بكرة حنشرح cases اليوم وحنزل cases respiratory

ملخص HTN

فيه كل المعلومات المهمة

ملخص ل IHD
Rheumatic fever
Endocarditis
Myo , pericarditis
Valvular disease

Q13

Q14 cvs

Q15 cvs

Q1 neoplasia

Q2 neoplasia

Q3 neoplasia

Q4 neoplasia

Q5 neoplasia

Q6 neoplasia

Respiratory cases 👇🏻 :

Q1. A 63-year-old man with small cell carcinoma of the left mainstem bronchus begins chemotherapy. During the treatment period, he becomes febrile and develops a productive cough. The temperature is 38.7°C respirations are 32 per minute, and blood pressure is 125/85 mm Hg. A CBC shows leukocytosis (WBC = 18,500/μL). The patient’s cough worsens, and he begins expectorating large amounts of foul smelling sputum. A chest X-ray shows a distinct cavity with an air/fluid level distal to the tumor area. Which of the following is the most likely diagnosis?
(A) Atelectasis
(B) Bronchiectasis
(C) Ghon complex
(D) Lobar pneumonia
(E) Pulmonary abscess

Q2.A 60-year-old alcoholic woman presents to the emergency room with fever, chills, and shortness of breath. The sputum is rusty-yellow and contains numerous neutrophils, red blood cells, and Gram-positive cocci. A chest X-ray shows diffuse haziness over both lungs. One week following admission, the patient develops empyema. This pulmonary condition is associated with the spread of bacterial infection to which of the following anatomic locations?
(A) Blood
(B) Bronchi
(C) Interstitial space
(D) Pericardium
(E) Pleural space

Q3. A 28-year-old woman with cystic fibrosis presents with increasing shortness of breath and production of abundant foul-smelling sputum. The sputum in this patient is most likely associated with which of the following pulmonary conditions?
(A) Atelectasis
(B) Bronchiectasis
(C) Empyema
(D) Pneumothorax
(E) Pyothorax

Q4. A 40-year-old woman with leukemia is treated with chemotherapy. During treatment she develops increasing cough and shortness of breath. A chest X-ray shows diffuse lung infiltrates. Sputum cultures are negative, and the patient does not respond to routine antibiotic therapy. An open lung biopsy is diagnosed by the pathologist as viral pneumonia. Which of the following histopathologic findings would be expected in the lungs of this patient?
(A) Clusters of epithelioid macrophages
(B) Confluent areas of caseous necrosis
(C) Fibrous scarring of lung parenchyma
(D) Hyaline membranes and interstitial inflammation
(E) Sheets of bacilli-filled macrophages