A young pregnant woman presents with Fulminant hepatic failure. The most likely etiological agent is:

Female pregnant has HIV positive, what is the most accurate information to tell her about risk of transmission to baby;
A-Likely transmission through placenta
B-Through blood cord
C-Contamination
D-Breast feeding

23 year female consulted her physician because of breast mass; the mass is mobile, firm and approximately 1 cm in diameter. It is located in the upper outer quadrant of the right breast. No axillarylymph nodes are present. What is the treatment of choice for this condition?
A-Modified radical mastectomy
B-Lumpectomy
C-Biopsy
D-Radical mastectomy
E-Watchful waiting

A man presents with muffled hearing and feeling of pressure in ear with tinnitus and vertigo. He also complains of double vision when looking to the right. What is the most appropriate diagnosis?
a) Meniere’s disease
b) Acoustic neuroma
c) Acute labyrinths
d) Meningioma
e) Otosclerosis

A 10yo child who presented with fx of the radius which was treated with a plaster cast, complains of pain. Exam: limb is swollen but warm and well perfused, pulses are present. What should you do next?
a. Send for repeat XR
b. Remove cast
c. Replace cast with more padding
d. Give analgesic

A young girl returns from holidays in Spain. She complains of discharge from her ear and complains of Tragal tenderness. Exam: tympanic membrane normal. Aural toilet has been done. What is the next appropriate medicine?
a) Antibiotic PO
b) Antibiotic IV
c) Steroid PO
d) Steroid drops
e) Antibiotics drops with steroid

A young pregnant woman presents with Fulminant hepatic failure. The most likely etiological agent is:
A-Hepatitis B virus
B-Hepatitis C virus
C-Hepatitis E virus
D-Hepatitis A virus

ALL YOU NEED IS: SAMSON NOTES AND 1700 Qs !

This was my resolution after finishing today’s exam.

I wasted my time with OHCM really… sad to realize that.

Important points:

1- TIME FLIES ! …i used to finish the Mocks in 2 hours… i barely finished the exam in time because i re-read the questions to make sure

2- PROPER SHADING TAKES TIME ! …You DO NOT have time to answer in the exam sheet then transfer your answers to the answer sheet… answer directly on the answer sheet… you may mark the questions you need to revise at the end on the exam sheet, but keep it short as you may not have time to revise

3- THE FIRST ANSWER THAT COMES TO MIND IS PROBABLY THE RIGHT ONE ! … Don’t over doubt yourself

4- DON’T BE FOOLED BY LENGTHY SCENARIOS ! … several questions have you unnecessary details just to throw you off then give a direct question. In lengthy questions, i read what was needed first then read the question from the start in order not to waste time if what was needed is obvious

5- DON’T SUBSCRIBE TO BMJ ONEXAMINATION ! … questions are harder and it will depress you

6- AGAIN: if your time is short, you only need Samson notes and the 1700 Qs… they are very sufficent and very similar to the exam (some questions were repeated almost word for word)

I would like to deeply thank Dr. Khalid Saifullah for his hard work, and i pray for his parents to have a speedy recovery.

And also Naseer Khan who was right in telling me to do as many questions as i can and do the 1700 Qs many times, and encouraging us with his optimism… go read his blog as it was helpful.

Thank you everyone… I wish you all the best of luck.