.

‫بسم اهلل الرحمن الرحيم‬

Recal
lMar
ch3/
4/2023

Gener
alMedi
cine

1.
Pthav
eRtl
owermot
orneur
onpal
sy,
Ltsi
dehemi
plegi
apower4/
5wher
eist
hel
esi
on?

A.
Cor
ti
cal
str
oke

B.
subcor
ti
cal
lesi
on

C.Posti
nter
nal
capsul
e

D.Br
ainst
em pons

2.
Ptcomeaf
terneckmanbul
ati
onbyt
radi
ti
onal
heal
er

compl
ainofneckpain,v
erti
go,t
etanusonexam t
herei
slossofsensat
ioni
nhi
sRtf
ace,
also
not
eweakpalate,
therei
slossofpain&tem i
nhisLtl
owerli
mbs

Whati
sthedi
agnosi
s?

A.Ltl
atmedaul
l
arysy
ndr
ome

B.Rtl
atmedaul
l
arysy
ndr
ome

C.Ltmedaul
l
arysy
nd

D.Rtmedaul
l
arysy
n

3.pthasMSC/
Odi pl
opi
aonexam t
heRteyeadduct
ednor
mal
l
y,Ltey
efai
l
uret
oadduct
ed&
shedevel
opny
stagmusontheRteye wher
eisthel
esi
on?

A.Rtl
at

B.Ltl
at

C.Rtmedi
all
ongut
idnal
fasi
cul
us

D.Ltmedi
all
ongi
tudi
nal
fasi
cul
us

50
4.
ner
veofbr
achi
oradi
ali
sref
lexby

A.C56mucocut
aneous

B.C56r
adi
al

C.C67r
adi
al

D.Ul
nar

5.Ptdevel
opWeakness&l ossofpai
n&t
emper
atur
edi
agnosi
sofSy
ringomy
eli
aconf
ermi
d
whishtr
actwasaf
fected?

A.Ant
.Spi
not
hal
mic

B.
lat
.Spi
not
hal
mic

C.Post
ercol
umn

D.Spi
not
hal
mict
ract

6.
Ptdev
elopr
eccuntepi
l
epsyshei
spr
egnantnotst
artAEDwhatt
ttt
haty
oushoul
dst
artf
orher
?

A.Car
bamezabi
n

B.Lamot
ri
gen

C.NAv
alpor
ate

C.Pheny
toi
n

51
7.18yrsoldgir
lhadproxi
malmyopathyst
artedbyinabil
l
ityt
ocombherhair
,nowprogr
essto
herti
poffinger
s&nowshei sunabletomaintai
nequil
ibr
ium byhert
oes(unabl
etowalk)no
sensoryaf
fecti
on,nomental
ret
ardati
onorcognati
vedisabil
i
tywhatist
hedi
agnosi
s?

A.Lamber
tEat
on

B.Li
mbgi
rdl
emuscl
esy
ndr
ome

C.Mot
herneur
ondi
sease

D.
Spi
nocer
ebel
l
arat
axi
a

8.Whi
shoft
hef
oll
owi
ngi
sX-
li
nkedr
ecessi
ve?

A.Wi
l
son'
sdi
sease

B.Fr
idr
esh'
sat
axi
a

C.Dushi
nemuscul
ardy
str
ophy

D.
Her
edi
tar
ySensor
imot
orNeur
opat
hies(
HSMN)

9.
Howt
odi
ff
erent
iat
ebet
weenHy
pokal
emi
cper
iodi
cpar
aly
sis&Gul
l
ianBar
re?

A.Par
aly
sismayt
akeday
s

B.
Sphi
nct
ercont
rol

C.Decr
easeorabsentr
efl
exes

D.

52
10.
ptwi
thpar
iet
ali
nfar
cti
onunabl
etor
eadwhati
sthecause?

1-Super
iorhomonomousquadr
ent
anopi
a

2-
Inf
eri
orhomonomousquadr
ent
anopi
a

3-
Negl
ect

4-
Agnosi
a

11.
Ptdevel
opfever&conv
ulsi
onafterful
ltt
tandrecov
eryf
rom mal
ari
adi
agnosi
sofmeni
ngi
ti
s
wascoi
nclodedLPwasdoneafterensurenoCIf
orit

Resul
tshow:
highWBC,
lowpr
otei
n,nor
mal
glucose

Whati
sthecause?

A.Bact
eri
al

B.Tuber
cul
osi
s

C.Vi
ral

D.
Fungal

12.Ptpr
esentc/opul
sti
l
eti
nti
nus,feel
off
ull
sensat
ioni
nhisearwithhoar
snessofv
oiceonEx
therewasfaci
alpal
syandpal
atal
weaknesswithwhati
sthediagnosi
s?

A.Gl
omusj
ugul
art
umor

B.Acoust
icnuer
oma

C.

D.

53
13.32year
soldfemaleco, v
omit
ing,nausea,
rhi
nor
rhoea,
headachel
ast
ingfor2-
3day
s,
occasi
onal
lyBi
lat
eralFor3mont
hs, mainl
yonRt.Si
desometi
mesbehindear&Tympanicar
ea,
BMIofthepati
entisgiv
en(~30)

bef
oreat
tackpat
ienthasnosy
mpt
oms

Exami
nat
ionwasnor
mal
whati
sdi
agnosi
s?

A.
Migr
ainewi
thoutaur
a

B.
Idi
opat
hici
ntr
acr
ani
alhy
per
tensi
on

C.Cor
ti
cal
venoust
hrombosi
s

D.
Tensi
onl
i
keheadache

14.
Graphaset
hesi
a:det
ect
edby
?

A.Maket
heptt
orecogni
zet
henumbery
oudr
awi
nhi
spal
m whi
l
ehei
sbl
i
nd

B.Det
ermi
net
hedi
rect
ionofi
ndexwhi
l
ebl
i
nded

C.Recogni
zet
hingsi
nhi
shandwhi
l
ehei
sbl
i
nded

D.

54
15.
Ptcomet ooutptc/ofatgi
uabil
i
ty&lethergyT4wasnormal,TSH,0020 Lowaccor
dingt
o
par
amet ergiven onexam t
hereis,f
ir
m ant.necksewl
l
ing(Goi
ter
),mi
l
dl i
dlagwhatthe
i
nvest
igationtoconfi
rm herdi
agnosis?

A.
Ant
iTPO

B.Fr
eeT3

C.Thy
rogl
obul
i
n

D.Ant
iTSHr
ecept
orant
ibody

16.Ptwit
hhypothyr
oidi
sm asymptomat
ic,shehasrecur
rentepi
gast
ricpainforwhi
chshetake
Omeprazolef
orlongti
meonherf lowupshehasneckswelli
ngbyinvest
igati
onnoabnormali
ty
othert
hanCalci
toi
nlevel1000nor
mal<16

HerUSshowmul
ti
nodul
argoi
trf
ir
sti
nvest
igat
iont
odo?

A.Thy
roi
dsci
ntogr
aphy

B.FNA

C.
Reapeatt
het
estaf
terst
oppi
ngOmepr
azol
e

D.
Pangast
ri
ntest

55
17.
Femal
diagnosedasAddi
son4yrsagoonHy dr
ocort
isone&Fl
udr
icor
ti
sone15mgAM &10
mg p.
m andcontrol
wit
hthi
sdose,
lastt
estACTHel
evat
edbefor
e2wks, havef
ati
guef
or3
ms

21hydr
oxy
laseant
ibodi
es+v
e,comi
nghy
pot
ensi
onl
ethar
gicf
ati
gue,howt
ofl
owhercor
ti
sol
dose?

A.24hur
incor
ti
soll
evel

B.Sal
i
val
evel
ofcor
ti
sol

C.ACTH

D.
cor
ti
sol
9:00Am

18.
Ptpr
esent
edC/
ofat
igueonexam pR80BP170/
95

Na145K2.
1whati
sinv
est
igat
iont
oconf
ir
mthedi
agnosi
s?

A.Reni
n:Al
dost
eronr
ati
o

B.ACTH

C.

D.

19.18yr
soldmalepresent
edwfev
erheadache f
ati
gue hi
smot hernot
ichhehav
erecur
rent
chesti
nfect
ionandl
ossofwei
ghtpR:
100BP90/ 50Cort
isol=?
?

TWBCs:
13,
5 HB:
10,
5

I
nvest
igat
iont
oreachdi
agnosi
s?

1-Adr
enal
CT

2-Tuber
cul
i
nski
ntest

3-

4-

56
20.
13y
ersold boyhermotherobser
vedski
n pi
gmentat
ion,l
erhgy,
fat
igue,got
o
der
mat
ologi
standobserv
erpigmentinmucosaalso,
aft
erassessment
s

Na120.K5.9hedeci
dedit
sduetoaddisonedi
seaset
hel
ocal
der
mat
ologi
str
efer
eehi
mfor
conf
ir
m, howt
oconfir
mthediagnosi
s

A.
21hy
droxy
laseant
ibodi
es

B.
.cor
ti
sol
9:00AM

C.

21.50yr
soldptKnown.DM for10y
rsf
oundt
ohav
eanabnor
mal
RFT,
howdoy
ouknowhe
devel
opDiabet
icnephr
opat
hy?

A.Pr
otei
nur
ia

B.Ret
inopat
hy

C.Neur
opat
hy

D.HbA1cpoorgl
ycemi
ccont
rol

22.Regar
dingOmega3usedf
ormanagementofGy
per
chol
est
ermi
cDM ptt
aki
ngSt
ati
nwhi
ch
ofthefol
l
owingi
scorr
ect
?

A.Decr
easeHDL

B.Decr
easeNonHDL

C.
Decr
easeDM car
diov
ascul
arr
isk

D.Decreasecer
ebr
ovascul
ardi
sease/
impr
ovegl
ycemi
cdi
abet
iccont
rol
(conf
li
ct)bet
ween2
choise

57
23.
Modeofact
ionofGl
ucagonl
i
kepept
ide-1:
(GLP-
1)?

A.Gl
ucosedependanti
nsul
i
nsecr
eti
on

B.Gl
ucosedependantGl
ucagonsecr
eti
on

C.

D.

24.
Pri
mar
yhy
per
par
athy
roi
dism t
hemostcommonpr
esent
ingf
eat
ure?

A.Bonepai
n

B.Pol
yur
ia

C.Renal
stones

D.
pept
icul
cer
ati
on

25.
45yrsol
dmal epr
esentedwsever
echestpai
nradi
atedtothebackBP220/120ECGshow
LVH,STEMIi
nleadsI
I,I
II
,AVF whatist
heappropr
iat
eplanofmanagement?

A.
CTPA

B.
Angi
ogr
am

C.Thr
ombol
ysi
s

D.I
V.Labet
alol
&ar
rangef
orCTchest

26.
Femal
epthav
eMi
tr
alst
enosi
swhati
sthei
ndi
cat
ionf
orsev
eri
tyofMS?

A.Pul
monar
tyHTN

B.Gal
l
opS4

C.I
ncr
easedur
ati
onofmi
dlat
edi
ast
oli
cmur
murwi
thpr
esy
stol
i
caccent
uat
ion

D.

58
27.
COPD&HTN ptdevel
opdy
snpeahowt
odi
ff
erent
iat
ehi
sdy
snpeaduot
oLtsy
stol
i
chear
t
fai
l
urenotduot
oCOPD ?

A.Sy
stol
i
cmur
muri
ntheapexr
adi
atedt
otheaxi
l
la

B.Gal
l
opS4

C.Pul
susAl
ter
nus

D.
par
adoxi
cal
spl
l
iti
ngofS2

28.
25yrsoldfemal
ehaschestpai
n&recur
rentexer
ti
onaldy
snpea(SOBwi t
hupstr
iats)
,she
dev
elopsyncopywhi
ledomarketi
ngwhati
sf i
ndi
ngonCXRwill
supportherdi
agnosis?

A.Unf
oldedaor
ta

B.Wi
deaor
ti
croot

C.Ri
pnot
chi
ng

D.I
ncr
easepul
monar
yvascul
ari
ty

59
29.45yr
smalenonsmokerpresent
edwi
thdy
snpeaandcoughonexam f
oundt
ohav
eli
p
pursi
ngwit
hscat
ter
edRhonchi

FEV1=,
7

FVC=1,
5

DLCO70%Per
dict
ed

PH=7,
36

PCo=45mmHg

Po2=56mmhg

Hco3=?

Whati
smechani
sm ofhi
sunder
lyi
ngpat
hol
ogy
?

A-
lossofel
ast
icr
ecoi
l

B-
incr
easeai
rwayr
esi
stant/
Rest
ri
cti
onofr
espi
rat
orymov
ement

C-
Respi
rat
orymuscl
efat
igue

D-
Bronchospasm

30.
Mal
epthasPMHofDVTpr
esentwi
thdy
snpeaPR100

RR34 BP90/
60 ECGshowRtsi
dehear
tst
rai
nwhati
sthepl
anofmanagement
?

A.St
rept
oki
naseThr
ombol
ysi
s

B.Lowmol
ecul
arwei
ghthepar
in

C.Al
tpl
ase

D.Unf
ract
ionat
edhepar
in

60
31.
PtworkatCerami
cfactor
ydevel
opcoughfor3y
rs,
notsmoker
,butal
cohol
i
cwhati
sthe
Radi
ologi
cal
findi
ngt
hatsuppor
tthedi
agnosi
s?

A.Lowerl
obeopaci
ty

B.Honeycombappear
ance

C.
Micr
onodul
ari
nfi
l
trat
ioni
nupper&mi
ddl
elobe

D.
upperl
obeopaci
ty

32.
Exposur
etoAsbest
osi
sforashor
tper
iod,
youwi
l
lobser
vewhat?

A.Pl
eur
alpl
aque

B.Pl
eur
alef
fusi
on

C.Lungcancer

D.Met
hil
oma

33.
Themostcommondi
sabi
l
ityamongptwi
thMDR-
TBi
s?

A.
Hear
ingpr
obl
em

B.Respi
rat
orypr
obl
em

C.Neur
ologi
cal
probem

D.
Ment
alst
atepr
obl
em

34.
25y r
soldnursewor
kinginchestwardduri
ngannualcheckupfoundt
ohav eaTuber
culi
n
ski
ntestof18mm ,ay earear
li
eritwasa5mm.shei sinagoodhealth&takesnomedicat
ions,
physi
calexam i
snor
mal,herCXRal soi
snormalhowt odealwit
hher?

A.Opt
ainani
nducedsput
um sampl
eforMBst
ain&cul
tur
e

B.Tr
eatwi
thi
soni
azi
dfor9mont
hs

C.Tr
eatherwi
thI
NH,
RIF,
Ethambut
ol,
Pyr
zinami
def
or6mont
hs

D.Reassur
eher&nof
urt
hert
hingst
obedone

61
35.25y
rsol
dmal
epresent
edwi
thloi
npai
n,hemat
uri
a,noct
uri
a&polyur
iai
nvest
igat
ionshow
Hb:6MCV:34TWBcs:14,
000uri
neshow:RBCs3+whatisthecause?

A.
Papi
l
lar
ynecr
osi
s

B.
Pyel
onephr
it
is

C.PNH

D.

36.Whi
chofthefoll
owi
ngmakesdi
agnosi
sofTubul
oint
erst
it
ial
nephr
it
ismor
eli
kel
ythan
Glomer
ulonephr
it
is:

A.Ur
inar
yredbl
oodcel
lcast
s

B.Ur
inar
ywhi
tebl
oodcel
lcast
s

C.El
evat
edser
um ur
icaci
d

D.

37.PthasRhabdomy
oly
siswhati
sear
lymet
abol
i
cdi
sor
derhewi
l
lhav
e?

A.Hy
per
kal
emi
cmet
abol
i
caci
dosi
s

B.Hy
pokal
emi
cmet
abol
i
caci
dosi
s

C.Hy
per
kal
emi
cmet
abol
i
cal
kal
osi
s

D.Hy
pokal
emi
cmet
abol
i
cal
kal
osi
s

38.Ptdi
agnosedwi
thCommuni
tyMRSA whatwoul
dyoususpect?

A.Ptdi
agnosedasMRSA48hr
saf
terhospi
tal
admi
ssi
on

B.Ptdi
agnosedi
nanoutpat
ient

C.Ptwi
thi
ndwel
l
ingcat
het
er

D.Consi
dercul
tur
enegat
iveatthe2nddayoftr
eat
ment/MRSA-v
e1y
earago(
conf
li
ct
bet
weenthose2choi
cesbutt he1stonemor
eprovenone)

62
39.Commenestor
gani
sm causi
ngdy
sur
iai
nmal
eis?

A.Chl
ami
dia

B.Tr
ichomonas

C.Gr
anul
omai
ngui
nal

D.Sy
phi
l
is

40.Whati
scauseofhi
ghur
inePH?

A.Hy
per
kal
emi
a

B.Hy
pov
olemi
a

C.Kl
ebsi
ell
a

D.Dehy
drat
ion

41.
Mal
epresentedwi
thheamatmesi
sonexam t
her
eisdi
l
atedv
einaroundt
heumbl
i
cusBP
90/
50af
terrecei
ve2l
iteroff
lui
dwhati
snextst
epi
nmanagement.
?

A.Ter
li
pressi
n

B.Oct
erot
ide

C.Vasopr
essi
n

D.Desmopr
essi
n

42.
Whi
chpar
toft
hecel
lmembr
aneofgr
am posi
ti
vebact
eri
ahasar
olei
nsepsi
s?

A.Endot
oxi
n

B.Gl
ycopr
otei
n

C.Pept
idogl
ycan

D.Tei
copl
ani
n

©Phosphol
i
pid

63
43.
Whi
shoneoft
hef
oll
owi
ngenzy
mesi
sinv
olv
edi
npr
ost
agl
andi
nsy
nthesi
s?

A.Cy
clooxy
genase

B.
Lipooxy
genase

C.

D.

44.Numberofpeopl
ewereexposedtoenvi
ronment
altoxi
nwi t
hsavit
ymeasures,notfor
tr
eatment,
andther
earefol
l
owedf orl
ongperi
odofti
met orecogni
setheef
fectsofthattoxi
n
whichtypeofst
udywill
beused?

A.Exper
imentt
ri
al

B.Pr
ospect
ivecohor
tst
udy

C.Ret
rospect
ivecohor
tst
udy

D.
Casecont
rol
study

45.Someofguest satweddi
ngdevel
opdiarr
hea&v omiti
ngafter2-3daysaft
erhav
ingthei
r
Dinner&t
heytr
aveledtot
hehospi
tal,
theresearchercomet oknowt hecause,t
heygavehim
numberli
stofguestsname&theli
stofthosewhom dev elopeddisease&thenamel i
stof
Buffal
omeatusedatthatdi
nnerwhatisthetypeoft hest
udyhewi l
luse?

A.Casecont
rol
study

B.Cr
osssect
ional
study

C.Cor
rel
ati
onal
study

D.Ret
rospect
ivecohor
tst
udy

64
46.Ptpresent
edwit
hhyponat
reami
a.,
lowpl
asmaosmol
ari
tywi
thhi
ghur
inesodi
um whati
s
drugthatmaybet
hecause?

A.Car
bamezabi
n

B.Nav
alpor
ate

1C.Bar
bit
urat
es

D.Lev
eti
racet
am

47.50yrsol
dmanpr esent
swithheadache&i
ncr
easedsweat
ingonexam hehasl
argehands&
thi
ckli
psint
hisptwhichofthefol
l
owingmaybeusedasascreeni
ngtest?

A.
Growt
hhor
monel
evel

B.
GlucoseTol
erancet
est

C.I
nsul
i
nst
resst
est

D.Pl
asmai
nsul
i
n-l
i
kegr
owt
hfact
orl
evel

48.25yrsol
dfemal
ehavepri
mar yamonrr
heawithmacroadenoma(
prolacti
noma)shei
s
i
mpr ov
ed&thetumorsi
zedecreasedwhatisot
heri
nvesti
gati
ontoorderforher
.?

A.Mammogr
aphy

B.Echocar
diogr
aphy

C.Col
onscopy

D.Cl
oposcopy

65
49.Howtodi
ff
erent
iat
ebet
weenhi
ghgast
ri
caci
dit
ycausedbygast
ri
cadenomaf
rom t
hat
causedbyPPIuse.?
go with gastrin if found
A.Secr
eti
n

B.PH

C.

D.

50.27yrsoldwit
hbluefi
ngersinthecol
dweather
,secondar
ycausesofRaynaud'swas
excl
uded,nai
lfol
dcapi
ll
aryl
oopexam wasnormal,wi
thprimaryper
caut
ions(
heatedgl
oves&
avoi
danceofcoldar
eas)ptdoesn'
timprove,whati
sthenextstep?

A.Shor
tcour
seCal
cium channel
blocker

B.ACEI

C.i
ntr
avenousi
l
opr
ost

D.Repeati
nvest
igat
ions

51.27y
ear
-ol
dfemalei
ntrav
enousdr
uguseri
sadmi
tt
edwi
thapur
pur
icr
ashaf
fect
ingherl
egs.
Bloodt
est
sreveal
thef
oll
owing:Hb11.
4g/
dl

Pl
atel
ets489*109/
l

WCC12.
3*109/
l

HCVPCRposi
ti
veHBsAgnegat
ive,
Rheumat
oidf
act
orposi
ti
ve,
C3/
C4r
educedWhati
sthe
mostl
i
kel
ydi
agnosi
s?

A.Pol
yar
ter
it
isnodosa

B.Henoch-
Schonl
einpur
pur
a

C.Wegener
'sgr
anul
omat
osi
s

D.Cr
yogl
obul
i
naemi
a

E.Sy
stemi
clupuser
ythemat
ous

66
52.HTNpt.OnAmilodi
pine,
Indapamide,Aspi
ri
n,At
orv
ast
ati
npr
esent
edwi
thMet
atar
sophal
geal
j
ointpai
nwhichoneofhisdrugsinducedthi
spain?

A.Ami
l
odi
pine

B.Aspi
ri
n

C.I
ndapami
de

D.St
ati
n

53.MaleptC/Oabdominal
pain,di
arr
hea,wtl
oss,
wit
hi nv
olunt
arymov
ementofhishand&
j
ointpai
nonexam ther
eisClubbi
ngoffi
nger
,mout
hulcer,
skinpi
gment
ati
on,
lymphadenopat
hy
whatisthedi
agnosi
s?

A.Whi
ppl
e'
sdi
sease

B.Car
cinoi
d

C.Pet
zJegersy
ndr
ome

D.

54.Adultmalepresentwit
hskinmanif
estati
on,
onexam waistcir
cumfer
ence101,
BMI27
El
ectr
olyteschanges,lowcor
ti
sol,TGhigh,
RBGnormalscreaningabdominal
CTshowfat
ty
l
iverotherinv
esti
gationyouwil
lconsi
der?

A.
Ant
ibodypr
ofi
l
e

B.
TNF

C.
Adi
ponect
in

D.

67
55.
Themostaccur
atesi
tef
ormeasur
eTemper
atur
eis?

A.Rect
um

B.Axi
l
la

C.Mout
h

D.Ty
mpeni
cmembr
ane

56.
Highestar
eapopul
ati
onofgutmi
crof
lor
a(mi
crobi
ota)i
s?

A.st
omach

B.duodenum

C.j
euj
unm

D.col
on

57.23yrsol
dmal epr
esent
edwithfev
erwit
hrigorwit
hRUQpainonexam t
hereissl
ight
ly
enlar
getenderl
iv
er,t
herei
smildRtsi
depleuralef
fusi
oni
nvest
igat
ionTWBcs:14,CRP:110,
stool-v
eot heri
nvesti
gat
iont
oreachthedi
agnosis?

A.Fi
broscan

B.I
mmunol
ogi
cal
assay

C.Abdom.US

D.CTabdomen

68
58.AJouni
redoct
orwaswor r
yaboutneedl
est
icki
njur
ywhi
l
ewasi
nject
ingt
heptwhati
smost
l
ikel
yvir
ustobetranssmi
ted?

A.
HbB

B.
HbC

C.
HIV

D.
HumanTcel
ll
ymphomav
irus

59.
Drugt
hatcausegr
anul
omat
ousl
i
verdi
sease?

A.pheny
toi
n

B.Ami
dar
one

C.Met
hyl
dopa

D.Acet
ami
nophen

60.
Femal
ePatientdi
agnosedwi
thRA,haspastmedi
cal
hist
oryofTB y
ouwantt
ost
artoneof
DAMARforherWhichDMARDshouldbeavoi
ded?

A.Met
hot
rexat
e

B.I
fl
uxi
mab

C.Sul
fasal
zi
ne

69
61.
Biol
ogi
cal
funct
ionofVasopr
essi
n?

A.
Incr
easewat
err
ebsor
pti
oni
nthepr
oxi
mal
tubul
e

B.

C.

D.

62.WomenhasRheumat oi
darthri
ti
scameforplanni
ngofDMARD, youconsider
contr
aindi
cat
ionofsul
phasal
azineift
hepthassensi
tiv
ytowhi
choneofthosedrugs.?

A.Aspi
ri
n

B.Tr
imet
hopr
ime

C.Lef
luonomi
de

D.i
nfl
uxi
mab

63.
ptdi
agnosedascommuni
tyacqui
redpneumoni
a(pnumococal
)sensi
ti
vet
openi
cil
l
inbest
managementforhi
m?
Clarithromycin
A.Cef
uraxi
me

B.Chl
ormepheni
col

C.

D.

64.65yrsoldmanwhoi sasy
mptomaticapar
tfr
om mi
lddeaf
nessonannual checkupwas
foundtohaverai
sedalkal
i
nephosphat
asewit
hnormal
serum cal
cium &phosphateyouneedt
o
consi
derthepossi
bil
i
tyof?

A.Seni
l
eost
eopor
osi
s

B.Ost
eomal
aci
a

C.Page'
sdi
sease

D.Hy
per
par
athy
roi
di

70
67.70yr
soldfemal
ecompl ai
noflowbackpai
n,withhy
per
cal
cemi
a&abnor
mal
renal
fuct
ion
test,whati
sthepossi
blecauseofherr
enalf
ail
ure?

A.Hy
per
cal
cemi
a

B.Amy
loi
dosi
s

C.Heav
ychai
naccumul
ati
on

D.Li
ghtchai
naccumul
ati
on

68.
ThemostcommoncauseofMy
ocar
dit
isi
ndev
elopedcount
ri
esi
s?

A.SARSCOVI
D

B.Coxsacki
eBv
irus

C.I
nfl
uenzav
irus

D.Cy
tomegal
ovi
rus

69.
Inf
luenz
aAv
irusant
igeni
cshi
ft
inghowi
toccur?

A.
RNAt
oRNAbyRNApol
ymer
ase

B.RNAt
oDNAbyDNApol
ymer
ase

Ther
ewasaDescr
ipt
ivewar
dint
hebegi
nni
ngoft
he2Obt
ionsbutwedon'
trememberi
t

70.Whi
choft
hef
oll
owi
ngi
sassoci
atedwi
thr
ightaxi
sdev
iat
iononECG?

A.Hy
per
kal
emi
a

B.Ost
ium pr
imum

C.I
nfer
iorMI

D.Cor
pul
monal
e

71
71.
Causeofbl
untYdescenti
nJVP?

A.Car
diat
amponade

B.Car
domy
opat
hy

C.Const
ri
cti
veper
icar
dit
is

D.Tr
icuspr
egur
git
ati
on

72.
Whi
choft
hef
oll
owi
ngi
sthemostcommoncauseofi
nvasi
vegast
roent
eri
ti
s?

A.Campy
lobact
erj
eji
ni

B.E.col
i

C.Sal
monel
l
a

D.
Shi
gel
l
a

73.23yrsoldmalestuf
ferfr
om recur
rentabdominal
coli
cs&bout sofdi
arr
hea,hi
sstool
analy
sisrev
eledovaofascari
sinhighconcentr
ati
on,thebestt
reatmentwi
thwi
ththehi
ghest
curerat
eisbygivi
nghim?

A.Mebendazol
e

B.Pr
azi
quant
il

C.Al
bendazol
e

D.I
ver
mect
in

72
74.
MDR-
Mal
ari
abestt
reat
ment
?

A.
Pri
maqui
ne

B.
Mef
loqui
ne

C.
Praguani
l

D.
Qui
nine

75.
Whi
choft
hef
oll
owi
ngi
sanI
ndi
cat
ionofQui
nine:

A.My
otoni
cdy
str
ophy

B.Rheumat
oidar
thr
it
is

C.Car
diacar
rhy
thmi
a

D.
Myt
heni
agr
avi
s

76.St
oolanal
ysisi
n.Afemalepati
ent,showedthepresenceofbot
hE.Hi
stol
yti
cat
rophozoi
te&
cystf
ormswhi shoft
hefol
lowingdrugsacti
veagai
nstbothforms?

A.Met
roni
dazol
e

B.Ti
nidazol
e

C.
Par
omomy
cin

D.Di
l
oxani
def
uroat
e

73
77.Femal
eptpresent
edwit
hfati
gue,
fever
,cough,j
oint
spainonexam ther
eisery
thematous
l
esiononherbot
hshin,CXRshowbil
athil
l
arlymphadenopathywhati
sprognosi
softhi
s
di
sease?

A.Spont
aneousr
esol
ve

B.

C.

78.
Youngmalepresentwi
thabdominaldi
scomf
ort&passageofwar
m knownt
obeTena
Sagi
nat
athebesttreat
mentforhi
mi s?

A.Al
bendazol
e

B.Pr
azi
quant
il

C.Mebendazol
e

79.
Europeant
ouri
stwanttov
isi
tSudan,andhewantt
otakepr
ophy
laxi
sagai
nst
Schi
stosomai
siswhi
chdrugyouwil
lgi
vehim?

A.Pr
azi
quant
il

B.Ar
temet
her Old protocol
C.Pr
imaqui
ne

D.
praguani
l

80.
45y r
soldmalepresent
edwit
hsi
xweekhist
oryoff
ever,
SOB,Sinusi
tis,
musclepai
n&a
weekleftwri
stonexam t
emp37CBP140/90O2sat90%nocardiacmur murswereaudi
ble
i
nvesti
gati
onshow: Hb:87g/
lWBC13,
5Neutrophi
l
s11,9Cr
eat
ini
ne: 2,
1CRP: 135(
Nlessthan
10),Uri
neshow: bl
ood++noWBCgranul
arcast++

CXR showed:
bil
atpul
monaryi
nfi
l
trat
einanal
veol
arpat
ter
n,whi
chnoni
nvasi
vet
esti
sthe
bestt
osuppor
ttheli
kel
ydi
agnosi
s?

A.ANCAt
it
re

B.Ant
iGBM t
it
re

C.Ner
veconduct
ionst
udy
.

D.Tr
anst
hor
aci
cecho

74
81.Youngmalepresent
edwi
thr
ecur
rentepi
staxi
s,oni
nvest
igat
ionhehasAVmal
for
mat
ion
whatisyourdi
agnosis?

A.Her
edi
tar
yhaemor
rhagi
ctel
angi
ect
asi
a

B.

C.

D.

82.
CauseofHy
per
tensi
onwi
thHy
per
kal
emi
a

A.Congeni
tal
adr
enal
hyper
plasi
a

B.Renal
tubul
araci
dosi
s

C.Li
ddl
e'
sSy
ndr
ome

D.Bar
tter
'sSy
ndr
ome

83.
Regar
dingChol
est
erol
embol
i
sthemostchar
act
eri
sti
cfeat
urei
s?

A.
Eosi
nophi
l
ia

B.
Diagnosedbyangi
ogr
aphy

75
84.
65yr
soldfemal
eisadmit
tedwit
ha30minut
eofcent
ralchestpai
nradi
atedtoherLtar
m,
AnECGshowedSt-
elev
ati
oninl
eadsaVL,
V5,V6whi
chcoronaryart
eryi
sli
kelyt
obeaf f
ect
ed?

A.Lef
tant
eri
ordescendi
ng

B.Lef
tmai
nst
em

C.Lef
tci
rcumf
lex

D.Rtcor
onar
yar
ter
y

85.
Themostcommonseri
ouscompl i
cat
ionoff
aciparum t
hatmoreli
kel
ytooccuri
n
noni
mmunepati
ent
swerediagnosed&delay
edtreatmentornott
reat
ed?

A.Sev
ereanemi
a

B.Cer
ebr
almal
ari
a

C.ARDS

D.AKI

86.
Ptdevelopedi
nfecti
veendocar
dit
ist
womont
hsaf
teri
nser
ti
onofpr
othat
icv
alv
ewhatwoul
d
bethecausati
veorgani
sm ?

A.St
rept
ococcusv
iri
dans ‫كالم الكتاب‬
B.St
aphy
lococcusaur
aus new guidelines
C.St
aphy
lococcusepi
der
mis

D.

76
87.Sexual
lyacti
veHIVwomenCD4=550, C/Oofcoughandfev
er,bronchoal
veol
arl
avaggr
am
stai
ning&cultureshows:neut
rophi
l
s(nobact
eri
a)wit
hepit
heli
alcel
lsCXRShowRt
Reticul
onodul
arshadwingwhati
smostli
kl
eycause?

A.St
rept
ococcusp

B.PCP

C.CMV

D.My
cobact
eri
um i
nter
cel
l
urea

88.I
Vdr
ugabuserpr
esentedwit
huppergiupsetupperGIendoscopyshowedul
cer
scov
eredby
whit
epl
aquesi
ntheesophagouswhati
sthesuitabl
etreat
ment?

A.Fl
uconazol
e

B.Aci
clov
ir

C.Omepr
azol

D.

89.28yrsoldpr egnantLadyat34weekI Vdr ugabuserfoundcollapsi

ngaft
erdevelopedper
vaginableeding, t
herewasmul ti
pleskinbrusini
g,shereceiv
eunitofblood&itescapef r
om t
he
cannulaopeni ng,shehaspr evioushistor
yofDVTf orwhichshereceiv
edLMWHt woy rsagofor
3mont hs, shehadnor mal bleedi
ngpr ofi
l
ei nher32week( fi
bri
nogenwas6) Nowshehas
abnormal bleedingprof
il
e(highPT, PTT

,
Lowf
ibr
inogennow:
4.5)wi
thanemi
a&t
hrombocy
topeni
awhati
sthedi
agnosi
s?

A.Hepar
inov
erdose

B.DI
C

77
C.
TTP

D.

90.Femaleptrecei
ved2unit
sofbloodpostoper
ative5daysago,nowshei spal
ewi t
hlowHb
shereceiv
eanotheruni
tofbl
oodbutduri
ngt r
ansfusionshedevel
opfeverwit
hchil
l
s.,dysnpea,
anti
globul
int
est(Coombstest)wasposi
ti
veshedev el
opeddel
ayhyper
sensit
ivi
tyreact
ion
whatisthecause?

A.I
gM agai
nstt
ransf
usedRBCs

B.Ty
peI
Ihy
per
sensi
ti
vi
tyr
eact
ion

C.Del
ayedr
eact
iont
ypeVIhy
per
sensi
ti
vi
tyr
eact
ion

D.
ABOi
ncompact
bil
i
ty

91.Mal
epttal
l
,thi
n,wit
hhi
ghar
chpal
atet
her
eisl
i
vedor
eti
cul
ari
swhi
choft
hef
oll
owi
ngi
s
associ
atedwi
thsyndr
ome?

A.Met
hioni
neaccuml
ati
on

B.

C.

D.

92.Accor
dingt
oSt
arl
i
ngLaw,
whent
heenddi
ast
oli
cvol
umei
ncr
eases,
myocar
dial
str
etch
occur

Thehear
tmai
ntai
nnor
mal
car
diacout
putby:

A.I
ncr
easescar
diaccont
ract
il
it
y

B.I
ncr
easecent
ral
vasodi
l
ati
ont
odi
stur
bedf
lui
dtoot
heror
gan

C.

D.

93.
Howt
odi
ff
erent
iat
ebet
weencompensat
ed&noncompensat
edshock?

A.Tachy
pnea

B.Tachy
car
dia

78
C.Hy
pot
ensi
on

D.

94.Youngmalehasfeverwithnecksti
ff
nesswithpet
ichealski
nrashadiagnosisof
meningococcalmeni
ngiti
swasmade&hei mprovedwithtt
tonf ur
therquest
ioni
ngheappl
ay
thathehasreccur
enthist
oryofmeningit
ishehasadefici
encyof?

A.C7 From c5 - c7
B.
C2-3

C.

D.

95.
Malepthasahi
storyofr
ecurr
entangiodemathati
nvolv
ehisface&li
ps,
hehasafamil
y
hi
stor
yofsamecondit
ionadefi
ciencyofwhichoft
hefoll
owingr
elatedt
ohi
spr
oblem ?

A.C1est
rase

B.

C.

D.

96.70yr
sol
dfemalepr
esentwi
thfat
igueshefoundt
obepale&t
hinBP90/50,
shehasPMHof
hystr
oct
omy15yrsagoduetopostpart
um hemmoraghey
ourdiagnosi
s?

A.Panhy
popi
tut
iur
ism

B.

C.

D.97.
Malepthasrash,t
irednessandlet
hargy,dar
kur
inecolorhehasPMHofDVT, ur
ine
di
psti
ckwasposit
iveforbloodbuturi
nalysi
sshow noredcelli
nvest
igat
ionshowed
pancyt
openi
aandreti
culocyte4%yourdiagnosisi
s:

A.Apl
ast
icanemi
a

B.SLE

79
C.par
oxy
smal
noct
urnal
hemat
uri
a

D.

98.I
nnor
mal
per
sonr
espi
rat
orycent
ermai
nlyst
imul
atedby:

A.Hi
ghPCo2

B.
lowPH

C.Hi
ghPH

D.Decr
easedO2i
nthet
issue

99.25yrsoldfemalepr
esentswi
thredcrust
edlesionsaroundt
hemouth&fi
ngerpulpst
hree
monthsafterhavi
ngsmallbowel
resect
ionforCrohn'sdi
seasewhati
sthemostl
ikel
ycauseof
herski
nconditi
on?

A.Ni
aci
ndef
ici
ency

B.Py
ridoxi
nedef
ici
ency

C.Thi
ami
nedef
ici
ency

D.Zi
ncdef
ici
ency

100.70y
rsol
dfemal
eAsy
mpt
omat
icherBP:
170/
70onr
out
inef
oll
owupont
wor
eadi
ngwhat
i
snextst
ep?

A.Ampul
ator
yBPmoni
tor
ing

B.Cal
cium channel
blocker

C.Basal
measur
ementt
wicedai
l
ywi
thi
nthenextt
woweek

D.

101.Ptdi
agnosedwi
thdi
ver
ti
cul
osi
snowhei
sasy
mpt
omat
icnextst
epi
nmanagement?

A.Hi
ghf
iberdi
et

B.

80
102.60yrsol
dmalecomplai
nofrecur
rentGar
diasi
s,het
akeMet
roni
dazolefor2months
withouti
mprovementst
il
lhehasdiar
rheaandposi
tiv
ecysti
nst
oolanal
ysisforgar
diasi
snext
stepis?

A.HI
Vscr
eani
ng

B.I
mmunol
ogi
cal
assay

C.

D.

103.Pthasmi
l
dtomoder
atedi
stal
Ulcer
ati
vecol
i
tishowt
otr
eathi
m?

A.Local
mest
hsal
zi
ne

B.Local
ster
iod

C.Or
alst
eroi
d

D.

104.Whi
choft
hef
oll
owi
ngi
sassoci
atedwi
thsodi
um channel
opat
hy?

A.Hy
pokal
emi
cper
iodi
cpar
aly
sis

B.Hy
per
kal
emi
cper
iodi
cpar
aly
sis

C.
Myot
oni
aCongeni
ta

D.
Epi
l
epsy

105.Femal
eptdiagnosedastuber
cloi
dlepr
osyandwasputont reatment
,fewdayslat
ershe
devel
opedpai
nfuler
ythemat
ousskinlesi
on,neur
it
is,
iri
ti
sthebesttr
eatmentf
orheri
s?

A.Hi
ghdosePr
edni
sol
on

B.Cl
ofezai
n

C.Thal
i
domi
de

D.

81
106.
Pneumoni
ainwhi
shsi
tenotappeari
nCXR?

A.Li
ngual

B.Rtl
owerl
obe

C.Ltl
owerl
obe

D.Medi
all
obe

107.
Themosti
mpor
tantf
act
ori
nthepat
hogensi
sofcer
ebr
almal
ari
ais?

A.Cer
ebr
aledema

B.Cy
toadher
ancei
nthemi
croci
rcul
ati
on

C.I
mmunocompl
exdeposi
ti
on

D.Cer
ebr
alhy
poxi
a

108.
MeanAr
ter
ial
pressur
eist
hemostaccur
atewayt
omeasur
eBPWHTi
snor
mal
rangeof
MAP?

A.70_
100

B.
30_
50

C.
20-
60

D.
80-
120

82
109.
Indi
cat
ionofsur
ger
yinI
nfect
iveendocar
dit
is?

A.
Progr
essi
vecongest
ivecar
diacf
ail
ure

B.

C.

D.

110.El
derl
yptsuspect
edt
ohaspancer
ati
ti
sthebestaccur
atei
nvest
igat
iont
oconf
ir
mthe
di
agnosisi
s?

A.Ser
um amy
lase

B.Ser
um l
i
pase

C.Ul
tr
asoundofabdomen

D.Amy
lase/
Creat
ini
ner
ati
o

111.65yrsoldmehasr ecentl
ybeendischargedfr
om hospi
tal
foll
owingInfer
iorSTMEI,hei
s
asymptomatic,
onexam pulseis82regularBP125/75&hischestisclear,
hisEchoshowedan
EF40% Hiscurrentmedicat
ionsi
ncludeaspiri
n,cl
opidogr
el,l
i
sinopr
il&at or
v ast
ati
nwhat
addi
ti
onaldrugtreat
mentisneededatthisstage?

A.Fur
osemi
de

B.Bi
sopr
olol

C.I
sosi
rbi
demononi
tr
ate

D.Spi
ronol
act
one

83
112.20yrsol
dmaleknownasthmat
iconSalbut
amoli
nhal
erhewasinapartywit
hhisfr
iend
suddenl
yhedevel
opedsever
eSOB,heisfoundhav
eStri
dorwhatisthebesti
nter
vent
ionfor
hi
m?

A.I
M adr
enal
i
ne

B.I
VHy
drocor
ti
sone

C.

D.

113.Ptdi
agnosedaspul
monar
yTBnowhedev
elopi
ngBr
ucel
l
osi
sthebestmanagementf
or
hi
mi s?

A.Doxy
cycl
i
ne+Cot
ri
mexazol
e

B.Ri
fambi
cin+Doxy
cycl
i
ne

C.

D.

114.Whi
choft
hef
oll
owi
ngi
sNotani
ndi
cat
ionoft
reat
mentofCLL?

A.Ear
lyst
ageoft
hedi
sease

B.

C.

D.

84
115.Ptwit
hSepsi
swit
hAKI,ABGshowed.:
PH:
7.02PCO2:
25,
PO2nor
mal
,HCO3:
8themost
appropr
iat
emanagement?

A.I
mmedi
atehemodi
aly
sis

B.
Isot
oni
cbi
car
bonat
e

C.I
Vfl
uid

D.I
CUadmi
ssi
on

116.PtKnownCOPDdevel
opedacut
eil
l
nesswhati
sOxy
gensat
urat
iont
hatsui
tabl
eforhi
m
unti
lABGbecomeavai
l
able?

A.88-
92%

B.
90-
92%

C.
94-
98%

117.Malepthaschr
oni
cproduct
ivecoughfor3monthsassoci
atedwit
hpostnasaldr
iphi
s
chesti
scl
ear,CXRwasnor
malot heri
nvest
igat
ionsal
sowerenor mal
whatiscause?

A.Chr
oni
cbr
onchi
ti
s

B.Ast
hma

C.GERD

D.Chr
oni
cUpperRespi
rat
orydi
seasesy
ndr
ome

85
118.Femalei
sonlongter
m Pr
edni
solonther
apyforpoly
myal
agi
aRheumat
icawhati
sthe
mostappropr
iat
eprotect
ionf
orheragai
nstOst
eoporosi
s?

A.Hor
moner
epl
acementt
her
apy

B.cal
cit
oni
n

C.Bi
sphosphonat
e

D.cal
cium andv
itami
nD

119.HTNmal
edevel
opst
rokehefoundt
obenor mal40minut
esago,
NIHSSscor
ewasgi
ven
i
n(number
sIthi
nk14)i
nt hi
sst
rokepat
ientwhatyouwi
ll
do?

A.Ti
ssuepl
asmi
nogenact
ivat
ori
mmedi
atel
y

B.Noncont
rastCTBr
ain

C.Gi
veHepar
inPr
iort
oimager
esul
ts

D.
Giv
ehi
m Chewabl
eAspi
ri
n,cl
opi
dogr
el,
ator
vapr
iort
oimager
esul
t

120.
Ptwit
hPrur
it
isHb:
19g/
dlassoci
atedwi
thmacr ocy
tosi
s-neut
rophi
li
ahispl
atel
et:
510
spl
enomegal
yhewasgi
ventt
tofvit
aminBdefi
ciency..
whatthedi
agnosi
s?

A.
Pol
ycy
athemi
aRubr
aVer
a

B.
secondar
ypol
ycy
athemi
a

C.
haemochr
omocy
tosi
s

D.

86
121.Ptdev
elopbl
oodydi
arr
hea,
thr
ombocy
topeni
a&anemi
ainv
est
igat
iony
ouwi
l
ldo?

A.
Stool
forE.col
i75

B.I
schemi
ccol
i
tisi
nvest
igat
ion(
notr
emember
ed)

C.

D.

122.
PtofHemochr
omat
osi
shi
sFer
ri
ti
nlev
elwas1050whati
str
eat
ment?

A.Vensect
ion

B.

C.

D.

87