23- Asking pregnant women with no remarkable history on pregnancy came on 34 -37 not sure
The test results was ketone bodies positive and protein I think

BP and everything was normal
The option was
- CS
- observation
- induction of L ✅

24- Female pt with vaginal candida, which following disease she has?
A-DM ✅
B- HTN
C- Epilepsy
D-

25- Pediatric pt come to ER with hx of tonic clonic seizure duration 3 min 1 hour ago , hx of fever and runny nose 3 days ago. Every thing is normal even temp. Appropriate Tx?
A- Paracetamol ✅
B- diazepam
C- phenytoin

26- Hematemesis with abdominal pain first time no previous symptoms no medical hx no medication , all lab normal, dx?
A Gastritis
B peptic ulcer ✅
C Immune hepatitis
D mallory weiss

27- 37 years old female her father has colon cancer when he was 55 and her mom had breast cancer when she
was 43, asking about screening?
A.She should do mammogram annually ✅
B.Start mammogram at 40
C.Start mammogram at 40 and colonoscopy at 55
D.Colonoscopy at 50

28- Patient with Hip Fracture underwent Hip fixation repair surgery. What anticoagulant to give to prevent
DVT?
A) Enoxaparin Subcutaneous (SC) 40 mg daily ✅
B)Heparin 1000 units BID

29- What type of polyp with highest risk of cancer?
A. Villous✅
B. Tubular
C. Tubulovillous

30- Case of hydated cyst and ask about definitive treatment?
A- albendazole
B- surgical deroofing ✅
C- percutaneous drainage
D- liver resection

31- 56 year old male with long standing heartburn, did endoscopy and showed barrette esophagus with low
dysplasia, what is the initial
A Esophageal resection
B Pantoprazole✅
C Renitadine
D Sucralfate

32- Case of stroke and complain of weakness in the arm leg and face, intact speech and sensation where’s the damage?
A. Middle cerebral artery✅
B. Anterior cerebral artery
C. Mid basilar artery
D. Vertebral artery

33- Patient knowing for DM And HTN and history of right leg pain increased by exertion, on examination
absent popliteal pulse on right leg
Which one of the following indicates acute limb ischemia:
A- I forget but it’s suggestive for chronic limb ischemia
B- intermittent claudication
C- rest pain ✅
D- scar for iliofemoral bypass in left leg

34- Pt had fibroid myomectomy, risk of placenta accreta?
A) Decrease
B) Increased ✅
C) Unknown
D) No risk

35- 38 YO female presents to the clinic after finding of hilar lymphadenopathy on CXR. She has on and off
cough, but denies any fever, headache, n/v, weight loss all negative. Labs insignificant except for X-ray shows
confirmed bilateral hilar lymphadenopathy CT guided biopsy shows noncaseating granuloma What is the
best next step in management (They wrote “all labs were normal” and didn’t mention hypercalcemia)
A-Observe ✅
B-Start prednisolone
C-Start azithromycin
D-Start anti TB medication

36- Newly married female came for routine chick up, Most important exame
A-Pelvic digital examination✅
B-Vaginal exam
C-Abdomenal us
D-General appearance

37- patient took 3 dose Hb and exposed to infection
will find in his serum
A-Hbc ab
B-hbe ab
C-hbs ab
D-hbsab +hbc ab

38- child with unilateral gynecomastia,
A-tell him this is present in all men in some degree
B-reassure as it will resolve in years ✅
C-cold comprss bandage

39- There was lack of invelonza vaccine which most important group to give?
A- school children
B- pregnant women ✅
C- child with SCA

40- 8 years old boy. Mother complained of poor training to bathroom which muscles is targeted in therapy?
A- Perianal
B- Pelvic floor
C- Rectus muscle
D- Detrusor✅

41- Pregnant women Last menstrual period 7th of May, she has regular period and is sure about it. What is the
Expected date of delivery?
A. 10 February next year✅
B. 10 December same year
C. 25 December next year
D. 30 February next year

42- Diagnosis