‫اسئلة وزارة الصحة لاللتحاق ببرنامج االقامة‬

‫واالمتياز‬

) 2018 -2013 ( *****

MEDICINE
‫بفضل هللا قمت باعادة جمع وتنسيق اسئلة الدورات‬
‫ الصادرة من وزارة الصحة المتحانـــات‬,‫السابقة‬
*****
-2013 ( ‫االقامـــة واالمتيــاز لالعـــوام‬
‫ وحلها باالستعانة‬, ‫ بعد جهـــد وعنــاء‬, ) 2018
‫بالمراجع والكتب المختلفة لتوخي الدقة في نشر‬
* Diabetes insipidus is a
‫ فإن‬, ‫المعلومة الصحيحــة للزمالء والزميالت‬ deficiency of what hormone
‫ واني‬, ) ‫ وان اسأت فمن نفسي‬, ‫( احسنت فمن هللا‬ of the following ?
A . Atrial natriuretic
‫ راجيا المولى‬, ‫اقـــدم هذا العمل خالصا لوجه هللا تعالى‬ peptide .
B . Vasopressin .
. ‫ وان ينال اعجابكم‬, ‫القبول‬
C . Aldosterone .
D . Insulin .
E . Progesterone .

‫ فـرده‬، ‫اللهم استودعك ما قرأت وما حفظت وتعلمـت‬ * An old lady presents with
history of fever and left
‫ إنـــك على ما تشاء قدير‬, ‫لـي عنـد حاجتـي اليه‬ sided chest pain for one
month . Examination of
respiratory system shows
decreased stony dull
percussion note an absent
‫ اسامـه الخزاعلـه‬: ‫اخوكم الدكتور‬ breath sounds on left side .
Her chest X_Ray is likely
0799430239 to reveal ?
A . Collapse
‫طـــب عـــام وجراحــه‬ B . Consolidation
C . Fibrosis
D . Pleural effusion
E . Pneumothorax

Which of the following is

least likely to cause
symmetrical weakness of the
lower limbs ?
A . Acute transverse
myelitis
B . Glioblastoma multiforme intolerance and weight
C . Guillain barre syndrome gain . Examination reveals
D . Myasthenia gravis goiter . The most likely
E . Muscular dystrophy finding related to central
nervous system in this
* Elderly came with sudden patient ?
loss of vision in right eye A . Ataxia .
with headache , B . Delayed relaxation of
investigation show high CRP ankle jerk .
and high ESR . What is the C . Hyperreflexia .
diagnosis ? D . Hypotonia .
A . Temporal arteritis . E . Loss of sensations .
B . SAH .
C . Migraine . * Clostridium difficile is a
D . Herpes ophthalmicus . nosocomial infection . Which
E . Tension headache . of the following can be used
to treat it ?
* Acute renal failure may be A . Broad spectrum
distinguished from chronic antibiotics .
renal failure by which of B . PPI .
the following ? C . Probiotics .
A . An increased Na D . Vancomycin or
excretion . metronidazole .
B . Left ventricular E . No treatment is required
hypertrophy on ECG .
C . Hypophosphatemia . * A 15 years old girl
D . Renal size on ultrasound presents with history of
scan . fever , bleeding from gums
E . Hyperkalemia . and pallor for last 15
days . Her peripheral blood
* In a patient with films shows pancytopenia .
haematemesis . The clinical The most important
feature which suggests that investigation is ?
peptic ulcer is underlying A . Bone marrow examination
cause is ? B . Coombs test
A . Ascites C . Reticulocytes count
B . Drowsiness D . Serum folic acid
C . History of jaundice E . Serum iron level
D . Splenomegaly
E . Tender epigastrium * The most sensitive vaccine
to heat is ?
A . IPV
B . BCG vaccine
C . Hepatitis B
D . OPV
* A 40 years old man E . Diphtheria
presents with cold

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 2
* In a patient with history D . Hemophilia A
of shortness of breath , E . Glanzmann thrombasthenia
which of the following signs
indicates left heart failure * CRP may be raised in all
? of the following except
A . Ascites . A . DM
B . Basal crepitations . B . Malignancy
C . Dependent edema . C . Acute bacterial
D . Engorged neck veins . infection
E . Fourth heart sounds . D . Tuberculosis
E . Autoimmune disease
* In a patient with high
grade fever , rigors and * In a young boy with HTN ,
Hepatomegaly . The most examination CVS reveals
likely diagnosis is ? radio _ femoral delay . The
A . Carcinoma of liver most common cause of HTN in
B . Liver abscess this patient is ?
C . Malaria A . Coarctation of aorta
D . Right heart failure B . Renal artery stenosis
E . Typhoid fever C . Dissection of aorta
D . Conn syndrome
E . Diabetic nephropathy

* A patient with history of

jaundice , pruritus and clay
coloured stool . Which of
the following enzymes may be
* Which one of the following increased significantly ?
is a contraindication to A . ALP
thrombolysis ? B . AST
A . Pregnancy C . ALT
B . Age over 75 years D . LDH
C . Background diabetic
retinopathy * A patient presents with
D . Asthma history of intermittent
E . The presence of atrial fever , abdominal pain and
fibrillation headache . Blood culture is
positive for salmonella
* A young boy presents in typhi . The antibiotic of
outdoor with history of choice for this patient ?
sudden painful swelling of A . Ciprofloxacin
joints after minor trauma . B . Vancomycin
The most likely diagnosis is C . Metronidazole
? D . Tetracycline
A . DIC E . Gentamicin
B . ITP
C . Sickle cell disease

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 3
* A 50 years old man is E . Pulmonary tuberculosis
admitted in emergency ward
with MI . Any of the * In a patient with history
following medications are of muscle cramps and
used initially ? carpopedal spasm . Which of
A . Aspirin the following serum
B . Warfarin electrolyte level is most
C . Heparin likely to be decreased ?
D . Streptokinase A . Calcium
E . Clopidogrel B . Chloride
* A 40 years old lady C . Magnesium
presents with history of D . Potassium
severe constant upper E . Sodium
abdominal pain ssociated
with vomiting , temperature * The anti diabetic agent of
is normal , and there is choice for 50 years old
marked tenderness in obese lady with mild
epigastrium . Most seful hyperglycemia is ?
investigation for this A . Chlorpropamide
patient is ? B . Metformin
A . Cardiac enzymes C . Insulin
B . ECG D . Glibenclamide
C . Gastroscopy E . Repaglinide
D . Liver function test
E . Serum amylase * A patient of chronic
diarrhea is having angular
* A 67 years old man stomatitis and glossitis .
presents with bilateral The most likely cause of
ankle edema and pitting . these signs is deficiency of
Which of the following is ?
the most common cause ? A . Folic acid
A . Amlodipine B . Iron
B . Bisoprolol C . Proteins
C . Ruptured of Baker cyst D . Pyridoxine
D . DVT E . Thiamine
E . Cellulitis

* A 50 year old smoker

presents with history of
cough productive of mucoid
sputum every winter for last * A 40 years old woman gives
three years . The most history of fever for last
likely diagnosis is three weeks accompanied by
A . Bronchial asthma dry cough , night sweats and
B . Chronic bronchitis weight loss . Abdominal
C . Bronchiectasis examination reveals
D . Bronchogenic carcinoma hepatosplenomegaly , CXR

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 4
shows symmetrically A . Anaerobic bacteria
distributed line nodules . B . Gram negative bacilli
The most likely diagnosis is C . Streptococcus pneumonia
? D . Staphylococcus aureus
A . Pneumonia E . Mycobacterium
B . Malaria tuberculosi
C . Typhoid
D . Chronic liver disease * In a patient with
E . Miliary tuberculosis microscopic Hematuria ,
which of the following
* A 40 years old diabetic favours a glomerular
man presents with history of source ?
sudden onest of pain in A . Red cell casts and
right loin which radiates proteinuria .
towards the iliac fossa B . Blood at the beginning
associated with vomiting .On of the urinary stream .
examination tenderness is C . Blood at the end of the
present in right loin . The urinary stream .
most likely diagnosis is ? D . Suprapupic pain .
A . Appendicitis E . Abnormal urine
B . Cholycystitis cytology .
C . Diverticulitis
D . Perforated peptic ulcer * An important physical sign
E . Pyelonephritis of portal hypertension in a
patient of cirrhosis of
* A 20 year old Girl is liver is ?
taking anti tuberculosis A . Gynecomastia
treatment , she presents in B . Hepatomegaly
eye outdoor with visual C . Palmer Erythema
complaints . The most likely D . Spider angioma
cause of her symptoms is E . Splenomegaly
side effects of ? * An old patient presented
A . Isoniazid in emergency ward with
B . Pyrazinamide history of weakness of right
C . Rifampicin side of body of rapid
D . Ethambutol onest . The most helpful
E . Streptomycin first line management of
this patient is ?
* A 40 years old man gives A . Cerebral angiography
history of high grade fever B . Cerebrospinal fluid
for last one week with cough examination
productive rusty sputum , C . Computerised tomography
breathing on right lower scan brain
chest , CXR shows D . Fasting lipid profile
consolidation . The most E . Nerve conduction study
likely causative organism is
?

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 5
* A 50 years old man D . Autoantibody screen
presents with Dysphagia . E . Trial of antibiotics
Which of the following
characteristics suggests a * An epileptic girl is found
benign strictures of to have gum hypertrophy .
esophagus ? Anti epileptic drug which
A . Anemia she is most likely taking is
B . Weight loss ?
C . Cervical lymphadenopathy A . Carbamazepine
D . Hoarseness of voice B . Gabapentin
E . Dysphagia worse for C . Lamotrigine
solids D . Phenytoin
E . Sodium valproate
* Which of the following is
a cause of central
cyanosis ?
A . Exposure to cold
B . Heart failure * A patient presents with
C . Raynauds phenomenon tachycardia , wild swings in
D . Right to left cardiac blood pressure , headache ,
shunts diaphoresis , altered mental
E . Shock status , and a sense of
panic The most likely
* A young girl complains of diagnosis is ?
nocturnal cough and A . Hyperthyroidism .
shortness of breath which B . Generalized panic
disturbs her sleep . It was disorder .
diagnosed as bronchial C . Angina pectoris .
asthma . Investigation to D . Panic attack .
confirm this diagnosis is ? E . Pheochromocytoma .
A . CXR
B . Eosinophil count * A 16 year old Girl
C . Lung function test presents with chronic
D . Serum IgG level diarrhea , which of the
E . Sputum examination following features suggest
that she has irritable bowel
* Which of the following syndrome ?
does not form part of the A . Abdominal pain relieved
initial approach to by defecation .
investigating a fever of B . Anemia .
unknown origin ? C . Weight loss .
A . Early CT scan of abdomen D . Nocturnal symptoms .
and chest E . Blood in stools .
B . Serial blood cultures
off antibiotics * The most common risk
C . Careful history and factor for COPD is ?
examination A . Air pollution

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 6
B . Infection A . Pericarditis
C . Coal mining B . MI
D . Low socioeconomic status C . Esophagitis
E . Tobacco smoke D . Pleural effusion
E . Pneumothorax
* Which one of the following * The following are
statements about paracetamol complication of Nephrotic
poisoning is not true ? syndrome with the exception
A . 15 tablets may be a of ?
fatal overdose . A . Acute renal failure .
B . Oral methionine may be B . Accelerated HTN .
useful in treatment . C . Venous thrombosis .
C . Paracetamol levels D . Hypocalcemia .
should be checked at 4 hours E . Pneumococcal infection .
post ingestion .
D . If liver function tests * Which of the following is
are normal at 4 hours post a recognized feature of
ingestion , the liver has massive pulmonary embolism ?
not been damaged . A . Reduced plasma lactate
E . Activated charcoal levels .
should be given with B . Increase in serum
laxatives . troponin levels .
C . An arterial PH less than
* A 35 years old man 7.2 .
presents in a clinic with D . Blood gases show
history of chronic increased PCO2 on air .
productive cough that is E . Normal D _ dimer
worse in the morning and levels .
that occurs because changing
the position of patient . * A patient with embolic
Sputum is copious and yellow stroke is taking warfarin .
. The most likely diagnosis The most useful laboratory
in this patient is ? test to monitoring effect of
A . Bronchial asthma warfarin ?
B . Bronchiectasis A . PT
C . Bronchogenic carcinoma B . PTT
D . Pulmonary tuberculosis C . Bleeding time
E . Chronic bronchitis D . Hematocrit
E . Platelet count
* A 50 year old man presents
in emergency ward with * A 68 year old patient with
central chest pain . On COPD was admitted with a
examination his blood febrile exacerbation of his
pressure 90/60 and pulse 106 symptoms . Laboratory showed
, and he is pale and arterial PH 7.21 , PCO2 60
sweating profusely . The mmhg , HCO3 24 meq/L . Which
most likely diagnosis is ?

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 7
is the underlying acid base * A 5 years old boy gives
disorder ? history of swelling of body
A . Respiratory acidosis . starting from face and more
B . Respiratory acidosis on getting up in the morning
with metabolic Alkalosis . . On examination pallor is
C . Respiratory acidosis absent jugular venous
with metabolic acidosis . pressure is not raised .
D . Metabolic acidosis with Signs of Ascites and
respiratory alkalosis . bilateral pleural effusion
E . Metabolic acidosis are found , the first line
of investigation is ?
* 35 years old man is A . Blood urea level .
admitted to the hospital and B . CXR .
is undergo brain surgery . C . Echocardiography .
The patient is very anxious D . Liver function test .
and worried of the upcoming E . Urine for albumin .
surgery . He begins to
hyperventilate and becomes * An 70 year old man
dizzy and unconscious , the presents with palpitations .
ABG reveal PH 7.61 , PCO2 22 He has history of MI in 1995
mmhg , HCO3 24 meq/L . Most and was placed on
likely acid base disorder is nitroglycerin , Benzaepril ,
? aspirin and verapamil . In
A . Metabolic acidosis 2000 he was placed on
uncompensated . digoxin after a diagnosis of
B . Respiratory Alkalosis heart failure was made .
compensated . Three months ago he was
C . Respiratory Alkalosis placed on Nebivolol and
uncompensated . lasix ( Furosemide ) . He
D . Metabolic Alkalosis presents with evidence of
compensated . premature ventricular
E . Metabolic Alkalosis contractions , ST depression
uncompensated , and T waves inversion on
the ECG , there is no chest
* Most common cause of pain . In mean time what
Wallenberg syndrome is should you do ?
occlusion of ? A . Stop Benzaepril and
A . Basilar artery . digoxin .
B . Anterior cerebral artery B . Stop verapamil and lasix
. .
C . Middle cerebral artery . C . Stop Nebivolol and lasix
D . Posterior inferior .
cerebral artery . D . Stop lasix and digoxin .
E . Posterior cerebral E . Stop verapamil and
artery aspirin .

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 8
* A 52 year old man comes with smooth hepatomegaly and
to the emergency department shifting dullness , which of
because he has had vomiting, the following is the cause
nausea, and abdominal pain of hepatomegaly ?
for the past 12 hours . He A . IDA
says he attempted suicide . B . Budd Chiari syndrome
3 days ago by taking C . Ulcerative colitis
everything in the medicine D . Crohn disease
cabinet . He was stuporous E . Left sided heart failure
for approximately 12 hours
after the overdose . But * In patient with
felt better the following microscopic Hematuria ,
day . At this time , he has which of the following
jaundice and pain in the RUQ favours a glomerular
. Which of the following source ?
drugs is most likely to have A . Red cell cast and
caused the pain , vomiting protein in urine
and jaundice ? B . Blood at the beginning
A . Acetaminophen of voiding
B . Aspirin C . Blood at the end of
C . Cimetidine voiding
D . Diphenhydramine D . Suprapubic pain
E . Triazolam E . WBC in urine

* A patient present with * A 25 year old man present

weakness , nausea , vomiting to a rheumatologist with
, weight loss and new skin complaints of joint pain
pigmentation Labs show involving the large joints
Hyponatremia and of the legs . On questioning
Hyperkalemia , most likely the patient indicates that
diagnosis is ? exacerbations in the joint
A . Tinea versicolor pain are frequently
B . SIADH accompanied by diarrhea .
C . Addison disease Which of the following most
D . Leprosy likely diagnosis ?
E . Phenylketonuria A . Amebic colitis
B . Chronic appendicitis
C . Diverticulosis
D . Pseudomembranous colitis
* A 70 year old man who is E . Ulcerative colitis
presented with 2 weeks
history of abdominal pain * A 38 year old man has
that has worsened over the pulmonary tuberculosis ,
last few days , on treatment with isoniazid ,
examination the patient is rifampin , ethambutol and
jaundice with tenderness pyrazinamide is started,
over the epigastric area , which of the following

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 9
should be added to the Which of the following is
medication regimen to most likely diagnosis ?
prevent neurologic toxicity A . Acquired Hemolytic
in this patient ? anemia
A . Vitamin B9 B . Chronic blood loss
B . Vitamin B3 C . Folic acid deficiency
C . Vitamin B12 D . B _ thalassemia minor
D . Vitamin B6 E . Pernicious anemia
E . Vitamin C
* What is the m.common cause
* Major criteria of of bacterial UTI ?
rheumatic fever are all A . Staphylococcus
except ? B . Neisseria
A . Carditis C . E coli
B .subcutaneous nodules D . Streptococcus
C . Arthralgia E . Pseudomonas
D . Erythema marginatum
E . Sydenham Chorea * Which of the following is
an appropriate initial
treatment for pulmonary
tuberculosis ?
A . INH
B . INH and rifampin
C . INH , rifampin and
ethambutol
* A 30 year old female is D . INH, rifampin ,
started on Carbimazole 20 mg ethambutol and pyrazinamide
following a diagnosis of E . INH , rifampin ,
Graves disease . What is the ethambutol and streptomycin
best biochemical marker to
assess her response to * The treatment of choice
treatment ? for recurrent transient
A . Total T4 ischemic attack in patient
B . TSH on aspirin with new onest
C . Free T4 atrial fibrillation is ?
D . ESR A . Anticoagulation
E . Free T3 B . Carotid endarterectomy
C . Clopidogrel
* A 75 years old woman has D . Corticosteroids
increasing shortness of E . Carotid stent
breath on exertion .
Findings on physical * Chronic renal dialysis
examination are unremarkable patient is brought to the
. X_Ray of the chest show no emergency department
abnormalities of the hear or incardiac arrest , the most
lungs Labs show HCT 28% , likely cause is ?
Hb 9 g/dl , MCV 70 . A . Pericardial effusion

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 10
B . Hyperkalemia E . Zollinger Ellison
C . Hypocalcemia syndrome
D . Malignant HTN
E . Post dialysis * All of the following forms
hypotension of vaccine except ?
A . Killed vaccine
B . Attenuated vaccine
C . Toxoid
D . Serum
* All of the following are E . Subunit
contraindications to passing
a nasogastric tube except ? * A 19 year old female
A . Hx of esophageal varices presents with sudden sever
B . Basal skull fracture right sided chest pain that
C . Suspected perforation of develops shortly after she
the esophagus had been placing heavy boxes
D . Complete intestinal on shelves in her garage
obstruction physical examination reveals
E . Presence of esophageal an a febrile female in mild
foreign body respiratory distress .
Breath sounds are markedly
* All of the following are decreased on the right , and
side effects of steroid the right lung is
except ? hyperresonant to
A . Elevated blood pressure percussion . Which of the
B . Acne following is most likely
C . Skin bruises present in this individual ?
D . Hypoglycemia A . Pneumoconiosis
E . Cataract B . Pneumocystis infection
C . Bacterial pneumonia
* All of the following can D . Viral pneumonia
cause acute renal failure E . Pneumothorax
except ?
A . Rhabdomyolysis
B . NSAIDs
C . Ethylene glycol
D . Penicillin
E . Iron
* Tertiary prevention
* Which of the following is consist of ?
the most common cause of A . Crisis preparation
Duodenal ulcer ? B . Elimination of specific
A . NSAIDs disease
B . H pylori C . Early diagnosis
C . Alcohol abuse D . Rehabilitation after
D . Chronic corticosteroids disability
E . Environmental sanitation

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 11
 A . Sulfa drugs _ Steven
* Which of the following Johnson syndrome .
statement about Polyvalent B . Aminoglycosides _
anti_snake venom serum is nephrotoxicity .
true ? C . Acetaminophen _ GI upset
A . It is to be given and bleeding .
subcutaneously D . Opiates _ constipation .
B . It is an example of E . Atenolol _ Bradycardia.
passive immunization
C . It is usually obtained * All of the following are
from human's donor's causes of DM except ?
D . Should be stored at 0 A . Thyroid hormone
Sep Celsius B . Thiazides
E . It gives life long C . Pancreatic cancer
immunity D . Addison disease
E . Hemochromatosis
* All are true about CPR
quality in advanced cardiac * All of the following are
life support except ? differential diagnosis of ST
A . Push hard less than 2 segment elevation except ?
inches and allow complete A . Acute Pericarditis
chest recoil . B . Early repolarization
B . Push fast more than 100 C . Hyperthermia
and less than 120 D . Prinzmetal angina
compressions per minute . E . Left ventricular
C . Minimize interruptions aneurysm
in compressions and give
shock as soon as possible . * All of the following are
D . Compressions to rapid or short acting
ventilation ratio 30 : 2 . prandial bolus insulin
E . Target of CPR quality except ?
are ETco2 > 10 mmhg and A . Insulin glargine
diastolic BP > 20 mmhg . B . Insulin regular
C . Insulin lispro
* All of the following are D . Insulin glulisine
common causes of chest pain E . Insulin aspart
except ?
A . Angina * Adverse consequences of
B . Pericarditis obesity include all of the
C . PE following except ?
D . Tension pneumothorax A . Coronary artery disease
E . Esophageal reflux B . Hypertension pulmonary
C . DM type one
* All of the following are D . Osteoarthritis
true matching about drugs E . Colorectal cancer
and side effects except ?

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 12
* NT_PRO BNP elevation is D . Obesity
caused by all of the E . Hiatus hernia
following except ?
A . MI
B . CHF
C . Atrial fibrillation
D . PE
E . COPD exacerbation * All are true about Crohn
disease except ?
* All are true about A . Usually affect terminal
Hyperosmolar hyperglycemic ileum .
state except ? B . Fever is very common .
A . Partial or relative C . Palpable mass is rare
insulin deficiency . compared to ulcerative
B . Characterized by colitis .
hyperglycemia , D . Diarrhea less prevalent
hyperosmolarity , than ulcerative colitis
dehydration and ketosis . E . Cobblestone mucosal
C . Occurs in DM type two . appearance .
D . Lower insulin
requirement compared to * All of the following are
DKA . true about irritable bowel
E . Overall mortality higher syndrome except ?
compared to DKA . A . Onest of symptoms
usually in young adults .
* All are causes of Acute B . Signs and symptoms
bloody diarrhea except relived with defecation ,
A . Shigella increased by stress .
B . Campylobacter C . Bloody diarrhea .
C . Bacillus cereus D . Inflammatory markers are
D . Yersinia negative .
E . Entamoeba histolytica E . 80% improve over time .

* All of the following are * All of the following are

indications for Enalapril matching about hepatitis B
administration except ? serology except ?
A . HTN A . Acute infection _
B . MI HBsAg , HBeAg , anti HBc IgG
C . CHF are positive .
D . DM B . Chronic inactive
E . Aortic stenosis infection _ HBsAg , HBeAg ,
anti HBc IgG are positive .
* All are risk factors for C . Chronic active infection
Barrett esophagus except _ HBsAg , anti HBe , anti
A . Old age HBc IgG are positive .
B . Female
C . Smokers

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 13
D . Resolved infection _ E . Metastasis
anti HBs , anti HBe , anti
HBc IgG are positive . * All of the following are
E . Immunized person _anti true matching about the
HBs positive . interpretation of urinary
casts except ?
* Auer rod white blood cell A . Fatty casts _ nephritic
on blood film is syndrome .
characteristic for ? B . Pigmented epithelial
A . AML granular cast _ ATN .
B . CML C . White blood cell casts _
C . ALL interstitial nephritis .
D . CLL D . Red blood cell casts _
E . Hodgkin lymphoma glomerulonephritis .
E . Hyaline casts _
* Mode of transmission for physiological during
all of the following by exercise or fever
food_water borne except ?
A . MRSA * All of the following are
B . Cholera true matching about RBC
C . Salmonella inclusions except ?
D . HAV A . Erythroblasts _
E . HEV Hemolytic anemia .
B . Heinz bodies _ IDA
* Red currant jelly sputum C . Howell jolly bodies _
is characteristic for ? post splenectomy
A . Streptococcal pneumonia D . Basophilic stippling _
B . Staphylococcal pneumonia lead poisoning .
C . Klebsiella pneumonia E . Sideroblasts _
D . Mycoplasma pneumonia hypothyroidism
E . Legionella pneumonia
* Westermark sign , Hamptons
* All of the following are hump , enlarged right
causes of Reticulocytosis ventricle and right atrium
except ? and atelectasis on CXR is
A . SCA characteristic for ?
B . Chronic blood loss A . Pulmonary edema
C . HUS B . Pulmonary embolism
D . DIC C . Sarcoidosis
E . Malaria D . COPD
* All of the following are E . Pulmonary fibrosis
causes of cavitating lung
nodule on CXR except ? * All of the following are
A . Wegener disease causes of Hyponatremia
B . Allergic alveolitis except ?
C . Sarcoidosis A . Nephrotic syndrome
D . Tuberculosis B . Hyperthyroidism

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 14
C . SIADH B . Prevention of disease
D . Furosemide Onest
E . CHF C . Early detection of
disease
* Signs and symptoms of D . Treat and rehabilitate
third cranial nerve palsy of disease to prevent
include all of the progression , and disability
following except ? .
A . Absent of light reflexes E . Stop of smoking .
B . Ptosis
C . Eye deviated downward * All of the following are
D . Eye deviated outward causes of Hyperglycemia
E . Mydriasis except ?
A .DM
* Paresthesia , sensory B .Pheochromocytoma
ataxia , myopathy , subacute C .Thyrotoxicosis
combined degeneration of D . DI
spinal cord , optic E . Glucagonoma
neuropathy are
characteristic of ? * All of the following are
A . Vitamin B12 deficiency causes of hypoglycemia
B . Vitamin B6 deficiency except ?
C . Vitamin B1 deficiency A .Glucagonoma
D . Folate deficiency B .Postprandial
E . Niacin deficiency C .Addison disease
* All are causes of D . Glibenclamide
Hypokalemia except ? E. Liver cirrhosis
A . Bartter syndrome
B . Angelman syndrome * All of the following are
C . Hypomagnesemia causes of Hyponatremia
D . Conn syndrome except ?
E . Cushing syndrome A . SIADH
B . Furosemide
* One is true about Petit C . DKA
mal seizures ? D . DI
A . Muscle rigidity E . Addison disease
B . Tongue biting
C . Arrest of activity for 5 * About SIADH , all are true
_ 10 seconds . except ?
D . Flaccid limbs A . Euvolemic state
E . Loss of muscle tone B . High urine specific
gravity
* The goal of tertiary level C . High urine sodium
of prevention is ? D . Hypernatremia
A . Protect health and E . Low serum osmolality
lifestyle

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 15
* Most c. cause of D . Age related changes
hypothyroidism worldwide ? E . Paget disease of the
A . Hashimoto thyroiditis bone
B . Gravis disease
C . Iodine deficiency * The main pathophysiology
D . Subacute thyroiditis of Myasthenia gravis is ?
E . Post_thyroidectomy A . Anti calcium channel
* The best laboratory test bodies
for follow up patient with B . Low level of
Hashimoto thyroiditis is ? acetylcholine
A . T3 C . Hyposensitivity to
B . T4 acetylcholine
C . TSH D . Acetylcholine receptor
D . TRH antibodies
E . ESR E . Neuromuscular
degeneration changes
* All are true about
hyperthyroidism except ? * All are causes of Polyuria
A .Increased appetite except ?
B . Heart rate 50 BPM A . DM
C . Hypomenorrhea B . DI
D . TSH is very low C . Renal failure
E . Atrial fibrillation on D . Hypercalcemia
ECG E . SIADH

* All are causes of * All are true about

hypercalcemia except ? resistant HTN except ?
A .Thyrotoxicosis A . It is diuretics related
B .Multiple myeloma condition
C . Lung cancer B . Pheochromocytoma is
D . Furosemide underlying cause .
E . Hyperparathyroidism C . To put this diagnosis ,
patient must be on 3 drugs ,
* 55 years old male patient one of them Thiazide .
with with back pain , spine D . To put this diagnosis ,
X_Ray shows fracture in body patient must be take the
of lumbar vertebrae . Lab optimal dose for HTN drugs .
findings : K 4.1 , Na 140 , E . Diet problems is
Cl 101 , Ca 13 , Hb 8.5 , underlying cause .
WBC 12.3 , platelets
150*10`9 , total protein 105
g/dl . Which of the * All are causes of
following is the most likely Thrombocytosis except ?
diagnosis ? A . IDA
A .Sarcoidosis B . Polycythemia rubra vera
B . Osteosarcoma C . Hypersplenism
C . Multiple myeloma D . After Splenectomy

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 16
E . Collagen disorders blood sugar 139 mg/dl ,
which of the following is
* All of the following are most appropriate next step ?
causes of Hypokalemia except A . GAD study .
? B . Postprandial glucose
A . Cushing syndrome tolerance test .
B . Conn syndrome C . Start treatment right
C .Thiazide now as DM .
D .Pyloric stenosis D . Another reading of
E . Addison disease fasting blood sugar
E . Diet therapy .
* All of the following are
causes of Hyperkalemia * All are true about DKA
except ? except ?
A . Nelson syndrome A . PH of the serum < 7.35
B . Rhabdomyolsis B . Hyponatremia
C . Digoxin toxicity C . Ketones bodies in serum
D . Enalapril D . Normal anion gap
E . Conn syndrome E . Complicated by brain
edema
* One of the following
statements is wrong ? * The major deference
A . Patient with between primary and
Pheochromocytoma must be secondary adrenal
treated by B_Blockers insufficiency is ?
B . Pheochromocytoma is one A . Na and k in serum
of the causes of resistant B . Blood pressure
HTN . C . Weight status
C . Most common cause of D . Glucose in serum
secondary HTN is renal E . Skin pigmentation
disease .
D . Conn syndrome is primary * Criteria of disease
hyperaldosteronism . activity for rheumatoid
E . Most common cause of arthritis include all of the
Thyrotoxicosis is Graves following except ?
disease . A . Rheumatoid factor
B . ESR
* Amlodipine is ? C . CRP
A . Aldosterone antagonist . D . Thrombocytosis
B . B blockers . E . Anti_CCP
C . Muscle relaxants .
D .Dihydropyridine CCB * All of the following about
E . Non Dihydropyridine TB are true except ?
CCB . A . This disease is
preventable and treatable .
* 50 years old male patient B . This disease is systemic
is presented with fasting

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 17
C . This disease mainly
affect the Lower lobes of
the lung * 25 years old male patient
D . BCG vaccine is live present with multiple
attenuated vaccine for TB psychological problems ,
E . Most patients TB which of the following
infections are due to disturbances is the most
secondary infection likely to see in this
patient ?
* Obesity associated with A . Bloody diarrhea
all of the following B . GIT ulcers
except ? C . Occult blood in stool
A . Psychological disorders D . Alternating diarrhea and
B . GIT disturbances constipation
C . Colorectal cancer E . IDA
D . Osteoporosis
E . Osteoarthritis * Most common cause of upper
GI bleeding is ?
* All are causes of A . Mallory Weiss syndrome
Leucocytosis except ? B . PUD
A . Dermatomyositis C . Varicose veins of
B . Polymyositis esophagus
C . Fibromyalgia D . Esophagitis
D . Septic arthritis E . Gastric angiodysplasia
E . Polyarteritis nodosa
* Best tool for diagnosis of
* All are causes of infective endocarditis
microcytosis except ? A . ECG
A . Pernicious anemia B . CT angiography
B . Sideroblastic anemia C . Mediastinoscopy
C . B thalassemia D . MRI
D . Lead toxicity E . Two dimensional echo
E . Anemia of chronic
disease * All are causes of chronic
liver disease except ?
* 22 years old patient with A . Hepatitis B
celiac disease , admitted B . Hemochromatosis
with chief complain of C . Alpha one antitrypsin
diarrhea for 2 weeks , the deficiency
most likely cause is ? D . Hepatitis A
A . GIT infection E . Cystic fibrosis
B . IBS
C . IBD * All are complications of
D . Carcinoid syndrome cystic fibrosis except ?
E . No adherent to gluten A . Pancreatic insufficiency
free diet B . Hypoglycemia
C . Recurrent lung disease

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 18
D . Recurrent sinusitis D . It is a block in one or
E . Anal prolapse more of the pulmonary veins
E . Classical ECG finding is
* All are causes of S1Q3T3
Bradycardia except ?
A . Metoprolol * Most important risk
B . Digoxin factors for stroke
C . Thyroxine development is ?
D . Athletic person A .High blood pressure
E . Neostagmine B . Low blood pressure
C . Aneurysm rupture
* Risk of transmission of D . Trauma
HIV to medical person's from E . Vasculitis
needle stick is ?
A . 0.3% * All are causes of
B . 0.03% increased CVP except ?
C . 3% A . Fluid overload
D . 30% B . Right sided heart
E . 10% failure
C . Pulmonary HTN
* About HIV , all are true D . Anaphylactic shock
except ? E . Pulmonary stenosis
A . AIDS is the last stage
of HIV infection . * All are used in treatment
B. HIV infection is not of Anaphylactic shock except
preventable by vaccination ?
C . Heterosexual type of A . Adrenaline
transmission is the most B . IV fluid
common C . 100 % oxygen
D . It is transmitted by D . Hydrocortisone
blood transfusion . E . Propranolol
* Paracetamol antidote is ?
A . Protamine sulfate * The major deference
B . N_acetylcysteine between vitamin B12 and
C . Flumazenil folate deficiency anemia
D . Bicarbonate is ?
E . Vitamin K A . MCV value
B . HCT value
* About pulmonary embolism , C . Blood film findings
all are true except D . Foot Paresthesia
A . Past history of DVT E . MCHC value
support the diagnosis .
B . Heparin is used for * All are true about
treatment Mycoplasma pneumonia
C . Chest X_Ray usually except ?
normal without significant A . Patient is looking
changes well .

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 19
B . Associated with E . Nitrofurantoin
Hemolytic anemia .
C . Common in younger age * Best way of the following
group . to prevent diabetic
D . Good response for retinopathy is ?
Macrolides antibiotics . A . Optimal dose of insulin
E . Associated with septic B . Optimal dose of
shock metformin
C . Annual visit to
physician
D . ACE_i administration
E . Good control of sugar
* Highly severe pneumonia
depends on all of the * The most early and best
following criteria except ? laboratory finding for
A . BUN > 7 mmol/l diagnosis of diabetic
B . Confusion nephropathy is ?
C . Age 20_30 years old A . Urine analysis positive
D . R.R > 30/min for Bacteria
E . Systolic blood pressure B . Kidney biopsy
< 90 mmHg C . RBCs casts in urine
D . 24 hour protein
* All of the following are /creatinine ratio in the
true about Nephrotic urine
syndrome except ? E . Kidney ultrasound
A . HTN
B . Proteinuria > 3.5 * All of the following are
gram/day causes of increasing
C . Edema Triglycerides in serum
D . Hypercholesterolemia except ?
E . Hypoalbuminemia A . Nephrotic syndrome
B . Ibuprofen
* The most important finding C . DM
in Glomerulonephritis is ? D . Alcohol
A . WBCs casts in urine E . Lipoprotein lipase
B . Hyaline casts in urine deficiency
C . RBCs casts in urine
D . Proteinuria
E . Bacteriuria
* All of the following
* Best drug that is used for represents targets for
prophylaxis and treatment of systemic HTN except ?
diabetic nephropathy is ? A . Retinopathy
A . ARBs B . Nephropathy
B . B blockers C . Heart failure
C . CCB D . Subdural hemorrhage
D . Furosemide

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 20
E . Peripheral vascular * 65 years old male
disease patient , present to
emergency room with chief
* All of the following are complain of right sided
causes of exudative pleural weakness and speech
effusion except ? inability , one physical
A . PE examination, right side
B . Hypoalbuminemia weakness 1/5 , speech exam ,
C . Lymphoma patient obey command but
D . Mesothelioma can't speak any words , this
E . SLE type of dysphasias is most
likely ?
* All of the following are A . Receptive aphasia
true about COPD , except ? B . Conduction aphasia
A . FEV1< 80% of predicted C . Expressive aphasia
B . Complicated by right D . Nominal aphasia
heart failure E . Dysarthria
C . High F:O2 is needed
D . Stop of smoking is All are components of Horner
beneficial in stop syndrome except ?
progression of the disease A . Proptosis
E . In ABG PaO2 is low , B . Myosis
PaCO2 is high . C . Anhidrosis
D . Enophthalmos
* All of the following are * All of the following are
increases risk of DVT except decrease potassium in
? Hyperkalemic patient
A . Malignancy except ?
B . Estrogen therapy A . Insulin and glucose
C . Old age B . Ventolin nebulizer
D . Protein C excess C . Furosemide
E . Protein S deficiency D . Calcium gluconate
E . Kayexalate resin
* In Hyperventilation
syndrome , one is true ? * All of the following are
A . Increasing PH of the causes of huge massive
serum Splenomegaly except ?
B . Caused by severe attack A . Hemolytic anemia
of bronchial asthma B . Myelofibrosis
C . Characterized by C . Malaria
hypercapnia D . Leishmaniasis
D . Caused by poliomyelitis E . Tropical Splenomegaly
E . No relation to acute
respiratory distress * All of the following are
syndrome risk factors for hepatic
encephalopathy except ?
A . GIT bleeding

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 21
B . Benzodiazepine D . Exhaustion
C . Rifampicine E . Bradycardia
D . Diuretics
E . Neomycin

* The target HbA1c in

diabetic patient is ?
A . < 6%
* All are true about acute B . < 7%
renal failure except ? C . < 8%
A . Pre_renal causes are the D . < 9%
m. common causes E . < 5%
B . ATN is the most common
renal cause * All are causes of
C . It is rarely caused by Hypokalemia except ?
enlarged prostate A . Spironolactone
D . Small kidneys and B . Furosemide
increased echogenicity on C . Thiazide
ultrasound D . Conn syndrome
E . Usually no history of E . Cushing syndrome
Co_morbidity
* All are true about
* Long term steroid therapy inflammatory diarrhea except
can cause all of the A .Stool PH is low with
following except ? alkalosis .
A . Hypernatremia B .Stool usually watery .
B . Hyperkalemia C.Consider IBD, c.Difficile
C . GIT ulcers infection .
D . Suprarenal gland failure D .Stool volume less than
E . Osteoporosis 500 ml .
E .Continue during fasting,
* About DKA , all are true associated with anemia ,
except ? urgency .
A . Hyponatremia
B . Leucocytosis * All are true about
C . Serum PH decreased metformin except ?
D . PaCO2 decreased Decreased insulin resistance
E . Normal anion gap , so it can be given in PCOS
.
* In severe bronchial asthma It teratogenic , so it can't
, all of the following are be given in gestational
true except ? diabetes .
A . Cyanosis Most serious side effects is
B . Confusion lactic acidosis , so it
C . Hyperresonant chest

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 22
can't be given in renal B . Cough productive for 2
failure . months of three successive
It inhibits gluconeogenesis years .
in the liver . C . Cough productive for 3
No effect on pancreas . months of two successive
years .
* Which of the following D . Cough productive for 3
causes of Potts disease months of three successive
Primary TB years .
Skeletal TB
TB meningitis * Drug of choice to treat
Miliary TB patient with HTN and
GIT TB bronchial asthma is ?
ACE_i
* Patient presents with COPD B blockers
, Hepatomegaly, peripheral CCB
edema , finger clubbing . Statin
ECG : peaked P wave , most
likely diagnosis ? * All are true about
PE Ankylosing spondylitis
Cor pulmonale except
LVF A . More common in male .
LAH B . Aortitis and AV block
Sleep apnea are manifestation .
C . Unilateral uveitis with
* All of the following are painful red eye ,
true about Sarcoidosis Photophobia .
except ? D . Obstructive lung disease
More in black race . is manifestation .
May cause complete heart E . Associated with HLA_B27
block . gen .
Involve mostly left hilar
lymph nodes . * All of the following are
Lupus pernio and Erythema characteristic of IDA except
nodosum are seen . ?
Hepatosplenomegaly is common Anisocytosis
. Spherocytosis
Poikilocytosis
Hypochromia
Microcytosis

* The criteria for diagnosis * Most common cause of

chronic bronchitis is ? travelers diarrhea is ?
A . Cough productive for 2 E coli
months of two successive Cholera
years . Shigella
Brucella

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 23
Staphylococcus aureus * Red man syndrome is a side
effect of ?
* One of the following seen Vancomycin
in esophageal perforation ? Amoxicillin
Courvoisier sign Metronidazole
Grey sign Levothyroxine
Cullen sign Levofloxacine
Boerhaave syndrome
Achalasia * Most common site of
tuberculosis in Jordan is ?
* All are signs and symptoms Skeletal
of hypothyroidism except ? Meningitis
Carpal tunnel syndrome Lymphatic
Hyponatremia Pulmonary
Pericardial effusion Miliary
Hypolipidemia
Normochromic Normocytic * Most common antibiotics to
anemia cause anaphylaxis
Aminoglycosides
B_lactam
Cephalosporin
Glycopeptide
* Most common cause of Macrolides
gynecomastia is ?
Liver failure * An injury of optic chiasm
Estrogen secreting tumor by pituitary adenoma will
HCG secreting tumor cause ?
Idiopathic Monocular visual loss
Puberty Bitemporal hemianopia
Homonymous hemianopia
* All are characteristic for Inferior Homonymous
MEN1 except ? quadratanopia
Hypercalcemia
Hypoglycemia * Which of the following
PUD muscles is supplied by
Pheochromocytoma Abducens nerve ?
Glucagonoma Superior rectus
Medial rectus
* Most effective drug Lateral rectus
increasing HDL is ? Inferior rectus
Statins Superior oblique
Fibrate
Bile acid resins
Niacin * Most specific test for
Ezetimibe diagnosis Pheochromocytoma
is ?
CT scan

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 24
Dexamethasone test * Most common cause of Cor
24 hour urine metanephrines pulmonale is ?
Plasma free metanephrines Pulmonary embolism
Obstructive sleep apnea
* The most appropriate drug COPD
to use in case of thyroid Bronchial asthma
storm is ? Tuberculosis
Methimazole
Dexamethasone * All of the following are
Propylthiouracil symptoms of bronchial asthma
Supportive care except ?
Iodine Dry cough
Chest tightness
* All of the following are Wheezing
true about DKA except ? Stridor
Hypovolemia Shortness of breath
Kassmaul breathing
Coma * All are true about
Hyperglycemia Sarcoidosis except ?
Low anion gap metabolic A . Restrictive lung disease
acidosis .
B . Hypocalcemia .
* All are causes of C . Non caseating Granuloma
Hypocalcemia except ? on biopsy .
Acute pancreatitis D . Hepatosplenomegaly .
Hypermagnesemia E . Painless skin sores on
Pseudo_hypoparathyroidism face which called lupus
Hyperphosphatemia pernio .
Chronic renal failure
* All of the following are
* First step in diagnosis signs of pulmonary
Acromegaly is one of the hypertension except ?
following test in serum ? A . Right ventricular
IGF_1 hypertrophy .
IGF_2 B . Prominent A wave on
G.H JVP .
G.H.R.H C . Loud S1
Somatostatin D . Hepatosplenomegaly and
Ascites .
* Most common manifestation E . Systolic pulmonary
of Brucellosis ? pressure > 30 mmHg and mean
Bradycardia pulmonary pressure > 20
Abdominal pain mmHg .
Fever
Dry cough * LMWH works on ?
Skin rash Factor 2
6,44 Factor 7

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 25
Factor 8 Transesophageal
Factor 10 echocardiography
Factor 12 Aortoangiography

* All are causes of lower

limbs edema except ? * All of the following are
Cellulitis side effects of Thiazide
Ruptured Baker cyst diuretic except ?
Lymphedema Hypokalemia
Left heart failure Hypocalcemia
DVT Hypomagnesemia
Hyponatremia
* Which of the following is Hyperglycemia
contraindicated in case of
variant prenzmetal * Drug of choice to treat
angina ? Raynauds phenomenon
ACE_i ACE_i
ARBs B blockers
B blockers CCB
CCB Loop diuretics
GTN ARBs

* Most common cause of * All of the following are

secondary HTN is ? parts of atrial fibrillation
Chronic kidney disease management except ?
Cushing syndrome Class 1A Quinidine
Hyperthyroidism Class 1B lidocaine
Obstructive sleep apnea Class 1C propafenone
Conn syndrome Class 3 Amiodarone
DC shock
* Most common cause of
infective endocarditis ? * All of the following must
Streptococcus group A be treated with DC shock
Streptococcus group B except ?
Streptococcus viridans Unstable atrial fibrillation
Staphylococcus viridans Pulsless ventricular
Staphylococcus group A tachycardia
Ventricular fibrillation
Unstable fibrillation
PVC

* Carotid thrills , arterial

* Most common way to pulsation in retinal artery
diagnose aortic stenosis ( Becker sign ) , head
CT angiography nodding , water hummer pulse
MRA , bisfirenes pulse , pistol
shot pulse are

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 26
seen ?
Mitral stenosis * Most common SLE
Mitral regurgitation manifestation is ?
Aortic stenosis Skin
Aortic regurgitation Joints
Pulmonary stenosis Neurology
Renal
Blood

* Most common valve disease

causing pulmonary HTN ?
Mitral stenosis * All are true about
Mitral regurgitation reactive arthritis Reiters
Aortic stenosis syndrome except ?
Aortic regurgitation Keratoconjunctivitis sicca
Mitral valve prolapse and uveitis .
Balanitis and oral ulcer .
HLA_B27 is positive and RF
is positive .
GIT infections are the only
cause .
* All are risk factors for Kerato_derma blenorrhagica
developing infective
endocarditis except ? * Most specific antibodies
AIDS in SLE ?
VSD Anti ss _ A
HOCM Anti ss _ B
ASD Anti _ RNP
Prosthetic valve Anti Ds_DNA
ANA
* Most sensitive test to
diagnose SLE is ? * Which of the following
RF large vessel pathology ?
ESR A . HSP
Ds_DNA B . Takayasu arteritis
ANA C . Wegener Granulomatosis
Anti_smith D . Churg Strauss syndrome
E . Kawasaki disease
* Which of the following can
be used for diagnosis of * Most specific test for
Wegener Granulomatosis ? diffuse systemic sclerosis
C_ANCA antibodies is ?
P_ANCA antibodies SCL_70
Anti_RNP Anti_centromere antibodies
ANA antibodies ANA
Anti histone antibodies Anti RNP

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 27
Anti histone antibodies and Lambert Eaton Myasthenic
* All are true about Behcets syndrome ?
disease except ? X_Ray
A . Most common CT scan
manifestation is painful MRI
oral apththous ulcer . ECG
B . Erythema toxicoum EMG
C . DVT and PE
D . HLA_B51 gen is positive * First line drug to be
E . Mostly seen in Turkish used in management a patient
people age 20_30 years old . with migraine headache is ?
Ergotamine
* Philadelphia chromosome is Sumatriptan
mostly seen in which of the Propranolol
following ? Verapamil
A . Acute myeloblastic Lithium
leukemia .
B . Acute lymphoblastic * Most common cause of
leukemia . epilepsy is ?
C . Chronic myeloblastic Stress
leukemia . Congenital
D . Hodgkin lymphoma Trauma
E . Non Hodgkin lymphoma Idiopathic
Hypoxia
* Carbamezipine can be used
in all of these cases except
?
Partial seizure simple * The treatment of choice of
Generalised tonic clonic Juvenile Myoclonic epilepsy
seizure ( Janz syndrome ) is ?
Myoclonic or absence seizure Carbamezipine
Trigeminal neuralgia Sodium Valproate
Complex partial seizure Phenytoin
Corticosteroids
* An injury to the optic Clonazepam
tract will cause ?
A .Monocular visual loss * All are true about
B .Bitemporal Hemianopia migraine headache except ?
C .Homonymous hemianopia A . More common in teenage
D .Inferior Homonymous men .
quadratanopia B . Stress , exercise ,
E.Superior Homonymous cheese , chocolate ,
quadratanopia menarche are triggering
factors .
* Which of the following can C . Associated with aura .
be used to differentiate
between Myasthenia gravis

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 28
D . Unilateral associated * Drug of choice for
with vomiting and prevention of close contacts
Photophobia . with patient with
E . Maximum last for 3 meningococcal meningitis
days . is ?
Corticosteroids
* The treatment of choice Ceftriaxone
for infantile spasms ( west Rifampicine
syndrome ) ( Hypsarrhythmia Benzylpenicillin
on ECG ) is ? Vancomycin
Carbamezipine
Sodium Valproate
Phenytoin * All of the following are
Corticosteroids true about Brown Sequard
Clonazepam syndrome except ?
A . Upper motor neuron
* Best way to differentiate weakness on the same side as
between cerebral infraction the lesion .
and hemorrhage is ? B . Loss of position and
CT scan vibration ipsilateral to the
X Ray lesion .
MRI C . Touch in intact .
Angiogram D . Loss of pain and
MRA temperature ipsilateral to
the lesion .
* All are true about
Parkinson disease except ? * Uhthoff phenomenon is seen
A . Degeneration of in ?
extrapyramidial pathway . Parkinson disease
B . Decreased dopamine level Meningitis
in brain . Multiple sclerosis
C . Triad Akinesia , tremor Guillain barre syndrome
resting , rigidity . Duchenne muscular dystrophy
D . Mean age of onest 60
years old . * Which of the following
E . Pathology is found in disease are associated with
substantia gelatinosa . both degeneration in
upper motor neuron and lower
* Most common cause of motor neuron ?
meningitis in epidemic area Parkinson disease
is ? Multiple sclerosis
Neisseria meningitis Alzheimer's disease
Streptococcus pneumonia Amyotrophic lateral
Tuberculosis sclerosis
Hib Duchenne muscular dystrophy
Staphylococcus aureus

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 29
* ALL of the following are E) Lhermitts sign and
associated with SLE except : uhthoffs sign are positive
A) Treatment include
methotrexate * Most common cause of early
B ) Cardiovascular disease death postoperative MI :
is the most common cause of A) Ventricular extrasystole
death . B) Myocardial rupture
C) erosive arthritis C) Myocardial aneurysm
D) Libman sacks endocarditis D) Ventricular arrhythmia
E) Malar butterfly rash E) Cardiac tamponade

* All of the following are * First line in management

causes hyperurecemia of ventricular
except : fibrillation :
A) Hypothyroidism A) Adrenaline
B) Lesh Nyhan syndrome B) Atropine
C) Thiazide diuretic C) Amiodarone
D) Hyperthyroidism D) DC shock
E) INH E) Lidocaine

* Miosis associated with all * All of the following

of the following except : feco_oral transmission
A) Organophosphates except :
poisoning A) HEV
B) Morphine B) HDV
C) Oculomotor nerve palsy C) Poliomyelitis
D) Horner syndrome D) Gardiasis
E) Cluster headache E) Cryptosporidium

* All of the following are * All of the following

associated with diarrhea causes Polyuria except :
except : A) DI
A) Hyperparathyroidism B) Renal failure
B) Celiac disease C) Insulin deficiency
C) Inflammatory bowel D) SIADH
disease E) Hypercalcemia
D) Gastrinoma
E) Cryptosporidium * All are side effects of
digitalis toxicity except :
* All are true about A) Nausea and vomiting
multiple sclerosis except : B) Yellow vision
A) Occur in elderly C) Short PR interval
B) Remission and relapse D) Gynecomastia
C) Unilateral optic neuritis E) Anorexia
D) Antibodies to
oligodendrocyte glycoprotein

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 30
* All of the following are * All of the following are
indication for liver biopsy causes of huge Splenomegaly
except : except :
A) Hepatic tumor A) CML
B) Wilson's disease B) Kala_azar
C) Prolonged PT C) Malaria
D) Fever unknown origin D) Sarcoidosis
E) Autoimmune hepatitis E) Infectious mononucleosis

* All of the following are

* Which of the following is causes of Extrasystole
CCB : (PVCs) except :
A) Furosemide A) Digoxin toxicity
B) Diltiazem B) MI
C) Digoxin C) Lidocaine
D) Simvastatin D) Heart failure
E) Ramiprile E) HTN
* Which of the following
valvular heart disease * All of the following are
increase risk of angina : associated with Parkinsonism
A) Aortic regurgitation except :
B) Mitral regurgitation A) Bradykinesia
C) Aortic stenosis B) Mask like face
D) Mitral stenosis C) Sensory defect
E) Pulmonary stenosis D) Shuffling gait
E) Lewy bodies
* All of the following are
causes of chest pain * All are seen in DM type 1
except : except :
A) Dissecting aortic A) HLA DR3 and HLA DR4
aneurysm association
B) PE B) Obesity
C) Pericarditis C) Ketoacidosis
D) Cardiomyopathy D) Young age
E) Tietzes syndrome E) Autoimmune B cell damage

* All of the following

associated with aortic
stenosis except :
A) Sudden death * Most common symptom of
B) Wide pulse pressure Bronchogenic carcinoma :
C) Slow rising pulse A) Chest pain
D) P mitrale and LAD on ECG B) Cough
E) Syncope C) Hemoptysis
D) Dyspnea
E) Wheeze and cough

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 31
* Rate of transmission of * Most common cause of
HBV by contaminated needles septic arthritis :
is : A) Intra_Articular injection
A) 0.3% B) Trauma
B) 0.03 % C) Staphylococcus aureus
C) 0.003 % D) Osteoarthritis
D) 3% E) Cushing syndrome
E) 30%

* Green house effect of

increased temperature by
increase production of :
A) CO2
B) O2 * All are causes of chorea
C) CO except :
D) N2o A) PRV
E) NO B) Rheumatic fever
C) Carbamezipine
* All of the following are D) Huntington disease
complications of obesity E) Wilson disease
except :
A) Hypothyroidism * All of the following are
B) DM type 2 causes of hemoptysis
C) Polycythemia except :
D) Obstructive sleep apnea A) Mitral stenosis
E) Hyperlipidemia B) TB
C) PE
* One of the following D) Lung cancer
associated with Addison E) Bronchial asthma
disease :
A) Hypokalemia * All of the following are
B) Hyponatremia viral disease except :
C) Hypoglycemia A) Rabies
D) HTN B) Poliomyelitis
E) Weight gain C) Yellow fever
D) Lyme disease
* Gold standard for E) Dengue fever
diagnosis of erosive
gastritis : * All are true about
A) Gastric PH_metry Brucellosis except :
B) Gastric biopsy A) Neutrophil Leucocytosis
C) Gastroesophageal B) Fever of unknown origin
endoscopy C) Brucella melitensis is
D) History the most virulent
E) Physical exam D) Weight loss
E) Hepatosplenomegaly

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 32
* All are true about A) 2 C.N
Nephritic syndrome except : B) 3 C.N
A) Oliguria C) 4 C.N
B) Diastolic HTN D) 5 C.N
C) Lipiduria E) 6 C.N
D) Uremia
E) Oedema * Chvostic sign is seen in
one of the following :
* All are investigation for A) Hypokalemia
Thrombophilia except : B) Hyperkalemia
A) Anticardio lipin C) Hypocalcemia
antibodies D) Hypercalcemia
B) Factor 5 leiden mutation E) Hypermagnesemia
C) Protein S level
D) Cholesterol level * All are causes of finger
E) D_dimer clubbing except :
A) Empyema
* All are causes of ejection B) Mesothelioma
sys murmur except : C) Celiac disease
A) pregnancy D) Myocarditis
B) Aortic stenosis E) Graves disease
C) Pulmonary stenosis
D) HOCM * All are causes of Postural
E) Mitral stenosis tremor except :
A) Parkinsonism
B) Hyperthyroidism
C) Alcoholism
D) Anxiety
E) Pheochromocytoma

* The physical sign of chest

exam , decreased chest
expansion , increased
percussion note ( Resonant )
, decreased breath sound in * All are true ECG sign for
left side of the lung are Hyperkalemia except
mostly : A) Tall tented T wave
A) Left side pleural B) Wide QRS
effusion C) Long QT interval
B) Left side pneumothorax D) Absent P wave
C) Left side lung fibrosis E) Sine wave
D) Left side consolidation
E) Left side collapse * All are sign and symptoms
* Ptosis , large pupils ,eye of digoxin toxicity except :
down and out are A) Nausea and vomiting
characteristic for palsy B) Confusion
of : C) Decreased appetite

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 33
D) Hypokalemia * All are causes of bloody
E) Edema diarrhea except :
A) Cambylobacter
* All are true about B) Shigella
complication of MI except : C) Crohn disease
A) Ventricular tachycardia D) E coli
B) Mitral stenosis E) IBS
C) VSD
D) Dressler syndrome * All are true about ATN
E) Heart block except :
A) Urine osmolarity > 500
* The best combination mosm / L
antibiotic for treatment of B) Urine Na > 40 mmol / L
aspiration pneumonia is : C) Urine urea / plasma urea
A) Cefuroxime and < 3:1
metronidazole D) Urine creatinine / plasma
B) Amoxicillin and creatinine < 20:1
gentamycin E) Fractional Na excretion >
C) Vancomycin and 2%
ticaracillin
D) Tetracycline and * All are causes of
vancomycin normocytic anemia except :
E) Gentamycin and A) Chronic blood loss
metronidazole B) Pregnancy
* All are causes of insulin C) Hypothyroidism
resistance , DM type 2 D) Alcoholism
except : E) Aplastic anemia
A) Wilson's disease
B) Pregnancy * All are true about IDA
C) Cushing disease except :
D) Metabolic syndrome A) Low serum iron
E) Acromegaly B) Low TIBC
C) Low serum ferritin
* Short 4th and 5th D) Low hemosedrine
metacarpals bone is E) High Transferrin
characteristic for :
A) Primary * All are causes of
Hyperparathyroidism prolonged PT except :
B) Secondary A) DIC
Hyperparathyroidism B) Liver disease
C) Tertiary C) Warfarin
Hyperparathyroidism D) VWD
D) Pseudohypoparathyroidism E) Factor 10 deficiency
E)
Pseudopseudo_Hyperparathyroi * All are true matching
dism about antibiotics and side
effect , except :

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 34
A) Doxycycline _ E) Atelectasis
photosensitivity
B) Vancomycin _ Red man * All are indication for D/C
syndrome cardioversion except :
C) Clindamycin _constipation A) Ventricular tachycardia
D) Chloramphenicol _ B) Ventricular fibrillation
Aplastic anemia C) Atrial fibrillation
E) Metronidazole _- D) Asystole
Disulfiram reaction E) SVT
* All are sign and symptoms
of autonomic neuropathy * All are true about life
except : threatening attack bronchial
A) Urine retention asthma except :
B) Nocturnal diarrhea A) FEV1 < 50% of predicted
C) erectile dysfunction B) Cyanosis
D) HTN C) Hypotension and
E) Horner syndrome bradycardia
D) Normal or high PaCO2
* All of the following are E) PH < 7.30
causes of polyneuropathy
except : * The first step of
A) Guillain barre syndrome management of patient with
B) DM DKA is :
C) Lyme disease A) Insulin
D) Charcot Marie tooth B) K replacement
syndrome C) Fluid replacement normal
E) Carpal tunnel syndrome saline
D) Fluid replacement ringer
* All are true about lactate
spondyloarthropathy except E) Bicarbonate
A) Asymmetrical oligo or
monoarthritis
B) HLA B27 association
C) Extra articular
manifestation
D) Rheumatoid factor * The first step in
positive management of patient with
E) Affect spine and Hyperkalemia with tall
sacroiliac joints tented T
wave :
* All of the following are A) Calcium Resonium
causes of Nodular shadowing B) Dialysis
on chest X_Ray except : C) Calcium gluconate
A) Lung hamartoma D) Insulin and glucose
B) Hydatid cyst E) Nebulized Salbutamol
C) Sarcoidosis
D) Caplan syndrome

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 35
* All are cardiovascular A) FAP
complication of acromegaly B) Hyperplastic polyps
except : C) Angiodysplasia
A) HTN D) volvulus
B) HOCM E) Colonic
C) High output heart failure pseudo_obstruction
D) Right ventricular
hypertrophy
E) Coronary artery disease
* The best screening test
* All are true about mild for hereditary
acute attack of bronchial Hemochromatosis :
asthma except : A) Serum iron
A) Audible wheeze B) Serum ferritin
B) Hyperinflated chest C) Serum Transferrin
C) Hyperresonant percussion D) Serum Transferrin
D) Respiratory acidosis saturation
E) Cough E) Serum TIBC
MED
* All are causes of type one
respiratory failure except : * A 34 years old female
A) Pneumonia presents with vomiting
B) Pulmonary edema preceded by an headache of
C) Obstructive sleep apnea acute Onest . On exam she
D) Fibrosing alveolitis was conscious , alert with
E) Emphysema photophobia but no neck
stiffness . First brain CT
* All are causes of diffuse scan is reported as normal .
goitre except : What is the most
A) Graves disease appropriate further
B) Hashimoto thyroiditis management ?
C) Plummer disease A . CT brain with contrast .
D) De Quervain thyroiditis B . Repeat CT brain in 24
E) Subacute thyroiditis hours .
C . CSF examination .
* All of the following are D . Cerebral angiography .
causes of constipation E . MRI brain .
except :
A) Hyperkalemia * Most common causing
B) Hypercalcemia microorganism of spontaneous
C) Hypothyroidism bacterial peritonitis ?
D) Iron supplement A . E coli .
E) Systemic sclerosis B . Streptococcus
pneumonia .
* All are therapeutic C . Listeria .
indication for colonoscopy D . Staphylococcus aureus .
except : E . Pseudomonas aeruginosa .

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 36
 surgical history , social
* The best treatment of history of infertility ,
Wernicke Korsakoff syndrome abdominal ultrasound showed
is ? cirrhotic
A . Thiamine . liver changes , most likely
B . Folate . diagnosis ?
C . Cobaltammine . A . HAV .
D . Pyridoxine . B . Budd Chiari syndrome .
E . Iron . C . Wilson disease .
D . Hemochromatosis .
* Regarding secondary HTN , E . Alpha one antitrypsin
which is true ? deficiency .
A . It account for 90% of
the case's . * Each one of the following
B . Addison disease is one may raise ESR except ?
of the causes . A . Female sex .
C . It can be easily B . SLE .
controlled . C . Polycythemia .
D . When associated with D . Myeloma .
Hypokalemia , E . Increasing age .
hyperaldosteronism may be
the cause . * Where is the most common
E . All patient should be site for primary cardiac
investigated for secondary tumors to occur in
causes at all ages . adult ?
A . Left atrium .
* A patient is seen in B . Left ventricle .
clinic complaining of C . Left atrial appendage .
abdominal pain . Routine D . Right ventricle .
blood tests show Na = 142 E . Right atrium .
mmol /L , CL = 104 mmol/L ,
K = 4 mmol/L , HCO3 = 19 * All of the following can
mmol/L , Ca = 2 mmol/L , PO4 cause Hyperkalemia except ?
= 1.5 mmol/L , BUN = 28 A . NSAIDs .
mg/dl , creatinine = 112 B . ACE inhibitors .
mmol/L , Glucose = 180 mg C . Spironolactone .
/dl . What is the expected D . Furosemide diuretics .
anion gap in mmol/L and E . Adrenal insufficiency .
osmolarity in mosm/L H2o ?
A . 24 , 314 . * All of the following are
B . 23 , 312 . true about Long term oxygen
C . 32 , 321 . therapy ( LTOT ) in
D . 25 , 315 . COPD except ?
E . 22 , 311 . A . The goal is to
* 50 years old male maintaining SPo2 > 90% and
patient , with medical PaO2 > 60 mmhg .
history of DM , free

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 37
B . Main delivery devices travel by air . RR = 30
include nasal cannula and BPM , BP = 110/70 , HR = 100
venturi mask . BPM . PE is suspected . The
C . Does not affect life optimal duration of warfarin
expectancy in COPD patient . therapy is ?
D . It is indicated in COPD A . 6 weeks .
who have PaO2 < 7.3 kpa . B . 3 months .
E . To get the benefits of C . 6 months .
LTOT , patients should D . 1 year .
breath supplemental oxygen E . Life long .
for
at least 15 hours per day . * Woman with family history
of cancer is at risk of all
* All are risk factors for of the following except ?
esophageal cancer except ? A . Endometrial cancer .
A . GERD . B . Ovarian cancer .
B . Achalasia . C . Colon cancer .
C . H pylori . D . Gastric cancer .
D . Smoking . E . Breast cancer .
E . Alcohol .
* Numbers of death's with TB
in one year over , the
* All are causes of number of population in the
Pancytopenia except ? middle of the year is called
A . Paroxysmal nocturnal ?
hemoglobinuria . A . Mortality rate .
B . Systemic lupus B . Crude death rate .
erythematosus . C . Specific death rate .
C . Megaloblastic anemia . D . Specific death ratio .
D . Iron deficiency anemia . E . Case mortality rate .
E . Lymphoma .
* Site of action of
* In curative splenectomy , Spironolactone is ?
best time to give A . Proximal convoluted
pneumococcal vaccine ? tubules .
A . First week before B . Loop of henle ascending
surgery . part .
B . 4 weeks before surgery . C . Distal convoluted
C . Immediately after tubules .
surgery . D . Loop of henle descending
D . 2 weeks after surgery . part .
E . At least one month after E . Juxtaglomerular
surgery . apparatus .

* A 25 years old woman * Streptokinase therapy is

complains of shortness of recommended in acute
breath after 10 hours of pulmonary embolism when ?

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 38
A . Patient complains of D . Hypotension .
shortness of breath . E . Short QT interval .
B . Patient complains of
chest pain . * All of the following are
C . Blood pressure is true about pneumocystis
70/30 . carinii pneumonia except ?
D . Pulmonary angiogram is A . It is caused by yeast
positive . like fungus pneumocystis
E . Blood tinged sputum . jiroveci .
B . It is seen in people
* All of the following are with cancer , chemotherapy ,
signs and symptoms of HIV and drug abusers .
Acromegaly except ? C . The risk of pneumocystis
A . Galactorrhea . carinii pneumonia increases
B . Arthralgia . when CD4 T_cell level
C . Excessive sweating . are less than 300 cells / ml
D . Sleep apnea . .
E . Hypergonadism . D . X_Ray shows wide spread
bilateral opacification with
* The best combined drugs low grade fever , non
for management of patient productive cough , loss of
with HTN and history of MI weight and night sweats .
is ? E . In HIV patient drug of
A . Thiazide and choice is co _ trimoxazole .
Amlodipine .
B . Thiazide and virapamil . * Patient with atrial
C . Atenolol and Ramipril . fibrillation , which one of
D . Valsartan and Ramipril . the following factors would
E . Thiazide and Ramipril . make a rate control strategy
rather tha n rhythm control
* Causes of bilateral hilar more suitable
lymphadenopathy are all of A . CHF .
the following except ? B . Age > 65 years .
A . Sarcoidosis . C . First presentation .
B . Amyloidosis . D . Symptomatic .
C . Tuberculosis . E . Atrial fibrillation
D . Lymphoma . secondary to a corrected
E . Extrinsic allergic precipitant .
alveolitis
* All of the following is
* All of the following are considered correct in the
signs and symptoms of management of variceal
hyperparathyroidism primary bleeding except ?
type except ? A . Patient should be
A . Confusion . resuscitated with IV fluid .
B . Anorexia . B . Monitoring of vital
C . Polyuria . signs is a must .

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 39
C . Octreotide agonist * All are true about immune
should be added if variceal thrombocytopenic purpura
bleeding if suspected . except ?
D . There is no need to add A . Peak age 2 _ 6 years old
antibiotics for the and in adult 20 _ 40 years
treatment management GI old .
bleeding caused by B . Minimal bruising and
esophageal varices . mucocutaneous bleed .
E . TIPS procedure is an C . Splenomegaly and
option. lymphadenopathy .
D . Bone marrow aspirate
* All of the following are shows increased
true about Mycoplasma Megakaryocytes .
pneumonia except ? E . Non urgent treatment
A . Autoimmune hemolytic include corticosteroids ,
anemia IgM . intravenous
B . Ceftriaxone is the best immunoglobulins ,
treatment . splenectomy ,
C . Most common primary immunomodulators and no role
atypical pneumonia . of platelet transfusion .
D . Bilateral lung
consolidation with minimal * All are causes of warm
symptom . hemolytic anemia except ?
E . Walking pneumonia and A . CLL .
can cause epidemics B . Lung cancer .
C . SLE .
* All of the following are D . Alpha methyldopa ,
true matching except ? quinidine , ciprofloxacin .
A . Loud S2 in cor pulmonale E . Primaquine ,
and systemic HTN . sulfasalazine .
B . Sof S2 in pulmonary
stenosis , aortic stenosis ,
and aortic regurgitation .
C. S3 is normal in youth ,
athletes , pregnants and
common pathological causes
are LVF and mitral
regurgitation . * All of the following are
D . Fixed splitting of S1 is true about extrinsic
heard with ASD . allergic alveolitis except ?
E . Loud S4 is sign of A . Caused by
pathological state always hypersensitivity to inhaled
like LVF , HTN , aortic organic dusts .
stenosis . B . Type 2 or type 4
hypersensitivity .

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 40
C . Pulmonary function test D . COPD .
show restrictive loss of E . Idiopathic pulmonary
lung function . fibrosis .
D . CBC show significant
eosinophilia . * Which of the following
E . Lymphocytic infiltration make you suspect acute
of alveoli and intra rather than chronic failure
alveolar septa on lung of kidneys ?
biopsy . A . Anemia .
B . History of nephrotoxic
* Most common cause of upper drug .
GI bleeding is ? C . Small kidneys size .
A . Esophageal varices . D . Renal osteodystrophy .
B . Gastric ulcer . E . Peripheral neuropathy .
C . Duodenal ulcer .
D . Erosive gastritis . * All are causes of
E . Mallory weiss syndrome . prerenal azotemia except ?
A . HTN
* Diabetes mellitus B . GI bleeding
diagnostic criteria include C . CHF
2 hour glucose tolerance D . Sepsis
test , fasting glucose , and E . Liver cirrhosis
HbA1c respectively ?
A . > 140 mg/dL , > 110
mg/dL , > 6% .
B . >= 200 mg /dL , > 110 * 25 years old known case of
mg/dL , > 6.5% . tuberculosis on treatment ,
C . >=200 mg/dL , > =126 drop of INR from 3 to 1.2 ,
mg/dL , >6% . which of the following drugs
D . >=200mg/dL , >=126 mg/dL responsible for this ?
, >=6.5% . A . Rifampin
E . >=180 mg/dL , >=125 B . Isoniazid
mg/dL , >=6.5% . C . Ethambutol
D . Pyrazinamide
* ECG sign of hypothermia is E . Streptomycin
?
A . Tachycardia . * 25 years old tall man had
B . U wave . suddenly rapid and shallow
C . Long QT interval . breathing . In left CXR
D . Short PR interval . found to have 2 cm
E . Peaked T wave . pneumothorax . What is the
best next step ?
* All are causes of finger A . Needle aspiration .
clubbing except ? B . Chest tube .
A . Mesothelioma . C . Intubation .
B . Crohn disease . D . O2 therapy and
C . Graves disease . observation .

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 41
E . Thoracotomy .
* Iron deficiency anemia can
* Best time to take cause all of the following
simvastatin is ? except ?
A . At bed time . A . Koilonychia .
B . Morning . B . Onycholysis .
C . Before each meal . C . Atrophic glossitis .
D . In the evening . D . Stomatitis .
E . After each meal. E . Pica .

* Cyclosporine side effects * Causes of Hyperkalemia all

include all of the following of the following except ?
except ? A . Cyclosporine .
A . Gingival hyperplasia . B . Atenolol .
B . Alopecia . C . Digoxin .
C . Hyperglycemia . D . Triamterene .
D . Jaundice . E . Ethacrynic acid .
E . Tremor .
* All are true about renal
* All are true about cystic tubular acidosis except
fibrosis except ? A . Type 1 and type 4 affect
A . Cor pulmonale distal convoluted tubules .
B . Rectal prolapse B . Type 2 affect proximal
C . Abdominal aortic convoluted tubules .
aneurysm C . Type 1 and type 2
D . Metabolic Alkalosis associated with
E . Gallstones Hypokalemia , but type 4
associated with Hyperkalemia
* Activated charcoal is used .
in one of the following D . Nephrocalcinosis
poisoning ? associated with type 1 ,
A . Aminophylline . Fanconi syndrome associated
B . Lead . with type 2 , Renal
C . Iron . insufficiency associated
D . Ethylene glycol . with type 4 .
E . Lithium . E . Type 4 RTA associated
with hyperaldosteronism .
* Which of the following
contains the highest * A patient has a potassium
calories contents ? level of 7 mmol/L . Which of
A . Butter . the following
B . Bread . intervention is priority ?
C . Meat . A . Administer a laxative .
D . Sugar . B . Administer a loop
E . Macaroni . diuretics Furosemide .
C . Administer
Spironolactone .

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 42
D . Prepare the patient for sphygmomanomerter.which of
dialysis and place the the following vitamin
patient on cardiac monitor . defficiencies dose pateint
E . Give patient insulin and have ?
glucose . 1- Vit A
2- Vit B
* Incidence rate is defined 3- Vit C
as ? 4- Vit B 12
A . Number of old case's in 5- Vit E
a population per unit of
person _ time . * Regarding detection of H-
B . Number of new case's in pylori infection,the least
a population per unit of useful test is :
person _ time . 1- Tissue culture of gastric
C . Number of all case's in biopsy
a population over a defined 2- Urea breath test
period of time . 3- Histology of gastric
D . Number of old and new biopsy
case's in a population per 4- Rapid urease test of
unit of person _ time . gastric biopsy
E . Number of new case's in 5- Stool antigen test
a population per unit of
person over a defined period * Which of the following
of one year . antibiotic has been
particularly assciated with
* All of the following are hemolytic
Quantitative tests reactions in patient with
hypothesis except ? G6PD ?
A . Why ? 1- Amoxicillin
B . What ? 2- Clindamycin
C . How much ? 3- Vancomycin
D . How many ? 4- Cloxacillin
E . When ? 5-
* All of the following are Trimethoprim/sulfamthoxazole
criteria for major
depression except ? * Which of the following
A . Decreased mood . antibiotics is absolutely
B . Decreased pleasure . contraindication in pregnant
C . Hypersomnia . wowen:
D . Hallucinations . 1- Imipenem
E . Suicidal ideation . 2- Azithromycin
3- Ceftriaxone
* A 70 year old woman with a 4- Cloxacillin
few months history of leg 5- Tetracycillin
pain ,gum bleeding and
petechiae on the arm after
the application of a

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 43
* All the following are true 2- Ciprofloxacin
about influenza vaccine 3- Ceftriaxone
except: 4- Gentamicin
1- It is given annually 5- Cefipime
2- It is contraindicated in
patient with Guillain Barre * The activities of school
syndrome health are except:
3- It is composed of three 1- Screening of school
strains of influenza virus children to detect and
4- It is contraindication in disease are abnormality
immunocoprpmised patients 2- Teaching students about
5- It is safe in pregnancy health system
3- Providing treatment any
student falls sick in the
school
* Which of the following is 4- Health education
ture concerning sickle cell 5- Immunization
trait:
1- It is a cause of anemia * One of the following is
2- It protects against not a systemic complication
malatia of ulcerative colitis:
3- It occurs mainly in 1- Erythema nodosum
female 2- Pyoderma gangrenosum
4- It is a cause of frequent 3- Arthritis
sikle cells in the 4- Malabsorption
peripheral blood 5- Sclerosing cholangitis
5- It is associated with
hemoglobin H * Inflammatoy diarrhea is
characterized :
* Male was admitted with 1- Absence of leucocytes in
pneumonia caused by the stool
mycoplasma,all of the 2- Absence of fever
following are 3- Presence of leucocytes in
characteristics of this type the stool
of pneumonia except: 4- Absence of blood in the
1- Insidious onset of the stool
disease
2- Fever of 38 C * The route of transmission
3- Sever leukocytosis of this virus is fecal oral
4- Good response to route:
macrolides 1- Hepatitis B virus
5- Hemolytic anemia 2- Hepatitis C virus
3- Hepatitis E virus
* All of the following are 4- Hepatitis D virus
considered anti-pseudomanal 5- Human immune deficiency
antibiotics except: virus
1- Ceftazidime

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 44
 5- Platelets count to
* In the treatment of todoucumenthypersplenism
infective endocarditis ,all
true except: * In the coure of DKA ,which
1- Persistent fever may of the following is true
indicate a nonbacterial like about serum potasstum level:
fungal cause 1- It remain unaffected
2- Cidal drugs rather than 2- It can appear normal but
statics should be used total body potassium may
3- Always await the culture actually be low
results before giving any 3- It can appear normal but
teatment total body potassium may
4- Inrtvenous route is actually be high
always perferred 4- It will naturally be
5- Persistent fever may corrected by insulin
indicate a drug fever administration
5- None of the above
* The most common cause of
upper gastrointestinal * The most effective method
bleeding: for preventing diabetic
1- Esophageal varices retinopathy is :
2- GERD 1- Reducing triglyceride
3- Peptic ulcer disease level
4- NSAID induced erosive 2- Controlling blood glucose
gastritis levels
5- Esophageal ulcer 3- Smoking cessation
4- Use of an ACE inhibitor
* One of the following is 5- Use of aspirin
not a presentation of liver
cirrhosis
1- Gynecomatia
2- Abdomianl collateral
circulation
3- Asterixis
4- Cerebral edema and brain * Which of the following is
hernation most sensitive early sign
5- Ascites for detecting diabetic
nephropathy:
* The diagnosis of live 1- Serum creatinine
cirrhosis is established by: 2- urinary
1- Abdominal U/S albumin/creatinine ratio
2- Prothrombin time and 3- Serum urea level
serum albumin 4- Ranal ultrasonography
3- Liver biopsy 5- Creatinine clearance
4- Testing for HbsAg ,HCV
Ab, ANA, iron and urine
cupper

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 45
* The following are clinical 4- Maximum infectivity of
features os restrictive the disease is before the
cardiomyopathy: onset of jaundice
1- Presentation which mimics 5- Hepatitis A vaccine is
constrictive pericarditis protective from the disease
2- Primarily characterized
by impaired diastolic * In patient with macrocytic
function anemia,which one the
3- Association with primary following features B12
or secondary amyloidosis defieciency rather than
4- Complication of folate deficiency :
conditions inducing marked 1- Mild jaundice
peripheral blood 2- Loss of weigh
eosinophilla 3- Skin purpura
5- Gross cardiomwgaly on CXR 4- Lower limb neuropathy
5- Recurrent throat
* The risk of transmission infection
of hepatitis B virus
followingpercutaneous needle
stick injury is:
1- 0.3% * Peripheral blood neurophil
2- 3% leucocytosis would be an
3- 30% expected finding in all of
4- 60% the following except:
5- 90% 1- Connective tissue
diseases
* 70 year old man presents 2- Corticosteroid therapt
for health 3- Pregnancy
assessment.whichBp reading 4- Whooping cough
would indicate 5- Mesenteric infarction
the highest risk for a
cerebrovascular accidents: * Regarding santitation
1- 110/90 barriers all the following
2- 120/90 are true except:
3- 130/70 1- Protection of water
4- 140/80 supply
5- 155/70 2- Protection of food
3- Personal hygiene
* All the following about 4- Control of flies
Hepatitis A infection true 5- Using of spring water
except: better than tap water
1- Fecal � oral
transmission * All the following are true
2- It is a common cause of about Hepatitis B virus
chronic liver disease vaccine except:
3- Mortality increases with 1- It is given in three
advancing age doses

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 46
2- Common schedule is: 0, E . A moon face and buffalo
1 , 6 months hump are characteristic .
3- It is safe in
immunocompromised
individuals
4- Booster dose is routinely
given after 10 years from
finishing the series(the * In hypercapnia are all
three doses) true except ?
5- It is highly protective A . Bounding pulse
to hepatitis B virus B . Headache
C . Peripheral
* Which of the following vasoconstriction
features suggests adrenal D . Confusion
insufficiency : E . Flapping tremor
1- Hypoglycemia
2- Hypokalemia * To assist in the decision
3- Leukopenia whether to hospitalize a
4- Anemia patient with community
5- Hypertension acquired pneumonia , each of
the following may be a
* 55 year old asymptomatic factor in favor of
obese female presents to hospitalization except which
your clinic for checkup and one ?
general advice,youadvice her A. The patient is confused
all of the following B . Serum creatinine > 2.0
condition are strongly mg / dl
assciated with obesity C . Respiratory rate > 30
except one: D . Blood pressure < 90 mg
1- Insulin resistance hg
2- Hypertension E . Age > 64 years
3- Osteoporosis
4- Arteriosclerosis * All of the following can
5- Hypoventilation be used in hypertensive
crisis except ?
* Which of the following is A. Sodium nitroprusside
true about Cushing B . Furosemide
syndrome ? C . Labetalol
A. It's due to deficiency of D . Clevidipine
cortisol hormone . E . Hydralazine
B . Enlarged extremities are
commonly seen . * Diarrhea may occur with
C . Osteoporosis is not a all of the following
feature . except ?
D . Iatrogenic cause is A . Food poisoning
uncommon . B . Viral gastroenteritis

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 47
C . Inflammatory bowel * Regarding Sarcoidosis
disease which is true ?
D . Colonic Neoplasia A . It is a caseating
E . Hypothyroidism Granuloma
B . It has no extrapulmonary
* A 7 years old has severe manifestation .
microcytic anemia due to B C .Spontaneous resolution
Thalassemia major may occur in 2 year .
( homozygous ) . He requires D .Steroids is always
frequent blood indicated .
transfusion( once every sex E . Increase in serum ACE
week's ) To prevent the level is diagnostic .
skeletal and developmental
complications of thalassemia * All of the following
. Which of the following causes exudative pleural
medication is also indicated effusion except ?
in the treatment of patients A .Constrictive pericarditis
requiring frequent blood B .Mesothelioma
transfusion ? C .Rheumatoid arthritis
A . Oral calcium supplement D .Pneumonia
B . Fresh frozen plasma E .Tuberculosis
C . Desferrioxamine
D . Pencillamine * Atrial fibrillation can be
E . Cryoprecipitate caused by all the following
except ?
* One of the following A . Mitral valve disease
vaccines is a killed vaccine B . HTN
A . Measles vaccine C . Hypothyroidism
B . Mumps vaccine D . Pneumonia
C . Rubella vaccine E . Atrial myxoma
D . Pertussis vaccine
E . Oral polio vaccine * A 73 years old man
presents with several
episodes of hematemesis .
Examination shows signs of
orthostatic hypotension and
melena . What is the first
* All of the following are priority in caring for this
found in patient with patient ?
bronchial asthma ? A .NG tube placement and
A . Hyperinflated chest gastric lavage .
B . Wheezing B . Resuscitation with
C . Dyspnea adequate IV access and
D .Clubbing appropriate fluid and blood
E . Cough product fusion .

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 48
C .IV infusion of H2 E . In isolated systolic HTN
receptor antagonist to stop no treatment is required .
bleeding .
D .Urgent upper endoscopy . * A 35 year old is evaluated
E . Urgent surgical for symptoms of S.O .B . Her
consultation . reports no other lung or
heart disease . He smokes
* Regurgitation AC syndrome half pack a day for the past
one of the following is true 10 years . On examination
? his JVP is 2 cm , heart
A . Cardiac enzymes is sound normal . Lung clear .
always elevated . CXR shows hyperinflation and
B . ECG changes is mandatory Emphysematous changes ,
for the diagnosis . while pulmonary function
C . Obesity and HTN are non tests shows an FEV1 / FVC
modifiable risk factor . ratio < 70% . Which of the
D . Creatinine kinase can be following is most likely
raised due to other non diagnosis ?
cardiac cause . A . Alpha one antitrypsin
E . Cardiac troponin remains deficiency
elevated for 24 hour only . B . B glucosidase deficiency
C .G6PD
D .Glucocerebrosidase
deficiency
E . Growth hormone
* All of the following can deficiency
cause Hemoptysis except ?
A . Pneumonia * Sacroilietis commonly
B . Idiopathic pulmonary occurs in all of the
fibrosis following diseases except ?
C . Tuberculosis A . Ulcerative colitis
D . Pulmonary embolism B . Crohn disease
E . Goodpasture syndrome C . Gout
D . Ankylosing spondylitis
* Regarding HTN which is E . Psoriatic arthritis
true ?
A . The patient should be * The following are more in
screened for secondary HTN . favor of type one DM than
B . Secondary HTN account type two except ?
for 90% of cases . A . Association with
C . Addison disease is one ketoacidosis .
of the causes of secondary B . Association with HLA_DR3
HTN . or HLA_DR4 .
D . 24 hr urinary collection C . Strong family history of
for metanephrin level may be diabetes .
diagnostic . D . Present of islet cell
antibodies .

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 49
E . Abrupt onset of signs and abdominal cramps 6 hours
and symptoms . after eating a salad and a
hamburger in a local
* Regarding bronchial asthma restaurant . The most likely
all are true except organism causing her disease
A . It is chronic airway is ?
inflammation . A . Vibrio vulnificus
B . Treatment with long B . Listeria monocytogenes
acting B2 agonist is the C . Yersinia enterocolitica
cornerstone . D . Clostridium difficile
C . PFT increase in FEV1 E . Staphylococcus aureus
more than 200 ml and 12 %
indicates reversibility . * Air conditioner repair
D . It's characterized by worker is more likely to be
dyspnea , chest tightness , at risk of contracting ?
cough and wheezes . A . Hepatitis
E . Attack can be induced by B . Brucellosis
exercise C . Legionnaires disease
* Signs and symptoms of D . Histoplasmosis
hypothyroidism include all E . Tuberculosis
the following except ?
A . Thick dry skin * A 19 year old woman
B . Depression present with daily acid
C . Constipation reflux symptoms and
D . Tachycardia intermittent dysphagia to
E . Weight gain solid . Since onest of
symptoms 3 months ago , she
* A 65 years old man has lost 2 kg , she has
develops palpitations and sporadic rectal bleeding .
dizziness . His blood Her past medical history is
pressure is 80/50 mm hg and negative . Her father had
his pulse is regular at stomach cancer at age 42 .
150 / min . His ECG shows a What would you recommend ?
saw toothed pattern of P A . EGD
waves . Which of the B . Reassurance
following procedure is most C . Barium esophagrame
appropriate in converting D . PPI therapy for 6_8
him back to sinus rhythm ? week's
A . Carotid sinus pressure E . Abdominal CT
B . Gagging procedure
C . Valsalva maneuver * Causes of pancytopenia
D . Eyeball compression includes all the following
E . Electrical cardioversion except ?
A . Megaloblastic anemia
* A 23 years old woman B . Aplastic anemia
experienced watery C . Myelofibrosis
diarrhea , nausea, vomiting D . IDA

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 50
E . Acute leukemia accident and is brought to
* Which of the following is the hospital . On
true of psoriatic examination, his blood
arthropathy ? pressure is 90/60 mm hg ,
A . Nail pitting may give a pulse 110 / min , and his
clue to the diagnosis . abdomen is distendes and
B . Absence of plaques of rigid , he has internal
psoriasis excludes the injuries and bleeding on an
diagnosis . abdominal CT scan , and
C . The diagnosis can be requires emergent blood
confirmed by a blood transfusion on his way to
marker . the operating room . His
D . Typhi can some times be blood group is AB , which of
seen over the affected the following statement is
joints . not correct ?
E . Severity is related to A . He is a universal
skin changes severity . recipient .
B . He has anti A and anti B
* Regarding Nephrotic in his serum .
syndrome all are true except C . If a cross match is not
? available, group O RBCs are
A . Renal vein thrombosis is universal .
a complication . D . If insufficient AB blood
B . Increase bleeding is available , type A can be
tendency used .
C . Increase susceptibility E . If insufficient AB blood
to infection . is available , type B can be
D . DM is a recognized cause used .
.
E . Hypoalbuminemia and * The study of the
Proteinuria is present distribution of a disease or
condition in a population is
* 60 years old male referred to as ?
presented with massive A . Descriptive
hematemesis , examination B . Analytical
revealed Splenomegaly , C . Experimental
clubbing and Palmar Erythema D . Prospective
. The cause of his E . Retrospective
hematemesis ?
A . Mallory Weiss syndrome
B . Gastric ulcer
C . Angiodysplasia * All about irritable bowel
D . Esophageal varices syndrome are true except ?
E . Gastritis A . Abdominal pain relieved
by defecation .
* A 63 years old man is B . Symptoms can be
involved in a motor vehicle increased by stress .

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 51
C . Waking at night with * In salmonellosis which is
pain or diarrhea support the true ?
diagnosis . A . Positive blood culture
D . Altered bowel habit is occur in the second week .
common . B . Positive stool culture
E . Examination is often occur in the first week .
normal . C . Splenomegaly doesn't
occur .
* Regarding diabetic D . Can be complicated by
ketoacidosis which is true ? Osteomyelitis .
A . Dehydration is less life E . The route of
threatening than transmission is air borne .
hyperglycemia .
B . Potassium level * One of the following is
initially is high and falls true about COPD ?
down with treatment . It is one of the cause
C . Is a late complication restrictive PFT .
of type one DM . Steroids are the cornerstone
D . Can be managed as treatment .
outpatient in most of the It is a curable disease .
cases . PFT reversibility always
E . Elevated WBC count present .
always indicates infection . Can cause right sided heart
failure .
* All of the following are
side effects of steroids * All of the following are
except ? cause of chronic cough
A . Elevated blood pressure except ?
B . Acne A . GERD
C . Skin bruises B . Sodium valproate
D . Hypoglycemia C . ACE_i
E . Cataract D . Long term smoking
E . Postnasal drip
* Blood gas analysis in type * Which of the following
one respiratory failure antiarrhythmic drug mediates
shows ? it's effect by interfering
A . High PCO2 and normal PO2 with movement of calcium
. through the slow channel ?
B . Low PCO2 and normal A . Phenytoin
PO2 . B . Verapamil
C . Normal PCO2 and high PO2 C . Lidocaine
. D . Amiodarone
D . High PCO2 and low PO2 . E . Bretylium
E . Normal PCO2 and low
PO2 . * 63 years old woman is
seen in the emergency room
with acute shortness of

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 52
breath . There is no history * A 39 year old woman with
of heart or lung problems in HTN , is taking
the past . She was recently hydrochlorothiazide
diagnosed with breast cancer ,enalapril and diltiazem .
and is under going active She desires to become
treatment . On examination pregnant . The most
her blood pressure is 120/80 important step would be to ?
mm hg , pulse 100 / min , A . Switch HCTZ to
and heart and lungs are Furosemide
normal . There are no B . Switch diltiazem to
clinical sings of DVT . amlodipine
Which of the following C . Discontinue diltiazem
investigation is most likely D . Discontinue enalapril
to rule out a PE ? E . Discontinue HCTZ
A . Normal CXR
B . Normal ECG * Regarding Acromegaly all
C . Normal ventilation _ are true except ?
perfusion lung scan . A . Caused by tumor in
D . Normal high resolution adrenal gland in more than
CT 90 % .
E . Normal MRI B . Excessive sweating .
C . Large hand and feet .
* A 66 year old man has D . Increased growth hormone
progressive shortness of .
breath due to COPD . He is E . Proganthism .
currently able to do his
activities of daily living ,
but has trouble walking more * All are features of LVF
than 50 m . His physical except ?
examination reveals A . Orthopnea
hyperinflation , increased B . Hepatomegaly
resonance to percussion , C . Pulsus alternance
and bilateral expiratory D . Bilateral basal
wheezes . He is in crepitation
appropriate medical therapy E . Kerly B line on CXR
for his stage of COPD .
Which of the following is All of the following
also indicated in the statement are correct about
management of this condition routine urine examination
? except ?
A . Meningococcal vaccine A . Specific gravity of 1015
B . Yearly influenza vaccine is normal .
C . Weight reduction obese B . RBCs is a normal finding
D . Haemophilus influenza B .
vaccination C . One RBC is a normal
E . Pneumococcal vaccination finding.

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 53
D . One WBC is a normal * Skin cancer result from
finding. exposure to one of the
E . Negative sugar is a following ?
normal finding A . Infrared rays
B . X rays
* Which oxygen delivery C . Solar ultraviolet
device should be used in D . Ionizing radiation
COPD patient ? E . Microwave
A . Trauma mask
B . Nasal cannulae
C . Simple face mask
D . Venturi mask
E . Nonrebreather mask

* One of the following can * Regarding immunoglobulins

cause Hypokalemia ? all are true except?
A . Spironolactone A . Rhesus antibodies are of
B . Hyperaldosteronism IgG class .
C . ACE_i B . IgG is the first
D . Addison disease response to invading
E . Renal tubular acidosis organism
type 4 C . IgA has the highest
concentration in human
* Which of the following secretion .
most likely to cause D . IgM is the best
deviation of trachea ? complement activator .
A .Previous TB of the right E . IgE mediates allergy by
upper lobe binding antigen on the
B .Small right pleural membrane of the cell .
effusion
C .A Left basal pneumonia * Social class can be
D . Idiopathic pulmonary measured by all of the
fibrosis following except ?
E . Blunted right A . Sex
costophrenic angle B . Income
C . Education
* Optimal medical therapy in D . Occupation
patient with carotid artery E . Residency
stenosis ?
A . Smoking cessation * One of the following
B . Antiplatelet agent disease is considered
C . Control HTN eradication worldwide since
D . Statin drugs more than 30 years
E . All are true A . Smallpox
B . Chickenpox
C . Plague
D . Typhus

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 54
E . Mumps * Regarding Mycoplasma
pneumonia all are true
* All of the following except ?
sentences are true about the A . It is one of atypical
assessment of bleeding pneumonia .
except ? B . Can cause autoimmune
A . Taking blood sample at Hemolytic anemia .
the time of bleeding give an C . Can cause
accurate level of HB . meningioencephalitis .
B . Hypovolemia increases D . Cephalosporin antibiotic
the risk of tissue hypoxia is a drug of choice .
and multiorgan failure . E . Bilateral patchy
C. Blood loss could be consolidation .
estimated from the size of
blood clot and the weight of * One of the following is
swabs use . most suited for detection of
D . Any thirsty patient diabetic ?
should be considered A . Renal ultrasound
Hypovolemic . B . Urine analysis for cast
E . Arterial blood gas is a C . Urine albumin
quick method to measure Hb D . IVP
level . E . Serum creatinine

* Epidemiology mean ? * A 30 year old woman is

A . Study of population noted to have blood
( study of the distribution pressures in the 160/100
and determination health mmHg range . She also has
related states or even . increased obesity ,
B . Study of disease only . especially around her
C . Study population abdomen , with striae . She
growth . has been bruising very
D . Study of mortality . easily and has hirsutism .
E . Study of chronic disease Which of the following is
. the most likely diagnosis ?
A . Hyperthyroidism
* Patient with cystic B . Hyperparathyroidism
fibrosis expected to have C . Coarctation of aorta
deficiency in all of the D . Cushing syndrome
following except ? E . Pheochromocytoma
A . Vitamin A
B . Vitamin B12 * A 45 year old man with
C . Vitamin K type two diabetes is noted
D . Vitamin D to have blood pressures of
E . Vitamin E 145/90 and 150/96 mmHg on
two separate occasions .
Which of the following is

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 55
the best initial therapy for best next step ?
this patient ? A . Chest radiograph .
A . Hydrochlorothiazide . B . CT chest .
B . ACE_i . C . Empiric treatment for
C . B blockers . Postnasal drip .
D . CCB . D . Antinuclear antibody .
E . B blockers and E . Initiation of
Hydrochlorothiazide . antituberculosis therapy .

* A 62 year old diabetic man * An obese 50 year old man

underwent an abdominal with a history of asthma
aortic aneurysm repair 2 returns with complaints of
days ago . He is being occasional dyspepsia and
treated with Gentamycin for nocturnal cough . He wakes
a UTI . His urine output has up in the morning with a
fallen to 300 ml over 24 sour taste in his mouth .
hours , and his serum His current medications
creatinine has risen from include inhaled
1.1 mg/dl on admission to corticosteroids and a short
1.9 mg/dl . Which of the acting B2 agonist . Which of
following laboratory values the following should be your
would be most consistent next step ?
with a prerenal etiology of A . 24 hour esophageal PH
his renal insufficiency ? monitoring .
A . FEna of 3% . B . Chest radiograph .
B . Urinary sodium level of C . Initiation of omeprazole
10 mEq/L . .
C .CVP reading of 10 mmHg . D . Short course of oral
D . Gentamycin trough level corticosteroids .
of 4uq/ml . E . Initiation of allergy
desensitization

* A patient with known

asthma undergoing therapy
with inhaled corticosteroids
* A 22 year old woman and intermittent short
presents with fatigue, acting B2 agonist presents
arthralgias , and a nagging with complaints of nocturnal
dry cough for the past 6 awakening secondary to cough
weeks , but no shortness of and occasional wheezing .
breath . On physical This episode occurs three to
examination, her lungs are four times per week .
clear to auscultation , and Pulmonary function tests in
she has bilateral pretibial the past have shown mild
tender Erythematous raised obstructive lung disease .
nodules . Which of the Which of the following is
following is your the best next step ?

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

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Oral steroids have a harsh systolic murmur
Leukotriene inhibitors . Which of the following is
Long acting B2 agonist the best therapy for her
Theophylline condition ?
Antireflux therapy Coronary artery bypass
Angioplasty
* Which of the following is Valve replacement
most accurate ? Carotid endarterectomy
. Cough caused by Captopril
may resolve with switching * A 55 year old man is noted
to enalapril . to have congestive heart
. Initial treatment of a failure and states that he
chronic cough should include is comfortable at rest but
codeine or a similar opiate becomes dyspneic even with
derivative to suppress the walking to bathroom . On
cough . echocardiography , he is
. Cough caused by reflux can noted to have an ejection
be effectively ruled out by fraction of 47% . Which of
a negative history of the following is the more
heartburn or dyspepsia . accurate description of this
. More than one condition patients condition ?
often is responsible for Diastolic dysfunction
causing a chronic cough in a Systolic dysfunction
given patient . Dilated cardiomyopathy
Pericardial disease

* A 24 year old man develops

seizures following an
emergent splenectomy after a
* A 55 year old man is noted car accident . His serum
to have moderately severe sodium level is initially
congestive heart 116 mEq / L and is corrected
failure with impaired to 120 mEq/L over the next 3
systolic function . Which of hours with hypertonic saline
the following drugs would . Which of the following
most likely lower his risk factors most likely led to
of mortality ? his Hyponatremia ?
ACE_i Elevation of serum
Loop diuretics vasopressin
Digoxin Administration of hypertonic
Aspirin solutions
Volume depletion
* A 35 year old woman is Seizures induced
noted to have chest pain Hyponatremia
with exertion , and has been
passing out recently . On * A 56 year old man
examination she is noted to complaining of fatigue and

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 57
weight loss . He has never cancer surgery . On the
had any health problems , first postoperative day , he
but he has smoked a pack of is noted to have significant
cigarettes per day for about Hyponatremia with a sodium
a 35 years . skin level of 128 mEq /L . You
hyperpigmentation , and suspect that the
digital clubbing . He Hyponatremia is due to the
appears euvolemic . The intravenous infusion of
sodium level is 126 mEq/L , hypotonic solution . Which
potassium level is 6.7 mEq/L of the following laboratory
, creatinine level is findings supports your
normal, and bicarbonate and diagnosis ?
chloride levels are low . Urine sodium > mmol/L
Which of the following is Urine osmolality > 200
the likely cause of his mOsm /L
Hyponatremia given his Serum osmolarity < 280
presentation mOsm /kg
SIADH Serum potassium > 5 mEq/L
Hypothyroidism
Gastrointestinal losses * Which of the following
Adrenal insufficiency patients is most likely to
Renal insufficiency be a candidate for bone
* An 83 year old woman comes mineral density screening ?
to your office complaining A 65 year old, thin , white
of a headache and mild woman who smokes and is 15
confusion . Her medical years postmenopausal .
history is remarkable only B 40 year old white woman
for HTN , which is well who exercises daily and
controlled by still menstruates .
Hydrochlorothiazide . Her C healthy 75 year old white
examination and laboratory man who is sedentary .
tests show no signs of D 60 year old overweight
infection , but her serum black woman .
sodium level is 119 mEq/L , E 35 year old asthmatic
and plasma osmolarity is 245 woman who took prednisone 40
mOsm/kg . She appears to be mg/d for a 2 week course 1
clinically Hypovolemic . week ago
Which of the following is
the best initial therapy ? * During which of the
Fluid restriction following periods in a
Infusion of 0.9%saline woman's life is the most
Infusion of 3% saline bone mass accumulated
Infusion of 3% saline with Ages 15 to 25
Furosemide Ages 25 to 35
Ages 35 to 45
* A 58 year old man has Ages 45 to 55
undergone a lengthy colon

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

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* A 60 year old woman and acute dyspnea . The
presents with the results of arterial blood gas reveals
her DEXA scan . She has a T PO2 ( Partial pressure of
score of _1.5 at the hip and oxygen ) of 76 mmHg . Which
_2.5 at the spine . Which of of the following is the most
the following is the most common physical examination
accurate interpretation of finding of pulmonary
these results ? embolism ?
She has osteoporosis at the Wheezing .
spine and osteopenia at the Increased pulmonary
hip . component of the second
She has osteoporosis in both heart sound .
area's . Tachypnoea .
This is a normal examination Calf swelling .
. Pulmonary rales .
She has osteoporosis of the
hip and osteopenia at the * A 39 year old man is noted
spine . to have a DVT without any
You need to know the Z score known risk factors . He
. notes that his brother also
developed a pulmonary
* You see a 70 year old embolism at age 45 years ,
woman in your office for a and his mother developed a
routine checkup , and you clot in the leg when she was
order a DEXA scan for bone in her thirties . Which of
mineral density screening . the following is the most
The T score returns as 2.5 likely inherited disorder in
standard deviations SD in this patient ?
the spine and _2.6 in the Protein S deficiency
hip . Which of the following Antithrombin 3 deficiency
statements is most Factor 5 Leiden mutation
accurate ? Antiphospholipid antibody
This patient has syndrome
osteopenia . Familial malignancy syndrome
Estrogen replacement therapy
should be started with an * A 54 year old woman is
anticipated rebuilding of noted to have cervical
bone mass to near normal cancer and presents with
within 1 year . significant vaginal bleeding
Swimming will help build with a hemoglobin level of 7
bone mass . g/dL . Her left leg is
Bisphosphonates would reduce swollen , which on Doppler
the risk of hip fracture by investigation reveals a
50% DVT . Which of the following
is the best treatment for
* A 35 year old woman the thrombus ?
complains of calf tenderness

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

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Intravenous unfractionated and Erythema . The patient
heparin . has no history of trauma or
Fractionated subcutaneous other significant medical
heparin . problems . Synovial fluid
Subcutaneous unfractionated analysis and aspiration is
heparin. most likely to show which of
Oral warfarin ( Coumadin ) . the following ?
Vena cava filter . Hemorrhagic fluid .
Needle_ shaped , negatively
birefringent crystals Gram
negative organisms .
* A 72 year old man develops Noninflammatory fluid .
severe pain and swelling in Rhomboidal , positively
both knees , shortly after birefringent crystals
undergoing an abdominal
hernia repair surgery . * A 17 year old sexually
Physical examination shows active adolescent male
warmth and swelling of both presents with a 5 day
knees with large effusions . history of fever , chills ,
Arthrocentesis of the and persistent left ankle
right knee reveals the pain and swelling . On
presence of intracellular physical examination ,
and extracellular weakly maculopapular and pustular
positive birefringent skin lesions are noted on
crystals in the synovial the trunk and
fluid . Gram stain is extremities . He denies any
negative . Which of the symptoms of genitourinary
following is the most likely tract infection . Synovial
diagnosis ? fluid analysis is most
Gout likely to show which of the
Septic arthritis following ?
Calcium oxalate deposition WBCs 75.000/mm3 with 95%
disease polymorphonuclear leukocytes
Reactive arthritis .
Pseudogout RBCs 100.000/mm3 , WBCs
1000/mm3 .
* A 65 year old man with a WBCs 48.000/mm3 with 80%
history of chronic HTN , lymphocytes .
DM , and degenerative joint WBCs 500/mm3 with 25%
disease presents with acute polymorphonuclear leukocytes
onest of severe pain of the .
metatarsophalangeal joint
and swelling of the left * A 22 year old man presents
first toe . Physical with complaints of low back
examination shows exquisite pain for 3 to 4 months and
tenderness of the joint , stiffness of the lumbar area
with swelling , warmth , , which worsen with

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

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inactivity . He reports examination is normal . The
difficulty in getting out of pregnancy test is negative .
bed in the morning and may Which of the following is
have to roll out sideways , the most appropriate
trying not to flex or rotate management ?
the spine to minimize pain . Admit to hospital for
A Lumbosacral spine X_Ray cardiac evaluation .
film would most likely show Outpatient echocardiogram .
which of the following ? Twenty four hour Holter
Degenerative joint disease monitor .
with spur information . Reassurance and discharge
Sacroiliitis with increased home .
sclerosis around the
sacroiliac joints . * A 67 year old woman has
Vertebral body destruction diabetes and mild HTN . She
with wedge fractures . is noted to have some
Osteoporosis with diabetic retinopathy , and
compression fractures of she states that she cannot
L3_L5 . feel her legs . She has
Diffuse osteonecrosis of the recurrent episodes of
LS spine . lightheadedness when she
gets up in the morning .She
* A 36 year old woman was comes in now because she had
seen by her physician due to fainted this morning . Which
pain in her hands, wrists , of the following is the most
and knees . She is diagnosed likely cause of her
with rheumatoid arthritis . syncope ?
Which of the following Carotid sinus Hypersinsivety
treatments will reduce joint PE
inflammation and slow Autonomic neuropathy
progression of the disease ? Critical aortic stenosis
NSAIDs
Joint aspiration * A 74 year old man with no
Methotrexate prior medical problems
Systemic corticosteroids faints while shaving . He
has a quick recovery and has
* An 18 year old adolescent no neurologic deficits . His
female is brought to the blood sugar level is
emergency room because she normal , and ECG shows a
fainted at a rock concert . normal sinus rhythm . Which
She apparently recovered of the following is the most
spontaneously , did not useful diagnostic test of
exhibit any seizure activity his probable condition ?
, and has no medical history Carotid massage
. Her heart rate is 90 bpm Echocardiogram
and blood pressure 110/70 CT scan of head
mmHg . Neurologic Serial cardiac enzymes

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 61
 and tingling of both feet
but no Back pain . He denies
taking other medications .
Which of the following is
* A 49 year old man is the most appropriate next
admitted to the intensive step ?
care unit with a diagnosis A CT scan of the lumbar
of an inferior MI . His spine .
heart rate is 35 bpm and B Initiate pyridoxine .
blood pressure 90/50 mmHg . C Continue the tuberculosis
His ECG shows a mobitz type agents and monitor for
1 heart block . Which of the further neurological
following is the best next problems .
step ? D Initiate a workup for
Atropine tuberculosis Adenopathy
Transvenous pacer E compression on the femoral
Lidocaine nerve.
Observation
* A 25 year old woman is
* A 42 year old woman is seen in the clinic because
being treated with her father was diagnosed
infliximab for rheumatoid with and has been treated
arthritis . After 6 months for tuberculosis . She
of therapy , she develops denies a cough and her chest
persistent fever , weight radiograph is normal . A PPD
loss , and night sweats , test shows 10 mm of
and tuberculosis is induration . Her only
suspected . Which of the medication is an OCP . Which
following is most likely of the following is the best
location of the tuberculosis next step ?
? A Oral INH and barrier
A Middle and lower lung contraception .
zones . B Combination therapy
B Pleural space . including INH, Rifampicine
C Apical segment of the and pyrazinamide .
upper lung lobes . C Observation .
D Cervical or D Induce three sputum
supraclavicular lymph samples .
nodes .
* Which of the following
* A 24 year old man has been tests is the most
treated with INH , appropriate to follow for a
Rifampicine ,and patient receiving isoniazed
pyrazinamide for active and rifampin for
pulmonary tuberculosis . tuberculosis treatment
After 3 months , he states A Renal function tests
that he is having numbness B Liver function tests

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 62
C Slit_lamp examinations
D Amylase and lipase tests * Multiple sclerosis is
characterized by which of
the following diagnostic
* Which of the following is findings ?
not a dermatologic A Oligoclonal bands in
manifestation of cerebrospinal fluid .
Dermatomyositis ? B Increased N_acetyl
Calcinosis cutis aspartate with MR
Malar rash spectroscopy .
Gottron papules C Abnormal peripheral nerve
Heliotrope rash conduction by
electromyograph ( EMG) /
* A 19 year old man develops nerve conduction velocity
diarrhea ,and 2 weeks later ( NCV) studies .
experiences gait D Meningeal enhancement on
difficulties and foot contrast MRI of brain
tingling , which of the
following problems * A 33 year old man is noted
associated with his to have exacerbations of
condition ? weakness . He is diagnosed
A Acute inflammatory with MS . Which of the
demyelinating polyneuropathy following findings is
. consistent with the
B Acute stroke . diagnosis ?
C Myasthenia gravis . A The diagnosis of MS is
D Inflammatory Myopathy . based on clinical lesions
E Transverse cord myelitis . separated by time and
space .
* A 34 year old woman B Oligo bands in the CSF are
presents with fatigable specific for multiple
muscle weakness with sclerosis .
climbing stairs or blow C Steroids are effective in
drying her hair . This is improving the course of
associated with some disease .
shortness of breath , which D This is a genetic disorder
improves with test . Which well characterized on
of the following condition chromosome 11
associated with her symptoms
?
A Acute inflammatory
demyelinating polyneuropathy
.
B Acute stroke . * A 33 year old man is noted
C Myasthenia gravis . to have exacerbations of
D Inflammatory Myopathy . weakness . He is diagnosed
E Transverse cord myelitis . with MS . He is noted to

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 63
have significantly
progressive disease . Which * Which of the following
of the following is likely tests is used to diagnose
to be helpful for his benign Paroxysmal positional
symptoms of weakness vertigo ?
A Mitoxantrone A Weber test
B Corticosteroids therapy B Rinne test
C Plasmapheresis C Dix_Hallpike maneuver
D Immunoglobulin therapy D Brandt Daroff maneuver
E Epley maneuver
* Which of the following
signs is most suggestive of * A 40 year old woman has
Parkinson disease rather recurring episodes of
than the other disabling vertigo , lasting
neurodegenerative diseases ? 30 minutes , and accompanied
A Unilateral resting by roaring tinnitus , aural
tremor . pressure and low frequency
B Supranuclear downed gaze hearing loss . Her physical
palsy . examination is normal . What
C Orthostatic hypotension is the most likely diagnosis
early in the course the ?
disease . A Benign Paroxysmal
D Early falls . positional vertigo .
E Abnormal cerebral MRI . B Acute suppurative
labyrinthitis .
* Which of the following C Acute serous labyrinthitis
medications is most likely .
to be able to help both D Meniere disease .
relieve cardinal features of E Vertebrobasilar
Parkinson disease as well as insufficiency .
reduce drug induced * A 45 year old woman
dyskinesias ? complains of recurring
A Levodopa episodes of vertigo that
B Dopamine agonists began after she bumped her
C Amantadine head rather forcefully 2
D Anticholinergics week ago . Her spells last
E Haloperidol 10 to 15 seconds and occur
whenever she goes to bed or
* Which of the following wakes up . She denies any
medications would be most hearing loss or tinnitus .
likely to cause drug induced Her physical examination is
Parkinsonism ? normal except for a latent ,
A Trihexyphenidyl rotatory nystagmus when she
B Metoclopramide is lying with the right ear
C Diazepam down . What is the most
D Carbidopa likely diagnosis
E Levodopa

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 64
A . Acute serous condition . Which of the
labyrinthitis . following is the best
B . Benign Paroxysmal initial treatment for this
positional vertigo . patient ?
C . Vestibular migraine . A . Diltiazem
D . Meniere disease . B . Cardioversion
E . Viral vestibular C . Synthroid
neuronitis . D . Ibutilide
E . Aspirin
* A 66 year old woman is
noted to have asymptomatic * Approximately what
atrial fibrillation. Which percentage of patients with
of the following is most bacterial meningitis present
common complication of her with the classic triad of
atrial fibrillation ? fever , neck stiffness and
A . sudden death . altered mental status ?
B . stroke . A < 25 %
C . shock . B < 50 %
D . dyspnea . C > 75 %
E . myocardial infarction D > 99 %

* A 65 year old woman is * A 58 year old man presents

presents to the ED with a to his physician's office
dyspnea , fatigue , and complaining of 2 hours of
palpitations . Her blood substernal chest pain and
pressure is 85/50 mmHg and dyspnea . Which of the
her heart rate is 140 bpm . following is the most
Which of the following is important next step in
the best treatment for this management ?
patient ? A . Administration of
A . Diltiazem Propranolol .
B . Metoprolol B . Aspirin to chew .
C . Coumadin C . Sublingual nitroglycerin
D . Cardioversion .
E . Aspirin D . Administration of a
diuretic agent .
* A 62 year old man is seen E . Chest radiograph .
in the ED for lower
abdominal pain which has * A 45 year old man is seen
since resolved , however , in ED 3 hours of substernal
his heart rate was 80 bpm chest pain radiating to his
and palpated irregularly . left arm . The ECG shows
On ECG , he is diagnosed only nonspecific changes .
with atrial fibrillation Hearing that the ECG is
with a ventricular response normal , he requests to go
of 114 bpm . He does not home . Which of the
recall being told about this

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 65
following statements is most patients third episode of
accurate ? pneumonia within the past 12
A . The patient may be months . What finding on
safely discharged home . laboratory testing would be
B . If a repeat ECG in 30 most likely in this
minutes is normal , MI is patient ?
essentially ruled out and A Granulocytopenia .
the patient may be safely B Hypogammaglobulinemia .
discharged . C Impaired T cell function
C . The patient should be with normal T lymphocyte
advised that half of heart count .
attack patients have a D Low CD4 count .
nondiagnostic ECG and serial E No specific abnormality is
cardiac biomarkers levels expected .
should be assessed .
D . The patient should
undergo an immediate
thallium stress test to
further
assesses for coronary artery * A 55 year old man is found
disease to help clarify the to have a serum calcium of
management . 13 mg/dl after coming to
clinic complaining of
* Which of the following fatigue and thirst for the
tumor markers is past month . A chest
appropriately matched with radiograph demonstrates a 4
the cell type cancer and can cm mass in the right lower
be followed during treatment lobe . Which of the
as an adjunct to assess following serum tests is
disease burden ? most likely to reveal the
A CA_125 _ Colon cancer . cause of his hypercalcemia ?
B Calcitonin _ Follicular A . ACTH .
carcinoma of the thyroid B . ADH .
C CD30 _ Hairy cell leukemia C . Insulin like growth
. factor .
D HCG _ GTD . D . PTH .
E Neuron specific enolase _ E . PTH related protein .
Non small cell carcinoma of
the lung * All of the following
conditions may be associated
* A 66 year old woman has with a thymoma except ?
CLL with a stable white A . Erythrocytosis .
blood cell count of between B .Hypogammaglobulinemia .
60.000 and 70.000 /uL . She C . Myasthenia gravis .
is currently hospitalized D . Polymyositis .
with pneumococcal E . Pure red blood cell
pneumonia . This is the aplasia .

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 66
 D . Reactive Eosinophilia
* All of the following must be excluded .
statements regarding the E . There must be less than
anemia of chronic kidney 20% myeloblasts in blood or
disease are true except bone marrow .
A . The degree of anemia
correlates with the stage of
chronic kidney disease .
B . Erythropoietin levels
are reduced .
C . Ferritin is reduced .
D . It is typically * Which of the following
Normocytic and Hemolytic anemias can be
normochromic . classified as
E . Reticulocytes are extracorpuscular ?
decreased . Elliptocytosis
PNH
* A 24 year old man with a Pyruvate kinase deficiency
history of poorly treated SCA
chronic ulcerative colitis TTP
is found to have anemia with
a hemoglobin of 9 g/dl and a * Which of the following
reduced mean corpuscular statements regarding
volume . His Ferritin is 250 Polycythemia rubra vera is
. Which of the following is correct ?
the most likely cause of his A . And elevated plasma
anemia ? Erythropoietin level
A Folate deficiency excludes the diagnosis .
B Hemoglobinopathy B. Transformation to acute
C Inflammation leukemia is common .
D Iron deficiency C . Thrombocytosis
E Sideroblastic anemia correlates strongly with
thrombotic risk .
* All of the following D . Aspirin should be
statements are true prescribed to all of these
regarding the criteria to patients to reduce
diagnose hypereosinophilic thrombotic risk .
syndrome except ? E . Phlebotomy is used only
A . Increased bone marrow after hydroxyurea and
Eosinophils must be interferon have been tried .
demonstrated .
B. It is not necessary to * All of the following are
have increased circulating vitamin K dependent
Eosinophils . coagulation factors except ?
C . Primary myeloid leukemia A Factor 10
must be excluded . B Factor 7
C Protein C

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 67
D Protein S A ACTH producing pituitary
E Factor 8 adenoma .
B Adrenocortical adenoma .
* All of the following C Adrenocortical carcinoma .
laboratory values are D Ectopic ACTH secretion .
consistent with an E McCune Albright syndrome .
intravascular Hemolytic
anemia except ? * A 27 year old woman with
A Increased haptoglobin mild obesity is seen in her
B Increased LDH primary care office for
C Increased Reticulocyte increased thirst and
count Polyuria . DM is suspected ,
D Increased unconjugated and a random plasma glucose
bilirubin of 211 mg/d confirms this
E Increased urine diagnosis . Which of the
hemosiderin following tests will
strongly indicate that she
* All of the following are has type one DM ?
consistent with A .Anti GAD 65 antibody .
nonproliferative diabetic B .Peroxisome proliferator
retinopathy except ? activated receptor _ 2
A Blot hemorrhages polymorphism testing .
B Cotton wool spots C . Plasma insulin level .
C Neovascularization D . Testing for HLA_DR3 .
D Occurs in first or second E . There is no laboratory
decade of DM test indicating type one
E Retinal vascular DM .
microaneurysms

* All of the following are

potential causes of elevated
LDL except ?
A Anorexia nervosa
B Cirrhosis
C Cholestasis
D Nephrotic syndrome
E Thiazide diuretics

* Which of the following is

the most common cause of
Cushing syndrome ?

‫اسئلــــــــة الباطنيــــــة‬ ‫ اسامه الخزاعله‬: ‫الدكتور‬

Page 68