Professional Documents
Culture Documents
Dha
Dha
1-Patient complains of high intraocular pressure & optic disk cupping (chronic g
laucoma).Also, he has DM & COPD, appropriate management:
A-Timolol. B- Oral acetazolamide(?). C-Steroids.
2- Glaucoma is due to:
A-Iris & pupilary muscle narrowing the trabecular formation of the aqueous duct(
?).
B- Microscopical changes of the trabecular formation of the aqueous duct.
C-Vitreous abscess.
3-A man with DM & HTN sustained a motor traffic accident complains of floaters a
nd a curtain falling over his vision. On examination, he has loss of the lower f
ield of vision. DM & HTN are well controlled, what is the diagnosis:
A-Diabetic retinopathy.
B-Hypertensive retinopathy.
C-Retinal detachment(?).
4-A man returned from a trip where he used a tub bath developed a pustular rash,
what is the causative organism?
A-Syphilis. B-Pseudomonas aeroginosa(?). C- Herpes.
5-A child complains of vesicular rash around his mouth, some of which has ruptur
ed and formed a yellow crust. What is the diagnosis?
A-Impetigo(?). B-Erysipelas. C-Herpes.
6-A man with Psoriasis (they gave a picture), What could provoke an attack:
A-Sun exposure. B-Trauma (?)
7-A 4 year child with hearing deficit. On otoscopic examination he has decreased
mobility and opacity of the tympanic membrane, what is the diagnosis?
A-Acute Otitis Media. B-otitis Externa. C-Serous Otitis Media.
8-Indication of antibiotic prophylaxis for ear infection:
A-Otitis media 3 times in 6 months.
B-Tympanostomy tube. C-Hearing loss.
9-A lady complaining of hearing loss but when she talks her speech is too loud i
n the affected ear, what I the diagnosis:
A-Otitis media. B- Otitis externa. C-Furuncle of the external ear canal.
10-A man complains of severe epigastric pain with past history of recurrent mild
er pain with vomiting. X-ray showed air under the diaphragm. What is the diagnos
is:
A-Perforated peptic ulcer(?). B-Acute cholecystitis. C-Pancreatitis.
11-A lady with obstructive jaundice & acute cholecystitis which resolved complet
ely. U/S showedlarge gall bladder with multiple stones, management:
A-Sphincterotomy. B-cholecystectomy. C-Cholecystostomy.
12-A man was kicked in the chest , two hours later he developed chest pain and S
OB. On examination His BP:100/60,PR: 110, Reduced breath sounds. X-ray showed le
ft side white shadow covering the middle and lower lobes of the left lung (hemot
horax), management:
A-Thoracotomy. B-Needle thoracocentesis. C-Chest tube.
13-Diabetic with a foot ulcer not responding to antibiotics with normal peripher
al pulses and angiogram, treatment:
A-Amputation. B-Debridement. C-Tight fitting shoes.
14-Recently diagnosed diabetic 6 weeks ago treated with life style modification
now came for follow-up with no complain and normal examination. Investigation 6
weeks ago and now( it showed a long list of parameters all of which showed impro
vement, HbA1C:8.0to7.5, HDL: 30to35. LDL: 195to140, Triglycerides: 180to170), wh
at is the next step in management?
A-Add insulin for 6 weeks then oral treatment.
B-Start monotherapy. C-Continue life style treatment. D-stop treatment he doesn'
t need it.
15-A man on amiodarone complained of fatigue, constipation and dry skin. What to
request?
A-RFT. B-CBC. C-TFT-TSH.
16- A man on amiodarone complained of fatigue, constipation, dry skin and enlarg
ed thyroid. What to give?
A-Levothyroxine. B-Carbimazole. C-Flovothyroxine. D-Iodine.
17-A man with swollen, painfull and erythematous knee, what is the appropriate i
nvestigation?
A-CBC. B-Blood culture. C-Arthrocentesis analysis.
18-A man with heart failure what would reduce mortality?
A-ACE. B-CA channel blocker. C-Digoxin.
19- A man planned for cystescopy, examination showed mitral prolapsed. Investiga
tion showed hematuria but no infection,what is the appropriate management?
A-1g Amoxicillin. B-Nothing. C-Vancomycin.
20-Cholera prophylaxis:
A-Erythromycin. B-Tetracyclin. C-penicillin.
21-A man who is receiving clindamycin for dental infection for 1 week. Now, he d
eveloped diarrhea and abdominal pain, examination showed generalized mild tender
ness, no rigidity, empty rectum + occult blood on the gloves , what is the diagn
osis?
A-Clostridium difficile toxin. B-compylobacter jejeni.
22-A man with pallor , yellow nails, fatigue, vomiting and restless legs. Invest
igation showed protein and glucose in urine and normal blood glucose. What is th
e diagnosis?
A-Chronic renal failure. B-DM.
23-A 22 year old girl with history of anorexia and doesn't go out of her house c
omplains of fatigue and anemia for 3 months. On examination: pale, wasted, thora
cic cage tenderness, deformed hips, history of multiple fractures. Investigation
:low CA, low PO4, high ALP, low VIT A(vitamin D and PTH are not mentioned), X-ra
y evidence of osteoporosis and osteomalacia, what is the diagnosis?
A-Abuse. B-Paget's disease. C-Multiple hypovitaminosis.
24-A mother with gestational diabetes, 32 weeks pregnant, with past history of f
ull term fetal demise, what is the appropriate management?
A-Immediate delivery. B-C/S at 38 weeks. C-Induce labour at 36 weeks.
25-What is the best modality for pain relief in the 1st stage of labour?
A-I.m morphine. B-Epidural anesthesia. C- General anesthesia.
26-A woman complains of bilateral clear breast discharge, on examination: no mas
s. Head CT scan showed a pituitary mass, what is the cause of the discharge?
A-high TSH.B-high FSH.C-high Prolactin. D-ACTH.
27-Lactating women with a tender breast nodule, what is the most probable causat
ive agent?
A-Staphylococcus aureus. B-Pneumococcus. C-Hemophillus.
28-A 67 year old lady with yellowish vaginal discharge, itching and urethral ten
derness. On examination there is yellow discharge. Investigation: KOH examinatio
n negative whiff test, no bodies, wbcs present. What is the diagnosis?
A-Chlamydia. B-Trichomonas vaginalis. C-Bacterial vaginosis.
30-40 year old woman complains of 3 months menorrhagia and intermenstrual bleedi
ng. In the past she had a normal cycle. Normal examination. What is the most pro
bable diagnosis?
A-Endometrial cancer. B-Anovulation.
3- 50 or 55 Y.O patient present with unilateral shoulder, upper & lower limp pai
n with morning stiffness of more intensity after wake up ,there is mild fever &
the patient is depressed :
Diagnosis:
A-R.A
B- Polymyalgia rheumatica.
4- Male patient known case of DM II come with Hb A1C : 8% ,he is taking metformi
n & glibenclamid, to regulate the blood sugar need :
A- ............insulin
B-............insulin
C- metformin & acarbose .
5- case scenario patient present with constipation ......Dx : hypothyroidism
To confirm that the patient has hypothyroidism:
A-T4
B-TSH
C-free T4
6- Case scenario (patient present with symptoms of hyperthyroidism, tender neck
swelling :
Diagnosis:
subacute thyroiditis
7- mother bring her baby to you when she complain of diaper rash , she went to d
ifferent drug before she come to you , she used 3 different corticosteroid drug
prescribed by different physician, ..........
the rash is well demarcated & scaly :
Diagnosis:
A-seborrheic dermatitis
B-contact dermatitis
C-?
7- The treatment:
??
8- female patient manger since short time , become depressed , she said she can'
t manage the conflicts that happen in the work between the employees.
Diagnosis:
A-Depression.
B-Generalized anxiety disorder.
C-Adjustment Disorders
9- Case scenario (female patient present with excessive fear in her children ...
.... ...) my opinion it is a case generalized anxiety disorder.
Treatment:
?
10- Patient before menstruation by 2-3 days present with depressed mood that dis
appear by 2-3 day after the beginning of menstruation...
Diagnosis:
A-Premenstrual dysphoric disorder (or premenstrual syndrome ?).
11- Female patient breast feeding present with mastitis in upper outer quadrant:
Treatment:
A-stope breast feeding & evacuate the milk by the breast pump.
B- Give.....antibiotic to the mother & antibiotic to the baby.
12- case scenario , baby present with unilateral deformity in the foot appear wh
en it is become the weight bearing is in the other foot but when it is the weigh
t bearing the deformity disappear ,the patient has defect in dorsiflexion of tha
t foot .......I think they are taking about ( club foot )
treatment :
A-orthopedic correction ...?
B-shoe.... C-surgery ....
13- case scenario ( ....patient present planter fascitis)
Treatment:
A-Corticosteroid injection.
B-silicon...
14- Patient present with retinal artery occlusion, which is wrong:
A- Painful loss of vision.
B-- Painless loss of vision.
15- Patient present with corneal abrasion:
Treatment:
A-Cover the eye with a dressing.
B-Antibiotic ointment put it in the home without covering the eye?
16- Patient present with epistaxis:
The best management:
- the patient leaning forward ,make pressure in the lower side of the nose .
26) A 24 yr old lady with past h/o salpingitis, now has left iliac ache.O/e left
adnexa and cervix tender, uterus midly tender with no enlargement.The next test
should be?
a) Urine dip test b) X-ray Pelvis c) Pregnancy test d) Progesterone challenge
27) The mechanism of metabolic derange in Diabetic keto acidosis is?
a) blood glucose very high with increased urine output,with less fatty acid brea
k down
b) blood glucose very high with decreased urine output,with excess fatty acid br
eak down
c) blood glucose very high with decreased urine output,with less fatty acid brea
k down
d) blood glucose very high with increased urine output,with excess fattyacid bre
akdown
28) A lady with gestational diabetes mellitus on insulin.Which is the neonatal/p
ost-partum likely picture ?
a) Hyperglycaemic mother + Hyperglycaemic baby
b) Hypoglycaemic mother + Hypoglycaemic baby
c) Hypoglycaemic mother + Hyperglycaemic baby
d) Hyperglycaemic mother + Hypoglycaemic baby
29) Which exercise is good to control aging of muscles and increase bone density
?
a) Increased repitation , Decreased conditioning
b) Decreased repitation, Increased conditioning
c) Increased repitation, Increased conditioning
d) Decreased repitation, Decreased conditioning
30) A lady , 18 months post-partum, with hirsuitistic features came to you with
a blood report of increased testosterone and increased blood sugar. .Most probab
le underlying cause?
a) Adrenal/ovarian cause
b) Hypothalamic
c) pituitary adenoma
d ) steroid abuse
31) A person was diagnosed to have Guillain-Barre' syndrome , foll: a RTI and th
ereby developing weakness of limbs.Your prescription will contain which of the f
ollowing?
a) I/v corticosteroids
b) I/v Immunoglobins
c) I/v Augmentin
d) I/v Adrenaline
32) A 5 yr old child was on Albuterol ,taken two doses per week, for bronchial a
sthma , with which she gets relieved since one year.Since two days she showed ex
acerbation of her symptoms. Rx of choice now ?
a) Monteleukast oral
b) corticosteriod inhalers
c) Theophylline oral
d) Oral coricosteroid
33) Which of the following drugs commonly cause postural hypotension ?
a) Frusemide
b) Nitrates
c) ACE inhibitors
d) Beta blockers
haad----
Q-1: 60 Yrs old man came with complain of weakness in Rt. Hand and leg, having v
omiting in morning on exertion pepiloedema is seen on rt. Eye. Whts your diagnos
es?
1)acute sinusitis
2)otitis media
3)otitis externa
4)meningitis
5)acute pancreatitis
5)alzhiemers disease
6)STD........gonorrhea/ chlamydia
7)cervical cancer invstigatn ///pap smear positive next what will u do.........c
olposcopy
8)generalised anxiety
9)mania / treatment
10)SLE /DLE
21. Bilateral red eyes , grity sensation. discharge, follicles, normal vision &p
upils
a. Ac.conjunctivitis b. iritis c.
22.postpartum woman vit 3months child, c/o of checking for snake in babies cloth
es 50 times daily, she knew its nt in real but cant stop in doing, going crazy,
affecting her married life
a. obsession
b.postpartum psychosis
c.delusion
d.hallucination
23.chr pain if not treated then develops
a. conversion ds
b. anxiety
c. personality disorder
24.pt c/o decreased hearing in rt ear bt hears his own voice clearly in rt ear
a.ottitis media b. furuncle in ear canal c.ottitis externa d. presbyacusis
25. picture showing BC<ACi 17yr man
a. presbyacusis
b. otosclerosis
c. ossicular chain disruptn
d. ottitis media
26. woman underwent mastectomy, uable to lift arm above head,, damage of
a. serratus ant muscle
b. long thorasic.n
c. thoracodorsal nerve
27. After 5days following GE-diarrhoea &vomitings. pt c/o of anorexia,, dietary
advice
a.chopped pears, yougurt, cereals
b.banana, rice,
c.broth, pasta
28.spleenomegaly, increased HB 19gm, inc pack cell vol, vision blurring, headach
e
a. PCV
b. hemolysis
c.spleenomegaly
29.woman 3days after abortion, presented vit excessive bleeding frm injection si
te
a.FDP b.globulin eletrophorosis
30.trauma vit hemarthrosis h/o similsr episode vit minimal trauma
a. platelet ds b. coagulation defect c. vit c deficiency
31.22kg child admitted fr elective Sx, how much maintainence fluid shld be given
a.30ml b.60ml c.190ml d.150ml
32.relative CI of methergine in pph pt
a.asthma b. DM c. HTN
46.DM2 pt obese BMI 32,, failed vit execise & diet managemnt, ketones +, glucose
7.5mmol, fasting 140mg
a. thioglitazones b. insulin c. biguanides d.alpha glcosidase inhibitors
47. man after syncope gained consiousness after 4min , Xm showed no findings, ex
cept for similar episode of syncope in past
a. TIA b.fainting
48. photograph showing small multiple erythamaotous lesion over forearm, c/o itc
hy papules on foot, hand & forearms,H/O hospital admission for 5days recently (s
cabies)
a. permithine 5% creme applied for 12hr before bath
b. malathion 0.5% lotion applied fpr 12hr before bath
c. 5% hydrocortisone
49.scaly itchy lesions on scalp, eyebrows & nasal folds
a.atopic dermatitis b. seborrhic dermatitis
50. Extensive inflammatory lesions of acne over face, arms & chest, Rx is to
a. decrease primary simple scarring
b. prevent systemic infection
c. decrease spread to other parts of body
51. scenario of eye infection vit dendritic ulcer
a. Top. Acyclovir
b. Top. Antihistamines
c. Top. anti inflammatory
d. Top. antibiotics
52. Fever, neck rigidity, Epidemic of Bacterial infectn, how to pevent contacts
exposure
a. rifampicin
53.HTN, odema, hematuria , chromosome 16 inheritnc
a.APKD
b. medullary cystic kidney (juvinile)
54. athelet c/o ain in knee frequently, able to flex hip, leg raising normal, mo
vements are normal
a. osgood sch
55.Pt vit SLE c/o rashes, advice
a. avoid sunlight
b. avoid flight journeys
56.70yr woman, nocturia, passing urine befr reaching toilet
a. urge incontinence
b. detrusor contractility
c.overflow incontinenc
d.stress incontinence
57.GFR=12 in CRF pt, wht is the stage of renal failure
a. 0 b.3 c.5 d.7
osteoporosis T score
2. Male / female infertility
3. Glaucoma
4. Diabetes
5. hypertension
6. Drug interactions
7. PCOD
8. CT images of some conditions like acute pancreatitis
7. Skin infections like impetigo
8. Genitourinary tract infections particularly related to pregnancy and post op
9.STIs
10. One ques was about pruritic folliculitis of pregnancy
11. One ques was about infant botulism VS hypothyroidism
Generalized anxiety disorder
Autism
Major depression
Schezophrenia
. acute glaucoma
2. pseudomembranous colitis
3. male gynecomastia
4. acute gastroenteritis in children
5. lyme disease
6. tuberculosis
7. std's
8. cardiac diseases
9.copd
10. major depressive disorder
11. phobic reaction
12.osteoporosis in athletes
13. respiridone
14. dvt- they ask i think 5 questions with this
Drug for hypertension most commonly used during pregnancy alpha methyl DOPA
MVP patient required prophylaxis for endocarditis during dental procedure when a
ssoc with MR
Temporal Arteritis (case of a typical patient with s/s given) old lady with pain
over one side of head.
Temporal Arteritis diagnosed by ESR
Most common cause of pneumococcal Pneumonia and how to diagnose (patient with sh
aking chills, with signs of high fever and difficulty breathing)
Anaemia Anaemia of chronic diecease with RA TH ? treat underlying diseases.
Most common cause of traveler s diarrhea E.Coli Management of Traveller's diarrhea
.
Appendicitis in elderly patients ??sc chances of perforation.
Case scenario of a typical case of Guillain Barrre Syndrome
Management of recurrent acne (papules & pustules)
Source of infection of Schistomiasis and how it infects.
In (gout pseudogout) how the diagnosis ? cynovial fluid, monosodium urate crysta
ls.
Vaginal Pruritus & discharge candidiasis, no itching Bact. Vaginosis.
Stahylococcal food poisoning.
Pseudomonas colitis due to toxins by clostridium difficile.
Metartarsal stress fracture
DIC ??platelet count, ?PT & PTT schistocytes
Benign Paroxysmal positional vertigo
Carcinoid syndrome diag urine for 5 HIAA
Migraine Diagnosis (patient with s/s)
Clinical Difference of Pleural effusion & pericardial tamponade
Cl. Diff. of pericarditis & Cardiac tamponade
PDA continuous machinery murmur
Glaucoma acute angle closure glaucoma management
Optic neuritis diagnosis
Orbital Cellulitis pH Diagnosis
Breast lumps Mammography findings
Medical ethics Autonomy, Veracity, Informed consent
Best for diagnosis of Iron deficiency Anaemia S. Ferritin.
Diagnosis of H.Pylori
Coarctation of aorta diagnosis ASD
Acute intermittent porphyria diagnosis.
Polycythemia Vera Diagnosis.
Roseola }
Erythema infectiosum }
Rubella } Diagnosis
Rubeola (Measles) }
Varicella }
Hep B Antigen & Antibody
After vaccination Ag & Ab
Panic disorder sign & symptoms
Therapy of psychotic disorder
Therapy of depression (antidepressants) drugs, side effects, SSRI, TCA, MAOI, Bu
propion
Diff. bet Schizophrenia, Schizophreniform disorder, Brief psychotic disorder
Borderline personality disorder
ADHD m/m
Hypochondriasis, Malingering, Factitious disorder (diff)
Case control study, cohort study (diff)
Ectopic pregnancy (diagnosis)
Endometriosis
PID & IUCD (Management)
Fibroid M/M
Developmental milestones
Parvovirus EB19 erythema infectiosum
Erb Palsy
Acute Otitismedia most common complication
Epiglotitis & Viral croup (Diff)
Developmental Dysplasia of hip (diagnosis)
Nocturnal enuresis (m/m)
Sleep walking, nightmares (m/m)
Breath holding spells (m/m)
Toxic shock syndrome (cause, symp diagnosis)
Inf. Mononucleosis cause
Osteosarcoma, Ewing Sarcoma, osteoid osteoma (diagnosis)
Cystic fibrosis
Strep throat in cause diagnosis TH
Impetigo cause, TH
Uterine atony
PPH
Mitral Stenosis
Klinefelter s Syndrome
Polycystic ovary syndrome
Ankylosing spondylitis - Diagnosis