‫بسم هللا الرحمن الرحيم‬

EMREE 14/12/2019

c. Spiral Gram negative Patient presented with H.pylori? 1

a. Gram negative rod

b. Gram positive rod

c. Spiral gram negative

d. Gram positive cocci

e. Gram negative cocci

b. Placenta previa Pregnant G4P3 at 32 weeks presented with brownish vaginal bleeding. 2
On examination patient is stable. Fetus viable no abdominal pain.
Breech presentation. Long closed cervix with no visible bleeding

a. Excessive show

b. Placenta previa

c. Abruptio placenta

b. Neisseria meningitidis Patient presented with vomiting. On examination palpable purpura. LP 3

show no organism.. blood show kidney shape organism. MacConkey
negative

a. are diplococci
a. Neisseria gonorrhoeae
b. are kidney/coffee-bean
b. Neisseria meningitidis
shaped
c. Neisseria lactamica
c. short rods/spiral

c. Long chain fatty acid Patient with peroxidase deficiency. What substance will be accumulated 4

a. VLDL
 b. Ketone body

c. Long chain fatty acid

c. IV morphine Patient after RTA with trauma to his left leg presented with pain of 5
10/10. Skin is wood like. What pain relief

a. NSAID

b. PCA morphine

c. IV morphine

a. Pain out of proportion in In summary patient had compartment syndrome after an injury I think 6
examination then they were asking which is the sign in examination:

a. Pain out of proportion in examination

b. Pressure with compartment is 5mmhg

if asymptomatic and no Patient presented with gall stone and the ultrasound show that 7
stones in the CBD then common bile duct within borderline normal limit 7mm (and they didn’t
expectant management. mention stones in CBD) so what is the next best step

if symptomatic then elective

cholecystectomy.
a. ERCP
if there are stones in the CBD,
b. MRCP
then antibiotics and ERCP if
patient is stable, if not the
PTC

d. Mixed cryoglobulinemia Patient presented with 8

No previous URTI or abdominal pain

https:// With low complement 3 and 4... Hepatitis C positive. Hepatitis B

step2.medbullets.com/ negative..? palpable purpura
rheumatology/120645/
mixed-cryoglobulinemia
a. IgA nephropathy
 b. Membranous nephropathy

c. Membranoproliferative GN

d. Mixed cryoglobulinemia

b. Gram positive and negative Old patient was present with community acquired pneumonia and was 9
and atypical started on Levofloxacin. Now patient is improving. This medication act
on:

a. Gram positive and negative but not atypical

b. Gram positive and negative and atypical

c. Gram negative and atypical but not positive

a. Diarrhea Side effect of Ceftriaxone 10

a. Diarrhea

b. Nausea and vomiting if with alcohol

c. Tendon rupture

d. Tooth discoloration

b. Right cerebellopontine Patient with abnormal facial sensation and tinnitus with right sided 11
ataxia

a. Left cerebellopontine

b. Right cerebellopontine

c. medulla

d. Spinal Patient brain dead what reflex will be preserved 12

https:// a. Gag
www.ncbi.nlm.nih.gov/pmc/
articles/PMC2729975/ b. Corneal

c. Pupillary

d. Spinal

b. Kehr sign Patient after trauma developed pain at the tip of his shoulder. Was 13
found to have spleen rupture

a. cullen

b. Kehr sign

c. Grey turner

a. ACL MRI of knee ligament they were 14

pointing at a ligament and saying which
ligament (it looked like this a little bit). And
mentioned that it is the most
commonly injured ligament

a. ACL

b. PCL

c. MCL

d. LCL

Cohort study 15

Case control study 16

Desmopressin Water deprivation test. Was given medication and symptoms resolve 17
what is that medication?
 dependent personality Patient broke up with his girlfriend. Came to the doctor complaining that 18
disorder it is difficult to cope with that and he doesn't even know why she left him.
On further questioning he says that she told him “she’s tired of making
decisions, where should they go and what to eat. He tells you that he has
to have a girlfriend as soon as possible

● No consistent Pregnant with giardia infection and diarrhea 19

recommendations exist for
They were asking about management
the treatment of pregnant
patients because of the
potential adverse effects
of anti-Giardia agents on Weird antibiotics name that I can’t recall (3 options)
the fetus. No management and observe I think (one of the options)
● If possible, treatment
should be avoided during
the first trimester.

● Mildly symptomatic
women should have
treatment delayed until
after delivery.

● If treatment is necessary,
paromomycin can be used
as systemic absorption is
 poor.

● If the patient is left

untreated, adequate
nutrition and hydration
maintenance are
paramount.

https://
www.medscape.com/
answers/176718-120647/
how-is-giardiasis-treated-
during-pregnancy

a. Glucocorticoid Pregnant at 32 week with marginal placenta previa presented with 20

(dexamethasone) and admit bleeding and the CTG is reassuring what to do

a. Glucocorticoid and admit

b. Glucocorticoid and send home

c. Antibiotic

d. Induction of labour

b Pregnant during delivery with moulding of head and unable to pass the 21
urethral catheter

a. Oxytocin

b. Cs

A. COA What is the cardiac disease associated with highest mortality risk in 22
pregnancy

Mitral stenosis is the

a. Coarctation of aorta
Second most
b. Mitral stenosis
 b. Acute urinary tract Pregnant 16 weeks with E coli growth. She is at risk of 23
infection

a. Perinatal mortality

b. Acute urinary tract infection

c. Citrate (potassium citrate) Patient presented with renal stone after analysis it shows that normal 24
uric acid all other labs are normal but low citrate how to treat

a. Increase hydration

b. Allopurinol

c. Citrate

d. Penicillamine

c. Amphetamine 18 years old guy..after spending a night at a friend's house came back 25
with dilated pupils, mild HTN and no hunger craving

a. Alcohol

b. Glue inhaling

c. Amphetamine

d. Cocaine

Drug abuse 26

Drug abuse 27
c. Tube insertion Patient presented with GCS of 8. On examination there was unilateral 28
hemithorax with reduced air entry. And hyperresonance on percussion
(intubate if it was an what intervention
option, aka if he
wasn’t intubated
already) a. ICU and observe

b. Tube insertion

c. Oxygen

b. Oxygen Child with a runny nose and wheezing what to give 29

a. Epinephrine nebulizer

b. Oxygen

c. Iv epinephrine

a. Vaccinate Pregnant found to be having hepatitis B surface antigen what to do 30

newborn
within 24
hours a. Vaccinate newborn within 24 hours
 + give the IgG b. Interferon for mother and baby

c. Vaccinate newborn after 4 weeks

Lymphoid hyperplasia after Child was presented with the exact symptoms of intussusception. (Picture 31
adenovirus was provided exactly like this one) and the question about the cause of
his condition?

Waardenburg syndrome Child abnormal ear and forehead .. eyes ?blue…metabolic disease 32

Waardenburg syndrome is a group of genetic conditions that can cause

hearing loss and changes in coloring (pigmentation) of the hair, skin,
and eyes. ... People with this condition often have very pale blue eyes or
different colored eyes, such as one blue eye and one brown eye

b. Skin sweat test Patient with multiple sinus infection plus in childhood had 33
appendectomy and small bowel resection. What test to be done?

a. Alpha 1 antitrypsin

b. Skin sweat test

Malignant HTN Patients with HTN and diabetes since 2 years but now present with bp 34
200/160 ..funduscopy show some retinal changes
 b Anemic 25 year old Low RDW, low MCV, splenomegaly, high iron, 35
basophilic stippling. What is it true about it? (sideroblastic anemia)

a. Target cells are seen in the film

b. It is a congenital disease

look at the Iron I remember there was a similar question of woman with low MCV and 36
basophilic stippling and enlarged spleen what's the diagnosis
If high > sideroblastic

If normal > thalassemia trait

a. Thalassemia trait

b. Sideroblastic anemia

i think the right answer is Basophilic stippling on blood smear, decreased mcv, increased iron
target cells are seen. level, splenomegaly and the pt is anemic, what is true about the pt
condition ?
RDW usually is increased

it can be congenital or
acquired a. Target cells seen in blood film

b. It is congenital
 c. Give iron supplements

d. RDW will be decreased

e. Can't remember other options

a Neonate with blood sugar 2.2 37

a. Dextrose 10%

b. Dextrose 5%

c. Wait and then breast feed

b Xray asking about type of fracture 38

a. Comminuted

b. Spiral

c. Transverse

Bacillus cerus Poisoning after fried rice what is the organism 39

Asherman syndrome Female patient done D&C I think twice before with either infertility or 40
menstrual disorder, normal hormones?

a. Meigs syndrome

b. Sheehan

c. Asherman

d. Kallman

Sheehan syndrome Female symptomatic due to low hormones and had previous prolonged 41
 delivery

a 21 years old male from cameron. Visited UAE and passed the visa test 42
medical exam..had low grade fever since 2 months and went into
fixation of his spine after compression …MRI of this procedure was
provided before and after fixation what is the cause

a. Pott's disease (mycobacterium bovis)

b. staph aureus infection

c. Metastatic bone lesion

a TB meningitis scenario, which is the following is true 43

a. Men more affected from female

b. No focal lesion

c.

Cholesterol embolism Man with multiple microthrombi to toe 44

A patient with sudden onset of Neurological symptoms, livedo

reticularis, pale , cyanotic extremities , what is the diagnosis

a Patient with small scaly patches on chest and back..hypopigmented 45

a. Tinea versicolor

b. Tinea corporis

b Picture of melanoma was provided …question of which of the following 46

is indicating poor prognosis
 a. Size more than 6 mm

b. Thickness

c. Color variation

d. Irregular border

A Case describing psoriasis…then asked about the treatment 47

a. Topical steroid

b. Ketoconazole

c. Cephalexin

d. Aluminum hydroxide

c Child with VSD murmur found on examination what you will tell the 48
mother

a. Surgery is needed immediately

b. Child will be having difficulty in breathing later on or in feeding

c. this murmur is a positive sign

 C Man was having chest pain on and off…denies myocardial infarction 49
symptoms what you will do? (aortic stenosis triad)

a. Troponin test and refer to cardiology according to result

b. Admit for further test

c. Echo

d. Anticoagulated

a Patient with ECG showing hidden p wave ..what to give after 50

cardioversion

a. Adenosine (rate)

b. Amiodarone (rhythm)

a Patient was admitted after surgery for one week…was mobilized for first 51
time after admission and then developed sudden unilateral chest pain
that has resolved

a. Pulmonary Embolism

b. Bronchiectasis

Fluid overload Patient has bleeding and receive blood transfusion then had crackles 52

d Blood group of the fetus of mother O negative and had antiglobulin 53

positive, second pregnancy, father blood group not given, delivered her
baby and later on after the baby started to have features of hemolysis
(hyperbilirubinemia, anemia, hypoproteinemia).

What is the blood type of the baby

 a. B positive

b. A positive

c. AB negative

d. O positive

e. A negative

a Patient in school/uni with negative symptoms isolating himself . No 54

psychosis symptoms

a. Schizophrenia

b. Psychotic depression

Dementia 55

b Congenital adrenal hyperplasia what to tell her family 56

 a. Laparoscopy needed to visualize her pelvic organ

b. Clitroplasty

c. Infertile

a Preterm delivered earlier by 8 weeks ..his age now is 14 57

months ..mother is concerned that he is not developing as his sibling …
he started walking unsupported and say only mama and baba nothing
else and unable to turn pages what you will do next

a. Tell mother it’s normal for preterm to be delayed

b. Do hearing and visual field test

c. Reassure that his growth is fine

Risk factor Some study about Smoking in teen +18 and a definition of demand was 58
given and then question about that study?

a a patient with heart failure..was prescribed add on medication. 59

presented with unilateral exophthalmos…this has occurred after last
visit ..she is on multiple drugs: amiodarone..sulphonylurea and other
medications …...her thyroid test is normal what is the cause of her
exophthalmos

a. Amiodarone

b. Eye trauma

c. Thyrotoxicosis

b Old lady with previous infarction..she was confused BP normal 60

developed urinary incontinence just during admission what is the cause
 of her incontinence , US done which showed residual volume 60ml

a. Normotensive hydrocephalus

b. Functional incontinence

c. Overflow incontinence

Phosphate binder Patient known CKD with lab showing high phosphate how you will treat 61

a Elderly with urge incontinence taking oxybutynin, levothyroxine and 62

newly started diclofenac with symptoms of lightheadedness.. minimizes
water intake to avoid excess trips to bathroom
if the question is about
lightheadedness then
a. Increase oxybutynin

b. Stop or reduce oxybutynin

c. Change NSAID to oxycodone

d. Stop thyroxine

Neuroleptic malignant Haloperidol with fever 63

syndrome

Clipping of BVs Patient presented with upper GI bleed after endoscopy (Forrest criteria 64
1 cm ulcer with non bleeding vessel) what next management
 Morbid grief 65

Half in nothing…half in Lymph node biopsy …how you will send specimen to lab 66
formalin

symmetrical: a Pregnant with US showing different growth measurements (both head 67

and abdomen smaller than age)
asymmetrical: b

a. Wrong LMP

b. Placental insufficiency
Vitamin d toxicity Old patient presented with symptoms of Vitamin D toxicity and lab was 68
showing that vit d is high…what is the cause of the patient's symptoms

a Lady having IUCD and she has cervical lesion what to do? Not sure if 69
there was any bleeding

a. Remove IUCD and do punch biopsy

b. Do punch biopsy only

a Crohn's histopathology 70

a. Non caseating granuloma

b. Caseating granuloma

c. Crypt abscess

d. Thinning of the affected wall

 a Patient with gastric fundus polyp ..which of the following will be high 71

a. Gastrin

b. Cholecystokinin

a First symptom of appendicitis in a patient who had generalized 72

abdominal pain then localized to RLQ

a. Generalized abdominal pain

b. Fever

c. Nausea

d. RLQ pain

Pseudomonas aeruginosa Burn with blue green infection which organism 73

Hypoperfusion Acute renal failure in a tourist in the dessert? 74

Another qsn about creatinine being excerted by the kidney forgot the 75
exact qsn

Cerebral vasculitis (SLE) Middle-aged woman, with joint pain, with NEW ONSET neuropsychiatric 76
manifestations, started aspirin recently, with a family history of
schizophrenia, ANA + Cause of manifestations?

a High calcium symptom 77

 a. Constipation

b. Cataract

c. Trousseau sign

a Resuscitation best management in an 80kg adult 78

a. Urine output more than 40

b. Central venous pressure more than 2

b Which asthma medication cause tremor 79

a. Budesonide

b. Salbutamol

c. Ipratropium bromide

d. montelukast

C Type of colon cancer ..patient presented with family history of father 50 80

years old diagnosed with colon cancer 10 years ago and her brother
went into colon resection procedure what is the type of cancer
Colonoscopy to observe polyp
development
a. Peutz jeghers syndrome

b. Hereditary nonpolyposis colorectal cancer (family has other types

Sigmoidoscopy
of cancer aswell)
For detections
c. Familial adenomatous polyposis
 a Child with seizure and eye deviated to one side.. 81

a. Frontoparietal lesion

b. Viral encephalitis

A UTI in pregnancy which medication 82

a. Ampicillin (or amoxicillin)

b. Penicillin
C Neonate with diarrhea and urine showed reducing substances and 83
positive glucose in urine

a. Congenital lactose intolerance

b. Isomaltase deficiency

c. Glucose-galactose malabsorption

Choose the CT of epibdural hematoma 84

A Patient presented with Alcohol withdrawal symptoms what is the 85

treatment

a. Chlordiazepoxide

b. Chlorpromazine
 The combination of chlordiazepoxide (Librium), thiamine, folic acid, and a
multivitamin is used to treat alcohol withdrawal.

Separation anxiety 86

A Female presented post delivery with bilateral breast pain and no rash 87
what is the cause

a. Breast engorgement

b. Mastitis

c. abscess

A Neonate with temp 35 C, coombs test negative what is the cause 88

a. Sepsis

b. Hemolysis

B Fluid given to dehydrated child 89

a. Dextrose

b. Normal saline 20%

B Child with pneumonia caused by staph then has decreased breath 90

sounds and trachea deviated what is the cause?

a. Pleural effusion

b. Pneumothorax
B Old patient with a history suggestive of esophageal cancer what is the 91
initial investigation?

A man has dysphagia for solid food and lost 15 kg what is the next
appropriate next step

a. Barium study

b. Endoscopy

A Lady complain of itch rash on her face. No acne history when she was a 92
teenager

Picture of the rash is provided

What is the diagnosis?

a. Acne vulgaris

b. Acne fulminans

c. Folliculitis

d. Bacterial infection

Alhamdulillah ‫الحمد هلل‬

1)2 days newborn with 35.4 c and indirect hyperbilirubinemia ?

ANS: Sepsis

2)A case of studying 100 smokers and 100 non smokers for 5 years 500 where to have a
disease ...etc

1-cohort study

2-cross sectional ...

ANS: 1

4)A girl broke up with her boyfriend and became talkless

and writing everything in notes and she is shy girl what is the
personality disorder she has?

1. Dependence disorder

2. Narcissistic disorder

3. Acute stress disorder

ANS: Hysterical aphonia

6)A woman her husband died unexpectedly she start having personality abnormalities ....:?

1-post traumatic disorder. ...

2- morbide grief

ANS: 2
7)Q. Child with CF and staph pneumonia has sudden respiratory distress decreased breath
sounds on left and trachea deviated to right.

A. Pleural effusion

B. Pneumothorax

C. ....

ANS: B

8)Pt with harsh murmur and said about mild angina 2 months ago what to do :

a. Order tropinin
b. Admit him for more investigation
c. Order echo after one week as an outpatient

ANS: c

9)Picture of chest x ray with left lower lobe absence of breathing sound x ray shows pleural
effusion management ?

1-surgery chest tube

2-ICU

...

ANS: 1

12)Frothy smell purple color source of infection, Greenish blue, burn patient

ANS: Psudo pyogenus

15)Pregnant soft non tender uterus, mild veginal bleeding normal baby,beeech presentation:?

ANS: Placenta previa

Another question tt is C/s

16)Pregnent 16 weeks has myotome and complex ovarian cyst 10-12cm management?

ANS: laparoscopic Cystectomy as soon as possible

18)A question about 42 yo woman has Hot flashes post hysterectomy and
oophorectomy,.management ?

a. Estogen progesterone pills(Combined)

b. Duphaston
c. Estrogen only

ANS: c

19)Question about mumps with oophoritis

ANS: NSAIDS

20)A man with both leg pain when going upstairs and his ana positive?

ANS: SLE

24)70 yrs old man with cerebral infarct getting treated in hosp...postoperative 10 days got up
from bed without assistance to go bathroom...came back with dyspnoe and diaphoresis

a. Pulmonary infarct
b. Pulmonary edema
c. Ards
d. PE

ANS: d

25) 9 KG child with 10 %dehydration

900 ml

26)Also newborn glucose 2.2 :

ANS: 10% DW
31) fistula mechanism :?

a. crohn's
b. Cryptic abscess
c. Inflammation of the mucus membrane

ANS: a

32)Someone with anemia and mcv low and high ferretin ,low RDW?

Target cells can be seen ?

ANS: thalassemia

35)Old guy lives alone forgets finding his car in the parking lot and calls his grandchildren with
sons name but drives properly n keeps himself proper n clean,Duration was 3 months,

a. Schizo
b. Dementia

ANS: d

36)Tht hyperparathyroid question, tsh normal only t4 was 25 t3 normal

37)There was a question with options :

a. T3 and t4
b. Tsh
c. Imaging for sella turcica

* I think the q about hypopituitarism so imagining sella

38)A question about a man hitten by a car leg swelling,Calf swelling.... ankle pain with loss of
sensation

a. Compartment of 5 mm smth
b. Groin lymphedema
c. Severe pain

ANS: a

39)10/10 leg pain after an accident worsening :

ANS: Iv opioid
41)Clenched hand and flipped legs:

ANS: chromosome 18 (Edward )

42)Pt after surgery developed pluritic chest pain but now it is subside and there is no fever
option was

a. PE
b. Lobar pneumonia
c. Bronchoscopy

ANS: a

44)Lady with controlled type 2 dm and was diagnosed with thyroid disease but not on meds

a. (Exophthalmos - amiodarone)
b. Digoxin
c. amiodrone

ANS: a

49)Lady 32 weeks ga visit antenatal clinic has fundoscopic changes n 2+proteinuria....never

had these changes before

a. Preeclampsia
b. Chronic htn

ANS: a

50) 7 years old girl abdominal pain...missed school for 10 days due to abdm pain gets better
on weekend

ANS: Separation anxiety

52)That pt with CHF taking oxybutinon and thyroxine

53)Most common ovarian tumors/ca in girls

ANS: Germ cell

56)old lady and how to resolve the sodium n fluid...something like tht

She had urine incontinence which was better...n she had hip pain or something so she started
drinking less water to stop going to bathroom alot

57)That q with pt with cerebellar sign

.loss of corneal reflex ..facial paresthesia

a. right cerebellopontine
b. Left cerebellopontine

Ans: A

58) An alcoholic restless :

a. Charbamazepin
b. Chlorodiazpoxide

ANS: treat the withdrawal → b, if patient is restless then Haloperidol

59)Boy with extreme pain 10/10 on ankle or tibia 🤔 increases with time and burning
sensation

a. Oral paracetamol
b. Oral nsaids
c. Iv Opiate
d. Topical nsaid

ANS: c

60)Fresh blood vomiting and Ulcer with visible vessel but not bleeding :

a. Angio somthing and stoping the source of bleeding

b. Hpylori eradication
c. Clipping of vessel
d. Angio /embolization

ANS: c

61)Case of rash for 4 days then disappear then something happened

ANS: Palpable purpura

62)Pt with sign of CHF what is associated finding

Its Right side heart failure

it is raised JVP

63)pic of skin ca it is Bcc/scc

Caucasian guy with pimple on cheek for few days or weeks n now started bleeding with
shaving

ANS: BCC

64)Guy came for eid holidays had abdominal pain headache nausea....abdominal pain and
pharyngitis the night before

All species of neisseria whr in the options

ANS: n meningitidis

65)The pic of acne vulgaris: Guy never had acne before and not even in teens...suddenly had this

1. Acne vulgaris
2. Acne fulmican
3. Follicultis
 4. And something else

66)Man with acne with pustules and comedones tired everything the pharmacist gave...no
cysts

a. Oral retinoic (for very severe cases with cysts etc)

b. Clindamycin (also for severe, but with no cysts)

ANS: b

67)The cheek lesion picture had merkel cell carcinoma as key

68)flial chest and cynosis gcs 8 next step?

a. Intubation and control ventilation

b. Surgical chest tube

ANS: a

70)And 70 with a stool cultur bacillus and ttt ??

ASN: is Qu (something ) 25mg /kg

71)A question of a woman with 8 mm myoma with proliferation of endometrium.

ANS: Cyclic hormonal therapy

75)mva with where distended abdomen...pt was intubated stabilzed wht to do for next?

a. Lap
b. Compound fracture
c. Mri

ANS: a

77)safe drug For osteoarthritis guy

ANS: paracetamol

80)Man with supracervical lymph nods

??What cyct cant be in the lateral side of the neck

TB adenitis

81)Boy have diarrhea and dehydration 10.fever 38, Did Not pass urine for 12 hours

What to order?

a. Urine urea and electrolyte

b. Blood urea and electrolyte
c. Urine culture

ANS: b

84)Man have yellow productive cough then vomiting and nausea .,..,.?

The symptoms resolve

Men more than women

89)Lady admitted with left hemisphere infarction, known of dm and htn, having incontinence,
glucose in blood high, glucose in urine and other lab values given, whats the cause?

a. Diabetic cystopathy
b. Overactive bladder
c. Normal pr hydrocephalus

d. Functional (correct answer)