1.

For health education programs to be successful all are true except :

a- human behavior must be well understood
b- Information should be from cultural background
c- Doctors are only the health educators
d- Methods include pictures and videos (mass media)
e- Involve society members at early stage
1. A 29 Y.O female has a breast lump in the upper outer quadrant of the left
breast, firm, 2 cm. in size but no L.N involvement … what is the most likely
diagnosis?
a- fibroadenoma
2. What is the management for the above patient?
a- mammogram (true if patient > 35 years)
b- excisional biopsy
c- FNA
d- breast US
e- follow up in 6 months
1. A 27 yrs. old female C/O abdominal pain initially periumbilical then moved to
Rt. Lower quadrant … she was C/O anorexia,nausea and vomiting as well. O/E:
temp.38c, cough, tenderness in RT lower quadrant but no rebound tenderness.
Investigations: slight elevation of WBC's otherwise insignificant... The best
way of management is:
a- go to home and come after 24 hours
b- admission and observation
c- further lab investigations
d- start wide spectrum antibiotic
e- paracetamol
1. What is the most likely diagnosis for the above patient?
a- mesenteric lymph adenitits
b- acute appendicitis
c- peptic ulcer
1. A 24 yrs old pt. came for check up after a promiscuous relation 1 month ago...
he was clinically unremarkable, VDRL : 1/128 … he was allergic 2 penicillin
other line of management is :
a- ampicillin
b- amoxicillin
c- trimethoprim
d- doxycyclin
1. 7- A 24 years old female pt. C/O: gray – greenish discharge, itching...
Microscopic examination of discharge showed: flagellated organism … most
likely diagnosis is:
a- trichomoniasis (trichomonas vaganalis)
2. A 43 yrs. old female pt. presented to ER with H/O: paralysis of both lower
limbs and paraesthesia in both upper limbs since 2 hours ago... she was seen
lying on stretcher & unable to move her lower limbs (neurologist was called but
he couldn't relate her clinical findings 2 any medical disease!!!) when history
was taken, she was beaten by her husband … the most likely diagnosis is:
a- complicated anxiety disorder
b- somatization disorder
c- conversion disorder
d- psychogenic paralysis
e- hypochondriasis
1. The best treatment for the previous case is:
a- benzodiazepines
b- phenothiazine
c- monoamine oxidase inhibitor
d- selective serotonin reuptake inhibitor
e- supportive psychotherapy
1. A 58 yr.old male pt. came with HX of fever, cough with purulent foul smelling
sputum and CXR showed: fluid filled cavity … the most likely diagnosis is:
a- Abscess
b- TB
c- Bronchiectasis
1. A 28 yrs. old lady, C/O chest pain, breathlessness and feeling that she'll die
soon. O/E: just slight tachycardia... otherwise unremarkable... the most likely
diagnosis is:

a- panic disorder

1. A patient (known case of DM) presented to u with diabetic foot (infection) the
antibiotic combination is:

a- ciprofloxacin & metronedazole

1. A young pregnant lady (Primigravida), 32 weeks of gestation came to you C/O:
lower limbs swelling for two weeks duration... she went to another hospital and
she was prescribed ( thiazide & loop diuretic ) .. O/E: BP: 120/70, mild edema,
urine dipstick: -ve and otherwise normal…. The best action is:

a- continue thiazide & stop loop diuretic

b- cont. loop diuretic & stop thiazide
c- stop both
d- continue both and add potassium sparing diuretic
e- cont. both & add potassium supplement
1. A 17 yrs. old football player gave HX of Lt. knee giving off .. the most likely
diagnosis is :
a- Lat. Menisceal injury
b- medial menisceal injury
c- lateral collateral ligament
d- medial collateral ligament
e- Ant. Cruciate ligament

1. 15- A 10 yrs. old boy presented to clinic with 3 weeks HX of limping that
worsen in the morning... This suggests which of the following:
a- septic arthritis
b- leg calve parthes disease
c- RA
d- a tumor
e- slipped capital femoral epiphysis
1. A full term baby boy brought by his mother weighing 3.8 kg. Developed
jaundice at 2nd day of life... Coomb’s test –ve, Hb: 18, billrubin: 18.9 &
indirect: 18.4 O/E: baby was healthy and feeding well... the most likely
diagnosis is:

a- physiological jaundice
b- ABO incompatibility
c- breast milk jaundice
d- undiscovered neonatal sepsis
1. A 62 yrs. old female pt. a known case of osteoporosis & on 1 alpha + Ca
supplement... her lab works shows normal level of PO4, Ca & ALP … her X-
ray shows osteopenia with SD = -3.5 …. The best action is to:

a- continue on same medications

b- start estrogen
c- start estrogen & progesterone
d- add alevdonate ( bisthmus phosphate)

1. A 38 yrs old female … came to you at your office and her pap smear report was
unsatisfactory for evaluation... the best action is :
a- Consider it normal & D/C the pt.
b- Repeat it immediately
c- Repeat it as soon as possible
d- Repeat it after 6 months if considered low risk
e- Repeat it after 1 year if no risk
1. A 17 yrs. old school boy was playing foot ball and he was kicked in his Rt.
eye... few hours later he started to complain of: double vision & echymoses
around the eye... The most likely Diagnose is:
a- cellulites
b- orbital bone fracture
c- global eye ball rupture
d- subconguctival hemorrhage

1. A 35 yrs old female pt. C/O: acute inflammation and pain in her Lt. eye since 2
days... she gave Hx of visual blurring and use of contact lens as well … O/E :
fluorescence stain shows dentritic ulcer at the center of the cornea .. The most
likely diagnosis is:
a- corneal abrasion
b- herpetic central ulcer
c- central lens stress ulcer
d- acute episcleritis
e- acute angle closure glaucoma
1. A 65 yrs old lady came to your clinic with Hx of 5 days insomnia and crying
( since her husband died ) the best Tx. For her is :
a- lorazipam
b- floxitein
c- chlorpromazine
d- haloperidol
1. A 25 yrs old Saudi man presented with Hx of mild icterus, otherwise ok...
Hepatitis screen : HBsAg +ve , HBeAg +ve , anti HBc Ag +ve (this should be
core anti body, because core antigen doesn’t leave hepatocyte to the blood
"prof. Yasawi" ) , the diagnosis :
a- acute hepatitis B
b- Convalescent stage of hep. B
c- Recovery with seroconversion Hep. B
d- Hep B carrier
e- Chronic active Hep. B
1. 25 yrs. old man presented to ur clinic with one month HX of aching pain in the
elbow, radiates down to the lateral forearm..the pt. frequently plays squash …
O/E: Pain increases with dorsiflexion of the wrist performed under resistance
specially with elbow extended … the most likely diagnosis :
a- olecranon stress fracture
b- olecranon bursitis
c- lateral tennis elbow
d- radial tunnel syndrome
e- ligament sprain
1. 8 wk Primigravida came to you with nausea & vomiting choose the statement
that guide you to hyperemmesis gravidarm :
a- ketonia
b- ECG evidence of hypokalemia
c- Metabolic acidosis
d- Elevated liver enzyme
e- Jaundice
1. Injury of the hand leads to median nerve injury:
a- claw hand
b- wrist drop
c- sensory defect only
1. 60 year old male was refer to you after stabilization investigation show
Hgb 8.5 g/L, hect: 64%, RBC 7.8 , WBC 15.3 & Plt. 570 Diagnosis :
a- iron def. Anemia
a- Hgb pathy
b- CLL
c- 2ry polycythemia
d- Polycythemia rubra Vera
1. Pregnant women G4P3+1 on GA 10 wk came to you with IUCD inserted & the
string is out from O.S what is the most important measure :
a- leave the IUCD & give A.B
b- leave the IUCD & send to Ob/ Gynaecologist to remove
c- leave the IUCD
d- Do laparoscopy to see if there is ectopic preg.
e- Reassurance the pt
1. 17 year old male while play football felt on his knee “tern over “ what do think
the injury happened
a- Medial meniscus lig.
b- Lateral meniscus lig.
c- Medial collateral lig.
d- Lat. collateral lig.
e- Antr. Crussate lig.
1. Placenta previa excludes :
a- Pain less vaginal bleeding.
b- Tone increased of uterus.
c- Lower segmental abnormality.
d- Early 3rd trimester.
1. Pregnancy test +ve after :
a- one day post coital
b- 10 day after loss menstrual cycle??
c- One wk after loss menstrual cycle

1. 45 year old female complaining of itching in genitalia for certain period, a

febrile, -ve PMH, living happily with here husband since 20 year ago on
examination no abdominal tenderness , erythema on lower vagina , mild Gray
discharge no hx of UTI. Pyleonephritis most probable diagnosis:
a- Vaginitis
b- Cystitis
c- CA of vagina
d- Urithritis ( non gonococal )
1. 20 year lady come to ER with Hx of Rt sever lower abdominal pain with Hx of
amenorrhea for about 6 wk the most serious diagnosis of your deff. Diagnosis
could reach by:
a- CBC
b- ESR
c- U/S of the pelvis
d- Plain X-ray
e- Vaginal swab for C/S
1. Pt had arthritis in tow large joint & pansystolic murmur ( carditis )
Hx of URTI the most important next step:
a- ESR
b- ASO titre
c- Blood culture
1. 35 years prime 16 wk gestation PMH coming for her 1st cheek up she is excited
about her pregnancy no hx of any previous disease. Her B/P after since rest
160/100 after one wk her B/P is 154/96 Most likely diagnosis:
a- Pre eclempsia
b- Chronic HTN
c- Lable HTN
d- Chronic HPT with superimposed pre eclampsia
e- Transit HPT??
1. Women complain of non fluctuated tender cyst for the vulva. Came pain in
coitus & walking, diagnosed Bartholin cyst. What is the ttt:
a- incision & drainage
b- refer to the surgery to excision (after you reassure her)
c- reassurance the pt
d- Give AB
1. 42 yr old male presented with history of sudden appearance of rash
maculopapular rash – including the sole& the palm, the most likely diagnosis is:
a- syphilis
b- Erethyma nodosum
c- Erythema marginatum
d- Pitryasis rocae
e- Drug induced
1. A mother calls you about her 8 years old son; known case of DM-1 fell
comatose. She is not sure if he took the night 7 morning dose of insulin. You
will advice her to:
a- bring the child immediately to the ER
b- Call an ambulance
c- Give him IV glucagons
d- Give him IV insulin
e- Give him drink contains sugar
1. year old lady on …….., feels dizzy on standing, resolves after 10-15 minutes on
sitting, decrease on standing, most likely she is having :
a- orthostatic hypotension
1. What is the most appropriate treatment for the above patient :
a- antiemetic
b- antihistamine
c- change the antidepressant to SSRI
d- thiazide diuretics
e- audiometry
1. 23 years old lady with one month history of nasal discharge & nasal
obstruction, she complained of pain on the face, throbbing in nature , referred to
the supraorbital area, worsen by head movement, walking,& stopping. On - --
--------- examination, tender antrum with failure of transillumination ( not
clear ), the most likely the diagnosis is:
a- frontal sinusitis (we can NOT trannsiiluminate it)
b- maxillary sinusitis
c- dental abscess
d- chronic atrophic rhinitis
e- chronic sinusitis