238- What of the following decreases the risk of preeclampsia?
A. Antibiotic
B. Aspirin
C. MgS04

239- What of the following decreases the risk of eclampsia?
A- Antibiotic
B- Aspirin
C- MgS04

240- Patient coming from an endemic area for malaria. Later on, he was admitted to the hospital with Heart failure. Doctor did not ask the patient about travel or medication history. Thus, he ordered the nurse to give digoxin. Who is at fault?
A) Computerized drug prescription system
B) Nurse failed to write drug formularies
C) Pharmacist who failed to check prescription
D) Patient who did not bring his medicine pack/ report his medicines

240- A doctor used the Foceps, place it in wrong position and injured the stylomastoid bone, what is the result?
A.Baby cannot close his left eyes
B.Loss of taste in anterior ⅔

241- Female with vaginal discharge Grey, fishy odor , smear : show clue cells, Treatment?
A. Metronidazole
B.Topical clotrimazole

242- Pt old his regular doctor transfured to another hospital he’s upset and wants medical record and referral to his regular doctor ?
A- Convince him that there’s equally compitant doctors
B- Give report and refer him
C- Refuse
D- Calm him down and tell him to come tomorrow to decide

243- Male dr wants to examine a female patient and he asked the nurse to come with him what did the doctor practice ?
A- privacy
B- justice
C- Nonmaleficence

244- Patient came with vaginal discharge she have done CS with episiotomy 10 days ago , the obstetrician diagnosed her with UTI and described Abx , but she did not improve then she went to another obstetrician and he found infected vaginal swab , What is the medical error done by the first obstetrician?
A. let the midwife assist him and depend on her
B. doctor failed to follow the surgical safety protocol in the OR
C. No communication between the 1st and 2nd obstetrician
D. Genuine different assessment or diagnosis of patient case

245- 2.5 y/o boy keeps yelling NO (and some other like this) what will you advise the parents?
A) Ignorance
B) Counselling
C) Positive reinforcement
D) Punish the child

246- PRESCHOOL CHID WILL WENT TO SPLENOECTOMY, WICH VACCINE SHOULD HE TAKE ?
A) RUBELLA
B) VARICELLA
C) H. INFLUNZA
D) MEALESES

247- 43 YO male known case of hepatitis B infection presented with fever and confusion, examination reveled disorientation, asteraxis and positive shifting dulness

Ascetic fluid analysis:
SAAG= 1.2
Neutrophils= 350 or 320
Culture bending

What is the most appropriate treatment?

A- IV diuretics and metronidazole
B- Lactulose enema and IV Ceftriaxone
C- High ascetic fluid aspiration and propranolol
D- ?

248- 32 YO G3P0020 admitted as a case of incomplete abortion for D&C, during D&C, there was profuse bleeding which required vigorous curettage. After D&C she cam to the clinic after 6 months complaining of no menstruation despite positive pre-menstrual symptoms

What is the area affected from endometrium based on history:
A- sponge
B- Functional
C- Basilar
D- Compact

249- 3 YO female presented with vesicular rash in the gums, tongue, buccal mucosa and hard palate. Upon examination the patient looked dehydrated with dry mucosal surfaces. The lesions were painful and some of them bleeds. The mother stated her daughter cannot eat because of pain

What is the most likely organism?
A- herpes simplex virus
B- Herpes zoster virus
C- Staphylococcus aureus
D- Streptococcus pneumonia

250- What is the AB that use in ICU patient have pneumonia:
A. Vancomycin
B. Azithromycin
C. Ceftoxime
D. Amoxicillin

251- case of interstitial pneumonitis most commonly associated with?
A-Viral pneumonia
B- Lobar pneumonia
C- Bronchopneumonia
D-Secondary tuberculosis

252- infant or child!! with pneumonia and atelectasis, what is best Investigation:
a) fluoroscopy
b) rigid bronchoscopy
c) flexible bronchoscopy
d) x-ray

253- Lady with fibroadenoma (given) underwent excision Histopathology result: fibroadenoma + invasive ductal carcinoma What is the management?
A- Radiotherapy
B- Chemotherapy
C-Mastectomy
D- High risk screening protocol

254- Patient with CKD stage 2 with fatigue and pallor investigations
show anemia and low MCV and slight increased something MCH
maybe. Next step:
A- (Serum) Iron study
B- Reticulocyte count
C- Serum Transferritin
D- Serum erythropoietin

255- What is the age in month of child talk 6-10 words, know 2 body parts, immature pencil grasp?
A-17
B-19
C-12
D-24

256- 64 year old man has been waking up in the middle of the night to go to the bathroom he also had difficulty initiating micturition and complains of dribbling a diagnosis of BPH was made after a transrectal ultrasound guided biopsy and the patient was prepared for TURP what electrolyte abnormality is highly likely due to this surgery?

A) hypokalemia
B) hypocalcemia
C) hyperkalemia
D) hyponatremia
E) hypernatremia

257- Pregnant in active labor (I think) She has history of recurrent vaginal HSV infections, next step?

A. Instrumental delivery
B. Speculum exam or vaginal exam
C. CS
D. Acyclovir