● child with sx of meningitis, on physical exam he has

Papilledema ,
council parents about what complication :
A. Hearing loss*
B. Vision loss
C. Septic shock
Answer: A

●(long scenario) 55-year-old known diabetic patient

came for check-up.
What is the earliest effect of Diabetes Mellitus on the
kidney:
A. Hydronephrosis with ↑ protein excretion.
B. Hydronephrosis with ↓ protein excretion.
C. Sclerosis with ↑ protein excretion.
D. Sclerosis with ↓ protein excretion
Answer is : C

● long case of child doesn’t control his hungry :

A.Prader-Willi syndrome
Answer: A
● When to consider a nephrotic syndrome is a
cortisone resistant:
A. 4 months of daily cortisone
B. 12 days of daily cortisone
C. 4 weeks of daily cortisone
Answer is : C

● LP from whom take consent:

A .take child assent and parents consent
Answer: A

● Pic of ground glass appearance Uterus on U/S, asking

what you should
tell the patient:
infertility

● Old man suddenly had vomited two episodes of

bloody vomit, Physical
Exam shows no Tenderness over his abdomen or
sternal area, he is
stable, what is your diagnosis:
A. peptic ulcer
B. Mallory weiss tear
C. Varicose veins
Answer is : B

● Old Man he suddenly had severe pain and vomiting,

you did AXR and
found Y shaped Bowel, Per rectal exam showed empty
rectum what you
should do? (Nothing mentioned regarding his Stability):
A. Fleet Enema
B. Colectomy with end stoma ( I think Hartman
procedure)
Answer :CT if no
Do sigmoidescopy or colonoscopy

● Patient presented with 4 cm tumor in her breast,

turns out it was
phyloids, what is your treatment:
A. wide tumor excision
B. mastectomy
C. follow up
Answer is :A

● strongest risk factor of breast ca in female :

A. age
Answer is :A

● Diabetic patient with pseudo hyper epithelialization

in situ, what you should
do:
A. Amputate toe
B. ulcer Debridement
C. follow up
Answer is : B

● Pt accidentally discovered her husband infected HBV

and on medication now and
she is concerned about sexual ?
A.avoid
B.Use OCP
C.use condom
D. no need
Answer is : C
Because she completed her family

● Patient with drooling , what is the diagnosis :

epiglottitis

●Patient with drooling , what to do?

A.antibiotic for 5-7days then tonsillectomy
B.refer for intubation
Answer is : B

●Patient with jaundice, abd pain and on US u see

stones and dilated CBD vitals
show fever only asking about diagnosis...
a. ascending cholangitis
b. choledocholithiasis
c. cholecystitis
Answer:A
● Crohn’s disease affects most commonly which part?
a. ileum
b. ileocecal
c. duodenum
Answer:B

● man after accident and resuscitation in small hospital

u need to transfer to
another hospital after stabilization, it is 30 mins far. on
xray u see fracture of
2-5 left ribs. no pneumothorax what will u do?
a. intubate
b. call the other hospital to inform the surgeon on call
c. chest tube insertion
Answe: A

● young woman has painful breast lump with redness

and tenderness. Vitals are
given and show T 38.9. What will u do?
a. incision and drainage
b. excision
c. FNA
Answer:A

●5 days post orthopedic surgery had sudden dyspnea

and confusion on
examination shows rash on neck and on cxr bilateral
lower lobe infiltrates
.cause?
a. Fat embolism
b. PE
c. pneumonia
Answe: A
--In the recall it was fracture femur

● Part of urethra affected by surgical trauma in males

a. membranous
b. penile
c. prostatic
Answer:Bulbar*
● Case scenario ....appendicitis but not ruptured best
investigation
a. CT abd
b. US abd
c. Exploratory
Answer: A
If child or female > US
If adult male > CT
--In the recall was child

● Post open appendectomy case with pain in wound

site on examination u see
pus oozing from site of surgery what will u do next?
a. percutaneous
b. US abd
c. iv antibiotics
d. open surgery
Answer:b

● Pt postoperative day 3 has gram negative bacteremia

how it rech to blood ?
A-translocation
B-UTI
C- gut
Answer:B

● Pt with pelvic fx and bleeding per rectum >>

urethrogram > retroperitoneal
urethra injury Mx?
A-Folly's cath
B-Supra pupic cystostomy
C-Labroscopic repair
Answer:B
● Management of a case of placenta previa at
34w2d,presented with bleeding
*if Less than 34w:* mother and fetus are stable >
admission & conservative (
Corticosteroids)
*Scheduled CS:* if the mother stable *after fetal lung
maturity has been confirmed by
amniocentesis,* at 36 weeks gestation.

●2 months old baby wakes at night and cries for 1-2

hrs was happening
several times he’s fine .at what age this usually occurs
a. 6 weeks
b. 2 months
c. 3 months
d. 6 months
Answer:A
N.B. Infantile colic onset is 6 weeks of age and goes
away by 6 months of age

● Patient with subserous fibroid haven't completed her

family,ttt??
A.hysteroscopic hysterectomy
B.laparoscopic hysterectomy
C.hysteroscopic myomectomy
D.laparoscopic myomectomy
Answer is : D
Submucosal > hysteroscope
Subserosal > lap

● Old man came to you with Inguinal reducible hernia,

and he was advised
to do hernia repair, and PE exam was normal he is
asymptomatic what
will you do:
A. no surgical treatment
B. open repair with mesh
C. Laparoscopic repair ( no mesh mentioned)
Answer is : A

● Pic of female Vulva with lesions was flat topped

shiny. What is it:
A. Condylomata Acuminata
B. Lichen planus
Answer is: B

● 18 months girl with asymmetrical breast

enlargement other examination
normal what you should do?
A. Brain MRI
B. Abdominal CT
C. Pelvis CT
D. Abdominal US
Answer is :D

● Case of parathyroid
↑Calcium , ↑pth & ↑phosphate .
Answer: tertiary hyperparathyroid

●alot of cases about bishop score

● Child presented with 2 days history of fever on

physical exam perforated tympanic
member and pus in the external canal dx
A. Acute OM
B. Otitis media with effusion
C. Chronic OM
Answer is: B

●Diabetic patient with vaginal discharge: candida

●Images:
-3rd degree of heart block
-CTG : early deceleration
-Uterine polyp
-Eczema
-Mass in the vulva (not remember what is it)