Medical Exam Questions 2020 PDF

2020 ‫تجميع األسئلة الجديدة‬ )‫سابقا(نسأل هللا لهم ولكم التوفيق يارب‬ ‫من األطباء الذين إمتحنو‬.................................................................................... 2020/10/14‫االسئله من امتحان‬ 1- t...

2020 ‫تجميع األسئلة الجديدة‬ )‫سابقا(نسأل هللا لهم ولكم التوفيق يارب‬ ‫من األطباء الذين إمتحنو‬.................................................................................... 2020/10/14‫االسئله من امتحان‬ 1- the concentration of potassium in ORS A. 20 mmol/L B. 30 mmol/L C. 50 mmol/L D. 70 mmol/L E. 110 mmol/L 2- the duration of 2nd stage of labor A. 10-30 minute B. 30-50 minute C. 45-95 minute D. 3 days minute ‫تقريبا دي كانت الخيارات‬ …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ‫ الضهر‬2020/10/7 ‫األسئلة االتذكرتها انا أمتحنت‬ ‫ شوفوا انتو في النت و كدا حلوها‬.. ‫ ف ما معناها صح‬..‫و الحلول المحلوله دي الكتبتها‬ 1- Indirect inguinal hernia is said to be (sliding) when the content of hernia is : A. Ceacum B. Dudenum C. Viriform appendix D. Omentum 2- Site of chest leads located at left 3rd intracoastal space: A. V1 lead located in 4 intercostal space to left ،‫اﻟﺴﺆال دا ﻋﺪﻟﻮه‬ B. V2 ??! C. V4 v2 ‫اﻟﺠﻮاب ﻛﺎن‬ D. V3 3- The following is true about chronic halitosis: A. Can originate in the stomach B. Comonly caused by extraoral disease C. Result from food collecting in mouth D. Can be removed by cleaning dorsum of tounge 4- 30 yrs old male presented with hemoptysis 340 - 380 ml started 8 h ago smoker, A. Otherwise healthy what is initial important step in Mt : B. Chest xray C. nasophayrgeal examination D. Cbc E. Blood group and cross match F. All answers are true 5- Diabetic pt with high BP what is the antihypertensive drug of choice : A. Thiazide B. Blocker C. Amilodipine D. ACE inhibitor 6- What is the best ideal instrument to use with Diathermy A. In intraopreative ligation of bleeders : ‫شكلي لخبطت الصيغه لكن ده الفهم غايتو‬ B. Kocher artery forceps C. Medium artery forceps D. ‫تاني في خيارين ما اتذكرتهم‬ 7- A patient underwent Prostatectomy 4 h post operative pt in sever pain and sensation of desire to urinate despite been catheterized And blood stained fluid is coming from the stitches what could be the cause? A. Primary hemorrhage B. Secondary hemorrhage C. Dehesence of bladder bands ‫ال حاجه كدا‬  8- Which of the following is susceptible to cholestasis? A. Paraplegia B. Mysthenia gravis C. Hyperparathyroidsm 9- Pt with long standing diabetes presented with purulent discharge from the ear, tender auricle but afebrile with Normal total WBCs what is the causative organism : A. Pseudomnaus aurginosa B. Staphylococcal C. Candida D. Viral …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ‫طبعا انا قبل ما اطلع من االمتحان حاولت أحفظ األسئلة الجديدة فاتذكرت سؤالين تاني‬ 1. Inguinal repair without complication A. clean surgery B. clean dirty C. dirty D. dirty clean 2. The Commonest primary presentation of anal fissure A. Bleeding B. Pain 3. The position of inflamed appendix commonly: A. Retrocecal B. Periilium C. above iluim D. deep in pelvic E. Positio of inf appendix  4. Antibiotic for DSF with green discharge A. samxone B. cefruxime C. gentamycine D. cefalxime 5. Commonest organisim in infective indo carditis A. B. Most common in IE C. Strep viridans?? 6. Stage of delivery head in cephalic presentation A. flextion, defextion, rotation, external rotation. ‫ الخيارات بتشبه بعض مع اختالف بسيط دي كانت اجابتي‬stage of head deliver :- engagement , decent flexin , internal rotation, extension,external 7. TTT of tb pregnant lady rotation ‫ بفترات مختلفة‬anti tb drugs ‫الخيارات كانت‬ ed trimester2 ‫وفي خيار انك تبدأ التريتمينت في‬ ethamputol , rifampicin , ionized 8. 4 month boy with burning micturition, terminal hematuria, itching, un circumcised. A. phimosis B. bladder stones C. bilharsiasis ‫حاولوا حلوا الما عرفت احلهم ألنه الحظت بركزوا يكرروا األسئلة الجديدة في االمتحان‬ ………………….. ‫تذكرت جانا سؤال سناريو‬ 9. Pt with URTI, sore throat, fever and Exudative pharyngitis ‫ و عايز التشخيص‬: A. Infectious mononucleosis B. …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… 1. otitis externa in diabetic pt ‫سؤال عن‬ common causative organism‫عايز ال‬ Pseudomonas aeruginosa‫اللي هي‬ 2. ‫ و سؤال عن ال‬yellow fever ‫عايز الناقل حقها‬ (transmitted to people primarily through the bite of infected Aedes or ‫الجواب من النت‬ Haemagogus species mosquitoes) 3. In pt with shock practical cannula to use : A. Cannula size 24 B. Cannula size 22 C. Cannula size 20 D. Cannula size 18 E. Cannula size 14 4. Pt underwent spleencotomy, his CBC in next day showed Platelets about 1 Million microliter of blood, what action you would like to take : A. Start iv heparin B. Give oral warfarin C. Perform exchange D. Repeat the test E. Give aspirin 5. You came by a pt in word that underwent surgery yesterday, you noticed that the drain was full of blood, the nurse took a blood sample for the lab, his pulse 130 prm, Bp 80/60, tackypneic, what is the next step to do: A. Administration of blous of 2L of NS B. Administration of hydrocortisone 200 mg iv C. Wait for the lab result D. Administration of adrenaline  6. A mother with down syndrome baby is asking you what is the possibility to get an another baby with down syndrome : A. 5% risk with age related B. 10% risk with age related C. 15% risk with age related D. 20% risk with age related E. 25% risk with age related …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… 1. Extrarenal association of polycystic kidney disease : A. hepatic cyst B. splenic cyst C. diverticulosis D. pericarditis 2. Aboute fetal hydropse which is false: A. polyhydrominous B. small placenta C. ascitis D. subcutanous odema E. pulmonary odema 3. Which is the most important things on dressing : A. vegerous wash with saline B. vegerous iodine C. vegerous hydrogene peroxide D. sterile gauze E. local antibiotic 4. Pt had supracondiler fracture and the median nerve was affected, So pt can't do : A. opposition B. dorsiflexion of the metacarpofalangial joint of the index figer C. dorsiflexion of the metacarpofalangial joint of the little finger D. adduction of the thumb  5. About Rota virous gastroentritis all are true except : A. occure in winter B. asossiated with respiratory symptoms C. it cause bloody diarrhea D. it's selfe limited 6. All of the following are sign of chronic liver dx except : A. Roth's spot B. palmer erythema C. spider navi D. ascitis 7. Pt underwent right side open thoracotomy which analgesia is best for him : A. iv pethidine B. im pethidine C. iv diclophenac sodium D. continue epidural anaethesia through epidural catheter 8. Bloody nipple discharge indicate : A. breast abscess B. fibroadenoma C. duct papiloma D. fibrocystic disease of the breast E. breast carcinoma 9. Normal seminal analysis? ‫ال اتذكر الخيارات‬ 10.Fate of K on DKA management? ‫ال اتذكر الخيارات‬  11.Complication of open prostatectomy? ‫ال اتذكر الخيارات‬ 12.Use of bicarbonate on treatment of metabolic acidosis is hazardous why? ‫ال اتذكر الخيارات‬ 13.You send aTB pt to home after 3 days he came to you complaining of nausia, vomiting and ting of jaundice, what will you do? ‫ ال اتذكر الخيارات‬stop anti tb and request lft 14.A child of TB mother? ‫ ال اتذكر الخيارات‬Prophylaxis with isoniazid (3-6 months) is recommended in neonates born to mother with TB who are infectious. 15.Episiotomy? ‫ال اتذكر الخيارات‬ can cause post partum Hemorrhage * ،‫ واللي ما اتزكرت الخيارات بتاعتها كتبتها ليكم اخر حاجه ف اقرو عنها‬،‫دي االسئلة اللي اتزكرتها مع الخيارات‬ ‫موفقين ان شاء هللا‬ …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… 1. Thoracic epidural analgesia has been considered the ‘gold standard’ for pain management after thoracotomy. 2. Intraductal papilloma is the most common differential diagnosis of bloody nipple discharge, duct ectasia and cancer are other differentials.  3. fetal hydrops is characterized by ascites, pleural effusion, pericardial effusion, and skin edema, it may also be associated with polyhydramnios and placental edema. 4. Extrarenal manifestations of autosomal dominant polycystic kidney disease are the presence of cysts in liver, pancreas and spleen. …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… 1. Good prognostic feature in MS pts which of the following ? A. Acerebellar ataxia B. Boptic neuritis C. Cprogressive paresis D..... 2. Causes of convulsions in a child with chronic renal failure include EXCEPT A. Ahypocalcemia B. BHyponatremia C. CUremia D. DHypertensive encephalopathy 3. pt underwent laprotomy after RTA they found lacerations in the liver what would be appropriate management? A. Apartial hepatectomy B. diathermy C. ligation of hepatic artery or one of its branches supplying that area D..... 4. prostaglandin inhibitors not used during pregnancy ‫ما بتذكر صيغة السؤال بالضبط‬ ‫بس ضمن اإلجابات كان في‬ A. Premature closure of ductus arteriosus  5. ‫كان في سؤال عن‬ Lady pt uses warfarin and had some complications then she came to hospital what would you do? A. stop warfarin hospitalize the pt and order INR B. reduce her dose of warfarin and send home C..... D.... 6. elderly pt have HTN..came unconscious with BP 190/150 (I think) A. Wht is most probable cause? B. intracerebral hemorrhage C. extradural hemorrhage D. subarachnoid hemorrhage E.... …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… 1. ‫ سالو عن‬endometriosis treatment and causes 2. Symptom of placenta abruptue all of the following except 3. Causes of conclusion due to renal failure 4. Treatment of duodenal ulcer after resuscitation 5. Incubation period for enter toxigenic E.col 1-3 days 6. Negri body present in what deadise rabies  7. Other come weigh t loss for month and mylagia..examination murmur splenomegally... Endocarditis 8. Complication of PID all of the following except 9. Profuse vaginal discharge present in …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… 1. missed pariod : A. ruptured ovarian cyst B. Ruptured ectopic pregnanacy 2. The appropriate management of female with bilateral tubal obstruction is: A. Recanalisation B. In vetro fertilization C. Intrautrine insemination 3. The early complication of surgery of hernia repair : A. Wound infection B. Hematoma C. Small bowel obstruction D. Adhesions 4. Toxicity of MgSo4 include the following except: A. Hyperreflexia B. Reduce patellar reflex C. Slurred speech  5. Pt presented with abd pain in RIF and fever he had a similar history 2 months ago A. Appendicular abscess B. Appendicular mass 6. Pt with pancreatic carcinoma his blood test may reveal: A. Raised alkaline phosphatase B. C19-9 C. Serum bilirubin 7. 16 years old came to ER in evening with lower abdominal pain and anorexia what will be you managment : A. total WBC B. ultrasound examination 8. ‫والسؤال الفصيل‬ Class II div 1: A) B) C) D) …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… 1. Ducke staging A. Stage B 2. 65 year old man c/o back pain and he had nephrotic syndrome and asitis u/s show normal kidney : most likely is A. Diabetic nephropathy B. Chronic use of analgesia C. Chronic GN D.............. 4???? 3. Aherman syndrome cause: A. Menorrhagia B. Amenorrhea C. Metrorrhigia D. Dysmenorrhea 4. Glucosureia in a pregnant lady was found during ANC visit most likely is: A. Gestational diabetes B. Should perform glucose tolerance test C. Due to increase glucose filtration in the urin D. Give insulin 5. osteosarcoma in young pt mostly affect: A. Hip joint B. Knee joint C. Wrist joint D. Elbow joint ‫ ( وكل‬my tummy hurts) ‫ وبتغيب من المدرسة كتير وكل مرة بتشكي انو‬١٤ ‫ في وحدة عمرها‬.6 ‫الفحوصات نضيفة‬ ‫او اي شى‬And have good appetite no vomited A. Diaphragmatic hernia B. Functional abdominal pain C. Esophageal reflux D..... 7. Post partum depression what of the following is true : A. Affect 10 30? Of all pregnant ladies B. Having past history of depression does not affects the risk of having post partum)(‫)المهم حاجة بالشكل ده‬ C. Self limited condition D. Young multipras are at high risk 8. Mother who is breastfeed and taking specific drug which of the following drug is contraindicated during breastfeeding : A. Lithium for bipolar disorder B. Carbamezabin for seizure C. Propranolol for hypertension D. Ibuprofen for analgesia 9. Which of the following vaccine should not be given for a pregnant lady even if she exposed for its condition : A. Rabies B. Meseals C. Hepatitis b D. Tetanus  10. What is least time for Pt have grown AB streptococi cause pharyngitis initiate iv penicillin That will prevent him from rheumatic fever : A. 48 h B. 24h C. 2 week D. 9 day 11.Pt have 3 way silcon catheter which become not functional and blocked by clot What you will do: A. Remove it wash the clot and reinsert it B. Perform supra pubic cystotomy C. Urologist ‫حاجة كده ما متزكرة‬ 12.pt had ischemic heart disease most likely will found one of the following : A. Osler node B. Xanthelasma C. U wave on ECG or something D. 4......... …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… 1. Pt have nephrotic syndrome all of the following are true except : A. Edema B. Hypertension C. Albumin of >3 D. Hyperlipidemia 2. Pt have abscess on his hand which is treated partially coming to you again with same condition : A. Open and drained it under general anesthesia B. Frequent dressing C. Give antibiotics D....... 4 3. Pt having perianal abscess the best one to perform or to handed this is: A. Senior registrar B. Junior registrar C. Medical officer D. House offers 4. Mediolateral episiotomy better than medline in wihich of the following : A. Less blood loss B. Less tissue breakdown✅ C. Less payprauria D. Less entexion in tissue 5. 20 years old girl have lump in upper out quadrant of breast the lump well defined moblie 2 cm what will be your next action A. Ultrasound B. Mammography ✅ C. Fine needle aspiration 6. Patient have multiple head injury which of the following rapid increased Blood pressure: A. 3malta hemegel 7. 29 gestation baby diagnosed as hydrop.. All found expect : polyhydraminos A. Small placenta ✅ B. Pericardial effusion C. Ascites D. Subcutaneous edema 8. 35 years with right breast lump which become more painful with cycle diagnosis A. Fibroadenoma✅ 9. : Male with bleeding per rectum has tumor in sigmoid colon that reach musclaris mucosa no lymph node involved and no mets Which stage according to duke's criteria A. A✅ B. B C. C D. D 10. Child with mouth breathing and snoring : A. Adenoiditis 11. 7 year old female with ovarian tumor the type of it : A. Fibrosarcoma? 12. In a pt with massive Right sided pleural effusion, the likely cause : A. pneumococcal pneumonia B. Viral pneumnia C. L. V. F. D. -Pulmonary infarction E. pleural mesothelioma 13. tubal patency done by A. Ultrasound B. laparoscopy C. hystosalpinography 14. female complian of dysuria..she received trimethoprim- sulphamethazine but she not improve she denie fever,vomiting, discharge. what's your action A. add doxycycline B. treat with fluconazole C. change to ciprofloxacin D. inspect her genital 15. in VSD A. most of cases discover accidental during routine examination B. need prophylactic antibiotics before any surgery C. surgery done in children in 6 year D....... 16. 20 years old female complian of arthalagia malgia for 3 weeks before dental extraction on ex she febrile and there's clubbing,..mid diastolic murmur which investigation should be done A. chest x-ray B. ECO C. C - CBC and blood culture D....... ‫ ممكن تكون اجابة اذا كانت‬all of above …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… 1. Neonate with convulsion ‫ الجواب‬except : A. May appear as apnec attacks B. treatment of choice is carpamezapine C. occurs due to hypoglycemia D. Occurs in babys of diabetic mothers 2. 30 years male with seizur , which is not true? A. maybe associated with urinary incontinence B. may be proceeded with noisey voices C. non if the above D. - E. - 3. Wich of the following may cause LV overload ? A. aortic regurgitation B. constrictive pericarditis C. mitral stenosis D. tricuspid stenosis 4. VSD , all the following is ture except ? A. Can be discovered -accedantly during physical examination B. prophlaxis is required before any surgery C. can cause failure to thrive D. surgery must be done at age of 6 months. 5. a nurse with fever for 3 weeks , inspite of work up in the hospital, what is the LEAST likely diagnosis ? A. lymphoma B. Adult's diseases C. influenza D. purchitte bacterial infection 6. a not known diabetic male , has a fasting sugar of 130 , one another investigation to daigonse DM is ? A. Hba1c B. oral Gtt C. post prandial D. non other test E. repeat fasting sugar 7. pt with recurrent pneumonia, with foul smelly couph, wet sounds on chest , worse on lying flat and morning , there is finger clupping , you diagnosis? A. chronic pronchitis B. bronchceatises C. TB D. Emphysema 8. 25yrs pt with increased frequency of micturition,loin pain, urin shows low pH , low gravity, your diagnosis? A. renal TB B. papillary necrosis C. cancer D. spongy kidney …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… 1. female with upper right abdominal pain after a fatty meal of food , you diagnosis ? A. Gall bladder disease B. gastric ulcer C. 2. girl at age of puperty , with normal breast and onther thing that I don't remember , but absent uetrus ? Müllerian agenesis A. kinfeltter's syndrome B. Gonadal dysgenisis C. turner's syndrome D. - 3. aspiration pneumonits, most commonly caused by ? A. endotracheal tube ? B. extubation at left recumbent later position with head down C. extubation at semi ‫ حاجه‬position 4. trauma to head , pt developed right upper and lower limb weakness, can you recognise the site of bleeding ? A. subarchnoid B. intracerebral C. right subdural D. left extradural 5. pt developed seizur or coma, her urea and electrolytes were abnormal , with small contracted kidneys , wt is cause of the seizure or coma ? A. metabolic acidosis B. metabolic alkalosis C. - 6. pt known ashmatic , attended with cyanosis , severe SOB , bilateral wheezes Next best management ? A. oxygen B. salbutmal 5mg Nebs C. hydrocortisone 200mg IV 7. pt known diabetic , achieved to the hospital with coma , you gave him one ampule D50% , he woke up promptly , you next step is ? A. another one ampule and discharge B. another 2 and discharge C. another 1,+observation for 6hrs D. admition , one another ampule , regular IV glucose with regular measurements 8. fiatula treatment? A. Excision ( make sure ) 9. best investigation for Divertular disease is ? A. colonoscopy B. sigmoidoscopy C. parium enima 10.pt with abdominal distension for 4 months, musus + bleeding per rectum + abdominal pain , wts your diagnosis ‫؟‬ A. Divertular outpouching B. colon cancer 11.‫ واحدة ب سيناريو شبيه للدايفرتيكيوالر بس الفرق في‬weight loss B. ‫قالو الجواب كانسر‬ 13.Complcation pid A. Endomerosis ‫ وال‬ectopic  14.Thyroid Tumor A. Anaplastic ‫ وال‬medllury? 15.Urinary catheter A. *100 ‫وال‬ B. 300 16.Swelling in glatta swelling In glabella ? A. Ecapholcele answer encephalocele ‫وال‬ B. Mennengiocele 17. Swelling lat pubic A. Femoral hernua B. ‫وال‬ C. Retter D. ???? …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… 1. Male with bleeding per rectum has tumor in sigmoid colon that reach musclaris mucosa no lymph node involved and no mets Which stage according to duke's criteria A. A B. B C. C D. D 2. : Pt with tachycardia, normal BP, RR 22 and agitated had hematemesis which class of hemorrhagic shock A. Class 1 B. Class 11 C. Class 111 3. : 55 yo male came for a regular check-up his FBG 130 what is the next step to confirm diagnosis A. Repeat the test B. Check post prandial C. Perform GTT✅ D. do no thing 4. : There was a Q about halitosis A. Except stomach 5. [Complications of PID include the following except A. Endometriosis B. Hydrosalpinges C. Ectopic pregnancy 6. Pt had peritonitis the culture indicated E. Coli drug of choice A. Penicillin B. Cefipeme C. Meropenem D. Ceftrixone✅ 7. complications of rheumatoid arthritis all of the following except?! A. Sarcoma of bone 8. most causative organism of diabetic foot A. Gram +ve cocci✅ 9. Pt with thyroid swelling recently experienced change in voice which of the following is important preoperative measure A. IDL ✅ B. Thyroid function test C. Preoperative preperation of drugs 10.Pt presented with rapid progressive thyroid tumor what is the most likely A. Follicular B. Medullary C. Anaplastic 11.76 years old male develop anterior neck swelling (cystic) wih cause gurgling soud : aortic anurysm pharyngeal pouch ‫أﻧﺎ ﺑﺎﻟﻨﺴﺒﺔ ﻟﻲ اﻟﺠﻮاب‬ A. Phyrangel pouch elderly ‫ﻷﻧﻪ‬ B. Lyrngocele ✅ 12. Blood transfusion result in A. Hyperkalemia✅ B. Hypokalemia C. Hypernatremia D. Hyponatremia 13.Spinal anaestheia cause headache, backache and: A. Hypotension ✅ B. Hypertension 14.Fracture head of femor cause : A. Lateral rotation - abduction✅ B. Lateral rotation- adduction C. Medial rotation - abduction 15.There was a picture of skin pinch.. What is the indication A. Hypovolemia✅ 16.Male pt is due to undergo prostectomy what is the suitle urinary catheter A. 100 silicone foley catheter B. 3x coated silicone foley cather C. 2x coated silicone foley catheter D. Rubber foley catheter 17.Reduicable swelling in glattela : A. Ecaphaocele B. Hydrocephalus C. Meningocele D. Myelocele 18.Patient came with swelling laterally to pubic tubarcule : A. indirect inguinal hernia B. Direct hernia C. Femoral hernia D. Ritter's hernia 19.Ttt of anal fissure A. Lateral sphincterectomy B. Sphincter dilation 20.11 yo boy came with sudden onset of scrotal pain especially when elevate the scrotum.. He had the lesion since birth A. Spermatic cord torsion✅ B. Epidedimo-orchitis C. Hematoma D. Infentile hydrocele E. inflammatory inguinofemoral adnompathy 21.The following are not true about complications of pregnancy: A. Once a pregnant woman delivered by cs the subsequent deliveries will be cs 22.A male patient treated from pancreatitis in hospital.. 4 day later develop fever and severe pain.. C reactive protein positive A. Pancreatic pseudocyst B. Pancreatic necrosis C. Acute intestinal hemorrhage 23.A doctor's give aburn patient patient ppi why A. Curling ulcer 24.An eldery came complain of abdominal distension for 4 months, mucus discharge per rectum he had history of bleeding per rectum 1 year ago what is the most likely diagnosis A. Colon cancer B. Diverticuler disease 25.Pt involved in RTA he had breathing difficulty and multiple severe facial fractures the first step un management would be: A. Coricothyroidectomy B. Intubation and ventilation C. Deliver oxgyen by face mask D. Call a surgeon 26.Most induction of surgery bicornuate uterus ‫ وكم نوع كده‬: metromenorraghe A. Dysmerrohe B. Preterm dilevery C. Recurrent abortion  27. Alcoholic and smoker patient came to ER WITH severe abdominal pain what it most likely diagnosis : A. acute pancreatitis✅ ‫تعديل‬ b‫ االجابه‬ducks criteria ‫بالنسبة ل سؤال ال‬ 1 ‫ كالس‬hemorrhagic shock ‫وسؤال ال‬ B.lactames‫ عالجها‬e.coli ‫ السببها‬peritonitis ‫وعالج ال‬ ‫دا ع حسب كالم الكتب‬ ‫لكن السستم محفوظ فيه أي إجابات م معروف‬... …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… 1. The best treatment of endometriosis A. dexamethazone B. gonadotrophin✅ C. dexnal 2. the first sign of puberty in man A. appearance of public hair B...........................axillary hair C. increased size of testes✅ 3. in diabetes and renal disease A. threshold of dialysis same as CRF B. microprotienuria is late stage C. in the first stage decrease GFR  4. the frist organ effect by DIC in meningitis A. kidney B. adrenal C...... 5. in hydatidform mole which one incorrect A. preclampsia occur in 14 week B. hyothyrodism ✅ C. nausea. Vomiting D. uterus larger than 6. Pat have abstrptocoocus Phadngites ‫االجابة‬ A. 2weeks???? … 7. Vaccin shout not pregnnat given 8. Heptites? … 9. First male secondry sxual charcrstic A. Axillary hair first increase in testicular size then B. Pubic hair‫؟؟‬ pubic hair C. Face hair D. Body hair 10.Most organ prone to DIC in Meningitis ? A. Lateral ventricle of brain 11.Severe placental abruption Except? A. Fetal dyme  12.2nd stage in nulliparous women how minute? 13.Renal colic not cause obstruction? A. Wait to spontaneous removal …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… Other questions 1. Pt underwent repair of obstructed umbilical hernia on day six developed abdominal pain aid serous discharge from site of wond What is your diagnosis ▪ Answer :burst abdomen. 2. 16 yrs old on u/s congenital absent uterus ▪ Answer :Mullerian agenesis. 3. Pt present with central abdominal pain sever on examination there is is irregular pulse Bp90/60 what most likely diagnosis ▪ Answer :mesentric vessels ischemia 4. Other question about appropriate medication for endometriosis ▪ My answer: gonadotrophine(search about it) 5. Elderly Pt presented with abdominal radiated to back there is suspicious of pancreatic cancer ▪ Answer: is tumor marker pc19-9 6. First sign of puberty in male? ▪ Answer :tests start to enlarge 7. All these features occur in down syndrome except ▪ Answer :my answer is radial aplasia? 8. Prophylaxis for dvt in elderly underwent surgery ▪ Answer :clexane  9. 4yrs old child presented wih mouth breathing Snooring what is your diagnosis? ▪ Answer :adenoiditis✅ …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… 1. syndrome presented presented with. A. Amenorrihia B. Oligomenorrhia C. Hypomenorrihia D. Menorrhagia 2. what are the symptooms of ashermans syndrome? hypomen...‫ لكن تقريبا االجابه الصحيحة‬metromenorrhia ‫من ضمن الخيارات‬ 3. Best postoperative fluid for pt underwent appendicectomy : A. D5% B. Ringer lactate C. NS 4. Pregnant lady gestational age 40wks c/o:dizziness 'lightheadatness and feeling of unsteadily when she lay on her back choose the correct answer : A. Put on holter monter for 24hrs B. Immediate ECG C. Reassuring and tell her that is normal phenomenon and avoiding to lying on her back ‫دي اجابتي غايتو‬. 5. Pt underwent to splenectomy due to hypersplenism , 2nd day PO his platelets count is 1 million. Ur management? A. Give aspirin B. Blood exchange C. …….  6. Side effects of cortisol.. all except: A. Osteoporosis B. psychosis C. hyponatremia D... 7. Diabetic pt present to ur office c/o foot lesion with greenish discharge + fishy smell, sample was taken for culture & sensitivity, before the result come back meanwhile what is ur choice for injectable antibiotic? A. amoxicillin + clavulanate B. gentamicin C. cefuroxime D.... 8. Pt of blunt abdominal trauma, peritoneum lavage was bloody, laparotomy was decided, you prepared the pt as usual including urinary catheter, splenic laceration “or haptic not sure ” managed, when you examine the pelvic you find something rounded+ firm + move each site slightly, what do you think it is? not sure about answer A. urethra is raptured & its the floating prostate B. catheter’s balloon C. impacted fecal on rectum D. hematoma “of something can’t remember ” E. ehematoma “another one ” …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… 1. Anti D inj should be given to: All pregnant women with A. Rh +ve female and Rh -ve husband. rhesus negative blood (RhD B. Rh -ve female has motor vihcle Accident. negative) are advised to C. Rh-ve infant of Rh+ve mother. have anti-D, in case their D. -all Rh -ve mother. baby has a positive rhesus status (RhD positive 2. Multiple sclerosis good prognosis : A. optic neuritis B. late onset presentation C. progressive paraparesis D. intellectual problem 3. The least one to develop infective endocarditis : A. severe MR B. severe AR C. small vsd 4. All the followings are at risk to develop TB except : A. pt on steroids B. gastrectomy C. hepatitis B D. scoliosis 5. ‫ واحدة اكلت سلطة في مطعم و اتسممت بعد ساعتين‬: A. staph aureus B. Coli C. bacillus cerues 6. Asymptomatic pt his BP 150/105 in multiple readings : A. hydrchlorothiazide B. methyl dopa C. frusemide 7. Pt has neck stiffness, mild fever : A. thiazide B. hydralazine C. aldomet " methyldopa"  8. Pt with chronic pancreatitis can develop all the following except : A. DM B. steatorrhea C. hypercalcemia D. obstructive jaundice 9. Pt has severe epigastruc pain, x-ray show intraperitoneal air, next step? A. barium swallow B. endoscopy C. gastrografin D. exploration 10.Pt has toxic multinodular goitre, prepared for surgery, to prevent thyroid storm should given? A. carbimazole B. steroid high dose C. beta blocker high dose 11. ‫في سوال بتاع شنو كده م بعرف درسنق غايتو اجابتها بتاعت السالين دي‬ Important in Dressing A. Wash by Ns B. Hydrogen pyroxid C. Local Abx D. Vazlin goz 12. What true about Metronidazol A. High frist pass metabolizm B. Not efective in eanerob cause peripheral nuritis 13. What cause Halitosis A. Found in extra oral B. Otignate in stomach C. Most common cause tonsilitis ‫تقريبا‬ …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… 29/1/2020 Paper 1 and 2 new questions: 1. Male patient with high BP 150/110, asymptomatic at time of presentation, appropriate step: A. Reassurance, wait until he is symptomatic. B. Start Hydralazine C. Start Hydrochlorothiazide D. Start Lasix E. Start alpha-methyldopa. 2. Patient presented with seizures, which of the following makes the diagnosis of seizures unlikely: A. Rarely occurs when recumbent. B. Loss of sphincter control. C. None of the above. D. Post-ictal Symptoms (e.g: weakness). E. Sounds and Voices before the attack. 3. Following is true about Rotavirus gastroenteritis in infants except: A. Common in winter. B. Associated with upper respiratory tract symptoms. C. There's fever and vomiting. D. Usually self-limiting. E. Associated with bloody diarrhea. 4. Left ventricular overload occurs in: A. Mitral stenosis. B. Aortic regurgitation. C. Tricuspid regurgitation. D. Cardiomyopathy. 5. Regarding VSD the following is true except: A. Usually discovered incidentally during clinical examination. B. Commonly complicated with failure to thrive. C. Surgical repair should be done at 6 months. D. Antibiotics should be prescribed before any surgical procedure. E. ??  6. The following are major criteria of Rheumatic fever except: A. erythema nodosum. B. Carditis. C. Erythema marginatum. D. ?? 7. Patient known diabetic on oral hypoglycemic agent, persented with symptoms (hypoglycemia), given 1 ampule of D50%, appropriate next step is: A. Give another ampule of D50% and discharge. B. Give another ampule of D50%, then start IV dextrose with serial blood glucose check. C. Give additional ampule of D50%, admission for 6 hrs then discharge. D. ?? 8. Patient had urine retention of 24 hrs. 3 days later he delivered upper and lower limb weakness (or vice versa), what's the diagnosis: A. Syringeomyelia B. transverse myelitis. C. Vertebral artery stenosis?? D. ?? 9. 25 years old (or 35, as far as i remember he is young) presented with Lt loin pain and frequency, urinalysis showed low urine pH and low specific gravity, diagnosis: A. Horseshoe kidney. B. Papillary necrosis. C. Renal TB. D. Medullary sponge kidney. E. Urinary bladder cancer.  10.Patient 30 y/o presented with fever and cough which is productive of sputum with foul smell, increased in the morning and when lying down, O/E he looks ill, finger clubbing and there are basal rales, diagnosis: A. Bronchiectasis. B. Emphysema (specific type??) C. ?? D. ?? 11. case of perianal abscess, who should do the surgery? A. senior registrar * B. junior registrar C. medical officer D. house officer 12.Most common site for bone cancer in young age A. Hip B. knee * C. elbow D. wrist 13.a young female pt has a normal breast, pubic hair but abscent vagina and uterus A. xxy B. klinefelter syndrome C. Turner syndrome D. mullerian agenesis * E. gonadal dysgensis 14.Female baby has exposed urinary bladder and ureters A. bladder exstrophy * B. epispadias C. ectopica vesica …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… 1. Osteosarcoma most common site ? Knee 2. Bacterial , tuberculosis in picture CSF ? TB 3. three way silicon coated 4. HSG? Hydrosalpinx 5. Picture paraphimosis 6. Vaccine contraindications in pregnancy? 7. Multiple myeloma ( anemia, nephrotic syndrome, back pain) 8. Burn? Curling ulcer 9. Head injury? Cushing ulcer 10. Ischemic heart disease ? Xanthlasma 11. Rheumatic fever feature except: erythema nodosum 12.Pt with acute calculus managed by. …………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… 1. Girl with abdominal wall and gall bladder defects the diagnosis A. Vasa ectopiea B. Enversion vasicus 2. Woman with menorhegiea all true except A. Von welbran B. Thyroid disease C. Iucd use 3. Mangemnt of midline anal fistula that's rich the rectus muscles A. Excesion of the trac B. Conservative 4. Risk factors for vaginal prolapse Contin all the following A. CS B. Subtotal hysterectomy 5. Middle age female accedintly head the needle part fractured inside the gluteus area what is the next step in mangment A. Removie it after 1 week B. 2 week C. Immediately 6. 70 Yr old man complain of Sever back pain and loin pain withe fever Creatinine 0.6 ultrasound show normal size kidney A. Diapatic neuropathy B. Polycestic kidney disease C. Glomerular nighritis 7. All are feature of rhemuntic fever except A. erythema nodiusum B. Marginatum C. Pancrititis 8. ‫ في سؤال عن‬asherman syndrome 9. which of the following can be diagnosed by hestosalpengogram A. Endometriosis B. Tubal obstruction 10.Management of postpartum depression includes A. 10-20 of all women B. Nedd psycholotherapist in Pt with high risk C. Resolve spontaneously after monthe 11.Multiple myeloma 12.Women with acute calcular colisistits manege by A. Iv fluid... Iv antibiotics B. Surgery after 1 week C. … 13.Bilharsias pHTN pt with Hx of IHD present with massive heamatamisis the 1st step before endoscopy A. Glypressi B. Proprnolol C. Glypressi +nitroglycride D. Vasopressi +propranolol 14.pt with head Injury developed massive heamatamisis what the type of ulcer A. Curling ulcer B. Decubtus ulcer C. Cushing ulcer 15.Pg with fully ditated cervix head at +2me.brane rupture abnormal ctg developed gush of fresh mecunim what the next step A. Wait for spontinous VD B. Forcep dilavery C. Oxytocin D. C/S  16.Pt with AHF the type of BT A. Whole blood B. Fresh blood C. Packed RBcs D. Plasma 17.Pt presented with massive Rt side pleural effusion the most likly diagnosis A. Bronchopneumonia B. Pulmonary mesethilioma C. Lvf 18.Negri body pathogomonic of A. Arboencephalitis B. Rabies C. Polio D. Chronic meningitis 19.4yrs old girl admitted with tachypnea Bp 80 /40 PR 60 ecg low voltage A. Pericardial effusion B. Acute myocarditis 20.Female u/s show bicorniate uterus other ass congenital anomalies A. Skeletal B. Trachioeophagial C. Urinary 21.Pt presented with epistaxis from caritilige part of the nose method to stop the bleeding is A. Aplly pressure by thumb and Index finger B. Iv adrenaline C. Im vit k D. Blood trans  21.Small diameter of pelvic inlet is A. Interspinus diameter B. Diagonal congugate C. Obstetric conjugate 22.Drainge of peri anal A bsceses done by A. Senior registrar B. Jonior regestrar C. MO D. HO 23.Precense of Single umblical artery in umblical cord seen during delivary in placenta A. Indicate congenital anomaly B. Is adequate A. Incedance equal in diabetic and non diabetic B. Not significant 24.Which of the following not true about shoulder dystocia A. Un predictable un preventable B. 80% associated with baby wt >4000gram 25.Newly deliverd women her doctor see her medication he advise to stop them which the least one effect breast feeding A. Lithium for bipolar disorder B. Carbamezapine C. Ibuprofen 26. ‫ سؤال عن ال‬Forneus gangrene 27.Most common organism of diabetic foot is A. Gram positive cocci B. Gram positive rod C. An earobic obligatory …………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………  ‫صور االوزبي الجديده‬ 1. A 4 years old male uncircumcised brought by his mother with penis swelling and tenderness : a) paraphemosis b) phemosis c) balanitis...‫انا ماالقتني ف الملفات دي‬.. ‫في امتحان الليله في صورة طفل عنده حبه ورا اضانو‬2. ‫ ف الخيارات‬...‫بتشبه دي‬..otitis external..cellulitis'''mastoiditis..otits media ‫غالبا اجابتها‬ Mastoiditis  uterine prolapse‫جابوا صورة‬3. ‫وخاتين ليك الخيارات‬ rectus prolapse.A valsava edema.B prodecentia.C prolapse ‫ يعني‬uterine procidentia... ‫دي كانت‬ sarcoma ‫ دي ساركوما تقريبا‬.4 5…………………………………. ‫……………………………………………………………………………………………………………………………………………‬ ‫…………………………………………………………………………………………………………………………………‬ ‫معلومات عن امتحان البيرمنت ‪2020‬‬ ‫االمتحان مكون من ‪ 2‬بيبر ‪ 200‬سؤال‬ ‫ ‬ ‫مقسمة كل بيبر فيها ‪ 100‬سؤال منهم ‪ 20‬صورة أوزبي‬ ‫ ‬ ‫مدة االمتحان ‪ 5‬ساعات كل بيبر ساعتين ونص‬ ‫ ‬ ‫لكن يحق لك تمشي بيبر ‪ 2‬طوالي لو خلصت بيبر ‪ 1‬حتى لو في نص ساعه‬ ‫ ‬ ‫❖ االوزبي بيكون مجموعهم في بيبر ‪ 1‬و ‪ 2‬زي ‪ 40‬صوره فيها زي ‪ 39-38‬مكرر‬ ‫❖ اخر نسبه للنجاح هيا ‪ 68‬بيقولها لكم اول ما تخشو القاعه حق االمتحان‬ ‫❖ يعني الزم تجاوب على ‪ 136‬سؤال من اصل ‪200‬‬ ‫نصيحة خشو الرابط دا‬ ‫‪http://www.smcreg.gov.sd/d2ec3058-38f9-4a22-a4d9-7998dc500c13‬‬ ‫دا الموقع الرسمي للمجلس الطبي فيه امتحان تجربي يوريك استايل االمتحان كيف‬ ‫النو حريفا االمتحان بيكون زي الشكل اللي في الموقع لكن دا تجربي فقط ‪ 25‬سؤال ‪.‬‬ ‫وبالتوفيق للجميع‬ ‫‪Do by: Dr. Abdullah Fawaz‬‬