6- a truck driver with painful mass between the glute tender worm swollen what and they ask what is the diagnosis


A. Rectoischial abscess
B. Pilonidal cyst
C. Hidradenitis Suppurative
D- Dermoid Cyst

45 years old period has not stopped for 15 days

A ultrasound
B.urin pregnancy
C.dialarion and curettage
D.cbc and Bhcg

Open cervix and mild bleeding US showed 7 weeks viable intrauterine pregnancy ( just like this came the mcq no mention of passage ) :

A.inevitable abortion
B.missed
C.incomplete
D.threatend

28 US showed lack of fetal heart activity : fetal demise

A 10-days old boy presents in the ER after circumcision with 5-hours of bleeding
from the operation site, what is the best step to do? Had high PTT
A. Applying pressure on the operation site
B. exploratory the tissue
C.
D. Reassure parents
Answer: A

نفس السيناربو بس غيرو العمر

50 years old female with amoniorrea came with vaginal bleeding BHCG 40000

Most helpful to diagnose

A.Ultasound
B.biopsy
C. CT pelvis and abdomen and back
D.MRI

44 years old came for continuous bleeding for 15 days

A.hystrectomy
B.mefenamic acid
D.dialarion and curettage

Rational for ayclovir : decrease viral shedding and current infection duration


Pregnancy What to expect to decrease: serum creatine


Hot flushes first line management: lifestyle changes


Cause of PPH labor 2 hours: precious labor


Asked about what medication caused muscle pain : statin


Patient 23 married what to scrren for : HPV


ALL management : chemotherapy

Pregnant has seizure on phynotonin: keep using the medication


40 years Postcoital bleeding: HPV


Right side weakness and right hand dominant : LMCA

Female glactorrhea with very high TSH: give thyroxin


ICU Hartman procedure low urin output 20 : re-exploration


Pediatric patient with bloody diarrhea : UC


CSF: Low glucose and high lymphocyte : TB meningitis

Patient with throat redness no exudate and nasal trubinate redness : bed rest and hydration


Patient wake up 2 hours weakness ( stoke(: TPA


Patient with throat exudate negative throat swap: infectious mononucleosis investigation


SBO x x-ray multiple dialated loops initial management : NGT


MS patient : bain MRI with galmoduim


Pregnant SOB negive doplar: V/Q scan


Hypervascular scrotum with no pain: orchitis


Right testes not felt in scrotum or inguinal area: diagnostic laparoscopy

Absent red light reflex: refer to ophthalmology

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


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


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


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


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


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


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


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


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


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


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


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


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 blockerb

اختبرت اليوم 15/10
ناسيه عمره boy underwent
adrenalectomy for a cortisol-secreting adenoma causing Cushing’s syndrome.

Which of the following postoperative management plans is most appropriate for this patient?

A- IV hydrocortisone and taper gradually
B- immediately stop corticosteroid

ما اذكر باقي الخيارات

17-year-old male C/O of anorexia, nausea, and abdominal pain (RLQ). febrile 38.4 rebound tenderness. During open appendectomy.
Appendix and cecum normal, terminal ileum edematous and inflamed. Which of the following is the most appropriate next step?
Close then colonoscopy
Close and Antibiotics
Perform appendectomy
lleocecal resection

Pt present 5 day after op with foul smelling greenish discharge from surgical wound
What's the responsible organism??
A. staphylococcus aureus
B. Streptococcus pyrogenes
C. Clostridium perferinges
D. Pseudomonas aeruginosa

Female pt with SLE was prescriped prednisolone 60 mg for 6 weeks but she continued for extra 6 weeks without taper,
Found dead in bathtub
What is the Cause?
A. Perforated dudenal ulcer
B. Hypertensive cerebral hemorrhage
C. Acute Cerebral vasculitis
D. intestinal ischemia with perforation

Pt came with symptoms of ( EOM weakness, vertical nystagmus, reactive meiosis , dysarthria, ataxia)
Where is the lesion?
A. Basilar
B. Anterior cerebral
C. Middle cerebral
D. Posterior cerebral

A couple came to the clinic due to peimary infertility, IVF went successfully but there was excess amount of cryopreserved sperm what to do about it?(not exact citation but same concept)
A-keep it for use for indefinite time
B-its prohibited ethically and religiosly
C-keep it for a specific time frame then ethically discard it
D-keep it in a governmental authorized fertility center

Preterm neonate ( i think 28 weeks) with respiratory distress, he was on CPAP 6cm for 2 months, when we try to put him on nasal cannula (off of CPAP) the neonate developed monophasic wheeze
What the cause??
A- subglottic stenosis
B- tracheomalacia secondary to intubation
C-Bronchopulomnary dysplasia

Hypertensive dyslpidimic Pt with present with 4h resolved slurred speech without other symptoms
what is the target of LDL ???
A. Less the 2
B. Less than 2.2
C. Less than 2.5
D. Less than 3

Child with 4 recurrent adenotonsillitis within one academic year, his parents worried bc it affects his school attendance
What to do??
A. Immediate tonsillectomy
B.prophylactic antibiotics in cold
C. Proper washing & respiratory etiquette
D. Avoid outdoor activities during cold season

Epilepstic mother on lamotrigine , she didn't have a seizure attack since 6 months, didn't have baby with NTD , but her cousin had baby with spina bifida
A. 5mg folic acid during pregnancy
B. 5 mg folic 3-6 months before pregnancy
C. Give aspirin
D. Folic acid of 400 micrograms with multivitamins

For the 11 years old boy with HTN ge actually was referred from the school because of this issue he also has acanthosis nigricans with family history of both DM and HTN
The question asking what is the most appropriate thing to do as part of the initial investigation?

choices
1. Renal ultrasound
2. ⁠ambulatory blood pressure monitor
3. ⁠plama renin level
4. ⁠and something i forgot but i think metanephrine level

Baby in weeks (i think 6) have persistent jaundice, triangular face and butterfly vertebrae what is the diagnosis?

The options is so random the only one has “syndrome” in it was “Alagille syndrome” and it is the correct answer

The question about febrile seizure consultation choices were

1. There is 2% chance to develop epilepsy
2. ⁠anti epileptic medication daily will reduce the risk
3. ⁠anti pyretic during fever will reduce the risk of future epilepsy
4. ⁠the child will have intellectual disability

2 questions about infantile colic

One of them the option does not make sense at all except “Simethicone” so i choose it

The other one has the “Simethicone” and “reassure” as well so I was not sure which one they want

But if i am not mistaken both of them were asking about “initial management”



Patient 2 years had watery diarrhea and vomiting fully vaccinated they specify that he also had his rota vaccine and asking about what is the most likely cause

1. Rota
2. ⁠Noro



Question about breif jerky movement of one limb it same as the one in the October files but the question not asking about the type of the seizure which is myoclonic they were asking about the management and they listed anti seizures medications in the choices

1. valproic acid
2. phenobarbital
3. ⁠lamotrigine
4. ⁠and something starts with E I forgot


There is question saying child diagnosed with “HSP” exactly just saying the abbreviation like this and he have new onset abdominal pain swelling around the ankles (i think bilaterally) and hematourea and protein in urine asking about what is the cause for his presentation

1. Early nephritis due to sle
2. ⁠JIA
3. ⁠it is expected with HSP and it is due systemic vasculitis
4. ⁠something else i cannot recall

I am not if this the question or not but i think it is there was a family history of sle


Question about Reed-Sternberg cells it was very short scenario and this is the key word in the question

1. AML
2. ⁠Hodgkin lymphoma

Child have 4 day history of dark urine and jaundice preceded by diarrhea some children in the school have the same thing

Her lab has elevated liver enzyme in hundreds

Asking about management

1. Rehydration and rest
2. ⁠acyclovir
3. ⁠entecavir

Question about patient with bloody nipple discharge

1. Fat necrosis
2. Intraductal papiloma

السلام عليكم

اليوم اختبرت ٢٠ اكتوبر

جاني سؤال :

Iron dose for pregnant women
A-1000
B-2000
C-3000
D-4000

جاني كذا بالضبط بدون وحدات

20 October exam
الاختبار اغلبه تجميعات اكتوبر ، الله يوفقنا جميع، كتبت اللي اتذكره عدلوا لي لو احد عنده ريكول افضل


1
A young woman in the childbearing age presents with chronic pelvic pain and heavy menstrual bleeding.
{There was a picture of a sagittal view CT scan showed a gray, well-defined circle in the uterus }

What is the best next step in management?
A. Myomectomy
B. Uterine artery ablation
C. Oral contraceptive pills (OCP)
D. —


2

A 6-year-old child had anuresis during the day and night and chronic constipation. On examination, you found a sacral dimple.
What will be the most appropriate next step in management?
A. Treat chronic constipation
B. Lumbar spine MRI
C. Spinal ultrasound
D. Urodynamic studies

⸻

3

A patient after total thyroidectomy presents with numbness around the mouth and peripheral limbs.
What is the cause?
A. Hypoparathyroidism
B. Injury to recurrent laryngeal nerve

⸻

4

A pregnant woman with a history of five previous C-sections is now pregnant again. She also has diabetes and hypertension for the past 10 years. During this pregnancy, the doctor advised her to undergo tubal ligation (“banding the tube”).
What is the most appropriate action?
A. Take consent from her alone
B. Take consent from both her and the father
C. Take consent from her and tell her to inform her husband
D. Perform it without consent

⸻

5

A 6-month-old infant presents with pneumonia, chronic diarrhea, and otitis. Labs show normal T cells but undetectable IgG, IgM, and IgA.
What is the most likely diagnosis?
A. Severe Combined Immunodeficiency (SCID)
B. X-linked (Bruton) Agammaglobulinemia

⸻

6

A 63-year-old woman presented with exertional dyspnea for 8 months. She was diagnosed with COPD 3 years ago and has had 4 exacerbations in the last year. She completed pulmonary rehabilitation and quit smoking 2 years ago. Medications include long-acting β2 agonist, inhaled glucocorticoid, roflumilast, and albuterol as needed. Examination revealed no jugular venous distention; decreased breath sounds, a loud pulmonary component of S1.
• Chest radiograph: Normal
• Echocardiogram: EF 60%, no valvular/wall motion abnormalities, mean pulmonary artery pressure 55 mmHg

Which of the following is the most appropriate treatment?
A. Daily prednisone
B. Long-term oxygen therapy
C. Overnight pulse oximetry
D. Repeat pulmonary rehabilitation

⸻

7

A 22-year-old woman with a history of multiple sexually transmitted diseases presented at the 37th gestational week for her first antenatal visit. The obstetrician is concerned about this maternal infection which may cause conjunctivitis and blindness in the newborn.
Which of the following is the most suitable for health promotion and illness prevention?
A. Reassurance
B. Azithromycin administration
C. Newborn screening after delivery
D. Referral to infectious disease clinic

⸻

8

A pregnant woman is admitted for labor. After continuous pushing, she is now exhausted. The baby is engaged at +2 station and shows minimal variability with late decelerations.
What is the most appropriate management?
A. Cesarean section
B. Operative vaginal delivery
C. Reassessing after 1 hour
D. Oxytocin

⸻

9

A patient presented 5 days after an operation with foul-smelling greenish discharge from the surgical wound.
What is the most likely responsible organism?
A. Staphylococcus aureus
B. Streptococcus pyogenes
C. Clostridium perfringens
D. Pseudomonas aeruginosa

⸻

10

A woman is currently under follow-up for a molar pregnancy. She wants contraception.
Which of the following is the most appropriate option?
A. Vaginal ring
B. Intrauterine device (IUD)
C. Oral contraceptive pills (OCP)

⸻

11

A child presents with symptoms of celiac disease and has positive anti-tTG IgA and positive anti-endomysial antibody (EMA).
Which of the following is considered the definitive diagnostic test?
A. No further testing needed
B. Duodenal biopsy
C. HLA typing
D. Repeat serology in 6 months

⸻

12

An elderly patient presents with epigastric pain.