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You are evaluating a 9-month-old Caucasian girl for poor weight gain.

She has gone from the 75th


percentile to the 10th percentile in height and weight. She has had recurrent respiratory infections
and diarrhea, but cultures obtained have been negative. Which of the following will be the most
useful test in this setting?

d. Sweat chloride test.

‫حمد هلل نجحت اليوم‬


I passed my exam today , best of luck for all
‫ ومذكره االحساء بس ماكملتها قريت منها المدسن وجزء من البيديا‬person vue 1000,500,200 ‫مصادر المذاكره‬
‫ دقيقه وكان باقي ساعه راجعت وطلعت‬105 ‫زمن االمتحان كافي جدا انا خلصت مع المراجعه‬
‫السيناريوهات مش طويله السيناريوهات الطويله بسيطه وبكون لنو في انفستقيشن رزلت‬
ECGs 3‫ صور و‬4 ‫في صور زي‬
‫ الزم تقرو السؤال كويس لنو كلمه واحده بتغير االجابه‬، ‫االمتحان مش ساهل ومش صعب‬
‫المذكرات بتخليك تقرا وتتابع التوبك‬
uncle google ‫واي سؤال كان صعب في القرايه على رجعت للنت‬I read in 7 day as 300 ques /day
‫ شهور تخلص وضاعت على اصال فرصه امتحان فسجلت‬3‫انا اتأخرت في المذاكره وكنت ناسيه انى مفروض امتحن قبل ال‬
‫ ايام بس من شهر وشويه متابعه مع القروب هنا وبحل االسئله‬8 ‫وامتحنت بعد‬
only 4 repeated questions in my exam ‫ اسئله بس متكرره‬4 ‫االسئله المتكرره انا جانى‬
Most important topics
Diabetes and its complication retinopathy also antidiabetics drug of action 4 ques
COPD and asthma 3 ques
MI 2 ques
HTN and obesity 2 ques 2 cardio complication
SLE 2 ques
Post partum depression and blues 2
Emergency 3 ques
Drug toxicity and antidote 2 ques
Ortho ques was clear and can be answered
ENTs ques easy can be answered
Bleeding with pregnancy abortion 1 ques other is 3 ques about syndromes
Paediatric respiratory 3 ques and 2 cardio 2 vaccination
STDs non
Epidemiology not remember
3 ques about disease prevention and control pandemic and epidemic
Vaccination 2 ques
Milestones 2 ques
Psychatry and psychology of course not remember

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: ‫لحمد هلل الذي تتم بنعمته الصالحات نجحت اليوم بامتحان البيروسون ڤيو وخالصة تجربتي كاآلتي‬
Best source is um alqura 4th about 20 questions word by word!!
Sle made easy more than 15 copied questions word by word !!
As I can remember I will put my questions ..
X-ray of child with a big pin swallowed in esophagus & asked what next step .. I pick laparotomy
because it's big pin & may be perforation ( not sure )

pt with hissing sound in the ear despite closed quite room --> i pick tennitus
ecg ventricular tachycardia Rx
Ecg SVT Rx
2 another ECG from different world I'm very weak in ecg
case about Bartholin cyst Rx marsipulization
HTN WITH DM --ACEI
case about diabetic pt with pale leg thin hair and pain with walking --> peripheral vascular
insufficiency
about rotavirus vaccine --> i pick ( should be in routine vaccination schedule) not fully sure because
i got the worse mark in pediatric & obe/gyny
case of multiple patients in ur clinic with follicular conjunctivitis ( from sle made easy --> good
sanitation and eradication of vector.
direct Q colon cancer stage A prognosis of 5 years survive->> more than 90%
pt with CHF ate 2-3 times from restaurants--> I choose < 4 gram of salt
case about female cover TV by blanket Bla Bla Bla --> schizophrenia
mother complaining of her baby sucks his finger till age 3 years and even in the car bla bla bla
a) cover his finger with socks
put material ( didn't remember with bad taste ) on his finger
C) do verbal response against him
D) make him busy by playing puzzles and somethings else ( i picked this one )
case about mitral valve prolapse ( decrecendo crecendo murmur in lower left sternum
case about lower rt abdominal mass in female what is best investigation
breavment case ( clear ) in psychiatric

cervical painless lymphadenopathy with reed strungberg cells and absent fibrosis --> mixing
cellularity
1st choice in depression--> SSRI
contraindication in acute angle glaucoma--> depifevrin

‫ ان شاهلل اذا افتكرت شيء تاني بكتبه‬.. ‫بصراحة كنت مستغرب من كمية التكرار 🤔 لكن الحمد هلل نجحت وخالص‬
case of psoriasis with pic. ( in the forearm scaly) beside topical steroid --> avoid trauma
long case obstetrics ( i can remember a lot but pt appointment for D & C ) I choose methotrexate
but i think its totally wrong 🤔

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child with failure to thrive , diarrhea and repeated chest infection .. Next step ??
Sweat cloride .. It's cystic fibrosis
case about male with skin lesion in the groin ( didn't mention tinea cruris ) whats the cause ?
Tinea tunarada--> capitis
Tinea rubrum--> corporis
Tinea mentonagro
‫ جاني بالنص‬peak smoking withdrawal symptoms: 2-4 days
Questions about vaccination
u had question about rotavirus only
?
Patient of epiglotitis is first Rushed into ICU give Was very clear presentation ( sniffing
position)oxygen,intubation
full topic of epigliotitis ..Mentioned thumb sign
ent case about pt decreased hearing with
Ramsfacial n. Affect

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HTN BA THYROID DISORDERS TB

ACUTE & CHRONIC QUESTIONS ‫ سؤال مابين‬15 ‫المواضيع دي جت في امتحاني حوالي‬

CTG VARIABLE VARIATION ‫ وجالي‬ECG 2 ‫جالي‬

PSORIASIS VENOUS ULCER GANGLION SKIN TAG OF FACE & EAR ‫والصور اللي جت‬

SIGMOID VOLVULUS ACUTE GOUT‫ مش فاكر غير دول‬X-RAY 3 ‫ أو‬2 ‫وجالي‬

--

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postpartum heg mortality 10

*duchan to next baby 50%

*nural tube defect 2% *

*cyctic fibrosis * 5.1 ‫ وحلها‬ODD ratio ‫جتلي ال‬

‫ يوم‬14 ‫ شهور و‬9 ‫ تزود على التاريخ اللي موجود‬expected date of delivery ……‫احسب‬

*SU action *pathophysiology of glaucoma *SCZ *bipolar drug ----- lithum

*malaria ------ fulcibarum

*Uvites— *Most important vaccination for old age ---- meningiococcla ‫* كان سؤال بسيط‬hernia-----

‫*مسئلة‬incidens of DS

*rosacea

*scapes

Most common cause for DVT ---- open knee surgery

limb ischemia -------ulcer

*otoschlerosis --- tell here that no treatment

*spinal cord stop at ----24 mo.

*baby with mother chichen box --- give varrecella vaccine to the baby
*SSRI when to stopto start the next treatment -----1 month

Adlolesset with 95 percentile ----tell here that she is older than her old

*posterior tebial nerve-------tarsal tunnel $

*asthma with B2 agonist what to give hem : No CS inhalation in choices

*vesicular moll when can pregnant again---- after 1 year

*E. Histolitica---- boiling *

female with past history of CS now in 36 WK gestation what to do A) CS B)spontaous delivery


C)instrumental assested delivery I chose c

*child smoke some thing and now delusion what he smoked A)cannabis B)coccain c)smoke a

*side effect of acarbose

*pregnant with twisn -----most dangerous type mono mono

*dehydrated child with ORT controlled but go with pneumonia x-ray dteruration--- hospitalization
(not sure)

*heamoroid with heamorroid heamatoma----- evacuate the heamatoma

*1st drug for gerd A)ranitidine 150 MG ttd for 2 mo B)omebrazole 20 MG once for 2 mo

*case with barret osophagus what to do---- repeated osophageal biobsy *teania *

most common cause of conduvtive hearing loss in child---- acute ottites media *child with offenciv
discharge from one nostril----- FB

*stable angina ehat to do – tread meel stress teast

*influenza vaccein A)for premature infant B)post neural abnormality

EBV Diagnosis *post mumbes-------jougren Sُ *

*most common cause of heamoptesis------ bronchogenic carcinoma

*HTN with DM H/O epicastric pain raditing to the back and heart burn not relived with antacid BP
150/90mmgh…HR :98 A)perforated PUD B)MI C)aortic dissection D)rupture aortic aneurysm * child
‫ وربنا يوفق اللي هيمتحنو ودعوتكم‬... ‫واشكركم‬with conistipaton---- milk and chease

questions

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Angioedeama -a
B-Nephrotic syndrome
c-Liver disease
It's contraindicated in pt allergic to egg or with hx of severe allergic reactions that's why I chose ' a '
mechanism of action of glibizide (better to revise all mechanism of actions of oral hypoglycemic -2
drugs its so easy )
female pt came with veginal itching with whitish cheesy discharge the pt had upper respiratory - 3
tract infection and antibiotics for upper respiratory tract infection the answer is
vaginal candidiasis
male pt with painful unilateral knee pain in examination there is redness and tenderness (with -4
recent hx of urethral discharge ) what is the best test to diagnose ?
Synovial fluid analysis
old man I can't remember the hex but present with typical Parkinson's disease features including -5
. bradykinesia and shufilig gate what is the diagnosis , pill rolling tremor
ctg mine was variable deceleration -6
The common ctgs in exams are
Variable deceleration
Late deceleration
Early deceleration

ecg -7
Mine was supraventricular tachycardia
The common ecgs in exams are
Ventricular tachycaardia
Ventricular fibrilation
Atrial fibrilation
Atrial flutter
study done to compare the incedince of dvt in 1500 women taking oral contracepve pills with a -8
group of 850 women not taking contraceptive pills (the incidence was 50 women among the group
were taking OCP to 20 in the group were not taking OCP ) calculate morbidity rate per 1000
population
colonic cancer screening and cervical cancer screening I can't remember exactly the two -9
.questions
52 female came to ER complaining of fatigue body ach and several episodes of fainting BMI her -10
BMI wes 31
What best method of diagnosis for this pt
fasting blood glucose -a
cbc -b
trigeminal neurolagia treatment ? (carmapizapine ) -11
. which never are affected in tarsal tunnel syndrome -12
Tebial nerve
Some times they ask about the specific branch affected one of my friends faced that in his exam
. steps of wound care - 13
diabetic pt with foot ulcer not responding to antibiotics duplex showed strong posterior tebials - 14
and dorsalis pedis pulses what should be done
amputation -a
B-depridment
change antibiotics -C
I chose b
old man .. long insignificant hx ..he is asthmtic which drug is contraincated in this man and pts -15
with copd
The answer was beta blockers
behavioral therapy types definitions - 16
In my exam e and cytokines
increase sensitivity to histamine and cytokines -B
Answer is a

old man 56 presented to hospital with oligourea US showed bilateral hydronephrosis what is - 25
most common cause of bilateral hydronephrosis in old men
Urethal structure
PPH -a
b-Urethral Stones
I chose PPH
child (can't remembe - 26

Human bite augmntin

27-salicylate toxicity( aspirin)resp alkolosis &met acidosis

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Average of infantile colic per week 2 3 4 Best primary prevention of cancer Cervix Breast Colon
20teeth at any age 1_2 y 2_3 3_4 it was desensitization therapy
17- pregnant women in 35 week gestation in routine screening she is postive for B- streptococci but
she is well and complain about nothing and totally asymptomatic what shouldu do next ?
The answer is treat even if she is asymptomatic
18- postpartum psychosis
19-postpartum depression
both I can't remember the scenarios SORRY but I'm so sure they were both the right choices so
revise both topics SORRY
20-best method for screening of osteoporosis I can't remember the other choices but the
The answer is : Bone densitometry, also called dual-energy x-ray absorptiometry or DEXA .
21- old lady presented with lower back pain at the level of of l4 and l5 that radiates to the bottok
and back of the thigh what's best next test for the diagnosis of this pt
A- mri
B- ct barain
I chose mri (symptoms of siatica of disk prolapse )
22- 68 years ld pt presented with memory deterioration ( I can't remember the senario ) and
diagnosed with senile dementia question was what is the best method to reduce his memory
deterioration and i can't remember the choices too
23- postmenpuose woman bone study showed osteoporosis what should she given
a- Vit D and calcium
b-Hormonal replacement therapy
I chose a
24 - female pt known case of polycythemia after taking hot path developed marked itching what is
the mechanism of the itching
A- abnormal realse of histamin3.5 boy with anuresis mangment Image of congintal hydrocel need
surgery at 6m 12m 18m Images of red pharengitis+ scales hand Kawaski Staph Scarlet f
Multiquestition about daibetes 1 and 2 Machansim of glibinzide 2 questions with ECG images Acute
glucoma Cervical disc prolapse MI management 1.o2.aspirin.morophin.nitrate 2.o2.asirin
.nivadipin.morphin Pulmonary embolism ttt Heparin Asirin Warfarin Antipletletes Image of acute
otitis media light reflex ttt Amoxicillin Human bite : Augmantin Tetanus toxiod 67y femal 20 y
negative pap smear what to do: Stop scan Anroxia nervose indicate with: Amennorhea Hpokalemia ,
dental erosis: Anoroxia bulimia Ttt eat disorder : Behavior Ssri

Sawsan

... ‫ اليوم الحمد هلل نجحت في امتحان الهيئة بيرسون فيو االمتحان كان معقول الى حد ما‬... ‫الحمد هلل الذي بنعمته تتم الصالحات‬
: ‫ االسئلة كاالتي‬sle made easy ‫ ما لقيت زمن عشان اذاكر‬persone vue 1000 ,200,500 ‫مصادر المذاكرة بالنسبة لي كانت‬
_ vt ecg 2_ vt manegmet defiberlator 3_ xry pericardil effusion 4_ mi aresst vt 5_ opiod _ nalaxone 1
6_ length after menarche _36 month 7_ image _viral congectivitis 8_ radiation exposure _ discart
clothes 9 _ cxr pneumothorx _ chest tube 10 _ child xry epigolitis _ secure airway

Sawsan

Cervical pain with numbness and weakness of hand and pain like shot : cervical disc prolapse 42
female obese with back neck pigmentation Only clilncal find fasting glucose level 6.6 : 1.D.M 2
2.Fasting glucose intolerance 3.D.M 1 Bad mouth oder normal teeth .. Expectorant with seed
(almost) : 1.gerd 2.peretonsil pocket 3.chest infection First inv for cholycytitis : 1.us 2.ct 3.mri 27 y
old male with six months daignosed chronic renal disease indication of clinical visit : 1.olguria 2.annal
check up 3.lower limb edema Female co axillary pain with normal mamygram ttt: 1.excitional
2.antibiotic Female with left pelvic pain bhcg 4000 on methotrexate after one week pain increase
bhcg 6000 with spotting management: 1.lapryscop 2.tupolasty 3.tubogostomy Old patient
hypertention on chlorthazaid five y lab inv high fasting blood glucose level medicine need: 1.acei 2.b
‫بعض حاالت امتحاني‬blocker 3.increase thiazide

13y patient proximal muscle weakness ill loss of tendon reflexes history of Dairrhia fever daignosis:
1.polymylitis 2.mythenia graves 3.gallian barre 40 minutes toxicity of aspirin on E.R mangament :
1.charcot 2.n.cyctline 57y old with hip pain increase with walking stiffness 15_20 minutes With
image daignosis: 1.RA 2.ankylosis spondolytis 3.osteomalichia Adult after meal angioedemia, sop,
facial edema. Mangment : 1. IV 5m adrenaline 2. IV .5 m adrenaline 3.im antibiotic Indirect ingiunal
hernia 32 y adult : 1.elective surgery 2.urgent 3.surgery before 35

ent case about pt decreased hearing with facial n. Affection.. Dx??


Ramsy hunt syndrom

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treatment of generalized anxiety disorders = benzodiazepine 2- ECG = VT 3-human bite .1


treatment = augmentin 4-treatment of migraine = sumatriptan 5- pathophisology of DKA 6-
mechanism of action of glibazide = increase insulin release 7- hypertensive emergency=
nitroprusside 8- ectopic pregnancy = Q about diagnosis 9- postpartum hemorrhage = percent
10% 10- tarasal tanal syndrome = posterior tibial nerve 11- ricket two Q Diagnosis and labs
12- testicular torsion = testicular doubler 13-codeine toxicity = respiratory depression 14-
case about aoartic valve stenosis and calcified = valve replacement 15- first defense in the
skin 16-meneire disease = low salt , no caffeine 17-which milk is best used to prevent from
allergy and other symptoms = partially hydrolized ( I'm not sure) 18- case about flavivirus ( IV
drugs ) clear scenario = HBC 19-women lost her child present with depressed mood , sad , =
bereavement 20- case diabetic patient with albuminurea = diabetic neuropathy 21- patient
with hx of 10 years smoking came with white lesions in his mouth = biopsy 22- case about
postpartum psychosis (very clear) 23- obese diabetic patient treatment = metformin 24-case
about poly cystic ovary syndrome = high androgen 25-patient was on progesterone pill after
stopping this pill that increase risk of = endometrial cancer 26-case of asthma on short acting
beta 2 agonist came with severe attack = management 27-case about cervical cancer screen
for a woman 65 years old , the previous screen all normal = after 65 no need to screen 28-
screening of TB with no contact TB patient or crowd area = once 29-patient with flank pain ,
heamtouria , lumbar mass what the best to investigate A-CT B-US 30- case about
pneumothorax = chest tube insertion 31- case about epiglottis what antibiotic = Sorry I can't
remember the answer 32-yersinia pestis what is the source A- dogs B- rodonts 33- clear
scenario about rheumatic fever post streptococcal infection = ASO titre

Some qs in my examse le

1.case of pulmonary embolism what to do

2.24 hr neonate wz symptoms of respiratory distress ..o2 sat 92% ..picture of diaphragmatic
heria..management??

..ergent surgery

..intubation

..mask ventlation

3.case of nephrotic syndrome

Management..??

4.parents come wz 12 years old child for tb screaning she healthy in overcrowded school not in
direct contact wz tb cases

Duration for tb screening??

5.picture of diabetc proliferative retinobathy

6.25 ys old female come wz severe acute right lower abd pain from hours wz nosea and vom on ex
there was tenderness in rt and lt lower abd she isnot married she refused pelvic ex she work as
resturent waiter investigations hb11..wbcs 14.000 urin analysis few wbcs

Bhcg 2 (normal>4)

Diagnosis??

Ovarian tortion

Salpingitis

Ectopic pr

Ut infection
7.evy smoker what dose this mean

8.picture of child wz white tongue ttt?? Nystatin

9.healthy female 14 ys old her menarch was at 12 she complains of overhair in her nody and face
..dark striea in abd what inv you should do

Morning cortisol level

Morning ACTH

24 hr cortisol level

Serum androgen

10.athlete male complain of wt gain in last 4 wks he has bulky upper body built..good lifestyle what
you should ask about..

Anabolic steroid adm

11.overwt female eating french fires food ...inv included wz high fasting glucovel and hb A1

What should you do I choosed medical ttt

12.2 wks postpartum mother c/o of sadeness tearfulness what is diagnosis ...postpartum blues

13.postpartum mother complaining of repeated thoughts of seeing snakes in her child bed and she
knows that it couldnt be real ..what is diagnosis ??

14.premenopouse dysparonia what to give for he....

contraceptive cream

15.drug if taken wz ssri increase impotance

16.case of multiinfarction dementia

17.picture of bulles impetigo

18 asthmatic pregnant what is cotraindicated drug for uterotonic during labour...habitat

19.management of dementia.. exercise

20.healthy male pt complains of snoring during sleep ...adenoidectomy

21.foulsmell breath wz no change in taste or smell ....

Gerd

Cryptic tonsillitis another 2 options

22.2 yrs old child has episode of crying during sleep for minutes and in morning he cant recall this
...reassurance or

colic medication

23.ecg of vt

24.case and ecg of pericarditis


25.another Q of pulmonary embolism

26.case wz tb symptoms sputum culture positive for tb mantoux test is negative

*repeat man test

*mantoux test not used for tb

*start medication

27.picture of x ray of child pelvis Diagnosis... avascular necrosis

28.osghod sign in x.ray diagnosis??

29.classic migrain

30.case of pt wzchest pain history of stable angina on medication he now need to incease the dose
of ttt even during rest but it failed ..what should you do

*incease the dose

*Chage med

*urgent referal

31.management of humen bite wound just scratch no blood

*augmentin and tetanus texoid

*Sterile wash and triple local antibiotic cream

*clean the wound and cover it by sterile

*do nothing

These are Qs I could remember now If I will remember other Qs I will post.. best wishes for all of
you