349- treatment of brucellosis in adult?
A-Doxycycline and streptomycin
B-Doxycycline and cefriaxone
C-Rifampin and trimethprim-sulfamethaxazone
D-Rifampin and ciprofloxacin

350- physician was working on a research paper. Before publishing the paper,he made some changes to some of the data and omitted other parts of his results. What is this action referred to?
A-Falsification
B-Fabrication
C-Plagiarism
D-Near miss

351- baby with noisy breathing and wheezing that improves when prone and increases when
supine. What is the diagnosis?
A. Laryngomalacia
B. Tracheomalacia

352- 16 year old , amenorrhea for 2 months and galactorrhea for 3 months , what is the most important investigation ?
A-Prolactin
B-Progesterone
C-Oestrogen
D-LH

353- 24 years old with history of appendectomy 5 years ago presented with abdominal pain, distention and vomiting for 3 days, CT scan revealed signs of intestinal obstruction & peritonitis.
What agent is contraindicated in this patient ?
A-propafol
B-nitrous oxide
C-sevoflurine
D-ketamine

354- Hyperkalemia 6.5 in CKD patient,
next step ?
A. Calcium gluconate
B.insulin and salbutamol
C. Dialysis

355- Male presented with lateral side of right leg redness and streaks of blood
(scenario of lymphangitis) Which of the following is the antibiotic of choice ?
A-Dicloxacillin
B-Tetracycline
C-Erythromycin
D-Penicillin g

356- What anti diabetic medication can reduce mortality in DM patients
A. Metformin
B. Gliflozin
C. Glipizide
D. Acarbose

357- Patient underwent left lower parathyroidectomy for primary hyperparathyroidism (adenoma). He
presented 4 months later with depressed mood and fatigability. Both parathyroid hormone and calcium
were high, what is the most common cause?
A. Parathyroid hyperplasia
B. Missed adenoma
C. New adenoma
D. Parathyroid cancer

358- Wof is the most important before reduction?
Analgesia
Eaxamine pulse

359- 4 m dx with Down syndrome for screening wich chart :
Down syndrome chart

360- Which medication for hypertension is contraindicated in asthma ?
A. Bb
B. Acei
C. Amlodipine

361- Child age ? with knee arthritis day after develop left ankle arthritis after a hot bath develop rash all over the body, Dx?

A Rheumatic fever
B Juvenile rheumatoid arthritis
C Small box
D Measles

362- Diagnosis?

363- Pregnant kc of idiopathic thrombocytopenic purpura developed PPH ?
A. FFP
B. RBC
C. Platelets transfusion
D. cryoprecipitate

364- painless hematuria definitive diagnostic test?
A. Cystoscope

Failure to thrive

365- 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

366- Female, G1P0, missed her period for 3 months, has irregular period, doesn’t
know gestational age. On Ultrasound, 11 weeks was calculated. What is the most
likely mthod of dating gestational age here?
A-crown-rump length
B-femur length
C-estrogen or progesterone Lvl
D-abdominal circumference

367- recurrent pregnancy loss in 1st. Trimester with Hx of theomebolism
A- warfarin life long
B- enoxparin life long
C- aspirin life long
D- fandiprix life long