Octuber Q

اليوم ٢٣ اكتوبر Female patient complaing of menstrual irregularity,hypertension, Hirtusm With high androgen in the blood US shows multiple small cysts in the ovaries What is the most likely diagnosis? A) gynecomastia B)Kallmann syndromes C)klinefelter syndrome D) Stein-Leventhal syndrome

60 y/o Patient was discharged from cicu after 2 weeks of having mi, the patient have another appointment with elective cholecystectomy. When should he do it? A. Upon discharge B. 6 weeks C. 6 months D. Until symptoms resolve

Child 4 years , her mother told you she is always yelling and say NO and hitting , what is the diagnosis? ⁃ Anxiety disorder ⁃ Depression ⁃ Mental retardation ⁃ Temper tantrum

Female pregnant first trimester, which one of the following blood chemistry will mostly appear ? A. Increase in plasma Na B. Decrease in creatinine C. Increase BUN D. Unchanged BUN

Milestones : Child who can jump on both feet, say two words sentence, compare two things how old is he: A. 2 years B. 3 years C. 4 years D. 18 months Child sit unsupported, smiles coos and points to his mouth with his finger A. 2 months B. 5 months C. 7 months D. 10 months Stranger anxiety and separation anxiety A. 4months B. 6 months C. 10 months D. 12 months

Male patient complains of one episode of hematemesis. normal past medical history Labs show mild anemia ,All over labs are normal except elevated urea level in blood? A-Mallory Weiss syndrome B-erosive gastritis C-PUD

HIV patient presented with neurological manifestation and diagnosed with toxoplasmosis, most appropriate management? -pyrimethamine and sulfadiazine -Doxycycline and clindamycin -Ceftriaxon and azithromycin

A female with vaginal discharge and in examination there is "red strawberry cervix" A- Chlamydia B- Neisseria gonorrhoea C- Tricomoniasis vaginalis

Child with group A strep pharyngitis. What will you do with his brother? A. Observation B. Throat culture C. Throat swab for rapid antigen test D. Antibiotics

Pediatric patient came with fever and sore throat, the tonsils were congested and he had papular lesion with erythematous base on his mouth and gingivitis: HSV EBV Coxsackie

Pt post thyridectomy developed aspiration and hoarsness, which nerve injured ? A. Superior laryngeal nerve B. Recurrent laryngeal nerve

Pt did let neck surgery then develop numbness (or loss of sensation) in the lower part of pinna + left triangle of mandible. Which nerve is injured? A. Third occipital B. Great auricular C. Great occipital D. Lesser occipital

A young patient presented complaining of right upper quadrant pain. On examination there is RUQ tenderness and a palpable mass. Investigation showed Entamoeba histolytica, and there is abscess 12 x 14 cm with septation. What is your *initial next step* in management? A. Percutaneous drainage. B. Metronidazole. C. Percutaneous aspiration. D. Surgical removal

A case of young male asymptomatic presented abnormal LFT. He is a smoker and drinks alcohol in the weeknds. Labs showed high AST ALT Tbilli and slightly high iron and TIBC and very high ferritin (450). What is the cause of his abnormal LFT A- hemochromatosis B- alcoholic hepatitis C- cholangitis

Long case typical SLE + RA. Lab postive ANA and RF asking about most diagnostic test A-RNP

3 year old came to clinic with lethargy and failure to thrive Hg 88 Mcv 65 Normal RBCs Reticulocyte 5 Mch low What is the most appropriate management : A. Blood transfusion B. Im iron C. Oral ferrous sulfate D. Fortified formela

55 years old female came with bilateral breast pain + bilateral green discharge from multiple ducts. Imaging: Multiple dilated ducts, not suspicious. What to do? -us guided needle biopsy -Interval follow up imaging -Galactogram -MRI breast

23 Oct couple presented to the clinic complaining of infertility for the last 3 years. They asked about the availability of a surrogate option in the hospital and whether it was legal in KSA. Which of the following is the most appropriate option? A) Tell them it is not an available option in this hospital B) Refer him to another consultant with connections to surrogacy centres C) Tell them it is illegal in Saudi Arabia D) Give them appointment and read about the topic

23 Oct Patient coming from an endemic area for malaria. Later on, he was admitted to the hospital with Heart failure. Doctor did not ask the patient about travel or medication history. Thus, he ordered the nurse to give digoxin. Who is at fault? A) Computerized drug prescription system B) Nurse failed to write drug formularies C) Pharmacist who failed to check prescription D) Patient who did not bring his medicine pack/ report his medicines

23 Oct A scenario about researches who did small studies to prove the effects of drug A If we take all these studies to do one research what it called? A) case control B) cohort study C) case series D) meta analysis