1- 28 weeks pregnant females on exam 24 week fundal height and no activity :
A. Fetal demise
B. Missed abortion
C. Incomplete abortion
Ans: A
2- patient at 8 weeks gestation, presenting to the ED with vaginal bleeding and abdominal
pain, her cervical OS is open and tissue can be seen within the cervical os.What is your
diagnosis?
A. Threatened abortion
B. Incomplete abortion
C. Inevitable abortion
D. Complete abortion
Ans: C
3- Mother brought her child for 6m vaccination. She doesn’t want the vaccine as previously
after getting the vaccine he deteriorated and they went to ER something serious. What to
do?
A. Cancel
B. Give
C. Delay
D. Review the previous vaccine
Ans: D
4- A 3 years old child came for vaccinations, presenting now with rhinorrhea and fever 37.5
or 38 (not more than 38) last vaccine he had huge swelling on the vaccine site, what your
action now regarding the vaccination for this month?
A. Give vaccine
B. Cancel vaccine
C. Defer vaccine
Ans: A
5- What vaccination recommended in pregnancy
A.Varicella
B.Rubella
C.Influenza
Ans: C
6- 28 year old female have neuropsychiatric SLE asking about the appropriate treatment:
A. High dose steroid +cyclophosphamide
B. High dose steroid + mycophonolate
C. Cyclophosphamide
Ans: A
, 7- Patient k/c/o htn, dm, ckd on dialysis admitted for pneumonia, how to prevent
Thromboembolism?
A. UFH
B. Enoxaparin
C. compressor stocking
Ans: A
8- Pregnant in 15 weeks of gestation K/C SLE on proguanil what you will do?
A. stop medication
B. continue
C. switch to steroid
D. refer to rheumatologist
Ans: B
9- 20 primigravida at 20 weeks gestation. Her past medical history is significant for
mitral stenosis secondary to rheumatic heart disease as a child. What physiologic change
places her at risk for the development of heart failure during pregnancy?
A. Increase in RBC mass
B. Increase in stroke volume
C. Increase in minute ventilation
D. Increase in renal plasma flow
Ans: B
10- Most common concerning cardiac problem in pregnant lady :
A. Mitral stenosis
B. aortic stenosis
C. mitral regurgitation
D. aortic regurgitation
11- 6 months with diaphoresis and cyanosis and difficult feeding, ejection systolic murmur,
single S2:
A. TOF
B. TGA
C. Aortic stenosis
Ans: A
12- Pt with ascites and edema, severe muscle wasting, hyperkeratosis, lab show: slightly
decreased glucose, significantly decreased albumin,
A. severe protein deficiency (kwashiorkor)
B. severe carbs deficiency (marasmus)
C-Rickets
D-Mild malnutrition
Ans: A
13- A 24-year-old pregnant woman primigravida at 30 weeks' gestaton complaining of lumps
in her breasts. On inspecton, these lumps are multple in number and all within the areola. By
palpaton, they seem to be small, superfcial, uniform in size, non-tender and sof. which of the
A. Fetal demise
B. Missed abortion
C. Incomplete abortion
Ans: A
2- patient at 8 weeks gestation, presenting to the ED with vaginal bleeding and abdominal
pain, her cervical OS is open and tissue can be seen within the cervical os.What is your
diagnosis?
A. Threatened abortion
B. Incomplete abortion
C. Inevitable abortion
D. Complete abortion
Ans: C
3- Mother brought her child for 6m vaccination. She doesn’t want the vaccine as previously
after getting the vaccine he deteriorated and they went to ER something serious. What to
do?
A. Cancel
B. Give
C. Delay
D. Review the previous vaccine
Ans: D
4- A 3 years old child came for vaccinations, presenting now with rhinorrhea and fever 37.5
or 38 (not more than 38) last vaccine he had huge swelling on the vaccine site, what your
action now regarding the vaccination for this month?
A. Give vaccine
B. Cancel vaccine
C. Defer vaccine
Ans: A
5- What vaccination recommended in pregnancy
A.Varicella
B.Rubella
C.Influenza
Ans: C
6- 28 year old female have neuropsychiatric SLE asking about the appropriate treatment:
A. High dose steroid +cyclophosphamide
B. High dose steroid + mycophonolate
C. Cyclophosphamide
Ans: A
, 7- Patient k/c/o htn, dm, ckd on dialysis admitted for pneumonia, how to prevent
Thromboembolism?
A. UFH
B. Enoxaparin
C. compressor stocking
Ans: A
8- Pregnant in 15 weeks of gestation K/C SLE on proguanil what you will do?
A. stop medication
B. continue
C. switch to steroid
D. refer to rheumatologist
Ans: B
9- 20 primigravida at 20 weeks gestation. Her past medical history is significant for
mitral stenosis secondary to rheumatic heart disease as a child. What physiologic change
places her at risk for the development of heart failure during pregnancy?
A. Increase in RBC mass
B. Increase in stroke volume
C. Increase in minute ventilation
D. Increase in renal plasma flow
Ans: B
10- Most common concerning cardiac problem in pregnant lady :
A. Mitral stenosis
B. aortic stenosis
C. mitral regurgitation
D. aortic regurgitation
11- 6 months with diaphoresis and cyanosis and difficult feeding, ejection systolic murmur,
single S2:
A. TOF
B. TGA
C. Aortic stenosis
Ans: A
12- Pt with ascites and edema, severe muscle wasting, hyperkeratosis, lab show: slightly
decreased glucose, significantly decreased albumin,
A. severe protein deficiency (kwashiorkor)
B. severe carbs deficiency (marasmus)
C-Rickets
D-Mild malnutrition
Ans: A
13- A 24-year-old pregnant woman primigravida at 30 weeks' gestaton complaining of lumps
in her breasts. On inspecton, these lumps are multple in number and all within the areola. By
palpaton, they seem to be small, superfcial, uniform in size, non-tender and sof. which of the
