General Practitioner - Mix MCQs (Bonus Pack)

1004) Pt complaining
Which ofofBest
the way to prevent
hypotension
following infection
medication
& bradycardia. in
bemedical
used aspractice
can Electrolytes in pediatric
prophylaxis
show: ¯Na, -
in appendectomy:
K, Cl, Urea. So the cause of this is:

Wear gloves
Cephalexin
. hyponatremia    (Correct Answer)
Wash hand    (Correct
Ceftriaxone    Answer)
(Correct Answer)
hyperkalemia
Wear mask
Metronidazole
. hyperchloremia
Wear gown
Vancomycin
uremia
Ampicillin
PT. do colectomy for colon cancer routine follow up every
Pt came with total bilirubin: 5.8 & direct bilirubin: 0.4 

Which
. 6ofmonths
the following prognostic factor for SLE:
Guillain–Barré syndrome
. 3 months
ANA levels
Dubin-junson syndrome
9 months
Sex
Biliary sclerosis
1 years   
Age (Correct Answer)
. Crigler-Najjar syndrome
Renal involvement    (Correct Answer)
Gilbert Syndrome    (Correct Answer)
child with unilateral  nasal obstruct with bad odor
Polyartheralgia rhumatica. What is the thing that suggest it rather than ESR & C-
reactive protein:
unilateral adenoidchronic
Regarding hypertrophy
fatigue syndrome, which is true?

. proximal muscle weakness    (Correct

FB    (Correct Answer)
Answer)
Antibiotics may reduce the symptoms
proximal muscle tenderness
unfaivrable prognosis for schezophrenia
Antidepressants may reduce the symptoms    (Correct Answer)

family Hx   
Rest may(Correct
reduce Answer)
the symptoms
Gastrictomy post-op 1 day. He have temperature 38.8 & pulse 112. What is
failed? marrige
the most common cause
What is the diagnosis?
adolscen age?? not sure
wound infection    (Correct Answer)
Viral meningioencephalitis
presence of psychosis
inflammatory mediator in the circulation
Tuberculous meningitis    (Correct Answer)
Young patient with HTN came complaining of high blood pressure and red,
UTI tender,
rheumatic  fever swollen
pt has big left toe,
streptococcal tender swollen
pharingitis foot andanother
risk to develop tender whole
attackleft leg.
Ph…. Meningitis
Diagnosis is:
normal
trimesmore than normal
Cellulitis    (Correct Answer)
Regarding postpartum Psychosis:
100%
Vasculitis
Besides IV fluids, what is the most important drug to be given in
anaphylaxis
50%   
Recurrences are common (Correct Answer)
in subsequent pregnancies    (Correct Answer)
Gout Arthritis
It often progresses to frank for Epinephrine    (Correct Answer)
schizophrenia
prophylaxis meningitis ttt contact
 What is the injection that is routinely given to newborn to inhibit
hemorrhage:

Vit. K    (Correct Answer)

Vit. C

Vit. D

Vit. E
Patient with strong genetic factor for colon cancer, what is the medication
that could decrease the risk of colon cancer:

Folic Acid.    (Correct Answer)

Vit. C

Vit. K or A

Vit. E

Patient with asthma, well controlled by albutarol, came complaining of

asthma symptoms not respond to albutarol, what medication could be
added:

Corticosteroid inhaler    (Correct Answer)

Long acting B-agonist

Oral corticosteroid

Theophyline
 Henosch-Scholen purpura affect:

Capillary

Capillary and venule

Arteriole, capillary and venule    (Correct Answer)

Artery to vein

Contraceptive pill that contain estrogen increase risk of:

Patient came with upper respiratory tract infection with red conjunctiva,
the cause is:
Breast Ca    (Correct Answer)

Viral
Ovaryinfection   
Ca (Correct Answer)

Bacterial infection
Cervical Ca

Fungal infection

Healthy patient with family history of DM type 2, the most factor that
increase chance of DM are:

HTN and Obesity    (Correct Answer)

Smoking and Obesity

Pregnancy and HTN

Pregnancy and Smoking

 1004) Pt complaining of hypotension & bradycardia. Electrolytes
show: ¯Na, K, Cl, Urea. So the cause of this is:

. hyponatremia    (Correct Answer)

hyperkalemia

. hyperchloremia

uremia

Pt came with total bilirubin: 5.8 & direct bilirubin: 0.4 

Guillain–Barré syndrome
Polyartheralgia rhumatica. What is the thing that suggest it rather than ESR & C-
reactive protein:
Dubin-junson syndrome

Biliary sclerosis . proximal muscle weakness    (Correct Answer)

. Crigler-Najjar syndromeproximal muscle tenderness

Gilbert Syndrome    (Correct Answer)

 Gastrictomy post-op 1 day. He have temperature 38.8 & pulse 112. What is
the most common cause ?

wound infection    (Correct Answer)

inflammatory mediator in the circulation

UTI

normal

Regarding postpartum Psychosis:

Recurrences are common in subsequent pregnancies    (Correct Answer)

It often progresses to frank schizophrenia

It has good prognosis

It has insidious onset

e. It usually develops around the 3rd week postpartum

Old patient complaining of hematuria, on investigation, patient has bladder

calculi, most common causative organism is:

Schistosoma    (Correct Answer)

CMV

? virus

? virus
 Dermatomyositis came with the following symptoms:

Proximal muscle weakness    (Correct Answer)

Proximal muscle tenderness

Bursitis of the elbow joint caused by:

Elbow trauma    (Correct Answer)

Autoimmune disease

Staph. Aureus

? rupture of bursa

Pregnant diagnosed with UTI. The safest antibiotic is:

Ciprofloxacin

Ampiciln    (Correct Answer)

Tetracycline

Patient is complaining of right side pharynx tenderness on examination

patient had inflamed right tonsil and redness around tonsil with normal left
tonsil. The diagnosis is:

Parenchymal tonsillitis

Quinse parapharyngeal abscess    (Correct Answer)

 Patient came complaining of fever, night sweating, and hemoptysis with

positive PPD test. Examination was normal, CXR shows infiltrate of left
apical lung but in lateral X-ray showed nothing the repeated PPD test
showed normal result diagnosis is:
Sarcoidosis

Reactivated TB    (Correct Answer)

Mycoplasma infection

Viral infection

Femal patient came with lower abdominal pain, fever on exam patient has
lower abdominal tenderness and tender cervical fornix, the most
appropriate way to diagnose the problem is:

Laproscopy    (Correct Answer)

Heterosalpingography

Abdominal CT

Radionuclar Study

The best non-medical therapy is proven to be of benefit for osteoarthritis

is:

Muscle strength exercise    (Correct Answer)

Give NSAID

Back slap

Hematological disease occurs in children, treated with heparin and fresh

frozen plasma what is the disease:

Hemophilia A

Hemophilia B

Von-wille brand disease

DIC thrombosis    (Correct Answer)

 Child with URTI is complaining of bleeding from nose, gum and bruising
the diagnosis is:

Hemophilia A

ITT    (Correct Answer)

Patient came complaining of vague abdominal pain for 6 hours then

shifted to right lower quadrant diagnosis is :

Acute appendicitis    (Correct Answer)

Diverticulitis

The best stimulus for breast milk secretion is :

Estrogen

Breast feeding    (Correct Answer)

Female patient did urine analysis shows epithelial cells in urine, it comes
from:

Vulva

Cervix

Urethra    (Correct Answer)

Ureter

All of the following are risk factors for heart disease except:

High HDL    (Correct Answer)

Male

Obesity
 Give Oxytocin

O2 and change mother position    (Correct Answer)

GiveThe
Mgmost
sulfate
signs and symptoms of abruption of placenta is:

The way to determine the accuracy of occult blood test for 11,000 old patients is by
Vaginal bleed    (Correct Answer)
measuring:

Fetal distress
Sensitivity    (Correct Answer)
Uterus pain and back pain
Specificity
Abnormal uterine contraction
Positive predictive value

Child came
Negative with his
predictive father and high BMI and look older than other children
value
with same age, on exam  child has >95th percentile of weight and tall,
management is:
Sickle cell patient, asymptomatic with history of recurrent gall-stones and
recurrent crisis the management is:
Observe and appoint    (Correct Answer)

Cholecystectomy   
Life style change (Correct Answer)

Hydroxyurea
Give program to decrease the weight

25 year teacher have fear attack and worry before enter the class ( I forgot all the scenario)
what is the initial treatment:

Selective serotonin reuptake inhibitor    (Correct Answer)

Pregnant on 36th week came with 7 cm cervical width at 0 station. During birth, CTG
shows late deceleration, management is:
Tricyclic depressant
50 year old Man presented to ER with sudden headache, blurred of vision, and eye pain.
Beta blocker
The diagnosis is:

The bestAcute
initial TTT for depression
glaucoma    (Correctis:Answer)

Acute conjunctivitis
SSRIs    (Correct Answer)

Corneal
Tricycliculcer
depressant

MAO inhibitors

Betacondition
Which heart blocker is tolerable during pregnancy:

Using the following classification:

Risk factor Case (disease) Non case total

Present A B A+b
Absent  C D C+d
 Eisenmenger syndrome

Aortic stenosis

Severe mitral regurge    (Correct Answer)

Dilated cardiomyopathy with EF 20%

Mitral stenosis and the mitral area is 1 cm (or mm).

Diffuse abdominal pain “in wave like” and vomiting. The diagnosis is:

Pancreatitis

Appendicitis

Bowel obstruction    (Correct Answer)

Cholelithiasis

Pediatric came to you in ER with wheezing, dyspnea, muscle contraction ( most

probably asthma), best to give initially is :

theophillin

Albuterol neubelizors    (Correct Answer)

oral steroids
Patient complaining of pain at night when he elevated his arm, tingeling on lateral arm side and
lateral three fingers , Dx 

brachial plexus neuropathy

shoulder impengment syndrom

brachial artery thrombophebitis

thoracic outlet problem    (Correct Answer)

Most common intra- abdominal tumor in children:

wilm's tumor    (Correct Answer)

lymphoma

Young adult presented with pain on lateral elbow, tingeling of lateral arm, he plays Squash

carbel tunnel

tennis elbow    (Correct Answer)

male came to you complaining of sudden progressive decreasing in vision of left eye over last
two/three days, also pain on the same eye, on fundoscopy optic disk swelling was sees , Dx :

central retinal artery occlusion

central retinal vein occlusion

optic neuritis    (Correct Answer)

macular degeneration

unilateral headache, exaggerated by excersice and light , Dx :

 migraine    (Correct Answer)

cluster headach

stress headache

Which type of contraceptive is contraindicative in lactation:

OCPs    (Correct Answer)

Mini pills

IUD

Condom

Depo-Provera

70 years old with progressive demntia , no personality changes , neurological

examination was normal but there is visuodeficit , on brain CT shower cortex atrophy
and ventricular dilatations :

multi micro infract dementia

alzehimer demenita    (Correct Answer)

parkinsonism dementia

A 5 year old child came with earache on examination there is fluid in middle ear and adenoid
hypertrophy. Beside adenoidectomy on management, which also you should do:

Myringotomy    (Correct Answer)

Grommet tube insertion

Mastidectomy

Tonsillectomy
Classic Scenario of stroke on diabetic and hypertensive patient. What is the pathopysiology of
stroke:

Atherosclerosis    (Correct Answer)

Anyresm

70 years old with progressive dementia , on brain microscopy  amyloid plaques and
neurofibrillary tangles are clearly visible also Plaques are seen : Dx

lewy dementia

Parkisonism

Alzehimer    (Correct Answer)

Middle aged patient with an acyanotic congenital heart disease the X-ray show ventrical
enlargement and pulmonary hypertension:

VSD

ASD    (Correct Answer)

Trancus arteriosus

Pulmonary stenosis

after bite, pediatric patient presented with abdominal pain and vomiting , stool occult
blood , rash over buttock and lower limbs , edema of hands and soles , urine function
was normal but microscopic hematurea was seen: 

Lyme

Henoch-Schonlein Purpura    (Correct Answer)

 Young adult presented with painless penile ulcer rolled edges .. what next to do :

CBC

Darkfeild microscopy    (Correct Answer)

Culturing

Mechanism of vitamin  C in wound healing :

Epithiliazation

Aerobic fibroblast synthesis

Collagen synthesis    (Correct Answer)

Enhance vascularization

regrading COPD to reduce complication we should give

theophyline

pneumococcal vaccine

smoking cessation.    (Correct Answer)

Diabetic female ger 24h-urine proteinn is 150mg ,,

start on ACEIs    (Correct Answer)

refer to nephrologist

do nothing , this is normal range

Diabetic female ger 24h-urine proteinn is 150mg ,,

 start on ACEIs    (Correct Answer)

refer to nephrologist

do nothing , this is normal range

Open globe injury . TTT is:

Contineuos antibiotic drops

Continuous wate and NS drops

Continuous steroids drops

Sterile cover and the refered    (Correct Answer)

Adolescent female counseling on fast food. What you should give her:

Ca + folic acid    (Correct Answer)

Vit C + folic acid

Zinc + folic acid

Zinc + Vit C

pseud-gout its

CACO3    (Correct Answer)

CACL3

What is the TRUE about backache with osteoporosis:

 Normal x ray vertebra exclude the diagnosis

Steroid is beneficial TTT

Vit D defiency is the cause    (Correct Answer)

Another TTT I don’t remember

which prevent or decrease incidence of getting post herpetic neuralgia

Amitriptylin

Acyclovir

Varicella vaccination    (Correct Answer)

Adolescent female with eating disorder and osteoporosis

Weight gain    (Correct Answer)

Vit D

Bisphosphonates

man with history of alcohol assocation with

high MCV

folic acid deficiency    (Correct Answer)

B12 deficieny

hepatitis
Fourth degree hemorrhoids, Management is:

Hemoridectomy    (Correct Answer)

band ligation

sclerotherapy

fiber diet

neanate 9 days on breast feed develop jandice

breast feed jaundice    (Correct Answer)

pathological jaundice

physiological jaundice

nulligravida at 8 weak  gestational age, follow up for genetic screening, she refused the invasive
procedure but she agree for once screening , what is the appropriate action now:

do ultrasound

1st screening    (Correct Answer)

2nd screening

3rd screening

Amncentesis

Female came with complain of diahrrea in the last 6 months, she lost some weight, she reported
that mostly was bloody , when you preformed sigmoidoscopy you found fragile mucosa with
bleeding ,Dx

colon cancer
 Chron's

Ulcerative colitis    (Correct Answer)

Gastroenteritis

Hemrrohids

mother gave bitrh of baby with cleft lip and palate, she want to get pergnant again what is the
percentage of recurrence

1%

4%    (Correct Answer)

15%

19 yrs old c/o abdo pain within menestration for last 6 years diagnosis

primary dysmenorrhea    (Correct Answer)

secondary dysmenorrheal

beriberi cause of deficiency

VIT B1    (Correct Answer)

VIT B2

VIT B3

4 years old girl presented with her parents to er with sore throat and seroangious
vaginal discharge with no pain what is most propable cause,
 Candida

Foreign body

Chlamedia

Gonococci

streptococcus    (Correct Answer)

70 year old male with chronic Hepatitis B virus antigen carrier. The screening of choice is:

Alfaprotien + liver ultrasound    (Correct Answer)

Alfaprotien + another tumor marker

Abdominal CT + abdominal ultrasound

patient coplaining of pain along median nerve ditribution , And positive tinel sign
treatment include casting of both hand in what position

Dorsiflexion

plantar flexion

extention    (Correct Answer)

Dduction

Regarding GDM:

Screening for GDM at 24 t0 28 weeks    (Correct Answer)

Diet control is always successful TTT

Screening at 8 weeks
dermatomyosistis what is true

distal muscle weakness

Underlying malignancy

Generalized ??? Skin rash    (Correct Answer)

After doing CPR on child and the showing asystole:

Atropine

Adrenaline    (Correct Answer)

Lidocane

antideprssants associated with hypertensive crisis treatment

SSRI

MOAIs    (Correct Answer)

TCAs

Scenario of trauma , on face examination there is shifted mouth angle, loss of sensation of ant. Third of
tongue, which CN is affected:

Facial nerve

Trigeminal nerve    (Correct Answer)

pt with hypertrophic subaortic stenosis referred from dentist before doing dental
procedure what is true

50 % risk of endocarditis
 12 % risk of endo carditis

No need for prophylaxis    (Correct Answer)

post procedure antibiotic is enough

Scenario of trauma , on face examination there is shifted mouth angle, loss of sensation of ant. Third of
tongue, which CN is affected:

Facial nerve

Trigeminal nerve    (Correct Answer)

pt his MBI = 24 kg he is

noramal weight    (Correct Answer)

over weight

morbid weight

mild weight

On examination of newborne the skin show papules or (pastules) over erythema base:

transient neonatal pustular melanosis

erythema toxicum neonatorum    (Correct Answer)

The most common causes of precocious puberty:

Idiopathic    (Correct Answer)

Functional ovary cysts

 Ovary tumor

Brain tumor

Adenoma

pt want to quit smoking you till him that symptoms of nicotine withdrawal appear after

1-2 days    (Correct Answer)

2-4 days

5-7 days

8- 10 days

Mother worry about radiation from microwave if exposed to her child. What you tell her:

Not all radiation are dangerous and microwave one of them

Microwave is dangerous on children    (Correct Answer)

Microwave is dangerous on adult

29 pt c/o dysurea his microscopic showed G -ve organism is

legonealla

E. coli    (Correct Answer)

Earlier sign of puberty in male is:

Appearance of pubic hair

 Increase testicular size    (Correct Answer)

Increase penis size

Increase prostate size

pt taking bupropion to quit smoking what is SE

Arrythmia

Seizure    (Correct Answer)

xerostomia

Headache

What is the most risk of antihypertensive drugs on elderly patient:

Hypotension    (Correct Answer)

Hypokalemia

CNS side effect

30 yrs pt c/o feeling heaviness in the lower abdomen having pulge papable at the top scrotum that
was reducible and icreasing in valsalva maneuver diagnosis

. hydrocele

variocele

indirect inguinal hernia    (Correct Answer)

direct inginal hernia

Asymptomatic woman with trichomonas:

 Treat if symptomatic

Treat if she is pregnant

Treat her anyway    (Correct Answer)

4years old child what can he do

Copy square and triangle    (Correct Answer)

Speak in sentences

4years old child what can he do

Copy square and triangle    (Correct Answer)

Speak in sentences

What is the risk of GDM on her life later:

DM type 1

DM type 2    (Correct Answer)

Impaired fasting glucose

anticoagulation prescrib for

one month

6 months    (Correct Answer)

6 weeks

one year
What is the major sign that can tell you that patient have polycythemia vera rather than secondary
polysythemia:

Hepatomegaly

Splenomegaly    (Correct Answer)

Venous engorgement

Hypertension

baby can sit without support, walk by holding fourniture. Pincer grasp, pull to stand how old is he

8 months

10 months    (Correct Answer)

12 month

18 month

What is the deficient vitamin in infantile beri beri :

B1(thiamine)    (Correct Answer)

Niacine

cushing syndrome best single test to confirm

 palsma cortison

ATCH

Dexamethasone Suppression Test    (Correct Answer)

73 year patient complain of progressive loses of memory with decrees in cognition function . C.T
reveal enlarge ventricle and cortical atrophy , diagnosis is

Alzheimer    (Correct Answer)

multi infarct dementia

multiple sclerosis

23 yrs old history of URTI then he developed ecchomysis best treated

local AB

local antiviral

steroid    (Correct Answer)

62 female with –ve pap smear you should advice to repeat pap smear every:

6m

12m

18m

no repeat    (Correct Answer)

20 year old male found to have hepatitis b surface antibodies :

 Previous vaccination    (Correct Answer)

Previous infection

Active infection

Most common cause of secondary hypertension in female adolescent is:

Cushing syndrome

Hyperthyroidism

Renal disease    (Correct Answer)

Essential HTN

Polycystic ovary disease

50 y with uncontrolled diabetes ,complain of black to brown nasal discharge. So diagnoses is

mycomyosis    (Correct Answer)

aspirglosis

foreign body

celiac disease involves

proximal part of small intestin    (Correct Answer)

distal part of small intestin

proximal part of large intesin

distal part of large intensin

Child present with stiffing neck, fever, headach. You suspect meningitis what is your initial TTT should be:

Tobramycin

Levoflaxicine

Peneciline(ampicillin)    (Correct Answer)

Doxycycline

55 y complain of dyspnea, PND with past history of mitral valve disease diagnosis is

LT side HF    (Correct Answer)

RT side HF

pnemothrax

P.E

A patient have tender, redness nodule on lacriminal duct site. Before referred him to ophthalmologist what
you will do:

Topical steroid

Topical antibiotics

Oral antibiotics    (Correct Answer)

Nothing

About DM in KSA:

about < 10 %
 Most of the pt of insulin dependant type

female more affected with type 2 DM

most of NIDDM are obese    (Correct Answer)

clonidin is decrease effect of 

benzotropin

levo dopa    (Correct Answer)

rubstin

Pt with hodgkin's lymphoma , and red strunberg cell in pathology and there is esinophil
lymphocyte in blood so pathological classification is:

Mixed-cellularity subtype

nodular sclerosis subtype of Hodgkin's lymphoma    (Correct Answer)

17 y.o,she missed her second dose of varecila vaccine,the first one about 1 y ago what you'll do:

give her double dose vaccine

give her the second dose only    (Correct Answer)

revaccinate from start

see if she has antibody and act accordingly

2 y baby with gray to green patch in lower back, no redness or hotness, diagnosis is

child abuse
 no ttt need    (Correct Answer)

bleeding tendency

15y boy with unilateral gyncomastia your advice is15y boy with unilateral gyncomastia your
advice is

my resolve spontiniously    (Correct Answer)

there is variation from person to person

decrease use of soda oil or fish oil

17 year pt with dyspnea Po2 , PCO2 ,Xray normal PH increase so dd is:

acute attack of asthma    (Correct Answer)

PE

pneumonia

pnemothrax

50y female with breast cancer and CA125 elevate. So elevation due to

breast cancer    (Correct Answer)

associate with ovarian cancer

due to old age

normal variation

A long scenario about patient with polydipsia ad polyuria. Serum osmolrity high . desmoprsin
inductin no change urine omolarity and plasma osmolrity so dd is
 nphrognic type    (Correct Answer)

central tupe

25y female with bradicardia and palpitation. ECG normal except HR130 and apical pulse is 210
.past history of full ttt ovarian teratoma, so your advice is

struma ovari should be consider    (Correct Answer)

vagal stimulate should be done

referred to cardiology

pt with alcohol drinked complain of headache , dilated pupil hyperactivity, agitation .he had
history of alcohol withdrawal last week so ttt is

diazepam    (Correct Answer)

naxtrol

haloperido

50 year old Man presented to ER with sudden headach, blurred of vision and eye pain. The
diagnosis is:

Acute glaucoma    (Correct Answer)

Acute conjunctivitis

Corneal ulcer

50y man with chronic psychosis and not complains for ttt .your advice
 depot haloperidol or floxtin    (Correct Answer)

oral lorasepam

oral buspiron

RTA with hip dislocation and shock so causes of shock is

. blood lose    (Correct Answer)

urtheral injery

nurogenic

15y boy appear patch in rt lower leg these patch is clear center , red in peripheral, no fever no
other complain so diagnosis

contact dermatitis

tinea corpora    (Correct Answer)

lyme disease

most common causes of hand infection

truma    (Correct Answer)

imunocrombromise

old pt with of IHD complain for 2 mon of redness in lower leg and pulse dim- inched in dorsalis
pedis these redness increase in dependant position and limp is cold and no swelling ,diagnosis
is:

arterial inssuficncy    (Correct Answer)

 thrmbophibitis

cellulites

old pt with of IHD complain for 2 mon of redness in lower leg and pulse dim- inched in dorsalis
pedis these redness increase in dependant position and limp is cold and no swelling ,diagnosis
is:

arterial inssuficncy    (Correct Answer)

thrmbophibitis

cellulites

ttt of cholestatoma is

antibiotic

steroid

surgery    (Correct Answer)

Grommet tube

there is outbreak of difteria and tetanus in community , regaring to pregnant woman:

contraindication to give DT vaccine

if exposed , terminate pregnancy immediately

if exposed , terminate after 72 hour

give DT vaccine anyway    (Correct Answer)

female after sexual attack on exam hymen tear in

2 o'clock

4"""""""

6""""""    (Correct Answer)

8""""""""

All of the following are live vaccine except:

MMR

Oral plio

Varicella

Hepatitis B vaccine    (Correct Answer)

BCG

twins one male and other female . his father notice that femle become puberty before male so
what you say to father

female enter puberty 1-2 year before male

female enter puberty 2-3 year before male    (Correct Answer)

female enter puberty at the same age male

 7y boy complain of limb. CT show a vascular necrosis in epiphysis of femur your advice 

surgical ttt

splint for 6m    (Correct Answer)

 physiotherapy

Pt with scoliosis, you need to refer him to the ortho when the degree is:

10

15

20    (Correct Answer)

in devolping countery to prevent dental carise , it add to water 

florid    (Correct Answer)

zink

copper

iodide

87 year old who brought by his daughter, she said he is forgettable, doing mess thing in room , do not
maintain attension , neurological examination and the investigation are normal

Alzheimer disease    (Correct Answer)

Multi-Infarct Dementia

pt with trachoma in eye . for prevention you should

water    (Correct Answer)

"""""""""""""""""+eradication of organism
 mass ttt

Patient with cancer.  You want to break bad news, which of the following is the answer:

Inform his family

Find out how much the patient know about it    (Correct Answer)

Let social service inform him

Don’t tell him

Patient with retrosternal chest pain , barium swallow show corkscrew appearance

Achalasia

Esophagitis

GERD

Diffuse esophageal spasm    (Correct Answer)

pt with severe headache and decrease in visual acuity ,pupil is dilated, so ttt
a-pilocarpin drop and ophthalmology referred

ergotamine    (Correct Answer)

NSID

Most common cause of intra cerebral hemorrhage:

ruptured aneurysm
 Hypertension    (Correct Answer)

Trauma

main ttt of non inflammatory acne is

ritonic acid    (Correct Answer)

clindmycin;

azalic acid

erythromycin

Rt upper qudrent pain and tenderness , fever, high WBC , jaundice, normal hepatic marker

Acute cholecyctitis    (Correct Answer)

Pancreatitis

Acute hepatitis

pt child with back pain that wake pt from sleep

So diagnosis

lumber kyphosis

osteoarthritis

RA

Scoliosis    (Correct Answer)

5 y.o child with h.o fever and swelling of the face ant to the both ears (parotid gland enlargement) what is
the most common complication:
 Labrynthitis

meningitis    (Correct Answer)

encephalitis

orchitis.

female not married with normal investigation except FBS=142. RBS196. so ttt

give insulin subcutaneous

advice not become married

barrier contraceptive is good

BMI control    (Correct Answer)

prophylaxis of Asthma

oral steroid

inhaler steroids    (Correct Answer)

inhaler bronchodilator B agonists

diapetic pt come to you with disturbance in conscious RBS : 65. so main drug that cause
hypoglycemia:

sulphnylurea    (Correct Answer)

bugunid

acabos α-glucosidase inhibitor

pheniform
6m boy with fever you should give antipyretic to decrease risk of

febrile convulsion    (Correct Answer)

epilepsy

disseminate bacteria

30 year woman with dysmenorrhea, menorrhagea, infertility, and on examination found immobile mass on
uterosacral ligaments :

uterine fibroid

endometriosis    (Correct Answer)

pt with scale in hair margin and nasal fold and behind ear with papule and irregular erythema so
ttt is

nizoral cream    (Correct Answer)

atovit

acyclovir

antibiotic

Younger diabetic patient came with abdominal pain, vomiting and ketones smelled from his mouth. What
is frequent cause:

Insulin mismanagement    (Correct Answer)

Diet mismanagement
14y girl with athralgia and photosensitivity and malar flush. And protinurea so diagnosis is

RA

lupus nephritis    (Correct Answer)

UTI

On stroke management: except

IV fluid not include dextrose

Diazepam for convulsion

No indication of anticonvulsive drugs    (Correct Answer)

Patient use illegal drug abuse and the blood show RNA virus. Which hepatitis

C    (Correct Answer)

paraplegia pt with ulcer in lower back 2+2 cm and lose of dermis and epidermis these ulcer in
stage

II    (Correct Answer)

III

IV
Treatment of EBV ( in scenario there patent with tonsiller exudates, lymphadenopathy, splenomegaly) :

Oral acyclovir

Oral antibiotic

IM or IV acyclovir

Supportive TTT    (Correct Answer)

Observation

PREGNANT LADY prim at labor pain , on exa cervical in stage I of labor so pain management is

morphine IM

epidural anesthesia    (Correct Answer)

general"""""""""

local"""""""

Psycatric pt on antipsychotic drug most drug that lead to impotence with antipsychotic is

proprnlol    (Correct Answer)

NSAI

ACEI

Patient with coloured pastules around his mouth, organism show herpes simplex type 1, what is the
treatment:
 Oral antiviral    (Correct Answer)

Iv antiviral

Supportive

man present with painless ulcer in his penis with indurate base and everted edge so diagnosis is

syphilis    (Correct Answer)

gonorrhea

choncroid

HSV

man have long history of urethral stricture present with tender right testis and WBC in urine so
diagnosis is

epddimorchitis    (Correct Answer)

testicular torchin

varicosel

Man with sudden onset of scrotal pain , also had  Hx of vomiting, on examination tender scrotom and
there is tender 4 cm mass over right groin, what you will do:

Consult surgeon

Consult urologist    (Correct Answer)

 Do sonogram

Elective surgery

man use saldinafil (Viagra), to prevent hypotension you should not use

nitrate    (Correct Answer)

B blocker

ACIE

CCB

Most common symptoms of renal cell carcinoma is

Hematuria    (Correct Answer)

Abdominal mass

Flank pain

female complain of painless odorless and colorless vaginal discharge that appear after
intercourse so ttt

give antibiotic

douche after intercourse    (Correct Answer)

cervical cancer should be consider

may be due to chronic salpingitis

Medical student had RTA systolic pressure is 70 mmhg, what you will do next in management:
 IV fluid therapy    (Correct Answer)

ECG

Abdominal U/S

patient complain of right iliac fossa mass so diagnosis 

diverticulitis

appendicitis

pancrtitis

chrons disease chrons disease chrons disease    (Correct Answer)

20 year old male had been stabbed on midtriceps , المهم Ù„Ù Ø§Ù‡Ø§ وبعد
أسبوع فتØوا Ø§Ù„Ø¬Ø±Ø ÙˆØ·Ù„Ø¹ سائل أخضر.
On microscopic examination of this greenish fluid show gram positive cocci in chains:

Streptococcal gangrene    (Correct Answer)

Chlostrideal gangrene

Fournier’s gangrene

meningocemia

female with hair on different site of body and refuse intake of food and BMI<18 and feel as body is
fat so diagnosis

anorexia nervosa    (Correct Answer)

bulimia nervosa
 body dismorphic syndrome

anxiety

Child with radial head dislocation, what is the next in management:

Reduction    (Correct Answer)

x ray

MRI

In cervical LNs there are well differentiated thyroid cells, during operation you find no lesion on thyroid
what will you do next

Total thyroidectomy

Total thyoidectomy + radical cervical LNs dissection    (Correct Answer)

Total thyroidectomy + specific LNs dissection

Thyoid lobectomy with

obese female, insulin resistance and hairstisim so diagnosis

poly cystic ovary    (Correct Answer)

hyperprolctinmia

familial

boy 3 day after flue symptom develop conjunctivitis with occipital and neck L.N enlarged so
diagnosis is

adenoviruses    (Correct Answer)

streptococcus
 HSV

child with asthma use betamethazone, most common side effect is

increase intraocular pressure

epilepsy

growth retardation    (Correct Answer)

Free fluid accumulate in abdominal cavity cause:

Hypovolemic shock

Cardigenic shock

Sepsis    (Correct Answer)

Emesis

sickling pt after acute attack , discharge on

penicillin    (Correct Answer)

iron

vitamin

Most common symptoms of soft tissue sarcoma :

Paralysis
 Ongrowing mass    (Correct Answer)

Pain

 6m with cough and wheezy chest .diagnosis is

asthma

broncholitis    (Correct Answer)

pneumonia

F.B aspiration

the most common symptom in placenta abruption is

Vaginal bleeding    (Correct Answer)

Uterine tenderness

Uterine contractions

Fetal distress

15y old with pilonidal sinuse so ttt

incision surgery

local antibiotic

daily clean    (Correct Answer)

15y old with pilonidal sinuse so ttt

incision surgery
 local antibiotic

daily clean    (Correct Answer)

Female presented with vaginal discharge, itching, and on microscope showed mycoleous cells and
spores. This medical condition is most likely to be associated with:

TB

Diabetes    (Correct Answer)

Rheumatoid Arthritis

Female pt 8 wks postpartum,not smoker diagnosed to have asthma,her asthma was not controlled
she attended ER 3 times last month,on B2 agonist and oral steroid,she came c/o wheezing and
s.o.b mildly cyanosed using her intercostal muscles,wheezy chest,BP:160/100 P:120 PO2:72
PEF:36,there is oedema in her foot up to the knee,the most likely diagnosis:

COPD

pulmonary embolism

Acute asthma attack    (Correct Answer)

Angioedema

Female pt developed sudden loss of vision(both eyes) while she was walking down the street,also
c/o numbness and tingling jn her feet ,there is discrepancy b/w the complaint and the finding,
O/E reflexes and ankle jerks preserved,there is decrease in the sensation and weakness in the
lower muscles not going with the anatomy,what is your action:

Call ophthalmologist

Call neurologist

call psychiatrist
 reassure her and ask her about the stressors    (Correct Answer)

Primigravida in her 8th week of gestation, presented to your clinic wanting to do genetic screening, she
declined invasive procedure . the best in this situation is

Amniocentesis

1st trimester screening    (Correct Answer)

2nd trimester screening

Ultrasound

Trichomoniasis is classically have:

Clue cells

Greenish frothy discharge    (Correct Answer)

same scenario in Q.182 what is the diagnosis:

Conversion disorder    (Correct Answer)

Somatoform disorder

Obsessive neurosis:

Treatment is east

Clomipramine doesn’t not work

Mostly associated with severe depression    (Correct Answer)

 Can be cured spontaneously

male pt developed corneal ulcer in his Rt eye after trauma what is the Mx:

Antibiotic and cycloplagia is mydrasis and refer to ophthalmology    (Correct Answer)

topical steroid

Patient came to you complaining of hearing voices, later he started to complain of thought get into his
mind and can be taken out

SCZ    (Correct Answer)

Mood

Mania

Agoraphobia

Epidemic disease in poor sanitation areas affecting children and young adults:

hep A    (Correct Answer)

Female had history of severe depression, many episodes, she got her remission for three months with
Paroxitine ( SSRIs) .. now she is pregnant .. your advise

Stop SSRi's because it cause fetal malformation    (Correct Answer)

Stop SSRi's because it cause premature labor

 Continue and monitor her depression

Stop SSRIs

mths baby with crying episodes+current jelly stool,looks slightly pale,signs of obstruction wht is
your Mx:

barium enema    (Correct Answer)

immediate surgery

I.v fluid & wait for resolution

Hallucinations and Paranoia:

SCZ    (Correct Answer)

Mood

Mania

Phobia

Female presented with thirst and polyurea.. all medical history is negative and she is not know to have
medical issues.. .she gave history of being diagnosed as Bipolar and on Lithium but her Cr and BUN is
normal. What is the cause of her presentation

Adverse affect of lithium    (Correct Answer)

Nephrogenic DI
 Central DI

pregnant lady 16 wks presented with vaginal bleeding ,enlarged abdomen,vomiting ,her uterus is
smaller than expected for the gestational age,BhCG 80,U/S snowstorm appearance,diagnosis:

complete hydatiform mole    (Correct Answer)

partial hydatiform mole

Most common medical problems encountered in Primary care is:

Coryza    (Correct Answer)

UTI

HTN

5 y.o child with h.o fever and swelling of the face ant to the both ears (parotid gland enlargement)
what is the most common complication:

Labrynthitis

meningitis    (Correct Answer)

encephalitis

orchitis

Regarding diabetes mellitus in pregnancy :

 Prevelance of diabetes mellitus in pregnancy is 10%

Glucose screeing is best in 24-28 week    (Correct Answer)

Diabetic and non diabetic have same perinatal mortality

Gestational diabeted can be diagnosed by abnormal FGS test

what is the meaning of difficulty breathing:

dyspnia    (Correct Answer)

tachycardia

Left red eye, watery discharge, photo phobia, peri-auricular non-tender lymph nodes .. Dx

Bacterial conjctvitis

Viral conjctvitis    (Correct Answer)

One of the Anti-psychotics causes ECG changes , Leukopenia, drooling :

Respiredone

Colzapine    (Correct Answer)

Amisulpride

A female patient on the 3rd week postpartum. She says to the physician that the
frequently visualizes snakes crawling to her baby’s bed. She knows that it is
impossible but she cannot remove the idea from her head. She says she wakes up
around 50 times at night to check her baby. This problem prevents her from getting
good sleep and it started to affect her marriage. What is this problem she is
experiencing?

An obsession    (Correct Answer)

 A hallucination

A postpartum psychosis

A Delusion

Best sentence to describe specifity of screening test,is the population of people who :

Are negative of disease, and test is negative    (Correct Answer)

Are positive of disease, and test is negative

Are positive comparing to total other people

Negative disease , positive test

Positive disease , negative test

female pt c/o sever migraine that affecting her work,she mentioned that she was improved in her
last pregnancy,to prevent that:

biofeedback

propranolol    (Correct Answer)

Heavy smoker came to you asking about other cancer, not Lung cancer,  that smoking increase its risk:

Colon

Bladder    (Correct Answer)

Liver

17. Pt with asymptomatic Trichomniasis:

 treat her anyway regardless    (Correct Answer)

treat her if she is symptomatic only

7 y.o,she missed her second dose of varecila vaccine,the first one about 1 y ago what you'll do:

give her double dose vaccine

give her the second dose only    (Correct Answer)

see if she has antibody and act accordingly

Mid clavicle fracture :

Surgery is always indicated if fracture is displaced

Figure-8-dressing has better outcomes than simple sling

Figure-8-dressing is strongly indicated in patient with un-union risk

Both figure-8 and simple sling has similar outcomes    (Correct Answer)

 female pt with Aortic stenosis,she developed syncope while she was in the class and she
recovered immediately,what is the cause of syncope:

valvular rupture

systemic hypotension    (Correct Answer)

patient complains of "can't breathe air in one nostril "; on examination showed edematoud mucosa
structure, best to give initially :

Corticosteroids    (Correct Answer)

 Decongestants

Alfa-adrenergic blockers

In battered women which is true:

mostly they come from poor socioeconomic area

usually they marry a second violent man

mostly they come to the E/R c/o………..

mostly they come to the E/R c/o………..    (Correct Answer)

In battered women which is true:

mostly they come from poor socioeconomic area

usually they marry a second violent man

mostly they come to the E/R c/o………..

mostly they come to the E/R c/o………..    (Correct Answer)

smoking withdrawal symptoms peak at:

1-2 days    (Correct Answer)

2-4 days

5.7 days

5.7 days

Mother who is breast feeding and she want to take MMR vaccine what is your advice:
 can be given safely during lactation    (Correct Answer)

can be given safely during lactation

can be given safely during lactation

 old man with bilateral knee pain and tenderness that increase with walking and relieved by rest;

RA

OA    (Correct Answer)

Regarding peritonitis:

Complicated appendectomy the cause is anerobe organism

Complicated appendectomy the cause is anerobe organism

Complicated appendectomy the cause is anerobe organism    (Correct Answer)

Pt with scoliosis, you need to refer him to the ortho when the degree is:

10

15

20    (Correct Answer)

6 mths baby with undescending testis which is true:

 
 till the mother that he need syrgery    (Correct Answer)

till the mother that he need syrgery

surgery indicated when he is 4 years

unlikely to become malignant

Strongest risk factor for strok:

Hypertension    (Correct Answer)

Atrial fibrillation

the appendisits the histology is: 

leukocyte in muscle    (Correct Answer)

layer of lymphoid

tumor

plasma cell

water in the body:

% 40

differ depend on age and sex    (Correct Answer)

regarding drainage of the abscess one of the following is true:

 Carbuncle and frunculosis need drainage    (Correct Answer)

Usually give ciphtriaxon and penicillin post draing

Salpingitis and PID on penicillin but not improve the most likely organism is :

Chlamydia trachomatis

Neisseria gonorrhoeae    (Correct Answer)

Wound at end inflammatory phase when:

Epithelial tissue formation

Angiogenisis    (Correct Answer)

Angiogenisis

Scar formation

Juvenile RA ttt:

Aspirine    (Correct Answer)

Steroid

Penicillamine

dydrocloroquin

 Pt. has hemorrhoid with 4 degree ttt:

 Hemoridectomy    (Correct Answer)

band ligation

sclerotherapy

fiber diet

Pt. come with history of tinia capitis ttt:

Pt. come with history of tinia capitis ttt:

Fluconazol    (Correct Answer)

56 y old present with vasomotor rhinitis

Local anti histamine

Local decongestion    (Correct Answer)

Local steroid

Systemic antibiotic

Sickle Cell Anemia give prophlaxis:

Penicillin    (Correct Answer)

Iron

diagnosis of thalasimia minor:

 Hb A2 and Hb f    (Correct Answer)

Microcytosis

E.histolytica cyst is destroyed by:

Freezing

Boiling    (Correct Answer)

Iodine treatment

Chlorine

Greatest risk of stroke:

DM

Elevated blood pressure    (Correct Answer)

Family history of stroke

Hyperlipedemia

Smooking

Treatment of mania that does not cause hepatotoxicity

Lithium    (Correct Answer)

carbamazepine

valporic acid

lamotrigine
 Sickle cell anemia patient , the macula is cherry red , and absence of afferent
papillary light reflex
Retinal artery occlusion.    (Correct Answer)

Retinal artery occlusion.

Patient present with high blood pressure (systolic 200) , tachycardia , mydriasis , sweating . what
is the toxicity:

Anticholenergic

Sympathomimetic    (Correct Answer)

Tricyclic antidepressant

Organophosphorous compounds

Treatment of Chlamydia with pregnancy:

Azithromycin

Erythromycin base    (Correct Answer)

After inflammatory phase of wound , there will be wound healing by:                                                   

If the wound is clean

Angiogenesis    (Correct Answer)

Epithelial tissue
Old male with tender knee , pain , crepitus . the diagnosis:

Osteorhritis    (Correct Answer)

Ankylosin spondylitis

Rheumatoid

Mother has baby with cleft palate and asks you what is the chance of having a second baby with
cleft palate or cleft lip ,

25%

50%

%1

4%    (Correct Answer)

Treatment of papules or pustules:

Topical benzoyl

Peroxide plus topical antibiotics, mainly clindamycin or erythromycin.    (Correct

Answer)

In severe cases, intralesional steroid injection or oral antibiotics, such as tetracycline or

erythromycin may be added.

Which is not true In emergency management of stroke

Which is not true In emergency management of stroke

Give diazepam in convulsions

 Anticonvulsants not needed in if seizures    (Correct Answer)

Must correct electrolytes

Treat elevated blood pressure

The antidepressant used for secondary depression that cause sexual dysfunction

Sertatline (SSRIs)    (Correct Answer)

Imapiramine

Levofluxine

In breaking bad news 

Find out how much the patient know    (Correct Answer)

Find out how much the patient wants to know

Patient with chest pain that aggrevated by couphing, there is added sound on left
sternal border .in ecg you will find

St changes    (Correct Answer)

St changes

Hypervoltage

35 year female with bilateral breast pain , that decrease after menstruation , the breast is nodular
with prominent 3 cm mass subareolar , axillary lymph nodes are not enlarged , what you will do 

Mammography followed by US
 See her next cycle    (Correct Answer)

Fine needle biopsy followed by tissue studies

Pregnant with bleeding for 12 hours and tissue , the cervix is 1 cm 

Complete abortion

Incomplete abortion    (Correct Answer)

Molar pregnancy

Generalize antxity disorder best ttt: -19 

Ssri    (Correct Answer)

tricyclic a d

MAOI

psychotherapy, medication, and electroconvulsive therap

Psychiatric pt with un compliance of drugs ttt:

depro halopredol injection    (Correct Answer)

oral colonazepam

mild diarrhea mangement 

oral antibiotis
 IVF

ORS    (Correct Answer)

salpingitis and pid on penicillin but not improve the most likely organism is :

chlamydia

nessiria    (Correct Answer)

SYPHLIS

HSV

Investigation of choice in Iron deficiency anemia?

serum iron

ferritin    (Correct Answer)

TIBC

In patients with hypertension and diabetes, which antihypertensive agent you want to add first?

β-blockers

ACE inhibitor    (Correct Answer)

α-blocker

Calcium channel blocker

Patient presented with retinal artery occlusion, which of the following is wrong:
 painful loss of vision    (Correct Answer)

painless loss of vision

Which of the following found to reduce the risk of postherpetic neuralgia

corticosteroids only

corticosteroids + valacyclovir

valacyclovir only    (Correct Answer)

 8 months old infant with on & off recurrent crying episodes & hx of current jelly stools:

intussception    (Correct Answer)

intestinal obstruction

mickel's diverticulitis

strangulated hernia

The most common cause of cough in adults is

Asthma

GERD

Postnasal drip    (Correct Answer)

The most common cause of cough in adults is

Asthma

GERD
 Postnasal drip    (Correct Answer)

Patient with dysuria , frequency , urgency , but no flank pain , what is the treatment

Ciprofloxacin po od for 3-5 days

Norfocin po od for 7 – 14 days    (Correct Answer)

The useful excurcise for osteoarthritis in old age to maintain muscle and bone Low resistance and
high repetion weight training: 

Conditioning and low repetion weight training

Conditioning and low repetion weight training    (Correct Answer)

Unilateral worsening headach , nausea , excacerbeted by movement and aggrevated by light in 17

old girl.

Migraine (Photophobia, vomiting)    (Correct Answer)

Cluster

 Patient has decrease visual acuity bilateral , but more in rt side , visual field is not affected , in
fundus there is irregular pigmentations and early cataract formation 

Refer to ophthalmologist for laser therapy    (Correct Answer)

. Refer to ophthalmologist for cataract surgery ??????????

Which of the following decrease mortality after MI

Metoprolol    (Correct Answer)

Nitroglycerine

Thiazide
 Morphine

Old female with recurrent fracture , Vitamen D insufeciency and smoker . which exogenous factor
has the gretest exogenous side effect on osteoporosis.

Old age

Smoking    (Correct Answer)

Vit D insufeciency

Continue smoking

Recurrent fracture

boy after running for hours , has pain in knee and mass on upper surface of tibia

Osgood scatter disease    (Correct Answer)

Iliotibial band

 a man with oblong swelling on top of scrotum increase in size with valsalva maneuver most likely
Dx:

direct inguinal hernia

indirect inguinal hernia    (Correct Answer)

varicocele

femoral hernia

 a man with oblong swelling on top of scrotum increase in size with valsalva maneuver most likely
Dx:

direct inguinal hernia

 indirect inguinal hernia    (Correct Answer)

varicocele

femoral hernia

 3 weeks old male newborn with swelling of scrotum transparent to light & irreducible:

epidydemitis

hydrocele    (Correct Answer)

pancreatitis

Amylase is slowly rising but remain for days

Amylase is more specific but less sensitive than lipase

Ranson criteria has severity (predictive) in acute pancreatitis    (Correct Answer)

Pain is increased by sitting and relieved by lying down

Contraceptive pills is associated

pancreatitis

Amylase is slowly rising but remain for days

Amylase is more specific but less sensitive than lipase

Ranson criteria has severity (predictive) in acute pancreatitis    (Correct Answer)

Pain is increased by sitting and relieved by lying down

Contraceptive pills is associated

a young girl experienced crampy abdominal pain & proximal muscular weakness but normal
reflexes after receiving septra (trimethoprim sulfamethoxazole) :

functional myositis

polymyositis

guillian barre syndrome

neuritis    (Correct Answer)

Patient has fever , night sweating , bloody sputum , weight loss , ppd test was positive
. x-ray show infiltrate in apex of lung , ppd test is now reactionary , diagnosis

Activation of primary TB    (Correct Answer)

sarcoidosis

Case control is

Backward study

Which drug causes SLE like syndrome

hydralazine    (Correct Answer)

propranolol

amoxicillin

patient with DM presented with limited or decreased range of movement passive and
active of all directions of shoulder

frozen shoulder    (Correct Answer)

impingment syndrome

osteoarthritis
 When to give aspirin and clopidogrel?

pt with a hx of previous MI

Acute MI    (Correct Answer)

hx of previous ischemic stroke

hx of peripheral artery disease

after cardiac capt

48 years old with irregular menses presented with fatigue and no menstruation for 3
months with increased pigmentation around the vaginal area with no other symptoms.
ur next step would be

reassure the patient

do a pregnancy test    (Correct Answer)

do ultrasound

17 years with history of right iliac fossa pain rebound tenderness +ve guarding what is the
investigation that you will do?

Laparoscopy

US

CT scan    (Correct Answer)

17 years with history of right iliac fossa pain rebound tenderness +ve guarding what is the
investigation that you will do?

Laparoscopy
 US

CT scan    (Correct Answer)

a 4 years old presented with 2 day history of shortness of breath a seal like cough with no sputum
and mild fever. on examination he did not look I'll or in distress

acute epilossitis

croup    (Correct Answer)

angioedema

65 years old came with knee pain. and limited movement. on examination had crepition on knee.
dx

rhuematiod arthritis

osteoporosis

osteoarthritis    (Correct Answer)

another one old c/o bilateral knee pain with mild joint enlargement
ESR and CRP normal dx: 

Osteoarthritis    (Correct Answer)

Rheumatoid arthritis

Gout?

Scitica increased incidence of :

Lumbar lordosis
 Parasthesis    (Correct Answer)

old male c/o knee pain on walking with crepitus xray show narrow joint space and subchondoral
sclerosis:

Rheumatoid arthritis

Osteoarthritis    (Correct Answer)

Gout

which vitamin is given to new born to stop bleeding 

vit. A

vit. D

vit. K    (Correct Answer)

vit E

vit C

which vitamin is given to new born to stop bleeding 

vit. A

vit. D

vit. K    (Correct Answer)

vit E

vit C
14y f with BMI 32.6 (associated big chart):

Overweight

Obese    (Correct Answer)

Normal weight

child with low grade fever and congested throat, negative ASO and positive EBV. he has

infectous mononucleosis    (Correct Answer)

URTI

lactating women infected with rupella ……..management is  :

MMR    (Correct Answer)

Stop lactation

the most common cause of intracerebral or intraparynchimal bleeding is. 

Hypertensive angiopathy    (Correct Answer)

annurysm

AV malformation

young adult Sickle cell patients are commonly affected with

dementia

multiple cerebral infarcts    (Correct Answer)

which of following not live vaccine

BCG

Hepatitis B    (Correct Answer)

Oral polio

MMR

80 years old living in nursing home for the last 3 months. his wife died 6 months ago
and he had a cornary artery disease in the last month. he is now forgetful especially of
short term memory and decrease eye contact with and loss of interest. dx 

alzihiemer    (Correct Answer)

depression

hypothyroidism

the most commone cause of community acquired pneumonia

Hemophilus influenza

Strept.pneumonia    (Correct Answer)

Mycoplasma

Kliebsella

an 69 year old non diabetic. with mild hypertension and no hx of Coronary heart desease. the best
drug in treatment is. 

thiazides    (Correct Answer)

ACEI
 ARB

CCB

which of the following anti hypertensive is contraindicated for an uncontrolled diabetic patient 

hydrochlorothiazide    (Correct Answer)

Losartan

hydralszine

spironolactone

child rt ear pain and tenderness on pulling ear , no fever , O/E inflamed odemateous rt  ear canal
with yellow discharge >>>>>>>>>>dx:

Otitis media

Otitis externa    (Correct Answer)

Cholesteatoma

70 years old male patient with mild urinary dripping and hesitency ur Dx is mild BPH. ur next step
in management is

transurethral retrograde prostatectomy

start on medication    (Correct Answer)

open prostatectomy

male with perianal pain ,tenderness ,fluctuant (perianal abscess)

Incision and drainage    (Correct Answer)

 Warm bath

smoking is a definitive risk of

Ttt of frostbite

Immersion in water 40-45 C    (Correct Answer)

Debridement

Leave it at room tepmrature

the following more commone with type2 DM than type1 DM:

Weight loss

Gradual onset

Hereditary factors    (Correct Answer)

HLA DR3+-DR4

Case about a child both RBS, FBS are elevated so he has DM1…what's the type of HLA

DR3    (Correct Answer)

DR4

DR5

DR6

DR7

pt with open angle glaucoma and k/c of COPD and DM ttt:

 Timelol

betaxolol

Acetazolamide    (Correct Answer)

What's the most common case in PHC centers

UTI

HTN

Coryza    (Correct Answer)

all of the following will decrease pt compliance except:

involve pt in the plan

make simplified regimen

give easy written instructions

make appointments flexible

warn the patient about the danger of missing a pill    (Correct Answer)

Case about a child with drooling, fever, barking cough in sitting position, dx:

Croup    (Correct Answer)

Broncholities

Pneumonia
Mother came to you after her son had hematoma under the nail dt injury:

Send home with a pad on the head

Send home with acetaminophen

Do wedge resection

Evacuate the hematoma    (Correct Answer)

What vaccine u'll give to a SCD ( sickle cell disease ) child

HBV

H.influenza

pneumococcal    (Correct Answer)

both A and B

all of the above

Patient wil LLQ pain, vomiting, fever, high WBC (17.000), tenderness and rebound
tenderness

Diverticulitis    (Correct Answer)

Sigmoid volvulus

Appendicitis

Toxic enteritis

What's the organism responsible for psuedomembranous colitis:

Pseudomonas

Colisteridum    (Correct Answer)

 E.coli

Enterococcus fecalis

Mother came with her child who had botillism, what you will advice her:

Never eat canned food again

Store canned food at home

Boil canned food for 40-50 min

Check expiry date of canned food    (Correct Answer)

Old pt presented with abdominal pain, back pain, pulsatile abdomen what's the step to confirm
dx: this is a case of  aortic aneurysm

Abdominal US

Abdominal US    (Correct Answer)

Abdominal MRI

19 yrs old after bike accident, he cant bring the spoon infront of himself to eat, lesion is in:

Temporal lobe

Cerebellum    (Correct Answer)

Parietal lobe

Occipital lobe

Pt came after RTA, GCS 14, near complete amputation of the arm, 1 st step
 Secure air way    (Correct Answer)

Tourniquet on the arm

What is special about placenta abruption:

Abnormal uterine contractions

PV bleeding    (Correct Answer)

Fetal distress

One of the steps in managing epistaxis

Packing the nose

Press the fleshy parts of nostrils    (Correct Answer)

Put patient of lateral lying position

Pt with hx of diarrhea, abdominal pain, agitation, headache, dizziness, weakness, pulstile

thyroid, unsteady gate. Examination was normal. Dx:

Hypochondriasis

Somatization disorder    (Correct Answer)

Thyroid Ca

Anxiety

Child with headache that increase by changing head postion, unilateral, photophobia
 Sinus headache

Migraine    (Correct Answer)

Cluster headache

Tension headache

Pt with unilateral red eye, tearing, clear tears no swelling or discharge:

Give topical antihistamin

Give topical AB

Give systemic AB

Reassurance    (Correct Answer)

Best thing to reduce mortality rate in COPD:

Home O2 therapy

Enalipril

Stop smoking    (Correct Answer)

Drug that will delay need of surgery in AR:

digoxin

verapamil

nefidipin    (Correct Answer)

enalpril
A man had increase shoe size and jaw, the responsible is:

ACTH

Somato??    (Correct Answer)

TSH

Cortisone

The best advice to patient travelling is:

Boiled water    (Correct Answer)

Ice

Water

Salad and under cooked sea shells

Seldinfil is contraindicated with:

Nitrate    (Correct Answer)

Methyldopa

Gabapentine

Pt with TB, had ocular toxicity symptoms, the drug responsible is:

INH

Ethambutol    (Correct Answer)

Rifampicin

Streptomycin
Another pt treated for TB started to develop numbness, the vit deficient is:

Thiamin

Niacin

Pyridoxine    (Correct Answer)

Vit C

Child fell on her elbow and had abrasion, now swelling is more, tenderness, redness,
swelling is demarcated (they gave dimensions) child has fever. Dx:

Gonoccal arthritis

Synovitis

Cellulitis of elbow    (Correct Answer)

About burn

You will give 1\2 fluid in the 1st 8 hrs    (Correct Answer)

1\4 in the 1st 8 hrs

You r supposed to keep a child NPO he's 25 kgs, how much you will give:

1300

1400

1500

1600    (Correct Answer)

 Young patient with pharyngitis, inflammation of oral mucosa and lips that has whitish
cover and erythmatous base, febrile, splenomegaly. Dx: (this is infectious mono)

Scarlet fever

EBV    (Correct Answer)

HZV

The best way to reduce the weight in children is:

stop fat intake

Decrease calories intake    (Correct Answer)

Drink a lot of water

Patient has symptoms of infection, desquamation of hands and feet, BP 170\110 dx:

Syphilis

Toxic shock syndrome    (Correct Answer)

Scarlet fever

If diabetic mother blood sugar is always high despite of insulin, neonate complication will mostly
be

Maternal hyperglycemia

Maternal hypoglycemia

Neonatal hypoglycemia    (Correct Answer)

Neonatal hyperglycemia
Obssive neurosis patients will have:

Major depression    (Correct Answer)

Lake of insight

Schizophrenia

Before giving bipolar patient lithium you will do all of the following except:

TFT

LFT    (Correct Answer)

RFT

Pregnancy test

Pt came to you missing her period for 7 wks, she had minimal bleeding and abdominal
pain, +ve home pregnancy test, 1st thing to order is:

BHCG    (Correct Answer)

US

Drugs maybe

Patient came to you and you suspect pre eclampisa, which of the following will make it
most likely:

Elevated blood pressure    (Correct Answer)

Decrease fetal movement

 Old patient male, hematuria, passing red clots and RT testicular pain:

Testicular Ca

RCC ( renal cell carcinoma    (Correct Answer)

Cystitis

blow out fracture eyelid swelling , redness other syptoms

present air fluid level

enopthalmos    (Correct Answer)

drinking of dirty water causes

heptitis A    (Correct Answer)

regarding peritonitis

Complicated appendectomy the cause is anerobe organism

rigidity and the cause is paralytic ileus

can be caused by chemical erosions.    (Correct Answer)