656- Long case of COPD patient with oxygen saturation 88% and PHTN is 50 What improve
survival?
A) Long term oxgen ✅
B)oral steroid
C) over night pulse oximeter

657- A young female on labor GA 38/40. Her pregnancy was normal, uneventful, with normal fetal development. The labor was normal but the was difficulty delivering the placenta which complicated with uterine inversion accompanied with vaginal bleeding 1200cc. Which of the following is the source of her bleeding?
A- Trauma blood vessels
B- Muscular injury and laceration
C- Uterine muscles fail to contract✅

658- A child ingested a caustic material. Had episodes of nausea and vomiting.
Which of the following is most appropriate?
Activated charcoal
Establish airway✅

659- A boy was playing football and felt sudden pain in his groin while kicking the ball or aiming to the goal smth like that, there is a swelling at the groin but no cough impulse and not reducible, vitals showed fever and wbcs were high, whats ur management?
A. aspiration to rule out hematoma
B. give analgesics and check after 8 hrs
C. surgical exploration for hernia ✅
D. force reduction manually or smth like that

660- Pregnant women with history previous pregnancies with ICU admissions and multiple blood transfusions recently delivered newborn with severe anemia and high reticulcytes. Most important part in the history:
A- Mother’s blood group ✅
B- Gestational age

661- 5 years old with stab wound in lower chest, has abdominal distension
Fast shows free fluid in abdomen
All vitals normal except O2 90
What is the most appropriate management:
Thoracotomy
Tube thoracostomy
Expl lapratomy ✅
Angioembolization

662- barking cough that is so severe causing cyanosis and the patient feels exhausted in between coughs , Post tussive vomiting. Dx:
A- Bortedella pertussis ✅

How to diagnos?
Nasopharyngeal swab ✅

663- 12 years old found to have klebsella colony 100000 from mid urine no sign or symptom
1) no need to treat ✅
2) treat as acute uti
3) give embrical antibiotic

664- A couple came to you in clinic. One of them 25% carrier and other is healthy and the transmission of disease will increase with consanguinity. What is the type of inheritance?

A- Autosomal Dominant
B- Autosomal Recessive✅
C- X-Linked Recessive

665- Q. About young pt on/off bleeding PR from a grade II hemorrhoid (spontaneously returning), i think patient is also low hgb (hgb readings were in mg/dL, while reference range was in g/L so) What is the Definitive Managment?
A- Conservative
B- Angio something
C- Band ligation ✅
D- Traditional hemorrhoidectomy

666- Another case of a child with (abdominal pain) high testicle horizontal in position however scrotum was normal and not inflamed next step
- scrotum exploration ✅
- US testicle
- other choiceses medical

667- 579-years old child present with history of cough and shortness of breath, he doesn't improve on salbutamol many times, and his mother concerned about him, on examination, there was wheezing and decrease air entry in the right lower lung, nothing else, so what is the most appropriate next step?

A. Bronchoscopy
B. Fluoroscopy
C. Anterior posterior and lateral chest x-ray ✅
D. CT scan

Answer: C
Came to my exam, scenario was going toward foreign body aspiration.
UTD— For patients with suspected FBA who are asymptomatic, or symptomatic but stable, the first step in the evaluation is to perform plain radiography of the chest.

668- Copd exacerbation what is the best drug to relieve symptoms quickly
1-salmeterol
2-albuterol ✅
3-corticosteroids
4-ipratrupiom

Good evening everyone.

To the doctors who followed November Qs from this Channel and they’re gonna take the exam in December, it’s Unfortunate that I didn’t complete the whole Qs of this month.

I will mention exactly where I stopped so you guys can follow.

Best of luck to y’all. Thanks.

1- Silent Group.

2- SMLE-B.

3- Hunter Qs file of November.