1. This topic in IMP in BOTH MCQ and OSCE

2. توضح لاحقا

4. DIF : More common Usually from trauma

6. Usually the x ray show no changes but sometimes it shows : مهمه MCQ sequestra

7. MCQ NB : C reactive protein reach its maximum in 5 days and if the pt, treated appropriately it disappear in 5 days MCQ

8. Last option

10. توضح بالتفاصيل لاحقا BUT remember the most common causative organism is S, aruse in most of the age groups

11. مهمه : لا تستثني المرض بمجرد عدم وجود حراره Broad speculums Abx

12. So it is rare

13. Could be STD, blood born

14. MCQ

15. For all the previous groups start the treatment for 3 days  if no improvement reassess from the beginning

17. So it common in the Tebia because it is superficial

18. Debridement1 st line

22. No need for Empirical treatment مهمه

23. 1 st step in treatment : Deep specimen in multiple foci also do surgical debridement

24. NB L: in pt, with Hardware and chronic OM  wait for the full healing of the fracture then remove the hardware NB : Glycocalyx : ترسبات تمنع مرور المضادات الحيويه

27. MCQ

31. -DM pt. - post OP Steps of the treatment : 1- send to the OR and wash ( immediate to prevent joint destruction ) مهمه – سؤال 2-give empirical Abx and do culture 3- use specific Abx

37. Chronic monoseptic By : Brucellosis Gonorrhea

40. NB : Laminar flow : الهواء المنقى يدفع على المريض مباشره

42. MCQ

43. Time is IMP MCQ

44. من التيم ولم تشرح من الدكتور