SMLE team

October 22
السلام عليكم
هذي اسئلة جمعتها افتكر اكثر لكن كلها كانت تجميعات سبتمبر اغسطس جولاي وقيمبوي وميدقارد
الحمدلله الاختبار سهل موفقين
13 year old came with polyarthritis (I forgot the stem but he has positive ASO and Hx of sore throat, no mention of any cardiac symptom or signs)
For prevention he will take penicillin for how long?
A) till age 23
B) till age of 21
C) for 5 years
D) for 3 years
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Old 70 something male Patient CKD
With history of DM and HTN diagnosed with DVT started on heparin his labs was
(sure about the numbers )
K 6
Creatinine 120 (normal up to 115)
Urea slightly high also
PTT 50 (up to 40)
PT 14 (up to 10)
What to stop?
A) lisinopril
B) insulin
C) Furosemide
D) heparin
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Young something 30-40 male Pt came concerning regarding melanoma as his father was diagnosed with melanoma 4 months ago
On examination he has multiple benign nevi
What to do?
A) Reassurance
B) Take biopsy (something like you do the biopsy)
C) Refer to dermatologist

الحمد لله الاختبار اليوم ٢١/١٠ مليان تجميعات بالذات قسم الاوبي و البيدياتريك هذي الأسئلة اللي افتكرها
A 69-year-old man complains of shortness of breath and weight loss for the last 6 months. He has a 40-pack-year smoking history and no TB or HIV risk factors (see reports). Chest X-ray: A large left-sided pleural effusion. Thoracentesis: 1,500 mL of bloody fluid that is strongly exudative by Light's criteria. Which of the following is the most appropriate next step? A. Empirical broad-spectrum antibiotics
B. CT chest with contrast C. pleural biopsy (They removed ‘blind’ but everything is exactly the same even the question )
Acute limb ischemia case rest pain for 4 hours, proximal pulse felt but absent distal pulse, Next most appropriate step:
A-Heparin
B-Morphine
C- Ct angio
D- vessel ultrasonography
Question about prevention of post partum hemorrhage be careful there was a more correct answer:
-Active management from third stage of labor
-Blood cross matching, ensure team readiness and active management from third stage…..
Question about a female in a routine visit ask for sterilization, the doctor explained the procedure. Before signing her consent she stated that she understood the procedure but she is still not sure about its later implications
Before proceeding, which of the following should be done:
A- re-explain the procedure
B- Document the consent and proceed
C- schedule the procedure and offer counseling
D- refer her for psychiatric evaluation
Case about obstructive shock classic of massive pulmonary embolism sudden SOB pink sputum with no fever hypotensive, etc…
Question ask which of these is found with this type of shock
A- Reduced Central venous pressure
B- Reduced pulmonary capillary wedge pressure
C- Increased systemic vascular resistance

اختباري اليوم كان 10/20
الحمدلله الاختبار كان تجميعات اكتوبر وقيمبوي اكثر شي وكم سؤال جديد مذاكرتي كانت مدتها اربع شهور ركزو على سايلنت قبل يوم الاختبار مهمم
كتبت اللي جاني بعد الاختبار
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A Patient Presents With Back Pain And Hypesthesia Localized To The Left Latera Left Lateral Foot Which Of The Following Nerve Root Levels Is Most Likely Affected?
• L5-S1.
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126-55-year-old woman with interstitial lung disease presented with exertional dyspnea and bilateral lower limb edema. Physical examination revealed an elevated JVP with a prominent v-wave, pulsating hepatomegaly, a left parasternal heave, and loud pulmonary component of the second heart sound is the most expected additional finding on heart auscultation?
P2). Which of the following
• Mitral regurgitation
• Aortic regurgitation
• Tricuspid regurgitation
• Pulmonary regurgitation
Answer: C (GB)
2y 3day glassess of cow milk>> SCD
Child unsteady + grasp ans 12 months
انتبهو لل development تنحت عندها وتلخبطت بالأشهر
🥺
💔
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بنوه على شي ملف الصور جاني كم صوره بدون صوره يعني كيسات بس ف ركزووو ع الاسئله بحيث لو جتكم بدون صور تعرفون تحلون
جتني بدون صوره اللي
Pic1 :Cause recurrent DVT الجواب anti-phospholipid syndrome
Pic2 : A 5-year-old boy presents with fever, sore throat, and a sandpaper-like rash.
What is the most likely diagnosis?
A. Scarlet fever
B.Measles
C. Rubella
D. Kawasaki disease
Answer: A. Scarlet fever
بدون صوره جت
5-year-old boy seen in the clinic with skin rash. There is history of mild abdominal pain but the child
looks healthy otherwise (see image). Which of the following is the most likely diagnosis?
A. Measles
B. Chickenpox
C. Meningococcemia
D. Henoch-schnlein purpura
Ans d
4-month-old boy presents to the clinic with rash over the neck for 3 days. The rash is not itchy (see image).
Which of the following is the most likely diagnosis?
A. Cellulitis
B. Candidal intertrigo
C. Erythema Multiform
D. Seborrheic dermatitis
Answer: B. Candidal intertrigo
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اللي بصور هذي rota واي شهر
Gluten free diet
Diabetic mother has mild
6 day boy of Diabetic mother has mild
tachypnea (written like this)
What is the diagnosis
A- RDS
B- TTN
C- congenital pulmonary hypertension
Answer: B
a developed sudden onset of cough and shortness of breath, the child had a history of eating
cereal, the family denied any history of lever or choke, xray was given.Pedia developed sudden onset of cough and shortness of breath, the child had a history of eating
cereal, the family denied any history of lever or choke, xray was given.
Which of the following is the most likely the cause ?
A. Pneumonia
B. Foreign body
C. Anaphylactic reaction
D. Asthma
Answer: B. Foreign body
مو متذكره الكيس بكتبهم ك نوت
-Pt presnt fever +red eye+red lip answer Kawasaki disease.
-hernia goes back : indirect inguinal hernia
-baby has delayed umbilical cord separation and bleeding. PT, PTT, and platelet count/function are normal. Which factor is deficient?
Answer: Factor XIII deficiency
-newborn with meuconum aspiration syndrome hyoxia and severe. respiratory distress =.
intubation. and mechanical ventilation
-Absent of cremastric reflex = indicate. testicular torsion
-low c peptide 0.9 : T1DM
-5 nephrotic syndrome high risk : peritonitis
-جاني اسئله متشابههه عن المدكيشن vanco ,clinda ركزو عليهم عن المدكيشن بالتحديد
-non pregnant women with nipple bloody discharge - interductal papilloma
-women at 40 week came for JOl. what i give for cervicle. ripening. is prostaglandin E2
Mild cough, nasal blockage .
No fever, no erythema, the patient play with friends and everything is normal..
What is the most thing do :
A- reassure
B-serub for cough
C- oral amoxicillin .
بتذكر الباقي وارسله خلال اليوم

الاختبار ٩٨٪؜ تجميعات واغلبها اكتوبر وجا من سبتمبر واوقست وقيم بوي
الصور والاثكس مره قليل جاني
هذي الاسئلة اللي متذكرتها الحين وان شاءالله بجمع اللي جاني هاليومين
First Antenatal visit everything normal her mother had history of preeclampsia how to prevent?
Minimize activity to avoid physical stress
Calcium supplements
Other options were complete nonsense
No periods history of d&c 3 months ago, fsh and LH normal, tvus normal, what is next?
Hystroscope for adhesions
Brain mri
Pelvic and abdominal ct
Trail of combined oral contraceptive
Pregnant 34w came due to mild abdominal pain, ctg fetal heart rate 140, good variability, acceleration no deceleration, cervix is open 1cm no effacement, management?
Reassurance
Induction of labor
Augmentation of labor
Cesarean section
Case of cola urine after urti, what support provisional diagnosis?
High ANA
Positive O-something
Low C3
Forgot the forth option
Male with flushing and diarrhea 20 minutes after meals, history of roux bypass, symptoms relieved (after or within can’t remember) 1 hour, what is the cause?
Rapid influx to the small intestine
Pedia with asthma what support the diagnosis?
Polyphonic wheeze with exertion
Normal chest x ray between episodes
6 years old child, presents by parents with pallor and organomegaly , BM aspiration was taken.
Which of the following Leukemia is most likely for this patient :
A- Acute myeloid
B- Chronic myeloid
C- Acute Lymphocytic
D- Acute non lymphocytic
Bleeding per recum DRE no mass
The most appropriate next
Proctoscopy
Colonoscopy
في سؤالين بعد ما اظن شفتهم
A woman came to the clinic for antenatal/pre conception follow up (I can’t exactly remember but I think it was antenatal), she has generalised tonic and clonic seizures (it was written exactly that way), POORLY controlled. What is the next step in management?
A. Review medications
B. Do an EEG
A patient was admitted to the ICU due to acute ischemic stroke 2 days ago. The patient is a known hypertensive and diabetic patient (DM type 2). The labs were normal except for a high random blood glucose of 12. What do you do for this patient?
A. Nothing
B. Insulin IV

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