1,infectious

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1, A 30 year- old prisoner presents with intermittent fever and

headache of two days duration.He claims that five of his


roomation had similar symptoms and where treated in the
prleon.blood film examination showed a splrochets. which
one of the following is most appropriate antibiotics choice for
than patient?
A,ceftriaxone B,doxycycline C, procaine penicillin D,
Vancomycin
5, which the following is recommended for treating Chlamydia
trachomatis infection?

A, metronidazole
B, fluconazole
C, doxycyline
D, Gentamicin
A 35 year- old pregnant woman presents with fever easily
fatigability and change in mental status. On physical
examination , BP=100/60mmhg, PR=108/min, RR=20/min.
To=37.5oc and has pale conjunctiva and confused. Laboratory
examination reveals hemoglobin=7g/dl, random blood
sugar=30mg/dl and plasmodium falciparum positive . which of
the following in the initial step in the management of this
patient ?
A, Artesunate IV
B, Artemether-lumefantrine orally
C, Blood transfusion
D, Glucose infusion
A 35 year- old woman presented with four episodes of
spasm. Generalized rigidity and trismus after she sustained a
puncture over the left foot two days ago. She is fully
conscious. Which of the following is the most appropriate
pharmacotherapy?

A, Carbamazepine B, Diazepam C, Phenobarbital D, Phenytoin


35 year- old woman presents with fever and acute
lower left – quadrant pain. She states that it began last night
and began in the back and radiates to the lower left quadrant
. she also has dysuria and urinary frequency. Her body
tempreture is 38.9oc. There is lower left quadrant tenderness
and left costovertebral tenderness . what is the most likely
diagnosis?

A, Diverticulitis B,Volvulus C,Ovarian torsion D, pyelonephritis


A 47 year old man comes to the hospital complaining of
epigastric pain that is exacerbated by eating. A test for
helicopacter pylori turned positive and endoscopy confirmed
a duodenal ulcer. Which one is the most appropriate
therapy?

A.amoxicillin,clarithromycin and omeprazole


B.metronidazole and anti acids
C.omeprazole and antiacids
D.rantidine,amoxicillin and metronidazole
A 40 year old alcoholic develops productive cough and
fever.Chest x-ray shows an air fluid level in a superior
segment of the right lower lobe.which one of the following is
the most aproprate chemotherapy?
A.Ceftazidime and ciprofloxacilli
B.Ceftrixon and gentamycin
C.Metronidazole and crystalline penicillin
D.vancomycin and chlorampheniclo
A 27 year old man complain of fever,cough with rusty –
oloured sputum and pleuritic chest pain. Chest examination
evealed increased tactile fremitus and dullness to percussion
n the right lower lung field.what is the most likely diagnosis?
A.bronchopneumonia C.lung abscess
B.lobar pneumonia D.pleural effusin
A 60 year-old alcoholic patient presented with
fever,headache and neck pain of two days duration.On
examination body T=39oc and has neck stiffnass. Bacterial
meningitis was suspected but lumbar puncture was deferred
because he has papilledema. Which one of the following is
the
best empiric therapy for this patient in addition to ampicillin?

A.vancomycin and cholramphenicol


B.ceftriaxone and vancomycin
C.ceftriaxone and cholramphenicol
D.cloxacillin and ciprofloxacin
A 20 year-old man presents with generalized body
swelling of twomonths. Physical examination reveals
BP=120/70mmhg, ascites and +3 pretibial edema.
Protein =4.5g/24hours urine collection .which one of the
most likely diagnosis?

A.chronic liver disease C.Nephrotic syndrome


B.Heart failure D.Glomerulonephritis

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