1- 30 y woman came to ER c/o sharp central pain and SOB 2 days ago with
normal lab and ecg (i think ischemic changes) diagnosis:
A.cardiomyopathy
B.pericardial effusion
C.pulmonary embolism
2- Best position to carry baby by mother:
A.head on the inener elbow and body on outer forearm.
B.body on inner eblow and head on outer forearm.
3- Young female patient with bipolar psychiateric dse on ssRI :
A.venalexidine is better ithink ?
B.sexual change will happen
4- Epileptic patient on medication want to be pregnant ..what the risk of being
pregnant on baby i think:
A.anticonvulsant
B.benzodiazepines
C.maternal epileptic fits during pregnancy
5- Ingesion of iron tablets will cause
A.resiratory acidosis with metabolic alkalosis
B.metabolic acidosis with respiratory alkalosis
6- male patient with vital signs shows high BP:170/100 i think with family hx of
hypertension will give him to control Bp:
A.losartan
B.b blocker i dont remember
C.amlodipine
7- phospho diesterase 5 inhibitors should not be given during
a. Nitrates
b. Pregnancy
8- A pregnant female came with complaints of vaginal bleeding and absent fetal
movements.
A usg was done and it revealed GROUND GLASS APPEARANCE...
diagnosis??
a. Amniotic fluid embolism
b. Ruptyre of adnexal cyst
9- In a psychotic disorder which among the following least contribute to an
organic cause.
a. Age less than 25 yrs
b. Family history of drug abuse
c. History of drug dependance
d. Alcoholism
10- a lady came with h/o consumption of INH (15 tabs).
No other details were given and asked wt will be your mode of action.
a. Pyridoxine
b.topiramate
C. naloxone
,11- Allergic conjuctivitis what to give ??
a. antihistamin
b. tabromycin
12- A 17 year old patient presents to the ER with a history of Right Iliac Fossa
pain, anorexia, vomiting and nausea. The temperature is 38.3C. On
investigation the TLC is 12000/cu.mm. The most likely diagnosis is
A. Acute appendicitis
B. Acute salpingitis
C. Mesenteric lymphadenitis
D. Iliopsoas abscess
13- A fully breast feed baby, from a mother on a healthy, balanced diet, can have
deficiency of which vitamin?
a) Vitamin B complex
b) Vitamin C
c) Vitamin D
d) Vitamin K
14- the pediatric society or somtging in saudi arabia recommend brest feeding for
how long:
a6m
b 12- 24 m
c 48 m
15- pt known case of hiv develop eye redness on fundoscopy there is cotton-wool
or something like this (( and another finding )) dignosis is ??? a- toxoplasmosis
retinopathy b- HIV retinopathy c- T.B retinopathy
16- Alcoholic male with retching presented with sudden severe chest pain (CXR
was given)
a. Boerhaave (esophageal rupture)
b. Mallory-Weiss syndrome
17- Baby with salty taste,meconium ileus,Diagnosed cystic fibrosis .What is the
percentage of recurrence in the next infant
A.5%
B.15%
C.25%
D.50%
18- Case of pericarditis
a) Pain in chest increase with movement
b) Best investigation is ECG
c) Best investigation is Cardiac enzyme
19- A 32 year old woman comes to your clinic. She is worried about the possibility of
her developing a carcinoma in her breast. Her mother died of a breast cancer at
the age of 68. Her age of menarche is 14 years. She is on OC pills. She has a
one year old lactating healthy female child. Which is the strongest risk factor in
her history for developing breast cancer.
, A. Mother has cancer.
B. First childburth after age 30
C. OC pill use.
D. Menarche at age 14.
20- The following more common with type 2 DM than type 1 DM: a) Weight loss
b) Gradual onset c) Hereditary factors
d) HLA DR3+-DR4
21- Case of elderly with bilateral knee pain aggravated by physical activity and
worse at the end of the day
a. Osteoarthritis
b. Osteomalacia
c. Rheumatoid arthritis
22- pt diabetic for 5 yrs on metformin , presented with watery foul smelling diarrhea
for three wks, two wks ago she received clindamycin for dental problem, what is
the cause of her symptoms:
a clindamycin
b diabetic gastroparesis
c metformin
23- Question about Young lady tends to use DICLOFENAC for a long time came to
you with "hematuria"
Wt is the cause ??
The right answer is: nephrotic syndrome
24- 12 year old female presents to the ER with a history of vomiting, central
abdominal pain, colic, and obstipation. Small bowel obstruction is diagnosed
and the patiebt is taken up for laparotomy. Intraoperative findings suggest there
is a stricture of the distal ileum 10 cm proximal to the IC junction. There is a
fibrinous exudate with tubercles on the serosa surrounding the stricture. The
most appropriate management is
A. Right hemicolectomy
B. Ileal resection and anastomosis.
C. Strictureplasty and antitubercular treatment.
D. Local resection with infliximab.
25- A 30 year old patient presents with a history of road accident while driving and
not wearing a seat belt. On presentation his airway is patent and there is a
paradoxically moving section of the left chest wall with an underlying
hemopneumothorax. A chest tube is inserted that drains a lot of air and 500 ml
of blood. Other findings are pH 7.23, PaCO2 58, PaO2 50, SpO2 46, HCO3 25.
Pulse 100/min, BP 120/80, and RR 30/min. The next step in management is ;
A. IV sodium bicarbonate to correct the acidosis
B. Intubation and ventilation.
C. Thoracotomy
D. High flow oxygen
E. CECT chest and abdomen
, 26- Pregnant woman with high alpha fetoprotein..delivered a baby with depressed
nasal septum what investigation to do:
A. Echo
B.alpha fetoprotein of the baby
C.chromosomal study
27- pregnant lady G8 wks came with vaginal bleeding and lower abdominal pain
for last one day..O/E Ccervical os 3cm U/S showed a viable gestational
sac..diagnosis?
A/complete abortion.
B/incomplete.
C/inevitable.
D/thearten
28- this q about screening of AAA options are :
A/ once in 65-79 men who never smoked.
B/once in 65-79 men who ever smoked.
C/yearly in 65-79 men who ever smoked
D/ once in 66-79 women who never smoked.
29- vaccine given at birth, 2, 4,6 months:
A/polio
B/hepatitis B
c/ measles
D/rubella
30- pt had seizure.. now he c/o S.O.B, restlessness, O/E bilateral crackles (x-ray
attached showing pul-edema) his BP high 200/140
You will give him I.V drugs ..wt is the best:
A/ hydralazine.
B/metoprolol.
C/furosemide.
D/nitro
31- post MI.. pt developed palpitations ( there is ECG) the diagnosis VT
32- 45 yrs old man comes for routine check up..accidentally found RT thyroid lobe
enlargement..
TFS done and normal..(there pic of thyroid U/S)
Wt u will do next:
A/ reassurance and say this cystic no need further interference.
B/FNA
C/refer for surgery
33- childwith bloody diarrhea and mucus In stool analysis no cyst or ?
A/IBS
B/rotavirus
C/ulcerative colitis.
D/giardia
34- old patient found to have abdominal aortic aneurysm 5.5 cm in size during
medical checkup, you action :
A/ reassurance and tell him this is normal size
B/do U/S after 3 months
C/surgical referral
35- pt with positive PPD, the best test to rule out the possibility of false negative:
A/mantoux test
B/ CXR
C/ repeat PPD
36- first line for depresion:
A/SSRI
normal lab and ecg (i think ischemic changes) diagnosis:
A.cardiomyopathy
B.pericardial effusion
C.pulmonary embolism
2- Best position to carry baby by mother:
A.head on the inener elbow and body on outer forearm.
B.body on inner eblow and head on outer forearm.
3- Young female patient with bipolar psychiateric dse on ssRI :
A.venalexidine is better ithink ?
B.sexual change will happen
4- Epileptic patient on medication want to be pregnant ..what the risk of being
pregnant on baby i think:
A.anticonvulsant
B.benzodiazepines
C.maternal epileptic fits during pregnancy
5- Ingesion of iron tablets will cause
A.resiratory acidosis with metabolic alkalosis
B.metabolic acidosis with respiratory alkalosis
6- male patient with vital signs shows high BP:170/100 i think with family hx of
hypertension will give him to control Bp:
A.losartan
B.b blocker i dont remember
C.amlodipine
7- phospho diesterase 5 inhibitors should not be given during
a. Nitrates
b. Pregnancy
8- A pregnant female came with complaints of vaginal bleeding and absent fetal
movements.
A usg was done and it revealed GROUND GLASS APPEARANCE...
diagnosis??
a. Amniotic fluid embolism
b. Ruptyre of adnexal cyst
9- In a psychotic disorder which among the following least contribute to an
organic cause.
a. Age less than 25 yrs
b. Family history of drug abuse
c. History of drug dependance
d. Alcoholism
10- a lady came with h/o consumption of INH (15 tabs).
No other details were given and asked wt will be your mode of action.
a. Pyridoxine
b.topiramate
C. naloxone
,11- Allergic conjuctivitis what to give ??
a. antihistamin
b. tabromycin
12- A 17 year old patient presents to the ER with a history of Right Iliac Fossa
pain, anorexia, vomiting and nausea. The temperature is 38.3C. On
investigation the TLC is 12000/cu.mm. The most likely diagnosis is
A. Acute appendicitis
B. Acute salpingitis
C. Mesenteric lymphadenitis
D. Iliopsoas abscess
13- A fully breast feed baby, from a mother on a healthy, balanced diet, can have
deficiency of which vitamin?
a) Vitamin B complex
b) Vitamin C
c) Vitamin D
d) Vitamin K
14- the pediatric society or somtging in saudi arabia recommend brest feeding for
how long:
a6m
b 12- 24 m
c 48 m
15- pt known case of hiv develop eye redness on fundoscopy there is cotton-wool
or something like this (( and another finding )) dignosis is ??? a- toxoplasmosis
retinopathy b- HIV retinopathy c- T.B retinopathy
16- Alcoholic male with retching presented with sudden severe chest pain (CXR
was given)
a. Boerhaave (esophageal rupture)
b. Mallory-Weiss syndrome
17- Baby with salty taste,meconium ileus,Diagnosed cystic fibrosis .What is the
percentage of recurrence in the next infant
A.5%
B.15%
C.25%
D.50%
18- Case of pericarditis
a) Pain in chest increase with movement
b) Best investigation is ECG
c) Best investigation is Cardiac enzyme
19- A 32 year old woman comes to your clinic. She is worried about the possibility of
her developing a carcinoma in her breast. Her mother died of a breast cancer at
the age of 68. Her age of menarche is 14 years. She is on OC pills. She has a
one year old lactating healthy female child. Which is the strongest risk factor in
her history for developing breast cancer.
, A. Mother has cancer.
B. First childburth after age 30
C. OC pill use.
D. Menarche at age 14.
20- The following more common with type 2 DM than type 1 DM: a) Weight loss
b) Gradual onset c) Hereditary factors
d) HLA DR3+-DR4
21- Case of elderly with bilateral knee pain aggravated by physical activity and
worse at the end of the day
a. Osteoarthritis
b. Osteomalacia
c. Rheumatoid arthritis
22- pt diabetic for 5 yrs on metformin , presented with watery foul smelling diarrhea
for three wks, two wks ago she received clindamycin for dental problem, what is
the cause of her symptoms:
a clindamycin
b diabetic gastroparesis
c metformin
23- Question about Young lady tends to use DICLOFENAC for a long time came to
you with "hematuria"
Wt is the cause ??
The right answer is: nephrotic syndrome
24- 12 year old female presents to the ER with a history of vomiting, central
abdominal pain, colic, and obstipation. Small bowel obstruction is diagnosed
and the patiebt is taken up for laparotomy. Intraoperative findings suggest there
is a stricture of the distal ileum 10 cm proximal to the IC junction. There is a
fibrinous exudate with tubercles on the serosa surrounding the stricture. The
most appropriate management is
A. Right hemicolectomy
B. Ileal resection and anastomosis.
C. Strictureplasty and antitubercular treatment.
D. Local resection with infliximab.
25- A 30 year old patient presents with a history of road accident while driving and
not wearing a seat belt. On presentation his airway is patent and there is a
paradoxically moving section of the left chest wall with an underlying
hemopneumothorax. A chest tube is inserted that drains a lot of air and 500 ml
of blood. Other findings are pH 7.23, PaCO2 58, PaO2 50, SpO2 46, HCO3 25.
Pulse 100/min, BP 120/80, and RR 30/min. The next step in management is ;
A. IV sodium bicarbonate to correct the acidosis
B. Intubation and ventilation.
C. Thoracotomy
D. High flow oxygen
E. CECT chest and abdomen
, 26- Pregnant woman with high alpha fetoprotein..delivered a baby with depressed
nasal septum what investigation to do:
A. Echo
B.alpha fetoprotein of the baby
C.chromosomal study
27- pregnant lady G8 wks came with vaginal bleeding and lower abdominal pain
for last one day..O/E Ccervical os 3cm U/S showed a viable gestational
sac..diagnosis?
A/complete abortion.
B/incomplete.
C/inevitable.
D/thearten
28- this q about screening of AAA options are :
A/ once in 65-79 men who never smoked.
B/once in 65-79 men who ever smoked.
C/yearly in 65-79 men who ever smoked
D/ once in 66-79 women who never smoked.
29- vaccine given at birth, 2, 4,6 months:
A/polio
B/hepatitis B
c/ measles
D/rubella
30- pt had seizure.. now he c/o S.O.B, restlessness, O/E bilateral crackles (x-ray
attached showing pul-edema) his BP high 200/140
You will give him I.V drugs ..wt is the best:
A/ hydralazine.
B/metoprolol.
C/furosemide.
D/nitro
31- post MI.. pt developed palpitations ( there is ECG) the diagnosis VT
32- 45 yrs old man comes for routine check up..accidentally found RT thyroid lobe
enlargement..
TFS done and normal..(there pic of thyroid U/S)
Wt u will do next:
A/ reassurance and say this cystic no need further interference.
B/FNA
C/refer for surgery
33- childwith bloody diarrhea and mucus In stool analysis no cyst or ?
A/IBS
B/rotavirus
C/ulcerative colitis.
D/giardia
34- old patient found to have abdominal aortic aneurysm 5.5 cm in size during
medical checkup, you action :
A/ reassurance and tell him this is normal size
B/do U/S after 3 months
C/surgical referral
35- pt with positive PPD, the best test to rule out the possibility of false negative:
A/mantoux test
B/ CXR
C/ repeat PPD
36- first line for depresion:
A/SSRI
