SLE Bank 4th Edition

1- case of depressed man after death of his son, he can`t sleep at all for 2 days, which drug will for short term : a- Lorazepam b- Imipramin 2- What do we use in TB prophelaxis a- Isoniaside ( not sure ) b- Ethambutole c- Refambecin 3- Patient with high anion gab and metabolic asidosis what drug overdose can cause? a- Aspirin ?????? 4- Patient with retrosternal chest pain, barium swallow show corkscrew appearance: a. Achalasia b. Esophagitis c. GERD d. Diffuse esophageal spasm 5 - A boy who was bitten by his brother .. and received tetanus shot 6 month ago and his laceration was 1 cm and you cleaned his wound next you will: a) give augmentin b) suture the wound c) give tetanus shot d) send home with close observation and return in 48 hr 6 - in aspirin overdose : a) liver enzyme will peak within 3-4 hr b) first signs include peripheral neuropathy and loss of reflexes c) 150 mg/kg of aspirin will not result in aspirin toxicity ?????( above 150 mg/kg will cause toxicity so I don’t know exactly the right answer ) 7- 40 y/o with mild epigastric pain and nausea for 6 months..endoscopyloss of rugeal folds, biopsy infiltration of B lymphocytes..treated with abx..cause: a- salmonella b- H.pylori 8- mitral stenosis : A – diastolic high pitch B - systolic low pitch C- diastolic low pitch 9- All are 1ry prevention of anemia except: a- health education about food rish in iron b- iron fortified food in childhood c- limitation of cow milk before 12 month of age d- genetic screening for hereditary anemia e- iron,folic acid supp. In pregnancy and postnatal 10- pt on anti Tb medication with hear loss what is the cause: A-pyrenzmaid b- Streptomycin 11- human bite to the hand .. greatest risk of infection in which position : a-dependent (my answer b. clenched c. finger extended 12- In “holding breath holding” which of the following True: a. Mostly occurs between age of 5 and 10 b. Increase Risk of epilepsy c. A known precipitant cause of generalized convulsion d. Diazepam may decrease the attack 13- teacher with vomiting and jaundice and 2 of his student, no blood contact what is the best investigation: a- Heb A IgG b- Heb A IgM c- Heb B 14-All can cause gastric ulcer except: a- Tricyclic antidepressant. c- Sepsis. d- Salicylates. e- Gastric outlet incompetent ???????? 15- pt with sever vomiting and diarrhea in ER when he stand he feel dizziness. supineBp 120/80 on sitting 80/40 . when asking him him heanswer with loss of sensorium what is most likely he has : a- insulin something b- dehydration something 16 – difference between unstable and stable angina : A - necrosis of heart muscle B - appears to be independent of activity( pathophysiology of the atherosclerosis ) 17- drug contraindication hypertrophic obstructive cardiomyopathy; A- digoxin??? B- one of b-blocker C- alpha blocker 18- your advice to prevent plaque disease is: a-hand washing b-rodent eradication c-spry insect side 19- A man who is having severe vomiting and diarrhea and now developed leg cramps after receiving 3 liters of dextrose .. he is having: a) hypokalemia b) hyponatremia c) hyperkalemia d) hypernatremia 20- 15 y/o boy with +ve occult blood in stool .what is the best investigation: a.Isotope b.Barium??? 21- Patient with nausea, vomiting, and diarrhea developed postural hypotension . Fluid deficit is : a) Intracellular b)Extracellular??????? c) Interstitial 22- Lactating mother newly diagnosed with epilepsy , taking for it phenobarbital you advice is: a. Discontinue breastfeeding immediately c . Continoue breastfeeding as tolerated( with close monitoring of the baby ) 23- Greatest risk of stroke: a. DM b. Elevated blood pressure c. Family history of stroke d. Hyperlipedemia e. Smooking