139- Lab technician give a result to nurse through the phone, said 2 then pause after that proceed 3 5 and the nurse wrote 2.35 but the correct one is 235, the patient had irreversible liver damage by this mistake, Cause of this condition ?
A- Doctor did not check
B- Lack of communication
C- Technician didn’t check if the nurse got the number correctly
D- Mishandling from the nurse

140- A 13 year old boy medically free presented with neck swelling. One of the relatives recently diagnosed with lymphoma and the family is worried about their child. Which of the following is an indication for lymph node biopsy?
A- Absence of fever
B- Presence of Hepatosplenomegaly
C- Lymph node size > 1cm
D- Tender and hot lymph node

141- 24 years female diagnose with endometriosis she took NSAID but no benefits. What is Most appointment mx?
A- ocp
B- Ablation
C- Hytsterectomy.

142- 8 year old female with Heliotrope Rash and Nodules in Phalanges. Diagnosis?
A) Juvenile Dermatomyositis
B) Oligoarthritic JIA
C) Systemic JIA

143- years old boy. Mother complained of poor training to bathroom which muscles is targeted in therapy?
A -Perianal
B -Pelvic floor
C -Rectus muscle
D -Detrusor

144- which age can we give peanuts and eggs to babies to prevent the risk of getting allergic?
A. 10 months
B. 14 months
C. 18 months
D. 24 months

145- Child with history of three infection this year, presented now with pneumonia, his older brother died and had similar condition, his sisters 3 and 5 years are normal and well, his work up is significant for low B cell and normal T cell.
A. X-linked agammaglobulinemia
B. Ataxia telangiectasis
C. Chronic granulomatatosis disease
D. Hyper IgE syndrome

146- pt from India with sign and symptoms of Meningitis , labs wbc : lymphocytes , high protein ..
A- TB meningitis
B-viral meningitis
C-Bacterial meningitis

147- A 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 FFP
C- Call multidisciplinary and rapid response team (RR)
D- Immediate Delivery

148- Elderly man presented to the ER with rigid distended abdomen prepared for laparotomy with hypotension and fever (38) X ray showed free air under diaphragm What is the best initial resuscitation option ?
A- intubation and ionotropes
B-Broad spectrum Abx
C-Colloid via central line
D-Crystalloid fluid via peripheral line

149- Plt were low, PT&PTT&INR all normal, high bilirubin and reticulocytes and
low Hb (indicates hemolysis), creatinine was normal, your management:
A.Steroids and IVIG
B. Exchanged transfusion
C. Platelet transfusion
D. Idon’t remember

150- 81 yo woman DM, HTN on medications at risk or known to have DVT asking
about prophylactic for DVT?
A. Aspirin 81 mg oral
B. Enoxaparin 40mg SC
Forgot other choices

151- Child pt with decreased IQ, pica (eat dirt) < they wrote it :) With
Hepatosplenomegaly ! Labs showed *Hypochromic microcytic anemias.
What is the highest diagnostic labs ]
A- blood lead levels
B- CBC with blood smear (they already do it )
C- Iron studies

152- Sickle cell trait, what’s the most common complication during pregnancy?
A- IUGR
B- Chest infection
C- Preeclampsia
D- UTI

153- Preschool anemia screening (with no symptoms only this statement) CBC:
Low Hg High Retcs High RDW (>2%) what is dx: ]
A- IDA
B- thalassemia minor

154- Chronic kidney disease picture of iron def anemia and and high ferritin what is the treatment ?
A Oral iron
B erythropoietin
C IV iron

155- post MVA with urethral injury , what next : (i’m sure no suprapupic tube in choices)
⁃ cystoscopy
⁃ folly catheter
⁃ retrograde urthrogram
⁃ fluoroscopic cystogram

156- A patient underwent C/S and developed massive bleeding that was not being controlled by medical management. A decision was made by the consultant but the consent was not obtained, what is the most appropriate action?
A - obtain consent from husband
B - perform hysterectomy without consent
C - consult the ethics committee
D - do not perform the hysterectomy

9 Nov
الصور الي جتني بالاختبار
-A fib
-crystal cyst
-imptige.. Mx?
-HSP.... Mx?

157- Man come to the ER for poly Trauma and he has severe back and leg pain you suspected spinal cord injury , vitaly stable Initial management

A- x-ray
B- Wait neurosurgery consultation
C- Ct
D- Observation