湭›ㄥ 丠 ›ㄥㄥ Τ μ ϟㄥ 湭਩ㄥ 떀਩›ㄥ

䓉‫ــ‬䓉 虀‫ ـ‬䓉䓉 Rom ꋀ

μ 떀਩›䘡ㄥ 丠μ 쳌ㄥμm ꋀ m R丠 RRm mμϟm m 떀਩›m ꋀ ꋀ
Period of dangerous fetal 䓉‫ـ‬
organogenisis
A䓉 ‫ ـ‬days - 5 days
B䓉 3虀 days - 虀 days
C䓉 虀 days - 9虀 days
M䓉c edometrial polyp 䓉
A䓉 Mucusal
B䓉 fibroid polyp
c䓉 cervical
days baby 䓉hypotensive 䓉 Dehydrated䓉 Hyperkalemia䓉 Hyponatremia䓉 Mostly ‫ـ‬虀 䓉3
䓉A䓉 ‫ ـ‬alpha enzyme def
B䓉 Addison's disease
C䓉 Gastroenteritis
y old man presented in ER with Fresh painless rectal bleeding 䓉
Upper endoscopy is normal
Mostly is
A䓉 Diverticuler disease
䓉B䓉 Rectal caa
ectopic pregnancy only one is correct䓉5
A䓉 May present as vaginal bleeing
䓉B䓉 Negative urin analysis pregnsncy test role out early preg
䓉C䓉 Use of reproductive drugs falling occurance it
D䓉 manifested by amenorrhea is mandatory
Main symptom of endometriosis is 䓉
A䓉 Chronic pelvic pain
B䓉 menorrahgia
c䓉 abdominal mass
Pair of drug and its side effect except 䓉
A䓉 Aspirin decrease respiratory rate
B䓉 opiade cause small pupil
C䓉 Salbetamol cause tachycardya
Gullian barra syndrme only correct is 䓉
A䓉 Ascending prograssive paralysis
B䓉 Spasmotic
P䓉t with HTN presented in ER by acute pulmonary odema all the following can may cause except 䓉9
A䓉 massive Pulmonry embolism
B䓉 Acute M䓉I
C䓉 HTN crisis
D䓉 Dystolic left ventricular failure
Strongly symptom associated with shisophrania is 䓉‫ـ‬虀
A䓉 Auditory hallucinations
B䓉 Visual hallucinations
C䓉 Obsseive thoughts
Early change in blood after administration of iron for p䓉t with iron def䓉 Anemia 䓉‫ــ‬
A䓉 Retc䓉 Count
B䓉 Heamgloubin
C䓉 Ferritin
Best clue for glomerular disease 䓉‫ـ‬
A䓉 RBC cast
B䓉 wbc cast
C䓉 Granular cast
D䓉 Hyaline cast
 In acute renal failure except 䓉‫ـ‬3
A䓉 Anemia
B䓉 Hyperkalemia
C䓉 Hyponatremia
D䓉 Hyperphosphatemia
pap smear percentagefor diagnosisof cervical ca-‫ـ‬
A䓉 5虀
B䓉 9
C䓉 ‫ـ‬
female with bloody nipple discharge -‫ـ‬5
A䓉 intraductal papillom
b䓉 breast infiltrating
all of the following with kawasaki except 䓉‫ـ‬
A䓉 subcutenous nodues
B䓉 strwabarry tongu
hypovolemic shock 䓉䓉‫ـ‬st best fluid Pt with multiple fractures 䓉‫ـ‬
A䓉 R䓉L
B䓉 blood
C䓉 normal saline
D䓉 FFP
Inhibin hormone inhibits 䓉‫ـ‬
A䓉 䓉FSH
B䓉 insulin
C䓉 estrogen
In placenta abruptio except 䓉‫ـ‬9
A䓉 often associated with position transverse
B䓉 DIC is most dangerous complication
C䓉 hypoxia is cause of fetal death
D䓉 may be proteinuria present
d䓉d of right iliac fossa pain except 䓉 虀
A䓉 splenic vein thrombosis
B䓉 Acute pylonephritis
C䓉 crohan s diseas
ㄥ ㄥ Τ μ ϟㄥ μ湭ϟm 떀਩›ㄥ
organ development critical period during in the IUL from LMP is -‫ـ‬
inhibin supress-
most common uterine polyp -3
pap smear detect cervical ca percentage -
year HTN pt , come with acute pulm edema , least common cause 5 -5
all accure in renal failure exept -
day baby with recurrent vomiting , hyponatremia hyperkalemia loss apetite , most common cause ‫ـ‬虀 -
correct about ectopic pregnancy -
After treatment what increase in IDA -9
blood discharge from breast䓉 Unilateral , w/o malignancy change - ‫ـ‬虀
match drug with it toxicity exept -‫ــ‬
placenta abruption all are true exept -‫ـ‬
hypocolemiv pt with multiple fracture , give fluid-‫ـ‬3
all about kawasaki correct exept -‫ـ‬
schizophrenic pt mainly come with -‫ـ‬5
endometriosis mainly come with -‫ـ‬

‫ـ‬䓉 Period of dangerous fetal

organogenisis
A䓉 ‫ ـ‬days - 5 days
B䓉 3虀 days - 虀 days
C䓉 虀 days - 9虀 days
 䓉 M䓉c edometrial polyp
A䓉 Mucusal
B䓉 fibroid polyp
c䓉 cervical
3䓉 ‫ـ‬虀 days baby 䓉hypotensive 䓉 Dehydrated䓉 Hyperkalemia䓉 Hyponatremia䓉 Mostly
A䓉 ‫ ـ‬alpha enzyme def䓉
B䓉 Addison's disease
C䓉 Gastroenteritis
䓉 y old man presented in ER with Fresh painless rectal bleeding
Upper endoscopy is normal
Mostly is
A䓉 Diverticuler disease
B䓉 Rectal ca䓉
5䓉ectopic pregnancy only one is correct
A䓉 May present as vaginal bleeing
B䓉 Negative urin analysis pregnsncy test role out early preg䓉
C䓉 Use of reproductive drugs falling occurance it䓉
D䓉 manifested by amenorrhea is mandatory
䓉 Main symptom of endometriosis is
A䓉 Chronic pelvic pain
B䓉 menorrahgia
c䓉 abdominal mass
䓉 Pair of drug and its side effect except
A䓉 Aspirin decrease respiratory rate
B䓉 opiade cause small pupil
C䓉 Salbetamol cause tachycardya
䓉 Gullian barra syndrme only correct is
A䓉 Ascending prograssive paralysis
B䓉 Spasmotic
9䓉 P䓉t with HTN presented in ER by acute pulmonary odema all the following can may cause except
A䓉 massive Pulmonry embolism
B䓉 Acute M䓉I
C䓉 HTN crisis
D䓉 Dystolic left ventricular failure
‫ـ‬虀䓉 Strongly symptom associated with shisophrania is
A䓉 Auditory hallucinations
B䓉 Visual hallucinations
C䓉 Obsseive thoughts
‫ــ‬䓉 Early change in blood after administration of iron for p䓉t with iron def䓉 Anemia
A䓉 Retc䓉 Count
B䓉 Heamgloubin
C䓉 Ferritin
‫ ـ‬䓉 Best clue for glomerular disease
A䓉 RBC cast
B䓉 wbc cast
C䓉 Granular cast
D䓉 Hyaline cast
‫ـ‬3䓉 In acute renal failure except
A䓉 Anemia
B䓉 Hyperkalemia
C䓉 Hyponatremia
D䓉 Hyperphosphatemia
‫ ـ‬-pap smear percentagefor diagnosisof cervical ca
A䓉 5虀
B䓉 9
C䓉 ‫ـ‬
 ‫ـ‬5- female with bloody nipple discharge
A䓉 intraductal papillom
b䓉 breast infiltrating
‫ ـ‬䓉 all of the following with kawasaki except
A䓉 subcutenous nodues
B䓉 strwabarry tongu
‫ ـ‬䓉 Pt with multiple fractures hypovolemic shock 䓉䓉‫ـ‬st best fluid
A䓉 R䓉L
B䓉 blood
C䓉 normal saline
D䓉 FFP
‫ ـ‬䓉 Inhibin hormone inhibits
A䓉 䓉FSH
B䓉 insulin
C䓉 estrogen
‫ـ‬9䓉 In placenta abruptio except
A䓉 often associated with position transverse
B䓉 DIC is most dangerous complication
C䓉 hypoxia is cause of fetal death
D䓉 may be proteinuria present
虀䓉 d䓉d of right iliac fossa pain except
A䓉 splenic vein thrombosis
B䓉 Acute pylonephritis
C䓉 crohan s disease

맠䘡m H Roㄥ ਩쳌ϟꋀ R ›਩ 몀m 丠μ 맠 R R몀Τm 맠䘡m Rϟμm  맠Rϟఀ

›쳌ㄥ RR iㄥμiㄥ ›ㄥ떀Rㄥ R몀› 뢠 䓉䓉䓉 RR R m 丠μ 맠 뱠 ›쳌ㄥ 몀m 䁗μiㄥ ›ㄥ떀Rㄥ R몀› m 丠μ 맠 R ›쳌ㄥ RR ㄥmm ›ㄥ떀Rㄥ R몀›

One is false intestinal obstruction doesn't get worse with movement䓉

Causes of hemoptysis except COPD

Bets time to repair undescended testes

‫ ـ‬year
3 to 5 years
5 to ‫ـ‬虀 years

Acute kidney failure doesn't cause anemia

Chronic kidney disease doesn't cause hypercalcemia 䓉

Causes of hypercalcemia except acute pancreatitis

Most common Indication for intubation in trauma 䓉

seat belt sign hollow viscuos injury

Most common cause of clubbing in children is ‫ـ‬

Hypoxaemia
Liver disease
Lung abscess

Indication for c section except preterm rupture of membrane at 3 weeks

Most common complication post operation wound infection , atelectasis , MI , DVT ‫ـ‬
 Somatostatin is secreted by delta cells

Side effect of surfaxtant can cause retinopathy of prematurity , pneumonia , hemorrage , pulmonary dysplazja

Appendicitis all is correct except usg is 95 sensitivity

Preovulatery surge which hormon; LH , FSH , estrogen , progesteron

All r signs of acute renal failure except

All r signs of chronic renal failure except
Metabolic syndrome
All can cause liver cirrhosis except
All of the following supports ur kid has IDA except
Vaccine C/I in pregnancy
Seat belt sing
Mid-cycle ovulation something which hormone

丠μoㄥ μ ਩떀뢠m ꋀ R 䁗 䁗 μ ㄥ Rϟ R몀› ਩ ꋀ m R਩ㄥ m 쳌ㄥ ㄥꋀ ꋀ R ㄥㄥꋀ 丠μఀ

R›μ ㄥ μom μ 몀m 丠 R湭ㄥ ϟ丠 ꋀ R ꋀㄥm RΤ਩ m R ꋀㄥm m丠 m Rϟఀ m 丠μ › μm Rϟμm
R Rꋀ ਩oϟΤ 뢠湭䁗 ›m ㄥ R R Rꋀ ਩oϟΤ 뢠湭 m μ䁗R a ㄥꋀ 䁗䁓 ਩oϟΤ ㄥ 떀ꋀ 䁗 R몀m R m
ㄥm ㄥఀ m ㄥμ쳌m ㄥఀ m m 몀 ㄥ m 몀ㄥ
䓉 R›μ ㄥ 䘡몀ㄥ 丠μϟ਩ m R਩ㄥ 䘡 䁓›
ꋀㄥ ㄥ›  묠 m ›μ RR਩

떀묠䁗m 몀oR 떀਩›ㄥ

There refer to Lecture room
Find a word that means pointed out Gestured
What did mss Allan meant by wonders of science - being in places at once
What does salute means Shows admiration
Someone's back hurt, he should not have carried those heavy boxes
Dr ab9ar meeen was asked about how he ab9ar shu
If I were 䓉䓉䓉䓉 etc 䓉 μ몀Rꋀ ㄥRs m ㄥ묠ㄥ

떀਩›ㄥ m丠ㄥ mㄥ 䘡਩ ㄥ ㄥꋀ mμϟꋀ as ϟㄥ䓉

R ꋀꋀϟㄥ m 䁗ϟㄥ m 丠μఀ › μo 湭 湭›ㄥ 떀 묠ㄥ 䓉
m Rae ㄥ ㄥꋀ 䓉
mR몀ㄥμm R ㄥμm 떀਩›s Rꋀꋀϟ 

䓉 몀oR ϟe 떀묠䁗 μm
떀ꋀ m 뻠μ 떀a 䁓› there 䓉 몀otㄥμm 떀 몀ϟΤ ㄥ
ꋀRϟㄥ m μRϟ䁗 떀a m 몀otㄥμm 떀ꋀ 䁓› gestured 䓉
몀otㄥμm 묠몀 ㄥ μ 䁓›
a ㄥR ㄥ 䁓› m
몀otㄥ mㄥ μoRϟ뢠맠 m ㄥμm 떀਩›s Rꋀꋀϟ ꋀ ㄥㄥ

‫ـ‬

䓉䓉 몀ϟㄥϟm μ m Roఀ  쳌਩ϟ  μ뢠 ㄥ oㄥ a ꋀ m 䁗 ϟ ㄥμꋀ

Rϟ਩ pleomrphic adenoma
 μꋀ 뻠 R뢠Τㄥμm μ› 쳌oㄥ RRϟ몀맠 fasting blood glocse 䓉䓉䓉 ‫ ـ‬5

All are true in threaten abortion except 䓉䓉 absent featal heart rate
Ascariasis signe Cough hemoptysie
Bowl obstruction mc Adhesion
Mi death Ventruculaite arrythmia
Eclempsia death Hemoragie cerebral
Chronic renal failer except Hypercalcemie
Rectal cancer mc signe Rectal bleeding
Lesion parotid mc Pleomorph adenom
Apastic anemea 䓉 Bone pain 䓉 Next step Bone biopsie

䘡 ›mRRㄥ m μ맠丠䘡 ㄥ μ ㄥ湭 Rϟ਩ μ䁗

a 䁗m fever o hepatosplenomgaly

Hypothyrodisme mc Hashimito
Case 䓉䓉
Female 5 years rech ER with palpitation and dypsnia Bp 虀/ 虀
On ECG showing AF
What the drug of choes 䓉䓉
Iv amiodren Rϟ਩
Digoxin
DC shok
B bloker

All true in chiled have iron def anemia except 䓉䓉 incres total transferon
All are cause gayncomastia except 䓉䓉 hyperparathyrodism
All are cause of nephrogenic diabtis insipdus except 䓉䓉䓉thiazed R 떀ㄥ 䘡a 䁗m
All are cause of aplastic anemia except 䓉䓉 hyperspelinsm
 ㄥㄥm ㄥμΤ 䁗  Roㄥ μ ਩ 떀਩›
Which tubular affecte Acetazolamide
Distal tubular
Collgting
Loope of Henel
abgar score
Answer is 9 because cyanosis of limp
size of kidney in pregnancy and no changes in nephrons
bleeding disorders in children
CPR for ventricular fibrillation i choice 3虀虀 h biphasic and then check rhythm but not sure
anatomy of diaphragm
physiology of kidney
umbalical hernias for ‫ ـ‬month infant what to do what correct
Do surgery at 3 month not sure
It more likely to incarcerated
long question about inguinal hernia
Women with more one eclampsia what most likely prognosis
Chronic HTN
Epilepsy
Patient 9 years old with Parkinson Diagnose one is true
Tremor 䓉䓉䓉䓉䓉䓉䓉䓉
Musle atrophy
Cytokines elevated in
schistocyte found in
G pd
Patient with testicular cancer one of following is elevated
Inhibin
Testosterone
LH
FSH
most common malignancy in children is
Lymphoma
Leukemia
Medullblastoma
most common complication of diverticulitis is fistula between sections of bowel or the bowel and bladder䓉
μ Rꋀꋀϟ  μ ꋀ 떀਩› ›䘡ㄥm
਩μ 떀਩› 䁗 떀a 묠 m 䁗 m o›  μ湭ϟm

M䓉 c䓉c of cough ---Post nasal drip

N䓉 All drugs causes gingival hyperplasia except statin

O䓉 All cause neutrophilic leuckocytosis exept , asthma, steroid䓉

Initial test to diagnosis AAA, us or CT 䓉
Enterovirus cause all except䓉 Osteomyelitis, foot mouth, neonatal sepsis, meningitis䓉
Dialysis improve, depression, nutrional status, toxic compounds䓉
Chemotherapy causing heart failure, adromycin , cisplatij, mtx䓉
Gingival hyperplasia in all exept, Ca channel blockers, phenytoin, simvastatin䓉
And film x-ray the true, 5 sensitive to detect sth, most useful for intestinal obstruction, most sensitive to detect free
gass䓉
Pituitary Foss wrong, can be empty in nl adult, inf to hypothalamus, optic canal above it, cavernous sinus below it, less
than ‫ ـ‬cm in adult䓉
All cause pulseless electrical activity except, pe, PTX, MI, massive pleural effusion䓉
Ttt of hyponatremia in cirrhosis, salt restriction, furosemide iv䓉
MMR true, live attenuated vaccine䓉
Term infant, blood film inclusion bodies, mother infected w, CMV,
Mcc of anemia in preg, IDA䓉
Normally increase in pregnancy, creatine, thyroid_binding , hair growth, hct,
Not a feature of infective endocarditis, proteinuria, Roth, osler,
Acute adrenal insufficiency cause, hpokalemia, hyperna, hypotension, hyperglycemia 䓉
Opioid cause all except, hypotension, bradycardia, mydriasis,
First reliable sign of shock,䓉 Tachycardia, delayed capillary refill䓉
Class pulmonary htn, chronic pe, aortic stenosis, scleroderma䓉
One scenaria doesn't need optimal ldl level, Dm, young htn on ttt, aneyrism, severe aortic stenosis䓉
Nl GFR 3虀虀, ‫ـ‬5虀, 5虀虀䓉
Duration of dvt prophylaxis after hip surgery, 3 mo, ‫ ـ‬wk, hr䓉
Burkitt lymphoma pt received chemotherapy, after ‫ ـ‬hrs developed AKI, high Ca or k and phosphorus, the cause,
chemotherapy side effect, tumor lysis䓉
All cause acute stridor except, asthma, foreign body aspiration, hypocalcemia䓉
One is absolute C/I for percutaneous tracheostomy, thrombocytopenia, children below ‫ ـ‬, increased ICP,
Pt w moderate hypothyroidism for elective cholysystectomy䓉 Decision, go to surgery, hyperthermia a risk in surgery䓉
Treat then surgery䓉
Proper order to manage V-fib, CPR till defibrillator is ready, shock, recheck pulse䓉 DC mono or biphasic then Cpr, if
adrenaline is needed䓉

drug induced SLE // antihistone Ab

Most common cause of anemia in pregnancy >>> iron def

One is normally occur in pregnancy >>> increase thyroid binding globulins

Cause of hyper ventilation in pregnancy is >>> dec in residual volum

Measles vaccine is >>>live attenuated virus

All cause acute stridor except >> acute asthma attack

nd degree burn involve the head and neck and 3rd degree burn involve the back and half the chest, total body surface
area is >>> 3

䁗  / μ ਩ HμΤ䁗
Q‫ـ‬䓉 All of the following are caused by enterovirus except HFMD, infective endo, osteomyelitis
Q 䓉 Inclusion bodies shown in CMV
Q3䓉 Child mth do all except stand pulling
Q 䓉 First sign of hypovolimic shock Tachycardia
Q5䓉 In pregnancy one increase core temp or TBIG
Q 䓉 Hyperventilation in pregnancy caused by increased residual volume dec
Q 䓉 Effects of cortisone all except䓉䓉䓉䓉
Q 䓉 Physical examination shows aortic aneurysm best initial for diagnosis MRI or U/S
Q9䓉 About gingival bleeding all drugs cause it except nefedepine
Q‫ـ‬虀䓉 Dry cough for DM and HTN Ptn䓉 Cause gingival bleeding
Q‫ــ‬䓉 Adrenal insufficiency all except
Q‫ ـ‬䓉 Aldosterone mechanisim
Q‫ـ‬3䓉 All are intracellular except chloride
Q‫ ـ‬䓉 Chemotherapie and Tumor lysis $
Q‫ـ‬5䓉 One of the following Chemotherapie drugs cause cardiomyopathy
Q‫ ـ‬䓉 Aorta bifurcation L
Q‫ ـ‬䓉 renal dyalisis to treat elevated toxins
Q‫ ـ‬䓉 Coagulation factor which increases Pt and normal ptt is
Q‫ـ‬9䓉 Pituitary gland all true except inferior to optic chiasm
Q 虀䓉 Stidor in all except hypocalcemia or asthma
Drug that doesn't cause gingival hyperplasia䓉
Burn total body surface area
Most common cause for nd trimester abortion
One of these is not of high intracellular concentration k, cl, total phosphate, ATP䓉䓉 forgot other options 䓉
Absolute contraindication of tracheostomy䓉
Prophylaxis for meningitis䓉
Congenital microcephaly with intracellular inclusions䓉
M䓉c䓉c of uti in sexually active female 䓉

Renal cell carcenoma except

Traid of hematuria,mass,pain in almost all cases
May present with fever
Male more than female

䓉Recurrent pregnancy loss without contractions during T cervical incompetence

䓉the most common anemia in pregnant woman iron

䓉 One of the following is not a cause of acute stridor epiglotits, acute asthma, hypocalcemia

䓉 A complicated case of VF and how to manage

䓉one of the the following drugs may cause gingival hyperplasia ca blockers

䓉 One of the following is least likely the cause gingival hyperplasia I think it was 䓉䓉䓉statin

䓉 A case of penumothorax, one of the following is not a common finding in this pt shift of the heart to opposite side,
hypotention, tachycardia , decrease breath sound

䓉 One of the following may decrease COP or Increase JVP or sth else䓉䓉䓉can't remember cardiac temponade

䓉all of the following may cause palmer erythema, except Anemia

䓉 One of the following is not a finding in infective endocarditis erythema marginatum

䓉 After diagnosis of SLE pt by ANA, the most specific marker to confirm that it is drug induced antihistone AB

䓉 The site at which the aldosterone works Pct or loop of henle

䓉The LDL target level should be less than 虀 in all these pts except
Cardio pt, HTN pt, diabetic, other䓉䓉

Drug teratogenic to hum䓉 䓉䓉䓉䓉䓉 valporic acid

All are killed vacc䓉 Ex䓉 䓉䓉䓉䓉 varicella

Most common tumor in children 䓉䓉䓉 All

Wilms tumor 䓉䓉䓉 abd䓉 Mass

Case , testicular pain 䓉䓉䓉䓉 surgical exploration

 Protective immunoglobulin in breast milk 䓉䓉䓉䓉 IgA

Ovarian from aorta

Secondary amenorrhea 䓉䓉䓉 pregnancy

Ovulation occur in ‫ ـ‬days cycle
‫ ـ‬which Ig is found in milk and provide mucosal protection IgA
life attenuated vaccine >> VZV

3 warts on hands which is true

-its of viral etiology
-can treat it with griseofulvin
-premalignant
-not contagious

gonorrhea is a gram negative inter-cellular diplococci

5 teratogenic drug
-valporic acid
-metoclopramide
-cefotaxime
-mertonidazol

electrolyte disturbance that can cause paralytic ileus

-hypokalemia
-hyperkalemia
hypnaterima
hyponatremia

which is wrong
klienfilter syndrome XYY
Turner XO
testicular feminization XY

a pt with renal failure developed sepsis , wht antibiotic u must change the dose for it
gentamicin
amphotorcin
ceftrixone

9 carpal tunnel syndrome >> median nerve

‫ـ‬虀 in MRSA wht antibiotic can tx it > vancomycin

‫ ــ‬all can cause exudative pleural effusion except

-Nephrotic syndrome
TB
Cancers
pnumonia

‫ ـ‬a child with left scrotal pain and elevated testicle , wht to do
-doppler to check testicular blood flow
exploratory surgery
- analgesia

‫ـ‬3 unconjugated bilirubin in asymptomatic woman with negative hemolysis

gilbert syndrome
crigler - najjar syndrome
rotors syndrome

‫ ـ‬type of cancer can cause osteoblastic bone lesions

prostat ca
lung
thyroid
breast

‫ـ‬5 not from anterior pituitary

HCG
prolactin
LH
FSH

‫ ـ‬most common cause of physiological sencondary ammenorrhea >>> pregnancy

‫ ـ‬artery that is a direct branch from aorta

ovarian
testicular
uterine

‫ ـ‬in primary hyperparathyroid >> Ca and PTH increase , phosphors decreases

‫ـ‬9 Trousseau's sign carpal spasm occurs when the upper arm is compressed by blood pressure cuff䓉 >> hypcalcemia

虀 not a cause of osteoporosis

Marfan
thyrotoxicosis
steroid
heparin

‫ ـ‬side effect of thiazide

sexual impotence
hypernatremia
hyperkalemia
metabolic acidosis
RS alkalosis

fever in peds by rectal thermometer

3
3 䓉‫ـ‬
3 䓉
3

3 ‫ـ‬5 months old cant do

name one or more body parts
walk alone
3 cubes

Side effect of Heparin except

thrmobocytosis
bleeding
osteoporosis
hypersinsitivity reaction

5 in burn of upper limbs for each 9 so ‫ـ‬ torso ‫ـ‬ left lower limb ‫ـ‬ genitalia ‫ـ‬ so 55 the
answeer

least important in the management of burn pt

fractures
burn itself

characteristic for B‫ ـ‬absorption

no absorption in case if anti parietal cells antibodies
totally dependent on intrinsic factor
from distal ileum
duodenum

in emesis the cause of hypokalemia

loss of gastric HCL
loss of gastric K
low aldosterone

9 not true combination

Benzodiazepines >> nalexone
anticholinergic >> physiostigmine
organophosphate >>> atropin
parcetamole >> N acetylcystin

3虀 amino acids mostly absorped from

proximal tubule
distal tubule
loop of henel
collecting ducts

3‫ ـ‬wrong about cranial nerves reflexes

and 3 vestibulo occular
5 and corneal
9 and ‫ـ‬虀 gag
‫ـ‬虀 cough

3 regular 5 days period , day of ovulation is near

‫ــ‬
‫ـ‬

33 most common symptom in wilms tumor

abdominal mass
hematuria
wight loss

3 most common childhood tumor

All
wilms
neuroblastoma

35 high HIAA in urine with diarrhea and flushing

carcinoid syndrome

3 all increases in pregnancy except

Hct
MCV
-Mechanism of hypokalemia in emesis

Q‫ـ‬䓉 All of the following are caused by enterovirus except HFMD, infective endo, osteomyelitis
Q 䓉 Inclusion bodies shown in CMV
Q3䓉 Child mth do all except stand pulling, cubes
Q 䓉 First sign of hypovolimic shock Tachycardia
Q5䓉 In pregnancy one increase core temp or TBG
Q 䓉 Hyperventilation in pregnancy caused by increased residual volume dec
Q 䓉 Effects of cortisone all except䓉䓉䓉䓉
Q 䓉 Physical examination shows aortic aneurysm best initial for diagnosis MRI or U/S
Q9䓉 About gingival bleeding all drugs cause it except statin
Q‫ـ‬虀䓉 Dry cough for DM and HTN Ptn䓉 Cause gingival bleeding
Q‫ــ‬䓉 Adrenal insufficiency all except
Q‫ ـ‬䓉 Aldosterone mechanisim
Q‫ـ‬3䓉 All are intracellular except Ca
Q‫ ـ‬䓉 Chemotherapie and Tumor lysis $
Q‫ـ‬5䓉 One of the following Chemotherapie drugs cause cardiomyopathy
Q‫ ـ‬䓉 Aorta bifurcation L
Q‫ ـ‬䓉 renal dyalisis to treat elevated toxins
Q‫ ـ‬䓉 Coagulation factor which increases Pt and normal ptt is
Q‫ـ‬9䓉 Pituitary gland all true except inferior to optic chiasm
Q 虀䓉 Stidor in all except hypocalcemia or asthma

o ㄥ ꋀμR 떀ㄥ Roㄥ μ 쳌ㄥ μ湭ϟ 떀਩›

/ 虀‫ ـ‬/3/‫ ـ‬丠m 䓉䓉

Medicine

‫ـ‬ drugs and antidotes are matched except  Methotrexate-pyridoxine

One of these drugs Doesn’t cause ototoxicity  azithromycin

other options gentamicin furosemide amikacin cisplatin

3 Wrong about bronchiectasis  bronchial constriction

All are true about multiple myeloma excepts cause sclerotic bone lesion
other options peak incidence at th decade causeamyloidosis

5 Cause og pulmonary venous hypertension  Mitral Stenosis

other options Scleroderma COPD chronic P䓉E Idiopathic pulmonary HTN

Rheumatic fever commonly affect  Mitral valve Aortic Valve

All are causes of non cardiogenic pulmonary edema except  ………………䓉䓉

options Head trauma O poisoning ketoacidosis paracetamol toxicity burn

All of these cause increase in ESR except  Polycythemia rubravera

other options R䓉A Bronchogenic Ca T䓉B multiple myeloma

9 Cause of prolongation of Bleeding time …………………䓉

options von Willebrand disease ascorbic acid deficiency hemophilia

‫ـ‬虀 All causes right shift in hemoglobin dissociation curve except  Alkalosis
other options Hypercarbonemia Low carboamino product hyperthermia increase in , 3 DPG

‫ ــ‬Question about mycoplasma pneumonia  cause cold agglutinin disease

other options most common complication is plural effusion cause acute kidney injury

‫ـ‬ All are signs of severe asthma except  pyrexia

other options Use of accessory muscle retractions silent chest cyanosis

Surgery
 1) Carpal tunnel syndrome is a result of compression of  the median nerve

2) nerve injury In humerus fracture  Radial nerve

3) Most common site of Meckels diverticulum is  Ilium

4) Initial reaction in hemostasis Vasoconstriction

5) First vital sign change in Hypovolemic shock  Pulse rate

6) A years old man with hernia , easily reducible … ets what type of hernia goes with
spermatic cord <cant remember the exact q > Indirect inguinal hernia
other options Direct Hernia Femoral Hernia

7) Diaphragmatic innervation originate from root C3 – C5

other options C – C C‫ – ـ‬C5 … etc

8) All these Dermatomes matched true except  Knee L - l3

others bicep jerk C5 – C ankle jerk S‫ – ـ‬S

9) True about Tension pneumothorax  may be complicated by Pulseless Electrical Activity

other options may present with Hypertension X ray must be done before ttt

10) A burn victim presented with total burn in his rt䓉 upper arm half of his anterior trunk one third of his rt䓉
Lower limb , his TBSA is 

11) Early sign of Cavernous sinus thrombosis Proptosis

options Headache Fever Potosis ophthalmoplegia

12) All are true about hydatid cyst of liver except  adequate treatment done by percutaneous drainage
other options cause anaphylaxis more in right lobe may cause cerebral presentation bone lesions
indicate surgery

13) Most common cause nipple discharge intraductal papilloma

options duct ectasia fibrocystic disease

14) All suggestive acute un ruptured appendicitis except ……………

options paraumbilical pain shifting to RLQ Rebound tenderness when palpate the RLQ anorexia
Vomiting something about discomfort

15) Most common cause of airway obstruction in comatose patient ………………䓉䓉

options Apiration pneumonia accumulation of secretions tongue fall back foreign body aspiration

Gynecology

‫ـ‬ All are true about uterine leiomyomas except  It Is a malignant disease

All are criteria of sever PET except elevated uric acid level
other options oligouria diastolic bp>‫ــ‬虀 low plts

3 Normal fetal heart rate at term ‫ ـ‬虀-‫ ـ‬虀 beat min

All are causes of Small for gestational age except  Infant of Diabetic mother

5 Most common cause of ‫ـ‬st trim䓉 Abortion  Chromosomal abnormalities

 All are adaptive physiological changes in preg䓉 Except  increase in Central Venous Pressure 3虀
other options increase cardiac output 虀 increase Heart rate ‫ـ‬虀 – 虀 beats

All are done in management og APH except  Vaginal exam

First trim䓉 US is informative for all of the following except  Placenta previa
others diagnosis of ectopic estimation of gestational age confirm multiple preg䓉 confirm Viability 䓉

9 Wrong about Vomiting in pregnancy  commonest in third trimester

other options more in GTDs More in twin preg䓉 … etc

‫ـ‬虀 All these drugs cross the placenta except  Heparin

other options penicillin Aspirin Warfarin

‫ــ‬ A woman took Rubella vaccine can get pregnant after  3 months

‫ـ‬ All are causes of Menorrhagia except …………䓉䓉

options OCP PID Fibroids adenomyosis Endometrial Hyperplasia

‫ـ‬3 absolute indication of c/s  active genital herpes

other options Face presentation pervious c s due to failure to progress breech presentation

Pediatrics

‫ـ‬ All are criteria of APGAR score except  Respiratory Rate 䓉

Measles is caused by paramyxovirus

3 What of the following is most common malapsorbed in Coeliac disease  Iron

other options B‫ ـ‬vit䓉 K Ca

All are true about full term infant except  double his birth height at one year age
other options have a birth weight of 3䓉5 kg have a height of 5虀 com have a head circumference of 35 cm
double his birth weight at 5 months old 䓉

5 All are live attenuated vaccine except diphtheria

other options oral polio Measles BCG

A child of years old can  make a two words sentence

other options skip and hop draw a square Use fork and knife

Minimal oral fluid intake for a months old baby mildly dehydrated  ‫ـ‬5虀 ml kg day

All are signs of rickets in infancy except  Early closure of anterior fontanels

9 One true about TOF  Wide Split S

Other options pulmonary stenosis, narrowing of valve Never cause convulsions ma not present within
the first few months of birth
 ‫ـ‬虀 True about pyloric stenosis ……………䓉
options autosomal dominant present with vomiting at first week of birth projectile bilious vomiting
palpable abd䓉 Tumor is always present

਩μ ㄥ μ ਩
/ 3 / 虀‫ـ‬
μ䁗 ਩맠 䁓Τㄥ 䁗μ਩ mμϟ R몀m 쳌ఀ ㄥ ꋀㄥ μo쳌ㄥ ϟ湭m ›쳌ఀ μmμϟ μmμϟm
ㄥ뢠몀 μ ㄥㄥa m
‫ـ‬䓉 All are Side effects of oxytocin except
fetal distress
amniotic fluid embolism
hyperprolactinemia
hyponatremia
䓉all are risk factors for endometrial carcinoma except
obesity
DES exposure
PCOS
Nulliparity
3䓉about HCC all are true except
percutaneous biopsy before surgery
within distribution of HB fibrolameller variant common in females
䓉 All are true about gastrin except
secreted by G cells of antrum
increased in zollinger- Ellison synthesis
decrease by PPI
increased the carcinoid type ‫ـ‬
5䓉female+microcephaly+ severe mental retardation + hand wringing movements
rett $
Marfan $
X_ fragiall $
䓉elderly chronic kidney disease + bilateral hearing loss possible eye changes is
lenticonus
optic atrophy
lens detachment
Retinal depostion
䓉IL-‫ ـ‬all are true except
produced by macrophages
activate t cells
stimulate thermoregulatory center
bone production
䓉comparing to intracellular cell; extracellular cell had
lower level of kk+
9䓉one is true about nerves
oculomotor nerve at lateral wall of cavernous sinus
maxillary nerve superior orbital fissure
facial nerve forwards at geniculate ganglion
Left recurrent laryngeal nerve
‫ـ‬虀䓉regardingperiphral nerve injury all are true except
degeneration of actin and myosin in proximal muscles
sprouting from proximal nerve root schwann cells at periphry
about axonal
‫ ــ‬䓉botulinum toxin all true except
serotype a most used clinicallyy
serotype b used in clinical
inheption post synapticc
‫ـ‬3䓉about glucose all are true except
after hrsfadting amino acid source of glucose
after ‫ ـ‬hours fasting lipolysis occur
muscle glycogen can't form it due to absence of g p
acetic acid is important for glucose synthesis
‫ـ‬3䓉 all are true except
ankle L5; S‫ـ‬
biceps C5; C
knee L ; L
nipple dermatome
umbilical T‫ـ‬虀
‫ ـ‬䓉 About ulnar nerve all true except
no branches at upper arm
supply the coracobrachialis muscle
medial epicondyle
‫ـ‬5䓉 About PID ALL are true except
pelvic pain
fever
leukocytosis
anemiaa
‫ ـ‬䓉All causes of polyuira except
Hpponatremia
hypokalemia
Hyperaldosteronism
‫ ـ‬䓉 At the level of transpyloricline except
doudenojeujenal junction termination of spinal cord neck of pancreas
fundus of GB
tip of tenth costal cartilagee
‫ ـ‬䓉 Highest anomaly in diabetic mother
NTD
microcolon
rectal agenesis
sacral agenesis
Transpostin of graetvesell
‫ـ‬9䓉 About philadelphia chromosome one is true
with ALL And had poor prognosis
with chronic lymphocytic lukemia
myelofibrosis
虀䓉one of the following seizure with good prognosis
focal
tonic
myoclonic
subtle
‫ـ‬䓉 All indicates intracranial complication in pt with meningitis except
focal seizure persistent elevation of neutrophils
recurrent meningitis
increase in head circumference
䓉 About hirschsprung disease all are true except
absent myentric plexus
ganglion segment dilated on barium enema
presence of normal rectal inhibatory reflex
increase in acetylcholinestrase is histological findingg
3䓉Do sweat chloride test in all except
recurrent lung infection
nasal polyp
neonatal jaundice
ricketss
䓉all are true about fungi except
multicellular
anaerobic
eukaryotic
contain kertinase
5䓉3 y/o pregnant at ‫ ـ‬weeks ; sudden chest pain S䓉o䓉b had antiphosholid syndrome best test
doppler u/s lower extremities ventilation perfusion scan
Dopplex
Ct scan
䓉 Increasing bleeding time in one
Hemophlia A
Hemophlia b
von-wellibrand disease
䓉 About peritonitis all true except
primary one more common in adults than child
ndry one bacterial pertonitis
9䓉one is normal in pregnant
glycosuria
pyuria
proteinuria
3虀䓉 After c/s at day fever persist even with the use of antibiotic for 3 days
cystitis
pelvic thrombophlebitis
3 䓉sudden death of child in all except
TOF
Aortic stenosis
ASD
33䓉endometrioma is
functional cyst
choclate cyst
leiomyoma
ovarian tubular
3 䓉 About febril non hemolytic reaction of blood transfusion whicis wrong
Most common reaction
Occure due to antibodaginstplatlet and leukocytes
Caused by factor transfusion
35䓉devolopmental in months child which is wrong
Can handle spoon well
Express himself immediatly
Lsn to story
Help undress
Put things awayy
3 䓉 IL‫ ـ‬one wrong
Increas temp regulation in hypothalmus
Stimulate bone prodaction
Most commonly from macrophages
Stimulate T and B cells prolferation
3 䓉abut carcinoid which is wrong
Most common sit apendix
Tumor of enterochromafin cells
ilum not common multicentricc
3 䓉regardingsterid one is true
Produced in adrenal cortex
Incres ‫ ـ‬hydroxlase
Secration in kidny
-poor prognosis menegitis wrong >> seizures in the first 3 dayss
39䓉 iron deficiency in child which is wrong
normal TIBC
Low srurm iron
⬇ MCV
虀䓉 all are in in platlete except
histamine
serotonin
fibronegin
fibronectin
factor and 99
‫ـ‬䓉 regarding ulnar nerve which is wrong
supplies coracobradialis
final branch from medial cord behind medial epicondayl
䓉 which causes vasoconstriction histammine
bradykinin
prostacycline
angiotensin
3䓉 which is wrong regarding pancreatic physiology
amylase secreted in active form
acidity in duedenum and bile stimulate pancreatic fluid secreation
fluid and electrrolytes secreted from ductal cells
CCK stimulate pancreatic enzymes
pancreatic secretion neutrolize acidity in the dudenum
䓉regardingphyochromcytoma which is right
‫ـ‬虀 bilateral
predominantly produce adrenaline gestation
‫ـ‬虀 adrenal
5䓉 after 3 days of CS pt have fever and receiving antibiotic , female still have fever and not responding to antibiotic
because of
wound infx
pylonephritis
retardation o his hand malhm
Pelvic thrompophlbitss
䓉 regarding aortic regurge not a sign
Quincke sign
Corrigan sign
Duroziez sign
Austin-Flint
Graham bell murmurr
䓉 increasing blood osmalirity causing
stimulation of chemo and osmalirtyrecpetors that stimulate ADH release
inhibition of chemo and osmalirtyrecpetors that stimulate ADH releasee
䓉 aboute p53 which wrong
on chromosome ‫ـ‬
stop cell in M phase
Have pathway
Questions forr residents 虀‫ـ‬5

A 53-year-old woman falls onto an outstretched hand䓉x-rays of elbow reveal a fracture of the radial neck䓉 She has no
sensory loss, but has weak extension of the wrist and cannot extend her fingers, which is the most likely nerve to be
affected

Axillary nerve䓉
Radial nerve䓉
Posterior interosseous nerve of the forearm䓉
Ulnar nerve䓉
Musculocutaneous nerve䓉
ANSWER C

The x-ray finding for a patient with abdominal pain shows tubular shaped colon with no fecal matter within the affected
part of the bowel, the most diagnosis is

Hirschprung's disease䓉
Sigmoid volvulus䓉
Necrotizing enterocolitis䓉
Ulcerative colitis䓉
Diverticular disease䓉
ANSWER D
A‫ ـ‬-year-old man with history of right inguinal hernia and needs surgery䓉 He has a history of severe asthma that
needed ICU admission in the past䓉 He has to use inhalars four times a day, and is admitted to hospital with an acute
exacerbation at least twice a year, the ASA American society of anesthesiologist grade for this patient is

Class one䓉
Class three䓉
Class five䓉
Class four䓉
Class two䓉
ANSWER B

The most appropriate form of nutritional support for a patient with severe acute pancreatitis is
Nasojejunal feeding䓉
Oral supplementation䓉
Total parenteral nutrition䓉
Nasogastric feeding䓉
Jejunostomy䓉
ANSWER A
The sodium concentration of dextrose saline is
‫ ـ‬mmol L䓉
‫ـ‬5 mmol L䓉
‫ـ‬3虀 mmol L䓉
‫ـ‬虀 mmol L䓉
3虀 mmol L䓉
ANSWER E

A -year-old man attends for routine post-operative follow-up following surgery to remove a stone from his parotid
gland䓉 He now complains of diffuse facial sweating before meals, the most appropriate diagnosis is
Mikulicz syndrome䓉
Sjogren syndrome䓉
Frey syndrome䓉
Wermer syndrome䓉
Horner syndrome䓉
ANSWER C

What is the most appropriate biopsy technique for a lymph node found during Whipple's procedure
Incisional biopsy䓉
Excisional biopsy䓉
Core biopsy䓉
Frozen biopsy䓉
Fine-needle aspiration cytology䓉
ANSWER D
A 9-year-old diabetic man complains of numbness around medial aspect of the leg following femoro-popliteal bypass
grafting using a reversed vein graft, the most likely nerve to be affected is
Sciatic nerve䓉
Saphenous nerve䓉
Tibial nerve䓉
Sural nerve䓉
Common peroneal nerve䓉
ANSWER B
Gleason's scoring system is used for
Hodgkin's lymphoma䓉
Chronic pancreatitis䓉
Ovarian cancer䓉
Prostatic cancer䓉
Pancreatic cancer䓉
ANSWER D
A 3-year-old presents with a -week history of jaundice and steatorrhoea䓉He has a long-term history of ulcerative
colitis, which is treated currently with azathioprine䓉The most likely diagnosis is
Chronic pancreatitis䓉
Cholangiocarcinoma䓉
Cholecystitis䓉
Carcinoma of the pancrease䓉
Sclerosing cholangitis䓉
ANSWER E
A 3‫ـ‬-year-old man presents with a mole on his right shoulder䓉 It has grown over the past two months and is very itchy䓉
It bleeds occasionally䓉 On examination there is a -cm, irregular mole with a surrounding halo䓉 He is also
jaundiced 䓉the most likely diagnosis is
Pyodermagangrenosum䓉
Dermatofibroma䓉
Keratoacanthoma䓉
Melanoma䓉
Squamous cell carcinoma䓉
ANSWER D

Which of the following statements regarding acute rejection are false

It occurs within the first months of transplantation䓉
It is usually reversible䓉
It is predominantly mediated by T-cells䓉
A characteristic finding is mononuclear infiltration of the graft䓉
Antibodies have no role䓉
ANSWER E
The safe maximum storage times for kidney to be transplanted is
hours䓉
hours䓉
hours䓉
 hours䓉
‫ـ‬虀 hours䓉
ANSWER A
The mechanism of action of cyclosporine immunosuppressive agent is by
Depletion and blockade of lymphocytes䓉
Block IL- gene transcription䓉
Depletion and blockade of T-cells䓉
Block IL- receptor signal transduction䓉
Prevents lymphocyte proliferation䓉
ANSWER B
The wound healing impairment caused by corticosteroid administration can be reversed by
Vitamin A䓉
Vitamin C䓉
Vitamin B‫ ـ‬䓉
Vitamin K䓉
Zinc䓉
ANSWER A

A 3 -year-old woman presents hours following a motor vehicle crash with an anterior abdominal wall contusion from
the lap belt䓉 The most sensitive diagnostic test to detect perforation would be
Abdominal ultrasound䓉
Diagnostic peritoneal lavage DPL 䓉
Serial abdominal examination䓉
Abdominal computed tomography CT scan䓉
Gastrografin upper gastrointestinal GI x-ray䓉
ANSWER D

The most common malignant neoplasm of small bowel is

Primary adenocarcinoma䓉
Metastatic neoplasm䓉
Leiomyosarcoma䓉
Carcinoid tumor䓉
Lymphoma䓉
ANSWER B
A second –degree burn may heal without grafting䓉 Which of the following is the source of new skin cells
Epidermal appendeges䓉
Melanocytes䓉
Dermatocyte䓉
Migratory dendritic cell䓉
Intradermal macrophages䓉
ANSWER A
The major component of the bile is
Bilirubin䓉
Bile acid䓉
Water䓉
Cholesterol䓉
Lecithin䓉
ANSWER C

The contraindication for medical treatment of gallstone include all of the following, except
Non-functioning gallbladder䓉
Porcelain gallbladder䓉
Emphysematous gallbladder䓉
Stone less than ‫ـ‬5mm in size䓉
Calcium bilirubinate and oxalate stones䓉
ANSWER D
One of the followings is not manifestation of hypernatermia
Increase in intracranial pressure䓉
Red swollen tongue䓉
Decrease in salivation䓉
Fever䓉
Oligouria䓉
ANSWER A
Elevated serum gastrin is found in all of the following conditions except
Pernicious anemia䓉
Gastric outlet obstruction䓉
Retained antrum䓉
Postvagotomy䓉
Duodenal ulcer associated with Helicobacter pylori infection䓉
ANSWER E
Extra-adrenal pheochromocytomas predominantly secrete
Epinephrine䓉
Dopamine䓉
Vanillymandelic acid䓉
Metanephrine䓉
Norepinephrine䓉
ANSWER E
Hyper- metabolism in severe burns is related to
Hypocortisolemia䓉
Hyperinsulinemia䓉
Decreased catecholamine activity䓉
Hepatic glycogen synthesis䓉
Glutamine synthesis䓉
ANSWER B

An abdominal compartment syndrome produces all of the following except

Elevated urinary bladder pressure䓉
Hypercarbia䓉
Hypoxia䓉
Intestinal obstruction䓉
Acute renal failure䓉
ANSWER D

‫ ـ‬/3 μ ਩ 떀਩›

Medicine
‫ ـ‬drugs and antidotes are matched except >> Methotrexate-pyridoxine

One of these drugs Doesn’t cause ototoxicity >> azithromycin

other options gentamicin furosemide amikacin cisplatin

3 Wrong about bronchiectasis >> bronchial constriction

All are true about multiple myeloma excepts >> cause sclerotic bone lesion
other options peak incidence at th decade cause amyloidosis

5 Cause og pulmonary venous hypertension >> Mitral Stenosis

other options Scleroderma COPD chronic P䓉E Idiopathic pulmonary HTN
 Rheumatic fever commonly affect >> Mitral valve Aortic Valve

All are causes of non cardiogenic pulmonary edema except >> 䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉
options Head trauma O poisoning ketoacidosis paracetamol toxicity burn

All of these cause increase in ESR except >> Polycythemia rubravera

other options R䓉A Bronchogenic Ca T䓉B multiple myeloma

9 Cause of prolongation of Bleeding time >> …………………䓉

options von Willebrand disease ascorbic acid deficiency hemophilia

‫ـ‬虀 All causes right shift in hemoglobin dissociation curve except >> Alkalosis
other options Hypercarbonemia Low carboamino product hyperthermia increase in , 3 DPG

‫ ــ‬Question about mycoplasma pneumonia >> cause cold agglutinin disease

other options most common complication is plural effusion cause acute kidney injury

‫ ـ‬All are signs of severe asthma except >> pyrexia

other options Use of accessory muscle retractions silent chest cyanosis
Like · Reply · · March ‫ ـ‬at 5 5 pm · Edited

TasneemKhalfia replied · 3 Replies

TasneemKhalfia Surgery
‫ ـ‬Carpal tunnel syndrome is a result of compression of >> the median nerve

nerve injury In humerus fracture >> Radial nerve

3 Most common site of Meckels diverticulum is >> Ilium

Initial reaction in hemostasis >> Vasoconstriction

5 First vital sign change in Hypovolemic shock >> Pulse rate

A years old man with hernia , easily reducible … ets what type of hernia goes with spermatic cord <cant
remember the exact q >>> Indirect inguinal hernia
other options Direct Hernia Femoral Hernia

Diaphragmatic innervation originate from root >> C3 – C5

other options C – C C‫ – ـ‬C5 … etc

All these Dermatomes matched true except >> Knee L - l3

others bicep jerk C5 – C ankle jerk S‫ – ـ‬S

9 True about Tension pneumothorax >> may be complicated by Pulse less Electrical Activity
other options may present with Hypertension X ray must be done before ttt

‫ـ‬虀 A burn victim presented with total burn in his rt䓉 upper arm half of his anterior trunk one third of his rt䓉 Lower
limb , his TBSA is >>

‫ ــ‬Early sign of Cavernous sinus thrombosis >Proptosis

other options Headache Fever Potosis ophthalmoplegia

‫ـ‬ All are true about hydatid cyst of liver except >> adequate treatment done by percutaneous drainage
other ooptions cause anaphylaxis more in right lobe may cause cerebral presentation bone lesions indicate
surgery

‫ـ‬3 Most common cause nipple discharge >> …………… ……䓉

options duct ectasia intraductal papilloma fibrocystic disease

‫ ـ‬All suggestive acute un ruptured appendicitis except >> ……………

options para umbilical pain shifting to RLQ Rebound tenderness when palpate the RLQ anorexia Vomiting
something about discomfort

‫ـ‬5 Most common cause of airway obstruction in comatose patient >> tongue fall back in the pharynx
options Aspiration pneumonia accumulation of secretions foreign body aspiration

Gynecology
‫ ـ‬All are true about uterine leiomyomas except >> It Is a malignant disease

All are criteria of sever PET except >> elevated uric acid level
other options oligouria diastolic bp>‫ــ‬虀 low plts

3 Normal fetal heart rate at term >> ‫ ـ‬虀-‫ ـ‬虀 beat min

All are causes of Small for gestational age except >> Infant of Diabetic mother

5 Most common cause of ‫ـ‬st trim䓉 Abortion >> Chromosomal abnormalities

All are adaptive physiological changes in preg䓉 Except >>increase in Central Venous Pressure 3虀
other options increase cardiac output 虀 increase Heart rate ‫ـ‬虀 – 虀 beats

All are done in management og APH except >> Vaginal exam

First trim䓉 US is informative for all of the following except >> Placenta previa
others diagnosis of ectopic estimation of gestational age confirm multiple preg䓉 confirm Viability 䓉

9 Wrong about Vomiting in pregnancy >> commonest in third trimester

other options more in GTDs More in twin preg䓉 … etc

‫ـ‬虀 All these drugs cross the placenta except >> Heparin
other options penicillin Aspirin Warfarin

‫ ــ‬A woman took Rubella vaccine can get pregnant after >> 3 months

‫ـ‬ All are causes of Menorrhagia except >> OCPs

options PID Fibroids adenomyosis Endometrial Hyperplasia

‫ـ‬3 absolute indication of c/s >> active genital herpes

other options Face presentation pervious c s due to failure to progress breech presentation
Like · Reply · · March ‫ ـ‬at ‫ـ‬虀 3pm · Edited

Ghaith Mahmoud Bani Abdel-Rahman replied · 9 Replies

TasneemKhalfia Pediatrics
‫ ـ‬All are criteria of APGAR score except >> Respiratory Rate 䓉

Measles is caused by >>paramyxovirus

3 What of the following is most common malapsorbed in Coeliac disease >> Iron
other options B‫ ـ‬vit䓉 K Ca

All are true about full term infant except >> double his birth height at one year age
other options have a birth weight of 3䓉5 kg have a height of 5虀 com have a head circumference of 35 cm double
his birth weight at 5 months old 䓉

5 All are live attenuated vaccine except >> diphtheria

other options oral polio Measles BCG

A child of years old can >> make a two words sentence

other options skip and hop draw a square Use fork and knife

Minimal oral fluid intake for a months old baby mildly dehydrated >> ‫ـ‬5虀 ml kg day

All are signs of rickets in infancy except >> Early closure of anterior fontanels

9 One ture about TOF >> 䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉

Options pulmonary stenosis due to narrowing of valve Wide Split S Never cause convulsions ma not present
with cyanosis in the first year

‫ـ‬虀 True about pyloric stenosis >> ……………䓉

options autosomal dominant present with vomiting at first week of birth projectile bilious vomiting palpable abd䓉
Tumor is always present

䁗  μ ਩

‫ ـ‬gsc
western blot
3 rifampin mechanism of action
vagninal normal flora
5 about CA‫ ـ‬5
abou lung ca
positive pregnancy test and increase in prolactin ur next step
erythrmanodosum seen in䓉䓉
9 dermatomyositis skin rash
‫ـ‬虀 complements not decreased in䓉䓉
‫ ــ‬facial nerve exists the skull through 䓉䓉䓉
‫ ـ‬estrogen in puberty
‫ـ‬3 thyroid storm
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BananRababa'h ‫ ـ‬osteoporosis seen in all of the following exept

‫ـ‬5 skin䓉layers
‫ ـ‬hepatomegaly in the following except
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Dr-Ibrahim Abu Oudeh ‫ ـ‬marfan $ msh mt ked

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Ahmad Fawzi ‫ ـ‬䓉Absolute contraind䓉 For iucd
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Dr-Ibrahim Abu Oudeh Prev c/s

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Ahmad Fawzi ‫ ـ‬䓉child can draw square and hop on one foot at age䓉䓉
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Dr-Ibrahim Abu Oudeh m

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BananRababa'h ‫ـ‬9 medications exacerbate mysthenia g䓉䓉

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Dr-Ibrahim Abu Oudeh 虀 Oxytocin onset of action

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Dr-Ibrahim Abu Oudeh From _3 min

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Dr-Ibrahim Abu Oudeh ‫ ـ‬Allcuses menorrhagia EXcept

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Dr-Ibrahim Abu Oudeh Ocp

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HoReia T Alfaraj
떀਩›ㄥ 丠R뢠m › 丠 ㄥμm 뢠m μ ㄥ 丠 μ› ㄥ ㄥఀ m 丠μRϟ਩m μꋀ 䁓› ꋀ
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Dr-jr Natalie 䓉䓉䓉䓉䓉

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MhmadMo'menArabeyat Wolff parkinsons

3 causes pretermlabour except
infant of diabetic mother except
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MhmadMo'menArabeyat 5 burn thermal injury

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MhmadMo'menArabeyat passes carotid sheath except

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Lubna Hasan Al Heneiti Cfdisease 䓉

Matching between minerals and side effect䓉
Matching between sexual disorder and chromosomes 䓉 Female luq trauma and stable vs what next step
Kid with motor vehicle trauma
Some thing about cardiac trauma how dx By echo
Renal excretion of h po
Primary hemostasis
Some thing about cervical ca
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Lubna Hasan Al Heneiti d be ke ktrerbs meaningless shoesmha

Pulsusparadoxicus seen in all except
Ci of ocp
Some thing about ipsilateral paralysis lower contralateral䓉䓉䓉

‫ ـ‬gsc
western blot
3 rifampin mechanism of action
vagninal normal flora
5 about CA‫ ـ‬5
abou lung ca
positive pregnancy test and increase in prolactin ur next step
erythrmanodosum seen in䓉䓉
9 dermatomyositis skin rash
 ‫ـ‬虀 complements not decreased in䓉䓉
‫ ــ‬facial nerve exists the skull through 䓉䓉䓉
‫ ـ‬estrogen in puberty
‫ـ‬3 thyroid storm
‫ ـ‬osteoporosis seen in all of the following exept
‫ـ‬5 skin䓉layers
‫ ـ‬hepatomegaly in the following except
‫ ـ‬䓉Absolute contraind䓉 For iucd
‫ ـ‬䓉child can draw square and hop on one foot at age䓉䓉
‫ـ‬9 medications exacerbate mysthenia g䓉䓉
虀 Oxytocin onset of action
‫ ـ‬All cuses menorrhagia EXcept
Wolff parkinsons
3 causes pretermlabour except
infant of diabetic mother except
5 burn thermal injury

Fat absorption is first in

Stomach
Third part of dudenum
Jujenum
Ileum

After total gastrectomy all can happen except

Iron def䓉 Anemia
B‫ ـ‬def
Diarrhea
Protein absorption
䓉䓉䓉
Post manuposal women hormone status
Hypergonadotrophic hypogonadism
Hypogonado䓉䓉䓉 Hyper
䓉䓉䓉
Drugs that decrease mortality post MI䓉䓉䓉
ACEI, B-blockers, aspirin statin

All the following are true about febrile convulsions except

- month - years
- most common type of convulsions in children
-diazepam dose not prevent the convulsions recurrence
-simple type has no risk in developing epilepsy

Child mostly walk 䓉䓉䓉䓉‫ ـ‬month

Most anemia in children 䓉䓉䓉IDA
Most helpful to differentiation btw acute pyelonephritis and LU infection 䓉䓉䓉䓉i think WBC casts

μR湭ㄥ ꋀ 떀쳌m ㄥ맠 ꋀ 몀m Rꋀ 䁗 ꋀ਩μ m ㄥ맠 m Rꋀ ꋀ਩μ m ㄥ맠 μRꋀ ‫ـ‬虀 떀਩ m 丠ㄥϟꋀ ㄥ ꋀ m

 Rh+ father
Rh- mother
percentage of child to be born with +

which of the followings is sesamoid bone

congenital heart diseases presented on CXR as 䓉䓉 all true except

Child with tachypnea, poor perfusion, matabolic acidosis䓉䓉䓉 Best management

Dobutamine
‫ـ‬虀虀 O

䁓› aμ› R ㄥ묠ㄥ R›m aμ› ꋀ 몀m ϟϟ丠 맠 m aμ› ꋀm m 丠 R湭ㄥ ϟ丠 丠R

R ㄥm ㄥϟ mμ뢠 䘡਩ a 䁓›
ㄥm ㄥϟ μRꋀ Roa 뢠맠 ϟ Rꋀ 䁗 ㄥ맠 䁗μ਩m Rꋀ ㄥ맠 m ꋀ਩μ맠 떀ꋀ ㄥR湭ㄥ a 䁓›m

Manage

䓉䓉䓉 oㄥ 떀ꋀμ μ›m 떀a 뢠ㄥm μoఀ ㄥμ਩ ꋀ਩ 䓉䓉䓉 μ›m 떀a m  ㄥ਩m μoఀ ꋀ਩ ㄥμ਩ 맠R਩ㄥ ਩ mm 몀μ묠m ㄥ䁗μꋀ  丠m 떀am ㄥμ਩ 䓉䓉䓉 a 䁓›
o몀 mRtㄥμm ਩ μ μo떀a R ㄥϟΤ 䁗m μoఀ ꋀ਩ μ μ› › ఀμ m 丠 쳌ఀ m䓉
RΤㄥ 䁗ㄥ떀਩䁗mμm ㄥmμ› R t to   μ਩ꋀ 떀Rtϟ› μ਩ꋀm μ ਩oϟΤ ꋀ 䓉䓉䓉 a 䁓›䓉䓉
䁗ㄥ떀਩䁗mμm ㄥmμ›맠 R t਩ㄥ ꋀμ ㄥμm 묠ㄥ
o ㄥ ϟo mμ o ㄥμ
䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉
䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉䓉
mRϟㄥμm oa ㄥ맠 ꋀm m 丠 ꋀ਩ ㄥ맠 ꋀ 䓉䓉R਩ Rm 丠 䘡਩ R 䁗μ䁗 5 ›쳌 m 떀o몀ㄥ ㄥ mm R 䁗μ䁗 ooㄥ ㄥ m ꋀ਩ㄥ m μ a䓉䓉䓉 a 䁓›
‫ـ‬虀䓉‫ـ‬
‫ ـ‬䓉‫ـ‬虀
‫ ـ‬䓉‫ـ‬

mR몀ㄥ
R몀Τm μmㄥ਩ 맠Rϟఀ
Ro
Ro
䓉䓉䓉
䓉䓉䓉
m 䓉䓉䓉 m  aμ਩ㄥ ›
ꋀ 䓉䓉䓉 ꋀ  ㄥm ›
μϟ m μϟ m μϟ 떀a ఀ
뻠 m 뻠 m m뻠
䘡Τㄥ Rꋀꋀ ㄥ ϟ

i Man with consolidation on xray and cavitations, poor oral hygiene, throat swab shows multiple organisms, treatmnet
3rd gen Ceph䓉 weeks
Erythromycin ‫ـ‬虀 days
Floroquinilones 3 weeks
Clinda ‫ـ‬虀 days

‫ـ‬虀day neonate hypoNa hyperK hypotension dehydrated 䓉䓉䓉 Dx ‫ ـ‬alpha def䓉

All happen with increasing in age except in Respiratory Function
Diabetic nephropathy what doesn't support dx RBC casts

‫ـ‬ which Ig is found in milk and provide mucosal protection IgA

life attenuated vaccine >> VZV

3 warts on hands which is true

-its of viral etiology
-can treat it with griseofulvin
-premalignant
-not contagious

gonorrhea is a gram negative inter-cellular diplococci

5 teratogenic drug
-valporic acid
-metoclopramide
-cefotaxime
-mertonidazol

electrolyte disturbance that can cause paralytic ileus

-hypokalemia
-hyperkalemia
hypnaterima
hyponatremia

which is wrong
klienfilter syndrome XYY
Turner XO
testicular feminization XY

a pt with renal failure developed sepsis , wht antibiotic u must change the dose for it
gentamicin
amphotorcin
ceftrixone

9 carpal tunnel syndrome >> median nerve

‫ـ‬虀 in MRSA wht antibiotic can tx it > vancomycin

‫ ــ‬all can cause exudative pleural effusion except

-Nephrotic syndrome
TB
Cancers
pnumonia

‫ ـ‬a child with left scrotal pain and elevated testicle , wht to do
-doppler to check testicular blood flow
exploratory surgery
- analgesia

‫ـ‬3 unconjugated bilirubin in asymptomatic woman with negative hemolysis

gilbert syndrome
crigler - najjar syndrome
rotors syndrome

‫ ـ‬type of cancer can cause osteoblastic bone lesions

prostat ca
lung
thyroid
breast

‫ـ‬5 not from anterior pituitary

HCG
prolactin
LH
FSH

‫ ـ‬most common cause of physiological sencondary ammenorrhea >>> pregnancy

‫ ـ‬artery that is a direct branch from aorta

ovarian
testicular
uterine

‫ ـ‬in primary hyperparathyroid >> Ca and PTH increase , phosphors decreases

‫ـ‬9 Trousseau's sign carpal spasm occurs when the upper arm is compressed by blood pressure cuff䓉 >> hypcalcemia

虀 not a cause of osteoporosis

Marfan
thyrotoxicosis
steroid
heparin

‫ ـ‬side effect of thiazide

sexual impotence
hypernatremia
hyperkalemia
metabolic acidosis
RS alkalosis

fever in peds by rectal thermometer

3
3 䓉‫ـ‬
3 䓉
3

3 ‫ـ‬5 months old cant do

name one or more body parts
walk alone
3 cubes

Side effect of Heparin except

thrmobocytosis
bleeding
osteoporosis
hypersinsitivity reaction

5 in burn of upper limbs for each 9 so ‫ـ‬ torso ‫ـ‬ left lower limb ‫ـ‬ genitalia ‫ـ‬ so 55 the
answeer

least important in the management of burn pt

fractures
burn itself

characteristic for B‫ ـ‬absorption

no absorption in case if anti parietal cells antibodies
totally dependent on intrinsic factor
from distal ileum
duodenum

in emesis the cause of hypokalemia

loss of gastric HCL
loss of gastric K
low aldosterone

9 not true combination

Benzodiazepines >> nalexone
anticholinergic >> physiostigmine
organophosphate >>> atropin
parcetamole >> N acetylcystin

3虀 amino acids mostly absorped from

proximal tubule
distal tubule
loop of henel
collecting ducts

3‫ ـ‬wrong about cranial nerves reflexes

and 3 vestibulo occular
5 and corneal
9 and ‫ـ‬虀 gag
‫ـ‬虀 cough

3 regular 5 days period , day of ovulation is near

‫ــ‬
‫ـ‬

33 most common symptom in wilms tumor

abdominal mass
hematuria
wight loss

3 most common childhood tumor

All
wilms
neuroblastoma

35 high HIAA in urine with diarrhea and flushing

carcinoid syndrome
3 all increases in pregnancy except
Hct
MCV

All cause neutrophilic leuckocytosis exept , asthma, steroid䓉

Initial test to diagnosis AAA, us or CT 䓉
Enterovirus cause all except䓉 Osteomyelitis, foot mouth, neonatal sepsis, meningitis䓉
Dialysis improve, depression, nutrional status, toxic compounds䓉
Chemotherapy causing heart failure, adromycin , cisplatij, mtx䓉
Gingival hyperplasia in all exept, Ca channel blockers, phenytoin, simvastatin䓉
And film x-ray the true, 5 sensitive to detect sth, most useful for intestinal obstruction, most sensitive to detect free
gass䓉
Pituitary Foss wrong, can be empty in nl adult, inf to hypothalamus, optic canal above it, cavernous sinus below it, less
than ‫ ـ‬cm in adult䓉
All cause pulseless electrical activity except, pe, PTX, MI, massive pleural effusion䓉
Ttt of hyponatremia in cirrhosis, salt restriction, furosemide iv䓉
MMR true, live attenuated vaccine䓉
Term infant, blood film inclusion bodies, mother infected w, CMV,
Mcc of anemia in preg, IDA䓉
Normally increase in pregnancy, creatine, thyroid_binding , hair growth, hct,
Not a feature of infective endocarditis, proteinuria, Roth, osler,
Acute adrenal insufficiency cause, hpokalemia, hyperna, hypotension, hyperglycemia 䓉
Opioid cause all except, hypotension, bradycardia, mydriasis,
First reliable sign of shock,䓉 Tachycardia, delayed capillary refill䓉
Class pulmonary htn, chronic pe, aortic stenosis, scleroderma䓉
One scenaria doesn't need optimal ldl level, Dm, young htn on ttt, aneyrism, severe aortic stenosis䓉
Nl GFR 3虀虀, ‫ـ‬5虀, 5虀虀䓉
Duration of dvt prophylaxis after hip surgery, 3 mo, ‫ ـ‬wk, hr䓉
Burkitt lymphoma pt received chemotherapy, after ‫ ـ‬hrs developed AKI, high Ca or k and phosphorus, the cause,
chemotherapy side effect, tumor lysis䓉
All cause acute stridor except, asthma, foreign body aspiration, hypocalcemia䓉
One is absolute C/I for percutaneous tracheostomy, thrombocytopenia, children below ‫ ـ‬, increased ICP,
Pt w moderate hypothyroidism for elective cholysystectomy䓉 Decision, go to surgery, hyperthermia a risk in surgery䓉
Treat then surgery䓉
Proper order to manage V-fib, CPR till defibrillator is ready, shock, recheck pulse䓉 DC mono or biphasic then Cpr, if
adrenaline is needed䓉