PERSONVUE RECALL

Internal medicine
Duaa elsheikh
1. Pt with dermatomyositis ,developed desphagia
mainly to solid, whats the intial investigation?
a. barium swallow
b. esophageal manometry
c. PH monitoring
d. CXR
2. Pt with dysphagia, biopsy show high eosinophil,
what your ttt?
[Link] diet
[Link] (topical)
c. PPI
3. Type2DM vs MODY , what support type2 DM?
[Link] nigrican
b.+ve FH
4. Female presented with thunderclap headache,
rt side pupillary dilatation with
opththalmoplegia and hemiplegia + neck
stiffness, whats your diagnosis?
[Link]
 [Link]
5. Pt with recurrent syncopal attack, ECG shoed
inverted T wave in V1-V3+ … (ARVD),
investigation ?
[Link]
[Link]
c. rt and lt catheter with biopsy
6. SLE pt presented with proteinuria and impaired
renal function, what next to do?
[Link] biopsy
[Link]
azathioprine
7. Ask about the diagnosis ...
[Link] polyendocrine syndrome type 1
8. Female with FH of PBC (her mother), presented
c/o fatigue , LFT showed very high AST and ALT ,
ALP 200,HBSAG –ve, HAIgM –ve,HcAB -ve what
to investigate?
[Link]
[Link] G
[Link] PCR
9. Pt has antiphospholipid, presented e tender
hepatomegaly, ascites and splenomegaly, what
 your diagnosis?
a. Budchiari syndromre
10. Pt presented with vomiting of blood, how
do you will investigate [Link]?
[Link] breath test
[Link] ag
[Link] Ab
11. Pt presented with symptoms of dyspepsia ,
what to do next?
[Link] and treat
b. trial of PPI
[Link]
12. Pt with esophageal adenocarcinoma, whats
the risk factor ?
[Link]
[Link]
[Link]
[Link]
13. DVT e renal impairment (stage 3 CKD) ,
what DOAC is the best?
[Link]
[Link]
14. Pt with back pain and progressive L.L then
U.L LMN weekness with no sensory
involvement, how to treat?
[Link]
15. Pt with proximal weakness, repetitive n
stimulation showed (low frequency show
decrement and high frequency show increment
(iguess)), whats your diagnosis?
[Link]
b. MG
16. Oman target hb% for blood transfusion for
sever ill pts?
a.7%
17. Pt with bitemporal hemanopia and high Gh
level, ct showed pituitary adenoma of 1 cm,
what to do?
[Link]
[Link]-sphenoidal surgery
[Link]
[Link]
18. Pt with asymptomatic adrenal mass
(discovered incidentally), 2.5 cm in size what to
 do?
[Link] ct after 12 months
[Link] study
0’/
19. SCD with high risk of stroke (transcranial
dopler showed high risk of strok ), what you will
do to decrease this risk?
[Link] transfusion
[Link]+ …
c. repeated blood transfusion
20. Pt presented with back pain, SOB, anemia
and low voltage ECG , how to investigate?
[Link] biopsy
[Link]
21. Type2 DM pt with recurrent hypoglycemic
attack, what drug is responsible?
a. glibinclamide
b. glipizide
22. Long scenario ,auglycemic DKA, whats the
cause?
[Link] 2 i
23. Pt underwent valve replacement, presented
with bloody stool and microcytic anemia,
 normal endoscopy, what to do?
[Link]
b. video endoscopy with embolization
24. Pt with RA on methotrexate, inflixamab and
amiodarone for arrhythmia, presented e new
discoid rash, +ve ANA,whats the cause?
a. methotrexate
b. amiodrone
c. inflixamab
25. Pt with tension pneumothorax , asked
about the intervention ?
a. chest tube
b. needle at 3rd ICS mid clavicular line
c. needle at 4th -5th ICS anter. Axillary line
26. Scenario. Ask about diagnosis?
a. restrictive pericarditis
27. PE, thrombolysis vs not ?
a. decrease mortility
c. increase quality of life with decreasing SOB
28. Pt have cancer, developed AKI and anuria,
you give him furosemide to enhance UOP?
a. increase risk of ototoxicity
29. Pt on omeprazole developed colitis, whats
the type of colitis?
[Link]
b. inflammatory
30. Anthracycline , SE?
[Link]
31. Asthmatic pt was controlled, but recently
presented with mulyiple attacks, slightly high Ig
E, eosinophil 1 and ct chest show infltiration,
ground glass opacity, whats your diagnosis?
[Link] pneumonia
[Link]. syn
[Link] granulomatosis with polyangitis
32. Pt e osteoporosis DEXA was -2.5 on
bisphosphonate, now DEXA is -2.1, what to do?
[Link] bispho
b. continue e vit D and ca
33. Pt e polycythemia, SOB, raised JVP, rt side
HF and palpable kidneys and normal
erythropoietin, whats the cause?
[Link]
[Link] vera
 [Link] disease
[Link] disease
34. Pt with tremor and head nodding?
[Link] tremor
35. Pt presented e seziures, no iv line how to
treat?
[Link] diazepam
[Link] lorazepam
[Link] midazolam
36. Pt e parkinsonian features developed
dementia with in 9 months of the diagnosis,
whats your dia.?
[Link] body dementia
[Link] degeneration
[Link] dementia
[Link]
(other recall.. same ques. pt known case of
DM,HTN and IHD presented e parkinsonian
features developed demetia ?
vascular vs LBD ????)
37. Pt e history of head trauma, [Link] 155,
normal plasma osm (285) and low urine osm,
what investigation to order?
 [Link] brain
[Link] deprivation test
38. Asthmatic pt stopped his medication
suddenly, presented with high k, low G and BP
whats investigation to do?
[Link] cosyntropin test
39. Subclinical hypothyroidism presented with
fatigue, TSH 7, what to do?
[Link] thyroxine and titrate to normalize TSH
[Link] when TSH >10
[Link] thyroxine for 6 months and follow
40. First investigation for breast lump?
[Link]
b.U/S
[Link]
41. Diabetic pt e CHF on sacubitril- valsartan, bb
and spironolactone , on sinus rhythm , PR 56
QRS 110 and low EF, what to add ?
[Link]
[Link]
[Link]
[Link]
42. Restrictive lung disease with increase
DLCO?
[Link] hypoven. Syn
[Link]. HTN
[Link] lung disease
43. Drug not effective on MRSA?
44. Long scenario , culture show g +ve rod ,
what AB to give?
45. Pt on picc line , presented with sepsis, line
culture show yeast , how to ttt ?
[Link]
46. Scenario about sarcoidosis, ask about
investigation?
[Link] level
[Link] biopsy
47. pt has RHD (e device) planning for dental
procedure, ask about IE prophlaxis?
[Link] need
48. SLE pt , presented with painful , swelling
knee with high CRP and ESR, whats your
diagnosis?
[Link] flare
[Link] artritis
 [Link] arthritis
d. gout or (pseudogout)
49. pt e 6 months low grade fever,SOB and wt
loss, high ESR and leukocytosis, echo showed lt
atrial septal mass e –ve culture , whats your
diagnosis?
[Link] myxoma
[Link] –ve EI
50. csf result, whats your diagnosis?
[Link] meningitis
[Link]
c. encephalitis
51. pt has SLE, presented e TIA, CT normal but
MRI showed internal capsule lacunar infarct,
how to ttt?
[Link] dose aspirin + steroid
[Link] dose aspirin + clopodogril
[Link] dose aspirin + …
d. low dose aspirin +…
52. pt known RA, on methotrexate and
prednisolone , DAS 28 showed moderate
activity, what to do to decrease risk of
opportunistic infection?
 [Link] metho & inc pred.
[Link] metho &dec pred.
[Link] metho to infliximab
d.
53. pt e hyperkalemia, which one of those
drugs decrease s.k faster?
[Link] gluconate
[Link] insulin + glucose
[Link] resonium + lactulose
54. pt with 2 month history of STD, presented
with red eyes and swollen , painful knee?
[Link] arthritis
55. pt has lung ca, presented e hypercalcemia,
whats the type of the ca ?
[Link]
[Link] cell ca
[Link] cell ca
56. pt presented with U.L and L.L (proximal??)
muscle stiffness and tenderness with
hyperreflexia, how to investigate ?
[Link] ct
[Link]
[Link] biopsy
57. pt has infected temporal HD catheter, what
to do?
[Link]
[Link] vancomycine for 10 days
[Link] +
58. pt on chemotherapy session, developed
chest pain, ECG showed STEMI, what to do?
59. 3 Qs about HIV
60. Pic of Flow v. loop
61. Pic of ct optic n.+cervical
pt presented e optic neuritis +spastic
hemiplegia, on methyl prednisolone, what to
add?
[Link]
[Link] acetate
c. beta interferone
62. Pic CXR, what to do next?
[Link] test
[Link]
63. Pic of rash
[Link] fever
64. Pic of ct brain, neurocystirecosis, pt
presented with seizure , how to ttt?
 a. albendazole + anti epileptic
[Link] + anti epileptic
65. ECG, sinus brady cardia, pt is symptomatic ,
ask about ttt?
[Link]
[Link] pacing
[Link] pacing
[Link] pacemaker
66. ECG
[Link] e ven. Escape
b. CHB e junctional escape
[Link] type2
[Link] type 1
67. ECG, (NSTEMI) , pt is 36 weeks pregnant,
what to do?
[Link] the baby urgently then referred to cath
lab
[Link] immediatlt to cath lab
[Link]
[Link] ttt
68. Pt , days post MI developed shock, under
went rt catheter for diagnosis, ( he give the no.),
whats your diagnosis?
 [Link] shock
[Link] shock
[Link] shock
69. Pt post MI, deteriorate e new pansystolic m,
whats your diagnosis?
a. MR
[Link] rupture
[Link] ven. Aneurysm
d. rupture papillae m.
70. ESRD pt on HD, presented e skin lesion, high
parathyroid hormone, whats your diagnosis?
[Link]
71. Pt presented with hyphoshphotemia,
hypokalemia, m. acidosis, what investigation
detect tha cause of hypophosphatemia?
[Link]
72. Diet modification in HTN?
[Link] NA, increase K plus DASH diet
73. Q about primary hypoparathyrodism
74. Statstic 2 Q one , calculate RR
75. Second , definition
76. Flash pulmonary edema after intonation of
ACEi