383- sjogren syndrome which type of RTA: + Labs: Shows low K Normal Na
A. RTA l
B. RTA II
C. RTA II
D. RTA IV

384- 43YO male known case of hepatitis B infection presented with fever and confusion, examination reveled disorientation, asteraxis and positive shifting dulness
Ascetic fluid analysis:
SAAG= 1.2
Neutrophils= 350 or 320
Culture bending
What is the most appropriate treatment?
A- IV diuretics and metronidazole
B- Lactulose enema and IV Ceftriaxone
C- High ascetic fluid aspiration and propranolol

385- male had type 1 DM and his family best time to start celiac screening. Which of the following is the best advice?
A. Screen at diagnosis then every 5 years.
B. Screen at diagnosis then every 2 years.
C. Screen annually. later o n every 3 tears.
D. No need for screening.

386- 69 yo recommended vaccine
A. Pneumococcal
B. meningococcal

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

388- 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

389- 17year old female, medically free, gymnast in her class, developed
breasts later and never menstruated, on examination she is tanner stage 5
but no menstruation, diagnosis?
A. hypothalamic hypogonadism
B. imperforate hymen
C. gonadal agenesis
D. testicular feminization

390- 26 yr pt came to Er after a first episode of generalize tonic conic
seizure ,labs & examination are normal ,no neurological deficit ,what to do
next
A.EEG
B.ECG
C.LP
D.CT head

391- pregnant woman presented with massive vaginal bleeding from the
abruption placenta and her Hgb: 8.6, BP 84\40, HR140. What is the best
management to save her life?
A- Admit to ICU
B- Immediate Transfusion of 2 packs FF
C- Call multidisciplinary and rapid response team (RRT)

392- female c/o came with missed abortion which drug you give her?
A- misoprostal
B- oxytocin

There’s no D&C

393- pt with hepatitis B transmission rate
A- 0
B- 0.03
C- 0.3
D- 0.003

394- Old male with Copd investigation to start long term oxygen ttt
A- 2 areading po2 <6.3
B- 1 reading po2 <7.3
C- 1 reading po2 <8
d- 2 reading po2 <7.3

395- Newly married young woman came for routine check up gyne, highest diagnostic value?
A. General appearance
B. Vaginal inspection
C. Abdominal exam
D. Pelvic digital exam