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

605- Case of back pain and the diagnosis was written (Lumbar Spinal stenosis). What is the first step in management?
A. Lumbar laminectomy
B. Physiotherapy ✅
C. Epidural analgesia

606- Spherocytosis picture
Osmotic fragility ✅
( No EMA in choices ).

607- 418- Mom came to pediatrion with exclusef breast feeding and doctor advise iron advise next month. age of baby now?
A.1
B.2
C.3 ✅

608- 76 male reducible inguinal hernia with moderate pain. Mx?
A- Open with mesh ✅
B- simple repair
C- Non- surgical procedure