‘a1-Which of the following Iver tumors fs ofan associated with orl contraceptive agents? ‘AcHepatoceliar carcinomas BeLiver cell adenomas (Focal nodular hyperplas ‘D-Angiosarcoms E-Kistskin's tumor. (22-The single blood test performed by @ good laboratory that would be expected to be the most sensitive ‘or determining whether the patente euthyrol, hypothyroid or hyperthyroid is: 19 uptake Total TS, Totals. 'D-TSH (thyroid stimulating hormone)Feet, 5 .22-Pationt i known cae of hypothyroisiem, you started levothyroxine but she come after ‘old intolerance, ane bradyearda, TSH ineroaseduwnat's your action as physician? ‘AcContinue and check after 1-2 month : B-Decrease the dose (¢-Stop unl TSH is become normal ‘ week: with (G¢-The most common cause of hypercalceemis in = hospitalized patent i: ADietany, such as milks syndrome a Drug rested, such as the use of thiszid curtis. Granulomatous disease, D-Concer EDetndration, (05-The most common cause of éysphagia in adults fs BAchalasia BeParaesophegeal hers (C-Slding hiatus heenia. D-Cereinome E-Esophageal verticutum. (06-4 case of pleural eflusion,pleual tapping done and fiuid sent for evslustian.report comes a sProtsin level lars than 50 percent of serum level and LDH level less then 69 parcent at serum lovel, what would be the most probnble diagnosis? Aecaneee Brintection (¢-Congestive hear alure . DiNione of above G7- Solitary thyrold nodul, what ls the most valuable test? ‘AUitresoune ENA (26-Olc patient wit 2 years bone pain, lethargy, fatigue, wedding galt, came with table show high calcium ‘and high phosphorus; ‘A-Ostooporosis B-Osteomalacia (09-The most common cause of nipple discharge: ‘rtligh prolactin level Beinraductal papilloma. (210-80 year old male presented with dul aching oin pain & interrupted voiding of urine. BUN and creatinine ‘Wore incroased. Ultrasound row ‘Stirs of the urethra . B.Urinary blader tumor (C-BPH (Denion prostatic ypertrophy) Pelvic carcinoma E-Renal stone ed 2 bisterathydronephrosis. Whats the most probable Diagnosis? (014-60 year male Patient with Known case of BPH (Belngn Prostatic Hypertrophy) stable on mecications. ‘on examination prostate was amoath with no modularity, He asked for PSA screening. What wil you tl him? [Psk=Prostate Specie Antigen) ‘AcNo need for PSA. Explain pros and cone of PSA . (C-Order ether advanced investigations (biodsy) ‘212-ittuse abdominal pain, bleeding per ractum and temperature 38.3, preceded by urinary infection. ‘Bweoks 2g0 patient was treated with antbiotic, whats likely diagnosis:‘clechemic cotta BeAmoebie cots (Pseudo membranous colts, (012-014 man with ot lower abdominal pain with fever and constipation, aging showed decreased the fatty shadows around distal colon, your next stop: ‘A-Double contrast AV antibiotic C-Contral diet - ‘a14-Diabetic patont has wound in his log with exudates and poor healing.there is no sign of inflammation, hhyperalyeemis cause poor wound healing by = ‘Selnhibt phagocytosis B-Stimulate bacterial growth (C-Decrease Immunity 216-patont with huge ulcer in the lg, the ulcer i red with raised edgss. Best option of management: {Topical steroids B-Biopey C-Raciotherapy Tops! antilotics (016-4 colorectal carcinoma that invades the sub mucosa and has two postive lymph nodes and ne cistant metastasis Which stage i this? Astage t BStage2 c-stage 3 Dstages (017-5 year old at came to Emergency Room with acutely swollen knee + allotment patells, The most important to do AML ofthe knee BrAspirtion (6-Complete blood count [D-Rheumatoid factor {21e-Young boy presented to the Emergancy Room with inguin! mass, pain end vomiting.On examination ‘the mass is fender fo touch, erythematous kin over serotum, (blue dotes)n the pole of testis, intact cromasterc reflex, Diagnosis ‘sTesticular torsion Testicular hematoma -ncarceratec hernia, DD-Torsion appendix of testis ‘019-Theatment of folioultie after shaving the beara? AcOral steroid B-Tropleal steroid (Orel antbiotios (020-50 years old male patient, praconted with mild hoarseness, on examination: there was a midcervical mess, the BEST investigation i: Zeingiect laryngoscope E-CT brain Cc neck DeThroat swab {221-The wound stay in ary Inflammatory phase unt: ‘AcSpithelal tseue formation B-Angiogenesis (The wound storie (222.Diagnosticertera of clabetic ketoacidosis all except? ‘Blood glucose: > 250 mg per dl (13.8 mmol per L) Booth <7 (C-Serum bicarbonets:< 16 mEq per L Deal are entra ‘020-Diabetio, Hypertensive patient with Myocardial infarction receiving Metformin and diltiazem and‘thar macioations his erastne olaranc is high, you wil do: Behe ACE inator -Omit Metformin ‘C-Continue same medication (224-6 weoks post partum presents with palpitations tremors, insomnia, Diagnosis? ‘AcHashimoto Thyrocis Post partum Thyroctie Cc-Dysmarphovenesis, e (025-45 year mala, known case of Hypertension and type 2 diabetes on oral metformin 1od0mg SD,Nie FBS 110,and RBS 140,his HBAIC is more than &%,.het should be his HBATC by American Disbeticessociation guideline BeLess than 85 B-Leos than 60 C-Lese than 7.0 DeLess than 75 (225-ost American centers use which contrast material in rasiology study? ‘-Nor-iorio, low osollty Intravenous Contrast B-Non-ionic, high osolaly Intravenous Contrast Conic, low osoality Intravenous Contrast Delonic, high osolaty Intravenous Contrast (027-Diabotes patent on insulin, scheduled for elective surgery next day morning He is fasting from midnight Which give you wil give him: ZcHal dose atthe mamning ‘Balt dose at morning and half dose atthe midnight (C-Usual insulin dose ‘D-Omit the scheculec surgery dose (228-A female presented with sweling over the neck that moves with swaltowing withiymphadenopathy ‘extemal jugular vein, Swallowing diagnosed 2s thyroid carcinoma.She has most ikely which ype? ‘A-Papillary carcinoma B-Folicular eareinoma (C-Meciallary carcinoma (228-044 lady came to clinic as routine vist, she mention decrease intake of Calcium food doctor suspect Osteoporosis, next intl investigation? ‘AeDevascan E-Serum calcium (C-Thyroic function tost Devtamin D fve! (G00-Non obese female can't take sulfonylurea oF metformin.what is drug of choice now? Aetnauli, E-Thiszolidinesiones C-Gliciase D-Mesitinides (024-Pathological result from thyroid tissue showed papltiay carcinoma, the next step: Surgical removal BeApply radioactive Ht C-Give antithyroid drug D-Follow up the patent (G92: An aleahotc who has completa elven up drinking hears voices. What is the most appropri Olanzapine 8. Diazepam ©. Dieuram D. Acamprosate E-Haloperidal treatment? (222-50 yoar old patient, diagnosed with hypertension, hes used to crink one glass of wine every day, he is also used to get high Na and high K intake, his BMI is 30kg/m2, what isthe strongest risk factor for having hypertension inthis patient: AineB-High Ne intake High K intake D-BMiag0 (094-Patient with Diabetes Melitus, sreatmont for prolferative dlabetic retinopathy? ‘-Pan retinal coaguiation 'B-Photocoagulation of macular area (095- A patient presents with fever, ry cough and breathlessness: He Is tachypnele but chast is clear. ‘Oxygen eatoration fs normal at rest but drops on exerise, What isthe single most kaly x? ALCMWV infection Candide infection C-Proumocystie carn infection Decryptococeal infection Toxoplasma abscess (296-Which of the folowing ie mast sensitive for detecting diabetic nephropathy? ‘Serum creatinine level E-Creetinine clearance C-Urine albumin Diclucose tolerance test E-Utresonography 227-Boy presented tothe Emergency Room complaining of sudden onset of abdominal pain & leg cramps, |ne hag history of vomiting 2 cays ago, he was dahydratod. Na= 760, K= 5.4 , glucose = 28mmol,The ‘beet inal investigation ie AcBC E-Biood ourture CcArtrial Blood Gas DeUrinabsis E-Uitesound (238- l statements are comect for papiiary thyroid carcinoms except: ‘AcMsinly spread by ymphatlc B-Manly spread by blood (C-Recurs ver ate Das very favourable diagnosis E-May present first with mah node swelling (298-Papiaty carcinoma ofthe thyroid Is characterized by al ofthe following EXCEPT: ‘-Commoniy metastasizes to the paretracheal nodes adjacent tothe racurrent nerves £8 Older patients have a worse prognosis than younger patients Clk is associated to chichood exposure to x-ray radiation. Older patients are more lkaly to have nodal metastases. E-Thetalheal variant hee 2 worse prognosis. (040-Madication onusing maximum fallin HBA‘C AeMetformin [B-Sulfonyiures (C-Exenatise D-Piogitazone ‘04%-Young man coma with headache he is describing that thi hesache is the worst headache in his. Wich of the folowing willbe lees helpful ‘Asking more detals about headache Do MRI oF CT scan Skull ray D-Lumbar puncture ‘242-Young patont with red, tender, swollen bg left toe tst metatarsal, tender swollen foot and tender ‘whole lef leg. His temperature 38C, what isthe diagnosis? Acoliis Bascultis C-Gout Arthritis ‘043-Young sexually active git has severe knee paln, swelling fever, warmth joint. Diagnosis. AcRhwmatols Aethels