Arab Board Exam1 2005

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D.

D. PuPulmlmononarary y SaSarcrcoioidodosisiss E.

E. CryCryptptogeogenic nic fibfibrosrosing ing alvalveoleolitiitiss $.

$. %eat!res of &ernic'es encehaloathy( incl!des all of the following%eat!res of &ernic'es encehaloathy( incl!des all of the following

EXCEP

EXCEPT T _:_: A.

A. ResResononse to hse to high digh dose oose of )*+ f )*+ dexdextrtrose sose sol!ol!tiotionn

B. B. ReRelalateted to d to hihiamaminine dee defificicienencycy C. C. AcAcutute e coconfnfususioionanal l ststatatee D. D. !p!phththahalmlmopoplelegigiaa E E.. AAttaa""iiaa ,.

,. -yercalcaemia is associated with all of the following ECEP/:-yercalcaemia is associated with all of the following ECEP/: A A.. hyhyrorototo""icicoossisis B. B. 0e0ecocondndarary y -y-yeerrararatathyhyroroididisismm C. C. #i#il$ l$ AlAl$a$ali Sli Synyndrdromomee D D.. SSaarcrcooiiddoossiiss E.

E. Se%uamous &ung Cancer Se%uamous &ung Cancer .

. &hich is recognized comlication of "bstr!ctive 0lee Anea:&hich is recognized comlication of "bstr!ctive 0lee Anea: A. A. ChChroroninic rec renanal fal faililururee B B.. SSeeii''uurreess C C.. --//22 D. D. (a(aststriric ac aspspiriratatioionn E E.. AAn"n"ieiety ty ddisisoordrdeersrs ).

). &hich of the following extra intestinal manifestations of 3lcerative Colitis&hich of the following extra intestinal manifestations of 3lcerative Colitis

doesn't

doesn't _{correlate activity of colitis:}_{correlate activity of colitis:} A. A. AnAn'y'ylolosising ng 00onondydylilititiss B. B. PePeririphphereral al ArArththrirititiss C C.. EEppiisscceelleerriittiiss D.

D. AphAphthothous us ulculceraeratiotion on of tf the he moumouthth E

E.. EEryryththemema a ))ododososumum

4.

4. All are li'ely to ca!se seiz!res as an early manifestation ECEP/:All are li'ely to ca!se seiz!res as an early manifestation ECEP/:

P

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Arab Board Part 1 Exam

2005

A. A. SuSubabaracrachnhnoioid d hehemomorrrrhahagege B. B. PnPneueumomocococcccal al memeniningngititisis C. C. CrCrypyptotocococcccus us menmeniningigititiss #. #. 5!5!ltltiile sle scecelelerorosisiss E E.. ##eenniinnggiioommaa 6.

6. $7 years old man with one wee' history of itching and 8a!ndice. 9nown case$7 years old man with one wee' history of itching and 8a!ndice. 9nown case of !lcerative colitis for  years on 0!lfasalazine. -is ;abs: A0/ 76( Bilir!bin of !lcerative colitis for  years on 0!lfasalazine. -is ;abs: A0/ 76( Bilir!bin ,.6( A;/ 4*( Alb!min .1( A;P )*. &hich is the most li'ely diagnosis< ,.6( A;/ 4*( Alb!min .1( A;P )*. &hich is the most li'ely diagnosis< A.

A. AuAutotoimimmumune hene hepapatitititiss B.

B. SulSulfasfasalaala'in'ine e ininducduced ed hehepatpatitiitiss C. C. PaPancncrereatatic cic canancecer r D. D. PrPrimimarary by bililiaiary ry cicirrrrhohosisiss E. E. PrPrimimarary scly sclererososining chog cholalangngititisis 7.

7. 6$ years old female( comlaining of severe left lower abdominal ain for the6$ years old female( comlaining of severe left lower abdominal ain for the last $ ho!rs. 0he has a long history of constiation with fre=!ent craming last $ ho!rs. 0he has a long history of constiation with fre=!ent craming ain ost meals. "ver the last $ ho!rs( the ain increased( the tem

ain ost meals. "ver the last $ ho!rs( the ain increased( the tem

increased to ,.,. ">E: tenderness and g!arding. C/ abd: abscess in sigmoid increased to ,.,. ">E: tenderness and g!arding. C/ abd: abscess in sigmoid colon. &hich is the most li'ely contrib!ting to the atient?s condition<

colon. &hich is the most li'ely contrib!ting to the atient?s condition< A A.. ##iviveertrticic!!lilittisis B. B. AAmomoebebic ic cocolilititiss C. C. +s+schchememic ic cocolliititiss D. D. CaCancncer er oof tf the he cocololonn E E.. uubbeerrccuulloommaa .

. All maybe associated with calci!m yrohoshate crystal deositionAll maybe associated with calci!m yrohoshate crystal deosition @chondocalcinosis( ECEP/: @chondocalcinosis( ECEP/: A A.. ,,yyppootthhyyrrooiidd B. B. ,,ememoochchroromamatotossiiss C. C. --iilslsoon n DDisiseaeasese # #.. --yyeermrmaagngneseseemimiaa E. E. ,y,ypeperprpararatathyhyroroididisismm 1*.

1*. &hich of t&hich of the followhe following is the coing is the commonest mmonest ca!se of trca!se of travelersavelers? diarrhea? diarrhea<< A A.. EE..ccoollii B. B. EnEntatamomoababa ,isa ,istotolylytiticaca C. C. ((iaiardrdia ia &&amambbliliaa D D.. SShhiiggeellllaa E. E. erersisininia Ea Entntererococololititicicaa

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Arab Board Part 1 Exam

2005

A. A. CuCushshining0g0s ss synyndrdromomee B. B. AdAddidisoson?n?s s didiseseasasee C. C. CoConnnn00s ss synyndrdroomeme D D.. RRA A ttyyppe e ++ E E.. BuBulilimimia a nenervrvoosasa 1$.

1$. n t with n t with goodasgoodaste!r dite!r disease ( whicsease ( which of the folh of the following telowing test corrst corroborate thioborate thiss syndrome : syndrome : A A.. AA))AA B B.. AA))CCAA C. C. AAntnticicararddiiololepepiinn #.

#. CirCirc!latc!lating ing antigantiglomelomer!lar r!lar basebasement ment membrmembrane ane antiantibodybody

E

E.. CC1 1 aannd d CC2 2 lleevveell 1,.

1,. )* yrs male with history of rogressive 0.".B for 4 months ( nonrod!ctive)* yrs male with history of rogressive 0.".B for 4 months ( nonrod!ctive co!gh ( weight stable ( treated with several antibiotics for bronchitis with no co!gh ( weight stable ( treated with several antibiotics for bronchitis with no imrovement . he is heavy smo'er ( no signs of heart fail!re ( bibasilar coarse imrovement . he is heavy smo'er ( no signs of heart fail!re ( bibasilar coarse insiratory creitation is a!dible . early cl!bbing . CR : increase retic!lar insiratory creitation is a!dible . early cl!bbing . CR : increase retic!lar mar'ing bilateral lower lobes ( b!t his CR 1* yrs ago was normal . what mar'ing bilateral lower lobes ( b!t his CR 1* yrs ago was normal . what asect of t hx are most imortant in eval!ating him <

asect of t hx are most imortant in eval!ating him < A A.. rraavveel l hh"" B. B. ""cccc!!aatitiononaal hl hxx C C.. AAlllleerrggy y hh"" D D.. FFaammiilly hy h"" E E.. ,," " oof f 33hheeee''eess 1.

1. all the following will ca!se thrombocytosis ECEP/ :all the following will ca!se thrombocytosis ECEP/ : A.

A. PoPolylycycyththememia ia rurubrbra va vereraa B.

B. +ron def. anemia+ron def. anemia C

C.. CC&&&& #

#.. iitatamimin Bn B1$ 1$ dedeff

E.

E. RhRheueumamatotoid id ararththrirititiss

1).

1). ) yrs ma) yrs male with alcle with alcoholic ciroholic cirrhosis evrhosis eval!ated for al!ated for hematemhematemesis fresis fromom esohageal varices ( received 7 !nits of PRBC0 over , hrs ( BP remains esohageal varices ( received 7 !nits of PRBC0 over , hrs ( BP remains

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Arab Board Part 1 Exam

2005

B

B.. --hhoolle be blloooodd C

C.. %%%%PP

D.

D. PlPlasasma ma vovolulume me e"e"papandnder er E.

E. PlPlatatelelet tet traransnsfufusisionon 14.

14. $ yrs female with $ months history of facial rash ( le!risy ( !rine analysis :$ yrs female with $ months history of facial rash ( le!risy ( !rine analysis : * D)* RBCs ( $ rotein testing for which is best corresond with renal * D)* RBCs ( $ rotein testing for which is best corresond with renal involvement < involvement < A. A. AnAnti Sti SSA SA anantitibobodidieses B. B. AnAnti ti hihiststonone ae antntibibododieiess C. C. AnAnti ti SS DSS D)A )A anantitibobodidieses #. #. AnAnti nti natativive #2e #2A aA antntibibododieiess E. E. AnAnti cti carardidiololepepin ain antntibibododieiess

16. A 6* yrs male t resented to ER with ac!te onset of right sided wea'ness ( 16. A 6* yrs male t resented to ER with ac!te onset of right sided wea'ness ( yo!r rovisional diagnosis was ac!te stro'e ( after the t is stabilized and yo!r rovisional diagnosis was ac!te stro'e ( after the t is stabilized and blood were drawn ( the most aroriate next ste in the management is : blood were drawn ( the most aroriate next ste in the management is : A A.. AAssppiirriinn B B.. ++4 4 hheeppaarriinn C C.. !!rraal 3l 3aarrffaarriinn # #.. CC/ / bbrraaiinn E E.. BBrraaiin #n #RR++ 17.

17. $* yrs male with 'nown history of seiz!re disorder resent to ER with$* yrs male with 'nown history of seiz!re disorder resent to ER with contin!o!s seiz!re lasting ,* min ( after ABC ( the next ste will be : contin!o!s seiz!re lasting ,* min ( after ABC ( the next ste will be : A.

A. +4 Phenobarbitone+4 Phenobarbitone B.

B.  #iazeam #iazeam

C.

C. +4 4alproic acid+4 4alproic acid #.

#. +4 #g sulfate+4 #g sulfate E.

E. +4 Carbama'epine+4 Carbama'epine

1. /reatment of choice for rimary generalized seiz!re is : 1. /reatment of choice for rimary generalized seiz!re is :

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Arab Board Part 1 Exam

2005

$*. $ yrs male with 0/ d!e to &P& resented to ER with 0/ which does not $*. $ yrs male with 0/ d!e to &P& resented to ER with 0/ which does not

terminate with valsalva mane!ver( the best treatment : terminate with valsalva mane!ver( the best treatment : A. A. +4 4+4 4erapamerapamilil B. B. +4 Digo"in+4 Digo"in C. C.  Adenosine Adenosine #.

#. !ral Beta bloc$ers!ral Beta bloc$ers E.

E. +4 Diltia'em+4 Diltia'em

$1. 4* yrs old male has rec!rrent s!stained symtoms A% with fast ventric!lar $1. 4* yrs old male has rec!rrent s!stained symtoms A% with fast ventric!lar

resond and

resond and had congested dilated cardiomyoathy ( the had congested dilated cardiomyoathy ( the best best treatmenttreatment otion is otion is A A.. DDiiggoo""iinn B B.. 77uuiinniiddiinnee C C.. 44eerraappaammiill # #.. AAmmiiooddaarroonnee E E.. PPrrooccaaiinnaammiiddee

$$. $$ yrs female with brain t!mor ( resented with generalized seiz!re receded $$. $$ yrs female with brain t!mor ( resented with generalized seiz!re receded

by conf!sion and lethargy . labs : 2a : 11* ( !rine osmolality : 4,* . most by conf!sion and lethargy . labs : 2a : 11* ( !rine osmolality : 4,* . most imortant initial theray :

imortant initial theray : A

A.. DDememececlolocycycclilinnee B.

B. &ithium carbonate&ithium carbonate C. C.   hyhyeertrtononic sic salalininee D. D. --atater rer resestrtricictitionon E E.. 44aassooppreressssiinn

$,. A 4 yrs old woman ( who is referred with a tender nec' swelling . labs : $,. A 4 yrs old woman ( who is referred with a tender nec' swelling . labs :

/0-

/0- : F *.1 ( /: 177 ( &BC: 4.$ ( lat : ,66.*** ( -B: 1.$ ( E0R : 4) (: F *.1 ( /: 177 ( &BC: 4.$ ( lat : ,66.*** ( -B: 1.$ ( E0R : 4) ( techneti!m thyroid scan shows decrease !ta'e . what is the most li'ely techneti!m thyroid scan shows decrease !ta'e . what is the most li'ely diagnosis : diagnosis : A. A. SiSic$ c$ ththyryroioid d sysyndndroromeme B. B. AcAcutute bace bacteteririal thal thyryroioididititiss C. C. ,a,ashshimimototoo oo ththyryroioididititiss

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Arab Board Part 1 Exam

2005

A. A. PhPheoeochchroromomocycytotomama B B.. CCuusshhiinngg C C.. DD## D D.. BaBarrteter sr syyndndroromeme E. E. CCononn?n?s ss syyndndrroomeme

$). 4* yrs male 'now case of #5 for 1* yrs ( stable ischemic cardiomyoathy $). 4* yrs male 'now case of #5 for 1* yrs ( stable ischemic cardiomyoathy @ E%: *+ eriheral vasc!lar disease ( resented with high BP 1)*>* ( @ E%: *+ eriheral vasc!lar disease ( resented with high BP 1)*>* ( -R : 6$>min . he is already on : ACE inhibitor  hydrochlorothiazide -R : 6$>min . he is already on : ACE inhibitor  hydrochlorothiazide @-C/G . most additive -/2 medication :

@-C/G . most additive -/2 medication : A A.. AAmmllooddiiiinnee B B.. 44eerraappaammiill C C.. DDiillttiiaa''eemm D D.. CCoorrddaarroonnee E E.. AAtteennoollooll

$4. Concerning osteoorosis all tr!e ECEP/ : $4. Concerning osteoorosis all tr!e ECEP/ : A.

A. SerSerum Caum Ca9 P!2 9 9 P!2 9 A&A&P aP are usre usualually nly normormalal B.

B. SmoSmo$i$ing ng is is recrecognogni'ei'ed rd ris$ is$ facfactor tor C.

C. +s +s a fa feaeatuture re of of inincrcreaease se PP,, D.

D. D:A D:A is the mois the most prest precise nocise noninvninvasive dasive diagniagnositositic methic method at prod at presentesent E

E.. nnccrreeaasse Ae A;P;P

$6. Regarding 5etformin ( which is tr!e : $6. Regarding 5etformin ( which is tr!e : A.

A. +s a+s an an alphlpha gla glucoucosidsidase ase inhinhibiibitortor B.

B. +t +t can can oftoften en lealead td to ho hypoypoglyglycemcemiaia C.

C. +t i+t is sas safe to fe to be ube used ised in pt 3n pt 3ith ith livliver faer failuilurere #.

#. t cat can be n be combcombined wined with iith ins!lins!lin in n in treatreatment tment of tof tye $ ye $ #5#5

E.

E. Can Can lealead to dd to deveeveloplopmenment of pt of pepteptic uic ulcelceratrationion

$7. &hich does not need dose ad8!stment in renal imairment : $7. &hich does not need dose ad8!stment in renal imairment : A. A. Pip;ta'Pip;ta' B B.. CClliinnddaammyycciinn C C.. PPeenniicciilllliinn D D.. ((eennttaammyyaacciinn E E.. SSeeppttrriinn

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Arab Board Part 1 Exam

2005

D

D.. &&aa""aattiivveess E.

E. CoConcncomomititanant t ususe e of of )S)SA+A+DSDS

,*. 0ymtoms of ant. Circ!lating stro'e incl!de all ECEP/ : ,*. 0ymtoms of ant. Circ!lating stro'e incl!de all ECEP/ : A A.. ,,eemmiippaarreessiiss B B.. ##iillooiiaa C C.. AApphhaassiiaa D. D. ,e,emimisesensnsorory defy deficicitit E. E. ,o,omomonynymomous heus hemimiananopopiaia

,1. &hich of the following is the best diagnostic test for a 4* yrs old male who is ,1. &hich of the following is the best diagnostic test for a 4* yrs old male who is

having chest ain at rest associated with E9H changes in inferior leads : having chest ain at rest associated with E9H changes in inferior leads : A.

A. E"ercise treadmill testE"ercise treadmill test B.

B. Stress thalliumStress thallium C.

C. Stress echoStress echo #.

#. Cardiac cath io!Cardiac cath io!

E.

E. Persantin thallium testPersantin thallium test

,$. All the following can ca!se increase in both amylase and liase ECEP/ : ,$. All the following can ca!se increase in both amylase and liase ECEP/ : A A.. PaPancncrereatatititisis B B.. RReennaal fl faaiilluurree C C.. PPaarroottiittiiss D. D. +n+nteteststininal al inin6u6uryry E E.. BiBililiaary ry ddisiseaeasese

,,. 5a8ority of s!dden death are tho!ght to be reciitated by : ,,. 5a8ority of s!dden death are tho!ght to be reciitated by :

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Arab Board Part 1 Exam

2005

,).$) yrs female hx of eneicillin allergy @ itching  0.".B resented with ,).$) yrs female hx of eneicillin allergy @ itching  0.".B resented with

yelonehritis d!e to E.Coli . the best treatment otion is : yelonehritis d!e to E.Coli . the best treatment otion is : A A.. CCiirrooflfloxoxacacinin B B.. CCeeffttaa''iiddiimmee C C.. ++mmiippeenneemm D D.. CCeeffttrriiaa""oonnee E.

E. Pip; ta'Pip; ta'

,4. All the following are indicator condition in the case definition of A#0 ,4. All the following are indicator condition in the case definition of A#0

ECEP/ ECEP/ A A.. PPCCPP B. B. CeCervrvicical al lylymmhahadedenonoaaththyy C. C. --asastiting ng sysyndndroromeme D D.. 55apapoossi si sararcocomama E. E. EoEososophphagageaeal l cacandndididiaiasisiss

,6.A ) yrs old male t with history of heatits B infection ( he resented with ,6.A ) yrs old male t with history of heatits B infection ( he resented with

generalized edema ( the $ hrs !rine collection for rotein was  gram > day ( generalized edema ( the $ hrs !rine collection for rotein was  gram > day ( a 'idney biosy erformed on this t ( most li'ely diagnosis :

a 'idney biosy erformed on this t ( most li'ely diagnosis : A.

A. #i#ininimamal l chchanange ge didiseseasasee B.

B. FocFocal aal and snd segmegmentental gal glomlomeruerulosloscleclerosrosisis C.

C. +g+gA nA nepephhroroppatathyhy #.

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Arab Board Part 1 Exam

2005

D.

D. +le+leal al mucmucosa osa are are rarrarely ely invinvololvedved E.

E. SuSulplphahasasalala'i'ine is nne is not efot effefectctivivee

*. All of the following conditions may lead to liver cirrhosis ECEP/ *. All of the following conditions may lead to liver cirrhosis ECEP/ A.

A. Congestive heart failureCongestive heart failure B.

B. -eatits E infection-eatits E infection

C.

C. Autoimmune hepatitisAutoimmune hepatitis #.

#. ,emochromatosis,emochromatosis E.

E. Primary sclerosing cholangitisPrimary sclerosing cholangitis

1. ,* yrs male with rec!rrent abdominal ain  irreg!lar bowel ( all the 1. ,* yrs male with rec!rrent abdominal ain  irreg!lar bowel ( all the

following feat!re favor diagnosis of organic rather than irritable bowel following feat!re favor diagnosis of organic rather than irritable bowel syndrome ECEP/

syndrome ECEP/ A.

A. )octurnal pain )octurnal pain B.

B. -eight loss-eight loss C.

C. ,B( ? @,B( ? @ #.

#. /ender alable mass in sigmoid/ender alable mass in sigmoid

E.

E. )octurnal diarrhea )octurnal diarrhea

$."ne of the following best regimen for eradication of -.Pylori infection : $."ne of the following best regimen for eradication of -.Pylori infection : A.

A. AmoAmo"ic"icillillin 9 mein 9 metrotronidnida'oa'ole 9 omle 9 omeprepra'oa'olele B.

B. AmoAmoxixicilcillin ( clin ( clarlarithithroromycmycin ( omin ( omererazoazolele

C.

C. BisBismutmuth 9 h 9 cipciprofroflo"lo"aciacin 9 n 9 omeomeprapra'ol'olee D.

D. BisBismutmuth 9 h 9 ranranitiitidindine 9 e 9 tettetracracyclyclineine E.

E. A'iA'ithrthromaoma" 9m" 9metretronionida'da'ole ole 9 om9 omepepra'ora'olele

,. &hich of the eye disorder will be imroved with titer glycemic control : ,. &hich of the eye disorder will be imroved with titer glycemic control : A

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Arab Board Part 1 Exam

2005

A.

A. he most common cancer in maleshe most common cancer in males B.

B. ,ighly associated 3ith tobacco ,ighly associated 3ith tobacco smo$ingsmo$ing C.

C. Adenocarcimoma is !s!ally located centrallyAdenocarcimoma is !s!ally located centrally

#.

#. Small cell has the 3orst prognosisSmall cell has the 3orst prognosis E.

E. Surgical therapy can be Surgical therapy can be curativecurative

4.,* yrs female with comm!nity ac=!ired ne!monia @CAP ( all indicator for 4.,* yrs female with comm!nity ac=!ired ne!monia @CAP ( all indicator for

severe disease ECEP/ severe disease ECEP/ A.

A. #ulti lobe involve#ulti lobe involve B. B. RRecectatal tl temem :  : ,7,7()() C C.. RRRR? ? 11>>mmiinn D D.. BBPP? ? @@<< E. E. PoPosisititive bve blolood cod culultuturere

6. ,* yrs male dry co!gh ( 0.".B ( ainf!l sots on legs . CR : bilateral increase 6. ,* yrs male dry co!gh ( 0.".B ( ainf!l sots on legs . CR : bilateral increase

hilar shadows

hilar shadows  bilateral lower  bilateral lower lobe infiltrate . /he best lobe infiltrate . /he best way to achieve way to achieve thethe diagnosis is : diagnosis is : A. A. S$S$in bin bioiopspsy of ty of the lhe leg leg lesesioionn B. B. BoBone mne mararroro3 as3 aspipirarate ate and bnd bioiopspsyy C. C. //raransnsbrbrononchchiaial bl bioiossyy D D.. PPPPD sD s$$iin tn teesstt E. E. PuPulmlmononarary y fufuncnctition on tetestst

7. All tr!e regarding !lmonary f!nction test in a t with emhysema ECEP/ 7. All tr!e regarding !lmonary f!nction test in a t with emhysema ECEP/ A.

A. DecDecreareased sed forforced ced vitvital cal capaapacitcity F4y F4CC B B.. nnccrreeaasseed #d #;;CC"" C C.. ++nnccrreeaasse e &&CC D D.. DDececrereasased ed FEFE44**

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Arab Board Part 1 Exam

2005

B B.. ))oorrmamal l !!/ / ssaatt C. C. +n+ncrcreaeasse Re RBBC mC masasss # #.. ;o;ow w vivitatamimin n B1B1$$ E E.. ++nnccrreeaasse -e -BBCC

)1. $) yrs female with fever( co!gh ( 0.".B . ">E : BP: 1**>* PR: 1$*>min ( )1. $) yrs female with fever( co!gh ( 0.".B . ">E : BP: 1**>* PR: 1$*>min (

tem : ,. ( etechia on ;; . labs : -BH: 7., ( &BC: 16*** ( lat : )***( tem : ,. ( etechia on ;; . labs : -BH: 7., ( &BC: 16*** ( lat : )***( P/( AP// normal ( most li'ely diagnosis :

P/( AP// normal ( most li'ely diagnosis : A. A. ,e,emomolylytitic c ananememiaia B. B. SiSic$c$le le cecell ll didiseseasasee C C.. ##CC D.

D. hrombotic hrombocytopenic Purpurahrombotic hrombocytopenic Purpura E

E.. ,,SS

)$. Common symtoms and signs of organohoshate oison incl!de all the )$. Common symtoms and signs of organohoshate oison incl!de all the

following ECEP/ following ECEP/ A. A. E"E"cecessssivive e sasalilivavatitionon B. B. E"E"cecessssivive e lalacrcrimimatatioionn C C.. 55yyddrriiaassiiss D D.. AAbdbdomomiinanal pl paiainn E E.. DDiiaarrrrhheeaa

),. All ris' factors for 20A#0 ind!ced AR% ECEP/ ),. All ris' factors for 20A#0 ind!ced AR% ECEP/ A. A. CoCongngesestitive ve hehearart ft faiailulurere B B.. CCiirrrrhhoossiiss C. C. ChChroroninic rec renanal fal faililururee D. D. 44ololumume dee deplpletetioionn E. E. RhRhe!e!mamatotoid aid artrthrhrititisis

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Arab Board Part 1 Exam

2005

A.

A. #R+ #R+ is ais an idn ideal eal testest to t to assassess ess ththeir eir si'si'ee B.

B. ProProlaclactintinoma aoma are the mre the most cost commommon tuon tumormors in fems in femalealess C.

C. -omo-omonymo!nymo!s hems hemianoianoia is ia is the clthe classiassical vcal vis!al is!al field field defectdefect

D.

D. )on functioning )on functioning tumors may lead to hypoptumors may lead to hypopituitarismituitarism E.

E. hey hey may comay considnsidered mered macro aacro adenodenoma if ma if more more than than * cm i* cm in din diameteameterr

)4. ) yrs male was discovered to have hyochromic microcytic anemia . "n )4. ) yrs male was discovered to have hyochromic microcytic anemia . "n

ro!tine investigation ( all statement are accetable ECEP/ ro!tine investigation ( all statement are accetable ECEP/ A A.. SeSerurum fm feerrrrititinin B. B. ,B,B( el( elecectrtropophohoreresisiss C. C. EnEndodoscscopopic ic e"e"amamininatatioionn #.

#. EmEmiriirical cal iriron ton therheray ay for for 4 m4 montonthshs

E.

E. FeFecacal ol occcculult bt blolood od fofor 1 r 1 dadaysys

)6. Congenital RBBB associated with : )6. Congenital RBBB associated with : A

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Arab Board Part 1 Exam

2005

4*. )$ yrs male with general deterioration. he drin's $) !nits of alcohol each 4*. )$ yrs male with general deterioration. he drin's $) !nits of alcohol each

wee' and smo'es ) cigerettes > day ">E : 8a!ndiced  sider navaeii on chest wee' and smo'es ) cigerettes > day ">E : 8a!ndiced  sider navaeii on chest and has tem of ,6.$ ( abd : sleenomegaly . labs : A;P: ))* ( A0/ : ) A;/ and has tem of ,6.$ ( abd : sleenomegaly . labs : A;P: ))* ( A0/ : ) A;/ ) ( alb!min: $) ( heatitis 0 Ag ve ( -beAg : DE ( heatitis B #2A

) ( alb!min: $) ( heatitis 0 Ag ve ( -beAg : DE ( heatitis B #2A !ndetectable . &hat is the most li'ely diagnosis :

!ndetectable . &hat is the most li'ely diagnosis : A.

A. Alcoholic liver diseaseAlcoholic liver disease B.

B. Autoimmune hepatitisAutoimmune hepatitis C.

C. Carcinoma of the pancreasCarcinoma of the pancreas #.

#. Chronic heatitis B infectionChronic heatitis B infection

E.

E. Chronic hepatitis D infectionChronic hepatitis D infection

41. $4 yrs female in her first trimester @ 4

41. $4 yrs female in her first trimester @ 4thth_{wee' ( her Bilir!bin : * . "ther}_{wee' ( her Bilir!bin : * . "ther}

;%/0 normal. 5ost li'ely diagnosis: ;%/0 normal. 5ost li'ely diagnosis:

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Arab Board Part 1 Exam

2005

#.

#. CoCoeleliaiac dc disiseaeasese..

E.

E. CrCrohohn0n0s dis diseseasase.e.

4.

4. 46 years old woman r46 years old woman resented with ac!te severe bac' ain. 0he esented with ac!te severe bac' ain. 0he is normallyis normally fit and well( b!t there is a strong family history of osteoorosis. -er -g 1*.4( fit and well( b!t there is a strong family history of osteoorosis. -er -g 1*.4( 5C 7)( Calci!m $. @ 2:$.$D$.4( Phoshor!s $.$ @1D1.( Al'aline

5C 7)( Calci!m $. @ 2:$.$D$.4( Phoshor!s $.$ @1D1.( Al'aline hohatase

hohatase 1$4 @2:,*D1,*( total rotein 64 1$4 @2:,*D1,*( total rotein 64 g>l( alb!min ,* g>l. &hat g>l( alb!min ,* g>l. &hat is theis the most li'ely diagnosis<

most li'ely diagnosis< A. A. #e#etataststatatic disic diseaeasese.. B. B. 5!5!ltltiile le mymyelelomomaa C. C. ,y,ypeperprpatatatathrhroioididismsm.. D.

D. Paget0s disease of bone.Paget0s disease of bone. E

E.. SaSarcrcooididososisis 4).

4). 4* years old 4* years old male come the male come the hosital comlaining of na!sea ( hosital comlaining of na!sea ( wea'ness andwea'ness and conf!sion of 1 wee' d!ration. -as long standing history of -/2 and C-%. conf!sion of 1 wee' d!ration. -as long standing history of -/2 and C-%. 0he was treated with high amo!nt of di!retics and #igoxin witho!t aarent 0he was treated with high amo!nt of di!retics and #igoxin witho!t aarent benefit. Physical examination shows a BP 1*>* @witho!t orthostatic

benefit. Physical examination shows a BP 1*>* @witho!t orthostatic

changes. J!g!lar veno!s distention( Bilateral basilar rales( and $ bilateral changes. J!g!lar veno!s distention( Bilateral basilar rales( and $ bilateral an'le edema. ;abs: ser!m( 2a 1$*( B32 ,( Hl!cose 1,)( lasma osmolarity an'le edema. ;abs: ser!m( 2a 1$*( B32 ,( Hl!cose 1,)( lasma osmolarity

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Arab Board Part 1 Exam

2005

46

46 $* years old male( 1* days history of sore throat associated with fever($* years old male( 1* days history of sore throat associated with fever( fatig!e( nec' swelling. Physical examination shows significant cervical and fatig!e( nec' swelling. Physical examination shows significant cervical and Axillary lymh node enlargement( minimal heatosenomegaly( ;AB &BC Axillary lymh node enlargement( minimal heatosenomegaly( ;AB &BC 7)**( differential Hran!lar cell $7+( ;ymhocyte 44+( monocyte 1+( 7)**( differential Hran!lar cell $7+( ;ymhocyte 44+( monocyte 1+( Eosinohil 1+( -b 1 latelet ,7****( mildly elevated Alanine

Eosinohil 1+( -b 1 latelet ,7****( mildly elevated Alanine

aminotransferase level and normal Bilir!bin. /he most li'ely diagnosis: aminotransferase level and normal Bilir!bin. /he most li'ely diagnosis: A.

A. ububerercuculolosisis.s. B.

B. ,o,odgdg$i$ins lns lymymphphomoma.a. C.

C. nfnfectectio!io!s mons monon!on!clecleosiosis.s.

D.

D. C#C#4 4 ininfefectctioionsns.. E.

E. Acute hepatitis B virusAcute hepatitis B virus infection. infection.

47

47 %eat!res of m!ltile sclerosis incl!de all of the following ECEP/: %eat!res of m!ltile sclerosis incl!de all of the following ECEP/: A

A.. ))yyststagagmumuss.. B.

B. !p!ptitic c atatrorophphyy.. C.

C. DelDelayeayed visud visual evoal evo$ed po$ed potententiatial.l. #.

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Arab Board Part 1 Exam

2005

#.

#. CaCarcrcininoioid d t!t!momorr

E.

E. )on o)on occlcclususive iive intentestistinal inal ischschemiemiaa

61. /he following are disease modifying antiDRhe!matic dr!gs in atients with 61. /he following are disease modifying antiDRhe!matic dr!gs in atients with

Rhe!matoid Arthritis

Rhe!matoid Arthritis ECEP/ECEP/:: A A.. ++nnffllii""iimmaabb B B.. SSuullffaassaallaa''iinnee C C.. ++nnfflluunnaammiiddee D D.. ##eetthhoottrree""aattee E E.. PPrreeddnniissoolloonnee

6$. All of the following are tr!e abo!t sesis( ECEP/: 6$. All of the following are tr!e abo!t sesis( ECEP/: A.

A. AlthAlthough iough in the hon the hospitspital mortal mortality ality rate felrate fell from /=l from /= ; *=9 y ; *=9 yet the tet the total notal number oumber off deaths increased

deaths increased B.

B. +n sp+n spite dite diabetiabetic paic patienttients gos good glod glucose ucose contcontrol irol improvmproves sues survivrvivalal C.

C. /he r/he rate oate of sef sesis sis d!e td!e to f!no f!ngal gal orgaorganism nism is dis decreaecreasingsing

D.

D. rreatmeneatment of septit of septic patienc patient 3ith actt 3ith activateivated proted protein C is cost efin C is cost effectifective in sevve in severe caseere casess E.

E. +nvas+nvasive proive procedurcedures9 cytoes9 cytoto"ic tto"ic therapherapyy9 and trans9 and transplanplantatiotation are causen are causes of incres of increasinasing rateg rate of sepsis

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Arab Board Part 1 Exam

2005

D

D.. SSaarrccooiiddoossiiss E

E.. PPssoorriiaassiiss

64. &hich renal lesion has been rominently associated with chronic 64. &hich renal lesion has been rominently associated with chronic

vesico!rethral refl!x and heavy Protein!ria< vesico!rethral refl!x and heavy Protein!ria< A. A. #i#innimimal cal chahangnge die diseseasasee B. B. CrCresesenentrtric gloic glomemerurulolonenephphrirititiss C. C. #e#embmbraranonous glous glomemerurulolonenephphrirititiss D D.. +g+gA A nnepephhroropapaththyy E.

E. %oc%ocal al segsegmenmental tal gloglomermer!lo!losclscleroerosissis

66. /he c!rrently most reliable assay for identifying ac!te infection with heatitis 66. /he c!rrently most reliable assay for identifying ac!te infection with heatitis

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Arab Board Part 1 Exam

2005

71. -ereditary ca!ses of thrombocytosis incl!de< 71. -ereditary ca!ses of thrombocytosis incl!de<

A.

A. DysfibrogenemiaDysfibrogenemia B.

B. Antithrombin *** deficiencyAntithrombin *** deficiency C.

C. Antihosholiid syndromeAntihosholiid syndrome

#.

#. Protein c deficiencyProtein c deficiency E.

E. Protein s deficiencyProtein s deficiency 7$.

7$. 2!cleated RBC 2!cleated RBC seen in seen in eriheral blood eriheral blood film arfilm are e 'nown 'nown to occ!r to occ!r in all in all ofof the following ECEP/

the following ECEP/ A.

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Arab Board Part 1 Exam

2005

74. A atient with rec!rrent neisserial infections sho!ld have which of the

74. A atient with rec!rrent neisserial infections sho!ld have which of the following tests:

following tests: A

A.. SeSerurum m C* C* lelevevel.l. B.

B. SerSerum um C* C* estesteraerase se inhinhibiibitor tor levlevel.el. C C.. SSeerurum Cm C1 l1 leevveell.. D D.. SeSerurum m C2 C2 lelevevel.l. E. E. C-)*C-)*..

76. 7 yr old asymtomatic diabetic man had the following lab data on sched!led 76. 7 yr old asymtomatic diabetic man had the following lab data on sched!led

followD! visit to the clinic: followD! visit to the clinic: D%asting blood gl!cose: $mg>dl D%asting blood gl!cose: $mg>dl D-bA1C

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Arab Board Part 1 Exam

2005

his ser!m creatinin *. mg >dl and his blood ress!re 1$*>7* !rin secimen his ser!m creatinin *. mg >dl and his blood ress!re 1$*>7* !rin secimen collected

collected

/he =!estion is incomlete we missed the last line /he =!estion is incomlete we missed the last line A.

A. !rder /2;hr urine test for protein and creatinine!rder /2;hr urine test for protein and creatinine

B.

B. !btain A)A9 C19 C2!btain A)A9 C19 C2

C.

C. Arrange for a $idney biopsyArrange for a $idney biopsy

#.

#. ReReassass!r!re him e him ababo!t o!t his his rorogngnosiosiss

E.

E. rine protein electrophoresisrine protein electrophoresis

*.

*. ,7 years old ,7 years old women with obesitywomen with obesity( dermal striae and ( dermal striae and -/2 is -/2 is refered to refered to yo! toyo! to eval!ate her for ossible cortisol excess. /he women received a midnight 1 eval!ate her for ossible cortisol excess. /he women received a midnight 1 mg of dexamethasone(

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Arab Board Part 1 Exam

2005

which one of the following dietary factors has the greatest benefit towards which one of the following dietary factors has the greatest benefit towards achieving blood ress!re goals in atient similar to this with well established achieving blood ress!re goals in atient similar to this with well established -/2: -/2: A. A. ;o;ow 2w 2a da dieiet.t. B. B. ,,igigh h 5 d5 dieiet.t. C. C. ,,igigh Ch Ca da diietet.. D.

D. ,ig,igh #g h #g diediet  ht  high igh Ca dCa dietiet.. E.

E. ,igh fiber  high 5 diet.,igh fiber  high 5 diet.

,.

,. ,$ years old ,$ years old male with bloody diarrhea male with bloody diarrhea of one day?s of one day?s d!ration associated withd!ration associated with abdominal ain( fever( small fre=!ent stool. -e was revio!sly well( which abdominal ain( fever( small fre=!ent stool. -e was revio!sly well( which one of the following athogen is most li'ely ca!sing this atient ac!te illness< one of the following athogen is most li'ely ca!sing this atient ac!te illness<

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Arab Board Part 1 Exam

2005

with diff!se ancreatic enlargement and fl!id in the right erinehric sace. with diff!se ancreatic enlargement and fl!id in the right erinehric sace. /he gallbladder is contracted and contains several small stones. /he bile d!ct /he gallbladder is contracted and contains several small stones. /he bile d!ct is not dilated. &hich of the following is most aroriate at this time<

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Arab Board Part 1 Exam

2005

C. C. 3n3ncocommlilicacateted 5d 5 D D.. SSeeppssiiss.. E. E. ,e,ead ad inin6u6uryry..