GP prometric exam (14.9.

2016)
,Dr.samar
Q1. The test used to check hearing in a neoborn is :

A. Audiogram
B. Whispering test
C. Auditory Brain stem Response
D. Weber test

Q2. Hypertensive pt came for an eye check up .On fundoscopy examination

found Arterio-venous nipping what is the grade of this retinopathy:

A. Grade 1
B. Grade 2
C. Grade 3
D. Grade 4

Q3. 70 years old man presented with his daughter she complain that he is forgetting
things lately ..(lab results was given and all normal).you diagnosed the pt as a case
of dementia , the daughter asked you how to prevent the progression of his illness:

A. Regular exercise has shown to decrease the progression of dementia

B. Mental stimulation practicing prevents the disease
C. (2 other choices I dont remember)

Im not sure of the answer but may be (A)

Q4. 25 years male,with DM type 2 on insulin inj .presented to your clinic frustrated
about his weight .he tried all life style modification..with no significant weight loss.
His height 173cm ,wight 125kg. you found the pt gained 5kg from his last visit

On exam:BP140/85..HBA1c 8 ..what next best approach to help this pt is:

A. Avoid discussion about his weight as the pt is frustrated now

B. Give the pt a detail about low calorie food
C. Refer him for Beriatric surgery
D. Start multidisciplinary team plan
E. Decrese his insulin dose .
Q5. 7 years old girl with sore throat and fever and jount pain for 4 days
,recived amoxicillin for 5days.the pt developed rash all over the body (lab test
were attached with mild elevation WBCs..what test youll choose to reach the
possible diagnosis?

A. Monospot test
B. Rheumatoid factor
C. ASO titer
D. VDRL test

Q6. Pt presented with SOB.frothy sputum with pink tange (this is exactly the
Q.no more details. Xray showed (this is the typical xray in my exam with the
same 2 arrows!).what is the most likely cause :

A.Aortic stenosis

B.Mitral regurge

C.Aortic regurge

D.Mitral stenosis
Q7. Immigrate mother ,brings her 2 year old son because of sever coughing
that dont stop even at night. while in the office the son started to cough until
he vomits.You will tell the mother that this disease could be prevented if he
was fully immunized.What is the type of this vaccine?!

A.conjucate

B.acellular

c.dead

D.attenuted

Q8.the most common symptom of Emphysema is

A.cough

b.fever

C.dyspnea

d.cyanosis

Q9. Healthy 25 years old man .came for pre-employment evaluation .his new
job is in animal protection services..what vaccine you can give to this pt?

A. Human rabies immunoglobulin

B. Some other vaccine I dont know like HD..something
C. Hip vaccine
D. Other choice I dont remember

Q10. Atheletic female presented with right foot numbness and pain for 2
month after full evaluation the pt was diagnosed wirh Tarsal tunnel
syndrome.which part of the tibial nerve injured in this syndrome?

A. Anterior
B. Posterior
C. Medial plantar
D. Latral plantar

Q11. 40 years old male C/o epistaxis that occurs frequently in the cold
weather specially when the heaters are on ,the epistaxis is easily controlled
with pressure, past history is normal.lab result including platelet normal
.what advise can be given to this pt to decrese his symptom?
 A.increse the home humidity

b.apply intranasal Epephdrine drops

C (2 other choices I dont remember)

Q13 26 years old college student presented with the following oral
lesion(in pic its the same pic in my exam !).she has been smoking 10

pack/day
What is the next best step in mangment for this pt?

A. Oral neyostatin
B. Biobsy
 C. excision

Q 14. 40 year old lady hypertensive presented with sever epigasric pain
radiated to the back associated with S.O.B for two hours .she had past
history of peptic ulcer disease that was responding to ranitidine but not in
last attack on examination BP 150/90 pulse 120..physical examination normal
(ecg attached)..what is the most likely diagnosis

A. Aortic dissection

B.Ruptured peptic ulcer

C.MI

E.Gastroentrits

(there is attached ecg showing obviously narrowQRS tachycardia (similer to

SVT but no st elevation)

Q15..Open angle glaucoma case .asking about pathophysioilgy in deatalis

Q 16..Acute angle glaucoma treatment.IV acetazolamide and pilocarbin

Q 17..Pt with eye trauma,FB removed what to give next?

A.oral steroid

B.topical antibiotic

C.topical steroid

D.cover affected eye

Q18. Pt c/o dry cough and fatigability for 3 month .after evaluation ,PCP was
diagnosed .what is your next step?(no vital signs given)

A.isolate the pt

B.admitt to icu

C.HIV test

D.give antibiotic and discharge

Q20 .very long scenario with lab results about 30 year old girl refused to go
out (agrophobia).and on diet most of the time.C/o fatigability .joint paint ..all
lab investigation was there I cant remember.but there was elevated ALP
what is the most likely Dx?

A.RA

B OA

C.hypovitaminosis

D.Paget disease

Q21.young female C/o recurrent hypertention.anxiety/and palpitation .she is

irritable .diagnoses as case of hyperthyroidism .what is the most rapidly
drug will relive this pt symptoms

A.propranolo

b.propythiouracil

c.thyroidectomy

D.radioactive iodine

Q 22 . pt presented with thyroid nodule your next step:

A. TSH .and FNA

B TSH ,T3.T4

C FNA

D U/S

Q 23 16 year old boy with painless gross hematuria .Abd U/S done didnt
reveled any abnormality what you next step?

A.renal scan

B urine culrure

C.urine analysis

d.renal biopsy
Q24 . 6 years old boy .comes with his parents because of RT sever leg pain
with tenderness, the pain is consistant even at night( XRAy

Its not the same xray in my exam .but similer

What is the mosyt likely diagnosis?

A.RA

B edwing sarcoma

c.osteoarthrits

D. greenstick fracture
Q25.case about boy walking with his 4 limbs .having similer history with his
brother. On Lab .ck is high.what is the percentage for this family to have
another boy with similer disease?

A. 50% c.12.5%
B. 25% d.35%
Q26 ..please review about primary amenorrhea in details (how to diagnose
and incestigation .I got 2Qs
Q27 about 15 year old girl who didnt menstruate but on examination
there was adrenarche and pubarche .i didnt understand the question
very good but it was asking what is the most likely finding that will
help to diagnose the case??!!
A.onset of menestrution
B.bone age
2 other choices I dont remember
( just review the development in adolescent and primary amenorrhea

Q28.pt came from vacation ,c/o fever that associated with chill and
headache for 3 days, you suspect one disease.which test is used in the
diagnosis
A.thick blood film
B.thin blood film
Cflurecent light
d. agar media
Q 29 . post partum pt complain of irratibily ,feeling sad.weepy and
moody .no past history of pyscatric illness. The most likely diagnosis:
A.blues
B.depression
C.pyscosis
D.anxiety
Q 30 .pregnant in the 38 week .c/o sever cough and wheezing..
SoB.she used to have previous attacks but not so sever like this one
,on examination she is slightly pale.but became cyanosed after the
coughing attack .what is the investigation of choice that help in the
assement of this pt :
A.Cxr
B .ABG
C.Echo
D.Thyroid function test
Q 31.there is picture of skin lesion no history given (similer to the
attached one )the Q what next step?
A.shave biopsy
 b.curritage
c wide excsion biopsy

Q33.repeated Q actor with rosea tttlaser

Q 33repeated Q position of decompression of median nerve (carpul

tunneldorsiflexion

Q34.picture of skin pinch .and scenario of child with history of vomittng .on
exam:dry mucous membrane and delayed capillary refill .skin pinch as in the
attached picture ..what is your mangment?

A.ORS B.Dextrose 5% C bolus NS 20 ml

Q 35.psycatric pt swallowed 50 tablets of asprine presented after six hours

with vomiting .and nausea lethargy with sob (no lab test0 what is best next
step:

A gastric lavage
b.charcol

c.urine alkalinization

d.hemodyalisi

Q36 lady presented with vomiting and abd distintion.she had past history of
laparotomy after MVA.,after evaluation she is diagnosed wit SI obstruction

What is the next step? A .Abd CT

B.barium enema

3. barium small bowel follow through

Q37. 35 years old female pt presented with sudden blurry vision and painful
feeling in her eyes while moving her eyes ,what is the diagnosis

A.central artery occlusion

B.open angle glucome

c.optic neuritis

d.central vein occlusion

Q38.repeated Q .celiac disease .food can be given? A. rice B oat C wheat

Q39 ..repeated Q ashma not responding to short acting bronchodilator..next

step?
Q 40.repeated Q mechanism of action of glipizide?

Q 41.repeated Q .obese diabetic pt what oral antidiabetic to give?

Q 42... repeated Q .Dka.most commonly due to ?insulin miss management

Q 43.repeated Q hypocalcemia with high PTH and High creatinin

Q44.repeated Q pt with colon ca .after colectomy found metasis to LN.what

charactrise this stage?....LN metasis has a good response to chemotherapy

Q45repeated Q. self breast exam done after how days from mensutral
cycle?

Q 46repeated Q diabetic pt on insulin .for elective surgery .he is at home

and advised to fast and come at 8 am what advise to give regarding his
insulin intake?) (there was no choice of sliding scale..)

A.avoid any insulin intake after the midnight

B take half the dose at night and the other in the morning before the surgery

C.dont take any insulin

D take half the dose in the morning

Q47..best treatment for GAD A.SSRi B.probnalol C.busprion

Q48. The same hepatitis B serology diagram but the question was about the
what is the line that diappear before the window period and the one appear
after the window period?

Q49..Q about latent lupus in baby with high ANC

Q50repeated Q pt diagnosed with osteoposis..what is the Tscore?

Q51 repeated Q medication to give in pt with osteoporosis?

Q52lab finding of premature ovarian failure?

Q 53..lab finding of PCOS? Review FSH LH

Q 54..pt was on prosgesron pill for regulation of cyle after stopping this pill
which risk factor increases?

A.enometrial cancer

B.hip fracture

C.vaginal infection

Those are the Qs I remembered ..the rest 46 Q were familiar in the

discussion in Facebook ..

Best wishes for all of you