I n t e r n a L medicine questions Bank

) All the following are true in regards to corticosteroid withdrawal after kidney transplant except :

a ) Acute rejection is more likely in blacks
b ) Avoidance of steroids may be more effective than withdrawal
c ) If achieved without acute rejection , it does not affect graft survival x d ) Results in acute rejection in approximately 30 % of patients
e ) Reduces the need for antihypertensive therapy .

15. 
    ) The use of which one of the following immunosuppressant therapies is not Associated with hyperlipidemia ?
    

B ) Cyclosporine C ) Rapamycine
D ) Mycophenolate mofetil xxxx E ) Prednisone

Part 2

1. 
   the drug that act on cell wall:
   vancomysin
   

2. 
   the most virulant baceria:
   

strep a b hemolytic

3. 
   patient with hypotention post op u suspect the cauuse to be hypovolemia one will confirm it in urine:
   

-urine Na 40
-urine\plasma creatinine ratio 20

• 
  na execretion ratio less than 1
  

4. 
   primary survey all must be done exept
   

-radiogaphs and selecting fractures
-airway patency
-disability
-circulation elmohem A B C D

5. 
   all antibiotcs affects anerobes exept:
   

-metronidazole
-chloramphenicole
-clindamycein
-cefalaxin? 2 من واحد الجواب هوnd generation cephalosporines

6. 
   not important in prevention of surgical infections during surgery
   

• 
  dec number of persons in OR
  

-masks and gloves
-air handeling systems

• 
  taking shower to the surgeon pre op had eljwab
  

7.