Wateen - Group B

Internal Medicine MiniOsci

Done by: Hakam Ali & Neveen Shabaro

Edited by: Al-Hakam MAhmoud
 1
• What is the most likely associated disease ?

A. Hepatitis B
B. Viral hepatitis
C. Hepatitis C
D. Autoimmune hepatitis
 Answer

C. Hepatitis C
 2
• Picture of hand deformity , the patient complaining of
morning stiffness and hand deformity ,which test
should be done ?

A. Anti-CCP
 3
• Which drug that is used in management of cirrhosis
can cause this condition ?

A. Spironolactone
B. Propranolol
Spironolactone is an aldosterone antagonist, acting mainly on the distal tubules to increase natriuresis
and conserve potassium. Spironolactone is the drug of choice in the initial treatment of ascites due to
cirrhosis.

Answer

A. Spironolactone
 4
• A life long therapy can be associated with this
condition ?

A. Prednisolone
B. Beta blocker - propranolol
C. Furosemide
D. Bisphosphonates
 Answer

B. Beta blocker - propranolol

hf ----> PULMONARY EDEMA
 5
• Pulmonary function test, change FEVI =17, change in
FVC 12% — obstructive

A. Bronchial asthma
B. Chronic bronchitis
 Answer

A. Bronchial asthma
 6

• ECG with a case…

A. Atrial fibrillation
 7
• ECG with case…

A. ST elevation in lateral and inferior leads with ST

depression in the anterior lead
B. Diffuse ST elevation
C. ST depression in lateral and inferior lead with ST
elevation in the anterior lead
 8
• This is how the kidney appeared after nephrectomy,
what is the disease that can be complicated with this
condition?

A. Hypertension
 9
• The patient is complaining of abdominal pain,
hematuria and the lower limb rash, what is your
diagnosis?

A. HSP
 10
• The patient is complaining of SOB, chronic cough and
lower limb lesion, also complain of blurred vision,
what is your diagnosis ?

A. Sarcoidosis
 11
• This is a patient who complained of lower limb pain
and he had thrombocytopenia, his doctor prescribed
a drug, what is the drug that can be associated with
this condition ?

A. heparin
 12
• Scenario , which of the following diseases may cause
this condition ?

A. Liver cirrhosis
 13
• All these condition are associated except ?

A. Hypothyroidism
B. HTN
C. Cardiomyopathy
D. Hypoglycemia
 Answer

D. Hypoglycemia
 14
• Case scenario with this blood film

A. Sickle cell anemia

 15
• Ct scan with a case, which doesn't cause
splenomegaly ?

A. Aplastic anemia
CASES
 1
• Low HB - low mcv and history of bleeding

1) What is your diagnosis?

2) What is your next investigation?
 1) Iron deficiency anemia
2) Upper and lower GI endoscopy
 2
• Patient came with redness and flushing and other
symptoms of anaphylactic shock, which drug should
be immediately administrated ?

A. IV dextrose
B. Subcutaneous adrenaline
C. Oral prednisolone
 Answer

Subcutaneous adrenaline
 3
• ABG with a case, low pH and low pCO2

1) What is your diagnosis?

2) Which lab of the following is NOT done?
 1) Metabolic acidosis
2) PE protocol + angiography