New collection of MCQ other thanthe 1000 of ALQASEM: 1-initial regulation of BP in vascular system occur at :
a- Arterioles
b-Aorta and its branches c-Heart
d-Capillaries
e-Vein and venules
______________________________________________________________________ __
2-hematological disease occurs in children treated with heparin and fresh frozen plasma what is the disease :
A)hemophilia A B)hemophilia B
C )VON WILL brand disease d)DIC thrombosis
3-Patient came with low iron and high AST and high MCV no megaloblasts in the blood wt is the Dx?
Alcohol
Vitamin B12defeciency Folic acid deficiency Due to drugs
Patient with macrocytic anemia without megaloblast. What’s the most likely diagnosis:
a. Folic acid
b. Vitamin B12 deficiency c.
Alcoholism
4- pregnant lady with hepatits, how to confirm dx : a- ALP B-SGOT C-WBC D-ESR E-……… __________________________________________________________________ 5-which of the following antidepressant drugs causes agitation, anxiety :
tetraAD SSRI 6-PT WITH ASBESTOSISLEAD TO Plural calcification Plural effusion Or bilateral fibrosis
7-which of the folowing is the most radiosenstive testicular tumor a- semenoma
b- yolc sac tumor c- germ cell tuor d- choriocarcinoma e- immature teratoma 8-ttt of pyoderma gangrenosum a- sys steroids b- methotrexate _________________________________________________________________ 9-ttt of foliculitis after shaving the bread
a- oral steroid b- topical steroid c -oral antibiotics
may be there was topical antifungal but no topical antibiotic choice 10- Baby in NICU has a heart rate of 300, good blood pressure level. What should u do:
• DC shock • IV amiodrane • Digoxin
• Carotid massage??
Newborn with 300 bpm , with normal BP , normal RR , what do you will do for newborn : (atrial flutter) imp.
Cardiac Cardiversion Verpamil
Digoxin Diltzam iv
if you suspect atrial flutter : Consider digoxin if not already in use because it frequently increases the conduction ratio and decreases the ventricular rate. , Avoid adrenergic and atropinic agents during sedation or anesthesia for cardioversion. Ketamine is relatively contraindicated
_________________________________________________________________________ _
the cause of premature ventricular contraction? decrease O2 supply to the muscle
decrease blood supply to the muscle the heart trying to beat fast
__________________________________________________________________ 11-yr old sustained trauma to the chest present with severe short of breath with cyanosis, his rt lung is silent with hyperresonance. The FIRST step to treat this pt:
a. O2 mask
b. Tube thoracostomy c. CXR
_________________________________________________________________ 12- Patient with hypertension , DM, somking, which the following are most important to be deal with :
obesity and HTN ??? smoking and obesity smoking and HTN
13-baby with streptococcal pharyngitis: - Ttt after 9 days carries no risk of GN - Ttt effective in prevention of GN
- Clindamycin effective against gram –ve organisms all choices are wrong
14- Hx of trauma in DIP(finger hyperextention)with palm pain: (incomplateQ)
- Extraarticular fracture in DIP - Intraarticular fracture in PID - Superficial tendon tears - Tendon profundus tear??
15-pt with pict of bilateral pneumonia , high grade fever , normal WBC . organism causing that:
- Chlamydia pneumonae
- Leigonella sp. (cause neutropenia) - Staph pneumonae
_________________________________________________________________ 16-ttt of cold induced urticaria:
- Cemitidine
-diphenhydramine.
__________________________________________________________________ 17-methyl-progesteron used for PPH what is contrindication :
Pregnant with asthma
Pregnant with hypertension Pregnant with DM
__________________________________________________________________ 18-what is the most common cause of death in patients with Ludwig's angina?
sepsis
Sudden asphyxiation rupture of the wall
____________________________________________________________________ 19- 4 days post c-section pt with profound hypotension
a-normal saline 5ooml IV with to big lines b-dopamine
__________________________________________________________________ 20-Adult male during excercise he suddenly felt pain in the middle of his rt. Thigh posteriorly. On exam. He has discoloration in the same site and mass in the hamstring ms. No bone tenderness or palpable defect. Mx:
Surgery. Splint. Bandage.
Ice, elevation and bandage Cast.
21-patient has complete ptosis in hih rt eye. pupil is out and down, fixed dilated. restricted ocular movements. dx
a. 3rd n palsy. b. 4th n palsy. c. 3rd and 4th. d. 6th n palsy
22-target lesion are found in erythema: a-annular
b-marginatom c-multiform d-nodosum
_________________________________________________________________ 23-patient came with cervical carcinoma next investigation : -cone biopsy
- Direct biopsy -pap smear
__________________________________________________________________ 24- the best to give as DVT prophylaxis post surgery which is cost effective, safe with high efficacy:
a) LMWH
c) asprin d) Warfarin
25case of right hypocnodrial abdominal pain for 2 hours after eating for months
no fever no jaundice, no radiation and nothing suggistive of cholycytitis
what is the investigation a- US
b- oral cholystogram c- iv cholystogram
26-72- pt intubated ,the most reliable method to make sure for tube proper position:
- 5 point auscultation bilaterally breathing heard - CXR
27-23 years old female with regular menses. On US, she has a 7cm ovarian cyst. otherwise everything is normal. dx:
a. corpus luteum cyst b.follicular cyst
c.teratoma
d.another cancer
30- regarding paracetamol toxicity: - Not toxic if dose exceed 150-180 mg - Cause vomiting and neuropathy - Therapeutic effect after 4 hours - Use Deferoxamine
-the liver enzyme reach the max. Level 4-6 hours after ingestion 31- 22 yr, low HGB low PLT and high WBC , peripheral smear shows blast cell with large nucleus and scant cytoplasm and some nucleoli --positive meyloperoxidase test and negative esterase , DDx:
- Acute lymphocytic - Acute myelocytic - Acute monocytic
__________________________________________________________________ 32 child with hyperemia and pulging of tym mem – had previous history of treated impetigo so ttt is:
- Cefuroxime
- Amoxicillin (not sure) - Erythromycin
- Ceftriaxone - Cephalexine
33-child , urine odor like burned sugar: - Phenylketonuria
- Maple syrup urine disease
_________________________________________________________________ 34-40 yo presented by hx of syncope when he do excurses and there was hix of same complain when he on rest . and there is chest pain on ex. There was ejection systolic murmur 2-4 degree most side is lower lf sternum not radiating to other site increase when he lying down and there is non specific s and t changing and there is lf atrium
enlargement Aortic stenosis p.s
hypertrophic cardiomyopathy constrictive cardiomyopathy
35-Pt. had chest pain and fainting , ECG shows st- elevation and significant Q wave in -v4 and st-depression in inferior leads : Ant. MI
Inf. MI
Pericarditis Post. MI
________________________________________________________________ 36-A patient with normal kidney function post MI. The troponin level will last for :
A. 48 h B. 73 h C. 24 h D. 12 h E. 8 h
37-In lung diseases like pneumonia, it usually affects certain site based on the anatomy, this is more obvious in which of the following: • Right upper lobe
• Right middle lobe • Right lower lobe • Left upper lobe • Left lower lobe
38-in lung diseases like pneumonia, it usually affects certain site based on the anatomy, this is less obvious in which of the following: • Right upper lobe
• Right middle lobe • Right lower lobe
• Left upper lobe • Left lower lobe
39-Pt. above 40 , pregnant and ask you for down syndrome screening : Triple test
US
Amniocentisis Chorionicvillus
40-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:
a. Bring him as soon as possible to ER b. Call the ambulance
c. Give him his usual dose of insulin d. Give him IM Glucagone
e. Give him Sugar in Fluid per oral
_____________________________________________________________________ 41- Pt. with headache and vertebral lesion (Moth-eaten),Investigation? - Bone scan - ……… - ……… 42uveitis is treated by a-chloramphinicol drops b-tetracine drops
and other choises i dont remember uveitis is treated with cycloplegic and steroid
43-Which drug can use in acute back pain Diazepam
Alprozam Metoxelen
44-patint C/o menomentogia 6 month and pelvic pain .all investigatin and examinatin normal what is ttt
Mafnemic Compined pill
45- pt was PDD –ve , know become + ve , there is no symptoms , normal x ray, the management :
-Reassure
-Streptomycine for 7 month _ rifambicin for 6 months
__________________________________________________________________ 46_ pt was PDD –ve , know become + ve , there is no symptoms , normal x ray, the management :
Isonized and rifampcin for 6 month Isonized for 6 month
Isonized and rifampcin and streptomycin for 12 month the treatment of latent TB:
1-INH for 6-9 months
2-alternative is rifampicin 4-6 month
47_During blood transfusion , the pt develop fever and pain at infusion site – your action:
-slow infusion+antibiotic
-slow infusion + acetaminophen -stop infusion + crystalloid fluid
- stop infusion+ mannitol+acetaminophen
__________________________________________________________________ 48To deffrentiate between sinua arythmia and atrial firbllation a- carotid massage
b- Temporal artery massage c- Amidrone
d- digoxin
__________________________________________________________________ 49A 35 yr old pt she is on phenytoin since she was 29 due to partial epilipsy she didn’t have any attack since. She want to stop taking the drug due to facial hair growth:
a. It is reasonable to stop it now b. Stop it after 6 months
c. Stop after 10 years d. Don’t stop it
50-Patient with seasonal watery nasal discharge, sneezing and nasal block. What should you give him as a treatment:
• Topical steroid • Decongestants • Antihistamines • Systemic Steriods
51child presented with decreased hearing for 1 year, on exam. there is fluid behind the ear drum and adenoid hypertrophy. In addition to adenoidectomy what will you do:
myringotomy.
gromet tube insertion. antibiotics.
__________________________________________________________________ 52-Pt. with perforated tympanic membrane ttt:
Topical ABX Topical steroid Systemic ABX Systemic steroid
53_Pregnant lady presented with bleeding from gums. On exam,
spleen in palpable 4 cm below the costal margin. Ix; platelets 50,000. Dx:
HELLP. ITP
Gestational thrombocytopenia Thromboembolic disorder.
5440 ys female, multigravida, no sexual intercourse for 1 year bcz her husband going abroad, C/O was intermenistrual bleeding with
menorrhgia, provotional Dx: Endometriosis
Endometrial CA ?? ch endometrites
this is a common age of DUB not sure of the answer but according to the choices it is B
55-patient with bed sore involve skin and extend to fascia and muscle what a grade
Grade1 Grade 2 Grade 3 Grade 4
56-patient with rhumatic heart disease and had mitral valve stenosis Mitral vave diameter less than 1 mm
In order to maintain COP what will happen :
Left atrial hypertrophy and decrease pulmonary prusser Left atrial hypertrophy and champer dilatation
RV hypertrophy and decrease pulmonary prusser RV hypertrophy and champer dilatation
choices in other words
Dilatation in the atrium with chamber hypertrophy b- Dilatation in the ventricle with chamber hypertrophy c- atrium dilatation with decrease pressure of contraction d- ventricle dilatation with decrease pressure of contraction . 57-55 years male with bleeding on examination have external hemorrhoid what to do
advise him to remove it do rigid sigmoidscopy
go home and visit after 6 months do barrium enema
58-infant with high grade fever .. Irritable .. Look sick .. Complain of anuria 4 hour with multiple petechiea and purpura on body .. He was tachycardic and hypotensive DX
Renal fauiler Septic shock
59Verrryy long scenario of old age pt with DM, HTN, hx of multiple cardiac attack, CVA, came for routine check up in PHC, u found
bilateral opacification in both lenses, with decreasing of visual acuity, u will:
Refer to lazer therapist refer to cataract surgeon refer to ophthalmologist follow up
60-patient on glaucoma medication for weeks came with SOB, cough the cause
a- timolol b- betoxolol c- pilocarpin
61-Considerd positive mantux test in Erythema more than 5 mm in HIV patient
Induration more than 10 mm in diabetic patient Induratin more than 5 mm in iv drug abuse Induration more than 10 mm in philpine man
_________________________________________________________________ 62-old with bilateral hydronephrosis:
- Stricture of uretheral meatus - Prostate enlargement
______________________________________________________________________ _
An 80 year old male presented with dull aching loin pain & interrupted voiding of urine. BUN and creatinine were increased. US revealed a bilateral hydronephrosis. What is the most probable Dx?
a) Stricture of the urethra b) Urinary bladder tumor c) BPH
d) Pelvic CA e) Renal stone
__________________________________________________________________
63-old man healthy felt in collapse before he collapsed there was epigastric discomfort , came with pain n the back, pulse 114, bp 140L…dx:
Perforated peptic ulcer Leakage aortic aneurysm
64- in pt with RA to preserve joint function and movement: -disease modifying medication is sufficient
- fish oil gives subjective improvement
- cold (ice) compression and decrease joint movement
_________________________________________________________________ 65-patient with breast cancer and metastasis came complain of
tachycardia hypotension , engorged neck vein and SOB what is most next action
D-dimer
Ventlation prefusion scan
Give fursamide and refer to do echo
66- 19 year old athlete, his weight increase 45 pound in last 4 months . in examination , he is muscular , BP 138/89 . what is the cause
1.alcohol
2. cocaine abuse
3. anabolic steroid use
67Which antiviral drug causes fever and muscle pain: Acyclovir
Oseltamivir Interferon Gancyclovir
68-5 yr-old baby presented with his parents with pallor his HB is 9, he has microcytic hypochromic anemia, no other complain .. what u'll do for him ??
iron therapy and close observation daily multivitamins with iron
_________________________________________________________________ 69- patent with vaginal discharege ,suprabubic pain for 3 days ,fever and bilateral fornieces tenderness what is the Dx
1-apendicytis
2-acute salpyngitis 3-chronic salpingytis
70- patent is presented with SOB. On Xray he has cardiomegaly and rt. pleural effusion. pleural aspiration reveals: protein is <30, LDH <200 IU. dx:
CHF.
pneumonia. TB
hyperproteinemia.
71-pt have mutiple risk factor , obese , HTN not on medication BP
130/90 , unhealthy diet, hyperlipediemia, lack exercise – which factors control improve survival:
- Cholesterol, HTN, obesity ???
- Cholesterol, sedentary lifestyle , diet - Triglyceride, obesity, HTN
- Low HDL, ??, ??
_________________________________________________________________ 72- 44- male old patient has S&S of facial palsy ( LMNL) ; which of the following correct about it;
A- almost most of the cases start to improve in 2ed weeks b- it need ttt by antibiotic and anti inflammatory
c- contraindicated to give corticosteroid
d- usually about 25 % of the cases has permanent affection 73-pateints with appendicits what is most helpful to make DX Age
Fever High WBC
74-Child with high fever and after 2 day develop sorethorate on examination there is congested thorat and pharynx and white to
yellowish papule on erthymatus base in mouth and lip what is most likly DX
Coxsacki virus Herps simplix virus
75 Which drug can not be use in acute cholysystits Naproxen Morphine Mepriden Acetamenophin Perdoxyphen _________________________________________________________________ 76pt na 123, k 3 what to do
a-normal saline with 20 meq kcl 80 cc/h b-normal saline with 5 meq kcl 20cc/h
c-half normal saline with 20 meq kcl 80 cc/h d-half normal saline with 5 meq kcl 20cc/h
77female after placement of IUD , she develop abdominal pain and watery brown discharge ,
1, uterine rupture 2, bacterial vaginosis
3, pelvic inflammatory disease
78- Female with recent hx of IUCD insertion, coming withwatery
brownish vaginal discharge & abdominsl pain what is th most likely dx: a. Uterine rupture
B. Ovarian torsion C. Bacterial vaginosis D. Ectopic pregnancy
NO PID here !!!!!! in alqaseem questions diagnosed as ectopic pregnancy not sure
79 Rx. Of scabies in pregnant women: permethrin
80- Profeational player came with history of truma on the
lateral side of left knee , on examination there is swelling in the medial aspect of left knee , the diagnosis is :
a- Medial collateral ligament spasm . b- Lateral collateral ligament spasm . c- Medial meniscus tear .
d- Lateral meniscus tear
81- Patient he had multiple problem in his chest and he lives in crowded area what your action:
a- Immunoglobulin b- H.influnza
c-meningococal
____________________________________________________________________ 82- Pt came with cough , wheezing , his chest ascultation revealed monophonic sound , on xray ther is patchy shadows in the upper lobe+ low volum wirh fibrosis ,, he lives in a crowded place .. What is the injection shuold be given to the pateint's contacts :
hemophe.influanza type b Immunoglobuline
Menngioc. Conjugated C Basil calament .... !!?
83- young male complains of generalized skin lesions and redness, before that there is a hx of mouth and lips swelling for couple of days the its denied any hx of traveling or unusual exposure
the is the Dx ? ?? urticarai
coxsackievirus infection cold urticaria
hot urticaria
84- paient suspected to have connective tissue disease what is most favurable to SLE
Cystoid body in fundoscopy?? Cavitaion in lung
+ve anti RNP
Sever Ryundoe phenomena
__________________________________________________________________ 85- pt with pycosis on medication developed rigidity and uprolling eyes , afebrile :
- Malignant neuroleptic - Hypotonic
86-What you will find in patient with idiopathic autonomic insuffeciency? Orthostatic hypotension Horner syndrome Anhydrosis Palpitation Diaphoresis
87- What is true about hormonal contraception? Decrease breast Ca
Decrease ovarian Ca
Contraindecated in diabetic women Increase risk of ectopic pregnancy
88- Patient with colon cancer stage 3 and chemotherapy was prefered so when do you start it?
As soon as possible
When the lab results normalized After psychological preperation No need to start
89-young female complains of 6 weeks amenorrhea and history of VP bleeding for many days and by laparoscopy the is free fluid in douglas of pouch(I don't remember the exact NO.) what is the most probable cause??
rupture ectopic pregnancy
90-pregnant woman with UTI which is the best antibiotics to be given if she has no allergy?
nitrofurantoin ampicillin
sulfatrimethoprim tetracyclin
aminoglycoside
91Pt has a scaly hypopigmented macules on the chest and arms They seem even lighter under the sunlight,,, what is the
ttt? (diagnosis Pityriasis alba or pityriasis versicolor) Topical steroid
Topical antibiotics Oral antibiotics
25 years old male complaining from scaly lesion in his chest , then
become hypopigmented , last 2 months in winter he spend his time neat to sea, by examination showed hypopigmented lesion over chest & arms Dx :
Vitiligo
taenia versicolor
92 attributable risk factor is :::???
measurement of exposed and not have the disease mius those exposed and have the disease
93-29 years old male diagnosis as case of gastric ulcer , culture -ve h.pylori pathology –ve of cancer ttt:
proton pumb inhibitor antihistamine
after 6-8 wk do endoscope after therapy referral to surgery
94-32 years old with cystic mobile breast mass, no LN enlargement. What would you do:
• Aspiration with cytological evaluation • Reassurance
• Fluroscopic biopsy
• Mammography then discuss the options according to the new information
__________________________________________________________________ 95-Pt with hix of URTI for 3d then stat to develop rt. Ear pain rinnen test was negative and wiber test (loud sound in affected side)
Mastoditis O.M
O.E
96-3 months old baby brought by his parents complaining of abd. distention bilious vomiting, constipation, the parents informed that the constipation has been an issue since his birth
barium enema pain xray
??metery
rectal examination
97- 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
98- patient came with MI 2 day after addmission develop. Sever abdominal pain and bloody diarrhea اهتيسنهيناتايشايفوDX
Ischemic colitis
- diffuse abdominal pain , bleeding per rectum and fever 38.3 c ,
preceded by urinary infection 3 weeks back treated with AB , diagnosis :
Ischemic colitis Amoebic colitis
Pseudomembranous colitis
99- looong scenario about old male came with typical history of MI all of the following can be used in the mX of this its except:
atenolol heparin
sorry I couldn't remember the rest of the choices :(
100- Pt. with long hix of hyperthyroidism to screen about the complication of hyperthyroidism do:
liver us Ct brain
Bone scan (for osteoporosis)
101-to increase absorption of oral iron , give with: - Vit C
- Vit E - Zinc - Ca
102- old, black macule on his back with irregular border and color variation :
- Sq cell carcinoma - Basal cell carcinoma - Melanoma
- Acanthic keratosis
103--cord prolapse at level L4-L5 the patient will presented by a-painful calf muscle
b-absent ankle jerk
c-parethesis of knee joint d-weak dorsiflextion
104Old male with acute pancreatitis, (high glucose, low Ca)the appropriate nutrition:
TPN
Regular diet with low sugar
High protein ,high ca , low sugar Naso-jujenal tube
105- stroke with loss of smell, which lobe is affected : a- frontal
b-parital c-occipetal d-temporal
__________________________________________________________________ 106-Adult P.t recived a vaccine ( i don't remeber the name )
After that he complain of itching , tachycardia and SOB What is the ttt? IV hydrocortizone 500 mg SC epinephrine 107- polycythemia vera ttt: -Myelosupression -Plephotomy -X ray therapy __________________________________________________________________ 108-CHILD with eczema on 1% hydrocortisone what other medication u can add
Dexamethazon Cyclosporine Tacrolimus
109-Pt with heartburn use antiacid for long time but not improve what is appropriate drug he can use
H2 reseptor antagonist PPI
110-OSTIOMYLITIS start in Metaphysic
Epiphysis Dyaphysis
111-Most benign cause of postmenopausal bleeding Cervical polyp
Atrophic vaginitis
112-Pt came by hx os sudden eye pain burning vision photophobia and by ex. Small pupil and keretic cell on cornea and cell in humorus Ttt
Cyclospoine + corticosteroid
113- which of the following is not a feature of normal ECG: -P wave is the repolarization of the atria
114- n normal puerperium.. -lekoria lasts for up to 4 weeks
-the uterus can't be felt after the 1st week in abdomen epidural analgesia can cause urinary retention 115- best test to detect age of gestation is
-LMP -U.S. 116ibuprofen is contraindicated in -htn -dm -peptic ulcer
117-a pt with AF came with black stool (and i think hypotenstion)..dx is:
-ischemic mesntry
118- Female with greenish vaginal discharge, red cervix(srawberry appearance). under the microscope it was a protozoa..Dx:
a. Trchimoniosis
________________________________________________________________ 119 Old man with left lower abdominal pain with fever and
constipatin, imaging showed decreased the fatty shadows around distal colon, your next step:
Double contrast IV antibiotic Control diet
120- Child with SCD, about pneumococcal vaccine - give 23 valent in high risk only
- child with high risk give the vaccine along with antibiotics when exposed to infected ppl )
121- 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
__________________________________________________________________ 122- self breast examination:
a. 3-5 day after period b. 7-10 day '''''''''''''''''' c. 2weeks '''''''''''''''' 123right lung anatomy 1. one fissure
2. 7 pulmonary segment
3. no relation with azygus vein 4. 2 pulmonary veins
5. no sibson's fascia
124-antidepressant action starts within - 1 day
- 1 wk - 2wk - 3-4 wk
125-child came with generalized body swelling, fever , dark urine with decrease urine output ,,, what is the most useful investigation for diagnosis:
CBC
Renal function test Abd. US
Urine sedmintation test
126-a man with 2nd and 1st degree burn over his face and neck a) wash, cover all burns with Silver sulfadiazine, cover with sterile gauze, give IVfluid, antibiotic and tetanus toxoid and discharge home with daily dressing
b) cover burn with Silver sulfadiazine, sterile gauze, oral fluid, and discharge home
c) doesn’t make sense d) doesn’t make sense
e) Silver sulfadiazine, sterile gauze, IV fluid and admit to hospital 127-pateint with decrease lipido and weak erection ( or ejaculation) In investigation prolactin high , LH and FSH normal what is next step Brain MRI
Abdomen and pelvic CT
امونيدايرتويتيبلاوهايمينتكتلوربللببسرثكتانالنيربياراملاترتخا
Patient with Premature ejaculation + libido + Erectile dysfunction he is thin and looks sad, he is married for 26years obese and annoying wife, he came for treatment:
A- Testosterone Injection every one week
B- Sublingual Nitroglycerin 6h before intercourse C- SSRI
D- ????
_________________________________________________________________________ ___________________________
1284 or 5 ( not sure ) brought by his parents with weight > 95th
percentile , height < 5th percentile & bowing of both legs what is the appropriate management :
a- Liver & thyroid function tests b- Lower limb X-ray
c- Pelvis X-ray
d- Thyroid or ( liver not sure ) function test
129-18month old boy came with bite by her brother what you will do ?
A) augmentin B) titanus toxoid C) suture
130-old pt with 2 years bone pain , lethargy , fatigue, wedding gait , came with table show high calcium and high phosphorus ;
A_ osteoporosis B_ osteomalacia
C_ paget disease of bone
D_ metastases prostate cancer E_ paraneoplastic syndrome
131-child with inferior and pain but with normal
movment of knee , no effusion on knee what the important thing to do ;
A_blood culture b-ESR
c_ASO titer
d-aspirate from knee joint d-plain film on thigh
132-miliary TB caractarized by a- spare lung apical
(b- septal line
c- multiple lung nudules
133-a man who has had MI you will follow the next enzyme a) CPK
b) ALP c) AST
d) Amylase
134a child of parents who have TB, PPD test done for him and revealed 10 cm induration, this is
strong +ve.
intermediate +ve. weak +ve.
-ve
135-in aspirin overdose:
a) liver enzyme will peak within 3-4 hr
b) first signs include peripheral neuropathy and loss of reflexes c) 150 mg/kg of aspirin will not result in aspirin toxicity
136-female pregnant has HIV +ve , what is the most accurate information to tell her about risk of transmition to baby ;
A-likely transmtion through placenta b-through blood cord
c-hand contamion of mother d-by breast feeding
137-Female with dysurea, urgency and small amount of urine
passed .. she received several courses of AB over the last months but no improvement .. all investigations done urine analysis and culture with cbc are normal .. you should consider:
a) interstitial cystitis b) DM
c) Cervical erosion d) Candida albicans
138-patient is presented with acute chlangitis, what you will do to alleviate the symptoms:
IV antibiotics + gastric lavage. IV antibiotics + drainage of bile. hydration + chlolecystectomy.
139-Which of the following drugs prolongs QT interval as side effect? a. Respridone
b. Clozaopine c. Amisulpride d. Aripiprazole e. Ziprasidone
140-Which of the following is a 3-hydroxy-3-methyl-glutaryl-CoA reductase (HMG CoA)?
a. Statin
b. Fenofibrate c. Niacin
141-picture of bulls in food ... In biosy there is epidermal lysis and on immunoflurescen: deposition of IgG DX
Bulls pemphigoid Pemphigoid valgarius
______________________________________________________________________ ______________________
142-perthes disease all except
Can be presented with painless limp It always unilateral
-how to calculate -143relative risk
144-- paient complain of infirtility 6 year ago and sever pain with cycle ( dysmeanorhea) DX Endometriosis Pelvic congestion Endometritis ______________________________________________________________________ ___________________
145-you want to give varcilla vaccine in one no have vaccin before
هيطعتفيك
Two dose and 6 weak between
146-- pregnant not vaccinated against measls and mumps and rublla .. She exposed to rublla 3 day ago what you do
No treatment Immunoglobin
Tell her no affected on her pregnancy if she take the vaccine
147- Pateint complian of diplopia , weakness , and frequant aspiration pnumonia in last 2 month ... In examination there is spascity and fasciculation DX
Mythenia gravis Mythenia syndrome Motor neuron disease
__________________________________________________________________ 148-child with low grade fever , sore thorat in examination there is lymph node enlarment but not tender and no exudate on phrynx DX
It is most likly streptococcal than viral It is viral more than bactrial
Most likly EBV
149-what is the. symptom Most likly occure with hiatus hernia Skin pigmentation
The symptom increase with pregnancy
150- patient with bilateral eye redness . Discharge and tearing on examination cornea , lens all normal Nd tere is conactival follicle DX
Acute conjunctivitis
151- child C/O fever , sore thorat all examination was normal What is the ttt : Cefruxime
Ceftriaxone
Give paracetamol and take pharynx swab
_____________________________________________________________________ 152-- pateint C/o ictrus in skin and eye on investigation WBC 2500
plt 70,000 HG 7 lekocytosis 17% total bilirubin 51 and direct bilrubin 12 what is the test most likly positve
+ve coomb's test
In US obestructive billiary duct antiparietal antibodies
____________________________________________________________________ 153- يفام هيل هرتف لك ازنولفنلا نيسكاف ذخاي شيل كلاس ضيرم يف نا هصهلخلا سب لاؤسلا ناك فيك هيسان
رمعلا لوط هيمحي نيسكاف ...
Because the organsim develop resistant Develop new antigenic drift
154- patient c/o low self steam and fatigue .. Lack of intersted and concentration loss of sleaping , depressed mood for last 2 years what DX
155--lacteting mother complain of fever and breast tenderness and redness diagnosed as bactrial mastitis what is ttt :
Continoue breastfeeding and hot compresser and antibiotic
Discontinue breast feeding and give antibiotic to mother and baby
156-the most common cause of nipple discharge in non lactating women is ;
a-prolactenoma b-hypothyroidism c- breast CA
d-fibrocystic disease with ductal ectesia . e ductal papiloma
157-with patient has fear ,SOB ,sweating when he is in automobile DX
a-specific phobia b-panic disorder
c-generalize anxiety disorder
______________________________________________________________________ ___________________
158which of the following causes the highest maternal mortality in pregnancy
a. toxoplasma
b. hyperbilirubenia c. pheochromocytoma d.rubella
159-Old pt presented with abdominal pain, back pain, pulsatile abdomen what's the step to confirm dx:
a. Abdominal US b. Abdominal CT c. Abdominal MRI
_________________________________________________________________ 160The most common cause for chronic irregular rectal bleeding is: Diverticulitis
Hemorrohids Colon cancer UC
161the most common cause of excessive day time sleepiness is 1- circadian rhythm
2nacrolepsy 3-sleep apnea
162-the most common malignant tumor of parotid in childern 1-acinic cell ca
2- mucoepidermoid ca 3- adenocarcinoma
163- The useful exercise for osteoarthritis in old age to maintain muscle strength and bone density
Low resistance, high repetition muscle training Conditioning, low repetition muscle training ?? Walking and endurance muscle training
Low resistance and conditioning muscle training
164-pregnant with uterine fibroid , has no symptoms only abd. Pain , US showed live fetus ,,,,, What is the appropriate action to do:
Myomectomy Hysteroectomy Pain management Pregnancy termination
165Pt came with eye pain, watery discharge and light sinsitivity
Eye examination showed corneal ulceration. Her symptoms are frequently repeated . Which of the folowing is triggring for recurrence of her symptoms:
Dusts
Hypertension and hyperglycemia Dark and driving at night
Ultraviolet light and stres
166p.t taking a medication , came to the ER suspecting she has overdose of her
medication, her symptoms ( convulsion, dilated pupil, hyperreflexia and strabismus) the medication is:
TCA SSRI
Hypervitaminosis
___________________________________________________________ 167Pt complain of hearing voices from the microwave and refrigerator Visual hallucination
Auditory hallucination
168- Old retired man having ansomnia only . Has no symptoms related to anxity or depression .. U will give him :
Diazepam
If zolpidem is in choices it is more accurete
169-pt take cephalexin after tooth extraction for days
has tachycardia and mild abdominal dist. Sigmoioscopy showed white mucosal patches , what is the most ttt for this condition?
Clarythromycine Vancomycine Cephalosporine Lineozides
170-pt with COPD came with couph , wheezing and greenish sputum The causative organism:
H.influanza Strep.pneumonia Chlaymedia
Mycoplasma pneum.
171-what is the most effective measure to limting the complications in COPD: Pnumococcal vaccination
Smoking cescation
172-25 years old female came complaining of difficult hearing , she mentioned that their a family history of early oncet hearing loss ( her grandmother)
Oto. Exam was normal .. Weber and rinne tests result in ( bone conduction is greater than air conduction ) ... Next action is :
Refer her for aid hearing Tell her there is no avalible ttt Refer her to otolaryngologist
________________________________________________________
173Old man came complaing of progressive hearing loss , it is mostly profounded when he listining to the radio, he does not has any symptoms like that before
Weber and rinne tests result in bilateral sensorineural hearig loss.. Diagnosis: meniere's disease
Otoscelerosis
Noise induced deffnese Hereditary hearing loss
174-25 y wear glass 10 y and diagnosis DM type 2 when u do eye screen 4 her:
6m 12m 2y 5y
175-Pregnant women has fibroid with of the following is True: Presented with severe anemia
Likely to regress after delivery Surgery immediately
d. Presented with Antepartum Hemorrhage
-3.5 -2 1 2 3.5
177Pt G3 P3 all her deliveries were normal except after the second one she did D&C for retained placental parts, presented with
amenorrhea after a period of irregular cycle, labs all normal except : high FSH, high LH, low estrogen DX:
a- Asherman syndrome b-
Ovarian failure
c- Sheehan syndrome d- Turner $
178-The most dangerous red eye that need urgent referral to ophthalmologist:
1.associated with itching
2. presence of mucopurulant discharge 3.bilateral
4.associated with photophobia
179Neonate with mucopurulant eye discharge lid swelling and culture positive for gm –ve diplococcic , treatment (neonatal gonococcal
conjunctivitis)
1.intravenous cephalosporin 2.topical sulfonide
3.oral floroquinolol 4. IM aminoglycoside
180a baby with blood in the stool and bought of crying and x ray shows obstructive pattern.. looks like intussusception you will do:
a) surgery
b) Barium enema c) observation
d) giv e IV fluids and let obstruction solve itself _________________________________________________ 181-pt with nasal congestion, watery nasal discharge and conjunctivitis, ttt:
a- oral antihistamine b- Na cromoglycate c- Topical steroid d- ??
182initial treatment of OA in adult who has knee pain bilaterally: a- Opoid
b- Intraarticular steroid
d- ??
183IV drug user has macular rash on palms ,splinter he, and ophthalmoscope shows macules with clear center in retina DDx: Syphilis
Infective endocarditis
184patient with red eyes for one day with watery discharge
No itching or pain or trauma (nothing indicate allergy or bacterial infection)there is conjuctival injection
visual acuity 20/20
what is next management antihistamines
topical AB
No further management is needed refer to ophthalmologist
topical steroids
if allergic rhinitis :topical steroid second line:antihistamine
185-newborn apgar score 3 (cyanotic, limp, decrease breathing, HR less than 60) your action:
- Volume expansion - Chest expansion - Ventilation
- Bicarbonate
186- pt presented with sweating, myosis, and garlic breath odor: - Organophosphorus toxicity
- Cyanid toxicity - Alchol
- DKA
- Cocaine toxicity 187-in rheumatic fever:
- Bacteria in blood
- Bacteria lodge in myometrium - Skin invasion
- ???
188-86- female G3P0 , c/o infertility , have regular non heavy cycle, trichomonus infection treated at age of 17 , previous 3 elective D/C in first month gestation ,DDx:
- Sheehan $ - Endometritis - ???
189-40 yr heavy and intercyclical bleeding , not pregnant , does not on OCP:
- Anovulatory cycle - ????
190- smoker , CXR shows lung mass, hyponatremia and diluted urine: - Heart failure
- SIADH
- Renal failure - Conn's disease
191-common cause of AOM in all age groups: - H influenza
- St. pneumonae - ???
192old, which fracture caused by trauma on outstreatched hand:-colle's Fx
193 female, malodor vaginal discharge, dysuria, normal urinalysis, leukocyte and gram -ve diplococci :
- N gonerrhea
194 old, black macule on his back with irregular border and color variation :
- Sq cell carcinoma - Basal cell carcinoma - Melanoma
- Acanthic keratosis 195
osteoporosis risk
65 75 80
According to above graph:
- 18 % develop osteoporosis after age of 80 - 80 % of elderly have osteoporosis
- Age directly related to risk of osteoporosis - Pt after 80 at high risk of osteoporosis
196 upper limb HTN , decrease lower extremities pulsation: - Coarcutation of aorta
197 pain and swelling at first metatarsophalyngeal joint: - Na urate crystals
- Ca phosphate crystals - ???
198 pain and swelling at first metatarsophalyngeal joint: - Na urate crystals
- Ca phosphate crystals - ???
199 old, smoker , rectal bleeding , wt loss: >>>>Colorectal cancer 200- 45 years old female came to ER with acutely swollen knee + ballotment patella .. The most important to do is:
MRI of the knee Aspiration
Complete blood count Rhumatoid factor
201- Pt came with a history of about 12 dayes duration severly red , swollen painful first metatarsophalangeal joint.. He is hypertensive with inverted T wave on ECG ... The most appropriate meaure for diagnosis:
CBC
Uric acid level Troponin level C-reactive protein
202-Pregnant on iron supplementation throughout her pregnancy for her anemia , now she come complaining of weakness and easy fatigability
Her Hemoglubin 7 , MCV 60 .... What is the diagnosis? Iron def. Anemia
Hypothyrodism Vit B12 def. Beta thalassemia
203-baby who can name 4 colors .... His Age : 48 months ( 4 years )
ـــــ ـــــــــــــــــــــــــــــــــــــــــــ
204-Pt came after fight ( gunshot ) there is a pice of the omentum coming out from the wound . Vital signs ( HR 98 , BP 130/80, RR 18 ) .. What is the best action to do ? CT
DPL Fast us
Wound exploration Scheduled laprotomy
205- about which breast mass present with bloody discharge ? intraductal papilloma
______________________________________________________ 206- Most Dangerouse sign during pregnancy?
Vaginal bleeding
207- the most common cause of epistaxis in children is: Nasal polyps
Self induced
208-one of the folowing manifest. As croup: Forigne body
Pneumonia Common cold Asthma
209- clear scenario of varicocele ( bag of worms scrotum ) 210- scenario of glucoma in old pt ,, what is the best ttt? Acetazolamide + pilocarpine ( sure 100% )
211- clear scenario of keratitis .. on examination there is dendritic ulcer: Herpes simplex keratitis
_______________________________________________________
212-Mass in the upper back .. with punctum and releasing white frothy material…
a- It's likely to be infected and Antibiotic must be given before anything
b- Steroid will decrease its size
c- It can be treated with cryotherapy
d- It must be removed as a whole to keep the dermis intact 213-Drug use in CHF with systolic dysfunction?
Nifidepine* deltiazm*
and two drugs from ACEI I forget their names * the 5th choice is one of B blocker*
214-A patient with severe headache, behind the eye, 4 times in one week ? with other symptoms
(i don't remember the whole scenario, it seems a cluster headache case, not sure)
which drug is not useful in prophylaxis: CCB (may be verapamil)
methysergide valium
lithium
prednisolone
read about the prophylaxis of Migraine and Cluster
215-Pt diabetic he has wound in his leg with poor healing , Exudate ,no sign of inflammation the hyperglycemia cause poor wound healing by :
a- inhibit phagocytosis
B-stimulate bacterial growth c-decrease immunity
هتيسنريخلا
216-wt is non hormonal drug use to decrease hot flush in postmenuposal women:
paroxitine
_________________________________________________________________ 217- old pt complain of dull hip pain increase after walking and activity and it make pt wake up from sleep many time and(several hours) morning stifness whate is the mos DX
a-osteoarthritis b-osteomlitis c-osteoprosis e-depression
_________________________________________________________________ 218 csf examination show high igG and anbnormal band cell on agarose gel electrophoresis whate is the DX
a-muscular dystrophy b- multiple sclerosis
________________________________________________________
219-senario of pt e GER since 10 years endoscopy done reveal low-grade dysplasia of lower oesophagus whate is the next step
1-esophageal resection 2-fundoplication
3-rescreening in (i forget the time)
the other choises I don’t remember please read about barrot esophegous
220-perinatal mortality
A-include all stillbirth after the 20th wk of pregnancy B- include all neonatal deaths in the firist 8wk of life c-in clude all stillbirth and firist wk of neonatal deaths d-is usually death per 10,000 live birth
221-pregnant 41 wk on complete biophysical profile oligohydraminous is found whate is next step
222-female came wuth vulval irritation the doctor told her to stop using bubble bath she stopped it but the irritation continues 0n examination the vulva skin was waxy like and specked appearance the dx is
1- psoriasis
2- atopic dermitites 3- contact dermitits 4- lichen planus
223-the mechanism of action of propylthiouracil is inhibits the enzyme thyroperoxidase
224- pt e hx of erythema and vesicle in the forehead but not affect the vision whate is the best managment
1-oral acyclovire and F/U
2-oral acyclovire and opthalmologist refere
225 (Picture of a huge ulcer in the leg, the ulcer is red with raised edges)). Best option of management:
-Topical steroids - Biopsy
- Radiotherapy - Topical antibiotics
226- pateint felt fatigue, SOB , angina like pain after doing excercise there is no thrombus done by cath. , he had aortic valve stenosis with less than ,7 cm what would u do :
a- avoid exersion
b- aortic valve replacement c- ttt with medication only
22722y o female there is no breast development , amenorrhea , deep voice O-E mass over the ovary Dxx:
a-thecoma
b- germ cell tumor c- lyding cell tumor d- ovarri storma
_________________________________________________________________
228- pt with CHF and atrial fibrillation u add digoxin what is the effect of it in this case :
a- decrease ventricular effecacy b- unchanged COP
229-infant swallow coeeosive material came within half an hour to ER drooling, crying what is the initial thing to do
activated charcoal endoscopy secure airway 2 cups of milk 230-svt ttt: Digoxin adenosine 231- malaria in a child:
a- crescent shape gametocyte of vivex is diagnostic in the stool b- the immediate ttt primquine for 3 d
c- 72h tt t of malaria is suffeceint
d- the most common cause is falciparum
232-scaly purpule lesions in the face of a child the cause a- staf. Aureus
b- beta haemolytic srept.coci c- H. influenza
233 child >90% of the normal . < persentile hight with sever bowing of legs what help u for diagnosis: (same question mentioned but different choices)
a- lower extremeties x-ray b- pelvic x-ray c- cbc d- alkaline phosphatase 234 ttt PE: a- iv heparin b- iv tpa c- streptokinase
235- The most common side effect of long use of systemic corticosteroids:
a.Asthma
b.Weakness in pelvic muscles c osteoporosis
236-pt taking digitalis he developed sudden disturbance in vision yellow discoloration and light flashes (that’s what I remember from the
question)
a.digitalis toxicity
b.retinal detachment
237 Pt has carotid bruit with occlusion 60% of the left carotid artery what well u advice the pt
b.Angiograpy
c. endartectomy
238) What is the most specific test for syphilis: تاراصتختلل اوعجرا a.TPI
b.FAAT
treponema antibody absorption test
239) pt had history of hypertension and no medication taken he eats a lot of meat with no fruit and vegetables on examination he was obese BP:130/98 investigations she high cholesterol ,high trigelcride, low HDL in which category u well put the pt for risk of IHD:
A B C d
I forgot I forgot High
cholesterol
High
cholesterol Sedentary life obese
High BP
240 pt came with PND and orthopnea an examination he has bilateral basal crepitation and pulmonary edema what is the diagnosis:
a.left heart failure b.right heart failure
241-Likelihood ratio of a disease incidence is 0.3, mean: 1.large increase
2. small increase 3. no change 4. small decrease 5.large decrease
242 I study done on 10,000 people for about 3 years in the beginning of the study 3,000 developed the disease and 1,000 on the end of the study what is the incidence:
a. 10.3 b. 12.5 c. 30
243 the most useful test to detect early pregnancy:
a.urine pregnancy test (my answer) there was no serum BHCG in the chooses
b.ultrasound
244- Pregnant lady which is hypertensive regarding methyldopa what well u tell her
(I couldn’t remember the other chooses) 245treatment of gonrehea:
Ceftriaxone
24644 lady has previous history of DVT her husband doesn’t want to use condom what well u advice her:
a.OCP doesn’t increase the risk. b.IUD is preferred in this case .
c.she is unlikely to become pregnant
247-Pt covers the tv because he says that they see hem and well split on his face…… diagnosis:
a.SCZ
248-A man has excessive worry form germs on his hand a. Specific phobia
b.Agrophopia c.OCD
249-Scenario about premenstrual dysphoric disorder. (straight forward and they asked about the diagnosis
250-regarding group Astrept. Infection have lead to rhematic fever : a.blood dissemination
b.by causing pharyngitis, tonsillitis . c.joint invasion.
d.affect skin.
e-reach endocardium
251- Child with positive gower sign which is the most diagnostic test : a.Muscle biopsy
252- child has allergy to dust what well u advice the family a.keep humidity of the house about…..
b.cover his pillow with….
c.clean his clothe with warm water??
253-child with congenital; heart disease his parents doesn’t know the name of the disease he has peripheral and central cyanosis:
a.PDA
b.tetrolgy of fallot. c.VSD
D.left ventricular hypoplasia.
254-Treatment of papillary thyroid cancer: (read about it) a radioactive iodine uptake scan
b surgery
255- picture of herpes zoster (the same picture)
256-15y boy appear patch in rt lower leg these patch is clear center , red in peripheral, no fever no other complain so diagnosis (there was a picture with lesion in the groin area)
a-contact dermatitis b-tinea corpora
c- lyme disease d-psiorosis
_________________________________________________________________
257- Man is complaining that he doesn’t see the traffic signs well what is the best way to measure the distance vision:
Snellin chart
_________________________________________________________________________ ____
258- question about pt had pterygium what well you tell the pt: -it is malignant
- needs surgery
in another word :regarding ptergium : It indicate systemic disease
Will cause loss of vision
Treatment is surgery
I forgot the other choices read about the topic
259- Compelete loss of vision Lt eye, in pt with recent infarction? a) Frontal
b) Parital c) Cortex d)
260- the commonest initial manifestation of increased ICP in patient after head trauma is
1. Change in level of consciousness 2. ipsilateral pupilary dilatation 3. contralateral pupilary dilatation 4. hemiparesis
5. hypertension
261- Most accurate test for CTS ? carpal tennel syndrome a) Tinels test
b)
Phalens test
c) Nerve tapping numbness
There was no nerve conduction velocity.
262- Hx of Child has itching in his RT hand which increase in the night described as linear fissures at their top there is blacknish
Scabias
263- Which of the following method is rapid and best for complete gastric evacuation ? ددحم تقو كاطعام !!!!... a) G lavage b) Manual induce V c) Syrupe d) Active charcoal
264- old male pt with hx of IHD, DM , HTN , dyslipidemia , family hx of heart disease ,,,,هريثك بياصمو
lab showed :- LDL : 199 ,,,, HDL : 37
so , in this pt what is most dangerous Risk factor ? a)
Increased LDL b) Decreased HDL
265- Old man psych pt , has halosination , aggressive bebaviour ,loss of memory ,Living without care , urinate on him self , what is next step to do for him ?
a) Give antipsychotic
B) Admit him at care center for elderly .
266-60 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 267- Female com with lump in breast, which one of the following make you leave him without appointment ?
a) Cystic lesion with serous fluid that not refill again b) Blood on aspiration
c) Solid
d) Fibrocystic change on histological examination
268- Infant newly giving cow milk in 9 months old , closed posterior fontanel, open anterior fontanel with recurrent wheezing and cough , sputum examination reveal hemoptesis , x-ray show lung infiltration , what is your action ?
a) diet free milk b)corticosteroid c) antibiotics
heiner syndrome (milk induced pulmonary disease in infants) is a food hypersensitivity pulmonary disease that affects primarily infants.
269-In a certine study they are selecting the 10th family in each group,ahat is the type of study: imp.
systemic study
non randomized study stratified study
In statistics, stratified sampling is a method of sampling from a population.
When populations vary, it is advantageous to sample each subpopulation (stratum) independently. Stratification is the process of members of the population into homogeneous subgroups before sampling.
_________________________________________________________________________ ___________________________ 270-delusions definition: 271-giardiasis treatment: metronidazole 272- TTT of refractory hiccups? Chlorpromazine 273- TTT of miagrine? Sumatriptan If BB is
274-most common psychiatric condition come with mania ? paranoid
grandiosity
275-patient with fever and fatigue prior to develop maculopapular then vesicle and pustule ?
HSV1 HSV2 Varicella
276- postmenopausal women at high risk of: osteoporosis
277- why SSRI best TTT? Effective and tolerable
278-compliance of prophylactive antiasthmatic drugs important to reduce airway inflammation
reduce esinophil…
279-2 months amnorrhea refuse examination because she is tense and anxious what will do for her :
FSH and LH US pelvis
280-60 years old patient has only HTN best drug to start with: ACEI ARB diuretics beta blocker alpha blocker _________________________________________________________________________ ___________________
281- structure normally not palpable? LN
282-COPD pt not responding to bronchiodilator what well u add for hem : a.aminophiyline
b.methylpredinselone
283-female complain of colourless itching vagina ,her partener complain of uretheral discharge ,cervical examination shows strawberry spots treat with:
mecanozole cream estrogen cream progesterone cream douch
284-four year old child complain of bleeding from 4 months ,intermittent painless bowel movement good appetite after examination the examiner found blood on his digits:
uc
mickels diverticulitis juvenile polyps
_________________________________________________________________________ ________________
285-high grade fever, rigors ,painful hepatosplenomegaly: malaria
visceral leshmania toxoplasmosis
286- appropriate way to prevent spread of disease : change human behavior
screening tests 287- first few words: 12 months
18 months 36 months
288-which of the following true about headache :" -increase ICP at last of day
-normal CT may exclude subarachnoid hemorrhage -amnursus fugax never come with temporal arteritis . - neurological sign may exclude migraine
289- patient with typical sign of infections mononucleosis come with abdominal pain and hypotension next step :
-abdominal CT and IV fluid
-antibiotic and IV fluid and and observation
290- patient with hypersensitivity skin at back take paracetamol and develop vesicle at back extend to abdomen Dx :
Herpes zoster
291- picture of viral warts 292-pt in burn wll die due to : -smoke inhalation
- trauma
293- elderly patient bedridden for long time what will you do : -include family support
-IV valum
294- pt with dysphagia , weakness ,fasciculation …..: -motor neuron disease
295-Young male c/o pleurisy pain at rt side On EX there is only decrease breath sound
tachypnia other wise normal and there is CXR I don’t know if it is normal or not But it seems to me normal what will you do?
a-discharge pt bez it is only viral plurzy b-discharge him on Augmentine
C- I think refer him to pulmonologist 296- aseptic meningitis early will found: a-lymphocytosis
I can't remember the other choices sorry but you must read about the CSF analysis in aseptic meningitis and which cells present
297-Kernig's sign:Definition:
298- Diagnosting peritoneal lavage positive when 1000 RBC
50WBC
ماقرأ اهلك اهركتفام فسفلل تارايخو 299- attributable Risk definition:
300- female with irregular cycle month and absent for two month with heavy bleeding:
a-metroohaia b-menorraghe c-menometrogia d-polymenorrhagia
301-8month complaining of gastroenteritis loss of skin truger, sunken eye depressed anterior fontanel his dehydration is:
10% 20% 5%
302-Patient admitted as a case of emphysema, according to the vaccine what you will do
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 4week after discharge
303-17 years male while play football felt in his knee (turn over ) what injury
medial meniscus lig lsteral meniscus lig medial collateral lig lat collateral lig anterior crussate lig
304-pt. complain of joint. Stiffness, and high ESR, CRP: - Inflammatory condition of the soft tissue.
- Immune complex deposite.
305-patient has tangential thought, circumstantial, what is the type of this condition:
- Form - content
306-pigmentation of OCP called: melasma
307-old man did femoral popliteal bypass has 2 days of forgetting : alzhiemer
vascular alzhiemer
308-clear scenario of turner syndrome (read about features of turner ) 309- cause of death in inflamed burns :
-injuries
-inhalation of smoking
In flame burn , the most common cause of immediate death 1.hypovolemic shoke
2. septic shoke
3. anemia and hypoalbumin 4. smoke inhalation
5. associated injury
310-Atrial fibrillation +narrow complex+unstable pt (hypotensive): cardioversion
311-epdiomology definition:
312-epdimology curve:
graphic registration of disease through a period of time other choises :
a- Plotting number of cases on time line b- Geographical places
c- Case with similar diagnosis
313-question in digoxin toxicity (read about):
314-child was playing and felt in the toy, his leg rapped and twisted he don’t want to walk since yesterday:
- ankle tissue swelling
- spiral tibial fracture 100% - chip tibial fracture
- femur neck of the tibia freacture
315-which medication increase survival in COPD pt. : a-b agonist inhaler
b-corticosteroid inh. c-oral corticosteroid D- continuous oxygen
_________________________________________________________________________ ___________________________
316- How much Na in 0.9 normal saline ? a- 30 b- 75 c- 90 d- 155 _________________________________________________________________________ ___________________________
317-- Female with yeast vaginal discharge the treatment is: a. Meconazole cream for 7 days
b. Fluconazole orally for one day c. Metronisazole orally for 7 days 318-- Secondary dysmenorrhea is: a) rare due to anovulation.
b) due to gonadal agenesis c) always pathological
d) part of sheahan syndrome my answer
319- for with aggressive patient with rheumatoid arthritis:
Methotaxtrate my answer
320- Greatest thing to prevent disease Genetic consulting
Immunization
Prevent environments .. Personal behavior??
321- PT WITH POLYCYTHMIA VERA COMPLIN OF GENRALIZED PRURITTUS AFTER BATHING THE CAUSE IS :
due to abnormal histamine release
322-- unwanted effect of antichlnrgic drugs : a- Diarrhea
b- Urine incontince
c- Decrease intraocular pressure d- Blurred vision
323-question about stratified simple study:
324- Rubella Incubation Period 14 to 21 days sure
325-De Quervain Thyroiditis histopathology :
the classic changes of granulomatous thyroiditis develop. This is characterized by aggregations of lymphocytes, large histiocytes, and plasma cells among damaged thyroid follicles. Multinucleated giant cells enclose pools or fragments of colloid, from which stems the designation giant cell thyroiditis.
_________________________________________________________________________ ___________________________
In nodular sclerosis Hodgkin disease (NSHD), which constitutes 60-80% of all cases of Hodgkin lymphoma, the morphology shows a nodular pattern. Broad bands of fibrosis divide the node into nodules. The capsule is thickened. The characteristic cell is the lacunar-type Reed-Sternberg cell, which has a monolobated or multilobated nucleus, a small nucleolus, and abundant pale cytoplasm.
327- Thyroid cancer associated with: Euothyroid
Hyper Hypo graves
328- patient with recurrent pneumonia and productive cough , foul smelling sputum increase with lying down + clubbing:
bronchectasis BA
Pneumonia
329-) flu like sx since to days and now has red eye ( pic ) Dx:
Viralconjunctivitis / bacterial conjunctivitis / uvitis / glaucoma
330- young pt came to ER with dyspnia and productive tinged blood frothy sputum , he is known case of rheumatic heart dz , AF and his cheeks has dusky rash dx :
Mitral stenosis CHF
endocarditis
331- You r supposed to keep a child NPO he's 25 kgs, how much you will give for maintenance >> 1600 ml .
First 10 kg X 100ml >> 1000 ml Second 10 kg X 50ml >> 500ml
Third 5 kg X 20 ml >> 100 ml Total = 1600 ml
332-) old pt take hypercalcemic drugs and developed gout what is responsible drugs >> frosamide
thiazide
333- In pt with moderately sever acne valgarus best ttt Oral isotretinoin
topical Retinoids Topical clindamycin oral antibiotics
334- which of the following TTT contraindication in asthmatic pt : Non-selective B blocker
335- case with 60 years old male with RT upper quadrant pain after dinner , most likely DX gallstone ;
What is most appropriate inx to DX gall stone ? US
Xray Barium
336- human bite to hand , most common hand position that proposed to infection ?
Clenched hand dependent
extended thump extended fingers
337- In chlamedia infection ttt is ? ( not mention pregnant or not ) Doxcycline
Azithromycine Metroniadizole ( also, doxcy used )
338- case cord like cheesy white adherent odour less vagina after use of antibiotic DX >>Candidiasis
339-)- malaria case , beside antiobtic how to prevent ? Kill the vector
In another way :
What is the most important prevention measures to be taken in the outbreak of malaria:
a- Clothing disinfected & inspect for insect bite b- Clothing disinfected & prevent insect bite c- Eradicate the vector & inspect for insect bite d-Eradicate the vector & prevent the insect bite
340- Positive predicitive value : Definition ? " pt who has high Risk factor & +ev test "
_________________________________________________________________________ 341- Most difficult method to prevented in transmission:
Person to person / Vector / Droplet /Air flow
342- old pt, bedridden , with bactermia , organism is enterococcus fecalis , what the source of infection:
UTI GIT
pneumonia bed sores
343-) 4y girl, decrease head growth, decrease social intraction, decrease in language …etc:
Rett's syndrome
344- case of Raynaud's phenomenon it was direct >> pallor then cyanotic then red finger without other clinical features .
_________________________________________________________________________ _
345- read about rebound hyperglycemia in DM ?? somogi and down phenomenon
346- During heart contraction,heart receive more blood by: _ coronary artery dilatation??
_ pulmonary vein constriction
347- Pt. with 1st and 2nd degree burn involving face and neck:
All choices with no hospital admission except one which I choosed as the burn involves the face 348- In patient with rheumatoid arthritis:
_ cold app. Over joint is good _ bed rest is the best
_ exercise will decrease postinflammatory contractures 349- Pt after swimming pool(clear Dx of otaitis externa) Rx: _ nothing
_ amphotericin B _ steroid
_ ciprofloxacin drops
350- Patient with continous seizures for 35 min. despite taking 20 mg Iv diazepam..what to do??
_ give 40 mg IV diazepam _ give IV phenytoin
_ give IV Phenobarbital
351-16 wk pregnant not known to have illness before has high BP..DX: _ preeclampsia
_ chronic HTN _ gestational HTN
35 years prime 16 wk gestation PMH coming for her 1st cheek up she is excited about her pregnancy no hx of any previous disease.
Her B/P after since rest 160/100 after one wk her B/P is 154/96 Most likely diagnosis :
a- Pre eclempsia b- Chronic HTN c- Lable HTN
d- Chronic HPT with superimposed pre eclampsia
e- Transit HPT
352- y/o with mild epigastric pain and nausea for 6
months..endoscopy>lossof rugeal folds, biopsy> infiltration of B lymphocytes..treated with abx..cause:
_ salmonella _ H.pylori??
_ mostly will resolve spontaneously _ 25% will have permenant paralysis _ no role of steroids
in another word: male old patient has S&S of facial palsy ( LMNL) ; which of the following correct about it ;
A- almost most of the cases start to improve in 2ed weeks b- it need ttt by antibiotic and anti viral
c- contraindicated to give corticosteroid
d- usually about 25 % of the cases has permanent affection
354-2 month infant with white plenched papules in the face what to do: _ reassurance
_ topical steroids _ abx
355- Recurrent watery discharge of eye, pain, sensitivity to light..on exam.> inflammation,ulceration of eye..cause:
_ dust&pollens _u/v light
_ stress
_ night accommodation
356- Patient with ARDS on ventilation developed pnemothorax..cause: _ -ve pressure ventilation
_ central line _ 100% O2 357- Lactational mastitis..Rx: _ doxycycline _ ciprofloxacin _ ceftriaxon _ gentamyecin _ cephalexin
358- OCP that causes hyperkalemia: cant remember the choices.
drospirenone
359- All are 1ry prevention of anemia except: _ health education about food rish in iron _ iron fortified food in childhood
_ limitation of cow milk before 12 month of age _ genetic screening for hereditary anemia?? 360-+ve leichman test:
ACL injury
361- Waking up from sleep..cant talk, no fever, can cough, normal vocal cords…Dx:
