1.
85 year-old woman is taking ferrous sulphate to treat
an iron deficiency Anemia. Changes in which one of the
following pharmacokinetic properties associated with
aging can most affect this agent?
A. Absorption
B. Distribution
C. Metabolism
D. Renal Elimination
2. All the following patients are seeing their pediatrician today and are
due for immunizations on the basis of the routine schedule. For which
one of the following patients would it be best to recommend deferring
immunization until later?
A. 12-month-old boy who recently completed a cycle of chemotherapy
for acute lymphocytic leukemia.
B. 6 month-old girl receiving amoxicillin for otitis media.
C. 12-month-old HIV-positive boy who’s most recent CD4 count was
greater than 1000.
D. 12-year-old girl completing a prednisone “burst” (1mg/kg/day for 5
days) for asthma exacerbation
3. 18 month-old baby with a history of premature birth and
chronic lung disease is admitted to the Peadiatric intensive care
unit with respiratory distress requiring intubation, fever, and a 3rd
day history of cold like symptoms. A nasal swab is positive for RSV.
Which one of the following is the best intervention?
A. Palivizumab
B. Corticosteroids
C. Cefuroxime
D. Intravenous fluids and supportive care
4. A young girl has seizures and tremors, the
physician prescribed Oxycarbamazepine after 2
weeks of administration, redness and pruritic rash
A-Shift to Carbamazepine
B-Shift to Ethosuximide
C-Shift to Clozapine
D-Keep using Oxycarbamazepine
5. A woman is taking Oxycarbamazepine, after 2 weeks
of administration, redness and flushing appear. What is
the best choice for her?
A. Shift to Phenytoin
B. Shift to Carbamazepine
C. Take Clozapine
D. Keep using Oxycarbamazepine
N.B: It is normal side effect but in other question (young
girl) answer is shift to Ethosuximide
6. FDA Fast Track what this means:
A- For drug that shows promising results for life-
threatening disease with other drugs available can treat it
B- A drug that shows promising results for life-threatening
disease with NO others available can do that
C- A drug that shows cost effectiveness
D- A drug with side effects
7. A 9 year old boy has a new diagnosis of ADHD. At school, he is
disruptive, talks when the teacher is taking, and runs around the
classroom, His parents report extreme difficulty in getting him to do his
homework after school. Which one of the following is best for his initial
drug therapy?
A. Methyl Phenidate extended release given once daily.
B. Methyl Phenidate immediate release given 2 times/day with doses
administered 4 hours apart.
C. Guanfacine given at bedtime.
D. Methylphenidate given 2 times/day with doses administered 4 hours
apart
NB: ADHD=Attention Deficit Hyperactivity Disorder
8. AB is a 55 year-old woman with Rheumatoid arthritis. On
diagnosis 1 year ago, AB had an RF titer of 1:64 signs and symptoms
of inflammation in the joints o both hands, and about 45 minutes of
morning stiffness. She began therapy with Methotrexate, and she is
presently receiving 15 mg every week, Folic acid 2 mg/day,
Ibuprofen 800 mg 3 times/day, and Omeprazole 20 mg/day. At
today’s clinic visit, AB reports a recurrence of her symptoms.
Radiographic evaluation of her hand joints shows progression of
joint space narrowing and bone erosion. Which one of the following
is the best next step in therapy for AB?
A. Administer Etarnacept (Enbrel)
B. Switch to Hydroxychloroquine
C. Add Prednisone bridge therapy
D. Change to Leflunomide.
N.B: Etanercept is the first choice, if it does not exist choose
Leflunomide
10. 75 years old woman reports urinary urgency, frequency and loss of
urine when she cannot make it to the bathroom in time. She also wears
a pad at night that she changes 2 or 3 times because of incontinence.
Her medical history is significant for Alzheimer disease (MMSE 23),
Osteoarthritis, and Hypothyroidism. A urinalysis is negative, her
examination is normal, and postvoid residual (PVR) is normal (less than
100 mL).
Which one of the following interventions would be best at this time?
A. Bethanechol
B. Pelvic floor exercises plus Estrogen vaginal cream.
C. Darifenacin.
D. Oxybutynin
11. A hypertensive and diabetic women, after continuing
medication of Pioglitazone, it’s blood glucose level return to
normal and in lab reading, the protein appears, she will take
which drug to treat hypertension:
A. Lisinoprill
B. Amiloride
C. Triamterene
N.B: Due to presence of Proteinuria we will choose ACEI drugs
such as lisinopril as ACEIs reduce Proteinuria.
12. A pregnant women in her third week she takes
levothyroxine 100 mcg, you advise her:
A. Stop the medication immediately
B. Increase the dose of levothyroxine
C. Ask the prescriber to change the medication
D. Continue using the medication as prescribed
N.B: Due to alterations of endogenous maternal thyroid hormones, the
levothyroxine dose may need to be increased during pregnancy and the
dose usually needs to be decreased after delivery.
13. A 2 years old child came to clinic for taking
Hepatitis A vaccine, we know that he took Pneumonia
vaccine for a month ago, so we should:
A. Give gun the vaccine immediately
B. Wait for 3 months
C. Wait for 6 months
D. Wait for 1 year
14. A patient come to you taking Alendronate,
you advice him:
A. Take alendronate ½ hour before breakfast
and stand upright for ½ hour
B. Take alendronate ½ hour before breakfast
and rest
C. Take alendronate ½ hour before breakfast
with water and stand upright for ½ hour
15. A nurse giving the medication to a hepatitis B patient
when she got infected with his blood, when she made
analysis the result was HBSAG negative and HBSAB
negative, so she should be treated with:
A. Give her Hepatitis B vaccine immediately
B. She needs no treatment
C. Give her immunoglobulin only
D. Give her immunoglobulin + Hepatitis B vaccine
16. A pregnant woman has hepatitis B when she
delivers we must give her baby:
A-Hepatitis B vaccine only
B-Hepatitis B vaccine with interferon
C-Hepatitis B vaccine with immunoglobulin
Hepatitis
D-Hepatitis B immunoglobulin with lamivudine.
17. A Case about Patient with Erectile
dysfunction (ED) caused by long-lasing HTN &
Diabetes. So use:
A. Sildenafil
B. Testosterone patch
C. Yohimbine
18. A Kidney failure patient with hyperkalamia which of the
following should be used
A-Insulin
B-Thiazide diuretic
C-Calcium gluconate / Calcium Carbonate
D-Spironolactone
N.B: Due to the drug of choice in case of renal failure is loop diuretic not
thiazides Calcium is used as prophylaxis of arrhythmia due to Hyperkalamia
“Calcium gluconate or Calcium carbonate” both are right
19. A 2 years old child has taken Hepatitis A
vaccine and came to take MMR vaccine:
A. Should take MMR vaccine immediately
B. MMR vaccine should be delayed 3 months
C. MMR vaccine should be delayed 6 months
D. MMR vaccine should be delayed 12
months
20. A non-smoker patient suffers from
wheezing and chest tightness, what
medication he should use?
A- β2 agonist
B- Corticosteroids
C- Omalizumab
Drug of choice:
1 – Acute asthma- Short acting selective b2 agonist:
(Salbutamol)
2-Chronic asthma- Corticosteroids (Anti-inflammatory)
(Beclomethasone, prednisone, hydrocortisone)
3- Moderate to severe asthma- Omalizumab
4- wheezing and chest tightness-
Corticosteroids
5- Severe acute attack of asthma – MgSO4
21. A woman suffers from acute asthma attack,
what is the best choice for her attack
A. Salbutamol
B. Salmeterol
C. Corticosteroids
22. Pregnant woman in her 43th week and began her
labor, the contractions were going good for 12 hours
but in the last hour it is decreased. So what medication
you give her?
A- Ritodrine
B- Erogonovine
C- Oxytocine
D- Saline infusion
NB:
· Oxytocin is a uterine stimulant used to induce
labor in women with problems
· Ritodrine is used to stop premature labour
· Ergonovine used for prevention and treatment of
postpartum and post abortion hemorrhage
23. 2 years old girl has Otitis media, which medication is
the best for her?
A- A high dose of Ampicillin
B- Azithromycin
C- Erythromycin
D- Cotrimazole
N.B:
A high dose of AMOXICILLIN is the antibiotic of
choice. In this case choose Azithromycin
24. A man came to ER with vomiting and dizziness after
he ingested toxic dose of certain drug, what is the most
important step?
A- Decrease amount of drug absorbed
B- Increase elimination of drug
C- Watch the vital signs and Make them normal
D- Compensate the neurological symptoms of the toxicity
25. A Woman came to the ER with pin pointed pupil,
vomiting and dizziness. Which drug is responsible for
that?
A- Heroin
B- Cocaine
C- TCA
N.B:
· Heroin is a opioid agonist and cause miosis
· Cocaine is indirectly sympathomimetic and cause
Mydriasis
26. Which of the following vaccine
should be taken although you don’t
need it:
A- Influenza Vaccine
B- MMR vaccine
C- Dap vaccine
27. The summary of a long case that the is a patient
on Clopidogrel (Plavix) treatment who make an
accident. He is admitted to ICU and has a catheter .
He was taking Omeprazole, what is the best
intervention for him to reduce gastric secretion:
A-Reduce Omeprazole dose
B-Stop Omeprazole
C-Do not change Omeprazole
D-Move to Pantoprazole IV
28. A patient came with multiple fractures of his bones
and ribs from an accident. He has a brain trauma and he
is on NGT(Nasogastric Tube) in ICU. Which of the
following is best used for the prophylaxis of stress
induced ulcer that can be happened to him:
A- Sucralfate
B- Misoprostol
C- IV pantoprazole
D- Does not need like this treatment
29. A patient suffers from Polyurination and dizziness so he
does lab tests and his results are as following:
Glycosuria +ve
Capillary blood glucose = 15 (Normal up to 6 )
What is the best medication for this patient?
A- Insulin Glargine
B- Glipizide
C- Metformin
D- Diet & Exercise
N.B:
1- Polyurination: The production of an
abnormally large amount of urine; one
symptom of diabetes
2-Glucosuria is the excretion of glucose into
the urine
30. A pregnant woman in her 9th month, she has hyperproteinemia and
hypertension. What is the recommended medication for her?
A. Magnesium Sulphate / Mgso4
B. Lisinopril
C. Losartan
N.B: This case is called as Eclampsia characterized by HTN +
Hyperproteinemia
is the development of seizures in a women associated with pregnency DOC:
MgSO4
Drug used to treat HTN in Pregnancy
1.Methyledopa
2.Labetalol
3.Hydralazine (Emergency HTN)
31. Diabetic patient uses insulin daily, he forgot
to take his insulin dose someday. He did lab tests
and his results was normal except, high Glucose,
high Potassium (Hyperkalemia)
What do you recommend for this case?
A. Restart his daily Insulin dose
B. Use 0.9% NaCl Normal saline
C. Use 3-5% NaCl hypertonic solution
D. Use 0.33% NaCl hypotonic solution
N.B:
• Hyperkalemia most commonly occurs in
uncontrolled Hyperglycemia(Diabetic ketoacidosis)
due to lake of Insulin
• The acidosis and high glucose levels in the blood work
together to cause fluid and potassium to move out to
of the cells into the blood circulation
32. The summary of a long case that pregnant woman
in the hospital with deep vein thrombosis (DVT) can
take?
A. Heparin
B. Enoxaparin (Clexane)
C. Warfarin
N.B:
Warfarin is Category X
Enoxaparin (Clexane) is a low molecular weight heparin
can crosses plancental barriers
33. A post menopause old woman is
suffering from facial flushing and vaginal
drying. She has done Hysterectomy
procedure. Which drug of the following
should she use?
A- Estrogen
B- Progesterone
C- Testosterone
34. A 39 years old women. What is the best oral birth control pills
appropriate for her
A. Levonorgestrel
B. Ehinyl Estradiol/Iynestrenol (Combined oral contraceptive)
C. Lynestrenol /Norethisterone (Progestogen hormone)
D. Medroxy Progesterone (Progestogen depo contraceptive)
N.B:
Take the Minipills of Progesterone if the patient is
· Older than age 35 + Smoke
· Older than age 35 + Migraine / Headache
· Older than age 35 + Obese
· Older than age 50
· Breast feeding
· Diabetes mellitus with vascular diseases
· Risk of DVT or history of Thromboembolism / blood clots
· History of uncontrolled HTN or heart problems
· Breast or Endometrial cancer
35. A woman with DVT and she was treated a year ago. She
wants to use oral contraceptive pills. Which is more suitable
for her?
A. Levonorgestrel
B. Ethinyl Estradiol/Iynestrenol
C. lynestrenol/Norethisterone [Progesterones]
D. Medroxyprogesterone acetate (Parental depot contraceptive
/ Synthetic Progestin)
36. A pregnant woman taking Valproic acid and
went to the physician with tonic colonic seizures.
Which of the following is true?
A. Stop Valproic acid and use Phenytoin
B. Use Valproic acid with Iron supplements
C. Use Valproic acid with folic acid
D. Use Valproic acid with multivitamins
37. A Pregnant woman with G6PD deficiency
and G-ve UTI. Which is the drug of choice to
treat her UTI?
A. Vancomycin
B. Nitrofurantoin
C. Cefuroxime
D. Sulphmethoxazole
38. A Pregnant woman has G-ve UTI, which is the
drug of choice to treat her UTI?
A- Ciprofloxacin
B- Tetracycline
C- Sulphamethoxizole
D- Nitrofurantoin
39. A hyperglycemic patient his blood glucose level given by
moles and his HBA1C was high (more than 10%), What is
the best medication for him?
A - Metformin
B - Insulin 70/30 (NPH/R)
C – Insulin Glargin
N.B:
HBA1C is a form of heamoglobin that is measured
primarily to identify the average plasma glucose
concentration over prolonged periods of time.
Type 2 diabetes start with Metformin
If HBAIC is getting higher even if 1% we increase
Metformin
If HbA1C increased for more than 10%we give Insulin
Normal HbA1c less than 4-6.5%
40. A Diabetic patient takes Metformin twice a
day, he did blood glucose analysis and there was
4 results all were normal except one result was
high and HbA1c was 7. What he should do?
A- Increase dose of Insulin
B- Increase dose of Metformin
C- Don’t do any thing
41. A patient takes 4 drugs. He did kidney function test and
the result was high serum cr and high BUN (blood urea
nitrogen) so which drug should be stopped.
A- Metformin
B- Tigecyciln
C- Insulin
D- Metoprolol
N.B:
Metformin is contraindicated with Renal failure and aged
peoples
42. A 22 years woman wants to become pregnant, she
is taking Metformin and Pioglitazone. She has a
history of hypoglycemia and she prefers oral therapy.
What will be the best approach in her case?
A- Stop Pioglitazone and titrate Metformin
B- Stop both of them and start Insulin therapy
C- Stop metformin an titrate Pioglitazone
D- No change in therapy
43. An elderly man around 60 years old, complain
from Polyuria, dry mouth. There is no family history
of diabetes. He has done a lab tests and the results
were Positive for Diabetes. Initial treatment should
be:
A. Insulin
B. Metformin
C. Tigecycilne
44. A 83 years old man suffers from fatigue, weakness
and dizziness, there is no family history of diabetes. he
went to the doctor and had done a lab tests and the
results were Positive for diabetes and BMI = 28.
Initial treatment should be?
A- Metformin
B- Diet and Exercise
C- Gliclazide
D- Insulin
N.B:
· If younger than 80 years old- Metformin
· If older than 80 years old- Glyclizide as
usually elderly patients have kidney
dysfunction which contraindicated with
metformin
45. A patient with high blood glucose and his weight is 103
kg and HbA1C 9, he will take
A. Metformin
B. Insulin
C. Glyclizide
N.B: Answer is Metformin as overweight is an indication for
Type 2 diabetes
46. A diabetic woman is taking 850 mg Metformin,
her HbA1C results are 7.5, 5.5, 6, 5, and 7.5. What’s
your advice?
A-Stop Metformin and use another medication
B- Increase Metformin dose
C- do nothing
D- Ask her doctor
47. A diabetic patient with Glycated
heamoglobin HbA1C - 9. What is
recommended to give him as a treatment?
A- Metformin
B- Glipizide
C- Insulin
48. A 54 years woman with Polyuria for 3
months before analysis.
A. Give Metformin 3 times a daily
B. Glyburide 10mg 2 times daily
C. Insulin Glargine
49. A diabetic patient takes metformin
with Glipizide and Pioglitazone was
added. Which test should be done
regularly?
A- BUN and Serum Creatinine
B. liver function
C. Renal function
50. A 48 woman suffeers from fatigue, weakness and
polyurination and lab tests proved that she is diabetic. A
doctor prescribed her 850 mg Metformin twice a day and so
blood sugar become normal. But after sometime she did
another lab tests and the result was heamoglubinated sugar
increased by 1% than the last result. What will you advise her?
A. Increase Metformin dose
B. Decrease metformin dose
C. Do nothing
D. Shifting to another type of Insulin
51. A 12 years child has Type 1 Diabetes which drug can
take?
A. Metformin
B. Glipzide
C. Pioglitazone
D. Glibenclamide
N.B:
Insulin is the drug of choice for Type 1 Diabetes
If insulin is not in the option, Chose Metformin
52. An Obese patient what the effect of obesity
on absorption of lipid soluble drug?
A- Decrease
B- Increase
C. No effect
D. Increase then decrease
N.B: No effect on absorption but increase volume of
distribution
53. A woman with Septic shock, came to emergency room who take
ABC
HR= 122
BP= 90/70 mmHg
Serum creatinine = 6
Na CI Very high than normal range
High pulse rate
What should she take?
A- Albumine 5% Bolus
B- NaCl saline
C- Furosemide (Lasix)
D- Dopamine
N.B: ABC = Airway, Breathing & Circulation
54. A Patient has Septic shock and his BP is
70/40mmHg, a slight increase in K+ level and Na+
within normal range. Which drug should be
recommended for him?
A- Dopamine
B- Lasix
C- Normal Saline
D- Albumin
N. B:
Severe septic shock, we recommend intravenous fluids
firstly then
· Norepinephrine
· Dopamine (It is the DOC in case of Septic shock + Kidney
injury)
· Epinerphrine (Adrenaline) respectively
· Cardiac shock treated by Dopamine
· Anaphylactic shock treated by Epinephrine (Adrenaline)
55. Losartan is better than captopril because
A. Not teratogenic
B. More effect on Angiotensin 2 receptors
C. Contraindicated in Renal artery stenosis
N. B: Another answer is It does not cause Dry
cough
56. Appropriate counselling and follow up for PQ with initiation
of leveothyroxine includes all of the following, EXCEPT:
A- Separate the Levothyroxine dose from Calcium tablets by
several hours.
B- Take Levothyroxine on a full stomach for greater absorption.
C-Improved control of thyroid levels may also improve her
Glycemic control.
D- A Physician follow-up is needed every 6-8 weeks to have
her thyroid function tests repeated.
E-Closer monitoring of her Angina should be done during
dosage titration of Levothyroxine.
N.B:
Levothyroxine is taken on an empty
stomach approximately half an hour
to an hour before meals.
57. A First-Pass Effect
A- Blood perfusing virtually all the gastrointestinal
tissues passes through the liver by means of the
hepatic portal vein.
B- Fifty percent of the rectal blood supply bypasses
the liver (middle and inferior hemorrhoidal veins)
C- Drugs absorbed in the buccal cavity bypass the liver.
D- Drugs affected most by the first-pass effect are those
with a high hepatic extraction ratio.
58. PQ is a 75 year old patient who has just been diagnosed
with Hypothyroidism. Her past medical history is significant
for Congestive heart failure, Type 2 Diabetes Mellitus,
Osteoporosis and Chronic stable angina, all of which are
well-controlled. Her medications include:
Metoprolol 25 mg bid
Calcium Carbonate 1250 mg bid
Vitamin D 1000 IU daily
Glyburide 2.5 mg bid
Enalapril 10 mg bid
Furosemide 40 mg daily
Nitroglycerin SL spray PRN
59. PQ should be started on a low dose of
Levothyroxine because of her:
A- Age
B- Gender
C- Diabetes
D- Metoprolol use
E- Nitroglycerin use
60. Which of the following parameters is the most
appropriate for PQ’s self-evaluation of the
effectiveness of Levothyroxine therapy?
A- Increased energy
B- Weight loss
C- Improved vision
D- Less frequent angina
E- Less frequent urination
61. Metabolism in intestine
A. Hydrolysis
B. Reduction
C. Oxidation
D. Cyclisation
62. African-American women take Lisinopril and
another hypertensive drug suffer from nose
swelling and other symptoms what make her more
suspected to this reaction.
A- Age
B- Gender
C- Drug Combination
D- Ethnicity
N.B:
If no Ethnicity in choices we can choose
Drug combination
Black patients have low renin than normal
ACEI (lisinopril) causes Angioedema more in African
Americans
63. A 35 years old patient with
Megaloblastic Anaemia which of the
following is appropriate for treatment
A- Ferrous Gluconate
B- Vitamin C
C- Folic acid
D- Folic acid & Vitamin B12
N.B:
Iron deficiency anemia- lack of Iron
Megaloblasticanmia- lack of Vit b 12 & Folic acid
Pernicious anemia- lack of Vit b 12
Anemia due to CRF - lack of RBCs and treated by Epoetin
Aplastic anemia- the body’s bone marrow doesn’t make
enough new blood cells
Haemoliticanemia... red blood cells are destroyed and
removed from the blood stream before their normal
lifespan is up
64. A pregnant women is Sensitive to Amoxicillin
which is the Drug of Choice for her disease. What will
be the suitable alternative antibiotic for her?
A- Erythromycin
B- Sulfacetamide
C- Cefixime
N.B: Antibiotics which are allowed during pregnancy:
1-Pencillins family 2-Macrolides 3-Cephalosporin
65. The summary of a case that woman suffers from
pain in menses and during intercourse. Which is
finally found that she had something like a tumour or
a solid mass. What is the best medication to fast
relief her pain??
A- Oral contraceptives
B- Surgery
C- Danazol
D- Estrogen
N.B:
• Hormon therapy Eg: oral contraceptive pills are used to treat
Endometriosis associated pain and they are effective.
• Danazol can be used but it isn’t the first choice because it can
cause serious side effects and can be harmful to the baby if
the patient become pregnant while taking this medication.
• Progestin have a more favourable side effect profile than
Danazol.
• Surgery is the last resort and is recommended if the patient
planning for pregnancy
66. The Summary of a case that patient has taken unknown
amount of Paracetamol (Acetaminophen) since 8 hours.
And you have shown some lab results of his tests.
What is the suitable choice for this case?
A- Charcoal
b- N-Acetyl cysteine
N.B: Activated charcoal can be used within 4 hours of
ingestion
N acetyl cysteine is the antidote of Acetaminophen
67. Anemic patient refuses to take
injection so DOC is
A- Iron Sucrose
B- Ferrous Gluconate
C- Vitamin B12
N.B:
-Ferrous gluconate taken orally
-Iron sucrose is injection
68. The summary of a case that shows lab results which were
all normal, Except LDL was very high the answer is
A. Increase the risk of Atherosclerosis
B. Increase the risk of Diabetes
C. Increase the risk of Gout
N.B:
LDL: Low density lipoprotein. it’s the bad cholesterol that collects
in the walls of blood vessels, causing the blockages and
Atherosclerosis
69. A patient has low Creatine clearance
which drug contraindicated in this case is?
A- Spironolactone
B- Furosemide
C- Propranolol
D- Insulin
NB:-
kidney damage = Low Creatinine cearance (Crcl) = high
serum creatinine
Aminoglycoside may exist instead of Spironolactone
Aminoglycosides and any Potassium sparing diuretics
(spironolactone, triamterene and amiloride) are C.I
with any kidney diseases
70. A pregnant woman in 35 weeks and before 7 days
from her labour she suffers from severe headache,
What is the DOC for her?
A- Ergotamine
B- Acetaminophen
C- Caffeine
N.B:
Acetaminophen is the drug of choice
Ergotamine is contraindicated in pregnancy category X
71. A 14 years-obese girl comes to the clinic with severe
rash. She was initiated on oxycarbamazepine about 3 weeks
ago for management of partial seizures. Her medical history
is significant only for seizures. She has recently become
sexually active and admits to inconsistent contraceptive
use. Which one of the following interventions is best for
her?
A. Change to Carbamazepine.
B. Change to Topiramate
C. Change to Valproic acid
D. No change in therapy is necessary
72. Which of the following prevents
neural tube defect (NTDs) in fetus
A- Vitamin D
B- Thiamine
C- Vitamin C
D- Folic acid
73. A summary of a case that a Diabetic girl her
lab results were mostly normal except glucose-
27, Potassium is higher than normal by 1 what
do you recommend for her?
A- Calcium Gluconate
B- Change to iv resin every 15 min.
C- Insulin infusion 10 unit
74. Analysis for man 65 year renal Failure
Results. Sodium- 110 (Normal range: 135 – 145 mEq/L)
Potassium- 9 (Normal range: 3.5 to 5.5 mEq/L)
Urea- 54 ( Normal range 35-40)
Serum Creatinine-10 (Normal range Up to 3.5)
Which of the following?
A. 0.22% NaCl Saline 500ml/hour
B. 0.9% NaCl Saline 500ml/hour
C. Magnesium Sulfate
75. A summary of a case that a pregnant women
suffers from a disease which related genital
infection. She does not have a job and she needs a
cheep and fast medication
What is the best for her ?
A. Acyclovir 400 bid for 7 days
B. Valacyclovir
C. Famcyclovir
76. A Young female take Lisinopril and will be
conceiving
A- Still on Lisiopril
B- Take Lisinopril with Propranolol
C- Change to Losartan
D- Stop Lisinopril and take Methyldopa
77. A girl with type 1 DM taking insulin, she didn’t take
insulin yesterday as she didn’t eat. She becomes
fatigue and had dizziness and nausea, her BP
80/50mmHg with no lactic acidosis. What should be
done for her?
A-Take insulin
B- Halflitre 0.9% NaCl every 12h
C-Take Sodium bicarbonate (for lactic acidosis)
78. A patient takes Multivitamins and his lab
results shows high BUN and S.Cr What is the
cause of these results?
A- Renal insufficiency
B- his medication
C- Age
79. A woman found her child drinking Iron
syrup bottle. She took him to the hospital
and did some X rays. His body temperature
was normal. What should he take?
A. Desferoxamine
B. EDTA
C. Activated charcoal
D. BAL
80. A pregnant women with pyelonephritis went to
hospital given Ceftriaxone IV what is antibiotic to go
with
A-Ciprofloxacin
B-Doxycycline
C-Amoxicillin with Clavulanic acid
D-Trimethoprim + Sulfamethoxazole
N.B: if Ampicillin + Sulbactam is an option choose it
81. A summary of a case that an elderly patient lab results all
normal except
high K+
high serum creatinine
high BUN
what is the cause responsible for these results?
A. Diabetes
B. Hypertension
C. Effect of take more medication
D. Renal insufficiency
82. Which the following hormone suppressed
due to the action oral contraception:
A) FSH
B) LH
C) GnRH
D) GH
83. A menopause woman takes Estrogen and
Progesterone derivative for replacement therapy
Which effect may be done due to this therapy?
A-Decrease myocardial infarction risk
B-Increase thrombosis risk
C-Increase fracture risk
84. A summary of a case that a patient suffers from
headache, nausea, vomiting and blurred vision. He went to a
hospital with alcohol toxicity (methanol toxicity) and did
kidney and liver analysis. His results and the normal range.
What is your recommendation for methanol toxicity?
A- Vomiting and nausea
B- Vertigo and vomiting
C- Blurred vision
D- Lab results
N.B:
if the question asks for recommendation or
what should be done the answer is Lab results
if the question asks for what you observe on
this patient the answer is Blurred vision
85. A Diabetic woman takes Metformin and
Glibenclamide. She went to the doctor and he
increased the dose of Glibenclamide. Which analysis
should be done regularly?
A- BUN & Serum creatinine
B- liver function
C- Potassium and Phosphate in blood
86. 65 years old man BMI (28.1) Type 1 DM on treatment of
Glyburide, Metformin, Aspirin and Hydrochlorothiazide
come to hospital for routine check
BP: 117/110
HR: Normal
HbA1C: 7
and urine analysis for protein: +ve Proteinuria (Normal
negative) for medical intervention in this case:
A. Add lisinopril
B. Add Ca channel blocker
C. Same medication
D. Substitute Glyburide and Metformin with Insulin
87. A patient’s Cr clearance is 70% what should we
do with the drug dose which eliminated by
kidney?
a-Decrease the dose by 70%
b-Decrease the dose by 30%
c-Decrease the dose to 30%
d-Do nothing
88. A girl 16 year has type 1 DM and she takes insulin
in specific medical schedule. She take Pioglitazone
with Insulin according to instructions of doctor from 2
months ago. She complain nausea and vomiting from
two days as she escaped from the schedule. she made
Lab tests and you have shown her results in details
Some of her results:
Heart rate -110
Blood pressure- 80/50
initially you give her?
A. Began a new schedule
B. Following her schedule without changes
C. 0.9 Normal Saline in 500 ml solution
D. 225 Normal Saline in 500 ml solution
89. Sodium bicarbonate antacid makes an out
elimination of
A. pka=1.2, weak acid
B. pka=7.8, weak base
C. pka=9, weak base
90. Why B blockers are used to treat angina?
A. Increase parasympathetic cardiac stimulation
B. Increase sympathetic cardiac stimulation
C. Decrease sympathetic cardiac stimulation
91. Drug make complex with antacids?
A. Tetracycline and
B. Fluoroquinolones
C. A and B
D. Non of the above
92. A Drug acts on non-receptor
mechanism?
A- Deferoxamine
B- Desloratadine
C- Prazocin
D- Propranalol
93. A Drug that may cause arrhythmia
A. Amiodarone
B. Digoxin
C. Flecainide
D. Mexilectine
94. Mechanism of action, Albuterol
inhaler?
A. Bronchodilator, Short acting selective b2 agonist
B. Long acting Beta agonist
C. Short acting Beta antagonist
95. Mechanism of action of dantrolene?
Dentrolene depresses excitation-contraction coupling in
skeletal muscle by binding to the Ryanodine receptor and
decreasing free intracellular calcium concentration.
If the question is dantrolene has direct or in direct action the
answer is:
Dantrolene is a direct-acting skeletal muscle relaxant. It is
currently the only specific and effective treatment for
malignant hyperthermia.
96. Solution differs from solid in?
A. Easy transport
B. Easy administration
97. When should woman change her pregnant
pills?
A - if she forget to use pills
B - if she forget use pills for 24 hrs.
C - if she forget for 48
D- it is needed to be changed even she doesn’t
forget to use pills
98. AW is an85 year-old man who presents to his physician. A
digital rectal examination confirms the diagnosis of BPH, and the
physician schedules a further workup including a prostate
ultrasound, which indicates hisprosate volume is 31g. AW’s score
on the AUASI is 15. His BP is 118/70 sitting, 102/62 standing. Which
one of the following therapies is best at this time?
A. Terazosin
B. Finasteride
C. Tamsulosin
D. Finasteride + Tamsulosin
N.B:
1 – Tamsulosin is an a-adrenergic blocker with more specific activity for
the genitourinary system.
2-AW already has orthostatic, tamsulosin would b preferred over terazosin
for this patient.
Orthostatic hypotension can still occur with all a-adrenergic blockers, so
patients should b monitored when therapy is initiated.
3-Finasteride, an a-reductase inhibitor, and combination therapy with
these agents are recommended when there is evidence of large
prostate size (greater than 40gm).
99. A patient with peptic ulcer to H. pylori and
he has allergy to B-lactam. What’s is the best
medication for him?
A. PPI + Clarithromycin + Metronidazole
B. PPI + Clarithromycin + Cefuroxime
C. PPI + Erythromycin + Metronidazole
100. A Dyslipidemia patient has ischemic
heart disease. Which of the following is
contraindicated with this case?
A- Celecoxib
B- Simvastatin
C- Niacin
101. WF is an 85 year-old man who presents to his
physician with pain from hip OA (Osteoarthritis) He
also has hypertension, coronary artery disease, and
BPH, For his OA, W.F. has been taking acetaminophen
650 mg 3 times/day. WF reports that Acetaminophen
helps, but he still experiences pain that limits his
ability to walk. Which one of the following is the best
next step in analgesic therapy for WF?
A. Change the analgesic to Celecoxib
B. Add Hydrocodone
C. Change the analgesic to Ibuprofen
D. Add Glucosamine
102. A diabetic woman has hypertension and she is sensitive to
sulpha compounds. Which of the following is contraindicated
with this case?
A- Glipizide
B- Metformin
C- Amiodarone
D- Enalopril
N.B: Glipizide is a Sulphonylurea derivative
