SMLE 2019

1ST, 2ND, AND 3RD

OF OCTOBER

Corrected By: Glory team

Please don't hesitate to contact us if you have any correction, comments or

suggestions.

Medicine: 2-26
OB/GYN: 27-37
Surgery: 38-46
Pediatric: 47-59
Gl eam / Oc be

1-2-3 f Oc be b GLORY​

1-2-3 Medici e:
M c mm ca e f ​Ga e e i i ​af e ea i g eak f m l cal
e a a ?
A. E C li.
B. bac e ia jej

A e i :A
1-6 h > ( a h. a e )
5 days 12-48 h > ( alm ella, e.c li)
48-72 h > ( higella) cam l bac e 7-10 days
> 7 da > (gia dia i , am ebia i )

SLE​ e f a cia ed a emia?

A e i :Hem l ic a emia

C m le e he diag i f ​SLE​ i g he c i e ia..?

A e i : (SELF STUDY)

Ca e f ​ m l i d me​? Wha he lab ab mali ?

A e i : all high e ce ​H calcemia

T m l i d me :-
H e kalemia
H e h ha emia
H e icemia
H calcemia
a d high bl d ea i ge (BUN)
Gl eam / Oc be

DVT h la i ​i ill g hi e laceme ?

A e i :E a ai and heparin

Di ec ca e i h ​PE​ ha he ma ageme ?
A e i :
PE
If able > E a ai
If able a d a ic ag la c ai dica ed > c ide IVC fil e if di al emb l
c fi med alteplase, reteplase, urokinase, reteplase,
If able > h mb l ic streptokinase, tenecteplase
If able a d h mb l ic c ai dica ed > emb lec m
Ma i e PE (d i . BP <90) > h mb l i
Gl eam / Oc be

m ke ​ i h ​ec e e ia i fec i ​a d d ci ec gh ?
A e i : ch ic b chi i
Sm ki g d e ca eb chiec a i , all ca ed b i fec i lm a
di ea e.
Sm ki g i a g hi f COPD + all he a e ee i COPD

A hma ic ​ ABA​ ill

S c l ha add
A e i : ICS l d e

Which e i al defec c me i h ​i i a ade ma​:

A e i : Bi em al hemia ia

H ma da e eek i ec mme ded d m cle e e ci e:

A e i : ​MINIMUM​ f 2 da

Ca e f ​fal e i i e​ele a ed BNP? elevation of NT-proBNP in the

context of non-HF situations
A e i : COPD, F emide should not be regarded as a
"false-positive" finding, and
Fal e i i e BNP: elevated NT-proBNP values
should not be discarded without
Elde l consideration of the serious
Re al fail e adverse outcomes associated
P lm a di ea e with the elevation.
Se i
Ci h i
H e h idi m
Fal e ega i e BNP :
Obe i
Ca diac am ade

Dig i ici ​ca e, e e ed i h ab mal i i ( ell g ee

ligh ) i h ic f ECG, a ki g ab dd

dysrhythmias
associated with
increased automaticity
and decreased
atrioventricular (AV)

Sinus bradycardia and

AV conduction blocks
are the most common
ECG changes in the
pediatric population,
while ventricular
ectopy is more
common in adults.
Gl eam / Oc be

P h la i ​f b he f i h ​me i gi i ​?
A e i : Rifam ici

T e fi la i i ​TB a d Me i gi i ​?
A e i :
TB i ai b e
Me i gi i i d le

Ca e f ​IRON dige i a d ici ​, ma ageme ?

A e i : Defe ami e
Iron
S a b ABC.
Defe ami e i dica i :-
H e i , c ma.
Ref ac me .acid i .
Se m le el >90
- e e e GI .
Ac i a ed cha c al i C/I
The dec ami a i f ch ice i h le b el i iga i

Ca e f ​DKA​, ha he he a e ic g al?
O i he e ab h m ch dec ea e i li / h .. me hi g like ha

DKA
S a IV eg la i li 0.1/ kg
If gl c e d e dec ea e b 50mg i he fi h > d ble he i f i ae
h l .
If bl d gl c e eache 250 mg/dl > cha ge D5% i half mal ali e i h
i li 0.05.
Af e e l i f dka > m i gl c e e e 4h, a lidi g cale i li .
he g al f bl d gl c e h ld be be ee 7 - 11.
Gl eam / Oc be

Wha i ​i fec i i ​ e i d a d ​i c ba i ​ e i d?
A e i :
I fec i e i d: he e i d be ee e e a i fec i a d he a ea a ce f he fi
m m .
I c ba i e i d: i he ime ela ed be ee e e a a h ge ic ga i m, a
chemical, adia i , a d he m m a d ig a e fi a a e .

P ih​ ia i ​.. be ega di g ba hi g?

A. N a
B. c c il be e ha li e il
A e i :A
P ia i e i me a dm i e- ich a

ab he ​ e i i i ​... ha i he defi i i :
A e i : ( e + e) hile ecifici ( e- e)

Dial i fi la e:
A e i : Radi ce halic

e a i h adi ce halic a d if i feel ca be d e eg

b achi ce halic.
The ea i a e a m ch ei a ible f he a ie .

Fa he i h TB, had ki e a d h ed ​10 mm e hema,

i e eai ?
A e i : ii e
Gl eam / Oc be

TB med , de el ed ​ a e he ia​.. ha gi e him?

A e i : P id i e

P i h TB med , ​LFT all high​, m ? if the leveated double

A e i :S all med the normal three
times.
P e c ee i g had ​ ide fi ed li i g​ f S2 a d a
diag ed i h ASD. Wha d ?
A. Refe him f ca di l g f ca he e i a i
B. Rea e a d di cha ge
C. Gi e di e ic
D. ma be gical i e e i

A e i B

P i h DM a d RA, ha b e ai a d h e calcemia, high RFT .

Wha he diag i ?
A. DM e h a h
B. Am l id i
C. Memb a GN

A e i B

Am l id i ma affec kid e high RFT i a hi al ,

DM e h a h = high alb mi /c ea i i e a i

I h ld be ec da am l id i he if i i ima Ci he a e
Gl eam / Oc be

a ie de el ed ​m c bleedi g​af e de al e ac i , a d he
de el c a e ​ e echiae​. Lab h 87% ac i i f fac 8,
mal la ele c , mal APTT, e ligh l high PT (0.1 ab e
he mal l ), bleedi g ime a a ailable. Wha d e he
ha e?
A. ITP
B. V illeb a d di ea e
C. Hem hilia A
D. Hem hilia B

A e i B,​VWD a-PTT i ece a il al a ele a ed

P i h h f ​c i a i ​ l f ma be 3 m , all lab a e mal,

medicall f ee. Wha ill gi e him?
A. B lk f mi g age ( lli m)
B. Lac l e
C. Se a

A e i A
Gl eam / Oc be

18 Y ha ALL. 17 da af e chem he de el fe e a d 38.7 C.

N f c f i fec i f d. Lab h :l WBC 0.6 ( mal a
4-10 ..), Ne hil le el 60% ( mal 40-60%), i m e if he ha
l la ele a ell, ha ll d :
A. Bl d, i e, ... c l e
B. Bl d i e... c l e a d a ace am l
C. Bl d, i e,... c l e a d PO Ab
D. Bl d, i e,... c l e a d IV Ab

A e i D

Wha i dica e ​ e e e a hma​?

A. RR >25
B. HR >100
C. PEFR <300
D. O2 a <95%

A e i A

Ad l i h ​ i i e ke ig ig ​ ha i he ca a i e age :
A. S e
B. Nei e ia
C. Li e ia

A e i A

Q ab Fa emb li m
N.B: After long bone fractures, sudden SOB + Petechial rash in the chest .

Elde l ​ a ih e e
3 i e ,b ill c lled,​ ha i he
ea ?
A. P ed e hed i e.

Sc ee i g age f ​ e i ​?
A. 64-70.

Pa ie i h ​fe e f k igi ​, ha i e e ?
A. U i e, bl d, a d CSF c l e + IV a ibi ic.
N.B: blood, urine workup are important in FUO, but CSF culture and IV abx are
confusing, check other answers.
Gl eam / Oc be

HIV​ a ie ?
A. ell h ba d l .

Pic e f ​e ic la ach ca dia​?

Mi im m ime f effec i e ae bic e e ci e?

A- 5 mi
B- 10 mi
C- 15 mi
D- 20 mi

A e i :C
N.B: no 30 min in options, It’s 150min/week, 30mins in 5 days/w so as daily it will be
20min per day.

Q ab Milk-Alkali S d me

I dica e emi i f ​ e h ic d me​?

A e i :U
​ i e alb mi le ha 4mg/m2/h f 3 c ec i e ea l
m i g am le
Gl eam / Oc be

I i ial ma ageme f ​ e h ic d me​?

A e i : e id , f m ma ic >> f emide

Defi i i e diag i f​ ia i ​?
Diag i > cli icall
Defi i i e > bi

A hma​ alb am l bef e e e ci e N c l?

A. add ICS
A e i :A

CXR hila ma , ​h e calcemia​?

A. am cell ca ci ma
A e i :A
N.B: if bila e al hila l m hade a h > Sa c id i

Whe ​ me f mi ​i CKD a ie ?
A e i : GFR < 30

A ibi ic c ai dica i i ​CKD​?

A e i : Ni f a i & ​F f m ci

SLE ed i e ih e l gical ​ma ife a i ha add ?

A e i : C cl h hamide

DM​ me f mi 1g c l?
A e i : c mbi ed i h al h gl cemic age .
Gl eam / Oc be

i dica i f ​ ge dial i i​ Ac e kid e i j ?

A e i :

Ma ageme f ​h e kalemia​?
A e i : ​M e ha 7 ECG cha ge > Ca gl c a e,
Mild (le ha 6) > l a i m die
he i e i li & de e.

CXR fi di g h i al fi e:
A e i : a ie ach ea f e b

Fl id c ec i i DKA a id c m lica i ?
A e i : ​gi e l eh d a i e ab 48 h ,a id h ici a d f
ece a alkali he a .

T ea me ​ cell i ​
b ?
A e i :d
​ c cli e a d ifam i f 6-8 .
N.B: if e b cell i >d ai i 6-12m il CSF clea - .
Gl eam / Oc be

score for pnoumnia if

CURB-65 the patient need
A e i : addmission

Ca ci id​ d me.
N.B: Fl hi g, dia hea, b ch a m.
diag ed b 24h- i e f 5-h d -i d le-ace ic acid (5-HIAA).

Ac e ma ageme f ​mig ai e​headache ?

A. T i a
B. A i i
A e i : ​N.B: mild m de a e > A ii
Se e e > T i a

Old male ​ a ih
3 e e i e, c lled ​,a mme ical kid e .
A e i : Re al a e e i .
Gl eam / Oc be

A e h i imm i ed f HBV a bi e b HBV + e Pa ie ,

ha i he e ac i ?
A. HBV Ig + HBV acci a i e.

A e i : ​N.B: i ce he i imm i ed gi e he He B IVIG l .

If imm i ed > gi e he b h.
Af e a eedle ick f m a he a i i B face a ige i i e a ie , he e ck h ld
ecei e HBIg a d he a i i B acci e. f he e ck al ead ha ec i e le el f face
a ib d he a i i B e e i he bl d, he f he he a i i dica ed.

Which f he f ll i g i a ca dida e f ​a m ma ic UTI c ee i g​?

A. P eg a

A e i :A

A Sa di male g i g h, ​mala ia​ h la i ?

A- A a e/ g a il

A e i :A
If A a e/ g a il i ch ice > Mefl i ,a id chl i e beca e f
e i a ce.
Gl eam / Oc be

Be ig a ic h e la ia ​BPH​ ea me ?
A- Al ha bl cke
A e i :A

C e a i e ma ageme
Medical he a (m he a /c mbi a i f d g )
I dica i
Mild BPH
U c m lica ed m de a e
Fi -li e: ​al ha-bl cke ​ (e.g., ​ am l i ​, ​d a i ​, ​ e a i ​, a
​ lf i )​
5-al ha- ed c a e i hibi (e.g., fi a e ide, d a e ide) e e he c e i f
e e e​ DHT l e i a a ic DHT le el dec ea ed a ic g ha d
i c ea ed a ic ​a i ​ a d ​i l i ​ im eme f ​LUTS
Addi i al i dica i : ​a d ge e ic al ecia​ i male
Ad e e effec : ​ e al d f c i ​ (​e ec ile d f c i ​, dec ea ed libid ,
ejac la d f c i ), ​g ec ma ia

S gical i e e i
I dica i
Se e e BPH m m i h/ i h c m lica i
M de a e BPH i h c m lica i ( ee bel )
Ta e h al e ec i f he a e (​TURP​)
Ta e h al i ci i f he ​ a e​ (TUIP): i dica ed i a ie i h mall ae ih
b ci e m m h ea high i k f gical c m lica i

Pa ie k ca e f ​ l m algia he ma ica ​ e e i h malig a c

m m , ha i he diag i ?
A-CLL
A e i :A

A middle age c m a ​ ke i h mild de e i ​, a d he ha

i e e al c flic i h c lleag e ?
A- P ch he a CBT
A e i :A

Pa ie ih m m , a d ​ga lic d ​, ha i he diag i ?

O ga h h ici .
A e i :A

Old lad i h hi ai , ​i c ea e ih alki g​?

A. e a hii
A e i :A
Gl eam / Oc be

Elde l i h​ g e i e l f mem ,​a d e ali cha ge >

f em al Al heime ' ​.
A- Al hemime di ea e
Major depression is widely observed
B- deme ia
mood disorder in vascular dementia.
C- mi ed deme ia Severe depression is more common in
A e i :​ ​Va c la deme ia m l persons with vascular dementia than in
those with AD.
Pa ie ihl e limb edema, d ea, Dec ea ed hea d, ai ed
JVP?
A- C - lm ale
(N e m h a i ch ice )
A e i :A

A hma a ie c l i h le ka a dc li he h i al ih
alb e l?
A e i : ​I c m le e e i b > ICS.

Wa e dia hea af e ​ a el mecca​ hich ga i m?

A- E. C li
B- alm ella
C- gia dia i

A e i :A

A hle ic hich ligame affec ?

A e i :​ i c m le e e i

Pa ie c/ che ai la f 2h ecg cha ge?

A e i ​: i c m le e e i

Old female i h ​RDS became a g ​,a d agi a ed ha h ld he e

d ?
A.Call he c la
B.Ele a e he head a d gi e O2
A e i :B

T ical ca e f ​ e ica di i i h diff e ST ele a i ​, ha i

ma ageme
A. NSAID.
A e i :A
Gl eam / Oc be

Ri k f ​he C ​af e eedle ick?

A e i : 3% (1.8-3%)

Lef e e ​ able abd c ,​ he l ki g f a d he e i ad he

e hich e e affec ed​:
A. lef 6 h

A e i :A

Mi im m ime f effec i e ae bic e e ci e?

A. 5 mi
B. 10 mi
C. 15 mi
D. 20 mi

A e i :C
N.B: 30 mi i i

Y g gi l i h celiac m m e a ia e e ?
A. gl e f ee die
A e i :
Gl eam / Oc be

Ca ci id m ​be i i ial diag ic e ?

A. 5-HIAA
A e i :A

Biochemistry tests
5-h d i d leace ic acid (5-HIAA) i 24-h i e
Imaging
CT ca
S ma a i - ece ci ig a h
Biopsy​ ( i h hi l g a d imm hi chemi )
N me mall m m hic cell i h al a d e e ch ma i
Ne e d c i e igi c fi med imm ai i g i h a h i , ch m g a i
A, a d e - ecific e la e (NSE)

FDA-a ed ha mac l gical age f ei e i ad

malig a c
A. Ale d a e
B. Iba d a e
C. de mab

A e i :C

Pa ie CCB a d BB a d ai a d me f mi , he de el ed l e
limb edema, Wha gi e?
A.ACE
A e i :
If a ki g ab ha add f a a ie i h CHF > ACE
If he ca e a d ac e CHF > f emide
If he ca e a k ab he ca e f l e limb edema > CCB

Be diag ic e f ​a hma​?
A- S i me
B- Me hach li e e

A e i :A
if a m ma ic mal i d me hach li e e .

DKA ea ed i h IVF a d a ki g ab he i li a f admi i ai ?

A e i : ​I li i f i (IV eg la i li )
** af e e l i f DKA Gl c em i h ld be d ee e 4h , he i li lidi g
cale.
Gl eam / Oc be

La e al MI ​ ic be i e e i ?
A. PCI
A e i :A

S a e bac e ial e i i i ​ ea me ?
A. IV cef ia e
A e i :

Fi -li e: 3​ d​ ge e a i ​ce hal i ​ IV b ad ec m he a

F ll - af e 48 h ia e ea ed a ace e i

PT a d PTT i c ea e?
A. DIC
A e i :​ i c m le e e i

He a i i B ac e ma ke ?
A. HB Ag
B. HBeAg
C. A i-HB
A e i : ​Ac e ma ke , a i HB c e IgM

Y g a ie T1DM a id a d l g ac i g i li ihh gl cemia,

ha he e a ia e ma ageme ?
A. S all
B. ​dec ea e le el f a id a d l g
C. a id c
D. l g l
A e i :
Gl eam / Oc be

M likel ​ ​H e m ​ ​ i ce he de el ed h gl cemia i h h f e e ci e mi ed
meal .
he ill ha e me ac i e be a cell i a c ea
S he ha e gl c e mal ea mal, ha ha e ed >> af e aki g he i li face ill
ha e h gl cemia

**U all e d ' d g b e ca dec ea e he d e

​ hould decrease all.
** s

Pa ie e e ihl f heigh , e i e iga i

A. BMD
B. - a i e
A e i :B

Elde l e e ed i h dec ea ed heigh , Te de e e h acic

e eb al a d k h i Ca mal a d e e hi g el e i mal, Ele a ed
ALP, T- c e f hi -2.1 ( mal >= -1), T- c e f h acic a d l mba -0.9
ca ' ecall i e ell ( mal >= -1) imagi g h ed c m e i
f ac e f e eb a, ha ' he diag i ?
A. Page
B. e malacia
C. e e ia
D. e i
High ALP i h c m e i f ac e i h e malacia
N mal ALP i h c m e i f ac e > e i ega dle he c e f de a

S m m fb e e i a ki g ab he ca e, he ga e i c ea ed
PTH a d Ca?
A. Te ia
B. ec da aah idi m
A e i :A

N.B: ima i e i
Gl eam / Oc be

L g ce a i i h High BP a d h kalemia d
A. ima h e ald e i m

Screening tests
Plasma aldosterone concentration to plasma renin activity​ (​PAC/PRA ratio;​
ald e e- - e i a i , ​ARR​)
I dica ed i a ie i h:
Hypertension and hypokalemia
A cia ed bi chemical fi di g i cla ic ima h e ald e i m
Metabolic alkalosis
Mild hypernatremia
Severe or drug-resistant hypertension
Re l
PAC;​ ​> 15 ng/dL​; ​ PRA
PAC/PRA ratio​; r​ atio > 20

Confirmatory tests:​ several alternatives

 Gl eam / Oc be

Oral sodium loading test:​ high- di m die (5000 mg) al di m ​chl ide​ able (2 g ake
h ee ime dail ) f 3 da , f ll ed b 24-h ​ i e​ mea eme f ​ald e e​, di m (
c fi m a ia e di m l adi g), a d ​c ea i i e​ ( a e ade a e ​ i e​ c llec i )
Heal h i di id al : R​ AAS​ i h i l gicall e ed i hibi i ​ ld e e
fa
ec e i
P ima h e ald e i m: fail e e ​ald e e​ ec e i
Saline infusion test​: I f i f2L f mal ali e e 4 h
Heal h i di id al : R ​ AAS​ i h i l gicall e ed i hibi i fa​ ld e e
ec e i
P ima h e ald e i m: fail e e ​ald e e​ ec e i (PAC > 10 g/dL,
277 m l/L)

Pa ie i h fa ig e, l , abd mi al ai , h e igme a i a d
m i m f ​ad e al i fficie c a ki g ab he ea me ?
​
A. H d c i e
A e i :A

Primary adrenal insufficiency

Re ie b hg ​ lucocorticoid and mineralocorticoid​ e laceme
Gl c c ic id​ e laceme
Hydrocortisone
I c ea e gl c c ic id d e d i g e f l i a i
Mi e al c ic id​ e laceme
Fludrocortisone

Secondary and tertiary adrenal insufficiency

gl c c ic id​ e laceme ; ​hydrocortisone
Gl c c ic id​ e laceme he a ihh d c i ei e i ed i all f m f ​ad e al​ i fficie c !
If he d e f gl c c ic id i i c ea ed d i g e i d f e , he a ie ma de el ​ d e al
a a
c i i ​!
Gl eam / Oc be

Pa ie ​c ld le a e ACE ​d e c gh?
A. i ch ARB
A e i :A

Pa ie had ii ec c cc ​m l i le d ci e e ​, ible
ca e?
A. HIV e l g
A e i :A

Pa ie i h mild ​a hma​ma ageme ?

A. Salb am l
A e i :A

P e-e e ci e ​a hma​ e e i ?
A. Salb am l
A e i :A

Se e e a hma (dail e f SABA a d m e ha 2-3 ime igh

m m ) LABA a d ICS ha add?
A. le k ie e
A e i : ​O al c ic e id

W d ke ha m m f a hma?
A. e ial e a k a d h me
A e i :A

Sce a i ab ld female i h ca di ge ic a d i chemic hea di ea e,,

a ki g ab e f h ck he had?
A e i : ca di ge ic h ck

C hi g​ d me, ACTH<1?
A. ad e al CT
A e i :A
Gl eam / Oc be

Wha i c ea e i k f ​c l ec al ca ce i UC​?
A. ic megac l

A e i :D ai a d a c li i

The m im a i k fac f UC-a cia ed CRC a e

di ea e d a i a d e e .
ima cle i g ch la gi i (PSC)
famil hi f CRC
​age a e f UC
f e e c f fla e- , e ei f i flamma i
back a h ilei i
m ki g, medical he a ed (5- ami al cila e , a a hi i e)
ea l e f c li i
​age bel 15 ea a e a a i de e de i k fac f CRC.
Gl eam / Oc be

Deme ia, Ne imagi g: dege e a i i he hi e ma e , Wha he d ?

A. Al heime
B. Va c la deme ia

A e i B

❖ Va c la deme ia
hi f maj a he cle i i k DM, HTN, Sm ki g, h e li idemia
❖ Le b die deme ia
hall ci a i i h deme ia a d me ime a ki i m.
h h e de e a ea
❖ F em al deme ia
U all i h e ali cha ge
❖ N mal e e h d ce hal :
A a ia, i a i c i e ce a d dila ed e icle b ai

Pe -Jeghe d me, ​ he d c ee i g?
A. 12 ea i h igm id c . ​A e i a 8 ea
M c mm a cia ed ca ce i b ea .
Sc ee i g ec mme da i
U e e d c + i ele ca le e d c >a 8
C l c >a 8
Female (B ea MRI) > 25
J e ile l i d me (Familial j e ile l i ) :-
c l c ,a d e e d c c ee i g > 12-15

SCD​ a ie came i h c i e , Wha he a ia e e e each

diag i ( diffe e ia e be ee a la ic a d le ic e e ai ?
A. Re ic l c e
B. CXR
C. US

A e i A

Ne b cell i ​ ea me d ai ?
A. 6
B. 8
C. 12
D. 16

A e i A
 Gl eam / Oc be

Pa ie la i g a d f e e l de el i g dde a ack f LOC,

e ami a i : mid- lic m m i lef ide, Wha d ?
A. H e hic ca di m ah

A e i A

Pa ie ​ a fa i de el i g ICH​, INR: 3.9, ha gi e?

A. FFP
B. i k
C. FFP a d i k
reapid and short
A e i C
acting
gi e i .k ega dle INR i ce i ICH
Vi .k ake 6-24 h a ki g
S gi e FFP a b idgi g ill i .k ake a lace
Make e he e P h mbi c m le c ce a e i ch ice beca ei ei FFP
Ra el ed beca e i e c l , b i be e
Gl eam / Oc be

1-2-3 OBG:
P i h ​DM​, a high i k f de el i g agi i i ih hich ga i m?
A e i : ca dida albica

2 ca e ab ,c ai dica i f ​e e al ce halic e i
A e i :
C ai dica i f ECV
Se e e lig h d am i .
N ea i g fe al m i i g e e l .
H e e e ded fe al head.
Sig ifica fe al e i e a mal (eg, h d ce hal , e ae e ).
Ab i lace a
Ac i e lab i h fe al de ce
M l i le ge a i .
e i cla ical CS
a i dica i f CS.

2 ca e ab c ai dica i f medical ea me f ec ic
eg a c
A e i :
if he e hea bea
i e >3.5
ca f ll FAR DISTANCE
BhCG >5000

Ec ic eg a c , ​medical ea me ge ?
A- he h e di a ce
B- hbcg 4000
C- i e 3 cm
D- i al able

A e i :A

Wh admi i e i g ​MgS 4​i ca e f eeclam ia?

A e i :T e e ei e
Gl eam / Oc be

Ma ageme f ​UTI i eg a c ​.. e ca e i fi ime e a d he

he e hi d ime e
A e i : UTI i eg a c
C i i fi & ec d ime e > Ni am icilli
C i i hi d ime e > Am icilli ce hale i
P el e h i i > IV cef ia e

O e ca e f ​ eg a ​ i h UTI i i al i b ​a m ic
A e i : T ea e e if a m ma ic

Wha d i h a a ie i h ​ lace a ab i ​ihh e i

a d i all able?
A e i : Call a id e e eam i h m l idi ci li a i e e i ...

Whe d ​ch lec ec m ​i eg a c ?

A e i : 2 d ime e
2 d if ch lec i i
af e if bilia c lic (c e a i e ell bi h)

mamm g a h ​ c ee i g f 50 74 :
A e i :E e 2
M e ha 50 e e 2 ea
Le ha 50 e e 1 ea

P eg a i h Rh- ega i e bl d e he bab ha e Rh- ii e

bl d e e e i h ja dice a k ab Pa h h i l g
A e i : ​a a ib die agai fe al RBC (M he a ib die a ack fe
RBC )

Ca e ab i lab a d la i g d ​la e al e i i m ​.. a k

ab he ad a age f i ?
A e i : Le e i eal ea

Pa ie had ​h e ec m ​ .. came back la e c m lai i g f i e

c mi g h gh agi a d i g i a i .. l ca i f fi la?
A e i : U e h agi al fi la
Gl eam / Oc be

W ma h 34 k GA, e e ed i h l e abd mi al a d back

ai , de el ed ​c ac i 2-3 i 10 mi , dila ed 2 cm, 70% effaced,
H c fi m he diag i ?
A. Re ea agi al e am af e 2 h
B. Mea e he ce ical le g h b US
C. C i CTG m i
D. Mea e hi g m eli me hi g like ha

A e i A

W ma c me ih​ c i al bleedi g​a d e am ee he

ab e ce ical ma . Wha d ?
A. E ci i i he cli ic
B. Admi f f he e i g

A e i A

Wha i c ea e he i k f ha i g a ​3 d 4 h deg ee e i eal​ ea ?

A. Re ai ed a d i ( f ce i a me hi g ei d)
B. U e ai ed chai .

A e i

I c ea ed i k f e i eal ea :-

Midli e e i i m .
P imig a ida.
P l ged 2 d age.
Pe i e cci i - ei ii .
F ce , ac m deli e f cci ei .
Mac mia

Which acci e i ​ gi e ​i eg a c ?
A. Z e
B. P e m c ccal
C. IPV

A e i A
Gl eam / Oc be

2 Q face e e ai
N.B :
Occipito-anterior > Vaginal delivery
Occipito-posterior > CS

T ea me f ​ ich m a agi ali

A e i : Me ida le

Which f he f ll i g i a ca dida e f a m ma ic UTI

c ee i g?
A. P eg a
A e i :A

US check f ​ge a i al age ​?

A.11-13 W.
A e I :A

D d me ​ ad le e ​e l ?
A e i :
High i hibi & bhcg
L e adi l & AFP

Pa ie i h a ​hi f PID,​ e e i h i fe ili , ha i

e e ?
A. H e al i g g a h .
A e i :A

Pa ie i h ​m bile b ea ma ​, i bec me ai f l a d me e ,
ha i diag i ?
A. Fib ade ma
A e i :A
Gl eam / Oc be

Mela ma?
N.B: if pregnant it’s called > Chloasma gravidarum

Fi h mell ​ ec e i i h cl e cell ?
A. bac e ial agi i
A e i :A

T ical ​ l c ic a ia ca e, ​a ki g ab he diag i ?
A. S ei le e hal d me.
A e I :A

Fi ime e eg a a ie e e i h ​ agi al bleedi g, he

ce ical i e a d me i e e e ,​ ha i he diag i ,a d
ma ageme ?
A. Th ea e ed ab i , ma ageme i ei he D&C e ec a e.
Gl eam / Oc be

Old lad ​ i h agi al bleedi g, e l k heal h , b he l al k

hi , bleed ih ch?
A- a hic agi i i
A e i :A

Q: ​
O cl ed, US em ac​, he me i ed a age f i e?
A- A emb ic eg a c
A e i :A

Pa ie de e ​Sal i g m ​, came i h i c ea i g Bhcg, Wha e

e ?
A.me h e a e
A e i :A

Female i h ​ec e ab i ,​aPTT ele a ed?

hallmark result from laboratory tests that defines
A- A i h h li id d me
antiphospholipid syndrome (APS) is the presence of
A e i :A
antiphospholipid (aPL) antibodies or abnormalities in
phospholipid-dependent tests of coagulation.
Wife i h d d me h ba d c cei e f 3m?
A e i :​ m e a d c me back af e c m le e 1 ea

P eg a a ie e e i h a ia i , ef ed d he ge ,
ha i ac i ?
A. A k he ig agai medical ad ice

A e i : ​E l e, e lai he d c me
Gl eam / Oc be

Female a ie e e i h​ igh iliac f a ai ​, a ea a d mi i g,

ha i he e e ?
A. ​O de eg a c e .
A e i :A

PCO ​d e a ge eg a ea me ?
A- OCP
A e i :A
if he a be eg a e gi e Cl mi he e.

I fe ili , ​high lac i ​le el?

A- lac i ma
A e i :A

A ​ad e al ma ​ a fel i heal h female i h mal el ic e ami a i ,

eg a c , had he me a i 2 eek ? ​
A- F llic la c ,
B- C l e mc
A e i :A

Defi i i ​: fl id-filled ac i hi he ​ a ​ ha e l f m a di i i he de el me f
f llicle c l e m

Types
Follicular cyst:​ c li ed i h​ follicular epithelium​; he ​most common​ f m f
a ia c
Chocolate cysts​ ela ed e d me i i
Corpus luteum cyst:​ ​C l e mc ​ de el h i l gicall d i g he me al
c cle d i g ​ eg a c ​ (c​ l e m​ g a idi a i ). The d ce ge e e,
hich ma dela me e .
Clinical features​: m f e a m ma ic le c m lica i cc
Diagnosis​: Pel ic l a d
Smooth​ li i g all ide
Si gle m l i le
H ech ic a ech ic
Fl id-le el
Complications
O a ia i
R ed a ia c
Treatment:​ U all ea me i eeded, a c a e ​asymptomatic (​ i ab e ce f
c m lica i ).
Gl eam / Oc be

G2 P1+0 , 10 eek eg a ha gallbladde e ea medica i

a d he i ha i g ai he d ch lec ec m ?
A. 2 d ime e

Old lad m l i a a i h​ i e i c i e c d i g la gh a d c gh ​a d
ee e fi li e ea me ?
A. S ge
B. kegal e e ci e
C. medical
A e i :B

GENUIN stress incontinence,​ ​( a ie ae all g age female / c me i h c​ gh a d

ee e a d ​la ghi g​ / ​a da ime l d i g he igh / a a mical l f bladde >
e a k hem d K ​ EGEL+HRT ​ e i f ee agi al
gical
1. B h ced e.
2. Ma hall- Ma che i-k a .
URGE - hypertonic Detrusor,​ ​i abili i c i e ce, m ge all he ame ame (da a d
igh m m i l​ a ge a ​ m affec ed ld me - e e e ​ ge c )​ ​de c m cle
c ac ed L f i e af e a dde eed i a e ( ca ' e he ge id ).
T :
beha i m difica i .
kegal e e ci e
A ich li e gic ( b i )
ic clic a ide e a
Hypotonic, overflow​, e ge ic i c i e ce all he ame ame = (​ e e am ab mal ​- da
a d igh ).

de c m cle c ac ed
Ne l gical e ami a i : ​⬇​ de dal e e e a i .
c me ic : ma ked i c ea ed i e id al l me
T :
i e mi e elf-ca he e i a i
if i d e d g i . ( a ich li e gic , ga gli ic bl cke ).
ch li e gic medica i : im la e he bladde c ac i .
a-ad e e gic bl cke : ela he bladde eck .

i ei c i e ce he c gh?
A e i :​ e i c i e ce : kegel e e ci e

Which m he ca gi e ​b ea feedi g​ he ?
A. di ec b ea feedi g HIV m he
B. e e ed milk HIV m he
Gl eam / Oc be

C. di ec b ea feedi g TB m he
D. e e ed milk TB m he

A e i :D

Sc ee i g​ f eg a me f he a i i B i . Wha e f
e e i :
A. P ima
B. Sec da
C. Te ia
A e i :B

Pic f e ( ma ) I hi k fib id, Q: ha he ced e?

A.la a c e
B.h e c e

A e i :B

eg a i 8 i h 7 a d ha e mi imal bleedi g
A e i : aboration !!!

able ​ec ic eg a c ​b li e fa .
A- admi e he
A e i :A

P eg a came beca e hi ha i fec i , Wha gi e he ?

A.i fl e a
A e i :A

P eg a ha ​T2DM​a d HTN ACEI, he ​HBA1c i 8,​ a ge

eg a , be e e ?
A. ACEI ill Ca e malf ma i , fi defe eg a c c l he bl d ga
A e i : A

S m m f ​e d me i i ​ma ageme ?
A- la a c ic e l a i
A e i :A

Ge a i al age​diabe e c ee i g
Gl eam / Oc be

A. 4 eek
B. 12
C. 24
D. 34
A e i :C

Ec ic​ eg a c i a defec i hich ce :

A. Im la a i
B. O la i
A e i :A

ki ​ igme a i ​ e back f eck a d ​a illa ​ egi i female ?

A. Aca h i ig ica
B. li ea ig ica
C. mela ma
A e i :A

c ai dica i ​f b ea feedi g?
A. c acked i le
A e i :A

Female eg a a d m ki g, Be ad ice?
A. Sm ki g ce a i
A e i :A

PCOS​ m m ha e f ?
A. gl c e a d li id file
A e i :A

Dec ea ed​fe al m eme ​?

A. - e e
A e i :A

h hae​i i e mic c ?
A. Ca dida
A e i :A

25 female i h ​ c i al bleedi g​, i h agg e i ea ea i g ma

h gh he ce i ?
Gl eam / Oc be

A- Ch i ca ci ma
A e i : i c m le e e i .
m likel ce ical ca ce .U le bhcg e high he ec ide ch i ca ci ma

e i helial​cell i i e?
A. T ich m ia i
B. Bac e ial agi i
A e i :B

Bleedi g diag ed i h ​O la d f ci ea me ​?
A- OCP
A e i :A

W me i h PID ​did e d cef ia e​m likel ga i m?

A. Chlam dia
A e i :A

17 ea ld medicall f ee b gh G ec l g cli ic b he m he
i h hi f me a i . O e ami a i he e a l hai li e,
high BP a d h a e. B h m he a d fa he e e ha i g h
a e a he age. Wha i he m likel diag i ?
A e i :T e

Y g gi l ih m m f ​ ima d me hea​ ea me ?
A. NSAID

A me i h di abli g ​ m m f me a i ​ ha affec dail ac i i

A. SSRI
A e i :A

Vacci e i eg a c ?
A e i : ​I fl e a, D a .

A me ih m m f ​d me hea​, he k NSAID b eed

ge ea me , he m m ig ifica l affec i g dail ac i i ?
A. hi g gi e
A e i : ​OCP; 2 d li e
Gl eam / Oc be

1-2-3 S ge :
Sig + m m f ​ l ic e i .​. a ki g ab lab
ab mali ie ?
A e i :H chl emic h a emic h kalemic me ab lic alkal i

Ma ageme f mildl di laced ​ba e ' e hag ​?

A e i :

l g ade d la ia > PPI a d e c ee e 6m if highl ici > e ec i

Me a la ia al e = ba e e hag ( l mal am cha ged

c l m ) big c ce j PPI & f ll i 2-3 ea

D la ia a e e :
L g ade > PPI a d f ll i 6-12 m h
High g ade > e d c ic m c al e ec i

P i h ac e ​ch lec i i ​, he d ch lec ec m ?

A e i : Immedia e la ch le

de e d imi g f e e a i , if e e ed i hi 48-72 h f he m m lab ch l if

c e a i e a d dela ed lab ch l
T be ed @N he a e i g d i immedia el e e if he came af e 3 da
Till 1 eek he a e d i g i

Ca e f ​a e dici i ​.. h fi d c cealed a e di ?

A e i : e ia c li
Gl eam / Oc be

Ve al he ia​.. he e he me h?
A. O l
B. I la
C. bla

A e i :C

T ea me f ​a al fi e​?
A. ILS lateral internal sphincterotomy
A e i :A
Medical > if failed & ch ic > ILS
A al fi e ih ih ki ag i ea ed b la e al i e al hi ec e m .

Pa c ea ic P dec ​f 3 kg f b e ai ?
A e i : b e ai f 6
Pancreatic pseudocyst​ I dica i f d ai age
m ma ic.
a idl e la gi g e d c .
ha e emic ill e a a e l f a i fec ed e d c .

65 Y me e he cli ic. I cide all diag ed i h mall

fem al he ia. ​Wha ma ageme ?
A. Ob e a i
B. O e i h me h
C. O e ih me h
D. La a c ic e ai

A e i B ​( if La i h me h , be e )

P i h h f ​ha him h idi i ​f ea . P e e ih f

h id ma a d 2 3, ha i i ?
A. Pa illa ca ce
B. Th id l m h ma
C. S bac e h idi i

A e i B

Te ic la a h ​Af e i g i al he ia e ai .
A e i : ​am i if m le ccl i
Gl eam / Oc be

C m bid 35 male f ​ba ia ic ge ​ hich i e iga i bef e

ced e?
A. ba i m e ema
B. C i h c a
C. U e GI e d c

A e i : abd mi al US
N.B:
Pre-bariatric surgery > abdominal US or CXR.
And abdominal US more accurate.

Me alami e f le i i​ ec m le ic fle e?
N.B:
If mild > topical (enema)
If moderate to severe > combination oral + topical

L e leg ai , ​ab e ce f l e,​a k ab i e iga i ?

A e i : ​CTA i he be diag ic e B gi e he a i bef e.

Pa ie i h ​ ila e al lef leg - i i g edema​, ki hicke i g a d

h e igme a i (de mal fib i )f 2m h . Ne be
a ia e e ?
A- CT a gi g a h
B- MRV
C- C e i al e g a h

A e i :​N.B: D le if i ch ice > MRV

D i g PR e ami a i f a middle aged male he e a ​ al able a e,

PSA <1 diag i (I d emembe he ch ice )
A e i

Mai e a ce fl id calc la i ​ f 18 KG a ie e h ?
A. 56
A e i :A

M im a hi g d ​bef e ed c i f f ac e​:
Gl eam / Oc be

A. Check a c la a ( l e)
B. Gi e a alge ia
A e i :A

Pa ie - ​ i h ig f ​l e l be i fec i a d c lla e,​ he e a

AB i Q I ch e (che h i he a )?
A e i : i ce i e i me
Thi i a elec a i

Old a ie i h ​e ei eal hem hage i h hi f h dgki

l m h ma ​ ha he diag i ?
A.L m h a c ma
B.Li a c ma
C.Sa c ma

A e i : C, ​( hi i he famil ame, if a i ch ice > ch e li )

Gl eam / Oc be

4 h da ​ OP (a e dici i )​ e e ed i h diff e abd ai , di e i ,

mi i g a d l ggi h b el d
A. Abd a
B. M l i le ai /fl id le el
C. ile
D. adhe i a d SBO

A e i : C ( a al ic ile )

Whe h ld a ​ c ee f c l ​ca ce i l i k e le?

A. 40
B. 50
C. 60
D. 70

A e i :B

Pa ie i l ed i RTA a a mi ed ea b limi ed facili ie h i al

a d he h icia decided efe him ad a ced facili ie h i al
Pa ie i c ci : Wha i he m im a hi g he h ld be
mai ai ed :
A. i ba i
A e i :A

Ca e f li e c (echi c cc i ) ea me ?
A. Albe da le
B. S ge if the size of cyst
large will be surgery.
A e i :

Pa ie i h ​AAA cli ical fi di g ​. M a ia e e lab a

i e iga i ?
A. Se m
B. Am la e
C. Calci m
D. ABG

A e i :B
Gl eam / Oc be

Be m dali diag e ef a ed e ic lce ?

A- Che -a
A e i : A; ​e ec che -a

l e limb lce i ac l ei e iga i ?

A e i : ​D le US

Pa ie i h ​ ila e al lef leg - i i g edema, ​ ki hicke i g a d

h e igme a i (de mal fib i )f 2m h . Ne be a ia e
e ?
A. CT a gi g a h
B. MRV
C. C e i al e ga h

A e i :d le

i l ed i RTA able, b he e i lef leg elli g a d a e he ia

be ee e a h ed f ac e ibia
 e ei e i leg
c m a me i 35 mmHg
A. i e al fi a i
B. e e al fi a i i h m l i le fa ci mie
C. i e al fi a i i h m l i le fa ci mie

A e i :B

1 eek ​ a e dec m ​ came i h igh iliac e de e

a cia ed i h a ea mi i g, i f e e l e l . CT 2*2
c llec i behi d cec m
A. e c a e a iai
B. e
C. la a c
D. c e ai eM

A e i :D
Gl eam / Oc be

Re i bla ma​ li lam e ami a i ?

A. ge efe al h halm l gi
A e i :A

Pa ie i h ​lef h id d le ​ e de e , TFT mal. Ne e

ma ageme ?
A. FNA
A e i :

Child i h e e e c al ai , ab e c ema e ic efle ?

A. e ic la i
A e i :A

T a ma a ie (​b i g i h a al hai i ge​)?

A. elec i e i ba i

A e i :A

A e e e el ic hem hage i ide he OR, he ge called f a c la

eam, ha d ?
A- Hea el ic acki g
B- i f a-iliac clam
C- a-iliac clam

A e i :A

Gi l i h ab d i he igh a e i a illa li e bel he c al

ma gi , able​>
A. Ob e a i
B. immedia e gical e l a i
A e i :
L cal de l ai
Pe f m FAST
Gl eam / Oc be

A lad did ba ia ic had mi i g, he famil e ed a cha ge i he

m d?
A- ea a ce

A e i :A

Bila e al i g i al he ia, h ma age:

A. la e ai i h me h
B. e e ai i h me h
C. la e ai i h me h
D. e e ai i h me h

A e i :A

Pa ie k ca e f e ic lce di ea e i medica i b failed

e d, ee d c d e a d e ealed m l i le lce i a m.
Wha i he be ea me ?
A. P l la a d ag m
B. T al ga ec m
C. a ial ga ec m

A e i :A

de e he ia e ai f igh i g i al he ia, e e ed
c m lai i g f ha i ila e al e ic la i e i dec ea ed af e he ia
e ai . D ?
A. Te ic la a e ccl i
B. igh me h
C. am i if m le c m e i

A e i :C

.
i h hea fail e a d admi ed f ge f me di ea e a d
c ec ed IV fl id, - 2 da la e c m lai ed f SOB a d bila e al
ba al c e i a i , h c ld hi be e e ed:
A. IV F emide immedia e -
B. m i i g IV fl id dail

A e i :B
Gl eam / Oc be

G iced mid haf e ile e i g (h adia ), f ci c mci i ?

A. efe ed ge
A e i : ​ la ibell

A i fa i h ​h adia ​a d f ci c mci i , ha he ced e​?

A. The ge ill e a mall iece f f e ki c ea e a be ha
i c ea e he le g h f he e h a
A e i :

Pa ie came af e lee e ga ec m ih ge i e ai i c ea i g i
i e i , Wha he a ia e e e ?
A. E d c
B. Ga c
C. La a c
D. la a m .

A e i if CT, Ga g afi d , if al g f la a m

❏ F ec ed ga ic leak > be a d i i ial i CT i h c a

❏ If able h ld be: la a m la a c
❏ if l a ai abd mi al ai he CT le PE
❏ ach ca dia i h abd mi al ai , ec ed leak be a d i i ial CT, if leak d : Pe c a e
d ai i e i he e e d c i e a e .
Gl eam / Oc be

1-2-3 Pedia ic:

Female child i h ​e al ab e.​. i e f i j ?
A 6 cl ck
A e i :A

Ad l b ih e i hi f i fec i e e i h​ ge i e
l e limb eak e ​?
GBS
A e i :A

Calc la e he ​mai e a ce​IVF f edia ic eigh 18kg

A e i : 1400/da , 56/h
4-2-1 le

10 b i h h f 2 k f ​bl d dia hea a d abd mi al ai ,

e e m ​:
A e i : Amebia i

Asymptomatic intestinal amebiasis

N ea me i e ​ demic​ a ea
I e demic a ea : a l mi al age ch a ​paromomycin​ dil a ide e adica e
he i fec i
Symptomatic intestinal amebiasis and invasive extraintestinal amebiasis
I i ial ea me i h a i imida le de i a i e ch a m ​ etronidazole​ ​tinidazole​
e adica e i a i e h ie
F ll ed b a l mi al age (e.g., p ​ aromomycin​ dil a ide) e adica e i e i al
c a d e e ela e

acci e ​f 1 ea ld?
A e i : Pc ,mc , mm ,

acci e​ diffe f i h ei e ?
A e i : DTa

Ne a al eed ​D10 fl id ​.. ha he d e/kg?

A e i : 2 ml/kg
2ml/kg f e ae
5ml/kg f child e

Wha ​ acci e​c ai dica ed i imm c m mi ed :

Gl eam / Oc be

A e i : a icella acci e

Ca e ab a male i h imm deficie c ha ​ mal i e ​a d

h f e b he died d e e m ia.?
A. X li ked imm gl b li
A e i :A

Ca e ab child i h​ ec e lm a i fec i ​ ec ed ​C ic
Fib i ​.. a k ab ha i g he diag i ?
A. O e f he i a eigh l gai i g eigh
A e i :P eigh gai

Age d ​ed e e efle ​?

A. A age
B. 3-5
C. ch l age a d lde

A e i : A bi h a d 6 eek
Red efle e ami a i i ec mme ded f all i fa a d child e f m bi h 2 ea

Pic f bab i h ​ab e ed efle ​ ha d ?

A e i : U ge efe al h halm l gi

Whi e ab e ed efle >> DD ; Re i bla ma, C ge i al ca a ac

*Refe al h halm l gi *
F d c , c la US
CT ; be f calcifica i
MRI ; ​be ​ a e ic e e i l eme (MRI i he be e CT)
If ic e e i l ed b e clea i
If ic e e i ac b chem he a

P e e m > ROP
Te m 1 ea >ca a ac
Gl eam / Oc be

M e ha 1 ea > e i bla ma

O e all ! ca a ac !

Bab b a fe da ag a h me e e ed i h ​m l i le b i e ​,
diag i ?
A. V illeb a d
B. e a al hem hage di .

A e i B

A m he c me he cli ic he i c ce ed ab he f he
a 3m h af e he dea h f hi f ie d. He e ime aid he i
i h i a dead, b I ' d a hi g ab i . Wha d ?
A. Rea ea i mal g ief e e a d lea e him al e
B. A k de ailed Q ab icidali f e e i
C. A ki g ab icide ill i c ea e he i k
D. Talk he a ie ab he icide ... a e a (ca
emembe i e ac l )

A e i B

B ha ad l e ge i al hai a d c al da ke i g. Wha hi
a e age?
A. 2
B. 3
C. 4
Gl eam / Oc be

D. 5

A e i C

Child e e he d cli ic a Hi , m he gi e him d ll. The he

feed he d ll i h milk b le. M he m e hi head he he a
N . M he d e me hi g a d he he imi a e he Wha he
age?
A. 12 m h
B. 15 m h
C. 18 m h
D. 24 m h

A e i C

Child ​He e gi gi ma i i ​ (li , g m , g e, ala e

e icle ) a d he ca feed all . Wha ill gi e him?
A. A i i al (i'm e if he i e ac cl i a i i al)
B. IV fl id a d a i i al
C. Ab

A e i B

Ade a e h d a i
ai c l;
a ie h a e able d i k mai ai e h dai h ld be h i ali ed.
O he i dica i f h i ali a i i cl de imm c m mi ed child e
a ie h de el ec ema he e ic m, a d HSV ead ha e l i e ce hali i
e m ii
Imm c m ee a ie i h ig ifica ai ef al d i k ca be admi i e ed al
ac cl i if he e e i hi 96 h f di ea e e.
Ba ie li c eam ch a e le m jell ha e bee gge ed e e adhe i i a ie
i h ac i e he e ic gi gi ma i i .
Gl eam / Oc be

Wi k -ald ich ​ d me?

A e i : ​T iad f De ma i i , Th mb c e ia & Imm deficie c

Wi k - Ald ich d me ​b h T a d B​:

​ ​Im
ai ed h m al imm i , high a iable c ce ai f IG , ed ce T cell , a d a iable
mi ge e e.
​ ​X-li ked ​ ece i e, 11.22.
o​ ​1​- h mb c e ia, bleedi g af e ci c mci i , bl d dia hea, aa d
e echiae.
o​ ​2- a ic de ma i i + ec ema i cal a d fle a ea.
o​ ​3-Rec e i fec i all e m ia.
​ ​Cliicall diag ed al ,m c mm ​l IgM, high IgA, IgE, mal l IgG, a iable
ed c i f T cell.
​ ​The diag ed a 8 m h a d all die a age 8 ea .

Ce eb al al i ​ke ic e ​?
A e i : A​he id ce eb al al ​ ​d ki e ic ce eb al al .

Kernicterus= Chronic bilirubin encephalopathy

An irreversible neurological syndrome that occurs in inadequately treated neonates with high
levels of serum bilirubin (> 25 mg/dL) as a result of deposition of unconjugated bilirubin in the
basal ganglia and/or brain stem nuclei. Long-term sequelae include hearing impairment,
movement disorders (athetosis), intellectual disability, and dental enamel hypoplasia.

Ne a e e e i h ​e hema a h all e he b d ,​a ki g

ab he ma ageme ?
A. Rea e
A e i :A

B i h ​h a h h, fe e a d eak​Which acci e ill

gi e

A. PCV
B. Va icella
C. IPV

A e i :B
Gl eam / Oc be

Child e e i h ​fe e , mi i g a d dia hea​ e am f che

he e i ed ced ai e igh ide a d m m a hea d , he
child CVS a d che e am ee e i l mal ( i i i ) ha
i he ma ageme f ​m m ​?
A. U ge ech
B. Ree ami e af e he e m m b ide
C. Refe ca di edia icia

A e i :B

Pa ie k ca e f SMA ( i al m ic a h ), de el
​e i a m cle fa ig e​a d eed i ba i , m he ef e a
e f he child e died f he ame c di i ha ill d ?
A-c l e hical c mmi ee
B-i ba e he

A e i :B

Pedia ic a ie e e i h ​ agi al ec e i ,​ he m he i ied ?

A. Rea e he

A e i :A

Child i h ​ec e URTI , ec ema a d h mb c e ia ​b h b he

a d cle ha e he ame c di i ?
A. Wi k ald ich
B. Dige ge

A e i :A

3 ea ld e e ed i h ​ a e dia hea,c am , deh d a i ​af e

bei g e ed c lleag e i h ame e e a i a da ca e , m :
A. Ci fl aci
B. Me ida le
C. S i e ea me
D. F h a ibi ic

A e i :C
Gl eam / Oc be

Child a b gh h i al i h ​ai a elli g ​a d ki le i all e

he b d he m he a ed ha he a i a a a hi f ie d h e​:
A. F d alle g

A e i :A

child i h ​ ff e e ,​​h alb mi emia​?

A. Mi imal cha ge gl me l e hii

A e i :A

Child i h head a ma, m m f ( diabe e i i id ) a ki g ab

he diag i ?
A. diabe e i i id .

A e i :A

Child i h ​ e i he al a d ce al c a i ​?
A. TOF

A e i :A

Child ​ hif ed c milk​, ale ih l ?

A. i def.

A e i :A
Gl eam / Oc be

e a e i h ja dice, ​di ec bili bi high​?

A. bilia a e ia

A e i :A

Se e e dia hea ​elec l e di ba ce?

A. me ab lic acid i
A e i :A

h i g​c gh?
A. e i
A e i :A

Child had UTI e da e de el ​hema ia'​?

A. P g
B. IgA e h

A e:A
Gl eam / Oc be

ba ki g​c gh a d e ia di e :
A. C
A e i :A

child , hi b he died f imm deficie c , ha acci a i h ld

il c fi m imm i f he child:
A. a icella

A e i :A

7 ea ld ha ​ bic hai , de el ed b ea ,a​ k ab hich ki d f

be ?
A. ce al ec ci be
B. a ia m
C. ce al le i
D. g ad i ade ma

A e i :A

Wha i he mile ee ec ed i a 6 m h ld child?

A. Si i h
B. M e f m e i e
C. M e f m i e e

A e i :​Self-S d
Gl eam / Oc be

A child e e ed i h ​j i ai a d hema ia.​M he e ed hi f

URTI 4 eek ag .​O e am he e a e echial ​a h i l i gb ck
a d high​, he i e mal. Pla ele mal. Wha i he a ia e
ma ageme ?

A e i :S a i e​​/ HSP

a ki g ab he ea me ? (N c e a i e ma ageme )
A- S e id
A e i :
S e id a e ed i HSP if he e i , GI bleedi g, kid e , CNS a d e ic la i l eme

Ca e f ​j e ile he ma id a h i i ​. ANA - e. Whe c ee f ei i ?

A e i :6m h

Ne fib ma i , Wha he m de f i he i a ce?

A. X-li ked d mi a
B. X-li ked ece i e
C. AR
D. AD

A e i D

SCD g a ie came he ER ih​ ic l ki g​, e la ged li e a d

lee , d i Hgb?
A- e e a i c i i

A e i :A

A a ie i h ac e che d me a d ​ e /l e limb a ccl i e

c i i ,​ ha he effec i e d g e ​ed ce he f e e c ​ f ai f l
ci i ?

A- H d ea
A e i :A
Gl eam / Oc be

A a ie i h a ​dec ea e​i all cell li e WBC, Hgh, a d l (lab ) a ki g

ab d ?
A- A la ic a emia

A e i :A

A child i h ​ALL came he ER i h feb ile ​ e e ia​, ma ageme ?

A- All e ic k i h IV AB

A e i :A

A g b came i h ​hema h i ​a ki g ab d ?
A- Hem hilia

A e i :A

Sig f ​b ci ​i a child be i i ial m dali f diag i

A- US
B- che -a
C- CT

A e i :A

A child i h i ia id , ba ki g c gh, m likel diag i ?

A- la g ache b chi i
A e i :A

H ma ea he ​ e i ​ acci e la ?
A- m h
B- 10 ea
C- 25 ea
A e i :B
Gl eam / Oc be

A fe deli e ed b ​Vac mi me , ​ha elli g ha d e c

he e ?
A- Ce hal hema ma
A e i :A
If c he e li e > ca cceda e m

Child Head a ma ba ach id, hge, e i bi al edema, b i e a d LOC

Fa he aid he f d he like hi , ha d ?
A- Call child ec i

A e i :A

7 ea ld Child​i ge ed 20 able bab a i i ​, ha e ec ega di g

acid ba e bala ce ?
A. Re i a alkal i > e i a acid i .
B. Me ab lic alkal i > e i a acid i .
C. Re i a alkal i > me ab lic acid i .
D. Me ab lic acid i > e i a alkal i .

A e i :C

Female i ge ed 20 able f ​ace ami he ​ he came i h N/V a d igh

UQP ha d ?
A.NAC.
B.N eed f a id e.

A e i :A

8 ea ld child gi l ,c m le e ic f l e limb elli g ,abd mi al ai

RBC ca ,HU , l C3 ,high c ea i i e a d eceded i h a h ?
A.HSP
B.HUS
C.Ac e gl me l e h i i

A e i :
(Read ab he e ic e ell, i ill be clea i he e am)

Ca e f ​la g ache malacia​i e iga i ?

Gl eam / Oc be

A- la g c e
B- CT
C- CXR
D- fl e cei d e

A e i :A

8 ea ld child came i h fe e , eck iff e ,i i abili , mal gl c e

mal ei ,i c ea e WBC ha ' ab ed ?
A- Am icilli .
B- Cef ia e.
C- Va c m ci .
D- Cef ia e a d a c m ci .

A e i :D

Wha acci e c ai dica ed i imm c m mi ed a ie ?

A e i :​li e acci e

bab f imig a ida mi i g af e each meal?

A- h i l gical GER

A e i :A