27/10/2023 ‫الدورة االستثنائية‬

1- Definition of shock?
inadequate tissue perfusion**

2- Child with signs and symptoms of severe dehydration, best next step?
20 ml/kg iv normal saline bolus**

3- 15 years old patient uncontrolled diabetes, signs and symptoms of DKA, best next step?
IV hydration**
IV insulin
IV potassium

4- Not IgE mediated hypersensitivity?

contact dermatitis**
asthma
atopic dermatitis
allergic rhinitis
esinophilic esophagitis

5- Case of epistaxis, prolonged pt normal ptt, which factor?

VII**
VIII
II

6- Not vitamin k dependent?

VIII*
X
IX
protien C

7- Side effect of heparin except?

congenital anomalies**
thrombocytopenia
osteopenia
bleeding

8- Which electrolyte has the highest concentration inside cells?

K**
Ca
Na
Cl

9- Characteristic sign of hyperkalemia on ecg?

peaked T wave**
QT prolongation
prominant U wave

10- Most common cause of hypercalcemia?

primary hyperparathyroidism**
iatrogenic

11- Suture type that provide best knotting?

silk
nylon
??

12- Female karyotype with ambigous genitalia most common cause?

CAH**

13- Why do surgeons use stapling instead of sutures?

cosmotic
less wound infection
??

14- Smth about tensile strength of scar???

15- Antibiotic prophylaxis indicated in which surgery?

thyroidectomy
herniotomy
tooth extraction
internal sphincterotomy for anal fissure
??

16- Female with rheumatoid arthritis presented with pallor and fatigue, Hb 8, MCV 74 (not
exactly but its low) most common cause?
IDA**
folate deficiency
b 12 deficiency
hemolytic anemia
anemia of chronic disease
17- Most common bacteria causing breast abscess?
staph aureus**
strep pneumonie
e coli

18- 20 year old male pt. previously healthy presented with progressive SOB with exertion, no
cough or wheezes. FEV1 60, FVC 78, DLCO 68, KCO??
what is the most likely diagnosis?
asthma
emphysema
lymphangitis carcinomatosis
chest wall deformity
slowly progressive pneumothorax
??

19- Asthma exacerbation case after SABA and combivent nebulizer she developed silent chest
one of the following not appropriate?
inhaled corticosteroid**
continued SABA nebulizer
Mg sulfate
intubation and admission to PICU
adrenaline

20- Not obstructive lung disease?

asbestosis**
asthma
copd
bronchoectasis

21- FeNa <1 ?

prerenal azotemia**
diuretics
ATN

22- 60 years old with incedintal finding of gall stone, no abdominal pain or jaundice, best
advise?
do cholecystectomy
do cholecystectomy if it become painful
do LFT
do serial US
??

23- 55 male with painless hematuria, you may worry about?

renal cell ca
bladder ca
hemolysis
bladder stone
glomerulonephritis

24- old age male with positive occult blood stool, most concern about?
colon ca**

25- Trauma case , falling from 3rd floor after securing airway what is the best next step?
protect spinal cord**
2 large pore iv cannula

26- Smth about cut wound including artery?

pressure application??

27- Pt. arrive to ER with respiratory distress (I dont remember if after trauma or not), and
decrease breath sounds on left side, most propable diagnosis?
pneumothorax
hemothorax
??

28- Case of meningitis, best initial step?

LP**
iv fluid+ antibiotics

29- Which of the following dose not cause vesicovaginal fistula?

abdominal hysterectomy
vaginal hysterectomy
??

30- which of the followimg is an abnormal fetal attitude?

occiput posterior
occiput anterior
??

31- Criteria for forceps delivery except?

patient consent
fully dilated cervix
empty bladder
zero station
??

32- Contraindication for forceps delivery?

face presentation**

33- Heartburn is a symptom of?

gastroesophageal reflux**
gastric ulcer
doudenal ulcer
gastric ca

34- Case of upper GI bleeding and epigastric tenderness (I think there is a given history of
alcoholism), most common cause?
Peptic ulcer disease**

35- Battery ingestion managemet?

urgent endoscopic removal**

36- Charcoal not effective in poisoning with?

Iron**

37- Not originating from paramesonephric duct?

ovaries**
fallopian tubes
uterus
cervix
vagina

38- Acid base abnormality, ph 7.34, pco2 31, hco3 15, Cl 95, K 3.5, Na 127?
wide AG metabolic acidosis with appropriate compensation**
wide AG metabolic acidosis with inappropriate compensation
normal AG metabolic acidosis with appropriate compensation
normal AG metabolic acidosis with inappropriate compensation

39- In 32 day menestrual cycle ovulation occure on day?

18**

40- Case of ventricular tachycardia (wide QRS complex on ecg) initial management?
electrical cardioversion**
adenosine
amiodarone
vagal maneuver

41- Measles vaccine?

live attenuated
contraindicated in pregnancy
can be given at any age
4 doses in jordanian program
can cause autism
??
42- Case describing measels, what is the best test?
measles IgM**

43- Obese girl (80 kg), hirsutism, cental obesity, glocuse in the urine, best test?
24 hour urinary cortisol**

44- Not feature of congenital hypothyroidism?

Increased body temperature**
normal weight and length at birth
protrouded tounge
umbilical hernia
SOB

45- 4 mo baby with respiratory distress, cyanosis, faint systolic murmer on left upper sternal
border, x ray show decrease vascular marking?
TOF
aortic stenosis
pulmonary stenosis
TAPVR

46- One of the following causing transudate pleural effusion?

liver cirrhosis**
malignancy
pneumonia
RA

47- One of the following bacteria dose not grow in culture?

legionella**
klebsiella
pneumococcal

48- All of the following are X linked diseases except?

CF**
G6PD
duchenne muscular dystrophy

49- All of the following can diagnose ovulation except?

mid cycle estrogen**
mid luteal progestin
clinical history
endometrial biopsy

50- Least associated with behcet?

conjunctivitis**
genital ulcer
oral ulcer
aseptic meningitis

51- Which of the following drugs dose not have antiandrogenic effect?
tamoxifen**
spironolactone
cimitidime
flutamide
52- Treatment of brucellosis?
doxycycline and rifampicin**
doxycycline alone
doxycycline and amoxicillin

53- Least associated with celiac?

wilson disease**
IBS
DM type 1
hashimoto thyroiditis

54- Pregnant woman develop DVT, duration of warfarin therapy postpartum?

12 weeks *?
6 months
1 year

55- Child knows his name, age, count 3 objects, 10 cubes tower?
3 years**
1.5 years
2 years
4 years

56- Case of PSGN, with persistant low complement?

membranoproliferative GN**
membrenous glomerulopathy

57- Indication of HBV vaccination?

anti HBs Ag**

58- Pt. with hypertension and suprarenal mass, most propable diagnosis?
Conns disease*?
pheochromocytoma

59- Elderly pt. with signs of obstructive jaundice (dark urine, pale stool)?
pancreatic head tumor**

60- Used in determining severity of acute pancreatitis?

creatinine**
serum amylase
serum lipase
urinary amylase
crp

61- All are risk factors for breast cancer except:

lactation**
early menarche
late menopause
estrogen therapy

62- All can cause secondary amenorreah except?

endometriosis*
thyrotoxicosis
asherman syndrome
anorexia nervosa
63- All are true about imperforated hymen except?
abscence secondary sexual characteristics**
urinary retention
cyclical pain

64- First sign of puberty?

breast budding**

65- Good prognosis thyroid cancer?

papillary*
follicular
medullary

66- Antibiotic prophylaxis in VUR?

trimethoprim-sulfamethoxazole*?
cefotaxime

67- Case of 4 consecutive abortions between 8-14 weeks, least important test?
Antisperm antibodis*?
anticardiolipin antibody
hysterosalpingiogram
karyotyping

68- Risk of developing cardiac disease later in life for baby with CHD?
1%
3-6%
8-10%
??

69- All are long acting insulin except?

Aspart**
glargine

70- All are charactarestics of turner except?

cubitus varus**
cystic hygroma

71- Most common cause of polyhydramnios?

idiopathic**
GDM
preeclampsia
esophageal atresia

72- Recognition of fetal circulation at which day?

35??

73- Diameter of brow presentation?

mentovertical**

74- Not part of biophysical profile?

respiratory rate**
fetal movement
fetal tone
amniotic fluid volume

75- Infant with lower back hairy navus most likely diagnosis?
spina bifida occulta**
mongolian spot

76- Ascitic fluid analysis SAAG> 1.1?

liver chirrosis**

77- Not indication of admission in croup?

age <6 mo
fever
need multiple racemic nebulizer
??

78- Child with ITP platelet count 8,000 no bleeding, best management?
observation
IVIG
anti d
corticosteroids
splenectomy
??

79- Firm mobile breast mass on US its size 2×2, next step?
FNA**
incisional biopsy
excisonal biopsy
trucut biopsy

80- CI hypertension medication during pregnancy?

ACEI**
hydrochlorothiazide
labetalol
methyldopa
amlodipine

81- First line treatment of neonatal seizure?

phenobabital**

82- Risk factor for transverse lie except?

preeclampsia**
uterine anomaly
polyhydramnios
placenta previa

83- Not part of bishop score?

cervical length**
position
effacement
station
dilatation

84- CSF analysis, WBC 1250 (80% neutrophil) low glucose, high protien, -ve culture?
bacterial meningitis**
tb meningitis
viral meningitis

85- Case of fever, SOB, consolidation of the left lower lobe, most common cause?
strep pneumonie**

86- Pt. with 4th episode of perianal abscess mostly the cause is?
crohns disease**
ulcerative colitis
hemorrhiod

87- All are true about measles except?

RNA virus
IP 10-12 days
(cant remember the other options)

88- H. pylori eradication test?

urea breath test**
hydrogen breath test
stool antigen
serology

89- Female pt. weight loss, excessive sweating, tremor low TSH, diagnosis?
Gravis disease**
hashimotos thyroiditis

90- least associated with FUO in immunocompetent pt.?

influenza