Ronaldo 
️ = Drugs causes interstitial nephritis
️• R = Rifampicin
️• O = Omeprazole
️• N = NSAIDs
️• A = Acyclovair +Allopurinol
️• L = lactam beta antibiotics
️• D = Diuretics
️• O = Omeprazole
Remember NEMAR >>>>Churg Strauss Syndrome (CSS)
️N=Nerve lession
️E=Eosinophilia
️M=Microscopic haematouria
️A=Asthma
️R=Renal impairment
A 24 years patient presents with cough , wheeze and low grade fever , eosinophilic count is raised
which of the following is LEAST likely diagnosis
@ extrinsic allergic alveolitis.
b) salicylate abuse.
c) tropical pulmonary eosinophilia.
d)chrug strauss syndrome.
e)allergic brocho-pulmonary mycosis.
36-year-old man presents with a few days of low back pain that radiates to his buttocks and is associated with lower limb parathesiae. He now has difficulty walking, particularly on uneven surfaces. The reflexes are difficult to elicit. The most likely cause is:
A acute lumbar disc prolapse
B vertebral collapse secondary to malignant infiltration
C acute porphyria
D Guillain-Barré syndrome
E post infectious transverse myelitis
A 14-year-old girl is admitted to hospital following a ruptured ectopic pregnancy. She comes from a family of Jehovah’s Witnesses. Her haemoglobin on admission is 6.9 g/dl. She consents to a blood transfusion but her mother refuses.
What is the most appropriate course of action?
○♡●Give blood transfusion ??
●♡○Not give blood transfusion ??
In a patient who is aged over 50 or under 3 months of age, what is an appropriate addition to ceftriaxone for the empirical management of meningitis?
1.Amoxicillin 2g 6 hourly
2.Gentamicin
3.Vancomycin
4.Rifampicin
5.Amoxicillin 1g 8 hourly
Medical Knowledge Self-Assessment Program (MKSAP) is an authoritative resource for residents and physicians designed by the American College of Physicians.
MKSAP offers premium review material on the following 11 subspecialty sections:
- Cardiovascular Medicine
- Dermatology
- Endocrinology and Metabolism
- Gastroenterology and Hepatology
- General Internal Medicine
- Hematology and Oncology
- Neurology
- Pulmonary and Critical Care Medicine
- Rheumatology
- Infectious Medicine
- Nephrology
A 32 years old woman with taype 1 diabetes mellitus has had progressive renal failure over the past 2 years she has not yet started dialysis examination shows no abnormalities her hemoglobin concentration is 9g/DL haematocrit is 28% and mean corpuscular volume is 94 . a blood smear shows normochromic normocytic cells which of the following most likely cause
A acute blood loss
B erythrocyte enzyme deficiency
C erythropoietin deficiency
D immunohemolysis
E sickle cell disease
A patient with HIV presents with a sudden onset of confusion. CMV encephalitis is suspected. What treatment should be commenced?
1.Ceftriaxone
2.Aciclovir
3.Nil required
4.Ganciclovir
5.Dexamethasone
A 25 year old female presents with a malodourous vaginal discharge. It is greenish in colour and is frothy. She also reports that her vulva and vagina are itchy and sore. What is the most likely diagnosis? Rx ?
1.Candidiasis
2.Chlamydia
3.Gonorrhoea
4.Trichomoniasis
5.Bacterial Vaginosis
A 68 year old male who is on long term steroids for polymyalgia rheumatica presents with a dry cough, shortness of breath and pyrexia. His saturations are 96%. There is very little to hear on auscultation of the chest with no crackles. Over his trunk there is evidence of vesicles and pustules. His grandson has chickenpox. A chest X-ray is normal. Which of the following should be commenced?
1.Hyperimmunoglobulin
2.Nil specific required
3.Oral aciclovir
4.IV aciclovir
5.IV co-amoxiclav