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

344- Case of cough - conjunctivitis developed fever and Maculupapular rash all over the body
Rubella
Paravirus
Don’t remember other choices

345- 51 years old with haemorrhoid stage 3
Management:
Colonoscopy
Rubber band
Haemorrhoidectomy

346- 5cm breast mass , thin breast :
I&D
Aspiration

347- Pt have melena fatigue in history he have dental tooth extraction for which he using iboprofen on ex pale
Labs:
hb 8
maroon stool color
management?
A-Normal saline
B-Somthing with crytalloid flood
C-Blood transfusion

348- diabetic patient with gout. Which of the following drugs aggravates his arthritis?
A: Lasix
B: Plavix
C: Aspirin
D: Metformin

349- treatment of brucellosis in adult?
A-Doxycycline and streptomycin
B-Doxycycline and cefriaxone
C-Rifampin and trimethprim-sulfamethaxazone
D-Rifampin and ciprofloxacin

350- physician was working on a research paper. Before publishing the paper,he made some changes to some of the data and omitted other parts of his results. What is this action referred to?
A-Falsification
B-Fabrication
C-Plagiarism
D-Near miss