An 8โyr boy with fever of 2 weeks', dyspnea, ankle edema, intermittent painful swelling of the joints unrelated to edema, and systolic murmur. a month ago he had a sore throat lasting for 5 days, which resolved spontaneously. The likely diagnosis is:
Anonymous Quiz
19%
a) Infective endocarditis
6%
b) Juvenile idiopathic arthritis
3%
c) Meningococcal sepsis
71%
d) Rheumatic fever
3โmonthโold infant
Poor feeding, shortness of breath during feeds, failure to thrive, chronic cough
Exam: tachycardia, gallop rhythm, hepatomegaly, no murmur, no cyanosis Chest Xโray: cardiomegal
Poor feeding, shortness of breath during feeds, failure to thrive, chronic cough
Exam: tachycardia, gallop rhythm, hepatomegaly, no murmur, no cyanosis Chest Xโray: cardiomegal
Anonymous Quiz
88%
a) Echocardiogram
6%
b) Electrocardiogram
4%
c) Blood culture
2%
d) Serum amino acids
ููุง ูุง ุดุจุงุจ ุงููู
ุฉ ๐๐๐๐
ุงุญูุง ุฏุฎููุง ูู ุงูุฌุฏ
ุงุญูุง ุฏุฎููุง ูู ุงูุฌุฏ
๐ฅ7๐จ4โค2๐ข1๐1
Forwarded from Study Partner 196๐จ๐ปโโ๏ธ๐ฉ๐ปโโ๏ธ
TVS shows marked free pelvic fluid and non-visualized gestational sac, and the patient has severe abdominal pain and mild vaginal bleeding. Your recommended management is:
Anonymous Quiz
14%
Rest, antibiotics and conserve for 1 week.
8%
Oral and vaginal misoprostol
10%
Suction evacuation
20%
Methotrexate.
47%
Laparoscopy
Forwarded from Study Partner 196๐จ๐ปโโ๏ธ๐ฉ๐ปโโ๏ธ
A P1+0 presented by pelvic heaviness, frequency of micturition and delayed period for 3 days. HCG level was 400 mIU/ml. After 2 days, HCG was 780 mIU/ ml. Your diagnosis is:
Anonymous Quiz
9%
Data are not conclusive.
0%
Disturbed ectopic pregnancy.
2%
Missed abortion
9%
Molar pregnancy.
80%
Normal early pregnancy
Forwarded from Study Partner 196๐จ๐ปโโ๏ธ๐ฉ๐ปโโ๏ธ
A 19-year-old girl with pelvic pain, +ve pregnancy test and a 3cm living ectopic pregnancy in Rt fallopian tube, she had Lt salpingectomy for a previous ectopic. best management is:
Anonymous Quiz
4%
Laparoscopic salpingectomy.
70%
Laparoscopic salpingostomy.
4%
Conservative management with serial B-HCG.
2%
Laparotomy.
20%
Methotrexate.
Forwarded from Study Partner 196๐จ๐ปโโ๏ธ๐ฉ๐ปโโ๏ธ
Regarding disturbed tubal ectopic pregnancy, which of the following is correct?
Anonymous Quiz
11%
a. Commonly disturbs during 2nd trimester.
82%
b. Vaginal bleeding is usually mild.
0%
c. Absent pelvic pain is characteristic.
7%
d. Snow storm appearance on ultrasound is a diagnostic feature.
0%
e. Serum hCG is usually negative.
Forwarded from Study Partner 196๐จ๐ปโโ๏ธ๐ฉ๐ปโโ๏ธ
Which of the following increases the risk for ectopic pregnancy?
Anonymous Quiz
5%
a. Pregnancy on top of irregular use of combined contraceptive pills.
0%
b. Pregnancy after artificial insemination.
82%
c. Previous history of pelvic inflammatory disease.
0%
d. Previous history of polycystic ovarian disease.
14%
e. Previous caesarean section.
Forwarded from Study Partner 196๐จ๐ปโโ๏ธ๐ฉ๐ปโโ๏ธ
A 40-year-old multipara attends for antenatal care as she had a delayed menstruation for 1 week. She did serum hCG twice, 1st reading was 3000 mIU/ml and the 2nd, two days later, was 5500 mIU/ml. How can you interpret these levels?
Anonymous Quiz
4%
Not conclusive
73%
Normal pregnancy.
0%
Missed abortion.
11%
Ectopic pregnancy.
11%
Molar pregnancy
Forwarded from Study Partner 196๐จ๐ปโโ๏ธ๐ฉ๐ปโโ๏ธ
Which of the following is commonly associated with cervical incompetence?.
Anonymous Quiz
6%
a. Early 1st trimester abortion.
0%
b. Fetal congenital anomalies.
0%
c. Accidental hemorrhage
2%
d. Repeated vaginal bleeding.
92%
e. Cervical length less than 2.5 cm by ultrasound
Forwarded from Study Partner 196๐จ๐ปโโ๏ธ๐ฉ๐ปโโ๏ธ
Abdominal examination of a 12 weeks PG according to her LMP, fundal level was found at level of umbilicus with a doughy uterus. Choose a possible cause:.b. c. d. e. .
Anonymous Quiz
2%
Polyhydramnios
0%
Intrauterine fetal death.
8%
Normal finding.
2%
ontracted pelvis.
88%
Molar pregnancy
Forwarded from Study Partner 196๐จ๐ปโโ๏ธ๐ฉ๐ปโโ๏ธ
A 25-year-old woman presents at 14 wks with mild vaginal bleeding and +ve pregnancy test. TVS shows a non-living intrauterine pregnancy. The most reasonable to offer her:a. b. c. d. e. .
Anonymous Quiz
13%
Laparoscopy.
13%
Serum HCG measurement
49%
Misoprostol
17%
Methotrexate.
9%
Progesterone
Forwarded from Study Partner 196๐จ๐ปโโ๏ธ๐ฉ๐ปโโ๏ธ
The most consistent symptom of ectopic pregnancy is:
Anonymous Quiz
6%
Amenorrhea.
6%
Severe vaginal bleeding.
84%
Pain.
0%
Fainting.
4%
Hyperemesis gravidarum.
Forwarded from Study Partner 196๐จ๐ปโโ๏ธ๐ฉ๐ปโโ๏ธ
A 7 weeks pregnant patient presents with vaginal spotting, lower abdominal cramps. US shows a single fetus with +ve pulsations. PV shows a closed cervix. Appropriate management:
Anonymous Quiz
2%
a. Admit to hospital to follow the case.
20%
b. Bed rest at home, prohibit intercourse & administer a progestin.
67%
c. Bed rest at home, prohibit intercourse & administer a progesterone.
9%
d. Bed rest at home and administer a tocolytic.
2%
e. Repeat ultasonography and pregnancy test after 2 days.
Forwarded from Study Partner 196๐จ๐ปโโ๏ธ๐ฉ๐ปโโ๏ธ
Regarding treatment of choriocarcinoma, choose the correct statement
Anonymous Quiz
7%
a. It is mainly surgical.
2%
b. Radiotherapy is always needed.
9%
c. Chemotherapy is not indicated in all cases.
7%
d. Actinomycin is the single agent drug of choice
74%
e. Methotrexate can be given for both metastatic and nonmetastatic risk cases.