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[h] Hematology & Oncology System Flashcards

[i] Master this session in just 5 minutes.

[q] What is the most likely diagnosis?

7 years old child presenting with multiple bone fracture at different stage of healing, cigarette burns + the child is trying to avoid eye contact during examination + his parent has history of substance abuse?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IENoaWxkIFBoeXNpY2FsIGFidXNlLg==

Q2hpbGQgYWJ1c2UgaXMgYSBtYW5kYXRvcnkgcmVwb3J0YWJsZSBvZmZlbnNlIHVwIHRvIGFnZSAxOC4gRmFpbHVyZSB0byBkbyBzbyBpcyBjcmltaW5hbCBvZmZlbnNlLiBJZiBjYXNlIGlzIHJlcG9ydGVkIGluIGVycm9yLCB0aGUgcGh5c2ljaWFuIGlzIHByb3RlY3RlZCBmcm9tIGxlZ2FsIGxpYWJpbGl0eS4gUGh5c2ljaWFucyBzaG91bGQgaGF2ZSBhIGhpZ2ggaW5kZXggb2Ygc3VzcGljaW9uIGZvciBwaHlzaWNhbC9zZXh1YWwgYWJ1c2UgaW4gY2hpbGRyZW4gd2l0aCBzdWRkZW4gYmVoYXZpb3JhbCBwcm9ibGVtcywgc3RyZXNzZnVsIGZhbWlseSBlbnZpcm9ubWVudHMsIG9yIHBhcmVudHMgd2l0aCBhY3RpdmUgZHJ1Zy9hbGNvaG9sIGFidXNlLg==[Qq]

[q] What is the most likely diagnosis?

12 years old female child presenting with sexually transmitted infection, during examination there is genital and anal trauma + the child is trying to avoid eye contact during examination?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IENoaWxkIFNleHVhbCBhYnVzZS4=

Q2hpbGQgYWJ1c2UgaXMgYSBtYW5kYXRvcnkgcmVwb3J0YWJsZSBvZmZlbnNlIHVwIHRvIGFnZSAxOC4gRmFpbHVyZSB0byBkbyBzbyBpcyBjcmltaW5hbCBvZmZlbnNlLiBJZiBjYXNlIGlzIHJlcG9ydGVkIGluIGVycm9yLCB0aGUgcGh5c2ljaWFuIGlzIHByb3RlY3RlZCBmcm9tIGxlZ2FsIGxpYWJpbGl0eS4gUGh5c2ljaWFucyBzaG91bGQgaGF2ZSBhIGhpZ2ggaW5kZXggb2Ygc3VzcGljaW9uIGZvciBwaHlzaWNhbC9zZXh1YWwgYWJ1c2UgaW4gY2hpbGRyZW4gd2l0aCBzdWRkZW4gYmVoYXZpb3JhbCBwcm9ibGVtcywgc3RyZXNzZnVsIGZhbWlseSBlbnZpcm9ubWVudHMsIG9yIHBhcmVudHMgd2l0aCBhY3RpdmUgZHJ1Zy9hbGNvaG9sIGFidXNlLg==[Qq]

[q] What is the most likely diagnosis?

9 years old female child that looks malnourished with failure to thrive and bad hygiene and has social withdrawal?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IENoaWxkIG5lZ2xlY3Qu

QXMgd2l0aCBjaGlsZCBhYnVzZSwgc3VzcGVjdGVkIGNoaWxkIG5lZ2xlY3QgbXVzdCBiZSByZXBvcnRlZCB0byBsb2NhbCBjaGlsZCBwcm90ZWN0aXZlIHNlcnZpY2VzLg==[Qq]

[q] Domestic Violence is (mandatory, not mandatory) to report?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IE5vdCBhIG1hbmRhdG9yeSByZXBvcnRhYmxlIG9mZmVuc2UgaW4gbW9zdCBzdGF0ZXMu[Qq]

[q] What is the most likely diagnosis?

8 months child presenting by his parents with bulging/tense anterior fontanelle, and altered mental status, posterior rib fractures + the parent has history of substance abuse and telling you that he has a difficulty to handle the excessive crying of his baby?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEFidXNpdmUgaGVhZCB0cmF1bWEgKHNoYWtlbiBiYWJ5IHN5bmRyb21lKS4=

VGhlIHBhdGllbnQgc2hvdWxkIHVuZGVyZ28gbm9uY29udHJhc3QgaGVhZCBDVCBzY2FuIHRvIGV2YWx1YXRlIGZvciBpbnRyYWNyYW5pYWwgaW5qdXJ5LCBmdW5kb3Njb3BpYyBleGFtaW5hdGlvbiB0byBleGNsdWRlIHJldGluYWwgaGVtb3JyaGFnZSBhbmQgYSBza2VsZXRhbCBzdXJ2ZXkgdG8gaWRlbnRpZnkgb3RoZXIgaW5qdXJpZXMu

[q] What is the most likely diagnosis?

20 years old female presenting with discomfort about her sex assigned at birth and telling you that she feels like she is a male trapped in female body and desire to live as the opposite sex. She is not happy with her secondary sexual characteristics and started to take androgen to decrease her breast size?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEdlbmRlciBkeXNwaG9yaWEu

JiM4MjExOyBQaHlzaWNpYW5zIHNob3VsZCBwcm92aWRlIG5vbmp1ZGdtZW50YWwgc3VwcG9ydCBhbmQgZW5jb3VyYWdlIHRoZSBpbnZvbHZlbWVudCBvZiBzdXBwb3J0aXZlIGZhbWlseS9mcmllbmRzIGFzIGVhcmx5IGFzIHBvc3NpYmxlLg==

– Adolescents with gender dysphoria are at increased risk of depression, anxiety, and bullying, which should be monitored, and they may benefit from mental health evaluation and treatment in addition to medical interventions.

[q] What is the most likely diagnosis?

30 Years old male presenting with Erectile dysfunction with sudden onset although he still has morning erection, the patient has marital problems recently?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFBzeWNob2dlbmljIEVELg==[Qq]

[q] The most common method of suicide in US is …..?

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[f]IGZpcmVhcm1zLg==[Qq]

[q] Active suicidality is associated with intent and plan for self-harm. The first step in the care of patients with active suicidality is ……?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IHRvIGVuc3VyZSB0aGVpciBzYWZldHkgYnkgYWRtaXR0aW5nIHRoZW0gdG8gYSBwc3ljaGlhdHJpYyB1bml0IChpbnZvbHVudGFyaWx5LCBpZiBuZWNlc3NhcnkpLg==

[q] What is the most likely diagnosis?

22 years old male presenting with excessive daytime sleepiness + loss of all muscle tone following strong emotional stimulus, such as laughter + hallucinations just before going to sleep + Sleep paralysis + low CSF level of hypocretin-1?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IE5hcmNvbGVwc3ku

[q] …… is considered a first-line pharmacotherapy as it reduces daytime sleepiness, is generally well tolerated, and has less abuse potential compared with traditional stimulants (amphetamines, methylphenidate)?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IE1vZGFmaW5pbCwgYSBub25hbXBoZXRhbWluZSBtZWRpY2F0aW9uIHRoYXQgcHJvbW90ZXMgd2FrZWZ1bG5lc3Mu

[q] What is the most likely diagnosis?

72 years old male presenting with decreased total sleep time, Increased nighttime awakenings, sleepiness earlier in the evening with earlier morning awakening, and increased daytime somnolence (napping).

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IE5vcm1hbCBhZ2UtcmVsYXRlZCBzbGVlcCBjaGFuZ2VzLg==

Tm8gZnVydGhlciB3b3JrdXAgaXMgbmVjZXNzYXJ5LCBhbmQgcGF0aWVudHMgc2hvdWxkIGJlIHJlYXNzdXJlZCB0aGF0IHRoZXNlIGNoYW5nZXMgYXJlIG5vcm1hbC4=[Qq]

[q] ….. involves recurrent awakenings from REM sleep associated with full alertness and dream recall. It should be differentiated from ……, which are characterized by partial arousals, unresponsiveness, and lack of dream content.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IE5pZ2h0bWFyZSBkaXNvcmRlciwgbm9uLVJFTSBzbGVlcCB0ZXJyb3JzLg==[Qq]

[q] Somnambulism (Sleep-walking) occurs in ……..

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[f]IHN0YWdlIDQgc2xlZXAgKERlbHRhKS4=[Qq]

[q] ……. helps initiate sleep.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFNlcm90b25pbi4=[Qq]

[q]…… produces arousal and wakefulness. Rises with waking.

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[f]IERvcGFtaW5lLg==[Qq]

[q] ……. is the biochemical trigger for REM sleep.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFJhdGlvIG9mIEFDaCBhbmQgTkUu[Qq]

[x][restart]

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