Glory Group, 9th of december

Medicine
● pt with vitiligo and convulsion ?
A.Hyper K
B.Hypo K
C.Hypomagnesemia
Answer is: C

● Pt with high grade fever, tender cervical lymphadenopathy, exudate tonsils, next
mx?
A.Swab culture
B.Rapid antigen detection test
Answer is: B

● Old patient, heavy smoker present with symptoms of Horner syndrome. what
type of cancer?
A.squamous cell cancer
Answer is : A

● Post RTA patient oriented ask about type shock ?

A.Hypovolemic 

B.Cardiac 

C.Neurological 

D.eptic 

Answer is : incomplete

● women with history of insomnia and crying for 5 days due to sibling death what is
the quick drug to used?
A. lorazepam
B. fluoxetine
Answer is: A

● 30 y old male came with dyspnea chest pain PND orthopnea OE pansystolic
murmur Gallop s3 with displaced apex, no any significant medical history Most
appropriate next step:
A. Chest X ray and ECG
B. Echo
C. Other excluded by me
Glory Group, 9th of december

Answer is : A initially

● Facial plethora and JVP distended, which of the following is associated with this
condition?
A. SLCC
B. Adenocarcinoma
C. Squamous cell carcinoma
Answer is : A

● scenario of elderly patient who had chest inf 4 weeks ago, initially improved on
antBx, now worsened again, CXR: right pleural effusion.Dx?
A. Lung cancer
B. TB
C. parapneumonic effusion
Answer is: C

● Female with joint pain and morning stiffness in the hand x-ray was given DIP
joints were normal ask about the diagnosis?
A. Osteoarthritis
B.rheumatoid arthritis
Answer is : incomplete but mostly B

● Female found to have liver mass, she was 12 year on OCP what is the first step in
management?
A.stop OCP
B.resection
Answer is : A

● 4 day after aortic aneurysm repair, pt develop hypotension, tachycardia .

Low urinary output, no fever . Warm extremity in touch. The pt not improve even
with fluid restrictions. What type of shock?
A.Hemorgic
B.Cardiac
C.Anaphylactic
D.Septic
Answer is : D

● pt with hyperthyroidism, exophthalmos. In treatment for 10 months ,TSH 0.001

T4 very high ,Scan show deffe uptake multinodular enlarged goiter ?
Glory Group, 9th of december

A.RAI
B.Continue treatment
C.Surgery
Answer is : C

● Ecg paper ,st segment elevation in all leads, they mentioned S/S and asking for
management what to give:
A.Steroids
B.NSAID
C.BB
Dont remeber the rest
Answer is: B

● Old man ,diabetic hypertensive,hyperlipidemia, admitted for Unstable angina

5days ago , he is on UFH investigations showed low plt count, What is the cause
of his low plt?
A.ITP
B.TTP
C.Heparin induced thrombocytopenia
D.Immune thrombocytopenia (something like that)
Answer is : C

● Patient 12 years with retrosternal chest pain , regurgitation, lack of peristalsis,

synchronous contraction, dilated esophagus with gradual narrow end , Dx?
A. Diffuse esophageal spasm
B. Achalasia cardia
C. gERd
Answer is: A
Glory Group, 9th of december

● patient with adrenal insuffeciency symptoms, how to confirm Dx ?

A. Syncatherin
B. Low dexamethasone test
C. Cortisol level
Answer is: A

● patient with RA came with active arthritis written like that , management ?
A. Prednisolone 60 mg
B. Hydroxychloroquine
C. Hydroxy and methotrexate
Answer is: A

● patient with reactive arthritis ,c​oming with active pai​n , appropriate management?
A. Sulfasalazine
B. Methotrexate
C. Cyclosporin
Answer is: ​both A and B used but sulfa preferred if reactive arthritis followed GI infection

● Case of manengitis what to give to contact

Glory Group, 9th of december

Answer is: ​Rifampin if pediatrics or hib B , cipro if adult , ceftriaxone if pregnant

● Meningitis duration of isolation after abx?

A. 24 hrs
Answer is: A

● Patient with pain at joint He has only burning epigastric pain Otherwise everything
normal, ttt?
A. Aspiring
B. Paracetamol
C. Inuprofein
D. Codein
Answer is: B

● Q about a male pt in his 30’s c/o of sob during sleeping and difficulty in
swallowing they found a med mass compressing the lung. The disease where?
A. lung cancer
B. lymphoma
C. thymoma
Answer is: B

● A case of rheumatoid arthritis, spleenomegaly and neutropenia

A. felty syndrome
Answer is: A
Glory Group, 9th of december

● Q about most common cause of death during hospital stay :

A. PE
B. MI
Answer is: ​Sepsis if not in choices > A as the most common preventable cause of death among
hospitalization.

● Patient on TPN complaining of weakness,and convulsion the most likely cause is?
A. hypoMg
B. hypoK
C. hyperK
Answer is: A if no hypophosphatemia in choices

● Female has HTN, DM, ​end stage kidney disease o

​ n dialysis admitted due to
pneumonia what is the best way for DVT prophylaxis ?
A. enoxaparin
B. UFH
C. fondanprix
D. compression stocking
Answer is: B

● A scenario of patient with ​vascular problems in lungs​ causing him pulmonary

HTN, which class/group of pulmonary HTN
A. 1
B. 2
C. 3
D. 4
Answer is: A , ​if they mean PAH the ANS will be A
Glory Group, 9th of december

● Pt with​ lung cancer​ came after that with r​aised JVP​ and basal crackles , how to
confirm the dx ?
A. Echo
B. Ecg
C. Cxr
Answer is: A
If with without facial flushing and quite heart sound > cardiac tamponade > Echo
N.B if with facial flushing and congestion its superior vena cava syndrome (SVCS) :​ ​CT scan of
the chest is the initial test of choice to determine whether an obstruction is due to external
compression or due to thrombosis.

● Elderly 3 days seizure only ​Hyponatremia​ + Urine Osmolarity Normal what Dx?
A. Conn’s
B. Cushing
C. SIADH
Answer is: C, ​if there’s addison more accurate since urine osm normal.

● What is the percentage of male smokers in Saudi arabia:

A. 11%
B. 37%
C. 61%
D. 25%
Answer is: D

● 53 years old male, known case if type 2 DM, also known to have Rheumatoid
arthritis. Presented now with back pain. Investigation revealed slightly elevated
serum calcium, renal function test was impaired (high creatinine and BUN). What
is the most likely diagnosis?
A. Membranous glomerulonephritis
B. Primary amyloidosis
C. Diabetic nephropathy
Answer is: no answer typically fit, check the missing answer in your exam.
Glory Group, 9th of december

● Crush injury to his feet , after stabilization of the patient , o/e cold and decreased
pulse in the affected foot . What is the best next step u will do ?
A. ct angio
B. angio
C. duplex US
D. compartment compression
Answer is: A, ​if there’s swelling or pain with passive streching > D

● Chronic Hepatitis B, symptomatic, laps show high AST ALT and direct and total
bilirubin, US shows micro-changes. How to manage?
A. Pegylated interferon
B. Observation and follow up
C. Lamivudine
D. ABx
Answer is: A
N.B: Chronic Hep B: *First line ttt is:* Entacavir, Tenovir or pegylated interferon.

Fever and cough and maculopapular rash in behind ear and face and trunk
A. mubes
B. measles
C. rubella
Answer is: B

● Pt with sarcoidosis Hematocrit decreased Ferritin high ,Mcv 79 = normal is from

80 What kind of anemia?
A. Chronic dx
B. Iron def anemia
Answer is: Anemia of chronic disease

● 60 years old present with hemiparesis after 10 days of a stroke , most appropriate
management ?
A. Warfarin
B. Aspirin
C. Tissue plasminogen activator
Answer is: B

● Patient with decompensated systolic heart failure with ejection fraction 25%,
coming for routine antenatal care , what to add ?
A. lisinopril
B. frusemide
C. spironolactone
Answer is: C
Glory Group, 9th of december

● Patient with hx of weight loss .... had non caseating Granulomas

A. Chrons
B. Tb
Answer is: Incomplete, could be sarcoidosis

● Risk of MI in smokers significantly decline after how many years

1
2
Answer is: A

● Growing pain what you will do

A. Reassure
B. Give him aspirin
C. Refer to orthopedic
Answer is: A

● What type of necrosis after ct contrast

A. Tubular necrosis
B. Glomerular necrosis
Answer is: A, ​acute tubular necrosis (ATN)

● Picture of STEMI and asked pf management:

A. Primary coronary stent
B. streptokinase and revascularization
C. thrombolytic
Answer is: A , ​Thrombolytic therapy: tPA, reteplase, or streptokinase if PCI cannot be performed
< 120 minutes after onset of STEMI

● Patient diagnosed with TB started on medication three days later he presented

with dark urine, labs where given there was low HGB I can’t remember others​:
A. Hematological TB related disorder
Glory Group, 9th of december

B. Side effect of medication

C. Renal TB
Answer is: B ,​ Rifampin will cause urine, saliva, sputum, sweat, teeth, and tears to turn a
reddish-orange to reddish-brown color.

● Anterolateral MI -from ECG- most appropriate management:

A. Streptokinase
B. Percutaneous catheterization
Answer is: B

● Pt on amitriptyline 30 complain of morning dizziness what will you advice​:

A. take with food
B. change
C. Take 10 three times a day
Answer is: C

● ​Copd with secretion:

A. mechanical ventilation
B. Nasal
C. pap
Answer is: It was with acidosis > A

● Rheumatic fever given nsaids and antibiotic what is next step​:

A. Ivig
B. musculoskeletal mri
C. High doses steroids
D. Echo
Answer is: ​if they did not do ECHO (may show mitral or aortic regurgitation) , but therapy for
arthritis and fever is Glucocorticoids (if NSAIDs fail)

● Patient with signs of anemia and have have Hb A 2, which type of thalassemia is
this?
A. Minor
B. Major
C. Intermediate
Glory Group, 9th of december

Answer is: A

● Male smoker want to stop smoking he has history of epilepsy which medication to
avoid:
A. bupropion
Answer is:A

● Women with history of insomnia and crying for 5 days due to sibling death,what is
the quick drug to used:
A. lorazepam
B. fluoxetine
Answer is:A

● pt known case of asthma in-compliant on his medication came with sx of status

asthmaticus , his last PEF was 600 , whats of the following indication of severity
“in this pt” ?
A. PEF 250
B. HR 100
C. RR 20
Answer is: incomplete

● Patient with Tb and he had pleural effusion how to know that pleural effusion is
due to Tb ?
Answer is: Glu < 60 mg/dL , chols ≥ 60 mg/dL , Pleural fluid LDH > ⅔ the upper limit of normal
serum LDH, WBC’s 1000-6000
N.B : Glucose ​30–59 mg/dL:​ suggests malignant effusion, tuberculous pleurisy, empyema,
pneumonia, esophageal rupture, or lupus pleuritis, Glucose ​< 30 mg/dL​: suggests rheumatoid
pleurisy or empyema .

● 18y old , present with tachycardia sweating visual hallucination agitated

psychomotor euphoria weight loss
A. cannabis intoxication
B. amphetamine intoxication
C. cocaine withdrawal
D. schizo
Answer is: B , ​Intoxication :
○ Nausea, ​sweating​, unstable heart rate and blood pressure (may be increased or
decreased), chest pain, mydriasis, chills, ​euphoria
○ Respiratory depression, ​tachyarrhythmia​ , malignant hyperthermia, paranoid
symptoms with tactile, acoustic, and optic ​hallucinations​, ataxia
Glory Group, 9th of december

● when the dr asked his family’s about her mother: they said she dide since he
child what is DD?
A. frontotemporal dementia
B. Visual hallucinations
C. auditory hallucination
D. delusion
Answer is: bad recall

● Case 40 years male with personality change and he is spitting on the road i thick ,
type of dementia?
A. Frontotemporal dementia
Answer is:

● Tuberous sclerosis pt What genetic test u will request ?

A. Whole axom
B. Specific gene request
C. Multiple genes
Answer is: C , ​TSC1 mutation on chromosome 9 or TSC2 mutation on chromosome 16 (tumor
suppressor genes)

● Patient after MI then give high velocity of O2 then after that hours later
deteriorated Which immediate action to do
A. Decrease O2 velocity
B. Mechanical ventilation
Answer is: A

● Young boy he cannot reaching his mouth while he using the fork , has a history of
RTA , which part of the brain affected?
A. Frontal
B. Temporal
C. Cerebellum
Answer is: C

● Patient with microcytic hypochromic anemia , what is the management :

A. give iron and multivitamins
Glory Group, 9th of december

B. trial of iron and follow up

Answer is: B

● Smoker fever and on examination he is afebrile. There are crackles in the chest
and vesicular rash with some crusting on the upper trunk. There is bilateral
infiltrates on CXR report. What is you the best next treatment.
A. acyclovir
B. ceftriaxone and azithromycin
C. prednisolone
Answer is: A

● Patient came from India with abdominal pain watery diarrhea and no blood or
mucus, what is the most likely organism?
A. E-coli
B. Rota
Answer is:A

● Patient came from hajj he has meningitis what is the duration for isolation after
commenting appropriate antibiotic treatment?
A. 12
B. 24
C. 48
D. 72
Answer is: B , ​Meningococcal meningitis patients should be placed on droplet precautions
(private room, mask for all entering the room) until they have completed 24 hours of appropriate
antibiotic therapy.

● Drug can use with kidney disease

A. Heparin
B. Warfarin
C. Lithium
Answer is:B

● Case about vit B deficiency ( forget what exactly the symptoms)?

A. B1
B. B2
C. B6
D. B12
Glory Group, 9th of december

Answer is: ​

● Meningitis organism in 65 no comorbidities

A. Listeria
B. Strep pneumonia
C. H.influenza
Answer is: B

● Murmur on the apex increased with hand grip and reduce by valve
A. MR
B. MS
C. AR
D. AS
Answer is: A
Glory Group, 9th of december

● Pt with hypothyroidism came 3 months ago increase the dose And now TSH is
high ،T4 is normal ?
A. Increase the dose
B. Secondary hypothyroidism
Answer is: B

● Pt with cancer small lung cancer grade 111B C/o ​back pain​ ?
A. Do MRI
B. Cortisone and then MRI
C. Do nothing
D. Radiation
Answer is: B

● Unilateral effusion no shifts of the trachea or the apex

A. TB
B. Carcinogenic in ipsilateral lung
C. Heart failure
Answer is: B

● Pneumonia with moderate effusion ,no comorbidities

A. Azithromycin + doxycycline not sure
B. The same plus thoracocentesis
C. The same plus chest tube drainage
Answer is: B,​Parapneumonic effusion

● Infective endocarditis ,no comorbidities Organism

A. Staph epidemic
B. Streptococcus
C. Entero
Answer is: B
Glory Group, 9th of december

Pt with MRSA sepsis given vanco 1000 mg q72h ,over 20 min flushing and itching ?
A. Stop considering allargic
B. Decrease the infusion rate
C. Decrease the dose
D. Change to cefazolin 1000 q24
Answer is: B

A. Bursilosis
B. Dicyclin + streptomycin
C. Dicyclin + clinamycin
D. Rifamcin+sulfa/trime
E. Cephroxin +sulfa/trime
Answer is: A
N.B :Antibiotic therapy
First-line therapy: doxycycline and rifampin
Second-line therapy: doxycycline and streptomycin

● Headach ,illiosacral joint pain ,change in personality malaise

A. Burcelllosis
B. Toxoplasmosis
Answer is: A

● HyperK 6.6 ​Low bicarbonate​ in the optional Initial Treatment? No Ca clogunate

A. iv bicarbonate
B. insulin and dextrose infusion
C. hemodialysis
Answer is: B
Glory Group, 9th of december

● Periorbital pain and fever ,malasia

A. Dengue fever
B. Corona
Answer is: A

● retro-orbital pain, arthralgia and headache, lymphadenopathy fever and myalgia?

A. Dengue
B. Middle East Respiratory Syndrome (MERS) corona
C. Vercelli
D. TB
Answer is : A

NB : Classic dengue fever

Children are usually asymptomatic
Starts with fever and malaise that lasts ​∼​ 1 week
Severe arthralgia and (often referred to as “break-bone fever”)
Severe headache and ​retro-orbital pain
Maculopapular, measles-like exanthem (typically appears 2–5 days following fever)
Generalized lymphadenopathy

● Pt with fever and headache,no signs of increased ICP Ct showed parietotemporal

something
A. Brain abscess
B. Meningitis
Answer is: herpes encephalitis.

● Pre Work Workout inhaler in Asthma

A. SABA
B. ICS
Answer is:A

● Pale, facial twitching, very low calcium and low vit D treatment?
A. Oral Ca
B. IV ca
C. calcitriol
D. phosphate
Answer is: B
Glory Group, 9th of december

● Acilivir treated pneumonia precaution

A. Airborne
B. Droplet
C. Contact
Answer is: B

Air-born: TB
Droplet: Meningitis, pneumonia

● Trophozoites in Indian male stool treatment

A. Metronidazole
B. cipro
Answer is: A , ​Giardiasis

● HF but controlled on statin thiazide has with no edema what to add?

A. BB
B. spironolactone
Answer is: A

● Severe vomiting diarrhea tachy reduced skin turgor , PH 7.3 base access -3 (no
mention of ketones in urine) what to see in patient:
A. Kassmul breathing
B. Urine output low
Answer is: B

● Pt with renal artery stenosis what medication to give

A. ACEi
B. Ccb
C. Bb
D. Furismaide
Answer is: A , but ACE inhibitor or ARB treatment should be ​terminated​ if rapid and/or severe
worsening of kidney function occurs.
Glory Group, 9th of december

● Cardiac pt post MI he took statin , NItroglycerin, aspirin what to add ?

A. Diltiazem
B. Amlodipin
C. BB
Answer is: C

● 18years with rheumatic fever and mild ​MR​ and mild MS, he should have the
prophylaxis until which age?
A. 40
B. 28
C. 20
D. 21
Answer is:A
N.b : Antibiotic prophylaxis — rheumatic fever
Drug of choice: IM penicillin G benzathine , Usually administered every 28 days
Rheumatic fever without carditis: 5 years or until the patient is age 21 (whichever is longer)
Rheumatic fever with carditis: 10 years or until the patient is age 21 (whichever is longer)
Rheumatic fever with carditis and permanent valvular heart defects: 10 years or until age 40
(whichever is longer)

● Old age pt with long standing ​poorly​ controlled ​epilepsy​, present with a history of
3 days fever, ​productive cough​. In examination there was digital clubbing, SOB.
What is your diagnosis?
A. Aspiration
B. Bronchogenic carcinoma
​ spiration Syndrome, Clubbing is associated with chronic suppurative lung disease
Answer is: A , A

● 32 y old diabetic male came from Egypt, had redness and tenderness on his right
shin, have penicillin allergy, went to hospital take antibiotic (not mention what he
took) for his leg, in the ​second day​ he develop Watery diarrhea, fever, fatigue?
A. Antibiotic allergy
B. c.difficile
C. diabetic gastroparesis
D. Salmonella
Answer is: B

● Most common cause of fever in patient coming from sub Saharan Africa:
A. malaria
B. dengue
C. zika
D. ebola
Glory Group, 9th of december

Answer is: A

● Patient came with diarrhea 4 hours after eating outside most common organism:
A. E coli
B. staph aureus
C. shigella
D. salmonella
Answer is: B

● Case of 60 years old male medically free came for routine check up every thing is
normal he doesn't complain about anything, when u calculate his risk for 10 years
risk of MI it was 6.9 by score i don't remember what its name, what you will do for
this patient :
A. CT angio
B. MRI cardiac
C. Stress Echo
Answer is:statin

● Case of STMI and center doesn't have PCI what you will give this pt
A. ASA streptokinase heparin BB
B. ASA streptokinase nitroglycerin BB
C. Other choices I exclude BC there was no streptokinase
Answer is:A

● DM patient on Metformin 1g BID, random blood glucose and a1c still high, what to
modify in treatment:
A. increase metformin dose
B. give insulin
C. add _gliptin
D. add _glenide
Answer is:D

● Case of 55 years old with Afib not mention any other details, what is best
treatment for him to prevent complication ?
A. Aspirin
B. Heparin
C. Warfarin
D. Not need treatment
Answer is:D

● Pt k/c of chronic kidney disease, presented with numbness and dec vibration
sensation, absent LL reflexes. On labs: high Cr, high K , MCV was low, whats most
appropriate management?
Glory Group, 9th of december

A. * Hemodialysis
B. * Vit B12
Answer is:A

Surgery
● A 24 year old lady presents with a hard, mobile, well-circumscribed painless left
breast mass that has been increasing in size from the past few months, and was
NOT related to her menstrual cycle. The most like Dx is?
A. fat cyst
B. Fibroadenoma
Answer is :Phylloid

● Patient is going to undergo lap chole and incidental found AAA size 4.5 WhAt you
are going to do?
A- Do surgery follow up by US
B- Do surgery follow up by CTA
C-Do CTA before surgery
Answer is: A

if he came with biliary Sx > C to rule out AAA as the cause of Sx.

Female 42 years hx varicose vein 20 years ago

Came to ER because of worms like swelling that is painful started 2 days ago ,
The most appropriate initial tx ?
A. Nsaids
B. Celaxen
C. Heparin
D. Abx
Answer is : A

● Pt post PTC has fever, on per rectum and by exam there was antiroir Boggy
(which mean large) . What is ur management?
A. Percutaneous Drainage
B. IV Abx
C. IV paracetamol
Answer is: A
Glory Group, 9th of december

● Old patient history of vomiting with palpable mass imaging finding Y shape
next app action?
A. Fleet enema
B. Ct
C. Sigmoidoscopy
D. Colonoscopy
Answer is : C

● Male adult with perianal swelling and discharge, then ruptured ,Dx:
A.Anal fissure
B.hemorrhoid
C.anal abscess
D.fistula 

Answer is : D

● 40 years old patient complain of frequent itching anal , post defecation pain .
What’s Dx ?
A.anal fissure
B.perianal fistula
C.perianal hematoma
D.internal hemorrhoid
Answer is: A

● Case of patient undergo hemithyroidectomy for symptomatic thyroid nodule.

Histopathology report: colloid nodule 3-4 cm. Papillary cancer is measured 8 mm
from center. What are you going to do next:
A.Follow up
B.Complete thyroidectomy
C.Radioablation
Answer is : A

● Stab injury in zone I, examination shows diffuse emphysema, and patient is

stable, what’s the next appropriate step?
A. CT neck & chest
B. Observation
C. Surgical exploration
Answer is : C

● what makes lymphadenopathy malignant more than infectious?

A.less than 5 y
B.duration less than 4 weeks
C.cervical lymphadenopathy
Glory Group, 9th of december

D.supraclavicular lymphadenopathy
Answer is : D

● Male complaining of epigastric pain, palpable mass on deep palpation, he had hx

of acute​ pancreatitis few weeks ago​,Vitals normal but temperature was 38 or 37.7
Labs: ,High WBC ,High amylase, CT done showed large cyst with thick wall and
calcification i think not sure What is the dx?
A. pseudocyst
B. walled off necrosis
Answer is: B

● 24 years old with history of ​appendectomy​ 5 years ago present with abdominal
pain , distintion , vomiting for 3 days ,Ct scan show obstruction signs And
peritonitis ,Whats ​contraindicated​ in this patient ?
A. Propofol
B. Ketamine
C. Sevoflorane
D. Nitros Oxide
Answer is: D

● Female patient lactating presenting with ​Breast abscess​ next step?

A. flucloxacillin
B. Aspiration
C. I&D
Answer is: C

● Hepatitis B and lesion 6 cm what to do next?

A. TACE
B. Excision
C. systemic chemo therapy
Answer is: A

● 30 with breast mass next?

A. Bilateral core biopsy
B. Bilateral mammo
( no us mentioned in choices)
Answer is: B
Glory Group, 9th of december

● Tamoxifen​ for breast ca the came with abnormal uterine bleeding or something
like that??
A. Endometrial ca
B. Endometriosis
Answer is: A

● Birad 5 suspected malignancy what to do ?

A. Core biopsy
B. Exsional biopsy
Answer is: A

N.B :
Besthesda for thyroid :
1,2,3 >>> repeat FNA
4>>> lobectomy
5,6>>> near total thyroidectomy

BIRADS for Breast

1,2,3 >>routines F/U
4,5 >>> core Biopsy
6 >>> malignancy do an action

● child have supratrochlear fracture and ​absent radial pulse​ ?

A. k wire
B. surgical exploration
C. close redaction
D. elevated
Answer is: ​C, if hand white, pale, cold > emergency surgical exploration.

● A baby boy came for circumcision in the clinic. The urine was coming from the
mid shaft (I think hypospadias) what to do next?
A. open circumcision
B. plastibell circumcision
C. circumcision with gomco
D. refer to pediatric surgery
Answer is: D

● Most common cause of vomiting in pediatrics :

A. celiac ds
B. Uti
C. DKA
D. cyclic vomiting syndrome
Answer is:B by exclusion
Glory Group, 9th of december

● Child severe testicular pain absent reflex for 5 hr , what to do first

A. Us
B. Analgesics and ice pack
Answer is: surgical exploration

● 60 years old patient with hypotension and not visible jvp, looks dehydrated with
cold clammy skin, most initial step :
A. Iv saline infusion
B. Iv dobutamine
Answer is: A

● pt have gastric MALToma , treated by :

A. radiotherapy
B. chemotherapy
C. surgery
D. antibiotics
Answer is: D first for H.pylori

● Patient with acute ​cholangitis​ symptoms, initial step?

A. Trans abdominal us
B. Abdominal computography
C. MRCP
D. ERCP
Answer is: if typical presentation > ERCP, if in doubt > US

● patient with progressive abdominal pain post sleeve 3 weeks ago, appropriate
manage ?
A. Exploration
B. Endoscopy
C. Nil by mouth
Answer is: C

● 70 years old looks cachectic after basal ganglia bleeding time ago, he has no gag
reflex or swallowing muscles, best route of feeding ?
A. Jejunostomy
Glory Group, 9th of december

B. Gastrostomy
C. NGT
Answer is: C initially

● Pt with femoral fracture in hospital on heparin I think developed after 1 week sings
of PE
A. Continue same treatment
B. Change to Enox
C. Fat Embolism
Answer is: Since there’s I think in the question we cannot answer.

● hydatid cyst 5*4in liver treatment?

A. surgery
B. percutaneous aspiration
C. metronidazole
Answer is:
NB : Single cyst = <5 albendazol , > 5 PAIR = PAIR (puncture-aspiration-injection-reaspiration)
Daughter cyst = surgery
Calcification = observation

● Hydatid cyst 10 cm with daughter cysts:

A. Deroofing surgery
Answer is: A

● Case of stab wound in zone 1 pt s

A. Exploration
B. Ct to chest and neck
Answer is: CTA

● Patient did ​ERCP​ and it was difficult, then he developed neck chest and ​abdomen
emphysema​ ,What was injured >
A. Esophagus
B. Duodenum
Answer is: B

● Long scenario of an old age pt I think 70s with gallbladder disease symx Scenario
doesn’t mention stone​ as I remember.. asking about appropriate management?
A. US guided drainage
B. lap chole
(Others not correct by exclusion)
Answer is: A

● Baby with fracture ulnar and radius

Glory Group, 9th of december

A. surgical debridement
B. irrigation and fixation.
Answer is: B If open fracture

● Female patient with breast swelling, redness, with ​no fluctuation​ ,with the skin
thinning , (written like that) , ttt?
A. Flucloxacillin
B. I and D
Answer is: A ,​Mastitis : dicloxacillin or cephalexin , if with fluctuant mass indicate a breast
abscess ttt is I&D .

● Burn case black soot over nostrils and mouth 40% carboxyhemoglobin.(Carbon
monoxide toxicity):
A. Hyperbaric oxygen.
B. Intubation and ventilation.
C. Carbonic anhydrase inh.
Answer is: B , Hyperbaric O2 is indicated but since there’s sign of inhalation injury > elective
intubation with 100% oxygen

● Pt with RUQ pain and tenderness and mass, investigation showed ​Entamoeba
histolytica , and there is abscess 12 X 14 cm I think, and asking about first next
step in ttt?
A. metronidazole
B. laparotomy
C. percutaneous drainage
Answer is A

● 50s old knee pain decreased range of motion with something in xray and mild
relief after taking 3 time paracetamol​ ?
A. Ibuprofen
B. Steroid (not sure)
C. Tramadol
Answer is: continue paracetamol, if failed > nsaids

● Patient with chemical burn of 11 x5 cm on his back When he arrived to the

hospital there is ​powder​ on his clothes Your next step?
A. powder sweeping
Glory Group, 9th of december

B. wash with water for 30 minutes

C. and D I can’t remember
Answer is: A
If powder >swap
If liquid >wash

● 40 years old guy received blood transfusion after surgery, after a few minutes he
developed pain at site of transfusion, fever and chest tightness what is the
diagnosis?
Answer is: hemolytic reaction

● Patient after surgery on blood transfusion developed bleeding from the puncture
site what's diagnosis ?
A. transfusion reaction
B. DIC
C. Thrombocytopenia
Answer is: B

● case of AAA what is the best diagnostic test ?

A. US
B. CTA
C. MRA
D. conventional CT
Answer is: A

● Pt with DM ,HTN 3 months swelling increase

A. Absent puls
B. Us duplex
C. CT angio
D. Venous and arterial angio ?
Answer is: bad recall if acute limb ischemia initially US doppler or duplex after physical
examination.

● Make patient came to ER with a complain of a ​sudden and severe

metatarsophalangeal​ joint pain. On P/E the joint was s​wollen, erythematous​ and
tender to touch. There was only one lab given I don’t recall then the question was
which of the following is most likely the findings:
A. sodium urate crystals
Glory Group, 9th of december

B. calcium pyrophosphate crystals

C. staph aureus
Answer is: A , Gout: Deposition of urate crystals into joints

● Para adenoma asymptotic removal indication?

A. >50 yo
B. osteoporosis
C. very high PTH
Answer is: B

● 15*15 mass in the breast getting larger and the skin overlying is intake and thin
due to mass effect what to do
A. Chemo
B. Radio
C. Radical mast
D. Simple mast
Answer is: D for large phylloid

● Old pt after rectal surgery he is not doing well after in the recovery he start to have
leg pain ​he developed DVT​ from the popliteal to the femoral ..
A. Enoxiparen
B. Heparin
C. Warfarin
D. IVC
Answer is: A

● mass in the appendix more likely abscess what to do

A. Percutaneous drain
B. Open appendectomy and open drain
C. Lap appendectomy and then drain
Answer is: A

● Pt complain of mild pain in epigastric area 3days Post sleeve ?

A. Inadequate Analgesia
Answer is: A

● 55 exactly age of female doesn't have history of breast cancer or family, and she
doesn't have any risk factor, you advise her to do Mammography every?
A. 1 year
B. 2
C. 3
D. No need
Answer is: B
Glory Group, 9th of december

● 35 yrs female her mother had breast cancer and sister had ovarian cancer , what is
the screening test for her ?
A. Breast US
B. Mammogram
C. CT pelvic
Answer is: B

● Patient admitted for elective ventral hernia repair, then they found him to have
elevated JVP, lower limb edema, bilateral lower limb edema:
A. Do open repair now
B. Laparoscopic repair
C. Dalay the surgery after stabilizing his condition
D. No need to do the surgery at all
Answer is: C

● Patient post sleeve gastrectomy 3 days ago came with left upper quadrant pain,
on examination there was mild tenderness vital signs were given showed
tachycardia and mildly hypotensive , ask what is the cause of his symptoms:
A. dehydration
B. Leak
C. PE
D. Inadequate analgesia
Answer is: B

● Case subcutaneous emphysema post esophageal dilation ask about best

management, patient was stable:
A. stent
B. Surgical drainage and repair
Answer is: B

● Post appendectomy came with severe abdominal pain, US show moderate ascites
with echoic something and separation what is most appropriate management:
A. pelvic ct
B. exploratory laparotomy
C. .iv antibiotic
Answer is: Multiplication is indication for surgical drainage > either by open or laparscopic
lavage

● Pancreatic pseudocyst no signs of infection best management:

A. percutaneous drainage
B. surgical resection
C. Internal drainage
Glory Group, 9th of december

Answer is: C

Obs & Gyne

● IUFD what is , patient have previous CS what is the most appropriate

management:
A.wait for patient decision
B.go for CS
C.try vaginal delivery
D.counsel the patient that CS is better than vaginal
Answer is : A

● Patient with ectopic pregnancy brought by her neighbor her husband work in
military, B-HCG was 5000, size 4 cm what is the cause of selecting surgical
approach:
A.hcg level
B.size
C.social history
Answer is : C

● Most common cause of DIC in Pregnancy:

A. Placental abruption
B.congenital blood disorders
Answer is : A

● Submucosal fibroid symptomatic what is the best management:

A. Laparoscopic myomectomy
B.hysteroscopic resection
Answer is: B

● Suspicious cervix mass in pregnant what is the best next step:

A.pap smear
B.colposcopy
C. Cone biopsy
Answer is : B
Glory Group, 9th of december

● Pregnant complains of vomiting multiple times , can't eat , dry mouth with white
plaque decreased skin turgor; urinalysis ordered. What finding in UA will confirm
diagnosis?
A.Leukocyte
B.Proteins
C.Ketones
D.Glucose
Answer is : C

● A patient had two previous second trimester abortions with dilation and curettage
presents in her early first trimester with bleeding and passage of clots. What is the
cause?
A.cervical incompetence
B.chromosomal anomalies
C.asherman syndrome
Answer is : B

● Female with ascites , pleural effusion, bilateral ovarian tumor, what help to
determine the Dx?
A. MRI
B. CT
C.Screening for genetic carcinoma
D. US
Answer is: D initially, CT more accurate

● Pregnant 34 weeks. Presents to the hospital with contractions. Baby in

transverse lie.Cervix dilated 3 cm. Management?
A.Tocolytics
B.CS
C.I think there was oxytocin and delivery in the choices,
Answer is: A
In full recal there was abruptio placenta so >CS
But if without AP > tocolytics then ECV

● 20 years old female have cycling pain and can't do her activities
normally and absent from school, she used analgesics and didn't
improve what is your advice
A. Lifestyle modification
B. Diazepam
Answer is: A

● Female , lMP 7 weeks ago, BHCG +ve , US showed empty uterus?

A.Molar pregnancy
Glory Group, 9th of december

B.Extrauterine pregnancy
I don’t remember the rest
Answer is : B

● female patient pregnant don’t remember the Ga but coming with abdominal pain,
bleeding , BP 90/60 , ​absolute contraindication​ to medical treatment ?
A. Long distance
B. Vital sign
Answer is: A

● 59 years old with menopause 10 years patient with adenomatous endometrial

polyp Endometrial US revealed 19 mm ?
A. Hysterectomy
B. Hysteroscopy and polypectomy
Answer is: A

● Menopause confirmation
A. FSH
B. LH
C. estrogen
D. progesterone
Answer is: A

● pregnant using albuterol as needed prior to pregnancy, after pregnancy she has
daily sx and 1 night sx per week ?
A. Inhaled short bronchodilator and inhaled glucocorticoids
B. LOng acting beta 2 agonist and inhaled glucocorticoids
C. Inhaled glucocorticoids and long acting bronchodilator
Answer is: B
Glory Group, 9th of december

● Normal site of uterus in normal pregnancy?

A. midway between symphysis pubis and umbilicus
B. just over symphysis pubis
C. others idk remember
Answer is: B

● Patinet come to antenatal care with smoking hx since 3 years Subfertility , the
most significant in hx is ?
A. Smoking
B. Subfertility
Answer is: B

● 3 different Q about a young female 15-19 years old with menstrual pain vomiting
and nausea
● The first was the Management during
● Second one the pt skipped school days from the severity
● Third one its getting more Sever the pain with years from the start of her
menarche​.
Answer is: NSAIDs - OCP other 2 can’t remember

● A pregnant lady came worried about her pregnancy, and speaks a different
language and she is afraid that she has same situation as her previous pregnancy
A. show that you understood her emotions
B. go and bring a colleague to help you
Answer is:A
Incomplete but could be A

● 30 week pregnant female Has a follicle superficial small same size around areoola
, dx ?
A. Monagmemri nodule
B. Lactiferous duct
Answer is: A, montgomery glands

● Pregnant in ​38​ weeks come to ER with ​headache​,BP 150/110

A. Admission and deliver
B. Admission and observation
Answer is: A

● # Q about vaginal infections The heights of the Q where

Glory Group, 9th of december

● Candida -DM
● green discharge -Tarcho-V
● fishy - BV

● PPH due to atonic uterus, uterus massage and oxytocin failed. Next step?
A. uterine artery lig.
B. B Lynch suture
Answer is: B

● 24​ weeks pregnant had early labor ( cervix 4 cm , contraction 3-4​ in 10 min​ ..) what
is the appropriate mx:
A. Call neonatalogist + steroids
B. neonatalogist + Antibiotics
C. neonatalogist + tocolytics
D. neonatalogist + analogies I think
Answer is: A

● When to give antibiotics to woman in labor converted for C-section because of

fetal distress
A. In pre operation
B. After closing
C. When catting of umbilical cord
Answer is: A

● Meigs syndrome which type of ovarian cell

A. Germ cell
B. Epithelial
C. Sex cord stromal cell
Answer is: C

● What’s the degenerative changes of leiomyoma during pregnancy?

A. Red
B. Fatty
Answer is: A

● Pregnant newly dx grave ​next​ step tx ?

A. Propylthiouracil
B. carbamazepine
C. BB
D. thyroidectomy
Answer is: A in 1st T
Glory Group, 9th of december

● Pt with ovarian cancer which is sufficient for diagnosis ?

A. Tumer marker
B. Other option
Answer is: Biopsy or US

● 15 year female no menstruation come with galactorrhea which investigation

should do first
A. Prolactin
Answer is: A

● cases ​missed​ abortion brownish discharge LMP 8 weeks on US 7 week

A. Bed rest
B. Resume daily activity
C. Pregnancy termination
( other question choice was evacuation)
Answer is: C

● Pt with thick white vaginal discharge , ​fish​ odor, postive whiff test + micropscopic
pic ?
A. Bacterial vaginosis
Answer is: A

● ​Menorrhagia symptoms towards uterine fibroid ask about ​next​ step:

A. MRI pelvic
B. Endometrial sample
Answer is: Ultrasound (best initial test) if not endometrial biopsy

● Pregnant lmp was 6 weeks ,On exam 12 weeks, Hx of hemoptysis Dx:

A. partial mole
B. choriocarcinoma
Answer is: B

● Benign ovarian cyst characteristic

A. hypoechoic
B. bilateral
C. multilocular with thick septation
Answer is:A

● Fully dilated​ for 2h abdominal -2 station abdominal exam 1/5 head mother ​existed​?
Answer is: CS

● female using herbals on the vulva , after two weeks she’s c/o redness :
A. atopic dermatitis
Glory Group, 9th of december

B. cancer
C. atrophic vaginitis
Answer is: A (contact dermatitis)

● common cancer of vulva?

A. squamus cell carcinoma
B. adenocarcinoma
Answer is:A

● Preeclampsia case what is determine severity

A. Uric acid high
B. Abdominal pain
C. Blood pressue
D. Platelets 80
Answer is: D

● Epidural anesthesia what it’s sparring?

A. Perianal
B. Rectum
Answer is: B

Endometriosis and pt scared of cancer ?

A. End dose not have relation with cancer
B. Increase the risk of ovary epithelial cancer
Answer is: B

Pt with bleeding, large uterus , I think she was thinking she’s pregnant or 5 weeks of
amenorrhea , At the cervix mass bleed on touch ?
A. Biopsy
B. Evacuate
C. Chemo
D. Staging and Ct
Answer is: A

● Old pt after hysterectomy what may cause her to stay more in the hospital?​ ​Her
UO is 35ml per hr
A. Decrease oral fluid intake
B. Decrease urine output
Answer is: A

Pt 22yrs Pap smear show SCC what to do?

A. Total hysterectomy
Glory Group, 9th of december

B. Colposcopy and direct biopsy

C. Repeat pap smear
Answer is: B

Pedia

● Case of pediatric patient known to have Seizure, came with syndromic feature
hypotonia large head asking for vaccinations:
A.Give all 

B.Stop all live vaccine 

C.Stop Dtap 

Answer is : C

● Child Nephrotic syndrome What medication to avoid in management:

A. aspirin
B. amoxicillin
C. acetaminophen
D. ibuprofen
Answer is : D

● 2 week old patient diagnosed with congenital heart problem, now cyanosed,
tachypnic, fussy, Tx:
IV diuretic infusion
cardiac catheterization
Answer is : Knee-chest position, oxygen, sedation

● 1 year old with Hepatosplenomegaly petechiae neck swilling:

A. EBV serology
B. bone aspiration
Answer is : B

● Poor weight gain ( flat buttocks ) what is the most appropriate investigation ?
A. Anti endo
B. Duodenal biopsy
Answer is: A

● congenital hypothyroidism mx​:

A.levothx for 1 month
Glory Group, 9th of december

B.repeat blood test after 1 month

C.long life levoth
Answer is : C

● 2 weeks old, presents with history of vomiting after 1 hour from feeding and
passes stool 3 times per day, upon examination a small upper abdominal mass
was felt. Asks about initial investigation.
A. Barium swallow
B. Abdominal US
C. Abdominal x ray
D. Ct abdomen
Answer is : B

● 15 yrs old girl came with her mother to the clinic concern about that she dont have
menstrual cycle She is htn No pubic hair and she short with short neck
Answer is : TURNER

● Neonate 2nd day developed seizure her:

A.Neonatal sepsis
B.Neonatal tetanus
C.Hypoxic ischemic encephalopathy
answer is: C

● Confirmation of pertussis:
A. nasopharyngeal swab PCR
Answer is: A

● Pt with tosilitis common complication is

A. Pharyngitis
B. GN
Answer is: scarlet fever

● Pt in icu develop bleeding no other complain

A. Oral vitamin k
B. Parental vitamin k
Answer is: B, if active severe bleeding > FFP

● Girl with palpitation stop suddenly no other complain how to manage

A. Holter
B. ECG
Answer is: B
Glory Group, 9th of december

● Child type 1 DM new dx when to do eye screen

A. Immediately
B. After 1 year
C. After 5 year
D. After 10 year
Answer is: C

● Baby totally normal except +ve RBC in urine, All lab normal in examination kidney
abdominal mass Imaging diagnostic ?
A. Palin abdomen
B. CT
C. MRI
D. Palin abdomen + US
Answer is: D

● Old​ male come with lesion and swelling and pain in the distal part of the femur
around knee?
A. Osteosarcoma
B. chondrosarcoma
C. Ewing's sarcoma
Answer is: A

● Pt came for follow up her child had diarrhea and she used oral hydration when
back to normal diet diarrhea again, He’s mildly dehydrated
A. Gluten free diet
B. Cow milk free
C. Continue oral hydration for 5 days then introduce normal diet
D. Continue oral hydration for 24 hr then introduce normal die
Answer is: D
Glory Group, 9th of december

● Recommend age in neonates for Hgb with no risk?

A. 12 months
B. 18 months
Answer is: A
(If with risk of anemia: age would be in years)

● Whooping cough what type of sound you will hear

​ aroxysms (fits) of many, rapid coughs followed by a high-pitched “whoop”
Answer is: ​Stridor , P
sound.​Stridor​ is a high-pitched, predominantly inspiratory sound.

● PR examination was ​empty after taking off the finger​ the infant passed larg
amount of stool
Answer is: hirschsprung disease

● 8 years old came with his father, the father complaining that the child is look
bigger than other children in his age, the child more than 95 percentile in highet
and weight
A. modifies living factors
B. decreased carb
C. observations
D. admission
Answer is: A

● Child 15 months babbles , not able to say 3-4 word phrases , ear exam normal ,
management?
A. Refer to ENT
B. Refer for audiogram
C. Reassure mother as it is normal variant
D. Follow up when he is 24 month
Answer is: D

● 3y child with high fever ,O/E splenomegaly , + pic :

A. p falciparum
B. p vivax
C. P ovale
D. p malariae
Answer is: A
Glory Group, 9th of december

● DKA​ mx with bicarb 10.. other values were given, what is the ​initial​ thing to do?
A. Iv insulin infusion
B. Iv antibiotics
C. Iv potassium chloride
D. Iv sodium bicarbonate
Answer is: A , fluid first better

● Kid with inspiratory stridor, mild respiratory distress, hoarseness of voice,

barking cough which of the following is ​concerning​ symptoms: -
A. Tachypnea
B. Expiratory stridor
C. Nasal flaring
D. Blue lips
Answer is: D

● Whooping cough what type of sound you wil hear

A. Wheezing
B. Stridor
Answer is: B , ​Stridor​ is a high-pitched, predominantly inspiratory sound.

● What’s the type of cerebral palsy associated with kernicterus?

A. spastic
B. dyskinetic
Answer is: B , dyskinetic - ​Athetoid

● ​Bronchiolitis mx:
A. Hydration and oxygen
B. Steroids
Answer is: A

● Baby with recurrent epilepsy attack, have recurrent chest infection + poor weight
gain,In x. Ray there is: Puffy infiltration in the lung bilaterally And in auscultation
there is fine crackle
A. bronchopneumonia
B. cystic fibrosis
C. bronchiectasis
Answer is: B

● Egg allergy which vaccine is contraindicated ?

A. Yellow fever
B. Influenza
Answer is: A
Glory Group, 9th of december

● 25 % to have affected child for ​both​ ​carrier​ parents?

A. Aoutsmal recessive
B. Dominant
C. x recessind
D. X dominant
Answer is: A

● ​ hild with gastroenteritis has s&s of dehydration , sunken eyes and depressed
C
fontanelles , what is the level of sodium ?
A. high
B. low
C. normal
Answer is: A

● Child vomits after each meal what is the management ?

A. esophageal manometry
B. antacid
C. observation
Answer is: C

● Pt with otitis media on exam rupture membrane with pus, what is the most
common pathogen?
(No bacteria in answer?!)
A. Rhinovirus
B. Adenovius
C. Coronavirus
D. Maybe RSV
Answer is: RSV if not A

● Mother with child with SCD.. second marriage mother concern about disease ..
should screen:
A. Parenteral electrophoresis
B. Maternal electrophoresis
Answer is: new husband electrophoresis

● Child with fever and anemia his brother has similar symptoms which require
exchange transfusion which medication not to be given:
A. aspirin
B. acetaminophen
C. ibuprofen
D. glucocorticoids
Answer is: A I think they mean G6PD
Glory Group, 9th of december

● *​around 14 years old male ,feel shy from unilatral gynecomastia ,what to do?
A. Its normal between male to have mild different in breast size
B. cover his brest with bandge
Answer is: A

● *​baby of dm mother, Best route for give glucose?

A. central vein
B. periphral vein
Answer is: A

● child with delay walking ,wide wrist in x ray.. c was high,phosphate is normal "I
cant remember any other reading "What is the causes?
A. vit d dif
B. hypophosphatemia
C. familial hypophosphatemia
D. rickets
Answer is: B

● *​long scenario child with high glucose reading ,what he will have?
A. low insulin
B. high renin
C. low renin
Answer is: A

● 4 years child for circumcision with hypospadia,which one is true?

A. no relation between them
B. delay the circumcision due to need the skin for graft
C. the age not appropriate
Answer is: delay circumcision

● Long case Baby develops jaundice and mother is Rh negative ??? What’s ture (2
Q similar idea)
A. Mother Rh -ve agglutinate fetal Rh +
B. Father Rh -ve agglutinate fetal Rh +
Answer is: A

● Child with Maculopapular rash , hepatomegaly and Splenomegaly and

lymphadenopathy ?
Answer is : EBV infection

● 10 years old girl Eczema:

A. No need for Emollient after long shower
Glory Group, 9th of december

B. Choosing the appropriate Emollient depends on patient and doctor

C. Olive oil is better than coconut oil
Answer is: B
.

● 24 months old child came to clinic with his mother for taking hepatitis A vaccine,
Themother tells you that he is a know sickle cell disease patient and that he
received blood transfusion 1 week ago, what to do:
A. Give vaccine as per schedule
B. Check his hep A serology first
C. Delay for one month
D. Delay vaccine for 6 months
Answer is: A

● Child with cough, nasal congestion, fever, fatigue, rash s​tart on face​ then to the
body?
A. coxacki
B. Rubella
Answer is: B

● Child run, stuck 6 blocks, say 3 words sentence, can’t use the stairs with
alternating feet.
A. 1y
B. 2y
C. 3y
D. 4y
Answer is: self study

● child in emergency due asthema exacerbations, the father is smoker,when you

took withe him he appear care less what you will do ?
A. Focus in pt treatment and neglect the father
B. Reffair to social worker
Answer is: A

● Child bring by his uncle, the child loss his mother , 2 of his brothers in RTA The
teacher notice that a child attention not with him unless you call him by his name
Dx:
A. Dissociation
B. Denial
C. Depression
Answer is: A
Glory Group, 9th of december

● Case of patient with past history of Tb presented with chest pain on examination
elevated JVP, cardiac exam no murmur:
A. cor pulmonale
B. constrictive pericarditis
Answer is: B

● Another similar case but patient also had lower limb edema and hepatomegaly
Answer is:

Ethics:
● Pt dx Charcot knee advised to do amputation but refused:
A. Sign DaMA
B. Consult ethics committee
Answer is: A

● Doctor explained to the patient (I will start with nature of the disease, limitation,
and treatment options and finally the prognosis. What did the doctor perform?
A. probing
B. agenda setting
C. safety netting
Answer is: B

● Cancer pt and the family asked for strong analgesia the dr said it will affect him
and May cause death name of principle
A. Inform
B. Consult or option
Answer is: double effect

● Pt with large cancer in icu , surgeon thinks he can debulk as palliative treatment
A. Tell the pt and make him sign high risk consent
B. Tell the ICU
Answer is: A

● Ethics many repeated questions

● female want HRT what to do?
A. Refuse
Answer is: A

● Child with asthma father smoker you advised him but he seems not interested
what to do?
Glory Group, 9th of december

A. ignore father
B. counsel about immunization
C. inform child protection
D. Inform ethical committee
Answer is: C

● couples came to infertility clinic female found to have blocked tubes who to
inform?
A. .wife
B. couple
Answer is: B

● couples ask about surrogacy hospital don’t provide you’re not sure if it is allowed
in Saudi Arabia what to do?
A. .refer to hospital provide it
B. give the another appointment and review topic
C. .tell them hospital don’t provide this service
D. Consult hospital ethics committee
Answer is: B

● pregnant came with abdominal pain she was anxious because she lost previous
pregnancy she speak different language what to do:
A. show her that her feelings understood
B. refer her to other colleagues
C. show her her feelings don’t matter because she have been through it before
Answer is: A

Notes:
● prune belly syndrome
● Case of acute limb ischemia thrombus or embolus
● Post partum with hepatitis b Ask about breat feeding her baby
● Pic : condyloma lata and Urethral caruncle
● baby absent moro reflex > Erbs palsy
● Cause of CROUP: Para influenza virus,Treatment: supportive
● What indicate prognosis in hepatitis?
● Abx contraindicated in DM? Cipro
● Abx contraindicated in CKD? Nitro
I had 4 pic :
● 1-case of missed abourtion (empty uterus) what is the next step of management ?
● 2- CTG with late declaration asking about the cause (-utroplacental -head comparation
-cord prolapse - abraptio placenta)
Glory Group, 9th of december

● 3- CTG with famele in indication of Lebar show baby heart bradycardia what is the cause
( -oxcytocin -abruptio placenta -cord prolapse)
● 4- CXR of SCD 3 year old baby complain of SOB what is the dx ( -acute chest
syndrome - pneumonia)
● Antidote streptokinase
● TB drug causes Hyperurecemia
● APGAR score calculation
● Picture of HSP ( rash in the buttocks ) , whats the management? Supportive
● Case about SLE and asking which of the choices is one of SLE criteria
● Pt with esophageal leak What is the mx > stent
● Pt 31 year female with low grade cervical cancer what the next step
● Pneumonia transmission? Airborne
● Meningitis transmission? Droplet
● Low gamma and B ,normal T cell > X link agammagloinemia
● Ploymelgia rhoumatica associated with ?CLL
● COPD monitoring ? FEV1
● Cured by spleenectomy? ITP
● Congeital hypothyroidism, baby tongue protruding > replacement for life
● parkland formula for pt burn both lower limb and his wight 70 kg?
● Case of HUS which treatment require? supportive
● Metformin should not be use in GFR below how much? 30
● Case high HB and low erythropoietin ask for diagnosis > Polycythemia
● Child with diaphragm hernia witch immediate action after resuscitation > NPO
● Position lead to 4th degree perineal laceration > squatting
● Baby with heart block what did the mother have ? SLE
● Subserous fibroid asymptotic 5 cm what is the best management:
Glory Group, 9th of december