386- 69 yo recommended vaccine
A. Pneumococcal
B. meningococcal

387- Patient on TPN, what’s a common metablic abnormality?
A- Hypokalemia
B- Hypocalcemia
C- Hypophosphatemia

388- 24y/o male presented after
chemotherapy for the treatment of colorectal cancer what electrolytes
abnormality would you suspect?
A- hypokalemia
B- hypocalcemia
C- hyponatremia
D- hypomagnesemia

389- 17year old female, medically free, gymnast in her class, developed
breasts later and never menstruated, on examination she is tanner stage 5
but no menstruation, diagnosis?
A. hypothalamic hypogonadism
B. imperforate hymen
C. gonadal agenesis
D. testicular feminization

390- 26 yr pt came to Er after a first episode of generalize tonic conic
seizure ,labs & examination are normal ,no neurological deficit ,what to do
next
A.EEG
B.ECG
C.LP
D.CT head

391- pregnant woman presented with massive vaginal bleeding from the
abruption placenta and her Hgb: 8.6, BP 84\40, HR140. What is the best
management to save her life?
A- Admit to ICU
B- Immediate Transfusion of 2 packs FF
C- Call multidisciplinary and rapid response team (RRT)

392- female c/o came with missed abortion which drug you give her?
A- misoprostal
B- oxytocin

There’s no D&C

393- pt with hepatitis B transmission rate
A- 0
B- 0.03
C- 0.3
D- 0.003

394- Old male with Copd investigation to start long term oxygen ttt
A- 2 areading po2 <6.3
B- 1 reading po2 <7.3
C- 1 reading po2 <8
d- 2 reading po2 <7.3

395- Newly married young woman came for routine check up gyne, highest diagnostic value?
A. General appearance
B. Vaginal inspection
C. Abdominal exam
D. Pelvic digital exam

396- child came with signs of moderate dehydration. You start him on ORS. Which of following is the best step?
A-Lactose free formula
B-ORS for 1 day and then normal formula
C-ORS for 5 days then, normal formula
D-IV fluid

397- what is the management of women who came with moderate cystorectocele?

A. Ant and post Colporrhaphy
B. post Colporrhaphy
C. Ant Colporrhaphy
D. Manchester procedure