323- patient comes with cough, hemoptysis What is the initial action?
a. Acid fast bacilli
b. Chest X-Ray
c. Isolation in a negative pressure room

324- Patient with ascites, paracentesis showed high saag >1.1
What is the diagnosis?
A-TB
B-nephrotic syndrome
C-liver cirrhosis

325- Pregnant in labour was induced by oxytocin, CTG showing late deceleration with picture,
What to do to reverse condition ?
A- change mother position to sleep supine
B- give epidural anaesthesia
C- weird word CEASING oxytocin but i chose it

326- 39years old patient with symptoms of SLE, arthritis and malar rash,
what medication should be started ?
A-Hydroxychloroquine and Mycophenolate mofetil
B-Hydroxychloroquine and Methotrexate
C-Hydroxychloroquine and azathioprine
D-Hydroxychloroquine and steroid

327- A 66 years old patient did CT angio 4 days ago, he cMe today complaining of oliguria and abnormal renal function,
What is he having ?
A-UTI
B-Renal cortical necrosis
C-Acute tubular necrosis
D-Renal stone

328- A 50 years old female no past surgical and medical history, presented with complaints of urine incontinence with coughing and sneezing,
Most appropriate management ?
A-urethral ring
B-coloporrhaphy
C-pelvic floor exercise
D-burch procedure

329- Trauma Pt with extra peritoneal bladder injury?
A-Suprapubic catheter
B-Urgent exploration and repair
C-Catheter repair and assess after 2 weeks
D-Catheter us after 2 weeks

330- PROM ,, 34 weeks
What to give ?
A- Tocolytics
B- steroid
C- antibiotic
D- irrelevant

331- 45 years old female with retrosternal chest pain, dysphasia to liquids more the solids.
What is best diagnostic method ?
A-barium swallow
B-oesophageal sphincter manometry
C-endoscopy

332- 56 year old male with long standing heartburn, did endoscopy and showed barrette esophagus with low dysplasia,
what is the initial ?
A Esophageal resection
B Pantoprazole
C Renitadine
D Sucralfate

333- Child presented with sandpaper like rash , he had URTI a week ago.
What's the causative organism?
A. Parvovirus B19
B. Streptococcus pyogenes
C. Streptococcus pneumonia

334- Urine incontinence while running, what is the test to confirm diagnosis ?
A- Uroflowmetry
B- Urodynamic test
C- cough test
D- tip test

335- Male patient came with scalp open wound, after 6h assault, what wound management?
A. Secondary closure
B. Debridement with Primary closure
C. Debridement with granulation
D. Leave it for granulation

336- 4 years old with mid-shaft femur fracture, angulation 30 degree. What
is the Best management?
A. Closed reduction & hip spica
B. Open reduction & plate
C. Open reduction & IMN

337- Symptomatic (menorrhagia)What is the common fibroid type ?
Serosal
Submucosal
intramural

338- 39 years old female who has three children and completed her family diagnosed as endometrioma which was removed 2 years ago, right ovary cyst she presented to the clinic with mild to moderate dysmenorrhea and dyspareunia during intercourse and chronic lower abdominal pain. Pelvic ultrasound shows: Left ovary endometrioma cyst 6x7 in size.

A. Removal of cyst more than 10 in size
B. Aspiration of cyst content under ultrasound guidance
C. Immediate hysterectomy and salpingectomy oophorectomy
D. Removal of cyst by laparoscopic ablation of endometrioma spots.

339- The transmission of maternal antibodies to the foetus in pregnancy is a way of ?
A- Passive nature immunity

340- Ride tricycle ,dress him self with help , point to the colour when he asked this is which colour etc. know his age, Difficulty in drawing square?
3 ✅
4
5
6

341- Pregnant without specifying in which gestational age, which vaccination she can take?
A- Influenza
B- Rubella
C- Dtap

342- Patient’s family they don’t want from the doctor to share their patient’s disease to others, you have the right to share his disease if it is?
reportable disease
Other mcqs irrelevant

343- Case with long scenario, findings :
Low Serum Na+
Low plasma osmolality
Low urine osmolality
normal K
what is the cause:
A-Cushing syndrome
B-Conn’s syndrome
C-syndrome of inappropriate antidiuretic hormone
D- DI