SLE

with my answer

year patient complain of progressive loses of memory with 73 -1

decrees in cognition function . C.T reveal enlarge ventricle and
cortical atrophy , diagnosis is
a- Alzheimer
b-multi infarct dementia
c- multiple sclerosis
????????-d

female with –ve pap smear you should advice to repeat pap 2-62
:smear every
A- 6m
b- 12m
c- 18m
d- no repeat

all following are criteria of chronic fatigue syndrome except -3

???????-b
???????c
??????-d

year boy with sinsoneurl hear loose , C.T scan show mass (site in 4-12
brain???) so diagnosis is
a- aqustic neroma
b-meningioma
c- barotraumas
????????d

y with uncontrolled diabetes ,complain of black to brown nasal 5-50

discharge. So diag Noses is
a- myco myosis
b- aspirglosis
c-foreign body
????????d
y complain of dyspnea, PND with past history of mitral valve 6-55
disease diagnosis is
a-LT side HF
b- RT side HF
c- pnemothrax
d-P.E

clonidin is decrease effect of -7

a- benzotropin
b-levo dopa
??????c-rubstin
????????-d

y baby with gray to green patch in lower back, no redness or 2 -8

hotness, diagnosis is
a- child abuse
b-no ttt need
c- bleeding tendency
?????????d

15y boy with unilateral gyncomastia your advice is -9

a- my resolve spontinsly
b-there is variation from person to person
c-decrease use of soda oil or fish oil
???????????-d

10-6m baby with mild viral diarrhea , ttt by ORS as

a-100ml/kg for 4 hour then 50 ml/kg /day after
<<<<<<<<<<b-50>>>>>>>>>>>>>>>>.50
<<<<<<<<c-100>>>>>>>>>>>>>>>>100
<<<<<<d-50>>>>>>>>>>>>>>>>>100

y female with breast mass mobile and change with menstrual 36 -11
cycle , no skin dimple or fathering. Your advice is
a-repeat exam after 2 cycle
b-make biopsy
c-fine needle aspiration
d-oral contraception
12-50y female with breast cancer and CA125 elevate. So elevation
due to
a-breast cancer
b-associate with ovarian cancer
c-due to old age
d-normal variation

13-25y female with bradicardia and palpitation. ECG normal except

HR130 and apical puls is 210 .past history of full ttt ovarian
teratoma, so your advice is
a- struma ovari should be consider
b-vagal stimulate should be done
c- referred to cardiology

pt with alcohol dinked complain of headache , dilated pupil -14

hyperactivity, agitation .he had history of alcohol withdrawal last
weak so ttt is
a-diazepam
b-naxtrol
c-haloperidol
?????????d

50y man with chronic psychosis and not complian for ttt .your -15
advice
a- depot haloperidol or floxtin
b-oral lorasepam
c-oral buspiron
???????-d
15y boy appear patch in rt lower leg these patch is clear center -16
red in peripheral, no fever no other complain so diagnosis
a-contact dermatitis
b-tinea corpora
c- lyme disease
???????-d

old pt with of IHD complain for 2 mon of redness in lower leg -17
and puls dim inched in dorsalis pedis these redness increase in
dependant position and limp is cold and no swelling ,diagnosis is
a-arterial inssuficncy
b-thrmbophibitis
cellulites
??????d
pt with heart disease complain of LL ischemia your advice-18
a-referred to cardiology
b-""""""""""""vascular surgery
c- strt heparin
/??????????-d

female after sexual attack on exam hymen tear in -19

a-2 o'clock
"""""""b-4
""""""c-6
""""""""d-8

7y boy complain of limb CT show a vascular necrosis in epiphysis -20

of femur your advice
a- surgical ttt
b-splint for 6m
c- physiotherapy
????????d

pt with trachoma in eye . for prevention you should-21

a- water sanitation
b- """""""""""""""""+eradication of organism
c- mass ttt
???????????d

your advice to prevent plaque disease is-22

a-hand washing
b-rodent eradication
c-spry insect side
??????????-d

pt with sever headache and decrease in visual acuity ,pupil is-23

dilated, so ttt
a-pilocarpin drop and ophthalmology referred
b-ergotamine
c-NSID
???????d
main ttt of non inflammatory acne is -24
a-ritonic acid ‫يستخدم للسفير اكني‬
;b-clindmycin ‫كمان ممكن اضفته للكومودون‬
c-azalic acid ‫للكومودون‬
d-erythromycin ‫هذا الصح‬

pregnant with insulin dependant with good control, so to decrease-25

risk of congenital disease
a-good metabolic control before pregnancy
b-"""""""""""""""""""""""1st trimester
""""" c-""""""""""""""""""""""""2nd
""""""" d-""""""""""""""""""""""""3rd

female not married with normal investigation except FBS=142. -26

RBS196. so ttt
a-give insulin subcutaneous
b-advice not become married
c-barrier contraceptive is good
d- BMI control

diapetic pt come to you with disturbance in conscious RBS 65. so-27

main drug that cause hypoglycemia
a-sulphnylurea
b-bugunid
c-acabos
..…d-pheni

6m boy with fever you should give antipyretic to decrease risk of -28
a-febrile convulsion
b- epilepsy
c- disseminate bacteria
???????????????d

picture in computer appear vesicle , bulla and erythama in chest -29

skin so ttt
a- acyclovir cream
b-betamethzone cream
c-floclvir
d- erythromycin
pt with scale in hair margin and nasal fold and behind ear with -30
papule and irregular erythema so ttt is
a-nizoral cream
b- atovit
c- acyclovir
d-antibiotic

31-14y girl with athralgia and photosensitivity and malar flush. And
protinurea so diagnosis is
a-RA
b-lupus nephritis
c-UTI
??????????-d

question about diarrhea and Yesinia bacteria -32

paraplegia pt with ulcer in lower back 2+2 cm and lose of dermis -33
and epidermis these ulcer in stage
a- I
b-II
c-III
d-IV

PREGNANT LADY prim at labor pain , on exa cervical in stage I-34

of labor so pain management is
a-morphine IM
b-epidural anesthesia
"""""""""c-general
"""""""d-local

psycatric pt on antipsychotic drug most drug that lead to-35

impotence with antipsychotic is
a- proprnlol
b-NSAI
c-ACEI
/?????????-d

man present with painless ulcer in his penis with indurate base-36
and everted edge so diagnosis is
a- syphilis
b- gonorrhea
c- choncroid
d- HSV
man have long history of urethral stricture present with tender-37
right testis and WBC in urine so diagnosis is
a-epddimorchitis
b- testicular torchin
c- varicosel
???????-d
man use saldinafil, to prevent hypotension you should not use-38
a-nitrate
b-B blocker
c-ACIE
d-CCB

female complain of painless odorless and colorless vaginal-39

discharge that appear after intercourse so ttt
a-give antibiotic
b-douche after intercourse
c- cervical cancer should be consider
d-may be due to chronic salpingitis

UTI>14 day, most probably cause pylonphritis -40

a-,05%
b-,5%
c-5%
d-50%

patint complain of right iliac fossa mass so diagnosis-41

a-diverticulitis
b-appendicitis
c-pancrtitis
d-chrons disease

pt with long history of U.C on endoscopes see polyp and cancer-42

lesion on left colon so ttt
a-ttt of anemia
b-left hemicolctomy
c-total colctomy
d- remove polyp

female with hair on different site of body and refuse intake of food-43
and BMI<18 and feel as body is fat so diagnosis
a-anorexia nervosa
b-bulimia nervosa
c-body dimorphic syndrome
d- anxiety

obese female, insulin resistance and hairstisim so diagnosis-44

a-poly cystic ovary
b-hyperprolctinmia
c-familial
????????"?-d

boy 3 day after flue symptom develop conjunctivitis with occipital-45

and nick L.N enlarged so diagnosis is
a-adenoviruses
b-streptococcus
c-HSV
??????????D

child with asthma use betamethazone, most common side effect is -46
a-increase intraocular pressure
b-epilepsy
c-growth retardation
?????????????-d

curve of HBV marker-47

sickling pt after acute attack , discharge on-48

a- penicillin
b-iron
c-vitamin
???????????d

6m with cough and wheezy chest .diagnosis is -49

a- asthma
b- broncholitis
c-pneumonia
d-F.B aspiration

50-15y old with pilonidal sinuse so ttt

a-incision surgery
b- local antibiotic
c-daily clean
?????????-d