SLE 2010

COLLECTED AND TRIED TO BE ANSWERD AND SENT BY

DR.ABULMALIK ALBAKER 2011 MED_ST99@HOTMAIL.COM
NB: my answers not to be taken as the true one
Dr. Sami
1. 31 yr old, obese with retrosternal chest pain increase at night & after meal, diagnostic
method:
-EGD

2. Vitamin which is given at birth to prevent heamorrhagic disorder:

-Vitamin K
3. SSRIs could be act after:
-3-4 weeks.
4. Boutonnire deformity of finger is:
-Flexion of proximal interphalangeal joint & hyper extension of distal interphalangeal joint.
-Flexion of proximal interphalangeal joint & extension of distal interphalangeal joint.
5. Pt with diarrhea since 5 weeks, PR: occult blood, stool analysis: +ve for blood,
colonoscopy: involvement from rectum till mid transverse colon, biopsy: & crypt abscess
without epithelial ulceration,, dx:
-Ulcerative colitis.
6. Pt with post transfusion hepatitis, hepatitis virus causing this problem:
-A
-D
-C
-E
7. Standard deviation measure:
variability
8. There was hepatitis epidemic spread among low socioeconomic population at which bad
sanitation, what type of hepatitis virus mostly responsible for this epidemic:
-A

9. The most effective non-pharmalogical way in reduction of essential hypertension:

-weight reduction.
-decrease smoking.
-iencourage anaerobic exercise.
10. One differentiate ulcerative colitis from crohn disease:
-malignant transformation.
-arthritis.
11. Pt with 10 years hx of GERD that didn't relieved with antacid, EGD done & showed
Barret's esophagus & biopsy showed low grade dysplasia, mx:
-repeated EGD & biopsy
-esophageal resection.
-fundoplication.
12. Pt with GERD that was respond well to over the counter antacid but now not respond,
the best drug:
-H2 blocker.
-proton pump inhibitors. (my answer)
13. Child with ear pain, o/e: middle ear effusion & x-ray showed adenoid enlargement, in
addition of adenoidectomy, which of the following is added to alleviate symptoms:
-tonsillectomy.
-Grommet tube.
-myringotomy.

For ear effusion , ttt is conservative

14. Pt involved in RTA with closed skull injury 10 days ago,now he is unable to bring spoon to
his mouth, which area injured:
-cerebellum.
-barietal lobe.
-temporal lobe.
-frontal lobe.
15. Null hypothesis(1st time I heard about) : is no relationship between two measured phenomena
The practice of science involves formulating and testing hypotheses, assertions that are falsifiable using a test of observed data.
The null hypothesis typically corresponds to a general or default position. For example, the null hypothesis might be that there
is no relationship between two measured phenomena, or that a potential treatment has no effect. In most legal systems, the
presumption that a defendant is innocent ("until proven guilty") can be interpreted as saying that his or her innocence is the
null hypothesis. Other legal systems may exist in which the null hypothesis is that the defendant is guilty.

16. Specificity of test describe as population:

-without condition & tested negative.

17. Old age with painfull hip, increased with walking & associated with morning stiffness(not
sure about this), dx:
-osteoporosis.
-osteoarthritis.
-RA.
18. Old age with., & spine x-ray showed ankylosing spondylopathy, mx:
-injection of subdural steroid.
-back splint.
-physiotherapy.
19. How to manage mechanical intestinal obstruction? (as it is)
-enema.
-IV stimulant.
-laxative.
-emergency surgery.
-nasogastric decombression.
20. One is not a live vaccine:
-BCG.
-hepatitis B vaccine.
-MMR.
-varicella vaccine.
21. Couple who married since 6 months seeking to conceive, your advise:
-keep to try.
22. Pregnant, 34 weeks with abdominal pain radiating to back, O/E: transverse lie, back
down & PV revealed open cervix 3 cm & pulging of bag, mx:
-caesarian section.
-tocolytics.
23. Child with decrease hearing, her grandmother has deafness, Renie & Weber revealed
bone conduction more than air conduction, mx:
-reassure
-refere her to hearing aid.
-prescribe hearing instrument.
-refer her to otorhinolaryngologist.
24. 43 year old female mother of infant with (features of Down syndrome) , the most likely
this infant has:
-trisomy 21.

25. Child with .. & diagnosis of beriberi has been established, most likely he has deficiency
of:
- Vitamin B1.
26. Pt smoker with COBD, now febrile with productive cough of green sputum:
-streptococcus pneumonia
-mycoplasma catarrhalis.
-chlamydia trachomatis.
Haemophilus influenza.
-influenza A.
27. Early sign of left heart failure:
-orthopnea.
-syncope
28. Best antihypertensive drug in diabetics:
-ACE inhibitors.
29. Child with dry cough & wheeze, CXR showed hyperinflated lung with some infiltrate:
-bronchial asthma
-bronchiolitis.
30. Pt obese, hypertensive, sedentary life style, high cholesterol, high LDH & reduced HDL
who developed CHD, correct which of the following showed benefit in reducing mortality:
-reduced HDL, sedentary life style & dyslipidaemia.
-high LDH, sedentary life style &
-high cholesterol, obese & hypertension.
31. Child anaemic, abdominal pain, blood in feces ( I forget color of stool & rest of case but I
think it is about volvulus?) next investigation:
-abdominal ultrasound.
DIAGNOSIS of Malrotation with Volvulus :
AXR may reveal the absence of intestinal gas but may also be normal.
If the patient is stable, an upper GI is the study of choice and shows an abnormal location of
the ligament of Treitz. Ultrasound may be used, but sensitivity is determined by the
experience of the ultrasonographer.

32. 32 year old lady with amenorrhea & male distribution but mood habit is female
the doctor should suspect:
-excess androgen
-excess prolactin.
33. 6 year old boy of +ve Hepatitis BsAg mother attend to your clinic & only vaccine
he received is BCG, which of the following vaccines should be received in 1st clinic

visit:
-DTP, HBV, OPV, MMR & HiP
-Td, HBV, OPV & HiP.
-..
34. About general fatigue syndrome is true:
-antibiotics may be beneficial.
-anti depressant may be beneficial.
35. Pregnant lady with GDM, failed diatery glycaemic control & she need insulin, this
lady is under risk of in later life:
-poor glycaemic control.
-type 1 DM.
-type 2 DM.
36. Boy with slunted growth, investigation revealed Hg: 8, WBC: 10000, PLT: 450000,
( I forget rest of scenario but it goes with iron deficiency anaemia) dx:
-iron deficiency anaemia.
-thalassaemia.
-sickle cell anaemia.
-leukaemia.
37. According connective tissue disease, which of the following rather SLE:
-arthritis.
-anti PLV antibodies ( I am not sure about abbreviation) ?????
-severe Rhaynoid phenomenon.
38. 37 year old male with red eye & watery tearing , denied any pain or itching, O/E
diffuse conjunctival injection, visual field normal & visual acuity 20/20, mx:
-topical antihistaminics.
-oral steroid.
-no need for further management.
-topical steroid.
-urgent referral to ophthalmologist.
39. Pt with ., pain in ophthalmic division of trigeminal nerve & vesicle(I'm not sure)
, which of the following is used to decrease post herpetic neuralgia:
-local steroid.
-systemic acyclovir & steroid.
-acyclovir

40. Pt with Kwashiorkor:

-high protein & high carbohydrate.

-high protein & low carbohydrate.
-low protein & high carbohydrate.
-low protein & low carbohydrate.
41. Rappid correction of hypernatraemia cause:
-brain edema.
42. Pregnant, 36 weeks, present with agitation,, BP:88/60, ,fetal distress,dx:
-pulmonary embolism.
-amniotic fluid embolism.

Amniotic fluid embolism :

typically occurs acutely during labor and delivery or immediately at postpartum. Classic signs and
symptoms are hypoxia, hypotension with shock, altered mental status, and disseminated intravascular
coagulation. Other signs and symptoms include seizure activity, agitation, and evidence of fetal
distress.
Dx : primarily a clinical diagnosis of exclusion.
ttt : Aggressive supportive management is needed, and the patient should be intubated and monitored
closely.

43. 21 year old present with testicular pain, O/E: bag of worms, dx:
-varicocele.
44. Pt with scrotal pain & swelling, O/E: tender swelling & tender node in groin,
increased intestinal sounds, one episode of vomiting & abdominal pain,,mx:
-ask ultrasound.
-refer to surgeon.
-refer to urologist.
45. Pt with abdominal pain & wavy abdominal movement ., dx:
-intestinal obstruction.
46. Pt with abdominal pain,, constipation, hx of intestinal surgery for volvulus,
investigation of choice:
-enema.
-bareum meal.
-intestinal follow-through.
47. Most common cause of secondary hypertension:
-renal parenchymal disease.
-renal artery stenosis.
-.
48. Lady, computer programmer developed bilateral tingling sensation of hands, +ve

tinel test, mx include splintage of both hands in which position:

-plantoflexion.
-dorsoflexion.
-extenxion.
-abduction.

49. Child with bilateral swelling infront of his ears,..,(hx does with mumps), what the
most likely complication he developed during this age:
-orchitis.
-encephalitis.
-mastoiditis.
-meningitis.
50. Lady, on fast food, what well prescribe:
-zinc & folic acid. (my answer)
-calcium & iron.
-zinc & magnesium

COLLECTED AND TRIED TO BE ANSWERD AND SENT BY

DR.ABULMALIK ALBAKER 2011
MED_ST99@HOTMAIL.COM