نماذج امتحانات بروميترك الهيئة السعوديه للتخصصات الصحية للأطباء

حمل أسئلة الهيئه السعوديه للتخصصات الصحيه من هنا

بالنسبة لإمتحان البرومترك للطب العام فإن نماذج الأسئلة تشبه إلى حد كبير أسئلة USMLE و هي أقرب إلى Step 1 منها إلى Step 2 و هكذا إذا كان لديك نماذج أسئلة USMLE فإن حل بضع بلوكات مع قراءة الإجابات سيكون ذلك كاف, و هذا الكلام موثوق 100% و شركة البرومترك هي نفسها التي تقدم أسئلة USMLE و أنا شخصياً لاحظت الكثير من الأسئلة المتشابهة بين فحص الهيئة و فحص USMLE.

- For health education programs to be successful all are true except :

a- human behavior must be well understood
b- Information should be from cultural background
c- Doctors are only the health educators
d- Methods include pictures and videos (mass media)
e- Involve society members at early stage

2- a 29 yrs. Old female has a breast lump in the upper outer quadrant of the left breast , firm , 2 cm. in size but no L.N involvement … what is the most likely diagnosis ?

a- fibroadenoma

3- What is the management for the above patient?

a- mammogram (true if patient > 35 years)
b- excisional biopsy
c- FNA
d- breast US
e- follow up in 6 months

4- a 27 yrs. old female C/O abdominal pain initially periumbilical then moved to Rt. Lower quadrant … she was C/O anorexia,nausea and vomiting as well ..
O/E : temp.38c , cough , tenderness in Rt lower quadrant but no rebound tenderness.
Investigations : slight elevation of WBC's otherwise insignificant ..
The best way of management is:

a- go to home and come after 24 hours
b- admission and observation
c- further lab investigations
d- start wide spectrum antibiotic
e- paracetamol

5- what is the most likely diagnosis for the above patient ?

a- mesenteric lymph adenitits
b- acute appendicitis
c- peptic ulcer

6- a 24 yrs old pt. came for check up after a promiscuous relation 1 month ago .. he was clinically unremarkable, VDRL : 1/128 … he was allergic 2 penicillin other line of management is :

a- ampicillin
b- amoxicillin
c- trimethoprim
d- doxycyclin

7- a 24 years old female pt. C/O : gray – greenish discharge , itching .. microscopic examination of discharge showed : flagellated organism … most likely diagnosis is :

a- trichomoniasis ( trichomonas vaganalis )

8- a 43 yrs. old female pt. presented to ER with H/O : paralysis of both lower limbs and parasthesia in both upper limbs since 2 hours ago .. she was seen lying on stretcher & unable to move her lower limbs (neurologist was called but he couldn't relate her clinical findings 2 any medical disease !!! ) when history was taken , she was beaten by her husband … the most likely diagnosis is :

a- complicated anxiety disorder
b- somatization disorder
c- conversion disorder
d- psychogenic paralysis
e- hypochondriasis

9- the best treatment for the previous case is :

a- benzodiazepines
b- phenothiazine
c- monoamine oxidase inhibitor
d- selective serotonin reuptake inhibitor
e- supportive psychotherapy

10- a 58 yrs. old male pt. came with HX of fever, cough with purulent foul smelling sputum and CXR showed : fluid filled cavity … the most likely diagnosis is :

a- abscess
b- TB
c- bronchieactesis

11- a 28 yrs. old lady , C/O: chest pain, breathlessness and feeling that she'll die soon .. O/E : just slight tachycardia .. otherwise unremarkable .. the most likely diagnosis is:

a- panic disorder

12- a patient ( known case of DM ) presented to u with diabetic foot ( infection) the antibiotic combination is :

a- ciprofloxacin & metronedazole

13- a young pregnant lady (Primigravida) , 32 weeks of gestation came to you C/O : lower limbs swelling for two weeks duration .. she went to another hospital and she was prescribed ( thiazide & loop diuretic ) .. O/E : BP : 120/70 , mild edema , urine dipstick : -ve and otherwise normal…. The best action is :

a- continue thiazide & stop loop diuretic
b- cont. loop diuretic & stop thiazide
c- stop both
d- continue both and add potassium sparing diuretic
e- cont. both & add potassium supplement

14- a 17 yrs. old football player gave HX of Lt. knee giving off .. the most likely diagnosis is :

a- Lat. Menisceal injury
b- medial menisceal injury
c- lateral collateral ligament
d- medial collateral ligament
e ant. Curciate ligament

15- a 10 yrs. old boy presented to clinic with 3 weeks HX of limping that worsen in the morning .. this suggests which of the following :

a- septic arthritis
b-leg calve parthes disease
c- RA
d- a tumor
e- slipped capital femoral epiphysis

__________________

---

16- a full term baby boy brought by his mother weighing 3.8 kg. developed jaundice at 2nd day of life .. coomb's test –ve ,Hb : 18 ,billrubin : 18.9 & indirect : 18.4
O/E : baby was healthy and feeding well .. the most likely diagnosis is :

a- physiological jaundice
b- ABO incompatibility
c- breast milk jaundice
d- undiscovered neonatal sepsis

17- a 62 yrs. old female pt. a known case of osteoporosis & on 1 alpha + Ca supplement .. her lab works shows normal level of PO4, Ca & ALP … her X-ray shows osteopenia with SD = -3.5 …. The best action is to :

a- continue on same medications
b- start estrogen
c- start estrogen & progesterone
d-add alevdonate ( bisthmus phosphate)

18- a 38 yrs old female … came to you at your office and her pap smear report was unsatisfactory for evaluation .. the best action is :

a- consider it normal & D/C the pt.
b- Repeat it immediately
c- Repeat it as soon as possible
d- Repeat it after 6 months if considered low risk
e- Repeat it after 1 year if no risk

19- a 17 yrs. old school boy was playing foot ball and he was kicked in his Rt. eye .. few hours later he started to complain of : double vision & echymoses around the eye .. the most likely Dx. Is :

a- cellulites
b- orbital bone fracture
c- global eye ball rupture
e- subconguctival hemorrhage

20- a 35 yrs old female pt. C/O : acute inflammation and pain in her Lt. eye since 2 days .. she gave Hx of visual blurring and use of contact lens as well … O/E : fluorescence stain shows dentritic ulcer at the center of the cornea .. the most likely diagnosis is :

a- corneal abrasion
b- herpetic central ulcer
c- central lens stress ulcer
d- acute episcleritis
e- acute angle closure glaucoma

21- a 65 yrs old lady came to your clinic with Hx of 5 days insomnia and crying ( since her husband died ) the best Tx. For her is :

a- lorazipam
b- floxitein
c- chlorpromazine
d- haloperidol

22- a 25 yrs old Saudi man presented with Hx of mild icterus , otherwise ok .. hepatitis screen : HBsAg +ve , HBeAg +ve , anti HBc Ag +ve (this should be core anti body, because core antigen doesn’t leave hepatocyte to the blood "prof. Yasawi" ) , the diagnosis :

a- acute hepatitis B
b- convalescent stage of hep. B
c- recovery with seroconversion Hep . B
d- Hep B carrier
e- chronic active Hep. B

23- 25 yrs. old man presented to ur clinic with one month HX of aching pain in the elbow , radiates down to the lateral forearm ..the pt. frequently plays squash … O/E:
Pain increases with dorsiflexion of the wrist performed under resistance specially with elbow extended … the most likely diagnosis :

a- olecranon stress fracture
b- olecranon bursitis
c- lateral tennis elbow
e- radial tunnel syndrome
e- ligament sprain

- 24-8 wk Primigravida came to you with nausea & vomiting choose the statement that guide you to hyperemmesis gravidarm :
a- ketonia
b- ECG evidence of hypokalemia
c- Metabolic acidosis
d- Elevated liver enzyme
e- Jaundice

- 25-Injury of the hand leads to median nerve injury:
a- claw hand
b- wrist drop
c- sensory defect only

- 26-60 year old male was refer to you after stabilization investigation show
Hgb 8,5 g/l , hect. 64% , RBC 7.8 , WBC 15.3
& Plt. 570 Diagnosis :
a- iron def. Anemia
b- Hgb pathy
c- CLL
d- 2ry polycythemia
e- Polycythemia rubra Vera

- 27-Pregnant women G4P3+1 on GA 10 wk came to you with IUCD inserted & the string is out from O.S what is the most important measure :
a- leave the IUCD & give A.B
b- leave the IUCD & send to Ob/ Gynaecologist to remove
c- leave the IUCD
d- do laparoscopy to see if there is ectopic preg.
e- Reassurance the pt

- 28-17 year old male while play football felt on his knee “tern over “ what do think the injury happened

a- medial meniscus lig,
b- Lateral meniscus lig.
c- Medial collateral lig.
d- Lat. collateral lig.
e- Antr. Crussate lig.

- 29-For health education programme to be effective all true except :
-
a- Human behaviour should be well understood.
b- Procedures used include illustration & picture.
c- Doctors should be the only educator.
d- Community member should be involved in early stage.
e- ………….

__________________

Saudi Licensing Exam

---

- 30-Placenta previa excludes :
a- Pain less vaginal bleeding
b- Tone increased of uterus
c- Lower segmental abnormality
d- Early 3rd trimester

- 31-Pregnancy test +ve after :

a- one day post coital
b- 10 day after loss menstrual cycle ??
c- One wk after loss menstrual cycle

- 32-45 year old female complaining of itching in genitalia for certain period, a febrile, -ve PMH, living happily with here husband since 20 year ago on examination no abdominal tenderness , erythema on lower vagina , mild Gray discharge no hx of UTI . pyleonephritis
Most probable diagnosis:

a- Vaginitis
b- Cystitis
c- CA of vagina
d- Urithritis ( non gonococal )

- 33-20 year lady come to ER with Hx of Rt sever lower abdominal pain with Hx of amenorrhea for about 6 wk the most serious diagnosis of your deff. Diagnosis could reach by:

a- CBC
b- ESR
c- U/S of the pelvis
d- Plain X-ray
e- Vaginal swab for C/S

- 34-Pt had arthritis in tow large joint & pansystolic murmur ( carditis )
Hx of URTI the most important next step:

a- ESR
b- ASO titre
c- Blood culture

- 35-35 years prime 16 wk gestation PMH coming for her 1st cheek up she is excited about her pregnancy no hx of any previous disease.
Her B/P after since rest 160/100 after one wk her B/P is 154/96
Most likely diagnosis :

a- Pre eclempsia
b- Chronic HTN
c- Lable HTN
d- Chronic HPT with superimposed pre eclampsia
e- Transit HPT??

- 36-women complain of non fluctuated tender cyst for the vulva . came pain in coitus & walking , diagnosed Bartholin cyst . what is the ttt:

a- incision & drainage
b- refer to the surgery to excision (after you reassure her)
c- reassurance the pt
d- give AB

37- 42years old male presented with history of sudden appearance of rash – maculopapular rash – including the sole,& the palm, the most likely diagnosis is :

a- syphilis
b- erethyma nodosum
c- erythema marginatum
d- pitryasis rocae
e- drug induced

38- A mother calls you about her 8 years old son , known case of DM-1 fell comatose . she is not sure if he took the night 7 morning dose of insulin. You will advice her to :

a- bring the child immediately to the ER
b- call an ambulance
c- give him IV glucagons
d- give him IV insulin
e- give him drink contains sugar

39- years old lady on …….., feels dizzy on standing, resolves after 10-15 minutes on sitting, decrease on standing, most likely she is having :

a- orthostatic hypotension
b-

40- what is the most appropriate treatment for the above patient :

a- antiemetic
b- antihistamine
c- change the antidepressant to SSRI
d- thiazide diuretics
e- audiometry

41- 23 years old lady with one month history of nasal discharge & nasal obstruction, she complained of pain on the face, throbbing in nature , referred to the supraorbital area, worsen by head movement, walking,& stopping. On - -- --------- examination , tender antrum with failure of transillumination ( not clear ), the most likely the diagnosis is:

a- frontal sinusitis (we can NOT trannsiiluminate it)
b- maxillary sinusitis
c- dental abscess
d- chronic atrophic rhinitis
e- chronic sinusitis

حمل أسئلة الهيئه السعوديه للتخصصات الصحيه من هنا