286- 24y/o male presented after
chemotherapy for the treatment of colorectal cancer what electrolytes
abnormality would you suspect?
A- hypokalemia
B- hypocalcemia
C- hyponatremia
D- hypomagnesemia

Pics:
HSP
CTG early deceleration
Lobar pneumonia

287- Patient was planned to do appendectomy and in the OR the appendix was not inflamed but the surgeon remove it as a common procedure and he didn’t recall if he told the patient or not:
A- ask another surgon to tell the patient
B- tell the patient it as a protocol
C- consult health committee
‎D- don’t tell the patient

288- Patient presented with Greenish -brown colored ring in the Corneoscleral junction. Complain of dysarthria, dyskinesia what is your diagnosis?
A- Hemochromatosis
B- Wilson’s disease
C- hamartoma
D- Autoimmune hepatitis

289- child with pica, pale, low socioeconomic state , low haemoglobin, hand lead was 2 , iron profile was normal, x-ray report dense metaphyseal bands , what is the treatment?
A. vit-K
B. D-penicillamine
C. Iron

290- Boot shaped heart asking about diagnosis?

291- After major operation for resection for ischemic gut , patient developed fever 38 labs normal except for TLC 11 Why?:
A. Pulmonary embolism
B. Inflammatory reaction
C. Pneumonia

292- A case of suspected MER-COV, the patient asked you not to report it as he is afraid he may lose his job. An infection control senior is waiting for results so that he can send it to the ministry of health. What is the most appropriate action?
Anonymous Poll
A- Confirm the case then report
B- Report as suspected case within 24 hours
C- Treat the patient then report
D- Respect the patient’s wishes and do not report

293-

294- 32 non smoker presented with lung nodule 7 mm otherwise normal except
for ca 4 mmol :
A. Repeat CT scan within 3-6 months
B.Pulmonary funtion test
C. Biopsy of the lesion
D. PET scan

295- old man after episod of cuogh have SOB and abdominal pain
on Xray there is air fluid level in neck and under diaphragm and left pleural effusion
Pt vital Bp: 90/65
HR : 115
RR : 25
O2 sat : 90 on room air
what is most important management?
A- bulla of lung
B- laparotomy
C- chest tube drainage
D- observation

296- 80 year old smoker for 40 years , all labs normal except high Ca , Dx ?
A- paget dis
B- hyperparathyroidism
C- lung cancer

297- Dm + htn + ckd came with hight bp low k and high crea what the immediate step in management
A- Diyalisis
B- NAHcO3
C- Calcium gluconate
D- Insuline

298- 22 y female admitted with pulmonary hemorrhage and golomerunephratis hx of sinisitis and numbness in right upper limb and left lower limb
Dx :
A- Giant cell arthritis
B- Hsp
C- Granulomatosis with polyangitis

299- 60 y post tb bronchiectasis with massive hemopttysis and crepitation in right scapular area wof initial management
A/sedation
B/positional right lateral decubitus

300- Elderly patient with pelvic fracture and bleeding per rectum.
Urethrogram - retroperitoneal urethral injury. Your management:
A. Foleys catheter
B. Suprapubic cystostomy
C. Laproscopic repair

301- Pregnant 34 weeks, she have a history of fibroids, presented with abdominal pain and fever, no contraction felt and not in labor, whats the managment?
A- Observe
B- Myomyctomy
C- CS
D- IOL

302- patient with a history of radiofrequency ablation is at risk for hypothyroidism. He comes for a checkup and his labs show a TSH of 5 (Normal is 0.5 - 5.0). What will you do to establish a diagnosis
A. Repeat TSH in 4 weeks
B. Measure T4 levels
C. Thyroid scan
D. Thyroid US
جاني هذا السؤال بس ما ذكر انه في هيستوري للابلاشين! وكان البيشنت عنده سبمتموز واضحة للهايبوثايرودسم لكن نفس نتيجة التحليل، للامانة مو متأكدة من الاجابة في الحالة

303- Patient on TPN, what’s a common metablic abnormality?
A- Hypokalemia
B- Hypocalcemia
C- Hypophosphatemia

304- Polyhidraminos, what a possible association?
A- trisomy 21
B- Renal agenisis
C- IUGR

305- what’s a common cause for polyhidraminos?
A- Uncontrolled diabetes