1/7 yo girl healthy engaged with her age very well, developed hair on mons and labia majora, no
breast enlargement, no musculature, normal size clitoris, growth normal
A- Adrenal hyperplasia
B- Premature adrenarche
C- normal development
Answer is:
2/child with flu- like symptoms fever and cough on physical exam show Crackles and bronchial
breath sounds . On CXR diffuse infiltration more dens consolidation in middle lobe . (Pic CXR
given)
Heart rate , respiratory rate blood pressure, O2
All within acceptable range
Answer is:
Most appropriate Mx?
A- Inhaled steroid with SABA
B- Admission and IV ABX
C-Discharge on Amoxicillin for 7 days
Answer is:
3/ pt with disc , effect calf muscle and latral side of legs ?
L3-L4
L4-L5
L5-S1
S1-S2
Answer is:
,4/
17 years pt febrile , abdominal pain , rebound tenderness at mcburney's point , wbc high , x ray
show right fossa ?
A- appendectomy
B- gall bladder US
C- urology consultation
:. Alverado score > high was 7 No need image
Answer is:
,5/ Women 45 years did mamogram and there is no finding..
no family hx of breast cancer..
Ask about mamogram screening?
A- 1 year
B- every 2 years
Answer is:
6/Alcoholic, right hypochondriac pain and i think weight loss ,alpha fetoprotein is high No other
labs ,Image: CT showed multiple lesion in liver and cirrhosis
A-Hepatocellular carcinoma
B-pancreatic cancer
Answer is:
7/ Patient k/c cirrhosis after hepatitis C virus. Now treated and HCV mRNA is
negative. on examination unremarkable except for mild angiomata and nevi. what to
do?
A. Alpha-fetoprotein every year
B. Reassure and follow up
C. Abdomen US every 6 months
D. Liver Fibroscan
Answer is:
8/Case of adult man 38 with strong family hx of T2DM came for screening HBA1C 7 and fasting
blood sugar 7 ( both were high ) what best do ti confirm?
A 75ml OGTT
B repeat fasting level
C do random blood sugar
D follow up after 6 weeks or months not sure
Answer is:
9/ Long scenario about E-research comparison between two drugs. which of the following is
ethical disadvantage of E-research?
A- difficult to get information
B- B- information privacy would be invaded
C- C- once they begin they can't withdraw there participation
Answer is:
10/20-years-old weight lifter patient developed an abdominal hernia that is irreducible and
tender. imaging show air-fluid levels in the small bowel and no free air in the large bowel. Which
of the following complication doses the patient have?
A. Irreducible hernia
B. Incarcerated hernia
C. Strangulated hernia
Answer is:
11/ A multiparous patient who had delivered 6 babies previously all of which through CS now
wants to deliver her 7th baby by CS. The doctors recommended tube ligation (( because of her
condition)). What is the best action?
a- Take consent from her or her representative
b- Take both consent from her and her husband
c- Take consent from her and tell her to inform her husband
d- Consult ethics committee
Answer is:
12/Pregnant lady, presents to ED with 6 hours complain of clear fluid release for 6 hours pelvic
examination shows pooling at the posterior fornix
A. ruptured membrane
B. Normal vaginal discharge
C. Bacterial vaginosis
, 13/Patient developed sudden onset headache when he was bending to take his keys from the
ground, described it as worst headache in his life, what is the most likely diagnosis?
Subarachnoid Hemorrhage
B- Cluster headache
C- Cervical spondylosis
D- Migraine
Answer is:
14/A child can walk independently, can say 6 to 10 words, immature pincer grasp, can point to 2
different body parts. What is the age of the child in months?
A. 12
B. 17
C. 19
D. 24
Answer is:
15/TTN
16/RDS
17? Diabetic mother In 12week og gestation high Hga1c which increase dramatically?
Congenital malformation
Answer is:
18/ A child with typical celiac disease symptoms (weight loss, abdominal bloating, flattening of
buttocks) , what is the most appropriate step?
A- anti endomysial antibody
B- B- duedenal biopsy
C- C- other irrelevant
Answer is:
19/ 18 month Child came with shortness of breath.decrease air entry in right side ( forgot the
rest sorry) + they was a finding in chest x eay(forgot) parents tell you there is no prior infections
or hx of fever or choking, past medical hx unremarkable:
1. Foreign body aspiration
2. Brochiolitis obliterans
3. Asthma
4. Pneumonia
Answer is:
20/ Female, forceps were used in delivery results in laceration in cervix and vagaina and pph,
what’s the reason for PPH?
A. Atony
B. Retained placenta
C. Genital tract trauma
Answer is:
21/ 38 week pregnant , had SVD , delivered 3 kg baby , after delivery she had a gush of blood
suddenly 700 ml, she has no medical or surgical history what could be the reason of the PPH ?
A- uterine atony
B- retaind placental fragments
C-genetal tear
Answer is:
breast enlargement, no musculature, normal size clitoris, growth normal
A- Adrenal hyperplasia
B- Premature adrenarche
C- normal development
Answer is:
2/child with flu- like symptoms fever and cough on physical exam show Crackles and bronchial
breath sounds . On CXR diffuse infiltration more dens consolidation in middle lobe . (Pic CXR
given)
Heart rate , respiratory rate blood pressure, O2
All within acceptable range
Answer is:
Most appropriate Mx?
A- Inhaled steroid with SABA
B- Admission and IV ABX
C-Discharge on Amoxicillin for 7 days
Answer is:
3/ pt with disc , effect calf muscle and latral side of legs ?
L3-L4
L4-L5
L5-S1
S1-S2
Answer is:
,4/
17 years pt febrile , abdominal pain , rebound tenderness at mcburney's point , wbc high , x ray
show right fossa ?
A- appendectomy
B- gall bladder US
C- urology consultation
:. Alverado score > high was 7 No need image
Answer is:
,5/ Women 45 years did mamogram and there is no finding..
no family hx of breast cancer..
Ask about mamogram screening?
A- 1 year
B- every 2 years
Answer is:
6/Alcoholic, right hypochondriac pain and i think weight loss ,alpha fetoprotein is high No other
labs ,Image: CT showed multiple lesion in liver and cirrhosis
A-Hepatocellular carcinoma
B-pancreatic cancer
Answer is:
7/ Patient k/c cirrhosis after hepatitis C virus. Now treated and HCV mRNA is
negative. on examination unremarkable except for mild angiomata and nevi. what to
do?
A. Alpha-fetoprotein every year
B. Reassure and follow up
C. Abdomen US every 6 months
D. Liver Fibroscan
Answer is:
8/Case of adult man 38 with strong family hx of T2DM came for screening HBA1C 7 and fasting
blood sugar 7 ( both were high ) what best do ti confirm?
A 75ml OGTT
B repeat fasting level
C do random blood sugar
D follow up after 6 weeks or months not sure
Answer is:
9/ Long scenario about E-research comparison between two drugs. which of the following is
ethical disadvantage of E-research?
A- difficult to get information
B- B- information privacy would be invaded
C- C- once they begin they can't withdraw there participation
Answer is:
10/20-years-old weight lifter patient developed an abdominal hernia that is irreducible and
tender. imaging show air-fluid levels in the small bowel and no free air in the large bowel. Which
of the following complication doses the patient have?
A. Irreducible hernia
B. Incarcerated hernia
C. Strangulated hernia
Answer is:
11/ A multiparous patient who had delivered 6 babies previously all of which through CS now
wants to deliver her 7th baby by CS. The doctors recommended tube ligation (( because of her
condition)). What is the best action?
a- Take consent from her or her representative
b- Take both consent from her and her husband
c- Take consent from her and tell her to inform her husband
d- Consult ethics committee
Answer is:
12/Pregnant lady, presents to ED with 6 hours complain of clear fluid release for 6 hours pelvic
examination shows pooling at the posterior fornix
A. ruptured membrane
B. Normal vaginal discharge
C. Bacterial vaginosis
, 13/Patient developed sudden onset headache when he was bending to take his keys from the
ground, described it as worst headache in his life, what is the most likely diagnosis?
Subarachnoid Hemorrhage
B- Cluster headache
C- Cervical spondylosis
D- Migraine
Answer is:
14/A child can walk independently, can say 6 to 10 words, immature pincer grasp, can point to 2
different body parts. What is the age of the child in months?
A. 12
B. 17
C. 19
D. 24
Answer is:
15/TTN
16/RDS
17? Diabetic mother In 12week og gestation high Hga1c which increase dramatically?
Congenital malformation
Answer is:
18/ A child with typical celiac disease symptoms (weight loss, abdominal bloating, flattening of
buttocks) , what is the most appropriate step?
A- anti endomysial antibody
B- B- duedenal biopsy
C- C- other irrelevant
Answer is:
19/ 18 month Child came with shortness of breath.decrease air entry in right side ( forgot the
rest sorry) + they was a finding in chest x eay(forgot) parents tell you there is no prior infections
or hx of fever or choking, past medical hx unremarkable:
1. Foreign body aspiration
2. Brochiolitis obliterans
3. Asthma
4. Pneumonia
Answer is:
20/ Female, forceps were used in delivery results in laceration in cervix and vagaina and pph,
what’s the reason for PPH?
A. Atony
B. Retained placenta
C. Genital tract trauma
Answer is:
21/ 38 week pregnant , had SVD , delivered 3 kg baby , after delivery she had a gush of blood
suddenly 700 ml, she has no medical or surgical history what could be the reason of the PPH ?
A- uterine atony
B- retaind placental fragments
C-genetal tear
Answer is:
