1- Patient with epilepsy, which of the following receptors most likely is

stimulated?
- Protein G
- glutmate
- serotonin
- kinase
2- patient 3 weeks after URTI develop rash, knee pain, hematuria. What' the
Dx?
- hypersensitivity vasculitis
3- patient taking anticonvulsant, develop hairstism, what' the agent?
- phenytoin
- barbiturates
- valporate
- phenobarbitol
4- case of digoxin toxicity
5- minutes of Xray radiation?
- 25
-15
-5
-0
6- which artery u will ligat after appendectomy?
- sup gastric
- inf gastric
- sup mesentric
- inf mesentric
7- sign of osteoporosis on Xray 9pic of glaucomatous cupping
10- child with eye itching for one month (no other symptoms in scenario), and
have Hx of asthma, what's the Dx?
- bacteria conjunctivitis
- viral conjunctivitis
- venral conjunctivitis
11- tttx of de queverian syndrome 12tttx of ITP
13- 4 cases about IDA
14- Rx of patient with lung ca stage IIIb came with sudden lower back pain?
- MRI only
- MRI with steroid
- radiotherapy
15- case of carpal tunnal syndrome
16- loss of sensation over the angle of mandible, which nerve affected?
- lesser occipital
- Greater occipital
- 3rd occipital
- greater auricular
17- lady with epithelial cell on UA, what's the cause?
- valvular contamination
- cervix lesion
18- case of fanconi syndrome
19- case of typical presentation of syphilis

23- case of pneumonia, what ur finding on the auscultation?

- dispred crackles
- broncheal breath sound
- absent of vesicular breath sound
30- most reliable screening for prostate cancer is:
- PR examination
31- case of multiple myloma 33cas of lactose intolerance tttx
of dementia?
- endophronium
- revistagmin
- neostagmin
36- postmenopausal lady taking tamoxofin, which of the following u will
carefully assess?
- vaginal bleeding
37- which of the following cancer will prevented by vaccination?
- ALL
-CML
- adult T cell leukemia
- myocois somthing ?
44- pregnant on labour, on PV u fell the orbital margin and the nose, what is the
presentation of the fetus?
- mento anterior
- mento posterior
- lateral mento transvers
- medial mento transvers
39 weeks pregnant female .. Came with BP 160/95 ..no proteinuria.. The
previous visits the BP was normal .. What is your diagnosis?
A- gestational hypertension
B- chronic HTN
C- preeclampsia

1. A G3P0 female with 3 recurrent abortions, on investigating the last abortus

you found an aneuploidy 45X. What are the chances of having this
abnormality in her next pregnancies?
A. 30%
B. 40%
C. 50%
D. 60%

2. A 6 years old female underwent tonsillectomy and started bleeding 24 hours

after surgery. You examined the surgical site and found no abnormality. Her
platelet count, bleeding time, platelet function, PT, aPTT and clotting time are
all normal, what test confirms her diagnosis:
A. Fibrinogen
B. Plasminogen
C. Clot lysis test
D. vWF
3. A 7 years old child who came from Africa is complaining of sore throat,
vomiting, fever and headache. On examination his neck is rigid, he is unable
to elevate his head and feet while supine, his reflexes are increased. CSF is
clear, +ve lymphocytes, normal glucose and normal proteins, no bacteria on G
stain. What is the most likely causative organism:
A. Poliovirus
B. CMV
C. EBV
4. What the scientific term of chewing ice?
A. Pagophagia
5. A female had a IUD inserted 2 years ago, now she's complaining of lower
abdominal pain and vaginal discharge which was foul smelling few days ago.
On examination you found a right adenexial mass. A gram stain of the cervical
discharge showed a gram positive beading bacillus, what is the most likely
causative organism?
A. C. Perfrinegens
B. Bacteroides fragilis
C. Nocardia
6. You performed a pudendal nerve block on a woman in labor, which of the
following structures will be fully sensitive and not blocked by the anesthesias?
A. Perineal body
B. Urogenital diaphragm
C. Rectum
3 Questions about the contraindications of external cephalic
version:
Placenta previa or Abruptio placentae, IUGR, isoimmunization,
severe preeclampsia, recent vaginal bleeding, and significant fetal
or uterine anomalies
Mycobacterium tuberculosis , that is the best culture media ?
Lwenstein-Jensen medium
1. Cancer of lung with high keratin ?

Small Cell Lung Cancer

2. Calcifed lesion in the upper lung?
A. Broncopscoe bionsy
B. Percutanus baiopsy
C. Thoracotmy
D. Follow up with serial x-ray

3. 12 y/o Obese cant't bear weight with left hip extrnal rotation, x-ray
provided?
A. Sliped captal femoral epiphyesis
B. Fracure of femor neck
4. Women with negative pregnancy test have vaginal bleeding, Hgb 9
mangment?
A. Blood transufion
B. Progesterone
C. Conjecated Estrogen
5. Brucellosis prevention?
Rasterization
6. Asyptomaric pt. With Positive HBV antigen?
A. Acute hepatitis
B. Chronic hepatitis
C. Active carrier
D. Non active carrier
25 Pt. With HBA after 3 week we take bipsy, what is show?
A. Normal architecture
B. Fibrosis something
C. Another something
26 Pt with acute rheumatic fever show acute cardiac syptoms, rx?
A.Iv penecillin
B. Im steriod
27 RTA, spleenic injury type 1, Rx?
A. Labrotmy
B. Diagnostic Laproscpic with spleenectomy
C. Conservative
1- Cushing case which skin manifestation is associated with it
Vitiligo
Telenagectasia
Acropathy
Something Derma
4- Which of those medication cause anexity
TCA
5- A 13 years old boy with right hip pain for 3 months x ray shows
degenerative collapse of femoral neck
Wbc is 17
Esr normal
Alp is
normal?
Perthe diseases
Hip arthritis
Tumor

6- Which medication is commonly used in Juvenile rheumatoid arthritis

Aspirin
Paracetamol
2 others
7- Which of bisphosphonate causes inhibition of osteoclast activity?
8- Lipid profile of a patient shows high level and patient is on sivastantin
What to add?
13- Pregnant with HIV on medication, used to have 400 copies and now 200
copies on labor
Sponatus Vaginal delivery
Forecips delivery
CS
14- Which of the following is considered in estimating the response of
nucleolside reserve transcriptse inhibitors
HIV RNA level in the serum
genotype of HIV
And 2 others
** number of CD4
15- What is the level of lung maturation called in which the alveolar and
endothelial something meet?
16- What part of the liver is affected during ( I think hypoxia)
Zone 2 and 3
Central part of portal something
17- female with ovarian mass, hysterectomy was done, specimen showed
thecal cell tumor, what other things you would find in the specimen?
Moles in the uterus
Endometrial hyperplasia
Others
Ocp side effects on the liver ?
- hepatocellular carcinoma
- sinusoidal diletation
- hepatic adenoma All
but i think more C
If there was inferior mesenteric artery thrombosis. Which artery will not be
affected!
- descending colon
- sigmoid
- splenic
- cecum

Metformin action at the cellular level

- inhibit tyrosine kinase
- activate adenylate kinase
- decrease ATP
patient lost sensation at the level of umbilicus after MVA . the lesion will be at
the level of
- T4
- T10
- T11
-T12
B
Cyctic fibrosis
- chromosome 7 long q arm
- chromosome 7 short q arm
- chromosome 7 long p arm
- chromosome 7 short p arm
A
Generlized cervical lymphoadenopathy + mild tenderness + low grade fever.
What's the most likely diagnosis
- lymphocytic lymphoma
- hodgkin's lymphoma
Neonate with deafness , rash .. What the cause ?
1-Rubella
2- measles 3CMV
15 kg child .. What is the daily water requirement ?
17 year old dilver her baby in the home with help of her friend ,, what type of
perineal muscle tear ?
1- pubococcygous
2- ischiocavernous
-------------------------------------------------4/Pt in 3rd trimester have high blood blood glucose despite close observation
What is the suspect cause?
1- neonate hyperglycemia
2- neonate hypo
3- mother hyper
4- mother hypoglycemia

3/ Pt with MI and take morphine (not sure about route of administration )

What is the side effect of morphine

1. dry mouth
2. tachycardia
3. anxiety
------------------------------------7/Long scenario about pt doing surgery
The key point in Q the pt 1st day develop fever + sob
atalctsis
----------------------------8/Father of 4 y/o child want know if his baby normal speech development
What speaking development at this age
1- know 50-100 words
2- say mama- dada
3- can say a tow word senteces
4- ......... And tell a story
---------------------------------10/ diagram about ( window period)
Ask about +ve antigen in this period
---------------------------------11- baby of mother which have +ve HIV
Which one of the following vaccine he can't take it?
The answer is :DaTP
--------------------------15- Q about kidney vein that drain to IVC
(Part of kidney)
-----------------------------16- Long Scenario about old male bedridden on foly's catheter he
develop Gram -ve bacteria what is the organism
1- E.coli
2- pseudomonas aergonsa
3- strep. Puomonia
------------------------------------20- loss of sensation of anterior 2/3 of tongue which nerve affected? 1facial
2- trigeminal
3- glossopharyngeal
4- hypoglossal
--------------------------22- mode of inheritance for Wilson's disease
The answer :- autosomal recessive
-------------------------------23/ what is the antithyroid used in pregnancy?
propylthiouracil

24- long scenario I don't remember exactly but there is upper limb hypertion
and low or absent lower limb pulse
What is Dx?
Coaortaction of aorta
------------------------------25- which of the following associated with teratology of fallot? 1plumonary stenosis
2- ASD
3- aortic stenosis
Q1- Which of the following is side effect of atropine :
1- vasoconstriction
2- decrease IOP
3- decrease urine output
4- dry of mouth
Q3- pregnant lady come to you with splenomegaly and platelet = 50 and
uterus on the level of symphesis pubic , what is Dx :
1- idipathic thrmbocytopenic purpura
2- gestatinal thrombocytopenia
3- thromboembolic disease
Q21- best exercise to patient with HTN :
1- weight loss
2- anerobic excercise

Q28- which renal stone associated with infection and alkaline urine :
1- calcium oxalate
2- uric acid
3- struvite
4- cystine
Q32- most common organism of rheumatic heart disease :
1- st. aureus
2- E. Coli
3- H. Influenza
Q33- case of otitis media what is complication :
1- encephalitis
2- hearing loss
Q34- which heart disease is common in down syndrome :
1- VSD
2- atrioventricular septal defect
3- coartication of aorta
Q35- patient with murmer in left sternal border change with stand or sitting
what is Dx:
1- pulmonary stenosis
2- aortic stenosis

3- cardiomyopathy
Q37- female last delivery with forceps what is complicate :
1- primary postpartum hemorrhage
2- secondary postpartum hemorrhage
3- uterine inversion
Q38- patient sensitive to light what is your action :
1- wear sunglasses protect form sunlight
Q42: patient HTN and hyperlipidemia with chest pain and when he is coming
to hospital take drug relieve his symptoms which drug :
1- nitric oxide
2- digoxin
Q46- HIV patient test to confirm :
1- PCR
1- western blot
2- elisa
Q48- patient with lymphadenopathy , splenomegaly and fever :
1- infectious mononucleosis
8- Pregnant woman in third trimaster he as in airline about 18
hourse and developed of sudden chest pain , with dyspea, what is
the cause ?
1- poulmonary hypertension
2 - poulmonary empolism
2 , myocardial icshemia
9- mid diastolic murmur in left sternum ?
1- Mitral stenosis
2 - mitral reguarge
3- aortic stenosis 4
- aortic regurage
10 - pregnant woman in laboure room , when she delivary his babby sudden
onset of bleeding from vagina , the baby is not infected , after 2 hourse
mother onset bleeding from mouth and nose , what is the cause ?
- Dic
- deficincy in factor llX
11 - boy siwmming in river , after one day , onset of fever and weakness ,
what the most common organism cause infection ?
15 - Patient irriagate , and weakness in lower and upper extermites , what is
the cause ?
- deficincy in vit D
- deficincy in vit A
- deficincy in B1
- deficincy in B3

16- Which of this drug cause sezuir ?

- isoniazide
- ethambutaol
- ripaficin
- Pyrazinamide
Monospot test +ve what is the diagnosis
-6.A 7 y child and an U & L respiratory tract infection since birth with
generalized joint pain aches his uncle and brother have the same condition
labs show high ceriatenin and BUN and +ve urine protein
-idiopathic fibrosis
-Autoimmune
-7. 72 y male disoriented and hallucinating and disorganized thinking had
aorto popletial graft and symptom fluctuates in the 2 days what the cause ?
1.multi infraction demntia
2.mania
3 demensia
4 delirium
child have came to take the 6month vaccination the mother mention on 4th
month vaccination he developed an anaphylactic
What to do now ?
Do allergen test
Give vaccine with out DTP
Give vaccine with reassurance
Give vaccine and observe for 1h
-13. 2 q about the eye parasitic infection one is the diagnosis ( acanthoma )
and the other q what other manifestation for the disease
-14. old patient presented with congested neck veins bilateral upper limp
swelling tumor in the right upper lung which part it's compressing ?
1.superior mediastinal
2.anterior mediastinal
2.posterior mediastinal
15.What come with Turner syndrom?
Hypothyroid
DM
Addison's
16.A baby 6 month show regargition after every meal he esophagus ph is low he
is normally developing what is the Rx ?
Close follow up Surgical
fundal Esophageal
manometry

18.What is characterised about x fragile syndrome?

Obesity
Macrogonadisim
Small ear
17-adult male on multiple drug came with violaceous maculopapular lesion in
the trunk
Diagnosis?
A- erythema multiforme
B- toxic epidermal necrolysis
27- sickle cell anemia came with hepato splenomegaly And
low platelets- HGB -WBC
1- splenectomy
2- blood transfusion
29 First sign of portal HTN Asplenomegaly
C- hepatomegaly
C- ascites
1- antiparkinsonian cause hepatotoxicity?
External laryngeal nerve action
-abduct cord
-adduct cord
-upper cord area sensation
1) Pt dx with cutaneous leishmanial what is the organism ?
Lishmenia aka aza
2) Young pt with 4 weeks amenorrhea , presented with abdominal pain and
sever vaginal bleeding , the bleeding from ?
Overy
Fallopian tube
Cerivex
3) Pt had head trauma , he has nausea, vomiting and decreased level of
consciousness , ICP was suspected and CT was arranged , what cranial
nerve examination can confirm the Dx ?
Optic
Ocelomotore
Truclear
6) pt when walking and lifting his Rt leg , his left hip drops , the doctor told the or
that he has trendelenburge sign , which muscle is affected ?
Left gluteus medius
Rt gluteus Magnus

7) female was dx with ovarian cancer , she haven't ever used OCP , what will
you tell her daughters ?
OCP can protect you from ovarian cancer
Bilateral ooverectimy is recommend for you
8) pt with long hx of uncontrolled HTN , he presented to you with headache
and 160/90 BP , what you will see in his kidneys :
Decrease sclerosis
Increase hyalination of arterioles
9) which hepatic cell produce extra matrix component ?
Stellate cell
Hepatocytes
10) in mastectomy what you will cut ?
Pectorals major muscle
17) female pregnant with towins , in her 34 week ( she had some complication I
forget it ) the doctor said that she needs emergency CS cuc the presentation
of twin A might result in fetal complications , what is the presentation of twin
A-twin B
Cephalic- breech
Transvers-cephalic
Breech-cephalic
Cephalic-cephalic
18) 12 yrs old boy came to the clinic with his parents , they are complaining that
he is obese and has strong appetite, all his milestones were 2-3 months
later than normal , PE / small hands and feed compared to rest of body , the
cause of his problem is :
Genetic
Metabolic
Natural
19) pt with bilateral flank pain for 6 months and there is gene 16 mutation ,
what is the disease ?
Adult polycystic kidney disease
20) pt had MI , he was given sublingual nitrate and analgesia , the MOA of the
analgesic that was given ?
21) side effect of sublingual .....
22) pt presented with lymph node enlargement in horizontal line of the
inguinal ligament , what is the structure that you must examine ?
Anal canal
23) which of the following antibiotics is DNA giras and it works on what
organism ?
Quinolone
24) enterococcus faecalis antibiotic and the pt is allergic to ampicillin , what to
give ?
Vancomycin

25) 11 years girl presented with bilateral symmetrical lower limb weakness, EMG
showed ( I can't remember ) ,knee reflexes showed absolute bilateral knee
reflex absence , she had hx one week ago of GI symptoms , what is the best
treatment ?
Plasma pharesis
Immunoglobulin
Steroids
Methotrexate

26) old pt with recent memory loss and poor self care and social withdrawal ,
what to give him ?
Neostigmen
Rivastigmen
27) when a couple should seek help regarding infertility ? 12
months
6 months
28) 2 weeks baby had UTI and sensitivity was positive for amocillinen , what
investigation you should order before staring tx ?
Renal US
Abdominal X ra
Urethral culture
29) abdominal radiological investigation showed the inner and outer surface of
intestine , what the pt has ?
Peroration
Obstruction
30) the main tx for Kawasaki :
IVIG
aspirin
31) which of the following medication causes vertigo ?
Ethambutol
Streptomycin
60) Q about description of scarlet fever rash
61) pt with low hemoglobin and low MCV , which of the following will confirm the
dx ?
Iron level and TIBC
62) best prenatal screening in the first trimester for Down syndrome ?
Chorionic villious biopsy
Amniocentesis
63) statin induced myopathy in old lady

64) pt presented with dysphasia , he has hoarseness and excessive salivation and
feels hbat there is a lump in his throat , what is the dx ?
Achalisia
Diffuse esophageal spasm
Cricopharengeal dysfunction
65) renal artery stenosis , Angie was done , what is next ?
66) female with no sexual hx presented with amenorrhea and thyroid disease has
been excluded what first investigation will you do ?
Pregnancy test
TSH
Prolactin
67) group B strep positive pregnancy and she is in her 24 weeks , when to
give prophylactic antibiotic ?
68) in addition to anti- HTN , what to advice ?
Restrict Na to 9mg
Walking ( such meters)
69) parents had a child with cleft palate and they are asking about recurrence
rate of cleft palate in their children ?
4%

70) most common cause of obstructive sleep apnea

7- hypoglycemia' usually occur as a side effect of which of the following
hypoglycemic agents?
a- insulin
b- metformin cglyburide
8- Patient with chest pain and ST changes, you will find elevation in:
a. ALT
b. AST
c. Troponin
12- best investigation to measure GFR a24 urine creatinine cllection
17- primary biliary cirrhosis
options were about pathophysiology
23- patient on statin for his HTN, lab showed high triglyceride: what will you
add:
a- fibrate

29- pediatric patient developed fever or rash after the previous vaccine, now his
mother is worried about this month vaccine, what will you do:
a- reassure and give the vaccine
b- give the vaccine but not DTaP
30- 34- palmar arterial arch is:
a- radial
b- ulnar
c- anterior interosseous
d- posterior interosseous
38- patient underwent supradrelenectomy, you are worried not to injure which
organ:
a- inferior vena cava
b- kidney
c- appendix
46- female multipara complains of months of inability to reach bathroom with
loose stool, ur dx:
a- fecal incontenence
47- Child presented with petechiae and his platelets is 15, otherwise healthy.
What will you do for him?
a- bone marrow aspiration
b- splenectomy
54- female with abdominal mass showing teeth, hair and dermes what will u do:
a- laproscopy
b- observe
55- 21 yrs old female wish to get pregnant in two years, did not have any sexual
activity, with bilateral breast tenderness and negative pap smear, what u will
do:
a- US for breast
b- pap smear
c- HPV screen
ITP case mangement >> predonsilone
Baby wave his hand bye bye which developmental milstone reflect
???
9 months
Pt with high aptt what mechanism of action of that drug?
" unfractinated heparin"
Antithrombin
Ankle joint ???
Distal tibia fabula talaus
Latral malloli medial malloli talaus
Calclunus tibia fibila

Follucular cell of ovary what it is orign emberogycally

Endoderm

1- wich part of bone is firstly affected in hematogenous osteomilitis .

(epiphse-metaphase-diaphase.....)
2- case head trauma on parital lobe subdural hematoma wich artery is injured
superficial temporal .
mid cerebral
Rt.cerebral
15 -you did examination on elderly Hypertensive man you find increase in
cupping he is not complaining of any thing what is the cause of cupping?
acute angle glucoma -HTN-dm -retenal detach .
30- splenctomy what vaccin he should took .
Pic of growth chart all parameters was low what is the Dx?
- Genetic
- GH Def
37)embryogenic origin of tongue muscle?
-lingual
-occipital
40-young man close the door on his nail color become blue under nail what
will u do?
Evacuate hematoma - remove nail-reassure......
Q/Pt e CAD angio done for him
Lift coronary 90% stenosis
Right 40%
What is the management :
Left coronary bypass
Bypass all vessel
Stent
Q/ post MI developed palpitation ECG pic (VT) Ttt:
Metoprolol
Adenosine
Q Post MI e AF what is most prevent stroke?
Warfarin
Q/ Type of fibroid cause abortion :
Q/ girl 15 never had mensis Examination
breast bed ,fine hair >n After 1 year
come e increase hight >6cm And gain
kilograms

Primary amenorrhea
2 amenorrhea
Precocious puberty
Constitutional
Q/ child fall down, after one day his mother notice child drowsy abdominal
distention epically in rt side Examination hypertension What is Dx :
Liver contusion
Wilms tumor
Nephroblastoma
Q/pt involved in MVA the impact especially in forehead examination forehead
laceration & fx ,discharge from nose clear positive glucose test ( I think
mean CSF leak ) Which cranial n affected Optic
Olfactory
Ophthalmic
Oculmotore
Q/ pt with melanoma above eye brow which lymph node will examine
? Parotid ..
Q/child less than 2 y (long scenario)with barking cough :
What finding in examination
-Strider on inspiration ----Wheeze expiration ---Most common cause of tinnitus ?
noise
Pt with prostatic cancer, developed DVT twice. What would you give as
prophylaxis?
16 year old pt with diarrhea sometimes bloody , pain on defecation ,
weight loss , since 3 months ,on lab invx hight crp ..what will you try first .
steroid ,
glutine free diet
metronidazole
Dx of paget dz and treatment ?
Young male pt had sciatic nerve compression with involvement of S1 ,
positive leg raising test ..What you will do?
Urgent MRI,
Analgesic and discharge home
Bed rest
What antihypertensive decreases preload as well as causing vasodilatation?
What causes mixed hearing loss?
The causes are infection tumor and trauma

obese male pt presented to family phyisician complaining of chest pain for 2

days ..ECG normal ..what to do next ?
Treadmill
Coronary angio
24 hrs monitoring
What is the best to dx coarctation of aorta ? Cardiac MRI , echo ,
Familiar hypercholesterolemia with akilles tendon involvement ....what you'll
check ? ...something in genetics
What valve lesion youll find in acute infective endocarditis ? Mitral stenosis ,
mitral regurgue , aorta stenosis , aorta regurge .
Pt had URTI ,2 weeks later developed orthopnia , severe pulmonary
edema he needed to intubation ? What is the dx . Infective endocarditis ,
acute epicarditis , acute myocarditis , acute bronchitis
Child has red eye and tearing since birth . Congenital glucoma , herpes
keratitis , bacterial conjunctivitis ?
Old female with lytic bone lestion , high ALP whats the tx ?
Bisphosphonate
selective estrogen
Pt with breast cancer and axillary LN involvement ..what muscle might be
involved ? Pectoralis major ,pecoralis minor , latismus dorsi
Pt with heart valve lesion developed endocarditis ..whats the organisms ?
s. viridens
Pt witb absence seizure the dr wants to start him on sodium valproate ..what
test should be done before starting the tx ? Liver function , creatinine , urea ..
Femles , has 3 children , doesnt want to get pregnant anymore ,has a hx of
endometrioma lt ovary She removed it .2now she has another one in the rt
ovary ..how to manage ?
Hysterectomy
bilateral salbingo oophrectomy ,
aspiration of the mass
Baby after 2months started to develop cyanosis ,systolic ejection murmur
at left parasternal ?
Tetralogy of fallot ,transposition of great vessels.
Which in lipid profile is most important risk for coronary heart didease ?
LDL,HDL,Triglyceride , total cholesterol
1.

Patient is eating at a restaurant with his friend, he choked with a piece of

meat, his friend who was an emergency assistant performed Heimlich

maneuver but without benefit. He then decided to perform a tracheostomy,

during tracheostomy which of the following structures will be cut?

Cricoid cartilage.

Thyroid cartilage.

Cricothyroid membrane.
2.

A married woman was diagnosed with UTI. Urine culture revealed

Staphylococcus Saprophyticus.
What you should ask this patient about?

Use of condom and spermicides.

Alcohol consumption.

Fecal incontinence.
3.

Which of the following toxins has many uses?

Botulinum.
Tetanus.

4.

Patient has been diagnosed with Lymphoma in the past and has received
full course of chemotherapy. Now complaining of painless facial swelling,
cough and flushing, what is the diagnosis?

Superior vana cava obstruction.

Inferior vena cava obstruction.

Some type of facial tumor.

5.

Pediatric patient with rhinorrhea and cough. Temperature is 38.3. On

examination he has nasal flaring, using his accessory muscles, epiglottis
looks normal but he has inflamed (or red) vocal cords. Auscultation revealed
Rhonci all over the lobes, with Rales during inspiratory phase, and wheeze
during expiratory phase, he also has prolonged expiratory phase.
What is the diagnosis?

Croup.

Bronchiolitis.

Viral pneumonia.

Epiglottitis.

6.

Old Patient with back pain. Spine DEXA results is provided below:
Cervical 0.05
Thoracic <-1.5
Lumbar <-2.8
Sacral <-1.3
What is the diagnosis?

Osteopenia.

Severe osteopenia.

Osteoporosis.

Established osteoporosis.

7.

Which of the following is most likely to be the presentation of a patient with

early STEMI?

Troponin of 0.12 with T inversion in V1-V4.

Pathological Q wave with subsided chest pain.

Presence of chest pain with 0.3 mg elevation in ST segment in leas 2,3,
AVf.

ST depression in 2,3, AVf.

8.

Single Female came to your clinic one day after condom rupture during vaginal
intercourse, she is worried about becoming pregnant. What you will do?

Pregnancy test.

Wait and arrange for appointment after one week.

Give post-coital contraception.

Give progesterone only contraception.

9.

Patient has deep ulcer with erythema on the sole of the foot, he is a known
case of uncontrolled DM. what is the treatment?

Give oral antibiotics.

Admit the patient for debridement and deep culture.

Perform superficial culture.

10.

Patient with fever, pre-auricular swelling, (description of the swelling was

provided), what is the diagnosis?

Mumps.

Pre-auricular lymphadenopathy.

11.

In a patient with ASD, which of the following ECG changes you will find?

RBBB.

Left axis deviation.

12.

TOF, what you will find in Echo?

Mitral valve prolapse.
Pulmonary outlet obstruction.
Left ventricular hypertrophy.

13.

Patient is allergic to sulfa drugs and penicillin and shellfish. She has UTI
what antibiotic you will give?

Nitrofurantoin.

Ttrimethoprim Sulfamethoxazole.

Amoxicillin.

14.

Patient with pain in hands and fingers during typing, decrease of blood flow to
which of the following will cause this pain?

Radial.

Ulnar.

Posterior interosseous.

Anterior interosseous.

15.

Pediatric with temp. 40 C, dehydration and diarrhea with blood and mucus.
What is the organism?

Shegilla.

Campylobacter.

Salmonella.
Rota virus.

16.

35 year old female P3+0 with amenorrhea for 6 months, thinning and dryness
of vaginal mucosa, she underwent D & C 3 years ago due to retained
placental tissue following one of his deliveries. on examination: normal
cervical canal, normal uterus with non-palpable ovaries. Her hormonal profile
is: (numbers was given with the normal range)
FSH: high
LH: high
TSH: normal
Estradiol: low
What is the diagnosis?

Ashermans syndrome.

Turner syndrome.

Ovarian failure.

17.

2-week old newborn with low appetite, tiredness, on examination he looked

jaundiced with umbilical hernia. What is the next step in investigations?

Order TSH, T3, T4 for the mother.

Order TSH, T3, T4 for the newborn.

Order thyroid antibodies for the mother.

18.

Old female with endometrial biopsy showing: high grade hyperplasia with
atypia. What is the best management?

Trial of OCP.

Total abdominal hysterectomy.

Cauterization.

19.

Baby is able to hold his head up, laughing, and doing one thing more. What is
his age in weeks?

12

16
Ans: 16

20.

Pregnant female in 24 weeks gestation, known case of chronic DM type 2

and chronic HTN, fundal height is 25 cm, which of the following is a
complication of her pregnancy?

Preeclampsia.

Shoulder dystocia.

Large infant for gestational age.

21.

Which of the following substance ingestion is a contraindication to gastric

lavage?

Aspirin.

Benzodiazipine.

Some kind of bleach or cleaning products.

Maybe hydrocarbons.

22.

Which of the following renal stones is associated with infection and alkaline
urine?

Calcium oxalate.

Uric acid.

Pyruvate.

Cysteine.

23.

G3 P2 in 37 weeks gestation, came to you because she saw gush of clear

fluid. She has active contractions. On examination: her cervix is dilated by 3
cm and effaced by 70% and fetal presenting part at 0 station. After 6 hours
or so, her cervix is dilated by 7 cm and effaced by 80%, but she is
complaining of tenderness when palpated the uterus, her temperature is 38.
what is the best management?

Give intrapartum antibiotics.

Emergency CS.

Wait for spontaneous delivery.

24.

Pregnant in 3rd trimester with pain and bleeding, CTG showed late
deceleration. Uterus is distended. What is the diagnosis?

Placenta previa.

Vasa previa.

Abruptio placenta.
Patient with ischemic stroke presented after 6 hours. What is the
treatment?

Tissue plasminogen activator.

Aspirin.

Clopedogril.

25.

26.

Patient after RTA had spleen injury, he underwent surgical exploration and
splenectomy. Which of the following should be given?

Some kind of antibiotic.

Meningiococcal vaccine.

27.

Patient is referred to Orthopedics because of abnormally high bone density

scan. She has no history of fractures. She takes analgesics and is waiting for
hip replacement surgery. Her dietary calcium and serum biochemistry are
normal. What is the the cause of her high density result? (no numbers were
provided).

Osteoarthritis.

Pagets disease.

Osteoporosis.

Osteopenia.

28.

Patient has high Alkaline Phosphatase, in order to confirm the hepatic origin
of this elevation the doctor ordered one more test. What is it?

Lactate dyhydrogenase.

Creatine kinase

Gamma-glutamyl transpeptidase

Lipase

Ans: Gamma-glutamyl transpeptidase

29. Patient is having infertility came to infertility clinic. He is complaining of
testicular pain. On examination the testicle is swelled like a bag of worms.
What is the diagnosis?

Varicocele.

Spermatocele.

Hydrocele.

Testicular cancer.
Ans: Varicocele
30. Patient is having unilateral testicular pain and fever. What is the
diagnosis?

Epidedmo-orchitis.

Prostatitis.

Testicular torsion.
Ans: Epidedmo-orchitis
31. Pediatric patient is having duodenal obstruction, what is the sign you will find
on x-ray?

Thumb sign.

Bird peak sign.

Double bubble sign.

Ans: Double bubble sign
32. 18-year-old healthy male was playing baseball and suddenly he felt
abdominal pain. On examination he has para-umbilical mass. His vital signs
are:
BP 100/76, RR 30, HR 100, O2 sat is 95% with 100% oxygen mask.
What is your next step in the management?

Abdominal US.

CT scan.

Erect Chest x-ray.

Reassure and send home.

33. Patient is brought by his parent because of loss of hair. On examination: he
had localized patch of hair loss at temporal area, the end of hair looked
broken and tapered. What is the diagnosis?

Alopecia Areata.

Trichotillomania.
Cordis in heart change of transposition of GA or ectopic cordis
Urology pt had papillary cancer removed biopsy shows removal of all tumor
till muscle layer What next ?
Follow up with cystoscopy

Or give n- somthing medication i think chemo and other two options

Easy q about cystic fibrosis "sweat test"
Diarrea in a kid what's the mechanism:
decreased absorption
membranous
coating

Arthrocentesis: not showing high wbc , yellowish not clear high PMN : septic
arthritis
Pseudogout....
Gout
1- lady after mastectomy, her plastic surgeon decided to take flap from rectus
sheath muscle, which artery he has to ?
A- superior epigastric.
B- inferior epigastric.
D- superior mesenteric.
2- C cell found in which type of thyroid cancer?
A- Papillary.
B- Follicular.
C- Medullary.
E- ParaFollic
3- cataract surgery complication?
A- endophalmitis.
4- baby with decreased air in the lung, abdomen looks scaphoid, what is the
diagnosis?
A- diaphragmatic hernia. Bdextocardia.
5- pt with psoriasis, took a medication then developed generalized psoriasis
covering all his body surface, what is the percentage of the involved body
surface?
A- 30%.
B- 50%
C- 70%
D- 90%
6- pregnant lady in the week 41 of gestation, effacement is 50%, 2 cm dilated
for the past 2 weeks, now the effacement is 60%, dilated 3 cm, the fetal
condition is good based of CTG findings, what is your next step in her
management?
A- give oxitocin and amniotomy.
B- give . And amniotomy.
B- give epidural then CS.

21- child with (features of thalasemia), hgb electrophoresis: hgF 50%, A2

30%, which type of anemia?
A- B thalasemia minor.
B- B thalasemia major.
C- a thlasemia.
22- child with congenital adrenal hyperplasia, what to give? Ahydrocortisone.
A- aldosteron.
26- child with cretinism, what to give? Alevothyroxine.
27-which of SSRIs drugs suitable for young age and children? Afluoxetine.
28- child with cola colored urine, which test should you perform first? Aurinary microscopy.
B- renal function test.
C- renal biopsy.
29- female with cervical proliferation, +ve herpes simplex virus, +ve
Chlamydia, which factor contribute to the risk?
A- human papilloma virus.
B- herpes simplex type2.
C- Chlamydia infection.

48-45 years old lady, found a lump in the upper outer area of her right breast, it
was large, firm with irregular border, not tender, no palpable lymph node,
should you do?
A- FNA.
B- lumpectomy and radiation.
C- mastectomy.
49- male pt presented with testicular swelling, his abdomen was distended,
hyperactive bowel, gave a hx of constipation and vomiting, what you will
do? A- consult general surgeon.
C- consult urologist.
50- 45 years old male, came for regular check up, apart from bronchial asthma,
his bp is 125/80, ha1c is 5.9, when is the next time he should check his
blood glucose level?
A- 3 months
B- 6 months
C- 12 months
D- 36 months
- Child with recurrent asthma exacerbation for 3 years which drug
recommended to decrease attacks: terbutaline - meucoleukast and 2 more
but no steroids in choices

-Case of PROM at 32 weeks what to do?

Sterile speculum exam
vaginal exam
chemical investigation of liquor
- child with hydrocephalus progressively increasing in
between the 3rd and 4th ventricle - which area is blocked ?
- cerebral aqueduct
- Pt with RF has Mitral regur , valve was 0.7 cm and other findings in aortic
valve ? What is the proper management ?
- Total valve replacement
- valvoplasty or baloon
- Best xray to show fracture rib ( AP , PA , Oblique )
- Pt with pic of anemia and thrombocytopenia - blood film showed
schistocytes what dx ? DIC
- Child is doing fine , his brother died while heading to work !what
we should investigate for ?
- Hypertrophic cardiomyopathy
- 2 months baby came for vaccine was delivered at 34 and his weight was low
, he is gaining weight 90 g each month i guess ! Regarding vaccines (delay
2 months from usual or as usual or half dose
1.

A 14 years female, with 6 month history of lower mid abdominal pain , the
pain is colicky radiate to the back and upper thigh, begin with onset of
manse and last for 2-4 days, , physical examination of abdomen and pelvis
normal, normal secondary sex development, what is the most likely
diagnosis?
a)
Primary dysmenorrhea
b)
Secondary dysmenorrhea.

2.

Female patient known to have Bicornuate uterus present in labor , give History
of kicking in lower abdomen and on Examination there is round object in
fundus on auscultation the heart positive in the umbilicus of his mother , what
is the most likely presentation ?
a)
Face
b)
Vertex
c)
Breach

3.

Young female with whitish grey vaginal discharge KOH test? Smell fish like,
what is the diagnosis?
a)
Gonorrhea
b)
Bacterial Vaginosis
c)
Traichomanous Vaginalis
4.

Lady with menses every 15 days

a)
b)
c)

Menometrorrhea
Polymenorhea
Hypermenorhea

5.
a)
b)

Common cause of pregnant lady mortality :

Syphilis
Toxoplasmosis

6.
a)
b)

Premenstrual syndrome :
More in the first half of menses
More in the 2nd half of menses

7.
a)
b)

Children diagnosed to be hypertensive :

BP Above 90th percentile
BP Above 95th percentile

8.

Child with URTI is complaining of bleeding from nose, gum and

bruising the treatment is:
a)
Prednisolone
b)
IVIG

9.

Cellulitis occurring about the face in young children (6-24 months) and
associated with fever and purple skin discoloration is MOST often caused by
a)
group A beta hemolytic streptococci
Haemophilus influenzae type B c)
streptococcus pneumonie
d)
staphylococcus aureus
e)
pseudomonas
f)
Child came with wheezing and cough and diagnosed with asthma and his dr.
prescribe to him beclomethasone nebulizer what most worried side effect of
using it:
a)
Growth retardation
b)
Extaoriculer problem

b)

10.

11.

13.

Patient in dental clinic received local anesthesia and give numbness below
eye , maxilla and part of the nose most likely nerve blocked is :
a)
Sphenopalatine
b)
Infraorbital
12.

Patient with lesion above the left eye brows , first lymph node to be

a)
b)
c)

Parotid
Mental
Submandibular

examined is :

Attention Deficit Hyperactivity Disorder ( they give me the symptom not the
diagnosis ) child what is the manegment?
a)
Ecitalpram
b)
Atomoxetine
c)
Olanzapine
d)
Clonazepam

14.

4 years old brought by his parents, height < 5th percentile, they ask if he will
remain short. what you will do initially :
a)
Parental height

15.

Patient with hematuria and cough and sputum with saddle nose
deformity your diagnosis is ?
a)
Wegener's granulomatosis

16.

Child with mild trauma develop hemoarthrosis, in past history of similar

episode DX ?
a)
Platelets dysfunction
b)
Clotting factor deficiency
17.
a)
b)
c)
d)

Child with aspirin intake overdose ...what kind of acid base balance:
Metabolic alkalosis
Metabolic acidosis
Respiratory alkalosis
Respiratory acidosis

18. Child with high-grade fever for 5 days and sore throat, on examination there
was tonsillitis and white patches on the gingiva. No LN enlargement, ASO is
negative. The most likely causative organism is:
a)
Coxsackie virus.
b)
Herpes simplex virus.
c)
EBV.
19. CPR in child according to American heart association in presence of 02
rescuer:
a)
15 compression and 2 ventilation
b)
30 compression and 2 ventilation
20. A man runs for a long distance then develops pain in the thigh with loss of hair
diagnosis :
a)
DVT
b)
Acute leg Ischemia

B.

Postmenopausal woman with bone metastasis, BMD T score -3. Came with
vertebral fractures. What is your appropriate management?
A.
Estrogen
Bisphosphonate
Answer: B
G3P2+0. Her first visit was on the 20th week of gestation. She has history of
two premature deliveries. Her cervical length was 30 mm. what is your
appropriate management?
A.
Strict bed rest
B.
Terminate her pregnancy
C.
Immediate cerclage?
D.
Inject her with progesterone

A patient was found to have a bilateral hypo-echoic cysts; by ultrasound.

What is the next step?
A.
MRI
B.
CT?
C.
Biopsy
A scenario clearly describing a case of pelvic abscess. How will you drain it?
A.
Laparoscopy?
B.
Laparotomy
C.
Colpotomy
D.
Medications
40 year-old female, completed her family. She has endometrioma. Presented
complaining of mild dysmenorrhea and severe pain during intercourse. What
is the most appropriate management?
A.
Removal of the cyst and ablation of the endometriosis lesions.
B.
TAH + BSO
A lady had progressive sadness over the past 2 years. She has
hopelessness, insomnia, decreased appetite, low self-esteem and suicidal
ideation. Diagnosis?
A.
Minor depression
B.
Depressive disorder
C.
Dysthymia

A 4 year-old child was brought by her mother complaining of recurrent attacks

of diarrhea especially after eating. This attack was associated with pale
greasy stool. What is the diagnosis?
A.
Giardia
B.
Entamoeba
C.
Carbohydrate intolerance
A LONG scenario about a patient with high temperature, high WBC, low RBC
and low PH. What are you going to do?
A.
Bone marrow aspiration
B.
Cultures
Patient with acute rheumatic fever, what is the appropriate short term
management?
A.
Monthly dose of penicillin IM
B.
1 dose of penicillin
C.
Penicillin + high dose of aspirin
D.
Oral penicillin
In acute PE with no signs of DVT; what will you give?
A.
IM warfarin
B.
IM heparin
C.
Warfarin + heparin
D.
Streptomycin

A thyroid-disease patient developed pain while moving her shoulder and

decreased range of motion. What is the diagnosis?
A.
Impingement syndrome
B.
Rotator cuff tear
C.
Adhesive capsulitis
(Golf elbow) + Difficulty in flexing the wrist. What is your next step?
A.
Refer to orthopedic
B.
Refrain golf
C.
Do an x-ray
D.
surgery
A patient came with eosinophilia and generalized body aches. What is the
causative organism?
A.
Entamoeba
B.
Giardia
C.
Oxyuris
D.
?
If the patient is diabetic, what vaccine you would like to give?
A.
Pneumococcal
B.
Hib
C.
Viral?
D.
?

Angioedema is a side effect of which drug?

A.
BB
B.
CCB
C.
ACEI
1. When to swap for GBS in pregnant ladies:
-25 wks
-30 wks
-35 wks
-40 wks
2. Pt with trauma, femoral/hip fracture. Lt leg short and laterally rotated. What
muscle is responsible for lateral rotation:
-gluteus maximus
-rectus femorus
-gracilus
-adductor magnus
3. Pt with leg pain for awhile. Xray showes periosteal elevation and onion
skin. Wts the mng?
-IV antibiotic
-Warm comp, rest and elevation

-Steroids
4. 50 yo w Painless loss of vesion in one eye, with headache and pain when
touching the hair on the same side. Wts next:
-topical steroids
-oral steroids
-brain CT
5. Dew drops on rose petals vaginal lesions, dx:
- herpes simplex
- syphillis
_ chanchroid lesion
- herpangia
6. anemia, high billirubin, positive direct and indirect coombs Photo of
samear shoing spherocytosis, wts the dx:
-AIHA (rt answer since +ve coombs)
-spherocytosis
7. Pt with starry sky pattern on biopsy > burkhits
Wts the mutation:
- C-myc gene ( rt answer)
- abl2
- Bcr- abl
45. Child with itchy acalp and scales, other classmates affected, dx:
-tinea capitus
-scabies
internal iliac injured which is affected
1anterior thigh ms
2ovary
3bladder
4anterior abdomen
-viral knockout which of the following
IL2
IL3
IL4
IL5
-depression patient came to psycatrist the doctor asked him about his
mentality what did the doctor examined
1 insight
2 compliance
3 depression
1-Hepatitis prevented by vaccine:
-Hepatitis B.
2-women has lichen sclerosis which cancer she will get:

-squamous cell carcinoma

-Adenocarcenioma carcinoma
-Adeno-squamous carcinoma
3-male after prostectomy through venous plexus the metastisis will go to:
-Skull
-Vertebral body
-Lung
4-how to asses hearing in adult:
- recording music
-recording dog parking
- sound of watch
- paper flabbing
5- pt with photophobia and tearing got injured by his brother finger nail what is
the treatment:
-steriod ointment
- steriod drop
- antiviral
- fitting contact lens
6- chid has itching and all student in his class got the same infection:
Sarcopits scapi
15- pregnant women with UTI what is the best drug:
nitrofurantoin
16- pt with DKA he start to breath rapidly to buffer his acidosis through :
- oxygen
- carbon monoxide
- carbon dioxide
- nitrogen
17- viral gastroenteritis prevented by which vaccine :
Rota vaccine
18- child his height and weight below normal besides growth hormone what
you will order:
- somatocin c
- aldosterone
- insulin
- testosterone
Post-transfusion fever how to
prevent Transfusion filter
Depleted leukocyte
Premedication with antipyretics

Necrotizing fasciitis treatment

Imipenem & metronidazole
Ampicillin n gentamicin
Pipracillin & tazobactam
Penicillin and smth
Child with epilepsy on anticonvulsant
What you will change in his vaccines
opv to ipv
Dtp
Remove all vaccines
Remove all live vaccines
Papillar thyroid ca mostly associated with which of the following
Hurthe cell
-At inguinal canal base, what artery u can find?
iliac
femoral
-Temporal arteritis, confirmatory dx?
Biopsy temporal muscle
Biopsy temporal artey
-Hemophilia child what will he present with?
hemarthrosis
bleeding gum
epistaxis
-Yellowish discoloration and caries on occlusive surface of a child teeth, what
will u do?
Oral antibiotics
Hexidene mouth wash
Improve diet
-Bee sting, developed allergic reaction, what is the type of hypersensitivity
reaction?
Type 1
2
3
4
-AIDS patient 34 w pregnant her CD count dropped to 200 what will u do:
Book for CS
CS when spontaneous labor
Vaginal delivery
-Patient with diarrhea and fount trophozoites in stool, he was travelling
overseas, what is the dx?
Dysyntary

-Child with hairless spot, mother noted she was pulling her hair when
stressed, what to give her?
Lithium
Lorazepam
Other antiepileptic mentioned
-4 Y Child, fully understands and cooperative but has a bad habit of sucking
thumb what to do?
Nail painting
Ask him repeatedly to stop
Encourage and reward
-5 m old baby, was rejected from I dont know where because he has delay,
mother comes to u worried, what will u check to know hes fine?
try to reach for objects
wave goodbye
try to set
-Case of herpes type 1, what to give?
Oral antiviral
Topical steroids
-Red back of the hand with previous prick sensation and fever, what is the dx?
Cellulitis?
-Breast abscess, gram +ve organism what will u do?
Coagulase
Oxidase

-Vitilligo, high LFTs, dx?

Autoimmune hepatitis??
-Yellow jaundiced patient, admitted, started treatment, his color turning green
whats the cause?
Oxidation of bilirubin
-MVA with shock and fracture femur, what will be increased?
ALP
CK
ALT
-Elderly, asymptomatic, with 90% lymphoblast.. what to do for him?
Observation
Chemo
-Haloperidol toxicity, uprolling of eyes and dyskinesia, what is this?
Tardive dyskinesia
Neuroleptic malignant syndrome

-Psychiatric patient swallowed 2 safety pins, found on duodenum what to do?

Immediate laparotomy
Admit and observe
Charcol

-Barking cough, etc, given neubalized epinephrine, after half hour relapsed
again, what to do?
Give oxygen
Give epinephrine another dose
-Pregnant with asthma scenario came with SOB, what to do?
Cxr
Spirometry
CT
-Child above 90th percentile in hight, long scenario and cardiac abnormaility
with fatigueetc
Marfan syndrome?

burn pt, 70 kg, circumferential upper and lower left limbs + anterior trunk, how
much fluid youll give in the first 8 hours?

6 liter

-8 liter

10 liter
Malaria blood film
post hysterectomy lady, doing fine, urine out put is ., temprature . , urinary
catheter removed, what will make the doctor not discharge this patient ?

inadequate urine out put

fever
5- treatment of orbital pseudotumor?
A- Radiation
B- Antibiotics
C- surgical excision
D- Systemic steroid
6- baby sit briefly, crawl , move object from hand to hand , but can't do pincer
grasp
A- 4 month
B- 6 month
C- 7 month B 9 month

1/ MVA when to do diagnostic peritoneum lavage:

Hypotensive patients.
All MVA patients.
Unconscious patients with severe head injury.
Conscious patients with abdomen pain.

24/ patient taking carbamazepine developed generalized rash and peeling of

epidermis:
Steven Johnson syndrome
patient with BPH best investigation:
Cystoscopy
Annual renal function
Annual prostate antigen
Beta-blocker
33/ patient not hyperventilating PH: LOW, Bicarb: low co2: normal:
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis
36/ 25 years old female with 2 cm mass in upper right breast movable and
firm negative family history, for 2 months:
fibroadenoma.
37/ 40 years old female with 3 months mass 2.5 cm firm .. mammogram and
US normal what to do
follow up after two cycles
obtain tissue
38/ female delivered her baby 4 months ago breastfeeding needs
contraception and concerned about not having her period
Reassure and counsel about contraception
Order prolactin level
41/ female with right upper abdomen pain and fever no jaundice..
management :
Emergent surgery.
Iv fluid and antibiotics.
Discharge
43/ 60 years old female with distal phalangeal joint swelling and shoulder pain
and knee pain x ray showed narrow joint space and osteophytes:
Rheumatoid arthritis
Osteoarthritis
44/patient had throat infection 2 weeks ago was developed hematuria how to
treat:
Corticosteroids
Thiazide

46/bleeding from the umbilical, which factor:

X
XI
XII
XIII
50/ potential side effect of amitriptyline:
Dystonia
Weight gain

1- A patient had weight gain, because she cant taste the food or smell.
Examination is normal, she was seen by neuro and psychiatry with no
diagnosis. Whats her diagnosis?

Meningioma

Anurysm

Malingering
2- A patient with heartburn taking antacids. She had rheumatic fever 1 week
ago and was started on aspirin. What side effect she can develop?

Constipation

Diarrhea

Dry mouth

Galactorrhea
3- Regarding the previous case, what should be given ?
Misprolol
4- Mountain climber who has hypoxia, which of the following liver zones is
most affected by hypoxia ?

Central of acini zone II

Preiphral of acini zone II

Sinusoidal
5- Which of the following is a tumor marker for prostate cancer.
CEA
alpha feto protein
acid phosphatase
(PSA is not included)
6- Which of the following enzyme in not functional?

HMG Coa..??
7- A case of pediatric nephrotic syndrome with edema, what will you give him
?

steroid trial

diuretic
8- Seven weeks pregnant lady c/o vaginal bleeding with tissue. Her cervix was
open and you can see some product of conception. Her fundal height is
equal to 7 to 8 weeks.

Threatened abortion
Incomplete abortion
Missed abortion

15-A patient with blood only noticed when she whipes with toilet papper,
where is the bleeding ?

urethra

vulva

utrine body

cervix
16- When does a pregnant patient do GDM?

12 weeks

16 weeks

20 weeks

28 weeks
17-Patient with exophthalmos and swollen lids and you can feel its pulse, TFT
normal. Whats ur diagnosis.

Hyperthyroid

Cellulitis

Cavernous sinus thrombosis

18-A patient with incontinence, distended bladder and difficulty to initiate
urination:
Reflex
Urge
Overflow
Stress
19-A mother took her child to the well baby clinic, he was laughing with his
mother. When the doctor came he cried. How old is he ?

2 mo

4 mo

6 mo
20-A culture was taken from the patient, it was shown to be resistant to beta
lactam and sensitive to fluroqunilone, aminoglycocides and cloarnphinicol.
Which of the following antibiotic is contraindicated
levofloxacin
cloarnphinicol
gentamycin
azithromycin
21-Definition of post partum hemorrhage:

More than 500 ml post SVD

Less than 500 ml post CS

More than 500 ml post CS

Less than 500 ml post SVD

22-following organisms is seen in patients with chronic granulomatous

disease?

Cl. Difficle

Staph aurues
25-A female in her 20s, has DM and hypothyroidism and has white plaques in
her mouth and rash on her back. No fx of immunodeficiency, no travel hx.+ve
hx of contact with tb with +ppd. Whats your diagnosis ?

Chrnoic candidiasis

Chronic granulomatous disease

26- In which lobe does lobar pneumonia ?

Right mid

Right upper

Right lower

Left upper
27-Mother with GBS and had a baby who has irritability and agitation and
fever. What will you do ?

Give antibiotics

Do cultures
28-A case of pyelonephritis, what is the next step?
Admit and give antibiotics

Do investigations

Give him antibiotics at home

29-Which part of the female urethra is more susceptible to be damaged ( in
an intervention I cant remember what)
30-A patient whos 36 weeks pregnant starting having contractions lasting 30
secs. CTG was done and was good. What to do ?

Give tocolytics
31- You have a patient and you took her permission to examine her. What are you
doing?

Taking informed consent

Being efficient in you job

32- A patient was injured and now has scrotal pain, whats the most likely
diagnosis?

Testicular torsion

33- A patient with unilateral parotid swelling, hes post cholycystectomy.

Saliva was cloudy ( I think) Culture from parotid saliva was negative

Sarcoid granuloma
Bacterial
Cancer
Sjogren syndrome

34- A patient with pain in his left shoulder, you did ECG and found ST
elevation.

Ischemic
12-A patient was diagnosed with enteric fever. What is the presentation that
he will have?
a. Confusion (or other CNS problems)
b. Maculopapular rash
c. Nausea, vomiting and loose stools
d. abdominal pain
13- knee reflex
L 3-4
14- After you informed a pt about his lab results he said "this is a mistake"
-anger
-depression

22- Triple therapy for gastric ulcer in 10 yo boy? Ppi +

PPI-based triple therapy regimens for H pylori consist of a PPI, amoxicillin,
and clarithromycin for 7-14 days
23-carpel tunnel syndrome .. pt can't work and write
which muscles affected :
theaner
interossei palmer muscle
interossei dorsal muscle
32-A child that can raise his head slightly when prone and smiles. He turns his
head 180 degrees and has head lag when you pull him to sit. How many old
is he?
a. 4 weeks
b. 8 weeks
c. 12 weeks
d. 16 weeks
33-baby 8 month old breastfeed for 6 month normally. He devolved vomiting and
jaundice after fruit juice. What component in the juice the baby is allergic to?
a.
Glucose
b.
Fructose
c.
Sucrose
d.
galactose
e.
phenylalanine
57-a case of painfull nodules in groin area and pain relived after punching and
dicharge came out of it:

Hidradenitis suppurativa.
frunculs
58- female pt present with laughing and coughing passing out urine O/E there is
swelling in labia majora ( stress incontinence )
Cystocele
Urethrocele
65-duchenne muscular dystrophy :
muscle wasting
66-pt present with Right subcostal area pain ... and you do surgery and you
find inflamed appendix
sub-hepatic cecum
1- A scenario about a patient who deals with flowers and got pricked by rose
thorn, presented with redness at the prick site. which of the following is the
cause:
Sporothrix schenckii .
2- A patient who presented with ciliary flush, bilateral eye redness and pain.
Examination revealed keratic precipitate and presence of cells in the anterior
champer (classical scenario of uveitis) what is the treatment:
A.
systemic corticosteroid
B.
cyclopentolate with topical steroids
3- a three weeks old boy presented with scrotal asymmetry. In examination
both testicles were palpable in the scrotum. (thats it, with no more
information). What are you going to do next in examination:
A.
trans-illumination test
B.
let the patient to cry/cough to see if the is any bulging
6- patient presented with foreign body sensation in his eyes, itchiness and
grittiness. (not sure if mentioned watery discharge or no). he is taking (a drug)
and antihistamine. Also he mentioned that he sit in front the screen for six
hours daily. What is the cause of his disease? ( the scenario was not very
clear whither it is allergic or just simple dryness)
Amast cell degranulation and histamine release.
BCorneal dryness
7- a pregnant lady in labor. Multipara and gravida, after presentation to you she
had spontaneous rapture of amniotic membrane. in examination she is 5 cm
dilated with 100% effacement of the cervix with station zero . After three
hours still the same and no change. What is your management:
Aexpectant management
Boxytosin
Cprostaglandin E2(or I2 not sure)
DCS
8- after vaginal delivery the patient is complaining of urine coming out of the
vagina during the micturition what is your diagnosis:

abcd-

viscovaginal fistula
urterovaginal fistula
uretherovainal fistula
rectovaginal fistula

9- clear case of absence seizure then asked what is going to happen to this
patient if given fentanyl :
Aglutamate receptors activation
Bseizure activity due to toxic neurotransmitters release
10after appendectomy a patient got abdominal infection by enterococcus
faecium. He is allergic to penicillin what are you going to give him:
Aceftriaxone
Bvancomycin
Ccefotaxim
D- TMP-SMX or metronidazole (not sure which one of them was
mentioned)
11patient complaining of hematuria with WBC in urine and the culure is
negative. Cystoscopy, revealed submucosal hemorrhage what is the cause:
A- cystolithiasis
Binterstiatial cystitis
1. Patient with acute MI typical scenario, the analgesia he was given will work
on: ( most likely asking about morphine)
- inhibition of COX
- work on P-peptide or receptor can't remember exactly
2. Old patient that presented with abdominal pain from time to time starts in the
left mid abdomen radiates to the back, whenever he have the attacks, he
lies down on that side and bend his body position like a baby, no vomiting,
or wt loss what is the diagnosis:

- duodenal ulcer
- gastric ulcer
- chronic pancreatitis
- mesenteric thrombosis
3. (24) year old mother presented with her child who is diagnosed with Down
syndrome CLINICALLY, she's asking about the risk of down in her next child,
what is the best investigation:
- karyotype this child
- karyotype the mother and child
- do US next pregnancy
- do amniocentesis next pregnancy
4. Muscle responsible of internal rotation of left lower leg:
- maximums
- gluteus
- rectus femurs

5. 5 years old boy presented with sore throat, he was discharged home, culture
was done showing Group A meningococcus, the physician called the family
to inform them he finds that the child is asymptomatic, the best treatment is:
- penicillin
- single dose ceftriaxone
51. Girl after fight with her friend she doesn't talk to her or call her she avoid her
and when her friend comes to the same place she goes out what is that:
- avoidance
- denial
- repression
1#4 years old child says hahalllo(stuttering)what are you going to
do? a#observation
b#auditory evaluation
c#speech therapy
3#child with recurrent infection,aczema and low
platelet? a#Wiskott#Aldrich Syndrome

5#women with breast cancer,what is the gene that you are

going to look at in order to know what therapy you are going to
give?
Ki67 or her2

6#mechanism of action of inhaled antivirus?

Neuraminidase inhibitor

7#man present with hepatosplenomegaly ,blue nodules and

neck swelling, what is the investigation you are going to do ?
(rubella)
serolog
y

9# man present with 4.5 lung nodule in the x ray and

mediastinal lymph node metasteses, diagnosed by
adenocarcinoma ,what is the stage of this cancer?
a#t1n0
mb#t2n
1m0
c#t3n2
m
d#t2n2
m0
10#child take overdose of isoniazid and toxicity symptoms?
administering pyridoxine, and supportive care

15#what is the type of energy responsible for transportation in

and out the nucleus ?
Atb out side the
nucleus Gtp inside
the nucleus
25#pregnant lady 32 weeks presented with regular abdominal
pain and dilation of cervix with out premature rapture of the
membrane what is the mangment?

a#restrict movement with steroid

b#hydration with steroid c#oxytocin with iv antibiotic
d#restrict movement with antibiotic iv
27#preterm delivery before? 34
32
37
23