A pregnant woman presents with massive uncontrollable vaginal bleeding that has led to coagulopathy. What is the most likely underlying cause?

A) Placenta previa
B) Placental abruption
C) Coagulation disorder
D) Uterine rupture

A 2-hour-old baby delivered by cesarean section has respiratory distress with no decrease in oxygen saturation. Chest X-ray shows fluid in the lung fissures. What is the most appropriate management?

A) Arterial blood gas
B) Blood culture
C) Intravenous antibiotics
D) 30% to 40% oxygen

A woman at 6 weeks of pregnancy presents with abdominal pain and bleeding. On examination the cervical os is open with mild bleeding. What is the next step?

A) Transvaginal ultrasound
B) Reassure and reassess in 10 days
C) Repeat beta-hCG
D) Admit for dilatation and curettage

A 25-year-old woman with multiple sclerosis is in remission on teriflunomide. She reports transient worsening of symptoms in hot weather or after a warm shower. She has no fever, new persistent neurological findings, or other symptoms. What is the most likely explanation?

A) Relapse of MS
B) Lhermitte sign
C) Uhthoff phenomenon
D) Acute disseminated encephalomyelitis (ADEM)

A patient is involved in a motor vehicle accident and presents with paradoxical movement of the chest wall. What is the most likely diagnosis?

A) Flail chest
B) Cardiac contusion
C) Pneumothorax
D) Hemothorax

A 55-year-old man develops a distal DVT after knee surgery while on IV heparin. Labs are normal except for a platelet count of 75 x 10^9/L. Renal function is normal. What is the most appropriate management?

A) Start apixaban
B) Transfuse 6 units of platelets
C) Start warfarin
D) Start enoxaparin

A 12-month-old boy cannot walk but can cruise around furniture. Examination and growth parameters are normal. What is the most appropriate management?

A) Reassure
B) Refer for developmental assessment
C) TSH
D) Check serum creatine kinase

A patient with a gunshot wound has a pneumothorax, and 15 minutes after tube thoracostomy insertion, there is blood in the underwater seal drain (2L). What is the most appropriate thing to do?

A) Thoracotomy
B) Tube thoracostomy
C) CT chest
D) X-ray

A patient has a penetrating wound on the leg. It is erythematous, warm, and painful. He is started on parenteral antibiotics. After 3 days, the pain and tenderness worsen. Why did the treatment fail?

A) Abscess formation
B) Medical noncompliance
C) Resistant organism
D) Poor wound hygiene

A patient presents with inability to write (agraphia) and difficulty distinguishing between left and right. What is the most likely site of hemorrhagic stroke?

A) Parietal lobe
B) Temporal lobe
C) Frontal lobe
D) Occipital lobe

A patient with a history of pancreatitis 5 weeks ago now presents with epigastric tenderness, vomiting, inability to tolerate food, and epigastric fullness. What is the most appropriate investigation?

A) Abdominal ultrasound (US)
B) Abdominal CT
C) Laparoscopy
D) MRI

A 35-year-old patient presents with a medial leg ulcer. The most likely diagnosis is?

A) Diabetes
B) Venous hypertension
C) Atherosclerosis
D) Buerger's disease

A neonate was found to have ambiguous genitalia with high 17-hydroxyprogesterone. What is the likely mode of inheritance?

A) Autosomal dominant
B) Autosomal recessive
C) X-linked dominant
D) X-linked recessive

A 25-year-old patient involved in a motor vehicle accident (MVA) presents with head trauma and is vitally unstable: BP 90/55 mmHg, HR 120 bpm. What is the most appropriate next step in management?

A) Primary survey (ABCDE)
B) Head CT scan
C) Head-to-toe examination
D) Resuscitate with IV fluids and oxygen

A doctor prescribed a high medication dose to a pediatric patient. The nurse noticed but did nothing, assuming the doctor intended that dose, and the patient was harmed. How can this issue be prevented in future?

A) Computerized prescribing with dose alerts
B) Rely on the nurse to question orders
C) Disciplinary action against the nurse
D) A verbal reminder to the doctor

قناة فيه ملفات part 1 لطب الاسرة مع كويزات 🏠👨🏻‍⚕️

https://t.me/fm_part1

انشروها للمقبولين الجدد في طب الاسرة الله يوفقهم ♥️

New amazing features added to the smlebrain App ⭐️
- sketch your own notes! 📝
- highlight keywords as you read the question! 🙋🏻‍♀️
- increase text font size or decrease it! 🔠

Update now!❤️‍🔥
📲 smlebrain.com

A 29-year-old married patient has a positive Pap smear showing ASCUS (Atypical Squamous Cells of Undetermined Significance). What is the next step?

A) Repeat Pap smear
B) Colposcopy
C) HPV test
D) Re-evaluate after 6 months