MCQ 2001 May RECALL QUESTIONS MEDICINE 1. In which of the following diabetic ketoacidosis most commonly presents with 1. Undiagnosed IDDM 2. Undiagnosed NIDDM 3. Known IDDM when stopped Insulin 4. Known IDDM with foot infection 2. Which is correct for NIDDM 1. Genetic factor is more important in IDDM then NIDDM 2. They will never require insulin 3. 10-20% of IDDM need hypoglycaemic agents 4. Abdominal fat is the risk factor for NIDDM 3. Papillary necrosis Except 1. Analgesic nephropathy 2. Alcohol Nephropathy 3. Medullary sponge kidney 4. Diabetis 4. Picture – girl Acne and hirsutism on the face. Presented for the first time 1. Antibiotics 2. Antibiotics and retinoids 3. steroids cream 4. antiantigen(Danazol) 5. cypropterone acetate 5a. Picture with 3 lesions- with raised border 1. Granuloma annulare 2. Erythema multiforme 3. picture –AMC book – leision on the face 4. Mycrosporum canis 5. What is not true about parkinsons disease 1. can stop while walking involuntary 2. tremor at sleeping 3. rest tremor 4. affect one side more than the other 6. Mycoplasma pneumonia not true 1. severe cough 2. high fever 3. pleuratic pain 7. Which of the following drugs causes hypertension when stopped abruptly. 1. clonidine 2. metoprolol 3. methyldopa 4. ACE inhibitors 8. Regarding serum lipid profile and diet what is true 1. olive oil will increase LDL/HDL rato 2. positive energy bances increase LDH 3. Increse in dietry sturated fatty acids will increase VLDL 4. Fish 100 300gm per week will have no effect on plasma lipid 5. Large alclhol intake can reduce LDL 9. Polycythemia rubra vera 1. clinical cyanosis may be difficult to detect 2. erythropoetin levels supressed 3. ESR 4. Sleap Apnoea may cause the problem 12. Which of the most common antibiotic- which cause pseudomembranous colitis 1. Metronidazole 2. Ampicillin 13. Myasthenia gravis What is correct? 1. thymectomy is only indicated for thymoma 2. EMG can always positive 3. Some body does not have antibody 4. Anticholinegic is the treatment 14. Hepatitis Cmost commonly - in Australia 1. Drug user 2. Homosexual 3. Heterosexual 4. Blood products 15. What are the side effects corticosteroids Except 1. Increase WBC 2. Neutropenia 3. Osteomalasia 16. Eradication of helicobacteria pylory 1. incresed healing ulcer 2. decreased relapse rate 17. As a public health officer what is the most sensitive screening test –for lead poisoning 1. do an environmental histry study 2. blood lead level 3. physical examination of every child 18. A pregnant women fixed and wide spliting second heart sound 1. ASD 2. VSD 3. Pulmonary stenosis 4. Coarctation of aorta 19. A 55 y.o. man presents with low motor neuron symptoms and depressed brachial rexlexes . Also he has a sympromes of upper motor neuron at his legs.What is the most likely diagnosis? AMC book 1.motor neuron disease 2.cervical disc prolaps 20. 54 years old man with suddend on set left side weekness without disphasia. Possible diagnosis. a. Right mid C artery b. coratic arterry oclusioon c. epilepsy d. Internal capsule 21. 30 years old lady presenting with cheek pain and sensory loss, Dx? a. trigerminal neuralgia b. multiple sclerosis 22. G6PD deficiency, causes except a. Moth ball b. Ampicillin c. Broad bean d. Sulfernamide e. Fioranturin 23. kerotoakathosis, correct it usually growth quickly and spontaneus resolve 24. A hypertension patient with sudden onset pain behind left eye, with ptosis, palsy signs of VII, V, VI, (paralysis of palate, eye movement paralyss), Dx? a. aneurysm of posterior communication william ring b. midbrain infarct c. brain stem infarctment 25. Indication for thrombolytic therapy ? a. new LBBB b. new RBBB c. Q waves d. T inversion e. ST depression 26. a men presenting with chest pain mimic ischimic chest pain with prolonged period, which is correct?/ a. heparin and iv nitrate are not indicated b. thrombolytic Tx can not given if ECG is normal 27. A young man with cough, Mantoux +, CXR showed inacticve TB lesion, Mx? a. triple treatment for 6 months and repeat CXR b. isoniazid tx fro 3 mons and repeat CXR c. 6 sputum and await d. repeat CXR in 3 months 28. a lady with diarrhoea, anaemia, fatigue, MCV 110 a. pernicious anaemia b. gluten-sensitive enterotomy c. crohn’s disease 29. Blood gas ph 7.45 (N 7.35-7.44), pco2 27, po2 65, hCO3 23, a. Respiratory alkalosis with gas change impairment b. Respiratory alkalosis without gas change impairment 30. COPD which is the risk of right heart failure a. FEV <1 L b. Diffusing Capacity <50% c. Reduced Po2 d. Increased Pco2 31. COPD patient was brought in by ambulance. Was given 10 L O2 on the way. ABG Pco2 65 Po2 60 and Hco3 23. a. reduce O2 and redo the ABG 30 mins later 32.Infective Endocarditis asssociated with a. Vasculitis is the presentation of endocarditis b. staphal is the common cause c. it is the direct from rheumatic fever 33.The patient presents in the emergency department with BP-90/50 Pulse rate 98 min. CVP is 0.5 water. What is the possible cause? 1.Cardiac arrest 2.Hypovoluemic shock 3.Bowel obstruction 4.Pancreatitis 34.The patient presents with the severe pain which is radiating to the back, BP-180/95. What is the feature you are going to find on the CXR: 1.Widened mediastinum 35.The abattoir worker is presented with jaundice, fever, and malaise. What is the possible DS: 1.Leptosperosis 2.Brucellosis 3.Malaria 4.Dengue fever 36.Chronic diarrhoea for 3 months could be caused by except: 1.Campylobacter Jejuni 2.Crohn’s disease 3.Ulcerative colitis 4.Giardiasis 5. Laxative abuse 37.Most common cause perfuse bleeding in elderly: 1.Diverticulosis 2.Cancer of the colon 3.Crohn disease 4.Ulcerative colitis 5. ischemic colitis 38 The patients presents with oedema of the face .Mx: treatment for hypertansion,gaaut and alopurinol ,indometacin.The most possible cause of his oedema: 1.Indometcin intoxication(stop the treatment) 2.Renal failure 39.IgA nephropathy 40. a lady with oligio and creptitaion, poor prognosis is? a. Haematuria is the poor prognosis 41. caute and chronic renal failure? a. ultrasound 42. increase transferrin seen in: a. haemochromatosis 43. A patient with COPD , given O2 10L/min, become unresponsive, which of F is possible blood gas a. ph7.15, Po2 65, pco2 100 44. patient with heart failure and gout, treated with thiazide diuetics, ACE –or, alloperidol and indomethocine. Test : K7, Na 1.25 a. Na low indicate Na depletion 45. Na of 122 indicates? a. low plasma osmolority. 46. a long list of blood film a. multiple myoloma 47. Indication of speletomy a. chronic ITP 48. Asthma, all except a. total lung capacity reduced. 49. indication for posterior column lesion? a. Romberg’s test positive 50. Hypothyrodism, except? a. small hand muscle atrophy 51. opening snap indicate? a. mobility 52. What is not characteristic of Autosome recessive a. 50/50 chance of inheriance 53. DM with autoneuropathy all except a. urine incontinence b. diarrhoea c. bradycardia 54. Most reliable Dx for Giardia a. stool exam of cyst b. duodenal fluid 55. Coeleic Dis Dx to confirm? a. Duodenal biopsy b. Antibody-gliadin c. Antibody-endomyial 56. infectious mononucleosis, all correct except, a. is usually associated with hepatitis b. Diagnosed by antigen detection 57. angioplasty and stent comparing, which is correct? a. reduce restenosis but same complications as angioplasty b. more complications than angioplasty alone c. no difference PAEDIATRICS 1. 18th month old baby boy with excessive breast development and no other secondary sexual characteristic. Child has same chronological age with her bony age. Which of the following will be correct: a. Precocious Puberty b. CAH c. Normal development d. idiopathic Precocious Thelarche 2. 8 month old child with paroxysmal colicky abdominal pain with legs flexed for several weeks. Baby was vomiting greenish stuff occasionally. In-between he was ok. On examination NAD. What would you do? 1.Ultrasound 2. 3. Reassurance 4. Barium meal with follow through. 5. CT with contrast 3. 24 month old baby can do 1.build 2-3 blocks 2. can button 4. count 1-5 5. point to a colour 6. draw a picture with 6 parts 4. A child can sit with his hand supported in the front. He can grab things with his palm. He can turn prone to supine and smile to mirror. What his age? 1.10 weeks months 2. 3months 3. 7 months 4. 9 months 5. 11 months 5. A child 7 years old has a headache and vomiting for 6 weeks in the morning. Contact H/O chicken pox in school. He had ataxia, a. migraine b. posterior fossa tumour c. varicella cerebellitis 6.child presented with dyspnoea, on examin. The apex beat on mid-axillary line, murmur heart best on left sternal border and can be heard all over the precordium.. a. VSD b. ASD c. COARCTATION OF AORTA 7. mother with a child suffering from phenylketonuria, what are the chances the her 2nd child will suffer from the disease a half of the children b one in four children c all of them d. one female child and one male child 8 A child has fever and urine collected in bag for culture showed mixed growth count > 100000. What do you do next? a. Give antibiotics b. Micturating urethrogram c. Supra pubic puncture 9 Recurrent sticky eyes in a child which improves with antibiotic for 2 days but recurs again. What is the correct…………… a. Recurrent nasal infection b. Lacrimal duct block c. Give antibiotic for 10 days 10. 15 yr old boy got abrasion in his knee. He has been immunised at 5 years old and no immunization afterwards. what is your Mx? a. toxoid b. ADT c. Immunoglobulin and toxoid d. Do nothing e. DPT 11. A child with developmental delay. The baby was born at 38 weeks with 3800g. what is the likely explanation? a. father alcoholic b. maternal uncle intellectual disability c. grandfather with d. sister with fibril convulsion 12. A child with eczema, which is correct? a. it is usually associated with dry skin b. usually in the extension side of joins. 13.A child has 20 brown maculous spots all over the body. His grandmother has skin neuroma. All right except a. b. more hypertension c. more deafness d. hypothyrodism e. Intellectual retardation 14. a 3 weeks baby boy with intermittent projecting vomiting, Electrocyte finding is: K7.7, Na 135, Cl 89, HCO3 18. Child is dehydrated. What is the Dx? a. Adrenal deficiency hypertrophy b. Pyloric stenosis 15. A baby from Greek family with jaundice at day 5. Blood bilirubin is 220 um/l, unconjugated is 200 um, Dx a. breast feeding jaundice b. physiological jaundice c. thalassaemia major 16. a baby boy 13 years old with height percentile 3%(equvalent to 50% pearcentile at 9 years), WOF give better future growth pattern a. bone age 9 b. bone age 13 17. A child swallowed with soda. Child present with drooling, immediate action, a. early endoscopy b. drink milk 18. A 3 year boy with abdominal mass which takes most space of right abdominal space, the useful diagnostic methods are except: a. urine VMA b. ultrasound c. CXR d. barium swallow e. endoscopy 19. A 4 year old with asthma, what is the most critical indicator of bedside assessment of severity of asthma? a. peak flow b. surricic sulci c. intraciton of substernal 20. A baby 12 months pallor with breast feeding and induce solid food later, the most likely cause of anaemia a. iron-deficiency anaemia 21. A child presendt with a lump in the posterior lower neck whcis is punctuate and soft, Dx? a. Cystic hygroma 22. A child with wheeze and cough, PE revealed unilateral wheeze, Mx? a. inspiration and expiration of CXR 23. A child present with neck stiffness, fever, Protein 1.1g/l, glucose 2.5 (N2-5), lymphocyte 100, neutrophil 50, Dx? a. TB b. EchoVirus c. Virus d. Staphylococcus aureus 24.fever subsides rash after 3 days a.roseola b.mumps c.scarlet fever. d.measles. PSYCHIATRY 1. A man three salivating everyday time before his medication A. Mannerism B. Obsessive compulsive disease 2. A young man dresses as female came with another man, wi wants to be a female, taking female hormone for one year A. Transvestism B. Transsexualism C. Sexual dysfunction 3 which antipsychotic drug is restricted in australia because it has very long q-t interval A. Chlorpromazine B. Thioridazine C. Risperidone 4. One of the following is a immature defense mechanism A. Resolution B. Projection C. Humour 5. A child stealing pencil for the first time from his friend A. Reassure mother because nothing wrong wait and watch policy B. Take him to police C. Refer to a psychiatrist 6 The proverb ‘cognitive testing and mental test for: A. Delusional B. Dementia 7 A lady came with lower limb paralysis in a wheel chair A. Refer her to psychiatrist B. Refer her to physiotherapist C. Do psychoanalysis to understand the inner conflict with psychomechanics 8. A 32 year school teacher with ocd, drug of choice A. SSRI B. Antipsychotics 9. In gp practice what is not true; A. Approx 30% patient have some kind of psychiatry problem B. A minor number are referred to a psychiatrist C. Psychosis is the commonest type of psychiatry problem D. Drug and alcohol abuse are not taken into consideration 10 a lady with marriage problem and husband problem, never gone for holidays A. Suffering from depression B. Advise them to go for holiday C. Refer them to marriage councillor 11. A schizophrenia the pre-morbid condition will be A. Idea of reference B. Under lying family history problem 12. Who is abuse most true A. An elderly female B. An elderly male C. Abuser usually is not a close relative 13 Hyperprolactinaemia will not cause one of the following, A. Sexual dysfunction B. Erectile problems C. Gallactorhea D. Loss of libido 14. About antidepressant what is true A. Withdrawal slowly B. Give alternate day C. Has to be on antidepressant in lower dose or some period throughout his lifetime 15. Tourette syndrome A. Tics begins B. Starts always below 18 years 16. The borderline personality will have A. Mood changes 17. Cytochrome p450 a benefits to measure action of benzodiazepam 18. Alcohol withdrawal hallucination, drug of choice A. Diazepam B. Haloperidol C. Antidepressant and antipsychotic 19. A man with accident hit on the chest and lower limb, no loss of concious ness, admitted to hospital, after three days develop acute confusional state, due to: A. Subdural haematoma B. Alcohol withdrawal C. Narcotic reactions 20. Naltrexone is used for opioid toxicity it has/is A short action B effective orally OBSTETRICS & GYNAECOLOGY 1. Bartholin’s cyst 1. most commonest cause is Staphylococcus aurus 2. may be due to gonococcus 3. usually treated by antibiotics 4. usually spontaneous recovery 2. G3P0 with 2 previous 2nd trimester miscarriage without any contraction and sign of uterus product. Currently 16 weeks pregnancy and very concerned about this pregnancy. Excetp reassurance what is your management? 1.Sulbutamal treatment 2.Cervical stitch 3. During uterus contraction, placental blood supply. 1.reduced 2. ceased 3.increased 4. unchanged 4. 54years old lady with 3 children and 3 year postmenapaul without hotflush and osteoporosis. She is moderately obesity. PE all normal. Why she has not post menopausal symptoms 1. conversion of androsteoterone to estrone 2. conversion of ADHD to estrodial 5. Risk of a 38 years lady having a baby with Down syndrome. 1. 1:50 2. 1:100 3. 1:200 4. 1:500 5. 1:1000 6. G1P0 39weeks normal antenatal procedure. Come to ward cotraction at 1Am start contraction every 4-5 mins. CTG normal. Cervix 2 cm dilated and completed effacement. LOA presentation. In which situation Obstric consultation opinion needed? 1. 5AM cervis fully dilated, membrane borken, contaction 5min still 2cm above ipisine spine 2. 5AM cervix 3 cm,membrane not rupturned, contraction become weak and irregular. 7. G1P0 14 hour after starting labor, CTG normal initially. Pethidine was given(3 dosed total300 mg). Contraction ok and after 30 mins, CTG showed base line HR is 90 min with reduced variability and moderately variable deceleration. What this CTG indicate? 1. Pethidine depressed fetus 2. Uterus tone increased between contraction 3. It indicates that prolonged labour occur 8. Mullirene degeneration except 1. x-linked recessive 2. usually with vigina, though short. 3. Normal breast development 9. A 32 ys old lady with Mastalgia, conservative treatment failed, what is your next management. 1. danazol 2. promecriptine 3. climiprotin 4. progestrerone 10. A lady with depression, breast tenderness and low mood and she belived she has premenstrul syndrom. What this the confirming diagnosis method? 1. Chart recording for 3 months 2. Low estrodiol 3. Slightly increased prolaction 4. Increased progesterone 11. OCP taking over 10 years, All are beneficial except 1. reduced breased cancer 2. reduced benigne breaset diseases 3. resuced PID 4. reduced iron-deficiency anemia 12. A 38 weeks pregancy lady with abdominal pain. Blood loss assessed around 1000ml. Suspected Placeta abruption. All collect expect 1. Patient with pain and bleeding 2. BP 180/110 3. Fetus head is high above tha ipsitus sapine. 13. A 28 year old with hirsutism and irregular period. 17-hydroxyestrol normal and ADHD slightly increased. Ration of LH/FSH increased. What is the Dx 1. PCO 14. A lady is going to do laparoscopy . During discussion about the risk of endoscopy, what advice will you give except? 1. Because you can see the surface and do biopsy , the laparoscopy is the most efficient diagnostic method for POC 2. Because CO2 can not be fully removed, so the abd pain and shouder tip pain is common. 3. Although it does not demage cerasal, it may cause rupture of other organs 4. It is the Dx tool for endometriosis 15. Hyperprolactinemia, except(Psy) 1. increased libido 2. premature ejaculation 3. amenorrhea 16. Vaginal discharge, except 1. In early teenager girl, the most common cause of vaginitis is due to candida infection. 2. Postmenopausal women with progesterone only HRT have more candida infection than those with combined HRT. 3. 4 years old, the most common cause is atrophy vaginitis. 17. A lady with normal pap smear for last 2 years. Current Pap smear showed squamous cell hyperplasia. This is relevant because it is 1. it is normal with no significance 2. it is due to wart infection and need observed carefully 3. it is invasive cervical cancer 4. The cells is seen in pre-invasive cervical cancer. 18. Asthma except 1. It usually causes more bronchspams 2. Can not be treated with salbutamol 3. Can not be treated with corticosteriods 19. A lady with 12 weeks amenorrhoea, vaginal exam found that uterus is equivalent to 15 weeks. The most likely cause is 1. she rememer wrong date 2. uterus fibroid 3. hydatiform mole 20. Sperm 1000,000, 20% motility, 90% abnormal morphalogyInfertility, What is correct? 1. spontaneous pregnancy is unlikely 2. spontaneous pregnancy is impossible 21. Which of following indicate the Ovary tumour rather than ascites 1. dull anteriorly and tympany laterally 2. dull laterally and tympany anteriorly 3. shifting dullness 22. Tumour makers for gynaecological tumours, except 1. BCA1 2. CA125 3. AFP 4. B-hCG 5. Inhibin 23. A lady 54 years old with 3 children urgency incontinence 1. she can pass urine immediately after micturition 2.Bonine (?) test (vaginal digital bilateral uteral ) negative 3.she can loss large amount of urine 4. she loss urine while running or jumping 24. Asymptomatic urine infection in pregnancy, which is the cause of pregnant women prone to UTI 1. dilation of uteral and calyces due to progesterone 2. pressure of enlarged uterus 25. WOF correct except? a. full breast feeding with pregnancy rate less than 2% if amenorrhea for 6 months b. the initial menorrhea usually is anovulation c. depoprovera may increase milk production d. bromocriptine may delay ovulation Surgery 1. Mammography a. better for picking up earlier cancer b. painless 2. Picture of a netball player anus with bluish swollen. Mx a. Hamorectomy under anthesis b. incision under local anaesthetic c. Hot path 3. A old man with two lumps in groin, Dx? a. metastasis of lymph node b. false aneurysm c. Saphrix Varix 4 Picture of a man’s tongue, right side smaller than right side, which correct? a. Lesion in Right side and point to R if protrude tongue b. Lesion in Light side and point to L if protrude tongue 5 Picture of a ejected penis a. Persistent priapism b. Paraphimosis 6 Picture of a boby’s CXY with resperitory stress symptoms, Dx? a. diaphragm hernia b. staphal aureus infection 7 Palm penetrated by a screw nail. Day 4 with deep abscess and dorsum swollen, WOF correct? a. it is a sign of external tendon involved b. incision and drainage of dorsum side 8 A patient after trauma with dyspenea, PE, L breath sound reduced, trachea divated to R.subcutaneous emphsema BP 100/70, P120, Dx? a. tension pneumothorax b. haemopneumothorax c. bronchal rupture 9 ICU patient with Low BP, HR 110, CVP 0.5, Dx? a. hypovolumic shock 10 Neck vein destain and shock a. Cardia tamponade 11 Most commen site of occlusion for intermitent claudication? a. superfacial femoral A b. Abd aorta bifurcation 12. Massive blood T/F, most significant outcome? a. coagulation disorders 13.WOF more likely cause arterial throbosis? a. hip joint dislocation b. femor shift fracture c. knee fraction and dislocation 14. Stye? a. infection of a great mebobian gland b. eyelish follical infection c. punctitis 15. Spleenectomy, Correct except? a. persistent anaemia b. fragiligh remains abnormal 16. A lady with confusion 3 days after right hemicolonectomy suegery, WOF correct? a. electrolyte disturbance b. atelectasis 17. Heparin reversed by? a. protamine sulfate 18.Unilater nasal discharge, Dx? a. Foreign body 19.Dupuytren’s contraction, WOF correct? a. a palm apponeuson 20.a young man falled with outstretched hand, X-ray Nil, WOF correct? a. scaphoid fracture 21.Ankle jerk absent, lesion is in which root? a. L2 b. l3 c. l4 d. l5 e. s1 22.calf pain 2 days after surgery, Ix? a. doppler b. angiography c. venography 23. wOF is most significant to pay attention to following injury? a. paller of distal extremities. 24.to detect Dx compartment syndrome? a. dorsum reflexion of toe 25.a man collapsed playing squash clutching his ankel. He can not doplantar reflexion but can do dorsum flexion, Dx? a. Achilles tension fracture completely. 26.A lump in subclavicular fossa, all common possible except? a. breast cancer metastasis b. lung c. subclavicular aneursm d. subclavicular vein throbosis 27.compound fracture, most efficient to prevent infection? a. a prolonged broad spectrum antibiotics b. fully surgical debridment and drainage 28.WOF most likely cause cancer? a. Jevenile polyps b. Jesophus-Syndrom c. Gardner Syndrom d. Colonic metaplasia 29.A 75 lady with sudden onset diffuse abd pain, PE, Abd distension, Pulse irregular. Passed dark blood, Dx? a. Mensenteric vascular thrombosi 30.All cause cancer except a. diverticulosis 31.undesended testes most commenly associated with? a. inguinal hernia 32.Most common presentation of testes cancer? a. Swolling 33.Seminoma, wOF correct? a. Young man, distant spread and radiosensitive 34.WOF not found to cause SCC cancer? a. aphrous oral ulcer 35WOF indicates cancer? a. recurrent laryngeal nerve palsy b. retrosternal compression c. perbonton sign + 36. most commonest cause of blindness worldwide? a. cataract b. trachoma 37. WOF need to stop anticoagulation for patient with before operation temporately, a. abd needle aspiration b. embolectomy 38.No antibiotics needed ? fundalplication of oesphageal 39. Hypoparathayradiam following throidectomy, all except? a. It is difficauty to treat by vit D because the therapeutic window is narrow. c. it decrease ca and increase PTH 40. WOF can help to indicate the possibility of conservative surgery for breast cancer? a. mammography b. axillary lymph nodes 41. WOF about haemorrhoid all correct except a. severe pain b. pruritis c. bleeding 42. 15 year girl with right hand erythema (hepatitis) a. periduct tract lymphocyte and plasma cell infiltration. 43. Acute cholecystitis causes? a. stone in the gall bladder neck 44. wOF cause hypercalcinemia except? a. pancreatis 45. varicocele a. dilation of veins of psermatic cord b. lying down disappear 46. Walking into a ward and see a patient choking a lump of meat, Mx? a. upper abd pressure b. intubation 47. cystic adenoma a. usually seen in 20-30 years b. biopsy seen in the same lobe of gland c. open biopsy is the management 48. the 1st step in management of breast lump a. needle aspiration 49. hepatic triad a. anterior of bile tract and posterior of port vein
please help me with these MCQs hi would u please correct my answers these are pedeatric questions 1. 18th month old baby boy with excessive breast development and no other secondary sexual characteristic. Child has same chronological age with her bony age. Which of the following will be correct: a. Precocious Puberty b. CAH c. Normal development d. idiopathic Precocious Thelarche ** is he a boy or a girl cause in the 3rd line the question says HER bone age 2. 8 month old child with paroxysmal colicky abdominal pain with legs flexed for several weeks. Baby was vomiting greenish stuff occasionally. In-between he was ok. On examination NAD. What would you do? 1.Ultrasound 2. 3. Reassurance **? 4. Barium meal with follow through. 5. CT with contrast 3. 24 month old baby can do 1.build 2-3 blocks ** 2. can button 4. count 1-5 5. point to a colour ** 6. draw a picture with 6 parts at 24 month babies can build 4-5 blocks tower 4. A child can sit with his hand supported in the front. He can grab things with his palm. He can turn prone to supine and smile to mirror. What his age? 1.10 weeks months 2. 3months 3. 7 months ** 4. 9 months 5. 11 months 5. A child 7 years old has a headache and vomiting for 6 weeks in the morning. Contact H/O chicken pox in school. He had ataxia, a. migraine b. posterior fossa tumour c. varicella cerebellitis ** 6.child presented with dyspnoea, on examin. The apex beat on mid-axillary line, murmur heart best on left sternal border and can be heard all over the precordium.. a. VSD ** b. ASD c. COARCTATION OF AORTA 7. mother with a child suffering from phenylketonuria, what are the chances the her 2nd child will suffer from the disease a half of the children b one in four children ** c all of them d. one female child and one male child 8 A child has fever and urine collected in bag for culture showed mixed growth count > 100000. What do you do next? a. Give antibiotics b. Micturating urethrogram c. Supra pubic puncture **? 9 Recurrent sticky eyes in a child which improves with antibiotic for 2 days but recurs again. What is the correct…………… a. Recurrent nasal infection b. Lacrimal duct block ** c. Give antibiotic for 10 days 10. 15 yr old boy got abrasion in his knee. He has been immunised at 5 years old and no immunization afterwards. what is your Mx? a. toxoid b. ADT** c. Immunoglobulin and toxoid d. Do nothing e. DPT 11. A child with developmental delay. The baby was born at 38 weeks with 3800g. what is the likely explanation? a. father alcoholic b. maternal uncle intellectual disability c. grandfather with d. sister with fibril convulsion i did not understand the question 12. A child with eczema, which is correct? a. it is usually associated with dry skin b. usually in the extension side of joins. 13.A child has 20 brown maculous spots all over the body. His grandmother has skin neuroma. All right except a. b. more hypertension c. more deafness d. hypothyrodism e. Intellectual retardation 14. a 3 weeks baby boy with intermittent projecting vomiting, Electrocyte finding is: K7.7, Na 135, Cl 89, HCO3 18. Child is dehydrated. What is the Dx? a. Adrenal deficiency hypertrophy ** b. Pyloric stenosis 15. A baby from Greek family with jaundice at day 5. Blood bilirubin is 220 um/l, unconjugated is 200 um, Dx a. breast feeding jaundice b. physiological jaundice c. thalassaemia major 16. a baby boy 13 years old with height percentile 3%(equvalent to 50% pearcentile at 9 years), WOF give better future growth pattern a. bone age 9 ** b. bone age 13 17. A child swallowed with soda. Child present with drooling, immediate action, a. early endoscopy ** b. drink milk 18. A 3 year boy with abdominal mass which takes most space of right abdominal space, the useful diagnostic methods are except: a. urine VMA b. ultrasound c. CXR **? d. barium swallow e. endoscopy 19. A 4 year old with asthma, what is the most critical indicator of bedside assessment of severity of asthma? a. peak flow b. surricic sulci c. intraciton of substernal 20. A baby 12 months pallor with breast feeding and induce solid food later, the most likely cause of anaemia a. iron-deficiency anaemia 21. A child presendt with a lump in the posterior lower neck whcis is punctuate and soft, Dx? a. Cystic hygroma 22. A child with wheeze and cough, PE revealed unilateral wheeze, Mx? a. inspiration and expiration of CXR 23. A child present with neck stiffness, fever, Protein 1.1g/l, glucose 2.5 (N2-5), lymphocyte 100, neutrophil 50, Dx? a. TB **? b. EchoVirus c. Virus d. Staphylococcus aureus 24.fever subsides rash after 3 days a.roseola ** b.mumps c.scarlet fever. d.measles.
