Experimental Comprehensive Exam
Black: Gen. Surgery .. Blue: Pediatrics .. Green: Int. Medicine .. Red: Gyn & Obstetrics
1. Advantages of spinal over general anesthesia are the following except:
a. Less metabolic response to surgery.
b. Reduction in blood loss 20 to-30%.
c. More hemodynamic stability.
d. Less pulmonary complications.
e. In obstetric operations less effect of drugs on mother and baby.
2. Which of the following will reliably produce unconsciousness in patient?
a. Volatile anesthetic agents.
b. Benzodiazepine.
c. Muscle relaxants.
d. Opioid.
e. Regional anesthesia.
JN
3. A 50-year-old man presents with dysuria, cloudy urine and a tender swollen right
testis. What is the most likely diagnosis?
a. Epididymo-Orchitis
b. Hematocele
U
c. Torsion of epididymal appendage
d. Testicular torsion
e. Testicular tumour
R
4. A 6 years old child presented to ED with history of fall from height ,x- ray of the right
SE
thigh showing fracture shaft of femur . which of the following is the treatment of
choice:
a. Gallow,s or Russell,s traction
b. Internal fixation by plate & screws
c. Kuntchner nail
d. Thomas splint
e. Immediate hip spica
5. A 49-year-old lady presented with signs and symptoms of cold intolerance, weight
gain, slurred speech, loss of concentration of 2 year duration with loss of hair in the
outer 3rd of eye brow these features are consistent with:
a. Autoimmune Hashimotos thyroiditis.
b. Colloid goiter
c. Multinodular nontoxic goiter
d. Viral thyroiditis.
e. Hypothyroidism
, Experimental Comprehensive Exam
6. Primary survey of ATLS, characterize by all the following EXCEPT:
a. Can be done at any time after controlling the life threatening injuries.
b. Ensuring a patent airway is the most vital step.
c. Glasgow Coma Scale (GCS) ? 8 is an indication for endotracheal intubation.
d. Tracheal deviation is considered as a critical finding of severe chest injury.
e. Pulse rate is an early marker of hypovolemia than blood pressure.
7. A 48-year-old woman attends the gynecology clinic complaining of heavy menstrual
bleeding (HMB) and occasional intermenstrual bleeding. Her hemoglobin level is 11.2
g/dl. An ultrasound scan demonstrated no obvious abnormality. What other
investigation is required?
a. Coagulation screen
b. Diagnostic hysteroscopy
c. Endometrial biopsy
d. MRI scan of pelvis
JN
e. Serum FSH level
8. A primigravida at 37/40 weeks. She has uneventful pregnancy so far. She has
complaining of reduced fetal movements for 1 day. CTG is normal/reactive. She
continues to perceive reduced movements despite a normal CTG. Which of the
U
following management options are best suited to her?
a. Induction of labor.
R
b. Reassurance and kick counts at home.
c. Admission to hospital.
d. Repeat CTG in 24 h.
SE
e. Ultrasound for fetal growth, liquor and umbilical artery doppler.
9. Which of the following is the worst prognostic sign in a child with ALL:
a. Female gender
b. Age 5 years
c. WBCs=75 X 100 /L
d. Hb 80 gm/L
e. 92% of blasts cells in the peripheral blood
10. A 3-days-old female infant is referred to your clinic as her mother noticed baby is
jaundiced. All are causes of neonatal jaundice except:
a. Increased PCV
b. Hemolytic anemia
c. Short RBC life span
d. Delayed breast feeding
e. Decrease enterohepatic circulation
, Experimental Comprehensive Exam
11. A 30 Years old male presented with painful defecation associated with bleeding and
constipation all the following are true regarding the management except:
a. Anoscopic examination.
b. Stool-bulking agents and softeners, and chemical agents in the form of ointments.
c. Lateral internal sphincterotomy or anal advancement flap.
d. Sphincter dilatation.
e. Glyceryl trinitrate (GTN) 0.2% ointment.
12. A 25 years old patient presented with history of fever and malaise for 7 days then
cough and sputum started, Hb was 13 g/dL and now 8 g/dL. Regarding this case
choose the correct answer:
a. Third generation cephalosporin is best choice.
b. Aplastic anemia is the likely complication.
c. Endocarditis is a likely complication.
d. A macrolid antibiotic is effective.
JN
e. Sputum colour is rusty.
13. A 55 years old patient presented with blurred vision, blood pressure 220/140,rapidly
rising blood urea, next step would be :
a. ECG
U
b. Brain CT
c. Fundoscopic examination
R
d. Renal ultrasound
e. General urine examination
SE
14. A 70 years old female known case of CLL presented recently with sudden history of
pallor, jaundice, and splenomegaly. She gave no personal or family history of anemia.
CBC, retic count, and blood film showing the following results :Red blood cells indices:
a. Coombs test is diagnostic.
b. Her anemia is related to bone marrow suppression by CLL.
c. Her anemia is related to folic acid deficiency.
d. Associated with normal LDH.
e. Anemia can be corrected by folic acid supplementation.
15. An 18 year old man present to emergency department with hematuria. He has been
suffering from an upper respiratory tract infection over the past 2 days ,for which he
has been taking paracetamol and ibuprofen .there is no past medical history of note .
examination reveals symptoms of the upper respiratory tract infection , tempreture
of 37.6 c and blood pressure pf 125/72mmHg. abdominal exam. Unremarkable .Hb
13.8 g/dl, WbC 9,7 ×109/l, PLT 203 × 109/L, Na+138 mmol/l k+ 4.9 mmol/l,s
creatinine 102 umol/L, Urine blood +++, protein +. Which of the following is the
most likely diagnosis:
Black: Gen. Surgery .. Blue: Pediatrics .. Green: Int. Medicine .. Red: Gyn & Obstetrics
1. Advantages of spinal over general anesthesia are the following except:
a. Less metabolic response to surgery.
b. Reduction in blood loss 20 to-30%.
c. More hemodynamic stability.
d. Less pulmonary complications.
e. In obstetric operations less effect of drugs on mother and baby.
2. Which of the following will reliably produce unconsciousness in patient?
a. Volatile anesthetic agents.
b. Benzodiazepine.
c. Muscle relaxants.
d. Opioid.
e. Regional anesthesia.
JN
3. A 50-year-old man presents with dysuria, cloudy urine and a tender swollen right
testis. What is the most likely diagnosis?
a. Epididymo-Orchitis
b. Hematocele
U
c. Torsion of epididymal appendage
d. Testicular torsion
e. Testicular tumour
R
4. A 6 years old child presented to ED with history of fall from height ,x- ray of the right
SE
thigh showing fracture shaft of femur . which of the following is the treatment of
choice:
a. Gallow,s or Russell,s traction
b. Internal fixation by plate & screws
c. Kuntchner nail
d. Thomas splint
e. Immediate hip spica
5. A 49-year-old lady presented with signs and symptoms of cold intolerance, weight
gain, slurred speech, loss of concentration of 2 year duration with loss of hair in the
outer 3rd of eye brow these features are consistent with:
a. Autoimmune Hashimotos thyroiditis.
b. Colloid goiter
c. Multinodular nontoxic goiter
d. Viral thyroiditis.
e. Hypothyroidism
, Experimental Comprehensive Exam
6. Primary survey of ATLS, characterize by all the following EXCEPT:
a. Can be done at any time after controlling the life threatening injuries.
b. Ensuring a patent airway is the most vital step.
c. Glasgow Coma Scale (GCS) ? 8 is an indication for endotracheal intubation.
d. Tracheal deviation is considered as a critical finding of severe chest injury.
e. Pulse rate is an early marker of hypovolemia than blood pressure.
7. A 48-year-old woman attends the gynecology clinic complaining of heavy menstrual
bleeding (HMB) and occasional intermenstrual bleeding. Her hemoglobin level is 11.2
g/dl. An ultrasound scan demonstrated no obvious abnormality. What other
investigation is required?
a. Coagulation screen
b. Diagnostic hysteroscopy
c. Endometrial biopsy
d. MRI scan of pelvis
JN
e. Serum FSH level
8. A primigravida at 37/40 weeks. She has uneventful pregnancy so far. She has
complaining of reduced fetal movements for 1 day. CTG is normal/reactive. She
continues to perceive reduced movements despite a normal CTG. Which of the
U
following management options are best suited to her?
a. Induction of labor.
R
b. Reassurance and kick counts at home.
c. Admission to hospital.
d. Repeat CTG in 24 h.
SE
e. Ultrasound for fetal growth, liquor and umbilical artery doppler.
9. Which of the following is the worst prognostic sign in a child with ALL:
a. Female gender
b. Age 5 years
c. WBCs=75 X 100 /L
d. Hb 80 gm/L
e. 92% of blasts cells in the peripheral blood
10. A 3-days-old female infant is referred to your clinic as her mother noticed baby is
jaundiced. All are causes of neonatal jaundice except:
a. Increased PCV
b. Hemolytic anemia
c. Short RBC life span
d. Delayed breast feeding
e. Decrease enterohepatic circulation
, Experimental Comprehensive Exam
11. A 30 Years old male presented with painful defecation associated with bleeding and
constipation all the following are true regarding the management except:
a. Anoscopic examination.
b. Stool-bulking agents and softeners, and chemical agents in the form of ointments.
c. Lateral internal sphincterotomy or anal advancement flap.
d. Sphincter dilatation.
e. Glyceryl trinitrate (GTN) 0.2% ointment.
12. A 25 years old patient presented with history of fever and malaise for 7 days then
cough and sputum started, Hb was 13 g/dL and now 8 g/dL. Regarding this case
choose the correct answer:
a. Third generation cephalosporin is best choice.
b. Aplastic anemia is the likely complication.
c. Endocarditis is a likely complication.
d. A macrolid antibiotic is effective.
JN
e. Sputum colour is rusty.
13. A 55 years old patient presented with blurred vision, blood pressure 220/140,rapidly
rising blood urea, next step would be :
a. ECG
U
b. Brain CT
c. Fundoscopic examination
R
d. Renal ultrasound
e. General urine examination
SE
14. A 70 years old female known case of CLL presented recently with sudden history of
pallor, jaundice, and splenomegaly. She gave no personal or family history of anemia.
CBC, retic count, and blood film showing the following results :Red blood cells indices:
a. Coombs test is diagnostic.
b. Her anemia is related to bone marrow suppression by CLL.
c. Her anemia is related to folic acid deficiency.
d. Associated with normal LDH.
e. Anemia can be corrected by folic acid supplementation.
15. An 18 year old man present to emergency department with hematuria. He has been
suffering from an upper respiratory tract infection over the past 2 days ,for which he
has been taking paracetamol and ibuprofen .there is no past medical history of note .
examination reveals symptoms of the upper respiratory tract infection , tempreture
of 37.6 c and blood pressure pf 125/72mmHg. abdominal exam. Unremarkable .Hb
13.8 g/dl, WbC 9,7 ×109/l, PLT 203 × 109/L, Na+138 mmol/l k+ 4.9 mmol/l,s
creatinine 102 umol/L, Urine blood +++, protein +. Which of the following is the
most likely diagnosis:
