1. A 7-year-old girl complains of an abscess in her Rt. arm. The abscess is fluctuant, surrounded by redness and swelling. What is the best treatment?

2. A 42-year-old female patient, known case of RA, is on methotrexate weekly. What drug should be used with it?

3. A patient in the hospital with MRSA cellulitis. The best treatment is:

4. A 57-year-old male patient with a history of smoking, complaining of shortness of breath, cough, and wheezing with difficulty in exhaling. What is the appropriate diagnosis?

5. A 4-year-old child complaining of wheezing, dyspnea, and cough, increased in the morning and upon cold exposure. What is the appropriate diagnosis?

6. A 65-year-old female with green sputum, cough, and fever. What is the appropriate diagnosis?

7. A 38-year-old patient presents with severe headache on one side associated with nausea and sensitivity to light. The most likely diagnosis is:

8. Which part of the nervous system controls involuntary actions like breathing and heart rate?

9. A 67-year-old patient experiences tremors in their hands and difficulty with balance. The most likely diagnosis is:

10. A 67-year-old female patient with osteoporosis sustained a fall. The most common fracture in the lower limb is:

11. A patient with HTN and DM presents with sudden onset flank pain, hematuria, and fever. The diagnosis is:

12. A patient with urinary obstructive uropathy. The most appropriate management is:

13. A GP doctor sustained a needle stick injury while performing venous cannulation on a patient known to use intravenous drugs. What is the first next action to do?

14. A patient comes with a subdural hematoma. What is the appropriate management?

15. A patient presented with a complex medical condition in a local hospital and needs specific care that is not available in this local hospital. What should you do?

16. A child patient with a non-itchy chest skin lesion, has a fever, and is systematically well. Which of the following is the most appropriate Dx?

17. Which of the following gives the best description to study the new cases of papillomavirus infection in college students?

18. A 38-year-old female patient complains of sudden onset abdominal pain and vaginal bleeding. She is at 38 weeks, her BP is 110/80, there is lower abdominal tenderness, and the baby's pulse rate is 170 bpm. The most important diagnosis is:

19. A patient with a history of hypoglycemia presented with confusion and sweating. The blood glucose was 50 mg/dl. The most appropriate and effective step of treatment is:

20. A 25-year-old female patient came to the emergency room with multiple injuries, hypotension, GCS 8, and dilated, fixed pupils. What is the cause?

21. A 42-year-old male patient came to the emergency room post blunt chest trauma. The X-ray shows a large hemothorax on the left side. What is the most appropriate management?

22. A young patient complaining of vomiting and fatigue for a few days, then developed dark urine. The possible cause is:

23. A 62-year-old male patient with low immunity comes with a productive cough and dyspnea. CXR shows chest infection. The indication of sputum examination is for:

24. A child presented with a sore throat and fever. On examination, there is a gray thick membrane in the throat. The most appropriate diagnosis is:

25. Which drug acts by relaxation of blood vessels in HTN?

26. An infant developed jaundice after 6 hours of birth. The cause is:

27. A patient with a history of chronic peptic ulcer presented with hematemesis. The best initial management is:

28. In a child with severe diarrhea, which drug is NOT given?

29. A patient with a history of intravenous drug use comes with fatigue, low-grade fever, and increased liver enzymes. The diagnosis is:

30. The most serious complication of measles is:

31. A patient proved to have MI in the cardiac catheterization center. Which drug will open the occluded coronary artery?

32. A patient is preparing for a CT scan with contrast. Which drug should be stopped?

33. A patient with stabbing pain in the jaw and mouth for a few seconds which increased during tooth brushing. The best treatment is:

34. Which of the following is exogenous dermatitis?

35. The most common cause of erysipelas is:

36. Cortisol in blood is a test used for the diagnosis of:

37. Fecal occult blood is used to diagnose the potential of:

38. A 42-year-old female patient with SLE. What is the antibody that indicates the activity of lupus nephritis?

39. A male patient with systemic sclerosis developed weight gain and leg swelling. This manifestation indicates:

40. A 72-year-old man, a known case of epilepsy since 18 years ago, controlled on treatment. In the last period, the patient started to complain of an increased frequency of seizures. What is the initial investigating to determine the cause?

41. A 62-year-old male patient with a heart rate of 76 bpm and BP of 220/110, with radio-femoral delay, audible systolic murmur, and notching in ribs at MCL on chest X-ray. What is the possible diagnosis?

42. A patient comes with suspected overdose of medication. What is the initial management to do?

43. A newly discovered outbreak of cholera occurred in your region. What appropriate measures should be done?

44. What is the best way to prevent cholera infection?

45. Which drug is contraindicated in psoriasis?