Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
17TH OF OCTOBER
Teamglory2020@gmail.com
Part 1 Part 2
Medicine: 2-15 Medicine: 41-54
Pediatric: 16-23 Pediatric: 54-59
OB/GYN: 23-31 OB/GYN: 59-62
Surgery: 32-40 Surgery: 62-71
Ethics: 40 Ethics: 71-72
Glor eam / Oc ober.
اﷲ ﻟ اﻟﺘ ﻓ ﻖ
ﻗﻠ ر ﺗ ﻢ
h Oc be
Med c e
? creening for HBV
A. Sec da e e i
A e i :A
An igen e po i i e IGM ?
A. ac e he a i i B
B. ch ic he a i i B
a e :A
5A for moking:
A e i : A k, Ad i e, A e ,A i , a d A a ge
Pericardi i ECG
a e : diff e ST ele a i a d PR de e i
Pericardi i managemen
a e : NSAID
COPD
A e i : i ba i a d echa ical e ila e
L ng ma
Glor eam / Oc ober.
A e i :check e i CXR
RA managemen
A e i : e id a d e h e ae
Pa ien had rong h of T2DM and had high fa ing gl co e and Hba1c of
6.5 a king abo mo appropria e ne ep
A. OGTT
B. Hba1c af e eek
C. Re ea fa i g
D. ca ' e e be b a i g i i
A e :A
Beriberi ca ed b :
A e : i a i B1 deficie c
Ri k fac or of crohn' di ea e?
A. ki g
B. bei g ale
A e:A
Ho o e cl de cardiac i chemia?
A e:c a a gi g a h
Bronchiec a i defini i e d e ?
A e : HRCT
Un able MI ca e
IBRUFAN??
pa ien i h pol m algia rhe ma ica, hich of he follo ing i a ocia ed?
A. CLL
A e i A
ca e i h high HbA2
A. be a hala e ia i
B. be a hala e ia aj
A e i A
I ER >
dr g ed in a hear fail re p
A e i S a b ACEI a he fi li e
h perkalemia managemen
A e i ca gl c a e
Vi D deficienc
A e i icke
Sleep apnea:
a e i :C- a
N e
SLE diag i a d a age e
TB diag i
IBD
IBS
Glor eam / Oc ober.
Celiac ha f d a id
H e ald e i
MI a age e
Sle fla e > lf
Ka a aki > bila c j c i i i le
aVL, V5-6 > la e al MI
A al fi e fail e edical ea e > LIS
H f fa il ca ce > ed ce eigh
S le ec defi i i e f > HS
Ca ' abd c > 6 h e e
Me i gi i fea e + c f ( high ei , bid ) > bac e ial
6 h > i i g ih
Celiac > De a i i he e if i
E e ci e i child e > 60 i
Ci acci e i ei e > d a
Ad l de b af e e e ci e > h e hic ca di ah
P l c ic kid e >
P l a i g a > de a la e
Af e che > h calce ia
Ba ki g c gh > c
Egg alle g > ell fe e
Dia hea > e acid i
Pi l h fe al > AR
Eb la > call ec i
T f> l a e i
SLE i h a h i i ea e
RA ea e
T e f agi al di cha ge i h hi ., a d/ ea e . (BV,
ich a , ca dida)
Ba al cell ca ci a ic
a ic di de ADHD a ki g ab he ea e
Pic f ki ag
Ped a c
Neona e de eloped c ano i (2nd or 3rd eek af er deli er ) and here i
finding on a c l a ion I canno remember e ac l b he didn men ion
abo machiner m rm r he q abo he managemen ?
Glor eam / Oc ober.
A. NSAID
B. S e id
C. P agla di
A e :c
Bab a dada, pincer gra p, alk b f rni re, p ll him elf o anding
po i ion, i i ho ppor
A. 12 h
B. 10 h
C. 9 h
D. 8 h
A e i C
child i h Irri abili ,headache ,na ea, le harg and ra h all o er he bod
ha i d :
A. e i g c cce ia
B. ka a aki
A e i A
Glor eam / Oc ober.
Child i h mp om of ADHD in err p ing he cla room and neighbor
ha i he rea men :
A. de e h l he ida e
A e i
C 6
I 6 CB
child ook able , came i h black omi ing, mo likel ma erial inge ed?
A. i
B. h e i a i i
C. W g ch ice
A e i A
4 eek old neona e f ll erm Co projec ile omi ing.. E here i ma oli e
hape In e iga ion he:
A. SONOGRAPHY
B. SINCITY
C. ENDOSCOPY
A e i :A
N e
2 ile e
3 ile e
Ka a aki d a d a age e
Ma a & k a hi k
B chi li i a age e
Pe i diag i
X li ked i deficie c
Mi i al cha ge di ea e
ITP, TTP
He hilia A
Abd i al a gi a
Celiac c ee i g
C ai dica ed acci e i i deficie c
g d- chla e di ea e
ca e f i e ig i h ic
al f e i f child ab e
A ga c e
Calc la e a ge f heigh
Bab i h k ee elli g a d ai > ea e
Al f e ca e
OB/GYN
re incon inence m ?
A. Kegel e e ci e
A e:A
er ical le ion
C
A. C l c
B. bi
Abo o la ion:
A. LH i e 36h af e la i
B. LH i e a i e f la i
C. LH 36h bef e la i
A e:A
Paragra ida Female come for LT abdominal pain She ha Pre io rgical
h of endome rioma c on RT o ar . On in e iga ion She ha no
endome rioma in L o ar ? Wha he managemen ?
A I Q S
A
N e
3 CTG ic a d hei ca e
l f e i ab ab i edical a d gical k he i he
Ca e f c la e ab i
Uei ea a age e
Ce ical i fficie c
Ab i ( h ea e ed a d i c le e)
Ab i lace a >> l i ea
BV a d ich ia i a age e
V l a ia i
Rh: he - e child + e
l f b /g e ab dila a i , efface e a d e e f a age e
G e ca e f bleedi g ela ed eg a c l
e al ela ed d
ea e f de e i i eg a c
a hic agi i i ca e a k ab d
Q e i ab T ich a agi i i [all he a ie e e ai e e g idi g
a d he di ea e]
T e f agi al di cha ge i h hi ., a d/ ea e .
26 eek eg a C ge i al a .. TTT i
ic f la eg a c d
Glor eam / Oc ober.
S ge
Po appendec om ca e and here i pain and in abdomen X-ra here a
ma 2*2 ha i managemen
A. Ob e e
B. A ibi ic
C. S ge
A e:A
Th roid nod le
a e : IF TSH l >> ca
if al high>> FNA
Dm, IHD ?
Glor eam / Oc ober.
a e: e e e ic i che ia
Elderl Chronic con ipa ion + lo er GI bleeding , ini ial in e iga ion
A. Sig id c
B. C l c
a e :B
Pa ien had fre h blood bleeding per rec m, e amina ion re ealed
collec ion of hrombo ed blood in he rec m, pa ien ha na oga ric be
Glor eam / Oc ober.
i h green di charge.Colono cop : no pa holog . Wha i he appropria e
in e iga ion o kno he i e of bleeding?
A. U e GIT e d c
B. Ca ' e e be
C. Ga g afi e e a
D. Tech e i Tc-99 di e ech e a e
A e i D
Old pa ien af er repea ed omi ing de eloped epiga ric pain and
bc aneo emph ema, diagno i ?
A. Ga i i .
B. E hagi i .
C. Pe f a ed e ic lce .
D. B e haa e d e.
A e i D
Pa ien ha med llar h roid cancer on he lef lobe , righ lobe i normal,
managemen ?
A. T al h idec .
B. S b al h idec .
C. He i-Th idec .
D. T i c la i .
A e i A
po op complica ion a da 5
A. DVT
B. UTI
A e i B
Po ma ec om ner e inj r ?
A e i L g h acic
D
( )
D of Femoral hernia he an er i :
A e i : Bel a d la e al
E hc
Women an o ake ocp and h band no an ake ocp ?
A. e a h
B. f ll ife
C. f ll h ba d
D. B h
A e i D
M
ﻗﻠﻮري ﺑﻔﻀﻞ اﷲ ﺛﻢ ﺗﻌﺎوﻧﻜﻢ اﻟﺒﻨﻚ اﻷول ﻟﻠﺪراﺳﺔ و أﺧﺬت ﻋﻠﻰ ﻋﺎﺗﻘﻬﺎ ﺗﻨﻤﯿﺔ اﻟﺮوح اﻟﻌﻠﻤﯿﺔ و
ﺗﺰوﯾﺪ اﻟﺠﻤﯿﻊ ﺑﺎﻟﻤﺬﻛﺮات واﻟﻤﻌﺮﻓﺔ اﻟﻜﺎﻓﯿﺔ ﻟﺘﺠﺎوز *ﻋﻘﺒﺔ اﻟﺮﺧﺼﺔ اﻟﻄﺒﯿﺔ ﺑﺪرﺟﺔ ﻋﺎﻟﯿﺔ* ،
ﺑﺄواﺻﺮ ﻣﻦ اﻟﻤﺤﺒﺔ واﻟﺘﻜﺎﺗﻒ واﻟﺘﻌﺎون ﻣﻊ اﻟﻜﻞ
Medicine:
MI chest pain STEMI and no pci and you will transfer him, what to give prior to transfer :
A. give asprin , thrombolytic , bb , Nitroglyrcrn
B. give asprin , nitroglycerin , bb
Answer is A
Glory Team
MI patient:-
Door to ECG = within 10 mins.
Door to needle (thrombolytics) = within 30 mins.
Door to balloon = within 60 mins.
Time is the muscle, delay = death
COPD > ration less 70% and low DLCO what it the dx?
A. emphysema
B. bronchitis
Answer is A
obese snoring , lack sleep , sleep study done (OSA), how you will ventilate:
A. CPAP
Answer is A
CD extra-intestinal manifestation?
A. erythema nodosum , perianal disease
Answer is A
SLE proteinuria
A. Biopsy
B. Anti dsdna
Answer is A
DKA complication?
A. cerebral edema
Answer is A
patient presented with decreased reflexes, numbness and vitiligo (B12 def) what to give:
A. oral B12
B. parental B12
Answer is B
px his father died and he devolved sadness, delusion and disorganized behavior and
speech for 3 days. After that he became normal
a. schezo effectiveness
b. Schezoform
answer is brief psychotic disorder
DM Renal screen:
A. microalbuminuria
Glory Team
Answer is A
pt came from Egypt with leg tender red lesion in rt leg and she had penicillin allergy, you
give her Ab , in second day she developed N/V and diarrhea watery . Wt the Dx
A. salmonella
B. Ab allergy
C. worsen gastroparisis
D. C diffeclis
Answer is D
A. levothyroxine
Answer is A
Low grade fever ,o2 sat 88 , hypotension 90/50 what is the initial step of management?
A. Iv fluid
B. O2
C. Antipyretic
Answer is B
ABC management
High grade fever ,o2 sat 88 , bp 110/70 Iv fluid , what is the initial step of management?
A. O2
B. Antipyrtic
Answer is A
patient came with DKA symptoms, already given IV fluid, what to do next?
A. Give insulin
Answer is A
55 years old , male , have a family history of diabetes, HgA1C is 6.3 , fasting 7.3 what will
you do next?
A. Random glucose
B. Fasting after 3months
C. HgA1C after 6weeks
D. 2 hours glucose
Answer is B
B. Echo
C. CT spiral
D. Ventilation perfusion scan
Answer: D
chronic thromboembolic pulmonary hypertension (CTEPH)
(V/Q) scan is the best initial imaging procedure of choice.
If V/Q suggested positive CTEPH > right heart catheterization and pulmonary angiography are
indicated to confirm pulmonary hypertension.
Pt with malar rash, chest infection , anemia , renal impairment, what’s the
dx:
A. lupus nephritis
Answer: A
Elderly pt pick up something from the ground then he complain of sudden headache
described as the worst headache he had in his life what’s the dx:
A. subdural hemorrhage
B. Epidural
C. SAH
Answer: C
D. Piperacillin / Tazobactam
Answer: C
pt with nephrotic, have edema and proteinuria, what’s the initial step to
prevent proteinuria:
A. low protein diet
B. prednisolone
answer:
Steroid induced remission: give ACEI , diet will not help
male pt with retrosternal pain radiates to the left shoulder at rest , positive
cardiac enzymes , ECG show t wave inversion in lead V2 - V5 , what’s the dx :
A. stable angina
B. unstable angina
C. STEMI
D. Non-STEMI
answer: D
pt with ascites and abdominal pain , E-coli was found in ascitic fluid , what’s
mechanism of bacteria to found in peritoneum “ no perforation” :
A. translocation
Answer: A
pt with thigh mass 5x8 cm , biopsy show sarcoma high grad , what
investigation you will order for staging:
A. MRI abdomen
B. CT chest
C. bone scan
D. X ray thigh
Answer: B
Sarcoma staging:-
Local invasion: MRI
distant: CT
elderly pt with swelling of the back of neck with multiple opening and
discharge and redness , what’s your diagnosis:
A. carbuncle
B. furuncle
C. abscess
D. cellulitis
Answer: A
pt have sepsis, what are the things you will not need it :
A. Iv antibiotic
B. inotropes
C. iv fluids
D. corticosteroids
Answer: D
If a patient quit smoking , how many years to be effective to reduce the cardiac events :
A. 2
B. 3
C. 4
D. 5
Answer is A
Female want to start a sport , she had a brother died suddenly during doing a kind of
sports ( i forgot ) , you want to exclude which disease before starting :
Glory Team
A. dilated cardiomyopathy
answer is HOCM
Female in mid 40 came with neck swelling for 2 months, with decrease in weight
complains of stoped menstrual cycle for 6months and milky discharge , what
investigation you will order ?
A. Thyroid US
B. Ovary US
C. Mammogram
D. Ultrasound something..
Answer is A
Pt vomit blood I think he has Varicose vein what to give him for decrease risk of
bleeding :
Answer is B blocker
Pt with nephrotic syndrome taking medication how can you know that the disease
remission ?
A. Disappear Albumin in urine
B. Disappear of true edema
Answer is A , for 3 consecutive early morning specimen
Pediatric
N.B
ﻣﺠﻤﻮع اﻟﺴﻮاﺋﻞ اﻟﻤﻄﻠﻮﺑﺔ ﺑﺎﻟﯿﻮم
اﺟﻤﻊ اﻟﺪﻓﺴﺖ واﻟﻤﻨﻨﺘﻨﺎﻧﺲ ﯾﻄﻠﻊ ﻟﻚ بml ﻟﻠﯿﻮم
واذا ﻛﺎن ﻓﯿﻪbolus ﻋﺸﺎن الshock اﻃﺮﺣﻪ ﻣﻨﻬﻢ
child that is dehydrated and his glucose was also low the question was what would you
give him ?
A. 20ml/kg NS
B. 10% dextrose in 1/2 saline
C. Abx
D. And something
Answer is B
2 weeks old with conjunctivitis bilaterally , 2 weeks later chest x ray show lung interstitial
lung infiltration:
A. trancumnus
B. streptococcus
Answer is viral or chlamydia
VSD 2mm:
A. Observe
Answer is A
pediatric 2 month old.. from 1 month he cry 3 time per week every time for 1 to 2 hour
A. temper tantrum
B. infantile colic
Answer is B
Glory Team
Child admitted by DKA and after receiving Iv fluid he is confused what is the diagnosis ?
A. Cerebral edema
Answer is A
child took tablets, came with black vomiting, most likely material ingested?
A. iron
Answer is A
seizing child for continues 5 mins did not stop, intravenous line is secured, first line
management?
A. rectal diazepam
B. Iv lorazepam
Answer is B
8 yrs male have history of URTI 3 weeks back "streptococcus", today comes
Glory Team
Newborn after CS have respiratory symptoms , CXR shows fluid in the horizontal fissure ,
what’s the dx :
A. acute distress syndrome
B. meconium aspiration
C. Transient tachypnea of the newborn (TTN)
Answer: C
child lethargic, with curved leg , vegetarian family , what you suspect vitamin
deficiency:
A. VIT A
B. VIT E
C. VIT K
D. VIT D
answer: D
D. death
Answer: C
what’s the time to say fever of unknown origin in pedia, per day :
A. 7
B. 14
C. 21
D. 28
Answer: B
pedia pt not vaccinated, present with sore throat and cervical lymphadenopathy what’s
your dx:
A. diphtheria
B. streptococcus
C. pertussis
Answer: A
New born you want to give vaccine , the mother told you that she had a new born died
after vaccination due to immune dif, what you will do :
A. Give BCG
Glory Team
2 years old her mother noticed development of the breast no other sign of puberty
A. precocious puberty
B. premature puberty
C. premature breast development ( i think it's the same as thelarche )
No premature thelarche in the choices
Answer is C
OB/GYN
most significant examination in gyne for general check up in newly married women:
A. general inspection
B. pelvic exam
C. vaginal
D. abdominal
Answer is A
pregnant has IBD, Took biological drug due to fistula and she delivered when to give live
vaccine to baby
A. now
B. after 6 months
C. after 12 month
Glory Team
Answer is B
Female came with adnexal mass , histopathology and staging showed advance ovarian
cancer what is management ?
A. Surgery
B. Chemo
C. Surgery then chemo
D. Surgery then radiotherapy
Answer is C
pregnant with hepatitis b ,her child born and givin hep IVIG and vaccin , can she now
breastfeed him or no?
A. encourage her to breastfeed
Answer is A
breast development ; coarse pubic hair; no mens; and high testerone, what do?
A. complete androgen insensitivity
B. Mullerian Agenesis
C. Mayer Rokitansky Kuster Hauser syndrome
Answer is B
Case of mother in early pregnancy with herniation of fetal tissue cervical dilation of 1.5
cm no bleeding or clot or pain
A. Abortion
B. cervical incontinence
Answer is B
Case of labor effecamnte 50% cervical dilation 2 cm ctg reassure mother vitally stable ,
how to coniform the situation;
A. TV sonogram
B. Every 2 hrs Pelvic exam to access for further dilation of the cervix
Answer is B
Female pt with leg pain and swelling , what you will ask in history:
A. history of OCP
Answer: A, risk for DVT
female with symptoms of bartholin gland inflammation and ask you what’s
the dx:
A. bartholin cysts
Answer is A
Female postpartum presented with breast pain on examination there's local erythema,
tenderness, WITH THINNING OF SKIN. How will you manage?
A. Observation
B. Incisions and drainage
C. Antibiotic
Answer is C
Surgery
A. pt symptoms
Answer is A or EF less than 50
post surgery day (3 or 4) presented with leg pain. US showed DVT from femoral to
common iliac vein what to do ?
A. aspirin
B. enoxaparin
C. UFH
D. IVC filter
Answer is B
female , with lateral mass (lymph node) , thyroid was normal , biopsy showed normal
follicular cell, what is the diagnosis?
Glory Team
follicular metastasis
(No aberrant.... in choices)
Answer is A
did sleeve surgery 7 yrs ago and now came with intestinal obstruction what to do
A. Exploratory Laparotomy
B. Laparoscopic ...something
Answer is conservative
Adhesions obstruction try conservative unless failed or signs of peritonitis > go for surgery
Most common cause of Small bowel obstruction > adhesions
Large bowel > neoplasm
child episode of PR bleeding, fresh ; black stool (have both melena and hematochezia) ;
NGT showed greenish fluids ; colonoscopy was negative what is next to detect source of
bleeding ?
A. upper endoscopy
B. Tc 99m
C. Barium
D. US
Answer is B
jaundice ; us showed 1.1 cm common duct dailated and dilated intra and extra hepatic ;
and very distended gallbladder
A. panceriatic cancer
B. Mrizzi syndrome
C. Klitskin
D. Cbd stone
Answer is A
Kelastin or perhailar cancer >shrunken GB
Pncreatic cancer >distended
65 yrs came with mild decrease in urination , us showed median lob hypertrophy of
prostate , PSA and digital rectal was normal , urine analysis and renal function normal
what to do?
A. annual renal function test
B. Periodic investigation of PSA
C. Beta blocker
D. Cystoscopy
Glory Team
Answer is A
Case of post cholecystectomy and you found another stone in CBD how to ttt:
A. ERCP
Answer is A
Case of baby 6 days passed stool after birth w constipation wts dx:
A. Meconium ileus
B. Hirshpurge
C. Volvolus
Answer is C
Parkland formula:
Answer is
Glory Team
Patient has stab wound affect the duodenum and vital signs are stable what is your
management ?
A. Ct scan
B. Laparotomy
C. Conservative
Answer is
Penetrating abdominal trauma
Always start by ABC approach
Patient stable: wound exploration :-
-If superficial> observation
-If not clear > CT
Emergency exploratory laparotomy If :-
-Evisceration
-Signs of peritonitis
-Hemodynamic instability
-Free air under the diaphragm
abdominal pain radiating to back... symptoms of pancreatitis but showing x ray with air
under the diaphragm, diagnosis?
A. duodenal perforation
Answer is A
Glory Team
Male Pt, smoker, have a history of appendectomy, his brother have crohn’s ,
what’s the risk factor to develop crohn’s :
A. male
B. smoking
C. family history
D. history of appendectomy
Answer: C
Female pt fall down and have hip fracture, what to give to prevent DVT :
A. UFH
B. enoxaparin
C. warfarin
D. other medication
Answer: B
Female Pt with carpal tunnel syndrome , after surgery pt have pain in the
wrist and hand , TTT:
A. Opiates
Glory Team
B. physiotherapy
C. counseling
D. triptan
Answer: B
If acute pain post-op > wound incision pain give analgesia
Female patient presented with right lower quadrant pain, doctor decide to
do abdominal CT scan, What you have to do before that:
A. check if need to contrast
B. proceed for Ct
C. pregnancy test
Answer: C
55 pt present to the ER after a car accident, there's a pic of CXR show aortic
dissection and lung contusion , what’s next step :
A. chest tube
B. aortic repair and stent
Answer: B if unstable
If hemothorax, insert chest tube
Answer: D
female have fundus cancer going for surgery, what is lymph nodes you will
resecate :
A. superficial iliac
B. para aortic
C. common iliac
Answer: B
Newborn just delivered having diaphragmatic hernia , what’s the first thing to
do:
A. NGT
answer: A
Stabilization (intubation) then NGT
Pt with history of Cholelithiasis, today present with abdominal pain after fatty
meal, on US : multiple gallbladder stones, thick wall , CBD 12 mm , what’s next:
A. ERCP
Glory Team
B. MRCP
C. lap cholecystectomy
D. open cholecystectomy
Answer: A
Alcoholic Pt presented to thr ER with severe epigastric pain radiates to the back ,
with pic of CXR shows air under the diaphragm, what’s your dx:
A. perforated peptic ulcer
Answer: A
pt present with stab wound of the chest , pt dyspneic , BB: 100/60 PR: 100 ,
chest is clear equal air bilateral , muffled heart sound , what’s you Dx :
A. pneumothorax
B. hemothorax
C. cardiac tamponade
Answer: C
pt present with stab wound of the chest , pt dyspneic , BB: 100/60 PR: 100 ,
chest is clear equal air bilateral , muffled heart sound , what’s next step investigation
:
A. ECG
B. Echo
C. X ray
Answer: B “ cardiac tamponade”
Patient have a car crash , he had an injury in the neck , the is tissue visible , how to
manage him ?
A. Intubation
B. Cricothyroectomy
C. O2 mask
Glory Team
Answer is C
Ethics:
Female has ovarian torsion, dr. explained to the patient about surgery and got consent
from the husband, but the patient refused doing surgery:
Glory Team
A. Do surgery
B. Tell someone of the relative
C. DAMA
D. Husband consent is enough
Answer is C
Female pt going for breast examination but she wants female doctor to
examine her what you will do:
A. refuse
B. respect
Answer: B
during abdominal examination the intern forget to close the curtain what he
broke:
A. principal of dignity
B. principal of privacy
Answer : B
-shock
-fibroadenoma
-Bilateral mammogram
- extopic , abortion , amenorrhea, dysmenorrh fibroid, pcos ,adenomyosis
-lots of obs/gyne qs about dilatation, effacement and next step of management
-management of open wound with fracture
-ecg of pericarditis
-management of pericarditis
-hyperkalemia management
-Pic of ECG asking what is the dx “ show left bundle branch block” :
A. MI
B. RBBB
C. LBBB
answer: C