27%
d) There is tachycardia disproportionate to fever
The following is typical of Fallot tetralogy:
Anonymous Quiz
22%
a) Cyanosis at birth
3%
b) Peripheral cyanosis
0%
c) Huge cardiomegaly
75%
d) Right Ventricular hypertrophy
Laboratory findings of rheumatic fever include:
Anonymous Quiz
81%
a) High C-reactive protein
8%
b) Leukopenia
12%
c) Lymphocytosis
0%
d) Low ESR
Concerning infective endocarditis. Which is the correct statement?
Anonymous Quiz
22%
a) Blue clubbing is common
13%
b) Cardiac vegetations is a minor Duke criterion
43%
c) It can affect normal heart
22%
d) It may complicate ASD secundum
An 8‑yr boy with fever of 2 weeks', dyspnea, ankle edema, intermittent painful swelling of the joints unrelated to edema, and systolic murmur. a month ago he had a sore throat lasting for 5 days, which resolved spontaneously. The likely diagnosis is:
Anonymous Quiz
19%
a) Infective endocarditis
6%
b) Juvenile idiopathic arthritis
3%
c) Meningococcal sepsis
71%
d) Rheumatic fever
3‑month‑old infant
Poor feeding, shortness of breath during feeds, failure to thrive, chronic cough
Exam: tachycardia, gallop rhythm, hepatomegaly, no murmur, no cyanosis Chest X‑ray: cardiomegal
Poor feeding, shortness of breath during feeds, failure to thrive, chronic cough
Exam: tachycardia, gallop rhythm, hepatomegaly, no murmur, no cyanosis Chest X‑ray: cardiomegal
Anonymous Quiz
88%
a) Echocardiogram
6%
b) Electrocardiogram
4%
c) Blood culture
2%
d) Serum amino acids
Forwarded from Study Partner 196👨🏻⚕️👩🏻⚕️
TVS shows marked free pelvic fluid and non-visualized gestational sac, and the patient has severe abdominal pain and mild vaginal bleeding. Your recommended management is:
Anonymous Quiz
14%
Rest, antibiotics and conserve for 1 week.
8%
Oral and vaginal misoprostol
10%
Suction evacuation
20%
Methotrexate.
47%
Laparoscopy
Forwarded from Study Partner 196👨🏻⚕️👩🏻⚕️
A P1+0 presented by pelvic heaviness, frequency of micturition and delayed period for 3 days. HCG level was 400 mIU/ml. After 2 days, HCG was 780 mIU/ ml. Your diagnosis is:
Anonymous Quiz
9%
Data are not conclusive.
0%
Disturbed ectopic pregnancy.
2%
Missed abortion
9%
Molar pregnancy.
80%
Normal early pregnancy
Forwarded from Study Partner 196👨🏻⚕️👩🏻⚕️
A 19-year-old girl with pelvic pain, +ve pregnancy test and a 3cm living ectopic pregnancy in Rt fallopian tube, she had Lt salpingectomy for a previous ectopic. best management is:
Anonymous Quiz
4%
Laparoscopic salpingectomy.
70%
Laparoscopic salpingostomy.
4%
Conservative management with serial B-HCG.
2%
Laparotomy.
20%
Methotrexate.
Forwarded from Study Partner 196👨🏻⚕️👩🏻⚕️
Regarding disturbed tubal ectopic pregnancy, which of the following is correct?
Anonymous Quiz
11%
a. Commonly disturbs during 2nd trimester.
82%
b. Vaginal bleeding is usually mild.
0%
c. Absent pelvic pain is characteristic.
7%
d. Snow storm appearance on ultrasound is a diagnostic feature.
0%
e. Serum hCG is usually negative.
Forwarded from Study Partner 196👨🏻⚕️👩🏻⚕️
Which of the following increases the risk for ectopic pregnancy?
Anonymous Quiz
5%
a. Pregnancy on top of irregular use of combined contraceptive pills.
0%
b. Pregnancy after artificial insemination.
82%
c. Previous history of pelvic inflammatory disease.
0%
d. Previous history of polycystic ovarian disease.
14%
e. Previous caesarean section.
Forwarded from Study Partner 196👨🏻⚕️👩🏻⚕️
A 40-year-old multipara attends for antenatal care as she had a delayed menstruation for 1 week. She did serum hCG twice, 1st reading was 3000 mIU/ml and the 2nd, two days later, was 5500 mIU/ml. How can you interpret these levels?
Anonymous Quiz
4%
Not conclusive
73%
Normal pregnancy.
0%
Missed abortion.
11%
Ectopic pregnancy.
11%
Molar pregnancy