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1. A woman came with her 6 year old girl shown in the picture and asks you when she can return back to school a. After a week b. Tomorrow c. Now d. After 5 days e. After beginning antibiotic treatment 2. A woman came with her 18 month old child anxious about pus surrounding the meatus and the foresking is partially retractable, whats your next step ? a. Circumcision b. Betamethasone crem c. Mipurocin cream d. Oral phenoxymethyle penicillin e. I.V benzathyne penicillin 3. 26 year old female , has dialysis 3 times a week , she is good and decent with the ward nurses, shouts and speaks rudely with dialysis nurses, wts the defence mechanism ? a. Acting out b. Splitting c. Regression d. Denial e. Repression
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a. b. c. d. e.
5. Yasmin containing drosperinon and ethynyl estradaiol - is now released for usage in Australia , wt makes it be prefered by women ? a. It causes weight loss rather than weight gain b. It has a good effect on acne c. It causes less spotting even at the very beginning of the treatment d. It has a failure rate less than other OCPs e. It has a protective effect against cervical cancer 6. a 28 year old primi comes in labour at term , she told u she wants no interference in the labour process whether medical or surgical , she was 3 cm dilated head at 0 station , after 4 hours she is 9 cm dilated and head at +1 station , she is ok , u gave some analgesic only and the CTG is normal , wts the best next to be done ? a. CS b. Ventouse c. Re examin her in an hour or 2 d. Give oxytocin drip e. Episiotomy
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a. b. c. d. e.
Fetal blood sampling Mother serum for Ig anti D titration B HCG Ultrasound Amniocentesis
8. A 34 year old primi came at term with rapture membranes and meconium stained lecor , you did a CTG , in review of the CTG wts the next best step ? a. CS b. Fetal scalp ph c. Induce labour at once with cintocynon d. Wait for normal delivary e. High forceps
a. b. c. d. e.
21. A 50 year old heavy alcoholic man came with ascitis, enlarged liver 4 cm below costal margin , his abdomen is tender and his temp. is 37.9 c his blood pressure is 100/60 which of the following is best treatment for current problem ? a. IV metronindazole + amoxicillin b. IV metronindazole + amoxicillin + gentamycin c. Paracentesis d. Oral amox. Clax. e. IV albumin 22. A farmer had an injury while working in the farm , his knee fat is appearing out of the wound and it is contaminated with soil, he had TT 3 months ago for a similar injury, wt to give hime know ? a. TT b. TT and Igs c. DTP d. Antibiotics e. Just clean and dress the wound
Which drug did the boy ingested ? a. beta blocker b. Digoxin c. K supplement d. Metformin e. Diuretic 31. A 22 year old man came with sudden onset of palpitaion and light headedness and slight chest pain, u did an ECG , wts the diagnosis ?
a. b. c. d. e.
36. An 8 year old boy with enuresis going to a camp with school, wts the best treatment that fits ? a. Alarm bed b. Nasal desmopressin c. Restrict water intake in the night
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a. b. c. d.
42. A 65 year old man with severe osteoarthritis in the right knee, how to help him moving ? a. A stick in the right hand with the left leg onwards b. A stick in the left hand with right leg onwards c. Wheel chair d. Two sticks in both hands e. Rest in bed as long as possible 43. A new drug is being tested for decreasing mortality in HTN patient by 1/4, in a community of 100 you have 8 patient with the condition , what is the number needed to treat ? a. 100 b. 50 c. 33 d. 60 e. 10 44. A pregnant woman 20 weeks starts to have pain in the right iliac fossa specially when she stands up or cough she had appendectomy when she was 12 year old , wts most likely the diagnosis ?
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45. Whats the long term management of angle closure glaucoma? a. Trabeculotomy b. Laser iridotomy c. Acetazolamide d. Pilocarpin e. Timolol 46. A 70 year old woman has apper arm pain bilat. That has no offset, she also has headache distressing her almost all lf the time with little benefit from analgesics, which of the following investigations can help you diagnose her ? a. CK level b. Rheumatoid factor c. Anti jo antibodies d. ESR e. Muscle biopsy 47. A woman gave a birth to a full term baby weighing only 2000 gm with head circumference at 1st percentile, hepatomegaly and mixed severe jaundice, he has deeply pigmented retina on fundoscopic examination , and bilateral basal crackles in the lung, wts the causing organism ? :/ a. CMV b. Toxoplasma c. Leisteria d. Herpes Zooster e. Rubella 48. A smoker man with bilat. Leg cramps when walking for 100 m. distance, he has no dorsalis pedis pulse on examination and his ABI in left leg is 0.8 and in the right leg is 0.4, wts the next best step in management ? a. Doppler ulrasound
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This is wts in my mind now, I tried to simulate the exam for u as much as possible ,I wish you all the best and please keep me in your prayers cuz I need it Good luck to you all and too many thanks for goldstar group Mariam G. Mikhael
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