A 5 year old childis brought to the clinic with a febrile illness with a cough and separate irregularly shaped
rashes. He has not had any routine vaccinations. On physical examination, there is enlarged tender cervical
lymph nodes. There are also erythematous maculopapular rashes behind the ear, face and neck and to a lesser
extent on the trunk. Which of the following is the most likely diagnosis?
A. Chickenpox
B. Measles
C. Mumps
D.Rubella

📍September question
Man hears some voices from the toaster that the food is poisoned?

A. Auditory hallucination
B. Delusion
C. Visual hallucination

Answer is A

A 40-year old man with paraplegia following road traffic accident one year ago is brought to the Emergency Department because of sudden onset dyspnea and chest pain. On examination, he is in severe distress and cyanosed. He has left parasternal heave and loud P2. Chest is clear to auscultation.

Blood pressure 80/55 mmHg 
Heart rate 110 Imin 
Respiratory rate 30 /min 
Temperature 36.6 "c 
Oxygen saturation 86%

Which of the following is the best line of management?
A. Insertion of vena-caval filter
B. Alteplase infusion
C. Enoxaparin 
D. Warfarin

32 years old male, known to have rheumatoid arthritis.
He is controlled on steroids & hydroxychloroquine.
Physical Exam is normal.
Which is the best treatment regimen for this patient?
A- Taper steroids & start Methotrexate
B- Taper steroids & start ibuprofen
C- continue same management
D- forgot but irrelevant

A 34 year woman with progressive dysphagia kco achalasia, no previous medical problems, which the following is the best treatment?

Balloon dilatation
Oral dinitrate
Botulinum injection
Fundoplication

A 3-month-old boy presented to the Emergency Room with history paroxysmal episodes of staccato cough, inspiration between each cough. It is associated with perioral cyanosis and post-tussive vomiting. There is no history of diarrhea. This illness has been preceded by conjunctivitis few days ago. On examination, the child looks unwell and tachypneic with auscultatory crackles. He has normal white blood cell count with elevated eosinophils on laboratory evaluation. Which of the following is the most likely diagnosis?
A. Pertussis
B. Adenovirus pneumonia
C. Mycoplasma pneumonia
D. Chlamydia trachomatis pneumonia

Child known case of Asthma, came with his parents to clinic asking for advice to reduce exacerbations:
Influenza vaccine
humidity 50%
Clothes wash by cold water
Carpeting the bed and play area

Q about how to transfer blood to anaemic unborn child for 39 wks gestational mother RH postive
1. Umbilical vein
2. Immediate delivery
3. Amniocentesis

Pregnant women who delivered 4.2 kg baby with no episiotomy required, the placenta was fully delivered through cord traction. Post delivery she started to have gush of heavy vaginal bleeding what would be most appropriate to do?
A- check utrine contractility
B- نسيته
C- order blood for coagulation profile
D- order blood for complete blood count

جاني سؤال عن
Pt known case of liver cirrhosis came with ascites ask about best diurotic for his..
A. Frusoemide
B. Spiranolactone
C. Thiazide

Female known case of ovarian cyst size 5*6 ask ask about best contraceptive for her..
Pops
Compined
Vaginal ring
Condom

Baby 3 mong old came with runny nose and couph his mother said the his older brother has a same symptom
What a causative organism
Adenovirus
Rsv
H. Influnza

Women had history of GDM who was delivered since 6 month baby was healthy
He had family history of Dm type 2 and she BMI is 39 ask about advice..
Insulin
Glimpride
Metformin
Gliclazide

5 month, with coughing, sneezing and circumoral cyanosis for 3 days. Recurrent frothy sputum around the mouth. On PE rhonchi all over the chest, basal crackles but good air entry bilaterally. CXR bilateral infiltrates.
What is the most likely diagnosis? ]
- 1- Heart failure
- 2- Pneumonia
- 3- Bronchiolitis
- 4- Bronchiolitis Obliterans

Open inguinal hernia repair in COPD patient? ]
a- Local anesthesia
b- Spinal anesthesia
c- General anesthesia
d- Ilioinguinal nerve block

Infant Mortality Rate has decreased to 4.28 in 2020 in Saudi Arabia.
Which of the following figures are involved in this:
A) Number of women in childbirths age
B) Number of deaths in saudi arabia in 2020
C) children who died in 2020 and not
completed their first year
D) number of population in 2020

(7 months) came with sneezing and rhinorrhea his brother had the symptoms 2 days ago, what is the most likely causative organism? ]
- A. Influenza virus
- B. Adenovirus
- C. RSV
- D. Parainfluenza

hypothyroidism patient on 0.025 thyroxine came c/o weight gain, cold intolerance, …, vitals normal, TSH high I think 4.2 (he didn’t give any specific time or how long she was on the medications)
What's next ?
A⁃ Increase levothyroxine dose and follow up in 6 weeks
B⁃ Increase levothyroxine dose and follow up in 3 weeks
C⁃ Decrease levothyroxine dose and follow up in 6 weeks
D⁃ Decrease levothyroxine dose and follow up in 3 weeks

Guy with road traffic accident. Has wound in his anterior neck with devitalized tissue. Distressed and vitals showing low oxygen. Your action?
1. Oxygen mask
2. Endotracheal tube
3. Cricithyroidotomy
4. Tracheostomy

28-year-old woman presented with pain, fever, spasm of lower abdominal muscles,
profuse purulent vaginal discharge for the past 2 days. On examination, there was suprapubic tenderness. A vaginal examination revealed tenderness in the fornices. Blood pressure 108/56, Heart rate 110, Respiratory rate 14, Temperature 38.4. Which of the following is the most likely diagnosis?
A. Acute cervicitis
B. Acute salpingitis
C. Acute appendicitis
D. Endometritis

Female with 2 days hx of ( I forgot ) previous hx of numbness and tingling resolved 6 months ago in exam she is unable to abduct her left eye

Mri:
Demyelination

Most appropriate management:
A- steroid
B- Antiviral
C- Antiplatelet
D- Thrombolytic