DHA Recall - October 18 ,2020

1. Ileal stricture tt 1cm, Ibd,clear colonoscopy - stricturoplasty,resection,hemicolectomy

2. Lady refuse steroid ttt due to s/e– what to advise- this rx is important mx /side effects are not
serious/refer elsewhere
3. Child abuse case what to do - report
4. Vulval swelling 5 o'clock red –bartholin/Vulval abscess
5. Microsphero + anisocytosis mild anemia - what is it aiha/hs
6. Ring form slide- dx- malaria falciparum
7. Bronchi ca or bronchectasis- change voice, swelling in hands,painful,smoker,clubbing
8. Icu pt low bp 40 hr, give -fluids/atropine/dobutamine
9. Nephrotic pt after ttt what shows success how do you ascertain - dec proteinuria in 3 days , in 5 days
,no swelling
10. Turner what is associated- dm/hypothy/hyperparathyroid
11. Shock - was clear cardiogenic
12. Shock -all parameters low,svp high(cant remember rest- better to revise shock and association with
pcwp,svp,co,bp)
13. Spiral femoral fx,after trivial injury,subperiosteal erosions, what kind of parathyroid issue-
adenoma/cancer
14. Crohns dx - clear case- classic picture
15. Uc case with biliary beading uss –dx – psc
16. Infant with apnea, cyanosis after feeding ,resolves need admission - what is likely admission dx -
acute life threatening event/apnea to r/o sepsis
17. Jaundice in newborn first 12hr, worsened in 36hrs , blood film and labs shown, what next - hb
electro, g6pd screen,osmotic fragility
18. Ascitic pt, fluid neutr 180,protein 12, apart from salt n fluid restrictions what to do,- furosemide plus
sprinolactone
19. 14 yo thyroid nodule 4cm I think ,no symptoms was routine check up and incident finding inadequate
fna - repeat fna/follow up
20. Start anti thyroid meds - clear case of hyperthyroid asking mx
21. Pertussis case
22. Jaundice pt abd pain tender enlarged liver no fever- what next- us liver/ ct
23. Birads 5 , nipple inverted, what next- mastectomy/ct staging plus bone
24. Fibrocystic case -multiple cysts plus 2 nodes
25. Lady death of sibling insomnia what to give - lorazepam
26. Lady primi with hx of irregular cycles and came with vaginal mild bleeding with cervical motion
tenderness, else all fine- confirm preg/do us pelvis
27. Pregnant 7 wks mild spot -left sided pain- no iugs in abd or tvs what is dx - extra uterine
preg/ruptured corpus lutes/ovarian cyst
28. Psoriasis pt of topical steroids. Came with cushing features. Morning cortisol low, acth low what's dx
29. Dvlpmt child tricycle handshake says name age can't draw square
30. Case of appendicitis with fecolith and 10×15abscess from rif to abdomen- what to do - lap appe with
drainage/open with drain/percutaneous drainage
31. Which most imp characteristics of cancer screening test - spec/sens/low cost/less time
32. Vaccination- had anaphylaxis after 2 m vaccine- dont know to what- came for 4m - what to do -
give/don't give dtp give rest/give and observe for 1hr
33. Child with fever came for vaccine - give/dont
34. Child with pertussis-have siblings older at home all vaccinated - what to do for them- give proph or
observe for symptoms
35. Infant with gram positive csf - what empiric rx - genta/amipic/mero/cefotaxim
36. Case of c.diff positive (has diarrhea etc), knee swelling, tendo achilles swelling, hand swelling, all
cultures including synovial neg.whats dx - septic/reactive/periph arthritis from Ibd
37. Case of sca with fatigue,headache inc retics low hb - sequestration crisis/hemolytic crisis
38. Hypoxia RDS not responding to bronchodilators - niv/steroids
39. Child had contact with someone having flu like symptoms, now has sore throat, rapt neg , waiting
culture-supportive/antibiotics
40. Child with urti, wheeze, cough- neb ventolin plus ns /neb plus systemic steroids/abx plus steroids
41. 14 yo with irregular periods- reassure
42. Preg in 2nd stage , 3hrs ,not on epidural, station +2 ,fully dilated and effaced ,head 1/5 - what next-
cs/ventouse/wait 2hr/scalp ph
43. Pt with grey Turner sign - necrotic pancreatitis
44. Lady post mastectomy numb and swelling inner upper arm - nerve affected- long thoracic/intercosto
brachial
45. Dm lady, redness over leg,no swelling, reduced pulse- something
46. Dementia cause- b12 def,idiopathic parkinsonism,spinocerebellar ataxia,
47. Child with neck rash - candida intertrigo/seborrheic derm
48. 12 yo girl what behavior regarding parent illness
49. Diagnostic of downs in child.-simian crease/inward curving of little finger
50. What is the mx of a significant asd – no size mentioned or details
51. Trauma to posterior calf - what nerve affected- tibial/sciatic/sup peroneal,common peroneal
52. Case of stroke or something, give warfarin what inr to keep - 2-3/1-1.9
53. Case of Parkinson dx – was classic picture of gait,masked face,etc
54. Type of ventral hernia repair -sublay/inlay/onlay
55. Case of jia with bilateral knee involved - classify the jia

GLORY FILES
1. Baby of chlamydia mom what affected - eye/brain/lung/ear
2. Surrogacy in Saudi qstn
3. Htn pt not controlled ,lab showing hypo k what is cause of non control -
nsaid/antacid/pseudoepherdrine
4. Kawasaki mx- aspirin, ribavirn,acyclovir
5. Incomplete miscarriage - fluids and expectant or dnc
6. Erythema toxicum what to tell pt- reassure
7. Hysteroscopy pic of polyp
8. What polyp was it? Endometrial
9. Condyloma lata female genitalia
10. Lady hrt –we refuse
11. Vaccine- parents refuse
12. Intern site of op
13. Parathyroid resection indication : age ,osteoporosis, inc pth levels
14. Gamma globulinemia qstn
15. Ttt of trichomonas
16. Dx of bacterial vaginosis
17. Coarc of aorta case classic s&s
18. Hemothorax xray n case mx- chest drain
19. Smoking and lung cancer how many years 10 or 20
20. Burns guy 70kg both lower limbs calc
21. Cluster headache- what to give for proph - verapamil
22. Volvulus case n xray asking site
23. Sle case what ttt to start, - hydroxy with what mtx/azath/mmf/cyclo
24. Depression pt, lung cancer hx, poluria polydipsia hyper na,inc osmolality- psychogenic, di,siad
25. Old lady pneumonia agitated qstn
26. Kid with bronchonpeumonia
27. Ruq pain fever jaundice lady what to do - ercp/lap chole /cholecystectomy
28. White exudate tonsils what complication you expect
29. Post appendectomy wound pus discharge what to do - iv ab/ct/lap
30. Ant abd fascia stab wound - ex lap/diag lap/observe/ct
31. Infant with bilious vomiting, abdominal distention ,no stools, per rectum empty, after removing
finger large amount of stool with gas - hirchsprung/intessussception
32. Dm htn ihd - abdominal pain,vomiting - abg also given - mesenteric ischaemia
33. Chd,irreg pulse, abd pain -mesentric embolic infarct
34. Asprin toxicity- abg is what
35. Diarrhea 4h of meat - staph
36. Prosthetic valve infected after 1m came with chills fever - staph epider/strept viridans
37. Child bro died of immunodeficiency what vaccine to defer till results
38. Recurrent miscarriage- lupus anticoaf postive - cause - antiphosp/protein c/protein s
39. Post 2 wks urti - nephritis- what will see- low c3/low c4/high c3/high
40. Pt of opp gender how to examine
41. Lady with prev hx of preterm came. With labor similar-language barrier and distressed- how to
deal
42. Case of placental abruption- rapid response team mdt
43. Sinusoidal ctg - dx
44. Lady mgso4 toxicity - stop or give caco3
45. Atrophic vaginitis ttt
46. What to check in suspected menopausal- fsh
47. Pcos what next test - glucose n lipid prof
48. Another menopausal- fish
49. Case of aub,painful period - past hx of dnc now bulky uterus - adenomyosis
50. Child atopic derm, came with wheeze, cough, had similar episode once before in 6m - spasmodic
croup, bronchial asthma
51. Avl,v5 v6 stemi- lateral mi
52. Female with progressive pain and redness on left hand with knife prick : cellulitis
53. Pain on walking, 300m improved with rest- peripheral arterial disease
54. Case of varicocele- bag of worms
55. Hep b immuno status - Ag neg,core +, ab +
56. Spider veins, mx - sclerotherapy
57. Ascending limb paralysis- gbs
58. Case of tb suspect - what precaution
59. All post chemo- tumor lysis – hypo
60. Pt post thyroidectomy affected nerve - recurrent laryngeal
61. Case of testicular torsion
62. Type of estrogen in preg – estriol
63. Lady 2m amenorrhea - preg - what next - bhcg/uss
64. Fetus getting what type of immunity - passive natural
65. Contraind vacc in pregnancy - zoster
66. Asthmatic with nebulizer and wanting to go out- tell abt inhaler
67. Loss of dorsiflexion wrist, extension of fingers -thimb,index middle - median nerve
68. Child abd pain - what says its organic - pain at sleep time
69. Angry patient doctor
70. Vaginal candida
71. 72 yo tia and afib - aspirin
72. Tb with raised lft what to do,-stop,continue n recheck 1 wk later,stop certain ones
73. Dm with new htn ttt- acei
74. Chole case with gastric mass what to do
75. Bleeding after intercourse lesion- cervical
76. Pcos not planning to get pregnant soon- ocp
77. Preg lady what vaccine, school age Child - influenza