May 2007 Questions

7/28/2019 May 2007 Questions

1/22

MAY 2007 Adelaide

1. Insulinoma

A. high insulin, low glucose, high peptide CB. low insulin, high glucose, high peptide CC. high insulin, low glucose, low peptide CD. high insulin, low glucose, high pro insulinE. low insulin, high glucose, low peptide C

2. *Which drug has negative ionotropic effect?A. FurosemideB. DigoxinC. DopamineD. IsoprenalineE. Diltiazem

3. Which of the following is aggravated by topical steroids?A. PsoriasisB. Atopic eczemaC. Discoid eczemaD. Perioral dermatitisE. SLE

4. AA anonymous alcoholics means:A. self help group for alcoholics, at which members obtain support from one another.

5. Endometriosis the most common site:A. Pouch of DouglasB. RectumC. Uterosacral ligamentD. OvaryE. Broad ligament

6. Patient with impaired plantar flexion and inversion, he has normal dorsiflexion andeversion. Which nerve is damaged?A. L 4B. L 5

C. Sciatic nerveD. Common peroneal nerveE. Tibial nerve

7. Left homonymous hemianopia. The lesion is:A. Left optic nerveB. Occipital lobeC. Right optic radiation


2/22

D. Left optic radiationE. Optic chiasma

8. A young man has been having epilepsy for 10 years and has been treated withCarbamazepine for last 3 years. He has developed fits in the morning. What is the mostappropriate management?A. Increase the dose of CarbamazepineB. Decrease the dose of CarbamazepineC. Add PhenytoinD. Check Carbamazepine plasma levelE. EEG

9. A 2 year old child has been having foul smelling stools for 12 months.Which of the following is the best test for diagnosis?A. Barium enemaB. EndoscopyC. Duodenal biopsy

D. Anti endomysial antibodiesE. Antigliadin antibodies

10. A man returned from a holiday in Queensland with arthralgia, fever, dark urine.A. Ross river feverB. Dengue

11. Thyroid scan cold lesion (Anthology of medical conditions, page 281). What doyou expect?A. Symptoms of thyrotoxicosisB. Single lump on the neck

C. MyxoedemaD.E.

12. * Patient presents with dark urine, pruritus, jaundice. Blood exam shows a mildincrease in alkaline phosphatase, high AST, ALT. Which of the following is the mostlikely diagnosis?A. Viral hepatitisB. CholangitisC. CholedocholithiasisD.

E.

13. A young woman presents with 3 cm mass in the vaginal introitus, 4 cm anterolaterallyfrom the opening. This is the most likely a remnant of:A. Wolffian ductB. Mullerian ductC. Bartholin duct

14. Copying a drawing of a pentagon. Which area of the brain is tested?


3/22

A. Frontal lobeB. Dominant parietal lobeC. Non dominant parietal lobeD. Temporal lobeE. The anterior part of the corpus callosum

15. A patient with upper respiratory tract infection. After 24 hours he developedhematuria +++, proteinuria +++and hypertension. Which of the following is the mostlikely diagnosis?A. Post streptococcal glomerulonephritisB. IgA nephropathyC. Minimal change nephropathyD. Acute pyelonephritis

16. A 60 years old woman presents with bilateral thrombophlebitis and recurrent DVT,which are difficult to control with medications. Which of the following is the most likelyreason?

A. Ovarian cancerB. Pancreatic cancerC. Colon cancerD. Lung cancer

17. A patient before entering your office stands at the door and salutes three times. Whichone of the following describes this behaviour?A. MannerismB. Previous military serviceC. Dystonic reaction to medicationD. Tourette's syndrome

E. Obsessive compulsive disorder

18. A 2 year old boy with recurrent urinary tract infection and vesico-ureteric reflux 2nddegree.What is the most effective management in preventing future infections?A. Intermittent antibioticsB. Continuous antibioticsC. CircumcisionD. Hygiene procedure

19. A patient is treated with warfarin. He has been diagnosed with resectable colon

cancer. What is the most appropriate management?A. Substitute heparin for warfarin and operate when INR is normalB. Stop warfarin 1 week before admission for surgeryC. No operation, medical treatment

20. A 7 year old girl has been having intermittent headaches for 2-3 years. She has hadseveral attacks recently. Her mother said that she had similar attacks when she wasyounger and the headache be gone after a good sleep . What is the most appropriatemanagement?


4/22

A. ParacetamolB. Ct scanC. Reassure

21. What is the percentage of detection of duke stage A1 colonic carcinoma afterscreening with faecal blood test?A.


5/22

A. Paranoid delusionsB. SchizophreniaC. Overvalued idea

28. A woman presents with history of sudden onset of pain attacks in her left cheek andminor sensory loss. The most likely diagnosis is:A. Trigeminal neuralgiaB. TM joint diseaseC. MS

29. *Coma scale. On painful stimulus the patient opens eyes, localizes pain and mumblesincomprehensible sounds. GCS:A. 6B. 7C. 8D. 9E. 10

30. Where is the first site of action of progesterone only pill?A. Pituitary glandB. HypothalamusC. OvaryD. UterusE. Cervix

31. In psychodynamic therapy, when the patient understands the conflicting factors thatcontribute to his psychological problem, this is called:A. Insight

B. IntuitionC. Intellectualization

32. A research group offers people with borderline personality with history of self harmto join a trial and offers 1000$ to entry the trial and 200$ per session joined extra. This is:A. OverpayB. Informed consentC. Good medical ethicsD. Inducement

33. A patient presents with a 2 cm stone in the left renal pelvis. There is no obstruction.

The most appropriate management is:A. Increased fluid intakeB. ESWLC. Reassurance

34. A patient presents in Emergency Department with renal colic. The most usefulinvestigation:A. Abdominal X rayB. US


6/22

C. Abdominal CT scanD. IVP

35. A middle aged man with hypercalciuria presents with renal stone. It is the thirdepisode. All the previous stones were reported to be calcium oxalate. How can weprevent the stone formation?A. Low calcium dietB. Low salt dietC. HydrochlorothiazideD. ACE inhibitorsE. Allopurinol

36. A man with shoulder dislocation presents in Emergency Department within an hour.You want to reduce the joint in ED. Which drugs do you use?A. Fentanyl and midazolamB. Suxamethonium and pethidineC. Rectal Paracetamol

D. Morphine and

37. A 6 week boy presents with undescended testis. What will you do?A. Do an immediate orchidopexyB. Wait till 4 years and then do orchidopexyC. Encourage the mother to massage the inguinal region to milk down the testis andreview in 2 monthsD. Review in 6 months

*38. A patient with pneumothorax. Where do you put a chest drain?A. 5th intercostal space in the axillary line

B. 5th intercostals space in the midclavicular lineC. 6th intercostals space in the midclavicular lineD. 6th intercostals space in the axillary line

39. All of the following are associated with pulmonary embolism except:A. Bronchial breathingB. SyncopeC. Pleuritic painD. Reduced P2E. Dyspnoea

40. Definitive diagnosis of ectopic tubal pregnancy:A. Increased hCGB. LaparoscopyC. USD. Vaginal examination

41. Which one of the following is not associated with scaling?A. Solar keratosisB. Discoid eczema


7/22

C. Squamous cell carcinomaD. Basal cell carcinomaE. Pityriasis versicolor

42. Primary lactose intolerance, all of the following are true, except?A. Failure to increase glucose in serum >100mg/L after 50g.B. Common in Asian communityC. SteatorrhoeaD. Normal villi in small intestine

43. A woman with panic attack.A. ph 7.50 PO2 70 mmHg PCO2 23 mmHgB. ph 7.30 PO2 80 mmHg PCO2 60 mmHgC. ph 7.49 PO2 110 mmHg PCO2 22 mmHg

44. Which part of the limbic system is responsible for affect?A. Hippocampus:

B. ThalamusC. Amygdala

45. A soccer player with knee injury. On exam anterior drawer sign positive. What is thediagnosis?A. Rupture of median meniscusB. Rupture of anterior knee cupC. Rupture of anterior crucial ligamentD. Rupture of posterior crucial ligament

46. Intermittent claudication. The most commonly affected artery is:

A. Iliac arteryB. Posterior tibial arteryC. Superficial femoral arteryE. Popliteal artery47. Pulmonary embolism. Best investigation:A. X rayB. ECGC. CT pulmonary angiography

48. Lung abscess, except:

A. Mycobacterium tuberculosisB. Pneumocystis cariniiC. Klebsiella pneumoniaeD. Staphylococcus aureusE. Bacteroides

49. A patient with history of cholecystectomy presents with dark urine, jaundice, mass inthe right upper quadrant moving with respiration.A. Pancreatic cancer


8/22

B. CholedocholithiasisC. Cholangitis

50. A woman, vegetarian, with history of anencephalic baby comes for her first antenatalvisit. How much of folic acid will you advice her to take every day?A. 10 mg/dayB. 4-5mg/dayC. 0.4-0.5 mg/dayD. Increase intake of green leafy vegetables daily

51. In a patient with massive ascites, all of the following are possible findings except:A. Shifting dullnessB. Eversion of the umbilicusC. HepatomegalyE. Dullness in the base of the lung

52. A 18 month old girl with breast enlargement. The most likely cause is:

A. Precocious pubertyB. Idiopathic premature thelarcheC. Adrenal hyperplasia

53. *A patient after trauma, presents with symptoms of tension pneumothorax(respiratory distress, increased jugular venous pressure). What is the initial management?A. IntubationB. Insert large bore needle into 2nd intercostals spaceC. Insert tube into 5th intercostals spaceD. Tracheostomy

54. A patient presents with left varicocele, which developed rapidly. The most likelydiagnosis:A. Left testicular cancerB. Left renal cancer

55. A17 weeks pregnant woman presents with proteinuria +++and hypertension. Themost likely diagnosis is:A. Pre eclampsiaB. Pre existing renal disease

56. Young woman with bleeding tendency increased bleeding time. Males in family have

similar problem. What is the best management before cholecystectomy to decrease therisk of bleeding?A. Factor VIIIB. CryoprecipitateC. Fresh frozen plasmaD. Whole bloodE.

57. A 37 year old woman comes for her first antenatal visit and asks for the most


9/22

accurate, not invasive method of diagnosis Down syndrome.A. Serum exam at 16 weeksB. Nuchal thickness at 11-12 weeksC. AmniocentesisD. CVS

58. Baby born at 34th week of gestation with respiratory distress (tachypnoea, expiratorygrunting, cyanosis), improves after giving 45% O2.A. Transient tachypnoea of the newbornB. Hyaline membrane syndrome

59. A 17 week pregnant woman with history of recent contact with a child, who hadfever, rash. What is the best next step in her management?A. To give rubella vaccineB. To measure rubella antibodiesC. ReassureD. Do her counselling regarding disease.

E. Do blood tests on daughter.

60. A child took 20 iron tablets. His signs and symptoms can be, except:A. Abdominal painB. Signs and symptoms can develop after 24 hoursC. Cerebellar ataxiaD. Hepatic failureE. He can develop signs and symptoms within 4 hours

61. A patient received a human bite on his arm, on presenting to you ordered a blood testfor Hepatitis B. The next morning biters doctor called you and asked whether you have

ordered a blood test for Hepatitis C & HIV because some of the victims blood hasentered to biters mouth. The victim is unwilling to give consent for testing his HepatitisC and HIV. What you will do next?A. Get the public health unit force victim to give her consentB. Ask the doctor to treat biters prophylacticallyC. Ask the biters to contact the victim request and convince him to give consent fortesting.D. Order laboratory to perform the test without patients knowledgeE. Do nothing, assuming victim is not caring Hepatitis C and HIV virus.

62. Young man presents with diabetes mellitus, hepatomegaly, darkening of the skin,

arthritis. Which one of the following is the best investigation?A. Serum ironB. Serum ferritinC. Serum transferrinD. USE. Albumin

63. *The most common cause of painless hematuria in 65 year old man is:A. Renal cancer


10/22

B. Bladder cancerC. UTID. Renal stones

66. A 65 year old woman presents with left sided chest pain and dyspnoea 10 days afteran operation. What is the best initial investigation?A. ECGB. Chest X-rayC. D-dimersD. VenographyE. Doppler sonography

67. A woman presents in ED with incomplete miscarriage. Fragments of conceptionprotrude from the cervix. What is the most appropriate initial management?A. IV fluidsB. Immediate removal of fragments from the cervix in EDC. Curettage in the operating theatre in an hour

D.

68. A 21 year patient with complains of cough and pleuritic pain on the right side. Onpercussion, there is dullness over the right lower zone. On auscultation absent breathsounds over the lower zone and bronchial breathing was heard above this area. What isyour provisional diagnosis?A. Collapse of the lungB. ConsolidationC. Pleural EffusionD. Pneumothorax

69. A patient presents with 4th acute attack of gout within last 2 years. The mostappropriate management at this time:A. Allopurinol (dose) in 24 hoursB. Indomethacin (dose) in 24 hoursC. Steroids

70. Time of ovum implantation (from ovulation)A. 6 hoursB. 24 hoursC. 2-3 daysD. 5 days

E. 8-10 days

71. Which one of the following is not characteristic for vertebro - basilar insufficiency?A. Memory lossB. Blurring of visionC. Monocular loss of visionD. DysarthriaE. Nystagmus


11/22

72. A 3 month old baby presents with fever. Examination of urine from the urine bagshowed mixed growth, leucocytes (I dont remember how many). Next step:A. Examination of the next sample from the urine bagB. Examination of the urine sample from the urinary catheterC. Urinary tract infection is provenD. Antibiotic

73. An 80kg male suffered 15% burns to his body. He will need as fluid replacement inthe first 24h:A. 2L normal saline and 1L 5% DextroseB. 3L Hartmanns solution and 2L 5% DextroseC. 2L normal saline and 1L normal salineD. 3L Hartmanns solution and 2 L BloodE. Blood and saline solutions

74. What is the most common early complication of haemorrhagic pancreatitis?A. Pseudocyst

B. InfectionC. Obstructive jaundiceD. Pancreatic fistulaE. Renal failure

75. A 6 week old baby presents with unilateral eye discharge since birth. A pathologyresult shows polymorphonuclear cells. Which is the most likely diagnosis?A. Gonococcal infectionB. Chlamydia infectionC. Syphilitic infectionD. Closed naso - lacrimal ductE. Herpetic infection

76. Question similar to: Parents of a 5 months old infant are anxious about attacks of stifftonic jerks with drawing up the legs on the abdomen, which occurs during day time forseveral weeks now and some decline in milestones. What is your diagnosis?A. Febrile seizuresB. Infantile spasmsC. Benign infantile convulsionsD. IntussusceptionE. Urinary tract infection

77. Pseudobulbar palsy, except:

A. DysarthriaB. Loss of gag reflexC. FasciculationD. DysphagiaE. Extensor reflexes

78. An old woman with high ESR, proptosis of the left eye. The most likely diagnosis is:A. Retroorbital tumour


12/22

B. Temporal arteritisC. TraumaD. ThyrotoxicosisE. Infection of frontal sinus

79. *Which drug produces hyperkalemia?A. CaptoprilB. PropranololC. DigoxinD. NSAID

80. An elderly woman, from nursing home, with long history of constipation presentswith symptoms of large bowel obstruction. Which of the following is the most likelycause?A. Sigmoid volvulusB. Sigmoid colon cancerC.

D.

81. An old man had barium enema which showed an apple core like change. The mostimportant reason of doing colonoscopy is:A. To find other synchronous tumoursB. To obtain tissue sample for histopathologyC. To assess the extend of the lesionD.

82. A woman with bipolar disease, treated with lithium for 10 years. She has noticedweight gain, slowness. The most likely reason is:

A. Lithium toxicityB. Relapse of bipolar disorderC. Hypothyroidism

83. A 72 year old man had a trans-urethral prostate resection. Histopathology revealed5% undifferentiated carcinoma cells in the specimen. Which of the following is the bestmanagement for this condition?A. Do nothingB. RadiationC. Radical prostatectomyD. Chemotherapy

E. Hormonal treatment

84. In diabetic neuropathy, you will find all of the following except:A. Urine retentionB. ImpotenceC. BradycardiaD. Diarrhoea

85. *A child with respiratory distress. How do you assess severity at bed?


13/22

A. Intercostals recessionB. PEF

86. A young man comes to you with some problem. After some days he returns to youand says that he was drunk the first time. Y ou will ask all the following questions except:A. Attempt to cut down in the pastB. Anger on enquiryC. Guilty about drinkingD. Eye openerE. Do you think you are alcoholic?

87. Which of the following is not a contraindication to oral contraceptive therapy?A. History of DVTB. MigraineC. Not diagnosed genital bleedingD. Previous benign breast disease

88. After delivery of placenta, the patient suddenly became shocked, very low BP. Themost likely diagnosis is:A. Uterine inversionB. Amniotic fluid embolismC. Uterine rupture

89. A 65 year old nulliparous woman, with family history of breast cancer (cousin)presents with bleeding from the nipple. . In the past no problems with breasts. The mostlikely diagnosis:A. Intraductal papillomaB. Ductal carcinoma

C. Pagets diseaseD.

90. Why women in Australia prefer to use Yasmine contraceptive pill?A. Jasmine does not increase weightB. There is no risk of thromboembolism

91. A child with second episode of febrile convulsions. His cousin has epilepsy. Which ofthe following is correct?A. Phenobarbital should be startedB. He has high risk of epilepsy

C. He has significant risk of convulsions in the future.

92. A woman presents with bone pain caused by metastases from breast cancer. The mostappropriate management:A. MorphineB. RadiationC. NSAIDs

93. Eradication of Helicobacter pylori for duodenal ulcer:


14/22

A. Increases ulcer healing rateB. Influence relapse rateC. Decreases rate of gastric lymphomaD. Decreases local gastritisE. Decreases cimetidine dosage

94. Why we change from warfarin to heparin during pregnancyA. Heparin is easy to reverseB. Heparin does not cross the placentaC.D.

95. A 56 year old woman with palpable breast mass which seems to be benign cyst. Whatis the next step?A. ReassureB. FNACC. CT scan

96. A patient with pain and swelling around the knee. Aspirated fluid containsneutrophils, no organisms or crystals found. The most likely diagnosis:A. Septic arthritisB. Rheumatoid arthritisC. GoutD. Pseudogout

97. the most common cause of limping in 5-10 year old boys is:A. Perthes diseaseB. Slipped femoral epiphysis

C. Juvenile chronic arthritisD.98. Question similar to: 40 year old woman comes to you with a 3 month history ofarthritis, night sweat and low grade fever. She lost 1 kg for this time. Her bodytemperature is 38. There are no more clinical signs. What is the next step to confirmdiagnosis?A. ANA antibodiesB. Rheumatoid factorC. CRPD. ESR

99. How to differentiate between hypercalcemia caused by malignancy and primaryhyperparathyroidism?A. Alkaline phosphataseB. PTHC.D.

100. The most effective way to prevent dental caries:


15/22

A. Toothpaste with fluorideB. Water with fluorideC.D.

101. A patient, smoker with GORD, oesophagi tis, obesity, alcohol abuse. What is themost appropriate management?A. Stop alcohol, smoking, reduce weightB. Stop alcohol, smokingC. Stop smokingD. Proton pump inhibitors

102. A 37 year old woman comes for her first antenatal visit. Her first baby died at 28thweek of pregnancy. The most appropriate investigation is:A. Chromosomal studiesB. Antiphospholipid antibodiesC.

D.

103. Antiphospholipid antibodies occur in:A. ArrhythmiaB. Liver diseaseC. StrokeD.

104. A 50 year old man presents with pain, redness and swelling of testis, discharge fromurethra, enlarged prostate. The most likely diagnosis is:A. Acute epididymitis

B. Torsion of testisC. Gonococcal infection of testis and prostate

105. Cluster headache, except:A. Waking at nightB. Episode lasts about 2 hoursC. LacrimationD. Vomiting

106. Not compressed by pituitary adenoma:A. Optic chiasm

B. Optic nerveC. Other part of pituitary glandD. Cavernous sinus

107. 2 weeks after URTI, a young woman has developed progressive symmetricalweakness in her legs and reduced reflexes .What is your initial investigation?A. Chest X RayB. MRIC. CT Scan


16/22

D. CSFE. FBC

108. A school age child with vague, recurrent peri umbilical pain .Otherwise normal. Themost likely cause of pain is:A. Chronic appendicitisB. Meckel diverticulumC. UTID. HydronephrosisE. Psychogenic

109. *What is the most common cause of death in the second week after burn in childrenin AustraliaA. HaemorrhageB. SepticemiaC. Hypovolemia

110. A player has been hit by a cricket on the left side of his face. He presents withdiplopia and is unable to open his jaw. The most likely cause is:A. Orbital fractureB. Maxillary fractureC. Zygomatic fracture

111. *Chest X ray of 50 year old smoker, who worked in a mine for 10 years. He presentswith cough and haemoptysis. The most likely diagnosis is:A. Bronchogenic carcinomaB. MesotheliomaC. Pneumonia

112. A 45 year old woman presents with tender, painful mass in the breast. The mostlikely diagnosis:A. Breast cystB. FibroadenomaC. Breast cancer

*113. A 5 year old boy presents with lacerated wound after falling in the garden. He hadjust two vaccines dtpa at 2 and 4 months. What will you do?A. Give antibioticsB. Give immunoglobulins

C. Give dtpa and IgD. Dtpa and booster after 2 monthsE. Give dtpa

114. *A child presents with clean wound. He hasnt had immunization (dtpa). What willyou do?A. Give DTPaB. AntibioticC. Tetanus toxoid


17/22

115. What is the finding in ECG for hyperkalemia? (No ECG given)a) Peaked P wave and prolonged P R intervalb) Wide QRS complexc) Presence of U wave.d) Bigeminye) Inverted T wave.

116. A patient with ascites. Examination of fluid revealed malignant cells. What can youfind?A. Supraclavicular lymph nodeB. Palpable lymph nodes on rectal examinationC. HepatomegalyD. Splenomegaly

117. *26-Leg ischemia. Urgent intervention is necessary if there is:A. No pulse,

B. Loss of sensationC. ParalysisD. Pale leg

118. A patient presents with pain and redness on the medial side of the leg. The mostappropriate management is:A. AnticoagulationB. Analgesia and movementC. Elevation

119. A patient on dialysis .He has developed dyspnoea 5 days after dialysis. What is the

most appropriate management?A. Give FurosemideB. Call dialysis centreC. ECGD. Chest X Ray

120. A patient with repeated syncope, heart rate 44/min. Diagnosis:A. Complete heart blockB. Arterial stenosis

121. *A child presents with a systolic murmur which radiated to the back and to the

axilla. Femoral pulse is weak. The most likely diagnosis is?A. Coarctation of the aortaB. VSDC. ASD. Transposition of great vesselsE. ASD

122. *A baby, cyanotic after birth. There is no response to O2, no murmur. Diagnosis:A. Transposition of the great arteries


18/22

B. Coarctation of the aortaC. Hypoplastic left heartD. VSDE. Tetralogy of Fallot

123. A 3 day old baby suddenly has become cyanotic. There is no response to O2, nomurmur. Diagnosis:A. Transposition of the great arteries +VSDB. Fallot tetralogyC. Hypoplastic left heart

124. Similar question to: A lady with history of insomnia for few months, irritability andweight loss. She and her husband are working and had a lot of expenses including hirepurchase. They cant afford to go for holiday.A. Refer to PsychiatristB. Refer to social workerC. Refer to marriage counsellor

D. Interview husband

125. A woman with rupture of membranes at 24th week of pregnancy 16 hours ago. Thereis no infection. Management:A. Antibiotic till birthB. Tocolytic till birthC.D.

126. DVT after surgery. At what time does it develop usually?A. within 24 hours

B. 24 to 72 hoursC. After 72 hours

127. Pyromania - motivation in teenagers :A. Seek appreciation of peersB. Criminal activityC. Curiosity and fascination of fireD. Get panic attack

128. Common cause of rupture of extensor polices longus.A. RA

B. Fracture of lunate

129. *A 12 week pregnant woman with CIN 2 (Pap smear). What will you do next?A. Colposcopy +conizationB. Colposcopy +loop excisionC. Colposcopy +punch biopsy

130. *A 13 week pregnant woman with CIN 3 (Pap smear). What will you do next?A. Colposcopy


19/22

B. Colposcopy +biopsyC. Colposcopy +loop excisionD. Repeat after 36th week

131. A 25 year old woman presents with mobile breast mass. The most likely diagnosisis:A. FibroadenomaB. Breast cystC. Breast cancer

132. *A 36 week pregnant woman with symptoms of severe preeclampsia. Management:A. Magnesium sulphateB. Deliver baby

133. Leg ischaemia. Which of the following is correct?A. Ankle: Brachial Index >1B. Relieve by elevation

C. Relieve by walkingD. Muscle pain

134. Which one of the following indicates carrier state of Hepatitis B?A. HbsAGB. HbsABC. HbcAGD. HBeAB

135. Chest X ray was given. A patient with sudden onset of chest pain after vomiting. Xray showed tracheal deviation to the right side. The most likely diagnosis is?

A. PneumothoraxB. Rupture of oesophagusC. Rupture of diaphragm

136. A 55 year old woman with family history: father died of colon cancer at the age of69, grandmother died of breast cancer at the age of 55, Grandfather died of colon cancer( hereditary polyposis) at the age of 56. What investigation will you do for screening ?A. MammographyB. ColonoscopyC. CT scanD. MRI

137. *A child can say 4 words (mum, dad), can stand and walk with support. The age ofthe child is:A. 6 monthsB. 9 monthsC. 12 monthsD. 18 months

138. *18 month old child can do:


20/22

A. Undo buttonB. Build tower of 2-3 blocksC. Copy circleD. Run well

139. *You have been asked to do seminar for mothers about the child development.Which of the following questions will concern you?A. My child is 10 months old and doesnt have teethB. My child is 7 months old and is frightened of peopleC. My child is 2 months old and doesnt smile when I smile

140. *A 2 year old child with delayed development. The child can crawl and walk withhand. What stage of development is the child at?A. 6 monthsB. 9 monthsC. 12 monthsD. 18 months

141. A patient who is a smoker and heavy alcoholic presents with symptoms of heartfailure has murmur (?) and 3rdheart sound. The diagnosis is:A. Alcoholic cardiomyopathyB. Mitral incompetence as a result of rheumatic heart disease

142. Myclonic jerks occur in all of the following except?A. Normal sleepB. EpilepsyC. EncephalitisD. Uraemia

E. Parkinson disease

143. A child with UTI. Treatment:A. FurantoinB. IV CeftriaxoneC. GentamycinD.

144. A patient with kidney transplant presents with symptoms of meningitis. CSF examshowed normal glucose and protein.A. Viral meningitis

B. TBC. Cryptococcus meningitisD. Bacterial meningitis

145. A 13 year old boy is on 3rd percentile. His parents are on 50th percentile .Parents areconcerned.A. He will be on less than 50th percentileB. Do karyotypeC. He is normal.


21/22

D.E.146. A man with past history of peptic ulcer disease presents with haematemesis. Ongastroscopy, there is one shaggy ulcer. Histology and cytology negative. What will youdo next?A. OmeprazolB. Biopsy againC. Breath urea test for H. pyloriD. IV fluidE. Antibiotic

147. CT scan of the liver (Anthology of Medical Conditions, page 36). Diagnosis:A. Hepatocellular carcinomaB. MetastasesC. Hydatid cyst

148. A 25 year old man with family history of colon cancer. His father died of colon

cancer at the age of 35; his cousin is 40 years old and has colon cancer. The mostappropriate management is:A. Colonoscopy nowB. High fibre diet and colonoscopy every year.C. FOB test

149. A 14 year old girl asks for oral contraceptive pills. She lives with parents.A. Consult with parentsB. Give OCP and recommend condom for her boyfriend..C. Prescribe OCPD. Talk to her boyfriend

150. Complication of severe emphysema:A. Compression of larynxB. Compression of pharynxC. Compression of oesophagusD. Cardiac compression

151. A man walked on rusted nail with his foot and there are signs of inflammation. Whatwill you give him?A. TT and immunoglobulinB. Antibiotics and TT

152. An overweight man with lump (or swelling) in the abdomen, 2/3 from xiphisternum.What is your diagnosis?A. epigastric herniaB. para - umblical hernia

153. A man with swelling in inguino testicular region that disappear completely whenlying down. What is the most likely diagnosis?A. Direct inguinal hernia


22/22

B. Spigelian herniaC. Obturator herniaD. Saphena varixE. Epigastric Hernia154. Which of the following increase the risk of tuberculosis?A. SilicosisB. AsbestosisC. Berylliosis

155. A 18 year old woman presents in your surgery. She got drunk yesterday and todayshe woke up with abdominal pain. She vomited twice. On examination there is tendernessin the lower abdomen. P/R and FBC are normal. The patient is taking OCP. What is theappropriate management?A. Give her antimimetic and review next weekB. Review tomorrowC. Explain that her diagnosis is unclear and review in 4 hrsD. Tell her that her symptoms are related to alcohol and will subside by itself.

156. Student girl has failed examination. She noticed that she feels weird, down, can notconcentrate. She feels she is not being herself and she feels herself unreal Thoughtdisorder was not recognized during testing. No perceptual defect was foundA. Prodromal schizophreniaB. Bipolar disorder, type 2C. Antisocial personality disorderD. DepressionE. Adjustment disorder with atypical features

May 2007 Questions

Documents

Transcript of May 2007 Questions