585- Child with face swelling and sacral edema with abnormal liver test and proteinuria Dx?

A-CHF
B-Chronic liver disease
C-Nephrotic syndrome ✅
D- Low protein diet

586- breast 2 nodules that were oval affected by pre menstrual cycle

A- fibroadenoma ✅

587- pt the fresh blood per rectal, they did NGT and it was greenish ,colonoscopy
report show normal has no colorectal ca , what is next step ?
A. upper GI endoscopy
B. 99 tec ✅

588- 32y female present with 4cm fibroadenoma with hyperplasia and atypia

What is the most signeficant risk factor for breast cancer?

A. Her age
B. Present of hyperplasia
C. Present of atypia ✅
D. Fibroadenoma size

589- Case of baby with Acetaminophen toxicity with s/s came after 1 day what to do ?
A-Nac ✅
B-Charcoal

590- burn victim at the genital area 3 rd degree.
written in the question that it makes up 1 %.
what do you want to do?
A- refer to burn unit ✅
B- treat as if an outpatient
C- sterile dressing of some sort

591- Young male came afrer RTA and FSAT was order
Which of the following most probably to found?
A-pneumothorax
B-subdural hematoma
C-Hollow viscous injury
D-interpertoneal free fluid ✅

592- elderly, epigastric pain for 3m, wt loss, jaundice and dark urine
There was dilatation of intrahepatic and extrahepatic duct
Labs: cholestatic picture
(They did not mention if the gallbladder is palpable or shrunk :) )
A. Klatskin tumor
B. Gall bladder cancer
C. Ampullary cancer ✅

593- Child with recurrent infections did chloride sweat test and it was positive, which complication is common in this condition?
A- malignancy
B- bronchiectasis ✅
C- lung emphysema

594- Young Patient presented with migratory polyarthritis and subcutaneous nodules.
What will confirm the diagnosis?
A- High ESR
B- High CRP
C- blood culture
D- ASO titer antistripsin ✅

595- 30 something year old lady presented 1 week after birth with Bilateral crackles and dyspnea What is the likely cause?
1- MI
2- Pericarditis
3- Peripartum Cardiomyopathy ✅

596- child with fever, rash, edema, dry conjunctivitis, dx?
A- Kawasaki ✅

597- Rectocele pic with case: lady complains of pain and leakage of mucus, what’s the dx?
A- rectocele ✅
B- hemorrhoids

598- Ctg pic with case: Pregnant lady,41 GA in labor on epidural analgesia, mg sulfate for pre-eclampsia and oxytocin, CTG showed prolonged deceleration and the mother was hypotensive, most likely cause of the CTG finding:
A. Mg sulfate
B. Oxytocin
C. Epidural analgesia ✅

-Chancroid pic
- p. Falciparum pic
-Open fracture
-Fibroids
-Bacterial vaginosis
-Svt
-Down syndrome
-Malaria
-mulloscum contagiousm
- failure to thrive
- IDA

599- Female 20 years recently develop mass 2x2 cm that is oval in shape and smooth wall. what is your Dx?
A - breast cyst
B- fibroadenoma ✅
C - fibrocystic cancer
D - intraductal carcinoma

600- Came from india RUQ pain, intermittent fever, jaundice.
Imagaing: Single Hypo-echoic homogenous mass.
A- Amoebic abscess ✅

601- Patient after cholangitis intervention with the following WBCs 9, RR 18, HR 80 (exactly 80 not 90), normal BP, Temp: 38 exactly 38). What is the cause:
- sepsis
- SIRS
- bactermia ✅
- septic shock

602- Typical case on nephrotic syndrome, ask about highly diagnostic test ( no renal biopsy )
A. Serum albumin
B. US
C. Urine total protein ✅
D. Electrolytes

603- 23 y/o pregnant women came to antenatal clinic with hx of 2 preterm birth C/O vaginal spotting of blood , which of the following recommended tx ?
A. Progesterone ✅
B. Estrogen
C. Indomethacin
D. MgSo4

604- 62. Male pt complain of recurrent heartburn increase when lay down at night, he felt a bitter taste in his mouth when he was lifting weight at gym, diagnosis?
A. Esophagitis ✅
B- PUD
B. Gastritis
C. Boerhaave syndrome