more 2006 MCQ exam Questions

Discussion in 'Australian Medical Council (AMC) EXAM' started by eski48, Jul 31, 2006.

  1. eski48

    eski48 Guest

    here are the rest of the questions
    5. Bone age ( recall q )
    6. new born with umbalical discharge and a small red mass at the umbalicus what is the treatment
    1. clean with betadine
    2. investigate for umbalical fistula
    3. treat as umbalical granuloma
    7.patient is having craniopharingioma what is the visual feild defect they will hv
    8.diplopia question with cover test result and which nerve involved was asked
    9.CTG 2 questions
    115bpm hr , normal beat to beat variability , accelaration seen , decelaration was also present . thses finding were given in writting and they asked for next step of management
    1. CTG shows fetal distress (50% probability of hypoxia )immediate delivary .
    2. some amount of fetal distress (20% chance of hypoxia ) do fetal scalp Ph to diagnose fetal distress
    3. 1 % chance of fetal distress repeat CTG after sometime
    4. CTG is abnorml , but the abnormality is due to fetal sleep .
    10. premature rupture of membranes , high vaginal swab done , no organism , CTG normal , USG shows markedly reduced liquor content , started on antibiotics , no contractions , what is the next step of management .
    1.continue antibiotics til the delivary
    2.repeat CTG every 2-3 days
    3.repeat USG every week
    11.In diabetic ketoacidosis initial rise in K is due to
    1. renal faliure
    2. lack of insulin
    12. what does low serum Na indicate
    1. low plsma osmolality
    2.total body Na is low
    3. Extracellular Na level is low
    4. increase loss of Na
  2. faran

    faran Guest

    thank u so much
  3. Guest

    Guest Guest

    eski48 more 2006 MCQ exam Questions

    eski48
    Guest






    Posted: Mon Jul 31, 2006 11:10 am Post subject: more 2006 MCQ exam Questions

    --------------------------------------------------------------------------------

    here are the rest of the questions
    5. Bone age ( recall q )

    6. new born with umbalical discharge and a small red mass at the umbalicus what is the treatment
    1. clean with betadine
    2. investigate for umbalical fistula
    3. treat as umbalical granuloma

    7.patient is having craniopharingioma what is the visual feild defect they will hv

    8.diplopia question with cover test result and which nerve involved was asked

    9.CTG 2 questions
    115bpm hr , normal beat to beat variability , accelaration seen , decelaration was also present . thses finding were given in writting and they asked for next step of management
    1. CTG shows fetal distress (50% probability of hypoxia )immediate delivary .
    2. some amount of fetal distress (20% chance of hypoxia ) do fetal scalp Ph to diagnose fetal distress
    3. 1 % chance of fetal distress repeat CTG after sometime
    4. CTG is abnorml , but the abnormality is due to fetal sleep .

    10. premature rupture of membranes , high vaginal swab done , no organism , CTG normal , USG shows markedly reduced liquor content , started on antibiotics , no contractions , what is the next step of management .
    1.continue antibiotics til the delivary
    2.repeat CTG every 2-3 days
    3.repeat USG every week

    11.In diabetic ketoacidosis initial rise in K is due to
    1. renal faliure
    2. lack of insulin

    12. what does low serum Na indicate
    1. low plsma osmolality
    2.total body Na is low
    3. Extracellular Na level is low
    4. increase loss of Na
    13.renal artery stenosis 2 questions
    best investigation to diagnose
    other question what is incorrrect -




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    Guest







    Posted: Fri Aug 04, 2006 6:38 pm Post subject: neurosurgery

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  4. Guest

    Guest Guest

    some more questions

    here are some questions, i will really appreciate if someone help me ,,,,,,,,,,,,so please if anyone know the answer of even one question...u ll be more than helpful.......
    1.rectal cancer below dentate line will metastasize to ?

    a.deep inguinal L.N s

    b. superficial inguinal l.ns

    c.periaortic

    d.paraaortic

    e.liver



    2. antibiotics prophalaxis used in all except?

    a. acute appendicitis

    b.fundoplication

    c. wound infection

    d colorectal carcinoma



    3. a 65 years old man with recurrent attacts of sudden bilateral blindness lasting for few seconds, resolves compeletly in between attacts. most likely?

    a.vertebral a thrombosis

    b. Internal cartoid a. thrombosis

    c.middle cerebral a aneurysm

    d. temeroal arteritis

    e. multiple scelorosis



    4 feacel occult bllod testing when used for screeing for Duke A colorectal carcinoma will detect

    a.less than 5%

    b. 10- 20 %

    C. 30-40%

    d 50%

    e. more than 70 %



    5.patient with tonic clonic covulsions following local lignocaine and adrenaline, management is first?

    a. O2 therapy

    b. nitrous oxide

    c. IV diazepam and oxygen

    d IV phenoparbitol and oxygen



    6. most commom eye problem in wernick encephalpathy

    a. abducent n palsy

    b. optic n lesion

    c occulomotor n lesion

    d. vestibular n lesion



    7.in an HIV postive patient, a postive skin test for TB WOF is true?

    a. advise INH prophalaxis

    b. dont advise it as it is hepatotoxic

    c. false postive skin test

    d. lack of upper lobe cavitation exculdes TB

    e. should confirm TB by lung biobsy



    8. patient done cholescystectomy 7 years ago, came now with jaundice, right upper quadrant tenderness, inv: ALP signigicantly elevated, AST & GGT moderately elevated what should be done?

    a. ultrasound

    b. oral cholecystogram

    c. CT

    d.MRI

    e. ERCP



    9. which movement is first lost in hip arthrosis?

    a. flextion

    b. abduction

    c. external rotation

    d. extention



    10 whose progonsis is worst pancratic or small cell lung cancer?



    11. Patient on aspirin, came to do elective surgery for gastric cancer WOF is true?

    a. operate

    b. stop aspirin and do operation in one week

    c. give VIT k and operate

    d. give half the dose and operate in 7 days



    12. gardener have a swelling in lowrer aram and hand after working all day with chainsaw inv best?

    a. duplex

    b. venogram

    c. lymphangigram

    d arterigram

    e MRI

    thnx everyone for the great help..........by the way i am doing it is sept........forgot to say :shock:
    Dina
  5. Guest

    Guest Guest

    here are some more questions,,,,,,,,waiting for some kind replies.......as i just feel my brain is blocked cant think anymore :)

    1. a patient with decreased breath sound over the righ middle lobe, consolidation and dullness on percussion is this
    pleural effusion or pulmonory collapse

    2. old male, with short history of malaise and anorexia when he was on a short trip to Bali, he has jaundice, chills elevated bilirubin, high AST and ALT, sligh increase in alkaline phosphatase is this?
    a. cholangitis
    b.viral hepatitis
    c. malaria

    3. patient undergo postcolectomy, next carcinoma is :
    a. Ca bronchus
    b. stomach
    c. oeshagues
    d.dodenum

    4. which is not a carcinogen?
    a. HIV
    b. epstein barr virus
    c, CMV
    d.hepatitis C

    5. one hour aftre difficult catherization in a 60 year old male patient is pale sweaty and hypotensive
    a. perferoation
    b. cocealed bladder
    c.lung collapse
    d. gram negative septicimea
    e.UTI

    6.mother with a 6 weeks old boy, breast feeding, constipated for 4 days, thriving well, examination rectum is empty no fissure . most likely?
    a. normal bowel frequency
    b hirshsprung disease (i am only writing the probable answers not all the options)

    7. least likely to be assosciated with hypothyrodism is ?
    a. 28 year with menorahagia
    b. 9 year old with retarded bone growth
    c 26 years male with impotence
    d. 72 years old with multinodular goitre
    e. 34 year old with IDH (what is IDH??) not responding to treatment

    8. best visulisation of the CBD is it
    a. US
    b.ERCP

    9. 3 year old with fever and cough, examination no abnormalit, chest x ray shows bilateral diffuse infiltrate. diagnosis?
    a. Strept. pneum.
    b.TB
    c. Mycoplasma
    d H. influnenza
    e Staph

    10. 19 year old came for the navel ring, on examination she has 1 cm enlarged spleen, no other featue\res. US no hepatosplenomegaly, do ?
    a. CT thorax and abdomen
    b. reassure come back in 3 months
    c. repeat US in one month
    d. take consent to do HIV and hepatitis tests

    11. diabetic patient with fever, urine no pus cells but postive for E coli in culture, blood shows leucocytosis, after senstivity test and aropriate antiobiotics are given , blood culture shows gram negative bacteria. diagnosis?
    a. papillary necrosis
    b. perinephric abcess
    c. GN
    d PN
    e. inapproriate diagnosis and antiobiotics

    12.most common way of transmission of He B in Asia is it
    a. sexual
    b blood products

    13.41 weeks pregnat woman came as she havent felt featal movements, examination and US normal. reassured her. but she calls again next day saying that she is still not feeling the movements. what to do?
    a. US
    b. reassure
    c. induce labour
    d. CS
    e. CTG

    14.fracture arm bone of child, which is the most critical to determine vascular injury
    a. pulseless
    b. pallor
    c. cold limb
    d. parathesia
    e. severe pain on extension of fingers

    15. commenest site for non spore forming anaerobes can be found?
    a. brain abcess
    b. endocarditis
    c. infected prothesis
    d lung abcess

    16 most common complication of gastric bypass surgery for morbid obesity is it?
    a. iron def. anemia
    b. folate def.
    c. vit def.
    d. blind loop sydrome

    17. young female present with solitary nodule in ant triangle of the neck, histological examination is normal thyroid cells
    a. aberrant thyroid tissue
    b. normal thyroid nodule
    c Hashimoto thyroiditis
    d metastasis from thyroid malignancy

    18. repated thrompophlebitis and DVT why?
    a. pancreatic cancer
    b. Protein C def,

    19. which is not heridiatary?
    a. Protien C def
    b. protein S def
    c Anti thrombin 3 def.
    d.factor V leiden
    e Lupus anticoagulant

    20. 65 years old history IHD wants viagra, which is contraindiaction to it?
    a. digoxin
    b.B blocker
    c. warfarin
    d. ACE inhibitors
    e. GTN

    21. patient with shoulder dislocation came to Ed after one hour to reduce it give?
    a. fentanyl and midazolam
    b. suxamethonium and pethidine
    c. rectal parectomal
    d. morphine and ?

    22. elderly man with prostate Ca, takes morphine 30 mg/ 8 hrs, and metochlropromade 10 mg TDS, comes with nausea and vomitong

    a decrease morhine to 10 mg
    b. increase metochloropramide to 40
    c. replace morphine with pethidine
    d. replace morphine with oxycodein
    e, stop morphine .......???

    23 to prevent Ca oxalate stone
    a. reduce calcium in diet
    b. low salt diet
    c. hydrochlorathiazide
    d allopurinal
    e ACE inhibtors

    24 most common compliction of ERCP is it cholangitis or pancreatitis?


    Thnx..................
    sorry...........but like today has been the universal question day

    Dina
  6. answers?

    Hi does anyone know the answers of question 1 and 2?
  7. Guest

    Guest Guest

    anyone know the answers of any of thise questions............
    answers will gratly helo :)
  8. sadiqa

    sadiqa Guest

    answers...
    1....its pneumonia...if that was an option
    2....hepatitis
    3..the question doesn't make sense!
    4...cmv
    HEP C CAUSES HEPATOCELLULAR CA
    EBV...b cell lymphomas and burkitt's lymphoma
    HIV predisposes a person to malignancies that r not found in normal population like kaposi[caused by herpes virus] but since its unique to HIV ....HIV is considered carcinogenic
    5....perforation l[cocealed hemorrhage]
    if he had fever then the choice would be gram neg BACTEREMIA....but septicemia cant develop in 1 hour ...that's for sure
    6...normal bowel frequency....if it was hirshusprung rectum would have beeen loaded with feces.
    8...ERCP
  9. sadiqa

    sadiqa Guest

    9...mycoplasma also called walking pneumonia b/c child is not as ill as his x ray appears .
    11...perinephric abscess
    12... blood products
    13 induce labour orCS depending on fetal codition
    14.pulselessness
    15..brain abscess
    16...iron deficiency anemia
    18...ca pancreas...migratory thrombophlebitis
    19...lupus anticoagulant...is autoimmune
    20....GTN
    21...d..sounds right pethidine + /- diazepam is used
    22...decrease morphine to 10 mg....b/c morphine causes vomiting its a beetre choice to reduce it ...metclopromide is a prokinetic agent increasing its dose will not help morphine vomiing ..if there was a choice to substitute met with heloperidol that would be a correct thing to do.
    replacing morph with oxy or peth will not do 'cause they aint good for cancer pains.
    23...reducecalcium in diet
    24...pancreatitis
  10. sadiqa

    sadiqa Guest

    1...first to int.iliac then paraaortic L N.
    2...fundoplication b/c its a clean surgery and bowel is not opened.
    3...int. carotid artery thrombosis the others cause unilateral blindness
    5...O2 and diazepam
    6...abducent N palsy
    7.INH prophylaxis
    8...US
    10 small cell ca has worst prognosis
    11...stop aspirin operate after a week

    even if its late for Dina i hope others will benefit!
    good luck!
  11. Guest20

    Guest20 Guest

    Answers

    Dear Doctors,
    Could you please say ma how I can find the answers of questions of AMC?
    TNX a LOT :(

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