IFOM CSE Recalls 2020 V1 PDF

[Forwarded from IFOM CSE recalls 2020]
Images:
_ct scan of chest and x_ray for the same case( plueral effusion) asking about the pulmonary
function
_ecg mi>what's the next step
_ ecg precarditis >next step?
_imperforate hymen
_scabis > the mechamism of the disese
_actinic keratosis
_tophi> the dx?
_x_ray air under diaphragm > next step
_recurrent diss gonorrhea infectio> cause ?
_kwasaki
_adernal insuufeciency
_back pain normal strain > next step
_multile myloma > what's the cause if renal failure ?
_Normal pressure hydrocephalus
_ms
_inferior wall mi > the artery affected
_polymyalgia rhumatica
_unilateral heminopus heminopsia > the affected artery
_pt with recurrent loss of veision that resolve completely > what' dx ?
_ acute antiretiviral syndrome

_sexually active male with urithar discharge and negative gram stain > causative organism ?
_ septic abortion
_ pregnant woman with bleeding cervical mass > next step ?
_child with foreign body aspiration > meschanism of wheez and cough ?
_ pt with cml what's tx ?
_pt with neutropenia and persistant fever !> next step ?
_pt with cll what vaccin to give
_child with nephrotic symdrom> what bacteria likely to get infected with ?
_a child of chronic hepB mom given vaccin what to give next ?
_dvt >tx
_hypercalcemia in pt with chronic renal failuer> mechanism
_hypercalcemia> parathyroid adenoma
_medllury carcinoma > how to follow
_carple tunnl syndrome > anatomical site ?
_ about 3 to 4 qusetions conserninguscle tear and enedinits
_ about 3 to 4 biostatistics RR is the only one o knew � �
� �
_major depression
_GAD
_OCD>tx
_pospartum psychosis
_ a question about how to major maternal mortality
_alzhimer> how to diagnose
_young pt with high lipid prifile> what tes would asess risk of cornary artery disease
_angina pectoris
_menopausal woman with every thing normal > next step? > dexa scan
Published by dr-notes.com

_pt with right lower mass and +ve occult blood what to do > colonoscpy
_burn.pt with third degree in the chest thigh > what to do next ?
_bee stink> next step?
_low igg igA igM> what's definitive tx?
_ clinical scenario of renal calculi
Recalls from previous exam window
——————————————-
Scabies treatment
Cervix dilation arrest
Pathophysiology of psoriasis
A CTG with late decelerations asking the cause - uteroplacental insufficiency
- old lady with shingles and the question is whats the immunity that is down
- slipped capital thingie in peds
- a question to calculate sensitivity
- calculate Relative risk
- a lady with cirrhosis and ascites stopped taking her diuretics for a week and presented with
bilateral ankle edema, whats increase? (Urine sodium, oncotic pressure, total body sodium..)
-Ptyriasis rosea diagnosis
-somatic illness thing in psychiatry
-major depression in an old lady presenting with forgetfulness (a bit tricky)
-Alzheimer's diagnosis

-hemiballismus and there's a pic of a brain CT with diff areas marked A,B,C.... and they ask you
where the lesion is (you choose A or B or...)
-first step in management of HHS
-DKA case an question is which you'll moniter for treatment? Hydroxybutyric acid (anion gap
wasnt on the choices)
-diagnosis of Parkinson's
-a case of Alzheimer and question is what you'll find on brain biopsy? Its something synuclein lol
ik it when i see it.. pls google it
-child with recurrent Neisseria infections (terminal complement deficiency?)
-case of x linked agammaglobulinemia
-newborn with distended abdomen and didnt pass meconium after 48 hours, xray shows dilated
loops of bowel and meconium mixed with air and colon is empty, diagnosis? Cystic fibrosis
-guy asking how to prevent transmission of hep C from his fiancee who is hep C positive and they
use condoms for contraception
-travel to brazil, what to advice them (that drinking bottled water question)
-guy returns from 2 months trip to india and has fever, chills and rigors, whats next step? I went
for thick and thin blood film for malaria
-adolescent presents with severe right lower abdominal pain 1 week after appendectomy
-HELLP syndrome
-couple with infertility semen analysis normal, lady past medical history of ruptured appendix,
what will confirm the cause of the infertility? I went for hysterosalpingogram
Tow cases about fetal tachycardia in ctg what is the cause

————————————
1- 6 month, the mother is having well balanced diet what to give the baby /// iron supplement
2- Febrile convulsions = reassurance
3- Inferior wall MI which art = RCA
4- Azmatic pt with AF = CCB
5- Pt e MI what is the management ( pacing )
6- Vaginal discharge maladrous and vulva is inflamed what to give = Metronidazole
7- Pshyciatry = substances abuse in adults
8- Child e asthma and the father is smoker what to do ?
9- pt e HIV v +e presented with respiratory symptoms ( most likely pneumonia ) what to give ABx
?
10- SCD pt wit respiratory symptoms what is the most likely organism?
11- Pt with leukemia what give vaccination ?
12- Strwberry tongue what to give? Immunoglobulins
13-Derma Scabies mechanism
14-Derma BCC ??
15-Derma SCC ??
16- Major depressive disorder
17-Post partum depression or baby blues ( I’m not sure ) what do do call sychiatrist ?
18- PPH what’s the management ( manual exploration ) ?
19- Hx of pericarditis with QRS widening on ECG what’s the management???
Pericardiocentesis???
20- Maternal mortality definition
PFT questions
CT Brain and GI

Those are some of what I remembered and obvious Qs to some extent
Hana Abdulla:
Hey guys
This is my recall for today ,
it was really bad exam � �
� �
� �
- urge urine incontinence, they asked about the mechanism
-Managment of urine incontinence due to atrophic vaginitis or urethritis
- acromegaly
- alot of ear infection and sinusitis, asking about the antibiotics
-which vitamin should be given to baby his mother don't eat meat , eggs
- food which you can introduce to 6 month old baby
- man had resection of the terminal small intestine and part of right colon which vitamin will be
affected //// A D E K B12
- scabes
- melanoma
- pic of rash in the forhead affecting the eye
- actinic keratosis
- a lady had alot brown skin area , spot or lesion, came withe new one , 2 cm in size , darker color
, what to do ? ( sorry can't remember exactly )
Homonymous hemianopia where is the lesion or blood vessels affected
- travellar came from China 3 weeks ago , has diarrea and bloating

- carpal tunnel syndrome
- RA
- gout
- osteoarthritis
- hemophilia A ( bleeding , teeth extraction )
- regular blood donar , came to donate blood , found to have low platelet count , what to do next
- initial managment of CML : imetinib
- candida
-Chlamydia
-SCID
- man has 2 sexual partner , and has a cat in his house , came with rash in his trunk (not sure
exactly)
- 18yrs old female had unprotected sex 2 days ago for the first time , last period was before 3
weeks , what to do next ?
- 17 yrs female with amenorrhea , tanner 5 , what is the coz
- 16 yrs with PCOS , initial managment
- 22 week pregnant , has flank pain descending towards the pelvise no tendernes
- child has cough , during playing and runnig, also eating , want the coz
-panic attack
- treatment of OCPD
-major depression
- DVT
- PE
- delirium after surgery ( not sure , he had surger , then he had problem in memory , disorented ,
and anxious )
-alot of dementia , memory loss , asked about how to diagnosis , findings
- nephroblastoma

-pt with Parkinson's, asked about further finding , micrographia
Paraneoplastic syndrome of small cell lung cancer
- treatmet for pneumocystis carinii
- aspiration pneumonia I think , asked about what to do to prevent further (not sure )
his right lower lobe was affected .
- alot of question about COPD so read it in and out
- pt with bronchiectasis q was about the pft result
- child , burn what to do > Abc
- baby of HBV infected mother , he is well and , they give him HBV vaccine , what to do next, or
what to give him or nothing further
- PPH managment
-pregnant (3d trimester can't remember the weeks) has utrine mass (fibroid I think) what to do
next
- Premature ovarian failure
- tender swollen scrotum
- boy with testicular torsion (I think) , what to do next ?
-wilson diseases
-sjogren syndrom
- CTG asked about somthing in the fetal heart rate

——————————————
-infertility couple, semen analysis normal, spill of dye from tubuls during hysterosalphingiogram,
dx: tubular disease.
- pt with chorioamniotis , pph , remove clots from suction,long term complication: amenorhea,
infertility , abruptio placenta
- high sodium, HTN, Low potassium: next step: serum aldosterone
-cirrhotic pt with low sodium calcium n albumin 2g, why low calcium: low albumin
- scabies pic , ttt
- couple goin to egypt , not using any contraception, along with malaria prophylaxis u will adivce
couple wat: use adequate contraception, no more advice
- room mate found to have n.meningiditis, prophylaxis to u : ciprofloxcin
- 2 days after recieving ttt from pneumonia , pt have new fever, cxr show multilobar pneumonia,
next step: iv vancomycon ( i chose)
- pt sob have ph7.5, co2 24 and o2 46 next step: nppv , intubate
- pt with pain in 3 1/2 finger ( thumb index middle fingers) dx: nerve compression ( i got option
of neuronal compression)
- case of transient synovitis , hx of viral infection. Next step: reassurance
- pt with R sided weakness .artery affected: MCA or ACA
- pt with recurren viral and sinopulnomary infection, where is the problem: t cell only, b cell
only , combine b n tell cell
-Pic of pityriasis verisicolor ttt: griseofulvin
- psoriasis patho: epithelial hyper proliferation
- 2 alcoholic withdrawal pt , asking neurotransmitter: gaba ( see about glutamic acid also)
- case fatality rate
- attack rate
- acute flare of SLE ttt:

- girl switching on off light button, smells room n food, think parent and dog will die, to save
them she claps 3 times. Dx: autism , tourette, rett syndrome, gen.anxiety disorder, socail phobia
- 2 cases of multiple myeloma
- pt with back pain, imaging show radio leucency, high calcium. Next step : SPEP ( i think of MM)
-case of TTP
- pic of CML
- boy come to physician with rectal pain and abd pain start from neval then localize to RLQ pain.
Active with one male partner. On examination of rectum, pain in RLQ of abd. Dx: prostitis or
appendicitis
- 2 case of urine incontinence ( urge and stress ) ask patho and dx
- ECG PIC showing ST elevation of V1 V2 V3 ( no option of posterior coronary artery): LAD , RCA
What I remember from exam:
-sexual ulcer
- vaginal discharge
- Syphilas with pregnency
- Augmention of labar
- Peds nephrotic
- Peds with elbow pain
- Peds with knee pain
- Peds intosucception
- Pulmonary and criticsl cases alot of it
- Attack rate
- Cohart study significant
- Late menarche
- Prophylaxis for mengitis
- Parkinsonism tretment
- Epidural hematoma

- Subarachnoid hemorrhage
- Complex partisl seizure
- Corona case what to prevent
- Mi cardio ruptured wall after 2 day
- AF
- Suncope AS
- Case hyper calcemia
- Pic of scaris worm
- Pic of psoriasis ask treatment
- Pic of scabis
- Pic of vulva swelling ????
- Pic of herps smplex
- Congenital rubila
- Prophylaxis of malaria travellar
- Watery dirreah ????
- Treatment of gonorhea
- Treatment of chalmedia cervisitis
- Treatment of depression
- Sucidal trial what to do —— admit pt
- Hyperactive attention defecit child
- Women with primary biliary atresia
- Endometrial hyperplesia
- Breast abcess
- Intraductal polyp
- EcG????

- CT bronchoechtsiss
- Strept puneumonia
- Urine incontenes due to fistula
- Urine retentions—- obstrection
- ‫لنا‬ ‫ودعواتكم‬ ‫جميع‬ ‫يوفقكم‬ ‫وا‬ � �
-Hemibalismus rt arm movement .where is the lesion..
- Pregnant want to stop smoking what the next step nicotinic patch ;electronic cigerrate
-TTT of ttp
-blood smear cll vs cmL
-hodgkin lymphoma
-infecious mononucleosis -ve monospot test what to do next repeat the test after2 weeks
,amoxcillin ,pcr
- patrogram arrested vs obstructed labor
- Monoclonal gammmopathy of unknown significance mgus ask the diagnosis
-pt 2nd post op of cs hx of prom present with fever abd pain and tenderness clean section site
what the orign uterus
,Incisiin site ovay
-partogram of late decelration ask about the cause uteroplacental insufficiency

- case of endometriosis
- 4 Cases of urine incontinnce``
-Chrioamnionitis
-Liver cirrhosis ask about mechanism of edema
-pt present with bilateral median nerve compression ask about site if lesion i think tge answer is
hand bcz acromegally
--Case of hersplung disease ask.diagnosis
- case of addison disease next step in diagnosis
-case if cushing disease what to do first urinary cortisol or acth suppresin test
- case of volvulus
-HIGH Na Low k hypertensiin what is to check first aldosterone or renin
-14 years boy present with limping and knee pain ask about the
diagnosis
-case of inflammatry biwel disease check for further problem eye exam or echo or kidney
function
-DKA pt what will be increased in lab insulin glucagon butyric acid
-Infant if diabetic mother whats yiu have to give him in the first6 hrs iv fluid oral glucose or
insulin
ankylosing sponditis dx
Osteoarthritis pathology
Scabies pic what treatment
psoriasis pathology
TINEA pedis pic ask dx
tenia corpora pic ask dx
basal cell carcinoma pic ask treatment
X linked aggamaglobulinemia how to diagnosis tcell or b cell or immunoglobulin level

3 cases pnemonia ask about the organism
pt present with hiv and tb ask about immunity t cell defficency
-pt present withhx of multiple skin abscess wht is impaired phagocytosis or t cell
bee anaphylaxis next step epinephrine-
hypocondriisis dx
ecg pericarditis dx
iferior wall MI ask about artery
ECG narrow complex tachycardia what next step
wpw treatment N.mengitis prophylaxis for contact
Malaria hiw to inv thick and thin blood film
Neuroblastoma DX
nephrobalstoma origin
40 years old women present with breast cyst after drainge cyst dissaper what is next step in
management rexamine after 2 weej or fine niddle biopsy or us
hyperthyroidism treatment in pregnant pt
Case if thyroid storm what to.give first proplanolol
Lichen sclerosis what the next step.biibsy

cold thyroid nodules next step.in mangment
14 years girl with Amenorrhea tanner stage 3 what to do reassuranse
pt failure to concive on exam mass dissapear with supine varicocele
-ECG , STEMI with hypotension - RV infarction
-ECG Afib with TIA - cerecral embolus
-Pancreatic Ca - painless jaundice
-Pancreatitis next step - U/S
-Intestinal obstruction next step after fluids - NG tube
-Neiseria prophylaxis - rifampin
-Child with seizure followed by shoulder pain - Dislocation
-Pneumonia with pleural effusion analysis- parapneumonic effusion
-2 Qs of DM with microalbuminria - ACEI
-cystic fibrisis mutatin - f508
-Fatigue constipation wt gain - measure TSH
-Leg edema that increases throughout the day - venous insufficiency
-Low back pain (muscle strain) what to do beside NSAID - regular exercise as tolerated
-Androgen insensitivity- measure testosterone
-ECG for 19 yo with palpitations- LVH ?
-Psoriasis pathophysiology
-Small cell carcinoma with Hyperpigmentation and cushing - increased ACTH and Cortisone
-RLQ pain with fever and constipation what to do - CT
-young pt with abd gun shot and hypotension what to do - lapratomy
-Pt on calcium supplements having hypercalemia and hypophosphatemia what is the cause - 1ry
hyperparathyroid

-10 day yo with minimal breast enlargement and passing red vaginal mucous what to do -
reassurance ??
-Primigravida undergoing NVD without conplication what used to decrease risk of neonatal
sepsis - penicillin vs nothing
-16 year with irregular heavy menses what is likely cause- anovulation
-80 yo pt with everything normal but absent ankle reflexes - normal aging
-Elderly with forgetting best ttt - donepezil
-pt with RA , what to check before entracept treatment - TB infection
-Pt works in car manufacturing presented with microcytic anemia and neurological sx - lead
poising
-Elderly with lymphadenopathy and hepatosplenomegaly , WBC 44000 with mature lymphocytes
dx - CLL
-pt with hemolysis anemia , +ve coombs test , some spherocytes on blood ear dx - autoimmune
hemolytic anemia

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١٨:٣٣ ] Pt with positive lachman and anterior withdrawal test , next step ? ACL
reconstruction
Pt with multiple painful raised plaque , use OCP and otherwise healthy , Dx erythema nodosum
Pt with absent pulse in left leg ,next step (angiography or embolectomy ? )
Pt with AF , how to prevent CVA ? Warfarin
Obese pt with PID ana RUQ pain ? “Peri-hepatitis “
900 participate in a research , 30% have a disease with a well-known risk factor , 15% have the
disease without that risk factor , what is the relative risk ?
Tx of scabies ? Permethrin
Neonate has hypoglycemia after DM-complicated pregnancy ? Islet hyperplasia
Pt (G3P3) with stress inconvenience ? Weak urethra
Young female with relapsing and remiting muscular pain ? MS
Tx of acute SLE ? Prednisone

Pt with splenectomy has a risk of what ?
Pneumococcal infection
Pt with VP shunt has shock while introducing IV line ? (Septicemia or anaphylactic )
Pt develops SOB , high RR 2 days after a surgery ? ARDS
Pt has dysphasia and ptosis , has mediastinal mass ? Thymoma
Pt has 5th and 6th ribs fracture , Dx ? Pulmonary contusion
Pt with dry eyes and dysphagia , Next step ? Anti-Ro anti-La serum
Pt with intermittent urination , no fever , urinalysis no wbc ,Dx? nonbacterial prostatitis
Pt with 2 abortions in the first in 8th and 10th weeks , what is the cause ? Chromosomal
anomalies
Pt with recurrent abortion , anti phospholipid syndrome
Tx of Patient with N.gonorrheal infection
And do you have to treat the partner ?
Pt with knee and elbow rash , bleed with scratching? Psoriasis

Tx of acute ulcerative colotis that cause rectal bleeding ? And Oral or IV
12-year boy with 5 percentile weight and 10 percentile hight has Tanner stage 1 and no axillary
or pubic hair , does he have delayed or normal puberty , delay or normal pubic hair ?
Old pt has confusion and irritably after taking benzodiazepine for insomnia , next step ? Stop
benzo
Pt with symptoms of thyrotoxicosis and diffue enlarging of thyroid gland ? Graves
Pt with medullary Ca , next step ? Thyroidectomy
Pt with MALT gastric Ca , has H.pylori infection , bone marrow biopsy is negative , tx ? Antibiotics
Pt has typical picture of MI , ECG normal
Dx ? Acute coronary syndrome (non-STEMI)
Pt has peripheral neuropathy not responding to morphine , next step ? I chose amitriptyline
Hematology =
1- hemophilias
2- von will brand disease
3- hit
4- cml
5- cll
7- itp

8-ttp
9-polycythemia
‫ال‬ ‫تعرف‬ mechanism ‫وال‬ treatment ‫وال‬ complications ‫واحد‬ ‫لكل‬
Renal
1- nephrotic syndrome
2- cast types for each disease
Cardio
1- inferior mi
2- mi post complications
3- mitral regurgitate
: Gi
1- pancreatitis
2- gerd
3- h.pylori
Psychiatry:
1-GAD
2- BERAVEMENT
3- post partum depression
4- ocd treatment
Respiratory
1- cystic fibrosis

2- bronciectasis
3- copd with bacterial infection
4- asthma treatment
5- aspiration pneumonia
‫ماعرفتها‬ ‫لني‬ ‫مااذكرها‬ ‫أشياء‬ ‫يي‬‫ف‬‫و‬ � �
Obse
1- endometriosis
2- abortions
[ ٣
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١٨:٤١ ] : Pics
1- imporferated hymen
2- scabies
3- basal cell
4- squamous cell
[ ٣
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١٨:٤١ ] : Sinusitis
Otitis media
Glaucoma
[ ٣
/
١١
١٨:٤١ ] Amauris fugax

——————————————
[ ٦
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٠٩:٢٠ ] 5/11 recall
Vaginitis treatment
Fetal alcohol syndrome
Aspiration pneumonia treatment
Osteomyelitis in child organism
Cord like veins mechanism
Patitwith MVP need teeth cleaning what is the prophylactic Abx or he didn’t need
Alot of peds cases with taner staging
Septic shock
Iferior mi artery involved
Cardiactamponade
Angioedma
Anaphylaxis
x gamma
Anorexia nervosa
One toxicology question
Patient eith systemic sclerosis have telangectasia what is the ttt bb cachanel blocker no need
Extrapyramidal se ot the antipsychotic ttt or change the med to another one
Missed abortion
Endometriosis
35 yearsPatient came with 6 month amonera develope fascial hirtism normal weight
Pco or premature overiane faluire

Placenta ravia patient came with contractions 37 weeks gestation what is management induction
or cs
Dementia with myoclonus what cause it
Uti ttt in pregnancy
In DKA patient mechanism of renal injury
Sle nepheropathy mechanism
Plasmodim vivax ttt
SIADh
Patient diabetic started in metformin what other med acei??
Rhabdomylses
Psoriases pic
Seborric dermatitis pic
[ ٦
/
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٠٩:٢٠ ] Tow cases about fetal tachycardia in ctg what is the cause
[ ٦
/
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٠٩:٢٠ ] Patient came with pneumonia and he is heroin abuser what is most common
organism
[ ٦
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٠٩:٢٠ ] Tow cases about fetal tachycardia in ctg what is the cause
[ ٦
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٠٩:٢٠ ] Ankyloses scollioses spirometery parameter
[ ٦
/
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٠٩:٢٠ ] Herpes simplex vuvar infection
[ ٦
/
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٠٩:٢٠ ] All
Hit
[ ٦
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٠٩:٢٠ ] Patient with low back pain radiating to the right leg next step in management

Its a matter of luck and what Allah has written for you! So just do your best and pray and thats it.
� �
� �
Questions:
1. Typical case of X-linked agammaglobulinemia.
2. Old lady with 30 year hx of smoking, works as a tale marketer, presents with 6 week hx of
voice hoarseness. Laryngoscopy picture is shown (only inflammation of the left epiglottis), what
is the next step? Biopsy (not sure. Other option was smoking cessation and reexamination in 2
months- dont think made sense due to chronic smoking hx)
3. Mech of ARDS (increased capillary permeability)
4. Patient with hgF and hgS, what is the most common organism of infection? Strept. pneumonia
5. Ecg resembling inferior STEMI, patient comes with hypotension, sudden chest pain and
tachycardia, asked about the associated condition? Pulmonary embolism
6. Treatment of scabies? Permethrin
7. Diaper rash? Candida infection
- [x] 8. IgG protein electrophoresis and normal labs? MGUS
9. Alcholic vit def? B1 (thiamine)
10. Yellowish- green vaginal discharge treatment? Metronidazole
11. Elderly with slow movements, masked facies, treatment? Carbi/levodopa
12. Afib treatment with another condition cant remember exactly but I chose Procainamide
cause nothing else made sense.
13. 12 yr old boy with Tanner 1 genital and pubic hair development? I chose genitalia delayed
and hair normal (not sure)
14. Classical mesenteric ischemia case
15. 2 chest Xrays with very weird presentation with GERD and seemed like pneumonia ( could
only see hyperinflation of lungs) asks about underlying cause- aspiration of oropharyngeal
bacteria (I chose that) and other weird mechanisms of underlying cause cant remember but it
frustrated me so much because I wasn’t able to get the question and I still don’t know if that was
right� �
� �
)
16. ITP , very low platelets unresponsive to prednisone and other meds, next step? Splenectomy

17. Bronchiectasis
18. CT scan of adenocarcinoma
19. Mech of BPH meds? A blockade
20. Alcoholic patient with tremors, mech? Decreased presynaptic dopaminergic activity?
decreased gaba? (I read about both online and both are actually decreased. I was very confused
between both and ended up choosing the first one � �
� �
‍♀)
21. Pregnant female with right mid-upper quadrant pain and fever? Appendicitis
22. 12 yr old girl with frequent frontal headaches that occur 3-5 times weekly around her eyes
and nose. It is preceded by flash lights and she has nasal congestion that starts before and
throughout headache. Only relieved by sleep? I chose migraine. (Other option was sinusitis but
the flash light made it seem like migraine with aura)
23. Right lower leg weakness? Ant. Cerebral artery
24. A pregnant female with numbness in both thumb index and middle fingers especially at
night? Bilateral median nerve compression.
25. Female unable to conceive, LMP couple of weeks ago, no raised BhCG, adnexal tenderness
on examination? Ectopic pregnancy.
26. Female with frequent abortions? Anti-phospholipid syndrome
27. Female with frequent abortions during the first weeks? Chromosomal abnormality.
28. Baby next day after delivery comes with cyanosis and sudden jerky movements and can’t
breathe. During labor the amniotic fluid had meconium. Next step of management?
Observation? Endotracheal intubation? Endotracheal suctioning of aspirated meconium fluid (I
chose this one but not sure � �
)
29. Hepatitis surface antibody positive and core antigen positive? Patient has had hepatitis B
before.
30. Pregnant female with positive hepatitis BIgM,next step? Many vaccines mentioned ? No
more treatment (chose this)
31. Malaria vivax treatment? Pramiquine
32. Post viral joint swelling and pain in a child? Transient tenosynovitis.
33. 12 yr old female with secondary sexual characteristics and hirsutism but has amenorrhea,
next step? Measure FSH and LH

34. Medullary carcinoma- Total thyroidectomy
35. AML greatest risk of developing? Cant remember
36. Melanoma- excision
37. Teniea versicolor mechanism? Not sure about it there was lymphocytic infiltration and
antibody reaction I guess. Cant even remember what I chose � �
� �
‍♀
38. Infertile male with painless testicular mass and family hx of prostatic cancer? Testicular
carcinoma
39. Juvenile arthritis
40. Maternal DM and hypoglycemic infant, what is the underlying cause? Hyperplasia of the islet
cells of pancreas
41. Patient can not flex his back to the sides and has increasing lower back pain especially after
long hours of sitting at his office work- Ankylosing Spondylitis
42. Patient with kyphosis PFT- Decreased chest compliance (No DLCO in options)
43. Female with upper outer quadrant tender mass, next step? FNA
—————————————

* My exam, 25/10/2018:
- Pic Seboric dermatits (elderly, AD) dx
- Pic BCC dx
- Pic T. Capitis tx Griseofulvin
- Pic Melanoma : prognosis by thickness
- Pic for Pet-scan of knee: bone tumor
- Pic of Cracked nipple image, mammography free next step ?
- Pic of CT head choose the lobe: receptive aphasia, heminamius upper quarter ? Temporal lobe
(not sure)
- Scenario of RA w/ Pic of PIP and MCP swelling, he is on NSAIDs now, what dose he need to
prevent long term comp. : folic acid ( not sure)
- Seizure cause: posterior shoulder dislocation (glenohumeral)
- Substance withdrawal (cocaine, amphetamine, heroin)
- Hx of polycythemia, risk for: thrombosis
- Pt w/ pruritus and high cholesterol, jaundice, antimitochondrial ab +ve, tx ? Urodoxoclic acid
- PFT for scoliosis
- Multiple nevi 1-2mm, w/ new melanoma 1.5cm ? Remove the new one only
- Tumer lysis syndrome ? Purine catabolism
- Candida vaginalis vaginal discharge ? Tx
- Gardenela vaginal discharge ? Dx
- X-linked agammaglobulinemia ( recurrent OM, dec all Ig )
- [x] - Brain Sx, ( inc urine Na, inc urine osmolality): SIADH
- Herdimmunity ( just understand the concept)
- CTG fetal tachycardia, maternal fever, hx of membrane rupture: choriamnoitis
- Tension pneumothorax after center line placemen: positive intraplueral
pressure=Pneumothorax
- Empyema :Parapneumonic effusion

- Septic shock : inc CO, dec SVR & dec Pulmonary pr
- Goodposture mechanism : anti glomerular basment membrane
- N.gonorrhea tx : azithro & cefi
- PTH-like related w Ca
- CKD, anemia, MCV 65, positve occult blood, needs: Erythropoitin or iron supplement ?
- AD w/ amyloid plaque
- Inf MI RCA
- solitary thyroid nodule need FNA
- peritonsillar abscess needs incision and drainage
- Induced vomiting, bad teeth: Bolimia nervousa
- Ab for aspiration pneumonia : clinda
- 30 y/o f Muslim, her mother refuse male doctor exam : take consent from pt her self (my
answer), others where: leave her, advice her to come after 2 days when female doctor be
available
- Postop w/ urine retention : catheter
- Young, painless secrotal mass : testicular cancer
- Septicempoli scenario, needs : blood culture (not sure)
- Cluster headache
- Multible seclerosis ( when she look to right, one eye with nystagmus, the other one the other
can’t abduct
- Menier dis:
- 90% carotid artery stenosed, Mx: Sx ( endarterectomy)
- no pulses , weak ecg , CPR, next : needs epinephrin (PEA)
- MVP need prophylaxis for endocarditis ? No ( not sure )
- Cause of polyuria w/ hyperosmolar hyperglycemic nonketotic syndrome ? osmotic diuresis
- AD demntia : amyloid plaqu
- craztof jakob disease demntia : proin

- Down syndrome heart defect : complete atrioventricular canal defect
- Carpal tanal symptoms : Median nerve
- Falling injury on rt arm, massive bleeding at site, loss wrist extension: radial nerve and brachial
artery
- Solitary thyroid nodule needs : FNA
- Premature ovarian failure (inc FSH, amenorrhea for 6 months)
- Undescended testis needs orchidopexy
- Hydrocele mechanism : patent processus vaginalis
- Icu tr of pneumonia ( curb 65)
- Postmenoupose w/ hair and clitiromegaly : DEHA w/ Testisterone level
- Prazosin for BPH is an : alpha 1 sympathetic antagonist
- DVT prophylaxs is filter pre op and LMWH post op
- [x] - Amenorrhea w/ lack of tanner 1 and scanty hair, with normal external genitalia ? 17-
Hydroxylase Deficiency Syndrome (not sure, may be kallman )
- bilateral renal stenosis
- Dm pt w/ microalbuminea needs ACE
- Shimer Test, And Anti-Ro & Anti-La +ve : Sjogren
- Penicillin allergy
- Angeoedema ( recurrent attack of puffiness, lip swilling , resolved spontaneously, dec C4 )
- Primary Amenorrhea every thing normal: observation
- Blood smear showing schistocyte, Hemolytic anemia w/ hyperbilirubinema, what is
mechanesm ? Inc production
- B symptoms, vircho’s node: Hodgkin lymphoma
- Pt don’t want to pregnant, smoker ? I answer it progesterone IUD ( as OCP is C/I, but not sure)
3/4/2019 recalls :

- Pic of imperforated hymen
- Pic of acnitic keratosis
- Pic of BCC
- Pic of peripheral smear of malaria
- Pic for ECG pericarditis
- Pic of brain MRI w/ case scenario of Normal pressure hydrocephalus, what is the
pathophysiology: dec absorption of CSF
- Statistics: calculate RR, definition of maternal mortality rate, Q about bias, a study and what is
the effect on both incidence and case fatality
- Psychiatry: case of bereavement and asking whats the Dx, case of postpartum psychosis needs
psychiatric evaluation
- circumoral numbness after thyroidectomy, mx? Ca gluconate
- child with methylphenidate (used for ADHD) side effects: scenario will be a thin boy agitated ,
other ass. symptoms are loss appetite , insomnia, violent, wt loss
- infant had febrile fever now he is good , no family hx, what is best next ? Observe
- Pathophysiology of itching in scabies? Hypersensitivity to parasite
- case of Road traffic accident with bleeding from urethra next step ? VCUG
- Case of necrotizing fasciitis, mx? Surgery ( for depridment)
- Pt on chemotherapy, presented withe febrile neutropenia, started on cefipime, blood culture
was negative, and they took another blood culture but waiting the result, what to do ? My
answer was to continue the antibiotic and add antifungal ( but i’m not sure). Other choices are:
continue abx and wait for culture rest, stop abx and add antifungal, stop everything and wait for
culture.
- Pt was driving, he had unilateral vision loss, on ER found to have unilateral homonymous
hemianopia, with no other symptoms, involved artery is ? Options are : Anterior cerebral,
posterior cerebral (may be this), ophthalmic, central retinal
- Neonate FTT, diarrhea, all immune globulin low, Mx is ? Ig ( as the case is SCID)
- Case scenario of acromegaly, whats the Dx? Anterior pituitary tumor

- Amenorrhea for 6 months, after hx of abortion followed by suction & curettage, no significant
blood loss , pregnancy test is negative, not responding to a Progestin challenge, Dx? Asherman
syndrome (abnormal uterus)
- Case scenario of endometriosis, investigation ? Laparoscopy
- PPH, placenta spontaneously delivered intact one pice, Mx? Oxytocin (uterine massage wasn’t
in the choices)
- case scenario of female with morning stiffness and shoulder and hip pain high esr what is the
diagnosis ? polymyalgia rheumatica
- during transfusion of blood patient had fever what is the cause ? febrile nonhemolytic
transfusion reaction (from cytokine)
- infant who is exclusively breast feed 6 month came for follow up what vitamin supplimintation
you will give ? Vit D
- scenario for polycyctic ovary came with secondary amenorrhea what is the treatment ? OCP
- Case of raping under effect of anesthesia, not married, last menstrual period since 3 weeks,
next ? Discus contraception with her (but not sure)
- Case scenario of acute sinusitis, antibiotic is? Amoxicillin
- Child with acute otitis media, what is the pathophysiology or something like that ? Eustachian
tube dysfunction
- Child present with abdominal mass & exophthalmos, dx? neuroblastoma
- Pt dx with UC, will take anti-TNF, what to do ? PPD test
- Case scenario of Tuberculosis, asking about the Dx
- Cause of renal failure in multiple myeloma? Light-chain deposition
- Cause of renal failure in SLE? immune complexes deposition
- Pathophysiology of HELLP?
- Infant with N. Meningitis what you recommend for his family at home ? Prophylaxis w/
rifampin or ciprofloxacine
- Stress incontinence for old female, pathophysiology is? Abnormality of controlling urethra or
something like this
- Urge incontinence, pathophysiology is? Bladder overactivity

- Penile discharge with symptoms of UTI, no organism in culture, organism is? Chlamydia
- Atrial fibrillation in asthmatic pt,which medicne to give? CCB (diltiazem)
- CTG of magnesium sulfate toxicity. I solved it by exclusion, no S&S of chorioamnionitis, no early
or late or variable deceleration.
- St elevation in 2,3, avf ? Inferior wall MI involve RCA
- patient with asthma exacerbation now he is fine his father is smoker and every time the child
goes to his father house he gets exacerbation What you should do: prednisone before going to
his father house
- Asthmatic child, now he is fine his father is smoker and every time the child goes to his father
house he gets exacerbation,whats your advice? Oral prednisone before visiting his father
- PFT for cystic fibrosis
- 7 year old with limbing, cause? Avascular necrosis ( but if 11 year and above, think of (slipped
capital femoral epiphysis)
- Hx of abdominal cramp, and diarrhea, hx of traveling before 3 weeks, he has those symptoms
since then and took antibiotic for it, what is the organism? Giardia or clostridium? I did choice
giardia
- Vaginal discharge, odorless, itchy, ph is 4, treatment? Fluconazole
- Pt on cyclophosphamide, risk for? Cystitis
- Pt whit Flank pain radiating to vagina, WBC and blood in urine, Dx? Nephrolithiasis
- Hx of acute pancreatitis, what to do next ? U/S but not sure, may be ERCP
- Micrographia in Parkinson
- Case scenario of Sjugren syndrom, asking about the dx
- CML >> 9:22 translocation (Philadelphia chromosome), treatment is? tyrosine kinese inhibitor
- Pt when she looks to right, one eye with nystagmus, the other one can’t abduct, Dx? Multiple
sclerosis ( INO due to damage to MLF)
- Prazosin for BPH is an : alpha 1 sympathetic antagonist

- Multiple nevi 1-2mm, w/ new melanoma 1.5cm ? Remove the new one only
- Fatigue pt, jaundice, itching, what to find with more investigation? Anti-mitochondrial antibody
(dx is primary biliary cirrhosis)
- anaphylaxis cause laryngoedema
- Post Op urine retention, Mx? catheterization
- Post Op DVT, Drug to give? Heparin
- Angioedema w/ upper airway obstruction, Mx? Intubation
- Infant for mom with chronic HBV, what to give for the infant ? IVIg + vaccine ( but not sure )
- What to increase on PFT for emphysema pt? FRC
- MVP without any new murmur, need prophylaxis for endocarditis ? No
- 4 year old boy, asymptomatic, routine visit, have holosystolic murmur on Rt lower sternal, Dx?
VSD (not ASD, ASD may be not audible till old age)
- PCOS case, Mx of dysmenorrhea? OCP
- Electrolyte imbalance with heat stroke
————————————
8/4/2019 recalls :
- Pic of BCC
- Pic of pytreasis rosea Mx
- Pic of psoriasis, biopsy result
- Rx of tinea pedis with nail involvment
- pic of optic disc swelling and asked about cause
- pic of shoulder dislocation and which joint is involved

- pic of 82 y/o pt with neck of femur # what in next for Mx
- a pregnant woman came after she gave delivery, with pain when she abduct the thumn to
touch the palm, which tendon if affected?
- ECG : WPW
- ECG : atrial fibrillation, pt had difficulty with only speaking for 1 hour then resolved what is the
cause ?
- ECG : ST elevation in II,III, AVF , inferior MI with hypotension asked about cause of
hypotension ?
- ECG of atrial fibrillation with hypersensitivity what to avoid ?
- calculate Case fatality rate
- calculate Absolute risk reduction
- case of MDD
- Alzheimer disease which drug is the best to decrease the long term deterioration in cognitive
function
- a child that doesn't want to go to school with downgrades and the teacher said the she seems
like dreams all the time give Dx
- cystic fibrosis responsible gene
- PFT of COPD what is the DLCO , TL?
- pt with COPD stable what to give for long term to decrease exacerbation.
- young pt with sinusitis which organism
- a pic of spherocytosis and asked about the pathophysiology
- child with jaundice and low Hb and coombs positive what is the dx
- a young pt with head trauma was ok at that time and when he reached the hospital he
developed Altered mental status and weakness in hand what is the dx
- meningococcal prevention drug
- pic of clue cell from vagina with gray- white discharge give dx
- pt with recurrent N.minigtidies and chlamydia trachomates infections whatcto do next from
prevention

- pt with G5P5 after delivery of 4.5kg baby she developed sever bleeding what is the dx
- a pregnant pt after 2 hrs of rupture membrane and she was given oxytocin after 6 hr the
dilation 6cm what is the dx
- a pregnant pt was treated 10 wks ago for infection ( dont remember ) and she delivered at 38
wk what to do for prevention ( i chose nothing )
- a pregnant with 8wk miscarriage with closed os, what is the cause
- a pt with parasternal back pain after working in garden was given NSAIDs what to do next
- pt with acute gout what to give first
- a case of CLL
- a case of X-linked gammoglubinopathy
- pt with intestinal obstruction was given fluid what next
- pic of chest xray with air under diaphragm what to do next
- acute pancreatitis ( not alcoholic ) what to do next investigation
- old pt with chest infection and dehydration with hyponatremia what is the cause
- Pt with chest infection and consolidation what is the cause ?
- pt with hematuria was found to have oxalate in urine, what to give next to prevent this
condition ?
- a child with acute testicular pain and absent cremastric reflex what to do next ?
- pt falled on his back and came with hematuria what to do next
- pt was stabbed in the LLQ what to do next
- a case of rhabdomyolysis
- A case of oioid intoxication
- alcohol intoxication
- pt want to smoke what to do next
—————————————

24l4l2019
1. Pic of pytreasis rosea Mx
2.pic nodule e central ulceration{basal cell carcinoma – diagnosis?
3. case of scabies need ttt?
4.pic of psoriasis what mechanism?
GIT:
1.case of GERD since 15 yr in ranitidine ttt what next?
A.continous drug
B.switch to omeprazole
C.ENDOSCOPY
2.case of pilonidal cyst –diagnosis?
3.pt with jaundice and ascites {all sign of cirrhosis } and previous Hx of hospitalization of
pancretitis and sever vomiting what cause?
A.Alcohol
B.virus
4 .case cancer of pancreas in old pt- diagnosis
5. 14 yr old boy with gum bleeding and hypertrophy what vit defecency?
A.vit A
B.vit c
Case of zenker diverticulum –diagnosis?

7. newborn with meconium ileus what:
A.11q22
B.F508
8case of blunt traum and wound under umbilical pt hypotention and sing of peritonitis what
next?
a.lapratomy exepration
b.laprtomy to wound only
9. pt with heart burn +diarrhea +nervious ?
a. lorazepam
b.propranol
c.
blood:
10.pt in heparin ttt +thrombosis+ decrease platelets:
a.Stop heparin
b.give platelets
11.case of CLL<diagnosis?
12.child with sickle cell anemia+chills+feve+respiratory distress what phathophysiology;
a.in situ thrombus and infarction
b.septic emboli

.obs +gyn:
14.14 yr girl with irregular menes:
A.anovuloation
b.pco
15.17 yrs girl normal breast +scant hair +amenorrhea what measure:
A.fsh
b. testerone
16. 23 yr with vaginal bleeding 7 week fetous is missed what cause
a. chromosomal abnormality
b. congenital infection
17.80 yrs women done hysterectomy befor 10 yrs:
a. pap smear
b.stop screen of pap smear
18. pic of breast with ulceration in nipple but no discharge or change the skin of breast in and
no mass mamograph normal what next :
a. biopsy
b.‫الخيارات‬ ‫متدكره‬ ‫مش‬
Endo
19.case of thyroid cancer<diagnosis ?

20.pt with hypertention + DM+ proteinuria what mechanism of{drug} ttt?
a.
21. pt with hypertention +DM+chronic renal failure + proteinuria what ttt?
a. na bicarbonate
b. linsopril
c. frosumid
22.pt with DM + exercis and decrease wt 7 k what mechanism of glucose decreas:
a. decrease gluconeogenesis
b. increase sensitivity to insulin
cardio+respiratory
23.ecg of atrial fibrillation <diagnosis
24.case of hypertrophic cardiomyophaty + ecg<diagnosis?
25.pt history of drug abuse what valve affect:
a. tricuspid regurgitation
b. tricuspid stenosis
c.mitral regurg
26.pt after surgery+ hypotention +respiratory distress after done mechanical ventilation cardiac
arrest what cause:
a.hypovolemia
b.rupture bulb of alveoli

27.pt with HIV +fever+ wight loss+hymoptosis+ and isolated pt ‫من‬ ‫المريض‬ ‫نخرج‬ ‫متى‬ ‫السؤال‬ ‫بمعنى‬
‫العزل‬ ‫غرفه‬ :
a. negative culture of TB
b. 3 sputum are negative
28.case of pneumonia <diagnosis
29.pt with copd what nex to prevent attack:
a.pneumococcus vacin
b.home o2
c.steroid
psy
1. Clear case of major depression <diagnosis
2. ADHD scenario<diagnosis
3. Child with OCD what ttt
4. Case of heroin toxicity<diagnosis
5. Case of alcohol toxicity<dig
6. Case of opioid toxicity
‫معي‬ ‫وتكررت‬ ‫بالجروب‬ ‫هنا‬ ‫نزلت‬ ‫الي‬ ‫هالسئله‬ .young pt with sinusitis which organism
2. meningococcal prevention drug

3.pic of clue cell from vagina with gray- white discharge give dx
4.pt with G5P5 after delivery of 4.5kg baby she developed sever bleeding what is the dx
5.pregnant pt after 2 hrs of rupture membrane and she was given oxytocin after 6 hr the dilation
6cm what is the dx -> ‫لطفل‬ ‫نزول‬ ‫مقابل‬ ‫الرحم‬ ‫عنق‬ ‫توسع‬ ‫نسبه‬ ‫كم‬ ‫مبين‬ ‫لرسم‬ ‫وصوره‬
1 >
- calculate Case fatality rate
- calculate Absolute risk reduction
24 /4
Recall
Endocrine
Primary hyperaldostronimia
Adison disease
Primary adrenal deficiency
Infectious
Pediatrics manly
Antibiotic
Sinusitis
amenorrhea
Pcos
Psychiatric

Panic
Alzahemir
Generalized anxity disorder
Cardio
arrhythmia treatment
ECG
coronary a syndrome
non st segment elevation
Cardiac tambonade
Precadritis + ECG electral alteranse
Respiratory
Copd
Hematology
Sickll cell D
prophylaxis
Pathology of cholecystitis in sickll
Alcholic withdrawall
Toxication of marijuan
29/4/2019 recalls.. I'm sorry I don't remember the whole questions.. but these are the subjects
that showed up in my exam:

-Postpartum depression/psychosis
-Gout flare ttt
-Ulcerative colitis ttt
-Prevalence
-Relative risk
-Experiment of blood test as screening tool or not
-Compression of median n
-Axillary nerve injury
-Psoriasis
-Vaginal discharge .. 2 questions asking about ttt
-Gonorrhea ttt for both partners
-Chronic granulomatous disease
-Endometriosis
-Aml
-Melanoma ttt
-Cervical lesion mgt
Inferior mi complicated w cardiogenic shock
-Primary hyperparathyroidism
-Ankylosing spondylitis
-MEN 2a or 2b (medullary w pheo)
-Medullary thyroid ca and calcitonin
-Hypercalcemia mgt
-Diaper rash (but not candida)
-Pulmonary contusion or splenic injury after rib fracture

-Appendicitis in pregnancy
-Tinea versicolor biobsy
-Scabies ttt
-Hyperreflexes and Sz in baby who lives in rural area
-Baby w APGAR score of 9 what to do? Observe
-Fever+joint pain+skin rash that coalesce with central pale in a child
-Recurrent abortion (2 questions: chromosomal and antiphospholipid syndrome)
-Sjogren syndrome antibodies
-Multiple sclerosis
-Migraine
-Pt w malaria treated successfully then relapsed.. chloroquine resistant?
-Hepatorenal syndrome
-Cxr w fluffy/ cotton infiltrates after femor neck fracture
-PPD test of healthy pt w induration of 15 mm .. treat as acute tb
-Acid base balance
-Sickle cell and multiple gallstones
-Plantar fasciitis
-Hemolytic uremic syndrome
-Pneumonia ttt
-Asthma ttt
-A fib chadsvasc
-Hiv w pcp infection.. what's reduced? Cd4+
-Schizophrenia ttt
-Alcoholic ( 3 questions: b6 deficiency.. visual hallucinations.. pancreatitis )
-Huntington disesse genetic screening test...sensitive and or specific or not

-Anterograde amnesia
-Pt stressed about losing job.. general anxiety?
-Ethics: pt doesn't want to have gastrotomy bcz she chocked multiple times and there's risk of
aspiration.. ask her son to convince her or continue soft food?
-Peritonsillar abscess organism
-Rhinitis ttt ( not sinusitis)
-Tetralogy of fallot dyspnea and cyanosis.. outflow obstruction?
-COPDer smoker.. what will reduce the progression?Quit smoking
-Parkinson ttt
-Jaundice w itching and abdominal mass on ct.. Pancreatic adenocarcinoma?
-Breast mass 3 questions (cyst: do fna.. mastectomy w axillary LN and stage 3: how to determine
prognosis.. mastectomy on tamoxifen what to do: annual mammogram or endometrial bx)
-Right colon ca presented w anemia
-Increased intracranial pressure and vital changes
-Ear lobe mass after piercing.. what's the organism
And afew questions about:
Pathophysiology
Drug mechanism of action
Psychiatry
Neuro
Biostat
30/4/2019:

Marijuana intoxication
A lot of alcohol withdrawal and cirrhosis
Pancreatic adenocarcinoma and chronic pancreatitis
ulcerative colotis and mesentric ischemia
Unstable angina and mi and aortic stenosis
Alooot of pulmonology ..bronchiectasis/ bronchogenic carcinoma/ TB both active and PPD test.
Many community aquired and aspiration pnemonia.
Ankylosing spondilitis
SLE flare with pericarditis
CLL CML
Anterior cruciate ligament injury
Cardiogenic shock parameters
Hemolytic uremic syndrome and TTP
ITP
Paediatrics:
Bronchiolitis
Asthma
Slipped capital..
Gastroenteritis
Hereditary sphero
Alot of sickle cell
Congenital adrenal hyperplasia

Obs&gynae
Anovulation
Bartholian gland cystc
Lichen sclerosis
Infertility
Endometriosis
Hirsutism as PCOS
Hyperprolactinemia
Fobrocysitc disease of the breast
And contraception
Bio
Case fatality
Risk ratio
Sensitivity and specificity
PPV
My recalls 30/4

-typical scenario of copd
- herpetic erruption with history of pain in same area asking about ttt
- fatality rate
- diarrhea in hiv pt, cd4 30 , no parasites or ova in stool only some wbcs asking about ttt
( acyclovir, mebendazole, antiretroviral....
- uretheral discharge with pic of multiple penile lesions and the pt has several similar attacks Dx (
chlamydia, herpis, gonorrhea ....
- urinary retention in pt taking diphenhydramine which receptor is blocked ( acetylcholine ....
- elderly pt taking acetylcholine and other drugs (I don’t remember them) develped confusion
and abnormal behavior which substance regulated her symptoms ( acetylcholine, dopamina,
glutamate......
- tricky pic of parkinson asking about treatment ( levdopa carbidopa, ... no other parkinson
treatment
- pt with back pain and hip pain with pic of femur joint showing decreased minirilization Dx ( i
answerd paget)
- young pt developed severe back pain and right thigh pain after coughing and sneezing wt will
be found on imaging ( vertebral compression, facet compressing the nerve root, .........)
- scenario of SLE asking about ttt (cyclophosphamide, cholchicine, ......)
- pt with scinario of alcohol withdrawal asking about which neurotransmitter modulating
symptoms ( gapa, dopamine, .......)
- hypertensive with asthma which drug is contraindicated ( beta blocker, acei, alpha blockers, ....)
- pic of penile dark lesion and the pt said it increased in size Dx ( melanoma, chondylomata
acuminata, ......)
- 45 y male came for checkup after his 41 y brother had mi , ecg is normal wt u will do for him
( nothing, lipid profile, excecise test, drug stress test, .....)
- child had accident in which he hit his head , vitally stable but unconscious and there’s dripping
of clear fluid from one nare , laceration of the forehead, visible deformity of the hip , he is on
face mask oxygen what next ( intubation, ct head, femur repair, ......)
- anaphylaxis asking about type of hypersensitivity ( iga mediated, ige mediated, .......)
- 1 hour and half develped fever and flank pain but no hemolysis what’s the cause ( abo
incompatabiliy, cytokines mediated, ......)

- scenario of nephrotic with history of URTI 4 weeks ago what’s the cause ( minimal change, iga
nephropathy, ....)
- HUS asking about Dx
- elderly post CABG one year back came with 4weeks leftsided abdomen pain and diarrhea with
positive occult blood Dx ( mesenteric ischemia, chrnonic bacterial invasion, .......)
- typical pic of pancreatic CA how will diagnose ( ct, ......)
Ifom 29-4
Frost bite
Ascaris
Tinea versicolor
HUS
Meningococcal prophylaxis (rifampin + ciprofloxacin)
CML
Infertility about 4 questions
Severe combined immunodeficiency
TTP
Inferior MI - RCA
Scabies
Pertussis
Psoriasis pathophysiology
Post MI complication - papillary muscle rupture
Alcohol intoxication B1 deficiency,
Neurotransmitters= GABA

Seminoma
varicocele
Stress incontinence
Endometriosis
PID
Cervicitis
During transfusion of blood patient had fever what is the cause ? febrile
nonhemolytic transfusion reaction (from cytokine)
Polymylagia rheumatica
Temporal arteritis diagnose with biopsy
Primary biliary cholangitis pathophysiology
Vascular claudication
Pernicious anemia
Medullary carcinoma
Panic disorder
Chronic rhinitis
Positive PPD test what next? I chose chest x ray
Acute SLE
ALS patient started having difficulty swallowing whats next? Discuss mechanical ventilation
options
Flail chest
Nursemaid’s elbow treatment
Multiple myeloma
Nephrotic syndrome and hypocalcemia
Parkinsons treatment ? Levi/cardi

I FOM 30_4
Psycho
1-OcD..Pt has repetitive thoughts she is going to harm her baby and thoughts that some one will
hurt family so she makes repetive actions to stop >> fluxetine
2- multiple concerns 6 month and functional decline>> GAD
3- old man .. sad about his wife death ..wants to die cuz he is not oky with her>> breivment
4- 17 yrs old boy ..mom complains he is always late at night and police caught hime using
marjuina>> wts next? [ give drugs? Toxicology screen? or reassure this is normal teeanage
behaviour ] i
chosed the last
5- pt after doing cholecystectomy..next day becam tremelsnous ..agitated ..htn anxious and
sweaty * alcohol withdrawl?)
6- Akathisia .. restless and moves his legs
ObGyn
1- septic abortion in first trimester
2- HTN mother after given mg sulfate and oxy.. CTG shows no accecelaration or deccelearation..
wt dx
3- 35 yrs ..sx of menopause and amenorrhea 6 months >prematire ovarian faliure
4_ Endometriosis
5-pramary amenorrhea with pic of imperforated hymen
6- biopsy of breast reveals ductal carcinoma in situ> Mgx
7_ PSOS ..typical case ..irregular menses wht mgx ..
Biostat
1_ case fatality rate
2- Bias
3-prevealance
Relative risk

Derma
1-BCC
2-Acanthosis nigrgans in obesed,HTN,DM ..what else asocciated> hypertrigcredemia
3-Aktinic keratosis
4-Mechanism of scabies + picture
5_ Melnoma
Medicine and surgery
- fell from height .. cant pass urine .. echymosis and bruises in perineum wt next? Retrograde
urethrogram or catheter?
- urge incontinance and prostate enlargemnt mgx
-stress incontinance and mecahnism
_ lumbare strain.. given analgesia..next?
-Ankylosind spondylitis
Young boy ..pain and tenderness in tibial tubercle on excersice tx?
-Man fell over his outstretched hand .. developed pain in shoulder.. sholder displaced and
picture.. wts the name of the joint ?
-Multiple myeloma .. mecahnism in causing hypercalcimea ..and mechanism causing kidny injury
- Pt with copd .. taking prednisone .and typical picture of CML wt next? Give tyrosine kinase
inhibitor or stop prednison?
-child with CKD.. risk of having infection wih which organisms?
-Pt with SCD.. devopled jundice.. anemia and hepatomegally and lympadenopathy? -How to
confirm? Positive coomb test? Or EBV titers??
-Sinusitis tx
Rhinitis tx-
-Ms

-Dx of parkinson.. bradykinesia..increased tone .. reduced arm swinging .. wt otherbfinding?
Micrographia
-Recrrent painless loss of vision.. smoker .. no other findings .. TIA?
Febrile sizure .. after aborted and baby is normal
Unilateral hemonimous hemianopsia.. MCA not mentioned
- Malignant htn
- Diabetic pt .. with pic of diabetic retinopath ..what going to devolop?? Protinurea
-COPD .. Asthma ..PFT
- Hx of recurrent sinupulmpnary infections .. air way dilation .. pneumonia with pseudomonas
-ARDS
Mechanism of ashma .. alveolar collapse makes the most sence
- Upper airway obstruction
- Polymaylagia rhumetica
-Dilirium due to UTI
-Old pt with low level of vit B12.. Calcium and zinc what cause?
-Acute retroviral syndrome
-HIV pt .. streptococcal pneumonia and O2 saturation low ? Antibiotic ti treat? ( options ..
ceftrixone and azithromycin, ciprofoxacin, Imepenem)
-Cause of recrrent gonorrheal and mengiococcal infection?
-Meningeococcal post prophylaxis
-Case of 9 months old baby had recurrent sinopulm infection.. and dirrhea and wt loss and
thrush but at age 6 months of age ? How to treat? Replace IVIG or stem cell transplant
-Wegner Granulomatosis
-Mechanism of SLE nephritis
-clincal hx of gout and pic of tophi whts the cause?
Kawasaki disease
-Mitral regurgitation

-HOM
-Mgx of acute heart faliure pulm edema, s3
-Pt with atrial fibrillation.. stable .. give?
-Pericarditis tx
- Inferior wall MI .. artery occuded?
-Asymptomatic pt 38 yrs .. no atherosclerotic risk factors.. just high lipid profile..wt next?
( Resting ECG..Exersice stress test.. no further invx)
-Mngx of stable angina
Htn pt.. with abd bruit ? Mecanism of HTN.. activation or renin aldostrone system
e high and hA1c 8 .. RFT normal..wht els ro give?
-Pt with HTN and DM .. ptotines in urine? Wt to give??
- Pt who donates blood regularly.. plt count as normal previously .. now low ? Wt next? obtain
antibodies? Or repeat blood sample in heparinated sample??
- -Pelural effusion
-Decreased breath sound at left side and hypotension following mechanical ventillation >
pneumothorax
-PE
-case of necrotizing fasciitis.. wt next? Ct? or surgical depridment?
-Pancreatitis
-Pancreatic ca
- Primary billiary colangitis
-Pt had diverticulitis complicated with abscess .. had resction of bowl .. and recieved cipro..
devolped petiche and bleeding ? Wts the cause? ( malabsorption or due to antibiotic use?)
DKA .. wht to find ? High hydroxybarbiturate

Pathogenesis of psoriasis 》 hyperkertinization, hyperprolifration of epidermal layer
● pathogenesis of 1° biliary cirrhosis 》 autoimmune destruction of intrahepatic bile ducts .
● cholera outbreak 》 give prophylactic doxycyclin
● ttt of h. Pylori
● pregnant 38 GA w/ cholysistits needs : Ursodeoxycholic acid or cholecystectomy ( ‫نشيل‬ ‫اخترت‬ ‫انا‬
‫المرارة‬ -
# Dx w/ H.pylori on omiprazol , wht else : azithro and clarithro
# Ecg of SVT , needs : adenosine
#Cholira w/ earthqick : doxcycline
#Pic of liquen sclerosu , what to fo : valvur bx - Pic of basal cell carcinoma (lession near nose)
#Q for sensitivity -
#Case of hypochondrosi ( abd. pain , dont belive lab result )
# Case of conversion ( F obese , stress w/ husband , present w/ paresthesia on thigh w/o any
other s&s) -
#Pic of tinea pedis
# X-ray of slipped femoral head -
#Hx of medial minscus tear
#Microscope pic and case of F w/ vaginal discharge , ph 4 itchy : candida vaginits
# Old age female for routine visit , needs : dexa (‫العمر‬ ‫حسب‬ ...‫اكيد‬ ‫)مش‬
#Case of infant of alcoholic mom
#Case of DKA , first to do : 0.9% NS

#Pregnant w/ uncontrolled G DM, infant needs : dextrose ( oral or smthing like that ) #Case of
sarcoidosis
#Case of cyclothymia but not sure
# Case of neuroblastoma
#Infertile mother w/ hx of ruptured appendicitis , needs : hysterosulpingography #Case of inc Na
dec K HTN : hyperaldosteronism
#Perimenupuse F w/ menorrhagia needs : FSH & LH
#F post-hysterectomy present w/ yellow fluid on speculum , Dx: Fistula
# Bloody nipple discharge : intraductal papilloma
# Pic for HZV : cell mediated
# Case of infertility , male factor : varicocele or hydrocele , i chooses varico
# Someone traviling to barazil , advice him to : drink inly bottled water (not sure) , others was
using net for mosq , not to eat fruit & veg ..
#rapid unmarried female , presented w/ amenorrhea for 3 weeks , what to do : book for
pregnancy test after 2 w , or discuss her for methods of contraception ( i choosed this )
#Case of Acromegaly - 2 cases of cushing needs 24-hr urine cortisol
● Relative risk
# Smoking cessation
# Chorea CT
# Lead toxicity
#Vit C def
#Rotate tear
#DKA #Malaria #Rifampicin #Gout# Rhabdomylsis #CLL #Epidermal hr
# Auto haemolytic anemia
#Scabes ttt
#Tenia pedis

#UTI
# Achalasia
# HIT
#Case fetalety
#Tremor with alcoholic
# Tenia versicolor ttt
#SIDH
♡♡♡♡ Picture of :
1-hymen imperforata
2-acromioclavicular joint dislocation x-ray
3- hand deformity mechanism
4- hydrocephalus x-ray causes
5-cell microscopic for sexual disease
‫السئلة‬ ‫تابع‬....
1-philadelphia chromosome ttt
2-aortic regurgitation diagnosis
3-Conduct disorder diagnosis
4- depression disorder ttt
4- major depression ttt
5- bee bite complication
6- allergy
7- endocarditis ECG

8-uterine contraction and fetal heart record
9-polycystic ovary hirsutism diagnosis........ 4 Questions ABG burns 2 question
● nulliparity increases risk of : 1_ Breast ca
2_ ovarian ca
3 _ endometrial
● TTP & HUS... in ttp pt presents with neurological signs+ both have acute renal failure.....
plasma exchan
● important ECGs : SVT, Pericarditis, AMI anterior MI, infective endocarditis, AFlutter, [ inferior
MI comes è hypotension( RCA) ]
●●● pic of child è tinea capitis ( whats ttt)... inferior MI artery (RCA)...2 q about puberty and
their management.... vaccinwtion..herd immunity... pregnant vaccine...
Occluded bartholin duct gland(inferior) Vs skene duct gland ( superior) { occluded skene gland
ives recurrent UTI & urine retension
● Case of major depression
#Basal cell carinoma picture
# Trachmoniasis picture(ask about #)
#Tenia pedies picture
#CLL case
#Croup case with picture .
# S jugren's syndrome
#Parkinson disease
#Lewy body lesion case
# 47 years female with heavy cycle (next step my answer was endomwtrial biopsy??)
# Case of interductal papilloma ( unilateral bloody discharge)

#Fetal al cohol syndrome
#Priapism causes & treatment
#Leg calf pretus Vs slipped capital femours
#Asbistosis case
#Male come from india (Q was about investigation , answer was thin and thick periphral
blood,malaria)
#Male engaged to female with a symptomatic hepatitis B use condom ,how to prevent
tranmission of disease??
# aortic stenosis ttt
# post partum phsychosis
(( vivax is sensitive to chloroquine, but form liver hypnozoites so better ttt è primaquine .. p.
Falciparum is RESISTENT TO chloroquin . ( the cause of failuer to repond to chloroquin is liver
hypnozoite) )
(( malignant mesothelioma is an anterior mediastinal mass) )
●Pictures I got in today's exam: 1- tinea pedis (what is diagnosis?) 2- herpes zoster (what type of
immune deficiency cause it) 3- hip xray (leg-perthe vs slipped capitus) 4- vulvar candidiasis (what
is treatment?) 5- xray neck croup (what is treatment?) 6- psoriasis picture (don't remember
question) 7- Ct head in hemiballismus movements in left arm and leg (where is leasion?) 8-
multiple skin lesions on the back, I couldn't identify (asked about diagnosis) 9- ECG
supraventricular tachycardia in stable child (what is treatment?) 10- ECG ST elevation in II, III,
AVF (what artery is involved?) 11- graph Uterine contractions and late fetal decelerations (what
is the cause?)
●Alcoholic pt with hyperhsegmented neutrophils Which vitamins is deficient?

# Pt with hemoglobin F & S What to give to decrease mortality TMP/SMX Penicillin Phlebotomy
#-pt with spherocytosis what to do next? Splenectomy
● Huntington chorea (dancing)>>> caudate atrophy Hemiballismus (violent movement)>>>
subthalamic lesion Both contralateral
● Neurologic and ophthalmic (papilledema) involvement in multiple myeloma may appear as the
first manifestation of the disease
●Relative Risk
#Shigles Genital lesions
#Bacterial meningitis
# Urinary incontinence
# Gangrene Foot pic (do amputation)
#Ecg 3 Bacterial vaginosis .....Abrupto placenta... Transvaginal US with B-hcg 2500 #HSP #HUS
#Kawasaki Disease #Shoulder dislocation in a kid
# Primary Amneorrhea
# ct small bowel obstruction
#action of levothyroxin》》 binds cells and cause metaboilc effects
● Case facility rate • . ARR • (absolute risk reduction )
# Compare between two population in the aspect of birth rate .. mortality rate.. accident rate.
( pyramid figure) • .
#CTG fetal tachycardia ..and maternal fever ..diagnose ? Choriamnoitis • .
#ALL • .

#Herd immunity • .
# Pic of breast with cracked nipple .. mammography shows no abnormality ..what's next step?? •
# Pic of psoriasis • .
#Pic of tinea capitis what's tx •
#. ECG inferior MI ..artery involved? • .
# CT head choose one of the lobes: long scenario .. the patient has receptive aphasia and
heminamius upper quarter .. Temporal lobe. •
#. Sjogren syndrome very clear • .
# Wenger diagnose • .
# Pt came with Depression with suicide action before 24 hrs .. what's next ? •
# . Sexual active pt prestent with Post coital bleeding and on examination there was mucopus..
what's diagnose ? Trichmniosis • .
#Xray of thoracic vertebra.. elderly with back pain and tenderness for one day after falling out of
chair .. diagnose ? • (if due to osteoporosis so it is compression fractire, but if it is due to paget
disease or Ca or MM then due to pathological fracture.
#.xray of upper left shoulder .. patient had seizure and presented with shoulder pain what's the
diagnose ? Posterior shoulder(Glenohumeroal) dislocation ? .
# Primi 38 wks with contraction.. cervix 2 cm and effacment 75% gtc more than 30 seconds what
is the diagnose ? Is it normal or there is cord abnormality ? • .
# Infective endocarditis prophylaxis read it carefully please. • .
# Hodgkin lymphoma diagnose • .
# Withdrawal of heroin.. cocaine and amphetamine •
#. PPV • .
#Scenario of patient with symptoms of polycythemia .. he is at risk of what ? Thrombosis ?? • .
#Bruton agamaglobinemia • .
# Pt when she look to the right .. one eye with nystagmys the other can't abduct .. MS • .
# Menier disease • .

#Pic of patient with a lesion behind right ear for very long time but recently has increased in
size ..what u do next ? Steroid? Biopsy? Nothing ? •
# . Prognosis of melanoma ? By thickness NOT histology • .
# Pt with puritus and high cholesterol + jaundice.. antimitochondrial ab is positive ..whats tx ??
Urodoxcolic acid • .
#Pulmonary function test of scoliosis • .
#Parapnuemonic effusion • .
#Compare bw septic ..cardiogenc and hypovolemic shock • .
# Pt never had cycle .. she has uterus on ultrasound .. and breast tanner 1 • Short stature ..
diagnose? Turner • .
#Premature ovarian failure • .
#32 years old pregnant came with bleeding presenting with her mum ..she is Muslim and her
mum prevented the male doctor to exam in her daughter? What u do next ??? Leave her ?
Advice her to come after 2 days when female doctor be available ? Take consent from the
daughter? • .
#Down syndrome with murmur.. ? Complete AV cushion • .
# Post surgery with urine retention ? Catheter • .
# 19 year old with painless scrotal mass ? • Testicular cancer •
#.15 year old boy with testicular nodes disappear when lay down appear when stand what's the
cause ?? • . Varicocele(nodes)
# Pt brought med medics after car accident after doing all the initial steps and invx.. patient still
hypotensive what u do next ??? •
#. Small lung carcinoma • .
# DI vs polydepsia •

#.diagnosis of septic arthritis
#### PICTURES ###
# ١/ 2ECG pic
٢/Microscopic pic ‫ال‬ ‫سؤال‬ arm abduction is axillary nerve
٣/diaper rash & white discharge in kids pic
٤/CT scan abdomen (pt constipation 4 day ....)
٥/ X-ray 2pic
٦/ scabies
7/ hcp leg
8/ pic vocal cord
Obs (abortion) 7Q
9/Hip pain &back pain 4Q
10/Vaginal discharge 4Q
11/ pt e tb+ hiv( Low T cell)
12/ pt reserve chloroquine for 3day now vivax come why ?
13/ ph have problems in abd arm which nerve involve??
14/ after splenectomy which vacation give
15/Sinusitis
16/ 15 yrs boy in school .....not hide behavior.talking =ADHD ....) addicted for which(cocain-
heroin-alcohol) ‫كحول‬ ‫يمكن‬
17/ biostatistics 3q relative risk faculty
● pregnant woman with diastolic murmer is NORMAL (due to hyperkinetic circulatory state)
●cromo 7 CFTR gene deletion of fenylalanine 508 for cycstic fibrosis

● 1- to control rate by bb or ccb or . 2- control rhythm by Amiodarone (lidocain in ven
tachycardia) . 3- Anticoagulation by Warfarin or abixaban
ℹ MALT lymphoma is b cell gastric lymphoma mostly due to h pylori, it is ca but ttt with
antibiotics
● tender purpura in LL (HSP) ‫كمان‬ ‫ممكن‬ WEGENER, infection
● achillis tendinitis prophylaxiz in child (avoid intense ohysical execrsie, warm up and stretch ,
wear heel pads, avoid quinolones.
● fibroadenoma next step 》 less than 30 yrs FOLLOW UP after mensis, if persistence or more
than 30 years go for imaging.
Ifom exam Questions March_April 2018
● pt with p.vivax malaria not responding to Chloroquin..cause of unresponsiveness 》 drug
resistence ( mutation in the gene ppcrt)
● ttt of ovarian hyperstimulation syndrome is dopamin agonist ( cabergolin )
● x linked agammaglobulinemia is due to》 mutation in Bruton tyrosin kinase.. lacking mature b
cells & impaired Ig production

● pancreatitis causes ARDS pathophysiology 》 diaphragm inflammation➡ pleural effision and
acute inflammatory lung injury ( increase circulating pancreatic enzymes leades to ⬇ capillary
permeability and damage alveoli, finally leads to pul HTN ) ➡ dec gas exchange & lung
complience .
● ct scan pic with numbers》 point site of stroke ( temporal lobe stroke { rt side hemiplegia + rt
superior quadrantopia} )
● TO quit smoking : FIRST 》 nicotin replacement (patch or gum)
2ed 》 vernacilin
3rd 》 Bupropion
☆ if pregnant... first CBT ( behavioral therapy) ..if not working ...then nicotin replacement
● IE prophylaxis indicated in : we must have 2 things 》 significant cardiac defect and risk for
bacteremia ( we dont give prophylaxis in mitral valve prolapse)
● paraneoplastic syndrome ( tumor secreting ACTH ) 》 ⬆ ACTH & ⬆ Cortisol (adrenal
hyperplasia)
● #typical anginal chest pain with normal ECG
#ttt of aortic stenosis in elderly pt
#COPDcomplicated by cor pulmonale

#asymptomatic pt came from area of TB endemic ..bcg vaccinated...induration of ppd is
15...what explain abscence of symptoms
#long term ttt of DVT
#pt with malaria not response to chloroquine...the gemsa stain show vivax...cause of
unresponsiveness
#abd trauma..splenic rupture
#derma 3 ... conact dermatitis
#antiphospholipid synd
#UTI in pregnancy
#neonatal tetanus
#kawasaki..not sure
#bacterial vaginitis
● ttt of priapism : intracavernosal injection of sympathomemitic (Phenylephrin) .... blood
aspiration first.... if no response 》 shunt surgery
● asymptomatic TB pt can be due to immunity from natural or previous infection or latent TB
● Nitroprusside used in emergency HTN .. Cntraindicated in vit b12 deficiency, acute liver failure
● alcoholic cirrhosis
●ttt of priapism in sickle》 hydration, analgesics,if no response seek urologidal consultation
● in Hemibalismus..the lesion is in the contralateral subthalamic nucleus ( ct scan pic)
● #There was Diastolic HF

#Chronic subdural HHG
#2ry prevention for stroke
# Ulcerative colitis
# Vulvovaginitis
#Turner syndrome
# Cardiac problem in down pt
#GERF in infant (reassure)
#UTI in pregnancy
#Pregnant with PPV
#Diverticulitis Cause of Duodenal ulcer
● Common variable: present in adulthood and normal lymphoid tissues present ● X-linked
(bruton): abscence of lymphoid tissues.●SCID: same infections that come in aids(PCP...) needs
BM
● unstable pt è uterine bleeding 》 D&c or E&c , if stable》 ocp or progesterone
● Hodgin lymphoma
#Cll
#Siadh
#Pancreatitis causes ARDS ( pathophysiology)
# Befor start of antiRA treatment you have to exclude? Tb
#Paraneoplastic syndrome causing cushing ,whate you find cortisol and ACTH ? #Vaginal
discharge
#Cervical discharge
#Scid Or bruton
# Mitral stenosis

# Biopsy of psoriasis ,what will you find?
#Chest xray of perforated duodenum
#Case of major depression
# Drug for alzheimer
# Genetic abnormality in cystic fibrosis
# Case of OA
#Ttt for frequent recurrent UTI ? TMX
# Treatment of MS exacerpation?
#Prophylaxis for infective indocarditis in mitral stenotic patient who will undergo Git surgery ( if
endoscopic surgery no need for amoxicillin prophylaxis)
#Scike cell present with acute lung injury,whats is the mechanism ( vaso ooclusion of pulm
arteries)
#Case of precardial effusion
# Tt of acute gouty arthritis
# Prevention of hyperurecemia in patient who will take chemotherapy (allupurinol)
#Tt of OCD#
#Stress incontinence
#1st and definitive test in pregnant pt è PE ? V/Q mismatch scan
● caudate atrophy on ct scan (huntington disea) is contralateral to clinical finding
My recalls 5/5/19
- parkinson dis

- Tenia versicolor ttt
- Treatment of scaibes
- Psoriasis biopsy feature
- Nipple lesion 2 months, 4 months ago mamo. Was normal , next step ?
- 2 cases of DVT prophylaxis
- Asthma management
- COPD long term management 2 cases
- 2 cases of UTI .. ttt and recurrent cause
- Right ventricular infarction ECG
- Nephrotic syndrome
- Duodenal ulcer perforation x Ray
- Hemiballismus CT to determine the site of lesion
- Epidural hematoma
- Anovulation causes irregular and heavy menses in young lady
- Case of arrest cervical dilation
- Common variable immune deficiency
- Fatality rate
- MDD
- OCD ttt
- Lead toxicity
- Alcohol withdrawal
- Alcohol liver cirrhosis
- Osteonecrosis
- Endometriosis , next step to confirm dx!
- Vaginal bleeding after placenta delivery of 4kg baby ? Cause

- SCD with fever and features of PE cause ?
- Spherocytosis pathophysology ?
- Tena pedis
6/5/2019
� �
derma
" concentrate on the recall "
*tinea versicolor pic, ask about ttt " selenium sulfide "
*tinea pedis pic = dx
*pemphygoid pic =dx
* scabies pic = dx
*lichen sclerosis in vulua pic=dx

*mass in vulua = Dx
Bartholin duct occlusion???
* penile ulcer pic =dx
* pathophysiology of psoriasis.
* case of acne ttt = benzoyl peroxide.
� �
CNS
Case of Parkinson = ttt
Alzheimer's disease = ttt
"donepezil "
Hemiballismus = site of lesion
" sub thalamic "
* syringomyelia 2 cases
� �
A lot of ECGs
*RVI
*First degree heart block = next?
Electrophysiological studies
*WPW
*AF
# case of cardiogenic shock
# case of MS
#MVP = she will undergo sth l forgot it but they ask about prophylaxis = no prophylaxis

� �
many cases of dysphagia
* 3 months hx of wt loss and dyshagia , what's next = endoscopy
* case of achalsia dx = dysphagia to fluids and liquids
* peptic ulcer ttt = H2 receptor blockers
* Mallory tear = vomiting, develop hemoptysis, what's next = endoscopy.
� �
hematology :
*Myelodysplasia = elderly pt and alcoholic, high MCV, normal B12 and folic , anemia,
thrombocytopenia .
* case of pernicious anemia = parathesia and high MCV
*case of lymphoma
* case of spherocytosis, what's the cause of anemia = extravascular destruction of erythrocytes
� �
Biostatistic "5qs"
* Fatality rate = number of pt who die from certain disease / total number of the ppl who have
the disease " it's easy ":)
* attack risk , IDK what's that l choosed C � �
* drug side effect research.
* cohort study = relative risk
* l forgot the fifth
� �
Endocrine
* psychogenic polydepisa case ask about concentration of urinary Na and urine osmolality.

* Euthyroid sick syndrome ttt= no further ttt
* female with a FH of medullary carcinoma with high calcitonin, what's next?
*papillary carcinoma ttt = thyredectomy.
* case of hypernatremia, hpokalemia, metabolic alkalosis, what's increase?
Aldosterone
� �
Gyne
* many cases of infertility.
* hormonal replacement therapy side effects.
* case of PCOs
* androgen insensitivity syndrome = testosterone levels
* 14 yrs complaining of not having menstrual cycle yet, what's next?
* case of endometrosis Dx = laproscopy
# pregnant women with convulsions on valoprate = side effects on fetus?
# case of congenital rubella
# case of vaginal discharge, no organisms in culture = what's ttt
# CSF analysis
Normal glucose, high protein, high WBCs?
# case of pregnant women with positive VDRL, what's next?
� �
obs
*Case of pre-eclampsia
* case of PPH at risk of developing what? I choose Amenorrhea by exclusion " sheehan "

� �
Rheumatology
* X-ray of posterior shoulder dislocation, where's the site? Glenohumoral.
* X-ray of osteoarthritis
* X-ray of paget disease of bone
* many cases of SLE
* Gout flare , ttt = indomethacin
* carpel tunnel syndrome mechanism ? neural compression.
� �
pulmonary
* case of Wegner granulomatosis
* case of parapneumatic effusion
* many X-rays with lateral view
* case of COPD
* Cases of asthma.
# pic of foot gangrene and scenario of homeless pt and temp 31 what's next? Rewarmig.
●Maternal fatality rate

●Relative risk
● intraductal papilloma in situ , next step?
● pic of tophi on hands .mechanism?
-Hypersensitivity to uric acid
● RA.. joint biopsy?
-Synovitis with inflammation
● acute pancreatitis with abdominal CT , next step in diagnosis?US
●Otitis media. organism came from?
Nasopharynx
● pregnant with heavy painless bleeding mass on cervix. Next step?
-Cesarian
Biopsy
● malaria
Pics:
●unperforated hyemen
●actinic keratosis
●vzv on face
●shoulder dislocation.. name of joint?
●scabies. mechanism? Hypersensitivity to parasite
●Bcc
● melanoma. Mx?Excesion
● nodule on prostat next? Biopsy!
● woman donat blood every 6 months.. now has low plt Next?
-Repeat with heparin
●pt taking cyclophosphamide had hematuria cause? Cystitis

●old pt had hematuria?carcinoma
●Pt with meningitis how to protect his family?
-Give antibiotic
●sinusitis ..ttt-Amoxicillin
●ateial fibrillation.management?Adenosin
● ECG of st elevation in ll lll avf . which artery?
Right Coronary
● ECG of (LAD)
●ECG of pericarditis . management?
-Iboprofen
● pt with left homonymous hemianopia .. site of injury?Posterior lobe!
● woman with painfull vision loss.. Dx?MS
● femoral fracture repair. Next day had chest pan . Cause?Pulmonary emboli
● pt have pain with flexion Dx?
Biceps tendenitis!
●Chronic subdural hematoma
● child had bee sting .. then developped anaphylaxis..T?epinephrine
● pt had angioedema ..tt?
●pt had flu with nasal congestion t?
Anticongestants
● famale has vaginitis whith white thick discharge Ph=4 ..Tx?Fluconazole
●male with pyoria and _ve gram .. organism?
Gonorrhea
●same scenario with no organirm?
Chlamedia

● Septic abortion
●boy with severe asthma when visit his father who is heavy smoker.. what to do other than
medication ?
-Oral prednisone befor visit his father
Prescribe nicotin patches to the father
Talk with his father to stop smoking for the sun
● sle.. mechanism of renal injury? Immuncomplex
● MM Mechanism of renal injury? Light chain
My exam 13/5
.Pic of sebhorric dermatitis
.80 yrs woman(pic of diffuse goiter) increase in size 4 yrs..enlarged non tender..high T4 what do
.Pic of imporfrate hymen
.ttt of curdle white vaginal discharge with itching.
.Def mortality rate
.premature follicular failure
.case of sjogren

.case of acromegaly
.case of alcohol withdrawal
.pic of blood smear..malaria
.case of pph,what to do..I pick oxytocin
.atrial fibrillation try
.child with ADHD with symptoms of methylphenidate toxicity
.mg sulphate ctg
.pt w controlled htn w no renal symptoms..what drug to add? I chose no thing
.Child w febrile convulsions.. reassurance
.Inferior wall mi ..what artery (RCA)
.case of primary biliary cirhosis..what to find? Anti mitochondrial
.ttt of pneumonia in HIV pt..TMP-SMX
Lower n. Distribution question
Elderly with lot of co-morning conditions develop incontinence and fever cause asking for cause
African pt with post splenectomy and HCV travel to his home town yearly his lfts are mildly high
and he drinks moderate amount of alcohol too, he doesn’t want treatment cause of his
mortality?
Dengue fever

Atypical presentation of ankylosis and asking for heart disease association, he has sacroilitis in
his lower vertebra?
Pregnant with preeclampsia at 37 week what to do next no C/s in option?
Post viral joint pain with high fever?
Obstructive pattern of lung disease?
Pregnant going to malaria endemic area what will you advice her?
Child with fluid accumulation in joint after trauma no f.hx of blood disorder, coaq studies are
normal?
Pleural effusion management they gave two sets of lab and you have to calculate to know
wether it’s exudative vs transduative?
IV drug abuser but with typical presentation of AR?
Ckd on dialysis what will be the cause of mortality? CAD or uremic pericarditis (all of his labs
were within normal range except BP that was high)
Abdominal mass with sever HTn all labs are normal?
Pics:
Pericarditis
Paget’s
Melanoma
Actinic keratosis

And one bone lesion in fibula
Pelvic xraypain with standing incr ALP...? Paget , waldestron,.
Penile tenderness lesion no discharge no weight loss (chlymedia..gonorrhea..hiv..vsz)
pt had protein urine and wbc after TMP ttt still protein in urine (MM , post gn...
Scabies picture
Tina vesucolor ttt
Sle case want ttt (try to diff between all dz with proteinuria)
Mcv high low wbc, low plt what dx
OA ttt
Copd cxr
Percarditis ecg
Raloxifene side effect
Chemotherapy ttt what electolyte disturbances
Meningitis with petechia..want prophylaxis ( amoxicillin, TMP smx,..
Vulva swelling ..tenderness no fever normal vagina( bartholin abscesse or bartholin obstruction
duct or gardener

My exam was today and those are some of questions that came
Good luck� �
� �
-case of paget disease
-case of rta pt had csf draining from his nose laceration on the temporal area with bleeding en
route to hospital an oxygen mask wast put on his face what to do next
Intubation
Compression of the bleeding site(laceration)
Ct of the head
-case of female lost weight didn’t pass stool for 2 days on ct enlarged bowels what to do next
Nasogastric decompression
Colonoscopy
Endoscopy
-case of penile ulcer it was big and there for 6-9mnths i chose basal cell carcinoma
-right leg weakness artery occluded?
-Valproate toxicity in fetus
-pt ivdu lesion tricuspid regurgitaion
-case they mentioned fixed split s2
-pericarditis in a pt with previous mi tx: naproxen
-alcoholics toxicity ttt
-alcoholic toxicity something about neurotransmitters
-mass on vulva and it painful

Bartholin oclusion
Bartholin agenesis
Skene inflammation
Skene occlusion
-prophylaxis for meningococcal
-14 yrs old with amenorrhea
-cml
-non-hodgkins
-hodgkins lymphoma
-tinea vercicolor ttt
iporfrate hymen
*basal cell carcinoma
*52 y/o female with fatigue palpitation nodular enlarged thhyroid.. best inital step
*kawaski case
*diahorrea with cramps but negative stool sample after initation of medication
*female at 27th week gestation with vaginal bleeding open external os but closed internal os
*14 year old boy with tanner stage 2 management
*managment of incontince in female after pregnancy
*6month infant what to add to diet
*realtive risk

*teenager fell on shoulder and now has limited range of movment and pain with flexion of
elbow
*male fell on outstratched arem with sagging in posterior elbow
*62y/o femal with intarductal carcinoma in situ.. managment?
*pcos
*iferior wall mi
*mitral stenosis
*child with murmur in left infraclavicular space
*pericarditis
*aids patient with featurs of pn and CD4 count of 300 wat treatment to start
*most important risk factor for osteoarthritis
*xray of lung with pleural effusion..how will breathing parmeter change
*tall thin male.. etiology of pneumothorax
*old female with incotince.. underlying mechanism
*2 cases of All but i cant remember the details
*male with scrotal pain after recent unprotected intercourse what is the diagnosis
*ct of abdomen with billiary obstruction
Recall 3/10
- COPD clue - increased anterio -posterior chest wall
- Q about familial lipid problem -
- 2 Q about neurotransmeter

- pediatric psychiatry case
- HIV diarrhia
- pediatric headache
- drug cause urine retention
- RA diagnosis
- attack rate
-fatality rate
- elderly anemia - 1) Pernicious anemia pt with megablastic anemia + Sx of vitamin B-12 ; 2) iron
deficiency anemia in pt 56 yr female / what to do frist ? Trail iron treatment or colonoscopy
-mania treatment
- Na valoprate during pregnancy
-congenital adrenal hyperplasia
-ILD - fibrosis
- hypoglycemic attack
- heat stroke
- stroke lesion site
-UTI uncopmlicated- drug
- pancreas cancer diagnosis
- giant cell tumour
- 14 boy complain anterior knee pain -
tibial tubercle tendency - what to do ?
- hand nerve compression after fracture
6/10/2019 ..

- Case fatality rate (2 cases)
- point prevalence measurement
- Relative risk
- Best assessment of dehydration in community what to do for children ?
MUAC//weight//height.
- stroke prevention ( anticoagulation: secondary,
Rehabilitation : tertiary)
- a blood test used to measure screening in disease ? Test with high sensitivity.
- young lady came to assess her risk of Inherited psychiatric disease genetic testing ? Is it
specific // Sensitive// or Both
- Elderly with Back pain increased with bending diagnosed with Ulcerative collitis for 10 years he
is on steroids and had melanoma exision before 3 years ..XR of spine shows erosions in
sacroiliac joint .. what is the cause ? UC or steroids (others.. smoking..age..melanoma).
- pt with asbestosis and effusion what is next .. spirometey// Thoracocentesis.
- 16 y boy with asymmetrical multiple joint pain (rt arm+ left ankle) holosystolic murmur what is
the cause ?
Unprotected sex..water contamination.. shellfish ingestion.. crowded community.
- T.versicolor pathophysiology? M.furfur infiltration.
- Tender breast mass 3×4 cm next step.. AB // I×D // FNA.
- CKD + K 7.5 +wide QRS complex next step .. Ca chloride // Furosemide//Nacl.
- Constipation +somnolence +H/O kidney stones+ high Ca dx 1ry hyperparathyroidism.
- Acute Gout attack (given NSAIDs but of no benefit) .. give colchicine// Allopurinol.
- Neuropathic pain + decrease Dtr + decrease sensation .. give amitriptyline//halipredol// BZD
- Pt w chronic diarrhea + Alcoholic+diabetic+ multiple admission for pancreatitis what test will
be abnormal.. Fecal fat test// amylase//lipase//x-xylulose.
-12 y girl w no breast or hair what next step.. Bone age// FSH.

- 12 y girl with thoracic scoliosis and abnormal hair taught on her back developed left side
weakness and loss of abdominal reflex what next step .. spine MRI //LP//reassurance and
examination after 6 months.
- elderly women came w hoarsness of voice+ chronic Smoking history and lesion on epiglottis
(laryngoscope picture provided) next step .. Biopsy // smoking cessation and examination after 2
months// Radiotherapy.
- Medullary thyroid cancer next step.. metanephrine level (there is thyroidectomy but u have to
role out PCS).
-13 y boy with joint pain,Fever and rash on trunk and proximal extremity O/E swelling of Wrists
and ankles dx.. Juvenile RA//Dermatomyositis//SLE//mixed connecitve tissue disease.
- 2 CXR Ap and lateral asking about mechanism
- child found floating in pool then his parents did CPR and in hospital developed respiratory
distress asking about mechanism of distress ??
- Pic of swelling in external ear after piercing what is the organism..p.aurginosa//group B
streptococcus (no S.aureus)
-Gallstone mechanism in SCD.
-Asthmatic pt came with coughing and wheezing at night for 1 month normal cxr &PFT 95%
predicted what to add .. Omeprazole//inhaled beclomethasone//montelukast.
-pt w DKA developed confusion and altered mental status after 3 hrs from treatment (there is
low sodium).. Cerebral edema.
-Pt complain of air and bubbligs in urine with turbid color + H/O diverticulosis.. Colovesical
fistula.
-Athlete Women with heel pain in the first steps in morning..Plantar fasciitis.
-Pt w heart failure and hepatomegaly + Incr BUN and hyaline cast mechanism?? Pre-renal
azotemia//heaptorenal syndrome.
- management of 40% carotid stenosis .. Aspirin .
- Ethics: Elderly patient with ALS and frequent food regurgitation does not want gastrostomy for
feeding? Let him eat and drink by mouth//place tube forcefully//talk to his siblings.

New recalls
placenta previa
measles
marijuana
vitamin b12 deficiency (h/o sensory ataxia, dementia)
Neuroleptic malignant syndrome
malaria
case fatality rate
relative rate
gout
ALL

tension pneumothorax
paraneoplastic syndromes of lung cancer
serotonin syndrome
lithium toxicity
pulmonary fibrosis
asthma
eclampsia
spontaneous abortion
hiv testing in neonate
Fitzg hugh Curtis syndrome
tamoxifen effect on endometrium
10-10-2019 Its was all about Rheumatology
1. Polymyositis
2. Plantar fasciitis
3. Paget
4. Ankylosing spondylitis
5. Gout flare
6. Osteoporosis
7. Transient synovitis
8. Knee pain in obese woman i choose weight loss
9. Psoriasis mechanism (basement membrane deposition - antigen antibody deposition ) ( i
choose antigen antibody � �
� �
‍♀)
10. Actinic keratosis

11. Scabies
12. Comadone Acne
13. Pcos
14. Normal improvement
15. Placenta previa
16. Pregnant preterm with HTN + low platelets (didnt give her liver enzymes)
What to do ? I put delivery (not sure)� �
� �
‍♀
17. Cervical with interstitial hyperplasia what to do ? I put biopsy(not sure)� �
� �
‍♀
18. Parkinson
19. Cushing
20. External ear after penetrating the skin for earrings ( I choose staphylococcus aureus )� �
� �
‍♀
21. two lesions in same breast firm mobile not stuck to skin : breast carcinoma - fat necrosis -
fibroadenoma - fibrocyst ( i choose carcinoma )� �
� �
‍♀
22. Copd exacerbation
23. Azthma
24. Pneumonia
25. Pleural fluid pic
26. Major depressive ttt
27. General anxiety dx
28. DVT prophylaxis (heparin)
29. CLL
30. Malaria for pregnant 1st trimester want to travel to Africa what to do? Give her prophylaxis
from not and along her staying period there - tell her to postpond her travel till third trimester
and at that time to start prophylaxis( I choose the first one)

31. Common cold or viral pharyngitis( nasal congestion + sore throat + rhinohrrea + no fever no
cough + erythematous tonsils but not exudate but i choose common cold � �
� �
‍♀dont know why
may be bcz they try to make him look good not so tired )
32. Vaginitis candida
33. Raynaud phenomenon
34. Urge inconvenience
35. Bladder cancer
36. Purulent discharge from penus in men i choose chlamydia
37. Urethritis in woman i choose E coli
38. Abdominal aortic aneurism screening i choose ultrasound not sure
39. Cervicitis
40. Pancreatic cancer
41. Down syndrome
42. HHS
43. Dm type 1
44. Secondary HTN
45. MM
46. MS
47. Epidural hematoma
48. AD
49. Cerebellar infarction
50. Frontal lobe infarction

Parkinson
Alzheimers
Lateral cutaneous nerve of the thigh palsy
Ankylosing spondylitis
Scabies
SCC or nevus
Mech. Of psoriasis is hyperproliferatio
Gout dx
Gout mng acute and chronic
Avascular necrosis of femoral head

Asthmatic pt on SABA only, suddenly having multiple night sx, wt to add
Pericarditis
Inf MI
Heart failure reduced EF mng.
SLE
Rh. Arthritis
Glaucoma
Hemophilia A
5 Stroke questions,3 asking Locations and naming artery, one TIA asking about recurrence rate
Too many lower limb nerves name the nerve. (FML) :
-Child fell down from bike, lost sensation on leg, ankle dorsiflexion normal
-Woman in prolonged labor. Foot drop.
- Mid thigh loss of sensation + slight muscle weakness???

-The oblique popliteal ligament is formed by which of the following:
Semitendinous
Semimembranous
Popliteus
-Which of the following is a bipennet muscle ?
-Nerve in charge of pupil constriction, just a plain direct question.
III
IV
V
VI
VII
-Gait abnormal, neuo finding, Pupil constrict to accommodation not to light, diagnosis.
-Elderly with epistaxis, most likely art injured
-Worker in heat. faints. Sweating. Management ?
-In a community far away, obesity levels are in the rise on children. Research wants to assess
nutrition status, best modality?
Arm circumference
Waist circumference
BMI
3 shock Qs

-High CI, Low SVR, Low PCWP
-Low CI, high PCWP
-sounded like Cardiogenic but PCWP was normal
Genetics
-Marfanoid body description, with downward lens dislocation, mode of inheritance.
-Urine crystals picture - Rhomboid shaped (as far as my assessment goes) - type of stone
-African young adult male, ultrasound shows many gall stones in gallbladder. Most likely reason.
7 ECG thankfully
-One asked about location of block, had ST elevation in aVR
-One showed diffuse ST elevation (so I assumed Pericarditis) already on ibuprofen, next step.
-Pregnant lady, right upper quadrant pain, fever, leukocytosis
-Raised rash in the face and involving the ears. Causative organism
4 CTGs (one of them seemed normal) + 1 Arrested labor chart

Rheumatology
-Paget
- Osteoporosis
-septic synovitis
-Knee pain in obese woman i choose weight loss
-recuurent abortion and lll DVT
- Psoriasis mechanis
-tx for tenia vidcicolor
-Scabies
- Pcos risk for...
-4 year child hyper active but otherwise normal eye contact and performance
-valopric acid risk for ....
- tamoxifen risk for
-Parkinson

-1ry hyperaldosteronism
-prophylaxis for gonococal meningitis
- High calcitonon ... next step
-asthma 27day /w .. 2 time nigh ..on b aganist..next step
-45 year reactive air way disease drug to avoid in tx of htn
-. Pneumonia
-. Bipolar tx
- 80 year at hospital hx of recurrent fall and not able to stay at bed ... what tx to give or just sitter
- CLL
30. Malaria for pregnant 1st trimester want to travel to Africa what to do? Give her prophylaxis
for malaria .. what other advice (many options)
-post nasal drip with recuurent throat pain at morning for month.. other wise healthy .... dx?
- Vaginitis
-. Scleroderma ..fonger tip ulcer
- pt tem 31 and lower limb ulcer after he found walked in snowy night .. next step...
-. Urge inconvenience
-. Bladder cancer
-. Purulent discharge from penus in men i choose chlamydia
- Clamydia in femal
- pt dm type 1 after ours of dinner his roommat found him cold , sweating , not responded .. the
diagnosis ?

-uti patient with +2 protinural after tx .. protinuria +3 ... the causes?
-HUS
-PSGN
- MS COUNSELLING
- lung contosion what the cause of low o2
-. Frontal lobe infarction
-PPC the mechanism of high bili
- fatilty rate
- cohort study
-rubella conganital anomalies
9/10
Calculate the prevalence (table)
Ecg "post MI pericarditis"

Most accurate parameter to assess the wt of children (MUAC,, BMI,,wt,,ht)
Child underwent inguinal hernial repair, wt the best method to prevent post op DVT (early
mobilization, unfractionated heparin, ,low molecular wt heparin )
Hypothyroidism ' menorrhagia'
2 cases about cervical ca and high grade squamous intraepithelial lesion
Cocs increase the risk of which ca
Plantar fasciitis
When to take the pt of tb out of the isolation
Pt wz multiple myloma wt the most common organism "s.aureus, ,s.pnumonea,,e.coli,, CMV"
Case of CLL "elderly wz lymphadenopathy, hepatosplenomegaly and lymphocytosis"
Case of GAD
Girle wz poor academic performance ,,she was crying alot and recently her phone bill is more
than the usual (cyclothymia,, bipolar,,dysthymia)
Casr of allergic rhinitis
Ankylosing spondylitis (Aortic regurgitation )
Endometrial hyperplasia
HIT
+
Transient synovitis
Psoriasis (pathogenesis)⏩ epidermal proliferation
MS
Scabies
actinic keratosis
Paget
Gout
Placenta previa

Rhynaud phenomena
Trisomy 21
Epidural hematoma
Candidal vaginitis
Urethritis (chlamydia)
Skin inf of the ear after penetration (s.aureus wasn't an option) there was pseudomonas
Breast Fibrocyst (middle age girle wz 2 small mobile masses )
Parapneumonic effusion
1ANK SPOND
2PAGET
3ACL

4SJOGREN
5SLE FLAIR
6SLEvaccination
7CER
8Immuno -
9CGD
10Rheumatoid arthritis treatment -11obese female
12 questions on TB
14Pic of trichomonas
15Erythema nodosum
15Anovulation
16Anticoagulation prophlylaxis
17RR,CFR,POINT PREVALENCE,
18Malnutrition indicator
19So many questions from psychiatry
20Pic of trichomonas
21Contact dermatitis
22Melanoma
23Herpes
24Question on swelling ant 25mediastinum with drooping of eyelids
26Ear piercing-repeat
27Treatment of Neisseria
28Primary hyperparathyroidism
29Same drowning developing to ards
30Parameters of cardiogenuc shock

31Ulcerative colitis flare treatment
32Multiple sclerosis
33Artery involved with stroke presentation
34Restrictive lung picture of ank spond
35Same question pt of als wants soft food ,does not want feeding tube
36Inefective endocarditis major risk factor
37Upper airway respiratory syndrome
38No ctg
39Sinus tachycardia
40Small girl with recurrent 41headache ,redness , congestion then some aura
42Gout flare
43Question on point prevalence
44Plantar fasciitis
45Question on antipseudomonal antibiotic
46Case of pyelonephritis -treatment was asked
47Ckd what will u expect more-
48How will u rule cause of secondary hypertension patient has come for the first time
Serum electrolytes
Ct
Coagulation profile
49Lithium toxicity -treatment
50Alcohol withdrawal -cause

51A 2yr old found on floor-father was taking benzo and trihexifindyl -mechanism of poisoning in
child
52Parkinson frst line treatment
Question about screening of parkinsons antenatally options were like available/false positives
high /not valid
53One study which had inclusion criteria of 30-50 with dysphagia was looking for esophageal
cancer through new blood culture -reported high sensitivity of test -question was is it valid or
not
54Testicular cancer
55Testicular torsion
In everything was next best step
56Hyperprolactinemia
57Tubo ovarian abscess
58Perihepatitis
59Obese women -an ovulation -hyperplasia -mechanism?
60Ulcer on vagina - weight loss -history of vaginal discharge -lympadenopathy -next step
61Bronchiectasis
62Asbestos risk with pleural calcification with shortness of breath ,no weight loss
Nest best step
63Pre renal azotemia –parameters
Pericarditis: Pr depression, St segment elevation

IFOM CSE Recalls 2020 V1 PDF

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IFOM CSE Recalls 2020 V1 PDF