مذكرة القصيم
مذكرة القصيم
هذه السأئلة تم جمعها و حلها من قبل مجموعة من خريجي كلية الطب بجامعة القصيم .وهم )
-1محمد الحربي -2 ,عبدا فيصل الخميس -3 ,عبدا المنيفي -4 ,مهند الحربي -5 ,
عبدا صالح الخميس -6 ,هاني الجهني -7 ,ياسأر الوابلي -8 ,ماجد الحربي -9 ,لؤي العبدي
-10 ,منصور الصغير -11عبدالملك البكر (
أتمنى أن تكون هذه السأئلة جيده من حيث الترتيب و التنسأيق ,والجابات الصحيحة ,علما ا بأن
الجابات هي عبارة عن اجتهاد قد تحتمل الخطأ .وهذا الملف يحتوي على قرابة اللف سأؤال هذه
السأئله تم جمعها من خلل موقع الكاديميه الطبيه و من بعض الذين سأبق لهم الختبار من
.مختلف المناطق .فشكرا ا لكل من قام بكتابة السأئله
503) Lactating women presented with breast engorgment and tendress Your
managements:
the correct answer is a . tis case is ( engorgement of breast ) . but if there are
redness , swelling , fever this case is ( mastitis ) and choose b
a. IM
b. IV
c. Oral
d. Sublingual
506) The most important exogenous risk factor for osteoporosis is:
a. Alcohol intake
b. Age
c. Smoking
d. Lack of exercise
507) Patient with family history of coronary artery disease his BMI= 28 came to you
asking for the advice:
-very vague question , some books avoid Phenobarbital during breast feeding if
possible. And in American academy of pediatric classified Phenobarbital as adrug
that cause major advers effect in some nursing infant, and should be given to
nursing women with cation .
510) A known case of chronic atrial fibrillation on the warfarin 5 mg came for follow up
you find INR 7 but no signs of bleeding you advice is:
7-10 Stop warfarin for 2 days; decrease weekly dosage by 25% or by 1 mg/d for next week (7 mg
total); monitor INR
4.5-7 Decrease weekly dosage by 15% or by 1 mg/d for 5 days of next week (5 mg total); repeat
monitor INR
3-4.5 Decrease weekly dosage by 10% or by 1 mg/d for 3 days of next week (3 mg total); repeat
monitor INR.
2-3 No change.
1.5-2 Increase weekly dosage by 10% or by 1 mg/d for 3 days of next week (3 mg total);
<1.5 Increase weekly dose by 15% or by 1 mg/d for 5 days of next week (5 mg total);
a. Isotonic exercise
b. Isometric exercise
c. Anerobic exe
d. Yogha
a. Inhibit cycloxgenase
b. Inhibit phospholipase A2
c. Inhibit phospholipid D
b. Active hepatitis C
514) A boy felt down on his elbow , the lateral x-ray shows:
a. SVC obstruction
b. IVC obstruction
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516) Patient is presented with hand cellulitis and red streaks in the hand and tender
axillary lymphadenopathy. This condition is more likely to be associated with:
a. Malignancy
b. Pyoderma
c. Neuropathy
d. Lymphangitis
the correct answer is b (I'm not sure )
516) Young aged male presented to ER after blunt trauma to Abdomen, CT scan shows
intramural hematoma: your management is
b. Dissection of duodenum
c. Observation
517) Patient presented with sore throat, anorexia, loss of appetite , on throat exam
showed enlarged tonsils with petechi on palate and uvula , mild tenderness of
spleen and liver :DX
a. Group A strep
. b. EBV
518) Patient with GERD has barret esophagus , this metaplasia increase risk of :
a. Adenocarcinoma
b. Squmaou cell carcinoma
the correct answer is a
a.CHF
b. ……
a. Cephalexin
b. Ceftriaxone
c. Metronidazole
d. Vancomycin
e. Ampicillin
a. ANA levels
b. Sex
c. Age
d. Renal involvement
The correct answer is d
a. Epiphysis
b. Diaphysis
c. Metaphysis
d. Blood flow
Breath holding spells are the occurrence of episodic apnea in children, possibly associated with
loss of consciousness, and changes in postural tone. They are most common in children between
6 and 18 months and usually not present after 5 years of age. They are unusual before 6 months
of age. A positive family history can be elicited in 25% of cases. It may be confused with a seizure
disorder.
1-The most common is termed simple breath holding spell, in which the manifestation is the
holding of breath in end expiration. There is no major alteration of circulation or oxygenation
and the recovery is spontaneous.
2-The second type are the Cyanotic breath-holding spells. They are usually precipitated by anger
or frustration although they may occur after a painful experience. The child cries and has forced
expiration sometimes leading to cyanosis (blue in color), loss of muscle tone, and loss of
consciousness. The majority of children will regain consciousness. The child usually recovers
within a minute or two, but some fall asleep for an hour or so. Physiologically, there is often
hypocapnea (low levels of carbon dioxide) and usually hypoxia (low levels of oxygen. There is no
"post ictal" phase (as is seen with seizures), no incontinence, and the child is fine in between
spells. EEGs are normal in these children. There is no relationship to the subsequent
development of seizures or cerebral injury as a consequence of breath holding spells.
3-In the third type, known as Pallid breath-holding spells, the most common stimulus is a
painful event. The child turns pale (as opposed to blue) and loses consciousness with little if any
crying. The EEG is also normal, and again there is no post ictal phase, nor incontinence. The child
is usually alert within a minute or so. There may be some relationship with adulthood syncope in
children with this type of spell.
4- A fourth type, known as Complicated breath-holding spells, may simply be a more severe
form of the two most common types. This type generally begins as either a cyanotic or pallid
spell that then is associated with seizure like activity. An EEG taken while the child is not having a
spell is still generally normal.
DX: clinical , good history include sequence of event , lack of incontinence and no post ictal
phase. Treatment : reassurance and iron.
524) Infant brought by the mother that noticed that the baby has decreasing feeding ,
activity and lethargic On examination febrile(39), tachycardic ,his bp 75/30, with
skin rash . DX:
a.Septic shock
Q not complete
a. BB ( beta-blocker )
b. PTU
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526) Infant presented with hemangioma on the back . your management is:
b. Topical corticosteroids
c. Excise of the lesion
527) Pregnant lady , 34 wk GA , presented with vaginal bleeding more than her
menstruation. On examination , cervix is dilated 3 cm with bulging of the
membrane, fetal heart rate = 170 bpm . The fetus lies transverse with back facing
down . us done and shows that placenta is attached to posterior fundus and
sonotranulence behind placenta. Your management is :
a. C/S
b. Oxytocin
c.Tocolytics
d.Amniotomy
the correct answer is a
529) In irritable bowel S. the following mechanism ?contraction and slow wave
myoelectricity seen in:
a.Constipation
b. Diarrhea
530) Female patient presented with tender red swelling in the axilla with history of
repeated black head and large pore skin in same area: ttt is
a. Immidate surgery
b. Topical antibiotic
c. Cold compressor
d. Oral antibiotic
531) In indirect hernia the relation of the sac to the cord structure is:
a. Anteromedial
b. Anterolateral
c. Posteromedial
d.Postrolateral
a. Parainfluenza
b. Influenza
534) in cachectic patient, the body utilize the proteins of the muscles :
535) patient is complaining of memory loss. Alzehimer disease is diagnosed what is the
cause of this:
Q not complete
536) Parents brought their baby to you who is on bottle feeding. On exam whitish
lesion on either side of teeth seen with blackish lesion on maxillary incisors and
second molar teeth. There is history of leaving the baby with bottle in his mouth
during sleeping. The Dx:
b.Gingvostomatis
537) Which of the following medication if taken need to take the patient immidiatly to
the hospital:
a. Penicillin
b. diphenhydramine
c. OCPs
d. Quinine or Quinidine
538) 43 y/o female presented with severe DUB other examination normal . your
management is
a. D &C
b. Ocps
c. Hysterectomy
d. Blood transfusion
539) Baby with vesicles on the face and honey comb crust which of the following
organism cause it: Staph aureus
540) Female patient presented with migraine headache which is pulsatile, unilateral ,
increase with activity . Dosn't want to take medication. Which of the following is
appropriate:
a. Bio feedback
b. TCA
c. BB
Biofeedback has been shown to help some people with migraines. Biofeedback is a
technique that can give people better control over body function indicators such as
blood pressure, heart rate, temperature, muscle tension, and brain waves. The two
most common types of biofeedback for migraines are thermal biofeedback and
electromyographic biofeedback.
541) Infant born with hemangioma on the rt eyelid what is appropriate time to
operate to prevent amylopia:
a. 1 day
b. 1 week
c. 3 months
d. 9 months
542 ) Young patient on anti TB medication presented with vertigo which of the
following drug cause this:
a. Streptomycin
b. Ethambutol
c. Rifampcin
the correct answer is a , streptomycin cause 8th nerve damage.
544) Picture show large ulcer over medial side of the leg . what is your management
a. Shave biobsy
c. Topical steroids
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545) 2months infant with white plaque on tongue and greasy ,past h/o clamydia
conjunctivitis after birth treated by clinamycin what is ttt:
a. Oral nystatin
b. Topical steroids
c. Topical acyclovair
d. Oral tetracycline
the correct answer is a. oral nystatin : antifungal
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546) child rt ear pain and tenderness on pulling ear , no fever , O/E inflamed
odemateous rt ear canal with yellow discharge >>>>>>>>>>dx:
a. Otitis media
b. Otitis externa
c. Cholesteatoma
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547) 34y female with HIV pap smear negative, about cervical cancer screening :
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549) child with moderate persistant BA On bronch.dilat inhaler. Presented with acute
exacerbation what will you add in ttt:
a. Corticosteroid inhaler
b. Ipratropum bromide inhaler
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551) lactating women 10 days after delivary developed fever ,malaise, chills tender Lt
breast with hotness and small nodule in upper outer quadrant with axillary LN
.Leucocytic count was 14 *10/L dx:
a. Inflammatory breast cancer
b. Breast abscess
c. Fibrocystic disease
552) 70y male with osteoporosis the T score of bone densometry would be :
a. -3.5
b. -2.5
c. 1
d. 2
e. 3.5
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554) scenario about female underwent abdominal operation she went to physician
For check……….. U/S reveal metal thing inside abdomen (a.e missed during operation)
What will you do :
a. Call the surgeon and ask him what to do
b. Call attorney and ask about legal action
c. Tell her what you found
d. Tell her that is one of possible complications of operation
e. Don't tell her what you found
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555) male ptn with scaly fine papular rash on fornt of scalp,nose and
retroauricular……..(i think tinea capitis) ttt is:
a. Ketoconazole cream…
b. Oral augmentin
c. ……… cream
557) 48year old female lost her menstruation for 2 cycles, the method of
contraception is condom, examination was normal except for dusky
discoloration of the cervix. What u will do next:
a.Progesterone challenge.
b.Beta HCG.
c.Pelvic u/s
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559) 15 y/o female complaining of pain during menstruation, not sexually active,
medical hx unremarkable, physical examination normal, how to treat:
a- NSAID.
b- Danazole.
c-
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562) A pregnant lady came to you to screen her fetus for down syndrome, what is the
best method:
a. Amniocentesis. + Karyotyping
b. Choriocentesis.
c.
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565) A child came to ER with fever, stridor, … , x-ray showed swollen epiglottis, in
addition to oxygen, what u will do?
a. Throat examination.
b. An emergency tracheostomy.
c. Endotracheal intubation.
d. Nasopharyngeal intubation.
566) 24 y/o female newly diagnosed type 2 DM, she is wearing glasses for 10 years,
how frequent she should follow with ophthalmologist:
a. Every 5 years.
b. Annually
567) What is the initial management for a patient newly diagnosed knee
osteoarthritis.
a. Intra-articular corticosteroid.
b. Reduce weight.
c. Exercise.
d. Strengthening of quadriceps muscle.
568) A lady came to your clinic said that she doesn’t want to do mammogram and
preferred to do breast self- examination, what is your response?
a- Mammogram will detect deep tumor.
b- Self-examination and mammogram are complementary.
c- Self-examination is best to detect early tumor
answer is a ( I'm not sure because MCQs not complete and depend on age of pt.
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569) What is the best frequency for breast self-examination?
a. Daily.
b. Weakly.
c. Monthly.
d. Annually.
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a. breast feeding
b. oxytocin
c. ???
574) child with aspirin intake overdose ...what kind of acid base balance:
a. metabolic alkalosis wt respiratory
b. metabolic acidosis wt respiratory alkalosis
c. respiratory alkalosis with metabolic acidosid
d. respiratory acidosis with metabolic alkalosis
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The correct answer is b , I'm not sure because MCQs are not complete.
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the correct answer is b , I'm not sure , but with these mcqs , b is correct.
a. family Hx
b. failed marrige
d. presence of psychosis
581) Rt lung :
a. have 1 fissure
b. contain 7 segment
c. ??? read about lung anatomy segment names!!
Rt lung has 3 lobes & 10 segments (medial basal segment only in inf. Lobe of Rt lung)
Lft lung has 2 lobes & 9 segments (Lingular segments in lft lung)
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584) patient with upper abdominal pain, nausea vomitting,with back pain, he is
smoker for long time daily, fecal fat was +ve
a. acute pancreatitis
b. chronic pancreatitis
c. pancreatic CA
585) in school, 10 of patient had the dis of the first week , then 30 pt. had the dieses
the next week , the percentage infection of this school is:
a. 10%
b. 20%
c. 30%
d. 40%
586) patient had headche describe it as aband around his head, increase with stress
and , i dont remeber the ques DX is:
a. tension headache
b. migraine
c. cluster headache
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587) Patient was presented by bollus in his foot , biopsy showed sub dermal lysis ,
fluorescent stain showed IgG , what is the most likely diagnosis :
A. Bolus epidermolysis .
B. Pemphigoid vulgaris .
C. Herpetic multiform .
D. Bullous pemphigoid .
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588) Patient was presented by difficulties of breathing from one side of his nose , on
examination there was erythramatus swelling , what is the best initial treatment :
A. Decongestant .
B. Steroid .
C. Sympathomimetics . ??
589) Patient with cystic nodule (acne) and scars , what is the best treatment :
A. Retinoin .
B. Erythromycin .
C. Doxycyclin .
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590) Patient was presented by constipation, vomiting , abdominal distension , with old
scar in the lower abdomen , x ray showed dilated loops with air in the rectum ,
what is the best initial management :
A. NGT decompression , and IV line .
B. Rectal decompression and antibiotics .
C. Suppositories .
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Hepatitis B is the only vaccine prepared by genetic engineering so its not living vaccine.
592) Six years old child was born to a mother with hepatitis B , he does not received
any vaccines before , what you will give now :
A. DTP , MMR , Hib
B. DTP , MMR .
C. DT , MMR , Hib
D. DT, MMR .
both Pertussis & H.influenza vaccine are not needed after 1 year of age.
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593) Which of the following describes the end of the early inflammatory phase .
A. Formation of eschar .
B. Formation of ground base of collagen .
C. The end of angiogenesis .
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594) Female patient , known case of VitD deficiency , smoking , and recurrent fall,
which of the following is the greatest exogenous risk for osteoporosis :
A. Advanced age .
B. Recurrent fall .
C. Vit D .
D. Smoking .
Advanced age & female gender are the most important factors for osteoporosis but
they are endogenous. Smoking is an independent exogenous risk factor for
osteoporosis
Very vague question. We can exclude hypoglycemic agents. Short acting insulin is
best in emergencies like DKA as it can be given IV. We can use either long acting
alone daily or a mixture of short & intermediate acting insulin daily. Basal & bolus ,
( short acting + intermediate or long ), bolus’ of short-acting or very-short-acting
insulin before meals to deal with the associated rise in blood-sugar levels at these
times. In addition, they take an evening injection of long- or intermediate-acting
insulin that helps normalise their basal (fasting) glucose levels. This offers greater
flexibility and is the most commonly adopted method when intensified insulin
therapy is used to provide optimal glycaemic control.
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lavage is effective only 1 hour after ingestion of any poison. After that its ineffective
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598) SSRI was prescribed to a patient with depression , the effect is suspected to be
within :
A. One day .
B. Two weeks .
C. Three to four weeks .
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???????
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600) Partner lost his wife by AMI 6 months ago , presented by loss of appetite , low
mood , sense of guilt , what is the diagnosis :
A. Beverament .
B. Major depression episode .
The correct answer is a
601) An adult was presented by sore throat , congestion , fatigue , petechia in soft
palate , tender spleen , and liver , what is the most likely diagnosis :
A. EBV .
Only 1 choice?
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602) Patient was presented by blepharitis , acne roseca , but no keratitis , what is the
best treatment :
A. Topical chlorophenicol .
B. Topical gentamicin .
C. Oral doxycyclin .
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603) Diabetic patient was presented by spastic tongue , dysarthria , spontenous crying
what is the most likely diagnosis :
A. Parkinson .
B. Bulbar palsy .
C. Pseudobulbar .
D. Myasthenia gravis .
This is a bit tricky. Bulbar palsy is the LMNL of the last 4 CN, while pseudobulbar
palsy is the UMNL of the last 4 CN. So spasticity of tongue is UMNL. But Diabetes
causes LMNL of cranial nerves due to peripheral neuropathy. So maybe the cuase
here is CNS affection due to atherosclerosis from macroangiopathy of diabetes.
604) Which of the following is describe the normal developmental stage for 6 months
old child :
A. Sits without support .
B. Rolls front to back . (7-8 months)
C. No head lag . (3 months)
D. Stand alone . (1 year)
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607) Patient was presented by ear pain , red tympanic membrane , apparent vessels ,
with limited mobility of the tympanic membrane , what the most likely diagnosis :
A. Acute otitis media .
B. Tympanic cellulitis .
C. Mastoditis .
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609) Eight years old child with late systolic murmur best heard over the sterna border ,
high pitch , crescendo , decrescendo ,>> diagnosis is :
A. Physiological murmur .
B. Innocent murmur .
C. Ejection systolic murmur .
D. Systolic regurgitation murmur .
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610) Child was presented by coryza , skin rash , conjunctivitis , and multiple spots in the
mouth :
A. Measles .
B. Rubella .
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bulimia is aka bing eating which means the patient eats a lot then does forced
vomiting so there is loss of acids & electrolytes which leads to hypokalemia &
metabolic alkalosis.
612) Maximum spinal height is reached after menarche by how many years ?
A. Months .
B. Two years .
C. Three years .
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613) Pregnant lady 34 weeks of gestation presented by vaginal bleeding , which of the
following is relevant to ask about :
A. Smoking .
B. Desire of future pregnancy .
C. The result of last pap smear .
D. Hx of vaginal irritation .
The correct answer is a , because smoking is an important risk factor for antepartum
he
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614) Female patient with marginal placenta previa , with 6 cm dilated cervix , what is
your management :
A. Fetal monitoring .
B. Delivery if fully dilated .
C. Tocolytics >
I couldn’t find the answer correctly so based upon the given data, fetal monitoring
is a must in any case of high risk pregnancy. Also as the PP is marginal, there is
possibility of delivery without severe PPH and the cervix is already dilated.
615) Which of the following drugs increase the survival in a patient with heart failure :
A. Beta blocker .
B. ACE inhibitors .
C. Digoxin .
D. Nitrites .
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616) Elderly patient presented by SOB , rales in auscultation , high JVP , +2 lower limb
edema , what is the main pathophysiology :
A. Left ventricular dilatation .
B. Right ventricular dilatation .
C. Aortic regurgitation.
D. Tricuscpid regurgitation .
Difficult question. Here we have both symptoms of Lft ventricular failure (SOB,
Rales) & Rt ventricular failure (High JVP & LL edema). So, more commonly lft
ventricular failure leads to rt ventricular failure due to overload and not vice versa .
so the most correct is Lft ventricular dilatation.
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617) Patient with high output fistula , for which TPN was ordered , after 2 hours of the
central venous catheterization , the patient become comatose and unresponsive ,
what is the most likely cause :
A. Septic shock .
B. Electrolytes imbalance .
C. Delayed response of blood mismatch .
D. Hypoglycemia .
E. Hypernatremia .
618) Female patient presented by tender mass below the axilla , with previous history
of pores and black heads in that’s area <<< what is your management :
A. Go to surgery immediately .
B. Oral antibiotics .
C. Topical antibiotics .
D. Steroid .
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619) Child was presented by erythema , and swelling in his hand after 18 hours of bee
sting , what is your management in this case :
A. Epinephrine .
B. Antihistaminic drugs .
C. Hospitalization .
18 hours is a long duration so its unlikely to be anaphylactic shock & more likely a
regular reaction to bee stings so antihistaminics is the best solution
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621) Child was presented by congested throat , coryza , high grade fever , which of the
following is true regarding this condition :
A. Viral > bacterial .
B. Bacterial > viral .
C. Antibiotics should be given any way .
D. It is most likely due to EBV .
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623) 60 years old patient presented by recurrent venous thrombosis including superior
venous thrombosis , this patient most likely has :
A. SLE .
B. Nephrotic syndrome .
C. Blood group O .
D. Antiphospholipid syndrome .
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624) Elderly male patient was presented by left lower abdomen tenderness , fever ,
elevated WBC count , what is the most likely diagnosis :
A. Inflammatory bowel .
B. Diverticulitis .
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625) 22 years old male patient was presented by recurrent attacks of diarrhea ,
constipation , and abdominal pain relieved after defecation , but no blood in the
stool , no weight loss : what is the diagnosis :
A. Irritable bowel Syndrome
626) Patient was presented by back pain relieved by ambulation , what is the best
initial treatment :
A. Steroid injection in the back .
B. Back bracing .
C. Physical therapy .
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628) Elderly male patient underwent colectomy for colon cancer in which
micrometastais was detected in the lymph nodes , what is the best explaniation :
A. Good prognosis .
B. Liver metastasis .
C. It is sensitive to chemotherapy . (Dukes class C cancer best for chemotherapy)
D. It is locally advanced .
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630) Female patient was presented by dysurea , epithelial cells were seen urine
analysis , what is the explanation in this case :
A. Contamination .
B. Renal cause
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632) Young female patient presented by pain during the first 2 days of menses ,
menarche was 2 years back , what is your initial treatment :
A. OCP .
B. NSAID .
The correct answer is b , NSAID it is the best initial treatment for dysmenorrheal
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633) Female is planning to get pregnant , she want to get MMR vaccine also , what is
your action :
A. Delay the pregnancy 2-3 months after vaccination .
B. It is safe during pregnancy .
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634) Which of the following is true regarding varicella vaccine during breast feeding :
A. It is safe .
B. No breast feeding except after 3 days of the immunization .
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635) Patient underwent abdominal surgery due to intestinal perforation many years
back , presented by abdominal pain , distension , constipation , what is the best
investigation in this case :
A. Barium enema .
B. Ultrasound .
C. Small bowel barium study .
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637) Patient with AMI and multiple PVC , is your treatment for this arrhythmia :
A. Amiadrone .
B. No treatment .
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639) Which the following is the commonest complication of patient with chronic atrial
fibrillation :
A. Sudden death .
B. Cerebra vascular accidents .
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640) Which of the following is most likely seen in case of active glomerlonephritis :
A. RBC casts .
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
644) Pregnant woman with suspected DVT , what is the best initial investigations :
A. Duplex US .
B. D dimer .
C. Platysomgraphy .
D. Venogram .
The correct answer is a
……………………………………………………………………………………………………………………………………………………..
646) Patient serology showed antibodies to the surface antigen for hepatitis B , what is
your diagnosis :
A. Previous infection or immunization .
B. Chronic carrier .
C. Highly infective .
……………………………………………………………………………………………………………………………………………………..
647) Young male patient presented by acute scrotal pain , US showed reduced blood
flow , what is the diagnosis :
A. Testicular torsion .
B. Trauma .
C. Infection .
D. Hernia .
……………………………………………………………………………………………………………………………………………………..
648) Female patient is sure that she is pregnant for 2 months , on examination , the
uterus is larger than suspected , B-hcg is very high , the doctor diagnosed her as
having tumor which is chemo sensitive , what is the diagnosis :
A. Ovarian cancer
B. Endometrial cancer .
C. Gestational trophoblastic .
……………………………………………………………………………………………………………………………………………………..
649) Which of the following is true regarding infertility :
A. It is Failure to conceive withing 6 months . (1 year)
B. Male factor > female factors . (the reverse)
C. It could be due to high prolactin levels .
D. Rare to be due anovulotion . (common)
E. Only diagnosed by HSG . (need full lab & imaging investigations)
650) 32 years old female patient presented by irregular menses , menses occurs every
two months , on examination every thing is normal , which of the following is the
LEAST important test to ask about first :
A. CBC .
B. Pelvic US .
C. Coagulation profile .
D. DHES .
……………………………………………………………………………………………………………………………………………………..
651) Patient with early rheumatoid arthritis , what is your management to decrease
the limitation of movement :
……………………………………………………………………………………………………………………………………………………..
652) Patient with truncal obesity , easy bruising , hypertension , buffalo hump , what is
the diagnosis :
A. Cushing .
……………………………………………………………………………………………………………………………………………………..
The correct answer is a , or pneumonia would be more correct if it was the answer
……………………………………………………………………………………………………………………………………………………..
655) Child with hemangioma around the eye , operation should be done within ……… :
A. 1 Week
B. 3 months .
C. 6 months .
……………………………………………………………………………………………………………………………………………………..
????
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
660) You have an appointment with your patient at 10 am who is newly diagnosed
DM , you came late at 11 am because you have another complicated patient ,
what are you going to say to control his anger :
A. Do not say any thing .
B. Told him that there is another patient who really need your help .
……………………………………………………………………………………………………………………………………………………..
661) Well known case of DM was presented to the ER with drowsiness , in the
investigations : Blood sugar = 400 mg/dl , pH = 7.05 , what is your management ?
A. 10 units insulin + 400 cc of dextrose .
B. 0.1 unit/kg of insulin , subcutaneous .
C. NaHCO .
D. One liter of normal saline .
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
665) 14 years old girl complaining of painless vaginal bleeding for 2-4 days every
3Weeks to 2 months ranging from spotting to 2 packs per day; she had 2ry sexual
ccc 1 year ago and had her menstruation since 6 months on clinical examination
she is normal sexual ccc, normal pelvic exam appropriate action
……………………………………………………………………………………………………………………………………………………..
666) 4 years old child what can he do
b. Speak in sentences
the correct answer is a , if copy square 4 years , but if copu circle 3 years
……………………………………………………………………………………………………………………………………………………..
667) baby can sit without support, walk by holding fourniture, Pincer grasp, pull to
stand how old is he
a. 8 months
b. 10 months
c. . 12 month
d. 18 month
668) Patient came after deep laceration at the anterior part of the wrist:
a. Wrist drop
b. Sensory loss only
c. Claw hand
d. Unable to do thumb opposition
……………………………………………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………………………………………….
.
670) COPD patient with emphysema has low oxygen prolonged chronic high CO2, the
respiratory drive is maintained in this patient by:
a. Hypoxemia
b. Hypercapnemia
c. Patient effort voluntary
d. ?
……………………………………………………………………………………………………………………………………………………..
671) Child with ear pain with positive pump test for tympanic membrane, treatment is:
a. Maryngiotomy
b. Amoxicillin/Potassium …….
?
The correct answer is a
672) Patient has fatigue while walking last night. He is on atrovastatin for 8 months,
Ciprofluxacin, Dialtizem and alphaco….. the cause of this fatigue is:
a. Dialtizem and Atrovastatin
b. Atrovastatin and Ciprovluxacin
c. Atrovastatin and Alphaco
d. ?
the correct answer is b ( I'm not sure )
……………………………………………………………………………………………………………………………………………………..
673) Patient with ischemic stroke present after 6 hours, the best treatment is:
a) ASA
b) TPA
c) Clopidogril
d) IV heparin
e) Other anticoagulant
……………………………………………………………………………………………………………………………………………………..
674) Patient with lateral and vertical diplobia, he can’t abduct both eyes, the affected
nerve is:
a) II
b) III
c) VI
d) V
675) Infant with heamangioma on forehead obscuring the vision, best thing to do is to
remove the lesion to avoid amblyobia, after:
a) One day
b) One week
c) One month
d) 6 months
e) One year
……………………………………………………………………………………………………………………………………………………..
676) Photophobia, blurred vision, keratic ?? behind cornea and cells in anterior
chamber, the best treatment is :
a) Topical antifungal
b) Topical Acyclovir
c) Antibiotic
d) ?
……………………………………………………………………………………………………………………………………………………..
677) Most common medical problems faced in primary health care is:
a) Coryza
b) UTI
c) Hypertension
d) Diabetes
……………………………………………………………………………………………………………………………………………………..
678) Old lady afraid of Osteoprosis, to avoid the risk, you should advise her to do:
a) Weight bearing exercise
b) ?
c) ?
d) ?
Q is not complete.
679) Obese lady with essential hypertension, lab work showed: high Na, High K, The
reason for Hypertension is:
a) Obesity
b) High Na intake
c) High K intake
d) ?
The correct answer is a , more than 85% of essential hypertension with BMI >
25 .
…………………………………………………………………………………………………………………………………………………….
.
……………………………………………………………………………………………………………………………………………………..
681) Single thyroid nodule showed high iodine uptake, best treatment is:
a) Radio Iodine 131
b) Send home
c) Antithyriod medication
d) Excision if present
……………………………………………………………………………………………………………………………………………………..
683) Young patient with congested nose, sinus pressure, tenderness and green nasal
discharge, has been treated three times with broad spectrum antibiotics
previously, what is your action?
a) Give antibiotic
b) Nasal corticosteroid
c) Give anti histamine
d) Decongestant
……………………………………………………………………………………………………………………………………………………..
Q is not complete , all MCQs are wrong , may be choice d is correct if mention .
……………………………………………………………………………………………………………………………………………………..
685) Male patient has hair loss started as fronto-temporal and moving toward the
vertex (top of the head) the diagnosis is:
a) Androgenic alopecia
b) Tinea Captus
c) ?
d) ?
……………………………………………………………………………………………………………………………………………………..
686) Young healthy male has abdominal pain after basketball. Examination fine except
for Left paraumbilical tenderness, what to do:
a) Abdominal US
b) Flat plate graph
c) Send home & reassess within 48 hours
d) ?
687) 10 year-old boy with ….to tell that spinal cord length will stop after:
a) ?
b) ?
Length stop at L1 \ L2
……………………………………………………………………………………………………………………………………………………..
688) Child with atopic dermatitis at night has stridor plus barking cough on and off
from time to time, diagnosis is:
a) BA
b) Croup
c) Spasmadic Croup
d) ?
……………………………………………………………………………………………………………………………………………………..
689) Sickle cell anemia patient presented with asymptomatic unilateral hip pain, most
likely diagnosis is:
a) Septic arthritis
b) Avascular Necrosis
c) ?
……………………………………………………………………………………………………………………………………………………..
690) Best drug to treat depression in children and adolescent is:
a) Fluxetine (Prozac)
b) ?
……………………………………………………………………………………………………………………………………………………..
691) Old male with neck stiffness, numbness and parasthesia in the little finger and
ring finger and positive raised hand test, diagnosis is:
a) Thoracic outlet syndrome
b) Impingement syndrome
c) Ulnar artery thrombosis
d) Do CT scan for Cervical spine
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
694) Child was sick 5 days ago culture taken showed positive for meningococcal.
Patient now at home and asymptomatic your action will be:
a) Rifampicin
b) IM Ceftrixone
c) ?
d) ?
Q not complete ( i.m ceftriaxon single dose or oral rifampicin 2-5 days )
……………………………………………………………………………………………………………………………………………………..
695) Infant with bright blood, black stool and foul smelling stool. Best way to know the
diagnosis:
a) US
b) Radio Isotop scan
c) Angiogram
d) ?
……………………………………………………………………………………………………………………………………………………..
697) A vaccination for pregnant lad with DT
a) Give vaccine and delivery within 24 hrs
b) Contraindicated in pregnancy
c) Not contraindicated in pregnancy
d) ?
……………………………………………………………………………………………………………………………………………………..
698) A study done to assess the risk of long taking Ca in two groups the diseased group
with long Ca plus control according to geographical location, site, and population.
It adds (??) this type of study:
a) Cohort
b) Case Control (retrospective)
c) Correlation study
d) ?
Cross-Sectional Study:
status of individual with respect to presence and absence of both exposure and
disease assessed at one point in time
…………………………………………………………………………………………………………………………………………………….
.
701) Using gastric lavage :
a) Useless after 8 hours of ASA ingestion
b) No benefit after 6 hours of TCA ingestion
c) ?
The correct answer is a
……………………………………………………………………………………………………………………………………………………..
702) 10 years old child with rheumatic fever treated early, no cardiac complication.
Best to advice the family to continue prophylaxis for:
a) 1 month
b) 3 ys
c) 4 ys
d) 15 ys
……………………………………………………………………………………………………………………………………………………..
704) Patient with nausea, vomiting, and diarrhea developed postural hypotension.
Fluid deficit is:
a) Intracellular
b) Extracellular
c) Interstitial
……………………………………………………………………………………………………………………………………………………..
706) Best way to decrease pain in elderly with bilateral knee pain and crepitation is:
a) NSAID
b) Decrease weight
c) Exercise
d) ?
707) Young female with whitish grey vaginal discharge KOH test ?? smell fish like
diagnosis is:
a) Gonorrhea
b) Bacterial Vaginosis
c) Trachomanous Vaginalis
d) ?
……………………………………………………………………………………………………………………………………………………..
708) Old lady with osteoporosis asked for treatment for prevention:
a) VIT. D
b) VIT. E
c) Retonic Acid
d) ?
……………………………………………………………………………………………………………………………………………………..
709) Young male with morning stiffness at back relieved with activity and uveitis:
a) Ankylosing Spondylitis
b) ?
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
711) High risk for developing colon cancer in young male is:
a) Smoking, high alcohol intake, low fat diet
b) Smoking, low alcohol intake, high fat diet
c) Red meat diet, garden’s disease (Gardner syndrome)
d) Inactivity, smoking
……………………………………………………………………………………………………………………………………………………..
714) Patient came with neck swelling, ,moves when patient protrude his tongue.
Diagnosis is:
a) Goiter
b) Tyroglossus Cyst
c) Cystic Hygroma
d) ?
……………………………………………………………………………………………………………………………………………………..
715) Pregnant patient came with neck swelling and multiple nodular non-tender goiter
the next evaluation is:
a) Thyroid biopsy
b) Give anti-thyroid medication
c) Radiation Iodine
d) TSH & Free T4, or just follow up
716) Young patient with HTN came complaining of high blood pressure and red, tender,
swollen big left toe, tender swollen foot and tender whole left leg. Diagnosis is:
a) Cellulitis
b) Vasculitis
c) Gout Arthritis
d) ??
The correct answer is a , because tender and swollen whole left leg.
……………………………………………………………………………………………………………………………………………………..
717) What is the injection that is routinely given to newborn to inhibit hemorrhage:
a) Vit. K
b) Vit. C
c) Vit. D
d) Vit. E
……………………………………………………………………………………………………………………………………………………..
718) Patient with strong genetic factor for colon cancer, what is the medication that
could decrease the risk of colon cancer:
a) Folic Acid.
b) Vit. C
c) Vit. K or A
d) Vit. E
The correct answer is a ( folaic acid and vit. C both are prevent colon cancer , but
folat reduce risk in people who genic predisposing )
……………………………………………………………………………………………………………………………………………………..
719) Patient with asthma, well controlled by albutarol, came complaining of asthma
symptoms not respond to albutarol, what medication could be added:
a) Corticosteroid inhaler
b) Long acting B-agonist
c) Oral corticosteroid
d) Theophyline
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
722) Patient came with upper respiratory tract infection with red conjunctiva, the
cause is:
a) Viral infection
b) Bacterial infection
c) Fungal infection
d) ?
……………………………………………………………………………………………………………………………………………………..
723) Healthy patient with family history of DM type 2, the most factor that increase
chance of DM are:
a) HTN and Obesity
b) Smoking and Obesity
c) Pregnancy and HTN
d) Pregnancy and Smoking
724) Patient complaining of back pain and hypersensitive skin of the back, on
examination, patient had rashes in the back, tender, red base distributed as blunt
shape on the back, diagnosis is:
a) Herpes Zoster
b) CMV
c) ?
d) ?
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
726) Blood culture show gram negative rod shape that grow only on charcoal free
fungal organism is:
a) Staph. Aureus
b) Chlamydia
c) Klebsiella
d) Mycoplasma
All above are wrong , legionella : grame negative rod growth on charcoal agar
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
730) Patient came with symptoms of anxiety including palpitation, agitation, and
worry. The first best line for treatment is:
a) SSRI
b) TCA
c) B-blocker
d) MAOI
The correct answer is a , I'm not sure
May be the correct answer is b because there is agitation ( also, side effect of
SSRI)
……………………………………………………………………………………………………………………………………………………..
With these MCQs , the correct answer is b , but if present nitrofurantion is more
accurate answer . UTI in pregnancy treated by : nitrofurantion or
cephalosporine ( 3– 7 days ) in symptomatic or asymptomatic UTI . avoid
fluroroquinolone ( which include : ciprofloxacin, gatifloxacine, levofloxacin,
norfloxacin ).
732) Patient is complaining of right side pharynx tenderness on examination patient
had inflamed right tonsil and redness around tonsil with normal left tonsil. The
diagnosis is:
a) Parenchymal tonsillitis
b) Quinse parapharyngeal abscess
c) ?
d) ?
……………………………………………………………………………………………………………………………………………………..
733) Patient came complaining of fever, night sweating, and hemoptysis with positive
PPD test. Examination was normal, CXR shows infiltrate of left apical lung but in
lateral X-ray showed nothing the repeated PPD test showed normal result
diagnosis is:
a) Sarcoidosis
b) Reactivated TB
c) Mycoplasma infection
d) Viral infection
…………………………………………………………………………………………………………………………………………………….
.
734) Femal patient came with lower abdominal pain, fever on exam patient has lower
abdominal tenderness and tender cervical fornix, the most appropriate way to
diagnose the problem is:
a) Laproscopy
b) Heterosalpingography
c) Abdominal CT
d) Radionuclar Study
The correct answer is a
……………………………………………………………………………………………………………………………………………………..
735) The best non-medical therapy is proven to be of benefit for osteoarthritis is:
a) Muscle strength exercise
b) Give NSAID
c) Back slap
d) ?
The correct answer is a
736) Hematological disease occurs in children, treated with heparin and fresh frozen
plasma what is the disease:
a) Hemophilia A
b) Hemophilia B
c) Von-wille brand disease
d) DIC thrombosis
……………………………………………………………………………………………………………………………………………………..
737) Child with URTI is complaining of bleeding from nose, gum and bruising the
diagnosis is:
a) Hemophilia A
b) ITT
c) ?
d) ?
……………………………………………………………………………………………………………………………………………………..
738) Patient came complaining of vague abdominal pain for 6 hours then shifted to
right lower quadrant diagnosis is :
a) Acute appendicitis
b) Diverticulitis
c) ?
d) ?
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
741) Female patient did urine analysis shows epithelial cells in urine, it comes from:
a) Vulva
b) Cervix
c) Urethra
d) Ureter
……………………………………………………………………………………………………………………………………………………..
742) All of the following are risk factors for heart disease except:
a) High HDL
b) Male
c) Obesity
……………………………………………………………………………………………………………………………………………………..
The correct answer is d , ( I'm not sure , may be choice e if mention , is corect )
severe hypokalemia is defined as a level less than 2.5 mEq/L.
Severe hypokalemia is not linked with any symptoms, but may cause:
1- muscle
2- myalgia or muscle pain
3- disturbed heart rhythm including ectopy (disturbance of the electrical
conduction system of the heart where beats arise from the wrong part of the
heart muscle)
4- serious arrhythmias (electrical faster or slower than normal)
5- greater risk of hyponatremia (an electrolyte disturbance in humans when the
sodium concentration in the plasma decreases below 135 mmol/L) with confusion
and seizures
……………………………………………………………………………………………………………………………………………………..
745) Child came with his father and high BMI and look older than other children with
same age, on exam child has >95th percentile of weight and tall, management is:
a) Observe and appoint
b) Life style change
c) Give program to decrease the weight
d) ?
747) The way to determine the accuracy of occult blood test for 11,000 old patients is
by measuring:
a) Sensitivity
b) Specificity
c) Positive predictive value
d) Negative predictive value
……………………………………………………………………………………………………………………………………………………..
748) Sickle cell patient, asymptomatic with history of recurrent gall-stones and
recurrent crisis the management is:
a) Cholecystectomy
b) Hydroxyurea
……………………………………………………………………………………………………………………………………………………..
749) Patient came with HTN, KUB shows small left kidney, arteriography shows renal
artery stenosis, what is the next investigation:
a) Renal biopsy
b) Renal CT scan
c) Renal barium
d) Retrograde pyelography
……………………………………………………………………………………………………………………………………………………..
750) The way to differentiate between low iron level from iron deficiency anemia and
anemia of chronic disease is:
a) Ferritin
b) TIBC
c) Serum Iron
d) Serum Transferrin
751) Patient came with hallucination and illusion the medication that should be given
is:
a) Carbamezapin
b) ? Haloperidol
c) ?
Q not complete, but with this scenario and MCQs , the correct answer is b
……………………………………………………………………………………………………………………………………………………..
752) As doctor if you see patient and you face difficulty to get accurate information
from him the best tactic to do it is:
a) Ask direct question
b) Ask open question
c) Control way of discussion
d) ?
……………………………………………………………………………………………………………………………………………………..
753) (long question) patient came with MDD so during communication with patient
you will find :
a) Hypomania
b) Late morning awake
c) Loss of eye contact
d) ?
……………………………………………………………………………………………………………………………………………………..
754) Child patient after swimming in pool came complaining of right ear tenderness on
examination patient has external auditory canal redness, tender, and discharge
the management is:
a) Antibiotics drops
b) Systemic antibiotics
c) Steroid drops
d) ?
755) Child came with inflammation and infection of the ear the most complication is:
a) Labrynthitis
b) Meningitis
c) Encephalitis
d) Mastoiditis
……………………………………………………………………………………………………………………………………………………..
756) Elderly patient complaining of urination during night and describe when he feel
the bladder is full and need to wake up to urinate, he suddenly urinate on the bed
this is:
a) Urgency incontinence
b) Urge incontinence
c) Stress incontinence
d) Flow incontinence
Q is not complete
……………………………………………………………………………………………………………………………………………………..
758) Child came to ophthalmology clinic did cover test, during eye cover , his left eye
move spontaneously to left, the most complication is:
a) Strabismus
b) Glaucoma
c) Myobloma
d) ?
……………………………………………………………………………………………………………………………………………………..
759) Newborn came with congenital hepatomegaly, high LFT, jaundice the most
organism cause this symptoms is:
a) Congenital TB
b) Rubella
c) HIV
d) CMV
……………………………………………………………………………………………………………………………………………………..
761) Female child came with precocious puberty the most cause is:
a) Idiopathic
b) Adrenal tumor
c) Brain tumor
d) ? ovarian tumor
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
?????
……………………………………………………………………………………………………………………………………………………..
more than 50% of patients taking anticholinergic have side effects : dry mouth,
blurry vision, constipation and urinary retention.
765) Patient with DM II with good vision, to prevent eye disease (Retinal back ground)
to develop is to avoid:
a) HTN, Smoking
b) Obesity, Smoking
c) HTN, Obesity
d) ?
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
769) Patient is complaining of irritation, tachycardia, night sweating, labs done showed
TSH: Normal, T4: High, diagnosis is:
a) Grave’s disease
b) Secondary Hypothyriodism
c) Hashimoto’s thyroiditis
d) ?
……………………………………………………………………………………………………………………………………………………..
771) Middle age man found to have heaviness in his groin. On physical examination
there was swelling just above his testis which apparent with valsalva maneuver.
What is the diagnosis:
a) Direct inguinal hernia
b) Indirect inguinal hernia
c) Femoral Hernia
d) Testicular mass
e) Hydrocele
f) Varicocele
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
773) 48 year-old male complaining of lower back pain with morning stiffness for 30
minutes only. On exam he was having spasm centrally on the lower back. What is
the appropriate management :
a) Epidural steroids injection
b) Back brace
c) Facet lysis
d) Physiotherapy
……………………………………………………………………………………………………………………………………………………..
774) 41 weeks pregnant lady last biophysical profile showed oligohydroamnios. She
has no complaints except mild HTN. What is the appropriate management :
a) Wait
b) Induce labor post 42 wks
c) Induce labor
d) Do biophysical profile twice weekly
The correct answer is c
775) Full term wide pelvis lady, on delivery station +2, vertex, CTG showed late
deceleration, the most appropriate management:
a) C/S
b) Suction
c) Forceps Delivery
d) Spontaneous Delivery
……………………………………………………………………………………………………………………………………………………..
776) Recent study revealed that anti psychotic meds cause the following complication:
a. wt gain
b. alopecia
c. cirrhosis
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
778) prophylaxis of cholera :
Cholera is an infection of the small intestine that is caused by the bacterium Vibrio
cholerae. The main symptoms are profuse watery diarrhea ( rice-watery diarrhea )
vomiting and dehydration . infection by fecal-oral rout .
prphylaxis : good hygiene and sanitation and oral vaccine , in epidemic public : mass
single dose of vaccine and tetracycline.
a. streptomycin
b. isoniazide
c. pyrizinamide
…………………………………………………………………………………………………………………………………………………….
.
779) the following combination drug should be avoided :
Q is not complete
……………………………………………………………………………………………………………………………………………………..
780)young male had pharyngitis,then cough ,fever,most likely org
a. staph aureus
b. strept pneumonia
……………………………………………………………………………………………………………………………………………………..
781)most effective measure to prevent spread of infection among health care workers
& pts in a nursery:
782) 27 yrs old female with perianal pain for 4 days tender erythematous fluctuating
a. Abx
b. local CS
c . Sitz bath
……………………………………………………………………………………………………………………………………………………..
783)female pt developed extreme from zoo,park, sporting events, the fear prevented
her from going out:
a. agoraphobia
b. social phobia
c. schizophrenia
the correct answer is a , ( agoraphopia : fear going out from the home )
……………………………………………………………………………………………………………………………………………………..
784)child starts to smile:
a. at birth
b. 2month
c. 1month
…………………………………………………………………………………………………………………………………………………….
.
785)child recognize 4 colors, 5 words, hops on one foot, consistent with which age:
a. 12 mons
b. 24 mons
c. 36 mons
d. 18 mons
786)pt with hx of 5 yrs HTN on thiazide, came to ER midnight screaming holding his Lt
foot, o/e pt afebrile,Lt foot tender erythema, swollen big toe most tender and
painful, no other joint involvement
a. cellulitis
b. gouty arthritis
c. septic arthritis
……………………………………………………………………………………………………………………………………………………..
787)23 yrs old married for 3 mons, c/o not getting pregnant, they have intercourse 3-4
times/week, normal gynecologic hx, husband 25 yrs old healthy wt would you
advice:
a. cont. trying
b. obtain sperm analysis
c. study of tubes patency
……………………………………………………………………………………………………………………………………………………..
788)pt with AF what is the most common complication:
a. cerebrovascular events
b. v.tach
c. AMI
d. v.fib
……………………………………………………………………………………………………………………………………………………..
789)case scenario : oral+genital ulcer +arthritis
a. behcet disease
b. syphilis
c.herpes simplex
790) 20 yrs old lady, pregnant, exposed to rubella virus since 3 days , never was
vaccinated against rubella mumps or measles , what's the best thing to do:
a. give IG
b. vaccine
c. do nothing
……………………………………………………………………………………………………………………………………………………..
791)58 yrs old female, known case of osteopenia, she's asking you abt the best way to
prevent compression vertebral fracture, what would you advice her:
a. avoid obesity
b. vit.D daily
c. wt bearing exercise
severe osteopenia ( T score -2 to – 2.5 ) and osteoporosis ( T score > 2.5 ) : same
mild pus pharmacological .
……………………………………………………………………………………………………………………………………………………..
792) Mother complains of sharp pain on radial styloid when carrying her baby. The
pain increase with extension of the thumb against resistance, Finkelstein test was
positive, Dx :
a. Osteoarthritis of radial styloid
b. De Quervain Tenosynovitis
the correct answer is b
…………………………………………………………………………………………………………………………………………………….
.
…………………………………………………………………………………………………………………………………………………….
.
794) Contraindicated in acute glaucoma management:
a. Pilocarpine
b. Timolol
c. B-blockers, CA inhibitors, NSAID, Mannitol
d. ?
…………………………………………………………………………………………………………………………………………………….
.
796) Pregnant 38GA, presented in labor, dilated cervix, station 42, late deceleration on
CTG, management:
b. Forcep delevary
c. Vacuum Delevary
d. CS
……………………………………………………………………………………………………………………………………………………..
797) Pt, febrile, tender prostate on PR:
a-Acute Prostitis
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
801) At what level LP done:
a. L2-L3
b. L3-L4
c. L5-S1
……………………………………………………………………………………………………………………………………………………..
802) 2months old with scaling lesion on scalp and forehead, Dx:
a. Seberrhoic Dermatitis
b. Erythema multiforme
……………………………………………………………………………………………………………………………………………………..
803) Pt have high Blood Pressure on multible visits, so he was diagnosed with
hypertension, what is the Pathophysiology:
a. increased peripheral resistance
b. increased salt and water retention
……………………………………………………………………………………………………………………………………………………..
804) 13years old with hx of pneumonia and managed with abx 2 weeks back, now he
came with diarrhea, abdominal pain, and +ve WBC in stool, the causative
organism is:
a. Clostridium dificile
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
807) Chronic Diarrhea is a feature of:
a. HyperNatremia
b. HyperCalcemia
c. HypoMagnesemia
d. Metabolic Alkalosis
……………………………………………………………………………………………………………………………………………………..
808) Pt with have Polyuria and thirst, he had Hx of bipolar on lithium, Dx:
a. Nephrogenic Diabetes Insipidus
b. central Diabetes Insipidus
……………………………………………………………………………………………………………………………………………………..
809) In city with population of 15000 people & 105 birth /yr , 4 are still birth ,3 died
within months ,2 died before their 1st birthday , with 750 p come out & 250 come
in what is the birth mortality rate in this city :
a. 4
b. 6
c. 8
d. 9
Q not complete ( I did't finde any thing about bierth mortality rate )
810) Female with recently inserted IUCD coming with watery brownish vaginal
discharge & abdominal pain what is the most likely Dx :
a. Uterine rupture
b. Ovarian torsion
c. Bacterial vaginosis
d. Ectopic pregnancy
……………………………………………………………………………………………………………………………………………………..
811) 38 y/o male calling you complaining of fear from going outside & fear from seeing
the front door & don’t sit in the room containing the front door what is most
likely Dx:
a. Depression
b. Agoraphobia
c. Malingering
d. Anti-social personality
……………………………………………………………………………………………………………………………………………………..
812) 60 y/o male known to have ( BPH) digital rectal examination shows soft prostate
with multiple nodularity & no hard masses , the pt request for ( PSA) for screening
for prostatic ca what will you do :
a. Sit with the pt to discuss the cons & rods in PSA test
b. Do trans-rectal US because it is better than PSA in detection
c. Do multiple biopsies for different sites to detect prostatic ca
d. …………………….
The correct answer is a
……………………………………………………………………………………………………………………………………………………..
813) What is the most effective ttt for rocasea :
a. Clindamycine
b. Erythromycin
c. Topical steroids
d. ……..
814) 7 y/o child coming with SOB and wheezing he was sitting in bed , leaning forward ,
with drooling & strider what is Dx :
a- Epiglottits
b- Bronchial asthma
c- ………
d- ………
……………………………………………………………………………………………………………………………………………………..
815) 10 y/o child brought by his parents because they where concern about his weight ,
he eats a lot of fast food and French fries , your main concern to manage this pt
is :
a- His parents concerning about his weight
b- His BMI > 33
c- Family Hx of heart disease
d- Eating habit ( fast food , French fries )
……………………………………………………………………………………………………………………………………………………..
816) What is an absolute contraindication of OCP :
a. Hx of previous DVT
b. Ovarian ca
c. Breast ca
d. ……….
The correct answer is a , both hx of DVT and breast cancer are absolute
contraindication , but in hx DVT is more accurate
……………………………………………………………………………………………………………………………………………………..
817) OCP is proven to :
a. Decrease ovarian ca
b. Decrease endometrial ca
c. Increase breast ca
d. Increase risk of ectopic pregnancy
818) Baby born & discharge with his mother , 3weeks later he started to develop
difficulty in breathing & become cyanotic what is most likely DX :
a- VCD
b- Hypoplastic lt ventricle
c- Coarctaion of aorta
d- Subaortic hypertrophy
…………………………………………………………………………………………………………………………………………………….
.
819) 60 y/o male Dx to have acute pancreatitis ( there was values for ranson criteria
that I couldn’t memorize ) what is the appropriate nutrition :
a- TPN
b- Regular diet with low sugar
c- High protein ,high ca , low sugar
d- Naso-jujenal tube
……………………………………………………………………………………………………………………………………………………..
820) 15 y/o boy brought by his mother with lab values shows microcytic hypochromic
anemia what is most likely Dx :
a- Thalassemia
b- IDA ( iron deficiency anemia )
c- SCD
d- …….
……………………………………………………………………………………………………………………………………………………..
821) Female with Hx of lt flank pain radiating to groin , symptoms of UTI & N+V what is
DX:
a- Appendicitis
b- Diverteculitis
c- Renal colic
d- ……..
822) Old pt with neck swelling , nodular ,disfiguring , with Hx of muscle weakness , cold
intolerance , hoarseness , what is your management :
a- Levothyroxine
b- Carbamazole
c- Thyroid lobectomy
d- Radio-active iodine
……………………………………………………………………………………………………………………………………………………..
823) Pregnant woman with symptoms of hyperthyroidism , TSH low :
a- Propylthyiouracil
b- Radio-active iodine
c- Partial thyroidectomy
d- ………….
……………………………………………………………………………………………………………………………………………………..
824) Pt with thyroid mass , firm ,2x2 cm what is most appropriate for Dx :
a- Neck US
b- FNA
c- Neck CT
d- Surgery
……………………………………………………………………………………………………………………………………………………..
825) 56 y/o female complaining of back pain , her mother suffer from vertebral
compression Fx , investigation shows early osteoporosis what is the best ttt :
a- Advice with exercise
b- Vit D , ca supplement , …….
c- …………….
d- ……………
……………………………………………………………………………………………………………………………………………………..
826) What is the most common non-traumatic Fx caused by osteoporosis :
a- Colle's Fx
b- Femoral Fx
c- Vertebral compression Fx
…………………………………………………………………………………………………………………………………………………….
.
828) At which stage sapration of chromatoids occur :
a- Metaphase
b- Telophase
c- ………….
d- ……………
……………………………………………………………………………………………………………………………………………………..
829) Elderly pt with DM2 , HTN , smoker , sedentary lifestyle , inestigation low HDL,
high LDL , ( ) المهم أن كل المآسأي فيهwhich of what will be effective in this pt :
a- Level of HDL , smoking , obesity
b- Triglyceride level , ……………………
c- ………………………………………………….
d- ………………………………………………….( all were long sorry )
……………………………………………………………………………………………………………………………………………………..
830) pt known case of ulcerative colitis with erythematous rash in lower limb what is
most likely DX:
a- erythema nodusum
831) Pt known to have ulcerative colitis coming with skin lesion around Tibia which is
with irregular margins what is most likely Dx:
a- Pyoderma gangirenosum
…………………………………………………………………………………………………………………………………………………….
.
832) Young pt victim of RTA coming with SOB ( or not breathing not sure ) absent of
breath sound & chest movement in RT side but resonance in percussion what is
your next step :
a- Do stat chest X-ray
b- Emergency surgery
c- …………………………….
d- ………………………………
……………………………………………………………………………………………………………………………………………………..
833) Psychiatric pt non-compliance to his medication what is the ttt :
a- …………. Given IM
b- ………………….. given IV
c- ………………..oral
d- …………………..oral
Q is not complete
……………………………………………………………………………………………………………………………………………………..
834) Which psychiatric disease is treated with electroconvulsive therapy :
a- Paranoia
b- ………………………..
835) Pt with bilateral eye discharge , watery , red eyes, corneal ulceration what is the
most common cause :
a- Dust & pollen
b- Hypertension & ……………
c- Ultra-violet light & stress
d- ………………………………….
The correct answer is a
……………………………………………………………………………………………………………………………………………………..
836) 4 y/o baby felt down his mother pulled him by his arm & since then he kept his
arm in pronation position what is your management:
a- Splint ………….
b- Do x-ray for the arm before any intervention
c- Orthopedic surgery
d- ……………………………….
..……………………………………………………………………………………………………………………………………………………
838) diabetic pt on medication found un conscious his blood suger was 60 what is the
most common to cause this problem:
a- Sufonylurease
b- Bigunides
c- ……………………
……………………………………………………………………………………………………………………………………………………..
a- Pulse rate
b- …………………….
c- ……………………….
840) young male ( I think he was a student ) with headache involving the whole head &
bilateral eye glob that increase with stress what is most likely DX:
a- Tension headache
b- Migraine
c- …………………….
d- ……………………….
Q not cmplete
……………………………………………………………………………………………………………………………………………………..
841) pt turns to be erratic , for 4 month he said that’s people in TV knows what people
are thinking about , in last 2 month he claim that he has special power that no
one has what is the most likely DX :
……………………………………………………………………………………………………………………………………………………..
842) common site of anal fissure is :
a- Anterior
b- Posterior
c- Lateral
d- …………………….
..……………………………………………………………………………………………………………………………………………………
843) common site of hernia sac in relation to the cord content :
a- Antro-lateral
b- Medial
c- Anywhere
d- Posterior
………………………………………………………………………………………………………………………………………………
845) You received a call from a father how has a son diagnosed recently with DM-I for
six months, he said that he found his son lying down unconscious in his bedroom,
What you will tell him if he is seeking for advise:
……………………………………………………………………………………………………………………………………………………..
846) factor which determine recurrence of breast cancer :
……………………………………………………………………………………………………………………………………………………..
847) teacher in school presented with 3 days Hx of jaundice ( they wrote it ictric as if it
will a differacne) & abdominal pain , N+V , 4 of school student had the same
illness in lab what is true regarding this pt :
Q is not complete
……………………………………………………………………………………………………………………………………………………..
849) what condition is an absolute contraindication of lactation :
……………………………………………………………………………………………………………………………………………………..
850) what is most sensitive for DX of duodenal ulcer :
……………………………………………………………………………………………………………………………………………………..
851) female at 40 yr with BMI >28 what is your management :
852) 70 y/o female say that she play puzzle but for a short period she can't play
because as she develop headache when playing what u will exam for
a. astigmatism
b. glaucoma
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
a. Intraarticular corticosteroid
b. Quadriceps strengthening exercise
c. Climb stairs exercise
……………………………………………………………………………………………………………………………………………………..
857) 70-y old female patient with osteoporosis , what is her T score :
a. (-2.5)
b. (-1)
c. (1)
d. (2)
……………………………………………………………………………………………………………………………………………………..
858 ) diabetic patient , diagnosed 2 weeks back came to your clinic at scheduled
appointment supposed to be at 10:00 AM but because you were having another
complicated case , he had to wait for more than an hour , and he was extremely
angry , what u will do :
……………………………………………………………………………………………………………………………………………………..
859) 1st step in epidemic study is :
a. verifying diagnosis
Q is not complete
……………………………………………………………………………………………………………………………………………………..
861) child with multiple painful swellings on the dorsum of hands , feet , fingers and
toes ,his CBC showed Hb =7,RBC’s on peripheral smear are crescent shaped , what
is your long-term care :
a. corticosteroids
b. penicillin V
c. antihistaminic
……………………………………………………………………………………………………………………………………………………..
862) 54 y old patient , farmer , coming complaining of dry eye , he is smoker for 20
years and smokes 2 packs/ day , your recommendation :
The correct answer is b , smoking increase risk of dry eye (international study )
……………………………………………………………………………………………………………………………………………………..
863) patient is wearing contact lenses for vision correction since ten years , now
coming c/o excessive tearing when exposed to bright light , what will be your
advice to him :
a. wear hat
b. wear sunglasses
c. remove the lenses at night
d. saline eye dros 4 times / day
……………………………………………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………………………………………….
.
867) newly diagnosed patient with hyper tension having Na=147 , K=3 , what is the
most likely cause of his secondary hypertension :
a. hyperaldosteronism ( correct )
……………………………………………………………………………………………………………………………………………………
868) 50 year old patient , diagnosed with hypertension , he is used to drink one glass
of wine every day , he is also used to get high Na and high K intake , his BMI is
30kg/m , what is the strongest risk factor for having hypertension in this patient :
a. wine
b. high Na intake
c. high K intake
d. BMI=30
869) all of the following tests are necessary to be done before initiating lithium except:
……………………………………………………………………………………………………………………………………………………..
a. haloperidol
b. galantamine
……………………………………………………………………………………………………………………………………………………..
871) most important point to predict a prognosis of SLE patient : ??
c. leucocyte count
…………………………………………………………………………………………………………………………………………………….
.
872) what is the antibiotic that you will give if you will do appendectomy :
a. doxycycline
b. ceftriaxone
c. metronidazole
d. cefuroxime
a. fallopian tubes
…………………………………………………………………………………………………………………………………………………….
.
874)child with low grade fever , rash , pharingitis , and tender splenomegally , +ve
EBV , Dx :
a. infectious mononeucleosis
…………………………………………………………………………………………………………………………………………………….
.
a. tracheal shift
b. ditended neck veins
c. hypotensionv
the correct answer is b , I'm not sure , I think tracheal shift is the late sign .
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………………………………………….
.
880) Patient with history of head trauma unable to move the fork to his mouth , where
is the lesion:
a. cerebellum
b. frontal lobe
c. temporal
……………………………………………………………………………………………………………………………………………………..
881)Patient with lumbar canal stenosis , I forget the presentation , what is the ttt:
a. Physiotherapy
b. Lumbar dicsectomy
Q IS NOT COMPLETE
Mild to moderate : NSAID + physiotherapy
Advance : epidural corticosteroid
Refractory : surgical laminectomy
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
884)12 yo boy is mocked at school because he is obese , ate a lot of pill to sleep and
never wake up again , best management is :
a. Refer to mental professional
b. Tell him that most kid grow out before they grow up
c. Advice healthy food
……………………………………………………………………………………………………………………………………………………..
885)12 yo boy brought by his parent for routine evaluation , his is obese but otherwise
healthy , his parents want to measure his cholesterol level , what is the best
indicator of measuring this child cholesterol :
a. His parent desire
b. Family hx of early cva
c. High bmi
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
888)A child had bee bite presented after 18 hour with left arm erythema and itching
and…. Long scenario , what to do:
a. Antihistaminic
b. Oral steroid
c. Subcutaneous epinephrine
……………………………………………………………………………………………………………………………………………………..
889)Old man with urinary incontinence , plapable bladder after voiding , urgency and
sense of incomplete voiding dx;
a. Stress incontenece
b. Overflow
c. Reflex
The correct answer is b
……………………………………………………………………………………………………………………………………………………..
890)Ttt of scabis :
a. Permethrin
891)Picture , hyperkeratotic , scaly lesion over the extensor surface of knee and
elbow , what to do to avoid exacerbation :
a. Steroid
b. Avoid sun exposure
c. Avoid trauma
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
893)man walking in street and saying bad words to stranger , he is not aware of his
conditiond , what is the description :
a. flight of idea
b. insertion of idea
c. loosening of association
……………………………………………………………………………………………………………………………………………………..
894)which of the following suggest that thyroid nodule is bengin rather that
malignant:
a. history of childhood head and neck radation
b. hard consistency
c. lemphadenopathy
d. presense of multiple nodules
the correct answer is d
thyroid cancer : ( cold and solid nodule )
895)child presented after sting bite with abd pain , arthalgia , lower extremity and
buttock rash , normal RFT , +ve fecal occult stool , dx :
a. HSP
b. Lyme diases
……………………………………………………………………………………………………………………………………………………..
a. frequency of contractions
b. strength of contractions
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
899)drug of choice for supraventricular tachycardia is :
a.adenosine
900)patient with blood group A had blood transfusion group B , the best statement
that describe the result is :
a. type IV hypersensitivity
b. inflammatory reaction ….
c. ……….
The correct answer is : It is type 2 hypersensitivity
……………………………………………………………………………………………………………………………………………………..
901)a nurse gave blood transfusion through CVP , 2 hours later the patient is comatose
and unresponsive , dx :
a. Septic shock
b. Blood group mismatch
……………………………………………………………………………………………………………………………………………………..
902) 100% O2 given for prolonged periods can cause all except:
a. Retrosternal Pain
b. Seizures
c. Depression
d. Ocular Toxicity
e. ???
The correct answer is c ( I'm not sure because choice e is not mention )
903) Organophosphorus poisoning, what is the antidote?
a. Atropine
b. Physostigmine
c. Neostigmine
d. Pilocarpine
e. Endrophonium
……………………………………………………………………………………………………………………………………………………..
904) Which of the following pulse character goes with the disease?
a. Collapsing pulse Severe anemia
b. Pulsus Alternans Premature ventricular complexes
c. Slow rising Pulse Mitral stenosis
d. Pulsus Bisferens Mitral Regurgitation
e. Pulsus paradoxus I think Aortic stenosis or regurgitation
Collapsing pulse Pulse with fast upstroke and fast 1- Sever anemia
downstroke 2- Aortic regurge
3- Thyrotoxicosis
……………………………………………………………………………………………………………………………………………………..
906) A scenario about an old male with symptoms suggesting parkinsonism such as
difficulty walking, resting tremors and rigidity in addition to hypotension. Then he
asks about what is the most common presenting symptom of this disease
a. Rigidity
b. Tremors
c. Unsteady Gait
d. Hypotension
e. ???
The correct answer is b
……………………………………………………………………………………………………………………………………………………..
907) Regarding postpartum Psychosis:
a. Recurrences are common in subsequent pregnancies
b. It often progresses to frank schizophrenia
c. It has good prognosis
d. It has insidious onset
e. It usually develops around the 3rd week postpartum
……………………………………………………………………………………………………………………………………………………..
908) A pregnant female develops lesions on the vulva and vagina and she was
diagnosed as genital herpes, what should be included in her future health care?
a. Cesarian section should be done if the lesions did not disappear before 2
weeks of delivery date
b. Oral acyclovir to treat herpes
c. Termination of pregnancy because of the risk of fetal malformations
d. Avoidance of sexual intercourse for 1 month after the healing of the lesions
e. ?????
The correct answer is b
HSV in pregnant treated by : oral acyclovir 400 mg TID for 5-7 days . if HSV was
present at time of labor : c – section
909) A picture of 2 warts in the index finger.
Diagnosis is Viral Warts
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
911) An old patient with history of cerebrovascular disease & Ischemic heart disease,
presents with a pattern of breathing described as: A period of apnea followed by
slow breathing which accelerates & becomes rapid with hyperpnea & tachycardia
then apnea again. What is this type of breathing?
a. Hippocrates
b. Chyene-stokes breathing
c. Kussmaul breathing
d. One type beginning with O letter and contains 3 letters only
e. ????
912) A patient with mixed 1st & 2nd degree burns in head & neck region, what is the
most appropriate management?
a. Apply silver sulfadiazine and cream to all burned areas,cover them and admit
to hospital
b. Apply cream to 2nd degree burns and cover them, give IV fluids
c. Debridement of 2nd degree burns and ….
d. Apply silver sulfadiazine then Vaseline ointment to all areas then discharge the
patient
In this patient 1st deree and 2nd degree < 10% ( head and neck 9%) : so, not use
fluid
……………………………………………………………………………………………………………………………………………………..
913) 2 years old child with ear pain & bulging tympanic membrane, what is the
diagnosis?
a. Otitis media
b. Otitis externa
c. Otomycosis
d. Bullous myringitis
914) Besides IV fluids, what is the most important drug to be given in anaphylaxis?
a. Epinephrine
b. Steroids
c. ??? Other choices
……………………………………………………………………………………………………………………………………………………..
915) An adult patient in 20s or 30s of age presents by history of 1 month of fever, 5
days of headache & 2 days of altered sensorium. On examination there is nuchal
rigidity, then there is a table showing investigations which include
Hb: 10 g/dl
Blood WBC: 18,000
CSF Examination: WBCs elevated: 77% lymphocytes, 33% Neutrophils. Protein ???.
Glucose??
a. Viral meningioencephalitis
b. Tuberculous meningitis
c. Ph…. Meningitis
d. ???
Q is not complete , but with this scenario and MCQs , The correct answer is b
……………………………………………………………………………………………………………………………………………………..
917) A patient complains of dry eyes, a moisturizing eye drops were prescribed to him
4 times daily. What is the most appropriate method of application of these eye
drops?
a. 1 drop in the lower fornix
b. 2 drops in the lower fornix
c. 1 drop in the upper fornix
d. 2 drops in the upper fornix
……………………………………………………………………………………………………………………………………………………..
918) A patient with penetrating abdominal stab wound. Vitals are: HR 98, BP 140/80,
RR 18. A part of omentum was protruding through the wound. What is the most
appropriate next step:
a. FAST Ultrasound
b. DPL (Diagnostic peritoneal lavage)
c. Explore the wound
d. Arrange for a CT Scan
e. Exploratory laparotomy
The correct answer is e
919) A patient presents with loin pain radiating to the groin. Renal stones are
suspected. What is the test that has the most specificity & sensitivity in
diagnosing this condition?
a. Noncontrast spiral CT scan of the abdomen
b. Ultrasound
c. KUB
d. Intravenous pyelography (IVP)
e. Nuclear Scan
……………………………………………………………………………………………………………………………………………………..
920) An old patient presents with history dizziness & falling down 1 day ago
accompanied by history of Epigastric discomfort. He has very high tachycardia I
think around 130-140 and BP 100/60. What is the diagnosis?
a. Peptic ulter
b. GERD
c. Leaking aortic aneurysm
d. ???
……………………………………………………………………………………………………………………………………………………..
921) A child is about to be given flu vaccine, what allergy should be excluded before
giving the vaccine?
a. Chicken
b. egg
c. Fish
d. ???
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
924) A female patient on the 3rd week postpartum. She says to the physician that the
frequently visualizes snakes crawling to her baby’s bed. She knows that it is
impossible but she cannot remove the idea from her head. She says she wakes up
around 50 times at night to check her baby. This problem prevents her from
getting good sleep and it started to affect her marriage. What is this problem she
is experiencing?
a. An obsession
b. A hallucination
c. A postpartum psychosis
d. A Delusion
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
927) Which of the following is a side effect of Buprione, a drug used to help smoking
cessation:
a. Arrhythmia
b. Xerostomia
c. Headache
d. Seizure
……………………………………………………………………………………………………………………………………………………..
928) A 60 years old patient with history of heart attack 6 weeks ago, complaining of not
getting enough sleep. Psychiatric evaluation is unremarkable for depression or
anxiety, what should be given to this patient?
a. Amytriptiline
b. Buspirone
c. Buprione
d. Zolbidim
……………………………………………………………………………………………………………………………………………………..
929) A patient is asked to face the wall, bend his waist, and let his hands hang down
without support. This test is used as a screening tool for which of the following?
a. Lower limb asymmetry
b. Rectal prolapsed
c. Scoliosis
d. ????
……………………………………………………………………………………………………………………………………………………..
931) An old patient presents with knee pain, limitation of movement and quadriceps
muscle atrophy. On examination there is limited range on movement, pain on
movement & Crepitus. What is the diagnosis?
a. Osteoarthritis
b. Rheumatoid arthritis
c. Ankylosing Spondylitis
……………………………………………………………………………………………………………………………………………………..
932) A patient presents with long time history of knee pain suggestive of osteoarthritis.
Now he complains of unilateral lower limb swelling and on examination there is
+ve pedal & tibial pitting edema. What is the next appropriate investigation?
a. CXR
b. ECG
c. Echocardiography
d. Duplex ultrasound of lower limb
……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..
935) Which of the following is a gram –ve rods that grow on charcoal yeast agar?
a. Legionella
……………………………………………………………………………………………………………………………………………………..
936) A 7 years old child had history of chest infection which was treated with
antibiotics. The patient presented 6 weeks after cessation of antibiotics with
abdominal pain, fever and profuse watery diarrhea for the past month. Which of
the following organisms is responsible for the patient’s condition?
a. Giardia Lamblia
b. Clostridium Difficile
c. Escherichia coli
d. Clostridium Perfringens
……………………………………………………………………………………………………………………………………………………..
937) Which of the following features of ulcerative colitis distinguishes it from crohn’s
disease
a. Possible malignant transformation
b. Fistula formation
c. Absence of granulomas
d. Colon involvement
938) A very very long scenario about a female patient with vaginal discharge
“malodorous watery in character” with pH of 6 & +ve clue cells but there is no
branching pseudohyphe. (He is telling you the diagnosis is vaginosis & there is no
fungal infection) Then he asks about which of the following drug regimens should
NOT be used in this paitent:
a. Metronidazole (PO 500 gm for 7 days)
b. Metronidazole (PO 2 large dose tablets for 1 or 2 days)
c. Metronidazole (IV or IM …..)
d. Miconazole ( PO …..)
e. Clindamycin (PO …..)
……………………………………………………………………………………………………………………………………………………..
939) What is the condition that produces malodorous watery vaginal discharge with
+ve clue cells in wet mount preparation slides:
a. Bacterial vaginosis
b. Vaginal Candidiasis
c. Trichomonas vaginalis
d. Gonorrhea
The correct answer is a
……………………………………………………………………………………………………………………………………………………..
940) Which of the following is the best treatment for Giardiasis:
a. Metronidazole
……………………………………………………………………………………………………………………………………………………..
941) A woman with 9weeks History of elevated erythematous wheals overall her
body , she also has lip swelling. There is no History of recent travel or food allergy
or drug ingestion, Diagnosis:
a. Chronic Angioedema & Urticaria
b. Contact Dermatitis
c. Solar Urticaria
d. Cholinergic Urticaria
e. Cold Urticaria
The correct answer is a
Chronic urticaria : if more than 6 months
Solar urticaria : due to sunlight
Cholinergic urticariae : due to brief increase in body temperature.
Cold urtiaria : due to exposure to cold
942) A 17 years old male with history of mild intermittent asthma. Attacks occur once
or twice weekly in the morning and no attacks at night. What should be the initial
drug to give?
a. Inhaled short acting B2 agonist as needed
b. Inhaled high dose corticosteroid as needed
……………………………………………………………………………………………………………………………………………………..
943) A child presented with sore throat. Culture from the throat revealed +ve
meningiococci. The patient is now asymptomatic. Which of the following should
be done?
a. Reassurance
b. Rifampicin oral for 7 days
c. IM ceftriaxone 1 dose
d. Ceftriaxone oral
e. ??????
……………………………………………………………………………………………………………………………………………………..
944) Which of the following increases the quality of the randomized controlled study &
make it stronger:
a. Systemic Assignment predictability by participants
b. Open Allocation
c. Including only the participants who received the full intervention
d. Following at least 50 % of the participants
e. Giving similar intervention to similar groups
……………………………………………………………………………………………………………………………………………………..
945) A scenario about an infant who presented with difficulty breathing and sweating,
examination shows hyperactive precordium with loud S2 and pansystolic murmur
grade 3/6 best heard in the left 3rd parasternal region. What is the Diagnosis?
a. VSD
b. Mitral Regurgitation
c. PDA
d. Large ASD
The correct answer is a
???????????
……………………………………………………………………………………………………………………………………………………..
947) very obese girl , what's the first step to reduce weight :
a. increase water intake
b. decrease calorie intake
948) 40 y/o male , presented with large hands , hepatomegaly ….. diagnosis :
a. acromegaly
b. gigantism
……………………………………………………………………………………………………………………………………………………..
950) old female with hemorrhoids for 10 years , no complication , your action ?
a. observe
b. surgery
c. increase fiber diet
……………………………………………………………………………………………………………………………………………………..
951) femal about 30y c/o abdominal pain related to menses (scenario going with
endometriosis)…………next step in dx:
a. Laparoscopy
b. U/S
c. CT
………………………………………………………………………………………………………………………………………………….....
953) pt with open angle glaucoma and k/c of COPD and DM ttt:
a. Timelol
b. betaxolol
c. Acetazolamide
954) infant with runny nose and fever after that develop dysnea ,wheezing with
working accessory muscles and chest retractions with cyanosis, temp 38 dx:
a. Viral pnumonia
b. Bacterial pneumonia
c. Bronchiolitis
955) 34y female with HIV pap smear negative, about cervical cancer screening :
a. After 3m if negative repeat after 6m
b. After 6m …………………………… annually
c. After 1y………………………………….annually
After age 30, for women who have had 3 consecutive, normal Pap smears,
screening frequency may be reduced to every two to three years.
Screening may stop following a total hysterectomy (including the cervix), if the
the patient is at low risk, and has had three consecutive normal Pap smears within
the last 10 years.
High risk patients, including those with a history of cervical cancer, DES
exposure in-utero, HIV positive, immunocompromised from medication, and
those tested positive for HPV, should continue to be screened indefinitely.
Screening may stop after age 70, if the patient is low risk, and has had three
normal Pap smears over the last 10 years.
………………………………………………………………………………………………………………………………………………….....
956) which drug increase incidence of reflux oesophagitis:
a. Theophylline
b. Amoxicilline
c. Metoclopramide
d. Rantidine
e. Lansoprazole
………………………………………………………………………………………………………………………………………………….....
959) lactating women 10 days after delivery developed fever ,malaise, chills tender Lt
breast with hotness and small nodule in upper outer quadrant with axillary LN
.Leukocyte count was 14 *10/L dx:
a. Inflammatory breast cancer
b. Breast abscess
c. Fibrocystic disease
d. ????
???????
………………………………………………………………………………………………………………………………………………….....
961) 70y male with osteoporosis the T score of bone densometry would be :
a. 3.5
b. -2.5
c. -1
d. 2
e. 3.5
………………………………………………………………………………………………………………………………………………….....
962) what is the most complication after hesterectomy:
a. Ureteral injury
b. Pulmonary embolism
c. Haemorrhage
………………………………………………………………………………………………………………………………………………….....
965) young male c/o of deformity of jaw .past h/o of nasoplasty and blepharoplasty
O/E nothing abnormal ………..dx:
a. Body dysmorphic syndrome
966) the most common cause of non-traumatic subarachnoid haemorrhage:
a. Rupture aneurysm
b. Vessels abnormality
c. Hypertension
………………………………………………………………………………………………………………………………………………….....
969) scenario about arthritis (I couldn't remember the details ) but Joint aspirate
reveal Gram negative diplococci …..dx:
a. Nisseria gonorrhea
……………………………………………………………………………………………………………………………………………….....
970) Vertigo & …….. is caused by which of the following drug ?
a. Aphotercine B
b. Pnicilline reaction
c. INH
……………………………………………………………………………………………………………………………………………….....
971) Baby with red macule & dilated capillary on the rt side of the face
972) A 25 year old secondary school teacher that every time enters the class starts
sweating and having palpitation, she is a fired to give wrong information and be
unparsed. What is the diagnosis:
a. Specific Phobia
b. Social Phobia
……………………………………………………………………………………………………………………………………………….....
975) A patient is having a 2 year history of low interest in live, he doesn’t sleep well
and can’t find joy in life, What is the most likely diagnosis:
a. Dysthymia
b. Major depressive disorder
c. Bipolar disorder
d. ..
e. ..
……………………………………………………………………………………………………………………………………………….....
978) A case of a patient with thin cervix and little amount of cervical mucus, how
would you treat her: ?????
a. Estrogen injections
……………………………………………………………………………………………………………………………………………….....
979) The most common cause on chronic interrupted rectal bleeding is:
a. Diverticulosis
b. Hemorrhoids
980) A child is having a croup early morning, the most common cause is:
a. Post nasal drip
981) A burn patient is treated with Silver Sulfadiazine, the toxicity of this drug can
cause:
a. Lycosytosis
b. Neutropenia
c. Electrolyte disbalance
d. Hypokalemia
e. ..
……………………………………………………………………………………………………………………………………………….....
982) A case scenario about a patient who had appendectomy, after that he has
abdominal pain and constipation and absent bowel sound, the most likely cause
is:
a. Ilus paraticus
Q is not complete
……………………………………………………………………………………………………………………………………………….....
983) A case scenario describing a patient who had a right chest trauma than developed
tension pneumothorax, the immediate management is:
a. Insert a needle in the second intercostal space
b. Insert a needle in the fifth intercostal space
c. Give IV antibiotics
d. ..
e. Insert a tube in the fifth intercostal space
984) A patient that have a penile ulcer that healed after that he developed a palm and
sole rash, the most likely cause is:
a. Syphilis
Q is not complete
985) A case scenario about a patient who has on and off episodes of abdominal pain
and was found to have multiple gallstones, the largest is 1 cm and they are not
blocking the duct, What will you do:
a. Give pain killers medication
b. Remove gallbladder by surgery
……………………………………………………………………………………………………………………………………………….....
987) Patient use illegal drug abuse and the blood show RNA virus. Which hepatitis
a. A
b. B (DNA)
c. C
d. E
989) old female with pubic itching with bloody discharge, then she developed pea
shaped swelling in her labia, most likely:
a. Bartholin cyst
b. Bartholin gland carcinoma
c. Bartholin abscess
d. ..
990) Patient has decrease visual acuity bilateral , but more in rt side , visual field is not
affected , in fundus there is irregular pigmentations and early cataract formation .
what you will do
a. Refer to ophthalmologist for laser therapy
b. Refer to ophthalmologist for cataract surgery
c. ..
……………………………………………………………………………………………………………………………………………….....
……………………………………………………………………………………………………………………………………………….....
992) pregant lady deliverd Anencephalytillbirth occurance of neural tube defect in next
pregnancy
a. 8%
b. 2%
c. 10%
d. 20%
The correct answer is b , ( 2 – 4 % )
…………………………………………………………………………………………………………………………………………………
995) 39 years old HIV patient with TB recive 4 drugs of tt after one month
a. Continue 4 drugs for 1 years
b. Cintinue isoniazide for 9months
c. Contiue isonizide for 1 year
…………………………………………………………………………………………………………………………………………………
997) Entamoeba histolytica cysts are destroyed best by:
a. Boiling
b. Iodine added to water
c. Chlorine added to water
d. Freezing
……………………………………………………………………………………………………………………………………………………..
998) Regarding postpartum Psychosis:
a. Recurrences are common in subsequent pregnancies
b. It often progresses to frank schizophrenia
c. It has good prognosis
d. It has insidious onset
e. It usually develops around the 3rd week postpartum
……………………………………………………………………………………………………………………………………………………..
999) Gastrictomy post-op 1 day. He have temperature 38.8 & pulse 112. What is the
most common cause ?
a. wound infection.
c. UTI
d. normal
1- W ound
2- Wine = pneumonia or atlectasia
3- Water = UTI
4- What happen = transfusion
5- Walk = DVT
6- Wonder drug = asprin,erythromycin , isonizide
Immediately ( 24 h ) : post-op inflammation , wound infection , transfusion ,
streptococcus
Acute ( 3 – 7 days ) : pneumonia
1000) Malaria ?
……………………………………………………………………………………………………………………………………………………
..
1001 ) Polyartheralgia rhumatica. What is the thing that suggest it rather than ESR
& C-reactive protein:
……………………………………………………………………………………………………………………………………………………..
1002) The cause of insulin resistance in obese is:
c. circulation of anti-insulin
e. post-receptor action
a. Guillain–Barré syndrome
b. Dubin-junson syndrome
c. Biliary sclerosis
d. Crigler-Najjar syndrome
e. Gilbert Syndrome
1004) Pt complaining of hypotension & bradycardia. Electrolytes show: Na, K, Cl,
Urea. So the cause of this is:
a. hyponatremia
b. hyperkalemia
c. hyperchloremia
d. uremia
محمد الحربي:أخوكم