EMREE 14/3/2020

No. Question Answer

1 Case of a man who has decreased pupil size, a drooping eyelid, and
decreased sweating on one side of his face. What is the diagnosis?
a. Horner’s syndrome
b. Bell’s palsy
c. Superior Vena cava syndrome
d. Lambert Eaton syndrome

2 Patient with loss of sensation on left side of face with vesicle

eruption on face and ear, with pain in tympanic membrane and ear
canal. All investigations and imaging studies were normal.
What’s the name of his condition ?

a. Bell’s palsy
b. Acoustic neuroma
c. Herpes zoster oticus

3 A man had loss of motor functions, and areflexia of the knee and Guillain barré
ankle but the planter reflex was preserved , His history is Syndrome
insignificant except for a one week history of blood tinged diarrhea.
What’s the diagnosis?

(Plantar reflex is upper motor is intact)

4 A man with Lesions in axilla sacral and groin areas, he was being
treated for tinea for 4 months with no improvement. Erythematous
base with scales, except in the groin area where it was moist. KOH
showed no hyphae.

a. Lichen planus
b. Psoriasis
c. Candidiasis
d. Secondary syphilis
5 nerve roots of pudendal nerve S2,S3,S4
1. S2,S3,S4
2. L 3,4,5

6 chylous material was aspirated from pleural effusion, what is the

cause?

a. TB
b. Lymphoma
c. Trauma
d. CHF

7 Patient after a fainting spell he came to the ER, There was a

murmur that radiates to the neck (signs and symptoms of aortic
stenosis), coming in with heart failure they asked for further
management ?

a. admit for further test

b. do echo opd
c. trop
d. Troponin and refer to cardiology accordingly

8 Patient come with polyps in the colon she did polyp andenoma B
restrictions few years ago , her brother died at age 40 from colon
cancer , she have history of ovarian cancer, what is the diagnosis?

a. FAP
b. HNPCC

9 A lady complaining of inability to comb her hair, feels pain when Myasthenia
driving, bilateral proximal muscle weakness. Diagnosis? Gravis
10 African lady with many symptoms (symptoms of infection) in which
she took aspirin for. Parents brought her to ED due to sudden
disturbed behavior. Her Brother is diagnosed with schizophrenia.
ANCA positive.
What is the underlying cause of her disturbed behavior ?

a. Infarct
b. Cerebral vasculitis
c. Infection

11 Having acid fast in culture we had to mark which statement is true

regarding the condition

12 Father brought his 2 year old child after a fall with a fracture in her
arm. The father stated that the child is aggressive and fussy. What’s
the best initial step in such a condition ?

1. report to child service

2. Establish good rapport with child and father
3. Explain your role as an advocate to the child
4. inform the father that you are eligible to report any child
abuse
5. Ask the father to step out of the room so that you can
interview the child alone.

13 With red eyes and knee that was tender and warm and painful

a. Reactive arthritis
b. viral arthritis
c. Septic arthritis

14 three lesions on hand a lot of keratosis happening

1. Merkel
2. Seborrheic
 3. BBC
4. Sq Ca
5. Keratoacanthoma

15 A 68 year old Bedouin man, complained of a small lesion in his B

nasolabial fold that was paler than his skin, it was not bleeding.
However he tried to poke it and ever since it formed a non healing
ulcer. What is the diagnosis ?

a. Malignant melanoma
b. Basal cell carcinoma
c. Squamous cell carcinoma

16 Tb meningitis more in men

17 Diabetic man has an ulcer on the dorsum of his foot, ulcer is

discharging serous fluid that soaked his socks, on examination the
sensation is lost around it??

a. Neurotrophic ulcer
b. Venous ulcer
c. Ischemic ulcer

18 24 hrs before -Sudden loss of vision like a curtain falling. Grey color
screen on fundoscopy a part of the retina was raised

a. retinal detachment
b. RAO

19 one child with *sign nd symptoms of scarlet fever mentioned,poor

feeding and lethargy. What's the treatment

a. Oral antibiotics
b. IV antibiotics
 c. Oral antibiotic and an antiseptic mouthwash
d. Glucose drip and oral antibiotics

20 one child with tonsilitis caused by s. Pyogens.

a. Penicillin
b. Amoxicillin + clauvic acid

21 Which drug for treatment of pneumonia in adults ? azithromycin

22 Case of Heart failure, basal lung crackles, no lower limb edema

a. Right sided heart failure

b. Left sided heart failure
c. Compensated heart failure
d. Combined heart failure

23 Pulmonary embolism...ecg...s1q3t3

24 pleuritic pain Qs? There were two. One pregnant woman showing
sudden pleuritic chest pain, no preceding events before it, she
stated showing symptoms as she was lying down for hours before
the pain started along with limb swelling.

a. Pulmonary edema
b. Pulmonary infarction
c. Pulmonary embolism
d. Bronchiectasis

25 Back pain, mri showed spinal narrowing throughout many levels.

What is the best initial management ?

a. Spinal manipulation
 b. Physiotherapy
c. Nsaid
d. opioid analgesic
e. Decompression
f. Exercise

26 Lady, came complaining of a headache and morning vomiting. Her

history was insignificant except for a time 4 months ago, where she
got hit in her head while playing ice hockey. What’s the diagnosis?

a. Subdural hematoma
b. brain tumor
c. meningitis

27 homosexual had Hepatitis C 7 years ago, hepatitis A since 5 years,

partner had hepatitis A and getting treatment, what to advice him?

a. post exposure prophylaxis

b. immunoglobulins
c. Lifestyle modification
d. IgM check
e. Check IgG

28 A man with a typical presentation of gout. Exercise makes him feel

more pain. What is typical for this?

a. Women are more affected than men

b. Polyarthritis
c. Affects small joints
d. Condition gets worse with exercise

29 A man with recurrent bleeding from the nose and also buccal
Telangiectasia and gum bleeding, when having dental procedures,
MRI brain was shown ECR was high, showing some hypodense area,
whats next step?
 a. Hemicraniectomy
b. Iv methylprednisolone
c. Angiogram

30 Case of Epiglotitis in the ER, the doctor wanted to confirm this Thumb sign on
diagnosis. Which of the following will help him in doing so? What X-ray
finding will be seen in the Xray
A.thumb shape

31 Case of rotator cuff tendinitis. What’s the best initial management?

a. mri
b. opiods to relieve pain
c. Refer to orthopaedic surgical treatment
d. Refer to physical therapy

32 Post cardiac transplantation, had some pneumonia, and culture

showed normal flora. What could be the cause if he did not
improve with antibiotics for 4 months?

a. Aspergillus
b. Mycoplasma
c. Nocardia brasiliensis
d. CMV
e. mycobacterium avium

33 Complete Breech presentation, 39 weeks anterior placenta, liquor

adequate .what's the management?

a. ECV and wait spontaneous labor

b. ECV and IOL
c. Elective CS

34 Footling Breech presentation, term, management?

 Amniotic fluid 4
a. ECV and wait spontaneous VD
b. ECV and IOL
c. Elective CS

35 Case of Motor neuron disease, with lower weakness, speech

affected, sensation is intact. What’s the diagnosis?

a. Neuromuscular junction disease

36 Case of aman with Jaw numbness and tingling, change of voice after
talking for long over the phone. Which investigation should be done
for him ?

a. Ultrasound for the neck

b. CT scan

37 Patient is hypertensive, had 2 previous miscarriages, mother has

leiden V def, aunt had DVT, the cause of Lower Limb DVT, what is
the least predisposing cause?

1. Hypertension
2. History of DVT
3. History of leiden V deficiency
4. History of miscarriages

38 Child with painful hands and feet, the spleen was 2 cm palpable and
tender. What does he have?

a. SC
b. SS
c. Thalassemia major
d. Thalassemia minor
 39 A case of absent P wave.Patient had palpiation. After failed rounds
of corecting it, what to do next
a. Amiodarone
b. Adenosine

40 Case of woman that comes with her boyfriend who was a relied
history giver. She complains of lightheadedness, fatigue, this has
never happened to her before. She thought it was because of work.
What to do for her?

a. Hydrocortisone + IV hydration
b. Dextrose + IV hydration
c. Toxicology screening

41 A case of a man with hypersomnolence. He had it when he was a

teen. He sleeps for 6 to 7 hours a day, still he feels sleepy in the
morning.Which statement is true ?

a. Men affected more than women

b. Adult and child have same symptoms
c. Symptoms can be relieved by giving him antidepressants

42 Patient came with rectal bleeding and fever? Which investigation

will give the definitive diagnosis ?

a. Colonoscopy
b. Occult test for blood
c. Sigmoidoscopy

43 10 year old girl with evening weakness , ptosis , she is better in the Myasthenia
morning gravis

44 A man presents with belief he suffers cancer despite

reassurance by multiple doctors that his exams were normal.
Despite spending lots of money on expensive tests. He thinks he
has cancer and that the doctors are hiding it from him. What is
the diagnosis ?
 a. Somatic disorder
b. Illness anxiety disorder

45 In Carpal tunnel syndrome(symptoms of it were listed) which nerve a

is affected?

A man who is typist by profession, has issue with hand now and is
bothered by it

a. Median
b. Ulnar
c. Radial
d. Superficial branch of median

46 Man fell on outstretched hand, cast was applied. After 2 weeks he

started to have weakness and numbness in the lateral side of the Investigation to
hand, no pain was mentioned, what to do next? be done: c
What is the next important step to do
Treatment: a
a. Remove cast and internal fixation
b. Xray
c. Nerve conduction study
d. EMG

47 RLQ abdominal pain, radiating to groin, rbc in urinalysis showed nephrolithia

crystals- sis

A.nephrolithiasis
B
C

48 Elderly lady admitted with Myoclonus weakness, incontinence, ? a

speech defect, valvular HD history, confused, not eating. Patient as confirmed
had low albumin. What is the cause of her functional decline? with an IM
 physician. The
a) end stage dementia case is a
b) end stage renal presentation of
c) end stage liver Corticobasal
d) age related deliability dementia
e) end stage stroke

49 Patient presented with pain and tenderness in RIF (?examination b

signs were positive), one day prior to this presentation he
presented to the ER with generalized abdominal pain, what to
next?

a) cbc and urinalysis

b) cbc and urinalysis and ultrasound of abdomen
c) surgery for appendicitis

50 Ulcer increased with hunger and partially reduced with food. b

Weight gain. Location?

a) body of stomach
b) first half of duodenum
c) jejunum

Note:
Food aggravates gastric ulcer and relieves pain in duodenal ulcer.

51 Middle age male bleeding for 1 hr (epistaxis), no history other than b

high BP, 1st time experiencing bleeding. Presented to the ED with
towel soaked with blood, tried compression and ice but patient was
still bleeding. Rhinoscopy was done and it didn’t show the source of
bleeding or any mass. Blood was coming out from both nostrils. A
tampon was applied to stop the bleeding which was unsuccessful.
What is the cause?

a) Anterior epistaxis
b) Posterior epistaxis
c) Mass
 d) Bleeding disorder (coagulopathy)

52 Female, found roaming 50km from her house. No information b

about identity, recently husband and child died in an accident.
What to do for her?

a) Take home to bring memories back

b) Psychotherapy
c) Fluoxetine
d) amitriptyline

53 Medical student microbiology in lab, didn’t take precautions, came a

with abdominal pain diarrhea and on examination he had
splenomegaly…which organism.

a) salmonella typhi
b) Shigella
c) Entamoeba histolytica
d) yersinia enetrocolytica
e) clostridium difficile

54 Man ate a meal of meat and potatoes & green beans. Next 3 hours c
he had watery diarrhea. Got better with fluids and returned to
work after 24 hrs. Which organism caused this?

a) Clostridium difficile
b) Clostridium perfiringens
c) staph aures
d) yersinia enetrocolytica

55 ALL diagnosed. Started on chemo(vincristine). Had a seizure. a

treated with diazepam and now in ICU. They had sent U/E before.
What electrolyte are u expecting. Urine osmolality is 900.

a) Hypo nat+hypo k
b) Hyper NA & hypo K
c) Hyer k + hypo mag
d) Hypouricemia+-___
 e) Hyper k+hype__
(No options matched tumor lysis plus seizure points more towards
hyponatremia)
*vincristine’ whose side effect is SIADH so acc to that we have to
choose the answer

56 Patient who had thyroidectomy/lobectomy with postoperative b

perioral paresthesia and twitches.
What will you do ?

a) ABG
b) serum calcium
c) other options

57 ● Woman with well circumscribed annular rash with central a

clearing and scales on the periphery for the first time. These
lesion are present over the arm trunk and neck and…..She
has mild itching and no other symptoms. The lesions consist
of pustules ; vesicles and plaques
How did she get it?

a. contact with animals

b. Contact with chemicals
c. Recent history of medication
d. Allergic
e. recent history of bacterial infections

58 Another question about a child after MVA, crying and has a

lacerations on arms. In the scene of the accident he was scared and
holding tight to his mother. When he reached the ER he was
sobbing without any reaction. He had fever and high bp, his pupils
were sluggish to light. What is the cause?

a. increased icp
b. anxiety attack
c. Tumor

59 man with recurrent chest pain that lasts around 10 mins plus he a
had hypertension and suspected pulmonary edema. So which drug
would you choose to treat his chest pain, hypertension and
pulmonary edema.
 a. nitrates
b. ACEI
c. nifedipine
d. Furosemide
e. clopidogrel

The current 2014 ACC/AHA NSTEMI and 2013 ACC/AHA STEMI

Guidelines as well as the 1999 ACC/AHA Expert Consensus Document
all support the following to be contraindications to the use of any
form of nitroglycerin include:

Hypotension (usually reported to be a systolic blood pressure < 90

mm Hg) or a > 30 mm Hg drop from the patient's baseline
Bradycardia (< 50 beats per min)
Tachycardia
Patients experiencing a right ventricular infarction
Use of avanfil, sildenafil or vardenafil within 24 hours, or tadalafil
within 48 hours, due to the risk of significant hypotension and/or
cardiogenic shock
Note: Morphine can dilate the venous system and result in a
reduction in preload, which can worsen tachycardia (thereby
increasing oxygen demand) and patients with right sided MIs since
they are preload dependent. Giving nitrates to patients who have
recently taken type 5 phosphodiesterase inhibitors (e.g., sildenafil),
prevents the breakdown of cGMP and cause more profound
vasodilation.

60 child with chronic headache , tried many medication did not help, b
at the end he was admitted for investigation ( brain MRI was
provided ) , Then suddenly while he is eating his breakfast he
developed( Fuzzy , Tunnel vision picture )

a. stenosis of aqueducts
b. Saccular aneurysm rupture
 SOMETHING SIMILAR TO THIS LESION IF NOT THE SAME ; )

61 Old lady bedredden , Both ulcers on same side on lateral malleolus a

and lateral greater Trochanter, fat is seen at the site of the ulcers?

a. Decubitus ulcer
b. Venous ulcer

62 49 years old African guy requesting for HIV test. He has HTN on patients with
medication. Family history of stroke and HTN. Abdominal aorta HIV are at risk
could not be auscultated because he is obese (BMI …). of having
Tuberculosis so
chest X-ray
a) ELISA + fasting glucose must be done
b) ELISA and chest Xray to exclude that
c) ELISA and Abdominal aorta aneurysm
d) lipid profile and fasting glucose

63 The patient with wound infection and pus after cutting himself with b
a glass, the culture of the wound results on many types of agars,
Gram +, pleomorphic arranged in chain, Catalase +
What is the organism ?

In exam it was mentioned that it is non motile so listeria is non

motile

a. Actino (corynobacterium) something

b. Actinomyces (corynobacterium) Pyogenes
c. Bacilus cerus
d. Listeria monocytogenes
64 The baby with blue eyes and decreased cognitive , well nourished , a
with wrinkled skin and protruded abdomen level (phenylketonuria)
what can slow the decrease in her cognition ?

a. Diet
b. Valproic acid

65 Woman come to dubai last week came complaining of vomiting 2d a

ago , Alcoholic for 20 years she admitted to drinking 2 glasses of
beer every night Which of the following is true?

a. AST>ALT ratio 2:1

b. Reducing vit k
c. Reducing y_glutamyltransferase
d. Reducing alkaline phosphatase
e. Micro hypochromic anemia

66 Infant with hypophosphatemia, hypercalcemia and abnormal digits a

how to confirm it?

a. Urine phasphatamines something

b. Elevated PTH
c. Increase Vit D

67 Rash between web and on extensor surfaces and there is a line or Permethrin
track under the skin (scabies), 2 siblings who were living in the cream
same household were having this condition. What is the
treatment ?
a. Hydrocortisone cream
b. Permethrin cream
68 Patient came in saying that she hears sounds of people that aren’t a
there and thinks they are talking about hurting her. She also has a
recurrent dream where she sees a man standing above a child and
watching him sleeping ( her past history was showing multiple
unexplained injuries in childhood) but denies her knowing of either
the child or the man. The next day she came in shouting and acting
as if she didn't know the doctor who she just saw yesterday.

a. therapist plan dissociative personality

b. Severe child abuse
c. schizophrenia

69 Elderly Patient alcoholic with generalized vague pain, nothing was

found on examination. No history of any medical condition. What is
the cause?

a. Alcoholic dependence
b. Factitious
c. Malingering
d. Pain related to Substance abuse
e. Pain related to medical condition

70 The mother with SLE was pregnant. Which auto-antibody causes b

cardiac block for the fetus??

a. Ama
b. Anti ro
c. Anti jo

The presence of SSA and SSB antibodies can lead to fetal heart block
and neonatal lupus

71 Patient alcoholic for many years . On autopsy, liver was more than a
2 kg (normal for his weight is 1.8 kg), and large cholesterol droplets
with areas of necrosis. What is the underlying cause ?

a. Chronic alcoholism
 b. acute hepatitis c
c. Biliary lithiasis
d. Hepatocellular carcinoma

72 A pregnant lady’s urine culture showed growth of E. Coli , which of

the following is she most likely to have ?
a. Acute urinary tract infection

73 Patient came complaining of disturbed vision, which is affecting her

daily activities. She’s having difficulty driving and she had many
close calls because of that. Her prolactin was 90 and she’s having
nipple discharge on spontaneous manipulation of breast, what is
the initial management for her ?

a. Surgical resection of the tumor

b. Dopamine antagonist
c. Irradiation of the tumor
d. Dopamine agonist

In the case scenario it was clear that the tumor was affecting her vision
to the extent she had many close calls while driving and was about to
have many accidents, so something has to be done fast other than
medical therapy.
In her case it’s a pituitary Adenoma, so a surgical excision must be done.
But since they’re asking about the best INITIAL management, trying to
shrink the tumor size by irradiation to alleviate the symptoms sounds
like a good idea. This is my own interpretation for this question, I’m not
sure what the final answer is.

74 Question about Zellweger's Syndrome. What are the a

macromolecules that accumulate in the brain?

a. very long chain fatty acids

b. ketones
c. lactate
d. glucose

75 Boy with mildly hemolytic anemia and intermittent Jaundice He has a

right upper abdominal pain , management?
 Patient with features of Sickle cell? What supplement must he
take?

a. Folic acid
b. Riboflavin
c. cobalamin

76 a woman having one sexual partner but he might not be B

monogamous came presenting with yellow - green vaginal
discharge and a histology slide showing an organism management
options :

a. get her checked up for other STD

b. treat her and get her and him checked for other STD

77 A question about 42 yo woman has Hot flashes post hysterectomy c

and oophorectomy,.management ?
a. Estrogen progesterone pills(Combined)
b. Duphaston
c. Estrogen only
d. Progesterone only

78 Pregnant lady G6P5 has high BP 210/116 and on funduscopic there d

was +ve findings ( AV nicking and other findings ), they have no
previous records of her BP. She also has 2g proteinuria (and I think
also high creatinine). What is most likely Dx➔
 a. chronic HTN due to underlying kidney disease
b. PIH (without protein) ,
c. gestational diabetes
d. Preeclampsia

79 Primigravida was progressing normally. Fetus moved from station a

+1 to +3. CTG was given( showing early deceleration ), what is the
cause of the changes?

a. Fully dilated cervix

b. Head deflexion
c. Cord prolapse
d. Obstructed labour

80 A girl broke up with her boyfriend and became talkless and writing ANS: Hysterical
everything in notes and she is shy girl what is the personality aphonia
disorder she has?
1. Dependence disorder
2. Narcissistic disorder
3. Acute stress disorder
4. Hysterical aphonia

81 Lady complained of an itchy rash on her face. No acne history when c

she was a teenager
Picture of the rash is provided (similar to this, there was pus oozing The exact same
from most of the leisons)
picture is there
in google under
folliculitis !!
 What is the diagnosis?

a. Acne vulgaris
b. Acne fulminans
c. Folliculitis
d. Bacterial infection

82 Man with sudden onset of chest pain while exercising : Spontaneous

pneumothorax.

83 Chest pneumonia with unstable child and pleural effusion CXR - - c

a. surgical intubation
b. ICU admit and observe
c. Surgical consultation for chest tube

84 Mother delivered a baby and after 2 days of delivery she catches give
Chicken pox from her daughter who is having an outbreak at her Immunoglobulin
nursery. What should be done to the newborn ? s
a. Prophylactic acyclovir
b. give Immunoglobulins

85 Weight loss 8 kg, Liver biopsy showed patchy necrosis, ballooning d

degeneration, PNML infiltrate
Alcoholic
a. Alcohol cirrhosis steatohepatitis
b. Alcoholic hepatitis means alcoholic
c. Alcoholic siderosis fatty liver
d. Alcoholic fatty liver
e. HCC
86 Pt with HTN, rheumatic disease with holosystolic harsh murmur in he asked about
LLSB doesn’t change with respiration. the murmur MR
, so it’s either a
a. Inverted P wave in V1 or b
b. Large p wave in lead 2
c. Wide QRS
d. Prolonged PR

87 ANCA +ve, renal and respiratory symptoms, cross section was

taken. From the kidney (showed blood)?
a. Good pasture’s syndrome
b. Granulomatosis with polyangiitis

88 Patient with cough and SOB. Increase in urea, creatine and renal a
biopsy showing focal necrotizing vasculitis, Bilateral interstitial
nodules in CXR, ANCA +ve what could be the other respiratory
symptoms?

a. Hemoptysis
b. Angina
c. Hemothorax
d. Hemorrhagic pericarditis

89 Eczematous rashes , ecchymosis, Suspicious of child abuse as a

brother also died from similar complaints.

a. Wiskott Aldrich
b. SCID
90 Child with recurrent infections. Labs showing deficiency of IgA, IgM, C
IgE etc and decreased circulating mature B lymphocytes:

a. CVID
b. CSID
c. Brutons immunoglobulinemia

91 70 yrs old man with cerebral infarct getting treated in d

hosp...postoperative 10 days got up from bed without assistance to
go bathroom...came back with dyspnea and diaphoresis

a. Pulmonary infarct
b. Pulmonary edema
c. Ards
d. PUlmonary Embolism

92 Question about mumps with oophoritis. What is the treatment? ANS: NSAIDS

a. Oral acyclovir
b. IV acyclovir
c. NSAIDs

93 Pt with harsh murmur and said about mild angina 2 months ago c
what to do :
a. Order tropinin
b. Admit him for more investigation
c. Order echo after one week as an outpatient

94 Female presented 3weeks post delivery with bilateral breast pain a

and no rash what is the cause fever of 39, feels unwell and tired
 a. Breast engorgement (39 fever is acceptable)
b. Mastitis
c. abscess

95 Old lady with previous infarction..she was confused BP normal B

developed urinary incontinence just during admission what is the
cause of her incontinence , US done which showed residual volume
80 ml
What is the diagnosis?

a. Normotensive hydrocephalus
b. Functional incontinence
c. Overactive incontinence

96 a patient with heart failure..was prescribed add on medication. a

presented with unilateral exophthalmos…this has occurred after
last visit ..she is on multiple drugs: amiodarone..sulphonylurea and
other medications. Her thyroid test is normal what is the cause of
her exophthalmos ?

a. Amiodarone induced
b. Eye trauma
c. Thyrotoxicosis

97 Preterm delivered earlier by 8 weeks ..his age now is 14 a

months ..mother is concerned that he is not developing as his
sibling …he started walking unsupported and say only mama and
baba nothing else and unable to turn pages what you will do next

a. Tell mother it’s normal for preterm to be delayed

b. Do hearing and visual field test
c. Reassure that his growth is fine

98 Congenital adrenal hyperplasia what to tell her family b

a. Laparoscopy needed to visualize her pelvic organ

b. Patient needs a Clitridectomy
c. Patient will have Infertility

99 Blood group of the fetus of mother O negative and had antiglobulin d

 positive, second pregnancy, father blood group not given, delivered
her baby and later on after the baby started to have features of
hemolysis (hyperbilirubinemia, anemia, hypoproteinemia).
What is the blood type of the baby

a. B positive
b. A positive
c. AB negative
d. O positive
e. A negative

100 Patient was admitted after surgery for one week…was mobilized for a
first time after admission and then developed sudden unilateral
chest pain that has resolved

a. Pulmonary embolism
b. Bronchiectasis
c. Pneumonia
d. Lung abscess

101 Child with VSD murmur found on examination what you will tell the c
 mother

a. Surgery is needed immediately

b. Child will be having difficulty in breathing later on or in
feeding
c. this murmur is a positive sign

102 TB meningitis scenario, which is the following is true a

a. Men more affected from female

b. No focal lesion
c. Symptoms may resolve without treatment

103 Poisoning after fried rice what is the organism Bacillus cereus

104 Neonate macrosomic, diabetic mother, found to have with blood a

sugar 2.2

a. Dextrose 10%
b. Dextrose 5%
c. Wait and then breastfeed

105 Basophilic stippling on blood smear, decreased mcv, increased iron a

level, splenomegaly and the pt is anemic, what is true about the pt
condition ?

a. Target cells are seen in the film

b. It is usually congenital disease

106 Patients with HTN and diabetes since 2 years but now present with Malignant HTN
bp 200/160 ..funduscopy show some retinal changes with AV
nipping and papilledema?

a. Chronic hypertension
b. Malignant hypertension

107 Child was presented with the exact symptoms of intussusception. Lymphoid
(Picture was provided exactly like this one) and the question about hyperplasia
the cause of his condition? after adenovirus
108 Child with a runny nose and wheezing what to give b

a. Epinephrine nebulizer
b. Oxygen
c. Iv epinephrine

109 Patient after trauma developed pain at the tip of his shoulder. Was b
found to have spleen rupture

a. cullen
b. Kehr sign
c. Grey turner

110 Side effect of Ceftriaxone a

a. Diarrhea
b. Nausea and vomiting if with alcohol
c. Tendon rupture
d. Tooth discoloration

111 Old patient was present with community acquired pneumonia and b
was started on Levofloxacin. Now patient is improving. This
medication act on:

a. Gram positive and negative but not atypical

b. Gram positive and negative and atypical
c. Gram negative and atypical but not positive

112 In summary patient had compartment syndrome after an injury I Pain out of
think then they were asking which is the sign in examination: proportion to
 examination
a. Pain out of proportion to examination
b. Pressure with compartment is 5mmhg

113 Patient with history of Rheumatic fever , come to you now with a
A grade 2/6 systolic ejection murmur increases when you bend
forward. What Ecg change would be correlated with patient
presentation right now ?

a. diffuse ST elevation.
b. ST depression.
c. PR interval elongation

This case is started with RF , causing pancreatitis , once the carditis

(myocarditis, pancreatitis) happens on RF , PR interval would NOT
count as minor criteria.
And the patient present with pancreatitis and the ecg changes with
pancreatitis is Diffuse ST elevation.