1. (LCT) mention 1 drug that belongs to the class of P2Y12 inhibitor?

Clopidogrel, prasugrel, elinogrel,ticagrelor and cangrelor

2. Ipratropium is a member of which group of drugs?

Muscarinic antagonist

3. A patient has a myocardial infarction that damages the anterior interventricular septum and
the apex. Which coronary artery is occluded?
LAD

4. What is the nerve that innervating of pleura parietalis pars mediastinalis?

N. phrenicus

5. hoarseness in patient with lung cancer can be caused by suppression of nerve ......
N. laryngeus reccurent

6. What is the medical treatment to close ductus arteriosus?(not group of drug but the drug
itself)
Indomethacin

7. When do we do a acid fast stain examination in TB patient during category 2 treatment?

In the 3rd month, 5th month and 8th month during the treatment

8. What does “CURB-65” stand for?

Confusion, Urea, Respiratory rate, Blood pressure, age > 65

9.

what is the diagnosis for this ECG?

Sinus bradycardia

10. What is the first branch of the aorta?

a.Coronaria dextra et sinistra

11. When does eisenmenger syndrome occur?

R-L shunt

12. When you prepare for ECG examination, where is the lead V2 to be placed?
SIC 4 parasternal sinistra

13. A 45-year-old man who takes spironolactone for his congestive heart failure is admitted to
the hospital because he is experiencing an altered mental status. The ECG changes shown in
 the image are noted on testing. What is the diagnosis for this electrolyte imbalance?

Hyperkalemia

14. Name 3 groups of antihypertensive agents that worked on RAAS!

ACE Inhibitors, Angiotensin Receptor Blockers, Mineralocorticoid Receptor Antagonists
(potasium sparring diuretics).

15. A 2-month-old boy is brought to his physician because of poor feeding since discharge from
the hospital on his second day of life. The mother reports that he seems to tire easily. His
medical history is notable for an uncomplicated 38-week gestation and a normal,
spontaneous vaginal delivery. On physical examination, the patient is small for his age but is
otherwise well appearing and breathing comfortably without cyanosis. Palpation reveals a
hyperdynamic precordium and wide, bounding peripheral pulses. A grade III/VI continuous,
“machine-like” murmur that peaks at the second heart sound is audible over the left sternal
border and below the left clavicle.
What is the most likely diagnosis?
PDA

16. What is the adverse effect of spironolactone?

Hyperkalemia/gynecomastia

17. 55-year-old male with a history of rheumatic fever. He has had frequent episodes of acute
pulmonary oedema. On examination his pulse is irregularly irregular, he has a loud first heart
sound and rumbling mid-diastolic murmur on auscultation. What is the diagnosis for this
valvular heart disease?
Mitral stenosis

18. An 80-year-old woman is admitted to hospital withshortness of breath. On examination

there is reduced chest expansion on the left side with hyperresonant percussion and absent
breath sounds. The trachea is deviated to the right. What is the most likely diagnosis?
Pneumothorax

19. These cells have rounded nuclei and are rich in mitochondria. These cells secrete surfactan.
Also, microvilli are present on their exposed surface. What are name of this cells?
Pneumocytes type 2

20. A 23-year-old man is experiencing a flare of his asthma. He is using his salbutamol inhaler
more frequently than usual and despite increasing his inhaled steroids he is still short of
breath. Previously his asthma was considered mild with no severe exacerbations requiring
oral steroids or hospitalization. With his flare, he has recurrent episodes of bronchial
obstruction, fever, malaise, and expectoration of brownish mucous plugs. On examination,
there is bilateral wheezing. The heart, abdomen, neurologic, and skin exams are normal. CXR
reveals upper lobe pulmonary infiltrates; the eosinophil count is 3000/mL, and serum
precipitating antibodies to Aspergillus are positive. What is the most likely diagnosis?
allergic bronchopulmonary aspergillosis