CommonVi

deosofpr
evi
ousexams

RESPI
RATORYANDENTVI
DEOS

1.(
RS)neonatewit
hRD,desat
urat
ed,onO2bynasalcanul
a(vi
deoshow
micr
ognat
hai,
clef
tpal
ate–"
pier
inr
obinsyndr
ome")

- whati
snexti
nter
vent
ion?

 nasophar
gealai
rway.

 I
ntubat
ionandvent
il
ati
on.

2. (
RS)2yearol
dwith1dayhistoryofURTIfoll
owedbyst
idorwhi
chi
snot
associ
atedwi
thdist
ressandbabywascr ying,onhi
sbackther
ewascapi
l
lar
y
haemangimoaother
wisenothingimpor
tant.

- Whati
sthemostdi
agnosi
s?

 cr
oup

 subgl
ott
ichaemangi
oma

3.(RS)3year
sboywit
h12hourshi
stor
yofcoughanddi
ff
icul
tbr
eat
hing(
Video
showbarki
ngcoughandst
ri
dorwi
thnoRD)
-whati
sorgani
sm?

 Par
ainf
luenza

Comment:Parai
nfl
uenza(
Croupi
spar
ainf
luenzavi
rusnott
oxi
cpr
esent
usual
l
yint
heearl
ydawnwithsomecor
yazasymptoms.)

Epi
glot
ti
ti
swit
htoxi
clookhighgradef
ever
,ther
ewi
l
lbedr
ool
i
ngofsal
i
vaas
wel
lhaemophl
usinf
luenzabact
eria

4. (
RS)
Chi
l
d1yrwi
thr
unnynoseandt
emp37.
7c,
invi
deobar
kingcough

- Whati
sthedi
agnosi
s.?

 Cr
oup"l
aryngeot
racheobr
onchi
ti
s".

- Whati
nvest
igat
ion?

 noi
nvest
igat
ionneeded

5. (
RS)
8mont
hsol
dwi
thnoi
sybr
eat
hing

1‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
 - Whati
sthemostl
i
kel
ydi
agnosi
s?

 l
aryngi
omal
aci
a

 choanalat
rasi
a..
.

 cr
oup.

6. (
RS)mi
l
dst
ri
dorver
yhappy.

- whati
sthemanagement
?

 noneedmedi
cat
ions

7. (
RS)
Chi
l
dwi
thmi
l
dtomoder
atest
ri
dor
. 
…..
Fol
l
owup

8. (
RS)
poorwei
ghtgai
nwi
thst
ri
dor1mont
hbaby,

- whati
sinvest
igat
ion?

 f
lexi
blebr
onchoscopy.

Comment:i
ndi
cat
ionf
ori
nvest
igat
ioni
nlar
yngeomyl
aci
aar
e:wei
ght
l
oss

9. (
RS)2yrh/
oofTEFr
epai
rpr
esentwi
thcough,
bar
kingcough,
str
idor,
prol
ong
expi
rati
on

- whati
nvest
igat
ion?

 donot
hing.

10.
(RS)ast
hmati
cpati
entrecei
ved3nebsofsal
but
amolandat
roventandor
al
ster
oidsst
il
lwheezysatur
ati
oni
saround93

- whatt
odo 
next?

 Of
feroxygen

 I
.vsal
but
amol
?

 Backt
obacksal
but
amol

 mgso4-
dexamest
hasone-
hydr
ocor
ti
sone-
met
hyl
predi
sol
one

 not
hing.

11.(RS)ast
hmati
cpt
. j
ustcamet
oERonneb.t
achypni
cconsci
ousPR130–SPO2
93onmonit
or 

2‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
 - whatt
odonext
 

 not
hing

 ABG

12.(RS)pret
erm babydistr
essadmi
ttedf
orpoorf
eedi
ngbr
otherhavi
ngURTIno
hepatomgaly,syst
olicmurmer?

- whati
sdi
agnosi
s?

 chr
oni
clungdi
sease.

 Br
onchi
oli
ti
s.

13.(
RS)Acut
ebr
onchi
oli
ti
swi
thmoder
atedi
str
ess,
wit
hhypoxi
aandhyper
capni
a

- Whatt
odonext?

 I
prat
ropi
um.

 NCPAP.

14.(
RS)
Babywi
thdi
str
ess,
NGt
ubei
nsi
tu,
OxygenNasalcanul
aandcoughi
ng.
..
..
..

- Whati
sthedi
agnosi
s?

 Br
onchi
oli
ti
s

15.(
RS)
8mont
hsst
abl
echi
l
dwi
thbr
onchi
oli
ti
s.

- Whatnextst
ep?

 pernasalswab.

 noneofabove.
 

16.
(RS)8yearoldgi
rl
/boywithcough,feverReducedchestexpansi
ononleftsi
de.
Onauscul t
ati
ondimini
shedairent
eryandBronchi
albreat
hinganddull
percussi
onnoteonleftscapul
aarea.Hist
oryof10daysfeverinspi
teoforal
anti
bioti
cs.

- Whati
sdi
agnosi
s?

 Lef
tpl
eur
alef
fusi
on.

 Lef
tlobarpneumoni
a

17.
(RS)Chestxrayi
nachi l
dboywi
thcyst
icfi
brosisandwi t
hwheezes,
sudden
deteri
onati
onnotrespondt
oIVant
ibi
oti
cswi t
hesinopheli
a..
.
3‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
 - Whati
sdi
agnosi
s?

 al
l
ergi
cbr
onchopul
mnorasper
gol
l
osi
s..

- whati
sthet
tt?

 st
eri
od 

18.
(RS)
Whoopi
ngcough.
.

- Whati
sbesti
nvest
igat
ion?

 pr
enasalswap

- Whati
stt
t?

 Azi
thr
omyci
neorer
ythr
omyci
n 

19.
(RS)Gir
lwit
hcoughwit
hsput
um per
sist
ent
lyr
ecei
veder
ythr
omyci
nfor10days,
withouti
mprovement

- Whati
snextst
ep?

 not
reat
mentwi
l
lher.

 cl
ari
thr
omyci
nhi
ghdosef
or10days.

20.
(RS)Downwi
thr
espdi
str
ess.
..br
onchi
l
iti
sorhear
tfai
l
ure.
..accor
dingt
o
hist
ory 

21.
(RS)Smal
lchi
l
dcoughi
ngatni
ght

- whatt
odonext?

 CPAP.

 Ant
iref
lux.

 not
hing

22.(ENT)pusfrom ext
ernalaudi
tor
ymeat
us,
inchi
l
dwi
thOM 3daysbacknow
t
emp37. 4c

- whatt
odonext?

 i
vant
ibi
oti
c

 or
alant
ibi
oti
c.

4‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
  Ur
gentCT.

 Not
hing

 ENTr
efer
ralaf
ter3weeks.

 swabandCul
tur
e

comment:CTscaninper
for
atedtympani
cmembr anei
nAOM only
i
ndicat
edi
fther
eismaj
orcompli
cati
onli
kecaver
noussi
nusorfaci
alner
ve
pal
sy.

23.
(ENT)18monthsoldprevi
ousl
ywell
,
youhavebeencal
ledi
nED, chil
dsit
ti
ngi
n
mum' slapwi
thdummyi nmouth,
inspi
rat
oryst
ri
dor
,andrecessions,no
indi
cati
onoffeverordr
ooli
ng,

- Whati
sthedi
agnosi
s?

 For
eignbody.

 Epi
glot
ti
s,

 t
racheol
aryngi
ti
s,

 cr
oupet
c

24.
(ENT)Acasewit
hsuddenonsetofstri
dorandcyanosi
s2year
sol
dandchestx
Rayshowingcoi
nshadowatthelevelofC4,

- whatt
odonext
?

 r
igi
dbr
onchoscopy

 Fl
exi
blebr
onchoscpy

25.
(ENT)
chi
l
dwi
thr
etchi
ngandcoi
ninCXRi
nlast10secofvi
deos 

- whatt
odonext
 

 cal
l
ingENT

 cal
l
inggener
alanest
h.

HAEMATOLOGYVI
DEOS

26.
(haemat
ology)Chi
l
dwi
thpur
pur
aandhxofURTI………

5‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
 - Whati
sdi
agnosi
s?

 I
TP.

27.
(haemat
ology)
Lit
tl
egi
rlwi
thpur
pur
icr
ashl
TP.

28.(
haemat
ology)Chi
l
dwi
thext
ensi
ver
ashofI
TP.

- Whati
sManagement?

 Weekl
yfol
l
owup.

29.(
haemat
ology)Pancyt
openi
awi
thf
ebr
il
eneut
ropeni
aini
l
lchi
l
dwi
thHGB5

- whaturf
ir
stchoi
ce?

 I
Vant
ibi
oti
c

 I
Vbl
oodt
ransf
usi
on

30.
(haemat
ology)
Neonat
ewi
thpet
echaer
ashj
ustaf
terdel
i
ver
ybabygener
all
ywel
l

- whatact
iont
odo.
?

31.(haematol
ogy)
Babywi
thl
owpl
atel
etandmot
herwasnor
malpl
atel
ethi
s
pl
atel
etwas2000

- Whati
sbestact
ion?

 HPAnegat
ivepl
atel
et.

32.(haemtol
ogy) aboy5yearol dknownt obehaemophi l
eaA( di
dn'
tspeci
f i
yhow
sever
)hadhistoryoffall
ingandmi norheadt r
aumawithpict
ureofcont
usions
andsuperfi
ci
allacerati
ons,butnoact ivebleedi
ng,babywasactivesmili
ng
andcalm wit
hnohi storyofnei
thervomi t
ing,DCLnorhaemodynamicstabil
i
ty.

- whatt
odonext?

 admi
ssi
onf
orneur
ologi
calobser
vat
ion.

 gi
vef
act
or7

 gi
vef
act
or8

 f
act
or9

 gi
vet
ranexmi
caci
d

 j
ustbandage.

6‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
  gi
vecr
yopr
ecpi
tat
e

 FFP.

Comment:t ranexmicaci disonl

yusedi nGum bleedingoridopat
hicipi
staxis
i
nhaemipohil
icpatientbutanyt r
aumat oheadf orhaemophilcApatientit
's
mandiat
oryt
ogi vehimf actor8pleaset akecarebecausethereisavoice
l
ect
ureuploadedher eforoneofcol leaguesinsist
ingonselecti
onofdoi ng
not
hing

33.(
haemtol
ogy)4yrgir
ldr
inki
ngmilksi
ncebi
rt
h,Hb4gm/
dl,
nosi
gnsof
di
str
ess,wit
hfeat
ureofi
rondefanemi
a,

- whatt
reat
ment
?

 Or
ali
ron

34.
(haematology)6weeksChi
ldpresent
edwit
hgener
alf
ati
gueandt
ir
edness(i
n
videor
ecivedbott
lef
eedi
ng),Hb:4.1,mch58,nor
malwbcsandplat
elet
s

- Whati
nvest
igat
ion?

 Fer
it
inl
evel
.

35.
(haematol
ogy)11yearsgi
rlbr
oughtt
oERbyherstepf
atherwi
thhi
stor
yof
multi
plebr
uises.nor
malCBCandCoagulat
ionpr
ofil
e(Videoshowwellgi
rlwi
th
multi
plebr
uisesinarmsandlegs)

- whatnextact
ion?

 Skel
etalsur
vey.

 Bonemar
row.
 

 noneoft
heabove

 pl
atel
etf
unct
ion.
(VWFDi
sease)

36.(haematology)Pt.wi
tht
racheostomy, al
thoughgoodcar
ebutsti
llhavedi
ff
icul
ty
wit
hbreathing.Faceofpt.wi
thinfect
edbi ghaemi
ngiomali
kest
urgeweber.

- Whatwi
l
ldot
ohel
phi
m?

 st
eroi
dsi
nhal
er

 ant
ivi
ral

7‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
  ant
ibi
oti
cs?

 sal
but
amol

 CPAP.

Comment:I
nfectedcavernoushemangi
omaneedsant
ibi
oti
csf
ori
nfect
ion
andpl
ast
icsurgeoninput.

37.(haematology)
newbor
npret
erm mul
ti
pleprogr
essi
vel
esi
onsi
ncr
easei
nsi
ze"
capi
ll
aryhaemgioma"i
nscal
p,uppereyel
idabdomen?

- whati
str
eat
ment?

 or
alpr
opanol
ol

38.
(haemat
ology)
Achi
l
dwi
thI
TPandl
owpl
atel
etcountbutact
ive.
..

- Whati
str
eat
ment?

 wai
t&obser
ve.
 

CARDI
OLOGYVI
DEOS

39.
(CVS)
CXRofdext
rocar
dia…….

- Whati
sthenextst
ep?

 Echocar
diogr
aphy 

40.(CVS)pr
eter
m neonat
ewi
thst
ethoscopeandyoucoul
dhearcont
inuous
murmur

- whati
sthedi
agnosi
s?

 PDA.
 

41.
(CVS)14year
soldboy.vi
deoi
srecor
dofauscul
tat
ionwi
thsyst
oli
cmur
mur
radi
atedt
otheneck.

- Whati
sthedi
agnosi
s?

 aor
ti
cst
enosi
s

8‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
 - whatexpect
edcompl
i
cat
ions 
?

 angi
na.

 suddendeat
h

42.
(CVS)youngboytal
lfi
nger
sandel
ongat
edf
ace(l
ookl
i
kemar
fan)wi
thAS
murmurandthri
l
loverneck…

- whatcompl
i
cat
ionsmayoccur?

 Suddendeat
h

 aor
ti
caneur
ythm.

43.
(CVS)
Pt.wi
thTGAspO284-
82% ,
wit
hyest
erdaysept
ost
omy.

- whatt
odonext?

 r
eassur
epar
ent
s.

44.
(CVS)Downsyndr
omebi
gboycl
ubbedcyanosedpansyst
oli
cmur
muri
nLLSE

- whati
sdi
agnosi
s?

 Essmengersyndr
ome

 TOF.

 AVSD.

 Pul
monar
yHTN.

45.
(CVS)3/6monthsol
dbabyonventi
l
ator,cent
ralsternot
omyscarand
conti
nuousmur
muronrt.I
nfr
aclavi
cularsi
de.saturati
onis86%.

- Whatdi
agnosi
s?

 BTshunt
.

 Font
anshunt
 at3-
4yr
s.

Comment:BTshuntcanbethr
oughster
notomyscar,
orl
ater
al
thor
acot
omyscar
.,sati
nBTshuntb/
w80-90%.

Ift
hemur murissystol
icej
ecti
on...
iti
snotaBTshunt.CanbeTOF
corr
ect
ionwithresi
dualmur mur.Butsat
urati
onshouldbe95%and
above.
..
Becausetotalcor
recti
on.Sothesaturat
ioni
samustknow.

9‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
 ENDOCRI
NEVI
DEOS

46.
(endocr
ine)
2year
sol
dchil
dsitt
ingonachair
,tr
yingt
olookaround(bli
nd),
short
,pati
entcamewit
hhypogl
ycaemia"Casewasseptoopt
icdyspl
asi
a "

- whatt
reat
mentyoudo?

 i
ncr
easegl
ucocor
ti
coi
dandmi
ner
alocor
ti
coi
d 

47.
(endocr
ine)Obesechi
l
dest
ri
ae(cushi
ngsyndr
ome)

- Whati
sDi
agnost
ict
est?

 Dexamet
hazonesuppr
essi
ont
est
.

48.(ENDOCRI
NE)gi
rlwi
thchor
eaandt
hyr
oideyesandver
ymi
nimalbul
gingi
nthe
neck

- Whati
nvest
igat
ions?

 TFT.

- whatt
reat
ment?

 car
bimazol
e.

49.(endocri
ne)8year
soldgirlwit
hsigni
fi
cantaci
doti
cbr eat
hing"kaussmal
breat
hing(DKA)
"andhi st
oryofpol
yur
iaandweightloss,withabdominalpai
n
andalter
edconsci
ouseness.

- Whati
sIni
ti
almanagement?

 nor
malsal
i
nebol
us.

- Whatdi
rectcauseofdeat
h?

 cer
ebr
aloedema.

 Dehydr
ati
on

 Shock.

- whatt
odonext?

 RBS.

 ABG
10‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
  CBC

 CXr
ay.

Comment:bl oodsugar (
Ifyoudidgasyouwillconf
ir
m aci
doti
cbreathi
ngbutstil
l
causeisnotclear,whi
l
eifudi dRBSuknowatl east2outof3diagnost
iccr
iter
ia
forDKA,andbyt hewaynotallmachineshavi
ngglucosei
nitandalsonotavail
abe
i
nl otoff
aci
li
ties.
).

Nephr
ologyvi
deos

50.
(renal
)Nephroti
cgirlanasar
caasci
ti
sef
fusi
onl
owerl
i
mbsedemaCRT4hi
gh
bloodpressur
etahchycardic

- whati
sfi
rstt
reat
ment?

 bol
usNS10ml
/kg

51.
(renal
)Girlwi
thURTIandt
ookamoxi
lfor5dayswi
thnoeff
ect,
camewi t
hB/
L
perior
bit
alswell
i
ngandAbddist
ensi
ononvideo(
nephr
oti
csyndrome)
.

- Whati
mmedi
atei
nvest
igat
ion?

 Ur
ineanyl
asi
s.

 s/
albumi
n.

 S/
chol
est
rer
ol.

 USS

52.
(renal
)Yonggirlwi
thbuf
fyf
aceandLLoedemaandprotei
nuri
a,Vit
alsi
gns
stable.
..capi
l
laryr
efi
l
l<2sec.Vi
deoshow+veshi
ft
ingdull
ness.

- Whati
sthet
tt
 ?

 60mg/m2pr
edni
sol
onedai
l
y.

53.
(renal
)6yearol dboywi
thhist
oryofatopyandasthma,andfami
lyhx.Ofhay
feverdevelopedURTI2daysback,recei
veantibi
oti
c.pr
esentwi
thpuff
inessof
eyesstartedonedayandLLedema( pi
tt
ingone)

- Whati
sthedi
agnosi
s?

 nephr
oti
csyndr
ome

11‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
  C1est
rasei
nhi
bit
or.

MSSVI
DEOS

54.(MSS)
2yearol
dst
abl
echi
l
dpai
nonwal
ki
ng.
lookl
i
kei
rr
it
abl
ehi
p.

- Whati
sManagement?

 Di
schar
gewi
thoutf
oll
owup.

 di
schar
gewi
thf
oll
owup

55.
(MSS)gir
lwi
thlef
tkneeswelli
ngf
oroneweek,
shei
snont
oxi
c,h/
ooff
ever,
runnor
malaf
terexaminat
ion

- whati
sdi
agnosi
s?

 React
ivear
thr
it
is

56.
(MSS)Vi
deoshowgir
lplayi
ng,
handshowi
ngproxi
mali
nter
phar
ngealj
oint
s
swel
l
ingandr
edness,hi
ghESR,WBCscount"JI
A"

- whatt
reat
ment
?

 NSAI
D

57.
(MSS)
URTIi
nachi
l
dwi
thj
ointpai
n&nor
mall
ab

- Whati
sdi
agnosi
s?

 Tr
ansi
entSynovi
ti
s 

58.(MSS)
3yr
soldwi
thant
algi
cgai
tmom concer
nedaboutl
i
mpi
nggai
tfort
hel
ast
2mont
hsonl
y

- Whati
sdi
agnosi
s?

 Per
thesdi
sease

 DDH(appearf
rom t
hest
art
).

 Ot
herDDofl
i
mbi
nggai
t.

59.(MSS)Af
agani
/pakast
aniboyabout3yrsi
nagewi
thhi
sfat
herr
icket
mani
fest
ati
on"bowlegandswell
i
ngwrist"

- whati
sdi
agnosi
s?

12‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
  nut
ri
ti
onal.

 x-
li
nkedhypophsophat
aemi
cri
cket
s.

- Whati
nvest
igat
ion?

 Wr
istx-
ray.

60.
(MSS)
babywi
thl
osspect
oral
i
smaj
or.

- Whati
sDi
agnosi
s?

 pol
andsyndr
ome

61.
(MSS)Pr
eteenboyi
nEDwi t
hswollenkneeaft
erafal
lfr
om t
ree,
not
edt
ohave
brui
sesandheal
edpapert
hisscar
ingofski
nonvideo.

- Whati
sthedi
agnosi
s?

 Ehl
orDanl
ossyndr
ome.

62.
(MSS)
Achi
l
dwi
thj
oint
shyper
mobi
l
ity,
,
,2scenar
io

- Whatdi
agnosi
s?

 Ehl
erdanolsyndr
ome(
ifwi
thoutgl
asses)

 Mar
fansyndr
ome(
if
 wi
thgl
asses)
.

- Whati
smodeofi
nher
it
ance?

 AD.

63.(
MSS)a3year
sol
dchi
l
dwi
thuni
l
ater
alneckswel
l
ing 

- Whati
sdi
agnosi
s?

 LymphNode.
 

64.(
MSS)r
ednessandswel
l
ingbehi
ndt
heeari
nsmal
lchi
l
d,

- whati
nvest
igat
ion?

 CTscan.

65.(MSS)Chi
ldhadURTIt
henaft
erf
ewdaysabnor
malswell
i
nginsubmandibular
andanot
heronewasinmidl
i
neofneckwi
thabluet
oungeandabnor
malvoice.

13‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
 - Whati
sthedi
agnosi
s?

 br
anchi
alcyst

 heamangi
oma

 caf
fesyndr
ome.

66.
(MSS)
neonat
ewi
thneckswel
l
ingl
ater
alaspectoft
heneck

- Whati
sdi
agnosi
s?

 cyst
ichygr
oma

- Whati
scompl
i
cat
ion?

 ai
rwayobst
ruct
ion

67.
(MSS)
Chi
l
dwi
thneckmassmai
nly……t
ort
icol
l
is.

68.
(MSS)
Neckswel
l
ing….Mumps?

69.
(MSS)
Obeseneonat
ewi
thswel
l
ingi
ntheneck,

- whati
nvest
igat
ionsyouwi
l
ldo?

70.(
MSS)
lar
ger
edswel
l
ingi
nrtsi
deofnecki
nwel
lchi
l
d 

- Whati
sdi
agnosi
s

 Par
oti
ti
s

 l
ymphedeni
ti
s 

71.
(MSS)Pt
.wit
hswell
inginshaf
toftibi
a,babyi
sfebr
il
e,hecanst
andand
crawl
i
ng,notpai
nfull,
ski
niseryt
hametous

- Whati
sthecauseofswel
l
ing?

 Fr
act
ure.

 cel
l
uli
ti
s.

 ost
eosar
coma.

 ewi
ngsar
coma.
?

 oest
eomyl
i
tis.

 Reassur
ance.

14‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
72.(MSS)akid2-4yr
swithl
i
mpi
nggai
tandswol
l
en1l
owerl
i
mbwhent
heswel
l
ing
i
spressedthekiddi
dnotmi
nd.

- Whati
sdi
agnosi
s?

 ost
eomyel
i
tisVscel
l
uli
ti
s?

Der
mat
ologyvi
deos

73.
(derma)Babyr
ecei
vedMMRvacci nebef
ore1monthcamewi
thext
ensi
ve
blanchi
ngeryt
hema(invi
deo).vi
tal
lyst
abl
e,feedi
ngwel
l

- Whati
snextst
epi
nmanagement
?

 r
eassur
ance

74.
(derma)2weeksoldbabyr
efer
redbyhealt
hvi
sit
orwi
thski
nlesi
on(Vi
deoshow
justRthandwi
thbustul
es(
boil
)anderyt
hema).

- Whati
sit?

 Epi
der
mol
ysaBul
osa.

 Pust
ules.

 Boi
l
s.

 her
pes.

 st
aphi
nfect
ion

75.
(der
ma)
 Smal
lchi
l
dwi
thpeanutal
l
ergy.Cl
i
nical
l
yst
abl
e.Buthi
vesandi
tchi
ng.

- Whati
sManagement?

 or
alant
ihi
stami
ne

76.(derma) 2yearol
dbabywhodevelopedal
ler
gicwheel
saft
eri
ngest
ionof
anti
biot
icwithnoothersi
gnsofdi
str
essnorhaemodynami
cinst
abi
li
ty

- whatt
odo?

 dexamet
hasone.

 hydr
ocor
ti
sone.

15‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
  met
hyl
predesol
one.

 or
alchl
orophenr
ami
ne-

 or
alpr
edi
sol
one.

 sendhome.

77.(
der
ma)
Inf
ect
edeczema….
.

- Whati
sthet
reat
ment?

 penzi
l
epenci
l
li
ne+f
lucoxt
hal
i
ne.

78.
(derma)Infantwit
hrashar
oundmout
hanusandf
oot"
acr
oder
mit
is
enteropathica"

- Whatt
reat
ment?

 zi
nc .

79.
(der
ma)10yoldchi
ldwit
habl i
ster
/vesi
cleski
nlesi
on"
shi
ngl
e"ononesi
de
"oneder
matomalsuppl
y"hypotoni
aandhyporef
lexi
a 

- Whati
sdi
agnosi
s?

 her
peszost
er

 her
pessi
mpl
exvi
rus.

80.(
der
ma)
ataxi
awi
thr
ashesi
nvest
igat
iondi
str
essedi
nfantwi
thO2sat93%

- Whati
sini
ti
almanagement
 ?

81.(
der
ma)
Chi
l
dwi
thshi
ngl
e,

- whati
str
eat
ment
?

 Or
alacycl
ovi
r.

 i
vacycl
ovi
r.

 ant
ibi
oti
cs.

 st
eroi
d

82.
(der
ma)Awel ll
ooki
ngboywithcoupl
eweekshist
oryofmult
ipl
ereddi
sh,
scared,
lesi
onssuggesti
veofBul
ousimpeti
goar
oundlipsandonrestoff
eeti
ncl
uding
feet
,chi
ldwassmi l
i
ngandpicki
ngupski
ninvideos.

16‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
 - Whatchoi
ceofant
ibi
oti
cs?

 I
Vacycl
ovi
r

 Or
alFl
ucl
oxaci
l
li
n.

 I
Vfl
ucl
oxaci
l
li
n.

 Coamoxi
clav.

Comment:OralFl
ucloxaci
l
li
naschi
l
dlookwel
ltomet
hough
l
esi
onswereext
ensive.

83.
(der
ma)
Inf
antwi
thscal
dedski
nbutwel
lnof
ever,
,
,,
management
. 

84.(derma)Ther
ewasast r
angevi
deoofatoddlermi
ser
abl
ewalki
ngar
oundthe
r
oom innappyIthi
nktoseethegai
tthentensect
otheendsamebabyofthe
i
tchyrashinarmsandback

85.
(der
ma)
Scar
letf
ever.

86.
(der
ma)
slappedcheekdi
sease.

87.
(der
ma)
Stevenj
honson

88.
(der
ma)
Chi
l
dwi
thr
ashaf
terdr
ugt
her
apy…….
.ssss

89.
(der
ma)
Inf
antwi
thgener
ali
zedski
nrash 

90.(
der
ma)
ski
nrashaf
terur
ti…….
eryt
hemamul
ti
for
m

91.
(der
ma)Neonatewi
thr
ashi
sofconcer
nofnur
seandpar
ent
s,vi
tal
l
yst
abl
e
,
wellf
eedi
ng.

- Whati
snextact
ion?

 Reaasur
ance (
looksl
i
keer
ythemat
oxi
cum)

92.(
der
ma)
10yearol
dgi
rlwi
thr
ashonbody?Li
kescr
atchmar
ks.

- Whati
sdi
agnosi
s?

 eczema.

 NAI
 .

93.
(der
ma)
BlackChi
l
dpr
esent
edwi
thst
atusepi
l
ept
icusandhypopi
gment
ati
on.

- Whati
sthedi
agnosi
s?

17‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
  Hypomel
anosi
sofi
to.

94.(derma)General
izedRashf
or2weeksi
nayounginf
antgir
lwi
thAtaxi
awhi
le
si
tti
ng,fi
ngernoseandpastpoi
nti
ngwast
her
eplusicoul
dseeheal
edchi
cken
poxrash--
--
--

- Whati
sthedi
agnosi
s?

 Var
icel
l
acer
ebel
l
iti
s.

95.(derma)Youngboypostchickenpox,
3weeksl
aterpr
esentwi
thunst
eadygai
t
andsi
gnsofcerebel
l
arataxi
a.

- whati
nvest
igat
ions 
?

 vi
ralser
ology

 CSFi
sol
ati
onoft
heor
gani
sm

 noneedf
ori
nvest
igat
ion.
??

 var
icel
l
ati
tr
e.

I
NFECTI
OUSVI
DEOS

96.
3year
sgirlwit
hfeverfor3weeksnotr
espondi
ngtooneweekcour
seof
amoxaci
l
li
n. .
.Hb=11.2WBC=16PLT=635wi t
hhighESRandCRP

97.
(i
nfect
ious)
Inf
antwi
thl
ymphadenopat
hy,
hepat
ospl
enomegal
y

- Whati
sdi
agnosi
s?

 di
ssemi
nat
edBCG

98.(inf
ecti
ous)babywhoi
sdoi
ngver
ywellwi
thhi
stor
yoflowgradefeverand
diar
rhea,f
luesymtoms,onvi
deohavi
ngnonbl
anchi
ngrashandactive,non-
toxi
c

- whatt
odonext?

 i
vacycl
ovi
r.

 ant
ibi
oti
c

 ant
ihi
stami
ne

18‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
  ant
ipyr
eti
csanddi
schar
ge

 admi
ssi
onandwor
kup

comment:pet echialrashmanagementpl an,weoftenseechildr

enwithbalanchable
rashesbutcli
nicall
ywellasGPusual l
yfeelundeci
siveaboutsuchrashes,i
nt hatcaseital
l
dependsoncl i
nicalpr
esentati
onifchi
ldlooksunwel lwi
thhi
ghgradetemper atureand
tachycar
diaweusual l
ydobl oodi
nvestigat
ionsanddecideaboutanti
bioti
csaf t
ercert
ain
periodofobservati
onorbloodresult
s.

99.(
inf
ect
ious)
Cer
vicalLN.
..catscr
atchdi
sease

100.(
inf
ect
ious)
Scabi
es

101.(
inf
ect
ious)t
reat
edasmeni
ngi
ti
sandnextdaychi
l
dver
yil
l
.

- whati
nvest
igat
ion?

 pl
asmaosmol
ari
ty(SI
ADH)

102.(
inf
ect
ious)HSP….
.

- whati
mpor
tanti
nvest
igat
ion?

 ur
inef
ullexami
nat
ionandmi
croscopi
cexami
nat
ion

103.(i
nfect
ious)
6monthchil
def everf
or5days,
T.39C ,
nospl
eenomegal
l
y,no
LN.,
invideoshowi
ngtherash.

- Whati
sthedi
agnosi
s?

 Measl
es

 kawaski

104.(infect
ious)achi
ldwi
thfi
ssur
eli
p,f
everf
or10daysnonpur
ulent
conjunct
ivi
ti
s.peel
i
ngofski
n.

- whati
sdi
agnosi
s?

 kawsakidi
sease.

- whatspeci
fi
ctr
eat
ment
?

 I
VIG.

 aspi
ri
n

- whatexpect
edonbl
oods?

19‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
  l
owpl
atel
ets.

 hi
ghpl
atel
ets.
(on3rdweek)
.

 hi
ghESR,

 Hi
ghCRP,

 Hi
ghWBC

105.(
inf
ect
ious)EBVi
nfect
ionwi
thpal
atalhaemor
rhage

- Whati
smanagement?

 r
eassur
ance

106.inf
ecti
ous)Bi
gboywi
thexudat
einhi
stonsi
l
sandhar
dandsof
tpal
atepet
ici
al
hemorr
hage…..

- Whati
sdi
agnosi
s?

 gl
andul
arf
ever(
inf
ect
iousmononucl
eosi
s).

107.(
inf
ect
ious)
Handf
ootmout
hsyndr
ome.
..

- Whati
scause?Coxacki
evi
rus 

108.(
inf
ect
ious)pt
.wi
thchor
eaaf
ter4weeksURTI

- whati
nvest
igat
ion?

 ant
ist
rept
olysi
n.

 not
hing

NEUROLOGYVI
DEOS

109.(
CNS)
Inf
ant9mont
hbecomeunabl
etosi
tunsuppor
ted(
regr
essi
on),
invi
deo

- Whati
sthedi
agnosi
s?

 I
nfant
il
espasm .

 l
andu-
kli
ff
ersyndr
ome.

110.(
CNS)
Inf
antwi
thi
nfant
il
espasm……

20‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
 - Whati
nvest
igat
ion?

 EEG

- Whatt
reat
ment?

 vi
gabat
ri
norpr
edni
sol
one.

111.( CNS)Pt.withstat
usepi
lpt
icusgi
venl
orazepam ,
andpr
epar
edf
or
i
ntubat
ion/
intubated–invi
deoabdomendistended…..

- whatnextst
ep?

 i
nser
tNGT.

112.(
CNS)
Achi
l
dwi
thal
i
mbt
hent
her
eisMRIofSpi
ne.
..

- Whati
sthedi
agnosi
s?

 Tet
her
ingoft
hecor
d 

113.(CNS)
Boynewonsetabnor
malgai
tlookedl
i
keuni
l
ater
alhi
ghst
eppi
nggai
tfor
2mont
h

- Whati
sbesti
nvest
igat
ion?

 MRIspi
ne.

 ner
veconduct
ionst
udy.

114.( CNS)10year
soldboyreturnedfrom Paki
stan2daysago,notabl
etowalk,on
vi
deodrandmum wer eholdingandhewasnotbear i
ngweight,onexami
nation
(hypot
oniaandhypor
efl
exiaandr educepowerofbothLL, chi
ldwasconsci
ous
"GBS"

- Whati
nvest
igat
iont
omoni
torpr
ogr
essi
on?

 Spi
romet
ry

115.( CNS)
youngfemalelyi
ngi
nbedandonexaminat
ionshowi
nghypor
efl
exi
a,
hypot
oni
a( ot
herscenari
opat
ientwi
thf
ootdr
opgait)
.

- Whati
sdi
agnosi
s?

 gui
l
lanebar
eesyndr
ome.

116.(
CNS)
chi
l
dwi
thscol
i
osi
sandhuf
fofhai
ratt
hecer
vicalr
egi
on.exshow

21‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
 UMNS

- whati
nvest
igat
ion?

 MRIspi
ne

117.(
CNS)chi
l
dcr
yingandwi
thhol
dbr
eat
hwi
thj
erki
ngmovement,

- whati
sthedi
agnosi
s?

 br
eat
hhol
dingat
tack

118.(
CNS)
Neonat
epr
esentwi
thf
loppi
enessandr
efuseoff
eedi
ng.
.management
.

119.(
CNS)hypocal
emi
awi
thcar
popedalspasm .
.

- Whati
str
eat
ment?

 I
Vcal
ci
um

 Namet
hesi
gn……Govest
icksi
gnonst
imul
atet
hef
ace

 Tr
oussesi
gn….
.oni
nfl
ati
ngt
heBPcuf
font
hear
m 

120.(
CNS)
newbor
nbi
rt
htr
uma…er
bspal
sy.

121.(
CNS)
4thcr
ani
alner
vei
nfect
ion

122.(
CNS)Chi
l
dcoul
dn'
tfol
l
owf
ingerout
side

- Whati
sdi
agnosi
s?

 RT.Abducentner
vepal
sy

- Whati
sinvest
igat
ion?

 MRIbr
ain

123.(
CNS)
Faci
alner
vepal
syeski
nrash"r
amsyhunt
"

- Whati
smanagement?

 acycl
ovi
r

 st
eroi
d

124.(CNS)
boy9yearol
dwi t
hfaci
alpalsyont
her
ightsi
dewi
thmacul
opapl
ular
r
ashonthef
ace"erythemamigrans".

- whatt
odo?

22‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
  CTscan.

 Lymeser
ology.

 st
artst
eroi
ds.

125.(CNS)afai
rboy13yr sol
dwi t
hsuddendevel
opmentofLMNFACI
ALPALSY.i
not
icedar
eddishcheeksnfacegener
all
y.

- whati
nit
iali
nvest
igat
ions?

 CTbr
ainscan.

 MRIf
oracoust
icaudi
tor
ycanal
.

 Scr
eeni
ngf
orHSV.

- Whati
smosti
mpor
tantt
opr
otectt
heeye?

 ar
ti
fi
ci
alt
ear

OPTHALMOLOGYVI
DEOS

126.(opht
hal
mol
ogy)
Conj
unct
ivi
ti
snotr
espondi
ngt
ofl
uxaci
i
li
nwi
thvesi
cles
ar
oundeye

- Whati
sdi
agnosi
s?

 HSV.

 var
icel
l
a.

127.(
opht
hal
mol
ogy)
Neonat
e9dayspr
esentwi
theyedi
schar
ge,

- whati
scausat
iveor
gani
sm ?

 Chl
amydi
atr
acheomi
ti
s

 n.
gonnor
hea.

- whati
str
eat
ment?

 er
ythr
omyci
n

23‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
128.(
opht
hal
mol
ogy)
Eyedi
schar
genotr
espondt
ofl
oxaci
l
li
cin…….

- Whati
sdi
agnosi
s?

 her
pessi
mpl
ex.

129.(opht
hal
mol
ogy)
Eyeswel
l
ingwi
thl
owgr
adef
everor+CRp(
per
ior
bit
al
cel
l
uli
ti
s)

- Whati
str
eat
ment?

 I
Vant
ibi
oti
cs 

130.(
opt
hal
mol
ogy)Gi
rlwi
thswol
l
enr
t.Eyel
i
dandf
ever,
hxofur
ti

- Whati
sthedi
agnosi
s?

 per
ior
bit
alcel
l
uli
ti
s.

 si
nusi
ti
s.

 or
bit
alcel
l
uli
ti
s.

131.(
opht
hal
mol
ogy)or
bit
alcel
l
uli
ti
s 

- whatt
odonext
 ?

 CTscan

Gast
roent
erol
ogyandot
her
svi
deos

132.(
GIT)
2yr
sol
dchi
l
dwi
thFTTandwast
edbut
tocksanddi
stendedabdomen 

- Whati
sdi
agnosi
s ?

 cel
i
acdi
sease.

133.(GIT)3weekoldbabywi
thscari
nRtsubcost
alar
eawi
that
ingeofj
aundi
ce
(l
ookli
kekasai
)

- Whati
sdi
agnosi
s?

 bi
l
iar
yat
resi
a.

- whatcompl
i
cat
ion?

24‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed
  l
i
verabscess.

 ascendi
ngchol
angi
ti
s.

 Per
it
oni
ti
s.

 woundi
nfect
ion

134.(
OTHERS)
Incr
easednuchalt
hicknessi
nasonar;

- Whati
sdi
agnosi
s?Downsyndr
ome

135.(
OTHERS)
Neonat
ewi
thf
eat
uresofdown 
,
…

- Whati
nvest
igat
ion?Kar
yot
ypi
ng

136.(
OTHERS)
syndr
omi
cbaby…….

- Whati
sthedi
agnosi
s?most
lyt
urnerorpr
adderwi
l
li
?

137.(
OTHERS)
shockedchi
l
d

- Whatt
odo?ABC(
air
way+i
vli
nef
lui
d)

138.  (
OTHERS)2yearoldbaby,mothercamet oOPDcompl ai
ningthatt
oday
mor ni
nghewasnotactivei
st hemorningandlazywhenshewakehi m upt
hen
videoshowingdevel
opmentalmotorandneurologi
calexaminati
onofthebaby,
thequesti
onis

- whatdodo?

 admi
tthebaby.

 di
schar
geandgi
vehi
mfol
l
owupvi
sit
.

 di
schar
gewi
thoutf
oll
owup.

 st
artwor
kup.

139.(
OTHERS)
Neonat
einNI
CUwi
thdehydr
ati
on…….

25‫ﺔ‬
‫ﻔﺤ‬‫ﺻ‬khi
dirabdal
ladr
.mohammedbyPr
epar
ed