٥/٢٠٢٣ ‫ وزارة الصحة‬/‫أسئلة إمتحان اإلقامة‬
1. All minor criteria for infective
endocarditis, except:
a. Fever
b. Immunologic phenomena
c. Vascular phenomena
d. Risk factor
e. Echo finding of valvular
vegetation*
1. One of the following is a
pathologic murmur?
a. Diastolic murmur*
2. Case describing a 4 months
child with central cyanosis and
left upper sternal systolic
murmur?
a. TOF*
3. Not a normal ECG finding in
pregnancy?
a. ST segment elevation *
4. Mechanism of action of
labetalol ?
a. Alpha and beta blocker*
5. A case describing a patient
with newly diagnosed
hypertension and diabetes, first
line antihypertensive agent?
a. ACE-I *
6. One of the following is a
metformin side effects?
a. Lactic acidosis*
7. Fast blood sugar needed to
diagnose DM?
a. 125 *
8. One of the following not used
in the management of asthma
exacerbation?
a. Long acting B agonist
9. One of the following is not true
regarding inferior wall MI?
a. Caused by distal right coronary
artery obstruction *
10. Uterine artery is a branch
of ?
a. Anterior devision of internal iliac
artery *
11. Unilateral genetal tract
anomaly usually associated
with?
a. Urinary tract anomaly*
12. Ferning of cervical
mucous is caused by exposure
to which of the following?
a. 0.1% sodium chloride *(not sure)
b. 1% sodium chloride
c. Progesterone
13. The cause of mucous
vaginal discharge in newborn
female?
a. Maternal estrogen action on
endocervix*
 e. Streptococcus pneumonia *
14. All of the following
associated with Bahçet 19. A case describing a
syndrome except? patient with ascites, can’t
a. Aseptic meningitis remember the exact numbers
b. DVT but there was a triglyceride of
c. Oral ulcer 320?
d. Genital ulcer a. Chylous ascites *
e. Conjunctivitis * (not sure, I think
the ocular complication of bahçet 20. Case describing an
is mostly uveitis not immigrant (rhe patient cannot
conjunctivitis) remember if she was
vaccinated against TB or not)
15. Not SLE antibody? with normal chest xray,
a. ANA positive Mantoux test, positive
b. Anti dsdna gamma release essay,
c. LA treatment?
d. Antiphospholipid a. INH, rifampin, pyrazinamide and
e. Antierythrocytes* ethambutol for 6 months

16. A case describing a 5 21. A case describing a

months old child with patient with very high ALT &
bronchial crepetaion, wheezing AST (>1000), ALP (~120), all of
…., most common causative the following are appropriate
agent? investigations except?
a. RSV * (not sure) a. ERCP*
b. Pneumococcus
c. Hemo. Influenza 22. One of the following is a
cause for elevated ALP?
17. Most common causative a. Obstructive jaundice *
agent of otitis media?
a. Streptococcal pneumonia * 23. Child with abdominal
trauma, upper abdominal
18. Not a lung cavitary tenderness, highly elevated
lesion? amylase, most commonly
a. Squamous cell ca cause?
b. TB a. Pancreatic trauma *
c. Fungal
d. Aspergillosis
24. Vaccine contraindicated
in a female with sickle cell
disease?!!!
a. Pneumococcal
b. Maningiococcal
c. HIB
d. Swine flu
e. Rubella * (not sure)
25. Not given in the 4 month
age vaccine in Jordan?
a. Hep A vaccine
26. Jordan newborn
screening?
a. Hypothyroidism, PKU, G6PD
deficiency
27. Incorrect about status
epilepticus management? (Both
of the them can be a valid
answer)
a. Phyntoin given over 1 minutes*
b. Phenobarbital is a 2nd line agent
28. First line anti epilepsy
agent in young man?
a. Sodium valproate *
29. Not found in ulcerative
colitis?
a. Transmural inflammation *
30. A case describing a child
with abdominal pain, anorexia,
wbc of 12000, urine WBC 4-6,
urine RBC 6-8, most likely
diagnosis ?
a. UTI
b. Appendicitis *
c. Renal colic
31. Management of
asymptomatic epigastric hernia
?
a. Surgical correction *
32. Case describing a 50 year
old surgically free patient, with
constipation, abdominal
distension, most likely cause?
a. Colorectal cancer
b. Irreducible hernia* (not sure)
c. Adhesive band
d. Incisional hernia
33. Most common location of
volvulus ?
a. Sigmoid*
b. Transverse colon
34. A case describing a
metabolic derangement, cannot
remember the exact values, I
think the answer was wide
anion gap metabolic acidosis
with appropriate compensation
35. Not a risk for uterine
rupture?
a. Placenta previa*
b. Large size fetus
c. Operative vaginal delivery
previous scar
36. One of the following not
sexually transmitted?
a. Herpes hominis 1*
b. Herpes hominis 2 44. Case describing a patient
c. Trich. Vaginalis with bone pain, constipation,
polyuria, psychiatric changes ,
37. One of the following most helpful diagnostic tests?
doesn’t transmitted through a. Calcium level
genital tract ( to the delivering b. Calcium and PTH *
fetus? c. Calcium and vitamin D
a. Toxoplasma *
45. Case describing female
38. Prepubertal vaginal PH? with cholecystitis,
a. 6.8-7.2 * management?
a. Cholecystectomy *
39. Not used in the screening b. Cholecystostomy
of short stature?
a. Growth hormone * 46. Case describing a patient
b. Bone age with painless jaundice, 2 cm
c. CBC gallbladder stone, 3 cm
d. Cr, BUN stricture in the distal CBD with
proximal dilation, diagnosis?
40. Child with severe a. Pancreatic cancer
dehydration due to diarrhea
and vomiting, management? 47. Arterial anastomosis in
a. 20ml/kg Iv bolus broad ligament?
a. Ovarian with uterine *
41. Most common
complication of Meckel’s 48. The smallest pelvic
diverticulum ? diameter?
a. Bleeding a. Interspinous
b. True conjugate
42. Most common cause of c. Oblique something
painless per rectum bleeding? d. Non of the above
a. Haemorrhoid * (I don’t know, some references
b. Rectal cancer mentions the interspinous, others say
its the obstetric conjugate; so it’s either
43. FNA needle biopsy of interspinous or non of the above)
thyroid nodule not diagnostic
of which? 49. Most common twin
a. Follicular carcinoma * presentation?
a. Cephalic- cephalic
 b. (IM Dexamethasone: for
50. Most common cause of moderate illness, nebulised
perinatal mortality? epinephrine : sever illness)
a. Prematurity *
56. A case describing patient
51. Pregnant woman with with acute kidney injury
isolated thrombocytopenia (AKI), best initial step ?
(normal other labs like liver a. Volume status assessment
function tests and kidney
function tests), diagnosis? 57. One of the following
a. Immune thrombocytopenic suggests pre-renal azotemia
purpura more than acute tubular
necrosis?
52. Not found in Henoch- a. Urine osmolality < 350, urine
Schönlein purpura? sodium > 40
a. Thrombocytopenia
58. 75 old man with renal
53. A patient presented with insufficiency, presented with
gum bleeding and raised PT, red warm ankle joint, first step
most common factor in managing?
deficiency? a. Joint aspiration for gram stain
a. 7* (not sure, but it has the short and crystal examination
half life)
b. 2 59. Breast abscess, one is
c. 9 true?
d. 10 a. Incision and drainage can be a
reasonable management
54. A factor not produced by
the liver? 60. Child with knee pain and
a. Factor 8( VIII) prominent tibial tuberosity,
diagnosis?
55. A patient with a. Osgood-Schlatter disease*
presentation suggestive of mild
croup (barking cough, normal 61. All of the following
oxygen saturation ) , increase in pregnancy except?
treatment? a. Albumin*
a. Oral corticosteroid *
62. All of the following
decrease in pregnancy except?
a. Neutrophils 67. A child with sting bite
develope hypoxia (82 oxygen
saturation), treatment?
63. A postpartum patient a. IM epinephrine *
with description of iron b. Subcutaneous epinephrine
deficiency anemia (as I can
remember the Hgb was 7.9) 68. The wrong about DVT?
what is the management? a. Should be treated for life
a. Oral Iron 3 times per day*
b. Oral Iron every other day 69. All of the following
features of chronic foot
64. Labia minor equal to ischemia, except?
what in male ? a. Color changes
a. Penile urethra* b. Loss of hair
c. Skin atrophy
65. A case describing a 1 year d. Brittle nails
child with meningitis, e. Dilated veins*
petechiae, fever, and full 70. Most common cause of
fontanelle, best first line of postpartum hemorrhage?
management? a. Uterine atony *
a. Lumbar puncture
b. Petechiae gram stain 71. Most common cause of
c. Antibiotic + fluid barret’s esophagus ?
d. Corticosteroids *(should be a. Esophageal reflux *
given initially (before antibiotic)
to prevent brain edema causes by 72. The inhibitory hormone
toxin released by damaged of Gi secretions?
bacteria by the antibiotic) a. Somatostatin *

66. Not used in the screening 73. Which one secreted by

for child with hemoptysis ? carcinoid tumor ?
a. CT chest * a. Serotonin *
b. Xray
c. PT 74. SVT management after
d. PTT failed valsalva maneuvers?
e. CBC a. IV adenosine*

75. Not used in iron toxicity?

a. Activated charcoal *
b. Whole bowel irrigation
c. PPI
d. Deferoxamine
76. The colonic polyp with
most cancer risk?
a. Sessile *
77. One of the following not
attached to the perineum ?
a. Ischiocavernosus muscle *
b. External anal sphincter
c. Urethra external sphincter
d. Levator ani
78. Directed vs indirect
inguinal hernia?
a. Medial to the inferior epigastric
artery*
b. Pass through spermatic cord
c. Have bowels
d. More liked to strangulate
e. Neonatal hernia
79. Breastfeeding child,
present with vomiting blood
with normal eating habits and
activity, most likely diagnosis ?
a. Cracked maternal nipple *
80. Source of energy for the
intracranial fetus ?
a. Carbohydrates * (not sure)
81. Most suitable time for
surgery during pregnancy?
a. 2nd trimester *
82. Case of 3 consecutive
meningitis, most likely risk
factor?
a. C7 deficiency * (terminal factors
deficiency is a risk for recurrent
neisseria infections)
83. Most common cause of
early death due to multiple ribs
fractures in to different sites ?
a. Pneumothorax *
b. Paradoxical movement during
inspiration
(Obviously he is describing a
case of flail chest, but the question is
about early death which mostly caused
by pneumothorax)
84. Patient with 40%
obstruction in one of the
coronary arteries (cannot
remember), most likely
management to decrease
mortality?
a. Statin*
b. B blockers
85. Which one is a wrong
statement regarding celiac
disease?
a. Gluten free diet is needed at least
for 5 years
86. One of the following is not
a cause of exudative pleural
effusion?
a. Hypothyroidism *
b. Post- CABG
c. Pneumonia
d. TB a. Hyperventilation *

87. Not true about brucellosis 94. The most likely cause of
? ambiguous genetalia in
a. 20% mortality rate* female ?
b. Most common cause if death is a. Congenital adrenal hyperplasia *
infective endocarditis b. Aromatase deficiency
c. More in male than female
d. Small aerobic intracellular gram 95. The endometrial layer
negative coccobacillus shed in menses ?
a. Functionalis *
88. The sign most likely b. Decidua
suggestive of basal skull c. Basalis
fracture?
a. Rhinorrhea * 96. Test used for eradication
b. Ecchymosis over maxilla of H.pylori?
a. Hydrogen breath test*
89. Best modality to examine
cystic breast mass ? 97. Haemoglobin with 2
a. Ultrasound * gamma and 2 alpha ?
a. Fetal haemoglobin
90. The earliest climacteric
changes? 98. Potassium highest
a. Menstrual irregularities* concentration?
a. Intracellular *
91. Not found in
intravascular hemolysis? 99. Management of
a. Increased haptoglobin * bronchiolitis include all of the
following except?
92. Case of low Hemoglobin a. Physiotherapy*
and platelets, most helpful b. O2 if oxygen saturation < 92
test? c. Hydration
a. Blood film * d. Oral feeding if tolerated
e. Nasal saline + suctioning
93. The most helpful
management of traumatic
intracranial hypertension?
IM GS GYN-OBS Peds
1. Infective 1. Mcc of otitis 1. ECG findings in 1. TOF ( cyanosis).
endocarditis media. pregnancy. 2. Bronchial
criteria 2. Lung cavitary 2. Uterine artery crepetation
2. Normal & lesions? 3. Unilateral genital 3. National
pathological 3. ALT & AST tract anomaly vaccination
murmurs. (ERCP) associated with? schedule.
3. MOA labetalol 4. Obstructive 4. Ferning of cervical 4. Newborn
4. Antihypertensiv jaundice. mucosa? screening
e drugs 5. Pancreatic 5. Vaginal discharge 5. Uti vs
5. SE of Metformin trauma in newborn? appendicitis
6. FBS to diagnose features. 6. Uterine rupture 6. Short stature
DM 6. Ulcerative risk factors. screening
7. Asthma colitis. 7. Infections 7. Dehydration
treatment 7. Asymptomatic transmitted via treatment.
8. MI epigastric vaginal tract to 8. Croup
9. Behçet hernia. the fetus. treatment
syndrome. 8. Constipation + 8. Vaginal PH 9. Osgard schlatter
10. SLE antibodies abdominal numbers. disease
11. Ascites numbers distention. 9. Arterial 10. Meningitis +
12. Tuberculin tests 9. Volvulus anastomosis in petechiae +
(TB) locations broad ligament fever + full
13. Contraindicated 10. Meckel’s 10. Obstetrical pelvis fontanelle
vaccines in diverticulum 11. Mc twin 11. Hemoptysis
female + sickle complications. presentation screening.
cell 11. Painless rectal 12. Mcc perinatal 12. Sting bite +
14. Status bleeding. mortality. hypoxia
epilepticus 12. FNA 13. Isolated 13. Normal
management. 13. Cholecystitis thrombocytopenia breastfeeding
15. First line anti 14. Painless in pregnancy. child with
epileptic agent jaundice 14. Physiological hematemesis
in young man 15. ESRD + Joint changes in 14. Source of
16. Acid base pain pregnancy. energy for the
imbalance. 16. Breast abcess 15. Same intracranial
17. STDs 17. DVT 16. IDA postpartum fetus.
18. Bone pain + 18. Chronic foot 17. Labia minora in 15. 3 episodes of
constipation + ischemia males meningitis
polyuria + 19. Barret’s 18. MCC postpartum cause?
psychiatric esophagus hemorrhage 16. Ambiguous
changes? 20. Carcinoid 19. Most suitable genitalia cause
19. HSP findings tumor trimester for 17. 2 alpha 2
20. Coagulation 21. Colonic polyp surgery. gamma hb
factors most cancer 20. Climacteric 18. Bronchiolitis
21. Liver synthesis risk changes? management
coagulation 22. Structures 21. Endometrial layer
factors attached to shed in menses
22. AKI perineum.
management 23. Direct vs
23. Pre-renal indirect
azotemia vs ATN inguinal hernia
24. Inhibitors of GI 24. Mcc of death in
secretions multiple ribs
25. SVT fractures
26. Iron toxicity 25. Basal skull
27. 40% obstruction fracture signs.
in coronary 26. Cystic breast
arteries mass
management explorations
28. Celiac disease 27. Traumatic
29. Exudative intracranial
pleural effusion hypertension
causes. management.
30. Brucellosis
31. Intravascular
hemolysis
findings
32. Low HB &
platelets test
33. H. Pylori
eradicated test
34. K+ highest
concentration
35.