Regarding parameters of normal bladder function on cystometry:
Anonymous Quiz
5%
a. First desire to void at 300 ml.
5%
b. Presence of detrusor contractions during filling.
90%
c. No leakage on cough.
0%
d. Detrusor filling pressure < 30 cm water
0%
e Residual urine < 100 ml.
2. Selective serotonin reuptake inhibitors are effective in the treatment of:
Anonymous Quiz
9%
Primary dysmenorrhea.
9%
b. Menopausal osteoporosis.
5%
c. Idiopathic hirsutism.
68%
d. Premenstrual tension syndrome
9%
e Hyperprolactinemia
Selective estrogen receptor modulators can be used in the treatment of:
Anonymous Quiz
50%
Osteoporosis.
14%
b. Premenstrual tension syndrome.
14%
Precocious puberty.
23%
d. Endometrial hyperplasia.
0%
e. Uterine fibroids.
A prolapse of the pouch of Douglas bulging into the posterior vaginal wall just behind the uterus, producing gurgling sensation:
Anonymous Quiz
0%
Cystocele
27%
b. Rectocele.
73%
c Enterocele
0%
d. Urethrocele.
0%
e. Procedentia
A 48-year-old P4, BMI: 39, complains of perimenopausal bleeding for 3 years. TVS: bulky uterus, ET: 18 mm 7 three intramural fibroids of 2, 4 and 5 cm size respectively. Most
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0%
appropriate next step:
11%
Add on to the waiting list for laparoscopic-assisted vaginal hysterectomy. a.
39%
Arrange for pre-operative assessment for total abdominal hysterectomy. b.
6%
Counsel regarding endometrial ablation.
6%
d Insert Mirena intrauterine system and follow up in 6 months.
39%
Perform endometrial sampling
🤔1
All the following regarding AUB are true, EXCEPT:
Anonymous Quiz
5%
Metrorrhagia describes intermenstrual bleeding.
65%
b Oligomenorrhea refers to cycles with blood loss less than 2 days.
25%
Hypomenorrhea refers to menses with diminished flow.
5%
d Menorrhagia is defined as prolonged or heavy cyclic menstruation.
A 60-year-old presents with postmenopausal bleeding, first step is:
Anonymous Quiz
0%
Colposcopy
10%
b Pap smear
57%
Transvaginal sonography.
0%
d MRI
33%
e Endometrial biopsy.
60-year-old presents with postmenopausal bleeding, best step (or gold standard) is:
Anonymous Quiz
0%
a. Colposcopy
12%
b. Pap smear
23%
Transvaginal sonography.
0%
d. MRI.
65%
e. Endometrial biopsy.
A 2-year-old child is with painful joint swelling. The doctor has been following the child for several days before and has noted her to have had high fever, peeling skin, abdominal pain, and a bright red throat. Which of the following is the diagnosis?
Anonymous Quiz
67%
Rheumatic arthritis
33%
Rheumatoid arthritis
0%
Rubella arthritis
0%
Septic arthritis
A 3-year child presents with a 3-day history of malaise, fever 41.1°C, cough, coryza, and conjunctivitis, then develops erythematous maculopapular rash on the face. He is noted to have white pinpoint lesions on a bright red buccal mucosa in the area opposite his lower molars.
Which of the following is the most likely diagnosis?
Anonymous Quiz
75%
Measles
0%
Roseola infanturn
0%
Rubella
25%
Scarlet fever
A 12-year-old girl awakens with a mild sore throat, low-grade fever, and a diffuse maculopapular rash. mild tenderness and marked swelling of posterior cervical and occipital lymph nodes was observed. Which of the following may complicate this condition?
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25%
Aplastic crisis
25%
Encephalitis
50%
Febrile seizures
0%
Mastoiditis
❤1
A 14-month-old infant presents with a 4-day history of high fever without any localising signs. At the peak of fever, the baby suffers a short convulsive fit and is admitted for observation. The next day, the fever subsides, but a maculopapular rash develops over the trunk and abdomen.
Which of the following is the most likely diagnosis?
Anonymous Quiz
0%
Measles
75%
Roseola infantum
25%
Rubella
0%
Scarlet fever
A 5-year-old child presents with a 2-day- history of high fever, sore throat and abdominal pain. On the next day fever raises up more and a maculopapular rash develops all over the body. Which of the following is the most likely diagnosis?
Anonymous Quiz
25%
Measles
0%
Roseola infantum
25%
Rubella
50%
Scarlet fever
A 14-month-old infant presents with a 1-day-history of low grade fever. On the next day a vesicular rash develops over the trunk and abdomen. The rash is itchy.
Which of the following is the most common complication for that disease?
Which of the following is the most common complication for that disease?
Anonymous Quiz
25%
Encephalitis
0%
Neuritis
75%
Skin infections
0%
Subacute sclerosing panencephalitis
A 14-year-old boy presenting with a 3-week history of fever between 38.3°C and 38.9°C, lethargy. Physical examination reveals marked cervical and inguinal adenopathy, enlarged tonsils with exudates, palpable spleen 2 cm below the left costal margin.
Which of the following is the most likely diagnosis?
Anonymous Quiz
60%
Infectious mononucleosis
20%
Streptococcal throat infection
0%
Tuberculosis
20%
Varicella
A 2 year old girl presents with a 24 hour history of being febrile 40°C, looks miserable and has developed a rapidly spreading non blanching rash. She has cool peripheries and is drowsy. Which of the following is the most likely diagnosis?
Anonymous Quiz
60%
Bacteremia
0%
Scarlet fever
40%
Septicemia
0%
Viremia