In the name of allah the most gracious the most merciful

And peace and pleasing be upon prophet MUHAMMAD, his family, companions and
all those who follow him until the day of the judgement .
Hint the question was not written literally and ecuse my spelling .
! " #ne of the complication of $aginal hysterectomy the pt start lea%ing urine
$aginally, this as a result of &
'isico $aginal fistula
( " A )* wee%s pregnant woman with blood pressure is !+,-.* and she is a %nown case
of preeclumpsia, how do u manage her &
Admit to the hospital
) " #ne of the following is not a compilation of the infectous mononucleosis /
Acti$e chronic hepatitis
+ " A patient with hepatosplenomegally and s%in bruises and cer$ical mass what is the
initial in$estigation &
0one marrow
* " A pt with hi sodium low % and hi bicarnonate /
1rimary hyperaldostronism
2 " 3he maimum dose of ibuprofen is /
!2,,mg if we are using it as antipyretic, analgesic
If using it as anti infalmatory up to )(,,mg
4o the answer bifurcate at reason of using the drug .
5 " A child with sun%en eye, s%in turger and depressed anterior fontanel and nausea and
$omiting /
!,6 dehydration
7 " In breath holding attac% what is correct &
It might precipitate generali8ed sei8ure
. " A patient with decrease conc, drowsy and spontaneous 4AH &
!, " A patient comes to you with long time memeory loss and you diagnosed him as
demenitia9al8imer:, what to do to confirm the diagnosis /
;3 scan
!! " <hich of the following not transmitted by mosquitoes /
=elapsing fe$er, this is by tic .
!( " A boy wa%ed up from sleeping with sudden lower abdominal pain, which part of
the body its important to eamin /
3he testis
!) " A patient come abdominal pain and tender abdomen with hypernatremia and
hyper%alemia and $omiting and diarrhia, what is the net in$estigation /
Urinanalysis
!+ " 1atient with H0s/2*6 , H0A+6, H0A),6 and Hb>*6 what is the diagnosis /
4ic%le cell triat 9 see ?@A4#?@ to con$ince you better 9
!* " A man came from India now present with %nee joint pain and one other joint,
tapping the joint showed gram negati$de diplococi, what is the diagnosis /
?esseria gonaria
!2 " 1atient present with sudden chest pain and we figar out that lower limb swelling
was found what is the diagnosis /
1ulmonary embolism
!2 " <hat is the best diagnosis of 1ulmonary embolism /
Angiogram
!5 " what is most common cause of death in the first trimester /
@ctopic pregnancy
!7 " 1atient sustained chest traum as motor $ehicle accident and now he has distended
nec% $ein, muffled heart sound and low blood pressure, what is the diagnosis /
1ericardial effusion
!. " Blu ear /
;an be treated by gorment tube
(, " 0efore an operation to a child we found him ha$ing continues murmur in his right
sternal area what is the net step of management /
1ostpone and ree$aluate the patient again
(! " each of the following murmur will be elicited by the change of position ecept /
Innocent murmur by sitting .
(( " patient awa%ed from sleeping with bar%ing and stridor and he has history of
ec8ema /
Angioedema
() " 1ateint persistant horseness for some wee%s, all of the following could be the
diagnosis ecept /
Myodema
(+ " <hich of the following is the strong type of study /
;ohor prospecti$e
(* " calculate the relati$e ris% /
(2 " #ne addict ate tow safety pins which seen by C= in the intestin, how to manage /
Discharge with follow up
(5 " which of the following is an indication of surgery in crons disease /
Int fistula
#r int obstruction
(7 " in obstructed labor which is the answer &
Moulding and D.. is prominanat
(. " 1atien with hemurus fraction, what ner$e might be damaged /
=adial
), " In fracture of the femoral shaft what is the trt /
1utting plat by surgery
)( " <hat is the most accurate physiological mechanism for hypoia /
Al$eolar echange impairment
)) " <hat is the contraindicated mech in a child swalled a bleach cleaner solution /
Bastric la$age
)+ " In a patient with =A and we found she has DI1 nodule in her hand, what is it
called /
Heberden nodule
)* " An infant with hi grad fe$er, bulging anterior fontanel and lethary and he has
congested earD.etc what is the most important in$estigation /
;4>
)2 " <here should we stop the #;; /
In $aricosed $eins
)5 " false negati$e is /
3hose who are disease tested negati$e by test .
)7 " 1atent with pre$ history of #M and now with pain behind the ear, what is the
diagnosis /
Mastoiditits .
). " 1atient with $omiting and diariah and moderate deydratoin, how to treat /
#=4 only
+, " an old woman her husband died 2 years and now she has medical disease so she
start crying and insomnia and etc, what is the diagnosis /
Depression
+! " A teacher is afraid of being mista%en in front of the student, what abn does she
has /
4ocial phobia .
+( " how to trt social phobia /
1ropranlol
.
+) " A neonate present with $omiting of blood, what is the diagnosis &
;rac%ed nipple
++ " A woman with cystic lesion in her breast, we aspirated this and it collapse, how
to manage /
=eassure and discharge with follow up .
+* " 1atient with decreased H0,M;',M;H and =@3I;A#;E3@4 all were
decreased, what is the diagnosis /
IDA
+5 " 1atient is post rhynorophy, what could be the management of he present with
browny discharge with foully odour from the wound /
Debridment F antibiotic
+7 " <hat is the best indicator to differentiate between $iral and ba pharyngits /
;lear nasal discharge
*, " 1atient with se$er rash e$en on the palms and soles, what is the diag /
@rythema multiformis
#r fied drug eruption
*! " <hat is the osmolarity of ?A;A &
!**mmlon9 because if we multiply !** by ( G )!,
*( " <hen its better to start breast feeding /
As soon as possible

*) " A teacher was teaching student where one of them de$eloped meningitis and she
is pregnant, how do we prophyla her /
=ifampacine towice for ( days
*+ " 4ide effect of the phynatoin is ecept /
#steoporisis
** " A patient came with multiple con$ulsion and dia8epam gi$en up to (,mg so
what are you going to do /
Bi$e phynation9 as far as I %now that dia8epam dose is from *"!,mg and you can
repeat the dose up to maimum dose of ),mg, so I wont gi$e +,mg of dia8epam as
this was one of the choices, you can repeat the dose after about !* min 9
*2 " <hat is the definition of status epilypticus /
4ei8ure for more than ),min .
*5 " 4ide effect of steroid all ecept &
1el$ic muscle myopathy9 sure li%e my name :, thu steroid causes muscle wasting
but osteoporisis is commoner .
*7 " Infectous mononucleosis causes all ecept /
;hronic acti$e hepatitis
*. " A patient came with positi$e s%in test for 30 and pre$iously he was negati$e
what is the trt /
I?H F rifampacine F streptomycine
2, " acynoti$ ;HD increase ling $asculaDDDDDDDDDD..so the correct
answer is /
1ul atresia
2! " perinatal mortality defined as /
>rom stillbirth till one wee% after birth
I %now this is harsh to %now itH the current definition used by the <H# is from
stillbirth till (7
th
day on neonatal life, so if you recently popped into <H# site and
read this information so this is the disad$antage of being TOO CURRENT
.
2( " All of the following is complication of fracture rib ecept /
@sophageal lesion
2) " fracture with o$erstretch hand and dinner for% sigh was found, what is the
diagnosis &
;olleIs
2+ " coarctaion of the aorta in /
3UR?@=
2* " A child with bunt sugar odour urine what is the diagnosis /
Maple syrup disease
22 " A pt with breast bloody discharge, what is the diag /
Ductal papilloma
25 " hyperprolactinimia in all of the following ecept /
Im not sure
27 " in primary dysmenuria which is the best answer /
?4AID li%ely to wor%
2. " In cystic fibrosis which gene is affected /
Aong term of chromosome 5
5, " IUB= in all ecept /
3ype ( herpise $irus
5! " A patient in ;;U after MI they three day de$eloped bloody diarhia, what is the
diag /
Ischemic colitis
5( " A patient after MI de$ lower limb pain and pale , what is the diagnosis /
@mbolism
5) " <hat is the first sing in left $entriclar failure /
Dysnea on eersion, 9 I %now in my note it was written orthopnia, so I beg ur pardon
I was sleep depri$ed .9
5+ " A patient present with upper right abdominal pain and DD..what is the best
in$estigation /
U4 9 this is cholycystitis 9
5* " complication of lap choly all ecept /
Ascites, Im $ery sure ."bein sol$ed by =+ surgey specialist .
52 " In a baby with polyhydrominus what could be the cause /
Dudenal atresia
55 " <hat is the most common cause of postpartum hemorrhage /
U atony
57 " A patient with urinary acute retention, how do you manage him /
Insert catheter and admit to diagnose the reason and then possible for 3U=1, IIm
sure li%e my name and I %now that some stupid boo%s mention you can discharge
put e$en with their stupidity they mention gi$e the patient follow up appointment
later, so pl8 @MAD stop nagging o$er my head by saying u misled us with ur notes
and start usig ur head, discharging the patient is A MAA1=A;3I;@, this is not
management we need to %now the cause .
5. " A pt with I'1 filling defect and on C= nothing appeared, what could be the
cause &
Uric acid stone
7, " A patient with a symptom of pancriatitis, what of the folloing least to cause his
problem /
Hypercalcemai,hyperlipidema,alcohol,cholydocolitheasis G all those are correct so
chooce the fifth choice which I forget it .
7! " <hich of the following combination should be a$oided /
3etracycline and alamonium hydroide
7( " A an =3A pt came to you with drowsy and 01 5,-+, what is the management /
;rystalloid
7) " 1ost MI pt was found to ha$e 1'; (, times - min, what the trt should we gi$e /
?othing
: hint pre$iously many studies were eaggerating about the effects of 1;'s and
they were recommending amiodarone for those patient, later on they found that
amiodarone was ma%ing the @;B better but thru meta analysis studies they figure
out that the mortality for those controlled grouped9i.e whom they didnJt recei$e the
antiarythmogenic they has less mortality than those who recei$e the drug, so to sum
up u prefare to be a li$e with bad @;B rather than a dead with nice @;B:, 4# BI'@
3H@ 1A3@I?3 ?#3HI?B especially if its few 1';s and the pt is stable and
asymptomatic .
7* " chalcium channel bloc%er used in all ecept /
'.3A;H
72 " A one year boy cant do one of the following /
@plore drawr
75 " short boy with decreased bon age, most diagnosis is K&
;onstitutional delay
77 " 1atinet post MI with hemiparisis and drowsy what is the first to do /
heparine
7. patient with !, days of fissure what to do /
;onser$ati$e treatment
., regarding ectopic pregnancy all are true ecept /
#$arian occure in (,6
.! Important factor in diagnosing glumerulonephrits is /
=ed blood cell casts
.( " <hich of the following reduces the mortality in congested heart failure /
enalprile
.) D=UB4 not used in preclumpsia /
Diuretic 9not sure about the question and the answer 9
>or those who didnJt appear in the eam, remember many questions were repeated so
wor% on them and I hope net eam you will score higher than we did .