SMLE 2019

TH
15 OF DECEMBER

Glory Team

Please don't hesitate to contact us if you have any correction, comments or

suggestions.

Teamglory2020@gmail.com

Pediatrics: 2-5
Medicine: 6-14
Surgery: 15-18
OB/GYN: 19-24
GLORY GROUP 15TH OF DECEMBER

Pediatrics
● Boy with cystic fibrosis (stating that) also he has all the symptoms and
complications his parents and siblings are healthy what to do?
A. Genetic study to the sibling
B. Genetic study to the parents
C. Sweat test sibling
D. Sweat test parents
Answer is: C

● Pediatric patient has right abdominal pain and fever after abdominal
trauma, mother noticed right abdominal distention:
A. liver contusion
B. pyelonephritis
C. Wilms tumor
D. Neuroblastoma
Answer is:
Note: Wilms usually flank mass with hematuria or HTN. History of trauma + Right
abdominal pain suggestive of liver contusion ( the presence of abdominal distention
can suggest hemoperitoneum)

● Milestone age 6 month

A. sit without support
Answer is: A

● Vaccination contraindicated in pregnancy

A. zoster
Answer is: A

● 3 months old born in home come with severe umbilical bleeding what is the
best treatment for him?
A. Vitamin K
B. Blood transfusion
C. FFP
Answer is: C, to stop the bleeding since vitK takes time.

● 2-months vaccination in national program

A. IPV hip HiB DTP PCV
B. IPV hip dtp HiB
C. IPV HiB hip DTP OPV
D. IPV hip HAV
Answer is: ​IPV, DTap, HebB, Hib, PCV, Rota
GLORY GROUP 15TH OF DECEMBER

● Child presented only with vomiting (without anything); normal examination;

normal; what is dx?
A. Duodenal atresia
B. Heisenberg
C. Pyloric stenosis
Answer is: INCOMPLETE

● Patient diagnosed with Type one Diabetes ​recently​. Has multiple episodes
of hypoglycemia in different times throughout the day, what is the name of
this phenomenon?
A. brittle diabetes
B. somogyi phenomenon
C. dawn phenomenon
D. honeymoon phenomenon
Answer is: D , ​The ​“honeymoon period”​ is a phase that some people with type 1
diabetes experience shortly after being diagnosed. ​Brittle diabetes ​is describe
hard-to-control diabetes is characterized by wide variations or “swings” in blood glucose
(sugar) in which blood glucose levels can quickly move from too high (hyperglycemia) to
too low ( hypoglycemia ) .

● 11 years old girl came complaining of right ear pain with foul smelling
discharge after swimming in the community pool. Pulling on the pinna
produces pain. What is the Mx?
A. topical steroid
B. topical neomycin
C. Oral steroid
D. oral amoxicillin
Answer is: B

● Complication of tonsillitis; white exudate ?

Answer is: scarlet fever

● Child eat tissue, with lab Micro - hypo Anemia?

A. Iron deficiency anemia
B. Hemolytic anemia
C. Aplastic anemia
Answer is: A

● Q: baby ate some kind of supplements and presented with ​black vomitus​.
What does he have?
A. -hypervitaminosis
B. -iron intoxication
Answer is: B
GLORY GROUP 15TH OF DECEMBER

● Egg allergy which vaccine

A. Yellow fever
Answer is: A

● What is the milestone of a boy who can say three-word sentences, can walk
but can’t climb the stairs with alternating feet?
A. 1
B. 2
C. 3
D. 4
Answer is: self study

● When is the abdominal pain considered abnormal in children?

A. in the area around the umbilicus
B. lasting more than 10 min
C. in the morning when wakes up
D. around sleeping time
Answer is: D, nocturnal pain is red flag in pedia.

● Mother brought her 6 month child for vaccines, when he was 4 month he
was admitted due anaphylaxis after vaccination?
A. Reassure and vaccinate
B. Don’t give DTP
C. Test for allergen
Answer is: C

● Child with fatigue, weakness, Hypertension and delayed pulse in lower

extremities and ask about the underlying cause
A. ASD
B. VSD
C. Coarctation of aorta
Answer is: C

● Child complain of pain above knee On X ray: 3×3 sclerosing bone lesion in
distal femur. What's the dx?
Answer is: Osteosarcoma , ​on Conventional x-ray = Signs of osteolysis adjacent to
osteosclerosis​ (moth eaten appearance) , Sunburst appearance of lytic bone lesions
and/or codman triangles , Localization = Primary tumor: metaphysis of long bones
(​particularly distal femur​ and proximal tibia)
GLORY GROUP 15TH OF DECEMBER

● Painful vesicles on a child's (2 years old) lips inside his mouth, on his
tongue, gingiva and palate. Affecting his feedings.
A. herpes simplex virus
Answer is: A

● A young girl with neck swelling, hepatosplenomegaly and constitutional

symptoms. Labs were provided. (Burkitt’s?)
A. EBV serology
B. bone marrow aspiration and histopathology
Answer is: B?
Constitutional Sx is worrisome feature so should be B to rule out leukemia

● 2y with swelling dorsum of hand , fingers and feet Temp high Hb low
Reticulocyte 3% Management?
A. Corticosteroids
B. Penicillin and immunization
C. Vit B12
D. Iron
Answer is: B

● Newborn with meconium aspiration , What is the most important ​initial

step:
A. Surfactant lavage
B. nitric oxide
Answer is: A, if there’s evidence of pulmonary HTN > B

● Q: Child with Projectile vomiting with increased hunger right after he

vomits?
Answer: pyloric stenosis

● Q: Prediabeteic patient Ha1c is 6.1 On metformin 1000 DAILY, Bp on three

readings: 149/100 , What will you add to his medications:
A. Metformin
B. Acei
Answer is: B

● Q: 1 year vaccination?
A. opv, mmr, dtap and mcv
B. Opv mmr pvc and mcv
Answer: Pcv,mcv, mmr, opv
GLORY GROUP 15TH OF DECEMBER

Medicine

● Q: Patient is being treated for diabetic ketoacidosis, what will you monitor
for?
A. cerebral edema
Answer is: A

● Q: Pain management in CKD?

A. ibuprofen
B. Tramadol
Answer: B , ​tramadol is generally well-tolerated in patients with renal insufficiency and
dialysis.

● Which is strongly associated with graves ?

A. eye symptoms
B. anti TSH antibodies
C. antithyroid peroxidase
Answer is: A

● Crohn’s disease with diarrhea 12 times a day; what is the expected

electrolyte imbalance?
A. Low MgSO​4
B. Low K
C. Low Na
Answer is:

● Pt got diagnosed with heart failure and he is ​hypertensive​ no EF in the

question ?
A. bisoprolol
B. lisinopril
Answer is: B
GLORY GROUP 15TH OF DECEMBER

● Pt diagnosed with CHF and severe crepitations and lower limb edema; no
EF in the question. What is the appropriate medication?
A. furosemide
B. spironolactone
C. BB
D. ACEI
Answer is: A

● Pt dx with Heart failure and EF is 25% what is the medication?

A. furosemide
B. spironolactone
C. BB
D. ACEI
Answer is: B?

● Post blood transfusion pt had chest tightness, fever, pain ​at site ​of
injection?
A. Hemolytic anemia
B. Febrile non hemolytic reaction
C. Allergic reaction
Answer is: A , ​at site Acute hemolytic transfusion reaction

● Pt just got diagnosed with severe aortic stenosis no EF in the question

what is the important appropriate management ?
A. start antihypertension medication
B. valve replacement
Answer is: FU ?

N. B : Valve replacement is recommended for the following:

GLORY GROUP 15TH OF DECEMBER

Symptomatic​ patients (including those with symptoms or reduced effort tolerance on

exercise testing) with •Severe aortic stenosis
Asymptomatic​ patients with any one of the following:
•LV EF < 50%
•Moderate or severe AS when undergoing cardiac surgery for other reasons
•Abnormal exercise test showing a fall in blood pressure below baseline
• If surgical risk is low, then surgery may be considered if there is very severe AS,
severe pulmonary hypertension without other explanation, or severe valve calcification
with rapid progression

● Pt after 1 month of valve replacement what organism?

A. Staph viridans
B. Epidermis
C. Staph
Answer is: A

● A question about liver lesion pt complaining of rt abdominal pain for 3 mo;

report shows: hyper-vascular lesion , lab shows increased AFP :
A. HCC
B. hepatocellular adenoma
Answer is: A

*All the Q about HCC : *

Q Alpha-Fetoprotein (AFP) for screening
Q Ultrasound: first test if done >
Q Abdominal CT (confirmatory test) if done > Q biopsy definitive diagnosis but carries
the risk of bleeding and tumor spread OR do A colonoscopy do ass. metastasis
Q Transarterial chemoembolization (TACE) is currently the most common approach for
the management
GLORY GROUP 15TH OF DECEMBER

● 62 y/o male complaining of abdominal pain for 3 months, increased with

eating, with heartburn, ​+ve hx of weight loss​, no nausea or vomiting, he
quit smoking 2 years ago, most appropriate management:
A. urgent referral for upper GI endoscopy
B. H pylori blood test
C. proton pump inhibitors for 4 weeks
D. I think it was abdominal US or CT
Answer is: A

● Female with solid dysphasia, endoscopy revealed mass in the mid

esophagus, dx:
A. SCC
B. Adenocarcinoma
Answer is: A , ​upper ⅔ is SCC lowe ⅓ is Adeno

● Patient diagnosed with achalasia, what’s the management:

A. fundoplication
B. pneumatic dilation
Answer is: B

● Beta blockers toxicity management:

A. glucagon
Answer is: A

● Pt with lethargy all normal except ​hyperkalemia​, low bicarb management:

A. insulin dextrose infusion
B. bicarbonate
C. hemodialysis
Answer is: Calcium gluconate: should be administered first if not in the choices go for A
GLORY GROUP 15TH OF DECEMBER

● Patient with multiple ​COPD exacerbation​, on ​salbutamol​, which drug are

you going to add as maintenance?
A. oral prednisone
B. tiotropium
Answer is: ipratropium bromide

● Patient after RTA present with raised JVP, decrease heart sound, Bp 80/40,
Dx?
A. cardiac tamponade
Answer is: A

● When you order the test for ​screening​ cancer you will chose ?
A. Highly specific
B. Highly sensitive
C. Quick to perform
D. Cheap
Answer is: B

● 20 something year old came to surgical clinic with a 3×4 mm on her

forearm ​since childhood​ what would be the best management. (He didn't
mention if it was bothering the patient, cosmetically nor mentioned any
symptoms or changes in appearance.) ?
GLORY GROUP 15TH OF DECEMBER

A. excision
B. laser removal.
C. follow up
Answer is: C

● 30 something year old woman known to have gallstones. Presented to ED

with jaundice and severe abdominal pain and vomiting that started a
couple of hours ago. Labs elevated amylase and bilirubin and LDH.
What is the ​best initial ​action?
A. abdominal US
B. IV fluids
Answer is: B

● Obese women who is a smoker with steatohepatitis what is most effective

for her.
A. weight loss
B. smoking cessation
Answer is: A

● 30 something years old woman with a history of hospital admission for

acute pancreatitis ~ 2wks ago came complaining of epigastric pain, fever,
vomiting on palpation a mass was felt.
US large cyst in the lesser sac ~ 14+15
What is the best management?
A. endoscopic aspiration
B. Percutaneous aspiration
Answer is: B (There's fever)

● Screening for HCC

A. Alpha fetoprotein
B. Us
C. Triphasic CT
Answer is: B

● LIVER mass , early peripheral enhancement, late central central ??

A. Hemangioma
B. Metastasis
C. Hepatoma
GLORY GROUP 15TH OF DECEMBER

D. Hydatid cyst
Answer is: A

● Maintain remission in COPD ?

A. Tiotropium
B. Oral steroids
Answer: A , ​LAMA and LABA inhalation powder approved by the FDA for long-term
maintenance of COPD​.
Long-acting parasympatholytics: tiotropium bromide
Long-acting β2-agonists: salmeterol, formoterol

● Bethdesa score 4:
A. Removal of nodule
B. FNA
C. hemithyroidectomy
D. total thyroidectomy
Answer: C

Besthesda for thyroid :

1,2,3 >>> repeat FNA
4>>> lobectomy
5,6>>> n. total thyroidectomy

BIRADS for Breast :

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

● Pt complains of left iliac fossa pain and difficulty in passing stool

WBC are high ( there was no age or gender in the question)
A. ovarian tortion
B. Diverticulitis
Answer: B
GLORY GROUP 15TH OF DECEMBER

● Meningitis child with papilledema what ia the most thing that concern his
parents?
A. Hearing loss
B. Vision loss
Answer:A

● Most site that injured in blunt trauma​ :

A. distal part of left subclavian artery
Answer: A , distal to the left subclavian artery​ , In blunt thoracic trauma patients, the
commonest site of aortic tear is distal to the left subclavian artery and proximal to the
third inter-costal artery; this area is commonly referred to as the isthmus.

● Neonate with complete heart block​ .. Answer : Mother with SLE

● Acute chest syndrome how to decrease risk of recurrence.​.

Answer: Hydroxyurea

● Case about yellow vision and digoxin toxicity ?

Digoxin toxicity :
Eye discoloring
Delirium
Atrial tachycardia
ventricle tachycardia
AV block

•​Women middle aged came complaining of blood streaked stool on examination

there were 2 hemorrhoids with 2nd or ​3rd grade​. Best treatment:
A. hemorrhoidectomy
B. Rubber band ligation
Answer: B
GLORY GROUP 15TH OF DECEMBER

● Q: Patient concerned about developing dm he has a strong family history

of dm and cardiac diseases what will you advise him to? “SAME choices”
A. decrease caloric intake.
B. Decrease carbs and high protein diet
C. 30 mins exercise 5 days a week
D. Low carb and 30 mins exercise
Answer: C

● HIV male came to infertility clinic.

A. tell husband
B. Tell wife
C. Tell a close relative
D. Ethical committee
Answer: tell him first

● Q: Patient with typical ss of TB then asked what is the next step?

A. start anti Tb
B. Sputum culture for acid fast bacilli
C. Other choices not related to TB
Answer is: Isolation in negative pressure if not in choices B

● Q: Post chemotherapy with dry mouth what's the electrolytes

abnormalities?​ :
A. Hypercalcemia
B. hypocalcemia
C. Hypernatremia
D. hyponatremia
Answer is: B

● Q: frontal sinus headache how to reach the diagnosis and hx of use of

combined neb with decongestant, what is the next step in reaching the
diagnosis?
A. full history and examination
B. CT sinuses
Answer is: A
GLORY GROUP 15TH OF DECEMBER

Surgery
● Q: Patient in ICU had ​necrotic bed sores​ with ​discharge​. What's the
appropriate
management?
A. Debridement with primary closure
B. Debridement with primary skin graft
C. Debridement with vacuum assisted closure
Answer: B
*If there’s debridment with dressing more accurate

● RTA tertiary care center; stabilized and ready to transfer him; suddenly
became ​hypotensive​. i​njury of thoracic aorta​ and spleen laceration.
What is appropriate for his transfer?
A. Operation laparotomy
B. Operative thoracotomy
Answer is: A

● Elderly complains of painful anal swelling; exam showed thrombosed pile;

also Hb low.
A. Rectal cancer
B. Sigmoid cancer
C. Hemorrhoids
Answer is: C

● Q: breast cancer risk factor?

A. age
B. early menarche
Answer is: A

● Q: Patient presented with ​cloudy urine with bubbling​ for ​2 months.​ He has
a
history of re​current left iliac fossa pain​ for the ​past 2 years.
Colonoscopy: shows n​arrow lumen​ otherwise normal
Cystoscopy: erythema on dome of the bladder.
What is the diagnosis?
A. Bowel ischemia
B. Diverticular disease
C. Transitional cell carcinoma of the bladder
D. Squamous cell carcinoma of the bladder
Answer: B
GLORY GROUP 15TH OF DECEMBER

● Women with pelvic pain did Ct abdomen and found adrenal mass most
common adrenal mass??
A. Non functioning adenoma
Answer is: A

● Pt with solitary 9*7 mm with ​normal thyroid hormones ​and physical

examination
What is the most appropriate management?
A. thyroid scan
B. FNA
C. FU with imaging
D. Surgery
Answer is: B

● Female ​pregnant​ with growing left breast mass, firm and mobile what to
do?
A. bilateral breast US
B. bilateral Breast mammogram
C. follow up after delivery
D. core biopsy
Answer is: A

● Anal Fissure case with bleeding and pain during defecation and diagnosed
on inspection. Best treatment.
A. something (might be external) anal sphincterotomy
B. internal anal sphincterotomy
C. Anal dilation
No fissurectomy in choices
Answer is: B LIS
Examination Under Local Anasthesia would be more correct

● Fatigued 60 year old complain of blood streaked stool for 6 months. On

examination there were pile. Best next step.
A. hemorrhoidectomy
B. Colonoscopy
Answer is: B
GLORY GROUP 15TH OF DECEMBER

● Pt in his 20s complains of anal pain for 2 yrs, On examination there was a
cauliflower polyps that are painful when touched Dx;
A. Condylomata acruminata
B. Fibroepithelial polyps
C. Anal cancer
D. Rectal cancer
Answer is: A

● 2q one about some surgeon who did resection for low anterior part of
colorectal & he call for vascular surgeon & there was h​eavy bleeding
which he try to encounter with p​acking but he still bleeding​ what he
should do​ :
A. do on table angio
B. remove pack and repair the injury
C. Infra celiac clamp
D. supra something…
Answer: C

● Another Q same case but ​no mention of packing​ just asking about next
step of management :
A. do on table angio
B. heavy packing
C. Infra celiac clamp
D. supra something…
Answer: B

● Pt hit by truck & he’s oriented type of shock ( just like that no mention of
investigation):
A. Cardiogenic
B. Hemorrhagic
C. Septic
D. Neurogenic
answer is B mostly

● Q: Scenario and they gave the diagnosis of cholecystitis, pt was given

antibiotics and iv fluid. how will you manage?
A. ERCP
GLORY GROUP 15TH OF DECEMBER

B. lap chole after 3 months

C. Lap chole same admission
D. No further management.
Answer is: C

● Q: Septic arthritis was started on cloxacillin empirically, culture showed

staph aureus ​resistant​ to ​cefuroxime​. How will you manage?
A. continue cloxacillin.
B. Start vancomycin.
Answer is: B

● Q: mammogram in patient at 55 years of age

A. every 2 years
Answer: A
GLORY GROUP 15TH OF DECEMBER

OB/GYN

● Patient with ectopic pregnancy Bcg 5000 mx?

A. Methotrexate
Answer is: A

● Women with hot flashes came to the doctor to know what's the explanation.
Answer is: LH & FSH cause vasodilation

● Which of the following vaccines are contraindicated during pregnancy.

A. Hepatitis b
B. Zoster (written like this, not versilla)
C. Hib
D. Meningococcal
Answer is: B

● 39 yrs female, completed her Family, presented with recurrent

endometrioma 6*7, these is lower abdominal pain, dysmenorrhea,
dyspareunia, management?
A. Ablation
B. Aspiration of cyst
C. Removal of cyst
D. Immediate hysterectomy, salpingectomy, oophorectomy?
Answer: D , Immediate ?

● Valvular itchy mass 70 year old female Biopsy came with scc What the best
management?
A. Vulvectomy
B. Wide local excision
Answer: B
*Depends on the stage
GLORY GROUP 15TH OF DECEMBER

● Post menauposal with AuB she is on ​tamoxifen​, US showed fibroid and

homogeneous uterus with thickness more than 4 mm, Dx, ;
A. Endometrial adenocarcinoma
B. Leiomyoma
Answer: A

● Stress with cough laughing feeling grabbing:

A. Cyctocele
B. Urethtocele
Answer: A

● Contraindicated vaccine for immunodeficiency pt ?

Answer:Zoster

● Egg allergy cI vaccine ?

Answer: Yellow fever

● Daughter cyst management

Answer is: surgery

● Splenic tear grade 3 management?

Answer is: conservative splenectomy

● Female married came complaining of 6 hrs of right lower iliac fossa pain on
Ex there was ​tenderness with rebound​ , Vitals are all normal including
temperature and WBC is in normal range , Dx:
A. Honeymoon cystitis
B. Pelvic inflammatory disease
C. Ovarian torsion
D. Uretrocele
Answer: C
The presence of peritoneal signs such as rebound tenderness raises the
suspicion for a ruptured .

● Post ​menopause​ with ​dyspareunia​ and sexual dysfunctions?

A. Progesterone
B. Testosteron
C. Estrogen
Answer: C , vaginal estrogen creams
GLORY GROUP 15TH OF DECEMBER

● Lady LMP 2 months ago , her husband uses condom, during exam cervical
is dusky , investigation?
A. B-hCG
Answer:A

● Post menopause women last visit about 4 years she did US prior to
tamoxifen​ use for breast cancer, had fibroid 3*4 now the e​ndometrial
thickness is 3mm​ and fibroid 8*? ( ‫ ) ﻧﺴﯿﺖ اﻟﺤﺠﻢ ﺑﺲ اﻧﻪ ﻛﺒﺮ‬whats the diagnosis ?
A. Leiomyoma
B. Leiomyosarcoma
C. Endometrial cancer
Answer: B

● Pregnant lady with previous preterm delivery and this pregnancy is

uneventful
What is next:
A. cervical cerclage
B. Progesterone
Answer: A
N.B: *Interventions to prevent preterm delivery:*
– Weekly IM progesterone *if cervical length >25 mm with prior spontaneous PTB*
Weekly IM progesterone + cervical cerclage placement *if cervical length <25 mm
before 24 weeks with prior PTB*
– Daily vaginal progesterone *if cervical length <20 mm before 24 weeks but no prior
PTB*

● Pregnant lady she had abdominal pain on examination and everything was
normal and fetal US and CTG was reassuring , On pelvic examination there
was ​cervical length of 1.5 cm​ and ​fetal membrane herniation , ​What is the
Dx:
A. Threatened abortion
B. Missed abortion
C. Incomplete abortion
D. Cervical incompetence
Answer: D

N.B : Cervical incompetence​ : ​Suggestive ultrasonographic findings include

Cervical shortening to < 2.5 cm
GLORY GROUP 15TH OF DECEMBER

Cervical dilation
Protrusion of fetal membranes into the cervical canal

● Pregnant on labor , On pelvic examination ​u felt the face nose and mouth
What is the appropriate management:
A. CS
B. continue management
C. oxytocin
Answer: A

● Pregnant with bicornuate uterus, the fetal heart sound ​heard on the
umbilicus​ what position is fetus laying:
A. breech
B. cephalic
C. transverse
Answer: A

● Pregnant in 20 wk on an iron supplement complaining she fell fast

weakness and tired what is the dx
A. Hypothyroidism from pregnancy
B. Iron anemia
C. Thalassemia minor
Answer is: B , see lab

● Pregnant lady was taking iron supplements throughout her pregnancy

She is still fatigued and labs were all associated with microcytic
hypochromic anemia, Dx​:
A. IDA
B. Beta thalassemia
Answer: B , see lab

● Old lady hx of urine leak with cough

Answer is: Stress incontinence

● Repetitive Vomiting ,and Snowstorm appearance:

Answer is: complete molar
GLORY GROUP 15TH OF DECEMBER

● CTG picture of​ late deceleration

The question was about a female in labor she is displayed and effaced
membranes were ruptured The l​abor took 20 hours​ she is on oxytocin ,
What is next:
A. CS
B. discontinue oxytocin
C. Amnioinfusion
Answer: A
Change maternal position is correct if it was in choices

● CTG picture of early deceleration of a mother with preeclampsia on MgS04

Everything was normal and reassuring What is the cause:
A. fetal head
B. MGS04
Answer is: A

N.B : ​deceleration CTG :

early = head
variable = umbilical
late = placenta uterine

● Q: pregnant in her first trimester have hyperthyroidism, mx?

Answer: PTU
● Q: Female with green discharge how will you manage her husband?
Answer: metronidazole

● Q: Hormonal therapy in post menopausal woman?

A. refuse
B. Send her to another doctor
Answer is: A

● Q: Surrogacy in ksa?
A. give appointment to review the topic
B. Warn the couple it might not be allowed in ksa
Answer: A

● Q: 34 years old female complaining of green discharge that started after

her mensuration, Upon examination: red lesions “like bruises”
GLORY GROUP 15TH OF DECEMBER

Whats the diagnosis?

A. atrophic vaginitis
B. Bacterial vaginosis
C. candidiasis
D. trichomoniasis
Answer: D

● Q: pregnant had warts what will you do?

A. cryotherapy.
Answer: A

● Q: pregnant came in active seizure how will you manage? ​No seizure
medication inchoices
A. mg sulfate
B. Bb
Answer: A

● Q: Pregnant with bicornuate uterus, breech fetus. How will you deliver?
A. NVD
B. Forceps
C. Ventouse
D. CS
Answer: D
GLORY GROUP 15TH OF DECEMBER

Topics and pics

Thyroid cases
PID
CI ECV
Parkland formula ,
GCS
Condylomata acuminata
Croup
Hypothyroidism
2-3 question. About ectopic pregnancy, sharp abdominal pain
with high b hcg 3Ques. About abortion threatned,
incomlplate , invetable

Pics:
HSP , CTG , polyp:
Pic of impetigo
Pic of urethral caruncle
Pic of ulnar and radius fx the answer is irrigation then fixation
Pic of anembryonic pregnancy
Pic of ground glass appearance in endometrioma
Pic of ecg: diffuse st elevation, inferior MI
Pic of CTG sinusoidal
A picture of skin tag that changes in color when touched

Constitutional delay ?
GLORY GROUP 15TH OF DECEMBER