3- Pregnant woman was on oral iron for 12weeks
Still her labs IDA what you will do ??

A- Continue oral
B- Iv iron ✅
C- Blood transfusion

4- Most effective contraception ?

A- Male Condom
B- Female condom
C- Spermicide
D- Hormonal vaginal ring ✅

5- Child presented after 1 week of bloody diarrhoea with edema and renal inpairment( labs given there is hypertension and impaired renal analysis)
Asking what culture should help in diagnosis

A-urin
B-blood
C-stool✅
D-LP

6- 36 male presented with hypertension (high blood pressure reading given) he have a family history of hypertension and both his sisters have hypertension
He have high ceriatinin and protein in urin
How will you manage?
A-ACEI ✅
B-alpha blocker
C-beta blocker
D-?

7- chile i don’t remember the age presented with diarrhoea and vomiting for 1 day he looks lethargic and ill cry with tears capillary refill is 3. Management? Complete q in safdar
A-10%dextrose
B-ORS na:glucose 1:1

8- child came in 6 month vaccination mother said he have anaphylactic reaction required hospital admission after 4 month vaccination but she don’t know what vaccine
What should be done now?

A-do allergic test first ✅
B-vaccination except for dtap
C-reassures and vaccinate
D?

9- pf after PE stared on heparin ..labs show prolong PT and PTTT
A-stop and give …?!(i forget the drug name but start with L!)
B-continue
C-switch to theraputic dose of enoxaprin
D- stop and !!!

10- female after MVA admitted for observation was vitaly stable x ray showed fracture in 3and7 rib …then she devolution shortness of breath (only) ..what is the cause ?
A-flial chest
B-PE
C- tension pneumothorax
D?

11- pregnant diagnosed placenta previa what is the most associated with it
A-post coital bleeding spotting ✅
B-profuse bleeding at the first episode
C- ?
D-?

12- a case of child after brain surgery
Na177 i forget the exact lab for urin sorry
A-central DI ✅
B-SIADH
C-4-?

13- diabatic pt and obese (i think bmi was 41 )failed to reduse weight

A-diabetic drug for reducing weight
B-bariatric surgery ✅

14- 6 years old child with long history of multiple lower respiratory infection and rhinitis admitted with respiratory symptoms bronchoscope done, sputum collection done and culture was positive for pneudomonus aergunosa and ?
What is the cause
A-primary ciliary dyskinesia
B-cystic fibrosis ✅
C-bronchial asthma
D-!

15- female presented with left knee pain for 3 days there is swelling and fever
Labs showed slighty high wbc and ESR high
Joint aspiration showed leukocytosis i think 200
X ray left knee showed decreased joint space and osteophyte
Diagnosis
A-septic arthritis
B-osteoarthritis ✅
C-gout
D-rheumatoid arthritis

16- pregnant 12week have cervical lesion what to do
A-pap smear
B-cone biopsy
C-colposcopy ✅
D-?

17- 43male have family history of colon cancer underwent sigmoidoscopy for polyp removal Histopathology showed tubular adenoma completely removed ..how to follow?
A-3-6 month
B-3years ✅
C-5 years
D-no need

18- Uterine leiomyoma

19- Doctor ask the child to face the wall and bend forward and hanging his arms unsupported, this test for :
A- scoliosis ✅
B- leg length symmetry
C- rectal prolapse
D- sexual abuse

20-Female patient came to the ER with sing and symptoms of hyperthyroidism and occasional palpitations what to give her ?
A - BB ✅
B- antithyroid

21- pregnant 31 weeks came with uterine contraction and cervix closed what to give
A- Nifedipine
B- Terbutaline
C- Indomethacin
D- Corticoseroid ✅

22- 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