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مدة الاختبار 6 ساعات

عدد الأسئلة 300


SMLE1

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Q- 25 years old primigravida 20 weeks GA history of mitral stenosis due to rheumatic fever What physiological change makes her at high risk for heart failure?

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What is the cause of poor wound healing in controlled DM

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Post RTA, he is shouting and he has low blood pressure and he says he has extreme chest pain what to do next?

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Baby can name body parts and run unsupported

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When should we stop metformin according to GFR

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Q- 12 year old complain of recurrent epigastric pain with occasional vomiting since 1 year otherwise normal and stool analysis is positive for blood and mucus and positive blood occult test what is diagnosis?

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A 44 year presents with perianal pain. He complains of perineal pain accompanied by loose stools which are sometimes bloody. He also complains of colicky abdominal pain on and off for a few months. O/E there is a hot, tender perianal mass with fluctuation Vitals: BP: 123/65, HR: 106, T: 39.1, O2: 100% Labs: WBC 19 Most appropriate next first step of treatment?

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Which of the following is the causative organism of cat-scratch disease

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Epigastric pain stable suddenly sever pain and back pain pulstie mass , next

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days postpartum came with vegainal discharge no smell no symptoms histo shows epithelial cell

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Patient with post partum hemorrhage that was not controlled by oxytocin or bimanual massage. They asked about the next step

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What indicates a doctors’ respect of a patients’ autonomy

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Case of SLE with take Hydroxychloroquine, steroids, for 5 years. Presented with problems in hip joints, with limited abduction and internal rotation

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Nephrotic patient, which of the following will decrease proteinuria

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Pregnant lady 39 Week her routine BP throughout the pregnancy was 120/80 (normal) then suddenly became 150/90 what is the diagnosis

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Q- 25-year-old female presents with unilateral throbbing headache. Her headache is associated with nausea and vomiting. She tells you that she is sensitive to light. Which of the following is used for acute treatment?

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diabetic man rotien follow up asymptomatic HIGH liver ENZYMES , whats the cause

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Q- 3 months old baby, brought by the family to hospital dead, he was preterm with chronic lung disease. He was sleeping with his parents in their bed, both parents are smokers. What is the cause of his death?

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Preterm 30 week, 80% effacement, 2 cm dilatation, stable mom and fetus. Admitted to labor. What to do

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Most significant risk factor for breast cancer

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Patient with severe abdominal pain with mensural cycle ( dysmenorrhea) affect her work what can you give

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4 year recurring pneumonia with Chest X.ray showing right lower lobe collapse what’s the best modality to diagnose i think it’s hinting for foreign body 

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female 25 old Last period was 5 month ago presented with Right lower abdominal pain and tenderness and past history of open appendectomy due to perforated appendix , BP 90/50 , RR120 RR25 , HB 8.3 , hcg was positive What the diagnosis

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Influenza vaccine they can't give to all population due to the shortness U will give to

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Q- 38 weeks intrauterine fetal death vertex what is best type of delivery?

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Patient with fever , right upper abdominal pain positive serology of Echinococcus ( hydatid disease) with picture what is management

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Pregnant lady ,41 GA in labor on epidural analgesia, mg sulfate for preeclampsia and oxytocin, CTG showd prolonged deceleration and the mother was hypotensive, most likely cause of the CTG finding

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Ulcerative colitis ERCP done shows intra and extra hepatic bile duct strictures. What is the diagnosis

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Patient after Myocardia Infarction treated with thrombolysis and discharged. Came back with tongue and facial swelling, what drug causes this

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Child need non invasive Mechanical ventilation , Where you will manage him

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baby  4 years old and can hop on one leg but can't stay still for 10 seconds, can draw a square, has a friend, can tell a story the mom is worried about the developmental milestones?

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Child can jump on 2 feet, build a tower of 6 blocks and able of 2 word phrases. Most likely age by years

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Q- 30 years old post partum woman admitted for right leg DVT and was started on enoxparin 80mg BID. Then she developed sudden onset dyspnea and right pleuritic chest pain, on PE; She was dyspneic and apprehensive, heart sound showed loud P2 and lungs were clear on auscultation, vital signs normal ABG: normal HCO3 and Po2, decreased PCO2 and high pH CT showed thrombus in right lower pulmonary artery Which of the following is most appropriate step in management

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Old age male pt with s/s of urine drippling and back pain. Labs showed high PSA, what is the diagnosis

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pregnant women Last menstrual period 7th of May, she has regular period and is sure about it. What is the Expected date of delivery

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36 Old male patient with Heart Failure and sign of  Aortic regurgitation, echo report: Aortic regurgitation, EF 40%. Asking about management?

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male PATIENT after MTV in ambulance he was responsive to paramedics then suddenly deteriorate become unconscious and unilateral unresponsive dilated pupil, Xray show temporal fracture. What's the most common cause

 

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Pregnant(10 weeks) mom didn’t take rubella vaccine when to give

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Male patient diabetic and smoker presented with ulcer on 2nd , 3rd and 4th left foot toes. He gave a history of superficial thrombophlebitis. Upon examination: he has absent dorsalis pedis and posterior tibialis pulse in both limbs , while popliteal pulse was intact. How would you manage the patient

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which of the following lead to hyposplensim

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Child presented to the ER with fever and abdominal pain. After a fall 1 day ago, the mother noticed abdominal distention mainly on the right side. On examination he is pale and hypertensive, your diagnosis

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Pediatric patient brought by his parents; X ray showed widening of the ends of his bones (growth plates): Calcium (low) PTH (mildly high) Alkaline phosphatase (very high) What does the patient have

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A patient after 2 day Post Mi complain of chest pain radiate to back with ST segment elevation in leads II, III, and AVF presents now with a new holosystolic murmur and bilateral basal crackles. What is the most likely diagnosis

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Adenoma was found incidentally in a pt complaining of recurrent headache. What's the management

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Female came with white breast discharge and high prolactin, what radiology you will do

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hypertension , post MI on ACE , BB , aspirin , what to add

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25 year old healthy female presents with a systolic murmur best heard at the apex radiating to the axilla. She has no past medical history. She has a recent history of dental tooth extraction 2 months ago and sore throat 10 days ago. What is the most likely diagnosis

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Female patient after Treatment of breast cancer She want to get pregnant She can get pregnant after

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Patient with bronchogenic cancer presents with massive pleural effusion, done pleural tap several times before, what should u do now

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Case of oesophageal atresia post surgical complication

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Trauma patient with multiple fractured rips, vitally stable, conscious, oriented and normal breathing sounds bilaterally, next management

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30 years old female with Sjorgan syndrome ( dry mouth and dry eyes , Vaginal dryness , she experienced severe hypokalemic episodes what type of tubular acidosis ?

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Pt came with perianal mass developed after hard stool passage 12 hours ago , mass was bluish , tender under skin of perianal area , about 1*1 cm , what is the appropriate managment

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Preganat c/o sever abdominal pain and uterine contractions she was given 6mg Mg sulfate and the e contractions become normal then decrease the dose to 4mg Then complained of shortness of breath What is next step

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A 45 year old male smoker had an adenoma removed from his colon. Pathology report shows a benign lesion. What advice should you give this patient to prevent him from getting colon cancer

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Preterm baby at 35 week. After delivery he was put in incubator for 2 weeks. What to do regarding his vaccination schedule

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42 year history of molar pregnancy 2 years ago, she wants to conceive. What to do regarding her history

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A 38 year female presented to the ER complaining of epigastric pain for 6 days, radiating to the back and it was associated with multiple episodes of vomiting. She’s known to have multiple small gallstones. On examination there’s diffuse abdominal distention, epigastric tenderness and sluggish bowel sounds Labs: ALP, amylase total and direct bilirubin all within the normal range What’s the most appropriate next investigation

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patient with suprapubic pain and cervical examination showed tenderness in fornix, associated with profuse discharge: most likely
diagnosis

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Salmon pink rash - hepatosplenomegaly, multiple joint involvement symmetrical and asymmetrical large and small joints

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Elderly with two years history of progressive memory loss. He can do his daily chores and wear clothes independently. He used to be a kind and a caring person. But in the last 3 months his personality changed and he became aggressive, Diagnosis

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Patient with Polycystic ovary syndrome , what should be investigated

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A 35 year old man presents to emergency room with a three day history of fever, cough and dyspnea. He is awake and alert. Despite receiving appropriate antibiotic and a bolus of 500 ML Normal saline solution, he remains hypertensive duck Central venous pressure measured through on internal jugular catheter is 4 cm H2O (see image). H heartrate 126 per minute, RR 24/min,, temperature 38.6 oxygen saturation 91% which of the following is the most appropriate management

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Case of neonatal thrombocytopenia Healthy mother, first child Baby has very low platelets, grade 1 IVH, normal smear Mom has normal labs

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Patient admitted in the hospital and recent do lanryngotomy , suddenly developed vomiting and muscles weakness , labs show potassium level are 8.0meq/l , ECG was done which showed peaked T Waves what is immediately step in management

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make truck driver with painful swelling between his gluteal fold. What is the most likely diagnosis

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A 20 years old Female, came with sudden visual impairment and unsteady gait, speech not affected, MRI showed demyelinating lesions peri-ventricular, diagnosis

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Patient Complain of ALL on chemotherapy developed fever, investigation showed pancytopenia. What to do

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What is the time interval between ovulation and cleavage in dichorionic diamniotic twins

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A 72 year old man present with an episode of right sided weakness that lasted 10 m and fully resolved and he is stable and medical free vital stable Which of the following is the most appropriate next step in the management

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child after RTA , admitted in ICU , labs show High serum osmoloraty and low urine osmoloraty Diagnosis

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Cirrhosis most common cause of Hepatocellular carcinoma

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A patient post thyroidectomy cannot make high pitch sounds. Damage to which nerve is responsible

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Q- 50 with vaginal heaviness mild uncomfortable treated 6 month later conservatively come with same complaint and no improving shan’t next?

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How do you confirm premature rupture of membranes

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male complaining of reflux and post prandial discomfort this a main complain in his family What is the risk factor for cancer esophagus

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When to diagnose pedia as hypertension

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Mechanism of action of clomiphene

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Case about a child with increased water consumption and going to the toilet, not to mention Urine and serum osmolality, not mention any electrolyte, with no response to water deprivation test, no other complain

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A patient present to the Er after spontaneous collapsing while waiting for the bus. The patient does not have any history of cardiac abnormalities diagnosis?

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Pediatric patient with coryza, conjunctivitis, and white spots in the mouth, what is the diagnosis

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patient complain of COPD came complaining of Upper GI bleeding stabilized after endoscopy.then he became dyspneic and cyanosed.
his workup is as follows: (approximation)
ph 7.24
pco2 7.4 not sure of the number but higher then normal
What is the most appropriate initial management

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4 months old girl, during Pneumatic otoscope unilateral non-purulent effusion and decrease tympanic membrane motility , no fever pr other symptoms, and no history of previous infectious diseases, breast feeding very well and no use of pacifier , What’s the best next step?

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child 3 months old came with whooping cough , mother mentioned he missed the 2 months vaccine what’s the gold standard test for reaching the diagnosis

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Parents bring their 12 months boy with pneumonia refered to pediatrician because  of 2 times recurrent chest infections This is third infection since 4 month , he has tow healthy sister one at age 3 and 5 years. The family lost a boy at 10 month of age to bacterial pneumonia 6 years ago. The family doctor has sent along some blood test results that shows low all classes of serum immunoglobulin levels, few B cells, but normal numbers and functioning of T cells. What is diagnosis?

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Dr decided to manage the patient by UltraSound guide per-cuteness drainage , how should take consent

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COPD Best indication of disease progression ?

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Case present with right hand weakness with no numbness just for few hours than resolved. Exam normal (case of TIA). What investigation to do next

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young male with mid line neck swelling and ascending and descending with swelling what’s diagnosis

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Case of lung cancer: non smoker male with x-ray found nodule in the lung what’s your next step

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A 7-year-old boy is brought to the emergency department due to abdominal pain and fatigue. He developed abdominal pain ,vomiting ,and diarrheaa week ago. Afew days later, he noticed significant blood in the diarrhea, On physical examination, shows a pale, uncomfortable-appearing child with multiple petechiae. , diffuse abdominal tenderness, and 2+pedal edema are present. Laboratory values are as follows:
platelet count ( 50, 0000) , normal ( 150,000 to 450,000 )
Hemoglobin 7,8 gm/dL , normal (14 to 17 gm/dL )
Creatinine 2.5 mg/dL , normal (0.74 to 1.35 mg/dL)
Blood urea nitrogen 38mg/dL , normal ( 6 to 24 mg/dL)
Prothrombin time 13 seconds , normal ( 11 to 13.5 seconds)
Stool culture grew out E coli O157:H7, what is diagnosis

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Patient with Taller in class , high arched palate, scoliosis, joint hyperextend ability what is name of syndrome

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Scenario of a child with celiac disease, +ve anti-endomysial antibodies and Anti- transglutaminase antibodies (ATA), biopsy shows villous atrophy what to do

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Typical case on nephrotic syndrome ask about highly diagnostic test

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Patient with copd , moderate respiratory distress “ written like this” and O2 sat of 93% on 3L, ABG shows respiratory acidosis What to do next

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Case of patient coming to the clinic with heart symptoms and the investigations showed that he needs urgent cardiac catheterisations, the doctor explained the need of catheterisations to the patient but the doctor noticed the patient is slow and have low mood and sadness. The patient acknowledged that he understand the information but he refused to do catheterisations, what to do

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Which one of the following developmental screening relies on parents information

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A 80 year old who has been in the ICU for 4 days has developed pneumonia. What is the most likely  organism ?

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Patient complain of depression and a palpitation What to do

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Child presents with fever, vomiting and diarrhea on exam of chest there is reduced air entry to right side and murmur was heard , the child CVS and chest exams were previously normal (prior visits) what is the management of murmur

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Deep wound in anterior thigh 10 cm , bleeding , how to control bleeding or what is nest step

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A 20 years old came with neurological manifestations, splenomegaly , pancytopenia, bone biopsy showed cells with crinkled paper-like cytoplasm. The diagnosis is

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this picture with a scenario of open wound fracture who is stable and already received antibiotics, what do you want to do next

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A child was brought with history of jelly-like stool. The patient was stable and not obstructed, next management

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patient came to the ER with signs and symptoms of myocardial infarction he was going for PCI, when the cardiologist was assessing his condition he notice the patient was depressed with low mood, the patient refused the PCI he demonstrate good understanding of his problem to the doctor what to do

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A mother brings her 6 month old child for a dTap vaccine, but she informs you that he suffered from a febrile seizure after his last dose. What will you do

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Sandpaper rash what is the organism

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baby with abdominal distention and difficulty passing stool , on PR examination empty rectum, but after finger pulled out there is diarrhea, Diagnosis

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which type of RTA comes with hypokalemia

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Patient with a stab wound in the right thigh and massively bleeding brought to the emergency Department unconscious and there active bleeding BP 90/60 pulse 130 What is the most important next step to do

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Patient post thyroidectomy had arm spasm during blood pressure measurement, what is your next step

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A patient known to have sickle cell disease presented to the emergency department complaining of both legs pain for three hours. Lower limb exam is normal with no sign of DVT. The abdomen and exam reveals spleen enlargement. Hemoglobin is 3.2. Which of the following is the best next step

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A newly married woman has been on her honeymoon for 1 week and is now complaining of dysuria and frequency. How will you manage

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child unable to feed herself with a spoon , history of head trauma 10 days ago where is the lesions

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Q- 70 years old hypertensive on CCB, with interrupted micturition with dysuria, And sensation of incomplete evacuation, sonar ben. Moderate prostatic enlargement; Normal PSA; Next step?

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Q- 41+6 weeks induction of labor with prostaglandin developed vaginal bleeding with sudden loss of contraction and loss of fetal movement then developed shock?

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A 7 years old presented to the clinic with his mother with post meal nausea, central abdominal pain and cramps follow by watery diarrhea , He’s vitally stable, looks well with mildly distended abdomen , blood presser was 90/70 , temperature , heart rate , respiratory rate was normal What’s the most likely diagnosis

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Pregnant women in 10 weeks , came to antenatal care as the first visit , which vaccine is recommended for the mother in this time

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Couple came to a preconception clinic. The father, 2 of his brothers have sickle cell disease and he has sickle cell trait and what is the risk of sickle cell disease

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Patient known SLE, came with pale skin and fatigue, Labs Hb 10 (low) and ferritin 600(high), what is the cause

 

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A 55 years male presented with sudden abdominal pain that radiated to the back The patient has a history of cardiomyopathy, the patient mentioned that he passed a small amount of loose stool, during the ex there is exaggerated bawel sound Lap:amylase =600 X-ray :dilated small bowel what is Diagnosis?

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The following are appropriate methods for the treatment of inflammatory processes in the breast EXCEPT

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Old patient with history of Recent travel , came with difficulty getting aroused / awaken, he report multiple falls, examination shows no head wounds and skull intact , most likely diagnosis

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woman had a C-Section. What is the best way to prevent adhesions

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this Picture what does indicate

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what is the first sign of compartment syndrome of the leg

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Case of intestinal obstruction with colon distend which anesthesia drug is contraindicated

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45 years old asymptomatic patient, on pelvic ultrasound that was 2*3 uterine fibroid at the fundus. What is the next best appropriate plan of management?

129 / 300

29 years old pregnant, 39 weeks, with headache , and low limp edema , BP 160/100, proteinuria, platelet  : 50. Next step in management?

130 / 300

Picture of baby and physician hand. He was taping the left side of mouth When the primitive reflexes disappear?

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8 years old patient immunization schedule unknown, came with fever and neuro symptoms examination reveals bilateral tender and enlarged parotid glands and pain with neck flexion, what is diagnosis?

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Asthmatic patient on inhaled corticosteroid and short acting beta 2 agonist which he use 3 times daily. What is next step in the management

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Pediatric Cushing features (obesity + purple stretch marks in the abd + HTN) Initial management

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A 37 years old male presents with pain in the lateral aspect of right leg with redness and tenderness and a red streak on the thigh. Bp normal, Temperature is 39, What is the most appropriate management

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all of the following is essential features of nephrotic syndrome except

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16 years old boy , came with 6 days fever and abdominal pain just, on examination look pale and ill , abdominal mild tenderness and slight splenomegaly , what is the most sensitive culture?

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Which of the following is most likely to be the presentation of a patient with early STMEI

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Know case of COPD with cor pulmonary which of the following will decrease mortality?

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Newborn 2 months old, vomiting after feeding, otherwise all normal, growth normal. What is the most likely diagnosis

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A pediatric patient came in RTA. Has splenic rupture and thus splenectomy was done, What’s an appropriate vaccine later on

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what the age of infant

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patient known case of dm and hypertrntion develop strok infaction what treatment

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What cause severe dysmenorrhea , Dyspareunia , infertility

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In labor after 10 min of delivering the fetus placenta is still not delivered she started bleeding

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COPD on long acting beta agonist inhaled steroids and albutatol as needs comes to clinic with woresing copd on exam bilateral lower extremity edema above ankle, jvp not distended, decreased breath sounds Echo is normal except mean pulmonary artery pressure of 52 O2sat 86% Po2 6.8 kpa Ph 7.6 (not sure but it was above 7.5 ) What is the most appropriate

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18  years old  , history of syncope, ECG picture with HR of 267 beats per min And ask about diagnosis?

Supraventricular Tachycardia (SVT) • LITFL • ECG Library Diagnosis

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7 years old presented to ER with shortness of breath and fatigue Labs showed anemia + thrombocytopenia (no WBC) Sickle screen was positive Which one of the following is the most important investigation

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Patient RTA hypovolomic shock and take 4L blood what is the complication

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Which of the following can cause an increase in BNP

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A post-menopausal woman comes to you with chronic urge incontinence symptoms (6 months of urinating before entering the bathroom). What is the “most appropriate next best step”

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patient presented with left leg pain, radial pulses were irregularly irregular. The limb was pale with absent distal pulses from where does this thrombus originated

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Boy has a cat developed itching for a month with red eye and watery with discharge no lymphadenopathy and general exam normal

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complication of Rh happened if

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asthma poorly controlled on inhaled steroids and systemic sometimes, patient mentioned she’s using aspirin and NSADI almost daily for her migraine. she also has nasal polyps how would u manage her

 

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Chronic kidney disease picture of iron def anemia and and high ferritin what is the treatment

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Q- 42 years old  mother presented with paraumbilical mass, On exam you found the mass tender, irreducible, and negative cough impulse. What is the appropriate next step

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Pt ER with unilateral limb edema he using OCP what next diagnostic

158 / 300

Case of Beckwith-Wiedemann syndrome his family concerned about cancer may happen What screening marker to order ?

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ICU patient hypotensive and Liver Function Test function Shows very high ALT & AST no mention of ALP bilirubin or RUQ pain

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Patient Complain of Congestive Heart Failure came with Shortness Of Breath , Orthopnea and crackles , splenomegaly and high JVP what is the diagnosis

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pregnant lady at third trimester came to ER Complain of headache and sharp RUQ pain BP 165/100 Protein +4
what is the cause of her pain

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Female with sickle cell disease presentation with hepatospleenomegaly what is complication

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Appropriate position in epistaxis

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A patient had a vaginal infection but still can’t get pregnant why

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3years has intermittent loss stool Only during day examination all normal Diagnosis

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Patient with history of major atherosclerosis risks DM, HTN, Smoking, hyperlipidemia He complain of Recent memory loss and behaviours changes there is history of multiple brain infarct what is diagnosis

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Patient with upper GI bleed what’s the initial next step

168 / 300

A case of HUS. What’s the diagnostic culture test

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What is main Risk factor of stroke

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A 32 years-old alcoholic male patient is brought to the emergency department with the history of vomiting large amount of bright red blood. Physical examination revealed splenomegaly and ascites. after initial ER management, what to give before endoscopy

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Q- 50-year-old male admitted due to left ventricular failure associated with shortness of breath and fatigue. Upon physical exam you heard an early diastolic murmur and when you auscultate over the femoral artery you heard femoral pistol shot sound (Traube’s sign). What is the likely diagnosis ?

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Unbooked female came to the ER with labor , after investigation she has 100,000 colony bacteria of streptococcus and she has asthma with using salbutamol, what do you wanna give her now and after deliver

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Q- 30 years old postpartum woman admitted for right leg DVT and was started on enoxaparin 80mg BID. Then she developed sudden onset dyspnea and right pleuritic chest pain, on PE; She was dyspneic and apprehensive, heart sound showed loud P2 and lungs were clear on auscultation, vital signs normal
ABG: normal HCO3 and Po2, decreased PCO2 and high pH
CT showed thrombus in right lower pulmonary artery
Which of the following is most appropriate step in management

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patient with MRSA wanted to be treated by Vancomycin. Immediately patient developed rash in the trunk. next step

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Surgeon is doing OP for patients with Hepatitis C and suddenly he was injured by an injection. What is the percentage of getting infection

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Patient with hepatic benign tumor diagnosis is hemangioma (mentioned), decided to be managed conservatively, but we should advise the Patient to

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Patient post left parathyroidectomy. Now after 4 months he is presenting with same symptoms of parahypothyrodism again. What is the most likely diagnosis

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Pediatric patient family was camping drinking alot of unpasteurized milk with fever

179 / 300

Patient BMI 18 but think of oneself as obese thus dieting, Diagnosis

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34-year-old boy, diagnosed with TB. On rifampin. What is the side effect

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Q- 30 years old woman presented with a painful breast mass about 4 cm in the upper lateral quadrant. It increases in size with the menstrual period. Examination showed a tender nodularity of both breasts. What is the management?

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cardiac patient on anticoagulant ask about method of contraception

183 / 300

4 month milestone

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Patient with ( poly cystic ovary ) wants to get pregnant, how to manage her?

185 / 300

After splenectomy what hormone is affected

186 / 300

old female that had an episode of visual loss for 20 minutes and it came back. What is your diagnosis

187 / 300

A 2 weeks old with conjunctivitis bilaterally, 2 weeks later chest x ray show lung interstitial lung infiltration: not sure if this come or not?

188 / 300

Thick white secretions but she denied them being foul smelling. What is the most appropriate treatment

189 / 300

patient with Sign and Symptom of ectopic pregnancy and came with bleeding. What is the source of her BLEEDING

190 / 300

Young patient with Hx of acute pancreatitis 2 weeks ago, presented now with epigastric abdominal pain, CT showing 4 cm peri pancreatic fluid, no necrotic tissue Management

191 / 300

A patient with epigastric pain admitted to hospital, U/S shows gallstones with dilated CBD. Now he is stable and labs are normal except high amylase 250. What is the appropriate next step

192 / 300

patient known to have DM and HTN with proteinurea what is the most appropriate

193 / 300

Most common site of urethra affected by surgical trauma in male

194 / 300

What is the characteristic of gout crystals

195 / 300

the MOH is organizing campaigns, lectures, and health education in order to teach the public about the dangers of obesity and its associated complications. What kind of prevention is this

196 / 300

Post thyroidectomy, C/O horsiness of voice and difficulty swallowing. Which is the most commonly laryngeal nerve that is injured

197 / 300

Q- 30 year old pregnant women presented with lower abdominal pain and moderate vaginal bleeding, complain of Bronchial asthma , epilepsy and smoker. What is the highest risk factor for her condition?

198 / 300

patient was extubated after thyroid surgery and immediately developed shortness of breath and respiratory distress. Examination reveals thatboth vocal cords are in a semi-closed position. How will you secure the airway

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Q- 35 year old asymptotic lady is seen for counselling regarding her breast cancer screening. Her mother was diagnosed with breast cancer at age of 67 y and her sister was diagnosed with breast cancer at age of 45 y, She had no history of breast biopsies.
What would you recommend for her screening?

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Pregnant 15 GA complain of epilepsy on phenytoin last attack 6 years ago came antenatal visit

201 / 300

Q- 38 week pregnant lady have chlamydia trochomantis infection and had SVD , what organ would be affected-in her child?

202 / 300

Female increase aPTT and positive lupus, what is the diagnosis

203 / 300

Child 3 years, with signs of Cushing syndrome What is the highest predictive value for diagnosis

204 / 300

Vaginal discharge Cheese segment under what is diagnosis

205 / 300

Percentage of maternal death worldwide due to post partum hemorrhage

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33 year old patient who is on NSAIDS for joint pain, presented with sudden severe continuous abdominal pain. He denied any history of vomiting, constipation, diarrhea, and or hematemesis. The pain is located in the epigastric area with a feeling of Nausea. Upon examination , There is tenderness and rigidity. What is the diagnosis?

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Female pregnant present with multiple lumps confined to areola , soft superficial uniform in size , what is the diagnosis

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Q- 11 years old child had severe diarrhea , 3 weeks ago, now the child presented with bilateral lower limbs weakness and numbness, Diagnosis?

209 / 300

30-year-old man, all Labs were provided and a picture of urine dipstick test +2 proteinuria Also on microscope , Oval fat bodies and hyaline casts?

210 / 300

Which of following indication thoracocentasis

211 / 300

Treatment of chrons controlled symptoms on steroid and another drug , came with multi-fistula ?
What to give

212 / 300

A 9 month came for vaccination when is vaccine contraindicated?

213 / 300

Asthmatic child with exacerbation but you should do advice

214 / 300

  A 4 months old boy what you can expect to his age

215 / 300

Q- case with Hemiparesis due to previous infarction , now present with C.t infarction with no clinical symptom what will give?

216 / 300

ECG show this picture what is diagnosis

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Patient who her husband is diagnosed with gonorrhea, from where to take her sample for diagnosis

218 / 300

Long scenario about patient with dx of necrotizing pancreatitis with sepsis admitted to ICU for 4 weeks and treated , now on mechanical ventilation and inotrops. What is the physiological process

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year-old type 2 diabetic undergoes a bowel resection for colon cancer. He is well priar to the operation with well-controlled diabetesand no other underlying condition. The operation is successful and the patient is given postoperative insulin and IV dextrose.2 days after the operation he becomes very agitated
Na = low K = low Cr = low Serum osmolality : low , Urine osmo : normal
Which of the following is the most likely cause

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A patient had an acne and was asking about isotretinoin what you will test before

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Male with non bloody diarrhoea, pale, oral ulcer? This is the exact question with no extra info!

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Ulcerative colitis ERCP done shows intra and extra hepatic bile duct strictures. What is the diagnosis

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woman, has History of miscarriage , Now she's GA of 7 weeks , she came to ER with vaginal spotting. Vaginal exam shows brownish discharge and no active bleeding and OS is closed , Patient denied any History of passing tissue. Everything else is normal What's your diagnosis

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Patient presented with breast abscess was on antibiotic but no improvement What to do?

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A patient came to the clinic with numbness on his hands and legs. He is known case of vitiligo and hypothyroidism. The lab results showed macrocytic anemia, peripheral blood smear showed Hypersigmented neutrophil. The best way to manage the patient is

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Pregnant woman develop Shortness of breath , ultrasound of uterus shows snow Appearances what is the diagnosis

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Female presented with premature rupture of membrane with fever and vaginal discharge. The uterus is tender to touch. What is the possible diagnosis

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A 34-year-old man comes to the office due to abdominal pain ,loss of wight , foul-smelling anal discharge and perianal discomfort for the past several weeks. The patient has a history of recurrent anal fissures and takes a fiber supplement, stool softeners, and a topical analgesic. He also has occasional canker sores and recurrent abdominal pain and diarrhea, which he attributes to the use oflaxatives. The patients mokesa pack of cigarettes daily but does not use alcohol or Illicit drugs. Temperature Is 38 C (100.4 F). blood pressure is 120n6 mm Hg, and pulse Is 86/min. Tenderness Is present in the right lower quadrant on deep palpation. Perianal examination shows a large posterior skin tag. A fistula anterolateral to the anus Is draining whitish material. Biopsy form ileum showed non-caseating granuloma. What is the diagnosis

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Patient with esophageal bleeding, How to prevent

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Woman in delivery bleeding not stop, she wants to conceive in the future, which structure you should ligate

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Which of the following increase risk for ischemic heart dis

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Q- 7 years female with eyelid erythema and thickening of skin over metacarpophalyngeal joints + proximal muscle weakness?

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New born seizure after delivery with hypoglycemia, management

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Patient of ALL post chemo develops headache and dry mouth what is the electrolyte derangement

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A 63 years old women presents to the Primary Care Physician with haematuria . She reports having had a throat infection 2 weeks ago, for what her doctor prescribed penicillin V for 10 days. On the physical exam she has 150/90 blood pressure, her eyelids and both her ankles are swollen. What is the treatment she must receive now

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Neonate was born the mother says she had a baby died due to probably immune deficiency and ask about vaccines for the new baby

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Pediatric with Minimal change disease with nephrotic syndrome Asking about the initial treatment to reduce proteinuria