63- Pregnant with herpes treated with Acyclovir. Rationale of acyclovir usage?

A. Increase immunity of the mother
B. Decrease placental transmission
C. Decrease herpes simplex virus infection
D. Decrease shedding of the virus and duration

64- 18 years male came with stap wound injury next to umblicus with small opening clean and bleeding stopped
Vitally stable with normal lab results

Ct : smal splenic laciration with minemum fluid surrounding it .
What is the best definite management

A) wound closure
B) AB
C) splenictomy
D) exploratory labromyomy

65- 70 old male with forgetfulness, progressive gradually for 2 years.. devolop signs of aggression and violence after he was calm ,caring ,and kind:

A.Lewi body

B.Alzheimer’s

C.Vascular dementia

66- Old man says he sometimes forgets his friends’ names or celebrities in his community. His wife is worried he has Alzheimer’s.
with tender joints, forgets his friends’ names, his wife is worried , what diagnosis ?
A- Alzheimer’s
B- Benign-forgetfulness

67- Sandifer syndrome infant case ask about risk incidence in :
A- Post- pertussis infection
B- Low birth wight

68- infant with esophagitis diagnosis written in Q , ask about treatment :
A- PPI oral
B- fundplication surgery

69- 6 YO known case of congestive heart failure, present in ER with SOB after playing, HR : 200 other examination normal, ask about apportiate mangment.

A- iv fursamide
B- observation as symptom expected of his diagnosis.

70- 4 years old girl brought to the pediatric emergency with vommiting and lathergy. Parent report decrease wight 1 Kg in last week. She has decrease in apetite. Thrist and frequent urination. Upon examination she looks sleepy and lathergic. Dry mucus membran and increase skin turger. The doctor start treating her with IV RL with electrolyte low dose insulin infusion.
Her PH 7.2 ( not sure ) glucose ( 20 ) +ve urine kitones
What is the suspected complications?

A- hypoglycaemia
B- Renal faliure
C- Cerebral edema

71- Female c/o urine leakage with cough, sneezing, exercise and with urgency.
What type of incontinence does she have?
A. Urge incontinence
B. Stress incontinence
C. Mixed incontinence
D. Overflow incontinence

72- 80 yr old male c/o inability to urinate with Abd. Pain and severe need of urination
What to do?
A. Cystoscopy
B. Emergency TURP
C. Foley cath + culture

73- Screening for bacteriuria in pregnancy ?
A. 12 weeks
B. 25 weeks
C. 30 weeks

74- Female came to ER with sign and symptoms of appendicitis, appendectomy was done , surgeon discover the appendix was normal , what surgeon should be do ?
A. Tell pt what happened and that was routine and no complication
B. Not tell the pt
C. Write report about what happened and give it to hospital committee

75- Patient old with end stages cancer disease complaining of severe pain and his children ask you to give him stronger pain killers you respect theirs wishes but you told them that the pain killers may fasten the death of their father question in this case what the doctor do?
A- principles of double effects

76- You want to do surgery to a 15 y old , from where take the consent ;
A. Parents alone
B. Patient alone
C. Both of them
D. Patient’s assent and parents’ consent

77- couples with infertility ask about surrogate pregnancy which not allowed in ur hospital and u are not sure wither allowed in saudi or not?
A. Warn them might not be allowed in ksa.
B. appointment to check yourself and then tell them.
C. Referral to colleague who can help to do it.

78- Female patients come to the doctor's office with signs of abuse. She told you the abuse was from her husband and told you not to tell her husband. What should you do?
A. Threatens the husband by police
B. Tell the police
C. Do what the patient said to you

79- Female underwent gyne surgery, massive bleeding occurred intraop and the doctor and his colleague decided she needs emergency hysterectomy to save her life
What to do?
A. Get consent from husband
B. Do it without consent
C. Ethical committee consent