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A 35 year old woman presents to the emergency room with severe lower abdominal pain with no fever two months prior to her presentation she has gone through endocervical conization due to CIN2 ,her last period was 5 weeks ago ,during her examination she seems in pain and palpitation reveals severe sensitivity and fullness in central and lower abdomen ,laboratory results include a normal leukocyte count ,Hg 11 gr% ,normal urine analysis and a negative pregnancy test, ultrasound shows turbid fluid filling the uterine cavity.
Which of the following is the most likely diagnosis?
88 years old is admitted due to intermittent chest pain in the last 24 hours, he is unconscious and blood pressure cannot be measured, ecg:
The most appropriate management:
A 55-year-old male is treated with prophylactic aspirin on admission he presents with painless hematuria and no other urinary complaints. He smokes half a pack of cigarettes for 20 years.
Urinalysis shows hematuria. What is the most likely diagnosis?
A 57-year-old male is evaluated for abdominal pain and diarrhea, he complains of cough, fever and arthritis. Duodenal biopsy show macrophages with periodic acid Schiff staining.
What is the most likely diagnosis?
A 76 year-old-female is seropositive for beta 2 glycoprotein, lupus anti-coagulant, anti-cardiolipin. Past history is positive for 3 abortions and lower limb deep vein thrombosis DVT. She now complains of dyspnea and right chest pain.
Which of the following test should be performed?
A 7-month-old girl has failure to thrive. She passed meconium 24 hours after birth and had one episode of rectal prolapse a month ago. There is no polyuria. She is normotensive on exam. Lab tests reveal a metabolic alkalosis.
Her renal function electrolytes, magnesium and hepatic panel are normal with a decreased serum albumin of 2.8 . What is the most probable diagnosis?
A 22-year old woman complains of fear of losing control, palpitations, shortness of breath, and nausea lasting 10 minutes and resolving spontaneously.
An organic workup did not reveal any abnormalities .
Which of the following is the most appropriate treatment:
A 35 year old man presents to the emergency room with a seizure for the first time in his life , he reveals that he had stopped taking his medication tow days ago after prolonged use.
Which of the following is most probably the medication he has stopped taking?
A 42 years old schizophrenic womn on risperidone treatment for 10 years. Is brought to the emergency room by her husband which is worried about irregular movments she has been having lately including sticking out her tongue and making strange noises with her lips.
Which of the following is the most likely diagnosis ?
A basically pleasant ; shy. Responsible and hard working man has sustained a head injury in his place of work. Since his injury he has been making sexual comments to his friends loses his concentration easily and is easy to get angry at minimal provocations.
Which part of his brain was most probably injured?
50 years old man accuses his wife being unfaithful, he has no proof, he is suspicious and follow her, in examination he reveals that since he was young he found it difficult to trust people and easily offended,tend to interpreting neutral saying as if they were against him.
Which of the following is the most likely the diagnosis?
A 68-year-old female with 3cm invasive breast cancer.
Estrogen receptor (ER) – positive
Progesterone receptor (PR) – positive.
A biopsy from a suspicious axillary lymph node demonstrates carcinoma. What is the most appropriate treatment?
Whick of the following is correct regarding Barret’s esophagus