IMP QUESTIONE WITH ANSWERS

Discussion in 'Question Zone' started by Joseph., Nov 5, 2007.

  1. Dreamy.

    Dreamy. Guest

    1- Stony dullness in all except:
    a) Pleural effusion
    b) Empyema
    c) Pleural thickening
    d) Parenchymal disease with pleursal thickening

    2-The following are cardinal rules of percussion except:
    a) Movements should arise from wrist
    b) Move from abnormal to normal areas of percussion note
    c) Direct percussion should not be done outside medial 1/3 of clavicle
    d) Lesions more than 5cm below cannot be detected

    3-In collapse the changes are:
    a) Reduction in lung volume but normal air volume
    b) Reduction in both air and lung volume
    c) Increase in air but decrease in lung volume
    d) Increased lung and air volume.

    4-Amphoric BS is heard in all except:
    a) Bronchopleural fistula
    b) Tension pneumothorax
    c) Large superficial communicating cavity
    d) Collapse with patent bronchus

    5- Pseudoclubbing is seen in all except:
    a) Hansens disease
    b) Vinyl chloride workers
    c) Hyperparathyroidism
    d) Leukaemia
    e) Mesothelioma
  2. Dreamy.

    Dreamy. Guest

    1-The following are True about Clinical feature of hypercalcemia :
    a. Psychic moans - malaise, psychosis, coma
    b. Renal stones - polyuria, polydipsia, nephrocalcinosis
    c. Painful bones – osteolysis , Muscle tones - weakness, hyporeflexia
    d. QT zones - short QT, bradyarrhythmias, sensitization to digitalis toxicity
    e. All above******* ****

    2- etiology of hypokalemia Except:
    a. Decreased intake (UK<20 mmol/day)
    b.GIT vomiting, diarrhea, fistulas, excess sweating ?
    c .acidosis
    d.Cushing’s syndrome, Adrenal enzyme defects, Primary aldosteronism
    e.Shift from ECF to ICF : insulin therapy (DKA), beta 2 adrenergics, hypokalemic periodic paralysis


    3-ECG changes associated with hypokalemia Except:
    a. T wave flattening/inversio n
    b. prominent U waves
    c. ST segment depression
    d. Brady cardia****** ****

    4-The normal range for arterial blood pH:
    a. 7.35 - 7.40
    b. 7.30 - 7.45
    c. 7.35 - 7.45*****
    d. 7.35

    5- magnesium deficiency clinical feature:
    a. fits
    b. tetany
    c. paraesthesia
    d. arrythemia
    e. all of the above******* ***
  3. Dreamy.

    Dreamy. Guest

    Suggest all posts answers

    1-Which of the following will be the most appropriate IV fluid in resuscitation of a hypovolemic shock after a blunt trauma?
    NS’
    Haemaccel*** ***
    D5W
    Albumin
    Hyper tonic saline

    2-A patient after head trauma in emergency room : open his eyes to painful stimulation , has extensor motor response no verbal response what is his Glasgow coma score?
    4
    5
    6
    7
    8

    3-What is the percentage of intravasculare fluid?
    a.8%*****
    b.10 %
    c 40%
    50%
    60%

    4-The most appropriate test depends on the clinical setting and institutional practices. Indication for laparotomy without further investigation include;
    a. Persistent hypotension secondary to blunt or penetrating abdominal injury
    b. Frank peritonism
    -c. free intra-abdominal gas
    d f rank GIT bleeding following penetrating trauma, gun shot wound
    e all above*****

    5-The following are true about hypernatremic dehydration Except:
    a. Loss of relatively more free water than sodium
    b. Increased serum osmolality
    c. Fluid shift from intravascular the compartment to the intracellular compartment* *********
    d. Managing hypernatremic dehydration involves replacing lost free water
    e. Abnormal vital signs occur at a later stage than with isotonic dehydration

    6- subdural hematoma:
    a. Blood collection between the dura and the arachnoid
    b. Much more common than epidural hematomas
    c. More frequent in the elderly (brain atrophy) and children < 2 year
    d. All of the above******* ***
    e. a&c
  4. Dreamy.

    Dreamy. Guest

    1-Organic causes of anxiety include
    a
    phaeochromocytoma
    b hyperglycaemia
    c hyperthyroidism
    d porphyria
    e hyperventilatio

    2-Agoraphobia
    a occurs in women mainly before the age of 35
    b does not occur in men
    cis specific to open
    spaces
    d is associated with marital difficulties
    e frequently associated with overvalued ideas

    3-The following is true of phobias
    a they are entirely irrational
    b worse in trains than in cars
    c commoner in women
    d can be explained by
    preparedness
    e avoidance leads to
    incubation

    4-. Characteristic features of the history in an alcoholic
    include
    a tendency to exaggerate drinking
    b absenteeism on Fridays
    c a family history of schizophrenia
    d reinstatement after abstinence
    e wanting an
    eye
    opener

    5. Suicide is associated with

    a high I.Q.
    b social class
    c suicidal ideas
    d alcoholism
    e OCD

    6-. The following would suggest a diagnosis of mania rather than
    schizophrenia
    a irritability
    b brief episodes of depression
    c delusions of grandiosity
    d somatic passivity
    e stereotype

    7-Effects of diazepam include
    a fits on withdrawal
    b fast waves on ECG
    c selective increase in REM sleep
    d potentiation of the effect of TCA
    e amnesia
    8-Primary delusions


    a may be secondary to auditory hallucinations
    b frequently systematised to secondary delusions
    c
    characteristically persecutory
    d are frequently preceded by delusional mood
    e can occur in normal people

    9-Common side effects of tricyclic anti depressants include

    a fine tremor
    b urinary retention
    c ileus
    d postural hypotension
    e
    blurring of vision

    10- Lumbar puncture
    a is always contraindicated if papilloedema is present
    b is safe if a frontal lobe mass is
    present
    c is safe if a posterior fossa mass is present
    d is safe in benign intracranial hypertension
    e can be diagnostic in subarachnoid haemorrhage
  5. Kevin.

    Kevin. Guest

    in people with acute MI the drug which definitely redues mortality
    a beta blocker
    b ace inhibitors
    c aspirin
    d calcium antagonist
  6. Kevin.

    Kevin. Guest

    HEMOLYTIC UREMIC SYNDROME INCLUDE A/E
    A MICROANGIOPATHIC HEMOLYTIC ANEMIA

    C THROMBOCYTOPENIA
    D RENAL FAILURE
  7. Kevin.

    Kevin. Guest

    NARROWEST PART OF AIRWAY IN ADULT IS
    A SUORAGLOTIC
    B GLOTTIC
    C CRICOID
    D CARINA
  8. Hiteck.

    Hiteck. Guest

    SOME QUESTIONS FROM PAST PAPER

    1.a girl has oral numbness n limb paprathesias after argument with friend...Rx?

    options
    a.propanolol
    b.diazepam
    c.amitryptilline

    2.motor cyclist after RTA in a n e with GCS of 3,bp 180/100 n pulse 52,pupil dilated n sluggish to light,no neurological sign except up going plantars.

    3.pt hit on the head by ha hammer,now comes with vomitting

    options
    a.intra cerebral haematoma
    b.extradural haematoma
    c.subdural haematoma
    d.depressed skull fracture
    e.subarachnoid haemorrhage.

    4.splenic haematoma or infarct
    5. pt with fall has tendernedd in left side of abdomen n fracture of 2 right ribs.pt is in shock

    options
    a.admit n observe
    b.refer to surgeon
    c.laprtotomy
    d.i/v fluids 1L in 30 mins
    e.i/v fluids 2L in 30 mins

    5.breast lump which varies in size with menses
    6.56 yr old woman with blood stained disharge from nipple .nothing conclusive on mammograhy or ulrasound.

    options
    a.FNAC
    b.ultrasound
    c.biopsy
    d.reassure
    e.ductograhy
    f.discharge cytology
    g.mammograhy
  9. Vincent.

    Vincent. Guest

    Couple of MCQS of Psychiatry

    1-Organic causes of anxiety include

    a phaeochromocytoma

    b hyperglycaemia

    c hyperthyroidism

    d porphyria

    e hyperventilatio



    2-Agoraphobia

    a occurs in women mainly before the age of 35

    b does not occur in men

    cis specific to open spaces

    d is associated with marital difficulties

    e frequently associated with overvalued ideas



    3-The following is true of phobias

    a they are entirely irrational

    b worse in trains than in cars

    c commoner in women

    d can be explained by preparedness

    e avoidance leads to incubation



    4-. Characteristic features of the history in an alcoholic include

    a tendency to exaggerate drinking

    b absenteeism on Fridays

    c a family history of schizophrenia

    d reinstatement after abstinence

    e wanting an eye opener



    5. Suicide is associated with

    a high I.Q.

    b social class

    c suicidal ideas

    d alcoholism

    e OCD



    6-. The following would suggest a diagnosis of mania rather than schizophrenia

    a irritability

    b brief episodes of depression

    c delusions of grandiosity

    d somatic passivity

    e stereotype



    7-Effects of diazepam include

    a fits on withdrawal

    b fast waves on ECG

    c selective increase in REM sleep

    d potentiation of the effect of TCA

    e amnesia



    8-Primary delusions

    a may be secondary to auditory hallucinations

    b frequently systematised to secondary delusions

    c characteristically persecutory

    d are frequently preceded by delusional mood

    e can occur in normal people



    9-Common side effects of tricyclic anti depressants include

    a fine tremor

    b urinary retention

    c ileus

    d postural hypotension

    e blurring of vision



    10- Lumbar puncture

    a is always contraindicated if papilloedema is present

    b is safe if a frontal lobe mass is present

    c is safe if a posterior fossa mass is present

    d is safe in benign intracranial hypertension

    e can be diagnostic in subarachnoid haemorrhage
  10. Vincent.

    Vincent. Guest

    Knee Exam

    Introduce self, wash hands and explain to the patient that you are going to do a knee exam. This might involve a little pain if there is an injury. An important part of the exam, is learning where the pain is located with as much precision as possible. The patient may stop me at any point. Obtain consent for the exam. For all the tests, you should compare with other, non-involved knee.

    Inspection:

    1. Observe Gait:
    a. note antalgia
    b. note symmentry
    c. Is the pt a heel to toe walker?

    2. Observe standing w feet shoulder width apart.
    a. Is there a varus or valbus deformity?
    b. Is the pt flat footed, does she have a good arch?
    c. Are knees swollen?
    d. Is the pt athletic, overweight, other?

    3. Have pt turn around and look at back/posterior legs.
    Is there any Popliteal swelling, scoliosis, hip dysymetry?

    Range of Motion/Strength & others

    1. While pt still seated, have her extend her knee and view extensors
    a. Note any atrophy
    b. Assess strength by pushing down on lower extremity X3

    2. Have pt lie down and pull out foot rest
    a. Check leg lengths
    b. Compare both knees and note swelling, scars, redness, calluses.
    c. Have pt fully flex hip then knee, then extend; check active and passive.


    Palpation

    A. With legs extended

    1. Compare temperature of both legs; above and below knees & knees themselves.
    2. Palpate patella and note presence of ballotment, crepitance, mobility, pain w pressure . Feel around its edges.
    3. Milk knee and look for effusion.
    4. Do Patella Apprehension Test to r/o subluxation (http://www.youtube.com/watch?v=ALLi7dOXU8c)
    5. Do Patella Grind Test – Press down on patella and have pt contract quadriceps mm.
    6. Collateral Ligament Stress (med & lat)
    7. Do Lachman’s Maneuver or Anterior Drawer to assess ant cruciate
    8. To asses post cruciate, do Post Drawer and check for Post Sag Sign
    9. Feel behind knee to r/o cysts or swellings, pulsitile masses.

    B. With knee flexed 90 degrees and foot on table

    1. Palpate the tibial plateau and identify the inf patellar tendon & tibial tuberosity – note tenderness, swelling, calluses
    2. Palpate tibial plateau edge from midline to medial menisus – note tenderness, crep, swelling, etc.
    3. Palp tibial plateau edge from midline to lateral meniscus/ lat-collat ligament
    4. Do a McMurrays Test
  11. Guest

    Guest Guest

    from where i can get ent que and ans without any discussion?
  12. Guest

    Guest Guest

    C-anca is +nt in ?
    Microscopic polyangitis
    Churg-strauss syndrome
    Kawasaki disease
    Wegner's granulomatosis Answer***
  13. Guest

    Guest Guest

    IN RH ISOIMMUNISATION ALL ARE FALSE EXCEPT :

    1)anti D is not requiredafter miscarriage.

    2)is always due to rh (D) isoimmunization. ******

    3)jaundice is always late in neonate.

    4)can occur in the 1st trimester.

    5)can be caused by transfusion of fresh frozen plasma.
  14. Guest

    Guest Guest

    A 75 year old female complains of chest pain, nausea, and vomiting while moving funiture. She is taken to the emergency room where her physical exam reveals a heart rate of 62/min, bilateral arm blood pressure of 86/79 mmHg, clear lungs, no heart murmurs, and cool extremities. She is anuric. A Swan-Ganz catheter show a cardiac index of 1.2 L/min per mm2, PA pressure of 19/13 mmHg, pulmonary capillary wedge presure of 7 mmHg, and right atrial pressure of 24mmHg. Her most likly diagnosis is:
    A. Ruptured aortic aneursym
    B. Perforated duodenal ulcer
    C. Gram-negative sepsis
    D. Blocked left main coronary artery
    E. Blocked right coronary artery





    Cimetidine Choose 2 of the following options.

    a) lowers plasma creatinine
    b) prolongs the prothrombin time
    c) hastens gastric emptying
    d) may potentiate the action of warfarin
    e) may impair cardiac conduction

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