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

306- 55 years old female came to the clinic for regular follow up. 6 months age she was diagnosed with atrial fibrillation. Now she is asymptotic and has no palpitations, her medical history is significant for transit ischemic attack and hypertension. She is on Warfarin, Beta blockers, and statins. What is the most appropriate management for her?
A- Discontinue warfarin
B- Continue warfarin
C- Continue warfarin and start aspirin
D- Discontinue warfarin and start clopidogrel

307- Patient with 2 perianal fistulas, GI symptoms (but not diagnesd with crohn), what a high diagnostic tool?
A- Colonscopy

308- inhalation burn injury, whats the most important to protect?
A- Airway
B- Breathing
C- Circulation

309- 35 yrs old pregnant patient, she is currently a smoker, has history of subfertility and family history of DM, what is the most risk for this current pregnancy?
A- Age
B- Smoking
C- history of subfertility
D- FH DM
هنا طلب تحديدا على البرقننسي الحالية بس ركزوا ما حصل لها مسكارج ولا شي، احترت بين الايج والسموكنق

310- trichomoniasis scenario how to treat the husband?
A- Metronidazole
B- No need

311- CTG of prolonged decelration, what ms the possible cause?
A- Epidural analgesia

312- HF patient already on bb, acei, furusemide now has dyspnea and basal crakles, what to add?
A- spironolactone
B- digoxcin
C- ccd

313- Asthma and allergic rhinitis came to clinic after she was discharged 2 weeks ago from
admissions with asthma exacerbation. She has uncontrolled symptoms of asthma and night symptoms she is on SABA, ICS, LABA,
What to give medications?
A. leukotrines inhibitors
B. oral cortisone
C. oral salbutamol

314- 41 year old lady with symptoms of allergic rhinitis (runny nose, tearing during fall season ) and she is taking meds for that, but she is complaining of weezing and SOB and cough during fall season affecting her daily life so much, she was given saba and improved significantly what will you give here with SABA?
A- ICS
B- ICS and LABA
C- recommed daily oral anti histamine
D- Montelukast

315- 27 years old man came to the clinic with family history of sister with adult polycystic kidney disease , how u will screen him?
A- US
B- polycystin-1 antibodies level
C- Biopsy

316- pediatric taking chemotherapy, contacted a child with chickenpox and now he has it, how to treat?
A- Acyclovir
B- stop chemo sessions
C- varicella immunoglobulin

317- Case of fever and sore throat , and there’s purulent exudate membrane cover the tonsils?
A- Coronavirus
B- Infeunza virus
C- RSV
D- EBV

318- Pediatric patient came with fever and sore throat, the tonsils were congested and he had papular lesion with erythematous base on his mouth and gingivitis:
A. HSV
B. EBV
C. Coxsackie

🔴Absolute contraindications to external cephalic version

🔴Parkinsonism maintenance therapy long term goal : percentages ناسية

🔴Asymptotic haematuria imaging


🔴Rashes after hot shower :
A. measles
B. rheumatic fever

319- After circumcision had profuse bleeding,
Labs
increased PTT
INR: i think 1.
Something but I don’t remember
what to do?
A- tell parents that’s fine
B- blood transfusion
C- packing

320- A 58 years old patient known case of CKD, labs showed iron deficiency anaemia,
What is the best way to manage ?
A-start iron replacement
B-start erythropoietin
C-start him folic acid
D-start iron then erythropoietin after correction of iron level

321- 61 years old male patient came for routine check up, his Echo showed constrictive LV hypertrophy and severely stenotic aortic valve.
His ejection fraction is Normal.
ECG is unremarkable.
He is symptomatic.
What is the most appropriate next step ?
A-ballon valvuplasty
B-ace inhibitor
C-AV replacement
D-follow up in 6 months

322- Patient on renal disease and decreased GFR and need to dialysis in next year,
What is the risk of death for this patient ?
A-renal failure
B-coagulpathy
C-cardiovascular disease