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1. A lady with different marriage problems and problems with husband etc had never gone
on holidays:
a. advise them to go for holiday
b. suffering from depression*
c. refer them to marriage counsellor?
2. Tourette’s Syndrome:
a. tics begin at age 21 years
b. always starts below 18 years*
4. 32 year old lady with mastalgia. Conservative treatment failed – next step:
a. bromoceptine
b. danazol*
c. clomephane
d. progesterone
e.
16. If the first child in a family has phenylketonuria, what are the chances of the second
child having the same disease?
a. 1 in 3
b. 1 in 2
c. 1 in 4*
d. 2 in 4
e.
21. All the following are side effects of steroid therapy except:
a. decrease WBC count
b. increase WBC count*
25. A 23-year old man returned from Bali with watery diarrhoea (no blood). On physical
examination, he is normal. Which organism is the most likely cause?
a) giardia
b) rota virus
c) toxicogenic E.coli
d) cholera.
26. A seven-week old baby is brought to you by his mother. His mother complains that he
has been vomiting intermittently since birth. On examination, you find no abnormalities
except some weight loss. What is your probably diagnosis?
a) UTI
b) Pyloric stenosis
c) Phenylketonuria
d) DI.
27b A child is brought to you with a fever. On examination you find neck rigidity, protein is
1.2, sugar is normal and lymphocyte is 50x10. What is your probable diagnosis?
a) tuberculosis
b) echo virus
c) bacterial meningitis
d) typhoid
e) rhino virus
29. A patient after a motor traffic accident with a pelvic fracture. Five days after successful
resuscitation, he develops severe dyspnoea. What is your initial management?
a) oxygen inhalation
b) I/V Heparin
c) intubation and ventilation
d) intensive antibiotic therapy.
30. A patient with COPD came into the Emergency Department with severe dyspnoea,
28% O2 8L given by mask. After one hour, you did arterial blood gases and found that PO2
level was 42mm of Hg, PCO2 was 68mm of Hg. What will you do next?
a) increase O2 inhalation by mask
b) ask the patient for intubation and ventilation
c) increase I/V fluid
a) repeat arterial blood gas level after one hour.
31. Undescended testes is related to:
a) torsion of the testes
b) spermatogenesis will be perfect if the operation is done before 3 years of age
c) developmental delay of the child
d) acute epididymitis.
33. You will get erythema nosodum in all the following conditions, except:
a) sarcoidosis
b) bacterial myocardial infarction
c) tuberculosis
d) yersinia
e) rheumatic fever.
34. A chest X-Ray of a child shows consolidation in the left side. What is your probable
diagnosis?
a) streptococci pneumonia
b) mycoplasma pneumonia
c) tuberculous pneumonia
d) aspergillus pneumonia
e) viral pneumonia.
35. A 22-year old woman comes to you with secondary amenorrhoea. On examination you
find LH:FSH ratio increase. What is your diagnosis?
a) PCO
b) primary ovarian failure
c) non-functioning UT
d) endometriosis
e) valvo-vaginitis.
37. In a patient with acute severe excruciating abdominal pain, which of the following is
least likely:
a) acute MI
b) rupture of aortic aneurism
c) acute appendicitis
d) renal colic
e) mesenteric artery occlusion.
39. After a splenectomy, you will get all the following except:
a) persistent anaemia
b) normal RBC life span.
40. Neuropathy ulcer in the metatarsal of the foot. What is the most common cause of this
type of ulcer?
a) diabetic neuropathy
b) ischaemic ulcer.
42. After peritonial fluid aspiration, you get malignant cells in the fluid. Which of the
following is the most reliable sign in this condition?
a) palpable lymph node in P/R examination
b) supraclavicular lymph node palpable.
43. With ventricular tachycardia, which of the following sign is the successful resuscitation:
44. The following statements about a panic attack are all true, except:
a) precipitating factor should be avoided
b) 20% occur in the general population
c) it is more likely to occur in females than males
d) preceded by sweating and hyper-ventilation.
46. Which one of the following conditions is most related to colonic carcinoma:
a) melanosis coli
b) ulcerative colitis
c) colon irradiation
d) diverticulosis.
48. A child can babble, laugh when he looks in the mirror, can roll over and can sit without
support with an arched back. He can also walk with support. Which of the following is the
most consistent with his developmental age?
a) 6 years
b) 3 months
c) 7 months
d) 9 months
e) 12 months.
49. A pregnant woman presents to you at 38 weeks gestation with 1000ml of blood loss
and lower abdominal pain. Which of the following is not indicative of abruptio placenta?
a) foetus dead
b) uterus tense and distended
c) foetal head is high up
d) BP is 180/110
e) Normal pulse rate.
53. What is the most common cause of bleeding from the nipple?
a) intraductal papilloma
b) ductal carcinoma
c) Paget’s disease
d) mastitis.
54. A child comes to you with a minor, cleaned, contaminated wound but he doesn’t have
any history of previous immunisation. What is your management plan:
a) Tetanus immunoglobulin
b) TT
c) DTP
d) just clean the wound
e) local antibiotic.
55. What is the cause of unilateral exopthalmos?
a) maxillary antral tumour
b) thyrotoxicosis (Graves disease)
c) simple goiter.
56. After a difficult catheterisation, blood pressure suddenly decreases. What would be
your diagnosis?
a) internal haemorrhage
b) septicaemia
c) pylonephritis.
58. After the first delivery in a twin pregnancy, you will do all of the following in the second
delivery, except:
a) external podalic version
b) check the fetal lie
c) check the bleeding
d) check the fetal heart sound
e) check the vaginal laceration/s.
61. An eight ( year old obese boy presents to you. On examination, his weight is 48kg,
which is more than the 98th percentile and his height is 140cm, which is more than the
90th percentile. Otherwise all normal. Which of the following is correct in relation to this
boy?
a) advanced bone age
b) increased blood sugar level
c) primary hyperaldesteronism
d) thyroitoxicosis
e) hypothyroidism.
62. A 35-year old lady nullipara wishes to conceive, but has fibroid uterus, bleeding 60ml,
Hb level is 90g/l, O/E ut is boggy to the level of the umbilicus. What is your management?
a) correct the anaemia the myomectomy
b) suppression of the fibroid by GnRH analogue for 3 months the myomectomy
c) hysterectomy
d) hysterectomy & oophorectomy
e) observe 6 months the myomectomy
68. A patient came to you with severe chest pain ECG done but it is normal. What is your
management?
a) Thrombolytic therapy should not be given if ECG is normal
b) discharge the patient for going home
c) I/V heparin and nitrates are contraindicated
d) exercise test is to be done immediately
e) ECG should not be repeated unless pain once again
69. A 22 year old man came to you complaining of snake bite 2 hours before. O/E there is
abrasion in the leg otherwise normal. What is your management?
a) give antivenom
b) observe for 24 hours
c) give an incision and let bleed for 5 minutes
d) clean the wound and give bandage and let him go
e) do nothing
70. A 22 months-old child came to you with respiratory distress, unilateral wheeze.
Previously he was well. What is your management?
a) measure O2 level
b) do an x-ray chest inspiratory and expiratory
c) give antibiotic
d) give bronchodilator
71. A bisexual man diarrhoea for one month, has mouth ulcers, artharalgia, one joint of
hand is painful; 2nd toe pain, ulcers on palms and soles. What is the diagnosis?
a) Reiters disease
b) Behcet’s disease
c) AIDS
d) syphilis
e) reactive arthritis
73. 23 year-old girl has abdominal colic, 2 weeks back she had viral infection, perpural
rash. Most probable diagnosis is:
a) ITP
b) Ischaemic colitis
c) Henoch-schonlein purpura
d) glandular fever
75. Oxytocin:
a) is secreted from ant pituitary
b) acts by enzyme oxynase
c) causes contraction of various involuntary muscles like ut & breast
d) causes contraction of ut only
77. In a 65 year-old woman having ovarian tumour and endometrial hyperplasia WOF is
correct?
a) fibroma
b) granulosa cell tumour
c) teratoma
78. A 50 year-old woman came to you with complaint of slight vaginal bleeding. She also
complains that she has amoenorrhoea for 11 months. What is your diagnosis?
a) endometrial carcinoma
b) ca. cervix
c) oestrogenic stimulation of the ovary
d) vaginal atrophy
e) cervical polyp
79. A woman 16 weeks pregnant having hypertension 110/95mm of Hg. proteinurea +++
mild oedema. What is your diagnosis?
a) preclampsia
b) renal hypertension
c) glomerulonephritis
80. 30 year old cystic fibrosis with chest pain treated with nebulised tobramycin th./ DM,
recent weight loss, steathhorrea. Correct management?
a) decreased carbohydrated diet and stabilising glycaemic contro
b) pancreatic enzyme
c) continue nebulised tobramycin for another 3 weeks
d) chest physiotherapy
81. Difficult breathing after penicillin for U.R.T.I has generalised urticaria and blood
pressure 90mm Mg. Correct management?
a) IV I.M adrenalin 1:10,000
b) S.C adrenalin 1:1000
c) I.V. pneumothorax
d) airway assessment
e) 500ml IV colloid
85. 37 year-old man with depression presents to emergency, drowsy and aggressive. He
has taken a bottle of doxepin and scotch together. Important management include:
a) admin for ECG monitoring for 4 hours
b) serial doses of charcoal orally
c) do serum paracetamol as the only drug screen
d) as the patient is conscious significant T.C.A. overdose can be ruled out
e) alkalisation of urine will aid excretion of doxepine, and will protect against arrhythmia
86. A fifteen year-old girl presents with fever and painful left forearm two days after her
cat had clawed the arm. There is regional lymph adenopathy present and temperature is
39oC. Which of the following statement is true?
a) the implicated bacterium E.coli
b) most suffer of cat fever are >60
c) complication may include involvement liver, spleen, central nervous system, bowel and
skin
d) ampicillin and cephalosporin are inadequate therapy
e) lympadenopathy in the field of drainage is invariable
87. A 71 year-old woman presents with crushing chestpain, a ECG shown. She is pale and
diaphoretic, peripheral vein. The most likely cause of the hypotension is?
a) chordae rupture causing acute mitral regurgitation
b) S.B.E.
c) right ventricular myocardial infarction
d) second degree AV Block
e) pericardial tamponade
89. Condition that are associated with Lichen planus includes all of the following with the
exception of?
a) primary billiary chirrhosis
b) graft versus host disease
c) chronic active hepatitis
d) amalgam in dental fillings
e) chronic myeloid leukemia*
90. Lipid lowering drugs are a complex group of drugs with a spectrum of side effects.
Which of the following indication is correct?
a) gemfibrozol is indicated for hypercholesterolaemia
b) simvastatin is effective for hypertrigliceridemia
c) fish oils are suite for treating hypercholesterolaemia
d) fluvastatin is effective for combined hypercholesterolaemia and hypertrigliceridaemia*
e) individual without coronary heart disease with LDL-cholesterol lever > 4.5 mmol/l
should not receive such drugs because of side effect profiles
92. A girl infant is brought to your rooms for investigation of abdominal pain manifested by
colic and progressive constipation. Other siblings are well. Which of the following is LEAST
likely to be implicated?
a) lead poisoning
b) hypo thyroidism
c) hirsprung disease
d) hypocalcaemia*
e) infantile botulism
93. Louis, a 5 year-old boy is brought to you for testing his free lead level, which is
significantly elevated. His physical and locomotor examination is completely normal. On
questioning, the parents state that they have recently moved to an old terrace. The initial
most appropriate management would be to?
a) commence decontamination of the house
b) commence a chelating agent
c) commence d-penicillamine for 2-6 months
d) check the free erthrocyte protoporphyrin*
e) check the urinary excretion of lead after administration of calcium EDTA
94. Alf, a 74 year-old man recently admitted for management of respiratory failure asks
about home-oxygen. The following are criteria for long-term continuous oxygen therapy
except:
a) PaO2 <55mmHg
b) O2 saturation <88%
c) treating the Hypoxia associated with the sleep apnoea
d) if the patient has mental impairment oxygen should be withheld for safety reasons
e) congestive heart failure with intractable angina
95. All of the following statements about inflammatory bowel disease are true except:
a) pseudopolyps developing in ulcerative colitis do not become malignant
b) development of fistula between bowel and skin or bladder suggests granulomatous
bowel disease, such as a regional enteritis
c) severe hypotension with fever, leucocytocis and abdominal distention suggests
development of toxic megacolon which usually requires immediate surgery
d) occult bleeding occurs in both ulcerative colitis and regional enteritis but gross bleeding
is more characteristic of ulcerative colitis
e) metronidazole may help to control acute diarrhoea in crohn’s disease
96. Jose, 6 months-old boy is referred back to you by the local hospital where he has
presented several times over three months due to a series of falls at home. The question
of non-accidental injury (child abuse) has been raised. Your initial assessment would
include:
a) developmental milestone assessment
b) a skeletal survey with radiograph of AP CXR, AP Pelvis AP views of extremities, AP
lateral views of skull
c) confrontation of
d) prompt referral to a paediatrician
e) funduscopy
97. William, 13 year-old presents several times over 10 days with a facial abscess that has
not responded to local drainage and oral cephalexin. The next appropriate action would
include:
a) commence flucloxacillin
b) check the blood sugar
c) admit for IV penicillin and flucloxacillin
d) check full blood count
e) question the boy about side effect of cephalexin to assess compliance
98. The management of jaundice patient for 9 days in a 12 day old would include?
a) phototherapy with reassurance to the parent
b) investigation with full blood count, reticulocyte and coomb’s test
c) cessation of breast feeding
d) work up for bacterial infection
e) exchange transfusion
99. Which of the following is a valid reason for hospitalising a psych patient:
a) suicidal threat
b) underlying medical problem
c) when personality is the underlying problem
d) to improve compliance to treatment
e) to adjust psychiatric treatment
102. 35 year-old man, fever, myalgia, arthralgia, photophobia, dry cough for 5 days.
Antibotic given 3 days ago, now this patient develops mouth ulcer, erythematosis, macular
papular rash. Full blood count:
a) infectious mononucleosis
b) HIV
c) CMV
d) gonococal infection
e) rubella
105. Upper quadrant abdominal pain in someone who denies drinking alcohol intake:
ψ Hbe Ag ψ Anti Hbc Igm
Antiψ Hbs Ag ⊕ HCV
AST 620 ALP 170
ALT 303 Tot bil 37
GGT 3000
108. Intusucception:
a) most frequent cause of intestinal obstruction
b) blood stool are invariable
c) woman increased than men
d) abdominal mass 20% (actually 60-90% cases)
e) non operative movements are seldom successful
109. 43 year-old man admit ICU for head injury, early evening hour, He has indwelling
catheter in situ: Na + 132. K+ 3.4 cl*10 MCOs*20 His low urine output due to:
a) pain
b) thiazide diuretic
c) pneumonia
d) delirium tremens
e) head trauma
109. 19 year-old man with genital ulcer presents for reviewing 24 hours following onset
dysuria, pruritus. Otherwise well. The following are applicable:
a) immediate acyclovir, it will decrease likelihood of recurrence
b) doxycycline should be considered
c) P24 Ag test should be performed
d) urethral swab for gonorrhoea
e) HSV is implicated
226. 12 weeks pregnant woman with the 14 wks size uterus with P/V bleeding – the most
important aspect in follow up:
a) B-HCGT measurement weekly for 1 month
b) contraceptive for 6 months
c) CT scan of lungs and brain
227. In uncomplicated mucosal haemorrhoid, which of the following does not occur:
a) pruritus
b) fresh blood per rectum
c) something coming down per rectum
d) pain the anal region
e) mucous discharge
229. 4 yrs old child with early morning headache, which is progressive for the last 6 wks
vomiting
a) posterior fossa tumour
b)
231. 25 years old man c/o fever, cough (nonproductive) for 3 wks, CXR shown bilateral
diffuse patchy infettrates – diagnosis is?
a) pneumocystis carni
b) mycoplasma
c) strept pneumonae
d) klebiella pneumonia
e) staphylococcul pneumonia
232. A young man presenting with low grade fever, malaise, weakness (generalised) CXR –
bilateral hilar lymphadenopathy – M. tuberculosis
233. A man 30 years of age presented with pleuritic chest pain with fever of 38.8 c o/e –
Rt lower lung field in full on percussion, bad breath round with bronchial breath round over
the dull area of the back side of right chest. Dx in:
a) Rt pleural effusion
b) Rt sided consolidation (lower lobe)
c) Rt lower lobe collapse
d) lung car
232. An infant with diarrhoea which of the following is the cause in convulsions:
a) serum sodium 156 mmol/L
b) serum sodium 126 mmol/L
potassium↓c)
HCO3↑d)
233. 67 year-old man developed abdominal pain, bloody diarrhoea. Exam shows – pulse
108/m; BP-90/50 mm g crepitation in lung base, P/R shows – blood in the rectum:
a) diverticular disease
b) Ca colon
c) mesentric artery occlusion
d) haemorrhoid
234. Carpal tunnel syndrome in pregnancy, which one of the following is the correct
response:
a) diuretic treatment
b) surgical intervention
c) splinting of the hand in mid extension position
d) immediate termination of pregnancy
e) ACE inhibitor
235. Which one of the following is not found in autonomic neuropathy in a diabetic patient?
a) urinary retention
b) urinary frequency
c) bradycardia
d) constipation
e) nocturnal diarrhoea
236. A 6 year-old child has fever 40oC. CXR showing (Picture given) Rt lower lobe
consolidation:
a) H influence
b) S pneumonae
c) viral
d) mycoplasma pneumonae
e) …
240. a woman with mastalgia that has failed to respond to other conservative measure,
the appropriate therapy would be:
a) medroxy porgesterone
b) danazol
c) stilbesterol
d) bromcroptine
e) diethyl estradiol
242. A 35 year old lady with galactorrhea has a pituitary adenoma which is in 3mm of
optic chaisma had a prolactin level of 2500 U/L. Which of the following is the most
appropriate initial management:
a) transfrontal surgery
b) transphenoidal surgery
c) bromcriptine
d) danazol
247. 28 year old man presenting with a right inguinoncrotal swelling Dx:
a) direct inguinal hernia
b) hydrocele
c) varicocele
d) testicular tumour
e) spermatocide
248. A mother brought her 1 year old child with the c/o of a swelling which she noticed 2
days ago but now there is no swelling on examination. The most appropriate action would
be:
a) referral for surgical intervention
251. Diabetic patient with ulcer over the 3rd metatarsal head, wof in the course
a) microvasular disease
b) neuropathy
c) ill fitting shoe
d) infection
252. Hereditary sphescocytosis, wof does not occur after splenectomy – except:
a) osmatic fragility
b) anaemia persistence
c) normal life span of RBC
d) presence of spherocytes in PBF
253. 29 year old man with 6 months h/o crampy abd pain, mucoid stool after food,
specially after breakfast, incomplete passage of bowel, his weight was normal. Dx is?
a) ca rectum
b) ca colon
c) LBS
d) Chronic amoebiasis
254. 68 year old man with vomiting, passage of food particles and ed appetite, weight
loss. He has a h/o duodenal ulcer 8 years back ↓vomitus. which was treated with
cimetidine, currently he takes aspirin for pain. Dx in:
a) gastric & duo ulcer
b) gastritis
c) ca oesophagus
d) ca cardia
260. Newborn with cataract, jaundice, two of his brothers/sisters had same problem.
Diagnosis?
a) rubella embryopathy
b) galactomaemia
c) glaucoma (congenital)
d) toxoplasmosis
e) CMV infection
261. Newborn baby of 1 week is found in the cot with cyanosis tachypnea. There was no
palpable murmur, pulse palpable. Diagnosis is?
a) TOF
b) hypoplastic left heart
c) PDA
d) tramparition of great vessel with USD
Diagnosis:
a) congenital hypothyroidism
b) neonatal diabetes
c) pyloric stenosis
d) congenital adrenal hypoplasia
266. A patient had been treated with anti H. pylori regimen. Which of the following is the
proper test to evaluate effectiveness of proper therapy?
a) serology
b) urea broth test
c) biopsy
d) serum gastrin
266. A 30 year old man was brought to the emergency dept with depressed respiration,
pin pointed pupil. Only history is taking a I/V unknown drug. What is the right measure to
reverse his acute condition?
a) atropine
b) physostigmine
c) naloxone
d) naltraxone
e) thiamine
267. In the resuscitation procedure of a patient with cardiac arrhythmia with arrest, wof is
the right thing to assess the response to Rx?
a) femoral pulse
b) radial pulse
c) skin circulation
d) size and reaction of pupil
e) urinary output
273. A man with bilateral wasting of the small muscles of the hand:
a) multiple sclerosis
b) GB syndrome
c) cervical spondylitis
d) cervical rib
e) syringomyelia
274. A new born baby after delivery by mid forceps was unable to move height hand –
diagnosis:
a) brain haemorrhage
b) Erb’s palsy
c) cephalohaematoma
275. A patient treated with heparin, wof do you check to monitor therapy?
a) APTT
b) INR
c) Prothrombin time
276. A patient with von willbrand’s disease has been bleeding profusely. Which test do you
perform?
a) APTT
b) Bleeding time
c) INR
277. A female patient with dysuria, frequency of urine, fever was found to have leucexytes
100/HPF with ecoli of 100,000/ml and treated with antibiotics. After treatment repeat urine
shoed normal report:
a) IVU
b) cystoscopy
c) MCV
d) repeat c/s of urine
e) treat in future if only develop symptoms
278. Pseudodementia:
a) schizophrenia
b) depression
c) conversion disorder
d) alcohol
e) drugs
279. A 28 year old female has the h/o enuresis up to the age of 13 years. Now developed
BP of 140/90 mm of Hg. Her two sisters had these type of problems:
a) reflux nephropathy
b) horseshoe kidney
c) post streptococcal x.n
d) congenital nephritis
280. Short stature is associated with wof except:
a) CAH
b) Precocial puberty
c) obesity
282. A 65 year-old lady occasionally develops unilateral weakness of the body with
unilocular loss of union. Diagnosis:
a) vertebrobasilar insufficiency
b) carotid artery stenosis
c) brain stem infarct
d) Wernke’s
e) extradural haematoma
285. An old lady of 70 years developed lethargy, confusion, constipation for the last 4
months. Before that period she was alright. Investigations revealed:
s.calcium 2.88 mmol/L
s.phosphate N
urinary calcium - N
a) primary hyperparathyroidism
b) osteolytic bone lesion
c) idiopathic hypercalcemia
d) Paget’s disease
286. A child with ankle oedema, puffy face, wof does not occur? (protenuria +++ )
lipid is inversely proportional to albumin↑a)
b) focal and regimental glomerulsclerosis
c) response to steroid in 90% cases
d) penicillin prophylaxis
286. A 50 year-old patient is on treatment with hydro chloro-thiazide with B blocker for 10
years. He is obese and recently developed polyuria with thirst. RBS was 17 mmol/L with no
ketonuria. WOF action would be appropriate?
a) GTT
b) withdrawal of drugs with review
c) weight reduction
d) insulin
e) sulphonyluria
288. In which of the following situations, gamma globulin does not work:
a) varicella
b) mumps
c) hepatitis A
d) hepatitis B
e) rabies
292. A young man when lifting in last 2 occasions developed syncope. His father died
suddenly with same problem. wof test most useful:
a) ..
b) angiography
c) ECG
d) supine with resting BP measurement
e) CXR
294. Pseudo-dementia
297. Pseudodementia
298. Mammography
Medicine
1.A 18 yrs old lady came with hypertension. She has a history of enuresis up to 13 years.
WOF is the most likely diagnosis?
a) Reflux nephropathy
b) Hypertension
c)
6.A pt with von Willbrand’s disease . What is the most likely she has
a) Prolonged bleeding time
7.A 62 yr old man has a long history of COPD and dyspnoea, blood gas showed pCO2 68
mm Hg pO2 60 mmHg. He was given28% O2 therapy. After an hour the blood gas showed
7.37, pO2 80mm of Hg and pco2 40 mm of Hg but the pts clinical condition didn’t
improved. WOF IS NEXT THERAPY
a) Bronchodilator
b) Hydrocortisone
c) Intubations and ventilation
9. On 3rd postoperative day serum Na+ 165 mmol/L and urine osm is 250.wof is the cause
14.How would you differentiate between hemolytic anemia and anemia of chronic blood
loss?
a) Decreased heptoglobulin
b) Raised ferritin
15.A pt with COPD and polycythaemia. What is the best measure you can take to reduce
his attendance to the hospital?
a) Home O2 therapy
b) Phlebotomy
16.A 55 yr old women come to you with the complaint of tremor. Her hands are shaking
when she answered the phone but it stopped when she look at her hand. On examination
you found coarse tremor in resting. What is the most appropriate Rx?
a) Benzihel
b) Propranolol
c) levadopa
a) Ulcerative colitis
b) Facial impaction
c) ischaemic colitis
18.A pt with 1.8 cm tumor in the pituitary and 3mm on optic chiasm. What is the initial Rx
a) Transfrontal resection
b) Transphenoidal resection
c) Bromocriptine
19.A pt with H/O intermittent diarrhea, urethral discharge culture is negative, he has
ulcers in the mouth and arthritis and he has sausage shaped 2nd toe. What is the most
likely Dx
a) Reiter’s ds
b) Behet’s ds
20. A pt with miosis and ptosis. What is the most likely cause?
a) Bronchogenic Ca
b) Carotid sinus thrombosis
21.A60 yr man is taking thiazide diuretics and other hypertensive drugs, now found serum
glucose level is high what would be the management
a) Stop the drug and check the serum level again
b) GTT
c) Starting antidiabetic drug for diabetes
22. A 23-year-old lady came with complain of dysuria. You give antibiotic. After a week she
is completely symptom free. What will you do next?
a) Check the urine
b) Give some prophylactic antibiotic
c) Give nothing until she has got any problem
23.Indication of operation in aortic stenosis in a pt with pressure gradient 55% WOF most
likely
a) Ejection fraction
c) ?
24. A pt comes with swelling in the periorbital region and feet. Urine examination shows
red cell cast. What is the most likely Dx
a) Glomerulonepritis
c) ?
25.In Aborigine and Torres state islander all of the following can be present except
a) Depression
b) Anxiety
c) Alcohol abuse
26. What is the most common cause of the infective endocarditic?
a) Staphylococcus aerious
d) ?
27. A 23 yr old lady come with progressive weakness over both hands and wasting. WOF
will be the most likely Dx
a) Multiple sclerosis
b) Syringomyelia
c) ?
a) Serum iron
b) ?
31. A lady with a H/O headache, she wakes up from the sleep at the same time every day.
What would be the most likely the preventive Rx for her?
a) Methyl sergide
b) ?
32. A man came from ‘Bali’ he has got watery diarrhea. What is the most likely cause?
a) E. coli
b) Salmonella
c) Shigella
33. A pt came with bee sting and has got anaphylactic reaction. What would be the most
likely the immediate management?
a) Adrenalin
b) Hydrocortisone
c) ?
37. 20 YO male lift heavy thing over his head and scope twice the next step
a) Holter monitoring
b) X-ray
c) BP
d) Ultra sound of the heart
44 anemia with MCV>110 (70 yo) lady blood picture HB 9.9 WBC 2.2 109 plates dropped
a) Intestine infection
b) Pernicious anemia
c) AML
d) Autoimmune hemorrhagic anemia
47. A man with pleuretic chest pain and cough. There are no breath sounds in the right
lower zone, but bronchial breathing is noted in the right middle zone.WOF is most likely
a) Right lower lobe consolidation
b) Right lower lobe collapse
c) Pleural effusion
d) Right pneumothorax
48. WOF can cleancelly cause hypo K except
a) Diuretics
b) Chronic kaxiture abuse
c) Pyponic stenosis
d) Hyper aldodemia
e) Chronic renal failure
1. About twin delivery, after the delivery of 1st baby you will do all of them except
a) Palpate another baby
b) Per vaginal exam
c) Look any blood come out
d) Do a external version in case of breech
e) ?
2.A 32 weeks pregnant lady with herpes infection. What is not correct
a) Do caesarean section at term
b) ?
c) ?
d) ?
3 A 32 WEEKS PREGNANT lady with motor vehicle accident came to you. On examination
you some laceration on her abdomen otherwise she is normal. You will do all of them
except
a) Immediate delivery of the baby as she may have abruptio placentae
b) ?
c) ?
d) ?
5 A 14 YR old girl with phenytoin. She came to you for ocp .WOF IS MOST APPROPRIATE
a) Microgynon 30
b) Microgynon 50
d) Diane 35
7.About oxytocin
a) It has an antidiuretic effect
b) ?
a) Thrombophlebitis
b) Migraine with hemiplegic aura
c) smocking
d) Diabetes
10. A lady with 8 wks pregnancy passing some hydropic mole through the vagina. What
would be the most likely management?
11. A pregnant lady comes with 17 weeks pregnancy with bleeding per vagina.
WOF is the least likely
a) Ectopic pregnancy
b) ?
c) ?
12. A 8 weeks pregnant lady come with vaginal bleeding. You will do USG due to all of the
following reason except
a) To see the cause of bleeding
b) To determine the gestational age
c) To see the foetal malformation (molar pregnancy),
d) the position of the sac in the uterus
e) check the viability of the fetus
13. A LADY DELIVERED a still born baby. WOF you will not do to confirm dx
a) post mortem of the baby
b) ?
c) ?
14. A women who has previously delivered a 4kg baby with troublesome delivery. She is
para –2 and gravida 3. You should do all of the following except
a) Do x-ray pelvimetry
b) Induction of labour in 37-38 weeks
d) Do caesarean section at term
e) Check blood glucose level regularly from 30 weeks
15. A pt come with 16 week pregnancy, she has high blood pressure180/120 with
protinuria, what is the most likely cause
16. A 19 year old primi 38 weeks gestation with hyper reflexia, hypertension and oedema
might be expected to have the elevated blood levels except
a) Uric acid
b) Creatinine
c) Platetate
d) SGOT
e) BUN
17. A LADY CAME WITH VAGINAL BLEEDING after 2yrs of menopause WOF is diagnosis
a) Atrophic vaginitis
19 A girl with abdominal pain. US examination showed 3 cysts in the right ovary with 2, 3
and 4 cm
b) Observe and 4 week repeat US
c) Reassuring
d) Laporescopy
e) Aspiration
23. All of the following could be cause of greenish foul smell discharge except
a) trichomoniasis
b) gardenella
c) FB
d) Cervical cancer
e) ?
24. A primigravida 38 wks in labour. On P/V pelvis was reduced. Station 0 cervix 4 cm
dilated, membrane intact
a) x-ray pelvimetry
b) C/S
c) Oxytocin
d) Continious trial labour
e) ?
25.a mother of 3 child has mastalgia. She is not responding usual treatment. Next
appropriate treatment
a) OCP
b) Danazol
c) Bromocriptine
d) ?
26. a37 weeks pregnant painful vaginal bleeding (1000ml blood loss). WOF is not
consistent with abruptio placentae
a) Foetal death
b) BP 110/80
c) Uterus firm and contract
d) Fetal head high in presentation
27. a pt who has difficulties with pregnancy. She lost her 3 pregnancy in 6, 8, 10 weeks.
Before that she had terminate 2 baby at 10 and12 wks. What could be the cause
a) cervical in competence
b) deficient luteal phase
28. find out in correct association with pregnant lady which cause foetal effect on
pregnancy
a) IUGR- anticardiolipin
b) platelet count 100,000 – intracranial haemorrhage
c) heart block –antibody
29.25 yr old women galactorrhoea and amenorrohoea. CT scan shows 3mm on optic
chiasma. Prolactin >1500. Best Rx
a) transfrontal
b) transphenoidal
c) bromocriptine
d) OCP
e) Clomiphene
30. a lady 3 days after giving birth become irritable and tearful. WOF is correct
a) seen in at least 50%
b) not occur inC/S pt
c) ?
31. A women came to you 2 yrs after menopause asking for treatment to reduce the
postmenopausal symptom. HRT oestrogen 1st28days and progestrogen 12.
You are explaining all except
a) she will have premenstrual like symptom
b) will have withdrawal bleeding in every month
c) will reverse the action of progesterone
d) progesterone will increase HDL MORE THAN OESTROGEN
e) progesterone will augment the action ofoestrogenfor prevention of osteoporosis
35. pregnant women wake up at night due to pain tingling and numbness in rt hand . WOF
the cause
a) carpal tunnel syndrome
b) ulnar palsy
c) brachial palsy
36. 26 year old nulliparous recently married. Wants baby complaining of severe
menorrhagia. O/ESWELLING IN THE ABDOMEN UPTO UMBLICUS
a) total hysterectomy
b) open myomectomy after correcting her anaemia with BT
c) ?
d) ?
39 a baby is brought by his parents. They think he is OK and no other abnormities except
he weight 98% and height 95%, he is most likely to have
a) increase bone age
b) increase blood glucose
c) increase auto
PEADIATRICS
1. A 2 YEAR OLD boy with minimal contaminated cut injury he didn’t immunised before
what is the most likely treatment
a) T.T (Tetanus toxoid
b) DPT
c) TIG
d) Antibiotics
2. A 2 YEARS OLD BOYCAME WITH UNILATERAL WHEEZE . from amc book
a) Foreign body
4. A boy can roll over, can prone to supine and hold his head. He bounches in supported
standing. He laughs and babbles. What is the age
a) 3 month
b) 7 month
c) 10month
7. A 3 yrs old boy with hip pain. WOF is the most likely cause?
a) Perth’s ds
b) Tenosynovitis
8.A 8 wks baby with intermittent vomiting WOF most likely cause
a) Urinary tract infection
b) Pyloric stenosis
9. A 9 week old baby with force full vomiting his serum k 7.7
a) Pyloric stenosis
10. All of the following could be the cause of aneamia in infancy except
a) Prematurity
b) Multiple pregnancy
11. A boy with weakness of both leg he has a history of viral fever without reflex WOF Dx
a) Gillian Barrie syndrome
b) ?
12.A boy was bitten by a 1 meter long black snake WOF management
a) Observation
b) Antisnakevenom and apply tourniquet
c)
13. Convulsion
a) Hyper Na
b) Hypo Na
c) Hyper K
d) Hypo K
e)
14. A child with multiple subperiostial hamotoma and calcification
a) Scurvy
b) Accidental injury
c) Unacidental injury
d) Osteomyelitis
15. A boy can’t see blackboard L8/20, R 10/20. He can see the letters on the screen of PC.
After wearing holeglasses sight improves
a) Myopia
b) Amblyopia
c) Astigmatism
16. A child was born normally WT3.2 kg. Apger score was 5 in 1 min and 8 in 5 min. He
has delayed development. WOF condition is associated with his developmental delay?
a) Paternal uncle has intellectual deficit
b) Father is a alcoholic
c) Sister has febrile seizure
d) Mother has 2 café’s lait spots
e) Paternal grandmother has hypothyroidism
PSYCHIATRY
4.about diagnosis of tourette disorder all of the following are essential except
a) tic’s bou 3-4times a day
b) pt does not distress by tics
c) always start before the age of 18
d) ?
5.WOF is the distinguishing feature of schizophrenia and acute organic brain syndrome
a) Difficulty in sustaining attention
b) Fluctuation disturbances of consciousness
c) Visual hallucination
d) Auditory hallucination
9. A man is saying, “ Wheat is good for health. Wheat 5 types. What is the do
a) Confabulation
b) ?
10 Déjà vu can be seen commonly in WOF lobe
a) Tempo
b) Front
c)
11 The parents of an adopted girl, who has schizophrenic coming to ask about the chance
of their genetic daughter getting schizophrenia. WOF answer you would give
a) Nil
b) Less than 2%
c) 10%
d) 30-40%
12. 35 female comes to you with history of menorrhagia and anxiety. Recently she feels
her husband is detached from her and her is not close to him as she used to be. She has 2
children living in a rented house and brought all household things on higher purchase and
they have to pay it off regularly. They cannot afford to go out together for a dinner. Exam
normal. What is your next step management?
a) Refer her to a psychiatrist
b) Send her to marriage consoling
c) Have a interview with her husband
d) Advise to have a holiday
e) Refer to a gynecologist
15. 36 YO bus driver complain he can’t sleep at night apart from the driving stress. You
notice that the driver drinks 6 can beer and 10 cups of coffee weekly. What is next step
a) Tell him to go on sickness break
b) Treat for sleep apnea
c) Prescribe diazepam
d) Tell him to cut down on alcohol and change to different coffee.
e) Tell him nothing needs to be changed ?
Surgery
2 The most likely for a male (22 YO) ingurino-scrocal swelling with swelling disappeared on
lying down
5.The most likely for a breast with toothpaste and nipple retracted
m) Breast ca
n) Pages’ disease
o) Mammary duct dysphasia
p) Papillary
9. 50 YO female acute abdominal pain for half day, the most likely diagnosis is
a) Omentum arterial vessel blocking
b) ?
c) ?
d)
10. Hutchinson melanoma freckle except
a) covered area
b) irregular edges
c) ?
d) ?
17 After falling injury, X-ray showed pelvic injury and blood clots at external urinary
meatus. WOF are appropriate
a) Flory catheter
b) IVP
c) Tap
d) Urethrography
23. Fistula
a) Two opening between