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which of the following most common causes for hypercalcemia :-1

primary hyparparathyroidism

2-a 70 year old woman with a few months history of leg pain.gum bleeding .petechia
on the arm after the application of sphygmomanometer. Which one of the following
vitamin deficiencies does this patient have:
a-vit A
b-vit B
c-vit C
d-vit E
e-vit B12

answer is c

3-in jordan , which of the following is used for treatment of drinking water :-

1-flore
2-co2
3-sodium chloride
4-chlorine
5-lodine
answer is d

4-all the following are associated with aortic dissection except :-


1- sudden
2-pin is sharp in nature
3-sever pain
4-confusion
5- chest pain radiating to the back
answer is d

5-ALL the following true about brucellosis except:-


1- treatment is usually with tow active antibiotic
2-the most common causes of death is endocarditis
3-leucopenia or normal white blood cell count is ommon during infection
4-recurrence rate is 40%
5-treatment is usually for 6 week at least
answer is cc

6-the following are causes of hemoptysis except :-


1-bronchiectasis
2-mitral stenosis
3-Goodpastures syndrome
4-TB
5-COPD
answer is 5

6-all the following are risk factor for atherosclerosis except :-


1-alchohol
2-female
3-hypercholestrtolemia
4-DM
5-smoking
answer is 2
7-A man develops erctile dysfunction post infarction ,you are planing to start
sildenafil (viagra) which the following medication is must you stop :-
1- ACEI
2-aspirin
3-digoxin
4-metopolol
5-nitrates
answer is 5

8-most common causes of malignant otitis externa in diabetic :-


1- strept pneumonia
2-staph aureus
3-klebsiella
4-psudomonas aeroginosa
5-e.coli
answer is 4

9-vocal resonance is increased in which of the following :-


1-emphysema
2-pleural effusion
3-empyema
4-lobbar pneumonia
5-pneumothorax
answer is a

10-ECG abnormalites in left ventricular hypertrophy includes all the following


except :-
1-ST depression
2-T-wave inversion in V5 and V6
3-left axis deviation
4-short R wave in leads V5 and V6
5- deep S wave in lead V1
answer is 4

11-all the following are primary health care principles except:-



1-inter-sectorial collaboration
2-accessible health services
3-inappropriate use of technology
4-health promotion
5-community participation
answer is ccc

12-all the following true about buerger disease except :-


1-meales are more common affected
2-smoker are more common affected
3-it affect peripheral arteries
4-it is inflammatory condition
5-it occurs in elderly patient
answer is5555

13-all are manifestation of paracetamol poisoning except :-


1-renal failure
2-liver failure
3-jaundice
4-bronchospasm
5-hypoglycemia
answer is 44444444

14-in patient with acute pulmonary edema , which the following is true abut use of
morphine :-
1-may cause vomiting
2-causes systemic vasocostriction
3-should be given only if aminophylline produces no improvement
4-it is cintraindication if heart failure is due to hypertension
5-it is be given orally
answer is 22222222222

15-macrocytic anemia is a typical feature of all the following except :-


1- alchohol abuse
2-iron def anemia
3-myelodysplastic syndrome
4-folic acid def
5-hemolytic anemia
answer is 22222222222

16-which the following use for preventing neural tube defect during pregnancy
answer is folic acid

17-which the following infection is transmitted chiefly from person to person



1-estern equine encephalitis
2-west nile viral encephalitis
3-meningiococcal meningitis
4-clifonia encephalitis
5-ascaris
answer is3333333

18-THE MOST COMMON CAUSES FOR BACTERIAL TONSOLITIS IS:-


1-staph aureus
2-strept pneumonia
3-group b strept
4-strept pyogenes
5-strept viridans
answer is 444444444

19-the extra cellular fluid of 60 kg man is


1- 36 L
2-9 L
3-48 L
4-12 L
5-24 L
answer is 12 liter

20-which of the following are true about influenza vaccine injection :-


1-it protect against all type of influnza
2-it is particulary indicated for healthcare
3- its contraindication in pregnancy
4- its given once in the life
5-it is contrindication in person with immune deficiency
answer is 33333333
21-recognized causes of thrompocytopenia all of the following except :-
1-hypersplenism
2-myloprolifertive disorder
3-carcinoma
4-iron def anemia
5-connective tissue disorder
answer is ddddddddd

22- all the following are associated with klenifeltr syndrome except:-
1- tall stature
2- learning diffecult
3-type 2 DM
4-affect females
5-presence of gynecomatia
answer is dddddddd

23-which of the following antiboitic can causes hemolysis in patient with G6PD
deficincy :-
1-foxycycline
2-imipenem
3-oxacillin
4-levofloxacin
5-trimethoperim/sulfamethaxazole
answer is 55555555

24-regarding bronchogenic carcinoma include all except :-


1-weight gain
2-superior vena cava obstruction
3-scalene node involvement
4-hoarseness
5-fits
answer is aaaaaaaa

25-warfarin inhibit the synthesis all the following factor except:-


1-factor 9
2-factor10
3-factor 12
4-factor2
5-factor7
answer is ccccccccccccc

26-all the following is true about heart failure except :-


1- patient should avoid high salt food
2-ACEI can be used in treatment
3-sever anemia can causes heart failure
4-right side heart failure causes pulmonary edema
5-hyponatremia can occur
answer is 444444444

27-all the following are known for hypertriglycaridemia :-


1-steroide intake
2-hyperthyroidism
3-chronic renal disease
4-acidosis
5-DM
answer is 2 NOT sure
28-all the following are clinical fetures for phaenochromocytoma :-
1-weight gain
2-vomoting
3-sweating
4-hypertention
5-palpitation
answer is aaaa

29-the diagnosis of chronic hepatitis B is done if :


a-HBsAg persists more than 6 months
b-HBcAb IgM persistis more than 6 months
c-HBsAb persistis more than 6 months
d-HBcAb persistis more than 6 months
e-if liver enzymes are persistently elevated alone more than 6 months

answer is aaaaaa

30-in which the following patient ,using antibiotic considered misuse


1-a patient with common cold
2- a patient with follicular bacterial tonsolitis
3-a patient with UTI
4- apatient with fever and neutropenia
5-a patient with cellulitis
answer is aaaaaaaa

31- the commonest primary immunodeficincy usually involves :-


1-phagocyosis
2-neutrophilis deficiency
3-complement system
4-t-cell deficiency
5-antibodies production
answer is 444444

32-the most common causes for primary immune deficincy is"_


1-chronic granulomatous disease
2-hypwer IgE syndrome
3-chediask hegashi syndrome
4-low IgA
5-common virable immune deficincy
answer is 44444444444444

33- the most common causes for mitral valve stenosis is:-
1-MI
2-pericarditis
3-syphilis
4-RF
5-congenetal mitral stenosis
answer is 444444444444

34- 48
, ,
,
whats the most likely dianosis
1-pericarditis
2-pneumothorax
3-prinzmetal angina
4-gastroesophageal reflux disease
5-unstable angina
answer is 4444444444

35-