1

a case on croup,with barking cough, treatment. racemic

epinephrine. 

serpinous tender vein after travel hix , give enaxoprin ‫ده دواء زى‬
‫الهبارين‬. ,antiobiotic

transient tachypnea of newborn. diagnosis? aid was fluid in

fissures

after a trauma patient has excessive urination, but no loss of

weight, which test u will do , water deprivation test.

breast buds and pubic hairs at 7  years of age ...pubarche

,thelarche, ,

6
hemmorids age 58, with constipation, do colonscopy.

patient falls on rod , free air , urgent laparatomy

hiv bilateral lung involved, acid fast cocobacillus,  mai 

abdominal aortic aneuronism 6.5 abd pain, stenting,  4.5 seriel

ultrasound, pulsatile mass aortic aneuryms

10

a lady has two kids, comes to doctor, loses weight, doesnt take
care of her higenic ,remains isolated. withdrawn, irregular mensis.
schizoaffective disorder, anroxia nervose

11

thyroid multiple follictes , do and one large, fna of large nodule

12

amoniotis membrane rupture after cs has atelectasis. 2 questions

13

a patient has morning cough, clears throuat in morning 28 bmi ,

cause gerd

14
how would u have prvented coughing in psot operative patient who
has cracles in right lung ...give ranitidine.

15

pregnancy lady 38 weeks gestation bp 95/60  dysnea after walking

25 stairs.   normal physiological change,  due to big uterus .

16

pan systolic murmer , congeswtive heart failure, age 54 , dilated

cardiomyopathy, m.s , 

17

forceps delivery done, hemotoma was there jaundice in 18 hours,

what is cause its resportion of hemotoma, physiological jaudince

18

fever wheezes. bilaterl lung wheezes, in 4 year boy.

19

faiure to gain weight, respiratory infection in 5 boy, do nacl testing.

20

patient has hix of backache 4 weeks, sudden worsing of pain

buttok anesthesia, left anke jerk absent ....neursurgical consult.

21

patient is taking glyburide , his sugar is 300 , add metformin. 

22

diabetess foot ulcer not with fever. what u do, triple bone scan,
mri.ct, xray.

23

diabetes with gouty atach, olecran, taking cholchicine, and

allopurinol uric acid 8 .  what u do  urine for uric acid, increase
dose of allopurinol. 

24

2 question patient is taking on and off analgesic, but there is

massive protein urea,  instertial nephritis , membranous. , same
question what will u test for hep b and c , kidney biopsy. 

25

alocholic ast more than alt. mcv high.

26

acute pancreatitis, raised amylase, raised lipase.  other options

chronic pancreatis. 

27

case on copd , ph low, sao 78 , do intubation?. cpap?i

28

other question on copd ,already on ipratropium and neb of b

agonist, give antiobic and steroids.

29
a 8 year child with asthma , relieved in e.r what wil u give. oral
steroids, inhaled steroids, monteleukast, sodium cromygate.

30

65 year male confused for 2 days. ,dilirums fight with all, uti,
alzhmir type, brain abscess is on finastride ... so uti.

31

patient has diabeties controld for 25 years has rings around halos
and dim vision in night.  acute angle glaucoma, diabetic
retinopathy 

32

an obsese boy, has hyperkeratosis on leg?hand.. bmi 28 , what

will u study skeletal, endocrine, neural ?

33

breast under vesicular rash, give ketoconazole for fifteen days. 

34

vaginal bleed in post menopause, last mensss 6 years ago. do

endometrial biopsy.

35
cervix coming to introitus, and ant wall is seen. anterior
colporahphy, or plus vaginal hysterectomy. 

36

patient has intermittent claudication. what will u adivse statins,

thiazide, smoking cessation.

37

patient has buring in feet, he is diabetic, and dorsalis pulse is not

palbable. what is it. diabetic neuropathy, peripheral vascular
disease.

38

a couple goes to doctor. wife and husband tell them while laughing
that her husband ws sleeping, and got off the bed, and said ''horse
riding''   rem disorder, nightmare,sleepwalking.

39

iron deficinecy , he is vegatrian, lowe mcv , rdw high.

40

a 22 year patient has respiratory tract infection, his platelt is 50

thousands, hg is 11, tlc is 4...and there are spread firm
nodes.leukemia, itp.

41

subacute thyroditis. painful thyroid.

42
patient met with trauma, his friends tell that patient was having
meosis. then he had diareah, then he had seizure...
organophosphate , permetrhin.

43

patient has pansystolic murmer, and loud s2 at 4 month of life and

failure to thrivie. small vsd, large vsd, tof

44 , horner syndrome , mass in upper chest. 

45. patient has homosexual and hetrosexual partners. he has

lymphnodes, fatigue. negative infec mono, negative syphilis...
check viral load, check antibody,check cd4 count.

46

a person went to pakistan, had on and off fever, headache.

malaria, trypnsoma,

47

a woman had urgency for few days. and rbc in urine. nitrofun

48

question on pylenephritis. 2 one stable patient. unmarried. the

other one ill ciprofloxacin, for first , and amp +genta

49

otitis media bulging , amoxillin , azithro ,cefuroxime

50

question on pharngitis sore throat, lymphadenpathy, came to

doctor. biopsy, antiobitc.

51
lady reccurnt abortion ,dvt , what to look for this.  factor 5 leiden
defin ,

52

ptt raised, hemarthrosis.  mixing studies, bleeding,

53

pid and tubovarian absecss, treated but came with ovarian echoes.

54

5 year old boy, pain in scrotum for 3 hours, came at 11 o clock,  do
surgical view of scrotum, give pain killers.

55

trichomonas vaginils ,patient had cervical ulcers, pain, bad smell. 

56

patient had 7.9 psa level, asymptomatic, enlargment.  transurethral

biopsy,transrectal biopsy, followup, finastride,

57

a boy has worms and ova in stools, praziquental, albendazole, 

58

farm animal handler, hepspl ,lmph node, tularemia, babesis.

59

ECG 2,3 avf chest pain, mixed pictre of pul embolism.  option were
p.e ,mi, cardiac tampondae

60

stabe wound on left chest , sudden drop of vitals, chest clear

cardiac tampondae
61

question on pvd ,option stop smoking, do thiazides

62

question on prolactinoma ,previously normal , prolactin high,

63

pco , hair on upper lip, irregular menses other options were

adrenal tumor ,ovarian tumor.

64

question on meningitis started on ceftriax and vanco , on culture

he had gram positive diplocci, add ampi, continue same treatment
stop treatment.

65

mengitis csf given u had to diagnosis.

66

patient had watery diarea became bloody, clostridum difficle, jejuni

67

12 or 15 boy. bilateral inflitrae lung, cough, dry, mycoplasma.

68

question on lady had depression given sertaline, dose increased

temro in right hand, give propranol , sertaline induced tremors.

69

old man dysphagia to solids, later to drinks, how to confirm

diagnsis, endoscopy, manomatry.

70
lady felt weakiness while going upstairs , ck 8000, inflamotry
myositis, motor nerve disease

71

young athelete had inverted foot sweaking, do xray, nsaid

72

10 month old boy, normal at 5 month, normal low hemoglobin.

trasient or iron deficiency.

73

celiac disease lost weight, diarhea, ttg , what to do next  do

instesintal biopsy, large intestine, ct.

74

one case on benign position vertigo , when ligying down feeling

vertigo, on change of position vertigo no tintis, or hearing loss.

75

patient taking naproxen , water intoxication, kidney damage, 

76

patient had all , ready to get intrathexial methroxate next day his
parents say they wanna try herbal meds, whom to get consent.
patient itself, mother, father.

5 cases on statistics