3102

By: Hossam sulaiman

1- Spot diagnosis :

A-Ventricular Fibrillation B-Ventricular Tachycardia C-Atrial fibrillation D-Atrial Flutter Ans: A-Ventricular Fibrillation

2- Pateint with sarcoidosis , skin lesion in this picture is ....

A- Erythema Marginatum B- erythema nodosum ans: Berythema nodosum

3- pathogenesis of Myasthenia Gravis: ans: damage and blockade of post -synaptic acetylcholine receptors by specific antibodies

4- Side effect of steroids: A- avascular necrosis B- Hypertension C- Hyperglycemia D- Weight gain E- Hyperkalemia Ans: e- hyperkalemia

5- All are true about SYNDROME OF INAPPROPRIATE ADH SECRETION except: A- hypernatremia B- hyponatremia C- plasma hypo-osmolality D- euvolemia (edema absent ans: A- hypernatremia

6- all are true about DIABETES INSIPIDUS except: A- large volumes of dilute urine B- polydipsia C- dehydration D- hyponatremia ans: B- hyponatremia

7- all are bronchdilator used in asthma except: A- salbutamol B- MgSo4 C- Salmetol D- Ipratropium bromide Ans: B- MgSo4 8- Abnormal PTT , normal PT , abnormal bleeding time with normal platlate Count is ....: A- Hemophilia A B- Hemophilia B C- vWS ans: C- vWS 9- Senstive test for diabetic nephropathy: A- Glucose level B- Albumin creatinine test C- Creatinine Ans: Albumin creatinine test

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sensitive Single best test for assessing thyroid function: A- T4 B- T3 C- TSH Ans : CTSH

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What is early manifestation of acute Pancreatic? What is late manifestation of acute Pancreatic? .. 02+ 03

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Diffrent primary from secondary adrenal insufficiency: A- Hyperkalimia B- Hyperpigmentation Ans : BHyperpigmentation

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% Transmisstion of HIV from skin injury: Ans : 0,3

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All about DM type 1 true except: A- Thin B- Acanthosis negricans C- Can occur DKA Ans : B- Acanthosis negricans

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Decreased B12 rather than folic acid is : A anemia b- lethargy c- peripheral neuropathy and drop foot ans: c- peripheral neuropathy and drop foot

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Pateint with PH (7.2)....PCO2(65).....HCO3(25): A- Conpencation metabolic acidosis B- deConpencation metabolic alkalosis C- Conpencation respiratory acidosis D- DeConpencation respiratory acidosis Ans: DDeConpencation respiratory acidosis

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All about vitamin A true expect: Ans: Crainotabes

19 - which of the following blood pressure is more risk for strok? a- 140/110 b- 160/80 Ans: a140/110

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Normal Hba1c : %7> All are precipitating factor for hepatic encephalopathy except: a- Hyperkalemia b- Hypokalemia c- Neomycin d- Renal failure Ans : cNeomycin

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All are treatmant COPD except : a- Inhaled corticosteroid b- Salbutamol c- High flow O2 d- Theophylline Ans: c- High flow O2

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All are feature ASD except : Ans : Cyanosis

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All the following cause distended jugular vein except : Ans: Anaphilactic shock

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Management for patient G6PD with hemolysis: Ans; Supportive and blood transfusion Amlodipine is : Ans: Ca channal blocker

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All cause exudative pleural effusion except: a- Empyema b- Lung cancer c- Hypoalbunimia d- Pulmonary embolism Ans: c- Hypoalbunimia

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Patient c/o 3 month low back pain , in blood analysis increased serum Ca +2 and ESR ..spot diagnosis? Ans: multiple myeloma

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Cystic fibrosis assit. With all the following except: a- Meconium ileus b- Culbbing of fingers c- Hypoglycemia d- Rectal prolapse Ans: c- Hypoglycemia

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All can cause hypokalemia except: a- Insulin b- Calcium gluconate c- NaHCO3 d- Kayexalate Ans : b- Calcium gluconate

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All can cause Huge splenomegaly except: a- Spherocytosis b- Sickle cell disease Ans : bSickle cell disease

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Increased risk cancer all the following except: Ans: hyper Ig M

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All true about Caliac disease except : a- Increased appitite b- Bad stool smell Ans:

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What can you see in urine microcopy with acute glomerulonephritis: a- RBC cast b- Hyaline cast c- White blood cell cast Ans : a- RBC cast

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All can case splenomegaly except : a- Sphercytosis b- EBV c- Ricket d- Lymphoma Ans: c- Ricket

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All true about gastroenteritis except : Ans: pateint with salmonella should receive antibiotic

 : -pseudomonus aergonsa - carotid -cause of central cyanosis - guillain barre syndrome -strok -aids -complication of HTN

Obs and gyn

1- All Causes of polyhydramnios except : a- Chrorioangiomas b- Anencephaly c- Hydrocephalus d- Renal agensis Ans : d- Renal agensis

2- All drugs safe in pregnancy except: a- Heparin b- Acetaminophen c- Methothrexate d- Insulin Ans: cMethothrexate

3- All are risk factor for endometrial cancer except : a- Nulliparity b- Late menopause c- PCOS d- Multiparity e- Obesity

Ans : d- Multiparity

4- The relationship of long axis of the fetus to the mother is : a- Lie b- Presentation c- Position d- Attitude Ans: aLie

5- What percentage of couple in the reproducive age is unable to conceive after one year of coitus without contraception: Ans : 15%

6- The incidence of breech presentation at term is: Ans : 3 %

7- All the following are chromosomal disorders except : a- Downs syndrome b- Cystic fibrosis c- Edwards syndrome Ans : b- Cystic fibrosis 8- Female present with vaginal bleeding ,,large uterus and passage of vesicles per vagina ..the diagnosis is : a- Molar pregnancy b- Ectopic pregnancy

Ans : a- Molar pregnancy 9- Menorrhagia with dysmenorrhia and dyspareunia is mostly : Ans : endometriosis

10All the following are commom complications of diabetes in pregnancy except : a- RDS b- Macrosomia c- Bleeding Ans ; c- Bleeding

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The cervial canal is lined by : a- Non ciliated columnar epithlium b- ciliated columnar epithlium ans: aNon ciliated columnar epithlium

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the normal baseline fetal heart rate: ans: 110- 150

13pregnant 35 week present with vaginal bleeding and tender rigid uterus and fetal bradycardia : a- ectopic pregnancy b- placenta abruption c- placenta previa

ans: b14-

placenta abruption

the commonest infection in pregnancy: ans: UTI Anti D immunoglobulin is given to rhesus negative women in : a- Amenocentesis b- Abrotion c- Exrernal cephalic version d- All of the above Ans : d- All of the above

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Most common Germ cell ovarian tumour is.... Ans: dysgerminoma

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Most common site of ectopic pregnancy : a- Interstitium b- Isthmus c- Ampulla d- Infundibulum Ans: cAmpulla

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All vaccine cant be give in pregnancy except: a- Measles b- Mumps c- Oral polio vaccine d- Injection polio vaccine Ans : d- Injection polio vaccine

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All about hepatitis B false except: Ans: Safe in pregnancy How Percentage of breech presentation: a- 3% b- 0.3% c- O.03% Ans: cO.03%

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Premature baby is ........: a- Below 37 weeks b- Less than 1500 mg Ans:

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Alfa fetoprotien present in : a- Wilms tumour b- Hepatoblastoma c- Neuroblastoma Ans: b- Hepatoblastoma

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Trichomonas vaginalis infection a- Is treated by multiple antibiotic b- Caused by gram nigative c- This is sexually transmitted disease d- All of the above Ans: cThis is sexually transmitted disease

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Woman has miscarriage in her first pregnancy ,most likely cause by: Ans: chromosomal abnarmality All are used for induction of labour except : a- Ergomertrine b- Postaglandin c- Oxytocin Ans: a- Ergomertrine Alarming sign for preeclampsia is: a- Increase BP b- Protienuria c- Epigastic pain d- Headache Ans: All case of maternal anemia except: a- Vasa previa b- Placenta previa Ans: Sign for progress of labour: a- Dilation b- Engagement c- Contractile upper uterine segment Ans: a- Dilation Contraception contraindication for lactation: a- Depo-provera b- Minipill c- OCP d- Intrauterine device Ans: c- OCP

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All are Secondary amenorrhea except: a- Pregnancy b- Imperforate hymen c- Anovulation d- Antipsychotic medication Ans: b- Imperforate hymen

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Primary amenorrhea is: Ans: absence of menses at age 14 without secondary sexual development All case of Uterus large for date except: Ans: fibroid Normal amount of blood of menstural cycle: a- 80 100 ml b- 100- 150 ml c- 30- 80 ml Ans: b100- 150 ml Weman 22 years old c/o from 5 week no menses ..the mangment is: Ans: do B-hcg

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: - anti d isoimmunization

Pediatric
1- Baby was born in home, after 5 days he has bleeding form umbilicus, the mostly case bleeding is? a- Vitamin k deficiency b- DIC c- Hemophilia A d- Hemophilia B Ans: a- Vitamin k deficiency 2- All are true about down syndrome except: a- Clindactyly b- Hypertelorism c- Simian crease d- Freqent acute otitis media e- AVSD ANS : b- Hypertelorism 3- All According polyric stenosis true except: a- Most common in males b- Usually stars at 2-4 weeks of age c- Bilious vomiting after feeding d- FTT Ans: Bilious vomiting after feeding 4- Which sign can see in abdominal x-ray for pateint with duodenal atresia: Ans: double bubble sign 5- Most common tumour for children is : Ans: acute lymphoblastic leukemia

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All are Alarming sign of delelopment except: a- Less than 3 words at 18 months b- Not walking at 18 months c- Head lag in 6 months Ans: Head lag in 6 months

7- Child with cough at night and early morning and whezzy chest for one year mostly is: a- Bronchiolitis b- Pneumonia c- Asthma Ans: c- Asthma 8- The following vaccines are destroyed by freezing except? a. IPV b. Hepatitis B c. Tetanus toxoid d. Measles Ans: d. Measles 9- The most sensitive vaccine to heat is: a- OPV b- IPV c- PERTUSIS d- DT Ans: aOPV 10- All about Neurofibromatosis type 1 true except: a- Seizures b- Abnormal speech deleopment c- Can see Bilateral d- Optic glioma Ans: c- Can see Bilateral 11- One the following true about congenital hypothyroidism ; Ans : autosomal recessive

12- All the following are cyanotic heart disease except: a- TOF b- Ebsteins abnormaly c- Dustal coarctation aorta d- Tricuspid atresia Ans: c- Dustal coarctation aorta 13- The most common cause of abdominal pain in children: Ans: UTI 14- All are ture about acute otitis media except: a- Can cause meningitis b- Most common etiology is S.pneumoniae c- The drug of choice is cephalosporins Ans: c- The drug of choice is cephalosporins 15- All are moculopapular rash except: 1- Varicella 2- Measles 3- Roseola 4- Rubella Ans: 1- Varicella 16- Baby with hypotonia and tongue fasciculation: Ans: Spinal muscular atrophy 17- All are cause of neonatal convulsion except: Ans: febrile seizue 18- All are criteria of benign febrile seizue except: a- Duration less 15 min b- History of convulstion without fever c- No recurrence in 24 h d- Generalized tonic-clonic Ans: b- History of convulstion without fever 19- Which the following is wrong about Klinefelters Syndrome: a- Increased risk with advanced materal age b- Genotype is 47 XYY Ans: b- Genotype is 47 XYY

20- Neonatal Screening in jordan: a- PKU + hypothyroidism + hear loss b- PKU + hypothyroidism c- hypothyroidism + hear loss ans: b- PKU + hypothyroidism 21- The most common cause of Necrotizing Enterocolitis: a- Shock b- Asphyxia c- Prematurity d- Sepsis Ans: c- Prematurity 22- Daily need of Vitamin D for babies: Ans: 400 IU/D 23- Head circumference at one year age: a- 43-44 cm b- 45-46 cm c- 47-48 cm Ans: b- 45-46 cm 24- Child with G6PD present to ER with hemolysis , the mangment is: Ans: supportive 25- Child present to ER with extended neck , stridar ,fever ,drooling and distress , your mangment: Ans: direct to ICU and call E.N.T 26- Term baby ,he be come cyanosis after 3h of delivary , with normal cardic exam and respiratory system , mostly diagnosis is : a- TOF b- Ebstein anomaly c- TGA d- Tricuspid atresia Ans : c- TGA 27- 3 months baby with chronic bronchopneumomia , lymphocyte 400 then 200 : Ans: Acid

: -mongolian spot - sepsis(investigation) -atypycal pneumonia (mycoplasma) -cause of apnea -sign of psychogenic disorder - hypotonia - spherocytosis

Surgery
1- All are criteria of sepsis except: a- Body temperature >35 or <38.5 b- Heart rate <90 /min c- Arterial hypotension d- WBC <1200 CELLS /ml e- Respiratory rate <20 per min Ans : cArterial hypotension 2- First thing to do in head trauma is : a- Airway b- Breathing c- Circulation d- Disability Ans: aAirway 3- All are risk factor for breast cancer except: a- Nulliparity b- Age at menarche (younger than 13 years) c- Hyperplasia d- Cancer of the breast e- Smoking Ans: e smoking 4- What is the sign of appendicitis cause pain with internal rotation? a- Obturator sign b- Psoas sign c- Rovsings sign d- Valentinos sign Ans : aObturator sign 5- Atypical presentation of appendicitis can see in all except: a- aids b- Pregnancy

c- Elder d- Infancy e- Athletic Ans: e-

Athletic

6- Treatment of inguinal hernia? Ans: herniorrhaphy 7- Most common femoral triangle sweeling is ? Ans: aneurysm 8- Most common symptom of rectal cancer: Ans : bleeding 9- Most common soft tissue tumours: Ans : lipoma 10- Most common sites of distant metastasis breast cancer: Ans: bone 11- Gas used in laparoscopy ; Ans : co2 12- Which drug used as anesthesia and analgesia : Ans: ketamine 13- All are side effect of morphine except: Ans: cough 14- Most common site of ischemic colitis : Ans: splenic flexure 15- Most common site of angiodysplasia: Ans : cecum 16- Most common cause of acute pancreatitis in children: Ans : trauma 17- Best managment for burn with inhalation injury: Ans : admission 18- Most common cause of upper GI bleeding :

Ans: duodenal ulcer 19- Most common of anal canal cancer : Ans: squamous cell carcinoma : PE PE .. ECG OR echo Compartment syndrom )Hypovolemic shock (ans: 5% dextrose