patient diagnosed with TB & started on anti-TB. He presented to the clinic for a follow-up with signs of gout. laboratory investigations showed increased uric acid level. What drug causing this?
Anonymous Quiz
67%
Pyrazinamide
8%
Ethambutol
22%
Isoniazid
3%
Rifampicin
👍1
patient with hepatitis C, cirrhosis, and upper gastrointestinal bleeding (UGIB)
presents to the ER with frothy secretions. What is the most appropriate initial management?
presents to the ER with frothy secretions. What is the most appropriate initial management?
Anonymous Quiz
44%
Endotracheal intubation
17%
Emergency endoscopy
35%
Octreotide
3%
Blood transfusion
👍1
patient is admitted with a diagnosis of lower lobe pneumonia. You are planning to obtain blood cultures. When is the best time to collect them?
Anonymous Quiz
32%
1 hour before event
20%
1 hour after event
46%
During a fever attack
2%
After the seizure
🔥2
⛑️ Barrett’s esophagus surveillance:
- Without dysplasia: EGD every 3-5 years
- Low grade dysplasia: EGD every 12 months
- High grade dysplasia: Endoscopic eradication
- Without dysplasia: EGD every 3-5 years
- Low grade dysplasia: EGD every 12 months
- High grade dysplasia: Endoscopic eradication
👍1
Most common site involves in CD
Anonymous Quiz
4%
Procititis
6%
Small bowel
10%
Colonic
79%
Ileocolonic
40-year-old female with chronic kidney disease comes for a follow-up with no active complaints. Investigations show
Ca 1.7 mmol/L and Phosphate at 1 mmol/L. Next step?
Ca 1.7 mmol/L and Phosphate at 1 mmol/L. Next step?
Anonymous Quiz
9%
Sevelamer
10%
Cinacalcet
44%
Calcitriol
36%
Vitamin D Supplements
patient presented with fever, bony back pain and tenderness by examination. Culture showed gram negative coccobacilli. What is the most likely diagnosis?
Anonymous Quiz
8%
TB
82%
Brucellosis
2%
Schistosomiasis
8%
Staphylococcus aureus
Patient presented with fever headache and myalgia after 1 week returning from umrah with maculopapular rash, neutropenia and thrombocytopenia with picture, what is the likely diagnosis?
Anonymous Quiz
17%
Malaria
4%
TB
77%
Dengue fever
2%
Brucellosis
🧠 Central vs Peripheral Hormonal Deficiencies
- Central adrenal insufficiency: Characterized by the absence of hyperpigmentation and hyperkalemia.
- Central hypothyroidism: Typically presents without goiter, and the diagnosis is established by measuring free T4 rather than TSH.
- Central adrenal insufficiency: Characterized by the absence of hyperpigmentation and hyperkalemia.
- Central hypothyroidism: Typically presents without goiter, and the diagnosis is established by measuring free T4 rather than TSH.
52 history of a non-functioning pituitary macroadenoma presents with sudden severe headache, vomiting and ophthalmoplegia. O/E hypotensive & confused. most appropriate initial management?
Anonymous Quiz
22%
Immediate transsphenoidal surgery
47%
High-dose intravenous glucocorticoids
30%
Intravenous mannitol and head elevation
1%
Oral levothyroxine replacement
👍1
Amiodarone side effects include:
Anonymous Quiz
19%
Hypothyroidism
17%
Hyperthyroidism
23%
Sick euthyroid syndrome
40%
A&B
👨💻2
🩻 Image & Amiodarone-induce thyroid dysfunction:
- in Amiodarone-induced hypothyroidism: RAIU no uptake
- in Amiodarone-induced thyrotoxicosis type-1, Doppler US shows increase blood flow
- in Amiodarone-induced thyrotoxicosis type-2, Doppler US shows decrease blood flow
- in Amiodarone-induced hypothyroidism: RAIU no uptake
- in Amiodarone-induced thyrotoxicosis type-1, Doppler US shows increase blood flow
- in Amiodarone-induced thyrotoxicosis type-2, Doppler US shows decrease blood flow
👍1
Which of the following is the strongest risk factor for osteoporosis?
Anonymous Quiz
14%
Obesity
19%
Cigarette smoking
4%
High calcium intake
64%
Advanced age
👍1
52-year-old male patient presents with shortness of breath and fatigue. On physical examination, a pansystolic murmur is auscultated radiating to the axilla. What is the likely diagnosis
Anonymous Quiz
8%
AR
66%
MR
16%
AS
10%
MS
👍1
patient is found to have a murmur radiating to the back between the scapulae. A chest X-ray shows bilateral rib notching. What is the most likely diagnosis?
Anonymous Quiz
82%
Coarctation of the aorta
8%
Aortic stenosis
5%
Mitral stenosis
5%
NSTEMI
👍1