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

396- child came with signs of moderate dehydration. You start him on ORS. Which of following is the best step?
A-Lactose free formula
B-ORS for 1 day and then normal formula
C-ORS for 5 days then, normal formula
D-IV fluid

397- what is the management of women who came with moderate cystorectocele?

A. Ant and post Colporrhaphy
B. post Colporrhaphy
C. Ant Colporrhaphy
D. Manchester procedure

398- Paragravedous in labour, When Latent phase consedrid prolonged?
A) 2 H
B) 4 h
C) 8 h
D) 18 h

399- A 15 month or 18 month child brought to you, he was last reviewed with the primary care
physician and received vaccination when he was 2 months old. Havent received any vaccination
after that. He has had multiple times, upper resptract infection. Now he has come with cough
fever, runny nose, again Uooer respiratory tract infection. Now nbs?
1. Give antibiotics, wait for 10 days and then again start vaccination acording to age.
2. Start vaccination now according to current age.
3. Give the missed vaccination plus start vaccination according to age.

400- A 45-year-old smoker came to the clinic for his diabetes follow-up. During discussion, he acknowledged that smoking is not good for his health. He plans to quit this year. According to the Stages of Change Model, at what stage of change is this patient?
A. Precontemplation
B. Contemplation
C. Preparation
D. Maintenance

401- Pt with UTI (fever,flank pain ) what is absolutes contraindication?
Tazocin
Nitro
Cipro