418- Mom came to pediatrion with exclusef breast feeding and doctor advise iron advise next month. age of baby now?
A.1
B.2
C.3

419- Preterm when to start vaccination?
A-At discharge
B- when the baby weight 1.5 kg

Better recall:
4 months baby born preterm 33 weeks due to emergency cescrian section regarding his vaccines what is the most appropriate protocol to follow?
A. Decrease the dose of vaccines and give it as scheduled
B. Give vaccines according to corrected age
C. Schedule vaccination according to chronological age
D. Create th schedule according to calculated weight

420- Which of the following is the best contaception in pt w a history of PE?
A- IUD
B- permenat steriilization
C- levonorgestrel
D- condom

421- 1 year complain of massive hepatosplenomegly , brusies skin , swelling in latral aspect of neck what the most appropriate investigation?
A- Bone marrow aspiration
B- lumber punc
C- EBV serology
D- Mri thorax

422- Female c/o urine leakage with cough, sneezing, exercise and with urgency.
What type of incontinence does she have?
A. Urge incontinence
B. Stress incontinence
C. Mixed incontinence
D. Overflow incontinence

423- 80 yr old male c/o inability to urinate with Abd. Pain and severe need of urination
What to do?
A. Cystoscopy
B. Emergency TURP
C. Foley cath + culture

424- Screening for bacteriuria in pregnancy ?
A. 12 weeks
B. 25 weeks
C. 30 weeks

425- A female came to ER with signs and symptoms of appendicitis, appendectomy was done, intra-operatively the surgeon discovered the appendix was normal, but it is the standard of care to remove the appendix even if it is normal, what should the surgeon do?

A. Tell the patient what happened and that it is the standard of care
B. Do not tell the patient
C. Write a report about what happened and give it to the hospital committee

426- Pediatric case h/F sore throat & fever then 3 days he develops body rash on the thighs and buttocks.Lab finding suggest renal insult with anemia and normal Plat count) plus ll edema +black tea urine.
A- post streptococcal GN
B- HUS
C- HSP (Henoch-Schonlein Purpura)

427- Typical symptoms of Croup, how to manage?
Answer: Dexa and epinephrine

427-

428- 8 years old his parents has eczema where should he get it ?
Flexors

429- Female with back pain and decrease sensation in left calf and lateral side of the left foot, what is the level of spinal stenosis
A. L3-L4
B. L5-L5
C. L5-S1
D. S1-S2

430- Patient with hypertension, heavy bleeding and anemia, what contraceptive she can use?
A. Tubal ligation
B. IUCD mirena
C. Condom
‏D. OCP

431- Mother compaling that her baby was having non billous vomiting and you noticed an olive shaped mass on the epigastric region , whats the best mx ?
A. Pyloromyotomy
B. Gastrojejunostomy
C. Balloon dilatation
D. Anastomosis

432- Female came with white breast discharge and high prolactin, what radiology you will do?
A- Pelvic MRI
B- Chest MRI
C- Sella turcica MRI

433- 10-year-old boy is referred to a neurologist because of declining school performance generalized seizures and visual disturbances that have worsened during the past few months when he was 2 years old he had a flue-like illness with a rash he has not received routine childhood vaccinations. Over the next year, his condition worsens and he dies. autopsy shows diffuse encephalitis with demyelination. Which of the following is the most likely etiology of this patient condition?
A) cytomegalovirus
B) measles virus
C) mumps virus
D) rubella virus

434- Patient presented with progressive SOB and wt loss for 6 months (Clear case of lung cancer)
pleural effusion was :
1500ml bloody with exudate effusion. What is the next step?
A. Empirical IV antibiotics
B. CT with IV contest
C. Blind pleural biopsy
D. Observation

435- COPD patient came to clinic with bilateral lower limb edema and pulmonary
hypertension. O2 sat 86% ,PO2 8.6, PCO2 7.5, pH above normal range Which of the
following the appropriate management to give for the patient now ?
A) start oral furosemide
B)Start oxygen therapy
C) Prednisolone therapy

436- Case about vaginal dishrags grey and fishy oder and normal vaginal PH(4.5)?
A. Streptococcus colonization
B. Bacterial vaginosis