213- Patient eclamptic at 34 weeks have been resuscitated and stabilized what to do next?
A-Deliver
B-Wait till 37 weeks then deliver

214- Patient delivered a baby boy 4.5 KG, with successful delivery of the placenta, after that she had perfuse bleeding which of the fowling is the most appropriate step?
A-Assess uterine contraction
B-Blood for coagulation profile
C-Blood for complete blood count

215- A 30 Y.O male presented with hematemesis
See report:
Upper endoscopy: Fundal varices controlled by injection sclerotherapy
Imaging: Splenomegaly, normal portal vein, thrombosed splenic vein
What is the most appropriate management ?
A-Portocaval shunt
B-Splenorenal shunt
C- Sengstaken-blakemore tube

216- Female pregnant with SOB and dyspnea exam reveals lower leg swelling what to do?

A. V/Q scan
B. CXR
C. Lower leg compressive US
D. CTPA

218- Streptokinase antidote:
A. Factor VIII concentrate
B. Vitamin K
C. Protamine
D. Aminocarpoic acid

219- 34 yo female medically free presented with painless non-tender mobile firm mass in the left lobe of thyroid, right is completely normal
She have no symptoms and no history of radiation
What to do next:

A. Thyroid Tc99 scan
B. FNA
C. T3 level
D. TSH

220- Female diagnosed with bilateral DVTs and she has history of 2 still births
Labs: Prolonged APTT (no other labs provided)
What is the diagnosis:

A. Antiphospholipid syndrome
B. Protein S deficiency
C. Protein C deficiency

221- An 8 year old girl with persistent and continuous diarrhea, she drinks 3 pints of goat milk per day and is a fussy eater. Which of the following conditions explain her presentation?
Labs:
Hgb Low
MCV high
MCHC high

A- *psycological* Deprivation
B- Giardiasis Parasitic Infection
C- Aplastic Anaemia
D- Hypothyroidism

222- 46 yo female known to have varicose veins for 6 years presented with bilateral leg swelling and pain after prolonged standing
No hx of claudication
After examination there’s various veins in the great sephonus vein territory
What is the investigation of choice:

A. CT venography
B. Venous duplex
C. venous plethysmography
D. No investigation required

الصور
-HSP
-boot sheep tof
-chloazma
-IDA
-SVT
-hyperkalemia in ECG

223- adulescent not received varicella vaccine. when to give
A. give the 1set dose and the second after 6 month
B. give on dose only
C. no Need for vaccine
D. I forget the last one

224- highly suspected cancer in colon adenoma
A. tubular
B. tubulovillous
C. villous

225- preterm baby present with hydronephrosis and distended bladder
A. prune belly syndrome
B. obstructed urethrovasical junction

two other options not related

226- 4 year old Child with recurrent chest infection, inspiratory crepitation and expiration weezing, poor growth and fatigue, finger clubbing, on further examination he has offensive greasy stool, what will you find on further examination?

A. Nasal polyp

227- A celiac patient with skin rash. What is the most likely associated diagnosis?
A Psoriasis
B Dermatitis herpetiformis
C-Chicken pox
D-Pemiphagus vu

228- scenario of typical symptoms of MI with st elevation in AVL I v2 and V5
A. anterior
B. lateral
C. inferior
D. posterior

229- scenario of anal fistula on 7 o'clock planning for fistulotomy asking about common are of internal able fistula
A. medial posterior
B. medial anterior
C. lateral
D. supination

230- pediatric with thyroglossal cyst management
A. observation
B. aspiration
C. surgical excision

231- pediatric pt with respirator infection treated 6week ago withe antibiotics .and now antibiotics given developed abdominal pain and watary diarrhea which type of organism

A. colstridiodes difficele
B. colstridiodes perfringens
C. sterptococcus pneumonia
D. staphlycoccau auras