Contents
أسئلة امتحان الخدمات الطبية للضباط المهنين
دورة 18/3/2017
Medicine & Surgery
Medicine :
- drugs and antidotes are matched except à Methotrexate-pyridoxine
- One of these drugs Doesn’t cause ototoxicity à azithromycin
*other options : gentamicin \ furosemide \ amikacin \ cisplatin - Wrong about bronchiectasis >> bronchial constriction
- All are true about multiple myeloma excepts >> cause sclerotic bone lesion
*other options : peak incidence at 6th decade \ cause amyloidosis - Cause of pulmonary venous hypertension >> Mitral Stenosis
* other options : Scleroderma \ COPD \ chronic P.E \ Idiopathic pulmonary HTN - Rheumatic fever commonly affect >> Mitral valve & Aortic Valve
- All are causes of non cardiogenic pulmonary edema except >> ………………..
*options : Head trauma \ O2 poisoning \ ketoacidosis \ paracetamol toxicity \ burn - All of these cause increase in ESR except >>> Polycythemia rubravera
* other options : R.A \ Bronchogenic Ca \ T.B \ multiple myeloma - Cause of prolongation of Bleeding time >>>………………….
* options : von Willebrand disease \ ascorbic acid deficiency \ hemophilia - All causes right shift in hemoglobin dissociation curve except >>> Alkalosis
*other options: Hypercarbonemia \ Low carboamino product \ hyperthermia \ increase in 2, 3 DPG - Question about mycoplasma pneumonia >>> cause cold agglutinin disease
*other options : most common complication is plural effusion \ cause acute kidney injury - All are signs of severe asthma except >>> pyrexia
*other options : Use of accessory muscle \ retractions \ silent chest \ cyanosis
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Surgery :
- Carpal tunnel syndrome is a result of compression of >>> the median nerve
- nerve injury In humerus fracture >>> à Radial nerve
- Most common site of Meckels diverticulum is >>> Ilium
- Initial reaction in hemostasis >>> Vasoconstriction
- First vital sign change in Hypovolemic shock >>> Pulse rate
- A 22 years old man with hernia , easily reducible … ets what type of hernia goes with
spermatic cord <cant remember the exact q >à Indirect inguinal hernia
*other options : Direct Hernia \ Femoral Hernia - Diaphragmatic innervation originate from root >>> C3 – C5
* other options : C4 – C6 \ C1 – C5 … etc - All these Dermatomes matched true except >>> Knee L2- l3
* others : bicep jerk C5 – C6 \ ankle jerk S1 – S2 - True about Tension pneumothorax >>> may be complicated by Pulseless Electrical Activity
* other options : may present with Hypertension \ X ray must be done before ttt - A burn victim presented with total burn in his rt. upper arm & half of his anterior trunk & one third of his rt. Lower limb , his TBSA is >>> 24
- Early sign of Cavernous sinus thrombosis >>> Proptosis
options : Headache \ Fever \ Potosis\ophthalmoplegia - All are true about hydatid cyst of liver except >>> adequate treatment done by percutaneous drainage
* other options : cause anaphylaxis \ more in right lobe \ may cause cerebral presentation \ bone lesions indicate surgery - Most common cause nipple discharge >>> intraductal papilloma
*options : duct ectasia \ fibrocystic disease - All suggestive acute un ruptured appendicitis except à……………
*options : paraumbilical pain shifting to RLQ \ Rebound tenderness when palpate the RLQ \ anorexia \ Vomiting \ something about discomfort - Most common cause of airway obstruction in comatose patient à………………..
*options : Apiration pneumonia \ accumulation of secretions \ tongue fall back \ foreign body aspiration
Gynecology :
- All are true about uterine leiomyomas except à It Is a malignant disease
- All are criteria of sever PET except àelevated uric acid level
*other options : oligouria \ diastolic bp>110 \ low plts - Normal fetal heart rate at term à140-160 beat \ min
- All are causes of Small for gestational age except à Infant of Diabetic mother
- Most common cause of 1st Abortion à Chromosomal abnormalities
- All are adaptive physiological changes in preg. Except à increase in Central Venous Pressure 30%
*other options : increase cardiac output 40% \ increase Heart rate 10 – 20 beats - All are done in management og APH except à Vaginal exam
- First trim. US is informative for all of the following except à Placenta previa
* others : diagnosis of ectopic \ estimation of gestational age \ confirm multiple preg. \ confirm Viability . - Wrong about Vomiting in pregnancy à commonest in third trimester
*other options : more in GTDs \ More in twin preg. … etc - All these drugs cross the placenta except à Heparin
* other options : penicillin \ Aspirin \ Warfarin \ - A woman took Rubella vaccine can get pregnant after à 3 months
- All are causes of Menorrhagia except à…………..
* options : OCP \ PID \ Fibroids \ adenomyosis \ Endometrial Hyperplasia
absolute indication of c/s à active genital herpes
*other options : \ Face presentation \ pervious c\s due to failure to progress \ breech presentation
Pediatrics :
- All are criteria of APGAR score except à Respiratory Rate .
- Measles is caused by àparamyxovirus
- What of the following is most common malapsorbed in Coeliac disease à Iron
* other options : B12 \ vit. K \ Ca - All are true about full term infant except à double his birth height at one year age
* other options : have a birth weight of 3.5 kg \ have a height of 50 com \ have a head circumference of 35 cm \ double his birth weight at 5 months old . - All are live attenuated vaccine except àdiphtheria
* other options : oral polio \ Measles \ BCG - A child of 2 years old can à make a two words sentence
* other options : skip and hop \ draw a square \ Use fork and knife - Minimal oral fluid intake for a 6 months old baby mildly dehydrated à 150 ml \ kg\ day
- All are signs of rickets in infancy except à Early closure of anterior fontanels
- One true about TOF à Wide Split S2
* Other options : pulmonary stenosis, narrowing of valve \ Never cause convulsions \ ma not present within the first few months of birth
True about pyloric stenosis à…………….
*options : autosomal dominant \ present with vomiting at first week of birth \ projectile bilious vomiting \ palpable abd. Tumor is always present
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