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/ 20177/3/18 دورة..
Medicine :
1) drugs and antidotes are matched except Methotrexate-pyridoxine
4) All are true about multiple myeloma excepts cause sclerotic bone lesion
*other options : peak incidence at 6th decade \ causeamyloidosis
10) All causes right shift in hemoglobin dissociation curve except Alkalosis
*other options: Hypercarbonemia \ Low carboamino product \ hyperthermia \ increase in 2,
3 DPG
6) A 22 years old man with hernia , easily reducible … ets what type of hernia goes with
spermatic cord <cant remember the exact q > Indirect inguinal hernia
*other options : Direct Hernia \ Femoral Hernia
10) A burn victim presented with total burn in his rt. upper arm & half of his anterior trunk &
one third of his rt. Lower limb , his TBSA is 24
12) All are true about hydatid cyst of liver except adequate treatment done by
percutaneous drainage
* other options : cause anaphylaxis \ more in right lobe \ may cause cerebral
presentation \ bone lesions indicate surgery
2) All are criteria of sever PET except elevated uric acid level
*other options : oligouria \ diastolic bp>110 \ low plts
4) All are causes of Small for gestational age except Infant of Diabetic mother
6) All are adaptive physiological changes in preg. Except increase in Central Venous
Pressure 30%
*other options : increase cardiac output 40% \ increase Heart rate 10 – 20 beats
8) First trim. US is informative for all of the following except Placenta previa
* others : diagnosis of ectopic \ estimation of gestational age \ confirm multiple preg. \
confirm Viability .
11) A woman took Rubella vaccine can get pregnant after 3 months
Pediatrics :
1) All are criteria of APGAR score except Respiratory Rate .
4) All are true about full term infant except double his birth height at one year age
* other options : have a birth weight of 3.5 kg \ have a height of 50 com \ have a head
circumference of 35 cm \ double his birth weight at 5 months old .
7) Minimal oral fluid intake for a 6 months old baby mildly dehydrated 150 ml \ kg\ day
8) All are signs of rickets in infancy except Early closure of anterior fontanels
خدمات الماضي
26 / 3 / 2016
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😊 وادعولنا معكو
1. All are Side effects of oxytocin except :
fetal distress
amniotic fluid embolism
hyperprolactinemia **
hyponatremia
2.all are risk factors for endometrial carcinoma except :
obesity
DES exposure **
PCOS
Nulliparity
3.about HCC all are true except :
percutaneous biopsy before surgery **
within distribution of HB fibrolameller variant common in females
4. All are true about gastrin except :
secreted by G cells of antrum
increased in zollinger- Ellison synthesis
decrease by PPI **
increased the carcinoid type 1
5.female+microcephaly+ severe mental retardation + hand wringing movements :
rett $ **
Marfan $
X_ fragiall $
6.elderly chronic kidney disease + bilateral hearing loss possible eye changes is :
lenticonus **
optic atrophy
lens detachment
Retinal depostion
7.IL-1 all are true except :
produced by macrophages
activate t cells
stimulate thermoregulatory center
bone production **
8.comparing to intracellular cell; extracellular cell had :
lower level of kk+ **
9.one is true about nerves :
oculomotor nerve at lateral wall of cavernous sinus **
maxillary nerve superior orbital fissure
facial nerve forwards at geniculate ganglion
Left recurrent laryngeal nerve
10.regardingperiphral nerve injury all are true except :
degeneration of actin and myosin in proximal muscles
sprouting from proximal nerve root schwann cells at periphry **
about axonal
11 .botulinum toxin all true except :
serotype a most used clinicallyy
serotype b used in clinical
inheption post synapticc **
13.about glucose all are true except :
after 48 hrsfadting amino acid source of glucose
after 12 hours fasting lipolysis occur
muscle glycogen can't form it due to absence of g6p
acetic acid is important for glucose synthesis
13. all are true except:
ankle L5; S1
biceps C5; C6
knee L2; L4*
nipple dermatome 4
umbilical T10
14. About ulnar nerve all true except :
no branches at upper arm
supply the coracobrachialis muscle**
medial epicondyle
15. About PID ALL are true except :
pelvic pain
fever
leukocytosis
anemiaa *
16.All causes of polyuira except :
Hpponatremia **
hypokalemia
Hyperaldosteronism
17. At the level of transpyloricline except :
doudenojeujenal junction termination of spinal cord neck of pancreas
fundus of GB
tip of tenth costal cartilagee **
18. Highest anomaly in diabetic mother :
NTD
microcolon
rectal agenesis
sacral agenesis
Transpostin of graetvesell **
19. About philadelphia chromosome one is true :
with ALL And had poor prognosis
with chronic lymphocytic lukemia
myelofibrosis **
20.one of the following seizure with good prognosis :
focal
tonic **
myoclonic
subtle
21. All indicates intracranial complication in pt with meningitis except :
focal seizure persistent elevation of neutrophils **
recurrent meningitis
increase in head circumference
22. About hirschsprung disease all are true except :
absent myentric plexus
ganglion segment dilated on barium enema
presence of normal rectal inhibatory reflex
increase in acetylcholinestrase is histological findingg **
23.Do sweat chloride test in all except :
recurrent lung infection
nasal polyp
neonatal jaundice
ricketss*
24.all are true about fungi except :
multicellular
anaerobic **
eukaryotic
contain kertinase
25.32y/o pregnant at 21 weeks ; sudden chest pain &S.o.b had antiphosholid syndrome best test :
doppler u/s lower extremities ventilation perfusion scan **
Dopplex
Ct scan
27. Increasing bleeding time in one :
Hemophlia A
Hemophlia b
von-wellibrand disease **
28. About peritonitis all true except :
primary one more common in adults than child **
2ndry one bacterial pertonitis
29.one is normal in pregnant :
glycosuria**
pyuria
proteinuria
30. After c/s at 4 day fever persist even with the use of antibiotic for 3 days :
cystitis
pelvic thrombophlebitis **
32.sudden death of child in all except :
TOF
Aortic stenosis
ASD*
33.endometrioma is :
functional cyst
choclate cyst **
leiomyoma
ovarian tubular
34. About febril non hemolytic reaction of blood transfusion whicis wrong :
Most common reaction
Occure due to antibodaginstplatlet and leukocytes
Caused by factor 8 transfusion **
35.devolopmental in 24 months child which is wrong :
Can handle spoon well
Express himself immediatly
Lsn to story
Help undress
Put things awayy **
36. IL1 one wrong :
Increas temp regulation in hypothalmus
Stimulate bone prodaction **
Most commonly from macrophages
Stimulate T and B cells prolferation
37.abut carcinoid which is wrong :
Most common sit apendix
Tumor of enterochromafin cells
ilum not common multicentricc **
38.regardingsterid one is true :
Produced in adrenal cortex
Incres 17 hydroxlase
Secration in kidny **
2-poor prognosis menegitis wrong >> seizures in the first 3 dayss ?
39. iron deficiency in child which is wrong :
normal TIBC **
Low srurm iron
⬇ MCV
40. all are in in platlete except :
histamine
serotonin
fibronegin
fibronectin
factor 7 and 99 **
41. regarding ulnar nerve which is wrong :
supplies coracobradialis **
final branch from medial cord behind medial epicondayl
42. which causes vasoconstriction : histammine
bradykinin
prostacycline
angiotensin **
43. which is wrong regarding pancreatic physiology :
amylase secreted in active form
acidity in duedenum and bile stimulate pancreatic fluid secreation **
fluid and electrrolytes secreted from ductal cells
CCK stimulate pancreatic enzymes
pancreatic secretion neutrolize acidity in the dudenum
44.regardingphyochromcytoma which is right :
10% bilateral **
predominantly produce adrenaline gestation
10% adrenal
45. after 3 days of CS pt have fever and receiving antibiotic , female still have fever and not
responding to antibiotic because of
wound infx
pylonephritis
retardation o his hand malhm
Pelvic thrompophlbitss **
46. regarding aortic regurge not a sign :
Quincke sign
Corrigan sign
Duroziez sign
Austin-Flint
Graham bell murmurr **
47. increasing blood osmalirity causing :
stimulation of chemo and osmalirtyrecpetors that stimulate ADH release
inhibition of chemo and osmalirtyrecpetors that stimulate ADH releasee **
48. aboute p53 which wrong :
on chromosome 17
stop cell in M phase **
Have 2 pathway
A 53-year-old woman falls onto an outstretched hand.x-rays of elbow reveal a fracture of the radial neck. She has no sensory
loss, but has weak extension of the wrist and cannot extend her fingers, which is the most likely nerve to be affected?
Axillary nerve.
Radial nerve.
Posterior interosseous nerve of the forearm.
Ulnar nerve.
Musculocutaneous nerve.
ANSWER:C
The x-ray finding for a patient with abdominal pain shows tubular shaped colon with no fecal matter within the affected part of
the bowel, the most diagnosis is:
Hirschprung's disease.
Sigmoid volvulus.
Necrotizing enterocolitis.
Ulcerative colitis.
Diverticular disease.
ANSWER:D
A18-year-old man with history of right inguinal hernia and needs surgery. He has a history of severe asthma that needed ICU
admission in the past. He has to use inhalars four times a day, and is admitted to hospital with an acute exacerbation at least twice
a year, the ASA(American society of anesthesiologist) grade for this patient is:
Class one.
Class three.
Class five.
Class four.
Class two.
ANSWER:B
The most appropriate form of nutritional support for a patient with severe acute pancreatitis is:
Nasojejunal feeding.
Oral supplementation.
Total parenteral nutrition.
Nasogastric feeding.
Jejunostomy.
ANSWER:A
The sodium concentration of dextrose saline is:
142 mmol\L.
154 mmol\L.
130 mmol\L.
10 mmol\L.
30 mmol\L.
ANSWER:E
A 64-year-old man attends for routine post-operative follow-up following surgery to remove a stone from his parotid gland. He
now complains of diffuse facial sweating before meals, the most appropriate diagnosis is:
Mikulicz syndrome.
Sjogren syndrome.
Frey syndrome.
Wermer syndrome.
Horner syndrome.
ANSWER:C
What is the most appropriate biopsy technique for a lymph node found during Whipple's procedure?
Incisional biopsy.
Excisional biopsy.
Core biopsy.
Frozen biopsy.
Fine-needle aspiration cytology.
ANSWER:D
A 69-year-old diabetic man complains of numbness around medial aspect of the leg following femoro-popliteal bypass grafting
using a reversed vein graft, the most likely nerve to be affected is:
Sciatic nerve.
Saphenous nerve.
Tibial nerve.
Sural nerve.
Common peroneal nerve.
ANSWER:B
Gleason's scoring system is used for:
Hodgkin's lymphoma.
Chronic pancreatitis.
Ovarian cancer.
Prostatic cancer.
Pancreatic cancer.
ANSWER:D
A 43-year-old presents with a 2-week history of jaundice and steatorrhoea.He has a long-term history of ulcerative colitis, which
is treated currently with azathioprine.The most likely diagnosis is:
Chronic pancreatitis.
Cholangiocarcinoma.
Cholecystitis.
Carcinoma of the pancrease.
Sclerosing cholangitis.
ANSWER:E
A 31-year-old man presents with a mole on his right shoulder. It has grown over the past two months and is very itchy. It bleeds
occasionally. On examination there is a 2-cm, irregular mole with a surrounding halo. He is also jaundiced .the most likely
diagnosis is:
Pyodermagangrenosum.
Dermatofibroma.
Keratoacanthoma.
Melanoma.
Squamous cell carcinoma.
ANSWER:D
A 37-year-old woman presents 4 hours following a motor vehicle crash with an anterior abdominal wall contusion from the lap
belt. The most sensitive diagnostic test to detect perforation would be:
Abdominal ultrasound.
Diagnostic peritoneal lavage (DPL).
Serial abdominal examination.
Abdominal computed tomography (CT) scan.
Gastrografin upper gastrointestinal (GI) x-ray.
ANSWER:D
The contraindication for medical treatment of gallstone include all of the following, except:
Non-functioning gallbladder.
Porcelain gallbladder.
Emphysematous gallbladder.
Stone less than 15mm in size.
Calcium bilirubinate and oxalate stones.
ANSWER:D
One of the followings is not manifestation of hypernatermia:
Increase in intracranial pressure.
Red swollen tongue.
Decrease in salivation.
Fever.
Oligouria.
ANSWER:A
Elevated serum gastrin is found in all of the following conditions except:
Pernicious anemia.
Gastric outlet obstruction.
Retained antrum.
Postvagotomy.
Duodenal ulcer associated with Helicobacter pylori infection.
ANSWER:E
Extra-adrenal pheochromocytomas predominantly secrete:
Epinephrine.
Dopamine.
Vanillymandelic acid.
Metanephrine.
Norepinephrine.
ANSWER:E
Hyper- metabolism in severe burns is related to:
Hypocortisolemia.
Hyperinsulinemia.
Decreased catecholamine activity.
Hepatic glycogen synthesis.
Glutamine synthesis.
ANSWER:B
Medicine :
1) drugs and antidotes are matched except >> Methotrexate-pyridoxine
4) All are true about multiple myeloma excepts >> cause sclerotic bone lesion
*other options : peak incidence at 6th decade \ cause amyloidosis
6) Rheumatic fever commonly affect >> Mitral valve & Aortic Valve
7) All are causes of non cardiogenic pulmonary edema except >> ............... ??
*options : Head trauma \ O2 poisoning \ ketoacidosis \ paracetamol toxicity \ burn
10) All causes right shift in hemoglobin dissociation curve except >> Alkalosis
*other options: Hypercarbonemia \ Low carboamino product \ hyperthermia \ increase in 2, 3
DPG
11) Question about mycoplasma pneumonia >> cause cold agglutinin disease
*other options : most common complication is plural effusion \ cause acute kidney injury
TasneemKhalfia Surgery :
1) Carpal tunnel syndrome is a result of compression of >> the median nerve
6) A 22 years old man with hernia , easily reducible … ets what type of hernia goes with spermatic cord <cant remember the
exact q >>> Indirect inguinal hernia
*other options : Direct Hernia \ Femoral Hernia
9) True about Tension pneumothorax >> may be complicated by Pulse less Electrical Activity
* other options : may present with Hypertension \ X ray must be done before ttt
10) A burn victim presented with total burn in his rt. upper arm & half of his anterior trunk & one third of his rt. Lower limb , his
TBSA is >> 24
12) All are true about hydatid cyst of liver except >> adequate treatment done by percutaneous drainage
* other ooptions : cause anaphylaxis \ more in right lobe \ may cause cerebral presentation \ bone lesions indicate surgery
15) Most common cause of airway obstruction in comatose patient >> tongue fall back in the pharynx
*options : Aspiration pneumonia \ accumulation of secretions \ foreign body aspiration
Gynecology :
1) All are true about uterine leiomyomas except >> It Is a malignant disease
2) All are criteria of sever PET except >> elevated uric acid level
*other options : oligouria \ diastolic bp>110 \ low plts
4) All are causes of Small for gestational age except >> Infant of Diabetic mother
6) All are adaptive physiological changes in preg. Except >>increase in Central Venous Pressure 30%
*other options : increase cardiac output 40% \ increase Heart rate 10 – 20 beats
8) First trim. US is informative for all of the following except >> Placenta previa
* others : diagnosis of ectopic \ estimation of gestational age \ confirm multiple preg. \ confirm Viability .
10) All these drugs cross the placenta except >> Heparin
* other options : penicillin \ Aspirin \ Warfarin \
11) A woman took Rubella vaccine can get pregnant after >> 3 months
3) What of the following is most common malapsorbed in Coeliac disease >> Iron
* other options : B12 \ vit. K \ Ca
4) All are true about full term infant except >> double his birth height at one year age
* other options : have a birth weight of 3.5 kg \ have a height of 50 com \ have a head circumference of 35 cm \ double his birth
weight at 5 months old .
7) Minimal oral fluid intake for a 6 months old baby mildly dehydrated >> 150 ml \ kg\ day
8) All are signs of rickets in infancy except >> Early closure of anterior fontanels
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Ahmad Fawzi 18.child can draw square and hop on one foot at age..
Like · Reply · 1 · June 28, 2016 at 1:44pm
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Dr-Ibrahim Abu Oudeh 21)Allcuses menorrhagia EXcept
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HoReia T Alfaraj
كم سؤال كان االختبار و شو المصادر الي فادتكم بالدراسة ؟؟ هل تكررت أسئلة؟
Like · Reply · June 28, 2016 at 2:43pm