476- Pt with renal colic what to do next :

A.MRI
B.abdominal Ct
C.Us
D.X ray KUB

477- History of multiple still birth, aptt prolonged. Dx
A. Antiphospholipid ✅
B. Protein C deficiency
C. Protein S deficiency

478- The baby heart auscultation on the mother umbilicus ,,which is the presentation?
A-shoulder ✅
B-face
C-breech

If the scenario came like this. Check out the other recalls.

479- Elderly patient DM and chronic smoker came to be evaluated for 2 days history of sudden left arm weakness, and there was no pain that resolved spontaneously. On examination, there wasn’t carotid bruit. All PE was normal apart from cardiac murmurs. Which of the following is the most appropriate initial imaging?
A ⁃ TEE
B ⁃ carotid duplex US
C ⁃ Carotid CTA
D ⁃ Brain MRI ✅

480- Case of A. Fib on warfarin the on follow up the INR was 6.5, she isn’t on high risk of bleeding nor undergoing surgery. Which of the following would be appropriate step after holding the warfarin?
A- vit K
B- FFP
C- Reassess after 2 day ✅
D- FFP and cryoprecipitate

481- Case of patients with right unilateral lower limb weakness and loss of sensation. Which artery is most likely affected?
A ⁃ Left MCA
B ⁃ Left ACA ✅
C ⁃ Basilar artery
D ⁃ Vertebral artery

482- Patient with history of vomiting for 24 hours due to food poisoning. He came today to emergency department complaining of hematemesis. Nasogastric tube was done and showed fresh blood.
What is the most likely diagnosis?

A. Gastritis
B. Dieulafoy lesion
C. Peptic ulcer
D. mallory weiss syndrome ✅

483- Malaria officer asked the municipality (amana) "something about eradication of mosquitoes".
Which of the following mosquitoes should be targeted:

A. Curlex
B. Anopheles ✅
C. Aedes aegypti
D. Aedes albopictus

484- A mother of a 3 month old baby Telling the doctor she’s going crazy She thinks that there’s a snake near her baby. She said that she didn’t see the snake and she knows it’s not true. She check on baby crib  50 times a day What’s the most likely diagnosis 
A. Delusional 
B. Hallucination 
C. Postpartum psychosis 
D. Obsession ✅

485- 30 years old pregnant women by in vitro fertilization (IVF) and diagnosed with ectopic pregnancy and scheduled of laproscopic removal of the prgnency. On US imaging: 4 cm tubal pregnancy on the right, and hydrosalpinx on the left. What is the management?
A. Salpingotomy on the right only
B. Salpingectomyontherightonly
C. Removal of both tubes(Bilateral tuboectomy) ✅
D. Hysterosalpingography with contrast

486- Which of the following is the indication of cervical cerclage?
A. Cervical length less than 30
B. Cervical length less than 35
C. Cervical length less than 25 ✅
D. Cervical length less than 20

487- Pregnant lady 39W her routine BP throughout the pregnance was 120/80 (normal) then suddenly became 150/90 what is the diagnosis?
A. Eclampsia
B. Gestational hypertension ✅
C. Chronic hypertension
D. Superimposed hypertension

488- Pregnant 34 week with preeclampsia, high BP 170/100 what to give ?
A. Stabilize, MgSo4 and deliver ✅
B. Stabilize, corticosteroids and deliver

489- What is the medication for seizure in pregnancy?
a- Diazepine
b- Phenytoin
c- Magnesium sulfate ✅
d- Lorazepam

490- Patient with long term history of DM type 1 in 12 weeks of gestation. HbA1C 12. Which of the following complication is most likely to happen?
A. Preeclampsia
B. Polyhydroamnios
C. Congenital malformation ✅
D. IUGR

491- At what gestational age we start diabetes screening in a pregnant woman?
A. 4 weeks
B. 12 weeks
C. 24 weeks ✅
D. 34 weeks

492- Patient knowing for DM And HTN and history of right leg pain increased by exertion, on examination absent popliteal pulse on right leg
Which one of the following indicates acute limb ischemia:

A-intermittent claudication
B-rest pain ✅
C-scar for iliofemoral bypass in left leg
D-swelling