Nursing Exam General Quizzes with Answers Verified 2023 Update, Exams of Nursing

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NURS EXAM GENERAL QUIZZES WITH ANSWERS VERIFIED 2023

UPDATE

1. Ulcerative colitis ERCP done shows intra and extra hepatic bile duct strictures. What is the dx? A. Primary sclerosing cholangitis B. primary biliary cirrhosis C. choledocal cyst Answer : A
2. SLE smoker with flared disease, what to ask the patient to decrease flaring? Stop smoking Answer correct
3. Child with recurrent URTIs , eczema and thrombocytopenia both brother and uncle have the same condition: Wiskott aldrich Answer correct
4. What is true about celiac? A. Biopsy has no role in diagnosis. B. Can’t affect adult C. Simple blood serology can confirm dx D. Successful Treatment of gluten free diet consider diagnostic Answer : C
5. 5 days post orthopedic surgery had sudden dyspnea and confusion on examination shows rash on neck and on cxr bilateral lower lobe infiltrates .cause? A. Fat embolism B. PE

C. pneumonia Answer :A

6. Patient with renal failure, DVT prophylaxis? Unfractionated herpatin Correct
7. pediatric patient with hematuria and hemoptysis? Goodpasture's syndrome Correct
8. Clear case with headache that is thropining and unilateral aggravating with light and movement : migraines Correct
9. headache at 3 am with eye symptoms what is best prophylaxis? Verapamil ( Cluster headache = Verapamil = this drug is its calcium channek block Correct
10. Picture of nocturnal seizure , EEG done & showed mid temporal spikes : A- rolandic seizure B- juvenile myotonic seizure Correct :A
11. Correction of fluid I’m hypernattemia is over: A- Fluid deficit correction over 24 hours B- Fluid deficit correction over 12 hours C- Fluid deficit correction over 6 hours D- Fluid deficit correction over 48 hours Answer :D (it needs Double check)
12. 10 week GA pregnent lady with UTI witch of the following drug is contra-indicated: A- nitrofurantoin FAD B B- ciprofloxacin FAD c C- amoxicillin FAD B D- Ceftriaxon FAD B Answer :B

13. Folic acid dose in mg : A- 0. B- 0. C- 1. D-2. Answer :A
14. What causes AOM in children A- bacterial B- viral Answer :A
15. After swimming there is external pinna pain and pus discharge : A-Tropical neomycin B- Amoxicillin Answer :A
16. Picture of stroke but with lower limb A- MCA stroke B- ACA stroke C- basillar artery stroke Answer B Other recall One old male presented with right sided weakiness including the face, upper and lower limbs and asked which artery caused this findings Meningeal Cerebral(MCA) Vertebral And i dont remember the fourth option
17. Surgery safety checklist : A- before

entering OR✅ B- after induction of Anaesthesia Answer : A

18. -Highest diagnostic value test for achalasia? Answer : Esophogeal Manometry.
19. Pt. presented with many bouts of hematemesis after prolonged vomiting, Dx? Mallory Weiss Esophageal varices Answer : A 20- Chronic thromboe-embolism confirmed Test : A. QV ratio B. Spiral CT C. D-dimer Answer : A 21- Pt with bronchogenic carcinoma, presented with progressive SOB, there’s elevated JVP, clear lung and quiet heart sounds. What will confirm your dx: A.CXR B.ECHO C.ECG Answer : B 22- month infant with right inflamed red hemi scrotum, on examination there was red firm irreducible painful scrotal swelling which is extended to to left inguinal region. Left testis couldn't be palpated. What is the diagnosis? A. Torsion appendix testis. B. testicular torsion C. epididymo orchitis. D. incarcerated inguinal hernia Answer : ( it needs doublr check)

23- old with weight loss epigastric pain with supraclavicular lymph node : Answer : gastric cancer

24. colon cancer surgery after that he had 7ml/h urine output for 8 hours , bloodpressure and heart rate was normal what is the best management : 500 NS challenge✅✅. diuretic. Inotropes Answer : A
25. 20 yrs old lady came to clinic with vasovagal attack “ no mention of recurrence or preceded event” , PE normal, ECG normal what is the appropriate way of mx? A- A.Reassurance and explanation. B- Holter monitor C- ECG Answer : A
26. 30 y/o complaining of abdominal pain radiating to the back associated with vomiting; he did gastric sleeve 3 months back. US: gallbladder sludge with no stone; normal cystic duct CBC normal Amylase 700 What is the most appropriate investigation? A- Endoscopic US B- Endoscopic sphincterotomy C- Laparoscopic cholecystectomy D- Open cholecystectomy Answer : C
27. How to confirm the dx of coarctation of the aorta? A- -Echo B- –CTA Answer : A
28. 32 Y.o, female pregnant with breast mass, Investigation? A- Bilateral US B-Bilateral diagnostic Mammogram Answer : A

29. Patient suspected to have TB pleural effusion whats is the most sensitive test that supports ur Dx? A- AFB of pleural effusion B- High Lymphocytes in pleural effusion C- Low glucose pleural effusion D- High pleural fluid ADA levels Answer : D
30. Milestone of 15 M? Answer: (Self study) walks alone, crawl upstairs, 3 cubes and line of crayons, point at what he wants
31. 52 year old patient, HTN on Hydrochlorothiazide dose 25md/day since 5 years, now hypertensive, what to do? Electrolytes all normal Glucose slightly high: A- Increase the dose of Hydrochlorothiazide B- Add BB C- Add CCB D- Add ACEIs Answer : D
32. Pt underwent mastectomy, complaining of numbess in medial aspect of the arm. What's the nerve injured? A - Long thoracic nerve B - intercostobrachial nerve Answer : B
33. Megacolon mx? Answer: Conservative It needs check

33. -What number of sleeping hours cause obesity? A- < B- 6 Answer : A
34. Basal cell carcinoma most common in? A – lower limbs B – upper limbs C – face D – breast Answer : C
35. pts with bilious vomit and abdominal distention during examination was found tender red Inguinal hernia , No Wbcs count Only gave vital signs and was stable X-ray showed: air fluid level and no air in colon! Diagnosis? A – incarcerated hernia B – strangulations C – Obstruction Answer : B
36. Pt heavy smoker with symptoms of GERD, upper endoscopic examination show’s squamous cell with high- grade dysplasia, next step in management: A – Council smoking cessation ( if low grade start with PPI and rescope every 3-6 months) B – Endoscopic mucosal resection Answer : B
37. DM and HTN known case patient, presents with severe epigastric pain radiating toback for 6 hours, CXR shows left air under diaphragm, most likely diagnosis: Answer : Perforated peptic ulcer
38. Pt with 2 weeks history of watery diarrhea, vitals were stable What is the expected acid-base abnormality? A. Metabolic acidosis B. Metabolic alkalosis C. Compensated metabolic acidosis (she is stable )

D. Compensated metabolic alkalosis Answer : C (Double check)

39. Highest diagnostic value test for achalasia? A. Lower esophageal manometry B. UG Endoscopy Answer : A
40. Pt presented with many bouts of hematemesis after prolonged vomiting, Dx? A – Mallory weis B – Esophageal varices Answer : A
41. Chronic thrombo-embolism confirm = A – QV Ratio (initial not confirm) > if there is right cath or CTA choose it PT with pulmonary HTN to be evaluated for Chronic thromboembolism as a cause of pulmonary HTN, which investigation has the highest Dx yield? V/Q scan (Double check)
42. Pt with bronchogenic carcinoma, presented with progressive SOB, there’s elevated jvp, clear lung and quiet heart sounds. What will confirm your dx: A. CXR B. ECHO (TTE its cardiac tamponade) C. ECG Answer : B
43. month infant with right inflamed red hemi scrotum, on examination there was red firm irreducible painful scrotal swelling which is extended to to left inguinal region. Left testis couldn't be palpated. What is the diagnosis? A. Torsion appendix testis. B. testicular torsion C. epididymo orchitis D. incarcerated inguinal hernia Answer : D (Double check)

44. old with weight loss epigastric pain with supra clavicular lymph node : Answer : Gastric cancer
45. colon cancer surgery after that he had 7ml/h urine output for 8 hours , bloodpressure and heart rate was normal what is the best management : A. 500 NS challenge. Small amount in a short time B. diuretic C. Inotropes Answer : A ( Rapid infusion of NS )
46. 20 yrs old lady came to clinic with vasovagal attack “ no mention of recurrence or preceded event” , PE normal, ECG normal what is the appropriate way of mx? A – Reassurance and explanation B – Holter monitor C – ECG Answer : A
47. 30 y/o complaining of abdominal pain radiating to the back associated with vomiting, he did gastric sleeve 3 months back. US: gallbladder sludge with no stone, normal cystic duct. EBC normal, Amylase 700. What is the most appropriate investigation? A. Endoscopic US B. Endoscopic sphincterotomy C. Laparoscopic cholecystectomy D. Open cholecystectomy Answer : C
48. How to confirm the dx of coarctation of the aorta? A – ECHO B – CTA Answer : A
49. 32 yrs female pregnant with breast mass, inv? A- Bilateral US

B- Bilateral diagnostic Mammo Answer : A

50. Patient suspected to have TB pleural effusion whats is the most sensitive test that supports ur Dx: Answer : D A- AFB of pleural effusion B- High Lymphocytes in pleural effusion C- Low glucose pleural effusion D- High pleural fluid ADA levels

51. Milestones of 15 months child: ( Self-study )
52. 52 year old patient, HTN on Hydrochlorothiazide dose 25md/day since 5 years, now hypertensive, (Electrolytes all normal, Glucose slightly high ), what to do? A. Increase Hydrochlorothiazide dose B. Add BB C. Add CCB D. Add ACEI Answer: D
53. Patient underwent mastectomy, complaining of numbness in medial aspect of the arm. What's the nerve injured? A. Intercosto-brachial nerve B. Long thoracic nerve Answer: A
54. Maga-colon management? Answer: Initial: ( NPO - NGT - IV fluid ) + IV steroid if Pt is diagnosed with IBD. Definitive ( Surgery: Subtotal Colectomy with end-stoma ).
55. What number of sleeping hours cause obesity A. 6 B. 7 C. > D. <

Answer: D

56. 45 women underwent a surgery to hysterectomy and bilateral salpingo-oophorectomy After that had patient have vaso-motor symptoms , then need a hormonal replacement : What hormones recommend for her? A. cycle replacement combined estrogen and progesterone B. Estrogen hormone IUD C. Progesterone only D. Trans-dermal estrogen patch only Answer: D
57. Patient post-appendectomy, presented to the clinic with 20ml seroma from his surgical wound, what is the appropriate management? C. Regular dressing D. Wound exploration E. Antibiotics F. CT scan Answer: A
58. Women with worsening dysphagia for 9 months for both liquid and solids, she recently have ill defined central chest pain, no other past history. Clinical examination was unremarkable, labs was unremarkable, except of ESR = 13 ( the normal was up to 10 ), what is the diagnosis? A. Pharyngeal pouch B. Achalasia C. Esophageal web D. Squamous cell carcinoma of the esophagus Answer: A
59. Pregnant female primigravida in labour for couple of hours, 6cm dilated, 80% effacement, 0 station, was managed with oxytocin and ruptured membrane for 20 hours. CTG showed late deceleration (pic) what is the appropriate mx? A. C/S B. Stop oxytocin C. Amnion fusion D. Ampicillin Answer: B

60. Child with a supracondylar fracture and no pulse. What will you do? A. Early K-wire B. Surgical exploration [ In exam they did not write if the limb is pale or not ] Answer: B
61. CXR of a child showed Egg shaped heart, what is the diagnosis? A. TGA B. TOF Answer: A
62. 23-years old female [ No mention of gestational age ], with urgency and frequency, what is the appropriate management? A. Augmentin B. Ciprofloxacin C. Nitrofurantoin D. Fluxacillin Answer: C
63. 65-years old female, with Asymptomatic femoral hernia. What is the most appropriate management? A. Observation B. Open repair with mesh C. Laparoscopic repair Answer: C
64. Pediatric patient with fever, dark urine. She had constipation, BP 125/86, high WBC, high Erythrocytes. What is the diagnosis? A. Hypertensive nephropathy B. Acute glomerulonephritis C. Acute pyelonephritis D. Acute cystitis Answer: C
65. Patient has SOB for 6 months, Smoker, has clubbing fingers. What is the diagnosis? A. Bronchogenic carcinoma B. COPD

Answer: A

66. 16-years old , male. CO 4 years altered bowel habit he has 3-4x a day diarrhea that is foul smelling containing undigested food, no blood or mucus. He has abdominal distention and something after meals. No secondary sexual characteristics. What investigation? A. Stool fat test B. Barium C. Hydrogen breath test D. IgA anti-tissue trans-glutaminase Answer: D
    67. 16 Y.O male CO 4 years altered bowel habit he has 3-4x a day diarrhea that is foul smelling containing undigested food, no blood or mucus ,He has abdominal distention and smth after meals. No secondary sexual characteristics What investigation? A. Stool fat test B. Barium C. Hydrogen breath test D. igA anti-tssue transglutaminase Answer : D

68. Child with left large flank mass with pl nodule. Dx? A- Wilm tumer ✅ B- Neuroblastoma Answer : A
69. Male patient on sleeve 7 days ago, developed abdominal pain on examination rt lung( crepitus ) ?? A- PE B- Drainage and closure ✅ C- Thoracocentesis Answer: B
70. female patient C/O Generalized muscle and bone ache associated with abdominal cramp or epigastric, this symptom resolved When She drink Cup of cold milk What is the diagnosis? Lab Value: Ca+2 = Normal, Phosphate= Low, Vit D3= Low PTH= with upper normal level. What do you suspect? A- Milk Alkali Syndrome B- Primary hyperparathyroidism C- 2ry hyperparathyroidism Answer is: C it is case of osteomalacia ( vit d deficiency)
71. -pt with post-streptococcal GN what is the best way to diagnosis? A. High C

B. Low C C. High C D. Low C Answer : B

72-a .what’s the most common treatment for juvenile rheumatoid arthritis?

A- intraarticular injection of steroid B- B- oral steroid C- paracetamol D- D- Aspirin Answer : D 73-.Which of the following decrease mortality after MI? A- Metoprolol (BB) B- B- nitroglycerin C- thiazide D- D- morphine Answer : A 74-. A man with oblong swelling on top of scroum increase in size with valsalva maneuver most likely diagnosis? A- direct inguinal hernia B- indirect inguinal hernia C- vericocele D- femoral hernia Answer :B 75-which drug causes SLE like syndrome? A- A-hydralazine B- B-Propranolol C- Amoxicillin Answer : A 76-17 years with history of right iliac fossa pain rebound tenderness +ve guarding what is the investigation next : A- laproscopy B- B- US C- CT scan Answer : C 77- HBsAg negative, Anti-HBc negative Anti-HBs positive? A- Immune because of vaccines of HBV B- Immune because natural infection C- Chronic infection. D- Acute infection

Answer: 78- which one is a minor Jones criteria? A-Erythema marginatum B-Arthritis C-Subcutaneous nodules D-Elevated ESR Answer : D 79 -70 year smoker with lt chest pain and hemoptysis since 2 days; His son noticed decrease in quality of voice , early digital clubbing , bilateral wrist pain , tem 36.7 ,What is the Dx? A- PE B- TB C- Bronchogenic carcinoma D- Bronchiectasis Answer : C 80-A 63 years old women presents to the Primary Care Physician with haematuria. She reports having had a throat infection 2 weeks ago, for what her doctor prescribed penicillin V for 10 days. On the physical exam she has 150/90 blood pressure, her eyelids and both her ankles are swollen. What is the treatment she must receive now? A. Prednisone B. B.Furosemide C. C.Hydrochlorothiazide D.Ondansetron Answer : B 81- Patient developed symptoms of pneumonia associated with symptoms of pleural effusion. Management: A. Azithromycin & Ceftriaxone B. Azithromycin, Ceftriaxone & thoracocentesis C. Azithromycin, Ceftriaxone & Chest CT Answer : B 82- Man ages 50 yr, picture of bacterial meningitis, most common organism: A. streptococcus pneumonie B. Ecoli C. staphylococca Answer : A

83. elderly woman (i forgot the age) with bilateral PIP and DIP arthritis. NO morning stiffness. painless nodes on DIP. Lab all inflammatory markers (ESR, C-protein) within normal limit. RF negative. The question was exactly stated like this Which “rheumatological” disease does the patient is most likely have? A. Seronegative rh arthritis B. Polygout C. Reactive arthritis X D. Hand osteoarthritis Answer : D 84-52 year old patient, HTN on Hydrochlorothiazide ( I think the dose 20 ), for 5 years, no improvement, what to do: A. Increase the dose of Hydrochlorothiazide B. Add BB C. Add CCB The most likely answer:C

85. Male in his twenty’s , main complain was episode of SOB and wheezing when he plays football on examination he has mild nasal congestion ,Spirometry and X Ray are normal What’s the most appropriate next step? A. Repeat spirometry B. HRCT C. Methacholine challenge test Answer : C
86. pt. with MI discharged from the hospital then come back with facial and tongue swelling, which drug is responsible? A. ACEI B. BB C. Statin Answer : A
87. Indian came from hajj with convulsion and intermittent fever? A)Malaria B)yellow fever Answer : A
88. Confusion and neck stiffness, CT showing hypo lesion in frontotemporal? A) Herpes encephalitis B)Meningoencephalitis C)Meningitis D)Abscess (it needs Double Check ) 89)-Rt. side Pleural effusion no shift of trachea and apex, hx of hemoptysis? A) Rupture esophagus B) Heart heart failure ( Bilateral + S&S of Rt. Side heart failure ) C) TB (Most likely) D) cancer obstructing ipsilateral bronchus ( No sign of constitutional symptoms ) Answer : C
89. Hypospadias and circumcision? A- Cant be done due to extra skin? B- Need skin for repair of hypospadia C- Do surgery Answer : B
90. Cervical incompetence tx came at 8 wks?

A)Cervical suture 14-16 wks B-Cervical suture now something mimetic confirm with dilator Answer : A 92)fully dilated and fully effaced +3 +4 contractions 4 every 10 mins A-Ventose > bec good contraction B-Oxytocin C-Cs D-Reevaluate 2 hrs same question but +

93. surgeon doing Cholecystectomy and found stomach mass ? A-Cholecystectomy and stomach mass resection B-Only cholecystectomy Answer : B 94)patient presented with RUQ pin, no fe high wbcs, high alp and bilirubin, us shows cholelithiasis, pericystic fluid, cbd dilated, most appropriate management? A-ERCP B-MRCP C-lap chole Answer : A 95 )Septic shock vs sepsis?
94. Diuretics vs Give IV Abx and re-evaluate Not complete ???
95. Y sign (sigmoid volvulus) ?? A- colectomy with end ileostomy or colonoscopy Answer : A **By amboss Initial resuscitation: IV fluids; acid-base and electrolyte imbalance correction; NPO placement of a nasogastric tube Surgery

• Sigmoid colectomy and primary anastomosis : indicated in hemodynamically stable patients with viable bowel
• Hartmann procedure : indicated in hemodynamically unstable patients or those with ischemic /gangrenous bowel 98) GH deficiency ? A- give GH Answer : A GH supplementation in cases of GH deficiency

99. Recurrent biliary colic in pregnant , /what to do? Biliary colic recurrent >>> 2nd trimester and early third Acute cholecystitis >> do surgery in 2nd/first trimester

100. Wolff-Parkinson-White syndrome WPW given atenolol and no response what would be the best mx? A-procainamide ,( In case of acute management) B-Radiofrequency ablation of the accessory pathway (preventive therapy )
101. Adult with moderate persistent asthma what to give? A- ICS + LABA. Answer : A 102)Female AUB and weight gain, Endometrial sampling show adenomatous hyperplasia, what is the cause: A) Adrenal hyperplasia B) Peripheral conversion of estrogen ANSWER: B 103)Pediatric 6 week with jaundice, high direct bilirubin: A) Choledochal cyst B) Gilbert syndrome C) ABO incompatibility D) Criggler-najjar syndrome ANSWER: A 104)47 yo female last pregnancy 15 years ago, amenorrhea for 7 months, negative pregnancy test, wishes to get pregnant, what is the most appropriate investigation: A) FSH,LH B) Hysterosalpiogram C) Endometrial sampling ANSWER: A 105)A 55-year-old woman has alcohol use disorder and presents with glossitis, diarrhoea, progressive memory loss, and hyperpigmented rash in sun-exposed areas. Which of the following deficiency is the likely cause? NEW A) vitamin B5(panthothenic acid) B) vitamin C ( ascorbic acid ) C) vitamin B7 (biotin) D) vitamin B3 ( niacin) ANSWER: D *Pellagra defines systemic disease as resulting from amarked cellular deficiency of niacin

It is characterized with 4”D”s : diarrhea. Dermatitis, dementia and death

107. 59 Y.O. female Patient diagnosed with MI and was treated at the hospital, upon her discharge she asked you what is the best way to prevent reinfarction? A) Use of antiplatelet for short duration. B) Use of Calcium channel blocker indefinitely. C) Use of ACEI if she develops heart failure to prevent cardiac changes D) Use of spironolactone for longduration ANSWER: C
108. 56 years old, with of HTN, medication Losartan, Amlodipine, failed to control his HTN, all labs normal, which best drugs can be giving and (or not contraindication)?NEW A) Lisinopril B) Atenolol C) Indapamide ANSWER: C C is correct ,B could be correct as well however it is not recommeneded to use BB with CCB ,so Thiazide Diuretics is the correct answer here.
109. What is the earlies alarming feature in tibial fracture? A) Pain B) Paresthesia C) Absent or reduced pulse ANSWER: A A: Pain is the 1 st^ and earliest feature of Tibial Fractures in Adults.
110. Young Patient presented with migratory polyarthritis and subcutaneous nodules. What will confirm doagnosis? A) High ESR B) High CRP C) blood culture D) ASO titer ANSWER: D Amboss/This is a case of Rheumatic Fever and the correct answer is it is confirmed by either Throat Culture or ASO titre.
111. which one is a minor Jones criteria: A-Erythema marginatum

B-Arthritis C-Subcutaneous nodules D- Elevated ESR

112. 72 years old patient asymptomatic came for follow up, Echo showing conentric LVH with normal EF and severly stenosed aortic valve. What is the appropriate management? A) Aortic valve replacement B) Follow up after 6 months C) ACEi ANSWER: A
113. Tb pt he is on anti tb course currently in the last two months, he present with complaints of lower limb tingling and his current medication was INH and rifampcin what is the best management? A. Thiamin B.pyridoxin C. b12 ANSWER: B
114. years old Pt came to ER with shortness of breath, wheezing and non-productive cough by examination there’s difficulty in breathing with wheeze allover the chest O2 sat is 90 ( didn’t mentioned that he is known case of BA) What’s the most important management at this time? A) epinephrine

B) inhaled steroid C) inhaled b2 agonist D) iv mg ANSWER: B (it needs Double check) By Amboss/We should starts with SABA if not in the choices then our next step Inhaled steroid.

115. Known case of UC present with 7-8 bloody diarrhea / day and joints pain , pt look ill and in pain , after recucitation what is the next step in management? A) oral bedunsomide B) IV methylpredinsolone C) Azathioprine ANSWER: B UTD / If acute severe flare up or toxic megacolon answer is B (it is the strongest form of steroids) the pt is toxic in here and appears ill so Iv is the best form to be given.
116. 28Y old man who was previously healthy, presented with RUQ pain, N&V, and jaundice, no Hx of alcohol use, no Hx of blood transfusion, AST and ALT around 800,ALP was normal, what is the next step for diagnosis? (All answers were about hepatitis serology) A) Hepatitis B antigen B) Hepatitis A IgG C) Hepatitis A IgM ANSWER: C
117. Infant with pyloric stenosis + vomiting, expected acid base impalance? A. metabolic alkalosis with hypochloremia B. metabolic acidosis with hypernatriemia C. Metabolic acidosis With hyponatriemia ANSWER: A
118. Patient suspected to have TB pleural effusion whats is the most sensitive test that supports ur Dx: A) AFB of pleural effusion B) High Lymphocytes in pleural effusion C) Low glucose pleural effusion D) High pleural fluid ADA levels ANSWER: D Note/(ADA has the highest sensitivity for TB)
119. HBsAg negative, Anti-HBc negative Anti-HBs positive:

A- Immune because of vaccines of HBV B- Immune because natural infection C- Chronic infection. D- Acute infection Answer: A is correct Up to date (If only Anti HBS Antigen Positive it is due to vaccination) 120) 24 years old patient present with bilateral ptosis and proximal lower and upper limbs weakness, Simpson test was positive and after doing edrophonium test there was rapid improvement of the ptosis. What is the most appropriate management? A- pyridostigmine B- Rivastigmine C- Physostigmine D )Bethanechol Answer : A

121. Which of the following medications is safe in stable 3rd stage kidney disease? A- Metformin B- Warfarin C- Nitrofurantoin Answer: B
122. Patient with memory loss and change in behavior? A- front temporal dementia Answer : A
123. Nurse work in pulmonary clinic C/O with fever, productive cough. She isnot responding to AB (Xray show opacity left upper lobe) A- Streptococcus pneumoniae B- Hemophilus pneumonia C-Mycobacterium Answer : C 124).29years old woman complaining of dysuria and urgency , allergic to penicillin, shel fish and TMX. What to give? A.cephalxin B.Nitrofurontoin C. TMX ( allergic from it ) D. Amoxicillin ( -Cillin allergic from it )

Answer: B 125).Case of COPD it is sever and full secretion? Answer : 126).18 Y has ALL. 17 days after chemo he develops fever around 38.7 C. No focus of infection found. Labs shows: low WBC 0.6 (normal was 4-10x..), Neutrophil level 60% (normal 40-60%), i’m not sure if he has low platelets as well, what you’ll do: A. Blood urine... culture and paracetamol B. Blood, urine,... culture and PO Abx C. Blood, urine,... culture and IV Abx Answer : C

127. What indicate hemolysis? A- Increase unconjugated bilirubin B- Increase conjugated bilirubin C- low reticulocyte count D- +ve coombs test Answer : A
128. Fever throat pain tonisls coverd with whaite membranelymphoadenopathy organism? A- Corona B- RSV C- EBV D- Influnza Answer : C 129).A young female pt present with abdominal pain vomiting and fever .. On PE there was splenomegaly and mild jaundice , US revealed pigmented stones which of the following is the most likely dx? A- thalassemia B- hereditary spherocytosis C- C- G6PD deficiency D- paroxysmal nocturnal hemoglobinuria Answer: B 130)HUS Dx? A- Blood B- Urine C- MRI D- Stool Answer : D 131).A worried mother brings her baby to check up and expresses concern of her child contracting TB from his grandfather. He had the BCG vaccine since birth but they’re living with an elderly grandparent with pulmonary TB. What do you do? A- Reassure the mother because there’s no need to anything as the baby already had the BCG vaccine invasive MV

B-Do PPD skin test and request CXR and ...... C-Start anti TB isoniazid and rifampin D-Start all 4 anti TB meds Answer : B 132).A pediatric patient came in RTA. Has splenic rupture and thus splenectomy was done. What’s an appropriate vaccine later on? A. Pneumococcal B. B Meningococcal C. MMR Answer : A 133).An 18 or 25 yo F. Worried about cervical cancer. She took her first dose of HPV vaccine 3 months ago. What the best thing to do at this visit today? A. Schedule app after 3 months B. No need to do anything at this visit C. Give 2nd dose at this visit D. Repeat 1st dose Answer : C

134. A pregnant lady came for. Antenatal screening. All within normal except for Zero Rubella antibody titers. What’s the next thing to do? A- ...... B- ........ C- Give MMR at this visit D- Schedule app after 3 months for ....... Not complete answers but : Avoid exposure or schedual after delivery ...
135. Risk of developing GERD post gastric sleeve? A- not related B- 3% C- 10-50% D- D-80% Answer : C
136. Warfarin did not stop by patient regardless of clearinstructions? A- near miss B- adverse event C-medical neglicance need double check