I remembered these questions, but I'm not sure about the answers.

1) All of the following can be done in the management of an infant with

GERD except:
1- add starch to feeds *
2- PPI
3- change potions
4- use thickened formula 
5- antacid 

2)which of the following is a mismatch :

- periphral edema ... amilodipin 
-pheochromocytoma ... inital drug to use beta blocker *
-ACEI ..can cause cough 
-ARBs... hyperkalemia 

3) long case ..pt with inferior wall MI + hypotension + bradycardia 

4) all of the following are considered "in situ" lesions except :

-basal cell carcinoma*

5) which of the following congenital adrenal hyperplasia types is associated

with hypertension :
-17 alpha hydroxylase deficiency *

6) a mother brought her 7 month old infant concered about his development
compared to his twin sister , he is prematurely born, fixes eyes on light,
reaches for objects , cooing no babbling. .etc 
What to tell the mother : 
- her child is 2-3 months developmentally delayed *

7) all of the following are part of the management in case of tetanus except :
- good wound debridment 
- high dose of tetanus toxoid * 
- anti tetanus immunoglobulins
- antibiotics 
-stop the seizure

8) pt in his 30's ( i guess) BMI 28.9 ,presented with severe obstructive sleep
apnes with apnea hypopnea index 44 (not sure) , pulse oxymetry 88% ...etc 
What is the best initial management step in thia patient :
- CPAP
-Wt loss 
-Orthodontal appliance 
- start on oxygen therapy 

9) infant 10 kg with hx of 3 days diarrhea and vomiting, presented with

severe dehydration, on exam he was found to have abn skin turger,
depressed fontanell, sunken eyes, very low urin output .
What is the most appropriate amount of defic5fluid for this child :
-2000
- 900-1500
- 200-300

10) what is true about hypernatremic dehydration 

- s+s are out of proportion to the degree of dehydration *

11) the best test to exclude inhalational injury in burn pt :

-CXR
-Level of carboxyhemoglobin
-pulse oxymetry 

12) baby was born , vaginally and problem , after 30 minutes started to have
acrocyanosis.
The most important step in managment :
- nasal oxygen 
- keep baby warm 
-other options 

13) 13 year old girl , presented with 3 month hx of daily urticaria and itching
with occasional eye and lip edema.
Most probable cause of her urticaria and angioedema is :
- hidden food allergy
-contact dermatitis to dust mits or family pets
- idiopathic 
- c1 elastase deficiency (or sth like that)

14) pt in his 40's known to have chronic hepatitis B for 20 years , on b

blocker and other medications.. picture of cirrhosis. .etc 
Presented to er with encephalopathy.
All of the following contribute to his condition except :
- upper gi bleeding
- constipation 
- hyperkalemia *
- UTI
- sponr. Bacterial peritonitis 

15) sth about congenital herpes virus infection , which is wrong :

- symptomatic at birth * 

16) a neonate born and found to have vesicular skin rash on a

hyperpigmented base , dx :
- milia 
- incontinenta pigmintosa *
-other options 

17) nephrotic syndrom , acid base question, with ABG readings and
electrolytes, dx : 
- normal anaion gap metabolic acidosis and respiratory alkalosis * 

18) question about forceps delivery compared to vacuum delivery, which is

true :
- forceps delivery has more success rates than vacuum * 

19) 13 year old boy brought to physician by his father concerned about his
growth(short stature ) and pubertal signs , boy developmentally normal and
has very good performance at school ,tanner stage 2, father started shaving
at early high school, bone age of the child = 11 years.
What is the best next step :
- start a trial of testesterone injections
-start a trial of GH injection 
- measures FSH,LH
- reassurance and re-evaluate after 3-6 months 

20) all causes of endometrial hyperplasia except :

-obesity 
- prolonged use of COCP *
- PCOS 

21) most common microorganism to cause malignant otitis externa in

diabetics :
- pseudomonas *

23) most common cause of empyema in children :

-Mycoplasma
-clamydia 
- strep. Pneumonia *

24) regarding fluid balance which is wrong :

- for 70 kg male water form about 60% of body wt
- sodium is mainly responsible for ECF osmolarity
- majority of calcium is found in the intracellular space * 

25) pt in his 40's, presented with progressive muscle weakness .. etc

Which of the following favors the dx of GBS over chronic inflammatory
demyelinating disease :
- respiratory failure * (not sure)
-areflexia
-responds to IVIG
26) the most common organisms involved in PID are:
neisseria gonorrhoeae and chlamydia trachomatis

 27) which one of those lab readings goes best with IDA:
HB 9 MCV 73 RDW 18 WBC 9000 (Normal differential)

 28) a tumor in the head of the pancreas can cause all of the following
except:
Diapetes insipidus.

29) external oblique muscle and aponurosis compose all of the

following except:
Conjugate ligament

30) all of the following diseases can affect pregnancy except:

- Myasthenia gravis
- SLE
- Graves disease
- RA

31) 13 year old female, obese, has HTN, what do you expect to find
in skin examination:
Acne vulgaris

32) all of those surgeries require prophylactic antibiotics, except:

Thyroidectomy
33) most common nosocomial infection in burn patients:
Burn wound
Pnumonia

 34) all can be found in turner except:

Horse-shoe kidney
Developmental delay

35) AIDS can be associated with:

Kaposi

1- Fetus, placenta, amniotic fluid, maternal, utereus 

2- Vaginal fornix not seen normaly in? 
3- Contrasption, vaginismus, small septum
4- Ecg - V1
5- Cpr, no carotid puls,... 
6- Unlateral cystic renal, children
7- Presentation s.aureus poisinoning
8- Anal cancer, presentation
9- Kawasaki
10- Pelvic pressure, heaviness
11- TNF from which cell
12- Amniotic fluid useful for what
13- Cardio ufurum
14- ESRD which is more important 
15- Viral etiologi disease except
16- Mens? antenatal history? 
17- Most common comp of burn 
18- Inermittan claudication 
19- Neck injury, common carotid arter? 
20- Submandibul mass
21- Acrocyanotis newborn
22- Thigh mass?
23- Penicillin allergy
24- seen in B12 def more than folic acid def
25- dialysis Question peritoneal, hemo)
26 - boy his father shaved late? 
27 - confirming Dm diagnosis? 
28 - rhomatology case, which lab not useful? 
29- a woman went to labor which lab is not required? 
30 - which dilevery stage duration not diff between paragravidia and
multigravidia
31-anti D for all except? 
32 - chickenpox QUESTION
33- HSV question
34 - breast mass what to do ? 
35 - not seen in breast cancer? 
36 - cleft palate when we repair it ?
37 - absent of... System? Mullerin agnesia? 
38 - primery dysmenorrhea pathoganese which seen firstly?
39- HT, no proteinurea, seizure and hypocamm.. After delivery. ?
Pituitary apoplexy, eclampsia 
40 back pain, which is not necessary... ? 
41 - choices: osteoarthritis, osteoporosis, obes, ... 
42 expected cutaneous sign for pt with radial agnesi
43 - carcinoid cancer?
44- long term for non organic abdominal pain - except ?
45- Bruises question
46 - ab for a child .. ? Ceftriaxon? 
47- not necessary for admitted to hospital
48- rectovaginal examination not useful in? 
49- asthma, COPD?
50 - 42 yo female married for 16 years.......?
51: which is serious mass, 2 cm....., 5 cm.... 10 cm, 15 cm...... , ...
52. 0,5 c temperature rising in mens due to? 
53 - for twins..... after 9-12 day? Mono - di, di- di ,...
 54 - hereditary spherositosis?
55- hemophilia A, B
56- forceps... Vacuum? 
57 arterial catheterization. , emboli, vazospazm, contrast
58 -!fat, hyalin, red... Degenerative

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