Promotion exam for (R1- R2-R3) at 27-8-2016

Total 120 MCQs

Family medicine questions (32 MCQs):

1-In Behavioral Sciences the Bio-Psycho-Social (BPS) model of health

care is best described as:
a) The management of psychological and social issues of patients.
b) Biological aspects of disease being more important than
psychosocial Aspects.
c) Use of social and psychological factors alongside the biological
aspects of the illness.
d) A method in which a patient should be seen by a psychologist and a
social worker.

Behavioral sciences MCQ from google

2-The sick role (patient role) involves:

A) Being excused from various obligations
b) Being blamed for being ill
c) Commitment to get UN well
d) Commitment to not follow medical advice
Behavioral sciences MCQ from google

3- An infected person is less likely to encounter a susceptible person

when a large proportion of the members of the group are immune, this
will refer to
a) Active immunity
b) Passive immunity
c) Herd immunity
d) Specific immunity
Repeated from previous exams
4 -the natural history of disease refers to:

a. The progress of disease over time

b. Period between exposure and 1st symptoms
c. Period form 1st symptoms to recovery, disability and death
d. The broad scope manifestation of disease in different
individuals

Behavioral sciences MCQ from google

5-the leading cause of death in Saudi Arabia ‫؟‬

a) CAD
b) B-pulmonary disease
c) Cancer

Al-khaldi MCQ book

6- WHO recommendation regarding the best way of TB control :

a- Awareness?
b- INH prophylaxis
c- Early detection and treatment of the cases

7- to establish good rapport with patient, which one of the following ‫؟‬
a- firm family focus
b- Use frequent appropriate reassuring gesture
C-discussion detail prior consultation
d- Start with specific question
8- when 2 patient have the Same disease but each one receives different
management :
a- Personalized care
b- family center
c- comprehensive care
Al-khaldi MCQ book

9- example for primary prevention :

a- hypertension treatment
b- advice to Stop smoking ‫؟‬
c- advice to Wear seatbelt

10-Which of the following is the most appropriate to do for 55 year angry

lady coming for follow-up in diabetic clinic
A- Call the police
B- Terminate care
C- Provide the needed care
D- Refer to psychiatry
Repeated from previous exams

11-You have new diagnosed diabetic patient, what is the proper diet
advice ‫؟‬
a-avoid sucrose
b-less than 10%saturated fat
c-restrict carbohydrate with high protein intake
d- Consistent calories day by day
12- Patient with previous myocardial infarction, maintaining strict low fat
diet. he has no history of DM or HTN What to do?
a-Continue strict diet
B-Give HMG co reductase inhibitors
c-omega 3 supplement

13- the most effective way to prevent the transmission of Middle east
respiratory syndrome?
a- frequent hand washing
b- Frequent bathing
C- Anti-viral

14- which of the following best describe the responsibility of family

doctors role in providing care to patient in the health care system?
a- continuity
b- Coordination ‫؟‬
c- Enhancement
d- Family center care

15-You are seeing 35-year-old women for complex medical condition,

you explore how she feel, you thoroughly understand her point of view,
and acknowledge to the patient that you understand her. Which
communication skill ‫؟‬
a- sympathy
b- Empathy
c- Collaboration
d- Therapeutic alliance
16- 38 years' woman with 3 children, works 9 hours a day in high stress
job. She smokes 10 cigarettes per day, eats fast food 3 times per week, do
not exercise. Her physical examination was normal.
Bp 122/76 Pulse 80 Temperature 37 BMI 27
Which life style alteration will have the most effect?
A) Smoking cessation
B) Eating healthy food
C) Exercise 30 minutes for 5 days per week
D) Stress management and relaxation technique
MKsap

17-Which of the following describe utilization of recourse ‫؟‬

A-Efficacy
b- Effectiveness
C-efficiency
D-adequacy

18- question about study of heart disease and smoking, caffeine and
asking about the type of bias.
a- confounding bias

19- 55-year female with family history of fracture worry about

osteoporosis. Her grandmother had fracture hip at age 70. Her calculated
FRAX for major fracture was 13%, last pap screen was 3 years ago and
was normal, what to screen ‫؟‬
a-Pap smear (note: in the actual question from MKsap the patient has
done pap smear with HPV testing 3 years ago)
b-DEXA
MKsap
20- Female complain of constant pain in previous two years the Pain
aching dull, increased with strenuous activity. Difficulty sleep, Foggy
thinking, no cognitive deficit. Not response to herbal and NASID, on
physical exam: there is multiple muscle tenderness
What is most diagnosis?
a- depression
b- Fibromyalgia
b- Hypothyroidism
c- SLE

21- 50-year-old woman presented to you with a concern of osteoporosis.

She is a known case of diabetes and hypertension, which controlled with
diet. She smoked one pack per day. What is the most appropriate action?
a. Calcitonin
b .Raloxifen
c- Bisphosphonate with vitamin K
d. Vitamin D and calcium

22- patient with Xanthelasma around eye due to collection of ‫؟‬

a- hyper Triglyceride
b- hyper Cholesterolemia

c-fatty liver
d-DM
23- patient came complaining from epigastric pain, increased after
eating, associated with bloating. On examination you noticed epiastric
tenderness. His lab showed:
Blood H. Pylori Antibodies positive
Urea breath test is negative.. what does he have ?
a-H Pylori gastritis .
b-Past H. Pylori exposure
c-GERD

24- Elderly female with bilateral knee and hip pain due to OA, on
Diclofenac daily & take it with food, with no GI symptoms, pain is
controlled. What is the most appropriate action?
A) Add omeprazole OD.
B) Change to enteric-coated aspirin .
C) Continue current regimen .
D) Add aluminum hydroxide antacid

25-which of the following would indicate inflammatory arthritis rather

than OA ‫؟‬
a-Bone cyst
b-Osteophyte
c-Joint effusion and warmth
d-Stiffness since waking for 20-30min
26- 80 year female with bilateral chronic hand pain, No chronic illness,
on examination bony prominent in DIP joint ,What is expected in lab ‫؟‬
A. High ESR
B. High RF
C. High uric acid
D. Normal inflammatory marker

27- You are evaluating a 62-year-old man who is complaining of joint

pain. His pain involves his left knee, right ankle, and both hands. He
reports that his symptoms have been present for years, but are worsening.
He has more pain with activity. On examination, you note some swelling
in the joints with mild tenderness and crepitus. What is the likely cause of
his symptoms‫؟‬
a. Rheumatoid arthritis
b. Osteoarthritis
c. Gout
d. Tendonitis
e. Fibromyalgia

family medicine pretest

28- to reduce the risk of osteoporosis to a lady who use inhaled steroid
you will prescribe calcium at dose of
a-1000
b-1500
c-2000
29- 58 year women with no complaint, who's grandmother dx with breast
cancer at age 58, Ask when to do screen ‫؟‬
a- Annual mammogram
b- Breast self-exam
c- Genetic testing
d-Immediate breast US
Repeated from previous exams

30-Which of the following has the highest Risk factor for breast cancer :
a- Family history
b- early menarche
d- high dose radiation to chest

31- one patient recent lab discovered that he has HIV infection and he
doesn't want to inform his wife, what is the most appropriate action you
will take?
a- Educate him about the importance of telling his wife.

Repeated from previous exams

32- case about obese female patient, known case of HTN, DM, and
smoking, what is the most important action?
a- Weight reduction
b- Smoking cessation ?
c- Reduce her BP ?
d- Reduce her blood glucose ?
Internal Medicine (17 MCQs):

1- 82 years old male complain of unilateral headache (left sided), painful

eye movement, progressive visual loss in his left eye. He also complained
from fatigue and weight loss. Sometimes the headache came as a sharp
pain. His lab showed high ALP. What is the most likely diagnosis?
a- brain tumor
b- Temporal arteritis .

2- 55-year-old woman c/o increasing sputum production, which is thick

with flecks of blood. Health Hx of long-standing chronic lung disease and
episodes of chronic bronchitis. Recent 4 kg wt loss. No fever or chills. No
growth of sputum culture. Chest X-ray shows increase pulmonary
marking and honeycomb in lower lobes, dx?
A-Pulmonary TB
b-Bronchiectasis
C-Anaerobic lung abscess
D-Exacerbation of chronic lung disease

3- Years boy with pneumonia, What antibiotic ‫؟‬

a-Erythromycin
60 days - 5 y -- amoxicillin
b-Cipro 5 y- 16 y--- azithromycin

c-Amoxicillin
4- 30 y/o male c/o slow onset over 2-3weeks generalized malaise, fatigue,
weakness, depression headache fever in the afternoon
‫؟‬What is the most likely diagnosis
a. tuberculosis
b. syphilis
c brucellosis
d. adjustment disorder

5- pt. with severe headache especially around eye comes specific days per
month
a- cluster headache
b-migraine
c-Temporal arteries
d-Brain cancer

6- You are caring for a 64-year-old former smoker who complains of

increasing shortness of breath with exertion and sometimes at rest. You
observe that he is somewhat “barrel-chested,” he breathes with pursed
lips، and leans forward resting on his elbows when sitting in your office.
On examination, he has decreased breath sounds and distant heart sounds.
You are concerned about chronic obstructive pulmonary disease and
order office spirometry which measurement is most sensitive to diagnose
COPD‫؟‬
a. Total lung capacity (TLC)
b. Forced vital capacity (FVC)
c. Forced expiratory volume in 1 second (FEV1)
d. Forced expiratory flow rate over the interval from 25% to 75% of the
total FVC FEF25–75%
e. FEV1/FVC ratio
 pretest family medicine

7- Therapeutic level of INR in patient taking warfarin with paroxysmal

atrial fibrillation:
a) Less than 1
b) 1-2
c) 2-3
d) 4

8-Pt back from India c/o fever, muscle pain, and rash sparing sole and
palm and severe pain behind the eye, what most likely diagnosis :
a-Dengue fever
b-Malaria
c-Yellow fever

family practice examination board review

9- women was diagnosed with UTI and started on amoxicillin, few days
after, she developed skin rash, what to do next ‫؟‬
a-discontinue amoxicillin and start trimethoprim
b-continue on amoxicillin
c-cephaleclor
d-continue and add phynylehydramine

10- MOST PRONE TO DEVELOP CHRONIC HBV

a. YOUNG AGE
b. HIV PERSON?
c. high viral load?

d. male gender
11-Pt has chronic recurrent cough and especially when he lying down at
night or while he is talking, she tried multiple medication for cough
without any benefits what is the appropriate treatment now:
a. inhaled beta2 blocker
b. inhaled corticosteroid
c. cough syrup

d. oral steroid

12- 24 year old male with 2 month history of recurrent URTI and easy
bruising. No past medical or family history. O/E: fatigue and pale.
Bruises in lower limb 3-4 cm .
His lab: -low Hb
Low platelet7000
1000 WBC with 5% neutrophil – 10007(normal range 0-3)
Normal LDH …What is the diagnosis ‫؟‬
a- aplastic anemia ‫؟‬
b- Acute myeloid leukemia
c- myelodysplastic syndrome
d- Acute lymphoid leukemia

13-A 70 years old man complaining of progressive dyspnea and limb

edema، he is known hypertensive for 10 years on thiazide diuretics and
aspirin but he is not taking them regularly ،The most likely underlying
cause is?
A - Thiazide use
B - Heart failure
C - Primary polydipsia
D - SIADH
14- 60 year old complains from epigastric abdominal pain for 6 months.
Vague complain. No fever, no heartburn, spontaneous pain resolve within
30 to 60 min . The most appropriate action is:
A-upper endoscopy
B-empirical treatment PPI
c antacid

15-Old patient complaining of cramping abdominal pain with watery

diarrhea
He had history of pneumonia 2 weeks ago and treated with Zithromax
what is the causative organism?
A-clostridium difficile

16-In screening of 26-year-old male, patient HBsAg was positive, patient

is asymptomatic and normal physical examination, what investigation
should you do next?

a- HBsAg
b- HBeAg
c- IgG HBc
d- IgM HBc

17- 55-year-old male, smoker (30 packs), presented with history of

hemoptysis. Also, he gave history of sputum production at early morning
(5-10ml) CXR done and it was normal. What is the most likely
diagnosis?

a- Bronchogenic carcinoma
b- Chronic bronchitis
c- bronchiactesis
Surgery (4 MCQs):

1- Which of the following investigations suggest chronic pancreatitis:

A- Pancreatic calcification on plain X-ray of abdomen
B- Serum albumin 23 g/l
C- Low serum folate
D- Hypocalcaemia with raised serum alkaline phosphatase
Bmj multiple choice question website

2- RUQ pain with fever, chills and jaundice, WHAT IS DIAGNOSIS ‫؟‬
A-ACUTE CHOLANGITIS
B- VIRAL HEPTITIS
Repeated from previous exams

3-14 years old female complaining of 3-month progressive left thyroid

lobe nodule, 2weeks later she complained of hoarseness on exam firm
nodule measuring 3cm in the left thyroid lobe with no lymphadenopathy
Which is most appropriate investigation?
A-TSH
B-ultrasound
C-FNA
D-radio-scan

4-case of external hemorrhoid, prolapsed all the time what is the

management :
A-Excision
b-sitz bath
c-bulk laxative
Orthopedics (3 MCQs):

1-Someone with pain in his lateral wrist، positive Frankenstein test. What
is the 1st line treatment?
a- Corticosteroid injection
b- Cast
c- Splint
d- Physiotherapy

bratton>> but it was written thump spica not splint

2- Male with history of knee locking and click sound for several days ,he
twisted his knee and did not seek medical advice at that time , no history
of joint swelling or instability , on exam no tenderness over patella
,there was click with flexion and occasional locking with extension ,
there is joint line tenderness. What most likely affected structure ‫؟‬
a-Ant cruciate ligament
b-Post cruciate ligament
c-Medial meniscus
d-Lateral meniscus
Repeated from previous exams

3-what is the mechanism of meniscal tear?

A-Flexion
B-Hyperextension
C-Rotation, flection

Repeated from previous exams

 Pediatric (10 MCQs):

1- A 4 years old girl presents with fever, runny nose, cough and vesicular
skin rash. The rash has erythematous base and distributed mostly on trunk
and face. What is the most likely diagnosis?
A. Measles
B. Rubella
C. Chicken pox
D. Herpes simplex

2- which of the following childhood condition associated with passive

smoking :
a-Croup
b-Otitis media
c-allergic rhinitis
d-leukemia

3- Child ingested a coin, came after 10 hrs, CXR showed the coin at the
level of the arch of aorta, patient has difficulty swallowing solid foot next
step :
a- Observation
b- Endoscopy
c- Barium swallow
d-removal by Foleys catheter
4- Child with fever then subsided and developed slapped cheeks, what is
most likely diagnosis ‫؟‬
a-Erythema infectiosum
b-vesicular papules
C-Chicken box

5- child with fever difficulty breathing, barking cough, Most likely

cause ‫؟‬
a-Parainfluenza
Croup
b-Adenovirus
c-Pneumococcus

6- young male with sore throat for 3 days with fever. o/e there was
tonsillar exudate bilateral Posterior cervical lymph node enlarged ‫؟‬
a- infectious mononucleosis
b-group A strept

7- child presented to ER. After having generalized tonic-colonic seizure,

he had hx of diarrhea mixed with blood and mucus. Temperature was 40 ,
what is the organism ?
a- Shigella
b- Campylobacter
c- Rota virus
8-Which of the following indicate suspected non-accidental injury?
A_9 years with clavicle fracture
B_3 year's old child with scalded lesion at dorsum of both hands
C- 3month old child with thigh contusion

Family practice examination and board review

9- 5 month old infant happy and active with constipation for 1 month, he
passed hard stool once per week, what is most likely diagnosis :
A-functional constipation
B-hirschsprung disease
C-hypothyroidism
D-non-polio enterovirus
Repeated from previous exams

10- 1-month old child with abdominal distention, pencil thin stool, failure
to thrive, bilious vomiting. On exam you noted empty rectal vault. What
most likely diagnosis ‫؟‬
a-Hirschsbreng disease
b-volvulus
c-intussusception
d-pyloric stenosis

Repeated from previous exams

OB &GYNE (9 MCQs):

1- Pregnant at 36 weeks, is using ferrous sulfate since first visit

She states that her intake for calories and protein is good but she does not
eat vegetable and fruits, she didn’t take any other supplement
Based on the history what is the likely deficiency is most likely to
develop?
a-vitamin A
b- Folic acid
c- Calcium
d- vitamin D

2-Uterine bleeding at 12 weeks' gestation accompanied by cervical

dilation without passage of tissue:
a- Incomplete
b-Threatens
c- Inevitable
d- Missed
pretest OB&GYNE

3-23Year old female single, has irregular menses and facial hair, acne
what is your treatment?
A-spironolactone
b-OCP
C-MEDEOXYPROGESTRONE
pretest OB&GYNE
4-young women with supra pubic abdominal pain comes two days before
menstruation and lasts for few days, examination is normal, what is best
treatment?
a-NSAID
b-OCP

5- patient with foul smelling vaginal discharge, itching, on examination

the cervix is severely erythematous, what is your diagnosis
a- TRICHMONAS
b- BACTERIAL VAGINITIS
c- CANDIDIASIS

6-G1 P1 came in her 1st visit at 10 weeks' gestation, what will you do ‫؟‬
a- HBsAG
c- Glucose tolerance test
d- Varicella vaccine

7-Post menopause women with passing urine during cough, she had IHD,
how to treat ‫؟‬
A. anticholinergic
b. estrogen cream
c. Pelvic floor exercise
8 -30-year-old female single complaining of vaginal bleeding
HX of regular menstrual period (28-30 days) for 15 years
Her complain occurred (Mid cycle)
She states that she is going through one pad every 20 minutes
Her vital signs and exam are unremarkable, what is your treatment?
A-Norplant
B-progesterone
C-levenogestrel
D-hormonal IUD
pretest OB&GYNE

9-post-menopausal women last menses was 4 years ago, presented with

uterine bleeding, what next investigation :

A-Endometrial biopsy

pretest OB&GYNE
Emergency medicine (13 MCQs):

1- Pt with pic of diverticulosis and profuse GI bleeding his HGB 6.7,

How many unites of blood he needs to reach Hb of 10 ‫؟‬
a.1-2
b.3-4
C.5-6
d.7-8

2-what is the most Common symptom of P. E ‫؟‬

a- Dyspnea
b- pleuritic chest pain
c- cough
d- hemoptysis

3- COPD patient came to ER with increased SOB for 3 days, looks ill
WBC 13, O2 sat 95, increase in non-purulent cough and fever what is the
1st step in management
a- Antibiotic
b- Prednisone
c- Beta agonist inhaler
d-theophylline

4- WHAT IS THE MAIN RISK for AORTIC DISSECTION ‫؟‬

a-HTN
b-smoking
c-atherosclerosis
Aneurysm --- smoking
d-bicuspid valve
5-Pt known IHD came with SOB, and chest pain lasting longer than
before, ECG showed depressed ST -segment, normal cardiac enzymes.
What most likely diagnosis ‫؟‬
a- Unstable angina‫؟‬
b- PE
c- ACS (note: this case can be non-STEMI or unstable angina)

6- male with pain in between shoulder blades, non-radiating with heart

murmur at aortic area. BP is different between the upper arm, what is the
diagnosis ‫؟‬
a. Dissected aneurysm
b. Coarcation of aorta

7- 84-years old male presented to ER with loss of consciousness for few

seconds after he had heard news that his daughter had accident, now he is
fine, no SOB, no palpitations, no chest pain no weakness or seizure
O/E vital stable and unremarkable cardiac and neuro exam, what to do
next ‫؟‬
a- ECG
b- Blood glucose check
c- CXR
d- Electrolyte test

Repeated from previous exams

8-What is the best for hypovolemic patient
b- Peripheral IV with normal saline
c- Central venous line
9- what is the most beneficial time for thrombolytic in ischemic stroke?
a- 1 hour
b-3 hour (note: if asked up to what time?)
c-12hour
d-24 hour

10- 45 years old male come to ER after falling in near shopping mall.
Due to deterioration of consciousness He suffering from ecchymosis in
the face .What will you do?
a- Skull X-ray
b- LP
c- MRI of the Head
d-non contrast CT scan of the head

11- old patient came to ER after fall from 3 meters' height, he was
confused at scene and vitally stable but RR=12, now he is fully
conscious, what is the diagnosis?
A-concussion
B-brain stem injury
C-subdural hemorrhage
12- 27-year-old man brought into emergency room after a bicycling
accident. On examination, he is drowsy and confused, he opens his eyes
when his name is called, he mumbles understandable words but do not
make sense, he is able to pull both hands away when pinched and squirms
.when his sternum is rubbed, making no effort to stop you
What is his Glasgow scale score?
A. 8
B. 9
C. 10
D. 11
Repeated from previous exams

13-55 years old male came to the emergency department with shortness
of breath, central chest pain which is crunching, he is anxious, sweaty,
and can't breathe
Which of the following is the most important initial treatment?
a. aspirin
b. oxygen?
c. sublingual nitroglycerin spray?
d. NSAID
Epidemiology (5MCQs):

1- The ability of the test to detect disease when the disease is truly
positive.
A. Sensitivity
B. Specificity
C. Positive predictive value
D. Negative predictive value

Family medicine certification

2-which of the following is considered the strongest best evidence in

research hierarchy
A- Case controlled studies
B- Expert opinion
c- RCT
D- meta analysis

3-which type of research is the most reliable to test the most effective
treatment of nocturnal enuresis ‫؟‬
A- Double blinded RCT
B- Systemic review RCT
C- Medical journal
D- Interviewing teenagers
4-Element to avoid bias in study in the final analysis of results :
A- Unbiased selection
B- Allocating by age or birth date
C- Intention to treat analysis
D- Double blinding

5- question about best statistical test of specific type of study.

(Can't remember)
ENT (7MCQs)

1-24 years old woman complains of right earache 2 days after

Tonsillectomy. She is on oral antibiotics. On examination, hearing is
normal and the Tympanic membranes are normal bilaterally. What is the
most likely cause of ear pain?
(a) Adenoiditis secondary to tonsillectomy
(b) Eustachian tube dysfunction
(c) It is a complication of anesthesia
(d) Referred pain

2- A 9 years old girl presents with a small swelling in the neck since
birth. It is painless and is not growing in size. Which single clinical sign
would be most useful in this case?
(A) Swallowing
(B) Indirect laryngoscopy
Thyroglossal cyst
(C) Protruding tongue
(D) Blowing out air against closed mouth
(E) Trans illumination

3- 60 years pt feeling of food impaction in the middle of the chest with

difficulty in swallowing liquid and solids, he has history of weight loss.
what is the diagnosis?
A-Barrett’s esophagus Asymptomatic

B-Achalasia
c- Esophageal spasm
4- A 23-year-old female comes to your office with a 1 month history of
dizziness. She "feels dizzy" when she, stands up (as if she is going to
faint). The sensation disappears within a minute. She has a history of
major depression and she is taking Doxepin. The patient's blood pressure
is 140/90 mm Hg sitting md decreases to 90/170 mm Hg when she stands.
There is no ataxia, no nystagmus, and no other symptoms. What is the
most likely diagnosis in this patient?

(A) Vestibular neuronitis

(B) Ncute labyrinthitis
(C) Benign positional vertigo
(D) Orthostatic hypotension
(E) Meniere's disease

5- What is the antibacterial drug of first choice for moderate to severe

acute bacterial sinusitis?
(A) Amoxicillin clavulanic acid (10-14 day course)
(B) Cotrimoxazole (10~ 14 day course)
(C) cefuroxiine (10-14day course)
(D) ciprofloxacin (10day course)
(E) Erythromycin (10-day course)

6-Pt with fever tonsillar exudate and bilateral posterior LAP for 2 weeks,
what test you need to do for diagnose .
a. Monospot test
b. IGm capsid antigen
C. peripheral blood film
7- case of nose trauma. On examination you noticed selling in each
nostrils in septal sedes, what is the diagnosis?
a-septal hematoma
b-nasal polyps
Ophthalmology ( 4 MCQs):
1- 68-year-old women with red watery eye for 2 days associated with
stinging and photophobia, her visual acuity decreases 20/30 hx of
controlled DM what is the likely diagnosis?
A- Papilledema
B- Viral conjunctivitis
C - DM Retinopathy
D - Acute angle closure glaucoma
Repeated from previous exams

2- 8 yaer old boy complain of unilateral red left eye , edema of eye lid ,
with limitation of extra ocular movement ,What is the next step‫؟‬
A- CT scan
B- MRI
C- blood culture
D- Eye lid culture

3-Most common cause of central retinal artery occlusion :

a-Embolus
B-idiopathic
C-vasculitis
d-vasospasm
4- Farmer complains of bilateral ocular pain , Hx of accidentally exposed
to splash ammonia by examination bilateral decrease visual acuity:
a- fundoscopy
b- eye irrigate until PH equal 7
c- debridement
Dermatology(2MCQs):

1- A woman has come to your clinic with pain and redness of the the legs
after waxing. On examination, there are discrete yellow pustules at the
bases of hair with surrounding erythema. The skin in between the hair is
normal.
What is the most likely diagnosis?

(A) Folliculitis

(B) Furunculosis

(C) Contact dermatitis

(D) Erythema multiform

2- The potassium hydroxide (K+OH–) test is used to diagnose which of the

following categories of skin conditions?
A. Viral infection
B. Bacterial infection
C. Fungal infection
D. Rickettsia infection
Psychiatry (8 MCQs):

1-old male come to ER after breaking the TV in Restaurant because the

he thinks the government restrain his thoughts :
A- Delusion
B- Rumination
c- Rumination
d- Hallucinations

2-A patient presents with persistence، perfectionism and body image

distortion. Which of the following disorders is MOST likely to be
associated with the above clinical features BMI: 18‫؟‬
A. Anorexia nervosa
B. Borderline personality disorder
C. Delusional disorder
D. Hypochondriasis
E. Somatization disorder.
Mastering psychiatry book

3-A 40-year-old woman is staying with her brother. Her family rejected
her and she felt helpless in the past. She needs her good brother to make
decision for her and her good brother asks her to be the housekeeper in
return. One day, her god-brother needs to go to Vietnam for 1 week and
she feels extremely uncomfortable. Which of the following alone and
subordination to her god-personality traits BEST describes this person‫؟‬
A. Borderline personality
B. Dependent personality
C. Histrionic personality
D. Schizoid personality
E. Schizotypal personality.
Mastering psychiatry book

4-A 30-year-old man suffered from eight episodes of mood disturbances

within a single year. These mood episodes met the diagnostic criteria for
Major depression mania and hypomania. These episodes were separated
by remission. Which of the following is the MOST likely diagnosis‫؟‬
A. Cyclothymic disorder
B. Emotionally unstable personality disorder
C. Mixed affective disorder
D. Rapid cycling bipolar disorder
E. Schizoaffective disorder.

Mastering psychiatry book

5- The MOST COMMON reason for children with autism are brought to
medical attention by their parents is:
A. Language delay
B. Lack of toilet control
C. Odd play
D. School difficulties
E. Stereotyped behavior.
Mastering psychiatry book

6- The primary neurotransmitter involved with Alzahimer's dis is:

a. Acetylcholine
b. Dopamine
c. γ-Aminobutyric acid
d. Norepinephrine
e. Serotonin.

7- A 34-year-old secretary climbs 12 flights of stairs every day to reach

her office because she is terrified by the thought of being trapped in the
elevator. She has never had any traumatic event occur in an elevator;
nonetheless، she has been terrified of them since childhood. Which of the
following is the most likely diagnosis‫؟‬
a. Social phobia
b. Performance anxiety
c. Generalized anxiety disorder
d. Specific phobia
e. Agoraphobia

8-patient with Panic attack treated by SSRI but not improved what is
next ‫؟‬
a. adds lithium
b. NSRI ?
c. CBT
d. amitriptyline
Advance course (6 MCQs):

1- What is the part of body most common injured in health care

profession ‫؟‬
a-Eye
b-Burn
c-Back
d-Head

2- Pt working in electrical industrial plant, presented with nonproductive

cough, weight loss, CXR showed bilateral lesion, what can cause his
symptoms :
a- Asbestosis
b- coal dust
c- passive smoking

3-Smoker want to quit, not responding well with nicotine patches, what to
add on ‫؟‬
b- Sustained release bupropion
c- SSRI
d- Clonidine

4-nurse had needle prick, which one is strongest factor for HIV
transmission?
a- depth of the needle injury
b- Blood on needle
c- not wearing gloves
5-which of the following is appropriate for First aid care in secondary
school schools ‫؟‬

a- Concise and clear standard of care

b- Limit the provision for health care professionals
c- Keep the key of first aid locker with the principle
d- Providing health worker at every school

6-Leader in quality improvement. During process of change in their

culture, what are the best thing to do?
a-Discuss change with the team

‫دعواتكم لكل من ساهم وشارك في جمع وكتابة وحل اﻷسئلة‬