‫‪Contact: Class 38‬‬

‫الرحمن الرحيم‬
‫‪1‬‬ ‫بسم هللا‬
 ‫بسم هللا الرحمن الرحيم‬
‫‪Family medicine‬‬ ‫‪3‬‬
‫‪QUIZ‬‬
‫‪Formative‬‬ ‫‪5‬‬
‫‪Assignment community‬‬ ‫‪8‬‬

‫‪Tbl‬‬ ‫‪9‬‬

‫‪Inverted lec‬‬ ‫‪16‬‬

‫‪End module‬‬ ‫‪27‬‬

‫قال رسول هللا صىل هللا عليه وسمل‬

‫من قرأ أية الكريس دبر لك صالة مل مينعه من دخول اجلنة اال أن ميوت‬

‫‪2‬‬
‫‪Contact: Class 38‬‬
 Family medicine Quiz

which of the following is not one of the principles of family

practice?
a. Comprehensiveness of care
b. Disease centered care
c. Building rapport
d. Coordination of care

of the following is true as regard family medicine?

a. Disease is the center stage
b. Multidisciplinary team is the source of care
c. Care only for biological problems
d. Primary health care is referral level of Care

Teaching hospitals ,cancer treatment centres (SPC) are considered

primary care level
Yes
No

creating of family folders is considered the only job for

family physican
Yes
No

Frist and foremost, element of PHC is

a. Immunization
b. Provision of Air sanitation
c. Health education
d. Provision of safe drinking water

An example of primary health care is an:

a. Nurse Practitioner clinic

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 b. Outpatient clinic for a specific disease
c. process
d. Rhumatic heart program
e. ANC in Maternal Health care

What is the Family Life Cycle?

a. A series of stages families go through During their lifespan
b. The mental hoops parent go through When they try to control
their teens
c. The cycle of communication that grows From infancy to
adulthood
d. The unconscious patterns that rule Family behavior
e. The back and forth of good and bad Times in families

discover is cosidered a stress factor

NO
Yes

geriatric assessment is a Diagnostic process to determine

the Medical, psychological, functional, social Domains
True
False

The USPSTE recommends screening for Osteoporosis in women

aged 65 years to Do X-ray
True
False

The USPSTF recommends against PSA- Based screening for

prostate cancer.
True
False

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Contact: Class 38
 Formative
When might a geriatric patient require rehabilitation:
A) when they are healthy overall
B) Geriatric patients never require rehabilitation
C) When they are in hospice
D) When they are recovering from an injury
A lady came to the primary health care unit of Shebin Elkom
accompanied by her two months old baby, Primary level of health
care supply community needs to… of the population:
A) 10%
B) 25%
C) 55%
D) 80%
A lady came to the primary health care unit of Shebin Elkom
accompanied by her 2months old baby. The most expensive level of
health care is:
A) primary
B) secondary
C) tertiary
A lady came to the primary health care unit of Shebin Elkom
months old baby. Vit A supplementation to accompanied by her two
this lady is categorized under which element of PHC:
A) provision of essential drugs

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Contact: Class 38
B) control of locally endemic disease
C) provision of proper nutrition
A lady came to the primary health care unit of Shebin Elkom
accompanied by her two
months old baby. This child is eligible for poliomyelitis vaccine and
this level of prevention is:
A) primary
B) Secondery
C) tertiary
Equitable distribution of PHC means:
A) being cheap
B) services all the population
C) including multiple sectors
Mrs Tan walked in to see you in the polyclinic after sustaining a
fall. She has had three falls this year. She also complains of
increased lethargy over the last six months with difficulty going out
of her house to even do grocery shopping. She lives on the second
floor and used to be able to climb the stairs to reach her flat.
However, in the last six months, she has been unable to climb up
and has to take the lift daily. She has also lost 6 kg over the last year
from her usual weight of 46kg to 40kg now. She doesn't seep well.
She doesn't want to sit with her friends.What is the possible reason
why Mrs Tan is falling?
A) Depression

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Contact: Class 38
B) Hypothyroidism
C) Polypharmacy
D) strokes disease

Many of the changes that occur as part of aging affect

pharmacokinetics. Which of the following is true in geriatric
patients:
A) increase GFR
B) increase body weight
C) decrease GFR
D) decrease heart rate
Controlling parasitic diseases is categorized under which element of
PHC:
A) safe water supply
B) maternal and child health
C) control of locally endemic diseases
Dementia is an irreversible mental state which statement is true:
A) Neuro-pathological impairment affects changes in body
functioning including elimination of bowel and bladder
B) these changes may lead to immobility, infection or trauma
C) cognitive impairment affects intellectual functioning and causes
personality changes

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The health history, if the patient is unable to respond to questions in
a logical manner. Your action is to:
A) Ask the family member to answer the questions
B) rephrase the questions slightly, and slowly repeat them in a
lower voice
C) determine if the patient knows the name of the current president
D) ask the same questions in a louder and lower voice
The majority of old people (past 65 years) have Alzheimer's disease:
A) True
B) False

Assignment community
The man attended an educational session about the bad effects of
smoking, which element of primary health care is this action:
A) treatment of non communicable diseases
B) Health education
C) Safe Food supplementation
D) Treatment of locally endemic diseases
The girl is a candidate for poilo vaccination, which element of
primary health care is this action:
A) Maternal Health
B) Safe Water supply
C) Expanded Program of immunization
D) treatment of locally endemic diseases
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Contact: Class 38
If you knew that the girl has parasitic infestation and needs
treatment, which element of primary health care is this action:
A) Health Education
B) Expanded program of immunization
C) Safe Food supplementation
D) treatment of locally endemic disease

TBL
Which type of referral encountered in patient with sever
uncontrolled Epistaxis
a. Urgent
b. lateral
c. Elective
Which type of referral encountered in patient with Patient with
headache referred by family physician to ENT doctor.
a. Urgent
b. lateral
c. Elective
Which type of referral encountered in patient with 70 years old
patient with diminution of hearing
a. Urgent
b. lateral
c. Elective
Which type of referral encountered in patient with Patient with
abdominal pain referred by family physician to surgeon
a. Urgent
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Contact: Class 38
 b. lateral
c. Elective

What is the cause of referral in Patient with patient with anosmia in

need of C. T scan
A)management
B) Diagnosis
C) Patient request
D) inadequate resources
E) Unsatisfactory prognosis
F) A&B
What is the cause of referral in Patient with sever uncontrolled
bleeding
A)management
B) Diagnosis
C) Patient request
D) inadequate resources
E) Unsatisfactory prognosis
F) A&B
What is the cause of referral in patient with tonsillitis easy for you
to manage but he insists to be referred
A)management

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B) Diagnosis
C) Patient request
D) inadequate resources
E) Unsatisfactory prognosis
F) A&B
What is the cause of referral in 70 years old patient with diminution
of hearing
A)management
B) Diagnosis
C) Patient request
D) inadequate resources
E) Unsatisfactory prognosis
F) A&B
Primary level of health care supply community needs to of the
population:
a-10%
b-25%
C-55%
d-80%
This child is eligible for poliomyelitis vaccine and this is ......level of
prevention:
a-primary

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b- secondary
d- tertiary
Vit A supplementation to this lady is categorized under which
element of PHC:
a- provision of essential drugs
b-control of locally endemic disease
C-provision of proper nutrition
the most expensive level of health care is:
a-primary
b- secondary
c- tertiary
Equitable distribution of PHC means
a- being cheap
b- Including multiple sectors
C-Services all the population
secondary level of health care includes:
a-screening
b-health education
C-rehabilitation
controlling parasitic diseases is categorized under which element of
PHC:
a- safe water supply
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Contact: Class 38
b-maternal and child health
C-control of locally endemic diseases
History
A 75-year-old woman presents to her general practitioner (GP)
complaining of severe back pain. This developed suddenly a week
previously after carrying a heavy suitcase at the airport. The pain is
persistent and in her lower back. She has had increasing problems
with back pain over the past 10 years, and her family have
commented on how stooped her posture has become. Her height has
reduced by 10 cm over this period. Her past medical history is
notable for severe chronic asthma. She takes courses of oral
corticosteroids and use steroid inhalers on a regular basis. She fell 2
years ago and sustained a Colles' fracture to her left wrist. After 3
months of her last visit she came back with easy fatigability,
shortness of breath, numbness and tingling in lower limb, her
medical history is positive for chronic obstructive pulmonary
disease, chronic kidney disease and severe chronic asthma, she is
ambulatory with a rolling walker and live alone, she is complaint
with medical treatments and complaint from weight loss.
ExaminationShe has a thoracic kyphosis. She is tender over the L4
vertebra. She has a moon-face, abdominal striae and a number of
bruises on her arms and thighs. BMI less than 22, blood pressure
130/90 pulse 72 beats/minute. Temperature 37.2, heart rate is
irregular, She is pale , there is mild lower limb oedema, cardiac
examination relieved a soft systolic ejection murmur.
The patient provisional diagnosis is:
a. Osteopenia
b. Osteoporosis
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Contact: Class 38
 c. Fracture spine
d. Fracture vertebrae
The risk factors behind the patient condition:
a. Carrying heavy object
b. Family history
c. Reduced Height
d. Corticosteroids
Screening of the above lady was best to be done by:
a. DXTA scan
b. X ray
c. MRI
d. CT
Diagnosis of the Above lady can be done by:
a. DXA scan
b. X ray
c. MRI
d. CT
Initial management for the lady will be:
a. Revise her medication.
b. Give her hormonal replacement therapy
c. Give her Calcium
d. Ask her to do exercise
The type of the anemia in this patient is:
a. Microcytic hypochromic anemia
b. Macrocytic hyperchromic anemia
c. Normocytic hypochromic anemia
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 d. Hemolytic anemia
The cause of anemia in our patient is:
a. Iron deficiency.
b. Folic acid deficiency
c. Anemia of chronic disease
d. All of the previous
What is the best management of the anemia:
a. Oral iron
b. Vitamin B12 injection
c. Erythropoietin
d. Corticosteroid
Our patient is malnourished how to confirm our diagnosis:
a. anthropomorphic testing
b. screening scales
c. laboratory testing
d. all the previous
The best management of the malnutrition of our patient is:
a. Make Meals and Snacks Nutrient-dense, Enjoyable, Social
with Extra Calories.
b. oral nutritional supplements
c. orexigenic drugs
d. none of the previous
the investigation shows her creatinine is 2 mg/dl. What is the cause:
a. congestive heart failure
b. hypertension
c. obstructive uropathy
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 Inverted lecture
Family medecine
1) Enumerate domains of family medicine
• Primary care management
• Providing good clinical care
• Relationship with patients
• Long term continuity of care
• Problem solving and decision making
• Comprehensive approach
• Holistic approach
• Community oriented
• Cost effectiveness
• As primary care manager
• As a team leader
• Keeping up to date

2) true or false:
Regarding “Specialists care model”:
• Patient care regardless family context T
• Problem centered: concentrates on the problem or disease T
• Patient care in context of family F
• Patient centered: recognizes patient concerns, values, believes and
needs F
• Doesn’t appreciate physician-patient relationship T
• Appreciates physician-patient relationship in a healing, continuous
manner F
• Individual patient oriented T
• Individual, family and community oriented F
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 • Fragmented care T
• Continuous care F
• Single physician T
• Multidisciplinary team F
• Uncoordinated care T
• Coordinates with other health teams F
3) Enumerate types of family:
• Extended family
• Nuclear family
4) Enumerate characteristics and functions of family:
• Care giving
• Affection
• Providing shelter
• Reproduction
• Socialization
• Guidance
5) What is the Family Life Cycle?
A) series of stages families go through during their lifespan
B) The back and forth of good and bad times in families
C) The cycle of communication that grows from infancy to adulthood
6) The stages of the family life cycle are:
1st: Formation
2nd: Extension
3rd: complete extension
4th: contraction
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Contact: Class 38
5th: complete contraction
6th: dissolution
7) Divorce is considered a stress factor
A) Yes
B) NO
C) I don't know
8) list family stressors
• Death
• Divorce
• Major illness
9) what are the benefits of CGA?
1. Improves diagnostic accuracy.
2. Optimizes medical and rehabilitation treatment.
3.Enhances health and functional outcomes.
4. Informs the development of individualized care plans
5. Assists in avoiding the potential complications of hospitalization.
6. Facilitates effective discharge planning.
10) define CGA
comprehensive geriatric assessment (CGA) Multi-dimensional,
interdisciplinary systematic approach to determining an older person's
medical problems, mental wellbeing, functional ability, and social
circumstances. Its goal is to create and execute a well- coordinated and
integrated care, recovery, assistance, and long-term follow-up plan

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11) dimensions of CGA
• Functional
• Psychological
• Medical
• Socio-environmental
12) older adults may be reluctant to report symptoms because:
A) fear of hospitalization
B) sense of embarrassment
C) consider it normal aging
D) it’s normal aging
13) list 4 physical clinical examination
• Vision
• Hearing
• GIT
• MSK
• Neuro
14) the number of prescribed medications is linked to:
A) falls
B) sensory impairment
C) aging
15) Functional assessment: The capacity to perform tasks that are
required or desirable in everyday life ls referred to as functional
status
A) true

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B) false
C) I don’t know
16) activities of daily living include e.g.: shopping, telephoning and
taking medicine
A) true
B) false
C) I don’t know
17) Several validated screening tests for cognitive dysfunction:
A) mini COG
B) TUG
C) nutritional assessment
18) socio-environmental assessment involves:
• Care giver
• Financial
• Social support
• Language and culture
19) leading causes of death in geriatrics:
A) osteoporosis
B) COPD
C) falls
D) urinary incontinence
20) immunizations required for geriatrics:
A) pneumococcal vaccine

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B) OPV
C) HBV
21) breast cancer screening is done by:
A) mammogram
B) x-ray
C) MRI
D) bimanual examination
22) you went for a home visit for a 70-year-old male patient who is
suffering from disturbed conscious level. his son has informed you
that the patient didn't eat for two days. he was first drowsy then he
became not oriented to the surroundings. His son asked you "ls he
dying?"
How do you approach this case?
Internal medecine
: Male patient 72 years old, known to be hypertensive with
ischemic heart failure, chronic kidney disease and osteoporosis. The
patient required assistance with medication administration. her
daughter visits once a week. Patient is brought to the primary care
clinic complaining from fever associated with dysuria and
frequency and diagnosed as UTI. She is
diabetic and her glycated hemoglobin is 7. she is complaining from
bad appetite and loss weight over the last 6 months.
1) The underlying cause of the malnutrition in our patient is:
1. Social cause
2. Physiological causes
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Contact: Class 38
3. Pathological causes
4. All the above
2) Malnutrition in this patient is diagnosed when:
1. History of loss of 2% of her weight in the last 6 months
2. BMI less than 22
3. Serum albumin less than 4
4. Serum transferrin more than 200 mg/d
3) the most common screening tool of malnutrition:
1. Mini Nutritional Assessment (MNA) score
2. Subjective global assessment (GA)
3. Nutritional assessment score
4. None of the above
4) The meaning of cachexia is:
1. taking an insufficient nutrition and calories
2. loss of muscle mass, quality, and function
3. loss of both muscle and adipose tissue
4. None of the above
5) The first step of treatment of malnutrition of our patient is:
1. Non-pharmacological treatment
2. Pharmacological treatment
3. resistance exercise and spontaneous physical activity

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4. None of the above.

Hematological:
Case2: 75 years old male patient present with chronic fatigue and
dyspnea with
MCV 104 R, wBC 8.5 109 /L, Platelet 100 x109 7 Bone marrow
contained 35 blasts and showed hypercellularity with
megaloblastoid development in erythroid cells.

1) what is the most probable diagnosis:

1. Myelodysplastic syndrome
2. Sideroblastic anemia
3. iron deficiency anemia
4. hypersplenism
5. Immune thrombocytopenia
2) what other blood disorder does this peripheral blood picture
resemble
1. Aplastic anemia
2. Megaloblastic anemia
3. Hemolytic anemia
4. Anemia of chronic disease
5. Multiple myeloma

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Contact: Class 38
Case3: 70-year-old female presented with dyspnea on exertion, easy
fatigability.
loss of weight. constipation and lassitude for past 2 to 3 months. She
denied hemoptysis, Gi, or vaginal bleeding. Claimed diet was good,
but appetite varied. Physical
Exam: Other than pallor, no
significant physical findings
were noted. Occult blood was
negative
1) The most appropriate
diagnosis for this patient is
1. Anemia of chronic disease
2. Anemia of inflammation
3. Megaloblastic anemia
4. Iron deficiency anemia
5. Thalassemia syndrome

2)The most important cause for this diagnosis is

1. Thalassemia syndrome
2. Decreased iron intake.
3. increased iron loss.
4. Renal disorder

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Contact: Class 38
5. Bone marrow aplasia

Case4: A68 year old female presented with palpations and loss of
weight Heart rate was 150 beats/min, blood pressure 150 /90 mmHg
and temperature 37.9. Neurological examination normal except fine
tremors

1) The best initial investigation is

1. thyroid stimulating hormone
2. serum cortisol am
3. adrenocorticotrophic releasing hormone
4. fasting blood glucose
5. ACTH stimulation test
2) One of causes of voluntary weight loss
1. Hyperthyroidism
2. Diet and obesity drugs
3. Diabetes
4. Malignancy
3) Glycemic goals with glycated hemoglobin is
1. 7.0-7.5%
2. 8.0-8.5%
3. less than 6%

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Contact: Class 38
4. 5-6%
5. More than 9%

Case5: 70 ys old male patient presented with progressive weight

gain poor memory
constipation. Physical examination: Vital signs include a
temperature 37, pulse 58/ minute and regular, BP 110/60. She is
moderately obese and speaks slowly and has a buffy face and thick
skin. The thyroid gland is not palpable
Laboratory studies: CBC and differential WBC are normal The
serum T4 concentration is 3.8 ug/dl (N-45-12.5). the serum TSH is
40 ul ml (N=0.2-3.5).
1) What is the likely diagnosis?
1. hyperthyroidism
2. overt hypothyroidism
3. Subclinical hypothyroidism
4. central hypothyroidism
2) what’s the starting treatment dose?
1. 100 ug of thyroxine
2. 50 ug of thyroxine
3. 25 ug of thyroxine
4. 23375 ug of thyroxine

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Contact: Class 38
 End module
Part (I): MULTIPLE CHOICE QUESTIONS: (1 X 25 = 25 marks)
1. The human life cycle passes through the following stages:
a. Fetal life
b. premarital stage
c. early marriage: formation of the family
d. The Family with an adolescent.
e. Middle age.
2. Antenatal care in women health services in basic benefit package
involves all EXCEPT:
a. Management of normal pregnancy
b. Immunization TT.
c. Provide contraceptive method.
d. Nutrition and breastfeeding counseling.
e. Vitamin A supplementation
3. ……………………is the care provided for the dying patients in a well-
structured setting:
a. Hospice care
b. Palliative care
c. Physical care
d. Psychological care

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Contact: Class 38
e. Terminal care
4. Mr. Ali is 86 years old and he lives alone. He can perform
bathing, dressing, shopping and telephoning so he can do.
a. Activity daily living
b. Intermediate activity daily living
c. Advanced activity
d. Activity daily living and intermediate
e. Intermediate and advanced activity
5. End-of-life care is provided to those who are.
a. Diagnosed " Parkinson's disease"
b. Early-stage cancer patients
c. End stage renal failure
d. Liver cirrhosis
e. Recently diagnosed as HIV/AIDS patients
6. To diagnose a dying patient, the following may be present:
a. Decreased stool output
b. High blood pressure
c. Increased fluid intake
d. Increased urine output
e. Urinary incontinence
7. Three-step ladder for pain relief includes using:
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Contact: Class 38
a. Allergy
b. Anti-cox II
c. Aspirin
d. Ibuprofen
e. Imuran
8. Which type of referral encountered in a patient with sever
uncontrolled Epistaxis?
a. Urgent
b. lateral
c. elective
d. scheduled
e. Important
9. A 65 Years old female underwent mammography for breast
cancer screening. The result was Negative. When is the proper time
to Rescreen the patient?
a. Every Year
b. After 2Years.
c. After 3Years.
d. After 5 Years.
e. After 10 Years

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Contact: Class 38
10. A 70-Year-old male came to you in primary health care. On
screening his blood pressure, it was 135\80. Which one of the
following statements is correct?
a. Screen him again after 3 years.
b. Counsel for Lifestyle modification.
c. Start treatment with ACE Inhibitor.
d. Do Nothing.
e. Measure it again
11. An 80-year-old woman fell and hurt her left hip. She was
normally independent for activities of daily living in her own home.
Her regular medication comprised ramipril 10 mg and amlodipine
5mg for hypertension. On examination of the left hip, there was no
deformity, but it was painful to move, and she was unable to weight
bear. Antero-posterior and lateral X-rays of the left hip were
performed. These did not show any fracture, but a fracture was
suspected clinically.
What is the next best step in management?
a. CT scan of the hip
b. MRI scan of the hip
c. No further imaging
d. Follow up after 7 days.
e. Conservative treatment

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Contact: Class 38
12. Mrs. Sally is an 84-year-old female, widowed, living alone in an
apartment, and has been experiencing urinary incontinence for 5
years. Frequency – 10 times/day, Occasional leaking with cough,
getting out of chair. No dysuria, hematuria or recurrent UTI . Drinks 6
cups of water, 2 cups of tea, 1 cup of coffee/day.
What type of urinary incontinence does Mrs. Sally have?
a. Stress incontinence
b. Urge incontinence.
c. Functional incontinence
d. Mixed incontinence
e. Overflow incontinence
13. A 69-year-old man came to you in the primary health care for
follow up. You want to perform a colon cancer screening.
What is the most appropriate screening test and time interval in this
patient?
a. barium enema now
b. colonoscopy in 3 years
c. colonoscopy in 5 years
d. sigmoidoscopy in 3 year
e. sigmoidoscopy in 5 year
14. A 72-year-old woman saw her general practitioner with a 2-week
history of fall. She has no orthostatic drop in her blood pressures, and

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her physical local clinical exam does not reveal a cause for her fall (no
focal neurological findings, normal heart, lung, abdominal and
musculoskeletal exam).
The most appropriate next step is:
a. A timed Get Up and Go Test
b. A referral to physical therapy
c. Home safety evaluation
d. A referral to occupational therapy
e. Referral for laboratory examination
15. Appropriate technology of primary health care means it should
be
a- Complicated
b- Expensive
c- Effective
d- Advanced
16. Promotion of health belongs to which element of primary health
care
a. Health education
b. Maternal and child health
c. Safe water supply
d. Treatment of locally endemic diseases

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17. Equitable distribution of PHC means:
a. being cheap
b. Including multiple sectors
c. Services all the population
d. Appropriate technology
18. Primary level of health care supply community needs to … of the
population:
a. 10%
b. 25%
c. 55%
d. 80%
19. Vitamin A supplementation to a lady who gave birth recently is
categorized under which element of PHC:
a. Provision of essential drugs
b. Control of locally endemic disease
c. Provision of proper nutrition
d. Expanded program of immunization
20. Which of the following is true about levothyroxine replacement
in elderly patient with hypothyroidism
a. initiated with low doses and titrated gradually
b. High dose then decrease gradually

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c. Dose adjusted every one week
d. Dose adjusted according to level of antibodies
21. the most common screening tool of malnutrition:
a. Mini Nutritional Assessment (MNA) score
b. Subjective global assessment (SGA)
c. Nutritional assessment score
d. None of the above
Part (II): Read the following cases reports and answer the questions
(Total 8 marks)
A 65-year-old women presents to her general practitioner (GP),
complaining of lack of energy. She has become increasingly tired over
the past 18 months. She finds it difficult to concentrate at work and
has stopped her weekly walking hour. She has had no other major
illnesses. On direct questioning, She has put on 8 kg in weight over
the past year. Case 1 (Total 2 marks)
22. The patient provisional diagnosis is:
a. Depression
b. Osteoporosis
c. constipation
d. Obesity
e. hyperthyroidism

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23. Which of the following description is correct regarding family
medicine model criteria:
a. It needs single Physician.
b. It is fragmented care.
c. It is disease centered.
d. It is Individual patient oriented.
e. It is patient care in context of family.
An 80-year-old female her complaint was malaise lasting one month
prior to hospital admission, with history of Hashimoto thyroiditis and
osteoporosis, presented with pallor, slightly swollen thyroid gland.
Blood count test revealed Hb 10g/dl and MCV 108fl Vit.B12 was
below the detection sensitivity level. Case 2 (Total 2 marks)
24. what is the diagnosis?
a. Hemolytic anemia
b. Megaloblastic anemia
c. Pernicious anemia
d. Iron deficiency anemia
25. Medication preferred in treatment are with :
a. Oral iron supplementation
b. Vitamin B12 injection
c. Steroid
d. None of the above
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Contact: Class 38
 ‫شكر خاص لطلبة دفعة ‪ 38‬طب املنوفية على‬
‫جمهوداتها فى جتميع و حل هذا العمل‬

‫شكر خاص ألقسام كلية طب املنوفية على توفري مصدر‬

‫االسئلة للطلبة‬

‫ّ‬
‫نرجو دعاء ىل ولوالدى ولكل من بذل جمهود فى هذا‬
‫العمل‬
‫‪Class 38‬‬

‫‪36‬‬
‫‪Contact: Class 38‬‬