A middle-aged man presents with a cough and fever lasting several weeks. Posteroan- terior chest radiograph shows a prominent
paratracheal area on the right, lymphadenopa- thy, a cavitary opacity in the right upper lobe, and a focal consolidation in the middle lung zone on the right. CXR shown below. What is the dx?

2. What is the cause to use every year influenza vaccine?

3. Man eating rice only, he has gingival and tongue lesions. Which of the following deficiency you will find ?

4. Young adult came complaining of painless penile ulcer, what is the appropriate investigation to do?

5. 3. A patient with tuberculosis on medication for 3 months. He developed pins and needles sensation of his lower limbs. Deficiency of which of the following caused his symptoms?

6. Enteric fever resistance to chloramphenicol, what’s next?

7. Immune deficient pt : what vaccine could be given :

8. UTI case patient resistant to B LACTAMS, sensitive to fluoroquinolones, chloramphenicol, aminoglycosides which drug is contraindicated:

9. What is the optimal duration of antibiotic treatment in strep throat?

10. 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?

11. 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?

12. Patient has UTI organism grows on both antiseptic & detergent

13. Best prophylactic against traveler’s diarrhea :

14. HIV patient ... (symptoms of intestinal obstruction) did intestinal resection. They found tumor white in color nearly encircling the wall. What is the tumor?