25 cardsEgyptian Medical Licensing Examination (EMLE)
EMLE Clinical Guidelines and High-Yield Medical Facts
Essential diagnostic criteria, emergency management steps, pharmacological indications, and clinical guidelines for the Egyptian Medical Licensing Examination.
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ECG Leads in Inferior Myocardial Infarction
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1
ECG Leads in Inferior Myocardial Infarction
ST-segment elevation in leads II, III, and aVF, most commonly caused by acute occlusion of the Right Coronary Artery (RCA).
2
Heart Failure Reduced EF (HFrEF) Mortality-Reducing Drugs
ACE inhibitors / ARBs / ARNIs, beta-blockers (bisoprolol, carvedilol, metoprolol succinate), mineralocorticoid receptor antagonists (spironolactone), and SGLT2 inhibitors.
3
Spontaneous Bacterial Peritonitis (SBP) Diagnostic Criterion
Ascitic fluid absolute neutrophil count (ANC) >= 250 cells/mm^3. Treat with IV cefotaxime/ceftriaxone plus IV albumin.
4
Initial Treatment Priority in Diabetic Ketoacidosis (DKA)
Aggressive isotonic crystalloid fluid resuscitation (0.9% normal saline 1000-1500 mL/hr) before starting IV regular insulin infusion.
5
Severe Hyperkalemia Acute Cardiac Membrane Stabilization
Intravenous Calcium Gluconate (10 mL of 10% solution over 2-3 minutes) to prevent fatal arrhythmias; does not lower potassium.
6
CURB-65 Pneumonia Severity Score Threshold for ICU
Confusion (+1), Urea > 19 mg/dL (+1), Respiratory rate >= 30 (+1), BP < 90/60 (+1), Age >= 65 (+1). Score >= 3 mandates hospital/ICU admission.
7
Wernicke Encephalopathy Classic Triad & Treatment
Confusion, ataxia, and ophthalmoplegia/nystagmus. Administer IV thiamine (Vitamin B1) immediately before any glucose infusion.
8
Beck's Triad of Cardiac Tamponade
Hypotension with narrowed pulse pressure, jugular venous distention (elevated JVP), and muffled/distant heart sounds.
9
Tension Pneumothorax Immediate Emergency Management
Immediate needle thoracocentesis (large-bore cannula in 2nd ICS midclavicular or 4th/5th ICS anterior axillary line) followed by tube thoracostomy.
10
Parkland Burn Resuscitation Formula (24 Hours)
4 mL weight (kg) %TBSA burn of lactated Ringer's. Give first 50% in first 8 hours post-burn; remaining 50% over next 16 hours.
11
Triple Assessment for Suspicious Breast Mass
Clinical examination, radiological imaging (bilateral mammography + ultrasound), and histopathology via core needle biopsy.
12
Courvoisier's Sign in Obstructive Jaundice
Palpably enlarged, non-tender gallbladder with painless jaundice indicates malignant obstruction (pancreatic head adenocarcinoma), not gallstones.
13
Calot's Hepatobiliary Triangle Boundaries
Bounded by cystic duct laterally, common hepatic duct medially, and inferior liver border superiorly. Contains the cystic artery.
14
Glasgow Coma Scale (GCS) Score Components
Eye Opening (1-4), Verbal Response (1-5), Motor Response (1-6). Total ranges from 3 (deep coma) to 15 (fully conscious).
15
Infantile Hypertrophic Pyloric Stenosis Triad & Chemistry
Non-bilious projectile vomiting, palpable epigastric olive mass, and hypochloremic, hypokalemic metabolic alkalosis.
16
Kawasaki Disease Diagnostic Signs & Lethal Complication
Fever >= 5 days plus bilateral conjunctivitis, strawberry tongue, polymorphous rash, cervical lymphadenopathy, extremity edema. Complication: coronary artery aneurysms.
17
Intussusception Clinical Triad & Sonographic Sign
Intermittent colicky pain (knees to chest), sausage-shaped mass, 'currant jelly' stools, and concentric 'target/doughnut' sign on ultrasound.
18
Ethosuximide Mechanism of Action in Absence Seizures
Blocks low-voltage-activated T-type calcium channels in thalamic relay neurons, suppressing 3-Hz generalized spike-and-wave paroxysms.
19
Severe Pre-eclampsia Diagnostic Thresholds
BP >= 160/110 mmHg with end-organ dysfunction (severe headache, visual scotomata, pulmonary edema, platelet < 100k, creatinine > 1.1).
20
Magnesium Sulfate in Severe Pre-eclampsia / Eclampsia
Drug of choice for seizure prophylaxis. Loading dose 4-6 g IV over 15-20 min, maintenance 1-2 g/hr. Check patellar reflexes and respiratory rate.
21
Placenta Previa vs Abruptio Placentae Key Distinction
Placenta previa = painless, bright red bleeding (digital exam contraindicated). Abruptio placentae = painful, dark bleeding with uterine hypertonus.
22
Four T's of Primary Postpartum Hemorrhage (PPH)
Tone (uterine atony, 70-80%), Trauma (genital lacerations, 20%), Tissue (retained placenta, 10%), Thrombin (coagulopathy, 1%).
23
Anti-D Immune Globulin (RhoGAM) Schedule in Rh-Negative Pregnancy
Administer 300 mcg at 28 weeks gestation to unsensitized Rh- mothers, and within 72 hours postpartum if the newborn is Rh-positive.
24
WHO Surgical Safety Checklist Three Phases
1. Sign In (before induction), 2. Time Out (before skin incision), 3. Sign Out (before patient leaves the operating room).
25
SBAR Structured Clinical Communication Framework
S = Situation (immediate concern), B = Background (clinical history), A = Assessment (vital signs/findings), R = Recommendation (action needed).
Egyptian Medical Licensing Examination (EMLE) in Egypt
In Egypt, Egyptian Medical Licensing Examination (EMLE) is part of: Health professions.
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