34 Y.O female diagnosed with hyperprolactinemia since one year on cabergoline. Which of the following is an indication for brain MRI in this patient?
A- Blurry vision
B- Bilateral milky breast discharge.
C- Doubled serum prolactin level
D- Amenorrhea

Scenario of lung cancer and the patient has SVC syndrome (facial plethora , edema,) Which of the following types most likely has?

A- Small cell carcinoma
B- Squamous cell carcinoma
C- Adenocarcinoma
D- Carcinoid tumor





#med 🟡
A
And large cell
B will lead to horner and hyper thyroid
C clubbing
D flushing

Case of bronchiolitis
18 months child with fever, cough, not feeding well for 2 days. His 3 years old brother has a cold with fever and runny nose.
On exam the baby has nasal flaring. Vitals: RR and temp was high, sPO2 95%

What is the most appropriate next step to establish a definitive diagnosis?

A- Chest X ray
B- Nasopharyngeal aspirate - (exactly written like this not swab)

Feb 18
Rupture duodenal ulcer did graham patch after 8 days :, fever
Lung :Dec breathing in RL , Central line and peripheral line culture +ve diplococci , Abdomen : soft lax, Next step?
A. Us guided aspiration
B. Remove central line
C. Laparotomy
D. Laparoscopy

30 years old male burnt his hand on the stove presented 8 days later with green discharge from the wound, which of the following is the causative organism?
A) E. Coli
B) klebseilla
C) pseudomonas
D) strept pyogens

Pregnant women term, rupture of membrane, green dark fluid came out, what is the most appropriate thing to do :
A. Iv antibiotic
B. Nicu admission after the delivery

Chancroid (same pic as this)
26th of January

13 Nov

27 years old man came to the clinic with family history of sister with adult polycystic kidney disease , how u will screen him?
A- US
B- polycystin-
1 antibodies level
C- Biopsy

An infant has persistent jaundice with +ve hx of a kin with similar problem. He is diagnosed with hemolytic anemia Which of the following if present will support hemolysis
A. low retics
B. -ve coombs
C. high conjugated bilirubin
D. high unconjugated billi

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