Recall : Rejection of kidney, + elevated LFT: CMV A renal transplant patient presents with rising creatinine and elevated liver function tests. He also has low-grade fever and malaise. CMV PCR comes back positive. What is the most likely cause of his current condition? A) Acute rejectionB) Drug-induced hepatotoxicityC) CMV infectionD) Hepatitis C reactivation Correct […]

 Recall :   Rejection of kidney, ttt= Valganciclovir   Note : valacyclovir has been shown to reduce the risk of acute rejection. Valganciclovir is an antiviral. It is used to treat infections caused by viruses. This medicine is also used to prevent CMV disease in patients who have received an organ transplant (eg, heart, kidney, […]

Recall : Graves with hypokalemia with quadriplegia: hypokalemia with graves. “A 30-year-old female with a history of hyperthyroidism presents with weakness, quadriplegia, and hypokalemia. Her labs show a potassium level of 2.5 mEq/L. What is the most likely diagnosis?” A) Graves’ disease with hypokalemic paralysisB) Myasthenia GravisC) Guillain-Barré syndromeD) Hyperkalemic periodic paralysis right is : […]

Recall :  Legionella case , diarrhea with hyponatremia “A 45-year-old patient presents with fever, cough, diarrhea, and confusion. Lab results show hyponatremia and mild liver enzyme elevation. Chest X-ray reveals patchy infiltrates. What is the most likely diagnosis?” A) Legionella pneumoniaB) Salmonella infectionC) Viral pneumoniaD) Mycoplasma pneumonia right is : A) Legionella pneumonia ليجيونيلا (Legionella […]

Recall : PCP case , dyspnea on exertion “A 30-year-old patient with HIV presents with progressive dyspnea on exertion, fatigue, and a dry cough. Chest X-ray shows bilateral infiltrates. What is the most likely diagnosis?” A) Pneumocystis pneumonia (PCP)B) TuberculosisC) Acute bronchitisD) Pulmonary embolism right is A) Pneumocystis pneumonia (PCP)

 A 61-year-old man with a 20-year history of type 2 diabetes mellitus is evaluated for bilateral burning sensation in his feet for the last 8 months, which worsens at night His Haemoglobin A1c levels have remained less than 7 0% for the last 1 years but were between 9 0% and 10.0% before adding insulin […]

Q-. Dm with neuropathy , what improves a. Glycemic control

 Recall : Specific for SLE: anti Sm another recall : A 22-year-old woman presents to the clinic with a 2-month history of polyarthralgia, skin rash, mucosal ulcers, and fatigue. Clinical examination reveals a malar rash on her face and active arthritis in several joints. Her lab results are as follows: Which of the following tests […]

Amidest – metro elbohoth – passport – small water – write quest – 25q/30 minut – read from down up 1. Bp 190/120 + RI a. Decrease mean by 30 % b. Decrease systolic to 160 over 6 h c. Decrease diastolic to 110 over 6h