30/7/2018 ‫تنافسي ديوان الخدمة المدنية‬

?Aplastic anemia causes all except-1

** CMV -
EPV -
Chloramphenicol -
? Invasive Breast cancer mainly presented by -2
** Painless mass -
Greenish nipple discharge -
? In urinalysis finding to detect glomular disease is - 3
** RBC cast -
WBC cast -
? In treatment of heart failure all correct except -4
Beta blocker improve survival rate -
** Digoxin given for all patients -
? All are physical sign in tension pneumothorax except -5
Tachycardia-
Hypotension-
Collapsed neck vein-
Tracheal shift-
? ys male pt admitted to icu with severe pancreatitis main line for treatment 45 -6
Iv broad spectrum antibiotic -
ERCP -
** Fluid resuscitation -
? child presented to ER complain from cough , x-ray shows pneumonia most causative organism -7
** Respiratory syncytial virus -
Varicella -
? In acute cardiac tamponade after stab wound x-ray show -8
Water - bottle heart -
Normal cardiac silhouette -
** Concomitant pneumothorax -
Deep sulcus sign -
female pt complain non bloody vaginal discharge, frothy , gray in color , no edema no pruritus 34 -9
?Very bad odor causative organism
trichromnas vaginalies -
Gardenella vaginalies -
Candida albicans -
Chalmydia trachomatis -
? Pt with tension pneumothorax best initial Rx -10
** Needle thoracotomy -
Intubation -
Chest tube -
Fallot tetraollgy all true except -11
VSD -
ASD -
Pulmonary stenosis -
Dextroposition of the aorta -
? about congenital varicella syndrome all true except - 12
Limb hypoplasia -
Chorioretinites -
** Macrocephaly -
? In asthma pt one drug is contraindication -13
Enalapril -
 Propranolol -
Verampil -
Metronidazole -
? signs of occulomotor nerve palsy all true except - 14
lateral deviation -
Double vision -
** Miosis -
Ptosis -
? About endometrial cancer all true except -15
Direct extension most common road of extension -
About 20% malignant cell detected in Pap smear -
Most commen gyacological malignancy in jordan and USA -
Clear cell type carries worse prognosis -
? About Screening of newborn at birth must be for - 16
Hypothyroidism -
Collagen storage disease -
Mucopolysaccharide -
Biological reaction for OCPs -17
? Include all except
Suppression FSH -
Suppression LH -
Change cervical mucus to prevent spermatozoa penetration -
Induce sterile inflammatory response to prevent spermatozoa movement -
5ys child presented to ER with cough , strider , hoarseness of voice , toxic look , no response to -18
adrenaline nublizer or inhaled
?steroid most likely diagnosis
laryngitis-
bacterial trachiaties-
** epiglottitis-
? Time for orhidopexy for undescended testes - 19
** year 1 -
years 2-5 -
month 6-8 -
? Child with chicken pox , pneumonia the best method for isolation -20**
Small droplet -
Large droplet -
Contact isolation -
concomitant pneumonia patients -
?about typhoid fever all except -21
* Incubation period 10-14 years -
More common among males -
Carrier treated with ampicillin -
Most common bone malignant tumor in pediatric less than 12 ys age is -22
** Osteosarcoma -
Ewing sarcoma -
Chondrosarcoma -
? ys child presented with fever , night sweating , bone pain, hepatosplenomegaly next step 10 -23
** Bone marrow aspiration -
Abdominal CT -
About appendicitis all true except -24
more common at childhood -
Mortality increase with age and mostly at elderly -
 US diagnostic about 95% -
Fecolith impaction most findings after resection -
? aspirin indused asthma association all except -25
Rhinitis -
Urticaria -
Nasal polyp -
** Extrinsic asthma -
? RPGN Types all except -26
IgA nephropaty -
Wegner granulomatosis -
Good pasture syndrome -
Post streptococcus GN -
y old man presented in ER with Fresh painless rectal bleeding 76 -27
Upper endoscopy is normal
: Mostly is
**Diverticuler disease -
Rectal cancer -
Piles -
: bilateral spontaneous pneumothorax occur in -28
pneumocystis pneumonia -
Catamenial pneumothorax -
Marfan syndrome -
Tuberculosis -
: d.d of right iliac fossa pain except -29
***splenic vein thrombosis -
Acute pylonephritis -
crohns disease -
? child presented with Febrile seizure all true except -30
Lumbar puncture should be done < 12 month of age -
**Treated by valproic acid -
.Febrile seizures are the most common type of seizure in children -
: Post MI most common leading cause of mortality -31
** Ventricular arrhythmia -
Ventricular aneurysm -
Rupture of myocardial muscle -
? about placenta Previa one is true -32
Placenta located at internal os at 20 wks called placenta previa -
Hysterectomy indicated to stop postpartum hemorrhage -
Anterior placenta previa don't cause fetus distress -
: uterine atony causes all except -33
high parity -
Instrumental delivery -
Primigravida with small for date fetus -
Prolonged labor -
:most common complication after operation -34
wound infection -
** Atelectasis -
Hemorrhage -
: pt with hepatitis A to detect severity best test is-35
hypergammaglobulinemia -
Increase LDH -
Increase bilirubin -
Two fold increase in prothrombin time -
 Body mass index equation -36
Parietal cell secrete HCl -37
Questions about middle cerebellar peduncle -38
: About labor one is correct -39
answer
.Regular uterine contraction duration is about 1-2 mins in 10 mins with intensity 30-40mmgh
? One of the primitive reflexes persist all the life -40
Answer Parachute reflex
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