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  • abdulrahman


    1- respiratory examination
    you will be ask to give 3 causes of dull percussion.

    2- GIT examination
    you will be ask to give 3 causes of hepatomegaly


    3- trigeminal examination and upper limb reflexes


    4- history taking, abdominal pain and bloody diarrhea for 9 months with B symptoms.

    give 2 dx ( colon cancer and ulcerative)
    two investigation ( colonoscopy and biopsy)


    5- history taking, exacerbated asthma case,  not responding to the regular medication (what exacerbate asthma ask about all of them: dust, animal, smoking including second hand smoking , cold weather, infection….etc)

    what is your diagnosis .

    6- history taking , central chest pain for one day.

    what is your diagnosis.

    how will you confirm it?



    7- history taking, women with thyroid gland enlargement , weight loss and tremor.

    what is the diagnosis: grave disease.

    what are the ophthalmological feature.



    8- cardiovascular examination

    they will ask you about valve abnormalities and their murmur.

    how to differentiate between some of the types clinically.

    where will you auscultate for aortic regurgitation.

    aortic stenosis vs aortic sclerosis clinically.

    and many other question about the valves so study them well.



    be confident.

    all the best for you






    1-ECG of MI

    A- 2 change in the ECG.

    B- calculate the heart rate.

    C- most likely diagnosis.


    2- picture of ABG result. (PH is acidic, CO2: 27, HCO3:12, Na: 135 , CL:99)

    A- most likely acid base disturbance: metabolic acidosis.

    B- what is the compensation? respiratory alkalosis.

    C- calculate the anion gap: na-(CL+HCO3) ,   135-(99+12) = 24

    D- 2 causes


    3- X-ray of pleural effusion.

    A- X-ray finding : obliteration of the costophrenic angle.

    B- diagnosis: pleural effusion.

    C- 2 specific investigation you would like to order.


    4- pictures of buccal and hand pigmentation.

    A- 1 clinical manifestation: pigmentation .

    B- diagnosis: primary adrenal insufficiency.

    C- mention the diagnostic test (only one).


    5- peripheral blood smear slide.

    A- what is the abnormal finding : presence of Reed Sternberg cell.

    B- diagnosis: hodgkin lymphoma.

    C- 3 symptom indicates poor prognosis.


    6- two pictures, ascites and jaundice.

    A- mention the 2 sign in the pictures.

    B- mention 3 sign other than above.

    C-what could be the cause.


    7- video of man with shuffling gait and bradykinesia…. etc (parkinsonian feature)

    A-  3 manifestation, any manifestation not only those present in the video.

    B- 3 DDX

    C- write the pathogenesis in 2 line.


    8- dactylitis and skin rash of psoriasis , hand X-ray.

    A- what is the feature in the first picture: dactylitis.

    B- X-ray finding: pencil in cup.

    C- 1 extra articular manifestation.

    D- diagnosis: psoriatic arthritis




    1-child have an ear pain after swimming with pain during traction of the pinna (answer: otitis externa)

    2-patient present with complain of headache, the headache is progressive {increasing} he describe it as he fell pressure inside his head , what is the best action to do (answer: most likely MRI head)

    3- a case of Tension headache, what is the best treatment .

    4- a case of Functional dyspepsia what could be the cause of the patient symptoms ? ( 1- GERD. 2- H.pylori. *3- no obvious cause ) answer is 3

    5- case of facial parlysis of the left side of the face upper and lower,  what is the most likely diagnosis (answer: bell’s palsy)

    6-patient with facial paralysis and vesicular rash on external ear what is your diagnosis ( ramsay hunt syndrome)

    7- long term user of steroid come to your clinic with moon face appearance and buffalo hump which investigation should be done for him ? (level of cortisol)

    8- based on  jnc 7 guidelines for hypertension which of the foloowing value is consider as prehypertensione ? (answer:135/85)

    9- patient on diuretic and beta blockers for his hypertension what is the best 3rd agent to add (answer: ACE inhibitor. the rest of the option is either beta blockers or diruetic so you can’t add 2 medication of the same effect).

    10- long case of diabetic patient who develop microalbuminuria which is the best management for him (answer: add ACE inhibitor)

    11- patient with gastric bleeding what type of anemia he most likely have (answer: most likely normocytic normochromic anemia)


    in reply to: MSD Midterm #Batch_35


    Skull fracture is common in which bone

    Answer.. Temporal bone

    Mcq which one of the following is define as elevated solid area 5mm or less?

    Answer papule

    Mcq hematoma of the rectus sheath is due to damage to which blood vessel..?

    Answer inferior epigastric vein

    Mcq the the extravasation of urine to the thigh region is prevented by which attachment..?

    Answer colles fascia to the ischiopubic rami…

    Mcq pudendal nerve block needle is direct to which landmark…?

    Answer ischial tuberositiy..




    1- write the branch of pudendal nerve.


    2- case of patient sweating while eating and have a facial surgery in the past

    A- what is the most probable diagnosis.. Freys syndrome

    B- which organ was involved in the surgery

    C- anatomical bases of this condition


    3- paracentesis write the structure that the cannula will bass through from the A-midline and B-flank


    4-Classify immunosuppressive drugs and give example for each.


    5- function of the skin.


    6- mention at least 4 hormones secreted by the skin.


    7- clinical features of katayama fever and the treatment.


    8-write full prescription of newly diagnosed case of tuberculosis with the dose.

    Good luck.. 🙂


    Mcq : 1-which one of the following define as continuous, systematic collection, analysis and interpretation of health-related data needed for the planning, implementation, and evaluation of public health practice.

    2-what is the commponent of epidemiological trait.
    Answer : Agent,host,enviroment.

    3-which of the following is Re-emerging diseases
    Answer: a-HIV.b-lyme disease.c-YELLOW FEVER. d-tuberculosis. the answer is d

    4-is defined as the ability of the test to identify correctly those free of disease in the screened population.

    5- which of these is a characteristic of SPECIFICITY OF THE ASSOCIATION.
    Answer:Implies a “one-to-one” relationship between the cause and effect.