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SMLE Flashcards

1
Q

1- Case colorectal screen adenoma 1.5 and histopathology reporting was tubular adenoma ?
A. 3 years screening
B. 5 years screening

A

A. 3 years screening

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2
Q

2- infant has stridor worsening in supine position improved on prone how would you diagnose this patient?
A. Bronchoscope
B. Laryngoscope

A

B. Laryngoscope

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3
Q

3-Female pt complaining of amenorrhea for 4-months T4 low Prolactin 200 What the dx
A. primary hypothyroidism
B. hyperprolactinemia

A

A. primary hypothyroidism

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4
Q

4-Pediatric case with UTI clear symptoms, fever 39, mentioned that child look unwell, asking about treatment:
A. oral antibiotic
B. iv antibiotic
C. oral then IV antibiotic

A

B. iv antibiotic

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5
Q

5- Inferior MI was vitaly stable preparing for coronary perfusion suddenly be hypotensive what is the cause Bp 80/40 PR 100??
A. RV infarction
B. Heartblock
C. LBBB

A

A. RV infarction

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6
Q

6- Strongest risk factor of Endometrial carcinoma:
A. PCOS
B. Multiple gestation
C. smoking

A

A. PCOS

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7
Q

7- Breast erythema US 2*3 collection suspect cyst or abscess starts ABX what next?
A. observation
B. incision and drainage.
C. Discharge

A

B. incision and drainage.

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8
Q

8-morbid obese GERD grad 3 which procedure:
A. Roux y surgery

B. Sleeve operation

Gastric lavage

A

A. Roux y surgery

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9
Q

9-Young asthma pt has symptoms after exertion but now present at the clinic asymptomatic. Spirometry was done and was inconclusive. What’s the next step?

A. repeat spirometry
B. methacholine challenge test
C. Give corticosteroids

A

B. methacholine challenge test

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10
Q

10-Led hemiparesis for 10 days and started physiotherapy, management?
A. Aspirin
B. heparin
C. thrombolysis
D. warfarin

A

A. Aspirin

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11
Q

11-7 years old girl having nausea and vomiting whenever on airplane flight for more than 1 hour what to give.
A. nothing
B. ondansetron
C. granisetron
D. diphenhydramine

A

D. diphenhydramine

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12
Q

12-Pt post RTA chest X-ray shows 3/4/5/6 rib fracture with pneumothorax, chest tube was inserted, collected more than 2000ml in one hour, you prepare to refer this pt to another hospital that has cardiothoracic surgeon, you will:
A. Wait to be transferred
B. Call the surgeon in the other hospital

A

B. Call the surgeon in the other hospital

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13
Q

13-Pt post RTA chest X-ray shows 3/4/5/6 rib fracture with no pneumothorax what is the next step:
A. Adequate Analgesia
B. chest tube
C. thoracotomy

A

A. Adequate Analgesia

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14
Q

14-Pt of rheumatoid arthritis compliance on MTx, improve and stable for years without attack, the LFT abnormal, what will you do?
A. stop MTx
B. adalimumab

A

A. stop MTx

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15
Q

15-Child with foreign body aspiration (peanut) and doctor prepare him to do endoscopy, where did you expect its location?
A. larynx
B. trachea
C. right main bronchus
D. lec main bronchus

A

C. right main bronchus

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16
Q

16-How can we diagnose the pt as cervical insufficiency based on transvaginal US?

A. < 5 mm
B. < 10 mm
C. < 25 mm
D. < 30 mm

A

C. < 25 mm

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17
Q

17-A case of ectopic pregnancy D1 B-HCG 1000 D4 1200, D7 700, What to do?
A- reassure
B-consider 2nd dose methotrexate
C- follow w oncology
D- metastasis screen

A

A- reassure

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18
Q

18- Child with muscular dystrophy. He is in RDS the parents refuse intubation because they had a child and he died. What to do?
A- Intubate
B- Call ethics
C- Call child rights
D- Do nothing

A

A- Intubate

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19
Q

19-9 wks. pregnant on exam fundus was palpable just at the symphysis pubis, what to order next?
A. Transvaginal US
B. CT chest

A

A. Transvaginal US

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20
Q

20- a 24y/o male presented with diarrhea and fatigue after chemotherapy for the treatment of colorectal cancer what electrolytes abnormality would you suspect?
A- hypokalemia
B- hypocalcemia
C- hyponatremia
D- hypomagnesemia

A

B- hypocalcemia

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21
Q

21- A 23-year-old primigravida presented at 32-weeks of gestation with seizure (see lab results), Blood pressure 160/110 mmHg Heart rate 78 /min Respiratory rate 18 /min Temperature 36.6°C Test: Protein +++’ Most appropriate next step in management? A)steroids
B) diuretics
C) hydralazine
D) magnesium sulfate

A

D) magnesium sulfate

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22
Q

22-Female with postpartum depression for 5 days, the baby is breasned well, but she is sad and cry, what is appropriate initial step?
A- Discharge follow up after 1 week
B- SSRI
C- Benzodiazepines
D- Multivitamin

A

A- Discharge follow up after 1 week

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23
Q

23-Baby has discoloration of his tooth and molars, he sleeps with the milk bottle in his mouth, what could be the cause?
A- Nursing bottle caries
B- Gingivostomatities

A

A- Nursing bottle caries

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23
Q

24-Patient treated with antibiotics for salpingitis but not effective what is the most causative organism?
A) N. gonorrhea
B) C. Trachomatis

A

B) C. Trachomatis

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24
Q

25- Patient presented with right metatarsal Swelling and redness also he has fever, what are the possible causes
A. Staphylococcus aureus
B. salmonella bacteria
C. Urate crystals
D. calcium polyphosphate

A

C. Urate crystals

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25
Q

26- SLE pt HCQ not satisfied and still symptomatic what to add:
A. methotrexate
B. steroid

A

B. steroid

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26
Q

27-A woman with a led breast mass for 9months. Mammogram: speculated mass with suspicious micro calcification and axillary lymph node involvement, BI-RAD V (probable malignancy), next step?
A. Excisional biopsy
B. core Biopsy
C. Modified radical mastectomy

A

B. core Biopsy

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27
Q

28- A lady who just delivered, her uterus was lax with mild post-partum hemorrhage, there were no lacerations and no remaining products of conception in the uterus. What is the appropriate management?
A- oral 5 units oxytocin
B- 20 units oxytocin mixed with 500ml D5W IV
C- IV ergometrine 0.2mg
D- IM ergometrine 0.5mg

A

B- 20 units oxytocin mixed with 500ml D5W IV

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28
Q

29-An 8 y/o boy presented to the ED with severe rt iliac abdominal pain. What is the most common cause?
A- appendicitis
B- cholecystitis
C- intussusception

A

A- appendicitis

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29
Q

30-Typical of Osteoarthritis improve on ibuprofen and paracetamol, what’s the next?
A: Do standing x ray
B: MRI

A

A: Do standing x ray

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30
Q

31- A 12 years old boy diagnosed as DM1 , he is compliant with insulin and diet for 2 months , now he is suffering from hypoglycemia. What is this called
A- BriKle diabetes
B- Smogey effect
C- Honeymoon phase
D- Dawn phenomenon

A

C- Honeymoon phase

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31
Q

32- Smoker and obese female patient on combined OCP, at imagining there is 4x4 cm hepatic hemangioma. What is the most important thing to advise the pt.?
A. Decrease high carbohydrate and faKy meals
B. Stop smoking
C. Eat diet rich in fiber
D. Stop OCP

A

D. Stop OCP

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32
Q

33-5 months baby with vomiting abdominal examination epigastric olive like mass, ask about the electrolyte disturbance?
A. Hypochloremia ,hypokalemic metabolic alkalosis
B. Metabolic alkalosis

A

A. Hypochloremia ,hypokalemic metabolic alkalosis

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33
Q

34-Pregnant with high random blood sugar reading and fasting sugar. She’s at risk of what vaginal Infection?
A. Candida
B. Bacterial vaginosis

A

A. Candida

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34
Q

35-Neck penetrating injury on zone 1 with subcutaneous emphysema:
A. Neck explora[on
B. CTA
C. Angio embolization

A

B. CTA

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35
Q

36-a child known to have congestive heart failure and dilated cardiomyopathy, present with cough and shortness of breath A chest X-ray was given “ not the exact one but similar”
What consultation you will give?
A- give digoxin
B- give inhaled .. can’t remember exactly the one, but was one of the asthma drugs C- tell them it’s a normal progression of his disease

A

A- give digoxin

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36
Q

37- 30 weeks gesta?on , she has lower abdominal pain with no bleeding or leaking if we suspect preterm labor , which of the following will confirm preterm labor ?
A-History will be enough to confirm preterm labor
B- Presence of contrac[ons in the CTG
C- Pelvic examination
D- cervix length

A
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37
Q

38-PPH after 10 min has bleeding what type of PPH
A. primary
B. secondary
C. tertiary

A

A. primary

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38
Q

39- 12 year old boy injured with supracondylar fracture and distal radial pulse absent , which of the following is the appropriate next step in management?
A-K wire
B- intramedullary nail
C-surgical explora[on
D-Closed reduction

A

D-Closed reduction

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39
Q

40-Which of the following corresponds to a 4 years old child ?

1-write his first name
2- copies square and triangle
3- says complete sentences
4- plays parallel or plays together
5. Female pa[ent (forget her age )with

A

3- says complete sentences

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40
Q

41-Pregnant lady came to the hospital with broken arm caused by husband abuse. Which of the following is the most likely ?me for increased in?mate partner violence?
A. Acer re[rement
B. During pregnancy
C. At family visits D. Holiday

A

B. During pregnancy

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41
Q

42-A patient known to have rheumatoid arthritis on methotrexate and ibuprofen presented with exacerbation what to add
A- Adalimumab
B- Azathioprime
C- Cyclophosphamide D- Hydroxychloroquine

A

A- Adalimumab

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42
Q

43-A 38 week gestation with high pressure , low platelet , protein in urine what to do ?
A- Emergency delivery
B- Observa[on

A

A- Emergency delivery

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43
Q

44-A 25 years old pa?ent presented to the emergency with tachycardia with HR 225 ini?al BP was 110/80 then dropped to 80/60. What is the most appropriate next step?
A- Amiodarone
B- Cardioversion

A

B- Cardioversion

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44
Q

45-A pa?ent with Thrombo?c thrombocytopenia, what is the most appropriate next step of management?
A- Plasma transfusion
B- Plasma exchange

A

B- Plasma exchange

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45
Q

46-A case with hypokalemia and hypocalcemia with flat T wave , other labs show very high urea and creatinine. What is the next management?
A- Dextrose
B- Ca gluconate
C- Ca resonium
D- Renal replacement

A

D- Renal replacement

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46
Q

47-Y/O Female pt with family Hx of mother had brest cancer & sister had ovarion cancer which screening test is appropriate for her?
A) Annual breast mammogram star[ng from now
B) Annual breast mammogram star[ng at age of 40
C) annual screening….

A
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47
Q

48- 40s old female, with heavy bleeding came to ER, what to do?
A- IUD
B- D/C
C- Hysterectomy
D- Mefenamic acid

A

B- D/C

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48
Q

49-Old man came complaining that (he can’t remember things), he some?mes forgets his friends’ names or celebrities in his community and phone numbers. His wife is worried he has Alzheimer’s.
Labs normal. He has tender knees (not something amazing just cause he’s old). No men?on how it affects his daily life.
A. Alzheimer’s
B. Benign forgetfulness

A

B. Benign forgetfulness

49
Q

50-adnexal mass was felt in healthy female with normal pelvic examina?on, no pregnancy, had her menstrua?on 2 weeks?
a) follicular cysts (not sure)
b) luteal cysts
c) pco

A

b) luteal cysts

50
Q

51-child with perforated dum and discharge come out what is the diagnosis
1) acute OM
2) otitis externa
3)Chronic OM

A

1) acute OM

51
Q

52-What is the most appropriate alternative treatment for severe depression ?
A. Electroencephalography therapy
B. Electroconvulsion
C. TCA
D. Phsychotherapy

A

B. Electroconvulsion

52
Q

53-Middle aged Females pa?ent has myalgia, joints pain, irritability which are resolved after ingestion of cold milk
what’s the possible diagnosis
A. 1ry hyperparathyroidism
B. 2ry hyperparathyroidism
C. 3ry hyperparathyroidism
D. Milk alkali syndrome

A

B. 2ry hyperparathyroidism

53
Q

54-8 years old Female pt brought by her mother to the emergency department with nausea and vomiting after ingestion of 2 packages of paracetamol, each package contains 20 tables, this is happened before 24 hours after fight with her mother.
On examination pt looks jaundiced has right hypochondrial tenderness, Bp=90/60mmhg HR=86, no labs provided.
What is the stage of paracetamol toxicity?
A.1
B.2
C.3
D.4

A

B.2

54
Q

55-What is the karyotyping of turner syndrome?
A. 69 xx
B. 32 xxx
C. 45x
D. 46x

A

C. 45x

55
Q

56-Neonate found to have ambiguous genitalia with high 17-Hydroxyprogesterone, where is the deficiency?
A. 17-hydroxylase deficiency
B. 21-hydroxylase deficiency
C. 11-hydroxylase deficiency

A

B. 21-hydroxylase deficiency

56
Q

57-14 years old Female has severe abdominal pain and mode changes 1 day before the menstrual cycle which prevents her from going to school and daily activities, recently she is on NSAID with some improvement and now she can go to her school and do her daily activities, but she is unsatisfied and requesting more analgesia, what you will give?
A. Diazepam
B. Advice for life style modification
C. Oral estrogen
D. Hysterectomy

A

B. Advice for life style modification

57
Q

58-One of the goals for Saudi Arabia in 2030 vision is to improve the health by decreasing the preventable causes of death under age of 5 years group, this will be conducted through
A. Specialized hospitals
B. Educa[on
C. Immunization

A

C. Immunization

58
Q

59-Middle aged male has beed treated for h.pylori , came with non offensive black tarry stool, which of the following medications may cause a black stool?
A. Pantoprazole
B. bismuth subsalicylate
C. Aluminum Hydroxide
D. Cholestyramine

A

B. bismuth subsalicylate

59
Q

60-Patient known case of asthma on albuterol , diagnosed as moderate persistent asthma what you will add ?
A. Inhalation corticosteroid
B. ICS
C. Theophylline
D. Montelukast

A

A. Inhalation corticosteroid
B. ICS

60
Q

61-Pt with hernia reducible came to er with pain and tenderness over the scrotum ?
1. Incarcerated
2. Obstructed
3. Strangulated

A
  1. Strangulated
61
Q

62-Male pt complain of recurrent heartburn increase when lay down at night, he felt a bitter taste in his mouth when he was lifting weight at gym, diagnosis?
A. Esophagitis
B. Gastritis
C. Boerhaave syndrome

A

A. Esophagitis

62
Q

63-baby can fixation of his head and sit withe father hand behind his back?

A

image ……

63
Q

64-Neck stab (knife اتوقع) wound (zone1) pt stable + subcutaneous emphysema next step A. CT neck + chest
B. Embolization (chose it if zone3)

A

A. CT neck + chest

64
Q

65- Pediatric aortic stenosis case , asked about management
Balloon Aortic vavuloplasty

A

Balloon Aortic vavuloplasty

65
Q

66-patient female elderly with symptoms of Orthopnea SOB PND, JVP, Bilateral basal crackles. S3.
what is the diagnosis

A- Pulmonary edema
B- MI
C- Mitral regurgitation
D- Right sided heart failure

A

C- Mitral regurgitation

66
Q

67-Patient admitted with pneumonia who requires M. Ventilation. CXR and US confirm the presence of a large pleural effusion. Thoracentesis done, but fluid remains.
All of the following are indications for complete drainage of the pleural fluid EXCEPT:
A. Pleural fluid pH <7
B. Pleural fluid glucose <2.2 mmol/L
C. Pleural fluid protein >5 g/dL
D. Pleural fluid lactate dehydrogenase concentra[on >1000 units/L

A

C. Pleural fluid protein >5 g/dL

67
Q

68-N&V suprapubic and LT iliac fossa tenderness Preg test & urine dipstick normal , Normal wbc , Initial management?
A- Abd xray
B- Abd CT
C- Diagnostic laparoscopy
D- Analgesia & discharge

A

B- Abd CT

68
Q

69-Doctor changed medical data in order to make his research better ?
A-Falsification
B-Fabrication

A

A-Falsification

69
Q

70-What is the most common cause of native valve infective endocarditis in the community ?
A. Staphylococci
B. Enterococci
C. Gram-negative coccobacilli
D. Streptococci

A

A. Staphylococci

70
Q

71-Female Patient BIRADS 3 ( probably benign) what to do next ?
A-Core biopsy
B-Follow up

A

B-Follow up

71
Q

72- 45 y/o female complete mammogram screening when to do it again ?
A. after 1 year
B. after 2 years
C. no need
D. forgot but i think acer 6 months

A

A. after 1 year

72
Q

73-Patient known hypertensive on lisinopril and amlodipine, recently diagnosed as TB What you will do:
1.decrease lisinopril dose
2.stop amlodipine
3.increase lisinopril
4.stop rifampicin

A

1.decrease lisinopril dose

73
Q

74-Pt with breast mass and in mammogram( calcification . What to do next ?
A. Needle core biopsy
B. Excisional biopsy
C. Mastectomy

A

A. Needle core biopsy

74
Q

75-Patient presented with tonic clonic seizure and he is confused (doesn’t not remember what happen)
Which of the following is the most appropriate initial step ?
A- ECG
B- EEG
C- Brain imaging
D- Lumbar puncture

A

C- Brain imaging

75
Q

76-What’s the best vaccine in preschool?
A-varicella
B- MMR
C-OPV
D-DTap

A

C-OPV

76
Q

77- 35 y/o female presented with chest pain and shortness of breath, chest x-ray normal and O2 sat were 88% PFT done for her all were normal except for DCOL it was 40% normal range is ( 60-120 ). What is the Dx
A- PE
B- Pneumonia
C- Heart failure
D- Acute bronchitis

A

A- PE

77
Q

78-Nonsmoker with a chronic nonproductive cough that does not get worse at night, with exercise, or with cold air Has clear rhinorrhea and a sensation of having to clear his throat but no heartburn; and CXR normal. What is the most appropriate initial Rx?
A. ICS
B. Albuterol inhaler
C. Oral omeprazole
D. Oral antihistamine plus decongestant

A

D. Oral antihistamine plus decongestant

78
Q

79- A child came for routine check up and found to have ASD 5mm. He is healthy •Most appropriate action :
A-Surgery
B-Follow up
C-Catheter
D-Antibiotic prophylaxis

A

B-Follow up

79
Q

80- Mangment of Copd exacerbate ?
A. albuterol
B. salbu+ipra

A

B. salbu+ipra

80
Q

81- Pervaginal exam of med student ?

A. okay
B. not in pt pregnancy
C. vaginalbleeding

A
81
Q

82- Best to prevent asthma exacerbation ?
A. pefr tech
B. spacer device skills
C. change environment

A

C. change environment

82
Q

83-Pic of air under diaphragm?
perf peptic ulcer

A

perf peptic ulcer

83
Q

84-Target bp in 65yo lad acc to jnc8 guidelines?
below 150/90

A

below 150/90

84
Q

85-Flail chest ?
A. Analgesia
B. orotracheal
C. call ortho (no assist vent or intub)

A
85
Q

86-As 2.5 thyroid nodule?
A. RAI uptake
B. FNAC

A

B. FNAC

86
Q

87- suspect intussusception ?
A. US
B. enema

A

B. enema

87
Q

88- Respiratory problems in infant?
A. meconium aspiration
B. surfactant

A

A. meconium aspiration

88
Q

89-What to hear in fever+ barking cough?
A. stridor
B. creps
C. wheezes

A

A. stridor

89
Q

90- Peforated PU?
erect abdominal X-ray

A

erect abdominal X-ray

90
Q

91-No ctg ,only ecg not very clear I think LBBB ( VS post MI)
new LBBB with chest pain and positive troponin is considered STEMI for PCI

A

new LBBB with chest pain and positive troponin is considered STEMI for PCI

91
Q

92-Smoking in pregnancy ,associated with ?
A. double uc vessels
B. LBW

A

B. LBW

92
Q

93- Scd…rt lower lobe crepitation and SOB in 1d ?
A. acute chest syndrome
B. infarction

A

A. acute chest syndrome

93
Q

94-Pic of pig vulvar lesion&raquo_space; bcc vs name of disease
vulvar lesion SCC and melanoma

A

vulvar lesion SCC and melanoma

94
Q

95- 2 cm from anal verge ?
A. anal
B. rectalCA

A

A. anal

95
Q

96-treatment of rectal Cancer ?
A. APR or
B. Chemotherapy

A

B. Chemotherapy

96
Q

97-HAV vaccine after blood transfusion
A. now
B. acer3or6m

A

A. now

97
Q

98-IgG in neonate from mother pn?
A. artifact
B. natural
C. passive
D. ac[ve immunity

A

C. passive

98
Q

99-Celiac compliance ?
biopsy
TTG

A

TTG

99
Q

100- Vaccine of preterm
on discharge
postpone to BW >1.5 kg

A

postpone to BW >1.5 kg

100
Q

101-Heroin addict want to start a program to eliminate the addic?on , which drug would you choose ?
A- Naloxone
B-Methadone

A

B-Methadone

101
Q

102-A 45 years old female came to the Family Medicine clinic for colon cancer screening. She has no past medical or surgical history. She has no family history of colon cancer. Which of the following is the appropriate screening method?
A) Request CEA and decide accordingly
B) Reassurance and endoscopy is not indicated in her case
C) Colonoscopy now and annually every 5 years
D) Colonoscopy from the age of 50 years

A

D) Colonoscopy from the age of 50 years

102
Q

103-During the influenza season, the supply of recombinant influenza vaccine (RIV4) is limited. Who gets the priority of receiving the vaccine?
A) School children
B) Pregnant woman
C) Isolated hypertension adults
D) Iron deficiency anemia children

A

B) Pregnant woman

103
Q

104-An 8 year old child has recently moved to another school and finds difficulty in making new friends. What’s the likely cause?
A) Hypomania
B) Depression
C) Adjustment Disorder

A

C) Adjustment Disorder

104
Q

105-An 81 year old male presenting with memory loss and difficulty remembering grandsons name, medically free apart from occasional alcohol intake. What is the likely diagnosis of his presentation?
A) Multi Infract Dementia
B) Alzahimers Disease
C) Alcohol Induced encephalopathy
D) Parkinsonism with Dementia

A

B) Alzahimers Disease

105
Q

106-A 47 year old male with 12 hour pain in first metatarsal joint with swelling and tenderness. Temperate 38 C . Cause of Presentation?
A) Disseminated Gonococcus
B) Staphylococcus Aureus
C) Monosodium Urate Crystals
D) Calcium Pyrophophase Crystals

A

B) Staphylococcus Aureus

106
Q

107-A 25 year old primigravida at 36 weeks gestation presented with feeling fatigue and unwell. She shortly developed shortness of breath and died. What is the likely cause of her presentation?
A) Amniotic Fluid Embolism
B) Peripartum Cardiomyopathy

A

B) Peripartum Cardiomyopathy

107
Q

108-A 13 year old boy medically free presented with neck swelling. One of the relatives recently diagnosed with lymphoma and the family is worried about their child.
Which of the following is an indication for lymph node biopsy?
A) Absence of fever
B) Presence of Hepatosplenomegaly
C) Lymph node size > 1cm

A

B) Presence of Hepatosplenomegaly

108
Q

109-A 28 year old female presented following radiation of neck with neck swelling. Ultrasound showed swelling in the led lobe of the thyroid of 3x4cm of papillary thyroid cancer. Which of the following is the best management?
A) Left Lobectomy
B) Left Lobectomy with Isthmusectomy
C) Subtotal Thyroidectomy
D) Total Thyroidectomy

A

D) Total Thyroidectomy

109
Q

110-A 71 year old male patient presented to the emergency department with fatigue. Two days ago, patient has CT Brain with contrast for transient ischemic attack.
Labs Showed Elevated Urea and Creatinine.
Which of the following is responsible for this patient presentation?
A) Pre Renal Azotemia
B) Acute Interstial Nephritis
C) Acute Glomerular Nephritis
D) Acute Tubular Necrosis

A

D) Acute Tubular Necrosis

110
Q

111-An 8 year old girl with persistent and continuous diarrhea, she drinks 3 pints of goat milk per day and is a fussy eater. Which of the following conditions explain her presentation?
Labs: Hb Low, MCV Low and MCHC High
A) Physiologic Deprivation
B) Giardiasis Parasitic Infection
C) Aplastic Anaemia
D) Hypothyroidism

A

A) Physiologic Deprivation

111
Q

112-A 35 years old female G2P1L2, precious twin pregnancy with uncomplicated antenatal care came to the emergency department at 35 weeks gestation with headache, abdominal pain and blurred vision. While she was stabilized in the ER, patient developed grand mal seizure.
Blood Pressure: 160/110
Protein +2
Which of the following describes her condition?
A) Labour
B) Eclampsia
C) Epilepsy
D) Preterm Labour

A

B) Eclampsia

112
Q

113-A 25 year old female primigravidae just delivered and her blood group is O negative and her baby blood group is O positive. What is the next appropriate management?
A) No Need for Anti-D
B) Give Anti-D for the mother
C) Inform the parent about the findings/result
D) Give Anti-D to both the mother and the baby

A

B) Give Anti-D for the mother

113
Q

114-A 33 year old female G5P3L2, breastfeeding her 5 months old child, presented to the antenatal clinic with a positive pregnancy test, patient does not know her last menstrual period.
Which of the following represents an accurate measurement of the gestational age?
A) Transvaginal ultrasound as soon as possible during the first trimester
B) Abdominal ultrasound during 18 weeks of gestation
C) Maternal perception of fetal size

A

A) Transvaginal ultrasound as soon as possible during the first trimester

114
Q

115-A 30-minute-old baby delivered at 27 weeks of gestation due to maternal placental abruption and baby had labored breathing and tachypnea.
Which of the following interventions could help to prevent this in the last 6 hours?
A) Mild Hypothermia
B) Respiratory Support
C) Fluid Resuscitation

A

A) Mild Hypothermia

115
Q

116-A 63 years old male, not to have hypertension and is a smoker. Presented with retrosternal chest pain, localized and non radiating.
ECG Showing ST Depression in Lead II, III and aVF.
Blood Pressure: 156/93
Which of the following risk factors is strongly associated with his presentation?
A) Smoking
B) Hypertension
C) Age
D) Male Gender

A

B) Hypertension

116
Q

117-Paracetamol toxicity high level 3h in Mathew curve
A. NAC
B. Charcoal

A

B. Charcoal

117
Q

118- Obese ht 175 wt 125, fail lifestyle changes ?
A. wt reduction medication
B. bariatric

A

A. wt reduction medication

118
Q

119- Pediatric Cushing features (obesity purple stretch marks in the abdomen +HTN),Initial management?
A. Head CT
B. Adrenal scintigraphy
C. Adrenal MRI
D. Early morning and evening serum cortisol

A

D. Early morning and evening serum cortisol

119
Q

120- CTG Picture of Variable Deceleration and Question Asked “A 35 years old primigravidae came to emergency with this CTG. What type of CTG is it?
A) Early
B) Late
C) Variable
D) Combined

A

C) Variable

120
Q

121- Patient with Bilateral Hydronephrosis, Distended Bladder and Dilated Urethra. Cause?
A) Prune Belly Syndrome
B) Ureterovesicular Junction Obstruction
C) Posterior Urethral Valve

A

C) Posterior Urethral Valve

121
Q

122-Percentage of Ectopic Pregnancy if Patient Has History of Previous Ectopic Pregnancy?
A) 1%-5%
B) 6%-10%
C) 20%-40%
D) > 50%

A

B) 6%-10%

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