1.

After doing CPR on child and the showing asystole:

a) Atropine
b) Adrenaline
c) Lidocaine

2. Which of the following medications is considered as HMG-CoA reductase inhibitor?

a) Simvastatin
b) Fibrate

3. Which of the following indicate inferior wall MI (Inferior chest leads) in ECG?
a) II, III, AVF
b) V1,V2,V3
c) V2, V3, V4
d) I, V6
e) I, aVL, VI

4. What is the cause of death in Ludwig angina?

a) Dysrhythmia
b) Asphyxia
c) pneumonia
d) wall rupture

5. Coarctation of aorta is commonly associated with which of the following syndrome:

a) Down
b) Turner
c) Pataue
d) Edward
e) Holt-Orain

6. Old patient with DM2, emphysema & non community pneumonia, Best to give is:
a) Pneumococcal vaccine & influenza vaccine now
b) Pneumococcal vaccine & influenza vaccine 2 weeks after discharge
c) Pneumococcal vaccine & influenza vaccine 4 weeks after discharge
d) influenza vaccine only
e) Pneumococcal vaccine only

7. A 20 years old male who is a known asthmatic presented to the ER with shortness
of breath. PR 120, RR 30, PEFR 100/min. Examination revealed very quiet chest. What
is the most probable management?
a) Nubelized salbutamol
b) IV aminophyline
c) Pleural aspiration
d) Hemlich maneuver
e) Chest drain

8. Holding breath holding, which of the following True?

a) Mostly occurs between age of 5 and 10 months
b) Increase Risk of epilepsy
c) A known precipitant cause of generalized convulsion
d) Diazepam may decrease the attack
9. Best early sign to detect tension pneumothorax :
a) Tracheal shift
b) Distended neck veins
c) Hypotension

10. Old male patient came with fever, abdominal pain, diarrhea, loss of weight,
positive occult blood, labs shows that the patient infected with streptococcus bovis,
what you will do?
a) Give antibiotic
b) ORS
c) Abdominal X-Ray
d) Colonoscopy
e) Metronidazole

11. Vitamin C deficiency will affect :

a) Collagen synthesis
b) Angiogenesis
c) Epithelization
d) Migration of microphage

12. One type of food is protective against colon cancer:

a) Vitamin D
b) Fibers

13. Child came with liver failure; he is not complaining of anything except of
yellow discoloration of skin and now become greenish, This due to:
a) Bilirubin oxidation

14. A patient presents with loin pain radiating to the groin. Renal stones are
suspected. What is the test that has the most specificity & sensitivity in diagnosing
this condition?
a) Non contrast spiral CT scan of the abdomen
b) Ultrasound
c) KUB
d) Intravenous pyelography (IVP)
e) Nuclear Scan

15. Long history of patient with recurrent vomiting for 2 days, Hematocrit 65 the
doctor can report this result caused by:
a) Cytokine
b) Glucagon
c) C r protin
d) Apoprotein

16. What is the most reversible risk factor for stroke?

a) DM
b) HTN
c) obesity
d) Dyslipidemia

17. Patient 22 years old with unilateral headache attacks:

a) Cluster headache
b) Migraine
c) Tension headache

18. The most common cause of non-traumatic subarachnoid hemorrhage is:

a) Middle meningeal artery hemorrhage
b) Bridging vein hemorrhage
c) Rupture of previously present aneurysm

19. The commonest initial manifestation of increased ICP in patient after head trauma
is
a) Change in level of consciousness
b) Ipsilateral pupillary dilatation
c) Contralateral pupillary dilatation
d) Hemiparesis

20. Patient with tingling of the little finger, atrophy of the hypothener, limitation of
the neck movement, X-ray shows degenerative cervicitis, EMG study shows ulnar
nerve compression,what will you do:
a) Surgical cubital decompression

21. Patient complaints of abdominal pain and joint pains, the abdominal pain is
colicky in character, and accompanied by nausea, vomiting and diarrhea. There is
blood and mucus in the stools. The pain in joints involved in the ankles and knees, on
examination there is purpura appear on the legs and buttocks:
a) Meningococcal Infections
b) Rocky Mountain Spotted Fever
c) Systemic Lupus Erythematous
d) Henoch sconlein purpura

22. Osteoporosis depend on

a) Age
b) Stage
c) Gender

23. 42 year sold with thyroid mass, what is the best to do?
a) FNA

24. 34 years old female patient presented with terminal hair with male hair
distribution and has female genital organs. The underlying process is:
a) Prolactin over secretion
b) Androgen over secretion

25. Patient was presented by tremor, fever ,palpitation ,diagnosed as case of

hyperthyroidism, what is your initial treatment:
a) Surgery.
b) Radio iodine
c) Beta blockers
d) Propylthioracil

26. Female patient did urine analysis shows epithelial cells in urine, it comes from:
a) Vulva
b) Cervix
c) Urethra
d) Ureter

27. Female with history of left flank pain radiating to groin, symptoms of UTI, what is
diagnosis?
a) Appendicitis
b) Diverticulitis
c) Renal colic

28. 30 years old with repeated UTIs, which of the following is a way to prevent her
condition?
a) Drink a lot of fluid
b) Do daily exercise

29. Man have long history of urethral stricture present with tender right testis & WBC
in urine so diagnosis is
a) Epididymo-orchitis
b) Testicular torsion
c) varicocele

30.60 years old male known to have (BPH) digital rectal examination shows soft
prostate with multiple nodularity & no hard masses, the patient request for (PSA) for
screening for prostatic cancer what will you do?
a) Sit with the patient to discuss the cons &pros in PSA test
b) Do trans-rectal US because it is better than PSA in detection
c) Do multiple biopsies for different sites to detect prostatic ca

31. Sodium amount in Normal Saline [ 0.9% NaCl ] :

a) 75 mmol
b) 90 mmol
c) 154 mmol
d) 200 mmol

32.Best method to prevent plague is:

a) Hand wash
b) Kill rodent
c) spray pesticide
d) give prophylactic AB

33.Most common symptoms of soft tissue sarcoma :

a) Paralysis
b) On growing mass
c) Pain

34. Malaria in a child

a) Crescent shape gametocyte of vivex is diagnostic in the stool
b) The immediate ttt primquine for 3 d
c) 72 hourstreatment of malaria is suffeceint
d) The most common cause is falciparum

35. Aluminum hydroxide &magnesium hydroxide inhibits the intestinal absorption of

which drug?
a) Tetracycline
b) Folic acid

36. Diagnosis of thalassemia minor :

a) HbA2 and Hbf by Electrophoresis
b) Microcytosis

37. When lactic acid accumulates, body will respond by:

a) Decrease production of bicarbonate
b) Excrete CO2 from the lungs
c) Excrete Chloride from the kidneys
d) Metabolize lactic acid in the liver

38. Female 13 years old , came complaining of mass in her left breast in lower
outer quadrant , it is soft tender about 2 cm in size , patient denies its
aggravation and reliving by special condition her menarche is as age of 12, what
is diagnosis :
a) Fibroadenoma
b) Fibrocystic disease

39. what is the treatment of cyclical mastalgia

a) OCP

40. What is the best frequency for breast self-examination?

a) Daily.
b) Weakly.
c) Monthly.
d) Annually

41.Patient with strong genetic factor for colon cancer, what is the medication that
could decrease the risk of colon cancer?
a) Zinc
b) Vitamin E
c) Vitamin C
d) Folic acid

42. Old patient with positive occult blood in stool what you will do next :
a) flexible sigmoidoscopy
b) Colonoscopy

43. Diffuse abdominal pain in wave like and vomiting. The diagnosis is:
a) Pancreatitis
b) Appendicitis
c) Bowel obstruction
d) Cholelithiasis

44. Crohns disease , one of the following true:

a) It is affect superficial layer only
b) Affect rectosigmoid colon
c) Cause fistula
d) less cancer chance

45. Old female with pubic itching with bloody discharge, then she developed pea
shaped swelling in her labia, most likely:
a) Bartholin cyst
b) Bartholin gland carcinoma
c) Bartholin abscess

46. 2 weeks post- anterior posterior repair, a female complain of urine passing PV
with micturation. What is the Diagnosis?
a) Urethrovaginal fistula
b) uretrovaginal fistula
c) vesicovaginal fistula
d) sphincter atony
e) Cystitis.

47. Case scenario patient present with 3 days history of bleeding per rectum ,
present of pain after defecation , by examination ( mass at 3 o'clock ) : Treatment:
a) Put a sitz bath 5 times a day.
b) NSAID ointment locally.
c) Ligate the mass then remove it.

48. A pregnant woman, multigravida, 38 weeks gestational presented with

glycosuria. Gestational diabetes was confirmed by glucose tolerance test. What is
the next step?
a) Repeat Glucose tolerance test
b) Cesarean section
c) Diet adjustment
d) Start sliding scale insulin
e) Start oral hypoglycemic medication

49. if the :ph : low , pco2 : normal , hco3 : high what is the diagnosis ?

a)metibolic acidosis

b)metibolic alklosis

c)respiratory acidosis

d)respiratory alkalosis

50. OCP:
a) Decrease the risk of ovarian cancer
b) Increase the risk of breast cancer
c) Decrease endometrial cancer
d) Increase risk of ectopic pregnancy

51. The most common cause of postpartum hemorrhage is:

a) Uterine atony
b) Coagulation
c) Retained placenta

52. Total vaginal hysterectomy with anterior & posterior repair the patient
complains that urine is come out through vagina, what is the diagnosis?
a) Ureterovaginal fistula
b) vesico vaginal fistula (continuous urinary incontinence)
c) urethrovaginal fistula ( If during micturition )
d) cystitis
53. Lactating lady who didn't take the MMR?
a) Take the vaccine and stop feeding for 72 hour
b) It is harmful for the baby
c) She can take the vaccine

54. Most common site of gonococcus infection in females in:

a) Cervix
b) Posterior fornix.
c) Urethra.

55. Female patient on the 3rd week postpartum. She says to the physician that the
frequently visualizes snakes crawling to her babys bed. She knows that it is
impossible but she cannot remove the idea from her head. She says she wakes up
around 50 times at night to check her baby. This problem prevents her from
getting good sleep and it started to affect her marriage. What is this problem she
is experiencing?
a) An obsession
b) A hallucination
c) A postpartum psychosis
d) A Delusion

56. Best test for detect the gestational age :

a) US

57. Child came with fatigue 'pic of anemia 'and stunted growth, his blood works
shows microcytic hypochromic anemia, diagnosis is:
a) Thalassemia
b) Sideroplastic
c) lead poisoning
d) Iron deficiency anemia
e) SCA

58. Child with URTI is complaining of bleeding from nose, gum and bruising the
diagnosis is:
a) Hemophilia A
b) ITP

59. Child develop purpuric rash over his extremities, this rash was preceded by
upper respiratory tract infection 1 week ago. What is your diagnosis?
a) ITP
b) Henoch shaolin purpura

60. Forcing the child to go to the toilet before bedtime and in the morning, youll
control the problem of;
a) Enuresis

61. In devolving country to prevent dental carise , it add to water

a) Florid
b) Zink
c) Copper
d) iodide

62. mild diarrhoea management :

a) ORS
63. child with flu like illness with red non-blanching papules :
a) ITP
b) Infectious mononucleosis

64. Child with high-grade fever for 5 days and sore throat, on examination there
was tonsillitis and white patches on the gingiva. No LN enlargement, ASO is
negative. The most likely causative organism is:
a) Coxsackie virus.
b) Herpes simplex virus.
c) EBV.