11/5/25
A 43-Year-old, multiparous, complaining of inter-menstrual bleed, US showed 13 mm
echongenic structure projecting from the endometrium, most appropriate management?
A. Endometrial sample
B. Hysteroscopy with removal of structure✅
C. US after 6 months
D.Serial progestin in 3 months
Infant with diaphragmatic hernia, what first step to manage this patient after stabilization?
-ABx
-chest tube
-immediate surgical repair
- Large NGT✅
602- Typical case on nephrotic syndrome, ask about highly diagnostic test ( no renal biopsy )
A. Serum albumin✅
B. US
C. Urine total protein
D. Electrolytes
Suburethral diverticula may occur as a sequelae to infection of?
A. Bartholin’s gland
B. Skene’s gland✅
C. Clitoral gland
D. Vulvovaginal gland
A 57-Year-old female complaining of abnormal uterine bleeding she has an endometrial
polyp, on US endometrial lining was 19mm, what will you offer to this patient at this stage?
A. Open hysterectomy
B. Laparoscopic hysterectomy
C. Hysteroscopy polypectomy✅
infant exclusively breastfed then was given cow milk, now at 9 months after introducing some iron, containing food , there’s still a concern that the infant, isn’t recovering enough iron what would you do?
• A Add iron supplements ✅
• B Switch to formula
• C Stop cow's milk completely
• D-Add Vitamin
A boy with ambiguous genitalia, diagnosed with 21β-Hydroxysteroid dehydrogenase. What type of trait in this disease?
A) Multifactorial
X-linked dominant
C) Autosomal recessive ✅
D) Autosomal dominant
Pregnant at 24 week, everything is normal, she’s just complaining of protruding mass from
the vagina, diagnosed as posterior vaginal wall Prolapse, what to do?
A. Reassure✅
B. Emergency delivery
A 45-year-old lady, complaining of urinary leakage especially when running. What test to
do?
A. Q tip test
B. Bonney’s test
C. Cough stress test✅
D. Uroflowmetry
Pregnant in third trimester has vaginal prolapse grade 2. CTG normal, Vitals are normal,
what is the most appropriate management?
A. C-section
B. Reassurance✅
C. Induction of labor
35 year old male has repeated attacks of hematemesis. On examination, he has spider angioma and bilateral gynecomastia with splenomegaly. Labs showing high liver enzymes. What is the most appropriate next atep after initial resuscitation with IV fluid?
A. Abdominal X-Ray.
B. Upper GI endoscopy.
C. Nasogastric tube insertion.
D. Give antibiotics.
Guys upper GI bleeding is medical issue but anyway I will answer without reference
A 50-year-old female, medically and surgically free, she presented with complaints of urine
incontinence with coughing and sneezing, most appropriate management.
A. Pelvic floor exercise
B. Urethral sling✅
C. Colporrhaphy
D. Burch procedure
A 50-year-old female diagnosed with stress incontinence, what is the definitive
management?
A. Passery
B. Tension free Vaginal Tape✅
C. Kelly plicatiom
D. Burch procedure
A 30-year-old women P6, came with second degree pelvic organ prolapse cyctocele and
rectocele, what is most appropriate management?
A. Anterior and posterior colporraphy✅
B. Anterior colporraphy
C. Posterior colporraphy
D. Manchester repair
A 60-year-old this is her 2nd UTI in the last 6 months, feels a bulge in the vagina and has
difficulty emptying her bladder, what is the most appropriate next step?
A. Uroflowmetry
B. Urodynamic test
C. Video Urodynamic
D. Post voiding Residual volume✅
A patient P5 with urine leak when she coughs or sneeze, she denies any urgency frequency
or dysuria. What you suspect to find during examination?
A. Paravaginal defect
B. Rectocele
C. Enterocele
D. Hypermobile urethra✅
Female, para 6, complaining of heaviness and discomfort on her pelvic region, upon
examination it showed mass coming from introitus, what is the diagnosis?
A. Rectocle
B. Cystocele
C. Uterine prolapse✅??
D. Enterocoele
A female patient presented complaining of a sudden urge to void, frequent voidings during
the day and getting up to void more than once per night. She was diagnosed as urge
urinary incontinence.
A 43-Year-old, multiparous, complaining of inter-menstrual bleed, US showed 13 mm
echongenic structure projecting from the endometrium, most appropriate management?
A. Endometrial sample
B. Hysteroscopy with removal of structure✅
C. US after 6 months
D.Serial progestin in 3 months
Infant with diaphragmatic hernia, what first step to manage this patient after stabilization?
-ABx
-chest tube
-immediate surgical repair
- Large NGT✅
602- Typical case on nephrotic syndrome, ask about highly diagnostic test ( no renal biopsy )
A. Serum albumin✅
B. US
C. Urine total protein
D. Electrolytes
Suburethral diverticula may occur as a sequelae to infection of?
A. Bartholin’s gland
B. Skene’s gland✅
C. Clitoral gland
D. Vulvovaginal gland
A 57-Year-old female complaining of abnormal uterine bleeding she has an endometrial
polyp, on US endometrial lining was 19mm, what will you offer to this patient at this stage?
A. Open hysterectomy
B. Laparoscopic hysterectomy
C. Hysteroscopy polypectomy✅
infant exclusively breastfed then was given cow milk, now at 9 months after introducing some iron, containing food , there’s still a concern that the infant, isn’t recovering enough iron what would you do?
• A Add iron supplements ✅
• B Switch to formula
• C Stop cow's milk completely
• D-Add Vitamin
A boy with ambiguous genitalia, diagnosed with 21β-Hydroxysteroid dehydrogenase. What type of trait in this disease?
A) Multifactorial
X-linked dominant
C) Autosomal recessive ✅
D) Autosomal dominant
Pregnant at 24 week, everything is normal, she’s just complaining of protruding mass from
the vagina, diagnosed as posterior vaginal wall Prolapse, what to do?
A. Reassure✅
B. Emergency delivery
A 45-year-old lady, complaining of urinary leakage especially when running. What test to
do?
A. Q tip test
B. Bonney’s test
C. Cough stress test✅
D. Uroflowmetry
Pregnant in third trimester has vaginal prolapse grade 2. CTG normal, Vitals are normal,
what is the most appropriate management?
A. C-section
B. Reassurance✅
C. Induction of labor
35 year old male has repeated attacks of hematemesis. On examination, he has spider angioma and bilateral gynecomastia with splenomegaly. Labs showing high liver enzymes. What is the most appropriate next atep after initial resuscitation with IV fluid?
A. Abdominal X-Ray.
B. Upper GI endoscopy.
C. Nasogastric tube insertion.
D. Give antibiotics.
Guys upper GI bleeding is medical issue but anyway I will answer without reference
A 50-year-old female, medically and surgically free, she presented with complaints of urine
incontinence with coughing and sneezing, most appropriate management.
A. Pelvic floor exercise
B. Urethral sling✅
C. Colporrhaphy
D. Burch procedure
A 50-year-old female diagnosed with stress incontinence, what is the definitive
management?
A. Passery
B. Tension free Vaginal Tape✅
C. Kelly plicatiom
D. Burch procedure
A 30-year-old women P6, came with second degree pelvic organ prolapse cyctocele and
rectocele, what is most appropriate management?
A. Anterior and posterior colporraphy✅
B. Anterior colporraphy
C. Posterior colporraphy
D. Manchester repair
A 60-year-old this is her 2nd UTI in the last 6 months, feels a bulge in the vagina and has
difficulty emptying her bladder, what is the most appropriate next step?
A. Uroflowmetry
B. Urodynamic test
C. Video Urodynamic
D. Post voiding Residual volume✅
A patient P5 with urine leak when she coughs or sneeze, she denies any urgency frequency
or dysuria. What you suspect to find during examination?
A. Paravaginal defect
B. Rectocele
C. Enterocele
D. Hypermobile urethra✅
Female, para 6, complaining of heaviness and discomfort on her pelvic region, upon
examination it showed mass coming from introitus, what is the diagnosis?
A. Rectocle
B. Cystocele
C. Uterine prolapse✅??
D. Enterocoele
A female patient presented complaining of a sudden urge to void, frequent voidings during
the day and getting up to void more than once per night. She was diagnosed as urge
urinary incontinence.
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Which of the following the most appropriate management?
A. Kegel exercises
B. Vaginal cones
C. Oxybutynin
D. Oxybutynin and Kegel exercises✅
A 54-year-old female presented to gynecology clinic complaining of dysuria and urinary
incontinence, she stated that the leak is not related to specific activities and occasionally
associated with cough.
Upon investigation urinalysis and cultures were insignificant, However, urodynamic study
showed: contracting bladder even with small amount of dripping
Which of the following is the most appropriate management?
A. Kegel exercise
B. Anterior Colporrhaphy
C. Anticholinergic agent✅
D. Bladder Suspension
5 weeks child came with non bilious vomting., found to have metabolic alkalosis , hypokalemia. Best initial fluid
A-ORS
B-Ringer lactate
C-Normal saline ✅
D-D5 water
A 56-year-old, multiparous patient on oral estrogen, complains of urine incontinence when
coughing, sneezing or laughing for 1 year. On examination, there was mild vaginal atrophy
and constrictor muscle laxity. Urinary incontinence is demonstrated in the lithotomy
position with Valsalva maneuver .Urinalysis: normal
Which of the following would be the recommended management?
A. Beta blocker
B. Kegel exercises✅
C. Periurethral bulking
D. Post-coital antibiotics
A 69-year-old female asymptomatic. On examination, there's grade 3 posterior vaginal wall
prolapse. She denies any symptoms. Which of the following is the most appropriate
managgement?
A. Posterior colporrhaphy
B. Conservative management and observation✅
C. Surgical repair
70-Year-old woman, sexually active, previous history of hysterectomy before, now
presenting complaining of prolapse and enlarged vaginal opening, what is the appropriate
procedure?
A. Sacrospinous fixation✅
B. Ant and post colpoperineorrhaphy
C. Manchester repair
A 70-year-old lady had a hesterectomty 15 years ago now she has a very large vaginal vault
prolapse reach the prenium, what is the most appropriate treatment?
A. Vaginal pessary✅
B. Colpoclesis
C. Anterior posterior repair
D. Vaginal surgery
Simi: A 70 years old female with prosthetic heart valve on warfarin, has grade 3 pelvic organ
prolapse. How to manage?
A. Pessary✅
B. Sacrocolpopexy
C. Le Fort Technique
D. Hystrectomy
A 50-year-old female, presented complaining of a sensation of pelvic pressure but no stress
incontinence. Her work involves lifting heavy objects. On examination you find mucosa
bulging through the vagina. What’s the most appropriate management:
A. Kegel exercises
B. Pessary✅
C. Bladder neck fixation
D. Colporrhaphy
Malaria treatment?
Child can count to 5, dresses up by himself and hop on one leg, what’s the expected age?
–3 years
–4 years✅
–5 years
–6 years
Dress without help > 4 years
Hops on one foot > 4 years
Counts to 4 or 5 > 4 years
Counts to 10 or more > 5 years
Woman did pelvic procedure, and then came complaining of urine from vagina during
urination(micturition). What is the diagnosis?
A. Vesicovaginal fistula
B. Ureterovaginal fistula
C. Uretherovaginal fisula✅???
D. Rectovaginal fistula
Woman had 7 kids, now she is complaining of a vaginal mass protruding more with
coughing, what is the next step?
A. Vaginal speculum exam✅
B. Retrograde Cystourethrogram
multiparous woman presents with pelvic fullness and the feeling of something coming out
of her vagina. How do you establish a diagnosis?
A. Speculum exam✅
B. Ultrasound
C. Biopsy
D. Computed tomography
Patient para 4 Complaining of urinary frequency with no leak, work as loading heavy
boxes to her shop, on exam there's a large bulge on the anterior vaginal wall, what is the
management?
A. Kegel exercise
B. Vaginal pessaries✅
C. Anterior colporrhaphy
Old lady medically free with difficulty defecation and constipation, during defecation she
introduce her finger in the vagina to intiate movement, What is the most appropriate
management?
A. Posterior colporrhaphy✅
B. Anterior colporrhaphy
C. Enterocele resection
D. Hystrectomy
A 50-Year-Old female with vaginal wall prolapse grade 3, on medical treatment for 6
A. Kegel exercises
B. Vaginal cones
C. Oxybutynin
D. Oxybutynin and Kegel exercises✅
A 54-year-old female presented to gynecology clinic complaining of dysuria and urinary
incontinence, she stated that the leak is not related to specific activities and occasionally
associated with cough.
Upon investigation urinalysis and cultures were insignificant, However, urodynamic study
showed: contracting bladder even with small amount of dripping
Which of the following is the most appropriate management?
A. Kegel exercise
B. Anterior Colporrhaphy
C. Anticholinergic agent✅
D. Bladder Suspension
5 weeks child came with non bilious vomting., found to have metabolic alkalosis , hypokalemia. Best initial fluid
A-ORS
B-Ringer lactate
C-Normal saline ✅
D-D5 water
A 56-year-old, multiparous patient on oral estrogen, complains of urine incontinence when
coughing, sneezing or laughing for 1 year. On examination, there was mild vaginal atrophy
and constrictor muscle laxity. Urinary incontinence is demonstrated in the lithotomy
position with Valsalva maneuver .Urinalysis: normal
Which of the following would be the recommended management?
A. Beta blocker
B. Kegel exercises✅
C. Periurethral bulking
D. Post-coital antibiotics
A 69-year-old female asymptomatic. On examination, there's grade 3 posterior vaginal wall
prolapse. She denies any symptoms. Which of the following is the most appropriate
managgement?
A. Posterior colporrhaphy
B. Conservative management and observation✅
C. Surgical repair
70-Year-old woman, sexually active, previous history of hysterectomy before, now
presenting complaining of prolapse and enlarged vaginal opening, what is the appropriate
procedure?
A. Sacrospinous fixation✅
B. Ant and post colpoperineorrhaphy
C. Manchester repair
A 70-year-old lady had a hesterectomty 15 years ago now she has a very large vaginal vault
prolapse reach the prenium, what is the most appropriate treatment?
A. Vaginal pessary✅
B. Colpoclesis
C. Anterior posterior repair
D. Vaginal surgery
Simi: A 70 years old female with prosthetic heart valve on warfarin, has grade 3 pelvic organ
prolapse. How to manage?
A. Pessary✅
B. Sacrocolpopexy
C. Le Fort Technique
D. Hystrectomy
A 50-year-old female, presented complaining of a sensation of pelvic pressure but no stress
incontinence. Her work involves lifting heavy objects. On examination you find mucosa
bulging through the vagina. What’s the most appropriate management:
A. Kegel exercises
B. Pessary✅
C. Bladder neck fixation
D. Colporrhaphy
Malaria treatment?
Child can count to 5, dresses up by himself and hop on one leg, what’s the expected age?
–3 years
–4 years✅
–5 years
–6 years
Dress without help > 4 years
Hops on one foot > 4 years
Counts to 4 or 5 > 4 years
Counts to 10 or more > 5 years
Woman did pelvic procedure, and then came complaining of urine from vagina during
urination(micturition). What is the diagnosis?
A. Vesicovaginal fistula
B. Ureterovaginal fistula
C. Uretherovaginal fisula✅???
D. Rectovaginal fistula
Woman had 7 kids, now she is complaining of a vaginal mass protruding more with
coughing, what is the next step?
A. Vaginal speculum exam✅
B. Retrograde Cystourethrogram
multiparous woman presents with pelvic fullness and the feeling of something coming out
of her vagina. How do you establish a diagnosis?
A. Speculum exam✅
B. Ultrasound
C. Biopsy
D. Computed tomography
Patient para 4 Complaining of urinary frequency with no leak, work as loading heavy
boxes to her shop, on exam there's a large bulge on the anterior vaginal wall, what is the
management?
A. Kegel exercise
B. Vaginal pessaries✅
C. Anterior colporrhaphy
Old lady medically free with difficulty defecation and constipation, during defecation she
introduce her finger in the vagina to intiate movement, What is the most appropriate
management?
A. Posterior colporrhaphy✅
B. Anterior colporrhaphy
C. Enterocele resection
D. Hystrectomy
A 50-Year-Old female with vaginal wall prolapse grade 3, on medical treatment for 6
❤5
months with no improvement, what to do?
A. Conservative
B. Surgical repair✅
C. Follow-up with 3 months
12 years old found to have klebsiella with in 100,000
colony from mid stream urine, no sign or symptoms
A. no need for treatment✅
B. treat as acute UTI
C. give ABx as prophylaxis
D. repeats culture
Asymptomatic bacteriuria.
2 scenarios about Croup
1- ask about diagnosis
2- ask about treatment
A. Conservative
B. Surgical repair✅
C. Follow-up with 3 months
12 years old found to have klebsiella with in 100,000
colony from mid stream urine, no sign or symptoms
A. no need for treatment✅
B. treat as acute UTI
C. give ABx as prophylaxis
D. repeats culture
Asymptomatic bacteriuria.
2 scenarios about Croup
1- ask about diagnosis
2- ask about treatment
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انا اختبرت اليوم 11
الاختبار صعب إلا حد ما ..اسئلة الميدسين جديدة و عبارة عن CNS ..التكرار قليل ف paper 1..
Paper 2 كانت افضل بكثير..
جزء كبير منها من التجميعات ملف وفاء اوبس..
كل بيبر فيها 107 سؤال
اسئلة الايثكس ما مرت علي ف التجميعات قبل كدة ..جاني سؤال عن SDG goal to reduce under 5 mortality rate شي زي كذاا ..اعتقد الجواب immunization
الاختبار صعب إلا حد ما ..اسئلة الميدسين جديدة و عبارة عن CNS ..التكرار قليل ف paper 1..
Paper 2 كانت افضل بكثير..
جزء كبير منها من التجميعات ملف وفاء اوبس..
كل بيبر فيها 107 سؤال
اسئلة الايثكس ما مرت علي ف التجميعات قبل كدة ..جاني سؤال عن SDG goal to reduce under 5 mortality rate شي زي كذاا ..اعتقد الجواب immunization
👍1
انا اختبرت اليوم 11/5 هذه اول مرة امتحن و حابة احكي تجربتي .
1/في امتحاني first section :
* كان عبارة عن اغلبية ميديسن اغلب الاسئلة كانت جديدة و لا حصل مرت علي ، اسئلة التجميعات كان تعد على الاصابع . و الاسئلة كانت تحتاج تركيز و طويلة نوعا ما فاخدت مني وقت في الإجابة مع العلم انه الوقت المتاح للأسئلة هو هو ما اتغير .
* كان في كثير اسئلة hematology و بالذات ال leukemia جاني منها 5 اسئلة بالضبط واحد منها كان case of leukostasis presented with renal failure ممكن ارسله لك .
* كمان اسئلة ال GIT كانت كثيرة بالذات bowel inflammatory diseases .
* ال surgery جاني منه في نفس ال section كان لا باس به و كان في urology و nephrology كثير بس ما صعب . اعتمدت في مذاكرتي على تجميع د. حمزة و التسريبات اليومية و الحمدلله جزء كبير مشابه لها .
* اسئلة ال ethics و psychiatry كلها من التجميعات و كان في سؤالين optha ممكن ارسلهم
2/ اما second section :
* الحمدلله كان اسهل بكثير (كان زي الماء البارد بعد العطش من اللي اصابني في القسم الاول ) ، كان كله pediatrics و obe/gyne و ما طلع من التجميعات .
* اسئلة pedia كانت اكثر و كان ال hematology فيها كثير 9 اسئلة بس كلها موجودة في التجمعات . اعتدمت في الدراسة على تجمعات د.صفدر و تجميعات April &march
* ال obe/gyne تجميعات د. وفاء تكفي .
** عموما الحمدلله اني اختبرت بس الامتحان يحتاج تركيز و ضبط للزمن بسبب الاسئلة الطويلة في القسم الاول في اسئلة ما لحقت اشوفها .
1/في امتحاني first section :
* كان عبارة عن اغلبية ميديسن اغلب الاسئلة كانت جديدة و لا حصل مرت علي ، اسئلة التجميعات كان تعد على الاصابع . و الاسئلة كانت تحتاج تركيز و طويلة نوعا ما فاخدت مني وقت في الإجابة مع العلم انه الوقت المتاح للأسئلة هو هو ما اتغير .
* كان في كثير اسئلة hematology و بالذات ال leukemia جاني منها 5 اسئلة بالضبط واحد منها كان case of leukostasis presented with renal failure ممكن ارسله لك .
* كمان اسئلة ال GIT كانت كثيرة بالذات bowel inflammatory diseases .
* ال surgery جاني منه في نفس ال section كان لا باس به و كان في urology و nephrology كثير بس ما صعب . اعتمدت في مذاكرتي على تجميع د. حمزة و التسريبات اليومية و الحمدلله جزء كبير مشابه لها .
* اسئلة ال ethics و psychiatry كلها من التجميعات و كان في سؤالين optha ممكن ارسلهم
2/ اما second section :
* الحمدلله كان اسهل بكثير (كان زي الماء البارد بعد العطش من اللي اصابني في القسم الاول ) ، كان كله pediatrics و obe/gyne و ما طلع من التجميعات .
* اسئلة pedia كانت اكثر و كان ال hematology فيها كثير 9 اسئلة بس كلها موجودة في التجمعات . اعتدمت في الدراسة على تجمعات د.صفدر و تجميعات April &march
* ال obe/gyne تجميعات د. وفاء تكفي .
** عموما الحمدلله اني اختبرت بس الامتحان يحتاج تركيز و ضبط للزمن بسبب الاسئلة الطويلة في القسم الاول في اسئلة ما لحقت اشوفها .
❤2