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Course management (2025/26)

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A 50 year old man is undergoing a neurophysiological study of the reflex arc timing for different reflexes in his right leg, as a part of follow up after a nerve injury. His knee jerk recorded an arc time that was short compared to flexor withdrawal reflex.

Which is the most likely explanation for this difference?

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A 50-year-old woman develops a headache, confusion, and seizures. Imaging reveals thrombosis of the sinus at the junction of the falx cerebri and tentorium cerebelli.

Which sinus is most likely involved?

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A 29-year-old nurse working in the radiology department attends an occupational health review. She frequently assists with interventional radiology procedures and is often in close proximity to imaging equipment, such as fluoroscopy machines. Despite adhering to safety protocols, including the use of lead aprons and dosimeters, she is concerned about the immediate health effects associated with her occupational exposure to ionizing radiation.

What is the most significant immediate occupational health problem associated with her exposure?

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A 25 year old university student presents to the emergency department with a fever, headache, neck stiffness, and a purpuric rash. Lumbar puncture shows cloudy cerebrospinal fluid with elevated protein, decreased glucose, and a high neutrophil count. Gram stain reveals Gram-negative diplococci.

Which is the most likely causative organism?

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A 27 year old medical intern is subject to severe pain from a wide bore needle injury to his little finger while performing a lumbar puncture on a patient.

Which site is most likely responsible for discrimination of this sensation?

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A 50-year-old woman presents with hemiplegia on the right side and paralysis of eye muscles on the left side. By examination, the lateral rectus and superior oblique muscles of the left eye were not affected. The case was diagnosed as Weber’s syndrome with oculomotor nerve paralysis.

Which is the most likely level of the lesion?

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A company has developed and tested the safety of a new antidiabetic drug. Now they want to compare the efficacy and safety of the drug to the currently used gold standard therapy.

What is the company supposed to do to achieve this goal?

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A 17-year-old woman is admitted to the hospital with tonsillitis. A tonsillectomy is performed and the patient complains postoperatively of ear pain.

Which single nerve was most likely to be injured during this surgical procedure?

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A pharmaceutical company has developed 200 compounds as potential therapies for Covid-19 targeting the viral RNA polymerase. What is the company supposed to do to assess which of the drugs most efficiently inhibits the SARS-CoV-2 virus?

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Occupational disease is defined as any disease contracted as a result of an exposure to risk factors arising from work activity.

Which is the first occupational disease that was recognized by the Egyptian law?

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