Saudi Licensing Exams - Past paper september 2006

SLE September 2006



1. Management of choice for breach pregnancy presented at 34 weeks:

a) External Cephalic Version (ECV)

b) Caesarean section

c) ECV + tocolytics

d) Induction of labor

e) Observe for 2 weeks.



2. Not correct during management of labor:

a) Intensity of uterine contraction can be monitored manually

b) Maternal vital signs can vary relative to uterine contraction

c) Food and oral fluids should be withheld (يوقف) during active labor

d) Advisable to administer enema upon admission

e) I.V fluid should be administered upon admission



3. 33-year-old woman para 5 underwent repeated elective C-section. On 6th day post op. patient reported her clothes stained by copious serosangeous drainage from abdominal wound. Most likely diagnosis is:

a) Vesicocutaneous fistula

b) Enterocutaneous fistula

c) Hematoma

d) Stitch abscess

e) Wound dehiscence



4. Average length of menstrual cycle is:

a) 22 days

b) 25 days

c) 28 days

d) 35 days

e) 38 days



5. 32-year-old-woman has malodorous discharge and itching. Her partner has also slight discharge. PV examination showed strawberry spots on the cervix. Most appropriate treatment is:

a) Metronidazole

b) Estrogen cream

c) Progesterone cream

d) Vinegar douche

e) Salphonamide cream



6. (long unnecessary details about) 70-year-old man fell (سقط) on outstretched hand. On examination intact both radial and ulnar pulses, dinner fork deformity. Tender radial head. Diagnosis is:

a) Colle’s fracture

b) fracture of distal ulna & displacement of radial head.

c) Fracture of scaphoid?

d) Fracture of shaft of radius with displacement of head of ulna.





7. 12-year-old girl with malaise, fatigue, sore throat and fever. On examination: petechial rash on palate, large tonsils with follicles, cervical lymphadenopathy and hepatosplenomagaly. All are complications EXCEPT:

a) Aplastic anemia

b) Encephalitis

c) Transverse myelitis

d) Splenic rupture

e) Chronic active hepatitis



8. 6-month-old baby presented to clinic with 2-days history of gastroenteritis. On examination: decreased skin turgor, depressed anterior fontanel and sunken eyes. Best estimate of degree of dehydration:

a) 3%

b) 5%

c) 10%

d) 15%

e) 25%



9. Total duration of treatment for group A streptococcal infection:

a) 3 days

b) 5 days

c) 7 days

d) 10 days

e) 14 days



10. 8-month-old came with dehaydartion, fever, depressed anterior fontanel, vomiting, crying but no neck stiffness. No similar symptoms in her sisters. What is important investigation you want to do?:

a) Blood culture

b) CBC and differential

c) CSF examination

d) Chest x-ray



11. Female patient developed lesions on the cheek and nose and diagnosed as rosacia. Treatment is:

a) Amoxicillin

b) Tetracycline (according to Rona Mackie textbook)



12. (story of) patient presented to ER with low blood pressure, distended jugular veins, muffled heart sounds, bruises over the sternal area…..etc. diagnosis is:

a) Cardiac tamponade (remember Beck’s triad in cardiac tamponade: hypotension,

increased JVP and muffled heart sounds)



13. Pregnant woman, U/S showed anterior lateral placenta. Examiner finger can not reach placenta. This placenta is:

a) Low lying

b) Marginal placenta previa

c) Partial placenta previa

d) Lateral placenta previa

14. Pregnant teacher at (16 or 20 weeks of gestation) reported 2 of her students developed meningitis. Prophylactic treatment:

a) Observe for signs of meningitis

b) meningitis polysaccharide vaccine.

c) Ceftriaxone (I don’t remember the dose and duration)

d) Cefuroxime (I don’t remember the dose and duration)

e) rifampicin 600 mg BID for 2 days.



15. Mother brought her infant 18 month to ER with a history of URTI for the last 2 days with mild respiratory distress this evening the infant started to have hard barking cough with respiratory distress on examination RR 40\min , associated with nasal flaring suprasternal retraction and intercostal retraction. What is the most likely diagnosis:

a) viral pneumonia

b) bacterial pneumonia

c) bronchiolitis

d) acute epiglotitis

e) trachobronchiolitis

سؤال 15 كتب بواسطة د.ياسر القرني



16. A women came to antenatal clinic at 8 weeks gestation Diagnosed as a case of Cervical incompetence, which of the following is the appropriate management :

a) insert a suture in the same week

b) insert a suture at 14 to 16 weeks gestation

c) confirm the Diagnosis By inserting Hegar s dilator

d) admit the patient throughout the pregnancy time in the hospital for observation.

e) give beta-mimetic agent (Ritodrine)

سؤال 16 كتب بواسطة د.مسفر الغامدي



17. A 45 year-old-man came to the ER with sudden headache, blurred vision, excruciating eye pain, frequent vomiting. The most likely diagnosis:

a) Acute conjunctivitis

b) Acute iritis

c) Acute glaucoma

d) Episcleritis

e) Corneal ulceration

سؤال 17 كتب بواسطة د.ماجد الجطيلي



18. Patient presented to ER with dyspnea, right-sided chest pain, engorged neck veins and weak heart sounds. Stethoscope over right lung showed no air entry. Plan of treatment for this patient:

a) I.V fluid, pain killer, O2

b) aspiration of pericardium

c) respiratory stimulus

d) intubaion

e) immediate needle aspiration, chest tube

سؤال 18 كتب بواسطة د.محمد الصيعري

19. Which of the following physical findings in boys is the earliest indication that puberty has begun:

a) Increasing prostate size

b) Appearance of the upper lip hair

c) Increasing penis size

d) Increasing testicular size

e) appearance of pubic hair



20. A 48-hour-old newborn infant is in critical care unit with respiratory distress and jaundice. Hemoglobin is 9 gram/dl, and reticulocyte is 4%. Maternal history of previous normal-term-pregnancy without transfusion. Blood types shows heterospecificity type between mother and child. Indirect Coomb's test positive. The MOST probable diagnosis is:

a) Thalassemia

b) Maternal - Fetal blood group incompatibility

c) Sickle cell

d) Septicemia

e) Hereditary red cell enzymatic defect



21. Perinatal mortality:

a) Includes all stillbirths after the 20th week of pregnancy

b) Includes all neonatal deaths in the 1st 8 weeks of life

c) Includes all stillbirths and first week neonatal deaths

d) Specifically ..... neonatal deaths

e) Is usually ...... as death per 10,000 live births



22. An 18 months old baby brought by his mother, she complains that her child says only mama & baba. Otherwise the baby is completely normal. First step to evaluate this patient is:

a) physical examination

b) Chromosomal analysis

c) Hearing evaluation

d) Developmental testing

e) CT scan of the head

(I am not sure if there was reassurance or not)



23. A full-term infant brought by his mother to your office weighing 3800 grams developed jaundice on the 2nd day of life. The infant appears healthy and breast-feeding well. The infant's hemoglobin is 180 g/L. The direct and indirect Coomb's tests are negative. The infant's total bilirubin is 189 umoL/L (11 mg/dl) and the indirect bilirubin is 184 umoL/L. The MOST likely diagnosis in this infant is:

a) Undiagnosed neonatal sepsis

b) Breast milk jaundice

c) Physiological jaundice

d) Jaundice due to a minor antigen blood group incompatibility

e) ABO blood group incompatibility







24. A 5-day-old baby vomited dark red blood twice over the past 4 hours. He is active and feeding well by breast. The MOST likely cause is:

a) Esophagitis

b) Esophageal varices

c) Gastritis

d) Duodenal ulcer

e) Cracked maternal nipples



25. A 5-year-old patient was seen at ER with history of fever and sore throat. Which of the following findings will suggest a viral etiology for his complaint?

a) Presence of a thin membrane over the tonsils

b) A palpable tender cervical lymph node

c) Petechial rash at hard or soft palate

d) Absence of cough

e) Rhinorrhea of clear colorless secretions



26. An 80-year-old woman presented to your office with a 6-month history of stiffness in her hands bilaterally. This stiffness is worse in the morning and quickly subsides as the patient begins her daily activities. She has no other significant medical problems. On examination, the patient has bony swelling at the margins of the distal interphalangeal joints on the second to the fifth digits on both hands. No other abnormalities are found on physical examination. These swellings represent:

a) Heberden's nodes

b) Bouchar's nodes

c) Synovial thickenings

d) Subcutaneous nodules

e) Sesamoids



27. Which of the following radiological features is a characteristic of miliary tuberculosis:

a) Sparing of the lung apices

b) Pleural effusion

c) Septal lines

d) Absence of glandular enlargement

e) Presence of small cavity



28. A 70-year-old woman presented with a 3-day history of perforated duodenal ulcer...She was febrile, semi comatose and dehydrated on admission. The BEST treatment is:

a) Transfuse with blood, re-hydrate and perform vagotomy and drainage urgently

b) Insert a nasogastric tube and connect to suction, hydrate the patient, give

systemic antibiotics and observe

c) Insert a nasogastric tube and connect to suction, hydrate the patient, give

systemic antibiotics and perform plication of the perforation

d) Hydrate the patient, give blood, give systemic antibiotics and perform

hemigastrectomy

e) None of the above







29. The following are complications of laparoscopic cholecystectomy EXCEPT:

a) Bile leak

b) Persistent pneumoperitoneum

c) Shoulder tip pain

d) Ascites

e) Supraumbilical incisional hernia



30. Fissure-in-ano MOST commonly occurs:

a) Posteriorly

b) Anteriorly

c) Laterally

d) In men

e) In cases of diarrhea



31. A 20-year-old man involved in Road Traffic Accident (RTA) brought to ER by friends. On examination, found to be conscious but drowsy. HR 120/min, BP 80/40. The MOST urgent initial management measure is:

a) CT scan of brain

b) X-ray of cervical spine

c) Rapid infusion of crystalloid

d) ECG to exclude haemopericardium

e) U.S Abdomen



32. A 30-year-old man presents with shortness of breath after a blunt injury to his chest, RR 30/min, CXR showed complete collapse of the Lt lung with pneumothorax. Mediastinum was shifted to the Rt. The treatment of choice is:

a) Chest tube insertion

b) Chest aspiration only

c) Thoracotomy and pleurectomy

d) IV fluids and O2 by mask

e) Intubation



33. A cervical lymph node is found to be replaced with well-differentiated thyroid tissue. At operation there are no palpable lesions in the thyroid gland, The operation of choice is:

a) Total thyroidectomy and modified dissection

b) Total thyroidectomy and radical neck dissection

c) Total thyroidectomy

d) Thyroid lobectomy and removal of all local lymph nodes

e) Thyroid lobectomy and isthmusthectomy and removal of all local enlarged lymph

nodes



34. One of the following combination of drugs should be avoided:

a) Cephaloridine and paracetamol

b) Penicillin and probenecid

c) Digoxin and levadopa

d) Sulphamethoxazole and trimethoprim

e) Tetracycline and aluminum hydroxide



35. A 40-year-old man presented to emergency department with 6 hour history of severe epigastric pain radiating to the back like a 'band' associated with nausea. No vomiting or diarrhea. No fever. On examination: He was in severe pain with epigastric tenderness. ECG was normal, serum amylase was 900 u/l, AST and ALT are elevated to double normal. Which of the following is the LEAST likely precipitating factor for this patient's condition?

a) Hypercalcemia

b) Chronic active hepatitis

c) Chronic alcohol ingestion

d) Hyperlipidemia

e) Cholelithiasis



36. Cellulitis occurring about the face in young children (6 to 24 months) and associated with fever and a purple skin discoloration is MOST often caused by:

a) Group A beta-hemolytic streptococci

b) Haemophilus influenza type B

c) Streptococcus pneumoniae

d) Staphylococcus aureus

e) Pseudomonas

[hide]37. Which one of the following diseases is NOT transmitted by mosquitoes?

a) Rift valley fever

b) Yellow fever

c) Relapsing fever

d) Filariasis

e) Dengue fever



38. A non-opaque renal pelvis filling defect is seen on IVP. Ultrasound reveals dense echoes and acoustic shadowing. The MOST likely diagnosis is:

a) Blood clot

b) Tumor

c) Sloughed renal papilla

d) Uric acid stone

e) Crossing vessel



39. In a conscious multiple trauma patient, your priorities are:

a) To stop bleeding, then IV fluids

b) To secure air entry, breathing, then BP

c) To start an IV fluid and send blood for cross matching

d) To intubate the patient

e) To do peritoneal lavage, then IV fluids



40. Delusion:

a) Perception of sensation in absence of external stimulus.

b) misinterpretation of stimulus

c) False belief not in accordance of person's culture.

d) Manifestation of........

e) Unconscious inhibition of..........



41. A 20 years old patient had deep laceration in his right wrist. which of the following is the result from this injury:

a) wrist drop.

b) claw hand.

c) sensory loss only.

d) inability of thumb opponins to other fingers.

e) inability of flexion of the interphalangeal joint.



42. Before any instrumental delivery we should rule out :

a) cord prolapse

b) cephalopelvic disproportion

c) face presentation

d) placental abruption



43. 75 years old man came to emergency room complaining of acute urine retention. what will be your initial management:

a) Send patient immediately to OR for prostatectomy

b) empty urinary bladder by Folley`s catheter and tell him to come back to the clinic

c) give him antibiotics because retention could be from some sort of infection

d) insert Folley's catheter and tell him to come to clinic later

e) Admission, investigation which include cystoscopy then.....



Q 42 & 43 written by Dr.Zaimos



44. coarctation of aorta is commonly associated with which of the following syndromes?

a) Down

b) Tturner

c) Ppataue

d) Edward

e) Holt-Orain



45. A ... years old child with tonsillitis & follicle & membrane over the tonsils with fever. The fever reduced after 2 days of penicllin. For how many days are you going to keep this patient on penicillin?

a) 3 days

b) 5 days

c) 7 days

d) 10 days

e) 14 days



















46. A patient came to you & you found his BP 160/100 ? he is not on any medication yet. His lab investigations showed:
Urea: normal.
Creatinine: normal.
Na 145 (135-145)
K 3.2 (3.5-5.1)
HCO3 : 30 (22-2)
What is the diagnosis?

a) essential hypertension.

b) Pheochromocytoma.

c) Addison's disease.

d) Primary hyperaldosteronism.



47. In vesicular mole:

a) β-hCG is lower than normal.

b) fundal hight is lower than normal.

c) fetal heart can be detected.

d) ovarian cyst is acommon association.

e) hypothyroid symptoms may occur.



48. which of the following mostly occur in a patient with intracranial abscess?

a) cough.

b) vomiting.

c) ear discharge.

d) frontal sinusitis.



49. what is the best method for preventing infection from patient to another & to health care worker?

a) wearing gloves when examining every patient.

b) hand washing before & after each patient.

c) wearing mask & gown before examining an infected person..

d) recapping needles & put them in the sharp container.

e) isolation of all infected persons.



50. you are asked to manage an HIV patient who was involved in a car accident. You know that this patient is a drug addict & has extramarital relations. What are you going to do?

a) complete isolation of the patient when he is in the hospital.

b) you have the right to look after the patient to protect yourself.

c) you will manage this emergency case with taken all the recommended

precautions.

d) you will report him to legal ……. After recovery.

e) tell his family that he is HIV positive.











51. A family went to a dinner party.. after that hey all had symptoms of abdominal pain, nausea & vomiting & dehydration. Some of them recovered while other needed hospitalization. What is the most likely organism?

a) giardia.

b) staph aureus.

c) salmonella.

d) C.perfiringis.



52. When a person is predicted NOT to have a disease he is called (negative). Then what is (true negative)?

a) when a person is predicted to have a disease, have it.

b) when a person is predicted to have a disease, didn't have it.

c) when a person is predicted not to have a disease, didn't have it.

d) when a person is predicted not to have a disease, have it.

e) when risk cannot be assessed.



53. A man presented with right knee swelling & pain. Also he had right elbow swelling & pain. On examination, it was swollen, tender, red with limitation of movement. 50cc of fluid is aspirated from the knee. Gram stain showed gram positive diplococci. He has just come from India. What is the most likely organism?

a) brucella.

b) niesseria meningitides.

c) strept pneumonia.

d) staph aureus.

e) strept pyogens.



54. A .. years old lady presented to you & told you that she knows that she has cancer stomach. She had visited 6 doctors before you & she had Ultrasound … times & Barium meal ….. times & no one believes what she said & told you that you are the last doctor she is going to see before seeking herbal medicine. What is the diagnosis?

a) generalized anxiety.

b) panic attack.

c) conversion reaction.

d) hypochondriasis.

e) anxiety.



55. A patient came to you complaining of gradual loss of vision & now he can only identify light. Which of the following is least to cause his problem?

a) retinal detachment.

b) central retinal artery embolism.

c) vitreous hemorrhage.

d) retinitis pigmentosa.

e) retrobulbar neuritis.











56. which of the following is the most likely cause of infection after IV fluid through canula?

a) infection of the fluid in the factory.

b) infection of fluid during passing in the canula.

c) infection at site of needle insertion.

d) disseminated infection due to transient bacteremia.



57. which of the following indicates that a breast lump is safe to leave after aspiration?

a) a cyst that does not refill.

b) solid rather than cyst.

c) cytology showed hyperchromatic nuclei.

d) cytology showed fibrocystic disease.

e) minimum blood in aspiration fluid.



58. I.V fluid in burn patient is given:

a) ½ of total fluid is given in the first 8 hours post burn.

b) ¼ of total fluid is given in the first 8 hours post burn.

c) the whole total fluid is given in the first 8 hours.

d) ½ of total fluid is given in the first 6 hours post burn.

e) ¼ of total fluid is given in the first 6 hours post burn.



59. A 15 years old boy came to your clinic for check up. He is asymptomatic. His CBC showed:
Hb 118 g/L. WBC N, RBC 6.3 (high), MCV 69 (low), MCH (low), retics N.
What is the most likely diagnosis?

a) iron deficiency anemia.

b) Anemia due to chronic illness.

c) Megaloblastic anemia.



60. What is the ratio of ventilation to chest compression in a one person CPR?

a) 2 ventilation & 15 compressions at rate of 80-100 per minute.

b) 1 ventilation & 15 compressions at rate of 80-100 per minute.

c) 2 ventilation & 7 compressions at rate of 80-100 per minute.

d) 1 ventilation & 7 compressions at rate of 80-100 per minute.

e) 3 ventilation & 15 compressions at rate of 80-100 per minute.



61. A 28 years old lady presented with history of increased bowel motion in the last 8 months. About 3-4 motions per day. Examination was normal. Stool analysis showed:
Cyst, yeast: nill.
Mucus ++
Culture: no growth.
What is the most likely diagnosis?

a) inflammatory bowel disease.

b) Irritable bowel disease.

c) Diverticulitis.







62. Facial nerve, when it exits the temperomandibular joint & enter parotid gland it passes:

a) deep to retromandibular vein.

b) deep to internal carotid artery.

c) superficial to retromandibular vein & external carotid artery.

d) deep to external carotid artery.

e) between external carotid artery & retromandibular vessels.



63. A patient presented to you complaining of left submandibular pain & swelling when eating. On examination, there is enlarged submandibular gland, firm. What is the most likely diagnosis?

a) mumps.

b) Sjogren's syndrome.

c) Hodgkin's lymphoma.

d) salivary gland calculi.



64. Frequent use of nasal vasoconstrictors can cause:

a) Rhinitis sicca (sicca means dry)

b) allergic rhinitis.

c) septal perforation.



65. Perinatal mortality:

a) includes all still births after 30 weeks.

b) includes all still births & neonatal deaths in the first week.

c) includes all neonatal deaths up to 6 weeks.

d) characteristically excludes post natal deaths.

e) it is death per 10,000 live birth.



66. About antepartum hemorrhage:

a) need immediate assessment by vaginal exam.

b) mother risk is more than fetal risk.



67. Which of the following tests is mandatory for all pregnant women?

a) HIV.

b) Hepatitis B surface antigen.

c) VDRL.



68. when lactic acid accumulates, body will respond by:

a) decrease production of bicarbonate

b) excrete CO2 from lungs.

c) excrete Chloride from kidneys.

d) metabolize lactic acid in liver.



69. What is the initial management of acute hypercalcemia?

a) correction of extra-cellular fluid.











70. which of the following suggests enormous ovarian cyst more than ascites?

a) fluid wave.

b) decrease bowel motion.

c) shifting dullness.

d) tympanic central, dull lateral.

e) dull central, tympanic lateral.



71. A 25 years old student presented to you with severe headache over the last few days. On examination, he was agitated & restless. What diagnosis must be considered in this case?

a) acute severe migraine.



72. A pregnant lady 34 weeks came to you in labor. On examination, the baby is back down, transverse lie, cervix is 3 cm dilated & bulging membrane. Her contractions are one every 4 minutes. Ultrasound showed posterior fundal placenta. What is the management?

a) caesarian section.

b) amniotomy.

c) oxytocin.

d) amniocentesis to assess fetal lung maturity.



73. Sciatica:

a) never associated with sensory loss.

b) maybe associated with calf muscle weakness.

c) do not cause pain with leg elevation.

d) causes increased lumbar lordosis.



74. ultrasound of pregnant lady showed posterior wall? Placenta. It does not reach examining finger by vaginal exam. Which of the following is true?

a) complete placenta previa.

b) normal site placenta.

c) low lying placenta.

d) placenta previa marginalis.

e) incomplete centralis.



75. All of the following is true about IUGR except:

a) asymmetric IUGR is usually due to congenital anomalies?

b) IUGR babies are more prone to meconium aspiration & asphexia.

c) inaccurate dating can cause misdiagnosed IUGR?



76. What is the simplest method to diagnose fractured rib?

a) postroanterior x ray.

b) lateral x ray.

c) tomography of chest.











77. A healthy 28 years old lady P1+0 presented to you with 6 month amenorrhea. What is the most likely cause for her amenorrhea?

a) pregnancy.

b) turner syndrome.



78. Definition of status epilepticus:

a) generalized tonic clonic seizure more than 15 minutes.

b) seizure for more than 30 minutes with/out?? Regain consciousness in between.

c) absence seizure for more than 15 minutes.



79. action of contraceptive pills:

a) inhibition of estrogen & then ovulation.

b) inhibition of prolactin then ovulation.

c) inhibition of protozoa by change in cervical mucosa.

d) inhibition of midcysle gonadotropins then ovulation.

e) inhibition of implantation of the embryo.



80. Rubella infection:

a) Intubation period 3-5 days.

b) arthritis.

c) oral ulcers.

d) start with high fever.

e) don't cause cardiac complications or deafness.



81. best detector of progress of labor is:

a) dilatation.

b) descent.

c) dilatation & descent.

d) degree of pain.

e) fetal heart rate.



82. A 35 years old primi 16 weeks gestation coming for her 1st check up. She is excited about her pregnancy. No history of any previous disease. Her blood pressure after a rest was 160/100. after one week her BP was 154/96. what is the most likely diagnosis?

a) pre-eclampsia.

b) chronic HTN.

c) lable HTN.

d) chronic HTN with superimposed pre-eclampsia.

e) transient HTN.



83. A 55 years old man known case of COPD. Now complaining of 1 week fever, productive cough. CXR showed left upper lobe pneumonia. Sputum culture positive H.influenza. what are you going to give him?

a) penicillin.

b) doxycyclin.

c) cefuroxime.

d) gentamycin.

e) carbincillin.



84. A 5-month-old baby presented to ER with sudden abdominal pain & vomiting. The pain lasts for 2-3 minutes with interval of 10-15 minutes in between. The most likely diagnosis:

a) intussusception.

b) infantile colic.

c) appendicitis.



85. A 15-year-old girl her menarche was at age of 13 years. She is complaining of menstrual pain. She not sexually active. On examination & pelvic ultrasound were normal. How are you going to manage her?

a) laparotomy.

b) danazol.

c) cervical dilatation.

d) NSAID.



86. A 32 years old lady work in a file clerk developed sudden onset of low back pain when she was bending on files, moderately severe for 3 days duration. There is no evidence of nerve root compression. What is the proper action?

a) bed rest for 7 to 10 days.

b) traction.

c) narcotic analgesia.

d) early activity with return to work.

e) CT scan for lumbosacral vertebrae.



87. A 45 years old lady presented with nipple discharge that contains blood. What is the most likely diagnosis?

a) duct papilloma.

b) duct ectasia.

c) breast abscess.

d) fibroadenoma.

e) fat necrosis of breast.



88. In moderate to severe asthmatic patient, you will find all the following EXCEPT:

a) PO2 < 60.

b) PCO2 >60.

c) low HCO3.

d) IV hydrocortisone will relieve the symptoms after few hours.

e) dehydration.



89. A 30 years old man presented with history of left-ided chest pain & shortness of breath. BP 80/50. on examination, hyper-resonant chest on the left side. The most likely diagnosis:

a) pneumonia with pleural effusion.

b) MI.

c) spontaneous pneumothorax.







90. A 20 years old married lady presented with history of left lower abdominal pain & amenorrhea for 6 weeks. The most appropriate investigation to role out serious diagnosis is:

a) CBC.

b) ESR.

c) pelvic ultrasound.

d) abdominal X-ray.

e) vaginal swab for culture & sensitivity.



91. Greatest risk factor for stroke:

a) DM

b) Family history of stroke

c) High blood pressure

d) Hyperlipidemia

e) Cigarette smoking



92. Q about definition of forced Vital Capacity (FVC)





وفي الختام، فالشكر موصول لكل من ساعد في هذا الاختبار بجمعه أو كتاباته، ونخص بالذكر منهم د.ياسر القرني ، د.محمد الصيعري، د. ياسر القرني، د.ماجد الجطيلي، Dr.Zaimos، Dr.Mariana ونعتذر ممن لم نذكر اسمه نسيانا



كما لا يفوتني أن أشكر أخي جمال الساعاتي على جهوده الفريدة في جمع الأسئلة وكتابتها، فله جزيل الشكر والثناء



قام بتجميع الأسئلة: محمد جمال حولدار وجمال الساعاتي

تنسيق الأسلة وترتيبها: محمد جمال حولدار



إخوانكم:

محمد جمال حولدار

جمال الساعاتي[/hide]

 

ANSWER KEYS
1- E
2- C
3- E
4- C
5- A
6- A
7- E ?
8- C
9- C?
10- A
11- B
12- A
13- A
14- E
15- E
16- A
17- C?
18- E
19- ?
20- B
21- C
22- C
23- C
24- E
25- E
26- A
27- ?
28- C
29- D
30- A
31- C
32- A
33- ?
34- ?
35- ?
36- D
37- D
38- D
39- B
40- C
41- ?
42- B
43- B
44- B
45- ?
46- D
47- D
48- ?
49- E
50- C
51- B
52- C
53- E
54- D
55- D
56- B?
57- A
58- A
59- A
60- A
61- B
62- C
63- D
64- A?
65- B
66- ?
67- B or C
68- B
69- A
70- D?
71- A
72- ?
73- B
74- C?
75- C
76- A
77- ?
78- B
79- D
80- B
81- C
82- B
83- C
84- B
85- D
86- A
87- A
88- C
89- C
90- C
91- ?
92- ?
93- D?
94- ?
95- B
96- ?
97- B
98- ?

 

Thanks for the comprehensive collection.