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

351- baby with noisy breathing and wheezing that improves when prone and increases when
supine. What is the diagnosis?
A. Laryngomalacia
B. Tracheomalacia

352- 16 year old , amenorrhea for 2 months and galactorrhea for 3 months , what is the most important investigation ?
A-Prolactin
B-Progesterone
C-Oestrogen
D-LH

353- 24 years old with history of appendectomy 5 years ago presented with abdominal pain, distention and vomiting for 3 days, CT scan revealed signs of intestinal obstruction & peritonitis.
What agent is contraindicated in this patient ?
A-propafol
B-nitrous oxide
C-sevoflurine
D-ketamine

354- Hyperkalemia 6.5 in CKD patient,
next step ?
A. Calcium gluconate
B.insulin and salbutamol
C. Dialysis

355- Male presented with lateral side of right leg redness and streaks of blood
(scenario of lymphangitis) Which of the following is the antibiotic of choice ?
A-Dicloxacillin
B-Tetracycline
C-Erythromycin
D-Penicillin g

356- What anti diabetic medication can reduce mortality in DM patients
A. Metformin
B. Gliflozin
C. Glipizide
D. Acarbose

357- Patient underwent left lower parathyroidectomy for primary hyperparathyroidism (adenoma). He
presented 4 months later with depressed mood and fatigability. Both parathyroid hormone and calcium
were high, what is the most common cause?
A. Parathyroid hyperplasia
B. Missed adenoma
C. New adenoma
D. Parathyroid cancer

358- Wof is the most important before reduction?
Analgesia
Eaxamine pulse

359- 4 m dx with Down syndrome for screening wich chart :
Down syndrome chart

360- Which medication for hypertension is contraindicated in asthma ?
A. Bb
B. Acei
C. Amlodipine