SMLE 2019

ND
22 OF DECEMBER

Glory Team

Please don't hesitate to contact us if you have any correction, comments or

suggestions.

Teamglory2020@gmail.com

Medicine:
Surgery: 2-29
Pediatric: 30-39
OB/GYN: 40- 50
Ethics: 51
Glory Team 20th- 22nd December

Medicine:
● scd came with Rt. Lung lobe infiltration which type of crisis?
Answer is: acute chest syndrome

● HSP photo Dx, TX?

Answer is: HSP

● 2 episodes of syncope during micturition, ECG normal

A. Reassure
B. Holter
Answer is: Head-up tilt test

● ​ t with gastric mass Histopathology Lymphoid tissue Lymphoma, Ulcers,

p
Urea Breath test positive, Initial ttt:
A. Antibiotic
B. Surgery
C. Chemo radio
Answer is: A

● Q of AS murmur
A. EEg
B. Tt g
Answer is: ?!

● male of chest pain during exercise only, ECG normal-next step:

A. Stress ecg
B. Echo
Answer is: A

● diastolic murmur heard at lt second space.,apex outward:

A. aortic regurge
B. Mitral regurge
Answer is: incomplete description

● pt with Asthma, DM, on ttt having hypokalemia cause:

A. salbutamol
Glory Team 20th- 22nd December
Answer is: A

● typical Duration of infantile colic

Answer is: starts at 6w - improves at 3m

● case of paralytic ileus ttt:

A. give k or like that
B. CT
C. US
D. exploratory laparotomy
Answer is: Check K level

● case of guillain barre syndrome prognosis (complete recovery),,, treatment

:
A. plasma exchange
Answer is: IVIG

● CSF Culture there dupli coci ttt?

A. Vanco, ceftriaxone
Answer is: A

● case of pneumothorax initial management:

A. chest tube
B. needle decompression
Answer is: B for tension

● case of abdominal mass, absent red reflex, undescended testes, genital

malformation what is mass:
A. wilm tumor (nephroblastoma)
Answer is: A

● least effect in septic shock :

A. steroid
B. inotropic drug
C. fluid assessment
D. antibiotic
Answer is: A

● case of neuropinea fever ttt:

Glory Team 20th- 22nd December
A. Abx iv, throat culture
B. OR oral Abx
Answer is: A

● TB drugs cause hyperuricemia ?

Answer is: pyrazinamide

● multiple gastric ulcer ?

A. gastrin test
Answer is: A

● MRSA what Rx ?
Answer is: Vanco

● lupus nephritis ask about treatment?

Answer is: ​All patients with lupus nephritis should receive therapy with
hydroxychloroquine.
Glucocorticoids + either cyclophosphamide or mycophenolate mofetil for induction in
patients with class III/IV disease; patients with class I and II nephritis do not require
immunosuppressive therapy.

● Best vascular access in hemodialysis :

A. arteriovenous fistula
B. arteriovenous graft
Answer is: A

● In which case do you need urgent dialysis?

A. k :7.3 after 3 time failed medical treatment
B. Urine less than 10 ml /24
C. After 3 acute kidney failure
Answer is: A

● Case scenario of MVA and femur fracture x-ray: Femur fracture labs: PTH :
high and ca: high, Dx?
A. Parathyroid adenoma
B. Secondary hyperparathyroid
C. Tertiary hyper parathyroid
Answer is: A
Glory Team 20th- 22nd December
● Patient diagnosed with IBS and symptoms not eased what is the
appropriate next management ?
A. CBT
B. TCA
Answer is: B

● ​Pt diagnosed with SLE what is the first line management

A. Hydroxychloroquine + MTX
Answer is: steroids + Hydroxychloroquine

● pt smoker with SLE on hydroxychloroquine, What is appropriate next step

A. Smoking cessation
Answer is: A

● 6 months developmental age

A. Sitting without support
Answer is: A

● number of hours associated with weight gain

A. < 5
B. 6
C. 7
D. 8
Answer is: A

● Adult Pt with diarrhea for 2 weeks normal V/S type of acid base imbalance:
A. metabolic acidosis
B. metabolic alkalosis
C. compensated metabolic acidosis
D. compensated metabolic alkalosis
Answer is: A

● Pt received vancomycin stat erythema and itching what do?

A. Stop vancomycin and label as allergic
B. Decreased dose
C. Slow infusions
Answer is: C
Glory Team 20th- 22nd December
● Pt in tb drug have peripheral neuropathy which give him
A. Thiamine
B. Pyroxene
C. Vit B12
Answer is: pyridoxine B6

● Risk after penetration due to surgery pt have hep c

A. 0.003
B. 0.3
C. 3
D. 30
Answer is: C

● Pt on tb drug lab show double elevated liver enzymes without symptoms

A. continue drug and repeated investigations after 1 w
B. stop all medication
Answer is: ​stop all anti-TB medications when elevation in ALT reaches 3 times ULN with
symptoms of hepatotoxicity or ALT level of 5 times ULN is detected.

● Prevention tb ?
Answer is: airborne

● Preventing meningitis?
Answer is: droplets

● pt thinks that the TV is talking to him ?

A. schizophrenia
Answer is: A

● Picture of STEMI and asked pf management:

A. Primary coronary stent
B. streptokinase and revascularization
C. thrombolytic
Answer is: A

● Doctor asking pt do you think you have the disease?

A. insight
Answer is: A
Glory Team 20th- 22nd December
● cushing syndrome dx ?
A. ACTH level
Answer is: Low dose dexa suppression test or 24h UFC, if positive > ACTH

● pt with ↓ Na & ↑ K & ↓ BP ?

Answer is: adrenal insufficiency

● what drug ↓ efficacy of clopidogrel ?

Answer is: PPI, omeprazole

● pt with resp failure you gave epinephrine and pt now improved but after a
while he deteriorate… what to give next ?
Answer is: Incomplete, asthma? Croup?

● Common HCV genotype in saudi ??

Answer is: 4

● inflammation after dental ?

A. Endocarditis
B. recurrent rheumatic fever
Answer is: A

● mid diastolic murmur ?

Answer is: MS

● multiple sclerosis diagnostic tool?

Answer is: MRI

● multiple sclerosis TTT?

Answer is: ​Corticosteroids for acute attacks of MS.Otherwise patient should be started
with disease modifying therapy such as interferon Glatiramer acetate.

● weakness lower extremity & face but without involving upper extremities
??
A. GBS
Answer is: A

● Vesicle localized in oral cavity ??

A.HSV
Glory Team 20th- 22nd December
Answer is : A

dehydration lab ?
A. ↑ Cl-
Answer is : incomplete choices + depends on degree of dehydration, vomiting or
diarrhea.

infant with intermittent vomiting everything else normal ??

Answer is : GER
*To reduce spitting after feeding:*
-burp baby when he takes breaks during feedings.
-Limit active play after meals
-hold baby in an upright position for at least 20 minutes.

crescendo decrescendo murmur ?

A.systolic ejection
Answer is : AS

● RPGN ??
A. dilated glomerulus
Answer is: crescent shape

● Beriberi ??
A. ↓ B1
Answer is: A

● chronic sinusitis & sperm infertility ??

A. CF
B. Kartagener syndrome
Answer is:

CF:​ Recurrent URTI (sinusitis) and LRTI, infertility due to azospermia: abnormal sperms
count.
Primary ciliary dyskinesia:​ Same as above but infertility due to sperms immobility.
Kartagner:​ same but with situs inversus.

● spirometry ↓ FEV / FVC & ↓ DCLO ??

A. Emphysema
B. chronic bronchitis
Glory Team 20th- 22nd December
Answer is: A

● GI bleeding mng after stabilize the pt ??

A. Octreotide
B. Nadolol
Answer is: A

● cardiac tamponade ?
A. Echo
Answer is: A

● bone fracture ?
A. fat embolism
Answer is: A

● case JVP with RF of DVT ??

A. PE
Answer is: A

● Tb cause ↓ in which vit ??

A. B6
Answer is: A

● 65 female patient present with symptoms of numbness and pain and she
can walk of 50 m limits. The patient has in increase pain when she walks
downstairs but less pain when she walks up stairs, what is most likely
diagnoses?
A. Lumbar stenosis
B. lumbar discogenic pain
C. Spondylolisthesis
Answer is: A

● 80 years old on nursery care hearing aid with +ve bilateral renin test, Weber
localized to right
A. Acoustic neuron in the right
B. Presbycusis more in the right
C. Conductive hearing loss in the right
D. chronic serous otitis media in the left
Answer is: B
Glory Team 20th- 22nd December
● A case of rheumatoid arthritis with bilateral hand joint pain symptoms with
no significant morning stiffness with very little elevation in ESR and CRP
and negative rheumatoid factor, how do you manage this case?
A. Cortisol
B. Methotrexate
Answer is: B

● ECG STEMI lead II III AVF

A. inferior MI
Answer is: A

● Lab findings of HBsAg +ve and anti-HBc +ve

A. immunity due to active infection
B. Chronic infection
C. Immunity due to vaccination
Answer is: If IgG > B, if IgM > Acute

● ● Pt k/c of asthma non-compliant with meds came with sx of status

asthmaticus. His last PEF 600. Which of the following is an indication of
severity in this patient?
A. PEF 250
B. HR 100
C. RR 20
Answer is: A

● Pt had massive hemoptysis caused by TB bronchiectasis and was treated,

X-ray provided: there is collection in upper right lung, your immediate
management :
A. Put him on Right lateral position
B. Chest physiotherapy
Answer is: A

● COPD came with exacerbation low O2 82%, acidosis, cyanosis throat full of
secretion what to do
A. Oxygen Mask
B. Intubation
Answer is: B
Glory Team 20th- 22nd December
● Case of ​arthritis & malar rash, mouth ulceratio​n. Which of the following
confirms the dx:
A. Anti-DsDNA
B. ANA
C. Anti-SSA
D. antiSSB
Answer is A, btw the ulcer should be painless and it’s part of the diagnostic criteria

● Rt. Pleural effusion, what is the site for needle to get pleural fluid?
A. Midaxillary 6th
B. Midaxillary 9th
C. midclavicular 6th
D. midclavicular 9th
Answer is: B, T​horacentesis: 8th-10th mid axillary line.

● ● ​Smoker + ​High​ dysplasia esophagus next step ?

Answer is: surgical resection

● Drug causing SLE flare ?

Answer is: Sulfa

● Patient with history of travel to sub saharan africa complaining of high

grade fever (40). Blood film showed negative parasites. What is the next
appropriate step?
A. Repeat Thin blood film
B. Repeat thick blood film
C. repeat thick blood film during attack
D. repeat blood film every 6 - 8 hours
Answer is: D

● Which hepatitis type is most common is Saudi

A. 1
B. 2
C. 3
D. 4
Answer is: D
Glory Team 20th- 22nd December
● Long scenario of patient in icu.. He started to have coffee ground vomiting..
What is the cause?
A. Stress ulcer
B. Peptic ulcer
C. Other things I don't remember
Answer is: A

● Case presentation of malaria; when to do another smear?

A. Repeat only think
B. Repeat only thick
C. Repeat at an active attack
D. Repeat every 8 hours for 2 days
Answer is: D

● Patient with cough fever and upper lobe infiltrate. That’s all that was given
and which precautions to take
A. Droplet
B. Airborn
C. Contact
Answer is: B

● Acromegaly case.. What investigation u need to do next

A. Colonoscopy
Answer is: Echo (TTE) if not in choices > A

● How do u know the bleeding is from the uterus ?

A. post coital
B. profuse vaginal bleeding
C. scanty vaginal bleeding
D. color of the blood
Answer is: B

● What is the contraindication of liver transplantation?

A. acute liver failure
B. Cirrhosis with ascites
C. Cirrhosis with encephalopathy
D. hepatitis ( or cirrhosis I didn't remember exactly) with active alcohol.
Answer is: D
Glory Team 20th- 22nd December
● 60 years old pt with Hx of long life smoking Presented with SOB and nail
clubbing. Diagnosis?
A. COPD
B. Bronchial carcinoma
C. Another 2 choices not associated
Answer is: B

● Businesman had Hx of multiple travels come with generalized fatigue and

tiredness and had candida white thrush in his mouth. Dx?
A. HIV
B. Hepatitis B
Answer is: A

● Pt k/c of asthma which of the following is the best to assess response to

ttt?
A. Chest x-ray
B. ABG
C. Pulsus paradoxus
D. Peak flow meter
Answer is: D

● Which of the following is a narrow complex tachycardia???

A. A fib
B. Atrial flutter
C. V. tach
D. SVT
Answer is: D

● Pt k/c of DM and dyslipidemia on metformin and statin on routine check up

he is found to have microalbuminuria for the 1st time what will you do ?
A. repeat later in another follow up
B. stop metformin
C. 24 hr urine for albuminuria
Answer is: C

● 28 years old fit man came complaining from continuous chest pain
increases with movement
A. Reassure and evaluate 1 week later
B. Atenolol
Glory Team 20th- 22nd December
C. Nitroglycerin
D. Ibuprofen
Answer is: D

● Pt with dysmorphic features “ macrocephaly, macroorchidism and large

ears “
A. Fragile X syndrome
Answer is: A

● Patient has pituitary adenoma what’s the definitive treatment?

A. Transphenoidal resection
B. Bromocriptine
Answer is: A

● Patient has advanced breast cancer; on exam there is distant heart sounds,
pulsus paradoxus (drop of sBP on inspiration). What’s the diagnosis?
A. Restrictive cardiomyopathy
B. cardiac tamponade
C. Obstructive cardiomyopathy
D. Dilated cardiomyopathy
Answer is: B

● Patient is anxious and has hair pulling. On exam there is hair thinning, and
loss of eyelashes. What does he have?
A. Alopecia areata
B. Trichotillomania
Answer is: B

● Patient presented with symptoms of opioid withdrawal. He is a heroin

addict. What will you give him?
A. Naloxone
B. Papaverine
Answer is: Methadon

● A man took chemotherapy for i think CLL. Then 2 days later he developed
dry mouth, fatigue.
His labs show: Potassium 5.5 (normal 3.5-5) Phosphate (normal)
Creatinine high Uric acid high around 260 What’s another electrolyte
abnormality he will have?
Glory Team 20th- 22nd December
A. Hypocalcemia
B. Hypercalcemia
C. Hyponatremia
D. Hypernatremia
Answer is: A

● Drug contraindicated with long QT syndrome

A. Macrolides
Answer is: A (Azithromycin, clarithomycin)

● Confirmation of a proper orotracheal intubation?

A. rise of chest
B. CO2 detector
Answer is: B

● Septic arthritis started on cloxacillin; report came after 3 days with staph
aureus resistant to cefotaxime (cefoxitin)
A. start vanco
B. Add genta
C. Continue cloxacillin
Answer is: A

● Pt has abdominal bloating , diarrhea and .... he believes he got better after
stop gluten diet and sx resolved what u will do
A. Resume gluten and do serum test
B. No need for continue gluten diet
C. Refer to dieticians
D. Refer to gastroenterologist
Answer is: A

● A 40 YO man c/o watery diarrhea 1 day after returning from India. Causative
pathogen?
A. Rotavirus
B. E.coli
C. Cl.prefrangenes
D. Cerus
Answer is: B

● Indication of thoracentesis
Glory Team 20th- 22nd December
A. Glu >80
B. Ph >7.3
C. -ve culture
D. Loculated pleural effusion
Answer is: D

● Known drug abuser found in deep coma and cyanosed, vitally unstable.
Initial management?
A. Hx from the family
B. Mechanical ventilation
C. CT brain
Answer is: B

● Old lady fell out , presented with hip fracture , what should the orthopedic
give her for prophylaxis?
A. aspirin
B. heparin
Answer is: LMWH

● Treatment of insomnia ?
Answer is: benzo

● Treatment of uti in 3rd trimester

Answer is: cephalexin

● Ttx of myasthenia gravis

Answer is: pyridostigmine
Glory Team 20th- 22nd December
● scenario about peptic ulcer on medication ,, how to know response to
treatment ?
A. Clinical manifestation
B. breath urea
Answer is: B

● indication of biopsy lymph node enlargement :

Answer is:

● scenario about pr fear to have chron like his uncle ,, then they ask what
increase risk of chrons ?
Answer is: Family history

● Pt with suspected Tb pleural effusion which is the most sensitive:

A. positive AF culture
B. Low glucose
C. High adenosine more than 45
Answer is: C

● pt has in x ray findings a cave in upper lung how this can transfer?
Answer is: airborne
Glory Team 20th- 22nd December
● Patient on ACEI,BB,CCB “I forgot the name of medication”and warfarin , dx
with TB, on quadra medication, what you will do:
A. Stop ACEI
B. Increase dose of warfarin
C. decrease dose of rifampicin
Answer is: B

● parents have tb and child ppd is 10mm

Answer is: Positive

● Patient came with Fever, dyspnea, purulent cough yellow sputum ,

hemoptysis, examination, marked dullness half of the right chest and
decreased air entry also half of the chest X ray: consolidation in middle and
lower lobe, and moderate pleural effusion. Best Management ?
A. IV ceftriaxone and metronidazole
B. IV, ceftriaxone and metronidazole and thoracocentesis
C. Steroid
Answer is: B

● Case of patient with past history of Tb presented with chest pain on

examination elevated JVP, cardiac exam no murmur:
A. Cor pulmonale
B. constrictive pericarditis
Answer is: B

● 53 old women hypertensive but not diabetic presents with ulcer on the right
leg lateral malleolus , viable ulcer bed dead skin around ulcer what is next
step
A. venous duplex
B. arterial doppler
Answer is: A

● Same question repeated in the same exam same session but there was one
more choice: checking pulse
Answer is: Check pulse

● ​What is More associated with liver cirrhosis:

A. Aflatoxin
Glory Team 20th- 22nd December
B. Lead toxicity
C. Wilson dis
D. Hep B
Answer is: D

● Pt post PTC has fever, on per rectum and by exam there was anterior
Boggy (which mean large) . What is your management?
A. Percutaneous Drainage
B. IV Abx
C. IV paracetamol
Answer is: A

● Male adult with perianal swelling and discharge, then ruptured ,Dx:
A. Anal fissure
B. hemorrhoid
C. anal abscess
D. fistula
Answer is: D

● Hepatitis B and lesion 6 cm what to do next?

A. Start chemotherapy
B. Start radiotherapy
C. Surgical resection
D. Antiviral
Answer is: Chemoemoblization

● Pt heavy smoker with symptoms of GERD, upper endoscopic examination

show’s squamous cell with high-grade dysplasia, next step in
management:
A. Council smoking cessation
B. Endoscopic mucosal resection
Answer is: B

● 58Y OLD male, smoker , alcoholic came with sx of Progressive dysphagia

for the last 3 months with melena with weight loss. what to do?
A. Urgent referral for upper endoscopy.
B. PPI for 4 wk
Answer is: A
Glory Team 20th- 22nd December
● HyperK 6.6 ​Low bicarbonate​ in the optional Initial Treatment? No Ca
clogunate
A. IV bicarbonate
B. insulin and dextrose infusion
C. hemodialysis
Answer is: B

● Acilivir treated pneumonia precaution

A. Airborne
B. Droplet
C. Contact
Answer is: B
Air-born: TB
Droplet: Meningitis, pneumonia

● 4 day after aortic aneurysm repair, pt develop hypotension, tachycardia .

Low urinary output, no fever . Warm extremity in touch. The pt not improve
even with fluid restrictions. What type of shock?
A. Hemorrhagic
B. Cardiac
C. Anaphylactic
D. Septic
Answer is: D

● pt with hyperthyroidism, exophthalmos. In treatment for 10 months ,TSH

0.001 T4 very high, Scan show diffuse uptake multinodular enlarged goiter
?
A. RAI
B. Continue treatment
C. Near total thyroidectomy
D. subtotal thyroidectomy
Answer is: C

● patient with adrenal insufficiency symptoms, how to confirm Dx ?

A. Syncatherin
B. Low dexamethasone test
C. Cortisol Level
Answer is: A
Glory Team 20th- 22nd December
● patient with reactive arthritis ,c​oming with active pai​n , appropriate
management?
A. Sulfasalazine
B. Methotrexate
C. Cyclosporin
Answer is: ​both A and B used but sulfau is preferred

● patient with CHF came for follow up he is on ACE, diuretic and PPI what to
add X ray normal
A. Nothing
B. BB
C. ARB
Answer is: B

● Stable patient with Tachycardia (150 bpm), Management? Choices:

A. Oral amiodarone
B. IV Adenosine
Answer is: Carotid massage > B

● Pancreatic cyst in the lesser sac but no Internal drainage

A. Open surgery
B. Laparoscopic drainage
C. Percutaneous drainage
Answer is: C if no endoscopic in choices

● Pt 35 y/o K/C of DM HTN Dyslipedemia on medication not controlled his

HTN they don't mention any drug The Q is What will you give him:
A. BB
B. Alpha
C. CCB
D. ACEI
Answer is: D

● Murmur that increase with Valsalva maneuver

Answer is:​ ​HOCM or Mitral valve prolapse

● Treatment of moderate persistent asthma, What to add in addition to short

acting b2 agonist
Glory Team 20th- 22nd December
A. low dose of ICS + LABA
B. low dose inhaled b2 agonist
Answer is: A

● Mild intermittent asthma, what to do to release symptoms now

A. SABA
B. ICS
Answer is: A

● SCA+HEPATOSPLENOMEGALY +SPLEEN WAS 6 CM PALPABLE BELOW

COSTAL MARGIN+HB WAS 5 WHAT IS THE MOST APPROPRIATE TTT:
A. REGULAR BLOOD TRANSFUSION
B. SPLENECTOMY
C. HYDROXYUREA
Answer is: IVF, blood transfusion (now not regular), splenectomy

● Pt with change in behavior + sacroiliac joint tenderness

A. syphilis
B. Brucellosis
Answer is: B

● Pt with malignant melanoma in his cheek hot to get him complain to the
treatment
A. It has serious symptoms
B. take time Collect information then till him so that he can trust u
Answer is: B

● Pt with dyspepsia specially before going to bed respond partially to antacid

A. Ppi
B. lifestyle modification
Answer is: B

● Pt had CT with contrast develop anaphylaxis ttt

A. epinephrine
Answer is: A

● Pt with fever and central line culture showed Gram +ve

A. Antibiotic + remove central line
Answer is: A
Glory Team 20th- 22nd December
● *Dorsam painful lesion in hand and foot , fever , blood smear : elenogiated
cell and crescentic cell , Rit count high ?
A. steroid
B. penicillin and immunization
Answer is: B

● * during CS , upper abdominal bleed diagnosis?

Answer is: LIVER hemangioma

● metoclopramide toxicity :
A. Diphenhydramine
B. leukotriene antagonists:
C. Montelukast
Answer is: A

● Patient had fever, dyspnea, weight-loss. Pleural analysis shows: high

gamma interferons. Dx:
A. Empyema
B. Parapneumonic pleural effusion
C. TB
D. Mesothelioma
Answer is: C

● A pt who is a k/c of Parkinson came with tremor that is affecting his

lifestyle significantly. What to give?
A. Bromocriptine
B. Levodopa
Answer is: B

● Open fX at farmer with gas gangrene, what’s the causative organism ?

A. C.perfringens
Answer is: A

● mid femur shaft fx. Tx?

A. ORIF
Answer is: if adult > A+ IMN/ if peds 6-11 > close reduction and spica if stable fracture

● case admitted then diagnosed as cholecystitis when to do the surgery?

A. during 72 h
Answer is: immediate
Glory Team 20th- 22nd December
● DVT prophylaxis in Orthopaedic cases?
A. Enoxaparin
Answer is: A

● Female breast feeding has a mass which is tender ,warm but negative
flacution Management:
A. amoxicillin
B. drainage
Answer is: B drain first then AB

● pt is going to do ventral hernia operation,from one weak he did retinal

detachment operation Prophylactic to dvt :
A. subcutaneous enoxaparin
B. mechanical prophylaxis
C. Heparin
Answer is: B

● painful PR bleeding what surgical Mx?

Answer is: anal fissure > ​sphernictomy​, ​but we shouldnt jumb to it > we should do
examination under local anthsethia > then conservative (fibers, topical NG, lidociene
cream, pain killers) > still >> ILS

● gastric perforation Mx ?
Answer is: Graham patch repair

● post esophagus dilation developed leak what Mx?

Answer is: ​If there is collections, air-fluid level, emphysema or WBC high > Surgical
drainage and repair.
If stable no collections, asymptomatic > stent

● Man with right groin pain increase with excretion no hernia examination to
genitalia is normal what to do ?
Answer is: ​MRI

● Old age with pulsatile swelling just above umbilical detected by deep
palpitation ? WBC high What is best investigation
A. CI level
B. Calcium level
C. ABG
Answer is: AMYLASE LEVEL
Glory Team 20th- 22nd December
● Old age with sarcoma in right thigh how to staging ?
A. CT for bone
B. CT for chest
C. MRI
Answer is: CT chest > MC metastasis to lung.

● Orthopedic post surgery , what is the most death during hospitalization ?

A. PE
B. MI
Answer is: during > PE

● Third day after op infection UTI ?

Answer is: TRUE 3-5 UTI

● Thenar emesis atrophy but nerve intact what nerve inv ?

A. median
Answer is : A

● 33 years old male pt underwent Rt inguinal hernial open repair before 3

years. Presented with Rt inguinal swelling, move with cough that diagnosis
Rt inguinal hernia. Most appropriate Mx?
A. open with mesh
B. lap with mesh
C. conservative management
Answer is: B

● after pancreatitis pt had mild upper abdominal pain Us: well circumscribed
collection in the lesser sac best initial evacuation I think:
A. endoscopy
B. laparoscopic
C. percutaneous
Answer is: A

● A child was stabbed in the lower right chest x ray shows ​fluid in the right
upper abdomen.​ The patient vitals are ​stable​, what is the ​most accurate
next step?
A. Chest tube
B. Thoracostomy
C. Exploratory laparotomy
D. Ultrasound
Answer is: C
Glory Team 20th- 22nd December
● Pt with painless rectal bleeding
A. abscess
B. sinus
C. hemorrhoid
Answer is: C, unless thrombosed it will be painful

● Patient underwent sleeve gastrectomy 3 weeks ago presented with

progressing abdominal pain in ER. What is the best investigation for
diagnosis?
A. Abdominal ultrasound
B. Abdominal CT
C. Abdominal MRI
Answer is : B

● Same case as above but the question is about management?

A. Exploration
B. Nill per mouth
Answer is B

● Kco uc came with abdominal distension transfers colon 15 cm and no

hustraton management?
A. High dose steroid
B. Colectomy with ileostomy
Answer is A

● Trauma to the left shoulder with addiction and internal rotation of the elbow
A. Subacromial posterior
Answer is A

● Patient presents with presentation of cholangitis epigastric pain i think

(clinically not very typical but from the labs it looks like cholangitis). No
vitals provided.
His labs show
High ALP, direct bilirubin,
What’s the most imp initial management?
A. IVF
B. Abx
C. Abdominal US
D. ERCP
Answer is A
Glory Team 20th- 22nd December

● Male 40s patient , had food poisoning and kept vomiting for 3 days with
diarrhea . Came to you because of vomiting blood .
What's the diagnosis ?
A. gastritis
B. Weiss syndrome
C. perforated ulcer
D. esophageal varices
Answer is B

● Pt with ​HBsAg+ and HBcAb+ and IgM negative

A. Chronic infection
B. Acute infection
C. Immunized
D. Previous infection
Answer is A

● Cauliflower like mass from perianal area , there was pain tender to touch:
A. Rectal carcinoma
B. Anal carcinoma > if sign of obstruction and fatigue anemia >> look lik this
C. Epithelial polyp
D. Condyloma accinatum
Answer is D

● A 62 YO man medically free c/o 1 day hx of 4 episodes of hematochezia no

abd pain, constipation and wt loss.Dx?
A. Diverticulosis
B. Cancer
C. Ischemic colitis
D. Internal piles
Answer is: A

● 20s year old man presented complaining of right iliac fossa and groin pain,
started after lifting heavy objects. Other than that he's healthy, On physical
examination , normal iliac fossa and groin area .
What's the diagnosis ?
A. follow up after 3 months
B. rectus sheath hematoma
C. ventral hernia
D. lipoma
Answer is: B
Glory Team 20th- 22nd December

● 40s years old complaining of painless bleeding per rectum , on

examination you found 3 hemorrhoids , at 3 , 5 , another place " can't recall
" Your management ?they said 4th degree
A. rubber band
B. open hemorrhoidectomy
C. conservative
Answer is: B

● Female in her 50s maybe , presented with per rectal bleeding , on

examination there was a swelling , clonoscopy was done : adenocarcinoma
and extending 3 cm above anal sphincter without mets or lymph nodes
involvement .
A. abdominoperineal resection
B. lower anterior resection
C. colostomy
Answer is: A

● Pt involved in MVA he is conscious oriented and appear normal

VS: Brady and i think hypotension What type of shock
A. Cardiogenic
B. Hypovolemic
C. Neurogenic
D. Septic
Answer is: C

● Asymptomatic hematuria .. u/a show high erythrocytes ,, what is initial

evaluation include ?
A. repeat u/a
B. orders urine cytology
C. renal biopsy
D. cystoscopy
Answer is: A

● Pt with long history of abdominal pain and chronic diarrhea, developed

nodules around shin
A. Celiac
B. Crohn's
Answer is: B
Glory Team 20th- 22nd December
● Pt with low back pain and raw milk ingestion. How to confirm the diagnosis?
A. Serum agglutination test
B. Sacroiliac joint X-ray
​ UT THE GOLD STANDARD IS > CULTURE.
Answer is: A, B

● Facial plethora and JVP distended, which of the following is most

commonly associated with this condition?
A. SLCC
B. Adenocarcinoma
C. Squamous cell carcinoma
Answer is: A

● 40-Y/O female with 12-year history of varicosities, complaining of LL edema

and heaviness when standing. ​Distal pulses are intact, and there is bilateral
varicose in the great saphenous vein territory​. What is you management?
Choices:
A. Sclerotherapy
B. endovenous laser ablation
Answer is: B

● Symptomatic (abdominal pain and vomiting) pt with X-ray showing a mass

(1 x 1.5 cm) in mcburney's point, management?
A. Ultrasound of the gallbladder
B. Appendectomy
C. ERCP
Answer is: B

● Multiple antral ulcer endoscopy showed ​MALT

A. surgical resection
B. antibiotic
Answer is: B

● Pt pale, weight loss with cauliflower lesion

A. anal cancer
B. rectal cancer
C. condylomata Lata
Answer is: A

● Pt with non pitting edema in the left lower limb with discoloration ttt
A. Lymphatic massage + compression
Answer is: A
Glory Team 20th- 22nd December
Pediatrics
● pediatric need non-invasive ventilation where to admit him?
Answer is: PICU

● scenario of a child with complete heart block with mitral regurgitation

murmur and small pda:
A. SLE
B. rubella
Answer is: B

● White membrane on tonsils pain dysphagia, all options were viruses

Answer is: EBV

● 12y urine incontinence TTT ?

A. nasal desmopressin
Answer is: bed alarm

● Child can say 3 words sentence , can run and climb furniture, but cannot
climb stairs with alternative leg, what ia the age?
A. 1
B. 2
C. 3
D. 4
Answer is: self study

● 12years old with abdominal pain +hx of step mother insist him to drink milk
before sleep for the past 3 days
A. Hydrogen test post oral
Answer is : A

● Child can raise his head, sit with support, can smile and reach mouth. Age
on months?
A. 3
B. 5
C. 6
D. 7
Answer is : self study
Glory Team 20th- 22nd December
● 5Q about pertusis !! ( hacking cough , whooping , infant missed 2m vacc ,
how to dx ?
A​. ​swab
Answer is : Nasopharyngeal swap

● Child has asthma use SABA and ICS no he is free from symptoms since
one year ? What is the best order
A. Continue same medication
B. Decrease the dose to half
Answer is: B

● child with conjunctivitis maculopapular rash coryza with immunodeficiency

brother:
A. Give ivig
B. Prophylactic acyclovir
Answer is: A

● fever, abdominal pain, dehydration on urine analysis there is + Glucose , +

ketone, metabolic acidosis( I think) what cause of c/o :
A. DKA
Answer is: A

● Case of neonate after venus there bulging in head under periosteum within
line of head sutures :
A. cephalohematoma
Answer is: A

● nephrotic syndrome baby presents with abdominal distended,what

complication ?
Answer is: peritonitis

● baby deliver with a mother HBsAg + ,what regarding baby immunization?

Answer is: vaccine + IVIG

● newborn with erythematous rash what is your action

A. Reassure
Answer is: A

● minutes required for child exercise:

Glory Team 20th- 22nd December
Answer is:​ ​60 min

● pt with testicular pain and swelling normal cremasteric reflex no fever on

PE testes is located vertically and the tenderness is located over the upper
pole:
A. Testicular Torsion
B. Epididymo-orchitis
C. Torsion of testicular appendages
Answer is: C

● Patient post term, was delivered with meconium aspiration, after delivery
was intubated and suction was done, was put on inotropes . After 2
days
now he becomes hypoxic with increased oxygen neads. Pre ductal o2
is 92 and post ductal o2 is 81. What to give?
A. Mgso4
B. inhaled NO
C. surfactant lavage
D. urgent cardiac catheterization
Answer is: B

● Pediatric pt had congenital diaphragmatic hernia, (they did resuscitations

in delivery room) what is the immediate management after stabilizing the
pt:
A. large NGT
B. Surgical repair
Answer is: A

● infant with 2mm heart defect but asymptomatic TTT ?

A. Catheter...
B. observation …
C. surgical....
Answer is : B

● crescendo decrescendo murmur ?

A. systolic ejection
Answer is : A

● Vesicle localized in oral cavity ?

A.HSV
Glory Team 20th- 22nd December
Answer is : A

● Child complaining of left scrotum pain and swelling. O/E left scrotum
swelling and tenderness -ve of Transilluminates test. Mx?
A. herniotomy
B. herniorrhaphy
C. orchiopexy
D. tension repair
Answer is: A

● 6 year girl with vulvar itching and bleeding what you think
A. Foreinbody
Answer is :A

● Itching, bleeding, offensive smell >foreign body
If with lacerations or

urinary, stool incontinence
A. sexual abuse
Answer is : A

● ​child with Sx of dehydration and lethargy. He also has fever. Rapid infusion of
normal saline has been started; after that, the boy start some abnormal
movement and went into deep coma which lead the doctors to intubate and
transferred to PICU. Hypotensive, Tachycardic, Na 165, K 3.2, Cl 115. What is the
cause behind it?
A. delaying Abx treatment
B. rapid infusion led to cerebral edema
C. intraventricular hemorrhage due to the high sodium
Answer is : B

● Mother of 12 year old fears that he is not getting tall enough for his age.
Current height is at 145 cm (10th percentile) and bone age is 10. What is the
ideal target height?
Choices show various ranges of heights cannot exactly remember numbers.
Answer is : mid-parental height

● Mother reporting her child with wetting bed behaviour at 5 years old,
compared to his sister who didn't wet bed at this age. At which age is this
behaviour considered abnormal?
Glory Team 20th- 22nd December
A. 5
B. 6
C. 7
D. 8y
Answer is : normal upto 5y

● baby of dm mother, Best route for give glucose?

A. central line
B. peripheral line
C. NGT
Answer is: A

● Child can raise his head, sit with support, can smile and reach mouth. Age
on months?
A. 3
B. 5
C. 6
D. 7
Answer is : self study

● Baby born with severe hypoglycemia. And they want to give 20%
concentration which route?
A.Central line
Answer is: A

● Peds pt, diagnosed with Asthma, father smokes, what is a good advice for
this patient?
Answer: talk to the parents about smoke cessation

● First child to young mother with vomiting after feeding and between
feeding ?
A. Observation
B. Pylori us
Answer is : A

● BRONCHIAL ASTHMA with failer to thrive?

A.more invx to roll out asthma mimker
Glory Team 20th- 22nd December
● Pediatric question related to language development child easy understood
by strangers :
Answer is : self study

● Little kid has a brown yellow discoloration and caries :

A. Local antibiotics
B. Systemic fluoride supplements
C. Antiseptic mouth wash

🦷
D. Diet modification
Answer is : Ask dentist .

● 4 months baby mother concerned about delay development by his age

what he is most likely do?
A. Roll over both side
B.Keeps head steed
Answer is :self study

● 3 weeks post URTI with hematouria?

Answer is : PSGN

● 1day post URTI with hematourea?

Answer is : IgA nephropathy

● Child with labs showed hypercalcimia and hyoerparathroid x ray of the

wrist showed bony erosions what is the ttt
A. Hydration+diuretic
B. Hydration + diuretic + bisphosphenate
Answer is : B

● Baby/infant presented with cough,sneezing, circuoral cyanosis, secretions

in the mouth,On chest exam there is crackles i think.
What does he have?
A. Bronchial asthma
B. Bronchiolitis
C. Gastroesophageal reflux
D. Heart failure
Answer is : B
Glory Team 20th- 22nd December
● Child who’s planed to have surgery on examination there’s a upper Rt
sternal murmur that disaper when lying supine , next step?
A. Reassure
B. Cardio consultation
Answer is : A

● Child with hx of diarrhea for 2 days 3-4 times a day, asking about
vaccination if he should receive it or not ?
Answer is : Give all

● A child ingested some matrial caled blech 30 minutes ago asking about
next step?
Answer is : close observation

● Poor weight gain ( flat buttocks ) what is the most appropriate investigation
?
A. Anti endo
B. Duodenal biopsy
Answer is: A

●​ 2 weeks old, presents with history of vomiting after 1 hour from feeding and
passes stool 3 times per day, upon examination a small upper abdominal mass
was felt. Asks about initial investigation.
A. Barium swallow
B. Abdominal US
C. Abdominal x ray
D. Ct abdomen
Answer is : B

● ​15 yrs old girl came with her mother to the clinic concern about that she dont
have menstrual cycle She is htn No pubic hair and she short with short neck
Answer is :
A. TURNER
Answer is : A

● about how to make a pediatric 12 years old, how to sit him safely in the car
to protect him from Airbag injury?
A. restrain him in front seat
B. restrain him in front seat
Glory Team 20th- 22nd December
C. use something chair
D. make him set in the back seat facing backward
Answer is : D

" Picture with colle fracture "

● 3 years old boy , fell on an outstreched arm , swelling and pain , What's
your management?
A. give abx and send home .
B. reassure the parents .
C. closed reduction and forearm cast .
Answer is : C

● Pediatric patient with the diagnosis of Tracheomalacia .What's your

investigation ?
A. bronchoscopy
B. fluroscopy
Answer is : A

● 3 y/o pt has sever URTI Symptoms, brother died with similar symptoms due
to septic shock. What vaccine to be avoided?
A. Varicella
Answer is: A

● Peds pt with immunodeficiency, whaf vaccine to give? Choices:

A. MMR
B. IPV
C. Annual Influenza
Answer is : C

● Complication of tonsillitis ?
A.Scarlet fever
Answer is : A

● What is the milestone of a baby who can say 3 words and can’t climb the
stairs with alternating feet?
A.2years
Answer is : self study

● Sinario 4 month mile stone :: what do u expect to find ?

Glory Team 20th- 22nd December
A. rolls front to back
Answer is : self study

● Child with stridor worse when prone, improved on supine position:

A. Subottic stenosis
B. Laryngomalacia
C. Nasal atresia
Answer is : B

● 5% dehydration case ( what is the fluid management in ml /h :

Answer is : self study

● Vaccination of 1 year age :

Answer is : self study

● Young child with bruises in genital area , bleeding?

A.abuse
Answer is : A

● Child with open fracture, asking about the ttt :

Answer is : Abx, surgical debridment and fixation

● Pregnant pt come with painful breast mass, tender and reddness , asking
about diagnosis:
A. mastitis
B. Abscess
C. duct actasia
D. something
Answer is: B

● Kawasaki treatment:
A. Aspirin
Answer is : IVIG + Aspirin

● New wierd question i dnt really remember a lot, What measurement is used
for preventiontion of obesity on dm prevalence:
A. Relative risk
Glory Team 20th- 22nd December
B. Attributable risk
Answer is : A

● Absent eye red reflex

A. Fundoscopy
B mri brain and optic
C. Urgent referral to ophthalmology
Answer is : C

● Child with blood in his daipper+ pale + dry mouth ddx:

A. Juvenile polyp
Answer is : A, but could be Meckle’s

● 1 year old international vaccination

A. Opv,mmr,hav,pcv
B. Opv,mmr,varicela,pcv
Answer is : A
Glory Team 20th- 22nd December

Ob/Gyn
● ​pregnant woman with cholecystitis when to do the surgery?
A. 2nd trimester
Answer is: A

● dermatologic change on pregnant’s face? ​Choalasma

● Pregnant lady 3day come complain of difficulty in breathing she has

history of allergy to dust she has pale nail not mentioned HB, Most imp
investigation:
A. spirometry
B. hb
Answer is: A

● Female pregnant at12 w Uterus at 16w, Bhcg 80,000, Us show snow storm
appearance:
A. hydatid
B. choriocarcinoma
Answer is: A hydatidform (complete mole)

● 22yrs female pt come to clinic complain of irregular period from 2yrs..hair

above lip ,DEHA,17progesterone normal Us large ovaries which you find in
this case:
A. High thyroid hormone
B. Normal testerone
C. Fsh:lh 1:3
Answer is: C

● Pt with IUFD ,the pt had previous cs from 4 years, And choosing the mode
of delivery:
A. wait for pt decision
B. direct pt to vaginal to avoid cs
Answer is: A

● Us ,ground glass:
A. Hydtiform
Glory Team 20th- 22nd December
B. An embryonic
Answer is : endometrioma

● Female pregnant came with tonic clonic convulsion:

A. diazepam
B. Mg sulphate
Answer is: A

● 65 yrs female come with end hyperplasia the best next step:
A. us guided biopsy
B. End sampling
Answer is: B

● multipara with cervix 4 dilatation, 80 % effaced 0 station how indication of

labor :
A. rupture membrane
B. oxytocin infusion
C. ripening of cervix
Answer is: incomplete

● Ectopic pregnancy after methotrexate high BHCG (meaure BHCG weekly?)

Answer is : give other dose if not contraindicated

● AUB Mx ?
Answer is : IV conjugated estrogen

● pregnant with CTG picture ( I think variable desolation) on epidural

anesthesia and oxytocin , fetal head 0/5 what is the cause of CTG?
A. Epidural anesthesia
B. Oxytocin
C. Fetal head position
Answer is: we cannot answer based on (I think)

● picture of uterine polyp >> name of procedure :

A. Hysterscope
B. Laparoscopy
Answer is : A

● Fibroid case asymptomatic ask about management?

Glory Team 20th- 22nd December
A. 1 immediate myomectomy
B. 2 immediate hysterectomy
C. I don’t remember the remaining I think follow up and reassurance something like
that
Answer is : Follow up every 6m

● Pregnant kc of asthma on SABA only and stable before pregnancy now she
is warse symptoms daily with 2times week at night ?
A. LABA and ICS
Answer is : A

● Another PROM how to confirm ?

A. Speculum examination
B. Chemical ferning test
Answer is :
 B

● Pt with mild vaginal bleeding, 8 week, unremarkable P/E except for minimal
brownish discharge (or sth) , os closed. US CRL 7 week. What’s most app?
A. Complete bedr est
B. Resume daily activity
Answer is : Reassure

● Lymph drainage of the funds of the uterus

A. Paraaortic 

B. Internaliliaca 

Answer is : A

● Painless ulcer in penis ?

A.syphillis
Answer is : A

● Ovarian ca TTT ?
A. surgery then chemo.
Answer is : A

● preg with wrist pain ulcer mouth ?

A. SLE.
Answer is : A
Glory Team 20th- 22nd December
● BV features (( didn’t mention fishy odor or any color )) , trichomoniasis ttt ?
A. metronidazol
Answer is : A

● mediolateral episiotomy advantages ?

Answer is : less risk of perineal tear

● D&C can cause infertility due to damaging which zone ?

Answer is: basalis

● Abruptio placenta and fainting :

A. amniotic fluid embolism
Answer is : A

● Mother with IUFD, after delivery asked for her fetus to be admitted in NICU,
what stage of grief?
Answer: Denial

● Pregnant after 10 years of infertility, on 8th week diagnosed with complete

abortion, she is crying and her husband is overwhelmed with emotions,
how to approach? Choices:
A. Show sympathy
B. Explain management
Answer is : A

●​ 42 years old female complaining of bilateral GSV varicose vein for 3 years, what
is the most appropriate management ?
A.Endovascular ablation
Answer is: A

● 45 female hx of myomectomy 12 years ago.. Pcos patient with painful and

heavy menstruation not relived by nsaid.. Uterus normal size no adenexal
mass what is the cause?
A. Adenomyosis
B. Endomyosis
C. Endometrial hyperplasia
Answer is : A

● Another case same scinario almost

Glory Team 20th- 22nd December
50 y/o*myomectomy 12 years ago and 3 d&c because of incomplete
abortion.. Now with bleeding and painful menstruation not relieved by
nsaid.. On examination the uterus is bulky the rest was normal
A. Enmotetrial cancer
B. Endomyosis
C. Adenomyosis
Answer is : A

● 19 yo dysmenorrhea, headache , nausea in the first day of period , normal

exam?
A. Primary dysmenorrhea
B. Secondary dysmenorrhea
C. Premenstrual syndrome
Answer is : B

● Sign that indicates risk of pregnancy complications?

A. Ankel edama
B. Vaginal bleeding
C. Abdominal pain
Answer is : B

● A woman has submucousal fibroid that is 6 cm in size. She wants to

preserve her feetility. What will you do?
A. Hysteroscopic resection (literally written like that)
B. Laparotomy myomectomy
C. Laparoscopic myomecotmy
D. Hystercetomy
Answer is : A

● ​ 47 y/o female with abnormal bleeding. With frequent, prolonged and

A
heavy period. Rx?
A. Oral progesterone
B. Progesterone IUD
C. Endometrial sampling
Answer is: C

● A woman has a breast lump for 2 years. On exam it’s 4-5 cm in size. Trucut
biopsy showed cystosarcoma phyllodes. What’s the management?
Glory Team 20th- 22nd December
A. Simple mastectomy
B. WLE
C. Chemo
D. Radiotherapy
Answer is : A

● Primigravid with irregular cycle came with abdominal pain she has hx of
trying to consive for the past 3 months?
A. Confirm pregnancy test
B. Pelvic us
Answer is : A

● A woman has spider veins in her anterior thigh. She wants to remove them
cosmetically. Before sclerotherapy what is the investigation to be done?
(Sorry cannot remember the other details)
A. Venous duplex
B. No investigation needed
Answer is : A

● Description of pregnant with complete breech presentation, then they ask

what’s the “Lie” ?
A. complete breech
B. Frank breech
C. Incomplet breech
D. Longitudinal
Answer is : D If you don’t read the last word you will choose the wrong answer

● A 31 YO female diabetic in active labor, cardiotocograph showed abnormal

heart > no other info.Next step in management?
A. Oxytocin
B. Tocolytic
C. Change mother position
D. O2 mask
Answer is : C

● A 22 YO female c/o headache, malaise and fever, O/E multiple bilateral

painful genito.. vesicles.Dx?
A. Warts
B. Herpes
Glory Team 20th- 22nd December
C. Mycoplasma
D. Chlamydia
Answer is : B

● Femle pregnant 28 GA has fever and didn’t seek medical advice.

Cause of denial?
A. Fear of physician
B. High expenses
C. Neglect
D. Self medicate
Answer is : C

● " Picture "

Young adult " 20s " presented with her husband complaining of lower
abdominl bleeding , on U/S , there was a ground glass apperance .
What's your next step ?
A. talk about association with infertility .
Answer is : A

● " picture " CTG sinsoidal .

A. fetal anemia .
Answer is : A

● Case of PPH , known bronchial asthma .Doctors already tried massage

.Which medication is contraindicated in this case ?

A. oxytocin
B. misoprostol
C. carpobrost
D. methigrine
Answer is : C

● Cause of female abuse?

A. Low socioeconomic
B. Age
C. Belief in gender..
Answer is : pregnancy

● Diabetic woman vaginal discharge:

Glory Team 20th- 22nd December
A. Candida
Answer is : A

● Yellow green discharge :

A. Trichmoans
Answer is : A
● What TTT :
A. ​metranadizol
Answer is : A

● Infertility everything normal :

A. Anvulotion
Answer is : A

● Pcos obese she want pregnant :

A. Reduced wt
B. metaformen
C. CC
Answer is : A

● Ectopic pregnancy after sergry BHCG 3500 , MTX , About lmprotent to ask
in the hx:
A. social
Answer is : A

● Woment after dilver one hour develope bleeding what type og PPH
A. 1RY
B. 2RY
Answer is : A

● ÚTI pregnant 6 weeks :

A. No treatment
B. Oral nitrufuronate
C. Oral ciprofluxacine
D. Oral amoxicillin
Answer is : B

● UTI pregnant 28 week :

A. Nitrofurinate
Glory Team 20th- 22nd December
B. Ampicillin
C. Cipro
D. Ceftioxine
Answer is : B

● Pregnant lady 10 week , +nitrate, + lekocyte, no sign no symptoms , What is

it ?
A. Asymptomatic bacteuria
Answer is : A

● Vaccination CI in pregnancy?
A. Varecila
Answer is : A

● Female 20s with family hx of breast cancer : her mother , Ovarian cancer :
sister .What's best screening ?
A. mammography
B. BRCA
C. ultra sounds
Answer is : B

● most common fibroid ?

A. intramural
Answer is : A

● what drug effective to prevent seizure in pregnant caused by eclampsia ?

A. Phyntoin
B. diazepam
Answer is : Mgso4

● Pt with ectopic had BHCG 2,500 , treated medically then on follow up BHCG
was 6000, what to do next?
A. Salpingostomy
B. Salpingectomy
C. Repeat metho
D. Exploratory laparotomy
Answer is : A
Glory Team 20th- 22nd December
● Preterm 23 week with fatal congenital anomalies, mother doctor and
advised do not resuscitate what you will do?
A. Do not resuscitate
B. Ignore mother and resuscitate
Answer is : Respect

● 20 yrs married Female with “sudden “ huge abdominal pain ultra sound
shows 6 cm mass ( did nt mention the place ) negative preg test:
A. Ectopic preg
B. Ruptured cyst
C. Appendicitis
D. Ovarian torsion
Answer is : D

● Endometriosis and pt scared of cancer ?

A. End dose not have relation with cancer
B. Increase the risk of ovary epithelial cancer
Answer is: B

● Ectopic pregnancy did salpingistomy and now for the last 3 weeks the
bhcg reaches plateu its 3500 ?
A. Methotrexate
B. Salpingictomy
C. Follow up
D. Lapartomy
Answer is : A
● 15*15 mass in the breast getting larger and the skin overlying is intake and
thin due to mass effect what to do?
A. Chemo
B. Radio
C. Radicalmast
D. Simplemast
Answer is: D

● IUFD what is , patient have previous CS what is the most appropriate

management:
A.wait for patient decision
B.go for CS
C.try vaginal delivery
D.counsel the patient that CS is better than vaginal
Answer is : A
Glory Team 20th- 22nd December
● Patient with ectopic pregnancy brought by her neighbor her husband work in
military, B-HCG was 5000, size 4 cm what is the cause of selecting surgical
approach:
A.hcg level
B.size
C.social history
Answer is : C

● Menopause confirmation:
A. FSH
B. LH
C. estrogen
D. progesterone
Answer is: A

● 15 year female no menstruation come with galactorrhea which investigation

should do first
A. Prolactin
Answer is : Pregnancy test, then A

● Preeclampsia case what is determine severity, BP 140/90

B. Uric acid high
C. Abdominal pain
D. Blood pressue
E. Platelets 80
Answer is: D

Pregnant 13 Weeks on examination there’s suspicious cervical lesion and a

healthy fetus , next step ?
A. Cervical curtage
B. Pap smear
C. Cone biopsy
Answer is : Colposcopy

● Preterm 28 weeks with tachypnea

Answer is : RDS

● Hiv with toxoplasmosis treatment:

Answer is : Pyrimethamine / Sulfadiazine

Osteoporosis screen age ?

A​.​over 65y
Answer is : A
Glory Team 20th- 22nd December
Ethics and Biostatistics
● Female dr adviced to do cs coz risk of fetal death But she refused Take
consent from :
A. hospital director
B. Consent from husband
C. Do vaginal deliver
D. Refer to another doctor
Answer is : ethical committe

The repeated questins:

● female came with revealing clothes u dnt understand her language:
A. Ask help from another colleague
Answer is : A

● Parents did nt vaccinate thier child:

A. Explain the benefits
Answer is : A

● Intern was assigned to stay with a child until they take him for operation ,
the child does nt speak the same language, he is anxious:
A Intubate
B Sedate
C Ask the nurse to stay with him so u can check the child chart
D Examin him with ur stethoscope and let the child use ur stethoscope to listen to his
own heart rate
Answer is : D

● Hernia patient wanted the surgery he thratened to complain the doctor:

A. Talk to administration
B. Do surgery
C. Consult physician
D. Ethical committe
Answer is :D
Glory Team 20th- 22nd December
Topics and pics
❖ Tumor lysis Syndrome = hypoCa
❖ Facial nerve palsy
❖ lewy bodies Dementia
❖ venous ulcer > venous Doppler.
❖ carpal tunnel syndrome
❖ Thyroid cancer
❖ Urethral trauma
❖ High grade dysplasia of esophagus = resection
❖ 4CTG includes:
◇ 1st late deceleration = placenta-uterine
◇ 2nd Fetal Anemia = sinusoidal
◇ 3rd early deceleration = head
◇ 4rth with Bradycardia = epidural
❖ Prostatic enlargement.
❖ Placenta Abruption .
❖ -placenta previa with continuous slow bleeding, maternal vital stable at 34 wh
GA.
❖ screening : Breast , colon cancer , pap smears.
❖ coarctation of aorta .
❖ Murmurs where they radiate
❖ Asherman syndrome
❖ Rickets
❖ UtI
● ACEI side effect (facial edema)

● Cephalohematoma > ​cross midline

● Post parathyroidectomy increased in ca : ​hyperplasia

● Post total thyroidectomy decrease in CA despite iv ca : ​check mg

❖ know the difference management of different biophysical profile results and
according to GA I got 2 qs about it
❖ drug contraindicated in SLE = sulfa
❖ Pic of us ground glass uterus = Infertility
❖ Pic CXR of pelural effusion ask about mang = Chest tube insertion
❖ Pic of impetigo ask about dx And management = Antibiotics
❖ Q about hemophilia A and hemophilia B ????
Glory Team 20th- 22nd December