Prometric

1- 73 year patient complain of progressive loses of memory with decrees in cognition function . C.T reveal enlarge ventricle and cortical atrophy , diagnosis is a- Alzheimer b-multi infarct dementia c- multiple sclerosis d-???????? 2-62 female with ve pap smear you should advice to repeat pap smear every: A- 6m b- 12m c- 18m d- no repeat 3- all following are criteria of chronic fatigue syndrome except b-??????? c??????? d-?????? 4-12 year boy with sinsoneurl hear loose , C.T scan show mass (site in brain???) so diagnosis is a- aqustic neroma b-meningioma c- barotraumas d???????? 5-50 y with uncontrolled diabetes ,complain of black to brown nasal discharge. So diag Noses is a- myco myosis b- aspirglosis c-foreign body d????????

6-55 y complain of dyspnea, PND with past history of mitral valve disease diagnosis is a-LT side HF b- RT side HF c- pnemothrax d-P.E 7- clonidin is decrease effect of a- benzotropin b-levo dopa c-rubstin?????? d-????????

8- 2 y baby with gray to green patch in lower back, no redness or hotness, diagnosis is a- child abuse b-no ttt need c- bleeding tendency d????????? 9- 15y boy with unilateral gyncomastia your advice is a- my resolve spontinsly b-there is variation from person to person c-decrease use of soda oil or fish oil d-??????????? 10-6m baby with mild viral diarrhea , ttt by ORS as a-100ml/kg for 4 hour then 50 ml/kg /day after b-50>>>>>>>>>>>>>>>>.50>>>>>>>>>> c-100>>>>>>>>>>>>>>>>100>>>>>>>> d-50>>>>>>>>>>>>>>>>>100>>>>>> 11- 36 y female with breast mass mobile and change with menstrual cycle , no skin dimple or fathering. Your advice is a-repeat exam after 2 cycle b-make biopsy c-fine needle aspiration d-oral contraception

12-50y female with breast cancer and CA125 elevate. So elevation due to a-breast cancer b-associate with ovarian cancer c-due to old age d-normal variation 13-25y female with bradicardia and palpitation. ECG normal except HR130 and apical puls is 210 .past history of full ttt ovarian teratoma, so your advice is a- struma ovari should be consider b-vagal stimulate should be done c- referred to cardiology 14- pt with alcohol dinked complain of headache , dilated pupil hyperactivity, agitation .he had history of alcohol withdrawal last weak so ttt is a-diazepam b-naxtrol c-haloperidol d????????? 15- 50y man with chronic psychosis and not complian for ttt .your advice a- depot haloperidol or floxtin

b-oral lorasepam c-oral buspiron d-??????? 16- 15y boy appear patch in rt lower leg these patch is clear center red in peripheral, no fever no other complain so diagnosis a-contact dermatitis b-tinea corpora c- lyme disease d-??????? 17- old pt with of IHD complain for 2 mon of redness in lower leg and puls dim inched in dorsalis pedis these redness increase in dependant position and limp is cold and no swelling ,diagnosis is a-arterial inssuficncy b-thrmbophibitis cellulites d?????? 18-pt with heart disease complain of LL ischemia your advice a-referred to cardiology b-""""""""""""vascular surgery c- strt heparin d-??????????/ 19- female after sexual attack on exam hymen tear in a-2 o'clock b-4""""""" c-6"""""" d-8"""""""" 20- 7y boy complain of limb CT show a vascular necrosis in epiphysis of femur your advice a- surgical ttt b-splint for 6m c- physiotherapy d???????? 21-pt with trachoma in eye . for prevention you should a- water sanitation b- """""""""""""""""+eradication of organism c- mass ttt d??????????? 22-your advice to prevent plaque disease is a-hand washing b-rodent eradication c-spry insect side d-??????????

23-pt with sever headache and decrease in visual acuity ,pupil is dilated, so ttt a-pilocarpin drop and ophthalmology referred b-ergotamine c-NSID d???????

24- main ttt of non inflammatory acne is a-ritonic acid b-clindmycin; c-azalic acid d-erythromycin 25-pregnant with insulin dependant with good control, so to decrease risk of congenital disease a-good metabolic control before pregnancy b-"""""""""""""""""""""""1st trimester c-""""""""""""""""""""""""2nd """"" d-""""""""""""""""""""""""3rd """"""" 26- female not married with normal investigation except FBS=142. RBS196. so ttt a-give insulin subcutaneous b-advice not become married c-barrier contraceptive is good d- BMI control 27-diapetic pt come to you with disturbance in conscious RBS 65. so main drug that cause hypoglycemia a-sulphnylurea b-bugunid c-acabos d-pheni.. 28- 6m boy with fever you should give antipyretic to decrease risk of a-febrile convulsion b- epilepsy c- disseminate bacteria d??????????????? 29- picture in computer appear vesicle , bulla and erythama in chest skin so ttt a- acyclovir cream b-betamethzone cream c-floclvir d- erythromycin

30- pt with scale in hair margin and nasal fold and behind ear with papule and irregular erythema so ttt is a-nizoral cream b- atovit c- acyclovir d-antibiotic 31-14y girl with athralgia and photosensitivity and malar flush. And protinurea so diagnosis is a-RA b-lupus nephritis c-UTI d-?????????? 32- question about diarrhea and Yesinia bacteria 33- paraplegia pt with ulcer in lower back 2+2 cm and lose of dermis and epidermis these ulcer in stage a- I b-II c-III d-IV 34-PREGNANT LADY prim at labor pain , on exa cervical in stage I of labor so pain management is a-morphine IM b-epidural anesthesia c-general""""""""" d-local""""""" 35-psycatric pt on antipsychotic drug most drug that lead to impotence with antipsychotic is a- proprnlol b-NSAI c-ACEI d-?????????/ 36-man present with painless ulcer in his penis with indurate base and everted edge so diagnosis is a- syphilis b- gonorrhea c- choncroid d- HSV 37-man have long history of urethral stricture present with tender right testis and WBC in urine so diagnosis is a-epddimorchitis b- testicular torchin c- varicosel d-???????

38-man use saldinafil, to prevent hypotension you should not use a-nitrate b-B blocker c-ACIE d-CCB

39-female complain of painless odorless and colorless vaginal discharge that appear after intercourse so ttt a-give antibiotic b-douche after intercourse c- cervical cancer should be consider d-may be due to chronic salpingitis 40- UTI>14 day, most probably cause pylonphritis a-,05% b-,5% c-5% d-50% 41-patint complain of right iliac fossa mass so diagnosis a-diverticulitis b-appendicitis c-pancrtitis d-chrons disease 42-pt with long history of U.C on endoscopes see polyp and cancer lesion on left colon so ttt a-ttt of anemia b-left hemicolctomy c-total colctomy d- remove polyp 43-female with hair on different site of body and refuse intake of food and BMI<18 and feel as body is fat so diagnosis a-anorexia nervosa b-bulimia nervosa c-body dimorphic syndrome d- anxiety 44-obese female, insulin resistance and hairstisim so diagnosis a-poly cystic ovary b-hyperprolctinmia c-familial d-?"???????? 45-boy 3 day after flue symptom develop conjunctivitis with occipital and nick L.N enlarged so diagnosis is a-adenoviruses b-streptococcus

c-HSV D?????????? 46- child with asthma use betamethazone, most common side effect is a-increase intraocular pressure b-epilepsy c-growth retardation d-????????????? 47-curve of HBV marker 48-sickling pt after acute attack , discharge on a- penicillin b-iron c-vitamin d??????????? 49- 6m with cough and wheezy chest .diagnosis is a- asthma b- broncholitis c-pneumonia d-F.B aspiration 50-15y old with pilonidal sinuse so ttt a-incision surgery b- local antibiotic c-daily clean d-?????????