Medical intern examination

1 ) All of the following are indications for induction of labor except ? A . Prolonged pregnancy . B . IUGR . C . Abnormal lie . D . Gestational HTN . E . Term decreased fetal movement .  2 ) The best method to diagnose endometriosis is ? A . Laparotomy . B . CT scan . C . MRI . D . Ultrasound scan . E . Laparoscopy .  3 ) The oxygenated blood is allowed into the fetal body by ? A . Foramen ovale . B . Ductus venosus . C . Right ventricle . D . Umbilical arteries . E . Fetal aorta .  4 ) Apgar score parameters include all of the following except ? A . Respiratory rate . B . Pulse rate . C . Response to stimuli . D . Colour . E . Tone .  5 ) All are causes of regular heavy periods except ? A . Endometrial polyp . B . Endometriosis . C . Hypothyroidism . D . Fibroids . E . OCPs .  6 ) The maximum number of oogonia are formed at what age female life ? A . One month intrauterine . B . Five months intrauterine . C . At birth . D . At puberty . E . At 21 ...

1) The smallest diameter of the true pelvis is ? A . True conjugate B . Obstetric conjugate C . Diagonal conjugate D . Transverse diameter E . Oblique diameter  2) Regarding gestational trophoblastic neoplasia ( GTN) all of the following are correct except ? A . Complete mole associated with presence of fetal and embryonic tissue . B . Incomplete mole associated with focal swelling of chorionic villi . C . Karyotype of partial mole usually triploidy . D . Theca lutein ovarian cysts develop in about half of patients with complete mole . E . Snow storm appearance on ultrasound is characteristic for complete mole .  3) A healthy woman complaining of crying , insomnia , feeling low , mood lability 3 day after normal delivery , the most likely cause is ? A . Postpartum depression B . Postpartum psychosis C . Postpartum psychosis D . Postpartum neurosis E . Postpartum schizophrenia  4) Women with uterine fibroid can present with all of the following except ? A . Menorrhag...

1 ) 3 years old child has had diarrhea for past 3 days . Respiratory rate is elevated and the fontanelles are sunken . The results of ABGs show PH = 7.39 , PCO2 = 30 mmhg , HCO3 = 19 meq/L . Most likely acid_base disorder ? A . Respiratory Alkalosis fully compensated . B . Metabolic acidosis uncompensated . C . Metabolic acidosis fully compensated . D . Respiratory acidosis uncompensated . E . Metabolic Alkalosis fully compensated  2 ) Regarding febrile seizures , all are true except ? A . The most common cause of seizures in children . B . Occurs between 6 months and 6 years . C . Lumbar puncture is not done routinely in all children . D . Is a recognized cause of status epilepticus in children . E . Sodium valproate is given after the second attack to prevent recurrence .  3 ) One of the following is false regarding poststreptococcal glomerulonephritis ? A . Urine analysis usually shows RBCs , RBCs casts , and mild proteinuria . B . Early antibiotic treatment for Stre...

1) The arterial blood gas of a comatose infant is as follows : PH = 7.45 , PaCO2 = 25 , PaO2 = 90 , HCO3 = 12 . Which of the following best describes these numbers ? A . Metabolic acidosis B . Metabolic alkalosis C . Respiratory acidosis D . Respiratory alkalosis E . Combined respiratory and metabolic acidosis  2) A normal infant sits without support easily and can walk while holding on to furniture , her age is ? A . 4 months B . 9 months C . 14 months D . 18 months 3) In regards to trisomy 21 ( Down syndrome ) which of the following is true ? A . Only affects children born to very old mother . B . Most common feature is hypertonia . C . There is a 50 % risk the child will have congenital heart disease . D . The older the father the more likely he is Down syndrome . E . Social behavior is delayed for age .  4) Most common solid tumor for children is ? A . CNS tumor B . Neuroblastoma C . Willms tumor D . Bone tumor E . Retinoblastoma  5) In DKA all are true exce...

1) A 52 year old man comes to the emergency department because he has had vomiting, nausea, and abdominal pain for the past 12 hours . He says he attempted suicide . 3 days ago by taking everything in the medicine cabinet . He was stuporous for approximately 12 hours after the overdose . But felt better the following day . At this time , he has jaundice and pain in the RUQ . Which of the following drugs is most likely to have caused the pain , vomiting and jaundice ? A . Acetaminophen B . Aspirin C . Cimetidine D . Diphenhydramine E . Triazolam  2) A patient present with weakness , nausea , vomiting , weight loss and new skin pigmentation . Labs show Hyponatremia and Hyperkalemia , most likely diagnosis is ? A . Tinea versicolor B . SIADH C . Addison disease D . Leprosy E . Phenylketonuria  3) A 70 year old man who is presented with 2 weeks history of abdominal pain that has worsened over the last few days , on examination the patient is jaundice with tenderness over the ...

1 ) Diabetes insipidus is a deficiency of what hormone of the following ? A . Atrial natriuretic peptide . B . Vasopressin . C . Aldosterone . D . Insulin . E . Progesterone . 2 ) An old lady presents with history of fever and left sided chest pain for one month . Examination of respiratory system shows decreased stony dull percussion note an absent breath sounds on left side . Her chest X_Ray is likely to reveal ? A . Collapse B . Consolidation C . Fibrosis D . Pleural effusion E . Pneumothorax  3) Which of the following is least likely to cause symmetrical weakness of the lower limbs ? A . Acute transverse myelitis B . Glioblastoma multiforme C . Guillain barre syndrome D . Myasthenia gravis E . Muscular dystrophy  4 ) Elderly came with sudden loss of vision in right eye with headache , investigation show high CRP and high ESR . What is the diagnosis ? A . Temporal arteritis . B . SAH . C . Migraine . D . Herpes ophthalmicus . E . Tension headache . 5 ) Acute renal f...

1) Regarding high grade squamous intraepithelial lesion all are true except ? A . Patient should be referred to colposcopy . B . Endometrial sampling must be done . C . If the colposcopy shows invasive disease cone biopsy must be taken . D . If the entire SCJ cannot be seen or visualized cone biopsy must be taken . E . Cone biopsy can be therapeutic . 2) Regarding Trichomonas vaginalis all are true except ? A. Yellow frothy vaginal discharge . B . No vulvovaginal irritation . C . Vaginal PH > 4.5 . D . Wet mount shows motile flagellated microorganism . E . Male partner should be treated . 3) Regarding primary spasmodic Dysmenorrhea all of the following are true except ? A . Can be treated by mefenamic acid . B . Occurs in ovulatory cycle only . C . Caused by increased progesterone in second half of cycle . D . Occurs in first and second day of menses . E . Commonly associated with vomiting and diarrhea . 4) All can be used in treatment of Menorrhagia except ? A . COCP . B ...