بنك أسئلة الممارس العام

اقرأ أسئلة عيّنة بنك أسئلة الممارس العام

1. 1.Female patient with DM well controlled and she wants to get pregnant, and she asked you about the risk of congenital abnormality, to avoid this diabetes control should start in

   • أ.Before pregnancyإجابة صحيحة
   • ب.1st trimester
   • ج.2nd trimester
   • د.3rd trimester

   لماذا: Pre-existing diabetes increases the risk of congenital malformations, which arise during organogenesis in the first weeks after conception. Tight glycemic control must therefore begin before conception (pre-pregnancy), not after a missed period, to lower this risk.

2. 2.OCP

   • أ.Changes the cervical mucusإجابة صحيحة
   • ب.increase premenstrual tension
   • ج.Have a failure rate of 3 %

   لماذا: Combined oral contraceptives work mainly by suppressing ovulation, but they also thicken cervical mucus to impede sperm penetration. Typical real-world failure is higher than 3%, and OCPs tend to relieve rather than increase premenstrual symptoms, so (a) is correct.

3. 3.The best indicator of labor progression is:

   • أ.Dilatation
   • ب.Degree of pain
   • ج.Fetal heart rate
   • د.Dilatation and decentإجابة صحيحة

   لماذا: Labor progression is judged by changes over time, and the best single indicator combines cervical dilatation with descent of the presenting part. Pain and fetal heart rate reflect maternal experience and fetal status, not progress, so (d) is correct.

4. 4.OCP:

   • أ.Decrease the risk of ovarian cancerإجابة صحيحة
   • ب.Increase the risk of breast cancer

   لماذا: Combined oral contraceptives reduce the lifetime risk of ovarian (and endometrial) cancer through ovulation suppression. Any breast/cervical risk is small and not the keyed benefit, so (a) is correct.

5. 5.Average length of the menstrual cycle:

   • أ.22 days
   • ب.25 days
   • ج.28 daysإجابة صحيحة
   • د.35 days

   لماذا: The classic average menstrual cycle length is 28 days (normal range roughly 21-35 days), making (c) correct.

6. 6.About Antepartum hemorrhage:

   • أ.Rarely due to hypofibrinogenemia
   • ب.Maternal mortality more than fetal mortalityإجابة صحيحة
   • ج.PV exam is always indicated

   لماذا: In antepartum hemorrhage maternal mortality generally exceeds fetal mortality is the keyed statement; PV examination is contraindicated until placenta previa is excluded, and hypofibrinogenemia (e.g., abruption) is an important cause, so (b) is the best answer.

7. 7.Old patient known case of hypothyroidism on thyroxin, presented with many symptoms, labs all normal (TSH, T3, T4) except low calcium, high phosphate, what is the diagnosis?

   • أ.Primary hyperparathyroidism
   • ب.Secondary hyperparathyroidism
   • ج.Secondary hypoparathyroidismإجابة صحيحة
   • د.Uncontrolled hypothyroidism

   لماذا: Low calcium with high phosphate and normal thyroid labs indicates hypoparathyroidism; in a post-thyroid-surgery/long-standing thyroid patient this is acquired (secondary) hypoparathyroidism from parathyroid damage. Hyperparathyroidism would raise calcium, so (c) fits. [REVIEW: 'secondary hypoparathyroidism' terminology is nonstandard but is the best match for low Ca/high phosphate]

8. 8.Pregnant lady came to antenatal clinic for routine checkup, her Glucose tolerance test was high glucose , diagnosed as gestational DM , management:

   • أ.Nutritional adviceإجابة صحيحة
   • ب.Insulin
   • ج.OHA
   • د.Repeat GGT

   لماذا: First-line management of gestational diabetes is lifestyle and nutritional/dietary modification with glucose monitoring. Insulin or oral agents are added only if diet fails, so (a) is correct.

9. 9.Pregnant lady with negative antibodies for rubella and measles, what you will give her?

   • أ.MMR
   • ب.Antibodies
   • ج.Terminate pregnancy
   • د.Do nothingإجابة صحيحة

   لماذا: Rubella (MMR) is a live vaccine and is contraindicated during pregnancy; you cannot terminate or give antibodies for prevention. The correct action is to do nothing now and vaccinate postpartum, so (d) is correct.

10. 10.Irregular menses 2 months and sometime nothing last 7-10 days and use 10-15 pads in heavy days :

    • أ.Polymenorrhea ( cycles with intervals of 21 days or fewer)Polymenorrhea ( cycles with intervals of 21 days or fewer)
    • ب.Menorrhagia
    • ج.Metrorrhagia
    • د.Menometrorrhagiaإجابة صحيحة

    لماذا: Irregular cycles with both prolonged/heavy flow and bleeding between periods describe menometrorrhagia (combined excessive and irregular bleeding), making (d) correct.