Ala Hawwa

April 8 Amman

96 questions .. 4 remains .. doomed grin emoticon

according to the omphalocele/ hypospadius question --> both are risk factors for inguinal hernia
according to the carcinoid question --> most small intestinal tumors are benign not malignant
regarding esophegeal cancer --> achalasia is a risk + its not radiosensitive (some say its the transposition)
regarding drugs that can cause teratogenicity except --> all are teratogens !!! so donno the prospective of
the person who putted the question
those i checked for from some books + merk manual
Surgery
1) Most common cause of primary inverted nipple ?
2) Most common cause of SVC obstruction ?
3) Most common location of colon cancer ?
4) Which of the following is false regarding esophageal cancer ? achalasia is a risk factor/ interposition of
the colon / not radiosensitive
5) Which of the following predisposes to gall bladder stone ? nucleation/ dysfunction
6) Most common cause of death after 1 week of acute pancreatitis ? 2ndry infection
7) Which of the following is false regarding acute abdomen ? 2x amylase points toward acute pancreatitis
8) Regarding anal fissure ? (false) 10% posterior medline
9) Regarding hernia ? strangulation > 10% death/ femoral more common than inguinal in females
10) Patients with intestinal obstruction experience pain with movement (false)
11) Regarding post splenectomy ? (false) there is a difference between OPSS after trauma and before
trauma
12) Regarding appendicitis 75% fecolith (false)
13) All of the following are risk factors for hernia except ? hypospadius / omphalocele !!!
14) Hydrocele (false) managed the same way as hernia is managed
15) Parkland 4800
16) Meckel's diverticulum : It is a psuedodiverticulum (false)
17) Multitrauma patient next step suction / orotracheal intubation
18) False from the following mostly asymptomatic / syndrome when invades the liver / tumors of the
intestine mostly malignant (I think this one)
19) Not a middle mediastinal mass: Neuroganlionoma
20) MC organism in acute cholecystitis: e.coli
21) Lung cancer surgery contraindication (false) paraneoplastic syndrome / FEV < 1.5L
22) Gunshot invariably surgery / cervical spine / CT scan
23) UC fisulas common (true)
24) All of the following regarding hypospadius except ? cosmotic (false)
Medicine
1) Associated with ulcerative colitis PSC
2) Most common immunoglobulin in the serum IgG
3) Indication for thrombolytics in PE hypotension
4) Most urgent for aortic dissection decrease BP
5) Do surgery in all of the following except toxic nodule / multinodular goiter
6) Reduced sensitivity to protein C factor 5 leiden
7) Pneumothorax case needle
8) Limited scleroderma: anti centromere

9) Thiazide for osteoporosis

10) Drug induce lupus: anti histone
11) All ass with severe asthma except: wheezes
12) Regarding amoeba wrong: -bleeding due to colon ulcers -treatment with high dose metro for 10 days do stool analysis after finishing Rx
13) Wrong: bronchiolitis obliterans ass with increased residual volume.
14) All found in PE except: loud A2
15) Wrong about Sarcoidosis: decreased cd4/cd8 ratio
16) All found in ARDS except: Increased atrial pressure /Hypoxia refractory to O2 /Hypoxia improves with
PEEP /Bilat pul opacities
17) Which anticoagulant to use in dialysis: ?? ( )
18) NSAID causes what in kidney (except) acute glomerulonephritis
19) Eldery antihypertensive acei + diuretics
20) insidious onset DM except: - Severe headache
21) patient with HTN+ osteoporosis: Thiazide
22) all indicate glomerular disorder except: blood clots
23) all of the following increases the CO except b-blocker
24) glomerulonephrits C3, C4
25) Constrictive pericarditis ascitis without edema / kusmmaul sign
26) EF 50 (true) dilated cardiomyopathy
27) All causes pulmonary edema except massive PE
28) not differentiating between UC and Chrons: chronic anemia
29) Which has the most effect on b12 deficiency: - Enzyme transcobalamin - Pancreatic insufficiency
Gyne
1) Delivery of breech: - Gentle traction on lower limbs - Deliver shoulder only after seeing the scapula 1425 year old with ovarian mass, monolocular, asymptomatic VBAC-TOL successful ? after malpresentation
2) All of the following checked in PV except? Engagement/ attitude
3) All of the following checked during 34 week visit except ? CST/
4) Which drug is not teratogenic to the fetus: Combined OCP /Antiandrogenic / Pheytoin / Carbamazipine
5) MCC Of uterine adhesions: D&C post abortion / Post molar evacuation
6) Bedrest is advised/ indicated in all of the followiing except: Vaginal bleeding/ Painful uterine
contractions /Short cervix/ fetal movement
7) All are risk factors for endometrial CA except: High parity/ Smoking /Positive family Hx
8) 4-7 days: Monochorionic diamniotic
9) MC indication for cesarean: failure to progress
10) Not in PID: fever
11) 5 cm: follow in 6 weeks
12) Lung,breast from most to least
13) Descent, engaged (progression)
14) Labor related can be differentiated to moderate/ mild/ severe
15) Vulvovaginitis MCC of: prepubertal bleeding
16) All are in favor of synchronus two primaries except: Well differentiated tumor cells in two different
sites/ Positive cytology /Endometrial cancer not invading the myometrium
17) All causes oligo except chronic leak ! / pulm, hypoplasia
18) Not in criteria of PCOS: hyperprolactinemia
19) pap smear showed few inflammatory cells: continue regular PAP smears nothing !!
20) Wrong about Molar: ass. With inc. risk of anomalies
21) Wrong about BPP: sthg about Amniotic pocket 1
22) Canalization vaginal septum
23) Microcephaly 1 standard deviation
24) Endometroid (false)
Peds
1) PDA is needed to be maintained by PGE1 in all of the following except: Truncus arteriosus
2) All are ass with cyanosis except:Partial anomalous pul venous return
3) Neuroblastoma except regular eye movement / miosis

4) Septic shock initial sign tachypnea

5) Forign body in the esophagus
6) Unilateral growing pain
7) Non-accidental injury (abuse) flame shaped fundoscopy
8) Growth 3 cm/yr
9) Found in all patients with CP motor dysfunction
10) MC dx of abd.pain...non specified
11) Wrong breast milk..galactose
12) Seboritic dermatitis wrong...legs
13) Dystrophin myotonic dystrophy
14) true about myotonic dystrophy : It is auto recessive/ X linked /Little is known about its mode of
inheritance /Caused by repetition of thee base
15) All migration disorders except : callosal
16) Parietal lesion : agnosia
17) Asthma rx...inhaled steroids
18) TTN...wrong..high mortality in CS
19) False low HBA1c...sickle cell

Ala Hawwa

April 9 Amman
.

The 100% right answers in the exam for gyne questions (take it for granted)

1) Breech delivery you must switch the baby (something like that)
2) VBAC-TOL successful ? after malpresentation
3) All of the following checked in PV except? Engagement/ attitude (in the exam key the answer was
position but some says its attitude)
4) All of the following checked during 34 week visit except ? CST/
5) Which drug is not teratogenic to the fetus: Combined OCP
6) MCC Of uterine adhesions: D&C post abortion
7) Bedrest is advised/ indicated in all of the followiing except: excessive fetal movement
8) All are risk factors for endometrial CA except: High parity
9) 4-7 days: Monochorionic diamniotic
10) MC indication for cesarean: failure to progress
11) Not in PID: vaginal discharge
12) 5 cm ovarian mass : follow in 6 weeks
13) Lung,breast from most to least
14) Descent, engaged (progression)
15) All of the following regarding labor true except associated with lower abdominal pain

16) Vulvovaginitis MCC of: prepubertal bleeding

17) All are in favor of synchronus two primaries except: Positive cytology
18) All causes oligo except pulm. hypoplasia
19) Not in criteria of PCOS: hyperprolactinemia
20) pap smear showed few inflammatory cells: continue regular PAP smears D/C
21) Wrong about Molar: ass. With inc. risk of anomalies
22) Wrong about BPP: fetal heart rate 120-160
23) Canalization imperforated hymen
24) Most indicative for uterine rupture fetal distress
25) Endometroid the answer was c I even cant remember what was the choice

..
grin emoticon