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1-All Can Cause Lymphadenopathy Except:: Residency Exam - 2016 King Abdullah University Hospital
1-All Can Cause Lymphadenopathy Except:: Residency Exam - 2016 King Abdullah University Hospital
Note: Ninety percent of all patients have their first attack before they are 18 years old
5- Young adolescent complaining of painful lump below the knee, with protruding of tibial
tuberosity. the pain occurs during activities :
- Legg-Calv-Perthes disease
- Slipped Capital Femoral Epiphysis
- *Osgood-Schaltter disease
6- a 70 kg man , with Na 120 >>> calculate deficit Na ??
- 1300
- 560
- *840 ( here the q adopted Na=140 as reference for the calculation not 135)
Note:
Na Deficit = Sex * Weight * (DesiredNa - SerumNa)
Male (0.6), Female (0.5)
7- A child with gastroenteritis, awake and alert, normal vital signs, sunken eyes, depressed
fontanelle, expected percent of dehydration:
- * 5-9%
8- Baby was born with a birth weight of 3 kg, at 1 year of age, he is expected to be:
- * 9 kg
10- a patient come to emergency with hypertension, bardycardia , most likely cause:
- * bleeding into cranial cavity
11- 11 yrs old boy complains of chew twitching with drooling and inability to speak which wakes
him from sleep .. which of the following is the best next test:
- * electroencephalogram
- CT scan without contrast
- MRI
13- most likely of the following that increase the risk of breast cancer:
- *BRCA genes
- biopsy proven LCIS
- age
- family history of breast cancer
15- Patient with spherocytosis, came to ER with Hb of 5, blood transfusion was ordered. Patient
started to have fever, chills, and headache upon transfusion. The most immediate action to be
done:
- *stop transfusion and give antipyretics
- Recheck the type of donor's and recipient blood for possible mismatch
- give hydrocortisone and continue transfusion
23- A 6-day old baby presented with vomiting and irritability. His serum sodium was 120 and
potassium was 7. What is the most likely cause:
- * CAH
- Hyperaldosteronism
- Pyloric stenosis
24- Infective endocarditis prophylaxis may be recommended in all of the following, except:
- Mitral stenosis
- Aortic stenosis
- * HOCM
- Mitral prolapse without regurgitation
- ASD
28- All of the following are risk factors for endometrial hyperplasia except:
- * Intermittent COCP use
- DM
- Obesity
29- One of the following vaccines is given by 2 routes in the Jordanian National Program:
- * Polio
31- One of the following is most prognostic factor of the function in post trauma patient:
-the overall Glasgow coma scale
- low verbal response
-low motor response
-low eye response
32- 16 years old obese female .. With history of morning headache .. examination was normal
except for bilateral papilledema .. MRI was normal ... what's the next step :
_*LP with manometry
- CT scan without contrast
- EGG
33- All of the following are found in acute inflammatory demyelinating encephalomyelitis
except:
- * sensory level
- Normal CSF studies
- Fever and encephalopathy
- Loss of vision
- Cerebellar ataxia
37- One of the following requires a patent foramen ovale for survival:
- Tetrology of Fallot
- * Tricuspid atresia
- Truncus arteriosus
41- Which of the following is the most likely indicator of acute liver failure:
- * PT
- Bilirubin
- Albumin
- Ammonia
44- In the primary survey for a traumatized patient, it is important to ask him or his family about
all of the following, except:
- Last meal
- Current medications
- * Any abnormal movements while transferring the patient from the trauma scene
- Past diseases
- Allergies
45- One of the following is wrong about the uses of carcinoembryonic antigen:
-* for diagnosis
- for prognosis
- for follow up the treatment
- to know the severity of the disease
46- The most appropriate immediate management for a patient with anaphylactic shock is:
- * IM epinephrine
- H1 blocker
- H2 blocker
- Glucagon
48- A 23-year-old female presented with a breast mass in the upper outer quadrant. She has no
past medical history. What is the most appropriate imaging modality:
- * Ultrasound
- Mammogram
50- All of the following about solitary pulmonary nodule are true, except:
- Must be less than 3 cm
- Must be surrounded by aerated lung field
- Can't be multiple
- * Can be associated with atelectasis and lymphadenopathy
- Can be of any shape or border
51- The most appropriate test to start with in evaluating a thyroid nodule is:
- * Radioisotope scan
- FNA
- CT
- MRI
53- A 4-year-old child presented with left earache. Temperatue was 38.3 rectally. On otoscope, a
dull tympanic membrane was seen with absent light reflex. One of the following is true:
- * Streptococcus pneumonia is the most common cause
- Antihistamines are used in treatment
- This condition is not common in this age
- Tubes are usually needed for treatment
- The treatment of choice is giving one dose of ceftriaxone IM
60- Chronic atrial fibrillation can lead to all of the following except:
-* Pulmonary embolism
- Stroke
- Acute limb ischemia
- Mesenteric ischemia
61- All of the following are possible causes of metabolic alkalosis, except:
- * Hyperkalemia
- Vomiting
- Loop diuretics
64- All of the following about urge incontinence are true, except:
- Anticholinergics are an effective treatment
- *Colposuspension is a successful method for treatment