MY SLE exam 2010

1) 25 year theacher have fear attack and worry before enter the class ( I
forgot all the scenario) what is the initial treatment:
a. Selective serotonin reuptake inhibitor
b. Tricyclic depressant
c. Beta blocker
d.
e.
2) The best initial TTT for depression is:
a. SSRls
b. Tricyclic depressant
c. !"# inhibitors
d. $eta blocker
e.
3) %sing the following classi&cation :
'isk factor case (on case total
)resent " $ "*b
"bsent + , +*d
Total "*+ $*,
'elative risk of those with risk factor to those without risk factor is:
a. A/A+B , C/C+D
b. "-"*$
c. +-+*,
4) 5. year old !an presented to /' with sudden headach0 blurred of
vision and eye pain1 The diagnosis is:
a. Acute glaucoma
b. "cute con2unctivitis
c. +orneal ulcer
d.
5) 3hich heart condition is tolerable during pregnancy:
a. /isenmenger syndrome
b. "ortic stenosis
c. Severe mitral regure
d. ,ilated cardiomyopathy with /4 2.5
e. Mitral stenosis and the mitral area is 1 cm (or mm). 77
6) ,i6use abdominal pain 7 in wave like8 and vomiting1 The diagnosis is:
a. )ancreatitis
b. "ppendicitis
c. Bowel obstruction
d. +holelithiasis
7) 3hich type of contraceptive is contraindicative in lactation:
a. OCPs
b. !ini pills
c. I%,
d. +ondom
e. ,epo)rovera
8) " long scenario about patient with polydipsia ad polyuria1 I don9t
remember the scenario but they mension osmolality in urin and seruu0
measurement of (a1
I encourage you to read about central :S nephrogenic diabetes
insipidus 1
9) " 5 year old child came with earache on e;amination there is <uid in
middle ear and adenoid hypertrophy1 $eside adenoidectomy on
management0 which also you should do:
a. !yringotomy
b. Grommet tube insertion 77
c. !astidectomy
d. Tonsillectomy
e.
10) =ow the randomi>ed control study become strong or of good
validity: ( sorry I forgot the answers)
11) 3oman with postpartum depression0 beside the medical TTT0
whch should be include in therapy:
a. 4amily therapy or support
b.
12) +lassic Scenario of stroke on diabetic and hypertensive patient1
3hat is the pathophysiology of stroke:
a. Atherosclerosis
b. "nyresm
c.
13) !iddle aged patient with an acyanotic congenital heart disease
the ?ray show ventrical enlargement and pulmonary hypertension:
a. VSD
b. "S,
c. Trancus arteriosus
d. )ulmonary stenosis
14) $est food in travelling is:
a. $oiling water
b. 3ater
c. Ice
d. )artial cocked &sh and meat
e.
15) !echanism of vitamine + in wound healing :
a. /pithilia>ation
b. "erobic &broblast synthesis
c. Collagen synthesis
d. /nhance vasculari>ation
e.
16) #ben globe in2ury 1 TTT is:
a. +ontineuos antibiotic drops
b. +ontinuous wate and (S drops
c. +ontinuous steroids drops
d. Sterile cover and the refered
e.
17) "dolescent female counseling on fast food1 3hat you should
give her:
a. Ca + folic acid
b. :it + * folic acid
c. @inc * folic acid
d. @inc * :it +
18) 3hat is the T'%/ about backache with osteoporosis:
a. (ormal ; ray vertebra e;clude the diagnosis
b. Steroid is bene&cial TTT
c. Vit D deency is the cause
d. "nother TTT I don9t remember
19) "dolescent female with eating disorder and osteoporosis
a. 3eight gain
b. Vit D
c. $isphosphonates
d.
20) 4ourth degree hemorrhoids0 !anagement is:
a. Hemoridectomy
b. band ligation
c. sclerotherapy
d. &ber diet
21) nulligravida at A weak gestational age0 follow up for genetic
screening0 she refused the invasive procedure but she agree for once
screening 0 what is the appropriate action now:
a. do ultrasound BB
b. C
st
screening
c. 2
nd
screening
d. D
rd
screening
e. "mncentesis
22) E. year old male with chronic =epatitis $ virus antigen carrier1
The screening of choice is:
a. Alfaprotien + liver ultrasound
b. "lfaprotien * another tumor marker
c. "bdominal +T * abdominal ultrasound
d.
23) D5 year old smoker 0 on e;amination sown white patch on the
tongue0 management:
a. Antibiotics
b. (o ttt
c. +lose observation
d.
24) 'egarding F,!:
a. Screening for GDM at 24 t0 28 weaks
b. ,iet control is always successful TTT
c. Screening at A weeks
d.
25) "fter doing +)' on child and the showing asystole:
a. "tropine
b. Adrenaline
c. Gidocane
d.
26) Scenario of trauma 0 on face e;amination there is shifted mouth
angle0 loss of sensation of ant1 Third of tongue0 which +( is a6ected:
a. Facial nerve
b. Trigeminal nerve
c.
27) #n e;amination of newborne the skin show papules or (pastules)
over erythema base:
a. transient neonatal pustular melanosis
b. erythema toxicum neonatorum
c.
28) The most common causes of precocious puberty:
a. ldiopathic BB
b. 4unctional ovary cysts
c. #vary tumor
d. $rain tumor
e. "denoma
29) !other worry about radiation from microwave if e;posed to her
child 1 3hat you tell her:
a. Not all radiation are dangerous and microwave one of
them
b. !icrowave is dangerous on children
c. !icrowave is dangerous on adult
d.
30) /arlier sign of puberty in male is:
a. "ppearance of pubic hair
b. lncrease testicular size
c. Increase penis si>e
d. Increase prostate si>e
e.
31) Huestion about nutritional marasmus on de&nition1
32) 3hat is the most risk of antihypertensive drugs on elderlay
patient:
a. Hypotension77
b. =ypokalemia
c. +(S side e6ectBB
d. I
33) "symptomatic woman with trichomonas:
a. Treat if symptomatic
b. Treat if she is pregnant
c. Treat her anyway
d. I
(Treatment is indicated in all nonpregnant women* diagnosed with trichomonas vaginitis,
even if asymptomatic. The rationale for treatment of asymptomatic women is that if left
untreated, up to one-third become symptomatic within six months and they continue to
transmit the infection to sexual partners while untreated).
34) 3hat is the risk of F,! on her life later:
a. ,! type C
b. DM type 2
c. Impaired fasting glucose
35) 3hat is the ma2or sing that can tell you that patient have
polycythemia vera rather than secondary polysythemia:
a. =epatomegaly
b. Splenomegaly
c. :enous engorgement
d. =ypertension
e.
36) 3hat is the de&cient vitamin in infentile beri beri :
a. B1
b. +
c. /
d. (iacine
37) CE year boy admit to involve in recurrent illegal drug in2ection 0
what the screening test to do:
a. =I:
b. =epatitis $
c. =epatitis +
d.
38) 2. year old male found to have hepatitis b surface antibodies :
a. )revious vaccination
b. )revious infection
c. "ctive infection
d.
39) !ost common cause of secondary hypertension in female
adolescent is:
a. +ushing syndrome
b. =yperthyroidism
c. Renal disease
d. /ssential =T(
e. )olycystic ovary disease
40) clomiphene citrate:
a. induce ovulation
b.
41) Scenario about perimenstrual depression syndrome
42) +hild present with stiJng neck 0 fever0 headach1 Kou suspect
meningitis what is your initial TTT should be:
a. TobramycinBB
b. Gevo<a;icine
c. Peneciline
d. ,o;ycycline
I remember there is no vancomycine0 ceftria;one or
de;amethasone on the choices1
43) " patient have tender0 redness nodule on lacriminal duct site1
$efore referred him to ophthalmologist what you will do:
a. Topical steroid
b. Topical antibiotics
c. #ral antibiotics
d. (othing
e. I
44) "bout ,! in LS":
C1 about M C. 5
21 !ost of the pt of insulin dependant type
D1 female more a6ected with type 2 ,!
4. most of NlDDM are obese
45) !a2or aim of )=+ in Saudi "rabia :
a. To provide comprehensive maternal & child health
b.
46) CE y1o0she missed her second dose of varecila vaccine0the &rst
one about C y ago what youNll do:
a. give her double dose vaccine
b. give her the second dose only
c. revaccinate from start
d. see if she has antibody and act accordingly
47) there is outbreak of difteria and tetanus in community 0 regaring
to pregnant woman:
a. contraindication to give ,T vaccine
b. if e;posed 0 terminate pregnancy immediately
c. if e;posed 0 terminate after E2 hour
d. give DT vaccine anyway 77
48) which are not a live vaccine:
a. !!'
b. #ral plio
c. :aricilla
d. Hepatitis B vaccine
e. $+F
49) )t with scoliosis0 you need to refer him to the ortho when the
degree is:
a. 5
b. C.
c. C5
d. 20
50) AE year old who brought by his daughter0 she said he is
forgettable0 doing mess thing in room 0 do not maintain attension 0
neurological e;amination and the investigation are normal
a. Alzheimer disease
b. !ultiInfarct ,ementia
c.
51) !echanical intestinal obstruction
a. (asogastric tube decompression
52) )atient with cancer1 Kou want to break bad news0 which of the
following is the answer:
a. Inform his family
b. Find out how much the patient know about it
c. Get social service inform him
d. ,on9t tell him
53) =I: patient has hemorrhagic lesion in the mouth and papules in
the face1 Skin biopsy show spindle cells and vascular structures:
a. Laposi sarcoma
54) )atient with retrosternal chest pain 0 barium swallow show
corkscrew appearance
a. "chalasia
b. /sophagitis
c. F/',
d. DiHuse esophageal spasm
55) !ost common cause of intra cerebral hemorrhage:
a. ruptured aneurysm
b. Hypertension
c. Trauma
d. I
56) 't upper Oudrent pain and tenderness 0 fever0 high 3$+ 0
2aundice0 normal hepatic marker
a. Acute cholecyctitis
b. )ancreatitis
c. "cute hepatitis
d. I
57) 5 y1o child with h1o fever and swelling of the face ant to the both
ears (parotid gland enlargement) what is the most common
complication:
a. Gabrynthitis
b. meningitis
c. encephalitis
d. orchitis
58) classic symptoms of tension headache
59) prophyla;is of "sthma
a. oral steroid
b. inhaler steroids
c. inhaler bronchodilator $ agonists
60) D. year woman with dymenorrhea0 menorrhagea0 infertility0 and
on e;amination found immobile mass on uterosacral ligaments :
a. uterine &broid
b. endometriosis
c.
61) +lassic symptoms of primary dysmenorrhea
62) (ewly married woman complain of no pregnancy for D month
with unprotective se;ual intercourse :
a. Try more ( infertility is de&ned as no pregnancy for one year)
63) Kounger diabetic patient came with abdominal pain0 vomiting
and ketones smelled from his mouth1 3hat is freOuent cause:
a. lnsulin mismanagement
b. ,iet mismanagement
c.
64) +ause of syncope in aortic stenosis
a. Systemic hypotension
65) #n stroke management: e;cept
a. I: <uid not include de;trose
b. ,ia>epam for convulsion
c. No indication of anticonvulsive drugs
d.
66) )atient use illegal drug abuse and the blood show '(" virus1
3hich hepatitis
a. "
b. $
c. C 77
d. , BB
67) +lassic symptoms and signs of infectious mononucleosis (/$:)
68) Treatment of /$: ( in scenario there patent with tonsiller
e;udates0 lymphadenopathy0 splenomegaly) :
a. #ral acyclovir
b. #ral antibiotic
c. I! or I: acyclovir
d. Supportive TTT
e. #bservation
69) 25 year old woman with weight loss0 heat intolerance0 irritable
P1
a. =yperthyroidism
70) )atient with coloured pastules around his mouth0 organism show
herpes simple; type C0 what is the treatment:
a. Oral antiviral
b. Iv antiviral
c. Supportive
d. I
71) "cute otitis media 0 initial TTT:
a. Amoxacilline
72) !an with sudden onset of scrotal pain 0 also had =; of vomiting0
on e;amination tender scrotom and there is tender Q cm mass over
right groin0 what you will do:
a. Consult surgeon
b. +onsult urologist
c. ,o sonogram
d. /lective surgery
73) !ost common symptoms of renal cell carcinoma is
a. Hematurea
b. "bdominal mass
c. 4lank pain
d. I
74) Gink the ttt with organism:
a. Shegella metronida>ole
b. Salmonella erythromycin
c. +ombylobacter amo;acilline
d. Fardia I foregut ( but I remember it is antibiotic)
75) !edical student had 'T" systolic pressure is E. mmhg0 what you
will do ne;t in management:
a. lV Huid therapy
b. /+F
c. "bdominal %-S
d.
76) 2. year old male had been stabbed on midtriceps 0 !"# $%$&" '()*
+,-./ #,012 345"# 678* 9:$. 4;</
#n microscopic e;amination of this greenish <uid show gram positive cocci in
chains:
a. Streptococcal gangrene
b. +hlostrideal gangrene
c. fournierNs gangrene
d. meningocemia
e. I
77) )atient around his nose there are pastules0 papules and
telangiectasia lesions1 The diagnosis is:
a. 'osacea ( I9m sure)
78) +hild with radial head dislocation0 what is the ne;t in
management:
a. 'eduction and sublu;ation
b. ; ray BB
c. !'I
d. I
79) In cervical G(s there are well di6erentiated thyroid cells0 during
operation you &nd no lesion on thyroid what will you do ne;t
a. Total thyroidectomy
b. Total thyoidectomy + radical cervical LNs dissection 77
c. Total thyroidectomy * speci&c G(s dissection
d. Thyoid lobectomy with
80) Irritable bowel syndrome 0 ( they mention a speci&c mechanism8
I do not remember8 that produce which symptom
a. :omiting
b. ,iarrhea
c. +onstipation
d. "bdominal pain
81) 4ree <uid accumulate in abdominal cavity cause:
a. =ypovolemic shock
b. +ardigenic shock
c. Sepsis
d. /mesis
e.
82) 3oman with cyclic bilateral nodularity in her breast since R
month0 on e;amination there is D cm tender mobile mass in her
breast : what you will do ne;t
a. FNA with cytology
b. !ammogram
c. $iopsy
d. 4ollow up for ne;t cycle
e. #bservation
83) !ost common symptoms of soft tissue sarcoma :
a. )aralysis
b. Ongrowing mass
c. )ain
d.
5 years old c/o limping in ct there is a v necrosis ttt is:1 -
- surgery
- splent
- physiotherpy

Hepatitis b ab and ag on the curve2 -

3 - Pt have dm and renal impairment when he had diabeti nephropathy:there
is curve or albumin
- 5y
- 1!y
- 2!y
- 25y
) =iabetic nephropathy is a clinical syndrome characteri>ed by persistent albuminuria (?@AA mgBd
or ?CAA mcgBmin) that is confirmed on at least C occasions @-D months apart, a relentless decline
in the glomerular filtration rate (EFG), and elevated arterial blood pressure .(
" - Pt has al#ahimar disease and halusination and delusion ttt :
Halopridole
$enerali#e ant%ity disorder best ttt:5 -
& ''()
- tricyclic a d
*a+or depression management:, -
)ntial therapy even sever
Psychiatric pt with un compliance o drugs ttt:- -
- depro halopredol
. - strongest ris/ actor or stro/ :
- H01
- a ibrillation
- 2 - most ris/ actor :
- htn
1! - pt with salpingitis and there is swelling in pelvis in posterior orne% and
it is luctuant m :
- colpotomy
3aproscopic
(drainage of the abscess by either laparotomy, percutaneous drainage, or a colpotomy incision
may preserve the patientHs fertility.
Iosterior colpotomy is preserved for abscesses in the cul-de-sac. The @ reJuirements for
colpotomy drainage
DK
are as followsL
Mbscess must be in the midline.
Mbscess should be adherent to the peritoneum of the cul-de-sac and dissect into the
rectovaginal septum to ensure extraperitoneal drainage of pus.
Mbscess should be cystic or fluctuant for adeJuate drainage.
Nases that do not meet the above criteria can be managed by percutaneous drainage or
laparotomy.)
11 - child swallowing battery in the oesophegus m :
- broncoscoby
44
12 & mild diarrhea m :
- ors
)n the appendisits the histology is:13 -
- leu/ocyte in muscle
- layer lymphoid
- tumor
- plasma cell
1" - water in the body :
- "!5 6 no b/c 5--,!5 7
- dirence depend on age and se%
15 & clavicular racture m :
) displaced need open surgery
& arm sling and iger . is e8ual in eicncy
1, & corneal ulcer ttt :
- ab and cycloplagia is mydrasis and reer to ophthalmology
1- - regarding dringe o the abcess one o the ollowing is true :
- curbuncle and runculosis need draing (no bBc need topical antibiotic mostly)
- usually give ciphtria%on and penicillin post draing
1. & salpingitis and pid on penicillin but not improve the most li/ely
organism is :
- chlamydia 7b/c no cell wall6
- nessiria 7 penicillin sensitive6
12 - wound at end inlammatory phase when :
9pithelial tissue ormation (in Prolierative phase )
- angiogenisis
- when the wound clean
'car ormation 7in remodeling phase6
) The inflammatory phase begins at the time of inOury and lasts C-K days. The phase begins with
hemostasis and formation of the platelet plug. Ilatelets release platelet-derived growth factor
(I=EF) and transforming growth factor beta (TEF-b) from their alpha granules to attract
neutrophils and macrophages. Peutrophils scavenge for bacteria and foreign debris.
Qacrophages are the most important mediators of wound healing. Qacrophages continue to emit
growth factors to attract fibroblasts and usher in the next phase of wound healing (
2! - +uvenile (: ttt :
:spirine (PRMS=)
'teroid
Penicillamine
Hydrocloro8uin
21 - adlosence with osteoporosis ttt :
;a olic acid
22 & pt has hemorrhoid with " degree ttt :
9%sion surgery
23 & pt come with history o tinia capitis ttt :
- tar shampoo
& lucona#ol
2" & pt with history o ;<P= the most action to prevent complication is :
Pnemoccoccal vaccine
'mo/ing stop 44
<ral steroid
> 2 agonist
25 & pt with congenital hip dislocation :
- abducting at le%ed hip can causes clic/ or tali
2, - colon cancer with stage 3 give the chemotherapy :
:s soon as possible
) month
2--5, y old present with vasomotor rhinitis
3ocal anti histamine
3ocal decongestion
3ocal steroid
'ystemic ab
2. - sca give prophla%is :
Penicillin
)ron
22 - diagnosis o thalasimia minor :
- hb a2 and hg
*icrocytosis
3! - pt with mcv decrease and reticulocyt decrease iron deiciency anaemia
investigation :
?erritin level and tibc and serum iron
>orn bcg
1month hepatitis b oral polio dpt
2month s
3month s
2 to 12 month mmr
44