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3-lady come to you complaining that she enter the hom of her grandfather4old man 5 and she found that the things are not in its place andthere is decrease of his memory $ut his personality intact ' $rain andall immaging are normal hat you ill suspect "

1# /lehimer disease2.multi infarct dementia

6-7 pt younge female has osteoporosis gi!inng history of dietary ha$itlo in calcium and !it % Ho you ill manage her " gi!e her !it % and casupplement

8-7 'reatment of pt ith yelloish !aginal discharge and itchy $y sa$and cultur it is 'richomonas !aginalishich of the folloing is correct "

1# start treatment ith metronidaol2# start treatment ith clindamycin

*# no need to treat hus$and

4.!aginal sa$ culture after 2 eeks

-pt come complaining of ptosis diplopia dysphagia hat in!estigationyou ill do for him " anti$odies to acetyl cholin receptors

9-pt gi!e history of malaise fatige and gi!e history of decrease meat inher diet ,h$ as 9 and hypochromic microcytic anaemia hatyou ill

gi!e her "

1# 'rail of iron therapy2. iron and multi!itamin

10-7 pt come to you ith pain in posterior of neck and accipital area , noaffection of !esion , $y cer!ical ray there ere decrease of :ointspace " hat is your diagnosis " cr!ical spondylosis

11-child $rought $y mother due to $leeding per nose , $y eaminationyou found many $ruises in his $ody ,o!er his $ack ,a$domen and thigh ,hat is your diagnosis " a$use

12-pt come to you for check up he has %M his $lood sugar is ellcontroled ,$ut his ;. is 1*

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1# prpranolol2.;iofeed$ack

13-;oy12 years old come to you complaining of that he orries a$outhimself $ecause he see that his frinds has aillary hair andhe is not likethem , a$out seual maturity of $oys hat is first feature "

1# testicular enlargement2# penile elongation

*# hair in ailla

(# hair in the pupic area

16-come ith precordeal pain E= S' segment ele!ation pt gi!enaspirin and nitrate , $ut no relei!e of pain hat net step you ill do "gi!e morphin &

18-7 pt female gi!ing historry of menorrhagia since last * month ,her H;> ,+hat is the first action to do "

1# endometrial $iopsy2.hospitaliation for $lood transfusion

1-old lady 4305 gi!ing history of 4postmenopausal symptoms5 , hotflushes$est drug to reduce these symptom is "

1# estrogen only2# progestron only

*# com$ined pills 4estrogen and progesteron 5

19-.E=?/?' L/%@ =&?= HS'A@ AB ?E/SE% ;A%@ +E=H'/;AC' * D= BAM 'HE L/S' &S' /?% LA+E LM; E%EM/ 'A

A?BEM 'H/' SHE H/% .EEL/M.S/ " ME/SC?= ;.

20-pregnant lady 4g1p0541* eek5 she looks aneious ,$ut she is happya$out her pregnancy her $lood pressur is 1(2

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*# pneumothora

(# all of the a$o!e

22-pt come ith trauma of the chest, on inspection you found one

segment ithdron inside in inspiration and go out side duringepiration " hat you suspect " Blial chest

2*-Lactating mother has mastitis in outer upper segment in left $reast,hat is $est mangement "

1# stop $reast feading from that side and e!acuate milk $y sucktionpump

2.continue $reast feeding from that side ith anti$iotics and localheat application

2(-7 $est treatment of acut cystitis "1#ciprofloacin2# norfloacin*# Erythromycin

23-'he in!estigation of high sensiti!ity and specificity of urolithiasis "1# &.2# /@ a$domen*# CS(# M3# nuclear scanF

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*1-a$out " female patint came ith se!er !aginal $leedindhat is the approptiate initial managementGG

IJK N $lood transfusion

*2-child present 4picture of duschene muscular dystrophy

IJK N muscle $iopsy

**-drug that cause meta$olic acidosis 4anion ga$ >1aspirin

*(-the Ouestion as hich of the folloing does not co-relate ith thefinding of hyperkalemia

and the options ere1-.eaked ' a!e

2-$road 7S comple*-increased .- inter!al

(-Sign a!e pattern3-a$sent . a!e

*3-another Ouestion pt ith hypertension $y fundoscopy there iscupping of optic disc , hat ill you suspect "

1# hypertensi!e retinopathy2# open angle glaucoma

3. angle clousure glucoma

*6-+hat of the folloing ill not help you in diagnosis of multiplesclerosis

1# !isual e!oked potential2# ' scan

*# L.

4. M

*8-Most common cause of chronic hypertension "

1# %M2# Hypertension

3. interstitial renal disease

*-.t 1 months old $oy , ith history of current :elly stool diagnosis "intussusseption

*9-another Ouestion " female 1* years old , come complaining of mass inher left $reast in loer outer Ouadrant , it is soft tender a$out 2cm in

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sie , pt denies its aggre!ation and relea!ing $y special condition hermenarch is as age of 12 , hat is diagnosis " 1-Bi$roadenoma2- Bi$rocystic diseaseanother Ouestion " pt has serious disease ho ypu ill conduct this $adnes for him "

1# gi!e him clues that he has serious disease

2# 'o ask him ho much he kno a$out disease

*# till him immediatly that and go aay t

4.?ot to till him

(0-/nother Ouestion , .t ith dis phagia ,ptosis ,diplopia hatin!estigation you ill ask " anticholeinesterase anti$odies

(1-pt 62 years old female complaining of pruritis of pupic area , ith$loody discharge she use many treatment $ut no impro!ement , thenshe de!elope pea shape mass in her la$ia , she ent to you to sho youthis mass hat ill come to your mind as diagnosis " 1# ;artholin cyst

2# ;artholin gland carcinoma*# ;artholin gland a$cess

(2-years old male come to you complaining of discomfort in anal area ,constrictino of anal sphinctor , spots of fresh $right red $lood after

defication , $lood staining on toilet paper after using it you ill suspect "

hemorrhoids(*-i thnk also a$out anal fissure $ut in 7 no pain and also in the choicesno anal fissure also the spots of fresh $lood come at end of defication

hich is more ith hemmorrhoids $ut in anal fissure $lood ill apear asstreak on the stool

((-pregnant 42 eek 5 she sit ith child , this child de!elopchickenpo , she come to you asking for ad!ice , you found that she isseronegati!e for 4!aricella5 anti$ody , hat ill $e your management "

gi!e her4&P=5 !aricella oster immunoglo$ulingi!e her acyclo!ir

gi!e her !aricella !accinait until symptom apear in her

(3-pt *2 years old come to you orries a$out one of his moles , gi!inghistory that his father had moles , ecisional $iopsy done to him $utno he has metastasis in lungs , $ones and li!er , hat ill come toyour mind a$out malignant change of mole "irregular $orderpresence of thim in the thighomogenous colour

(6-- female pt diagnosed as polymialgia rheumatica , hat you ill findin clinical picture to support this diagnosis "

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osteophyte in :oint radiographtenderness of proimal muscleeakness of proimal muscle

(8- (0 years old male come to you complaining of sudden :oint selling ,no history of trauma , no history of chronic diseas hat is thein!estigation you ill ask "

;ESM of knee :ointrheumatoid factor(-pregnant ith hyperthyroidism hat you ill gi!e her "propylthiuouraciladioacti!e iodine

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