6/10/2016

Infectious :

1-Salmonella typhi : what is wrong :

Rose rash come in the same time of fever

2-all of following transmits at non hiv homosexual except :

a-cmv

b-epv

c-chlamydia trachomatos

d-hbv

e-hsv

3- not inflammatory mediator

a-nitric oxid b-bradykinin c-interlukin 1 d-plt activating factor

4-hive patient with cd4 less than 100 what to give : tmx prevention for toxoplasma

5-hiv patient with brain ring like lesions : cns toxoplasma

6- tb ttt what is wrong : tb meningitis can be treated with streptomycin

7- case of malaria at traveller to Jakarta what to give first : a-chloroqin b- kinidin c- I did not
remember the rest but ihe ttt should be with kinin iv or tow drugs their was a slid with
banana shape

8-all are cold viruses except a-bico b-ruta c-

9-

Neurology :

1-case of acute cva what to do first : ct without contrast

2-tonic ckonic fit what to give first : a- haloperidol b-finitoin zdiazepam

3-mechanism of gbs : demylanation

4-trigeminal nerve pain what to give : carpamazepin

Cardiology
1-about rheumatoid fever what is the percent of cardia complication 50%

2-pnt of st elevation what to do first : pci

3- post mi pnt bp 80/40 p=40 what to give first " a-atropin b-isoprenalin c- pacing

4- long senario about subacute endocardotos they asked about diagnosis

5- pnt with restrictive pericarditis with dyspnea ttt : surgery

6- pnt with endocarditis with enterococcus ttt :

7- risk factor of abdominal aneurysm dissection a-marfan b-pregnancy c- takayaso d all

above d- a+c

Respiratory

1-coal worker lung disease : a-silicosis b- pneumoconiosis

2-plural effusion transudate dd : cirrhosis

3-surgery contraindication of lung cancer a- hb less tan 10 b- vocal cord involvement

4-@antitrypsin what is true? a- smoking leeds to emphysema

Endocrinology :

Ttt of thyroid storm except : a-high dose of aspirin b-ptu c- iudin d -1

steroids

2-ttt op prolactin secreting tumer with no neurological symptoms : cabirgolin

3-ttt of graves at pregnant what is wrong a- carpimazol is preferred of ptu b- bb to control

symptoms

4-acth secretion tumer except : a-thyroid b- lung c- intestinal

primary adrenal insuffesuncy except: a- kitokonazol b- sarcoid c -neoplasm d-men 2 e-tb

5-thyrod papillary what is wrong : spread locally and via blood (wrong )

Nephrology

1- Acei in nefrotic syndrome what is the wrong : enhance protinurea and gfr
2- Question about post infection gn a-cmv b-strepto c-sallmonella
3- Isoosmol urin what true a-hepatorenal b- hypovolmia c- atn
4- Most common reason of death in rf : k elevation
5- Patient on dialysis with shoulder pain ( it is in person vio )

Question about anoxios nerosa

About lithium salts what is wrong : hydrochlorthiazis increases serum level of lithium salts

Kaposi sarcoma what is wrong : a-most common malignancy with hiv b- ttt of diffuse
pattern is radiation c- d- e-

Hematology

1- Question about itp

2- Question about protic c deficiency
3- Question about allografic Marrow transplant

Rheumatology

1- Question about osteoarthritis (simple one

2-

Drug induced lupus

Occurs less in slow acetylators

More common at women

Occurs more in slow acetylators

Not reversible on stopping the offending drug

Long scenario about 60 years old patient has CKD treated by dialysis from 5 years, complains

:of numbness in both hands and bilateral pain in 2-3-4 fingers, diagnosis

A- Carpal tunnel syndrome C- B2 microglobulin amylodosis

B- Proximal arteriovenous access D

Question about hymocystin urea

:One of the following predisposing factor related to cancer

A- Fishing.. testis cancer

B- Tanning skin cancer

-C- Radiologist . Bone cancer D

d- varnishing and dye factory ------------leukemia

- e- farmer -------------lung cancer

, Long scenario about a patient comes to the ER with adrenal insufficiency symptoms
:management

A- IV normal saline

B- Hydrocortisone

C- Draw blood for cortisol and ACTH

D- A & B E- A, B & C

Bad prognosis for pancreatitis : amylase high levels (2 questions )

Question about hcv what is the wrong : dna virus -
Two questions about hbv I coud not remember them but they were easy
Question about ips what is the wrong : causes bleeding