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الموضوع: MCQ (Upper&Lower&Thorax)OoOoOoOoOoo

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  1. #1
    بالطو مقفل عداد
    التقييم التقييم التقييم التقييم التقييم التقييم التقييم التقييم
    الصورة الرمزية ahmed hassan
    تاريخ التسجيل
    Oct 2009
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    MCQ (Upper&Lower&Thorax)OoOoOoOoOoo




    MCQ ------>Upper limb






    MCQ ----->Lower limb

    1. A 12-year-old boy was riding his bicycle across an intersection when
    and elderly woman tried to pull out into the busy street just as the boy was
    riding in front of her, hitting the boy. Fortunately the boy landed on the hood
    of the car, but the bumper struck the boys legs just below the knee and created
    a very large cut. The boy presents to the emergency room bleeding and
    walking with a distinct left foot-drop. The boy has also lost most of his ability
    to flex his left ankle or evert his left foot and he has lost sensation on the lateral
    side of his leg distal to the cut. Plain films show that there are no broken
    bones and examination of the knee reveals that is appears intact. You call in a
    plastic surgeon, to reanastomose which of the following?
    a. Sciatic nerve
    b. Tibial nerve
    c. Common fibular (peroneal) nerve
    d. Deep fibular nerve
    e. Obturator nerve


    2. As a third year medical student on cardiology service you receive a
    transfer patient from the emergency room. The 52-year-old woman is having
    chest pain and her cardiac enzymes and ECG suggest that she may have
    had a Myocardial infarction. The attending cardiologist is about to perform
    a cardiac catherization to inject dye into her coronary arteries. He tells you
    to prepare her right inguinal region for insertion of the catheter into her
    femoral artery. The attending cardiologist asks, “what are the landmarks for
    finding the femoral artery just under the inguinal ligament and what is on
    each side of it if you miss?” Which of the following is the best answer?
    a. Half way between the anterior superior iliac spine and the pubic tubercle, with
    the femoral nerve medial and the femoral vein lateral to the femoral artery
    b. Half way between the anterior superior iliac spine and the pubic tubercle, with
    the femoral nerve lateral and the femoral vein medial to the femoral artery
    c. Two-thirds of the way between the anterior superior iliac spine and the pubic
    tubercle, with the femoral nerve lateral and the femoral vein medial to the
    femoral artery
    d. Half way between the anterior inferior iliac spine and the pubic tubercle, with
    the femoral nerve medial and the femoral vein lateral to the femoral artery
    e. Half way between the anterior inferior iliac spine and the pubic tubercle, with
    the femoral nerve lateral and the femoral vein medial to the femoral artery

    3. An 8-year-old boy returns to your pediatric clinic because he has a
    “pain in his butt” and walks with a limp. He had just been at your office a
    couple of days ago for a normal summer check up and an update on his
    vaccinations. When you ask him how this happened the boy said that the
    pain all started when your nurse gave him his booster shot in his left buttock.
    You have him demonstrate his walk and you notice that he drops his
    right hip as he places all the weight on his left leg and swings his right leg
    forward. You place him prone on the examination table and test the
    strength of his ability to extend each thigh at the hip and flex his leg at the
    knee. Both legs flex normally with equal strength, and he can extend his
    thigh at the hip well, but you notice some falsity of his muscles just under
    the iliac crest on the left side only. You tell the boy and his mother that the
    booster shot he got a couple of days ago likely damaged which of the
    following?
    a. Lateral cutaneous nerve of the thigh giving him his pain
    b. Superior gluteal nerve partially paralyzing his gluteus medius muscle
    c. Superior gluteal nerve partially paralyzing his gluteus maximus muscle
    d. Inferior gluteal nerve partially paralyzing his gluteus medius muscle
    e. Sciatic nerve partially paralyzing his hamstring muscles

    4. A 71-year-old grandmother fell half way down the basement stairs
    while carrying a laundry basket after dinner. She didn’t lose consciousness,
    but sat at the bottom of the stairs gathering her wits and the scattered laundry.
    She didn’t think she had broken any bones as she could move all her
    limbs. Her husband, who had heard the noise and came to check on her,
    helped her stand up. It was then that she felt a slight pain in her left hip
    when she placed weight on it. She limped about for the rest of the day. The
    next morning her husband brought her into your family practice office
    where you could clearly see that she walked with her pelvis tilted as if her
    left leg was slightly shorter. She still had left hip pain. You order a plain film
    of the left femur from hip to knee expecting to find which of the following?
    a. Femoral neck fracture with compression
    b. Femoral neck fracture with complete displacement
    c. A spiral fracture of the femoral shaft
    d. A transverse supracondylar fracture
    e. An intercondylar fracture

    5. Hip fractures, especially in the elderly, often do not heal adequately.
    As a result broken femurs often lead to complete hip replacement with artificial
    parts. What type of femoral fracture in adults is most likely to result
    in avascular necrosis of the femoral head?
    a. Acetabular
    b. Cervical
    c. Intertrochanteric (between the trochanters)
    d. Subtrochanteric
    e. Midfemoral shaft


    6. Paresthesia, hyperesthesia, or even painful sensation in the anterolateral
    region of the thigh may occur in obese persons. It results from an
    abdominal panniculus adiposus that bulges over the inguinal ligament and
    compresses which of the following underlying nerves?
    a. Femoral branch of the genitfemoral nerve
    b. Femoral nerve
    c. Iliohypogastric nerve
    d. Ilioinguinal nerve
    e. Lateral femoral cutaneous nerve

    7. A 12-year-old boy is brought to the emergency room by his mother
    following being pushed out of the neighbor’s tree house, about 10 ft off the
    ground. He can walk but his right heel hurts every time he puts weight on
    it. When you examine his foot it is tender to pressure on both the medial
    and lateral aspects of the heel inferior to the tibia. You order plain films of
    his right lower extremity because you suspect he has fractured which of the
    following?
    a. Calcaneus
    b. Fibula
    c. Tibia
    d. Navicular
    e. Cuneiform

    8. The process of unlocking the fully extended knee in preparation for
    flexion requires initial contraction of which of the following?
    a. Gastrocnemius, soleus, and plantaris muscles
    b. Hamstring muscles
    c. Popliteus muscle
    d. Quadriceps femoris muscle
    e. Sartorius muscle and short head of the biceps femoris muscle

    9. A patient experienced a prolonged stay in one position during a
    recent surgery and postoperative recovery that resulted in compression of
    the common fibular (peroneal) nerve against the fibular head. Which of the
    following motor deficits would be most likely to occur?
    a. Loss of extension at the knee
    b. Loss of plantar flexion
    c. Loss of flexion at the knee
    d. Loss of eversion
    e. Loss of medial rotation of the tibia

    10. A 34-year-old woman is brought into the emergency room following
    her car accident in which she hit a patch of ice and slammed into the back of
    a trash truck. She can’t walk because she has incredible pain in her left knee
    and hip. She thinks her knee hit the left side of the dashboard as she twisted
    under the seat belt as she was thrown forward. She reports severe pain as you
    move her hip. You order a plain film of the leg up to the pelvis and it shows
    no broken bones but posterior displacement of the head of the femur out of
    the acetabulum. You tell her the good news is that she has not broken any
    bones, but that she has dislocated her hip. She is sedated in order to forcefully
    relocate her femoral head back into the acetabulum. Despite successful relocation
    you are concerned that she has damaged which of the following nerves,
    which may take several months to regain function?
    a. Obturator
    b. Pudendal
    c. Sciatic
    d. Femoral
    e. Superior gluteal

    11. The muscles of the anterior compartment of the leg are innervated
    primarily by which of the following nerves?
    a. Deep fibular
    b. Lateral sural cutaneous
    c. Saphenous
    d. Superficial fibular
    e. Sural

    12. A 19-year-old teenager was dancing in clogs in an ethnic street festival
    when she inverted her left foot. She presents to your office the next day with a
    swollen foot, but mainly complains about tenderness on the lateral aspect of
    the foot along the plantar surface. You carefully palpate her foot and determine
    that she has tenderness over the tuberosity of the fifth metatarsal bone. What
    muscle has avulsed from its insertion on to the tuberosity of the fifth metatarsal?
    a. Abductor digiti minimi
    b. Fibularis (Peroneus) brevis
    c. Fibularis (Peroneus) longus
    d. Tibialis anterior
    e. Tibialis posterior

    13. A 27-year-old man is admitted for neurologic evaluation of a gunshot
    wound received 5 days previously. A 9-mm bullet had passed through both
    the medial and lateral heads of the gastrocnemius muscle. The exit wound
    on the lateral head of the muscle was somewhat deeper than the entrance
    wound in the medial head. The bullet did not strike bone or significant
    arteries although significant tissue damage, suppuration, and swelling were
    found around the exit wound. Neurologic examination reveals losses of
    dorsiflexion and eversion of the left foot. The patient cannot feel pinprick
    or touch on the dorsum of the left foot or anterolateral surface of the left
    leg. Which nerve was most likely involved in the injury?
    a. Sciatic nerve
    b. Femoral nerve
    c. Sural nerve
    d. Common fibular (peroneal) nerve
    e. Tibial nerve

    14. In a presurgical patient, the great saphenous vein was cannulated in
    the vicinity of the ankle. During the procedure, the patient experienced
    severe pain that radiated along the medial border of the foot. Which of the
    following nerves was accidentally included in a ligature during this
    procedure?
    a. Medial femoral cutaneous nerve
    b. Saphenous nerve
    c. Superficial fibular nerve
    d. Sural cutaneous nerve
    e. Tibial nerve

    15. A pulse in the dorsalis pedis artery may be palpated in which of the
    following ways?
    a. Between the tendons of the extensor digitorum longus and fibularis (peroneus)
    tertius muscles
    b. Between the tendons of the extensor hallucis and extensor digitorum muscles
    c. Between the tendons of the tibialis anterior and extensor hallucis longus
    muscles
    d. Immediately anterior to the lateral malleolus
    e. Immediately posterior to the medial malleolus

    MCQ------>Thorax
    Thorax Practice Examination




    1. Which of the following cardiac veins empties directly into the right atrium of the heart?
    1. middle cardiac
    2. anterior cardiac
    3. small cardiac
    4. great cardiac
    5. none of the above
    blood clot (embolus) found in the left pulmonary artery probably came from which of the following?
    1. pulmonary veins
    2. left atrium
    3. right ventricle
    4. left brachiocephalic vein
    5. left ventricle
    3. All of the following are true statements about the azygos system of veins EXCEPT that:
    1. the ascending lumbar veins enter it
    2. it communicates with the common iliac vein
    3. it frequently receives the left pulmonary vein
    4. it empties into the superior vena cava
    5. it drains the thoracic wall
    4. The heart is located in which anatomical subdivision of the mediastinum?
    1. anterior
    2. middle
    3. posterior
    4. lateral
    5. superior
    5. The aortic arch is located in which subdivision of the mediastinum?
    1. superior
    2. middle
    3. posterior
    4. anterior
    5. none of the above
    6. Which group of structures empties directly into the right atrium?
    1. superior vena cava, coronary sinus and hemiazygos vein
    2. coronary sinus and pulmonary vein
    3. pulmonary and bronchial veins the following
    4. superior and inferior venae cavae and coronary sinus
    5. coronary sinus and azygos vein
    7. The esophageal branches of the right vagus nerve in the lower thorax (just before it enters the stomach) are found mainly on:
    1. the posterior wall of the esophagus
    2. the left wall of the esophagus
    3. the right wall of the esophagus
    4. the anterior wall of the esophagus
    5. none of the above
    8. The trachea bifurcates into right and left primary bronchi at the level of the:
    1. plane of the sternal angle
    2. suprasternal (or jugular) notch
    3. first rib
    4. seventh cervical vertebra
    5. xiphoid process
    9. The ligamentum arteriosum is:
    1. a ligament connecting the liver to the anterior abdominal wall
    2. a fibrous remnant of a fetal channel connecting the left pulmonary artery to the aorta
    3. remnant of the embryonic umbilical artery
    4. remnant of a fetal channel connecting the right atrium to the left atrium
    5. remnant of a channel that allowed the blood to bypass the liver
    10. Which of the following does NOT occur during contraction of the left ventricle of a normal heart?
    1. the pulmonary semilunar valve opens
    2. the right atrioventricular valve closes
    3. blood enters the coronary arteries
    4. the left atrioventricular valve closes
    5. the aortic semilunar valve opens
    11. Increased resistance to pulmonary blood flow in the lungs would cause a direct strain on which chamber of the heart?
    1. right ventricle
    2. left atrium
    3. right atrium
    4. left ventricle
    5. none of the above
    12. Which of the following accompanies the anterior interventricular artery?
    1. middle cardiac vein
    2. coronary sinus
    3. small cardiac vein
    4. great cardiac vein
    5. anterior cardiac vein
    13. A layer of visceral pleura is normally present:
    1. on the mediastinal surface of the lung
    2. within the major fissure/s of the lung
    3. between all the pulmonary segments of the lung
    4. on or between both A and B
    5. within or between both B and C
    14. The vagus nerve accompanies which of the following through the diaphragm?
    1. sympathetic chain
    2. inferior vena cava
    3. phrenic nerve
    4. aorta
    5. esophagus
    15. During surgical repair of a patent ductus arteriosus, the surgeon must be careful not to injure the:
    1. right recurrent laryngeal nerve
    2. left phrenic nerve
    3. left recurrent laryngeal nerve
    4. left vagus
    5. right phrenic nerve
    16. When considering the structures that make up the thoracic wall, which of the following is most superficial?
    1. subserous (or extrapleural) fascia
    2. internal intercostal muscle
    3. parietal pleura
    4. intercostal vessels and nerve
    5. external intercostal muscles
    17. During the early stages of tuberculosis infections, the costal parietal pleura becomes inflamed and results in pain at the involved area. What nerve carries these painful sensations?
    1. phrenic nerve
    2. vagus nerve
    3. recurrent laryngeal nerve
    4. intercostal nerve
    5. splanchnic nerve
    18. On the diagram, identify the structure labeled A.



    19. When you inhale, the diaphragm:
    1. does not move
    2. moves upward
    3. moves downward
    4. relaxes
    5. does none of the above
    20. The left lung is made up of how many lobes?
    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
    21. The bifurcation of the trachea lies at about the level of the:
    1. plane of the sternal angle
    2. xiphisternal junction
    3. second thoracic vertebra
    4. attachment of the 4th costal cartilage to the sternum
    5. plane of the jugular notch
    22. Which structure below leaves the most pronounced impression on the right lung of the cadaver?
    1. right vagus nerve
    2. azygos vein
    3. right phrenic nerve
    4. thoracic aorta
    5. right common carotid artery
    For questions 23 - 30, select the lettered item that best matches with the numbered structure. A letter may be used more than once.23. mitral valve


    24. musculi pectinati

    25. carina

    26. moderator band or (septomarginal band)

    27. crista terminalis

    28. tricuspid valve



    29. infundibulum (or conus arteriosus) 30. fossa ovalis
    1. right atrium
    2. right ventricle
    3. left ventricle
    4. pericardial cavity
    5. trachea
    31. The sinuatrial node is located in the:
    1. right atrial wall
    2. left atrial wall
    3. right ventricular wall
    4. left ventricular wall
    5. interventricular septum
    32. Which vein accompanies the posterior interventricular coronary artery?
    1. great cardiac
    2. marginal
    3. middle cardiac
    4. small cardiac
    5. coronary sinus
    33. Overdistension of the valves of the atrioventricular orifices of the heart is prevented by the papillary muscles and the:
    1. crista terminalis
    2. ligamentum teres
    3. chordae tendineae
    4. trabeculae carneae
    5. ligamentum venosum
    34. The apex of the heart is formed by the:
    1. left atrium
    2. left ventricle
    3. right atrium
    4. right ventricle
    5. both left and right ventricles
    35. During diastole, the aortic valve:
    1. prevents reflux of blood into the right ventricle
    2. prevents reflux of blood into the right atrium
    3. prevents reflux of blood into the left atrium
    4. prevents reflux of blood into the left ventricle
    5. the pulmonary artery
    36. The pacemaker of the heart is the:
    1. AV node
    2. bundle of His
    3. purkinje system
    4. SA node
    37. Which of the following structures lies between the azygos vein and the thoracic aorta in the posterior mediastinum of the thorax?
    1. hemiazygos vein
    2. left posterior superior intercostal vein
    3. pericardiacophrenic artery
    4. thoracic duct
    5. right superior intercostal vein
    38. The azygos vein drains into the:
    1. superior vena cava
    2. inferior vena cava
    3. right atrium
    4. left brachiocephalic vein
    5. right brachiocephalic vein
    39. Which of the following structures is NOT found in the posterior mediastinum?
    1. esophagus
    2. aortic arch
    3. azygos vein
    4. hemiazygos vein
    5. splanchnic nerves
    40. The anterior boundary of the posterior mediastinum is the:
    1. manubrium
    2. sternal angle
    3. body of the sternum
    4. pericardium on anterior aspect of the heart
    5. pericardium on posterior aspect of the heart
    41. Which of the following structures is found in both the superior and the posterior mediastinum?
    1. internal thoracic artery
    2. thoracic duct
    3. thymus
    4. aortic arch
    5. pericardiacophrenic artery
    Match the following numbered items with the mediastinal region in which they are found.42. thymus 43. right brachiocephalic vein

    44. esophagus
    45. left vagus nerve
    46. arch of the azygos vein
    47. trachea
    48. heart


    49. right recurrent laryngeal nerve
    1. superior mediastinum
    2. anterior mediastinum
    3. middle mediastinum
    4. posterior mediastinum
    5. not found in the mediastinum
    50. Identify the part of the heart marked with an "X".


    51. The upper right border of the mediastinal shadow as seen on the P-A chest radiograph represents the:
    1. apex of the heart
    2. pulmonary artery
    3. right auricle
    4. right ventricle
    5. superior vena cava
    52. The thoracic duct usually drains into the:
    1. left internal jugular vein
    2. left subclavian vein
    3. junction of the left internal jugular and subclavian veins
    4. superior vena
    5. junction of the right internal jugular and subclavian veins
    53. The lymph nodes found in the hilum of the lung are the:
    1. pulmonary lymph nodes
    2. bronchopulmonary lymph nodes
    3. tracheobronchial lymph nodes
    4. bronchomediastinal lymph nodes
    5. anterior mediastinal lymph nodes
    54. When air is allowed into the pleural cavity, either from a stab wound or a blown out alveolus of the lung, the lung will collapse because of:
    1. the action of the muscles of expiration
    2. the elasticity of the visceral pleura
    3. the elasticity of the lung parenchyma
    4. expansion of the rib cage
    5. paralysis of the muscles of inspiration
    55. Contraction of the diaphragm causes an increase in the thoracic volume by increasing primarily which of the diameters of the rib cage?
    1. lateral
    2. anteroposterior
    3. superior-inferior
    4. any two diameters to the same extent
    5. all three diameters to the same extent
    56. When foreign objects are aspirated into the trachea, they will usually pass into the right primary bronchus because:
    1. it is larger, straighter and shorter than the left
    2. it is more curved, longer and smaller than the left
    3. it is straighter, longer and larger than the left
    4. it is at a 90 degree angle to the trachea
    5. there really is a good reason
    57. The pacemaker for the heart is ordinarily the:
    1. sinoatrial node
    2. atrioventricular node
    3. atrioventricular bundle (of His)
    4. subendocardial plexus
    5. membranous interventricular septum
    58. Regarding the diaphragm, which of the following it NOT true?
    1. both diaphragms are usually depressed in emphysema
    2. the posterior attachment is inferior to the anterior attachment
    3. the lateral attachment is inferior to the posterior attachment
    4. in dextrocardia, the right diaphragm is inferior to the left
    5. the left diaphragm is usually inferior to the right
    التعديل الأخير تم بواسطة Reemoo ; 31st July 2010 الساعة 10:26 PM



    ولـدي إلـيـك وصـيـتي عهد الأسود... الـعـز غـايـتـنـا نعيش لكي نسودِ
    وعـريـننا في الأرض معروف الحدود... فـاحم العرين وصنه عن عبث القرود ِ
    أظـفـارنـا لـلـمـجد قد خُلقت فدى... ونـيـوبـنـا سُـنَّـت بأجساد العدىَ
    وزئـيرنا في الأرض مرهوب الصدى... نـعـلـي عـلى جثث الأعادي السؤدداََ


  2. #2
    بالطو سوبر لوكس
    التقييم التقييم التقييم التقييم التقييم التقييم
    الصورة الرمزية esra
    تاريخ التسجيل
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    شكرا يا دكتور علي مجهودك
    ربنا يوفق حضرتك ان شاء الله
    الأقدارُ لَا تُخطِئ بَلْ نَحنُ مَنْ لَا نَرضَى !
    اللهم ارضنى بقضائك واقنعنى بعطائك وبارك لى فيما قدر لى

  3. #3
    بالطو يجي منه
    التقييم التقييم التقييم
    الصورة الرمزية DR:Dody
    تاريخ التسجيل
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    الدولة
    in my own kingdom
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    ربنا يكرمك ويجزيك خير
    ويوفقنا كلنا ياااااااااااااااااااااااااااااااااااااااا رب
    كفانى عزا أن تكون لى ربا , وكفانى فخرا أن أكون لك عبدا, أنت لى كما أحب فوفقنى الى ما تحب

  4. #4
    لسه مقررش يبقى بالطو
    التقييم
    الصورة الرمزية Roni
    تاريخ التسجيل
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    شكرا ليك يا دكتور
    مجهود رائع
    و ربنا يوفقنا كلنا

  5. #5
    مراقب قسم
    التقييم التقييم التقييم التقييم التقييم التقييم التقييم التقييم التقييم التقييم التقييم التقييم

    تاريخ التسجيل
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    هناك حيث يرقد الأقدمون
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    شكرا جدا يا احمد....وربنا يجزيك كل خير


    حتى لو أخرتى تانى يا ليالى فى الأمانى..عمرى ما هبطل جنانى
    ومش مهم..




  6. #6
    بالطو لسه بكـــيــسو
    التقييم
    الصورة الرمزية نسمة امل
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    على طووووووووووووووووووووول
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    شكرا جدااااااااااااااااااااااااا يا دكتور

  7. #7
    بالطو مقفل عداد
    التقييم التقييم التقييم التقييم التقييم التقييم التقييم التقييم
    الصورة الرمزية ahmed hassan
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    Thnx 4 All
    التعديل الأخير تم بواسطة ahmed hassan ; 20th April 2010 الساعة 07:06 PM



    ولـدي إلـيـك وصـيـتي عهد الأسود... الـعـز غـايـتـنـا نعيش لكي نسودِ
    وعـريـننا في الأرض معروف الحدود... فـاحم العرين وصنه عن عبث القرود ِ
    أظـفـارنـا لـلـمـجد قد خُلقت فدى... ونـيـوبـنـا سُـنَّـت بأجساد العدىَ
    وزئـيرنا في الأرض مرهوب الصدى... نـعـلـي عـلى جثث الأعادي السؤدداََ


  8. #8
    لسه مقررش يبقى بالطو
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    شكرا جدا يا دكتور على المجهود العظيم وربنا يوفقنا

  9. #9
    مراقب قسم
    التقييم
    التقييم التقييم التقييم التقييم التقييم التقييم التقييم التقييم التقييم التقييم التقييم
    الصورة الرمزية shaimaa attia
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    شكراااااااااا لمجهودك بس ممكن لو تفصل بين الاسئله بتاعه الlower

  10. #10
    بالطو صاعد
    التقييم التقييم التقييم التقييم
    الصورة الرمزية lolitaa
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    جزاك الله كل خير
    مجهود اكثر من رائع

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