93 most predictable complications of pregnancy:
A- Abdominal pain
B- Ankle edema
C- Vginal bleeding
D- Heartburn

Another recall:
case about recurrent pregnancy loss then ask “ most preidictable complications of pregnancy:
A- Abdominal pain
B-Ankle edema
C- Vginal bleeding
D- Heartburn






If asking generally D

If mentioned Hx of miscarriage C

SLE pt on medication and present to the ER with urinary incontinence and lower limb weakness during examination you found hyperreflexia and paraplegia, what you will order ?

-LP + MRI brain
-LP + MRI spine
-LP + CT brain
-LP + MRI MRA MRV brain

كيس طويل عجوزه تمشي خمسين متر يجيها الم في ظهرها ورجلها
Spinal stenosis

كان من ضمن الخيارات disc
Ankylosis

645-Child diagnosed with shigella, what antibiotic to treat:
A- Azithromycin.
B- amoxicillin.

Cancer pt came to the clinic with back pain, investigation shows high calcium, his oncologist said “ you will not live more than one month “. What is the most important action?
A- IV fluid
B- SC morphine

Abdulrahman: The answer is A. Give him fluids then palliative treatment (morphine).

603-70 years old male patient, known case of DM,HTN. Came with unstable angina which was treated with statin, aspirin, B Blocker, heparin and nitrate. What do you want to add?
•A-Candesartan
•B-Clopidogrel
•C-CCB
•D-add another BB

2case of hemorrhoids
1- 46 female complain of bleeding hemorrhoids stage 3 ,at 3,7 not sure and complain of pallor, Microcytic hypocromic anemia next step ?
- Colonoscopy
-hemoroidectomy
-rubber ligation
- I think conservative



2-60 male with stage 3 hemorrhoids not remember if there is bleeding or no next step?

365-7 years long scenario very normal healthy girl mother concerned of early puberty something like that
Kid has only pubic hair that’s on majora and mons not extending no axillary or facial hair
A-Clitros normal (not CAH)
B-Breast normal (no turner)
C-Premature adrenarche
D-Normal puberty

Vegetarian mother came after delivering a healthy baby for consultation about what her child will be short of (i think)
A-B6
B- B12
C-folate
D. Vit. D

Child came to ER before 12hours with fever and SOB, yesterday he had sore throat and dysphasia, on exam he looks toxic immobile in a chair opens his mouth with drooling of saliva , tachycardic tackypnic and fever 40 C.

what’s the most likely causative organism?

1- parainfluenza
2-H. Influenza type B
3- staphylococcus arues
4- another virus.

open fracture, how to manage?

-Close reduction + cast above the elbow
-Close reduction + cast below the elbow
-Depriment

15 years worker in chemical factory want to screen for cancer, what is the most sensitive test?
A-cell transformation
B-AMES
C-Unscheduled DNA
D-cytogenic

22 Nov

Male came after rta unconscious with multiple injuries and was intubated with endotracheal tube
What is the best way to confirm tube in right place?
A flat abdomen
B CO monitoring
C movement of chest
D length of tube

Case about pt who had take vit supplements ( didn’t mention b12) and newly diagnosed with TB and take anti TB for 3 month Now complain of tingling numbness of tip of hand What the drug?
A. Ethouxate
B. Pyrazmaide
C. Isonizsed
D. Rifapmcin

23 Nov

58 years old with 2 month history of right upper quadrant  pain
Us show
Diffus calcified  gall bladder without stone
Mangmment
1 cholecystectomy
2 percutaneous biobsy
3 cholecystomy tube

319- After circumcision had profuse bleeding,
Labs
increased PTT
INR: i think 1.
Something but I don’t remember
what to do?
A- tell parents that’s fine
B- blood transfusion
C- packing

boy circumcised mother said urine smell foul fever 39 for 1d what indicated uti in this pt
A.Fever duration
B.Being a male
C.Fever 39✅
D.Age

2 year old baby boy uncircumcised came with fever, rigor and has emesis once, start at morning
Fever : 39.1
What will indicate upper urinary tract infection more ?
A) being male
B) duration of fever
C) temperature 39.1✅
D) vomiting

Another similar question: Baby uncircumcised have fever, Q: what is the indicator that increases the probability of the baby having UTI?
A- Duration of fever
B- uncircumcised✅
C- Fever of 38.1
D- Being a male

هذا السؤال سهل ينلعب فيه بالخيارات.
UTD: Probability of UTI increase when:
-Age is less than 12 months
-Fever of 39 or more
-Uncircumcised
-Being a female.
-Duration of 48h or more.

4 years old with mid-shaft femur fracture, angulation 30 degree. What
is the Best management?
A. Closed reduction & hip spica
B. Open reduction & plate
C. Open reduction & IMN