SMLE 2019

17TH OF OCTOBER

Corrected By: Glory team

Please don't hesitate to contact us if you have any correction, comments or

suggestions.

Teamglory2020@gmail.com

Part 1 Part 2
Medicine: 2-15 Medicine: 41-54
Pediatric: 16-23 Pediatric: 54-59
OB/GYN: 23-31 OB/GYN: 59-62
Surgery: 32-40 Surgery: 62-71
Ethics: 40 Ethics: 71-72
‫‪Glor‬‬ ‫‪eam / Oc ober.‬‬

‫ﺑﺴﻢ اﷲ اﻟﺮﺣﻤ اﻟﺮﺣ ﻢ‬

‫ﺑﻌﺪ ﻛﺜﺮة ﺳﺮﻗﺔ ﻣﺬﻛﺮات ﻗﻠ ر د ن ﺟ ﺣﻖ إﻋﺎدة ﺗﺼﺤ ﺤ ﺎ ﺣﺠﺒ ﺎ ﻣ اﻟ ﺸﺮ‬
‫ﻋ اﻟﺠﻤ ﻊ‬
‫ﺒ اﻟﺠﻤ ﻊ‬

‫ﻏﺮض ﺗﻌﻠ ﻤ ﻣ إﻋﺎدة‬ ‫ﺠ ز ﺷﺮﻋﺎً أﺧﺬ ‪ ،‬ﺴﺦ ‪ ،‬إﺳﺘﺨﺪام ﻣﺬﻛﺮات ﻗﻠ ر‬

‫ﺗﺼﺤ ﺢ ﻏ ﺮ ﺑﺪ ن اﻟﺘ اﺻﻞ ﻣﻊ اﻟﻤﺠﻤ ﻋﺔ‬

‫ﻗﻠ ر ﺑﻔﻀﻞ اﷲ ﺛﻢ ﺗﻌﺎ ﻜﻢ اﻟﺒ ﻚ ا ل ﻟﻠﺪراﺳﺔ أﺧﺬت ﻋﻠ ﻋﺎﺗﻘ ﺎ ﺗ ﻤ ﺔ‬

‫اﻟﺮ ح اﻟﻌﻠﻤ ﺔ ﺗﺰ ﺪ اﻟﺠﻤ ﻊ ﺑﺎﻟﻤﺬﻛﺮات اﻟﻤﻌﺮﻓﺔ اﻟﻜﺎﻓ ﺔ ﻟﺘﺠﺎ ز ﻋﻘﺒﺔ اﻟﺮﺧﺼﺔ‬
‫اﻟﻄﺒ ﺔ ﺑﺪرﺟﺔ ﻋﺎﻟ ﺔ ‪ ،‬ﺑﺄ اﺻﺮ ﻣ اﻟﻤﺤﺒﺔ اﻟﺘﻜﺎﺗﻒ اﻟﺘﻌﺎ ن ﻣﻊ اﻟﻜﻞ‬

‫اﷲ ﻟ اﻟﺘ ﻓ ﻖ‬
‫ﻗﻠ ر ﺗ ﻢ‬
‫‪h Oc‬‬ ‫‪be‬‬
‫‪Med c e‬‬
‫? ‪creening for HBV‬‬
‫‪A. Sec da‬‬ ‫‪e e i‬‬
‫‪A‬‬ ‫‪e i :A‬‬

‫‪pop la ion creening cancer‬‬

‫‪A. C l ec al ca ce (Righ a‬‬ ‫)‪e‬‬
‫‪A‬‬ ‫‪e i :A‬‬

‫? ‪lead pipe ign on ra‬‬

‫‪A‬‬ ‫‪e i : UC,‬‬ ‫)‪( e id‬‬
Glor eam / Oc ober.
Mo common geno pe of HCV in Sa di Arabia?
A. 1
B. 2
C. 3
D. 4
a e :D

An igen e po i i e IGM ?
A. ac e he a i i B
B. ch ic he a i i B
a e :A

​pa ien kno n o ha e an allerg o penicillin and lfa gro p pre en ih

UTI hich an ibio ic ill choo e ?
A. Ni
B. i e h i / lfa e h a le i
C. ce hale i
D. a icilli
a e :A

Wha i he p ka ime of e nile mo q i o infec ion ?

A. ea l i g
B. Midda
C. Ea l igh
D. Nigh
a e :A

Pa ien i h ac e migraine Wha i he rea men ?

a e:Ti a

M p ha e diffic l feeding can p fork o hi mo h and ha e raffic

acciden and here i le ion
A. ce ebell
A e i :A

Pa ien kno ca e of idiopa hic bronchiec a i .. pre en ed c/o progre i e

SOB o er he pa 2 mon h and dr co gh on ph ical e amina ion
decrea ed air a en r en r bila erall i h coar e crepi a ion S&S of
p lmonar fibro i : a king ho o manage?
Glor eam / Oc ober.
A. ed i e
B. i haled NS
a e :A

Long cenario regarding pa en i h pec ing p lmonar b eff ion

, ha o ld be of he follo ing confirming he diagno i ?
A. i i e AFB c l e i le al fl id
B. l h c e i le al fl id
a e:A

5A for moking:
A e i : A k, Ad i e, A e ,A i , a d A a ge

Hi da gh er an o join por cla ,confron a ional comm nica ion?

A e: h e e ab hi ?

pa ien i h cannon A a e and rai ed JVP a king abo he m ?

A. ICD
B. Pe a e ace ake
C. BB
a e :B

Pericardi i ECG
a e : diff e ST ele a i a d PR de e i

Pericardi i managemen
a e : NSAID

Decrea e mor ali in HF

a e :ACEI AND BB

H per en ion medica ion , CCB and di re ic ha o add?

A. BB
A e i :A

COPD
A e i : i ba i a d echa ical e ila e

L ng ma
Glor eam / Oc ober.
A e i :check e i CXR

Smoker+hemop i or hoar ene

a e i :b ch ge ic ca

RA managemen
A e i : e id a d e h e ae

Che pain af er e erci e

A. ib fe ea e e af e 1 eek
a e:A

Mo diagno ic ign of chemical inhala ion ?

A. ach ca dia
B. l 2 a
C. h a e e
D. ca b ic ih
a e:C

P had hepa i i B cirrho i ha i able and he inciden all fo nd a

ma in he li er a king ha he rea men ?
A. a i i al
B. li e a la
C. che
D. h I ca e be
a e :B?
Glor eam / Oc ober.

Pa ien had rong h of T2DM and had high fa ing gl co e and Hba1c of
6.5 a king abo mo appropria e ne ep
A. OGTT
B. Hba1c af e eek
C. Re ea fa i g
D. ca ' e e be b a i g i i
A e :A

34 /o Heal h man a k abo ri k of i chemic hear di ea e?

A. BMI 31
B. BP 135/80
C. fa i g gl c e eadi g 9.5 he 9.4 l
D. I f ge
A e :C

Beriberi ca ed b :
A e : i a i B1 deficie c

Ri k fac or of crohn' di ea e?
A. ki g
B. bei g ale
A e:A

S dden facial pal rea men :

A. S e id
Glor eam / Oc ober.
B. A i i al
C. A ibi ic
D. A ic ag la
A e:A

M rm r increa e i h finger gra p :

A e : MR AND AR

M rm r decrea ed i h finger gra p :

A e : AS, HOCM AND MVP.

Lo ri k p hen o do Colon creening :

A. 30
B. 40
C. 50
A e:C

H per en ion an ih per en i e + lo K , Which of he follo ing ill lead o

rea men fail re ?
A. P e d e hed i e

Same a abo e a k abo diagno i ( primar h peraldo eroni m )

Infec i e endocardi i rea men

A e i : Va c ci a d cef ia ea e i ical

S den i h d lo in , re rn o normal i ho rea men ?

A e i :b ief ch ic di de

HOCM rea men ?

A. B bl cke
B. ifedi i e
A e :A

Ho o e cl de cardiac i chemia?
A e:c a a gi g a h

cardiac amponade defini i e in e iga ion

A e : ECHO
Glor eam / Oc ober.

Bronchiec a i defini i e d e ?
A e : HRCT

Un able MI ca e
IBRUFAN??

Che pain af er ne e erci e program?

A e : ea a ce a d e e al a e af e 1 eek

Fe er, phar ngi i , mac lopap lar ra h in r nk , lemphadeno ha h , d ?

A. I fec i cle i
B. CMV
C. H dgki l h a
D. digh e ia
A e:A

Wa er diarrhea , came from eg p , d ?

A. E.COLI
A e i :A

highe le el of e idence o de ermine e erci e effec on q ali of life:

A. c h
B. cli ical ial
C. ca e c l
D. b e a i al d
A e : D??

Indica ion for dial i :

A. GFR < 3 ( e)
B. H e kale ia
A e:B
, , ,
.

​ f er mechanical en ila ion

A ha ill happen:
A. h e ca ia
B. h ca ia
A e:B
Glor eam / Oc ober.

Vomi ing in e er fligh more han 1 hr, :

A e: c la i e

Hone colored cr ed le ion:

A e : i e ig

Kno ca e of copd i h cor p lmonale. hich of he follo ing ill

decrea e mor ali ?
A. ge a k he a
B. i haled l g ac i g be a bl cke
A e i L g e O2 he a

hich of he follo ing can be pre cribed for celiac pa ien ?

A. ice
B. a e
A e i Ba le

pa ien i h pol m algia rhe ma ica, hich of he follo ing i a ocia ed?
A. CLL
A e i A

22 ear old p e pical meningi i a k abo ?

A. cef a, a c a d e id
B. cef a a d a c
A e i A

ca e i h high HbA2
A. be a hala e ia i
B. be a hala e ia aj
A e i A

SLE on medica ion ha accine o ill gi e him?

A. I fl e a
A e i A

Wha i be for creening e ?

A. chea
B. e i i e
Glor eam / Oc ober.
C. ecific
D. ea a l
A e i B

p e rec rren plenic eq e ra ion a k abo managemen

A. le ec
A e i A
A A / 1 2

Long ca e abo a pa ien i h edema Urine anal i : O al fa bod , ome

h aline ca . Occa ional RBC ca e.
A. I e i ial e h i i .
B. Ne h i ic d e.
C. Ne h ic d e.
D. Ca ' e e be he la ch ice
A e i C

Be me hod o deli er O2 in COPD

A. e i a k,
A e i A

I ER >

Elder , ESRD , DVT :

A e i UFH

P came i h pol ria and h perna remia af er head rger

A e i DI
C .
, - (DDA P,
M , ). (ADH)
.

Po a i m rich food for Kidne di ea e.

A e i a , a a d ba a a

TB rea men and he dr g ca e High LFT

A e i a i a ide i he he a ic
Glor eam / Oc ober.
re incon inence
A e i kegel e e ci e

commone geno pe HCV in k a

A e i 4

HBV ho o kno if accine or ac e

A e i Self d

dr g ed in a hear fail re p
A e i S a b ACEI a he fi li e

ra of TB and a k abo diagno i ?

A e i TB
R

managemen of open o nd i h frac re?

A e i i iga i a d deb ide e i he fi e i a e d

ECG of pericardi i managemen of pericardi i ?

A e i NSAID a Ib fe

h perkalemia managemen
A e i ca gl c a e

a oimm ne hepa i i lab

A e i ele a ed IgG

Vi D deficienc
A e i icke

Elderl man i h bila eral knee pain increa e a nigh and i h re on

e amina ion here' no eff ion, er hema, elling. Wha i ne
in e iga ion i :
A. Bila e al a
B. MRI
C. b e de i
A e i :A
Glor eam / Oc ober.
Female i h a 1 ear hi or of abdominal di comfor ha impro ed i h
defeca ion. Diarrhea i h m c . Tene m . No blood in ool. No eigh
change. Wha i he diagno i ?
A. Celiac
B. H e h id
A e i :A

hich pe of HCV common in KSA :

A. 1
B. 2
C. 3
D. 4
A e i :D

ca e i h fla T a e ha o ill find in he p he ​:

A e i :h kale ia

ca e i h ele a ed T a e and a lo of h hen ha o gi e he :

A e i : CA gl c a e

SLE mp om i h pro ein in rine he :

A e i :l e hii

Pa ien came i h join pain, needle like cr al , nega i e birefringen , (i

ac e a ack). Wha med NOT o gi e?
The a e i : All i l

CKD age 3, ha med can o gi e?

The a e i : ef i

A di or hall cina ion + hink of food poi oning.. D ?

A. Del i
B. a di hall ci a i
N : , F

Progre i e d phagia for bo h olid and liq id and eigh lo :

A. Achala ia
B. S a cell ca ci a
A e i :B
Glor eam / Oc ober.
P >M
L >

P i h l mphoma and po chemo pre en ed i h dr mo h :

A. H calce ia
B. H e calce ia
C. H a e ia
D. H e a e ia
A e i :B

H perkalemia ecg ho a e in er ion:

A e i :Calci gl c a e

La e complica ion of meningi i :

A. A a ia
B. Sei e
C. Deaf e
A e i :C

Which of follo ing ca e BNP po i i e:

A. C d
B. Obe i
A e i :A

Sleep apnea​:
a e i :C- a

P alcoholic pre en ed i h hemop i and omi ing and abdominal pain:

A. E hageal a ice
B. Ac e a c ea i i
C. Ch ic a c ea i i
D. Pa c ea ic e d c
A e i :A
A > H N>

Scenario of diph heria he diagno i no men ioned B here i

p e domembrane o er on illi i i h mild fe er Wha he complica ion o
pec ?
A. e ia
Glor eam / Oc ober.
B. Sca le fe e
C. gl e l e h i i
A e i :A

N e
SLE diag i a d a age e
TB diag i
IBD
IBS
Glor eam / Oc ober.
Celiac ha f d a id
H e ald e i
MI a age e
Sle fla e > lf
Ka a aki > bila c j c i i i le
aVL, V5-6 > la e al MI
A al fi e fail e edical ea e > LIS
H f fa il ca ce > ed ce eigh
S le ec defi i i e f > HS
Ca ' abd c > 6 h e e
Me i gi i fea e + c f ( high ei , bid ) > bac e ial
6 h > i i g ih
Celiac > De a i i he e if i
E e ci e i child e > 60 i
Ci acci e i ei e > d a
Ad l de b af e e e ci e > h e hic ca di ah
P l c ic kid e >
P l a i g a > de a la e
Af e che > h calce ia
Ba ki g c gh > c
Egg alle g > ell fe e
Dia hea > e acid i
Pi l h fe al > AR
Eb la > call ec i
T f> l a e i
SLE i h a h i i ea e
RA ea e
T e f agi al di cha ge i h hi ., a d/ ea e . (BV,
ich a , ca dida)
Ba al cell ca ci a ic
a ic di de ADHD a ki g ab he ea e
Pic f ki ag

Ped a c
Neona e de eloped c ano i (2nd or 3rd eek af er deli er ) and here i
finding on a c l a ion I canno remember e ac l b he didn men ion
abo machiner m rm r he q abo he managemen ?
Glor eam / Oc ober.
A. NSAID
B. S e id
C. P agla di
A e :c

eekS old bab i h rong co gh and 2 epi ode of him lo ing

con cio ne , on e am here i in erco al re rac ion . O2 a a 90 ,
Wha do o do?
A. I haled e id
B. Ve ila
C. A ibi ic
D. B2 ag i
A e:D

M 2 mon h old de elop diarrhea (did no men ion ho man ime or an

o her informa ion) i ho omi ing or an o her mp om ( did no
men ion he i al ign or he heal h a of he bab ) The mo her
concern abo deh dra ion managemen ?
A. al eh d a i l i
B. IV fl id
A e:A

Child i h pne monia, indica ion of ho pi ali a ion?

A. Vi al ig ( h e i a d ach ca dia)
B. able ake all
A e:B
Glor eam / Oc ober.

Child i h bero clero i ?

A. Si gle ge e e i g
B. M l i le a el ge e e i g
C. O he
A e:B

7 ear old child, pre en ed o he emergenc b hi par ner i h 2 da

hi or of fe er and omi ing, child i coma o e deh dra ed i h acido i .
CSF repor : Cell 20 (abo e normal) , Pro ein 0.45 (abo e normal) ,Gl co e
(Normal)
A. T be c la e i gi i .
B. Salic la e ici .
C. Diabe ic c a.
D. Vi al e i gi i .
A e :D

child i h limping for 2 da and abnormali in hip ha mo likel

organi m?
A. a h
B. GBS
C. Hib
A e i A

child came i h con in ed ei re for 5 min e ,in ra eno line i

ec red, fir line managemen ?
A. ec al dia e a
B. IV l a e a
A e i B

Child mile , follo objec , here i head lag , ha he age b eek ?

Glor eam / Oc ober.
A. 4
B. 8
C. 12
D. 16
A e i B (2 h )
I -> 4

Wha i he age e pec ed of ride ric cle?

A. 2
B. 3
C. 4
D. 5
A e i B (3 ea )

Child feed he doll b can poon ha hi age ?

A. 12 h
B. 15 h
C. 18 h
Glor eam / Oc ober.
D. 24 h
A e i C

Child can j mp b o foo , Tell 2 ord in eq ence

A. 2 ea
B. 3 ea
C. 4 ea
D. 5 ea
A e i A

Bab a dada, pincer gra p, alk b f rni re, p ll him elf o anding
po i ion, i i ho ppor
A. 12 h
B. 10 h
C. 9 h
D. 8 h
A e i C

Child had Head ra ma ha de elop pol ria

A. Ce al DI
A e i A

7- ear-old girl pre en ed b her mo her i h de eloping brea , p bic hair

and acne, diagno i ?
A. O a ia .
B. g ad i elea i g
C. Ce al be
A e i C

Char pe for do n ndrome?

A. d d eg h cha
A e i A

child i h Irri abili ,headache ,na ea, le harg and ra h all o er he bod
ha i d :
A. e i g c cce ia
B. ka a aki
A e i A
Glor eam / Oc ober.
Child i h mp om of ADHD in err p ing he cla room and neighbor
ha i he rea men :
A. de e h l he ida e
A e i
C 6
I 6 CB

ca e child i h ec ema , infec ion (lo imm ni )and lo pl

A. i k ald ich d e
A e i A

child ook able , came i h black omi ing, mo likel ma erial inge ed?
A. i
B. h e i a i i
C. W g ch ice
A e i A

URTI af er 3 da de elop hema ria

a e i IgA e h a h

8-mon h-old i h a mme rical brea enlargemen and no o her mp om

ha i he ca e
a e i : ea e
Glor eam / Oc ober.

Child i h abdominal pain i h defec ion for 3 mon h

A. Weigh l
B. Wha diag i
A e i :

10 Wi h diarrhea and ome ime blood ​;

A. Celiac
B. C h
C. UC
D. D e e
A e i :C

7 ear Child pre en ed b mo her complain of co ghing and d pnea or

( hi e ), he child ha been labeled a A hma ic ince he a 4- ear-old
and on Ven olin neb li er. on e amina ion, he child i belo a erage
eigh and heigh , n ed gro h. Managemen :
A e i : All ch ice he e addi g d g e ce he la e
D a k f ible A h a i ic di ea e .

Di al radial frac re in ped pa ien ( ra ho n), par iall pene ra ed he

kin (pic re). Wha he managemen ?
A. i e al fi a i
B. e e al fi a i
C. i e al fi a i i h ca i g ab e elb
D. i e al fi a i i h ca i g bel elb
Glor eam / Oc ober.
A e i :D
I >
O I

Gro h char ( imilar o he pic) ho ing normal a bir h, increa ing b

belo he 3rd cen ile, Diagno i ?
A e i : fail e hi e

When re ci a ing a child i h ep ic hock, hich of he follo ing ha

he lea e idence of benefi in rea men ?
A. ABX
B. i e
C. e id
A e i :

4 eek old neona e f ll erm Co projec ile omi ing.. E here i ma oli e
hape In e iga ion he:
A. SONOGRAPHY
B. SINCITY
C. ENDOSCOPY
A e i :A

f ll erm infan of diagno i a diaphragma ic hernia. Vo age r ppor

done a deli er ... TTT i
A. SURGICAL REPAIR URGENT
B. ANTIBIOTICS
C. CHEST TUBE
Glor eam / Oc ober.
D. NASOGASTRIC TUBE
A e i :D

N e
2 ile e
3 ile e
Ka a aki d a d a age e
Ma a & k a hi k
B chi li i a age e
Pe i diag i
X li ked i deficie c
Mi i al cha ge di ea e
ITP, TTP
He hilia A
Abd i al a gi a
Celiac c ee i g
C ai dica ed acci e i i deficie c
g d- chla e di ea e
ca e f i e ig i h ic
al f e i f child ab e
A ga c e
Calc la e a ge f heigh
Bab i h k ee elli g a d ai > ea e
Al f e ca e

OB/GYN
re incon inence m ?
A. Kegel e e ci e
A e:A

16 eek ge a ion i hink an o abor her heal h fe ?

A. Ref e
B. Tell he ab ea a
C. Take h ba d c e
D. Refe al
A e:A
Glor eam / Oc ober.
Female af er rger of ec opic Per i en bcg. Wha o do ?
A. La a
B. Me h e a e
A e :B

Ec opic pregnanc . Hcg 3000. Taken me ho re a e . Then hcg 6000 ha

o do
A. Re ea hcg
B. La a c
C. Sal i gec
D. Sal i g
A e:D

Ec opic pregnanc done Salpingec om hen hcg pla ea ( 3000) , Wha o

do:
A. Me h
B. F ll b e ai
C. O he ge I d ' e e be
A e:

Recen l married ha o creen :

A. Pa

​ er ical le ion
C
A. C l c
B. bi

Pregnan nega i e aricella an ibodie

A. IViG
B. gi e acci e,
C. a id e e
A e :C

P in her 40 ha abnormal bleeding b ge reg lar period , complain of

painf l period and pa ing clo , er a no palpable on e amina ion
b abdomen a ender ha he d ?
A. E d e ial ca
B. E d e i i
C. Ade i
Glor eam / Oc ober.
A e :B

Female pregnan fell on air and came o a&e i h abdominal pain,

pa ed er mall amo n of blood and he bab ' hear i reac i e ha i
he d ?
A. Ab i
B. U e i e e
A e:A

Abo o la ion:
A. LH i e 36h af e la i
B. LH i e a i e f la i
C. LH 36h bef e la i
A e:A

Normal er loca ion:

A. Be ee S h i bi a d bilic
A e i :A

Mo common loca ion of erine fibroid?

A. i a al
A e :A
Glor eam / Oc ober.

Pregnan 8 eek , come o he ER and aid She lo he con mp ion a

home ,And came i h mild Vaginal bleeding B he e amina ion Cer ical o
a clo ed?
A e:c le e ab i .

The mo common complica ion of h erec om ?

A. adhe i
B. bleedi g
A e:B
M :
I 4-10%
B 2%
H 1-3%

Wha i be de cribe of rhe ?

A. - e h i h + e bab
B. + e h i h - e bab
A e i A

Pregnan in 22 eek , complaining of po ing, on E her cer i open 1.5

cm and fe membrane are een Wha i d ?
A. h ea e d ab i
B. i c le e ab i
C. he e f ab i
D. ce ical i c e e ce
A e i D
Glor eam / Oc ober.
Pregnan lad in 39 eek of ge a ion come o ER i h HTN and Fo nd on
UA pic , +4 gl co e rea ,3+ke on ria , No pro ein ria . Wha mo
appropria e ne ep?
A. I d c i lab
B. i edia e CS
C. Ad i i a d Ob e a i
A e i A

PT i h high d pla ia on pap e , ne ep ?

A. c l c
B. e ea a e
C. h e ec
A e i A

S mme rical erine enlargemen

A. Ade i
A e i A

Candida a ocia ed ih hich di ea e

A. DM
A e i A

ge a ional diabe e creening?

A. 24
A e i A

24 i hing hen o do pap

A.
A e i A

Paragra ida Female come for LT abdominal pain She ha Pre io rgical
h of endome rioma c on RT o ar . On in e iga ion She ha no
endome rioma in L o ar ? Wha he managemen ?
A I Q S
A

Se ere preeclamp ia?

A. l la ele
B. Abd i al ai
Glor eam / Oc ober.
A e i A
(I R Q )

hile deli er , an ob e rician made a mi ake and p he forcep blade on

bab lef loma oid foramen, hich ne rological effec he bab i
going o ffer from?
A. Ca e lef e e lid.
B. Dec ea e bl d l he ea .
C. L f e a i i a . 2/3 f he g e.
D. L f e ai f he half face.
A e i :A

40 k GA deli ered her bab 10 min e back and he placen a no

deli ered e . S ddenl he had large per aginal bleeding. Wha i he
ca e
A. Ia ge ic a he hage
B. i a a he hage.
C. ec da a he hage
D. e ia a he hage
A e i :B

Pregnan lad i h mi ed abor ion. H band an o ign rger

con en b he ife ref ed. The con en i a righ of hom?
A. D
B. Wife
C. H ba d
A e i :B

ca e of pregnan in 7 eek I hink came o he ER i h po ing, no

Abdominal pain, e e er hing ere normal :
A. Ec ic eg a c
B. N al eg a c
C. ab i
A e i :B

lad i h PCOS and he doe n an o pregnan ha i he be

managemen :
A. e f i
B. C bi ed al c ace i e ill
Glor eam / Oc ober.
A e i :B

Mechani m of me formin in PCOS:

A e i : dec ea e i li e i a ce

Ca e of heehan ndrome had m l iple D/C .. no milk in brea o feed

he bab ome hing like hi : ha he d

Pregnan falling do n in 32 I hink and came o ER i h e ere

bleeding ha d :
A. e e
B. lace a e ia,
C. lace a ab i
D. Va a a ia
A e i :C

Mo predominan pe of e rogen in pregnanc :

A. e e,
B. e adi l
C. e i l
D. e e l
A e i :C
E :
E :
E :

Co ple r ing o concei e for 6 mon h , demale c cle 23 da and la for 4

da and i reg lar. an o do e o check fer ili : (NEED DOUBLE
CHECK)
A. 21 ge e e
B. LH a d FSH
A e i :B

Women in reprod c i e age complain of hir i m and obe i (pco

mp om ) doe n' an o ha e children, Wha medicine o gi e?
A. e f i
B. ge e e l c ace i e ill
C. c bi ed e ge a d ge e e OCP
A e i :C
Glor eam / Oc ober.

Pa ien came i h h . of bila eral bal liga ion. Complaining of abdominal

pain and bleeding (i hink) E amina ion fo nd adne al ma , ha o do?
A. eg a c e
B. US el i
C. ca ' e e be he e
A e i :A

Pa ien i h meig ndrome mp om and Ca125, ha o do ne ?

A. hi ah l g
B. ca ' e e be he e f he i
A e i :A
C , >

M l ipar lad complaining of abdominal b lging for fe mon h , on

e amina ion here i b lging no iced hen he pa ien r o change her
po i ion from pine o e ing. And co gh imp l e i nega i e. Mo likel
diagno i :
A. a e e cle eak e
B. di e ic li i ec i
C. abd i al all he ia
A e i :B

Lad pregnan i h in , her la pregnanc end i h ran er e C/S

beca e of fe al di re , no he i in 38 eek of ge a ion, her in
po i ion i cephalic breech, ha i he indica ion for C/S in hi
pregnanc :
A. e i C/S
B. ge a i al age
C. fe al e e a i
A e i :C

Scenario of female pre en o g ne Clinic For e al a ion E er hing normal

,LMP before 2 eek ,On e amina ion There i adne al ma b US I i a
c No abdominal pain or bleeding ha o pec ?
A. f llicle c
B. c l eal c
A e i :A
Glor eam / Oc ober.
Scenario of primigra ida on ac i e labo r Wi h o ocin inf ion And
epid ral ane he ia There i abr p lo of con rac ion i h la e
decelera ion Wha he appropria e ac ion?
A. i c ea e ci i f i
B. ci
C. la e al i i f 20 i
D. e id al a e he ia
A e i :B

N e
3 CTG ic a d hei ca e
l f e i ab ab i edical a d gical k he i he
Ca e f c la e ab i
Uei ea a age e
Ce ical i fficie c
Ab i ( h ea e ed a d i c le e)
Ab i lace a >> l i ea
BV a d ich ia i a age e
V l a ia i
Rh: he - e child + e
l f b /g e ab dila a i , efface e a d e e f a age e
G e ca e f bleedi g ela ed eg a c l

e al ela ed d
ea e f de e i i eg a c
a hic agi i i ca e a k ab d
Q e i ab T ich a agi i i [all he a ie e e ai e e g idi g
a d he di ea e]
T e f agi al di cha ge i h hi ., a d/ ea e .
26 eek eg a C ge i al a .. TTT i
ic f ​ la eg a c ​d
Glor eam / Oc ober.

S ge
Po appendec om ca e and here i pain and in abdomen X-ra here a
ma 2*2 ha i managemen
A. Ob e e
B. A ibi ic
C. S ge
A e:A

Pa ien i h ingling in ring and li le finger i h po i i e ele a ion e ?

A. h acic le b
B. ca al el
C. l a h b hlebi i
a e:A

Colon cancer creening age

a e : 50 ea ld

Th roid nod le
a e : IF TSH l >> ca
if al high>> FNA

MALT​ >> a ibi ic

Diabe ic p e do epi heli m :

A. A ae
B. gical deb ide e
a e :B

Po ERCP air in abdomen, che , neck hich organ inj red

A. S ach
B. D de
C. E hag
D. T achea
a e:B

Dm, IHD ?
Glor eam / Oc ober.
a e: e e e ic i che ia

Be e o r le o cer ical pine ?

A. MRI ce ical
B. AP X- a f ce ical
C. C ( i h ce ical)
D. cli ical e a
a e :A

Brea ab ce i h kin redne onl b no dimpling m ?

A. I&A
B. A i a i
C. Ab
a e :A

abo a pa ien ho had mp om of bo el ob r c ion and a king abo

be in e iga ion ? No X-ra
A. CT
B. U
C. E e a I hi k
a e :A

Ri k fac or of brea cancer

A. age
B. la e e a e
C. ea l e a che
a e :A

M l iparo omen, complaining of b lging abdominal ma ha appear

hen leaning for ard, co gh e -nega i e. CT repor :No in ra or e ra
abdominal ma , abdominal fa cia i in ac , i h no i ible defec .
A. U bilical he ia.
B. O he e f he ia.
C. Dia a i ec i.
D. T a e al eake .
a e :C

Chronic con ipa ion rea men :

A. Se a
Glor eam / Oc ober.
B. deb lki g age
a e:B

Elderl Chronic con ipa ion + lo er GI bleeding , ini ial in e iga ion
A. Sig id c
B. C l c
a e :B

Gi endo cop re ealed ( in er i ial pe me apla ia in di al e ophag ):

a e :ba e

Long cenario of pa ien i h diff e h roid enlargemen On US he

fo nd 1*2 cm nod le on he righ lobe and 3*4 cm of he lef lobe , Wha i
he ne ep?
A. FNA f b h d le
B. FNA f he la ge d le
C. al h idec
D. bi
a e :A

med llar h roid carcinoma managemen ?

A. al h idec
a e i A

abdominal pain radia ing o back. mp om of pancrea i i b ho ing

ra i h air nder he diaphragm, diagno i ?
A. d de al e f a i
B. Ac e a c ea i i
A e i A

P do ercp for chol li hia i opera ion a coplica ed han p de elop

emph ema ,Abdomen ,che and neck hich organ inj red?
A. D de
B. Ga ic
A e i A
D ERCP

Pa ien had fre h blood bleeding per rec m, e amina ion re ealed
collec ion of hrombo ed blood in he rec m, pa ien ha na oga ric be
Glor eam / Oc ober.
i h green di charge.Colono cop : no pa holog . Wha i he appropria e
in e iga ion o kno he i e of bleeding?
A. U e GIT e d c
B. Ca ' e e be
C. Ga g afi e e a
D. Tech e i Tc-99 di e ech e a e
A e i D

pical ca e of BPH, PSA i le han 1 ng/ml ha fir line of

managemen ?
A. Al ha bl cke
B. TURP
A e i A

P came i h m l iple frac re and kidne one,High Para h roid hormone

A. e a ibi ca
O
A A

Open frac re o nd i co ered b dir ha i managemen

A. A ibi ic
B. I iga i
C. ge i e al fi a i
A e i B
Glor eam / Oc ober.

Old pa ien af er repea ed omi ing de eloped epiga ric pain and
bc aneo emph ema, diagno i ?
A. Ga i i .
B. E hagi i .
C. Pe f a ed e ic lce .
D. B e haa e d e.
A e i D

P i h D phagia o liq id e reg rgi a ion of food ho o diagno e?

A. UGI e d c
B. Ba i all
C. L e e hageal
A e i C
A

Managemen C o arcoma ph llode ?

A. Radi he a
B. Si le a ec
C. a ide l cal e ci i
A e de e d
Glor eam / Oc ober.
M -> C
B -> LE ,

Mo common rgical ca e of abdominal pain in pedia ric ?

A. A e dici i
B. Ch lec i i
A e i A

Pa ien came for check p af er open appendec om for perfora ed

appendici i , pa ien ha eroma ha i di charged freel from he o nd,
ha i ne ?
A. Diag ic la a c
B. E l a la a
C. Reg la dde i g
A e i C

Pa ien ha med llar h roid cancer on he lef lobe , righ lobe i normal,
managemen ?
A. T al h idec .
B. S b al h idec .
C. He i-Th idec .
D. T i c la i .
A e i A

pa ien pre en ed i h Ja ndice and fe er and here i CBD dila ion

A. ch lec i i
B. ch la gi i
C. gall e
D. a c ea i i
A e i B
Glor eam / Oc ober.
Ri k fac or of brea cancer
A. DM
B. la e e a che
C. ea l e a e
A e i A b e cl i

The mo ignifican ri k fac or for brea cancer :

A. age
B. ea l e a che
C. la e e a e
D. lli a i il 30 age
A e i A

Pregnan , de eloped r ide mo able ma no a ached o kin

managemen :
A. a ga
B. bila e al a ga
C. FNA
D. ea e a d ea e af e deli e
A e i D US a lea

ha Mo common ca e of re roperi oneal arcoma:

A. e e i eal bleedi g
B. C e i f ea b c e
C. I adi g f ea b c e
A e i B

MVA Sea bel ign mp om

A. d de al e f a i
B. Jej al
A e i Jej

Pa ien ha e ra ma in righ che and ha e pne mo hora and do che

be af er ime ha e 2 li er of blood come ha ne ep ?
A e i Th ac

ca e of mild cholec i i a k abo rea men

A. la a c ic ch lec ec i hi 72HR
A e i A
Glor eam / Oc ober.

po op complica ion a da 5
A. DVT
B. UTI
A e i B

Women ha e 2 da of fe er and omi ing and ha e cracker on her brea

ha organi m?
A e i a h

Po ma ec om ner e inj r ?
A e i L g h acic
D
( )

37 ear old female i h brea ma or righ pper o er par . On E : fi ed

non ender i h irreg lar margin . Wha i ne ep
A. C e bi
B. FNA
C. Ma ga
D. S ge
A e i :C

Pa ien po lo er para h roidec om i h lab of h percalcemia and high

PTH and a k abo he ca e he:
A. Mi ed ade a
B. Ne ade a
C. Pa a h id h e la ia
A e i :A

morbidl obe e i h e ophageal refl grade 3 I hink ha he be

baria ric rger for him :
a e i :R -e -

​ca e of mane complaining of ma in medial a pec of high he​ :

I >
I >

ca e of po i i e ill mina ion e ha i he d :

Glor eam / Oc ober.
A. li a
B. ebace c
A e i :B

D of Femoral hernia he an er i :
A e i : Bel a d la e al

E hc
Women an o ake ocp and h band no an ake ocp ?
A. e a h
B. f ll ife
C. f ll h ba d
D. B h
A e i D
M

e amine pa ien and forge clo e c r ain ?

A. i ac
B. Dig i
A e i A
‫‪Glory Team‬‬

‫ﺑﺴﻢ اﷲ اﻟﺮﺣﻤﻦ اﻟﺮﺣﯿﻢ‬

‫ﺑﻌﺪ ﻛﺜﺮة ﺳﺮﻗﺔ ﻣﺬﻛﺮات ﻗﻠﻮري دون وﺟﻪ ﺣﻖ وإﻋﺎدة ﺗﺼﺤﯿﺤﻬﺎ وﺣﺠﺒﻬﺎ ﻣﻦ اﻟﻨﺸﺮ ﻋﻦ‬
‫اﻟﺠﻤﯿﻊ‬
‫ﻧﻨﺒﻪ اﻟﺠﻤﯿﻊ‬
‫ﻻﯾﺠﻮز ﺷﺮﻋﺎً أﺧﺬ ‪ ،‬ﻧﺴﺦ ‪ ،‬إﺳﺘﺨﺪام ﻣﺬﻛﺮات ﻗﻠﻮري ﻷي ﻏﺮض ﺗﻌﻠﯿﻤﻲ ﻣﻦ إﻋﺎدة ﺗﺼﺤﯿﺢ*‬
‫*وﻏﯿﺮه ﺑﺪون اﻟﺘﻮاﺻﻞ ﻣﻊ اﻟﻤﺠﻤﻮﻋﺔ‬

‫ﻗﻠﻮري ﺑﻔﻀﻞ اﷲ ﺛﻢ ﺗﻌﺎوﻧﻜﻢ اﻟﺒﻨﻚ اﻷول ﻟﻠﺪراﺳﺔ و أﺧﺬت ﻋﻠﻰ ﻋﺎﺗﻘﻬﺎ ﺗﻨﻤﯿﺔ اﻟﺮوح اﻟﻌﻠﻤﯿﺔ و‬
‫ﺗﺰوﯾﺪ اﻟﺠﻤﯿﻊ ﺑﺎﻟﻤﺬﻛﺮات واﻟﻤﻌﺮﻓﺔ اﻟﻜﺎﻓﯿﺔ ﻟﺘﺠﺎوز *ﻋﻘﺒﺔ اﻟﺮﺧﺼﺔ اﻟﻄﺒﯿﺔ ﺑﺪرﺟﺔ ﻋﺎﻟﯿﺔ* ‪،‬‬
‫ﺑﺄواﺻﺮ ﻣﻦ اﻟﻤﺤﺒﺔ واﻟﺘﻜﺎﺗﻒ واﻟﺘﻌﺎون ﻣﻊ اﻟﻜﻞ‬

‫واﷲ وﻟﻲ اﻟﺘﻮﻓﯿﻖ‬

‫ﻗﻠﻮري ﺗﯿﻢ‬

‫‪17th of October Part 2‬‬

‫‪Medicine:‬‬

‫‪How the risk of smokers when to campare of non smokers :‬‬

‫‪A. 2‬‬
‫‪B. 3‬‬
‫‪C. 4‬‬
‫‪D. 5‬‬
‫‪Answer is A‬‬
‫‪Smokers to non-smokers risk:-‬‬
‫‪Lung cancer: by 25 folds.‬‬
‫‪COPD:12 to 13 folds.‬‬
‫‪Stroke and coronary heart disease:by 2-4 folds.‬‬

‫‪MI chest pain STEMI and no pci and you will transfer him, what to give prior to transfer :‬‬
‫‪A. give asprin , thrombolytic , bb , Nitroglyrcrn‬‬
‫‪B. give asprin , nitroglycerin , bb‬‬
‫‪Answer is A‬‬
Glory Team

MI patient:-
Door to ECG = within 10 mins.
Door to needle (thrombolytics) = within 30 mins.
Door to balloon = within 60 mins.
Time is the muscle, delay = death

HF lung congestion and crepitation , what to give :

A. give diuretic
Answer is A

COPD > ration less 70% and low DLCO what it the dx?
A. emphysema
B. bronchitis
Answer is A

COPD drawsy and high CO2, how you will ventilate:

A. Non invasive MV ( BIBAB)
Answer is A
● When to consider invasive MV?
➔ PaO2 < 40 mmhg
➔ Ph < 7.25.
➔ CO2 > 60 mmhg.
➔ Respiratory arrest.
➔ Cardiovascular collapse.
➔ Severe exacerbation with a lot of
secretions.

COPD with secretion how you will ventilate:

A. Invasive MV
Answer is A

obese snoring , lack sleep , sleep study done (OSA), how you will ventilate:
A. CPAP
Answer is A

CD extra-intestinal manifestation?
A. erythema nodosum , perianal disease
Answer is A

Shuffling gite , tremor what is the diagnosis?

A. parkinson
Answer is A
Glory Team

SLE with UTI , drug Contraindicated?

A. Sulfa
Answer is A

SLE proteinuria
A. Biopsy
B. Anti dsdna
Answer is A

IE with valve involves what Ab to give:

A. Vancomycin + ceftriaxone
B. Vancomycin
C. Peptazo
D. Ceftrxione
Answer is A

how to prevent calcium stone?

A. Give him thiazides
B. Decrease Ca intake
Answer is a
Thiazide helps in decreasing urinary calcium > calcium stones in kidney
Allopurinol > decrease risk of uric acid stones in kidney
Glory Team

DKA complication?
A. cerebral edema
Answer is A

Pt with numbness and other neurological symptom, history of gastrectomy ,

what’s the dx :
A. vit B 12 deficiency
Answer: A

patient presented with decreased reflexes, numbness and vitiligo (B12 def) what to give:
A. oral B12
B. parental B12
Answer is B

Cushing with 24h cortisol high. ACTH was low. Next

A. MRI
B. CT pelvic
Answer is B (CT adrenal)
If ACTH high > go for high dose dexa to differentiate between ectopic Cushing or pituitary
If low > CT adrenal
Glory Team

px his father died and he devolved sadness, delusion and disorganized behavior and
speech for 3 days. After that he became normal
a. schezo effectiveness
b. Schezoform
answer is brief psychotic disorder

Uti and high creatinine what AB is C/I?

A. Cipro
B. Nitrofurantoin
C. TMP SMX
Answer is B

DM Renal screen:
A. microalbuminuria
Glory Team

Answer is A

pt came from Egypt with leg tender red lesion in rt leg and she had penicillin allergy, you
give her Ab , in second day she developed N/V and diarrhea watery . Wt the Dx
A. salmonella
B. Ab allergy
C. worsen gastroparisis
D. C diffeclis
Answer is D

hypothyroid case, what medication will you give ?

Glory Team

A. levothyroxine
Answer is A

Case of seizure followed by diarrhea?

A. Shigella
B. H. Pylroic
Answer is A

Case of patient came from africa with large LN high fever :

A. Corona
B. Ebola
Answer is EBV
N.B Ebola can cause it but, not very common

Case of pt came from africa w hepatosplenomegaly :

A. malaria
Answer is A

Pt k/c of RA with knee pain on cortisol not improve wt to add:

A. Methotrexate
Answer is A

Low grade fever ,o2 sat 88 , hypotension 90/50 what is the initial step of management?
A. Iv fluid
B. O2
C. Antipyretic
Answer is B
ABC management

High grade fever ,o2 sat 88 , bp 110/70 ​Iv fluid , what is the initial step of management?
A. O2
B. Antipyrtic
Answer is A

After Chemotherapy for cancer , reading of electrolyte disturbance:

A. Hypocalcemia
Answer is A

euthyroid syndrome, What is the reading of T3 T4 and reverse T3 ?

Answer is ​Low or normal t3 t4 but high rt3

Leukotriene receptor antagonists:

Answer is ​montelukast
Glory Team

Patient came with symptoms of DKA, what's the diagnosis?

Answer is DKA

patient came with symptoms of DKA, what's your initial management?

A. Iv fluid
B. Insulin
C. D5%
Answer is A

patient came with DKA symptoms, already given IV fluid, what to do next?
A. Give insulin
Answer is A

which of the following can’t be prescribed for celiac patients?

A. Rice
B. potatoes
Answer is ​barley
Celiac ​avoid ​:
Rye.
Barley.
malt.
Wheat starch.

patient with polymyalgia rheumatica, which of the following is associated...?

A. CLL
Answer is A

22 years old, typical meningitis ttt?

A. ceftra, vanco and steroid
B. Ceftra and vanco
Answer is A

55 years old , male , have a family history of diabetes, HgA1C is 6.3 , fasting 7.3 what will
you do next?
A. Random glucose
B. Fasting after 3months
C. HgA1C after 6weeks
D. 2 hours glucose
Answer is B

Most diagnostic test for chronic thromboembolic diseases is :

A. ECG
Glory Team

B. Echo
C. CT spiral
D. Ventilation perfusion scan
Answer: D
chronic thromboembolic pulmonary hypertension (CTEPH)
(V/Q) scan is the best initial imaging procedure of choice.
If V/Q suggested positive CTEPH > right heart catheterization and pulmonary angiography are
indicated to confirm pulmonary hypertension.

Pt with PE , what’s the duration of TTT with anticoagulant:

6 weeks
3 months
6 months
12 months
Answer:
Provoked 3m (​Risk factors: Obesity, malignancy, pregnancy, ocp, immobilized​)
Unprovoked 6m

pt with signs of meningitis, LP show gram negative diplococci , what’sthe

precaution :
A. standard
B. droplet
C. contact
D. airborne
Answer: B , “meningococcal”

Pt with malar rash, chest infection , anemia , renal impairment, what’s the
dx:
A. lupus nephritis
Answer: A

Elderly pt pick up something from the ground then he complain of sudden headache
described as the worst headache he had in his life what’s the dx:
A. subdural hemorrhage
B. Epidural
C. SAH
Answer: C

Pt with chest pain , murmur, splinter hemorrhage “ Infective endocarditis??”

what’s the TTT:
A. ceftriaxone
B. gentamicin
C. ceftriaxone + vancomycin
Glory Team

D. Piperacillin / Tazobactam
Answer: C

Pt with upper Gi bleeding, after initial ER management, what to give before

endoscopy:
A. propranolol
B. octreotide
C. VIT K
D. vasopressin
Answer: B

pt with nephrotic, have edema and proteinuria, what’s the initial step to
prevent proteinuria:
A. low protein diet
B. prednisolone
answer:
Steroid induced remission: give ACEI , diet will not help

what’s the TTT of nephrotic syndrome:

A. prednisolone
B. other medications
Answer: A

Pt with signs of hyperprolactinemia , MRI shows 0.7 mm pituitary adenoma ,

what’s the TTT:
A. Surgery
B. cabergoline
Answer: B

pt with sign of pituitary adenoma , what’s the possible visual defect:

A- bitemporal hemianopia
Answer: A

Pt admitted as case of cardiac disease, during hospital course, he developed

something related to urinary catheter, what you will do to prevent that:
A. daily assessment of needs of urine catheter
Answer: A

pt with mid diastolic rumbling murmur , what’s the cause:

A. mitral stenosis
B. aortic stenosis
C. tricuspid stenosis
Answer: A
Glory Team

pt with murmur radiating to the carotid artery, what’s the cause:

A. mitral stenosis
B. aortic stenosis
C. tricuspid stenosis
Answer: B

male pt with retrosternal pain radiates to the left shoulder at rest , positive
cardiac enzymes , ECG show t wave inversion in lead V2 - V5 , what’s the dx :
A. stable angina
B. unstable angina
C. STEMI
D. Non-STEMI
answer: D

pt with hypertension 220/110 not responding to home medications,

abdominal CT show adrenal mass , catecholamine is very high , asking about
management :
A. Beta blocker
B. CCB
C. alpha agonist
Answer: A “pheochromocytoma "
For HTN give hime Alpha blockers or BB
Alpha blockers superior to BB > pre-op
Here C is alpha agonist not antagonist
Be carful
Glory Team

what is the definitive diagnosis of psoriasis​:

A. biopsy
Answer: A
Clinical diagnosis is the definitive unless there is suspicious lesion

pt with ascites and abdominal pain , E-coli was found in ascitic fluid , what’s
mechanism of bacteria to found in peritoneum “ no perforation” :
A. translocation
Answer: A

pt with facial asymmetry , moth deviation, absence of forehead wrinkles ,

what’s the nerve affected:
A. ll
B. V
C. Vll
D. X
Answer: C

Which antibiotics can cause prolonged QT interval:

A. erythromycin
Answer: A
Glory Team

pt knows to have penicillin allergy, what’s contraindication antibiotic to him:

A. meropenem
B. Piperacillin/tazobactam
Answer: B

pt with thigh mass 5x8 cm , biopsy show sarcoma high grad , what
investigation you will order for staging:
A. MRI abdomen
B. CT chest
C. bone scan
D. X ray thigh
Answer: B
Sarcoma staging:-
Local invasion: MRI
distant: CT

elderly pt with swelling of the back of neck with multiple opening and
discharge and redness , what’s your diagnosis:
A. carbuncle
B. furuncle
C. abscess
D. cellulitis
Answer: A

pt have sepsis, what are the things you will not need it :
A. Iv antibiotic
B. inotropes
C. iv fluids
D. corticosteroids
Answer: D

If a patient quit smoking , how many years to be effective to reduce the cardiac events ​:
A. 2
B. 3
C. 4
D. 5
Answer is A

Patient presented with tall T wave ecg , what is the treatment?

Answer is ​Ca gluconate

Female want to start a sport , she had a brother died suddenly during doing a kind of
sports ( i forgot ) , you want to exclude which disease before starting :
Glory Team

A. dilated cardiomyopathy
answer is ​HOCM

Female in mid 40 came with neck swelling for 2 months, with decrease in weight
complains of stoped menstrual cycle for 6months and milky discharge , what
investigation you will order ?
A. Thyroid US
B. Ovary US
C. Mammogram
D. Ultrasound something..
Answer is A

Female pt complaining of back pain increase when she walking downstairs?

Answer is ​Spinal stenosis

Pt vomit blood I think he has Varicose vein what to give him for decrease risk of
bleeding :
Answer is ​B blocker

Pt with nephrotic syndrome taking medication how can you know that the disease
remission ?
A. Disappear Albumin in urine
B. Disappear of true edema
Answer is A , ​for 3 consecutive early morning specimen

Pediatric

Child 10 kg had 5% dehydration calculate the fluid requirements ml/ day:

A. 1000
B. 1250
C. 1500
D. 1750
Answer is C

How to calculate Deficit :

Answer is (Weight of child ) * (% dehydration) *10

How to calculate maintenance :

Answer is
100‫ ﻛﯿﻠﻮ اﺿﺮب ب‬10 ‫اول‬
50‫ اﺿﺮﺑﻬﻢ ب‬10 ‫ﺛﺎﻧﻲ‬
20‫ اﺿﺮﺑﻬﻢ ب‬10 ‫ﺛﺎﻟﺚ‬
Glory Team

N.B
‫ﻣﺠﻤﻮع اﻟﺴﻮاﺋﻞ اﻟﻤﻄﻠﻮﺑﺔ ﺑﺎﻟﯿﻮم‬
‫اﺟﻤﻊ اﻟﺪﻓﺴﺖ واﻟﻤﻨﻨﺘﻨﺎﻧﺲ ﯾﻄﻠﻊ ﻟﻚ ب‬ml ‫ﻟﻠﯿﻮم‬
‫ واذا ﻛﺎن ﻓﯿﻪ‬bolus ‫ﻋﺸﺎن ال‬shock ‫اﻃﺮﺣﻪ ﻣﻨﻬﻢ‬

child that is dehydrated and his glucose was also low the question was what would you
give him ?
A. 20ml/kg NS
B. 10% dextrose in 1/2 saline
C. Abx
D. And something
Answer is B

Most common cause of OM in pedia :

A. Viral
B. Bacterial
C. Fungal
Answer is B

2 weeks old with conjunctivitis bilaterally , 2 weeks later chest x ray show lung interstitial
lung infiltration:
A. trancumnus
B. streptococcus
Answer is ​viral or chlamydia

VSD 2mm:
A. Observe
Answer is A

pediatric 2 month old.. from 1 month he cry 3 time per week every time for 1 to 2 hour
A. temper tantrum
B. infantile colic
Answer is B
Glory Team

Patient came with respiratory symptoms in ER and excessive drooling, diagnosis?

A. Epiglottis
B. Croup
Answer is A

Child admitted by DKA and after receiving Iv fluid he is confused what is the diagnosis ?
A. Cerebral edema
Answer is A

child took tablets, came with black vomiting, most likely material ingested?
A. iron
Answer is A

case with high HbA2

A. beta thalassemia minor
B. beta thalassemia major
Answer is A

limping child for 2 days, abnormality in hip, most likely organism?

A. Staph
B. GBS
C. Hib
Answer is A

seizing child for continues 5 mins did not stop, ​intravenous line is secured​, first line
management?
A. rectal diazepam
B. Iv lorazepam
Answer is B

8 yrs male have history of URTI 3 weeks back "streptococcus", today comes
Glory Team

with generalized edema , hematuria , what’s the Dx :

A. IgA nephtopathy
B. post streptococcal infection
Answer: B

Pt with pharyngitis for 2 days , what’s the possible complication :

A. Scarlet fever
Answer is A
They said pharyngitis
Could be GABH, EBV, diphtheria
In other recall it was with pseudomembranous lesion this is typically seen in diphtheria and
answer will be pneumonia not scarlet, GN, rheumatic Fever

pedia pt with polyuria , high glucose , what’s next investigation:

A. Hb A1C
Answer: A , asking about diagnosis of type1 DM

Newborn after CS have respiratory symptoms , CXR shows fluid in the horizontal fissure ,
what’s the dx :
A. acute distress syndrome
B. meconium aspiration
C. Transient tachypnea of the newborn (TTN)
Answer: C

Pediatric male pt presented with sign of “ laryngomalacia “ what’s the TTT:

A. Referral to surgical department
B. reassure and wait for 1 year
Answer: no need for intervention so B
It will resolve within 2 years

child lethargic, with curved leg , vegetarian family , what you suspect vitamin
deficiency:
A. VIT A
B. VIT E
C. VIT K
D. VIT D
answer: D

Pt with ascending limb weakness with history of gastroenteritis 3 weeks back

“ GBS “ what’s the prognosis of these diseases:
A. deterioration
B. resolve with weakness
C. full recovery
Glory Team

D. death
Answer: C

what’s the time to say fever of unknown origin in pedia, per day :
A. 7
B. 14
C. 21
D. 28
Answer: B

newborn with one umbilical artery , what’s the cause:

A. mother with DM
Answer: A

In poor countries, Child with wasting , edema , in investigation low protein ,

what’s your dx:
A. celiac
B. kwashiorkor
C. marasmus
Answer: B

pedia pt not vaccinated, present with sore throat and cervical lymphadenopathy what’s
your dx:
A. diphtheria
B. streptococcus
C. pertussis
Answer: A

New born you want to give vaccine , the mother told you that she had a new born died
after vaccination due to immune dif, what you will do ​:
A. Give BCG
Glory Team

B. Dont give BCG

C. Give immunoglobulin
Answer is B

pt on ventolin not improved, what to add ?

A. ICS
B. Increase dose of ventolin
Answer is A
Asthma not improved with SABA > add ICS
acute exacerbation > add systemic steroids

2 years old her mother noticed development of the breast no other sign of puberty
A. precocious puberty
B. premature puberty
C. premature breast development ( i think it's the same as thelarche )
No premature thelarche in the choices
Answer is C

OB/GYN

effect of hydroxychloroquine in pregnancy:

A. stop during pregnancy
B. Stop during lactaion
C. decrease effect by smoking
Answer is C

Female married want to screen SCA

for husband
Answer is A

most significant examination in gyne for general check up in newly married women:
A. general inspection
B. pelvic exam
C. vaginal
D. abdominal
Answer is A

pregnant has IBD, Took biological drug due to fistula and she delivered when to give live
vaccine to baby
A. now
B. after 6 months
C. after 12 month
Glory Team

Answer is B

IUFD with history of CS what to do ?

A. SVD trial first then CS
B. CS due to previous CS
C. ask her opinion
D. ask her husband opinion
Answer is C

2 cases dysmenorrhea what to give​?

Answer is One OCP, other Q: NSAIDS
First line is NSAIDS, Second OCPS

Female came with adnexal mass , histopathology and staging showed advance ovarian
cancer what is management ?
A. Surgery
B. Chemo
C. Surgery then chemo
D. Surgery then radiotherapy
Answer is C

Female with family hx of cancer what to do ?

A. Brca
Answer is ​mammogram

pregnant with Biliary colic when do cholecystectomy ?

A. trimesters
B. After delivery
Answer is B
Recurrent biliary colic: 2 tri
Glory Team

Just 1 biliary colic: after delivery

pregnant with hepatitis b ,her child born and givin hep IVIG and vaccin , can she now
breastfeed him or no?
A. encourage her to breastfeed
Answer is A

breast development ; coarse pubic hair; no mens; and high testerone, what do?
A. complete androgen insensitivity
B. Mullerian Agenesis
C. Mayer Rokitansky Kuster Hauser syndrome
Answer is B

Case of mother in early pregnancy with herniation of fetal tissue cervical dilation of 1.5
cm no bleeding or clot or pain
A. Abortion
B. cervical incontinence
Answer is B

Case of labor effecamnte 50% cervical dilation 2 cm ctg reassure mother vitally stable ,
how to coniform the situation;
A. TV sonogram
B. Every 2 hrs Pelvic exam to access for further dilation of the cervix
Answer is B

Pap test came with high dysplasia, next step is?

A. colposcopy
B. repeat pap test
C. hysterectomy
Answer is A

gestational diabetes screening?

A. 24 -28
Answer is A

Female pt with leg pain and swelling , what you will ask in history:
A. history of OCP
Answer: A, ​risk for DVT

pic of female genitalia with warts , Pt have history of multiple sexual

partners, what you are suspect the dx :
A. condylomata lata
Answer: A
Glory Team

female with symptoms of bartholin gland inflammation and ask you what’s
the dx:
A. bartholin cysts
Answer is A

female with white-gray vaginal secretion , odorless, adherents to vaginal wall

, in microscope there’s spore , what’s the dx:
A. bacterial vaginosis
B. vaginal candidiasis
Answer: B

Female postpartum presented with breast pain on examination there's local erythema,
tenderness, WITH THINNING OF SKIN. How will you manage?
A. Observation
B. Incisions and drainage
C. Antibiotic
Answer is C

Postpartum hemorrhage treatment​:

A. Oxytocin
Answer is A

Surgery

Patient post splenectomy, what will be low post op:

A. Insulin
B. Glucagon
C. Protein
Answer is A

Abdominal aortic aneurysm, what’s the most appropriate investigation ?

A. CTA
B. MRA
C. abdominal US
Answer is C
in general 100% US
Safe, less invasive verrrry high sensitivity and specificity
But if patient is symptomatic or for pre-op > CT

Indication of surgery for Aortic stenosis?

Glory Team

A. pt symptoms
Answer is A or ​EF less than 50

lateral malus ulcer with intact pulse most IMP investigation?

A. CTA
B. venous doppler
C. MRA
Answer is A
more accurate cuz presence pulse does not exclude arterial ulcer

post surgery day (3 or 4) presented with leg pain. US showed DVT from femoral to
common iliac vein what to do ?
A. aspirin
B. enoxaparin
C. UFH
D. IVC filter
Answer is B

px with thigh accident and he has exposed nerve and vessels:

A. debridement with vacuum
B. debridement with 2nd graft
C. debridement with primary closure
Answer is B
If there is flap better

bleeding in OR and you did packing but he is still bleeding. Next?

A. clamping infrarenal
B. clamping supraceliac
C. cable CTA
Answer is B

Neck trauma stable anterior to the angle of the mandible

A. CTA
B. exploration
Answer is A

hematoma after thyroidectomy. Next?

A. OR
B. bedside evacuation
Answer is B

female , with lateral mass (lymph node) , thyroid was normal , biopsy showed normal
follicular cell, what is the diagnosis?
Glory Team

follicular metastasis
(No aberrant.... in choices)
Answer is A

Y shaped colon, Sigmoid volvulus what to do?

A. Colonoscopy
B. Colectomy
Answer is A or sigmoidoscopy

did sleeve surgery 7 yrs ago and now came with intestinal obstruction what to do
A. Exploratory Laparotomy
B. Laparoscopic ...something
Answer is ​conservative
Adhesions obstruction try conservative unless failed or signs of peritonitis > go for surgery
Most common cause of Small bowel obstruction > adhesions
Large bowel > neoplasm

child episode of PR bleeding, fresh ; black stool (have both melena and hematochezia) ;
NGT showed greenish fluids ; colonoscopy was negative what is next to detect source of
bleeding ?
A. upper endoscopy
B. Tc 99m
C. Barium
D. US
Answer is B

jaundice ; us showed 1.1 cm common duct dailated and dilated intra and extra hepatic ;
and very distended gallbladder
A. panceriatic cancer
B. Mrizzi syndrome
C. Klitskin
D. Cbd stone
Answer is A
Kelastin or perhailar cancer >shrunken GB
Pncreatic cancer >distended

65 yrs came with mild decrease in urination , us showed median lob hypertrophy of
prostate , PSA and digital rectal was normal , urine analysis and renal function normal
what to do?
A. annual renal function test
B. Periodic investigation of PSA
C. Beta blocker
D. Cystoscopy
Glory Team

Answer is A

hydatid cyst how to ttt?

Answer is

GALTS stomach cancer 2 case:

One ttt w partial gastrectomy
And one ttt w full gastrectomy
Answer is
GIST (Gastrointestinal stromal tumor)
surgical resection of the tumor if it’s more than 2cm
or less than 2cm but highly suspicious such as bleeding or ulceration.
If less than 2cm and looks benign > follow up
Gist with metastasis > tyrosine kinase inhibitors (imatinib)

Case of post cholecystectomy and you found another stone in CBD how to ttt:
A. ERCP
Answer is A

Case of baby 6 days passed stool after birth w constipation wts dx:
A. Meconium ileus
B. Hirshpurge
C. Volvolus
Answer is C

Parkland formula:
Answer is
Glory Team

Patient has stab wound affect the duodenum and vital signs are stable what is your
management ?
A. Ct scan
B. Laparotomy
C. Conservative
Answer is
Penetrating abdominal trauma
Always start by ABC approach
Patient stable: wound exploration :-
-If superficial> observation
-If not clear > CT
Emergency exploratory laparotomy If :-
-Evisceration
-Signs of peritonitis
-Hemodynamic instability
-Free air under the diaphragm

medullary thyroid carcinoma management?

A. total thyroidectomy
Answer is A

typical case of bbh, psa is less than 1, first line of management?

A. Alpha blocker
B. TURP
Answer is A

abdominal pain radiating to back... symptoms of pancreatitis but showing x ray with air
under the diaphragm, diagnosis?
A. duodenal perforation
Answer is A
Glory Team

Male Pt, smoker, have a history of appendectomy, his brother have crohn’s ,
what’s the risk factor to develop crohn’s :
A. male
B. smoking
C. family history
D. history of appendectomy
Answer: C

Female pt fall down and have hip fracture, what to give to prevent DVT :
A. UFH
B. enoxaparin
C. warfarin
D. other medication
Answer: B

pt after RTA devolved coma for 5 days , how to feed him:

A. NGT
B. Gastrostomy
C. central TPN
D. Peripheral TPN
Answer: A

pt after RTA have pelvic bleeding , how to stop the bleeding:

A. internal iliac artery ligation
B. packing
Answer B

Female Pt with carpal tunnel syndrome , after surgery pt have pain in the
wrist and hand , TTT:
A. Opiates
Glory Team

B. physiotherapy
C. counseling
D. triptan
Answer: B
If acute pain post-op > wound incision pain give analgesia

Female patient presented with right lower quadrant pain, doctor decide to
do abdominal CT scan, What you have to do before that:
A. check if need to contrast
B. proceed for Ct
C. pregnancy test
Answer: C

55 pt present to the ER after a car accident, there's a pic of CXR show aortic
dissection and lung contusion , what’s next step :
A. chest tube
B. aortic repair and stent
Answer: B if unstable
If hemothorax, insert chest tube

what’s the gold standard investigation of peripheral vascular diseases :

A. duplex US
B. MRI
C. CT angio
Answer: C

Female with breast mass , BI-RADS 3 what’s next:

A. core biopsy
B. close follow up
C. mastectomy
Answer: B

Female with breast mass , BI-RADS 4 what’s next:

A. core biopsy
B. close follow up
C. mastectomy
Answer: A

Pt with calcified echinococcal cyst 6x5 cm , TTT :

A. percutaneous drainage
B. IV metronidazole
C. surgery
D. observation
Glory Team

Answer: D

Pregnant 10 weeks, complaining of attacks of biliary colic in the past 5 weeks

, TTT:
A. laparoscopic cholecystectomy now
B. laparoscopic cholecystectomy after delivery
C. laparoscopic cholecystectomy in second trimester
D. laparoscopic cholecystectomy in third trimester
Answer: C

female have fundus cancer going for surgery, what is lymph nodes you will
resecate :
A. superficial iliac
B. para aortic
C. common iliac
Answer: B

Newborn just delivered having diaphragmatic hernia , what’s the first thing to
do:
A. NGT
answer: A
Stabilization (intubation) then NGT

Pt with neck injury in zone I , vitaly stable , what’s next :

A. neck exploration
B. CT face and neck
Answer: B

pt with forearm fracture and open wound 1cm , what’s TTT :

A. close reduction
B. wire
C. cast
D. debridement , irrigation , fixation
Answer: D

what’s the common cause of cholesterol gallbladder stone :

A. obesity
B. rapid weight loss
answer: B

Pt with history of Cholelithiasis, today present with abdominal pain after fatty
meal, on US : multiple gallbladder stones, thick wall , CBD 12 mm , what’s next:
A. ERCP
Glory Team

B. MRCP
C. lap cholecystectomy
D. open cholecystectomy
Answer: A

Alcoholic Pt presented to thr ER with severe epigastric pain radiates to the back ,
with pic of CXR shows air under the diaphragm, what’s your dx:
A. perforated peptic ulcer
Answer: A

during laparoscopy doctor just start the procedure pt become hypotensive

84/50 what’s the cause:
A. cold gas
B. increase preload
C. rapid inflation of the abdomen
Answer: C
Peritoneal stretching > vagal stimulation

pt present with stab wound of the chest , pt dyspneic , BB: 100/60 PR: 100 ,
chest is clear equal air bilateral , muffled heart sound , what’s you Dx :
A. pneumothorax
B. hemothorax
C. cardiac tamponade
Answer: C

pt present with stab wound of the chest , pt dyspneic , BB: 100/60 PR: 100 ,
chest is clear equal air bilateral , muffled heart sound , what’s next step investigation
:
A. ECG
B. Echo
C. X ray
Answer: B​ “ cardiac tamponade”

what’s the surgical indication for Graves’ disease :

A. eye manifestation
B. resistance to antithyroid therapy
Answer: A? Incomplete Q

Patient have a car crash , he had an injury in the neck , the is tissue visible , how to
manage him ?
A. Intubation
B. Cricothyroectomy
C. O2 mask
Glory Team

Answer is C

Thoracocentesis , where to insert ( which rib)?

Answer is​ 8-9
Thoracocentesis: between 9 & 10 ribs midaxillary line
Needle thoracotomy: 2nd rib space

Pt post operative and leak 20ml fluid from the wound

A. Dressing
B. Wound exploration
C. Lap
Answer is A

What is the gold standard investigation for Critical Limb Ischemia?

A. CT angio
B. Arterial US
C. MR Angio
Answer is A
If there is digital subtraction angiography chose it

Ethics:

pregnant with fetal distress and refused to do CS:

A. her decision
B. her husband decision
C. ethical commetti
Answer is C
If she refuses to sign only > take husband consent
If she refuses the surgery, you cannot do it by force since she is competent

consultant and resident question (pharmacist think px is allergic to it)

refuse gently?
A. let consultant sign it
Answer is A

Dr want to explain family cystic fibrosis from a to z wts call?

A. Summartion
B. Paraphrasing
Answer is A

Female has ovarian torsion, dr. explained to the patient about surgery and got consent
from the husband, but the patient refused doing surgery:
Glory Team

A. Do surgery
B. Tell someone of the relative
C. DAMA
D. Husband consent is enough
Answer is C

Female pt going for breast examination but she wants female doctor to
examine her what you will do:
A. refuse
B. respect
Answer: B

during abdominal examination the intern forget to close the curtain what he
broke:
A. principal of dignity
B. principal of privacy
Answer : B

You want to do surgery to a 15 y old , from where take the consent ;

A. Parents alone
B. Patient alone
C. Both of them
Answer is ​Parents consent and ass the child

Topics and pics​:

-HOCM
-RHD criteria
-Asthma mx
-IBD
-GBS
-Multiple sclerosis
-TOF
-SCA > sequestration crisis
-Glomerulonephritis
-Scarlet fever
-HUS
-HTT
-DIC
-ITP
-SLE criteria
-barking cough
-IDA
-caruncle of urethra
Glory Team

-shock
-fibroadenoma
-Bilateral mammogram
- extopic , abortion , amenorrhea, dysmenorrh fibroid, pcos ,adenomyosis
-lots of obs/gyne qs about dilatation, effacement and next step of management
-management of open wound with fracture
-ecg of pericarditis
-management of pericarditis
-hyperkalemia management
-Pic of ECG asking what is the dx “ show left bundle branch block” :
A. MI
B. RBBB
C. LBBB
answer: C