step-3-questions

A 65 year old man with HTN presents to your office for evaluation of right leg pain that increases on walking about one block. The pain seems to disappear when he sits and takes rest for about 10 minutes. He is concerned because it is interfering with his exercise activity that his cardiologist...

58 yr old male pt, diagnosed with squamous cell carcinoma of the upper left zone. CT Scan showed multiple lymph nodes (Mediastinal ). What will you do next: PET Scan Bone Scan CT Brain Mediastonascopy

Patient presented 4 hour after Inferior MI with dizziness. His ECG showed complete heart block . How to treat : - Permanent pacemaker - Temporary pacemaker

Patient with CML and severe anemia 6.5g/dl Next step in treatment: Blood transfusion Imatininb IV immunoglobin

A 25 year old woman is seen by you today due to an abnormal blood count. Three weeks ago, she volunteered for blood donation and a complete blood count that was drawn at that time showed abnormal values. She has regular menstrual periods with normal flow. Her last menstrual period was one...

A 46 y/o woman who is a school bus driver by occupation presents to your office for regular follow up. She has a history of ADPKD. Her blood pressure is well controlled at 120/70 on enalapril. She has no other problems. She denies any headache. There is no family history of intracranial or...

what is the most important modified risk factor for CAD: DM HTN Smoking Central obesity Physical inactivity Thanks

A 26 y/o female G1P0 comes to her first prenatal visit, she is at 28 weeks. Her History and PE are completely normal except that you find a cervical tumor of about 2 cms in diameter. you perform a biopsy which in the preliminary report is reported as a leyomyoma. The patient gets worried and...

A 34 y/o female G4P3 at 39 weeks gestation is on labor. After 2 hours of pushing and oxytocin augmentation you notice the head of the baby gets stuck in the maternal vagina. You quickly suspect the shoulders are stuck. You are a first year ob/gyn resident and your chief resident asks you to...

At 39 weeks gestation a woman comes to the L&D unit on labor. She is 50 % effaced and 2 cms dilated. a 36 weeks ultrasound showed the fetus to be in transverse lie. When you perform Leopold maneuvers you notice the fetus is now on breech presentation, after confirming the diagnosis with a new...

These questions are short and concise, Ob/GYN is not that hard if you know the basics.. So I wont put long ass cases because I dont have a source to do that and because i dont think it is necessary to do so. A 34 y/o female G3 P2 presents to the L&D (Labor and delivery) unit at 38 weeks...

An ill'appearing 9 week old baby is brought to the emergency room. She is pale and dyspneic with a respiratory rate of 80 bpm. Her heart rate is 190 bpm, her heart sounds are slightly distant, S3 is heard and she has cardiomegaly on chest xray, lungs are clear. An Echocardiogram demonstrates...

The mother of a 2 week old infant reports that since birth, her infant has been odd, the kid needs to be awaken to be fed because otherwise, it will just remain asleep. She is also concerned because her child didnt stooled until 72 hours after birth. On your examination you notice an infant with...

A general practitioner refers to you for evaluation of a 3 year old boy with frequent infections. You note the child to have a loud systolic murmur, posteriorly rotated ears and a small jaw. At birth the child had "Symmetric contractions" that were treated with some "medicine" that the mother...

A 2 hour old full term newborn infant is noted by the intern to be having episodes of apnea and cyanosis. A pulse oxymeter is placed which shows desaturations when the baby is feed but quickly returns to normal when he cries. Which of the following is the most appropriate and quickest way to...

A seven year-old boy arrives at the clinic with a chief complain of Fever for the last 48 hours+left facial swelling. His mother reports that 2 days ago the area surrounding his left eye was swollen and red, she also mentions the left eye looked like "it wanted to come out". He has a history of...

You are called by a PCPC while you were playing golf (you are a pediatric infectious disease fellow), to consult on a patient admitted to the hospital a couple of days ago. The patient is a 7 month old Caucasian boy with poor weight gain for the past 3 months, he has not gained a single pound in...

A 4 year old girl comes to the office with her grandmother because the latter noticed her grand-daughter was limping and had a swollen left knee. The parents report that the patient complains of occasional pain in that knee. On physical examination you notice a normal left and right knee, with...

a 60 y/o male presents with a high creatinine and Nephrotic range proteinura. He has chronic back pain for which he uses ibuprofen and he also started using penicillin 3 weeks ago for a an infection which is treated now. Patient was admitted to the hospital 6 weeks ago for a coronary...

Two weeks after a viral illness, a 9 year old boy presents to the clinic with a complaint of several days of weakness of his mouth. In addition to the drooping of the left side of his mouth, you note he is unable to completely shut his left eye and frown his forehead. His smile is asymmetric...