1.
Patient with recurrent vomiting for 2 days, Hematocrit 65 the doctor can report thisresult caused by:
A. 
B. 
C. 
D. 
2.
The most common site of origin of the tumor associated with the Zollinger-Ellison syndrome is:
A. 
B. 
C. 
D. 
E. 
3.
Which of the following associated with fetal congenital heart disease
A. 
B. 
C. 
D. 
4.
Which subtype of bipolar disorder type 2 best responsive to lithium
A. 
B. 
C. 
D. 
5.
An easy way to demonstrate rib fracture is by:
A. 
B. 
C. 
D. 
6.
Acne about 1cm with pus ,what is the stage?
7.
Young healthy male has abdominal pain after basketball. Examination fine except for Left paraumbilicaltenderness, what to do?
A. 
Send home & reassess within 48 hours
B. 
C. 
D. 
8.
What is the mechanism of action of the drug that is used in treatment of Anxiety ?
A. 
Decrease the availability of serotonin
B. 
Decrease the availability of serotonin
C. 
Blockage of serotonin production
9.
3 days old baby his mother is HBV positive what is your action?
A. 
Immunoglobulin and three doses of HBV vaccine
B. 
C. 
Immunoglobulin and one dose of vaccination
10.
Athletic female with 3 month history of amenorrhea O/E otherwise healthy , Workup of FSH , LH , Prolactine , were all normal what is most likely diagnosis?
A. 
B. 
Ovarian or adrenal failure
C. 
D. 
11.
What is the treatment of leprosy according to WHO organization ?
12.
An 18 years old male who was involved in an RTA had fracture of the base of the skull. O/E he had loss ofsensation of the anterior 2/3 of the tongue & deviation of the angle of the mouth. Which of the followingnerves is affected?
A. 
B. 
C. 
D. 
E. 
13.
2 week baby born with hypotonia, areflexia, fasiculations of the tounge andrespiratory distress, he was born full term , pregnancy with this baby was normal noteventful , nerve conduction studies were done and were normal, he has Pneumonitison x-rays , the diagnosis is :
A. 
B. 
C. 
D. 
14.
A known case of treated Hodgkin lymphoma with radiotherapy not on regular follow up presented with gradual painless difficulty in swallowing and breathing on examination there is facial swelling and redness,what is the diagnosis?
A. 
B. 
Abdominal aortic aneurism
C. 
D. 
15.
Which of the following found to reduce the risk of postherapeutic neuralgia?
A. 
B. 
C. 
Acyclovir and Corticosteroids
16.
Patient K/C of DM and obesity and he planed to reduce his weight what the best method?
A. 
Decrease by 500 kcal/kg per week
B. 
Decrease calori and increase fat
C. 
Decrease calori intake in day time
D. 
17.
Patient develop neurological deficit O/E congested neck veins and tachycardia , heused to take a polish white rice as a meal what is the diagnosis ?
A. 
B. 
C. 
D. 
18.
Old man with a non tender cervical mass, what is the best diagnostic procedure?
A. 
B. 
C. 
D. 
19.
Patient came to you asking about why should we take influenza vaccine annually what do you tell him?
A. 
Changings in virus structure
B. 
Change in mood of transmission
C. 
Antibacterial prophylaxis
20.
Patient diagnosed and treated from H.pylori .The doctor should screen him for what?
A. 
B. 
C. 
D. 
21.
what is the best management for a patient chronic pain ?
A. 
B. 
C. 
D. 
22.
Most common cause of failure to thrive is ?
A. 
Intolerance to failure to proteins and carbohydrates
B. 
C. 
D. 
E. 
23.
A 65-year-old man with a history of primary open-angle glaucoma presents with sudden painless loss of vision in his right eye. On examination of the right eye the optic disc is swollen with multiple flame-shaped and blot haemorrhages. What is the most likely diagnosis?
A. 
Occlusion of the central retinal vein
B. 
Occlusion of the central retinal artery
C. 
Ischaemic optic neuropathy
D. 
E. 
24.
The commonest symptom in the presentation of abruptio placenta is?
A. 
B. 
C. 
D. 
Irregular uterine contractions
E. 
25.
Patient who had history of previous infective endocarditis, and now came with dental caries for dental procedure, what is the appropriate prophylaxis:
A. 
Amoxycillin 2gm one hour before procedure
B. 
Amoxycillin 1gm one hour before procedure
C. 
Clindamycin 2gm one hour before procedure
D. 
Clindamycin 1gm one hour before procedure