Arab Board Exam1 2005
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Arab Board Part 1 Exam 2005 1.
Randomize Random ized d control controlled led trial trial have have shown shown long term term oxyge oxygen n decrease decreasess mortality in which of the following diseases:
A. B. C. D. E.
Cor !l Cor !lmo mona nale le d! d!ee to to C"P C"P# # Asthma Cyst Cy stic ic Fi Fib bro rossis Pulm Pu lmon onar ary y Sa Sarc rcoi oido dosi siss Crypt Cry ptoge ogenic nic fib fibros rosing ing alv alveol eoliti itiss
$.
%eat!res of &ernic'es encehaloathy( incl!des all of the following EXCEPT EXCEP T :
A. B. C. D. E.
Resonse Reson se to high high dose dose of of )*+ dex dextr trose ose sol! sol!tio tion n Rela Re late ted d to hi hiam amin inee defi defici cien ency cy Acut Ac utee co conf nfus usio iona nall st stat atee !pht !p htha halm lmop ople legi giaa Ata"ia
,.
-yercalcaemia is associated with all of the following ECEP/:
A. B. C. D. E.
hy hyro roto to" "ic ico osis 0eco 0e cond ndar ary y -y -ye er rar arat athy hyro roid idis ism m #il$ #i l$ Al Al$a $ali li Syn Syndr drom omee Sarc rco oidosis Se%uamous &ung Cancer
.
&hich is recognized comlication of "bstr!ctive 0lee Anea:
A. Ch Chro roni nicc rena renall fail failur uree B. Sei'ures C. -/2 D. (a (ast stri ricc asp aspir irat atio ion n E. An" n"ie iety ty dis iso ord rdeers
).
&hich of the following extra intestinal manifestations of 3lcerative Colitis correlate activity of colitis: doesn't correlate
A. B. C. D. E.
An'ylo An'y losi sing ng 0 0on ondy dyli liti tiss Peri Pe riph pher eral al Ar Arth thri riti tiss Episceleritis Aphtho Aph thous us ulc ulcera eratio tion n of of the the mou mouth th Ery ryth them emaa )od odos osum um
4.
All are li'ely to ca!se seiz!res as an early manifestation ECEP/:
Part 1 2005
Page *
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Arab Board Part 1 Exam 2005 A. Suba Subarac rachn hnoi oid d he hemo morr rrha hage ge B. Pn Pneu eumo moco cocc ccal al me meni ning ngit itis is C. Cr Cryp ypto toco cocc ccus us men menin ingi giti tiss #. 5! 5!lt lti ile le sce scele lero rosi siss E. #eningioma
6.
$7 years old man with one wee' history of itching and 8a!ndice. 9nown case of !lcerative colitis for years on 0!lfasalazine. -is ;abs: A0/ 76( Bilir!bin ,.6( A;/ 4*( Alb!min .1( A;P )*. &hich is the most li'ely diagnosis<
A. B. C. D. E.
Autoim Auto immu mune ne hepa hepati titi tiss Sulfas Sul fasala ala'in 'inee in induc duced ed he hepat patiti itiss Panc Pa ncre reat atic ic can cance cer r Prim Pr imar ary y bil bilia iary ry ci cirr rrho hosi siss Prim Pr imar ary y scler scleros osin ing g chola cholang ngit itis is
7.
6$ years old female( comlaining of severe left lower abdominal ain for the last $ ho!rs. 0he has a long history of constiation with fre=!ent craming ain ost meals. "ver the last $ ho!rs( the ain increased( the tem increased to ,.,. ">E: tenderness and g!arding. C/ abd: abscess in sigmoid colon. &hich is the most li'ely contrib!ting to the atient?s condition<
A. B. C. D. E.
#iv iveert rtic ic! !li littis Amo moeb ebic ic co coli liti tiss +sch +s chem emic ic co colliti tiss Canc Ca ncer er of the the co colo lon n uberculoma
.
All maybe associated with calci!m yrohoshate crystal deosition @chondocalcinosis( ECEP/:
A. B. C. #. E.
,ypothyroid ,em emo och chro roma mato tossis -ils lso on Dis isea ease se -ye erm rma agn gnes eseemi mia a ,ype ,y perp rpar arat athy hyro roid idis ism m
1*. &hich of the the following following is the commonest commonest ca!se of travelers travelers?? diarrhea< diarrhea< A. B. C. D. E.
E.coli Enta En tamo moab abaa ,isto ,istoly lyti tica ca (ia iard rdia ia &am amb bli liaa Shigella er ersi sini niaa Ent Enter eroc ocol olit itic icaa
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Arab Board Part 1 Exam 2005 A. Cu Cush shin ing0 g0ss syn syndr drom omee B. Ad Addi diso son? n?ss di dise seas asee C. Co Conn nn00s syn syndr dro ome D. RA type + E. Buli Bulimi miaa ne nerv rvo osa
1$. n t with goodas goodaste!r te!r disease disease ( which which of the following following test test corroborate corroborate this this syndrome : A. B. C. #. E.
A)A A)CA Ant ntic icar ard diol olep epiin Circ!lat Cir c!lating ing antig antiglome lomer!lar r!lar base basement ment membr membrane ane anti antibody body C1 and C2 level
1,. )* yrs male with history of rogressive 0.".B for 4 months ( nonrod!ctive co!gh ( weight stable ( treated with several antibiotics for bronchitis with no imrovement . he is heavy smo'er ( no signs of heart fail!re ( bibasilar coarse insiratory creitation is a!dible . early cl!bbing . CR : increase retic!lar mar'ing bilateral lower lobes ( b!t his CR 1* yrs ago was normal . what asect of t hx are most imortant in eval!ating him < A. B. C. D. E.
ravel h" "cc cc! !a ati tion ona al hx hx Allergy h" Family h" h" ," of 3hee'es
1. all the following will ca!se thrombocytosis ECEP/ : A. B. C. #. E.
Polycy Poly cyth them emia ia ru rubr braa ver veraa +ron def. anemia C&& ita tami min n B1$ B1$ de deff Rheu Rh euma mato toid id ar arth thri riti tiss
1). ) yrs male male with alcoholic alcoholic cirrhosis cirrhosis eval!ated eval!ated for hematem hematemesis esis from from esohageal varices ( received 7 !nits of PRBC0 over , hrs ( BP remains
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Arab Board Part 1 Exam 2005 B. C. D. E.
-hole bl blood %%P Plas Pl asma ma vo volu lume me e" e"pa pand nder er Plat Pl atel elet et tra trans nsfu fusi sion on
14. $ yrs female with $ months history of facial rash ( le!risy ( !rine analysis : * D)* RBCs ( $ rotein testing for which is best corresond with renal involvement < A. An Anti ti SSA SSA an anti tibo bodi dies es B. An Anti ti hi hist ston onee ant antib ibod odie iess C. An Anti ti SS D)A D)A an anti tibo bodi dies es #. An Anti ti nat nativ ivee #2A #2A ant antib ibod odie iess E. Anti Anti car cardi diol olep epin in ant antib ibod odie iess
16. A 6* yrs male t resented to ER with ac!te onset of right sided wea'ness ( yo!r rovisional diagnosis was ac!te stro'e ( after the t is stabilized and blood were drawn ( the most aroriate next ste in the management is : A. B. C. #. E.
Aspirin +4 heparin !ral 3a 3arfarin C/ brain Brain #R #R+
17. $* yrs male with 'nown history of seiz!re disorder resent to ER with contin!o!s seiz!re lasting ,* min ( after ABC ( the next ste will be : A. B. C. #. E.
+4 Phenobarbitone #iazeam +4 4alproic acid +4 #g sulfate +4 Carbama'epine
1. /reatment of choice for rimary generalized seiz!re is :
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Arab Board Part 1 Exam 2005 $*. $ yrs male with 0/ d!e to &P& resented to ER with 0/ which does not terminate with valsalva mane!ver( the best treatment : A. B. C. #. E.
+4 4erapam 4erapamil il +4 Digo"in Adenosine !ral Beta bloc$ers +4 Diltia'em
$1. 4* yrs old male has rec!rrent s!stained symtoms A% with fast ventric!lar resond and had congested dilated cardiomyoathy ( the best treatment otion is A. B. C. #. E.
Digo"in 7uinidine 4erapamil Amiodarone Procainamide
$$. $$ yrs female with brain t!mor ( resented with generalized seiz!re receded by conf!sion and lethargy . labs : 2a : 11* ( !rine osmolality : 4,* . most imortant initial theray : A. B. C. D. E.
Dem emec eclo locy cyccli lin ne &ithium carbonate hy hye ert rton onic ic sal salin inee -at ater er res restr tric icti tion on 4asopre resssin
$,. A 4 yrs old woman ( who is referred with a tender nec' swelling . labs : /0- : F *.1 ( /: 177 ( &BC: 4.$ ( lat : ,66.*** ( -B: 1.$ ( E0R : 4) ( techneti!m thyroid scan shows decrease !ta'e . what is the most li'ely diagnosis : A. B. C.
Sic$ th Sic$ thyr yroi oid d sy synd ndro rome me Acut Ac utee bacte bacteri rial al thyr thyroi oidi diti tiss ,ash ,a shim imot otoo oo th thyr yroi oidi diti tiss
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Arab Board Part 1 Exam 2005 A. B. C. D. E.
Pheoch Pheo chro romo mocy cyto toma ma Cushing D# Barrte Ba terr sy synd ndro rome me Con onn? n?ss sy synd ndrrome
$). 4* yrs male 'now case of #5 for 1* yrs ( stable ischemic cardiomyoathy @ E%: *+ eriheral vasc!lar disease ( resented with high BP 1)*>* ( -R : 6$>min . he is already on : ACE inhibitor hydrochlorothiazide @-C/G . most additive -/2 medication : A. B. C. D. E.
Amlodiine 4erapamil Diltia'em Cordarone Atenolol
$4. Concerning osteoorosis all tr!e ECEP/ : A. B. C. D. E.
Serum Ca9 Serum Ca9 P!2 9 A& A&P P are are usual usually ly norm normal al Smo$i Smo $ing ng is rec recogn ogni'e i'ed d ris$ ris$ fac factor tor +s a fea featu ture re of in incr crea ease se P P, , D:A is the most most precise precise noninv noninvasive asive diagn diagnosit ositic ic method method at present present ncrease A;P A;P
$6. Regarding 5etformin ( which is tr!e : A. B. C. #. E.
+s an an alph alphaa gluco glucosid sidase ase inh inhibi ibitor tor +t can oft often en lea lead d to to hypo hypogly glycem cemia ia +t is is safe safe to be used used in in pt 3ith 3ith liv liver er failu failure re t can can be comb combined ined with with ins!li ins!lin n in trea treatment tment of tye tye $ #5 Can lea lead d to deve develop lopmen mentt of pept peptic ic ulce ulcerat ration ion
$7. &hich does not need dose ad8!stment in renal imairment : A. B. C. D. E.
Pip;ta' Clindamycin Penicillin (entamyacin Septrin
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Arab Board Part 1 Exam 2005 D. E.
&a"atives Conc Co ncom omit itan antt us usee of )S )SA+ A+DS DS
,*. 0ymtoms of ant. Circ!lating stro'e incl!de all ECEP/ : A. ,emiparesis B. #iloia C. Aphasia D. ,e ,emi mise sens nsor ory y defic deficit it E. ,omo ,omony nymo mous us hemi hemian anop opia ia
,1. &hich of the following is the best diagnostic test for a 4* yrs old male who is having chest ain at rest associated with E9H changes in inferior leads : A. B. C. #. E.
E"ercise treadmill test Stress thallium Stress echo Cardiac cath io! Persantin thallium test
,$. All the following can ca!se increase in both amylase and liase ECEP/ : A. Pa Panc ncre reat atit itis is B. Renal fa failure C. Parotitis D. +n +nte test stin inal al in in6u 6ury ry E. Bili Biliaary dis isea ease se
,,. 5a8ority of s!dden death are tho!ght to be reciitated by :
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Arab Board Part 1 Exam 2005 ,).$) yrs female hx of eneicillin allergy @ itching 0.".B resented with yelonehritis d!e to E.Coli . the best treatment otion is : A. B. C. D. E.
Ci irrofl flox oxac acin in Cefta'idime +mipenem Ceftria"one Pip; ta'
,4. All the following are indicator condition in the case definition of A#0 ECEP/ A. B. C. D. E.
PCP Cerv Ce rvic ical al ly lym mha hade deno noa ath thy y -as asti ting ng sy synd ndro rome me 5ap apo osi sar sarco coma ma Eoso Eo soph phag agea eall ca cand ndid idia iasi siss
,6.A ) yrs old male t with history of heatits B infection ( he resented with generalized edema ( the $ hrs !rine collection for rotein was gram > day ( a 'idney biosy erformed on this t ( most li'ely diagnosis : A. B. C. #.
#inima #ini mall ch chan ange ge di dise seas asee Focal Foc al and and segm segment ental al glom glomeru erulos loscle cleros rosis is +gA +g A nep neph hro rop pat athy hy 5emb 5e mbra rano no!s !s ne neh hro roa athy thy
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Arab Board Part 1 Exam 2005 D. E.
+leal muc +leal mucosa osa are rar rarely ely inv invol olved ved Sulp Su lpha hasa sala la'i 'ine ne is not not effe effect ctiv ivee
*. All of the following conditions may lead to liver cirrhosis ECEP/ A. B. C. #. E.
Congestive heart failure -eatits E infection Autoimmune hepatitis ,emochromatosis Primary sclerosing cholangitis
1. ,* yrs male with rec!rrent abdominal ain irreg!lar bowel ( all the following feat!re favor diagnosis of organic rather than irritable bowel syndrome ECEP/ A. )octurnal pain B. -eight loss C. ,B( ? @ #. /ender alable mass in sigmoid E. )octurnal diarrhea
$."ne of the following best regimen for eradication of -.Pylori infection : A. B. C. D. E.
Amo"icill Amo"ic illin in 9 metro metronid nida'o a'ole le 9 omepr omepra'o a'ole le Amoxi Amo xicil cillin lin ( clar clarith ithro romyc mycin in ( omer omerazo azole le Bismut Bis muth h 9 cip ciprof roflo" lo"aci acin n 9 ome omepra pra'ol 'olee Bismut Bis muth h 9 ran raniti itidin dinee 9 tet tetrac racycl ycline ine A'ithr A'i throma oma" " 9metr 9metroni onida' da'ole ole 9 omep omepra'o ra'ole le
,. &hich of the eye disorder will be imroved with titer glycemic control : A.
(laucoma
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Arab Board Part 1 Exam 2005 A. B. C. #. E.
he most common cancer in males ,ighly associated 3ith tobacco smo$ing Adenocarcimoma is !s!ally located centrally Small cell has the 3orst prognosis Surgical therapy can be curative
4.,* yrs female with comm!nity ac=!ired ne!monia @CAP ( all indicator for severe disease ECEP/ A. B. C. D. E.
#ulti lobe involve Rec ecta tall tem tem : ,7 ,7() () RR? 1>min BP? @E : BP: 1**>* PR: 1$*>min ( tem : ,. ( etechia on ;; . labs : -BH: 7., ( &BC: 16*** ( lat : )***( P/( AP// normal ( most li'ely diagnosis : A. ,e ,emo moly lyti ticc an anem emia ia B. Si Sic$ c$le le ce cell ll di dise seas asee C. #C D. hrombotic hrombocytopenic Purpura E. ,S
)$. Common symtoms and signs of organohoshate oison incl!de all the following ECEP/ A. B. C. D. E.
E"cess E"ce ssiv ivee sa sali liva vati tion on E"ce E" cess ssiv ivee la lacr crim imat atio ion n 5ydriasis Abd bdom omiina nall pai pain n Diarrhea
),. All ris' factors for 20A#0 ind!ced AR% ECEP/ A. B. C. D. E.
Conges Cong esti tive ve he hear artt fai failu lure re Cirrhosis Chro Ch roni nicc rena renall fail failur uree 4ol olum umee depl deplet etio ion n Rhe! Rh e!ma mato toid id art arthr hrit itis is
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Arab Board Part 1 Exam 2005 A. #R+ is an an ideal ideal tes testt to ass assess ess th their eir si' si'ee B. Pro Prolac lactin tinoma oma are are the most most comm common on tumor tumorss in female femaless C. -omo -omonymo! nymo!ss hemiano hemianoia ia is the classi classical cal vis!al vis!al field defect D. )on functioning tumors may lead to hypopituitarism hypopituitarism E. hey may consid considered ered macro macro adeno adenoma ma if more than * cm in in diamete diameterr
)4. ) yrs male was discovered to have hyochromic microcytic anemia . "n ro!tine investigation ( all statement are accetable ECEP/ A. B. C. #. E.
Serum Seru m fe ferr rrit itin in ,B( ,B ( elec electr trop opho hore resi siss Endo En dosc scop opic ic e" e"am amin inat atio ion n Emiri Em irical cal ir iron on ther theray ay for 4 mont months hs Feca Fe call occ occul ultt blo blood od fo forr 1 da days ys
)6. Congenital RBBB associated with : A
4SD
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Arab Board Part 1 Exam 2005
4*. )$ yrs male with general deterioration. he drin's $) !nits of alcohol each wee' and smo'es ) cigerettes > day ">E : 8a!ndiced sider navaeii on chest and has tem of ,6.$ ( abd : sleenomegaly . labs : A;P: ))* ( A0/ : ) A;/ ) ( alb!min: $) ( heatitis 0 Ag ve ( -beAg : DE ( heatitis B #2A !ndetectable . &hat is the most li'ely diagnosis : A. B. C. #. E.
Alcoholic liver disease Autoimmune hepatitis Carcinoma of the pancreas Chronic heatitis B infection Chronic hepatitis D infection
41. $4 yrs female in her first trimester @ 4 th wee' ( her Bilir!bin : * . "ther ;%/0 normal. 5ost li'ely diagnosis:
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Arab Board Part 1 Exam 2005 #. Coel Coelia iacc dis disea ease se.. E. Cr Croh ohn0 n0ss dise diseas ase. e.
4. 46 years old woman resented resented with ac!te severe bac' ain. 0he is normally fit and well( b!t there is a strong family history of osteoorosis. -er -g 1*.4( 5C 7)( Calci!m $. @ 2:$.$D$.4( Phoshor!s $.$ @1D1.( Al'aline hohatase 1$4 @2:,*D1,*( total rotein 64 g>l( alb!min ,* g>l. &hat is the most li'ely diagnosis< A. B. C. D. E.
#etast #eta stat atic ic disea disease se.. 5!lt 5! lti ile le my myel elom oma a ,ype ,y perp rpat atat athr hroi oidi dism sm.. Paget0s disease of bone. Sarc Sa rco oid idos osis is
4). 4* years old male come the hosital comlaining of na!sea ( wea'ness and conf!sion of 1 wee' d!ration. -as long standing history of -/2 and C-%. 0he was treated with high amo!nt of di!retics and #igoxin witho!t aarent benefit. Physical examination shows a BP 1*>* @witho!t orthostatic changes. J!g!lar veno!s distention( Bilateral basilar rales( and $ bilateral an'le edema. ;abs: ser!m( 2a 1$*( B32 ,( Hl!cose 1,)( lasma osmolarity
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Arab Board Part 1 Exam 2005
46 $* years old male( 1* days history of sore throat associated with fever( fatig!e( nec' swelling. Physical examination shows significant cervical and Axillary lymh node enlargement( minimal heatosenomegaly( ;AB &BC 7)**( differential Hran!lar cell $7+( ;ymhocyte 44+( monocyte 1+( Eosinohil 1+( -b 1 latelet ,7****( mildly elevated Alanine aminotransferase level and normal Bilir!bin. /he most li'ely diagnosis: A. B. C. D.
ub uber ercu culo losi sis. s. ,odg ,o dg$i $ins ns lym lymph phom oma. a. nfect nf ectio! io!ss monon! monon!cle cleosi osis. s. C#4 C# 4 in infe fect ctio ions ns..
E. Acute hepatitis B virus infection. 47 %eat!res of m!ltile sclerosis incl!de all of the following ECEP/: A. B. C. #.
)yst stag agmu muss. !pti !p ticc at atro roph phy y. Delaye Del ayed d visual visual evo$ed evo$ed poten potentia tial. l. Abnormal Abno rmal nerve nerve cond!cti cond!ction on st!dies st!dies in in lower lower limbs. limbs.
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Arab Board Part 1 Exam 2005 #. Carc Carcin inoi oid d t! t!mo morr E. )on o occl cclus usive ive inte intesti stinal nal isch ischemi emiaa
61. /he following are disease modifying antiDRhe!matic dr!gs in atients with Rhe!matoid Arthritis ECEP/ ECEP/:: A. B. C. D. E.
+nfli"imab Sulfasala'ine +nflunamide #ethotre"ate Prednisolone
6$. All of the following are tr!e abo!t sesis( ECEP/: A. B. C. D. E.
Although in Although in the hospit hospital al mortality mortality rate fell fell from /= /= ; *=9 yet yet the total total number number of of deaths increased +n spite spite diabet diabetic ic patient patientss good good glucose glucose cont control rol improv improves es surviv survival al /he rate rate of of sesis sesis d!e to to f!ngal f!ngal orga organism nism is decrea decreasing sing reatmen r eatmentt of septic septic patient patient 3ith activate activated d protein protein C is cost effecti effective ve in severe severe cases cases +nvasive +nvas ive procedur procedures9 es9 cytoto"ic cytoto"ic therap therapy y9 and transplan transplantatio tation n are causes causes of increasin increasing g rate of sepsis
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Arab Board Part 1 Exam 2005 D. E.
Sarcoidosis Psoriasis
64. &hich renal lesion has been rominently associated with chronic vesico!rethral refl!x and heavy Protein!ria< A. B. C. D. E.
#inim #in imal al cha chang ngee dise diseas asee Cres Cr esen entr tric ic glome glomeru rulo lone neph phri riti tiss #emb #e mbra rano nous us glome glomeru rulo lone neph phri riti tiss +gA +g A nep eph hro ropa path thy y %ocal %oc al seg segmen mental tal glo glomer mer!lo !loscl sclero erosis sis
66. /he c!rrently most reliable assay for identifying ac!te infection with heatitis
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Arab Board Part 1 Exam 2005 71. -ereditary ca!ses of thrombocytosis incl!de< A. B. C. #. E.
Dysfibrogenemia Antithrombin *** deficiency Antihosholiid syndrome Protein c deficiency Protein s deficiency
7$. 2!cleated RBC seen in eriheral blood film are are 'nown to occ!r in all of the following ECEP/ A.
Acute blood loss
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Arab Board Part 1 Exam 2005 74. A atient with rec!rrent neisserial infections sho!ld have which of the following tests: A. B. C. D. E.
Serum Seru m C* le leve vel. l. Serum Ser um C* est estera erase se inh inhibi ibitor tor lev level. el. Seru rum m C1 C1 le level. Seru Se rum m C2 le leve vel. l. C-)*.
76. 7 yr old asymtomatic diabetic man had the following lab data on sched!led followD! visit to the clinic: D%asting blood gl!cose: $mg>dl D-bA1C : ).) @2F4
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Arab Board Part 1 Exam 2005 his ser!m creatinin *. mg >dl and his blood ress!re 1$*>7* !rin secimen collected /he =!estion is incomlete we missed the last line A. B. C. #. E.
!rder /2;hr urine test for protein and creatinine !btain A)A9 C19 C2 Arrange for a $idney biopsy Reass Re ass!r !ree him ab abo!t o!t his ro rogn gnosi osiss rine protein electrophoresis
*. ,7 years old women with obesity( obesity( dermal striae and -/2 is refered to yo! to eval!ate her for ossible cortisol excess. /he women received a midnight 1 mg of dexamethasone( lasma cortisol level drawn at 7 A5 next day was ,74
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Arab Board Part 1 Exam 2005 which one of the following dietary factors has the greatest benefit towards achieving blood ress!re goals in atient similar to this with well established -/2: A. B. C. D.
;ow 2a ;ow 2a die diet. t. ,ig igh h 5 die diet. t. ,ig igh h Ca Ca di diet et.. ,igh ,ig h #g die diett high high Ca diet diet..
E. ,igh fiber high 5 diet.
,. ,$ years old male with bloody diarrhea of one day?s d!ration associated with abdominal ain( fever( small fre=!ent stool. -e was revio!sly well( which one of the following athogen is most li'ely ca!sing this atient ac!te illness<
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Arab Board Part 1 Exam 2005 with diff!se ancreatic enlargement and fl!id in the right erinehric sace. /he gallbladder is contracted and contains several small stones. /he bile d!ct is not dilated. &hich of the following is most aroriate at this time<
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Arab Board Part 1 Exam 2005 C. 3nco 3ncom mli lica cate ted d 5 5 D. Sepsis. E. ,e ,ead ad in6u in6ury ry..
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