New collection of MCQ other thanthe 1000 of ALQASEM:

1-initial regulation of BP in vascular system occur at :

a- Arterioles
b-Aorta and its branches
c-Heart
d-Capillaries
e-Vein and venules
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__
2-hematological disease occurs in children treated with heparin and
fresh frozen plasma what is the disease :
A)hemophilia A
B)hemophilia B
C )VON WILL brand disease
d)DIC thrombosis
3-Patient came with low iron and high AST and high MCV no
megaloblasts in the blood wt is the Dx?
Alcohol
Vitamin B12defeciency
Folic acid deficiency
Due to drugs
Patient with macrocytic anemia without megaloblast. Whats the most likely
diagnosis:
a. Folic acid
b. Vitamin B12 deficiency
c . Alcoholism
4- pregnant lady with hepatits, how to confirm dx :
a- ALP
B-SGOT
C-WBC
D-ESR
E-
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5-which of the following antidepressant drugs causes agitation,
anxiety :
triAD
1
tetraAD
SSRI
6-PT WITH ASBESTOSISLEAD TO
Plural calcification
Plural effusion
Or bilateral fibrosis
7-which of the folowing is the most radiosenstive testicular tumor
a- semenoma
b- yolc sac tumor

c- germ cell tuor

d- choriocarcinoma
e- immature teratoma
8-ttt of pyoderma gangrenosum
a- sys steroids
b- methotrexate
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9-ttt of foliculitis after shaving the bread
a- oral steroid
b- topical steroid
c -oral antibiotics
may be there was topical antifungal but no topical antibiotic choice
10- Baby in NICU has a heart rate of 300, good blood pressure level.
What should u do:
DC shock
IV amiodrane
Digoxin
Carotid massage??
Newborn with 300 bpm , with normal BP , normal RR , what do you will
do for newborn : (atrial flutter) imp.
Cardiac Cardiversion
Verpamil
Digoxin
Diltzam iv
if you suspect atrial flutter : Consider digoxin if not already in use
because it frequently increases the conduction ratio and decreases
the ventricular rate. , Avoid adrenergic and atropinic agents during
sedation or anesthesia for cardioversion. Ketamine is relatively
contraindicated
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_
_
2
the cause of premature ventricular contraction?
decrease O2 supply to the muscle
decrease blood supply to the muscle
the heart trying to beat fast
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11-yr old sustained trauma to the chest present with severe short of
breath with cyanosis, his rt lung is silent with hyperresonance. The
FIRST step to treat this pt:
a. O2 mask
b. Tube thoracostomy
c. CXR
_________________________________________________________________
12- Patient with hypertension , DM, somking, which the following are

most important to be deal with :

obesity and HTN ???
smoking and obesity
smoking and HTN
13-baby with streptococcal pharyngitis:
- Ttt after 9 days carries no risk of GN
- Ttt effective in prevention of GN
- Clindamycin effective against gram ve organisms
all choices are wrong
14- Hx of trauma in DIP(finger hyperextention)with palm pain:
(incomplateQ)
- Extraarticular fracture in DIP
- Intraarticular fracture in PID
- Superficial tendon tears
- Tendon profundus tear??
15-pt with pict of bilateral pneumonia , high grade fever , normal WBC
. organism causing that:
- Chlamydia pneumonae
- Leigonella sp. (cause neutropenia)
- Staph pneumonae
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16-ttt of cold induced urticaria:
- Cemitidine
-diphenhydramine.
__________________________________________________________________
17-methyl-progesteron used for PPH what is contrindication :
Pregnant with asthma
Pregnant with hypertension
Pregnant with DM
3
__________________________________________________________________
18-what is the most common cause of death in patients with Ludwig's
angina?
sepsis
Sudden asphyxiation
rupture of the wall
____________________________________________________________________
19- 4 days post c-section pt with profound hypotension
a-normal saline 5ooml IV with to big lines
b-dopamine
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20-Adult male during excercise he suddenly felt pain in the middle of
his rt. Thigh posteriorly. On exam. He has discoloration in the same
site and mass in the hamstring ms. No bone tenderness or palpable
defect. Mx:
Surgery.

Splint.
Bandage.
Ice, elevation and bandage
Cast.
21-patient has complete ptosis in hih rt eye. pupil is out and down,
fixed dilated. restricted ocular movements. dx
a. 3rd n palsy.
b. 4th n palsy.
c. 3rd and 4th.
d. 6th n palsy
22-target lesion are found in erythema:
a-annular
b-marginatom
c-multiform
d-nodosum
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23-patient came with cervical carcinoma next investigation :
-cone biopsy
- Direct biopsy
-pap smear
__________________________________________________________________
24- the best to give as DVT prophylaxis post surgery which is cost
effective, safe with high efficacy:
a) LMWH
b) Unfractioned Heparin
4
c) asprin
d) Warfarin
25case
of right hypocnodrial abdominal pain for 2 hours after eating
for months
no fever no jaundice, no radiation and nothing suggistive of
cholycytitis
what is the investigation
a- US
b- oral cholystogram
c- iv cholystogram
26-72- pt intubated ,the most reliable method to make sure for tube
proper position:
- 5 point auscultation bilaterally breathing heard
- CXR
27-23 years old female with regular menses. On US, she has a 7cm
ovarian cyst. otherwise everything is normal. dx:
a. corpus luteum cyst
b.follicular cyst
c.teratoma

d.another cancer
30- regarding paracetamol toxicity:
- Not toxic if dose exceed 150-180 mg
- Cause vomiting and neuropathy
- Therapeutic effect after 4 hours
- Use Deferoxamine
-the liver enzyme reach the max. Level 4-6 hours after ingestion
31- 22 yr, low HGB low PLT and high WBC , peripheral smear shows
blast cell with large nucleus and scant cytoplasm and some nucleoli -positive meyloperoxidase test and negative esterase , DDx:
- Acute lymphocytic
- Acute myelocytic
- Acute monocytic
__________________________________________________________________
32child
with hyperemia and pulging of tym mem had previous
history of treated impetigo so ttt is:
- Cefuroxime
- Amoxicillin (not sure)
- Erythromycin
- Ceftriaxone
- Cephalexine
_________________________________________________________________
5
33-child , urine odor like burned sugar:
- Phenylketonuria
- Maple syrup urine disease
_________________________________________________________________
34-40 yo presented by hx of syncope when he do excurses and there
was hix of same complain when he on rest . and there is chest pain on
ex. There was ejection systolic murmur 2-4 degree most side is lower
lf sternum not radiating to other site increase when he lying down and
there is non specific s and t changing and there is lf atrium
enlargement
Aortic stenosis
p.s
hypertrophic cardiomyopathy
constrictive cardiomyopathy
35-Pt. had chest pain and fainting , ECG shows st- elevation and
significant Q wave in -v4 and st-depression in inferior leads :
Ant. MI
Inf. MI
Pericarditis
Post. MI
________________________________________________________________
36-A patient with normal kidney function post MI. The troponin level

will last for :

A. 48 h
B. 73 h
C. 24 h
D. 12 h
E. 8 h
37-In lung diseases like pneumonia, it usually affects certain site
based on the anatomy, this is more obvious in which of the following:
Right upper lobe
Right middle lobe
Right lower lobe
Left upper lobe
Left lower lobe
38-in lung diseases like pneumonia, it usually affects certain site
based on the anatomy, this is less obvious in which of the following:
Right upper lobe
Right middle lobe
Right lower lobe
6
Left upper lobe
Left lower lobe
39-Pt. above 40 , pregnant and ask you for down syndrome screening :
Triple test
US
Amniocentisis
Chorionicvillus
40-You received a call from a father how has a son diagnosed recently
with DM-I for six months, he said that he found his son lying down
unconscious in his bedroom, What you will tell him if he is seeking for
advise:
a. Bring him as soon as possible to ER
b. Call the ambulance
c. Give him his usual dose of insulin
d. Give him IM Glucagone
e. Give him Sugar in Fluid per oral
_____________________________________________________________________
41- Pt. with headache and vertebral lesion (Moth-eaten),Investigation?
- Bone scan
-
-
42uveitis
is treated by
a-chloramphinicol drops
b-tetracine drops
and other choises i dont remember
uveitis is treated with cycloplegic and steroid

43-Which drug can use in acute back pain

Diazepam
Alprozam
Metoxelen
44-patint C/o menomentogia 6 month and pelvic pain .all investigatin
and examinatin normal what is ttt
Mafnemic
Compined pill
45- pt was PDD ve , know become + ve , there is no symptoms ,
normal x ray, the management :
-Reassure
-Rifambicin and INH for 6 month
7
-Streptomycine for 7 month
_ rifambicin for 6 months
__________________________________________________________________
46_ pt was PDD ve , know become + ve , there is no symptoms ,
normal x ray, the management :
Isonized and rifampcin for 6 month
Isonized for 6 month
Isonized and rifampcin and streptomycin for 12 month
the treatment of latent TB:
1-INH for 6-9 months
2-alternative is rifampicin 4-6 month
47_During blood transfusion , the pt develop fever and pain at
infusion site your action:
-slow infusion+antibiotic
-slow infusion + acetaminophen
-stop infusion + crystalloid fluid
- stop infusion+ mannitol+acetaminophen
__________________________________________________________________
48To
deffrentiate between sinua arythmia and atrial firbllation
a- carotid massage
b- Temporal artery massage
c- Amidrone
d- digoxin
__________________________________________________________________
49A
35 yr old pt she is on phenytoin since she was 29 due to partial
epilipsy she didnt have any attack since. She want to stop taking the
drug due to facial hair growth:
a. It is reasonable to stop it now
b. Stop it after 6 months
c. Stop after 10 years
d. Dont stop it

50-Patient with seasonal watery nasal discharge, sneezing and nasal

block. What should you give him as a treatment:
Topical steroid
Decongestants
Antihistamines
Systemic Steriods
51child
presented with decreased hearing for 1 year, on exam. there
is fluid behind the ear drum and adenoid hypertrophy
Dermatology7
1. A picture of psoriasis; pink scaly lesions on the elbow, kneesand scalp. The question
is asking how to prevent flares?
a.
Avoid sun exposureb.
Avoid traumac.
Use steroids
2. Lichen planus is most commonly found in
a.
Scalpb.
Kneec.
Buttocksd.
MouthMost common sites of involvement; wrists & forearms, lumbar region,and ankles,
mouth lesions are also common (30-70%). (
Ref. Rooks
)
3. A patient who is a known case of HIV has a white patch in theoral cavity; what
is the appropriate management?
a.
Oral antibioticsb.
Local antibioticsc.
Local steroidsd.
Chemotherapy & radiotherapy?Two possible diagnoses 1) candidiasis which is treated by
antifungalsand 2) Kaposi sarcoma which is managed by chemotherapy andradiotherapy.

4. A middle aged patient with ataxia, multiple skinpigmentations and decreased

hearing, one of the family memberhas the same condition, what is the most likely
diagnosis?
a.
Malignant melanomab.
Neurofibromatosisc.
Hemochromatosisd.
Measlese.
Nevi

Al Ahsas Ultimate Review for the SLE

st
Ed. 2013)8
5. A college student is complaining of severe itching in the ankleand between his
fingers, this is the first attack, on examinationthe lesions are well demarcated. What
is the most likelydiagnosis?
a.
Scabiesb.
Tinea
6. A picture of a face with red scaly lesions on the nasal folds andaround the mouth,
and the question is asking about thediagnosis.
a.
Seborrheic dermatitis
7. Which of the following drugs is considered as an urticaria-inducing drug?
a.
Azithromycinb.
Hydralazinec.
Cortisoned.
Penicillin
8. What is the treatment of psoriasis?

Topical agents (steroids, retinoids, and moisturizers) are used for milddisease,
phototherapy for moderate disease, and systemic agents(methotrexate, cyclosporine and
retinoids) for severe disease. Steroidsare the method of choice in prevention of flares.
9. What is the treatment of scabies?
a.
Permethrin
10. A 42 years old patient with a 5-days history of skin eruptionsinvolving hands and
soles (no other information); what is themost likely diagnosis?
a.
Erythema Multiformeb.
Fixed drug eruptionc.
Pityriasis Rosead.
Varicellae.
Erythema nodosum

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