80- A new drug is approved by the FDA and the doctor is a shareholder in the company
A- conflict of interest

81- lactating mother unilatral nipple inversion. US : duct dilation 3.5 cm. What is the Dx :
A-Breast cyst
B-Breast cancer
C-Duct ectasia
D- breast abscess

82- known case of liver cirrhosis secondary to Hepatitis C has completed treatment. Hepatitis C RNA is negative. How will you follow up this patient?
a. Regular screening with AFP
b. Regular screening with ultrasound
c. Liver biopsy
d. No follow up is required

83- Pregnant came with candida like picture and then asked what’s the TTT ?
A-oral metronidazole
B-azithromycin
C-topical metronidazole
D- topical fluconazole

84- 4 y.o his went to doctor because parents recognize blood in stool this the only symptoms Then the doctor examined him and said it’s common and can be preventable:
A- anal fissure
B- hemorrhoids
C- juvenile poly
D- Intusseption

85- 3yr old brought to ER after RTA diagnosed with massive intra-abdominal bleeding and severe splenic injury underwent a exploratory laparotomy and splenectomy. Which vaccine to give?
A. Meningococcal
B. OPV
C. VARICELLA

86- 25 weeks pregnent ,sero-ve for rubella , when take vaccicine?
A- now
B- postpartum
C- no need
D- 3d trimester

87- 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)

88- Typical symptoms of croup, how to manage?
A- Dexamethasone and epinephrine

89- Baby term delivery (didn't specify CS or SVD). 4 hours later complaining from SOB , Tachypnea, Tachycardia with grunting
A- Hyaline membrane disease preterm
B- pulmonary "something"
C- Meconium Aspiration syndrome
D-Transient Tachypnea of the New born

Pics:
- chancroid
- prolonged deceleration
- hereditary spherocytosis
- Endometrial polyp

90- A long scenario of a pediatric with open fracture. You see his thigh covered with gauze full of blood. Hypotensive but awake and airway potent. What is the best next thing to do?
A. Call surgery on call
B. Give bolus NS
C. Give morphine
D. External fixation

91- Pregnant in third trimester presented with bleeding, cervix was 7cm dilated. Whats the type of bleeding?
A- post partum
B- antepartum
C- intrapartum

92- husband has 2 siblings with SCD the wife not mentioned , what is the likelihood of affecting his children to be diagnosed with SCD?
A. Very high
B. Not at risk
C. Low risk if mother negative
D. Advice not to have children

93- decrsndo diastolic murmur?
A. Pr
B. Ms
C. Ar

94- A patient with pulmonary embolism that wants contraception. WHAT is the most appropriate contraceptive method?
A) condom
B) IUD
C) OCP
D) POP

95- Old age pt with cardiomegaly. he's asymptomatic Echo showed: EF 40%. what is the best Mx
A- digoxin
B- Lisinopril
C- echo after 6 months
D- frusemide

96- A 67 year old male presents with insomnia, irritability and palpitations for 3 months. He is known to have HTN, depression and Atrial fibrillation. He is on amiodarone, fluoxetine, and enalapril. Although he complains of palpitations, he has no increased heart rate. Clinically, he is unremarkable. Vitally stable. What is the most appropriate next step?
A. Add propranolol
B. Do thyroid function tests
C. Substitute antidepressant drug
D. Refer to psych

97- A diabetic lady presenting to the clinic asking about travelers diarrhea prophylaxis. Mild Cr Elevation, BUN is high, urea is high. What prophylaxis to give?
A.Fluoroquinolones
B. No need
C. Probiotics
D. Bismuth

98- CTG w/ prrolongrd decelation. Most appropriate to do?
A) emergency CS
B) hydration, reposition and assess in 20 mints