Recall first part - batch 2 and 3

1) Regarding chemoreceptor which of the following is true ?

Loocated in aortic and carotid sinuses

Both carry vagus nerve fibers

2) regarding abdominal aorta one of the fallowing is not true? Lie right to SVC

3) procedure sedation in convulisve pt what is best? fentanyl + midazolam

4) All of the following true regarding femoral artey except? It lie medial to ingunal canal

4) hyperkalemia s K 6 , sever metabolic acidosis , BP 220/ NO ECG changes of hyperkalemia , p.edema.

what is immediate action ? GTN

5) hypertensive emergency , inferior MI , confusion , what is the next step? CT brain

6) physiological jaundice: which of the following is true?

7) denge fever which of the fallownig indicate bad sign?

8) exrensic pathway start by factor? 7

10) paediatric with sever dka pH 7.22. low HCO3.. one of the fallowing is true? use of soduim
bicarbonate is dangerous in this DKA

11) pathophysiology of ACS ?

narrwoing of cornary artery du to thrombosis

Intra cornary artery erothrmatous rupure of plaque

12) spinal anasthesia distribution ? Between dura and pia mater

13) RTA , massive abd tenderness and distension bp 85/66.immediate action is?

iv lines and fluid ressuscitation

Do fast scan and call for surgery

14) open pnuemothorax at the scene ..paramedic paramedic did oclussive wound dressing. What is ur
immediate action? 3 ways valves pladting

15) the common cause of death in SCA is?

Sepsis
ACUTE chest syndrome

16) regarding phenytoin one of the fallownig is true? P450 inducer

17) the fallowing organ has highest oxygen consumption? Heart

18) one of the following has lowest conduction velocity? AV node

19) regarding oxygenation in tension pnuemothorax? Answer is all of the above ( oxygen delivery until
chest tube is ready, denitrogenation, ..)

20) upper limp weakness more then lower limps with urine retention and loss of sensation in the hands
and legs? central cord syndrome

21) most common cause of paediatric chest infection? respiratory syncedal virus

22) chroup , stridor, what is the best management? nebulized ep

24) renal physiology which of the following is true? Cortical received 90% of blood supply

25) which of the following is indicated to increase extra cellular volume? Normal saline

26) the area in respiratory with large airway resistent is? small bronchiols

27) regarding ARDS in neonate which of the following is true? collapse of small alveoli

28) pt with hepatitis B surface antibodies positive , all other were negative the pt most probably have ?
HB immunization

29) least of the fallowing cause myocarditis?

Toxoplasmosis

Diftheria

Chagas dise

Cawasaki dise

30) infective endocarditis in drug user the most common bacteria involved is? staph aureus

31) correct matching, fursemide - thick ascending loop of henle

32) area with highly diluted urine - tip of ascending loop of henle

33) trauma to neck with unilateral pupil dilitation recative to light bilatery with ptosis unilaterally?
Carotid artery dissection
34) sever acute abd pain with vomiting , excacebrate by supine position releved by sitting and squating
position the best test is? s lipase

35) vomitting and abd pain with and grding and tenderness: the most common organism is ? E.Coli

36) regarding normal Flora which of the following is true? Help in food digestion

37) SVT without abberant conduction best durg is?

38) dose of 20% lidicaine in pt his wt is 60kg is? 9 ml

39) one of the fallowing causes low PaO2 and high A a gradeint ?

Rt to lt shunt

Low VQ mismatch

40) inferior MI cornary aretry all of the fallowing arteries may involved except? Proximal RCA

41) regrding high attitute respiration the low PCO2 is du to? Hypoxia induced hyperventilation

42) the most common cause of mesentric ischemia is ? Arterial embolism

43) pt presented with fever and confusion in addition to Rt upper quadrant pain , on exam the pt is
febrile , hypotensive, jaundiced with positive Murphy sign what is ur diagnosis? ascending cholengitis

44) pain sensation which one of the following is true? Terminal nerve ending

43) regarding sympathetic nervous system? has thoracolumbar out flow

44) neglected eldelry female on plrolonged normal saline infusion? U will suspect? hyponatremia

46) complication of rapid correction of hyponatremia will cause which of fallowing?

RBCs shrinking

47) Venous Retain?

when increase will increase SBP

Increase by vasoconstriction

46) the most early complication of SAH ?

vasospasm

Rebleeding

47) wide compelix VT with WPW the best drug is ? procainamide

48) one of the fallowing failed to reduce HCL secretions? nicotinic anti cholenergic

46) regarding phynetoin one of the fallowing is true? P450 inducer

47) teenager with fracture mandible and lips laceration the best airway intervention is? tracheostomy

48) about ACh ? some sympathetic fibers secrete ACH

49) one of the fallownig is secreted by anterior pitutary gland? TSH

50) pt with addison dise taking regular dose of prednisolone presented with a pneumonia , Required
admission in the ward... what is best management?

Double dose of prednisolone

Continue same dose and add PPIs

51) one of the fallownig drugs decrease release of thyroid hormones and prevent conversion of T4 to
T3? Prothyluracil

52) most sensitive stimulus for ADH secretions is? Osmolarity

53) renin secereted by ? Afferent arterioles (JXG)

54) all of the fallownig drugs formed by kidney except ? phendiadone

55) normal GFR in adult is ? 125 ml/m

56) the best and rapid intervention to stop active bleeding is?

desmopressin

Platelets

Vit K

57) regarding cardiac cycle:: closure of AV valves occurred before isovolumetric contraction

58) shunt mechanism occured in all of the fallownig except ? PE

59) paediatric bronchial asthma all of the fallowing true except??

oral prednisolone and iv hydrocortisone has same bioavailability

Both have same volume of distribution

Both have same efficacy

60) pt living in high attitute what is the change my occure?? ODC shifted to right
61) production of bile acids by liver cells du to release of which of the following ? CCK

62) regarding cardiac cycle : during which of the following the aortic pressure is equal to LV pressure?
(may be more or less I'm not sure)

63) the best management for malignant hyperthermia is? Dantrolene

64) one of the fallownig encourage aldosterone secretion? Hyperkalemia

65) all of the fallownig true about FRC except ? increase pulmonary vascular resistent

67) RTA , abd trauma , abd distension, hypotensive..the immediate management is? insert iv lines and
start iv fluid

68) one of the fallownig is not characterstic of cardiac muscle??

cesytial fibers

Present of myocin and actin

Present of gab junction

69) one of the fallowing associated with pneumocystic carni?

Productive cough

Clear chest x Ray

No fever

70) one of the fallownig is a major intracellular cation? K

71) compartment syndrome what is best to do? Intra compartment pressure

72)

73) regrading insulin: (mentioned all functions of insulin) the answer is all of the above

74) regarding respiratory physiology: very small amount of oxygen dissolved in plasma

75) all of the fallowing are antiplatlelets except ? phenodidene

76) the major protein responsible for plasma oncotic pressure ? Albumin

77) one of the following will keep fluid in intravascular space? plasma oncotic pressure

77) the deffintion of haematocrete is ? The percentage of RBCs relatives to blood volume

78) pt presented with fever, soar throat ,and fatigability before one weak received received amoxicillin.
Now presented with same complain plus rash what is most likely diagnosis? Infectious mononecliosis
79) pt took antimalaria and antibiotics which one of the fallowing is responsible for haemolytic anemia ?
Primaquine

80) one of the fallowing may cause osmotic dehydration? 3 perecent hypertonic saline

81) hepatotoxicity after acetaminophen poisoning will occur approximately after?12-24h

82) basal ganglia coordinate which of the following? Gate

83)

SAGs

Case of ARDS

94) the best intervention to increases level of oxgenation is to increase..

PEEP

95) the main intervention to optimize minute ventilation of this pt is to focus on pt...

RR

96) the minute ventilation is composed of ...?

TV , RR

97) the mode of ventilation that permits pt breathing with mechanical ventilation is ...

SIMV

98) the mode of ventilation the breathing effort of the pt is totally kicked out..

CMV

99) the intervention will be adopted to test the probability of weaning is ..

Sedation vacation

100)