SMLE TOP10

Infant 9 months female present with bilateral Breast enlargement most appropriate investigation? CT for chest , Breast US , Pelvic US , CT brain

36Y O female who is hypertensive on hydrochlorothiazide and losartan presents to the clinic because of the absence of her menstrual cycle for 2 months. She is asymptomatic. Her physical examination is unremarkable. A pregnancy test was done and was positive (see lab results). Which of the following is the most appropriate treatment adjustment? A. Continue same antihypertensive agents B. Discontinue all antihypertensive agents C. Discontinue losartan and start methyldopa D. Discontinue losartan and start enalapril She was only on losartan and her BP was 120/80. Similar Recall: Pregnant lady known to have hypertension on losartan, She comes to the clinic and her pregnancy test is positive. Her BP 120/70 What is the best next step? A- Continue losartan B- Stop losartan C- Stop losarian and give methyldopa D- Stop losartan and give labetalol

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12 yrs old girl with SOB and exercise intolerance and gallop rhythm on auscultation pulse 120 (i am sure) RR 25 Bp 140/90 inv normal heart function and structure (exactly like this) best next inv ? A) Thyroid function tests B) CBC C) other 2 options can’t remember but no ecg or ech A or B? I'll go with A, hyperthyroidism could cause this. Reason why I don't think B is because infection would lead to hypotension not hypertension as seen in this patient

19 Sep 2024 السلام عليكم ورحمه الله وبركاته امتحنت اليوم والامتحان كان حلو الحمد لله 70لي 80بالميه متكرر لو ما اكتر وحتى الاول مره اشوفو ساهل ما صعب إلا بعض الاسيله أروق شويتين وارسل ليكم البتذكرو كلو ان شاء الله

19 Sep 2024 An 8-year-old boy is brought to the clinic by his mother. She is concerned of bed-wetting overight despite toilet training and compered to his sister when she was in his age with good control. Which of the following pelvic muscle is affected and possible target therapy ? A- Rectus B- Detrusal C- Perianal D- Pelvic floor

19 Sep 2024 12 week old child with beckwith-wiedemann syndrome with increased risk for liver lesion what tumor marker you will use ? A- urine oxalic level B- urine HVA and VMA C- PSA D- AFP

19 Sep 2024 25 years old male presents with gynecomastia since he was 18 that make him uncomfortable swimming and going to the gym examination revealed level 4 gynecomastia What is the most appropriate management. ??? A- Endocrinology evaluation and liver function B- Bilateral core biopsy C- Reassures D- Subcutaneous mastectomy