السلام عليكم أنا اختبرت تاريخ 14 may برومترك الخبر
ما أتذكر كل شي بالتفصيل بعضهم بس أجوبة وبعضهم أسئلة بس بحاول أكتب اللي تذكرته ، لاتنسوني من الدعاء 🙏🏻


‏6- chemotherapy company wanted to invite a specialist to do a lecture in a prostatic cancer conference in return they will give him 2000 sr, what should the specialist do?

‏A-refuse the invitation
‏B- accept but disclose the financial benefit
‏C- accept and donate the money for medical chairty
‏D- aceept and


- pic of -sigmoid volvuls but for 71 old man , sever complain

- case of dementia

case of female she is depressed and use alcohol and she feel sometimes that she need marij**uana , she came to ER having slurred speech what next ? a- urine drug test b -liver test .

typical cases of : cardiac tamponade , septic shock, maroon color stool

glasgow coma score : 9



A- 46 XX testicular different of sex syndrome
— B- congenital adrenal hyperplasia

Baby with kernicterus and has neurological sequelae. what you will expect on
his ?physical examination
A- Spasticity —
B- Ataxic —
C- Hypotonia —
-4 Dyskinetic



child did tonsillectomy came to ER after bleeding 5 days , what is the case of bleeding ?
a-infection
b- coagulation issue

newborn evaluated for having perioral cyanosis , stopped breathing for 15s for multiple times per hour , what is the type of apnea ??

- central apnea



-core needle biopsy
-unprovoked deceleration
-case about placental insufficiency


what to do to reduce chance of adhesions for elective CS?



An 8-week-old infant presents to the clinic with wheezing. coughing, poor feeding
and poor weight gain for the previous 2 weeks. Before this, she had been well. Her
routine neonatal examination had been normal apart from pansystolic murmur at
lower left sternal edge. On examination, the liver was enlarged below costal
margin.
Blood pressure 110/50 mmg
Heart rate 95 / min
Respiratory rate 32 / min
Temperature 36.6 °C
Oxygen saturation 92 %
Which of the following is the most likely diagnosis?
A. Cystic fibrosis
B. Bronchial asthma
C. Atrial septal defect
D. Ventricular septal defect



📊 1day old neonate with ambigous genitalia 17 hydroxyprogesterone very high with hyponatremia hyperkalemia diagnosis.

— 21 hydoxylase deficiency
— 17 hydroxylase deficiency

السلام عليكم
اليوم امتحاني تاريخ ١٥/ ٥
الاسئلة كانت صعبة و غير متكررة
والاسئلة الي تكررت كانت صياغتها مختلفة

ذاركت الملفات الاساسية و التجميعات و اسئلة ال٣ شهور الي فاتت بالاضافة إلى GB

جاني سؤال عن وحدة في cancer و smoker ف يحتاج لك تدخلها في برنامج صحي و عارضين عليك ٤ خيارات ماتذكرهم بصراحة🥲
Health something ..

و في سؤال ثاني
36 YO Pregnant women G1P1 gestational age 39wks with placenta previa

What increase risk factor of placenta previa

- pelvic pain
- multi gestation
- HTN
- DM

الاجوبة بالضبط كانت نفس الي كتبتها وهي ماعندها لاسكر ولا ضغط وبس عندها طفل واحد وحامل الآن ..


جاتني هذي الصورة يبغون التريتمنت
جاوبت ferrous sulphate

اذا ذكرت شي برسل لكم
دعواتكم لي بالتوفيق هذي محاولتي الثانية 🙏

أنا اختبرت اليوم
تاريخ ١٧
الاختبار كان جدا سهل
كان ob and pedia

تطلع نتيجة الاختبار بثلاث طرق:

1. ممارس بلس>اختباراتي> النتيجة

2. ⁠ رابط النتائج

ID : رقم الأحقية (Eligibility number)

الدرجات النتيجة + الاداء https://scfhs.org.sa/ar/ExaminationResult

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

3. يرسلون ايميل او رسالة نصية على الجوال
ممكن تجيك وممكن لا


ملاحظة/
تطلع النتيجة بعد انتهاء فتره الشهر
تاخذ تقريبا اسبوع ممكن تكون اقل او اكثر

السلام عليكم ورحمة الله
الحمدلله اختباري كان امس ١٥/٦
الامتحان بنسبة ٤٠ او ٥٠ % من التجميعات والباقي نفس التجميعات بس بنتايج تحاليل مختلفة او اعراض متغيرة فا نصيحتي لو عايز تضمن درجة حلوة في الاختيار وعندك فترة كافية ذاكر الامراض المتشابه
ITP and TTP
Alcohol heptitis , viral hepatitis ,
Juvinail arthritis
IDA , thalasemia , G6PD
وال investigation Result مهمة
لانو غالبا لو السؤال مو واضح اجابتو دايما في الresult
عموما الاسئلة بتجي بشرح كافي مو زي اللي بتشوفه في التجميعات فلا تخافون انكم ما تفهمون السؤال او تتلخبطو في فهم سؤال
عموما اختباري كان فيه liver disease كثيرة و rheumatology كثير برضو مع غياب الكارديو الا بشكل بسيط فالناس تحاول تمر على كل التوبيكس

السلام عليكم معكم مصطفى
انا أختبرت اليوم ١٦/٦
القسم الأول باطنية وجراحة أغلبه من التجميعات او نفس الأفكار بس كان يحتاج تفهم المرض وتقرأ الresults
عشان تجيب التشخيص لان كثير كيسات قصيرة ..
القسم الثاني الاطفال والob كان ٩٠٪؜ تجميعات لا تطلعوا منها وسهل كان بس لازم تكون حافظ كويس

اجاني صور الطفل متى تختفي الرولنج ٤ شهور وسؤال شهرين
والروبيلا واعراضها
Mumps
Rotavirus
Colon cancer with smoking
colon obstruction -xray
rovsing sign
X-ray 🩻 🥚
RDS
والتطعيمات الكاملة للطفل
سؤال الانفلونزا فاكسن لمين للحامل
ولا للطفل بالمدرس اهم او شي زي كذا
حامل عندها تاريخ ولادة في اسبوع ٤٢
وحملت الان كيف تقلل من خطر انه يتكرر معا نفس الشي
وسؤال الfetal death
كيف نفحص بعدها -placenta
سؤال اثيكس والمريضة عندها اكتئاب نحولها للسيكاتري بعدين نقيمها
ومريضة رفضت العلاج …
وسؤال عن التيتانوس
اسئلة الرسيرش حق الدوا
سؤال الbreast cancer ♋️ بعد ما تتعالج الام متى نعمل الفحص ٥ سنوات
وكان في خيارات ٣ شهور و٦ شهور
و٩ شهور
واسئلة الاثيكس نفسها
عموما قسم الOb كله ٩٠٪؜ تجمعات
والاطفال
القسم الاول ٦٠٪؜ تقريبا والباقي الافكار متكررة بس يحتاج تطلع على الرزلت عشان تعرف التشخيص
وجا صور اكس ري ممكن ١٠
مافي صور هيماتولوجي

🛑8 years old child with fever 38 sore throat for 3 days
O/E : erythema in throat , with no exudate , erythema and congestion in nostrils and no lymphadenopathy what is most appropriate step ?
1.Hydration and bed rest
2.Oral amoxicillin
3.Lateral neck x ray
4.CBC


🛑18 years irregular periods BMI 35 what is next ?
Start her on metformin
Start her on OCP
Advice life style modification and excersis
Reassure it is normal

🛑Baby of a diabetic mother with respiratory distress and desating o/E normal except for mild distress and macrosomia what is next :
Intubation and ventilation
NICU admission with observation and blood sugar monitoring
Cannot remember rest of choices but less likely no surfactant or oxygen

🛑18 years with chronic diarrhoea and intermittent abd pain no upper or lower GI bleeding investigation showing vitb12 and folate deficency what is the most likely diagnosis?
Crohn’s disease
Celiac disease
Whipple disease


🛑Pt complain of sever abdominal pain & vomiting, previous hx of laprotomy due to trauma 4 or 8 year ago on Ex show abdominal distension + tenderness
X ray :
Distended small bowel with multiple air fluid level
What is the most important next step ?
- laparotomy
- laparoscopy
- Nasogastric tube
- Abx

🛑Pt with Hx of recurrent pregnancy loss what is highest predictor for pregnancy complications?
Abdominal pain
Vaginal bleeding
Ankle oedema

🛑Paediatric pt with dysuria frequency and fever
O/E slight discomfort with no obvious distress and there is suprapubic tenderness and no costovertebral tenderness vitals stable except for T of 38 what is next?
1.Admit for IV Abx
2.Take urine culture and start oral Abx
3.Advice to drink plenty of fluid and something juice



🛑Baby came with clear picture of UTI and urine analysis showed
UTI. Mum said she had these symptoms multiple times. What to do? From mahdi
A-Renal US
B-Voiding cystourethrogram
C-Renal US and cystourethrogram
D-I think the last one was reassurance

🛑Pedia with dilated cardiomegaly and CHF with shortness of breath and excersis intolerance with xray pic l guess showing cardiomegaly and pulmonary oedema what is next?
Reassure as this is predicted for this condition
Give one dose fruesamide stat
Inhaled salbutamol with steroid

🛑Child with sever persistent asthma took influenza vaccine and developed urticaria , erythema and syncope what is correct ?
Don’t give influenza vaccine second time
Give nasal spray vaccine
Give antihistamine and steroid with the vaccine next time

🛑Pediatric pt with bronchiloitis treated conservatively with hydration and suctiong then develop fever 38 and loss of appetiti and red pharynx
What will require further invx
1.persistent high fever
2.pharyngeal erythema
I forgot the rest
Rooting reflex disappear by 4 month

🛑83 years old medically free women with memory decline and difficulty in learning new informations what will be seen in neuroimaging?
Cortical atrophy
Multiple hyperintense lesion in basal ganglia
Dilated ventricles without atrophy
Perventricular multiple plagues
No temporal atrophy in choices

🛑CKD with High PTH low ca what give?
A- Calcitrol
B- VitD3
C- VitD4

🛑Benign forgetfulness
🛑Diverticulosis
🛑milestone 6 m sit without support


🛑Pt medically free with right thyroid nodule left thyroid gland normal what is next?
Thyroid scan
TSH
T3
FNA

🛑Pt previous 2 CS for emergency cs what should be available before anaesthesia?
1.blood test result
2.glucose monitor she is not diabetic
3.birth control discussion after this cs

🛑Pt with previous 6 cs now 7 tubal ligation consent ?
Both
From her and tell her to tell her husband

🛑Pregnant with megaloblastic anemia vitally stable with pale conjugative and mucus membrane what is the most appropriate?
1.Folate
2.Rehydration with iv fluid

🛑Pt with vomiting of blood O/E pt drowsy blood come out from mouth what is next?
1.Iv crystalloid
2.intubation



🛑year-old G4 P3003 is admitted in preterm labor at 36+5 weeks with polyhydramnios.
Fetal bradycardia is noted after spontaneous rupture of membranes. Which of the following

needs to be excluded by a prompt vaginal examination?
A. Cord prolapse
B. Breech presentation
C. Placental abruption
D. Shoulder/arm prolapse


🛑female worry about breast cancer what can find in examination accept she worry ??
A. Spontaneous bilatral green discharge
B. Spontaneous bilatral  milky discharge
C. Unilateral spontaneous clear discharge
D. Bilatral induce yellow discharge

🛑36 old male at ER C/O Right abdominal Pain, O/E: fever, anorexia, weight loss,
tenderness in RQ and Lower intercostal margines also patient is toxic
Temp. 37.9 (I think but it was elevated) wbc high, bilirubin high US: cystic lesion without
septates CT : homogenous (not sure) and "THICK WALL with
Peripheral enhancement
- What's most appropriate
A. Ceftriaxone
B. Metronidazole
C. Surgical drainage
D. Percutaneous drainage

Pt with RA on methotrexate develops chills and mouth ulcer VS normal except he is febrile what is the cause ?
Methotrexate induced neutropenia
concomitant SLE
Felty syndrome



Preterm newborn evaluated for having perioral cyanosis , stopped breathing for 15s for multiple times per hour , what is the type of apnea ??

- central apnea
-obstructive
-mixed




Child with ALL which of the following is best option for him:
Chemotherapy
Radiotherapy
Stem cell transplantation


case of female she is depressed and use alcohol and she feel sometimes that she need marij**uana , she came to ER having slurred speech what next ?
a- urine drug test
b -liver test .


I think this is new q
Pt on warfrin because of hx of idiopathic extenssive proximal DVT invx showed INR 2.5 [elevated ] what is next

Discontinue warfarin
Continue warfarin for life
Continue warfarin for 3 month
Discontinue warfarin and start thrombophilia workup




Pt post MI 2 days ago presented with chest pain hypotension murmur radiate to the right side of sternum what is the diagnosis ?
Free wall rupture
Ventricular septum rupture
Mitral regurgitation
No papillary muscle rupture




34 weeks Pregnant with minimal vaginal bleeding U/S placenta previa
CTG reactive what is next?
Expectant management
Emergency cs
Biophysical profile
Induction of labour



Case of laryngeomalacia
Istridor increase with supine and decrease when prone what is the diagnosis



كيس غريبه
2 years old child with symptoms of measles fever malaise maculopapular rash red eye and many children in daycare has same symptoms what is next?
Post exposure measles prophylaxis
Give measles vaccine
Give mmr dtap and something else
نسيت الخيار الاخير بس ماف supportive treatment or acyclovir

هذي الاسئله اللي جاتني نسخ ولصق من مايو

Pediatric patient presented with generalized seizure, hypoglycemia, ketones
?in the urine with characteristic odor. What is the dx
.A. Galactosemia
.B. Phenylketonuria
.C. Maple syrup urine disease
D-Fatty acid oxidation defect
Answer: C


Mother brought his 9 month child to well baby clinic ,he didn't receive any previous
vaccine, his mother believes fact that the vaccine will harm his child, after she read and
educated about the benefits of the vaccination then convinced, she told to the physician just
give my child the necessary vaccination.
Which of the following are the necessary vaccinations to his age 9th month:
A) DTaP,BCag
B) DTaP, BCG, IPV , OPV
C)DTaP, measles, BCG, Hep B, OPV
D) DTaP, measles, MCV 4, OPV
Answer: D

Mother brought his 9 month child to well baby clinic ,he didn't receive any previous
vaccine, his mother believes fact that the vaccine will harm his child, after she read and
educated about the benefits of the vaccination then convinced, she told to the physician just
give my child the necessary vaccination.
Which of the following are the necessary vaccinations to his age 9th month:
A) DTaP,BCag
B) DTaP, BCG, IPV , OPV
C)DTaP, measles, BCG, Hep B, OPV
D) DTaP, measles, MCV 4, OPV
Answer: D


10- 5 years old girl came with black circles below both eyes, complains of chronic rhinorrhea
and nasal itching darkening under the eyes pale mucosa.
What is the most likely diagnosis?
A. Allergic rhinitis
B. Foreign body
C. Ciliary dyskinesia
D. rhinitis medicamentosa
Answer: A

16- 67 years old male complaining of painless hematuria , whx is the diagnostic test?
A- Cystoscopy
B- CT abdomen
C- Iv pyelogram
D- Us
Answer: A


19- which area in Saudi arabia requires prophylaxis for Dengue fever?
A/North
B/East
C/South
D/West
Answer: D


Scd patients present with swelling and pain in hand
A.cellulite
B.dactylitis
Answer B

30- A man fell from the roof of a 2 story building.
He was confused, eyes opening to sound, localizes pain. What is the severity of his brain
injury?
A-mild
B-moderate
C-severe
D-minimal
Answer B

pregnant with epilepsy controlled by phenytoin delivered 5 days neonate has
blood streak in skin and bleeding from umbilicus what is the cause ?
A- Vit K
B- Sepsis

Answer A


Patient on Day 3 chemotherapy suddenly found arrested code blue done and shifted to the
icu what is cause of this sudden event ?
A- sepsis
B- Arrhythmia
C- Pulmonary embolism

Case of stoke RT side hemipegia and power 0/5 Left side facial palsy aphasia and he is
dominant RT handed and face Anathesia ?
A-Rt side MCA
B-Left MCA
C- Lateral medullary syndrome
Answer: C

Diabetic patient came complaining of nausea and vomitting, as well as feeling of
epigastric fullness. There was a delay in gastric emptying (glucose levels had a lag from what
the projected levels would be after taking his insulin). Best way to Diagnose?
A-Endoscopy
B-Nuclear scan
C-Urea’s breathe test
D-Colonoscopy
Answer: B


Patient with Thyroglossal cyst diagnosis not mentioned central swelling moves with tongue protrusion what is the treatment?
A-Surgical
B-Aspiration
Answer A

63- 36 male presented with hypertension (high blood pressure reading given) he have a
family history of hypertension and both his sisters have hypertension He have high creatinine
and protein in urine How will you manage?
A-ACEI
B-alpha blocker
C-beta blocker
Answer: A