SLE October 2008

Medicine

1. The best investigation to differentiate iron deficiency anemia from other anemias of chronic illness:

a) Serum ironb) Serum ferritinc) TIBCd) ..

2. A male patient who is a known case of hypercholesterolemia, BMI :31, his investigations show (numbers): high total cholesterol, high LDL & high TG......Of these investigation what is the most important risk factor for developing coronary artery disease::

a) Elevated LDLb) Elevated HDLc) Low HDLd) Elevated cholesterole) Elevated triglyceride level

3. A side effect of L-Dopa:a) Dyskinesia b) ..c) ..d) ..

دورها تعبت خالص

4. The most common cause of secondary hypertension is:a) Renal artery stenosisb) Adrenal hyperplasiac) Pheochromocytomad) Cushing's diseasee) Renal parenchymal diseae

5. A 27 yo girl came to the ER, she was breathing heavily, RR 20/min. she had numbness & tingling sensation around the mouth & tips of the fingers. What will you do?

a) Let her breath into a bagb) Order serum electrolytesc) First give her 5ml of 50% glucose solutiond) ..

6. A pt was brought by his son. He was pulseless & ECG showed ventricular tachycardia, BP 80/? Your action is:

1

a) 3 set shockb) One D/C shock (cardioversion) c) Amiodarond) CPR

7. One of the following is a characteristic of cardiac syncope (vasovagal attack):a) Rapid recover صحb) Abrupt onsetصحc) When turn neck to side d) Bradycardia االصحe) Neurological deficit

8. An elderly female presented with history of bilateral hand stiffness that is worse in the morning. On examination she had bony swellings in the distal interphalangeal joints. These swellings are:a) Heberden noduleb) Buchard's nodulec) Synovial thickeningd) Synovial cysts

9. An elderly male pt who is a known case of debilitating disease presented with fever, productive cough. Sputum culture showed a growth of G-ve organisms on a buffered charcoal yeast agar. The organism is:

a) Mycoplasma pneumoniaeb) Klebsiella pneumoniaec) Ureaplasmad) Legionella

10.An elderly lady presented with chronic knee pain bilaterally that increases with activity & decreases with rest. The most likely diagnosis is:

a) Osteoarthritisb) Rheumatoid arthritisc) Septic arthritisd) ..

- عن سؤال في كان NSAD COMPLICATION-اظن,;HYPOKALEMIA11.The most common cause of chronic renal failure:

a) HTN b) DM.c) Hypertensive renal diseased) Parenchymal renal diseasee) Acute glomerulonephritis

2

12.Aspirin & clopedogril indicated for:a) A 55 year old man with acute coronary syndrome.b) A 65 year old man with hx of MIc) A 65 yo man with stroke.d) A 65 yo man with CHFe) After cardiac catheterization

خالل الول بس صح االتنين فكرة خالل 12على ينعطي الزم والتاني 4شهرا شهور

13.One of the following is true about the home treatment of COPD:a) Give O2 if SO2 is less than 88%b) Give O2 if SO2 is 88-95%c) Give O2 at night (nocturnal) onlyd) ..

I] المعلومات ها قروا احسن بس ناقص السؤال هذا

Long-term oxygen treatment may improve your quality of life. It

reduces the risk ofdeath Long-term oxygen therapy should be used as

continuously as possible and for at least 18 hours a day. Regular use

can reduce the risk of death from low oxygen levels.1 To get the most

benefit from oxygen, it should be used 24 hours a day.

initial arterial blood gases test should be done to determine whether

you need oxygen and may be required to satisfy Medicare

requirements for reimbursement if home oxygen therapy is used. If

you do not meet the following guidelines, Medicare may not pay for

home oxygen therapy:

← Arterial partial pressure of oxygen (PaO2) is less than or equal to

55 mm Hg (millimeters of mercury, a measure of pressure).

← Arterial oxygen saturation is less than or equal to 88%.

← Arterial partial pressure of oxygen (PaO2) is between 56 mm Hg

and 59 mm Hg or oxygen saturation is 89% and you have:

← Evidence of right-side heart failure due to breathing

problems (cor pulmonale).

← Heart failure.

3

← An increased number of red blood cells (erythrocytosis).

← Arterial oxygen saturation is greater than 88% when you are

resting but becomes less than or equal to 88% when you are

exercising or sleeping.

Oxygen is usually prescribed to raise the PaO2 to between 60 and 65 mm Hg or the saturations from 90% to 92%. Higher flow rates usually do not help, and they can even be dangerous

14.Which of the following indicate inferior wall MI (Inferior chest leads) in ECG are:

a) II, III, AVFb) V1,V2,V3c) V2, V3, V4 d) I, V6 e) I, aVL, VI

15.Treatment of pseudomembranous colitis:a) Metronidazoleb) Vancomycinc) Amoxicillind) Clindamycin

16.A pt who is a KCO posterior MI presented with syncope. Examination showed canon (a) wave with tachycardia, unreadable BP & wide QRS complexes on ECG. The diagnosis is:

a) Atrioventricular re-entrant nodal tachycardiab) Ventricular tachycardiac) Pre-existing AV blockd) Anterograde AV blocke) Bundle branch block

17. A pt had HBsAB +ve, but the rest of the hepatitis profile was negative. The diagnosis is:

a) Immunization from previous infection, past exposure or vaccination

b) Carrier statec) Chronic hepatitisd) Active infection

18. The drug with the least side effects for the treatment of SLE is:a) NSAIDsb) Methotrexate

4

c) Corticosteroidd) Hydroxychloroquin

19.A young male who is a known case of sickle cell anemia presented with abdominal pain & joint pain. He is usually managed by hospitalization. Your management is:

a) In-patient management & hospitalizationb) Out-patient management by NSAIDc) Hydration, analgesia, monitoring. d) Narcotic opioids

20.A lot of bacteria produce toxins which are harmful. Which one of the following is used in amiddirs:

a) Botulismb) Tetanus c) Diphtheriad) Staph aureus

21.All the following cause hyponatremia except:a) DKAb) Diabetes insipidusc) High vasopressin leveld) Heart failure

22. A pt is a known case of moderate intermittent bronchial asthma. He is using ventoline nebulizer. He develops 3 attacks per week. The drug to be added is:a) Increase prednisolone doseb) Add long acting B agonistc) Add ipratropiumd) IV aminophyllin

23.Warfarin is given to all the following except:a) Young male with Atrial fibrillation & mitral stenosisb) Male with AF & cardiomyopathyc) Male with AF & prosthetic heart valved) Elderly male with normal heart

24.The antihypertensive of choice for diabetics who have HTN:a) Ca channel blockerb) β -blockerc) ACEId) α – Blocker

5

25.A 24 Y/o man presented with 4 month Hx of diarrhea with streaks of blood & mucous. Ulcerative colitis was confirmed by colonoscopy. The initial therapy for this patient:

a) oral corticostreiodb) azathioprinec) infleximabed) 5-Aminosalicylic acid e) Sulfasalazine

26. The typical ECG change associated with the first hour of acute pericarditis:

a) Q wave inversionb) ST inversionc) ST elevationd) T wave inversione) prolong PR interval

27.A 20 years old male who is a known asthmatic presented to the ER with shortness of breath. PR 120, RR 30, PEFR 100/min. examination revealed very quite chest. What is the most propable management?

a) Nubelized salbutamol b) IV aminophyline فيه مكتوب كان السؤال silent chest النc) Pleural aspiration d) Hemlich maneuver e) Chest drain

28.Plavix & aspirin used for:a) Pt with previous history of ischemic strokeb) Pt going for angiogramc) MId) Acute coronary syndrome

معاد

29.A hypothyroid pt on thyroxin had anorexia, dry cough, dyspnea & left ventricular dysfunction. She had normal TSH & T4 levels, Hyperphosphatemia & hypocalcemia. The diagnosis is:

a) Primary hypoparathyroidismb) Secondary hypoparathyroidismc) Hypopituitaritism d) Uncontrolled hyperthyroidism e) اعلم والله مخربط شكله السؤال ماادري

اجابته سؤال في كان secondary hypothyrodismبس

30.A female patient presented with symptoms of hyperthyroidism, tender neck swelling & discomfort. She had low TSH & high T4 level. The diagnosis is:

6

a) Subacute thyroiditisb) Thyroid nodulec) Grave's diseased) ….

31.Which of the following is a drug-induced SLE:a) Hydralazineb) Azithromycinc) Metoprolold) Digoxine) Penicillin

32. Treatment of pseudomembraneous colitis:a) Metronidazoleb) Amphotiricin Bc) Vanconazoled) Vancomycin IVe) Docicyclin

33.A patient on IV line developed fever due to infection. The most common source of bacterial contamination of IV cannula:

a. Contamination of fluid during manufacturing processb. Contamination of fluid during cannula insertionc. Contamination at site of skin entryd. Contamination during injection of medicatione. Seeding from remote site during intermittent bacteremia

Surgery

34.A 55 yr old man presenting with Hx of streakes of blood in stool and dull pain on defecation that persists for half an hour after defecation, on examination there was a 3x2 cm thrombosed mass at 3 o’clock. What is the management?

a) Sitz bath 5 times/ day.b) Application of local anesthetic and incision.c) Application of antibiotic d) Band ligation and wait for it to fall e) Application of local anesthetic ointment

35. A 42 year old woman presented with a painful breast mass about 4 cm in the upper lateral quadrant. It increases in size with the menstrual period. Examination showed a tender nodularity of both breasts. What is the management:

a) Hormonal treatment with oral contraceptive pillsb) Hormonal treatment with danazol

7

c) Lumpectomyd) Observation for 6 months

36.A 48 year old man complaining of right lower quadrant pain, bleeding per rectum, nausea & vomiting. What is the best pre-operative investigation?

a) Air contrast enemaخطاb) Fecal occult bloodخطاc) CBC?d) السؤال ها ?الاذكر

37. 17 year old young male presented with abdominal pain that started periumbilical then became localized in the right iliac fossa. CBC showed high WBC count (typical presentation of acute appendicitis). The best next step is:

a) CTb) USc) Serial 3 abdominal filmsd) Sigmoidoscopye) Diagnostic laproscopy

38. A 26 year old woman had a perforated gallbladder post cholecystectomy. She presented with right upper guadrant pain that was tender, with fever of 380C, a pulse of 120 bpm & raised right diaphragm on CXR. The most probable diagnosis is:

a) Acute cholecystitisb) Acute pancreatitisc) Acute appendicitisd) Subphrenic abscesse) Perforated peptic ulcer

39. A 10 year old boy came to the ER with Rt scrotal pain and swelling, on examination: tender Rt testis, with decreased flow on Doppler study. Your diagnosis is:

a) Herniab) Hematocelec) Testicular torsiond) Orchitis

40. A 17 year old man presented with a 12 hours history of central abdominal pain then it became localized in the right iliac fossa. On examination he had pyrexia, guarding & rebound tenderness (a case of acute appendicitis). The most appropriate investigation is:

a) CT scanb) Pelvic Ultrasoundc) Diagnostic laparoscopy

8

d) MRIمعاد

41. A 60 year old diabetic man presented with dull abdominal pain & progressive jaundice. On examination he had a palpable gallbladder. The most probable diagnosis is:

a) Chronic cholecystitisb) Common bile duct stonec) Carcinoma of the head of pancreasd) Gallbladder stonee) Hydrocele of the gallbladder

42. A 30 year old man presented with feeling of heaviness in the lower abdomen. On examination he had a small bulge palpable at the top of the scrotum that was reducible & increases with valsalva maneuver. The most likely diagnosis is:

a) Indirect inguinal herniab) Direct inguinal herniac) Femoral herniad) Hydrocelee) Varicocele

43.A 48 year old woman presented with right abdominal pain, nausea & vomiting. On examination she had tenderness in the right hypochondrial area. Investigations showed high WBC count, high alkaline phosphatase & high bilirubin level. The most likely diagnosis is:

a) Acute cholecystitisb) Acute appendicitisc) Perforated peptic ulcerd) Acute pancreatitise) Inferior MI

44.An elderly male pt came with bleeding per rectum & abnormal bowel habit. O/E liver span was 20 cm. what is the next step?

a) Colonoscopyكولنسكوبي حلهم كان سؤلين في بس السوال ها اذكر ما انا

45. The most accurate tool for diagnosis of appendicitis:a) US b) Diagnostic laparoscopyc) .. اف معادd) ..

46.A pt had perforated gallbladder during cholecystectomy. She developed fever, tachypnea, Rt sided chest pain. CXR showed elevation of Rt dome of diaphragm. The diagnosis is:

9

a) Subphrenic abscessb) Cholecystitisc) Appendicitisd) ..lمعاد

47.Which of the following indicate large uncomplicated pneumothorax:a) Symmetrical chest movement.b) Increase breath sound c) Dull percution note.d) Tracheal deviatione) Cracking sound with each heart beat

48.An 8 month old baby presented with a hx of recurrent crying with on & off jelly stool. The diagnosis is:

a) Intussuception b) Intestinal obstructionc) Mickle's diverticulumd) Strangulated hernia

Obstetrics

49.A 27 yo pregnant lady, 19 weeks gestation, a smoker, presented with PV bleeding followed by painless delivery. She was told nothing was wrong with her or her baby. The diagnosis is:

a) Cervical incompetenceb) Fetal chromosomal anormalyc) Molar pregnancyd) ..

50.A pregnant woman, multigravida, 38 weeks gestational age presented with glucosuria. Gestational diabetes was confirmed by glucose tolerance test. The next step is:

a) Repeat Glucose tolerance testb) Cesarean sectionc) Diet adjustmentd) Start sliding scale insuline) Start oral hypoglycemic medication

51.The commonest symptom in the presentation of abruptio placentae is:a) Vaginal Bleeding 80%b) Abdominal pain70%c) Abdominal massd) Irregular uterine contractions 35%e) Hypogastric tenderness

10

52.A pregnant lady, 8 weeks gestation, came with Hx of bleeding for the last 12 hours with lower abdominal pain & she passed tissue. O/E the internal os was 1cm dilated. The diagnosis is:

a) Complete abortionb) Incomplete abortionc) Missed abortiond) Molar pregnancye) Threatened abortion

53.A young primigravida, 35 weeks gestation, had BP of 140/90, headache, proteinurea & lower limb edema. What is the best management:

a) Oral labetololb) Diureticsc) Low sodium dietd) Immediate C.sectione) Admission & observation of feto-maternal condition

54.A 30 yo lady in the third trimester of her pregnancy developed a sudden massive swelling of the left lower extremity extending from the inguinal ligament to the ankle. The most appropriate sequence of work up & treatment:

a. Venogram, bed rest, heparinb. Impedance plethysmography, bed rest, heparinc. Impedance plethysmography, bed rest, vena caval filterd. Impedance plethysmography, bed rest, heparin, warfarine. Clinical evaluation, bed rest, warfarin

Gynecology

55.A 55 year old lady on HRT is complaining of spotting on day 21 of the cycle. What will you do?a) Pap smear b) Endometrial samplingc) Stop HRTd) Add progesteron

56.Elderly female married since 30 years had fever, chills, dysurea, and diarrhea. No back pain. The diagnosis is:

a) Acute bacterial cystitisb) Acute pyelonephritisc) Bacterial gastroenteritisd) Viral gastroenteritis

57.A young female patient who is an office worker presented with itching in the vagina associated with the greenish-yellowish vaginal

11

discharge. Examination revealed red spots on the cervix. The diagnosis is:

a) Trichomoniasis b) Candidiasisc) Gonorrhead) Gardnerella vaginalis

58.A female pt presented with oligomenorrhea, she had 3 periods in the last year. She also had acne & hirsutism. Her body weight was 60 kg. PV examination was normal. The diagnosis is:

a) Polycystic ovary diseaseb) Hyperprolactinemiac) Adrenal tumord) Hypothyroidisme) Premature ovarian failure

59.Uterovaginal prolapse:a) Increase heaviness in erect positionb) More in blacksc) A common cause of infertility d) ..

60.A couple is trying to have baby for the last 6 month of unprotected intercourse. They wanted to know the possible cause of their infertility. What will you do?

a) Wait & see.b) Send to fertility clinic c) Semen analysisd) Pelvic exame) Body temperature chart

61.A 34 year old lady presented with pelvic pain and menorrhagia. There is history of infertility. On examinations the uterus was of normal size & retroverted. She had multiple small tender nodules palpable in the uterosacral ligament. The most likely diagnsosis is:

a) Fibroidb) Endometriosisc) Adenomyosisd) PID

62.A 50 year old woman (post menopausal woman) who is taking estrogen OCP every month & stops at the 21st day of the cycle. She presented with vaginal bleeding in the form of spotting 2-3 days after stopping the estrogen OCP (a case of postmenopausal bleeding). The best management is:

a) Pap smear

12

b) Endometrial sampling (biopsy)c) Stop estrogend) Continue estrogene) Add progestron

؟؟ بس السابق نفس السؤال اظن

- جوابه كان سؤال هو fuisiform utrus في ايش اذكر ما بس

Pediatrics

63.A patient presented with fatigue, loss a petite & bloody urine. She gave History of sore throat 3 weeks back. The most likely diagnosis is:

a) hemorragic pyelonephritisb) Post streptococcal GNc) Heamorragic cystitisd) membranous GN e) IgA nephropathy

64.A child of an HIV positive mother. He is not immunized. Which of the following vaccines should not be given to him?

a) Live oral poliob) DTPc) MMRd) Hepatitis B

65.A child swallowed his relative's medication. What is the best way of gastric decontamination?

a) Gastric lavageb) Total bowel irrigation (whole bowel wash)c) Syrup ipecacd) Activated charcoal

66.The commonest chromosomal disease is:a) Down syndrome (Trisomy 21) b) Klinfelter syndromec) Turner's syndromed) ..

67.A young girl pt had URTI 1 week ago & received septra (trimethoprime + sulphamethoxazole). She came with crampy abdominal pain & proximal muscle weakness. The diagnosis is:

a) Polymyositisb) Gullian parre syndromec) Intermittent porphyria

13

d) Periodic hypokalemic paralysise) Neuritis

68.All the following are present in otitis media except:a) Signs & symptoms of inflammationb) Signs & symptoms of effusionc) High grade feverd) Pain

69.A child presented with respiratory distress & accessory muscle

contraction. What is your treatment?a) Oxygenb) Bronchodilatorc) IV corticosteroidd) IV Theophylline) معاد

70.A child presented with dysphagia, sore throat, postnasal drip, drooling of saliva, rhonchi & fever of 38.50c. The treatment is:

a) Hydrocortisone injection immediatelyb) Call otorhinolaryngology for intubationc) Admit to ICUd) Give antibiotics & send him home

71.A child presented with respiratory distress & accessory muscle contraction. What is your treatment: برونكليتيز حالة كانت اظن

a) Oxygenb) Bronchodilatorc) IV corticosteroidd) IV Theophyllin

72.A child was treated for otitis media with 3 different antibiotics for 6 weeks but without improvement. Which antibiotic is the best treatment:

a) Amoxicillinb) Penicillin c) Cepahlosporin (ceprofloxacin)d) Amoxicillin + Clavulonic acide) Erythromycin + sulfamethoxazol

73.A baby came complaining of croup, coryza, air trapping, tachypnea & retraction. The best management is:

a) Erythromycinb) Penicillinc) Ampicillind) …

-

14

74.A 15 yo boy had hx of URTI 2 weeks ago. Now he is complaining of fever, bilateral knee pain with swelling & tenderness. The diagnosis is:

a) Sickle cell anemiab) Post-streptococcal glomerulonephritisc) Rheumatoid arthritisd) Rheumatic fevere) Septic arthritis

75.A 4 yo baby boy complaining of fever, chills, rigors & nuchal rigidity. O/E he had positive Kurning's sign & petechial rash on his abdomen & lower limbs. The diagnosis is:

a) Pneumococcal meningitisb) Meningococcal meningitisc) Aseptic meningitisd) Brain tumore) Encephalitis

Psychiatry- جوابه كان سؤال antipsychotic في-76.A 70 year old female brought to your clinic by her daughter. The

daughter said her mother’s memory deteriorated in the last 2 years. She can cook for her self but sometimes leave the oven on. She can dress herself but with difficulties. The daughter mentioned that her mother’s personality changed into a more aggressive person (pt has Alzehimer's disease). According to this history what is your appropriate management?

a)      Prescribe diazepam for the daughter and haloperidol for the mother b)      Refer the mother into chronic illness institute c)      Refer the mother to geriatric clinic d)     Immediate hospitalization

77.A man was intent as if he is listening to somebody, suddenly started nodding & muttering. He is having:

a) Hallucinationb) Delusionc) Illusiond) Ideas of referencee) Depersonalization

78.A patient was intent as if he is listening to somebody, suddenly started nodding & muttering. He is having

a) Delusionsb) Illusionsc) Hallucinationsd) Ideas of reference

15

e) Depersonalization lمعاد-Pt complain from diplopia nausea vomiting back pain: كتيرة وخرابيطSomatization disorder

- كانت اجابته سؤال dlusion- في

ENT

79.A 45 yo lady was complaining of dizziness, sensory neural hearing loss on her left ear (VIIIth nerve palsy), tingling sensation & numbness on her face, loss of corneal reflex. MRI showed a dilated internal ear canal. The diagnosis is:

a) Acoustic neuromab) Glue earc) Drug toxicityd) Herpes zostere) Cholesteatoma

80.A child presented with earache. On examination there was a piece of glass deep in the ear canal. The mother gave a history of a broken glass in the kitchen but she thought she cleaned that completely. The best management is:

a) Refer to ENTb) Remove by irrigation of a steam of solution into the earc) Remove by forcepsd) Remove by suction cathetere) Instill acetone into the external auditory canal

- ; قرات والفيروسي البكتيري االتهاب بين نفرق نقدر هل سؤال في كان فيه

- صعب ال

Ophthalmology

81.Treatment of herpes zoster in ophthalmic division:a) Oral acyclovir aloneb) Acyclovir & Prednisolonec) Prednisoloned) IV Acyclovir

82.Which of the following is not a sign or symptom of central retinal artery occlusion?

a. Painful loss of visionb. Painless loss of visionc. Previous transient loss of visiond. Dilated pupil with sluggish reaction to light

16

Orthopedics

83.A foot ball player his knee was hit from the left lateral side, valgus test was positive; drawer test & Laschman test were negative. Which of the following was injured?

a) Anterior cruciate ligament b) Posterior cruciate ligamentc) Medial collateral ligamentd) Lateral collateral ligamente) Medial meniscus

84.A pt had hairline metatarsal fracture. The x-ray was normal. What is the 2nd line?

a) CT scanb) MRIc) USd) ..

85.A pt presented with open tibial fracture. Which antibiotic you will give?a) Cefazolinb) Gentamycinc) Cefazolin & gentamicind) Cefazolin, Gentamycin & metronidazol

Urology

86.A Case scenario about a male patient present with prostatitis (prostatitis was not mentioned in the question), culture showed gram negative rodes. The drug of choice is:

a) Ciprofloxacinb) Ceftriaxonec) Erythromycind) Trimethoprimee) Gentamicin

87.A pt complaining of left flank pain radiating to the groin, dysurea, no fever. The diagnosis is:a) Pyelonephritisb) Cystitis c) Renal calculi d) ..

88.A 3 weeks old baby boy presented with a scrotal mass that was transparent & non-reducible. The diagnosis is:

a) Hydrocele

17

b) Inguinal herniac) Epidydimitis d) ..

89.A 29 year old man complaining of dysurea. He was diagnosed as a case of acute prostitis. Microscopic ex showed G-ve rods which grow on agar yeast. The organism is:

a) Chlamydia.b) Legonella.c) Mycoplasmad) ..

90.An 80 year old male presented with dull aching loin pain & interrupted voiding of urine. BUN and creatinine were increased. US revealed a bilateral hydronephrosis. What is the most probable Dx?

a) Stricture of the urethra b) Urinary bladder tumor c) BPH d) Pelvic CA e) Renal stone

Dermatology

91.A 10 yo boy presented with a 5 days history of skin lesion which was scaly & yellowish. The diagnosis is:

a) Tenia corporumb) ..c) ابدا السؤال هدا اذكر ماd) ..

92.A mother brought her baby & was complaining of diaper rash. She used cornstarch, talc powder, zinc ointment & 3 different types of corticosteroids prescribed by different physicians but with no benefit. The rash was well demarcated & scaly with satellite lesions. The most likely diagnosis:a) Candidal rashb) Seborrhic dermatitisc) Allergic contact dermatitis

93.A female pt presented with wheals over the skin with history of swollen lips. The diagnosis is:

a) Chronic urticaria with angioedemab) Solar dermatitisc) Contact dermatitisd) Cholinergic dermatitis

18

94.A child presented with honey comb crust lesion. Culture showed staph aureus. The diagnosis is:

a) Impetigob) ..c) ..d) ..

95.A pt presented with a 6 week history of itching & redness all over the body with wheals. Which type of urticaria this pt has:

a) Chronic urticaria. b) Solar urticariac) Allergic urtecaria متأكدة غيرd) ..

Neurology/Neurosurgery

96.Which of the following reduces the risk of post-therapeutic neuralgia:a) Corticosteroid onlyb) Valacyclovir onlyc) Corticosteroid & Valacyclovird) ..

97.A middle age man presented with sever headache after lefting heavy object. His BP was high. He was fully conscious. Examination was otherwise normal. The most likely diagnosis is:

a) Subarachnoid hemorrhageb) Central HTNc) Tension headached) Migrainee) Intracerebral hemorrhage

98.An 18 yo male who was involved in an RTA had fracture of the base of the skull. O/E he had loss of sensation of the anterior 2/3 of the tongue & deviation of the angle of the mouth. Which of the following nerves is affected?

a) I (Olfactory)b) III (Occulomotor)c) IV (Abducens)d) VII (Facial)

Medical Ethics

99.You were working in a clinic with a consultant who prescribed a drug that was contraindicated to the pt (the pt was allergic to that drug) but you didn't interfere & assumed that he knows better than you do. Which of the following you have violated:

19

a) Professional competenceb) Quality of caring of patient.c) Honesty. d) Pt relationship e) Maintaining trust

100. Physician's carelessness is known as:i بالنت دوخني السؤال هذاتحت هده الخرابيط يحط بالنت النه منه ولكم malpractice ومومتأكدة

ههههههه القرارa) Malpracticeb) Criminal neglectc) Malfeasanced) Nonfeasance

Statistics

101. You are reading a population study that states that 90% of lung cancer patients are smokers while 30% of lung cancer patients are non-smokers. What is the specificity of using smoking as a predictor of lung cancer?

a) 10%b) 40%c) 30%d) 70%e) 90%

Family & Community Medicine

102. The most important factor in attempt of successful cessation of smoking is?

a) The smoker’s desire to stop smoking.b) The pharmacological agents used in the smoking cessation program.c) Frequent office visits.d) Physician’s advice to stop smokinge) Evidence of hazards of smoking

يحوي كان .. 100االمتحان على زايدة أسئلة معنا طلع التجميع بعد لكن سؤال النقصان وال الزيادة .العموم

للجميع بالتوفيق

Written by:KFU Medical Interns

Athari AlOtibi , Munira AlSuwailem, Noof ALTurki, Zainab Al-Zayer, Zahra Al-Sanna, Dalia Al-Jedawi, Laila Bubshait, Taghreed Al-Hindi, Mona Al-Awam, Doa’a Al-Saleh, Noof Al-Abdulqader, Methal Al-Bayat, Maha Al-Madi, Bushra Al-Sogair, Dana Al-Ja’afary, Zainab Al-Matar.

20

Collected & Organized by:Amani AlShay

ا اا صحتها في سعيت والله انا الجاباتمنها تأكدت تقريبا كلها كتير اخطاء فيها يكون ما الله شاء وان

الجميع يوفق والله

اختكمAMAL AL-AMRI

باااااااااااااااااااي بااااااااي

تدعوالي . ممكن احم احم

21