Medicine Midterm Exam-Female Batch

This exam is divided into two parts:

Part 1:

The Written and Inactive OSCE:

Date: Sunday, 1st of April 2012

Time: 9 AM to 12 PM, 1 hour for MCQs 30 minutes for the inactive OSCE

Venue: Main auditorium

Marks Distribution: 5 marks =20 MCQs

Inactive OSCE: 5 marks= 5 slides

For the Written Exam, the best source for studying is Danish OR Oxford

Important topics in each chapter by Dr.Hussain

Male Final MCQ

MCQ

 

** In general, the more you read, the more MCQs you can answer. You have to know that the written exam is NOT guaranteed, so focus on the Oral exam

** You MUST read the common MCQs before the exam.. Why?

They will not repeat the same questions, but the MCQs will discuss the same ideas that commonly come in the exam and they just give you an idea how to study.

Inactive OSCE

Study the pictures from Saudi Society of Internal Medicine SSIM(power point) that was sent by Mrs.Suhair, which commonly come in the exam according to Dr.Demerdash.

Male Inactive OSCE

Part 2:

The Short Clinical Cases Exam:

Date: Monday, Tuesday and Wednesday, 2nd, 3rd, and 4th of April 2012

Time: From 9 AM to 5 PM.

Oral Exam NAMES are NOT ready yet. Wesal will go tomorrow inshAllah to get them and put them here

Dr.Sami is on vacation and he will sign the distribution on Saturday inshAllah. The males were distributed according to their computer number, MAYBE it will be the same for us

Venue: FMW, MMW, 3rd floor and ERU, 4th floor

Marks: Each student will have 2 cases, 20 marks, 10 marks for each case

sources to study the oral

**The best sources to study the oral Exam are:

(Dr.Abdullah’s work): Sheets and PowerPoint

(MKS Notes 2nd edition)

OR

Pocket of Medicine, the small green book

Dr.Abdullah wrote the( important topics) that should be covered from A-Z

**Go and read the (Medicine final exam topic-male) comments to have an idea about the oral exam

Sheets

There are a lot of sheets in Medicine in Al Andalus library, but the most important that you should obtain are:

1-MKS Notes, 2nd edition

2- TB sheet by Dr.Nisreen

3-Common MCQs

4-Preparatory course sheets. They are 4 sheets:

1)CVS

2)GI& Hematology

3)Endocrine & ID

4)Neurology& Respiratory

The rest of the preparatory course material (Renal and others) is in the preparatory course topic on the website. They are not available in Al Andalus library.

Dr.Abdullah has a separate topic

If you have any question in Medicine or if you would like Dr.Abdulalla to explain any thing that you don’t understand, go to (this topic) and he will be there most of the time to answer your question inshAllah

GOOD LUCK :D

6th year Female Leader: Wesal Abualkhair

 

50 Responses to “Medicine Midterm Exam, Female Batch”

  1. Wesal Abualkhair says:

    My dears,
    I just want to say that I am really and truly sorry for what happened regarding the exam postponing and the marks distribution changes. I tried my best and I have used all methods to convince Dr.Sami to postpone the exam.

    I have explained our difficult circumstances with a lot of students not being in Jeddah and not being able to go back to Jeddah to study. He refused on the grounds that it will cause problems with some of the consultants in the department and that he can’t do anything more for us. I talked to the Vice Dean, but he said he can’t help us and that it is up to the department.

    I didn’t go the Dean because that would have caused us more problems with the department, as it would have appeared that we are forcing them to change the exam time against their well. We will talk about this inshAllah after the exam in details.

    I am truly sorry that I can’t help you in any other way. I apologize for not being able to answer your phone calls or reply on the website in the next 5 days due to the fact that I didn’t study ANYTHING since the beginning of the term.

    Tawkalo ala Allah and study the important points from Dr.Abdullah and finish as much as you can from his sheets. May Allah be with you and remember that Allah’s well is above all and Doaa can change what is destined for us.
    :)

  2. Abdullah badahman says:

    بسم الله الرحمن الرحيم
    أولاً لا أملك إلا أن أقول صبركم الله على مصيبتكم و عوضكم خيراً منها إن القرارات التي اصدرها قسم ” الميدسن ” قرارات توصف في أفضل الأحوال و بعد الكثير من المجامالات و النفاق بأنها غير حكيمة نهائياً، لكن لو الاخرين و الماضي هو حيلة الضعاف و العاجزين.
    فنظراً للأحداث المأساوية التي حدثت قررت أن أكتب هنا لكم خبرتي المتواضعة مع اختبارات الميدسن حيث أني قد اتطلعت تقريباً على اختبارات ٤ سنوات ماضية بل و كرست أسبوعين من أسابيع إجازتي والله بدون مبالغة لم انم او اخرج من بيتي فيها إلا قليلاً و نظرت إلى اختبار دفعتي و المتمثل في خامسة و سادسة طب اي مجموع سنتين إضافية و أيضاً اختبار الأولاد في هذا الترم الأول فما تبين لي بعد تسديد الله و توفيقه كالتالي:
    ١- اولا ً بقي على اختباركم ٣ ايام و نصف و التفكير السديد في رأي هو حصد اكبر كمية من الدرجات و “ليس” المعلومات، المطلوب هو الان ان نجني أعلى الدرجات و في أسوأ الأحوال ان لا نرسب و انا مسئول عن ما أقول.
    اولاً لو نظرنا إلى تقسيمة الدرجات فهي كالتالي ١-٥ درجات على الجزء النظري ٢- ٥ درجات على ” اوسكي” ٣- ٢٠ درجة على “الاورال”.
    ٢- نبدأ بسم الله بالاختبار النظري، لو لاحظنا ان الاختبار مكون من ٢٠ “ام سي كيو” عليهم ٥ درجات ، بصيغة اخرى كل “ام سي كيو” يساوي ربع درجة. و من هذا المنطلق لو ذاكرنا اهم المواضيع في “الميدسن” و هي التي شملناها في الدورة و على وجه الخصوص ( المواضيع المذكورة تحت ال ( important topics ) ) إضافةً إلى ذلك ” الكومون” و التي لا تقل اهمية عن ما قبلها و اعيد و اكرر ثم اعيد و اكرر لا تقل اهمية بل خذوها كقاعد في هذه الكلية ( من يدخل اختبار بدون كومون فقد اشترى رصاصة موته بنفسه ) سنحصل على اقل تقدير على ٦٠٪ من ال” ام سي كيوس” اي ما يعادل ٣ من ٥ درجات ( خسرنا فقط درجتين).
    ٢- من الناحية الأخرى بالرغم من الخسارة الضئيلة على حدة هناك مكسب كبير هو اختبار ” الاورال ” حيث باذن الله لو ذاكرتم المواضيع المهمة المذكورة هنا في المنتدى باذن الله على اقل تقدير و في اسوأ حالة ستجاوبون ” كيس ” واحدة من اصل ” كيسين” و اذا اكرمكم الله و هذا ما نأمله من تعالى قد تجاوبون على اختبار ” الاورال” كاملاً بل اكاد اجرم من خبرتي المتواضعة انه تقريباً ٨٠٪ منكم لن يخرج اختبارهم ” الاورال” من المواضيع المهمة المذكورة في المنتدى و ٩٥٪ منكم لن يخرج من مواضيع الدورة ككل.
    و لنقل مثلاً أن أحدنا فرغ جهده و كرّس وقته لل” ام اس كيوس” فأولاً الاختبار النظري غير مضمون و ليس له مصدر معروف و مهما ذاكرت له فلن تحصل زيادة عن غيرك باكثر من ٢-٣ ” ام سي كيوس” و هي شيئ لا يذكر مقارنة بباقي الدرجات.
    ٣- زبدة الحديث و منتهى الكلام
    أ- ذاكرو اهم المواضيع و احفظوها جيداً قبل يوم الجمعة
    ب- ذاكرو الكومون
    ج- اذا انهيتم ما سبق فذاكرو باقي المواضيع التي شملناها في الدورة.
    د- للذين سيختبرون اختبار ” الاورال ” يوم الاثنين و الذي سيكون اول يوم في اختبار ” الاورال ” يراجعو اهم المواضيع فقط و لا يضيعو وقتهم في الاشاعات التي تخرج قبل الاختبار ” بالكيسات ” الموجودة في ال” وورد”.
    ه- للذين سيختبرون يوم الثلاثاء و الأربعاء ستكون ” الكيسات ” متكررة من يوم الاثنين.
    و كما كنت و لا زلت أقول إن قدراتي الشخصية الخارقة تساوي صفر و انا متأكد انه يمكنني أن أنهي على اقل تقدير المواضيع المهمة و الكومن فبأذن الله يمكنكم جميعاً ان تنهوها و انا اعتقد انه لا يوجد احد وصل إلى سادسة طب و يستطيع احد ان يشكك في قدراته.
    في نهاية المطاف لا يعلم الواحد منا اين يكون الخير و هل عندما يصبح كل شيئ ضدك و تأبى الدنيا ان تنصاع لما نريد، كل المشكلة اننا لانعلم فقط لا نعلم فلنثق في الله و لو قليلاً و لنجتهد كل الإجتهاد و نسلم أمرنا لله فهو أصلاً بين يديه، فقط سلمو و آمنوا ُيرح الله صدوركم ويطمنكم و لن يخيب احد كان الله معه. و وعد مني ان لا انساكم يومياً من الدعاء و ارجو ان لا تنسوني.
    بالتوفيق.

  3. د.عبدالله
    الله يعطيك العافيه والله يجزاك عنا كل خير ..
    اللي فهمته من كلام حضرتك اننا نركز على المواضيع المهمه وعلى الكومن
    ممكن توضح لي ايش الفرق بينهم ؟؟؟ هل تقصد الموجوده في شيتات الدورة ؟
    شكرا لك
    والله يوفقك دنيا واخره

  4. السلام عليكم دكتور عبدالله تقصد المواضيع الكومون اللي في الملزمه تبع الدورة؟
    ايش هية اهم المواضيغ اللي قبل الجمعه نخلصها؟؟

  5. Abdullah badahman says:

    معليش على الرد المتأخر
    قصدي بالمواضيع المهمة المواضيع المرفقة في الملف الي فوق بالتحديد
    Under the link ( Source to study the oral ) click on important topics.
    قصدي بالكومون الكومون ” ام سي كيوس” الموجودة عند عم عبده و اليةفيها اختبارات الاعوام الماضية
    حتى اكون اكثر وضوحاً ذاكرو المواضيع المهمة ثم الكومون ام سي كيوس و لو في وقت زيادة باقي مواضيع الدورة
    اعتذر بشدة على الرد المتاخر مرة اخرى و لو في اي اسئلة لا تتردو في السؤال.

  6. Abdullah badahman says:

    و عذراً هناك شيء جداً مهم نسيت ان أذكره، لا تنسو تذاكرو الشيتات الي فيها اختارات الاورال ، في اوراق مكتوب عليها من فوق
    CLD exam, Plural effusion exam , ………
    الاولاد ذاكروها واستفادوا مرة كثير منها، انا اعطيت اغاب البنات خر اسبوع من المراجعة ملف فيه كل ملفات الدورة و متضمنة هذه الاختبارات و ارسلت لوصال برضه نسخة منه.

    • الله يعطيك العافية دكتور عبدالله على حرصك ودعمك

      للطالبات: جميع الملفات التي ذكرها الدكتور موجودة في رابط خدمة SugarSync آخر الموضوع الخاص بالدورة :)

      الله يوفقنا جميعًا ويسهل لنا المذاكرة ويساعدنا في إجاباتنا ^_^

  7. تم إضافة رابطين لاختبار الاوسكي والفاينل الخاص بدفعة الطلاب :)

  8. في خطأ في الملزمه شيت hepatitis
    Hepatitis c:
    Genotype 1&4 start treatment for 1year (not 1month) bcz its more resistant acc. to dr. Hind

  9. اخر شيت تبع الدورة بس في رسبيراتوري ما فيه نيرو؟
    ولا انا شيتي ناقص وشكراا

    • Abdullah badahman says:

      ايوه مافيه نيورو بس فيه شيت “ستروك” كان نازل للاولاد ذاكريه و الشيت كويس.

  10. سفانة برسل لك فايلات عشان تنزيلها
    اعطيني ايميلك ..

  11. د.عيد الله يعطيك العافيه

    الشيتات اللي مكتوب عليها

    CLD exame, pleura effusion exam

    هي نفسها شيتات الهبقه

  12. د.عبدالله الله يعطيك العافية و يجعلو في ميزان حسناتك على كل حرف قلتو أستفدنا منو و يوفقك و يسعدك يارب ..
    و كمان أنتي ياوصال و كل الي في الموقع بيتعبو الله يوفقكم جميعا و تجيبو فل مارك .

  13. Wesal Abualkhair says:

    Sweet girls,
    The oral names are ready, here they are:

    Monday:
    http://www.4shared.com/photo/GYj5Neq2/20120331304.html
    http://www.4shared.com/photo/QxhbqhIG/20120331305.html

    Tuesday:
    http://www.4shared.com/photo/3XkYQtoN/20120331306.html
    http://www.4shared.com/photo/rIRAHB4K/20120331307.html

    Wednesday:
    http://www.4shared.com/photo/DVTUOBTM/20120331308.html
    http://www.4shared.com/photo/VQk5Jcqv/20120331309.html

    I am sorry I didn’t upload it sooner, I just got back to the house from the hospital.

    ALL students in their exam day MUST gather at 8:30 AM in the morning meeting class room (Medicine big class room) so they can be distribuated on the Male, Female and ER unit. Monday and Tuesday 75 students and Wednesday 65 students will be divided to 3 groups on the 3 wards. They will not divide us on the morning and the afternoon periods like the Surgery. They will try to finish as much students as possible starting from 9 AM.

    I think at this time you should check something for the inactive slides, like the new uploaded ones, and read the common MCQs so you can do well in tomorrow’s exam inshAllah.
    Good luck, I am praying for all of you to do well inshAllah in all exams.
    :)

  14. Wesal Abualkhair says:

    Short cases for the oral exam has just been decided
    this is a message I received
    S means it has been officially assigned as short case

    Female ward :
    > S1: ascities+abdominal examination
    > S2: CVA, left sided weakness
    > S3: splenomegaly + pale
    > S4: hepatosplenomegaly+ cervical L.N.
    > S5: ptosis+ 3rd nerve palsy
    > S6: abdominal mass
    > S7: Copd+ chest infection
    > S8: copd+ co2 retention
    > S9: rt leg DVT
    > S10: CRF, left A.V. Fistula
    > S11: mysthenia gravis on treatment
    > S12: rt plural effusion
    > S13: heart failure

    ER ward
    > S1: SCA, Hepatomegaly, Juandice, Scar of splenoectomy
    > S2: COPD, wheezing, coarse inspirotary crepitations on bilateral lower chest zone
    > S3: CLD, ascites
    > S4: ESRD, AF, Lower limb edema, ascites
    > S5: ESRD, Periorbital puffness, LL edema, pallor, AVF
    > S6: CLD, Ascites, LL edema
    > S7: Graves diseaese, Tremor, Exophthalmus, Led Lag, Goiter
    > S8: AF, Irregu Irregular pulse
    > S9: Bronchial asthma, Wheezing
    > S10: pancytopenia, splenomegaly
    > S11: Left leg dvt , unilaterl lower limb sweling
    > S12: pancytopenia, pallor, hepatosplenomegaly
    > S13: left leg DVT
    > S14: BA,Skin Rash, Herpes zoster, coarse cripitation on the bilateral lower zones of chest

    As soon as I get the Male ward list I’ll post it insha allah
    gd luck

  15. Hello girls, I got Bilateral lower limb edema with Dr. Aish Alghamdy and Dr. Khaled.It was pitting. Gave deferential. Examined the JVP. Then asked about investigation for all the DDs and was asked more about CLD and SBP. All simple questions.
    The next case was ascitis with Fayzah qari. Examined the ascitis. DDs. Then asked about CLD and looked for its stigmata. Also SBP and Hepatic encephalopathy.

    Focus on the examination. They really pay attention to what u r doing. It’s the thing that sets the “mood” for your exam.

    Good luck xoxo

  16. Hi
    my 1st case was AF with dr. Bashaikh & Dr. Soaad
    Examin the radial puls and comment
    it was irregular irregular
    Give D/D, then easy Qs about AF, its causes & its management

    2nd case Hepatomegaly with splenectomy, with Dr. Daad and Dr. Hind Fallatah, the pt was thalassemic

  17. بنات ممكن كل وحده تكتب هي اختبرت في ايت ورد لو سمحتوا ؟ واللي اختبروا في الميل يقولوا لنا الحالات الله يسعدكم

  18. roramania says:

    i was in the female ward
    the 1st case was portal hypertension with DR alshai5 w some specialist called ebtisam
    ebtisam was asking me
    she told me to do general examination ..
    she wanted everything . clubbing , kilonychya , tarry nail , palmar erythema . muscle wasting astraxis . depurtan contracture , fetor hepatica . juindance , pala . JVP ( she asked me why because i didnt check for it ,, because of right side heart failure that might cause cirhosis)

    then i went local she asked me to do organomegaly ..
    liver and spleen . and she wanted everything , the 3 manuovers of spleen percussion , oscultate , liver span . palpate for the liver

    she asked me to check ascites
    she asked me the defference between spleen and kidney .

    then she asked me what the diagnosis if admitted to the ER confused , what the precipitating factor , how to manage
    how to manage if she admitted with upper GI bleeding , she asked me if melena was upper or lower ( i told her both ., but she said its upper only )
    she asked me about the management of upper gi bleeding
    and asked me if she admitted with tender abdomen and fever
    how to investigate , how to manage
    what is the cell count , and what deffrential , and where to send the ascitic flued

    the first case was fine al7mdullelah nothing abnormal .

    the 2nd case was unilateral ptosis with Dr 3bdalr7eem alshehri and Dr 3omar ft7 aldeen
    dr 3bdalr7eem asked me what the deffrential(3rd cranial nerve and myeshthenia and horner ) . examine 3rd cranial nerve . deffrenitate myesthenia and 3rd cranial by examination . check for light reflux ( bring ur torch i didnt , and DR 3mr give me his iphone to check with light)
    causes of 3rd cranial nerve palsy how to investigate
    causes of myesthenia and how to investigate ana manage

    al7mdullelah

    • roramania says:

      Dr 3mr asked me about what mediastinal mass would be found with myesthenia ( and what surgeon in our hospital preform thymomectomy .. and it was eskndr ) also asked me what the finding in EMG in myesthenia .. i told him tbd2 kabeera w t93′r ,, but he wanted a specific term i didnt know )
      wish u all the luck tomorrow

  19. First Case : Pleural effusion with TB as a cause
    Exmin Chest, what is ur findings, what is ur DDx and Dx
    What will u do next for investigations, what will u see in CxR
    What other inv > what is Light’s criteria
    What are causes of pleural effusion
    > if I told u, he has TB, what will u do!
    Side effects of treatment, for how long will u treat this patient !

    Second case: Stroke
    First observe the patient then do lower limb neuro exam then tell me ur findings
    What could cause this
    investigation
    if u did CT and it was normal (what will u do next) (right answer: repeat after 24-48hrs)
    if same patient came to u in ER with BP 180/,, what would u do !
    do u give patient thrombolytic! do u give any patient thrombolytic ?

    Best of luck to all
    Don’t forget introducing ur self, washing hands , the very basics of examinations
    Dr do notice and will be impressed !

  20. Huda Ashkar says:

    Sorry for the late response,

    Pulmonary Edema: you have to know the acute management in the ER, how to diagnose and treat cardiogenic shock (dr. mimish kept asking us this question), just study the management and DDx of pulmonary edema, very well.

    DVT: was very easy, examine the patient’s lower limbs, say the differences on examination between DVT and Cellulitis (tender calf muscle vs skin changes) then management (heparin and warfarin regimen) please do not forget to investigate the CAUSE of DVT in your lab work (protien c, protien s, anti phospholipid… etc)

    Good luck o allah ywfgkom, dont worry the doctors’ were surprisingly nice, bs ad3o :)

  21. Kholood says:

    Hi
    I was in ER unit

    my 1st case is graves disease with dr.fatima albeladi and Egyptian doctor i don’t know him.
    she asks me to examine the pt face and tell her what the finding>> exophalmus, laceration and bleeding from lip.she looks toxic.
    and then examine the neck>> Diffuse Medline swilling moving w sowllowing.Examine trachea and lymph node.
    then she asks what other thing u want to examine>> hand and eye.>> from thyriod sheet and she wants the definition of lid lag, lid retraction, proptosis, opthalamoplegia and how to examine each one.she ask me how to examine for fine tremor.
    what ur Dx? graves di
    investigation? TSH,T3,T4 and radioiodine scan what the result in TFT if its graves? low TSH and high T3& T4.
    How do u know if the disese is active or not? i don’t know.
    how to treat? anti thyroid medication, radioiodine ablation therapy and surgery.
    T3rfy al doses for these drugs? Laa
    what other supportive measures u can give it to ur pt? B-blocker
    how to treat fine tremor? B-blocker.

    2nd case DVT and she is 4o years old post RTA , she has cast in rt leg and she came to our er C/O left leg pain and swelling. Do LL examination.
    inspection: there is cast in the rt leg up to the knee and there is diffuse Lt leg swelling and brusis but no dilated veins and i must see the extension of these swelling.
    palpation: palpate for tenderness,temp and pitting edema and it was tender and very hot compare to the other leg and the edema is pitting. i say there is hofman test>> by doriflexion of the ankle produce pain in the calf.
    check for calf swelling by measuring tape>> how? 10 cm below the tibial tuberosity and the calf swelling more than 3 cm difference in the circumference compared to the other leg.
    what ur DD? DVT,cellulitis and rupture backer cyst.
    why u put DVT ur 1st DD? bcoz she has Hx of immobilization and fracture.
    if the same pt came to u with DVT and Hx of repeated miscarriage , whats ur diagnosis? Antiphospholipid syndrome.
    What ur investigation to diagnose DVT?
    D-dimer , doppler and venography >> what is the inv of choice? Doppler and venography is the gold standard for DVT.
    How to treat? heparine 5-10 days and warferine for 6 months>> remember the dose for each drug and how to moniter
    He ask me abt the WELLs score ( depnds on what,elements and scoring)>> remember it.
    how to monitor warferine? INR (2-3)
    He say no roll of thrmbolytic therapy in treating DVT

    سامحوني يا بنات طولت عليكم بس حبيت اكتبلكم كل الاسئلة اللي سألوني ياها..
    نصيحة مني توكلو على ربكم و نامو كويس قبل الاختبار اقل شي 3 ساعات و ما راح يصير الا اللي كاتبو ربي..
    خلو اهاليكم يدعولكم و ربي يوفقكم

    خلود ال حفيان

  22. Wesal Abualkhair says:

    Dear girls,

    *The exam today was very good wa alhamed leAllah. Don’t be scared!!! They can feel it, and some of them are not considerate. Be confidant and calm and don’t say something you can’t talk about. Choose the top 3 differentials that you know and are related to the case. All signs were clear and they were like saying (I am here).

    *The cases were easy and they were the SAME cases from the message last night for the female ward and the ERU. There was nothing odd or weird according to a lot of girls who were examined today. Dr.Abdullah told me that the male exam for Tuesday and Wednesday was the same as Monday regarding cases. I was in the male ward and the cases that I know so far are:
    Pleural Effusion, Stroke, Tremors, Leukemia, Lymphoma, AF, Ascitis.
    I will try to get the rest inshAllah.

    *My advice right now is that read the Exam zip file that I am going to upload now. I found out the there are some exams missing from the sugarsync files. The exams focus on some VERY important points that they will ask you about. It will train your mind. They really helped me today.

    This is the exam zip file:
    http://www.4shared.com/zip/exzZ1UNz/EXAM.html

    *Read them in the morning and practice your examination technique, they REALLY focus on it. If you were good in the examination, then the questions will be few and easy inshAllah.

    You HAVE to sleep!! Otherwise, you will have mental block like what happened to me today in the Stroke case ☹

    My cases were all in the male medical. If you go to a ward, you will have both cases from the same ward:
    1) Stroke case, Prof.Siraj Mera and Dr.Zubair, he started with: Examine the lower limb as CNS. The patient was hemiplegic. He REALLY focused on the examination and he took a whole 15 minutes in it!!! He asked the D.D. of hemiplegia and I said Stroke. He asked me causes, I mentioned 3 and he was satisfied. I forgot some investigations and gebt al Eid in the management. As I said, MENTAL BLOCK!!!!.
    2) Pleural effusion, Prof.Khezendar and Dr.Amani Al Huzali, he started with: examine the chest from the back. Be systemic and say all findings that you find. DON’T FORGET THE PLEUROVAC!!! He asked me what investigations I will do and about Pleurocentesis, how to differentiate between Exudate and Transudate. He asked about TB medications and why do we use Vit.B6 with INH.

    Ba adaelkom right now and I will addaee at night ☺

  23. Hi, sorry for being late
    1- case of Tb pleural effusion, Dr.Maimish and Dr.Susan
    *chest examination=>pleural effusion
    *investigations, they concentrated on:
    CXR PA and lateral dicubitus on the same side of effusion
    Pleural tap and analysis of the fluid
    other investigations for Tb
    *treatment of Tb:
    medications with doses
    Important side effects
    how to prevent hepatotoxicity related to those medications

    2-case of unilateral lower limb edema, Dr.Nawal Bin Hasher and Dr.Marzoqui
    *examination, they concentrated on redness, hotness, tenderness, circumference with comparison
    *DDs
    *investigations for DVT
    *treatment of DVT
    *complications of DVT
    *when to suspect PE in that patient and what to look for

    Good Luck

  24. i was in the female ward

  25. Hi all, how r u?
    Dont worry abt the exam, most of it at our level, and most of the doctors were nice and cooperative, so just revise impo. topics and sleep well and u’ll gain marks,

    my cases were:
    1- ascites– CLD
    2- bilateral lower limb edema–nephrotic syndrome

    1- chronic liver disease
    * pt. came to ER with hematemesis bld pressure 60/40 what u will do for her?
    ABC, 2 large IV canula, bld gp, X match, give IV fluid, take bld for investigations, etc.
    * do local abd. examination — ascites, +ve shifting dullness,
    * what do think the cause of hematemesis in this pt?
    Portal hypertension–esophegeal varesis
    * where are the other site of portal hypertention?
    Hemmoroid, capot medosa(umblicus).
    * How to treat esophegeal varesis?
    * investigation? Endoscopy
    * if u found the causes of the bleeding peptic ulcer what is the mx? Omeprazole, dose?
    * what are other investigation for ascites?
    Ascetic tap, looking for what? SAAG, what is the cut point ? 1.1, what ddx if high or low?, what r other test u wanna do on ascetic fliud? WBC count if >500 so it is SBP , treatment with Ceftrixone.
    * how to treat hepatic encephalopathy?

    Case 2 bilateral lower limb edema–
    * what r theDDx? Rt side heart failure, CHF, CLD, nephrotic syndrome,
    * what is the nephrotic syndrome?
    * investigations? 24 hr urine protein, lipid profile
    * mechanism of hyperlipidimia, hypercoagulability, infection liability,
    * if this pt came to u in ER with sudden loin pain DDx? renal vein thrombosis.
    * how to treat renal vein thrombosis? same mx of DVT heparin and warfarin ”memorize the doses and duration of treatment”
    * if anticoagulant failed what is the nxt step in mx? IVC filter.

    MSK sheet is verrrry helpfull, relax and sleep well,
    Allah yofe8kom jameeee3an,
    Gd luck

  26. Goodmorning
    ER
    1st case : examine the hand and the chest only from the front and summaries your findings.
    Clubbing and palmar erythema and respiratory distress with hyper inflation and expiratory wheezing and basal cripitation.
    What is your DDx ?
    Bronchiectasis , COPD , etc ……..
    Is COPD comes with clubbing ?
    NO.
    So , if this Is COPD pt. , clubbing ??!!
    May be associated with lung Ca or infection superimposed .
    Ok. What is the most common organism with COPD pt?
    Strept pneumoniae , H. Infl , psudo.
    Why with pulmmar erythema ?
    Due to CO2 retention .
    How U will mange him in the ER ?
    Copmlications ?

    2nd case :
    Examine the lower limb …
    Lf led edema pitting
    DDx?
    Dvt
    Other system to examine ?
    Cardio /respa …
    Why ?
    Pulmonary embolism
    Clinically ?? On CXR ?? ECG ??
    The treatment ??
    With DOSES !!!

    GOOD LUCK all

  27. Hi girls , how are you
    I was in male ward
    My first case : with dr hesham akbar & suzan attar
    Dr hesham tell me suspect this pt came to ER with paraplegic check the face of the pt and if there is fecial palsy how do you know it upper or lower ?
    Then he asked me in detail about eye ms and its nerve supply
    Then dr suzan asked me how to assess comatos bedridden pt ?
    GCS ” dont forget to reveiw ” , vital sign , bed sores
    If the pt develop fever what might be the cause ?
    pneumonia , UTI , infected bed sores , DVT , PE , any infected instrumentation
    Thats only

    Second case with dr alamoudi & dr zuber I think
    Examination of the respiratory “back “, whats your finding
    Pleural effusion with TB and the disscusion was the same as girls written before
    Goood luck
    الله يسهل لكم ويوفقكم يا رب

  28. shemoo0oo says:

    Alsalam 3likom

    My cases were chronic renal disease with dr. Alshai5 o other femal dr.

    Examin chest from the back auscultation only (bilateral basal lung crepitation ) what else you want to auscultate (pericardial rub)
    Examin hand , what are causes of flapping tremor??
    What are causes of chronic renal ( dr. Alshai5 want to hear chronic glomerulonephritis how to investigate he asked what would u see if u take biopsy => no ?!!!!)
    Indication of dialysis
    Treatment of hyperkalemia

    Next case DVT with dr. Ba7las , dr. Sha3eed al3′amdi
    Examine lower limb ( they want measurement and tell the difference in between , what diagnosis DVT)
    What are causes
    Investigation d-dimer if -ve not conclusive but it is in PE according to dr.sa3eed, in Doppler what finding
    What is the treatment? If pt on heparin and had bleeding stop heparin and give antidote ( protamine)
    If pt in ER diagnose as DVT no bed what to discharge him with heparine ( know the dose dr. Ask me )

    Wish you the best all
    sleep well o don’t panic inshaa Allah you will do fine

  29. shemoo0oo says:

    Alsalam 3likom

    My cases were chronic renal disease with dr. Alshai5 o other femal dr.

    Examin chest from the back auscultation only (bilateral basal lung crepitation ) what else you want to auscultate (pericardial rub)
    Examin hand , what are causes of flapping tremor??
    What are causes of chronic renal ( dr. Alshai5 want to hear chronic glomerulonephritis how to investigate he asked what would u see if u take biopsy => no ?!!!!)
    Indication of dialysis
    Treatment of hyperkalemia

    Next case DVT with dr. Ba7las , dr. Sha3eed al3′amdi
    Examine lower limb ( they want measurement and tell the difference in between , what diagnosis DVT)
    What are causes
    Investigation d-dimer if -ve not conclusive but it is in PE according to dr.sa3eed, in Doppler what finding
    What is the treatment? If pt on heparin and had bleeding stop heparin and give antidote ( protamine)
    If pt in ER diagnose as DVT no bed what to discharge him with heparine ( know the dose dr. Ask me )

    Wish you the best all
    sleep well o don’t panic inshaa Allah you will do fine

  30. Hi
    I had a sickle-thal patient with hepatomegaly and splenectomy
    First examin his abdomen
    What do you think this patient has
    What are the complications of thalassemia
    Vaccination required in such patient
    This patient came to ER with pneumonia, what are you going to order for him
    This was in ER-U with dr.Daad & fallatah
    My second case was patient presented with progressive abdominal distention
    Examine his abdomen
    What do you think this patient has
    I said ascitis

  31. How are u going to confirm
    By US
    what else
    Ascitic tap & SAAG criteria
    I forgot he asked me what else do you want to examine
    This was with dr.aljehani he was sooo nice
    Good luck

  32. He asked also how are you going to treat
    How far can you go with diuretic
    Sooorry ☺

  33. Abdullah badahman says:

    بسم الله الرحمن الرحيم
    أول شي حاب أبشر إلي ما اختبرو أن الكيسات تقريباً لم تتغير و الكيسات إلي أخدتها اليوم كالتالي
    In the 3rd floor (really i don’t remember is it from male or female word)
    ___________________
    Atrial fibrillation
    Typical AF questiones please review the 2 AF exams in the links above
    Some doctors as Dr.Hind give the students senario of hypotensive patient (80 BP) & ask for the management.
    Dr.Hind also ask some student to auscultat the heart & ask them what is the finding? irregular pulse
    ____________________
    Splenomegaly with Prof.Kazendar (plz remember his name)
    Typical splenomegaly questions, nothing news apart from single question about the family of dengue fever (flaviv…..).
    ______________________________
    Facial nerve pulsy with Dr.Hisham Akbar (god thanks for every thing for all the good things & for all the bad things)
    Examine the patient for facial nerve ?
    What is the muscle supplied by the facial nerve?
    What is the muscle responsible for eye opening ? Orbicularis Orbiculai
    Ask them about Horner syndrome & how to differentiate is it pre & post sympathitic ?
    If the facial nerve supply the ant 2/3 of the tung what is nerve responsible for pain in the anterior 2/3 of the tong ? I’m not sure but i think it’s the trigeminal nerve & is responsible for all the face & tong sensation ?
    Ass the GCS for this patient (some students they ask them about GCS only for the eye)
    This question was repeated so much.
    Tomorrow you will be intern (after this heavy questions there will be no intern) & you will fallow this patient dially what you will fallow in such comatose case ? as an intern until know i don’t know the full answer but all the student said 1- look for urinary cath & urinary bag 2- NGT ( they ask whey you are looking for NGT) 3- Lower limb for DVT 4- back for bed sore 5- patient vitals.
    Then they asked them if there is fever what do you think ?? (the older posts have the answer plz reed it )?
    _______________________
    Ascitis
    Typical Ascitis question plz see ascitis exam(plz don’t forget in the D.D of the SAAG <1.1 to mention Malignancy & TB)
    Another new quistions. What increase the survival in pt with SBP ? Albumin.
    ________________
    Dr.lyth mimish (this doctor was like a ghost, i mean it laterally, every student come out from him with different story & different case, until know i don't know how he changed the patient, after all of that most of the student was happy with the exam with him, he didn't go deep to much, ask a lot of topics, smiling & laughing all the time.
    The first magic (palpate the abdomen)
    The abdomen was very tender & the student stop the exam, the doctor ask the patient what do you have? the patient answered Crhon's disease.
    What is the definition of Crhon's disease ?
    If the patient came with you will ask him in the history ?
    Investigation ?
    Complication ?
    Management ?
    The second case (3rd CN pulsy)
    What is the D.D ? he needs to hear Mysthenia Multiple sclorosis & infection of the brain such as TB ?
    Ask little abut Mysthenia ? Multiple sclorosis ? Horner syndrome ?
    How do you manage increase in ICP ?
    _____________________
    Hepatosplenomegaly with Dr.al-shaik
    he asked about shistosoma, leshmania ?
    all the questions were from the sheets.
    _________________________
    CLD
    examine the abdomen,
    Ascitis with D.D (typical questions)
    What do you wanna to see in U/S ?
    Spleen size, Liver size, & confirm the ascitis.
    If the patient came with confusion & constipation what..? hepatic encephalopathy
    Examine the patient for hepatic encephalopathy(1-fetor hepaticus 2- flapping tremor (plz demonstrated on the patient 3- Constrictional apraxia (ask the patient to calculate or drow star) 4-ask him about perso, place & time (Typical encephalopathy questions, plz see Hepatomegaly exam & CLD exam).
    What is the complication of CLD ?
    What is in the chest corelate with CLD examinatin ? spider nevia, gynecomastia, abnormal hair distrubution
    _______________________________
    Gravis diseas (ER word)
    Examine (from the sheet, the golden papers)
    Then they ask about the investigations ?
    How to manage in detailes ?(they told me there was nothing out from the sheet)
    They asked about the antithyroid medication in pregnancy ?
    The complication of radiotherapy ? hypothyroidism.
    What is the complication of AF ? embolization phenomena, the most feared sit is the brain causing CVA.
    _________________________
    Generalized anasarca (ER word), the patient also have facial nerve pulsy, the doctor ask the student to examine the face they told him there is facial nerve pulsy, he said ignore it what else ? there is fasial puffness & periorbital odema
    What you wanna to examin else ? the ideal answer is looking for other sit of edema 1- Ascitis examination 2- lower limb edema 3- scrotal swelling 4-sacral edema 5-examine for plural effusion 6- examine for pericardial effusion.
    What do you called this ? anasarca (sever generalized edema or by definition : anasarca is accumulation of fluids in 3 spaces or more; 1-Interstitial space (lower limb edema & face swelling) 2- Peroeineal space (ascitis) 3- Plural space 4- Pericardial space).
    What is the critiria for diagnosing nephrotic ? see komar pocket
    What is the investigation ? see komar pocket
    What is the management ? see komar pocket (in general diuritic & steroid)
    What is the secondary causes of nephrotic syndrome ? they are waiting to hear D.M
    What is the side effect of steroid ?
    If the patient came with hip pain, what do you think ? Avascular necrosis
    What drugs that you will give to the patient after 3 weeks of steroid use? proton pump inhibitors.

    ______________________________
    Another case Bilateral lower limb edema
    D.D ? nothing new except they ask if the patient have CLD & presents to you in the clininc with Hb 4, what do you think the cause ? Hypersplenism
    What is the differenc between DVT & Cellulitis ? some student answer the presence of fever, trauma, history of D.M, will favor celluilitis & the doctor was very happy. in my point of view i will add "despite all that the difference between the 2 diseases still difficult without investagatory tool such as dopller U/S & i should ruled out DVT as it may cause P.E which is lifetheretining event.
    What is this in the neck of the patient & what is that in his hand ?
    The patient is k/c of CRF we place for those pt "Central line" initially (in the neck) then we prepare him for the vascular surgery as they do th A-V fistula (the A-v fistula take 3 months to be ready for use after surgury, so presence of central line while the patient is having AV fistula is either due to 1-waiting for AV to be ready or 2-AV fistula complication (occlusion or infection)
    _____________________
    Bilateral lower limb edma WITH amputated leg (ER word)
    What do you think the cause of amputation ? D.M
    If the patient present to the ER with vomiting, what is the diagnosis ?
    Management of DKA in details, they ask about the dose & even the unitis?
    Complication of D.M?
    Type of insulin ?
    Whey we give K with insulin ? bcz insulin force the K to go inside the cell causing hypokalemia.

    _______________________
    Thalasemia (ER word)Dr.Hind
    Examine the abdomin ? by inspection there is scar at the Rt iliac fossa
    What do you think the cause of the scar ? Splenectomy
    What is the D.D of hepatosplenomegaly ? …… hemolytic anemia
    S.E of blood transfusion ? (infection HBV HCV HIV,……), iron over load (see thalasemia sheet)
    How to treat iron overload?(see thalasemia sheet)
    If this patient came with pnumonia what is the most likely organismes? see SCA sheet bcz this patient are more suspectable to be infected by encapsulated organisms ?
    What antibiotics you will give for such pt ?
    _______________________________
    DVT (ER word & also at the 3rd floor)
    examine the L.L ? (there was some discoloration & the other leg have a cast)
    Typical DVT questions (see DVT exam) they asked about the doses
    The new question was if the pt is taking warfarin what you will advice him before going home? come to ER if you 1- noticed any bleeding (while you brushing your teath, melena, epistaxis)
    Dose the pt need any advice about his food (somthing to avoid such as vit D or ….) ? NO
    ________________________________
    Stroke (typical q, examin L.L, investigation, managemnt )
    _________________________
    RA case ????? (see RA exam) only one student i heared from & she said it was easy forword.
    _______________________
    Asthma & COPD
    Examine the pt generally (the pt was on nasal canula)
    the student said the pt was on respiratory distress. they stop her & ask about
    What is this ? C-pap
    What is the indication of C-pap?
    What system do you wanna to examine ?
    plz comment on the pulse ? (the student told me the examiner put his hand on pt hand & she put her hand in the other hand) he comment in every thing (week pulse,….) & the doctor stop here when she reach to the rate.
    If this pt have COPD & come with fever dyspnea, productive (greenish) cough, & dyspnea ? exacerbation of COPD
    What is managemnt ?
    What is the atypical organismis ?

    • shemoo0oo says:

      ربنا يوفقك د. عبدالله و يجازيك على تعبك معانا و يجعلها في موازين حسناتك

    • الله يوفقك ويسعدك و يدخلك الجنة بلا حساب يا د. بادحمان لولا الله ثم انت كان نحن دحين في الميديسن في خبر كان واخواتها.. اول شي: احلى شي اليوم انك كنت واقف مستقبلنا كدا لمن نشوف الناس الطيبة تنشرح صدورنا و تاني شي اليوم وانا في الاختبار لمن جاتني اتريال فابرليشن دكتورة عيشة صديقي اتنرفزت و قالت لي: انتو في احد بيعطيكم دروس؟؟ و مع مين؟؟ انا: سكتت و قلت في قلبي دحين لو قلتلها انتيرن يغيروا حالات الكومون و كدا.. فرميت اسم دكتور كارديولوجي ومشي حالي الحمدلله …
      هههههههه الحرمة مستغربة من البنات ماشالله اللي يجاوبوا >>>

      الله يعطيك حتى يرضيك من نعمه يا بادحمان

    • هنيئا لك يا دكتور عبد الله مكانتك عند الله عظيمة
      وكسبت دعوات من كل البنات ليلا ونهارا
      ربي يسعدك
      وتلقى اجرك في الدنيا والاخرة

    • Dr.Abeer says:

      هِمَّةٌ صَعدَت عاليًا.. لا مسَتْ طرفَ السماء.. ارتقتْ بعزمها وطيب فِعالها.. لتَرسم لوحةً عنوانها التفاني! لوحةٌ رُسِمَتْ بريشةٍ من عزم.. لُوِّنَت بالعطاء فكانت مُرشدًا لدُفعةٍ كاملة.. وفي طرف اللوحة كان توقيع الرسَّام “عبدالله بادحمان”
      لم تَكن مجرد طبيب وقف ليهدينا علمًا.. بل شهِدنا فيك علمَ طبيب، وتواضُع عالِم.. حُنُوَّ أب، وحِرصَ أخ.. كُنتَ لنا خيرَ عوْنٍ بعد الله على مدار العامْ..
      شُكرُنا لك هنا تَعجزُ عنه أبجديُّتنا.. ولا تقوى على حَملهِ أسطر كلماتنا.. وهل يُجزيكَ الشُّكر حقك؟ لا والله! لذلك اسمح لنا أن نَترُك الشكر جانبًا ونلجأ للدعاء، فوحده الله قادرٌ على تقدير مجهودك، وبَذْلِك، وجزيل عطائك.. فجزاك الله عنَّا جميعًا كل الخير، وأثقل بجميل فعالك ميزان حسناتك، وسخَّر لك الطيبين من خلقه، إنه سميعٌ مجيب..

  34. منجد الله يوفقك و يسعدك يادكتور على كل التعب دا

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