Théra-Méd Part 2

Chloroquine base 300mg ស្មើchloroquine phosphate:

Dose toxic Chloroquine.

Dose total de chloroquine phosphate for adult

Duration de traitment de chloroquine

Dose Chloroquine by bodyweigh

Dose toxique de paracetamol

Dose lethal de paracetamol

Antidote paracetamol

Dose toxic for children

���្នាំប៉ារ៉ាស៝ឝាម៉ុលលើសកម្រិឝពុលដល់សរីរាង្គ៖

���ើម៝រោគគ្រុនចាញ់Plasmodiumមានប៉ុន្មានប្រភ៝ទ៖

ACTs សម្រាប់ព្យារបាលជម្ងឺគ្រុនចាញ់៖

���រណីគ្រុនចាញ់ធ្ងន់ធ្ងរAdultឝើឝ្រូវប្រើArtesunate IVឬIM:

ACTsជាអក្សរព៝ញ៖

���រណីគ្រុនចាញ់ធ្ងន់ធ្ងរChildrenឝើឝ្រូវប្រើArtesunate IVឬIM

Primaquine ព្យារបាលជម្ងឺគ្រុនចាញ់ប្រភ៝ទVivax រយះព៝លៈ

���រណីPrimaquineមិនអាចប្រើលើប្រជាជនឝ្មែរឝ្លះក្នុងរយះព៝ល១៤ឝ្ងៃជាប់គ្នាអាចមានជម្រើសប្រើរយះព៝លវែងល៝បម្ឝង១ព៝ល១សប្ឝាហ៝ដោយប្រើរយះព៝ល៖

���្នកជម្ងឺគ្រុនចាញ់មានDeficiency G6PD Primaquineអាចឲ្យ៖

Dose primaquine

���ីវិឝសឝ្វមូសអាចរស់បានរយះព៝ល៖

(CS) A 19-year-old man has donated blood for the first time. Despite having no risk factors for human immunodeficiency virus (HIV) infection, his blood tests positive for HIV by enzyme immunoassay (EIA). Which of the following statements is correct?

(CS). A24-year-old woman complains of pain every time she eats or drinks anything. She is HIV positive, but currently not on any antiretroviral therapy. Her last CD4 count was 250/mm3. Select the most likely pathogen causing infection.

(CM).A 44-years patient HIV + develops severe cough and shortness of breath on exertion. On examination, he appears dyspneic, respirations 24/min, pulse 110/min, and oxygen saturation 88%. His lungs are clear on auscultation and heart sounds are normal. CXR shows bilateral diffuse peri-hilar infiltrates. Bronchoscopy and bronchial brushings show clusters of cysts that stain with methenamine silver (silver staining). Which of the following is the most appropriate next step in management?

A31-year-old woman presents with symptoms of vulvar itching and burning made worse by urinating. She has no fever or frequency, but has noticed a recent whitish vaginal discharge. Clinical examination reveals vulvar erythema, edema, and fissures. On speculum examination, there is a white discharge with small white plaques loosely adherent to the vaginal wall. Which of the following treatments is appropriate for her asymptomatic HIV+ male sexual partner?

(CS).A 19-year-old woman HIV+ , CD4 = 450/mm3 was traveling in a rural Kandal. She returned 3 weeks ago and, over the past few days, has gradually developed lower abdominal pain and diarrhea. Now the symptoms are much worse with 10 stools a day consisting mostly of mucus and blood. She is febrile, the abdomen is tender in left lower quadrant, and the remaining examination is normal. Her stool is mostly comprised of blood and mucus. Which of the following is the most likely causative organism?

(CS) A 22-year man HIV+ under HAART with viral load of HIV underdetected is back travel from Kampong som. Ten days after arriving, she develops symptoms of anorexia, malaise, and abdominal cramps followed by a sudden onset of watery diarrhea. There are no symptoms of fever or chills, and the stools are nonbloody. The most likely pathogen causing infection.

(C S).A 25-year-old HIV+ patient known more than 10 years without Anti Retro Viral treatment . On day he develops severe head ache and right hemiplesia. On examination, he appears malaise, head ache and right hemiplesia, BP: 14/8 mm/Hg, pulse 80/min, and his CD4 count 57 cells /mm3 Which of the following is the most appropriate next step in diagnosis?

Concernant le traitement des condylomes, quel est votre choix dans les formes diffuses vulvaires chez la femme

Quel est la portion du trajet de nerf facial qui est attaint pour la fracture de rocher?

Comment pouvez-vous mettre en evidence une paralysie faciale chez un patient comateux?

���ោលបំណងនៃ associations les antibiotiques?

Le sphincter anal interne est :

Parmi les actions suivantes des laxatifs stimulants, une action est correcte:

Regarding acute pulmonary edema and cardiogenic shock, which of the following statement is the most appropriate?

Which of the following physical examination findings suggests acute pulmonary edema?

Mrs. X-67 years old with a long history of HTN and diabetes mellitus admits to emergency department with dyspnea at rest preceded by chest pain. Her BP is 70/40mmHg with pulse of 110bpm and SaO2: 88% in room air. Physical examination finds crackles in both lungs with cold skin.ECG shows Q wave with T negative in leads DII, III and avF. Chest X-ray finds alveolar edema with left pleural effusion.Which of the following is the most likely diagnosis?

The acute pulmonary edema is suspected, which of the following test is the most appropriate in diagnosis?

QUESTION 1. The most frequent cause of UGI bleeding is:

After initial stabilization and resuscitation of the patient, each of the following Options should be considered in the management of UGI bleeding except:

Endotracheal intubation for airway protection in the management of UGI bleeding should be considered:

A 73 year old man presents with several episodes of hematemesis. Examination shows signs of orthostatic hypotension and melena. What is the first priority in caring for this patient?

An important risk factor for peptic ulcer hemorrhage includes:

For the patient who is now stable after a severe UGI bleed associated with NSAID ingestion, and who is found to be H.pylori positive, what is the most effective management strategy?

For the patient with an UGI bleed and the endoscopic finding of a clean ulcer, the most appropriate management includes:

A sixty-six-year old man presents to the emergency department with a history of one episode of melena. Past history includes coronary artery disease, hypertension . He is on one baby aspirin daily. An urgent upper endoscopy is negative. What is the most appropriate next step?

A fifty-eight year old female patient presents to the emergency department with a 24-hour history of several hematemesis. She is found to be hypotensive and anemic. Resuscitative measures are instituted. What is the most appropriate next step?

A fifty-eight year old female patient presents to the emergency department in Calmette hospital with a 24-hour history of several hematochesia. Physical examination show: hypotension, and anemia. Both the upper endoscopy and colonoscopy are not diagnostic. The patient continues to pass clots per rectum. Resuscitation has normalized her vital signs and maintained her Hct at 32%. What is the most effective management strategy?

A 65-year-old woman has a prior history of hospitalization for UGI bleeding from a duodenal ulcer. Which one of the following therapies is not useful for preventing recurrent ulcer hemorrhage?

A 68-year-old healthy woman with a history of duodenal ulcer is placed on low-dose aspirin for coronary prophylaxis. Two weeks later she presents to the emergency room in Calmette hospital with one episode of melena . Physical examination showed : blood pressure and resting heart rate of 90 beats per minute without orthostatic changes. Melena is confirmed on rectal examination. Her admission hematocrit is 36%. She is placed on highdose proton pump inhibitor therapy (omeprazole 40 mg b.i.d.). Due to other complications, endoscopy is not performed until the tenth hospital day, and it shows a small (5 mm) duodenal ulcer with a clean base. Biopsy for CLO test is negative. Which one of the following should be performed now?

An 82-year-old debilitated woman with coronary artery disease and breast cancer presents with hematochezia requiring 4 units of blood. Following colonic preparation, colonoscopy demonstrates fresh blood in the left colon with marked diverticulosis. The right colon is normal and bilious material is seen in the cecal pole. Upon withdrawal of the colonoscope, there was active oozing of blood from the neck of a diverticulum in the distal sigmoid colon. The most appropriate management now is

A 65-year-old presents with iron-deficiency anemia, refractory to iron treatment. No history of overt gastrointestinal bleeding, but fecal occult blood tests were positive on 4 of 5 occasions. A previous EGD showed a large hiatal hernia. Two colonoscopies and a small bowel radiographic series were unremarkable. An endoscopic finding of a repeat EGD is shown ulcerative esophagitis. Which of the following is the most appropriate management of this condition?

A 62-year-old woman with a past medical history of chronic renal insufficiency presents with iron-deficiency anemia and intermittent melena for 2 months requiring multiple blood transfusions. She underwent multiple endoscopic investigations, including EGD, colonoscopy, CT scan of the abdomen and pelvis, and upper gastrointestinal series. No bleeding source was identified. Wireless capsule endoscopy shows multiple vascular abnormalities in the jejunum . Which of the following is the most like diagnosis?

A 68-year-old man presents with intermittent episodes of hematochezia for several months. His stools are normal, but he passes blood clots a few times per week. His past medical history is significant for prostate cancer, for which he received radiation therapy 4 years ago. He denied any weight loss or diarrhea. Physical examination is unremarkable. An endoscopic view of the rectum showed: rectum appears with friability and telangiectasia pale. These findings are limited to the distal rectum. Which of the following is the most likely diagnosis?

Regarding patients with upper GI bleeds which is incorrect?

Which of the following therapies is proven to reduce mortality and morbidity in bleeding peptic ulcers?

Which is not true of bleeding oesophageal varices?

(CS) A 19-year-old man has donated blood for the first time. Despite having no risk factors for human immunodeficiency virus (HIV) infection, his blood tests positive for HIV by enzyme immunoassay (EIA). Which of the following statements is correct?

(CS) A 22-year-old married woman has an High risk factors for human immunodeficiency virus (HIV) infection, ( her husband died of HIV+ 1 years ago) her blood tests for many times was Negative for HIV by enzyme immunoassay (EIA) . Which of the following statements is correct?

(CS) Parmi les manifestation suivantes, le quelle sont classante pour le stade de SIDA?

(CS) La positivité de l `Antigen p 24 est possible à partir de :

La prévention de la pneumocystose pulmonaire chez un VIH

La positivité d`un test ELISA est possible à partir de :

Le risque de transmission du VIH d`une mèreà son enfanten absent de traitement :

Parmi les propositions suivantes, lequel est correct :