‫السالم عليكم ورحمة هللا وبركاته‬

.. ‫دا اللي قدرت أفتكره من االسئلة اللي جاتني‬

.. ‫بعض االسئلة الجواب باألزرق الني مالقيتها ف المذكرة أو الجواب مختلف‬
‫موفقين‬

1-Patient with Hodgkin’s lymphoma and Reed-Sternberg cells, eosinophil, nuetrophils

and histeocyte are also present. Classification is:
a) Nodular sclerosis
b) Lymphocyte depleted
c) Mixed-subtype
d) Lymphocyte-rich

2-Non-hodgkin's lymphoma:
a) more common than Hodgkin's lymphoma (sure)

3- Old patient, diabetic complain of redness in lower leg and plus diminished in dorsalis
pedis these redness increase in dependent position and limp is cold and no swelling or
tenderness, diagnosis is:
a) Arterial insufficiency
b) Thrombophlebitis
c) cellulites

4-Patient has history of parotid and salivary gland enlargement complains of dry eye,
mouth and skin, lab results HLA-B8 and DR3 ANA positive, rheumatoid factor positive,
what is the course of treatment?
a) physostigmin
b) Eye drops with saliva replacement
c) NSAID
d) plenty of oral fluid

5-All are primary prevention of anemia except:

a) health education about food rich in iron
b) iron fortified food in childhood
c) limitation of cow milk before 12 month of age
d) Genetic screening for hereditary anemia
e) Iron, folic acid supplement In pregnancy and postnatal
.. ‫أظن الجواب دا غلط‬
6-A 45 years old lady was complaining of dizziness, sensory neural hearing loss on her
left ear (8th nerve palsy), tingling sensation & numbness on her face, loss of corneal
reflex. MRI showed a dilated internal ear canal .The diagnosis is:
a) Acoustic neuroma
b) Glue ear
c) Drug toxicity
d) Herpes zoster
e) Cholesteatoma

7- Posterior epistaxis with unremarkable history what is next (initial step in

management):
a) Post nasal tampon
b) Blood coagulation studies
c) Spray anesthetic/vasopressin (sure)

8-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) preservation
c) insertion of idea
d) Loosening of association

9-12 years old 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

10-long scenario about old lady complaining of headache , eye pain but no decrease in
vision. What to do:

a) Refer to ophthalmologist (my answer... sure)

11-Most effective treatment of cluster headache:

a) Ergotamine nebulizer
b) S/C Sumatriptan
c) 100% O2
 d) IV Verapamil

12-Old patient, bedridden with bacteremia “organism is enterococcus faecalis”, what

the source of infection?
a) UTI
b) GIT
c) Dental abcess

13-Typical scenario about seborrheic dermatitis (scale in hair margin and nasal fold)
treatment:
a) ketoconazole cream twice daily until the rash disappear

14-Patient complaonong of of hypopigmentful skin , nerve thinking diagnosis:

a) leprosy
b) vitiligo

15-Patient with cervical spondylitis came with atrophy in Hypothenar muscle and
decreased sensation in ulnar nerve distribution. Studies showed alertness in ulnar nerve
function in elbow..to ur action is :
a) Physiotherapy
b) Cubital tunel decompression

16-Sciatica:
a) Never associated with sensory loss
b) Don’t cause pain with leg elevation
c) Causes increased lumbar lordosis
d) Maybe associated with calf muscle weakness

17-Radiological finding in lateral view for elbow dislocation :

a) Posterior fat pad sign

18-The commonest symptom in the presentation of abruptio placenta is:

a) Vaginal Bleeding 80%
b) Abdominal pain70%
c) Abdominal mass
d) Irregular uterine contractions 35%
e) Hypogastric tenderness

19-Pregnant, smoker, h/o trauma, dark red vaginal bleeding ,, FHR 150 uterine
contractions ...diagnosis :
a) Uterine contusion
b) Abruption

20-Pregnant lady presented with bleeding from gums. On exam, spleen in palpable 4 cm
below the costal margin. Ix; platelets 50,000. Dx:
a) HELLP.
b) ITP
c) Gestational thrombocytopenia (sure)
d) Thromboembolic disorder.

21-50 years old giving history of (postmenopausal symptoms), hot flushes. Low self
esteem, depression. Best drug to reduce these symptom is:
a) Estrogen (sure)
b) Progesterone
c) ?? But not combined bell or HRT
d) Paroxetine

22-Salpingitis and PID on penicillin but not improve, what is the most likely organism?
a) Chlamydia
b) Neisseria gonorrhea
c) Syphilis
d) HSV

Not sure from the Q.. if it's penicillin or cephalosporin...

23-What is the cause of death in Ludwig angina?

a) Dysrhythmia
b) Asphyxia
c) Pneumonia
d) Wall rupture
24-Pt with gastric mass, best investigation:
a) endoscopy

25- Patient give history of malaise, fatigue and give history of decrease meat in her diet,
HGB was 9 and hypochromic microcytic anemia what you will give her (was child):
a) Trail of iron therapy “she has iron deficiency anemia”
b) iron and multivitamin

26- 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

27- Patient admitted as a case of emphysema, according to the vaccine what you will d
a) give pneumococcal vaccine now
b) give flu vaccine now
c) give all vaccine 2week after discharge
d) give flu vaccine now and pneumococcal vaccine 4 week after discharge

28- Sinus tachycardia and atrial flutter, how to differentiate?

a) Temporal artery message
b) Carotid artery message
c) Adenosine IV

29- Regarding H. Pylori eradication:

a) Clarithromycin for 1 week
b) Bismuth, ranitidine amoxil for 2 weeks
c) PPI 2 weeks, amxilor 1 week clarithromycin

30- 30 years old male with history of pain & swilling of the right Knee , synovial fluid
aspiration showed yellow colour, opaque appearance, variable viscosity, WBC 150000,
80% poor mucin clot ,, Dx is:
a) Goutism Arthritis
b) Meniscal tear
c) RA
d) Septic Arthritis
e) Pseudogout arthritis