8/5/2022
molluscum contagiosum picture
failure to thrive pic
Svt pic
malaria falciparum pic
vesicuurethral reflex pic
stepping refelx pic
Leiomyoma pic
pic of us of twin ask about what increase risk of miratality and motbidity
my answer was preterm delivery
21. Child that throws a ball at you and draws a straight line and stacks “few” cubes on each other (they
didn’t mention the number of cubes). What is the age?
A. 12 months
B. 14 months
C. 18 months
D. 24 months
Answer: D
9- A child with pica, hepatosplenomegally and failure to thrive. Coming from a low socioeconomic economic status
family.
HGB low
Lead - 2 high
PT normal
PTT normal
INR normal
Iron normal
What’s the most appropriate treatment?
A. Vitamin K
B. D-pinicillamine
C. Iron supplements
answer B
Pediatric pt have all UTI Sx and ask what’s the most diagnostic value?
A. Two mixed organisms from clean catch
B. Single organism from any colony from mid stream urine sample
C- Single organism (3x10^5) from suprapubic
answer c
Pregnant woman found to be non-immune to rubella, when to give vaccine?
3rd trimester
After delivery
AnswerB
71. Baby sit briefly, crawl , move object from hand to hand , but can't do pincer grasp , age ?
A. 4 month
B. 6 month
C. 7 month
D. 9 month
Answer : C
18 months baby came with family, nurse inform doctor that patient never was vaccinated in the file since birth, the
parents refuse vaccines and say “ vaccines damages the baby brain) what is the appropriate action?
A. Refer parents to psychiatry
B. Contact ethical committee
C. Explain about the vaccines and the great side of it
Answer is: C
43.Patient old with end stages cancer disease complaining of severe pain and his children ask you to give him
stronger pain killers you respect theirs wishes but you told them that the pain killers may fasten the death of their
father question in this case what the doctor do?
Answer is: principles of double effects
52.Baby abounded by his mother as he’s result of out of wedlock pregnancy Pediatric surgeon asses him he has
inguinal hernia decided he need inguinal hernia repair. Pt need consent What’sappropriatenextstep?
A. Refer to police
B. refer to social worker
C. you do the consent for the baby
D. call the ethical committee
Answer is: D
Patient want to take hormonal therapy, but you are sure that it is not suitable for her, and she decided to complain
against you, what is your action ? In other recall Hormonal therapy in post-menopausal woman? In other recall gyn
explain to the pt that HRT will not help her menopausal symptom at this stage but the pt insist to have it what should
doctor do?
A.Don’t give it to her (refuse)
B.give her
c.refer her
Answer: A
Child came with anal itching mother noticed rice like, whats the organism responsible:
A-enterobius vermicularis
answer A
child have dry non purulent conjunctivitis, cracked red lips, erythema (I think trunk, sole, hand)
what’s the diagnosis?
- Kawasaki disease
- Rubella
- Measles
answer A
3- 9 y/o pt his mom complaining about he is wetting his bed since one month. He used to be dry since 7years The
urine is foul smelling His lab showing high wbs and turbid in colour and showed nitrate Diagnosis ? A- UTI B- normal
for his age C- nocturnal enuresis
answer A
A baby with noisy breathing and wheezing that improves when prone and increases when supine. What is the
diagnosis?
A-Laryngomalacia
B- Tracheomalacia
answer A
pediatric with chronic diarrhea and recurrent streptococcal AOM and streptococcal pneumonia what to order :
1- C1 inhibitor
2- Immunoglubulin level
2- Anti hemolytic CH 50
answer B
Mother concerned about her child how have abnormal face and mouth movements during sleep
mid temporal spikes in ecg?
Benign Rolandic epilepsy
New born after ventose delivery swelling limited to suture
A. Cephalohematoma
B. Carbuncle
answer A
Mother strictly vegan and she is breastfeeding her baby asking what deficiency baby will have?
A- Vit B12
B- VitD
C- iron
D- vit A
answer A
Pt vith dysmenorrhea what is the important to ask?
A) Family hx
(B)MehstrualI HE
(C)Medical hx
(D)Surgical hx
answer B
Patient came with vaginal discharge she have done CS with episiotomy 10 days ago , the obstetrician
diagnosed her with UTI and described Abx , but she did not improve then she went to another
obstetrician and he found infected vaginal swab , What is the medical error done by the first
obstetrician?
A. let the midwife assist him and depend on her
B. doctor failed to follow the surgical safety protocol in the OR
C. no communication between the second and first obstetrician
D. genuine differente assessment or diagnosis of patient case
answer B
4- Polyhydramnios cause ?
A/ Anencephaly
B/ Post term pregnancy
C/ Maternal ingested NSAIDs D/ Posterior urethral valve
answer A
Female 27 years old, she is asymptomatic, her last pap smear was 3 years ago and it showed
unconcerned squamous cells. What is the most appropriate thing to do?
A-Repeat pap with cytology. B-No need and reassure
C-Colposcopy D-Cervical swab
answer A
pt with HCV ,, developed abd pain, CT done and show HCC which is 6cm =
A. Radiotherapy B. chemotherapy
C. excision
answer C
Pregnant woman about to deliver, past history significant for Asthma and E.Coli.
What to give during delivery?
Betamethasone
Ampecilline
answer B
Role of acyclovir in pregnancy
A decrease viral sheeding and infection duration
B decrease placental transmission C decrease infection sevirty
answer A
Pregnant came to the ER today with moderate bleeding. What's the inext step? (Not mentioned if
there’s Hx of placenta previa)
A- transfer to Us
B- insert 2 large IV cannula C- Emergency delivery
D- pelvic examination
answer B
41YO P5 +3 presented to the clinic complaining of abnormal uterine bleeding her Menstrual period is
regular, associated with blood clots and pain that is not relieved by analgesic she had previous
myomectomy, she is a known case of PCOS&her BMI is 40?
A-Adenomyosis
B-Endometriosis C-Uterine fibroid
D-Endometrial hyperplasia
answer A
A 30 weeks gestation , she has lower abdominal pain with no bleeding or leaking if we suspect
preterm labor , which of the following will confirm preterm labor ?
A-History will be enough to confirm preterm labor
B- Presence of contractions in the CTG
C- Pelvic examination
D- cervix length
Pregnant 8 weeks GA come to hospital with spontaneous abortion , and ask you what is the most
common cause of that leads to spontaneous abortion ?
A- Incomptant cervix
B- Chromosomal abnormalities
C- smoking
D- intersive exercise
answer B
ld pt DM- HTn cardiac dis, long senario. And all treatment given and
stable on thrombolytic, What is the most common cause of death during
his hospital stay:
A. bleeding
B. stroke
C. PE
D.MI
Case about baby ingest asprin large dose!! Toxicity Q what abnormality in acid base balance
answer Respiratory alkalosis early folllowed by Metabolic acidosis
Pt 64 Male , HT , Diabetes, hyperlipidemia , history of stroke the CHADS2 is ?
A3
B4
C5
Answer B
Risk factor
Points
Congestive heart failure
1
Hypertension
1
Age ≥ 75
2
Diabetes mellitus
1
Stroke, TIA, or thromboembolism history
2
Vascular disease (history of myocardial infarction, peripheral vascular disease, or aortic
atherosclerosis)
1
Age 65–74 years old
1
Sex (female, 0 points for male)
1
Drugs decreasing motality in HF?
Pt has rest tremor but when he move to pick something the tremor gone, but can’t do finger nose
test with his right hand where is the lesion ?
Right cerebellum
Left cerebellum
Right hemisphere
answer A
pph after 10 min has bleeding what type of pph
primary
secondary
tertiary
76 year old male retrosternal chest pain with exertion relieved by rest on
examination S4 was heard ECG showed t wave inversion in lead V2-v5 what is
the diagnosis
1. Stable angina
2. Unstable
3. NSTEMI
4. STEMI
answer C
Educate people about low sodium diet to prevent hypertension? A. PrimaryB. Secondary C.
Primordial
answer A
65 y male heavy smoker medicaly and surgycally free What screen for him
A) DM
B) HTN
C)AAA
answer C
Patient known hypertensive on lisinopril and amlodipine, recently diagnosed as TB
What you will do
1.decrease lisinopril dose
2.stop amlodipine
3.increase lisibopril
4.stop rifampicin
answer A
A 54 yo female medically free comes for routine checkup ,Her cardiac exam revealed grade 4
pansystolic murmur heard best at the apex and radiated to the axilla,she is asymptomatic and the
rest of her exam is normal,best next step to confirm the diagnosis?
A. TTE transthoracic echo
B. TEE
C. ASO TITER
D. CHEST X ray
answer A
45 y/o female complete mammogram screening when to do it again ?
-after 1 year
-after 2 years
-no need
-forgot but i think after 6 months
answer A
Pt hear heart beat sound 2day no other symptoms examination clear lung Bp 87/56
O2: 90%
PR:265(regular)
What Dx
1.atrial flutter
2.atrial fibril
3.SVT
4.complete heart block
answer C
Patient K/C of SLE, which of the flowing type of anemia associated with SLE? Hemoglobin
electrophoresis: normal, Ferritin: High, Reticulocyte: High, Lactate dehydrogenase: high,
Haptoglobin: low?
A. Anemia of chronic disease
B. Hemolytic anemia
C. Iron deficiency
D. Thalassemia
answer B
patient immune compromised what to avoid?
A. MMR or vercilla
B.Pertussis
C. PV
D. Influenza
answerA
18- World health organization (WHO) to determine the health of the population in KSA What should
KSA share to WHO:
A- Health determinant
B- Health indicator
C- Risk factors
D- Something variable
answerB
young male came to well baby clinic, upon examination his right testis was palpable in the inguinal
canal and small in size and easily moved to scrotum, the left is normal, what is the cause?
-ectopic testis
-undescended testis
-testicular torsion
-Retractile testis
answer D
Pt had polyp 1.5 Tubular adenomas and remove when to follow up
3-6 months
Every 3 years
Every 10 years
answer B
Man came with scalp open wound, after 6h assault, what wound management?
A-secondary closure
B-Debridment with 1ry closure
C-Debridment with granulation
D-Leave it for granulation! I think wrote like this
answer B
12 year old boy injured with supracondylar fracture and distal radial pulse
absent , which of the following is the appropriate next step in management?
A-K wire
B-intramedullary nail
C-surgical exploration
D-Closed reductio
answerA
35 years old female her dad has colon cancer when he was 55 and her mom had breast cancer when
she was 43 asking about screening:
A- She should do mammogram annually
B- Start mammogram at 40
C- Start mammogram at 40 and colonoscopy at
D- Colonscopy
answer A
Lactiting women small around mass in aerolar with small inverted of nipple and reteurn
normallyDx????
Fibro adenoma
Breast cyst
Duct ectasia
answer c
breast feeding mother found unilateral mass on the lower outer quadrant of right breast (i think 3x3
cm) it was erythematous and hot on palpation. Mildly tender. Most appropriate management?
A. chemo therapy B. radiation therapy
C. needle core biopsy D. Aspiration + Abx
answer D
16 years old boy come to the clinic by his family with jaundice and fatigue and splenomegaly, and
history of cholecystectomy before for stone, also History of Required many blood transfusions
before, Labs: microcytic anemia (+/- hemolysis) Highest diagnostic test?
A- Peripheral blood smear
B- Hemoglobin electrophoresis
C- sickle cell genetic test D- Bone marrow biopsy
answer B
RTA patient came with deformed swell leg...there is pain and paresthesia and absent pulse
Most appropriate management:
Fasciotomy
Pancreatitis 5 weeks ago. Now she has epigastric tenderness and cannot tolerate food with
vomiting each time. By ultrasound you found large about 12X10 mass with thick wall and fluid
inside. Labs: 346 amylase, Wbc 15k. What is the diagnosis? *
A. Pseudocyst
B. Abscess
C. Walled off necrosis
answer A
When to check bacteriuria in asymptomatic pregnant?
At 12th week
At which age can we give peanuts and eggs to babies to prevent the risk of getting allergic?
A. 10 months
B. 14 months
C. 18 months D. 24 months
answerA
12 years old boy diagnosed with DM type 1 he has been complain with hypoglycemia since he take
his medication 2 month ago and not reach control
1)brittile phenomena
2) down phenomena
3) smoggi phenomena
4) honeymoon phenomena
answer D
child come with fever cough and diffuse wheez what is the mangement
1) admit for O2 and antibiotics (not sure)
2) admit for O2 and fluid
3) discharge patient with antibiotic
answer A
38 weeks dilivary newborn complain from rachypnea and granting what is the diagnosis
1) transient tachpnic of newborn
2)RSD
3) muconium aspiration
4 hyaline membrane disease
answer A
Old man came complaining that (he can’t remember things), he sometimes forgets his friends’
names or celebrities in his community and phone numbers. His wife is worried he has Alzheimer’s.
Labs normal. He has tender knees (not something amazing just cause he’s old). No mention how it
affects his daily life.
- Alzheimer’s
- Benign forgetfulness
answer B
Patient received 5mg warfarin his inr is 7 , known case of AF ?
A. Reduce to 2.5 mg
B. Same dose
C. Stop warfarin
D. hold and repeat inr
answer D
9-camping in the community to educate people about health determents considerd as?
A-health education
B-active surveillance
answer A
Pregnant with bleeding, placenta abruption
A- Rapid response team ✅
B- ICU admission under OBs care
child hypoglycemia & seizure & metabolic acidosis & characteristics smell & positive ketone
Diagnosis?
A) Phenylketonuria
B) maple syrup urine disease
answer B
child came with potential toxic dose of paracetamol. The physician requests an “Acetaminophen
level”. The lab technician calls to report results. He says: “two” stops and pauses and then says:
”one,
three”. The nurse mistakenly writes it as “2.13” while the real result was “213”. The patient went
into
irreversible liver damage, What was wrong here?
A. ................
B. lack of communication
C. Nurse who failed to repeat the result and double check she got the accurate result.
D. Lab technician who didn’t repeat or double check that the nurse heard him and recorded
correctly.
answer A
Infant Mortality Rate has decreased to 4.28 in 2020 in Saudi Arabia. Which of the following figures
involved in This:
A) Number of women in childbirths age
B) Number of deaths in saudi arabia in 2020
C) children who died in 2020 and not completed their first tear
answer c
28- pregnant low hg refused before enter to cs consent for blood transfusion during cs she ؟
confused and need to give her blood transfusion what do
A- Ask her to consent before she confused and loss of conscience
2- Give her blood transfusion without consent
3- consult the medical ethical commioee
answer B
Elderly healthy medically free came for vaccines
A) meningeococcal
B) pneumococcal✅
C) MMr
8years old boy. Mother complained of poor training to bath room which muscles is targeted in
therapy?
A-Perianal
B-pelvic floor C
C-Rectus muscle
D-Detrusor
answer D
Warfarin did not stop by patient regardless of clear instructions
, the nurse in OR noticed that the patients didnt stop the drug as instructed and informed the
surgeon , So the surgeon postponed the operation:
A- near miss
B- adverse event
C- medical neglicance
answer A
49) Newborn has yellowish disoloration that is not faded, started at the 3rd day. Previously was dx
as physiological jaundice and so phototherapy was done. What is the cause?
A-ABO incombatibility
B-Rh incombatibility
C-G6PD diffeciency
D-biliary atresia
answer D
67) Tumor lysis syndrome(dx was given), findings?
A-hypercalcemia and hypokalemia
B-hypocalcemia and hyperkalemia
answer B
hypokalemia + hypocalcemia with flat T wave ( next management) Labs : very high urea & creatinine
1- dextrose
2- ca2 gluconate
3- ca2 resonium
4- renal replacement.
Answer B
Pediatric patient kco of scd who just had blood transfusion couple weeks back , what should
you do regarding hepatitis a vaccine
A) givve it as schedule✅
B) delay 2 weeks
C) delay one month
.
Long case and asking about absolute contraindications of inserting IUD ?
Gentile track bleeding
Postpartum endometritis
Answer b
28. Researcher changed his results before publishing his paper what’s the name?
Falsification (manipulation)
Fabrication
Plagiarism
Answer : A
Short stature low set ears Shield chest webbed neck
What is th dx
Turner
Down
MarFAN
ANSWER A
99. pt after SVD found placenta can not extract and refused hysterectomy then ligate placenta and
started MTX , what’s the complication of this case ?
A-Bleeding
B-Infection
C-DIC
Answer : A
114. 12 weeks GA pregnant women with uncontrolled diabetes mellitus her glycated Hemoglobin
was around 8 , which of the following will increase drastically
: A-Preeclampsia
B-Congenital malformations
C-Polyhydroiaminos
Answer : B (dr Wafa)
118. Healthy lady want came for preconceptions clinic what is the amount of folic acid in mg for her
-1
-5
-10
-15
Answer : A
119. Old patient came for elective cholecystectomy you find out he was admitted 2 weeks ago in icu
for management of MI, what will you do?
A- do it in this admission
B- delay it 6 weeks
C- delay it 6 months
D - no need to do it anymore
Answer : B
123. Female 30 week gestational age, regular antenatal follow ups, presented w profuse vaginal
bleeding and abdominal pain. Ctg normal heart rate and regular contraction. (No other details)
A Labor
B Preterm labour
C Placenta abrupt
D Placenta previa
Answer: C
133. The operation is successful and the patient is given postoperative insulin and IV dextrose. 2
days after the operation he becomes very agitated. Which of the following is the most likely cause?
A.Water overload
B. Addison's disease
C. Diabetic nephropathy D. SIADH
Answer: A
have HTN, heavy bleeding and anemia what contraceptive she can use?
A) tube ligation
B) IUD mirena C) condom
D) OCP
answer B
Medical student came to you in the clinic wants you to give him sick leave to his final exam
tomorrow because he was with his sick mother in hospital last night and couldn’t study for the test,
what is your action?
A- Refuse and tell him he was supposed to study earlier
B- Refer him to another colleague who will accept this C- Give him a sick leave and save your future
colleague
D- Call the hospital and make sure he’s saying the truth and his mother is sleeping there
answer A
. Pa,ent post MVA complains of SOB, signs of respiratory distress and distended neck veins. Chest
examina,on reveals hyper-resonance . What is the next step in management?
A) needle decompression in intercostal space
B) chest tube in intercostal space
C) Thoracotomy
D) tube drainage in intercostal space
Answer:A
17. the pa,ent had a biopsy which showed villous atrophy, +an, TTG , +an, endomysial an,bodies
asking about the next step?
A)Gluten free Diet for life✅
(because he is already diagnosed)
48 year old female completed her family has been complaining of heavy painful bleeding and
abdominal pain. Imaging showed she has a large fibroid measuring 5x9 what is the best
management?
A)total Hysterectomy✅ (shecompletedherfamily) B) laparoscopic.
37. Pa,ent presented with typical picture of malaria infec,on, blood smear showed no parasite,
what’s your next step?
A) Repeat thick blood smear
B) Repeat every 8 hours for 2 days ✅
C) Repeat thin blood smear
1- patient w/ Alzheimer’s (given), how to investigate?
CT brain
MRI brain ✅
EEG
Lumbar puncture
also three qustions about types of shock
Post RTA pt had lower back pain and unable to move first line management done waiting for the
consultant what is the best to be done :
- CT spine
-back stabilization ✅
A child with abdormal limb movements facial grimacing and tongue protrusion. A couple of hours
before, he was given metoclopramide, hyoscin, and oral rehydration solution for gastritis.
What should be given? -cyproheptadine
-Diphenhydramine ✅
57- Smoker with anxiety wants to stop smoking initial mx :
A.Bupropion
B.Varencillen
C.Nicotine replacement
D.Motivational support
answer D
65- 60 years old male known as of liver cirrhosis came to the clinic complaining of sudden onset of
Jaundice.
On examination there was nodular hepatomegaly
Ultrasound shows right liver lobe 2 nodules, what is the most causative risk ?
A- Aflatoxins
B- Hepatitis B
C- Portal HTN
answer B
What is best way to treat epistaxis
A- Sit and lean forward
B- Sit and lean backwards
C- Stand and lean forward
D- Lay in supine position
Answer A
Question about example of autonomy
Many questions about htn treatment and what to add
