1-Patient complaint of light-headedness , tachycardia , diarrhea , relieve by laying down

, history of gastrointestinal surgery before 2 month ,what is the ur provisional

Diagnosis

A-IBS

B-dumping syndrome (my answer)

C-villous adenoma

D-cronhn's disease

2-long scenario Patient has HTN recurrent attack of gouts 3-4 per year , BUN and

creatine are high , treatment

A-probenecid

B-allopurinol (my answer)

C-indomethacin

3-female has burning sensation in vulva , after examination there was vesicle dew

drop and tender and swelling in of the vulva, diagnosis

A-herpis simplex (my answer)

B-post herpetic virus

C-wart

4-female 55 years has history of breast cancer underwent for operation before several month . now has

bone pain and diagnosed as osteoporosis, best DESCRIPTIVE treatment.

A-biphosphonate

B-vit D supplement (my answer)

C-regular exercise
5- A child presented with yellow brown caries over ? what is your advice :

A- Fluoride supplementation

B- Diet modification (my answer)

C-Antiseptic lotion

D- Antibiotic

6- Drug Induce ovulation :

A- Spironolactone

B- Clomiphene (my answer)

7-Child presents with hand and foot pain . What is diagnosis : “Same picture attached “

- Sickle cell Anemia (my answer)

8-10-patient on treatment for skin rash macules.papules,pustules and viscles whole the

body…he gave history of malaise,fever and headach one day bafore the

rash,,,which of the following viral is most likely the cause:

A-herpis simlex type 6

B-EBV

C-cytomegalovirus

D-varicella zoster. (my answer)

9= You need to prescribe phosphodiesterase 5 inhibitor. Which drug you will be

concerned about?

-Nitrates (my answer)

10-Patient presented with sensation of lump in neck. No dysphagia. No symptoms

at all. Esophageal endoscopy showed no abnormality. Thyroid was normal. What

could be the diagnosis?

A- Esophageal Cancer

B- Pharyngeal diverticula

C- Globus pharyngeus (my answer)

11-26 yr old female BMI 21 …presented depression, .dental erosion:

A-anorexia nervosa

B-bulimia nervosa (my answer)

C-major depression

12- 28 years old diabetic female who is married and wants to become pregnant. her

blood glucose is well controlled and she is asking about when she must control

her metabolic state to decrease risk of having congenital anomalies:

-before conception (my answer)

13-Pt. 40yrs come to hospital complain of sharp, central chest pain, exacerbated by

movement, respiration,lying down withdifficulty in breathing, hypotension,

bradycardia, & a lot of thing long scenario the important thing that make diagnosis is the picture: (what

to do)

A- intubation
B- thoracotomy (my answer)
C- pericardocentesis

14-Patient with flu-like symptoms before 2 days, she’s complaining of red eye the most

come likely Diagnosis:

A- Viral conjunctivitis (my answer)

B- Bacterial conjunctivitis

15-Female complaining of tender, warm, fluctuated, big swelling (signs of abscess) on the

Left shoulder, what to do:

A- Excisional biopsy

B- Incisional biopsy

C- Incisional & drainage (my answer)

D- Antibiotic choice
16-31-female aged 40 years came with heavy periods and intermenstrual bleeding, she is

not on OCP or any other drug, not sexually active because her husband travelled one

year ago, she said the 3 months ago her cycle was regular but changed now, this

features are suggestive of which of the following:

A-endometrial cancer

B-anovulatory cycle (my answer)

C-endometritis

17-which of the following inherited blood disorders is associated with increased

bleeding time and deficiency of VIIIc:

A-hemophilia A

B-hemophilia B

C-hemophilia C

D-von willibrand disease (my answer)

18-A boy who is 11 years old doing well , no complain , participates well in activities ,

he has an older brother who died suddenly , which disease the doctor should predict

among these diseases in the future :

A-PDA

B-ASD

C-Hypertrophic cardiomyopathy (my answer)

D-VSA
19- A female patient wanted to know when the growth of spine will stop after menarche:

A-12 months

B-24 months (my answer)

20-Paranoid personality disorder:

A-most prevalent personality disorder

B-lead to paranoid schizophrenia

C-needs high antipsychotic medication to manage

D-the distrust is the same as in paranoid illusions (the answer ??)

21-patient complain of Rt. Hypochondrial pain and fever , he have past H\O

bloody diarrhea and + Ent. Hystoltica in stool < he done aspiration for liver

anchovy sauce as result Dx:

A-amoebic liver abscess (my answer)

B-pyogenic liver abscess

22- patient with valve prolapse ..he will underwent an urology surgery what you will give him as a
prophylaxis.

A-IV vancomycin plus IV gentamicin

B=oral tetracycline

C-no need to give (my answer)

D-penicillin
23-Female patient athletic … 3 month of amenorrhea , physical examination normal lab investigation
FSH , normal LH , normal Prolactine ,The diagnosis

A- Ovarian or adrenal failure

B- Pituitary adenoma

C- Hypothalamic amenorrhea (my answer)

D- Genetic syndrome

24- Breast self-examination should be done after menses by:

A-3-5 days (my answer)

B-7-10 days

25- Breast self-examination should be done:

A-monthly (my answer)

B-weekly

C-annually

26- Pregnant female all normal but fasting blood sugar is (8.1), what’s the most susceptible organism

she might be in risk for:

-candida (my answer)

27- Pregnant female with disfiguring multi-nodular neck swelling (goiter) non tender, irritable, thin and

anxious, what to do:

A- subtotal thyroidectomy

B- ant thyroid medications (my answer)

C- iodine radiation

28- Long term side effect of steroid:

=osteoporosis (my answer)

29- Female patient type two DM, how to evaluate her blood sugar in the past TWO months:

A- HbA1c

B- Fructosamine (my answer)

30- Most common side effect of oxytocin during labor:

-Uteroplacental insufficiency (my answer??)

31- Food handler came complaining of foot lesion in the plantar surface which reveals bloody point

when using a scalpel to deal with, diagnosis:

- Verruca (my answer??)

32-Which one of these drugs is not available as emergency parenteral tranquilizer in psychiatric clinics:

A- Haloperidol (my answer??)

B- Resipridine

C-Alprazolam

33-14 years old girl failed in math exam. Then she had palpitations, tachypnea and paresthesia.

Diagnosis:

A- Hyperventilation syndrome (my answer)

B-Conversion

34-Patient complaining of pain along median nerve distribution and positive tinel sign treatment include

Casting of both hand in what position

A- Dorsiflexion (my answer)

B- Plantar flexion

C-Extension

D- Adduction

E-Abduction
35-Child with in toeing and the knee and leg goes inside when he is walking, with W shape postion while

sitting. abnormality is:

A- Metatarsus vareus

B- metatarsus adductus

C- Medial femoral torsion (my answer)

D-Medial tibial torsion

36-Osterporosis exercise intervention to increase muscle and bone density :

A- high wieght and low reptition

B-low resistance and conditioning

C-low resistance and high repetition weight training (my answer??)

37-Patient presented with ear pain, red bulging tympanic membrane, apparent vessels, with limited

mobility of the tympanic membrane, what the most likely diagnosis

A- Acute otitis media (my answer)

B- Tympanic cellulites.

C- Mastoditis.
38-5 years old adopted child their recently parents brought him to you he took antibiotics for two weeks

for white nasal discharge. He is known case of SCA. What you will do to him:

- Give prophylactic penicillin (my answer)

39-Old patient with abnormal ear sensation and fullness, history of vertigo and progressive hearing loss

(sensory) and inner ear fluid on examination, bilateral ear affection .what to do

-low salt, no caffeine plus (drug) ?? (my answer)

40-72 years old Man with sudden loss of vision in one eye, headache, scalp pain and jaw claudication:

-Temporal arteritis (my answer)

41-Young female ,complaining of severe headaches over long period, now she starting to avoid alcohol,

not to smoking, doing healthy habits, and she notes that she had improved over her last pregnancy,,

what you think about her condition?

A- Biofeedback (my answer)

B- b-blocker

D- Alcohol caseation

42-What is the study that has a bias of healthy workers

 - Cross sectional (my answer??)

43- Pregnant female with mild hypertension what’s the most suitable treatment:

- Alpha methyl dopa (my answer)

44-Female presented with vaginal discharge, itching, and on microscope showed mycoleous cells and

Spores. Diagnosis:

- candidiasis (my answer)

45-Female takes OCPs come with skin changes on the face:

- Melasma (cholasma) (my answer)

46- Patient with colored pustules around his mouth, organism show herpes simplex type 1, what is the

treatment:

A- Oral antiviral (my answer)

B- IV antiviral

C-Supportive

47- Young female with BMI 18, fine hair allover body, feeling of she is fat, doesn’t eat well with

excessive exercise.

A- Anorexia nervosa (my answer)

B-Body dysmorphic disorder

 C- Bulimia nervosa

48- Best treatment of bulimia nervosa

- Cognitive behavior therapy (my answer)

49- Female patient G1P1, no medical history, non smoker , no cardiovascular complains and no history

of pulmonary history or DVT. She wants to have another baby but after 2 years, what’s the most suitable

temporary contraceptive method for her:

- Combined – OCP (my answer)

50- Patient went to India, came back complaining of headache, fever only (no other finding in

examination).his labs came with positive Flavivirus infection .what’s the cause of this disease

(transmission)

A-mosquito (my answer ???)

B-flee

C-pig

D-cattle

51-3 months infant with red swelling that increase in size rapidly:

A- Port-wine spot
 B-Cavernous hemangioma (my answer)

52-Adolescent complaint of witness syncope when he was standing behind Post Office, It lasts 4 min

what is your diagnosis.

A-Fainting (my answer)

B- Silent heart attack

C- TIA

53-7 year’s old child had history of chest infection which was treated with antibiotics. The patient

presented 6 weeks after cessation of antibiotics with abdominal pain, fever and profuse watery diarrhea

for the past month. Which of the following organisms is responsible for the patient’s condition?

A- Giardia Lamblia

B-Clostridium Difficile (my answer)

C-Escherichia coli

D-Clostridium Perfringens

54-Child with iron toxicity several hours ago, investigations show iron conc. 700 mg/dl, treated with:

A- Gastric lavage

B-activated charcoal

C- I.V deferoxamine (my answer)

 Explanation

Patients with iron toxicity should be treated with IV deferoxime in the following circumstances:

1) Severe symptoms: altered mental status, hemodynamic instability, persistent vomiting, diarrhea.

2) High anion gap metabolic acidosis.

3) Serum iron concentration > 500 mcg/dL.

4) Significant number of pills on X-ray.

55-Patient came with painful loss of vision, light avoidance, constricted pupil, ciliary flushing and cloudy

antierior Chamber.

A- Uveitis

B- Acute angle glaucoma (my answer??)

56- Child came with right abdominal mass; he has no iris and undescended testis. Diagnosis:

A- Polycystic kidney

B- Nephroblastoma (my answer)

C- Neurofibromatosis
57- Patient came with left painful abdominal mass, rebound tenderness, and constipation. Increased

(CRP, ESR), Diagnosis.

A- Acute diverticulitis

B- Acute appendicitis

C- Chron’s disease (my answer)?

D- Inflammatory bowel syndrome

58-Case with hypertensive retinopathy, (in details) patient blood pressure = 180/140 .treatment:

A-decrease diastolic to 100-110 in 1-2 hrs

B-decrease diastolic to 80-90 in 1-2 hrs

C-decrease diastolic to 100-110 in 1-2 days (my answer ??)

D-decrease diastolic to 80-90 in 1-2 days

59-Patient with hypothyroidism in thyroxin have increase PTH, decrease CA, normal Vit d, Cr Very high

Came with tapping of the angle of jaw will produce facial spasms (Chvostek's sign) the diagnosis :

A- Digeorge syndrome

B- Pseudohypoparathyroidism (my answer)?

C- Chronic renal failure

 D-Uncontrolled thyroid

60- Patient complains of pain while eating, on examination submandibular swelling was found. What’s

the best diagnostic measure:

- Plain X-ray (my answer)

61- Patient came to you complaining of lower back pain, you asked him about duration because:

A-Short onset is important for biological origin.

B-Location and onset is important for the biological origin (my answer)

C-Location and onset are important for the outcome

62- Child complaining of severe lower limb pain, no joint affection (no swelling or pain), decreased (HB,

Platelets) and increased (reticulocytes).diagnosis:

A- Lymphocytic leukemia

B- Veno-occlussive crisis (my answer)

63- A long history about patient suffering emphysema since birth. This is due to

A- Pneumonia

B- Alpha one anti-trypsin deficiency (my answer)

64- X-ray (pelvis) old patient, (increased alkaline phosphatase):diagnosis

- Osteoporosis (my answer)

65- Baby born to mother with strept infection, but she didn’t take any treatment, he’s grunting and

irritable, what to do:

- Chest X-ray (my answer)

66-old male heavy smoker, with chest complain he’s asking what to do to prevent more deterioration:

- Stop smoking (my answer)

67- Case of sinusitis, with H.influenza infection what to do:

- Decongestant,broadspectrum antibiotic and topical steroid (my answer)

68- Patient with myocardial infarction (MI) and atrial fibrillation (AF), what to give foe long term

prophylaxis

- Warfain (my answer)

69- Child with red edematous congested pustular tonsillitis, what to do

- Antibiotics and tonsillectomy (my answer)

70-patient with cancer stomach with urease positive test what would be the cause

- H-pylori (my answer)