Upper endoscopy reveals a perforated duodenal ulcer, which was surgically repaired and appropriately treated.
Which of the following is the most important preventive measure?
A. Stop NSAIDs
B. Diet with high fiber
C. Regular follow-up for gastric health

⸻

13

A neonate presents with prolonged bleeding after venipuncture and hepatosplenomegaly. The mother has a history of systemic lupus erythematosus (SLE). Labs show thrombocytopenia with normal PT and PTT.
What is the next step in management?
A. Fresh frozen plasma (FFP) and corticosteroids
B. Platelet transfusion and intravenous immunoglobulin (IVIG)

⸻

14

A patient with meningitis has cerebrospinal fluid findings of slightly low glucose and high lymphocytes.
What is the most appropriate treatment?
A. Acyclovir
B. Steroid
C. Meropenem
D. Ceftriaxone and vancomycin

⸻

15

Patient from India presents with symptoms of meningitis. CSF shows low glucose, high protein, and lymphocytic predominance.
What is the most likely cause?
A. Bacterial meningitis
B. Tuberculous meningitis
C. Viral meningitis

⸻

16

A 4-year-old with constipation who is being toilet trained. The mother asks how to prevent it.
A. Use more laxatives
B. High fiber diet with bran supplements
C. Spend more time on the toilet after each meal and maintain adequate fluids

⸻

17

A 2-month-old boy’s mother noticed his right eye goes inward while feeding. She is concerned.
What is the most initial management?
A. CT
B. Urgent referral to ophthalmology
C. Reassure

⸻

18

A middle-aged man came with a metallic object lodged in his eye.
What to do next?
A. Referral to ophthalmology
B. Removal of object and irrigation
C. Outpatient follow-up

⸻

19

A 55-year-old man with chronic hepatitis C presents with a palpable right upper quadrant mass. CT scan shows a 6×6 cm mass in the right lobe of the liver. Biopsy confirms hepatocellular carcinoma.
What is the most appropriate management step?
A. Start chemotherapy
B. Start radiotherapy
C. Referral for palliative medicine
D. Referral for surgical resection

⸻

20

A neonate with meconium aspiration and severe respiratory distress.
What to do?
A. Masked oxygen
B. Intubation

⸻

21

A child collapses while playing and is brought to the ER. ECG shows SVT. He is unstable.
What should be done?
A. Adenosine
B. Amiodarone
C. Cardioversion

⸻

22

A 9-year-old girl presents with pain between her legs after falling from a bicycle. On exam, a hematoma is noted in the left labia.
What is the most appropriate management?
A. Ice bag placement
B. Prophylactic antibiotics
C. Examination under anesthesia
D. Surgical evacuation of hematoma

⸻

23

A 62-year-old woman with atrial fibrillation on warfarin develops a subdural hematoma after a fall. INR = 3.9. She has already received vitamin K.
What is the most appropriate next step in management?
A. Restart warfarin
B. Fresh frozen plasma (FFP)
C. Activated factor VII (rFVIIa)
D. 4-factor PCC

⸻

24

A pediatric girl presents with a urinary tract infection (UTI). The mother asks how to prevent recurrence.
What is the most important advice?

⸻

25

A pediatric patient comes with watery diarrhea for 2 days, occurring 6 times/day. Child is vaccinated against rotavirus.
What is the causative organism?
A. Rotavirus
B. Giardiasis
C. Shigella
D. Norovirus

⸻

26

A patient with atrial fibrillation presents with sudden severe abdominal pain out of proportion to exam findings.
What is the most appropriate investigation?

⸻

27

Lab findings in Rickets:
• PTH: High
• Vitamin D: Low
• Phosphate: Low
• Calcium: Low or low-normal
• ALP: High
• GGT: Normal

⸻

28

A 24-hour-old neonate presents with ambiguous genitalia. Labs show: Na low, K high, HCO₃ low, Glucose low, 17-hydroxyprogesterone high.
What is the most likely diagnosis?
A. 21-hydroxylase deficiency
B. 17-hydroxylase deficiency
C. 11β-hydroxylase deficiency
D. 3β-hydroxysteroid dehydrogenase deficiency

⸻

29

A 4-year-old presents with acute diarrhea containing blood and mucus.
What is the most likely causative agent?
A. Rotavirus
B. Norovirus
C. Campylobacter jejuni

⸻

30

A study of colon cancer in a population of 100,000. New cases: 300, Existing cases: 75.
What is the cumulative prevalence?
A. 0.375%
B. 0.45%
C. 0.375 per 1000
D. 0.45 per 1000

⸻

31

A child presents with febrile seizure. The mother is worried about recurrence and already gives antipyretics.
What is the best advice?
A. Reassure
B. Perform EEG
C. Start antipyretics when fever is present
D. Educate the family about how to deal with future seizures

⸻

32

A 7-year-old child presents with upper abdominal pain that wakes him from sleep and subsides when eating. His mother mentions that he has a history of peptic ulcer previously.
What is the most diagnostic for the suspected diagnosis?
A. EGD with biopsy
B. Over-the-counter antacids
C. Give PPI
D. H. pylori antibiotic prophylaxis

⸻

33

A 35-week pregnant woman presents with vaginal bleeding. Ultrasound shows placenta previa covering the os completely. She was stabilized, and the bleeding stopped.
What is the most appropriate management?
A. Induce labor
B. Do cesarean section immediately
C. Wait until 37 weeks, then do cesarean section
D. Wait until 37 weeks for labor

⸻

34

A female patient is brought by her husband 1 week after delivery with mood swing, tearfulness, irritability, anxiety, and fatigue. She is diagnosed with postpartum blues.
What is the treatment?
A. Start SSRI
B. Family support

⸻

35

A 5–10-year-old child with stage 4 chronic kidney disease presents with bone pain and elevated parathyroid hormone.
What is the expected finding?
A. Hypercalcemia
B. Hyperphosphatemia
C. High vitamin D

⸻

36

A pediatric patient presents with jaundice and dark urine after a daycare outbreak.
What is the most appropriate management?
A. Reassurance
B. Hydration
C. Acyclovir
D. Ribavirin

My Exam 20 October ✅

All of the best 🤍.

المعذرة على التأخير كنت اجمع كل الي جاني وأخذ مني وقت ، الزبدة أكيد راح تلاقون تكرار لأني استعجلت قد م اقدر عشان تلحقوا تذاكروا 🙏🏻🤍

الحمد لله خلصت أول سكشن ميدسن وسيرجري
الأمور كانت زي الفل ولله الحمد، الأسئلة مكررة ومعروفة، بس فيه سؤالين جديدين بأراجعهم وأكتبهم أول ما أوصل البيت إن شاء الله. ارتاحوا واطمئنو ❤

مساكم الله بالخير
كيف امسيتو؟
ابقو على الفايل ده عشره
الحمدلله انا امتحنت امس وجاني كثير منه
الامتحان عموماً فيه تكرار بالذات في الأوبس والبدياتريك
الشويه فيه اسئله جديده او طريقتها مختلفه كان المديسين والسيرجري ماكان كثير
بس عموماً الامتحان متوسط ماصعب وماساهل عايز زول مركز وفاهم مش حافظ بس
وبالتوفيق ليكم جميعاً
ودعواتكم لي بالنجاح 🌹✨

هذا اختباري اليوم .. متأكدة في اكثر من كذا من تجميعات اكتوبر لكن ناسية الاسئلة فنصيحتي شوفوهم لاااااازم (انا درست ملفات اثر والحمراني لبعض الايام ونواف و Goat) الله يسعدهم كلهم شوفوا الانسب لكم لكن الاهم تمروا عليها .. كم سؤال جديد جوني حطيتهم برضو بالتوفيق للجميع وجزاكم الله خيرًا

آخر تحديث إلى حد اللحظة

بالتوفيق

ظهرت نتايج اكتوبر ٢٠٢٥
برقم الأحقية تقدر تشوف الدرجة

لمعرفة الدرجات ( النتيجة + الاداء ) :
- https://scfhs.org.sa/ar/ExaminationResult

لمعرفة الدرجة بالنسبة المئوية % :
- https://scfhs.org.sa/ar/E-Services/weighted_score


ربما تتأخر عند البعض وراح تنزل لك خلال الساعات الجايه لاتقلق.

و تقدر تفتح ممارس+ ممكن تنزل فيه قبل الرابط.

🛑بداية النقل لفترة شهر 10 تبدا من هنا🛑


(نقل اسئلة المختبرين لفتره شهر 10)
سنه26

👇🏻👇🏻👇🏻👇🏻👇🏻👇🏻👇🏻👇🏻👇🏻👇🏻👇🏻

الاختبار ٩٨٪؜ تجميعات واغلبها اكتوبر وجا من سبتمبر واوقست وقيم بوي
الصور والاثكس مره قليل جاني
هذي الاسئلة اللي متذكرتها الحين وان شاءالله بجمع اللي جاني هاليومين

First Antenatal visit everything normal her mother had history of preeclampsia how to prevent?
Minimize activity to avoid physical stress
Calcium supplements
Other options were complete nonsense


No periods history of d&c 3 months ago, fsh and LH normal, tvus normal, what is next?
Hystroscope for adhesions
Brain mri
Pelvic and abdominal ct
Trail of combined oral contraceptive


Pregnant 34w came due to mild abdominal pain, ctg fetal heart rate 140, good variability, acceleration no deceleration, cervix is open 1cm no effacement, management?
Reassurance
Induction of labor
Augmentation of labor
Cesarean section

Case of cola urine after urti, what support provisional diagnosis?
High ANA
Positive O-something
Low C3
Forgot the forth option

Male with flushing and diarrhea 20 minutes after meals, history of roux bypass, symptoms relieved (after or within can’t remember) 1 hour, what is the cause?
Rapid influx to the small intestine

Pedia with asthma what support the diagnosis?
Polyphonic wheeze with exertion
Normal chest x ray between episodes


6 years old child, presents by parents with pallor and organomegaly , BM aspiration was taken.

Which of the following Leukemia is most likely for this patient :
A- Acute myeloid
B- Chronic myeloid
C- Acute Lymphocytic
D- Acute non lymphocytic


Bleeding per recum DRE no mass
The most appropriate next

Proctoscopy
Colonoscopy



في سؤالين بعد ما اظن شفتهم

A woman came to the clinic for antenatal/pre conception follow up (I can’t exactly remember but I think it was antenatal), she has generalised tonic and clonic seizures (it was written exactly that way), POORLY controlled. What is the next step in management?
A. Review medications
B. Do an EEG

A patient was admitted to the ICU due to acute ischemic stroke 2 days ago. The patient is a known hypertensive and diabetic patient (DM type 2). The labs were normal except for a high random blood glucose of 12. What do you do for this patient?
A. Nothing
B. Insulin IV

السلام عليكم

جمعت ١٠٠ سؤال من اختباري اليوم،
اي تعديل في GB& MG حاولت اضيفه او اي تعديلات بالريكولات
الي محدد بالاصفر اول مرة يمر علي


باقي الاسئلة راح ارسلها دفعه ثانيه ان شاءالله

بالتوفيق

اختباري اليوم كان 10/20
الحمدلله الاختبار كان تجميعات اكتوبر وقيمبوي اكثر شي وكم سؤال جديد مذاكرتي كانت مدتها اربع شهور ركزو على سايلنت قبل يوم الاختبار مهمم
كتبت اللي جاني بعد الاختبار
🔴 A Patient Presents With Back Pain And Hypesthesia Localized To The Left Latera Left Lateral Foot Which Of The Following Nerve Root Levels Is Most Likely Affected?
• L5-S1.

🔴 126-55-year-old woman with interstitial lung disease presented with exertional dyspnea and bilateral lower limb edema. Physical examination revealed an elevated JVP with a prominent v-wave, pulsating hepatomegaly, a left parasternal heave, and loud pulmonary component of the second heart sound is the most expected additional finding on heart auscultation?
P2). Which of the following
• Mitral regurgitation
• Aortic regurgitation
• Tricuspid regurgitation
• Pulmonary regurgitation
Answer: C (GB)


2y 3day glassess of cow milk>> SCD

Child unsteady + grasp ans 12 months
انتبهو لل development تنحت عندها وتلخبطت بالأشهر 🥺💔💔

بنوه على شي ملف الصور جاني كم صوره بدون صوره يعني كيسات بس ف ركزووو ع الاسئله بحيث لو جتكم بدون صور تعرفون تحلون
جتني بدون صوره اللي
Pic1 :Cause recurrent DVT الجواب anti-phospholipid syndrome
Pic2 : A 5-year-old boy presents with fever, sore throat, and a sandpaper-like rash.
What is the most likely diagnosis?
A. Scarlet fever
B.Measles
C. Rubella
D. Kawasaki disease
Answer: A. Scarlet fever
بدون صوره جت

5-year-old boy seen in the clinic with skin rash. There is history of mild abdominal pain but the child
looks healthy otherwise (see image). Which of the following is the most likely diagnosis?
A. Measles
B. Chickenpox
C. Meningococcemia
D. Henoch-schnlein purpura
Ans d

4-month-old boy presents to the clinic with rash over the neck for 3 days. The rash is not itchy (see image).
Which of the following is the most likely diagnosis?
A. Cellulitis
B. Candidal intertrigo
C. Erythema Multiform
D. Seborrheic dermatitis
Answer: B. Candidal intertrigo
🔴اللي بصور هذي rota واي شهر
Gluten free diet

Diabetic mother has mild
6 day boy of Diabetic mother has mild
tachypnea (written like this)
What is the diagnosis
A- RDS
B- TTN
C- congenital pulmonary hypertension
Answer: B

a developed sudden onset of cough and shortness of breath, the child had a history of eating
cereal, the family denied any history of lever or choke, xray was given.Pedia developed sudden onset of cough and shortness of breath, the child had a history of eating
cereal, the family denied any history of lever or choke, xray was given.
Which of the following is the most likely the cause ?
A. Pneumonia
B. Foreign body
C. Anaphylactic reaction
D. Asthma

Answer: B. Foreign body
مو متذكره الكيس بكتبهم ك نوت
-Pt presnt fever +red eye+red lip answer Kawasaki disease.
-hernia goes back : indirect inguinal hernia
-baby has delayed umbilical cord separation and bleeding. PT, PTT, and platelet count/function are normal. Which factor is deficient?
Answer: Factor XIII deficiency
-newborn with meuconum aspiration syndrome hyoxia and severe. respiratory distress =.
intubation. and mechanical ventilation

-Absent of cremastric reflex = indicate. testicular torsion
-low c peptide 0.9 : T1DM
-5 nephrotic syndrome high risk : peritonitis
-جاني اسئله متشابههه عن المدكيشن vanco ,clinda ركزو عليهم عن المدكيشن بالتحديد

-non pregnant women with nipple bloody discharge - interductal papilloma

-women at 40 week came for JOl. what i give for cervicle. ripening. is prostaglandin E2


Mild cough, nasal blockage .
No fever, no erythema, the patient play with friends and everything is normal..
What is the most thing do :
A- reassure
B-serub for cough
C- oral amoxicillin .

بتذكر الباقي وارسله خلال اليوم

الحمد لله الاختبار اليوم ٢١/١٠ مليان تجميعات بالذات قسم الاوبي و البيدياتريك هذي الأسئلة اللي افتكرها

A 69-year-old man complains of shortness of breath and weight loss for the last 6 months. He has a 40-pack-year smoking history and no TB or HIV risk factors (see reports). Chest X-ray: A large left-sided pleural effusion. Thoracentesis: 1,500 mL of bloody fluid that is strongly exudative by Light's criteria. Which of the following is the most appropriate next step? A. Empirical broad-spectrum antibiotics
B. CT chest with contrast C. pleural biopsy (They removed ‘blind’ but everything is exactly the same even the question )



Acute limb ischemia case rest pain for 4 hours, proximal pulse felt but absent distal pulse, Next most appropriate step:

A-Heparin
B-Morphine
C- Ct angio
D- vessel ultrasonography



Question about prevention of post partum hemorrhage be careful there was a more correct answer:

-Active management from third stage of labor
-Blood cross matching, ensure team readiness and active management from third stage…..



Question about a female in a routine visit ask for sterilization, the doctor explained the procedure. Before signing her consent she stated that she understood the procedure but she is still not sure about its later implications


Before proceeding, which of the following should be done:


A- re-explain the procedure
B- Document the consent and proceed
C- schedule the procedure and offer counseling
D- refer her for psychiatric evaluation




Case about obstructive shock classic of massive pulmonary embolism sudden SOB pink sputum with no fever hypotensive, etc…

Question ask which of these is found with this type of shock

A- Reduced Central venous pressure
B- Reduced pulmonary capillary wedge pressure
C- Increased systemic vascular resistance

October 22
السلام عليكم
هذي اسئلة جمعتها افتكر اكثر لكن كلها كانت تجميعات سبتمبر اغسطس جولاي وقيمبوي وميدقارد
الحمدلله الاختبار سهل موفقين

13 year old came with polyarthritis (I forgot the stem but he has positive ASO and Hx of sore throat, no mention of any cardiac symptom or signs)
For prevention he will take penicillin for how long?

A) till age 23
B) till age of 21
C) for 5 years
D) for 3 years

————————————

Old 70 something male Patient CKD
With history of DM and HTN diagnosed with DVT started on heparin his labs was

(sure about the numbers )
K 6
Creatinine 120 (normal up to 115)
Urea slightly high also
PTT 50 (up to 40)
PT 14 (up to 10)
What to stop?

A) lisinopril
B) insulin
C) Furosemide
D) heparin


—————————————-

Young something 30-40 male Pt came concerning regarding melanoma as his father was diagnosed with melanoma 4 months ago

On examination he has multiple benign nevi

What to do?

A) Reassurance
B) Take biopsy (something like you do the biopsy)
C) Refer to dermatologist