Medicine Infection, allergy and immunology 1. Diabetic patient developed fever, productive cough and SOB. Labs show high WBC. CXR (picture was given which showed lower lobe infiltrates + air-fluid level). The drug that will be given to the patient acts on which of the following? A. DNA gyrase B. 30 S ribosome C. 50 S ribosome D. Transpeptidase Answer: C
ﺑﺴﻢ ﷲ اﻟﺮﺣﻤﻦ اﻟﺮﺣﯿﻢ ھﺬا اﻟﻌﻤﻞ ﻗﺎﺋﻢ ﺑﺸﻜﻞ أﺳﺎﺳﻲ ﻋﻠﻰ ﻣﻠﺰﻣﺔ 13ﻟﻌﺎم ،2016 ﺗﻤﺖ ﻣﺮاﺟﻌﺔ ﺟﻤﯿﻊ اﻷﺳﺌﻠﺔ ﻣﻦ ﻗِﺒﻞ ﻋﺪد ﻣﻦ أطﺒﺎء اﻹﻣﺘﯿﺎز ،دﻓﻌﺔ 2017ﺑﺎذﻟﯿﻦ ﻗﺼﺎرى ﺟﮭﺪﻧﺎ ﻟﻠﻮﺻﻮل إﻟﻰ أﻓﻀﻞ اﻹﺟﺎﺑﺎت اﻟﻤﻤﻜﻨﺔ واﻹﺳﺘﻌﺎﻧﺔ ﺑﻤﺼﺎدر ﻣﺨﺘﻠﻔﺔ ﻟﺘﻮﺛﯿﻖ اﻹﺟﺎﺑﺎت. اﻟﻔﺎرق ﻓﻲ ﻋﺪد ﺻﻔﺤﺎت ھﺬه اﻟﻨﺴﺨﺔ ﻋﻦ اﻟﻨﺴﺨﺔ اﻟﺴﺎﺑﻘﺔ ﻧﺘﺞ ﺑﺴﺒﺐ زﯾﺎدة اﻟﺸﺮح واﻟﻤﺼﺎدر ﻓﻲ ھﺬه اﻟﻨﺴﺨﺔ. ﻛﻞ اﻟﺸﻜﺮ ﻟﺠﻤﯿﻊ ﻣﻦ ﺷﺎرك ﻓﻲ ھﺬا اﻟﻌﻤﻞ واﻟﺸﻜﺮ ﻣﻮﺻﻮل ﻟﺰﻣﻼﺋﻨﺎ اﻟﻘﺎﺋﻤﯿﻦ ﻋﻠﻰ اﻟﻨﺴﺨﺔ اﻷﺳﺎﺳﯿﺔ ﻣﻦ ﻣﻠﺰﻣﺔ 13ﻣﻦ اﻟﺪﻓﻌﺎت اﻟﺴﺎﺑﻘﺔ ،ﺟﻌﻠﮭﺎ ﷲ ﻓﻲ ﻣﻮازﯾﻦ ﺣﺴﻨﺎﺗﮭﻢ ﺟﻤﯿﻌﺎ ً. ﻓﻲ ﻧﮭﺎﯾﺔ اﻷﻣﺮ ھﺬا اﻟﻌﻤﻞ ھﻮ ﻋﻤﻞ ﺑﺸﺮي وﻻ ﯾﺨﻠﻮ ﻣﻦ اﻟﺨﻄﺄ ،وﻓﻲ ﺣﺎل وﺟﻮد أي ﺧﻄﺄ ﻧﺮﺟﻮ اﻟﺘﻮاﺻﻞ ﻣﻌﻨﺎ ﻋﻠﻰ اﻹﯾﻤﯿﻞ: Smle432@gmail.com ﻛﻤﺎ ﻧﺘﻤﻨﻰ ﻣﻦ اﻟﺠﻤﯿﻊ اﻟﻤﺸﺎرﻛﺔ ﻓﻲ ﺗﺠﻤﯿﻊ اﺳﺌﻠﺔ 2018/2017ﻋﻠﻰ اﻟﻔﻮرم اﻟﺘﺎﻟﻲ https://goo.gl/vF5Wgx وﻻ ﺗﻨﺴﻮﻧﺎ ﻣﻦ دﻋﺎﺋﻜﻢ ﺑﺎﻟﺘﻮﻓﯿﻖ ﺟﻤﯿﻌﺎ ً
*ﺗﻨﻮﯾﮫ :اﻟﻤﺤﺘﻮى ﻣﻄﺎﺑﻖ ﻟﻠﻤﺬﻛﺮة اﻟﻘﺪﯾﻤﺔ ﻟﻜﻦ ﻣﻊ اﻻﺧﺘﻼف ﻓﻲ ﺗﺮﻗﯿﻢ ﺑﻌﺾ اﻷﺳﺌﻠﺔ.
Because effective broad-spectrum antibiotics are available, primary or nonspecific abscesses can frequently be arrested in the early stage of suppurative pneumonitis. Whereas penicillin was long the antibiotic of choice, trials have shown clindamycin to be superior Reference: http://emedicine.medscape.com/article/428135-overview#showall 2. Patient with ventilator associated pneumonia. Culture showed lactose non-ferment- ing, gram negative motile bacilli producing greenish colony + Oxidase positive. What is the organism? A. Haemophilus influenzae B. Streptococcus pneumoniae C. Klebsiella or other gram negative bacteria D. Pseudomonas aeruginosa Answer: D
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