some more questions'

Discussion in 'Australian Medical Council (AMC) EXAM' started by abcdefg, Jan 18, 2008.

  1. abcdefg

    abcdefg Guest

    AMC MCQ- October 2003
    Gold Coast


    1.Thyroid scan. Cold lesion. Which symptoms would you expect?

    A. Symptoms of thyrotoxicosis
    B. Single lump on the neck
    C. Myxedema

    2. CT scan of the head. Old man was brought to the ED by daughter. She told that his speech became slurry and uncomprehensive recently.

    A. Cerebral tumour
    B. Cerebral haemorrage

    3. X-ray of the wrist. Scaphoid bone fracture.

    A. Plaster immobilisation including a thumb and a wrist
    B. Plaster immobilisation including a thumb, a wrist and elbow
    C. It will result in avascular necrosis of distal pole
    D. Internal fixation is best treatment because of malunion
    E. Crepe bandage from elbow to the wrist

    4. Abdominal X-ray.

    A. Early small bowel obstruction
    B. Late small bowel obstruction
    C. Early large bowel obstruction
    D. Late large bowel obstruction

    5. ECG. An old lady complains of palpitations. BP=90/70. 150 pulse rate and Atrial flutter?

    A. Verapamil
    B. Lignocaine
    D. Amiodarone

    6. ECG. 38 year-old male complains of sever central chest pain.

    A. Acute inferior MI
    B. Left vetricular ischemia


    1. Pemphigus vulgaris. What is correct?

    A. Can not be in oral cavity
    B. Associated with malignancy
    C. Bullars on the nuckels
    D. Intradermal lesion

    2. Which of the following is a mature defense mechanism

    A. Humour
    B. Pseudo-altruism
    C. Irritability and aggressiveness
    D. Projection

    3. Which one of the following is not associated with scaling
    A. Solar keratosis
    B. Discoid eczema
    C. Squamous cell carcinoma
    D. Basal cell carcinoma
    E. Pityriasis versicolor

    4. In which of the following conditions topical steroids are not useful

    A. SLE
    B. Atopic dermatits
    C. Psoriasis
    D. Perioral dermatitis

    5. Eczema in infant. What is true?

    A. Mostly presented as a nappy rash
    B. Ig E are not detected

    6. Hepatitis C is common, except

    A. South-East Asian origin
    B. Homosexuals
    C. Renal dialysis

    7. In epidemiological studies related to schizophrenia (SCH), the point-prevalence means:

    A. Current cases of SCH in a certain population group
    B. Previous cases of SCH in a certain population group

    8. Use of ACE inhibitors, except

    A. Acute MI
    B. One of the first choices in the treatment of essential hypertension
    C. Hypertension in DM
    D. Aortic stenosis
    E. Cardiac failure

    9. Mycoplasma pneumonia

    A. Caused by mycoplasma p…. (not pneumonea)
    B. Often associated with headache and tonsillitis
    C. Usually diagnosed by culture

    10. Infective endocarditis, what is correct

    A. Commonly caused by Staph aureus
    B. Can be diagnosed without murmurs
    C. Enterococcus is a cause for IV drug users
    D. Atrial endocardium is mostly affected

    11. What is initial cardiac changes in the first hours of the newborn, except

    A. Closure of the venous arteriosus
    B. Increase right vetricular presurre
    C. Closure of the ductus arteriosus
    D. Increased pulmonary pressure from right ventricular pressure

    Normally, functional closure of the ductus arteriosus occurs by about 15 hours of life in healthy infants born at term. This occurs by abrupt contraction of the muscular wall of the ductus arteriosus, which is associated with increases in the partial pressure of oxygen (PO2) coincident with the first breath.
    At birth, placental blood flow ceases and lung respiration begins. The sudden drop in right atrial pressure pushes the septum primum against the septum secundum, closing the foramen ovale. The ductus arteriosus begins to close almost immediately, and may be kept open by the administration of prostaglandins
    A. Circulatory Adjustments at birth:

    Increasing uptake of oxygen by lungs (first and subsequent breaths) induces a vasoconstriction of ductus venosus and ductus arteriosis
    Aeration of the lungs at birth is associated with
    1. a dramatic fall in pulmonary vascular resistance due to lung expansion.
    2. a marked increase in pulmonary blood flow (thus raising the left atrial pressure above that of IVC)
    3. a progressive thinning of the walls of the pulmonary arteries (due to stretching as lungs increase in size with first few breaths)
    The first breath: … the pulmonary alveoli open up:
    … pressure in the pulmonary tissues decreases
    … Blood from the right heart rushes to fill the alveolar capillaries
    … Pressure in the right side of the heart decreases
    … Pressure in the left side of the heart increases as more blood is returned from the well-vascularized pulmonary tissue via the pulmonary veins to the left atrium

    12. Carcinoma of the nasopharynx:

    A. Locally destructive lesion
    B. Presence of EBV antibodis
    C. Not sensitive to radiotherapy
    D. Response well to chemotherapy
    E. Related mostly to lymphoma

    13. 6 year-old boy with progressive flaccid paralysis and a history of immunisation according to his age. What is correct?

    A. Post vaccination poliomylitis
    B. Peripheral myopathy
    Acute flaccid paralysis is the term used in public health programs to identify suspected patients with paralytic disease consistent with acute poliomyelitis. It is characterized by rapid onset of weakness of limbs, often with weakness of respiratory muscles and difficulty in swallowing, progressing to maximum severity within 1- 10 days. In some developing countries the incidence of acute flaccid paralysis remains high despite decrease in the proportion of virologically confirmed poliomyelitis(2). Paralytic disease due to enteroviruses other than poliovirus occurs sporadically and is usually less severe than poliomyelitis. Most cases are due to enterovirus 70 to 71(3) or to coxsackie virus A7. Gullian-Barre syndrome is also associated with entero-virus infections. Polio like illness has been observed in some young adult cases of acute hemorrhagic conjuctivitis caused by enterovirus 70, during epidemics. Mumps virus may occasionally be associated with transverse myelitis and Gullian-Barre syndrome and present with acute flaccid paralysis. In certain circumstances oral polio-vaccine (OPV) can cause acute flaccid paralysis. The risk of developing polio-myelitis after OPV is estimated at 1 case per 2.5 million doses administered.

    14. 38 year-old men, dressed colourfully came to the store and behave oddly. He was taken to the police station, he was singing, I love you…

    A. SCH
    B. Mania
    C. Schizoid personality disorder
    Schizoid personality disorder (SPD) is a personality disorder characterized by a lack of interest in social relationships, a tendency towards a solitary lifestyle, secretiveness, and emotional coldness.[1] SPD is reasonably rare compared with other personality disorders. Its prevalence is estimated at less than 1% of the general population

    15. Student girl has just failed examination. She noticed that she feels weird, down, can not concentrate. Thought disorder was not recognised during testing.

    A. SCH
    B. Bipolar disorder, type 2
    C. Antisocial personality disorder

    16. Montoux test is positive in all of the following, except?

    A. Milliary Tb
    B. Active tuberculosis
    C. Completed antiTB therapy
    D. Healed TB

    17. Newly delivered mother was tested with positive HBsAg, your next step in management

    A. Give to the newborn Vaccination and Immunoglobulins
    B. Only immunoglobulins
    C. Only vaccination
    D. Reassure the mother

    18. Regarding Mullerian Agenesis,which is not true?

    A. It is an X-link recessive condition
    B. Normal breast development
    C. Normal pubic hair development
    D. Under developed ovaries
    E. IVF procedure might be successful with surgery

    19. Case of 12 months boy with a history of beast feeding . Just started solid food. What is haematological findings

    A. Hypochromic microcytic anaemia
    B. Hypochromic normocitic anaemia
    C. Macrocytic aneamia

    20. 150 cm lady 38 weeks, cervix is fully effaced, open 4cm, station 0. Your management

    A. CS
    B. Trial labour
    C. US

    21. Subclavian steal syndrome. What is correct?

    A. Proximal Subclavian artery obstruction
    B. Distal Subclavian artery obstruction
    C. Vertebral Art. Obstruction

    Subclavian steal phenomenon (SSP) refers to subclavian artery steno-occlusive disease proximal to the origin of the vertebral artery and is associated with flow reversal in the vertebral artery.

    22. 5 days after appendectomy, patient complains of t=38, mucoid diarrhea
    A. Pelvic abscess
    B. Bowel obstruction

    23. Suicidal patient. All of the following questions have to be asked, except:

    A. Ask about financial status
    B. Ask to contact his GP
    C. Ask about history of SCH
    D. Ask about previous suicidal attempts

    24. HIV patient came to your practice and told you that he wants to die. Your response

    A. Ask more questions about the content of his statement
    B. Discuss the value of life
    C. Discuss euthanasia

    25. 72 year old lady had an operation because of colon cancer. After 1 week she complains of dysuria, pneumouria. What is a diagnosis:

    A. Colonovesicular fistular
    B. UTI
    C. Crohns disease

    26. All of the following symptoms of the Wernicer encephalopathy, except:

    A. Ataxia
    B. Nystagmus
    C. Tongue Fasciculations
    D. Ophtalmoplegia
    E. Lack of consciousness

    27. A bisexual man with urethritis, mouth ulcers, arthralgia, large crusty plaque on the palm and sole. What’s your diagnosis?

    A. Reiter’s disease
    B. Behcet’s disease
    C. AIDS
    D. Rheumatoid arthritis
    E. Ankylosing spondylitis

    The symptoms of Behçet's disease are believed to be caused by an over-active immune system which, without any apparent infections, produces recurrent outbreaks of inflammation in small blood vessels. Common symptoms include mouth ulcers, sore genitals and eye inflammation, and arthritis in older patients, mostly painful but not life-threatening conditions
    Symptoms of reiters disease generally appear within 1-3 weeks but can range from 4-35 days from the onset of the inciting episode of the disease.
    The classical presentation is that the first symptom experienced is a urinary symptom such as burning pain on urination (dysuria) or an increased need to urinate (polyuria or frequency). Other urogenital problems may arise such as prostatitis in men, and cervicitis, salpingitis and/or vulvovaginitis in women.

    Diagnosis revealed that the rash on the bottom of this individual’s feet, known as keratoderma blennorrhagica, was due to Reiter's syndrome'-CDC/ Dr. M. F. Rein.
    The arthritis that follows usually affects the large joints such as the knees causing pain and swelling with relative sparing of small joints such as the wrist and hand.
    Eye involvement occurs in about 50% of men with urogenital reactive arthritis and about 75% of men with enteric reactive arthritis. Conjunctivitis and uveitis can cause redness of the eyes, eye pain and irritation, and blurred vision. Eye involvement typically occurs early in the course of reactive arthritis, and symptoms may come and go.
    Roughly 20 to 40 percent of men with reactive arthritis develop penile lesions called balanitis circinata (circinate balanitis) on the end of the penis. A small percentage of men and women develop small hard nodules called keratoderma blennorrhagica on the soles of the feet, and less often on the palms of the hands or elsewhere. In addition, some people with Reactive Arthritis develop mouth ulcers that come and go. In some cases, these ulcers are painless and go unnoticed. Some people suffer serious gastrointestinal problems similar to those of Crohn's Disease

    28. 41 weeks of gestation, antenatal checkup, not in labour. What would you recommend, except?

    A. US
    B. Xray pelvimetry
    C. Do volumetric measurement of amniotic fluid
    D. Vaginal examination

    29. A young girl who wants to have earring pierced on the umbilical area, on examination was able to palpate the spleen 1cm below the left subcostal area. On lab examination, haematology and biochem are normal. Liver and pancreas were both normal on ultrasound. What would you advise the patient.

    A. Reassure and repeat investigation in 3 months
    B. Repeat ultrasound in 4 weeks
    C. Reassure
    D. Arrange for splenectomy

    29. 60 year old lady with 4 years of menopause. Seeks advise regarding HRT. Which investigation would you do? Except

    A. Plasma FSH
    B. Plasma Oestrogen
    C. Bone density
    D. Lipid profile

    30. What is true about gastrin, except?

    a. Closes the lower oesophageal sphincter
    b. Secreted by the cell in pyloric antrum

    31. Newborn with ht and wt (50 percentile) and head circumference is 23cm (2 percentile) what is true?

    a. Head size will catch up with in 2 years
    b. Intellectual ability will catch up in 5 years

    32. What is the best way to reduce cervical CA?

    a. vaccination with HPV
    b. use of condom in non marital sexual relationship
    c. improve pap smear technique
    d. provide other better technique for early detection

    33. All of the following cancers will give hepatic metastasis, except?

    a. Pancreas
    b. Breast
    c. Stomach
    d. Kidneys

    34. Old lady complaint about carpal tunnel syndrome. What is the best indication that can be taken through history taking

    a. Pain wakes her up at night
    b. Increase sensitivity in thenar area

    35. Indication of primary ovarian failure

    a. Increase FSH
    b. Increase LH
    c. Low oestrogen
    d. Androgen

    36. Carbon monoxide poisoning, except

    a. Hydrocephalus

    38.Which one of the following is not associated with malignancy

    A. Actinic keratosis
    B. Dermatomyositis
    C. Acanthosis nigricans
    D. Erythema multiforme
    Erythema multiforme is a skin condition of unknown etiology , but some authors suggest that the disease is mediated by deposition of immune complex ( mostly IgM ) in the superficial microvasculature of the skin and oral mucous membrane that usually follows an antecedent infection or drug exposure. It varies from a mild, self-limited rash (E. multiforme minor) to a severe, life-threatening form (E. multiforme major, or Stevens-Johnson syndrome) that also involves mucous membranes.

    Dermatomyositis is connective-tissue disease that is characterized by inflammation of the muscles and the skin. Its cause is unknown, but it may result from either a viral infection or an autoimmune reaction. Up to 50% of the cases may be a paraneoplastic phenomenon, indicating the presence of cancer.

    Actinic keratosis (also called solar keratosis, or AK) is a premalignant condition of thick, scaly, or crusty patches of skin. It is most common in fair-skinned people who are frequently exposed to the sun, because their pigment isn't very protective. It usually is accompanied by solar damage. Since some of these pre-cancers progress to squamous cell carcinoma, they should be treated.
    When skin is exposed to the sun constantly, thick, scaly, or crusty bumps appear. The scaly or crusty part of the bump is dry and rough. The growths start out as flat scaly areas, and later grow into a tough, wart-like area.
    Which is right about contraception failure rate.
    A. Combined oral contraceptive pills- 1%
    B. Progestogen-only contraceptives-2%
    C. Intrauterine contraceptive devices with progestogen-2%
    D. Withdrawal- 2-3%
    E. Ovulation method-2-3%

    37. What is true about Mirena

    A. Reduce the incidence DVT
    B. Infrequent amenorrhoe
    C. Reduces the bleeding compared to the normal menstration

    38. Gilbert’s syndrome?

    A. Always leads to liver cirrhosis
    B. Glucorunyl transferase
    C. Unconjugated billirubin

    39. 68 year old lady became confused. Na 165 - increased, Urine osmolarity 205 –lower level of the normal range. What is the diagnosis

    A. Cardiac failure
    B. Diabetes insipidus
    C. SIADH
    D. Renal failure
    E. Water intoxication

    42. What is a possible cause of death in 1 - 16 years group in Australia

    A. Malignancy
    B. Accidents
    C. Non-accidental injury

    43. Blood test shows HBs Ag (+), Hbe Ag (+). What is true?

    A. Indicates the acute hepatitis

    44. Which of the following gives the higher chance of colon cancer development

    A. Gardner syndrome
    B. Meta… polyps
    C. Ulcerative colitis duration of 2 years
    D. Juvenile polyps

    45. What is least associated with sexual life of 65 year old women

    A. Decrease lubrication
    B. Recurrent vaginitis
    C. Decrease orgasmic potenial
    D. Vaginal atrophy
    E. Relaxing of pelvic muscle

    46. Patient has been diagnosed with depression, came to see your for advice. What would you tell the patient regarding SSRI and TCA

    A. SSRI can affect sexual life with addiction
    B. TCA affect sexual life and cause addiction
    C. SSRI affect sexual life without addiction
    D. TCA and SSRI can both affect sexual life causing addiction

    47. Unilateral underscended testes in child is associated with:

    A. Carcinoma
    B. Inguinal hernia
    C. Torsion
    D. Hydrocele
    E. Varicocele

    48. 7 year old boy with tics presents with an oral repetitive facial movements and blinking which is worse while he is watching TV or at rest. He had previous respiratory infection. What is the most probable diagnosis?

    A. Tonic-clonic seizure
    B. Myoclonic Seizure
    C. Normal blinking
    D. Habitual Tic
    E. Sydenham chorea

    49.Lymphatic drainage of the lower anal canal (below the dentate line) is through
    A. Para aortic nodes
    B. Superficial inguinal node
    C. Deep inguinal node
    D. Pelvic nodes lateral

    49. A Child with a lump in the posterior triangle of the neck. On examination, the lump was soft, fluctuated and transilluminated. Which of the following is the most likely cause?

    A. Brachial cyst
    B. Cystic hygroma
    C. Thyroglossal cyst

    50. A 5 year old boy presents with extremely painful ears. The eardrums are red and protruding. Which of the following is correct?

    A. Tetracycline is the drug of choice
    B. If the ear-drum rupture spontaneously, it will provide pain relief
    C. Antihistamine can improve the drainage

    51. 3 year old girl with erythematous area on the upper lid, lid oedema, normal eye movement, congestion of conjunctiva. What is the correct treatment?

    A. IV flucloxacillin and cephalosporin
    B. Topical gentamycin
    C. Topical corticosteroid

    52. Which of the following is not use for hyperkalemia?

    A. Resonium A
    B. Magnesium
    C. Bicabonate
    D. Insulin
    E. Dialysis

    53. One of the following is compatible with normal male genitalia?

    A. 46XY with gonadal agenesis
    B. 46XY with mother taking Cyproterone citrate at 8 week pregnancy
    C. 46XX with 17-alpha Hydroxylase
    D. 46XY with androgen resistance

    Cyproterone acetate is an antiandrogen, i.e. it suppresses the actions of testosterone (and its metabolite dihydrotestosterone) on tissues. It acts by blocking androgen receptors which prevents androgens from binding to them and suppresses luteinizing hormone (which in turn reduces testosterone levels). Its main indications are prostate cancer, benign prostatic hyperplasia, priapism, hypersexuality and other conditions in which androgen action maintains the disease process. Due to its anti-androgen effect, it can also be used to treat hirsutism, and is a common component in hormone therapy for male-to-female transgendered people
    17-hydroxylase (17-OH) deficiency syndrome is a rare genetic disorder of steroid biosynthesis causing decreased production of glucocorticoids and sex steroids and increased synthesis of mineralocorticoid precursors. Reduced or absent levels of both gonadal and adrenal sex hormones result in sexual infantilism in 46,XX females and ambiguous genitalia in 46, XY males
    54. Two hours after delivery of a normal newborn baby boy. Apgar scale 5-7, developed dyspnea and cyanosis. On examination, abdomen is scaphoid in shape.

    A. Meconium aspiration
    B. Diaphragmatic hernia

    56. In which indication Tissue plasminogen activator (tPA) is indicated?
    A. All second infarcts
    B. All anterior wall infarcts
    C. All inferior wall infarcts
    D. Some selected anterior wall infarcts
    E. Non ST elevation

    57. Rosacea which is correct

    A. Acneform rash
    B. Associated with alopecia
    C. Oral contraceptive pills my cause the condition
    D. Response to steroids

    58. A patient with ascitic fluid showed malignant cells. What could be expected to be found?

    A. Palpable supraclavicular lymph node
    B. Hepatomegaly
    C. Palpated nodules per rectum
    D. Splenomegaly

    59. Lady came with episodes of unilateral facial pain and residual sensory loss over that area. What is the possible cause?

    A. Trigeminal neuralgia
    B. Multiple sclerosis
    C. Horner’s Syndrome
    D. Facial nerve palsy

    60. Acute pancreatitis causes, except?

    A. Mumps
    B. Islet cell tumor of the pancreas
    C. Hyperlipidaemia
    D. Alcohol
    E. Gall stones

    61. Commonest cause of small intestinal obstruction in adults in Australia?

    A. Adhesion

    62. For recurrent duodenal ulcer with triple therapy, what is the least complicated investigation?

    A. Urea breath test
    B. Hydrogen breath test
    C. Biopsy and histology
    D. Serological test
    E. Culture

    63. A 40 year old woman develop severe epigastric pain at night. The next morning, she notice having a dark coloured urine. Investigation revealed her billirulin is increased, alkaline phosphatase is increase 3x, transaminase 2x increase, amylase increase 2x. what is the possible diagnosis?

    A. Acute pancreatitis
    B. Acute cholecystitis
    C. Choledocholithiasis
    D. Acute Hepatitis

    64. When pregnancy goes beyond 42 weeks AOG, all the following would be expected, except?

    A. Cephalo pelvic disproportion
    B. Intrauterine growth restriction
    C. Meconium aspiration syndrome
    D. Intrapartum fetal distress
    E. Shoulder dystocia

    65. What is most common cause of jaundice in the late stage of pregnancy, in Australia?

    A. Acute cholecystitis
    B. Choledocholithiasis
    C. Cholestasis
    D. Gall stone
    E. Acute Hepatitis

    66. What is the first sign of puberty in boy?

    A. Size of testis
    B. Size of penis
    C. Axillary hair growth
    D. Pubic hair growth

    67. A 60 year patient presents with congestive heart failure. Was commenced on captoril and long term use of chlorthiazide due to hypertension. What would you expect?

    A. K increased
    B. K decreased
    C. Na decreased
    D. Cholesterol increased
    E. Na increased

    68. 3 weeks after bank robbery, what would you except?

    A. Outburst of anger and irritability

    69. A 68 year old elderly lady patient on oral warfarin due to mechanical heart valve replacement. She had pause menopausal bleeding one week later. What is the least likely cause?

    A. Endometrial CA
    B. Endometrial polyps
    C. Cevical malignancy
    D. Atrophic vaginitis
    E. Due to oral anticoagulation

    70. 13 year old girl presents with 2-3 menstruation after puberty from 12 year of age. They lasted nearly 10 days. All of the following could be done except?

    A. Menstruation would become regular later on
    B. Can regulate with combined OCP
    C. Curettage is not necessary at this age
    D. Needs clomiphene if she wishes to get ovulation
    E. Needs iron supplement

    71. A 26 year old primigravida, height 150cm, at 35 weeks of gestation and in labor. In your assessment, pelvis is reduced, cervix is fully effaced, 4 cm dilated and at station 0. What is your management?

    A. Xray pelvimetry
    B. CS
    C. Continue trial labor
    D. IV Syntonium

    72. Primary lactose intolerance, all of the following are true except?

    A. Failure to increase glucose in serum > 100mg/L after 50g.
    B. Common in Asian community
    C. Steatorrhoea
    D. Normal villi in small intestine

    73. Unilateral exophthalmos is associated with:

    A. Thyrotoxicosis
    B. Tumor in the maxillary antrum
    C. Carcinoma of the lungs
    D. Adenoma of the lacrimal gland

    74. Most common presenting feature of testicular neoplasm?

    A. Testicular swelling
    B. Hydrocele
    C. Testicular pain
    D. Gynaecomastia

    75. Child with facial periorbital oedema, abdominal distention and ascitis, protenuria +++ and no haematuria. What is not correct?

    A. 90% of this disorder respond to steroids
    B. Pneumoccocal peritonitis is a possible cause
    C. Biopsy will show focal glomerulosclerosis in the majority of cases
    D. Needs penicillin prophylaxis

    76. Twin pregnancy following introduction of two fertilised ovum in IVF. All is true, except?

    A. Acute polyhydramiosis
    B. Premature labour
    C. PIH
    D. Anaemia if haematinics not taken
    E. Assymetrical growth of twins

    77. An old ambulant lady presents with urine retention. No pain, bladder up to the level of umbilicus.

    A. Chronic urine retention
    B. Acute urine retention
    C. UTI

    78. Patient with a history heart burns and associated treatment for 5 years presents with dysphagia only to solid food. What is possible cause?

    A. achalasia
    B. Oesophageal carcinoma
    C. Stomach carcinoma
    D. Oesophageal varices

    79. Mammogram- a circular opacity with regular border at the periphery of the breast shadow. US- cystic translucent mass. What should be done next?

    A. Tru-cut biopsy
    B. Needle aspiration
    C. Simple mastectomy
    D. Radical mastectomy
    E. Modified mastectomy

    80. Previosly healthy young female patient is at 3 weeks of post partum period. She develops dyspnoea, syncope with a wave on JVP and 4th heart sound over the left sternal border. Your diagnosis is massive pulmonary embolism. What are other findings?

    A. Normocytic Hypochromic anemia
    B. ABG shows hypoxia and hypercapnia
    C. Chest X-ray shows consolidation

    81. A 30 year old patient presents with intermittent painful swelling of the upper neck.
    It is at the upper third of the anterior border of the sternocleidomastoid muscle, fluctuate on palpation, Possible diagnosis

    A. Brachial cyst
    B. Thyroglossal cyst
    C. Submandibular salivary gland obstruction

    82. Which of the following will benefit most from splenectomy

    A. Chronic ITP
    B. Myelofibrosis
    C. Hepatic hypersplenism
    D. Hereditary spherocytosis

    83. Which of the following that will give the greatest certainty at to the diagnosis of pulmonary embolism?

    A. Chest X-ray: Normal; Perfusion scan: Normal; Ventilation Scan: abnormal
    B. Chest X-ray: Normal; Perfusion scan:Abnormal; Ventilation Scan: abnormal
    C. Chest X-ray: Abnormal; Perfusion scan: Normal; Ventilation Scan: abnormal
    D. Chest X-ray: Consolidation; Perfusion scan: Normal; Ventilation Scan: abnormal
    E. Chest X-ray: Normal; Perfusion scan: Abnormal; Ventilation Scan: normal

    84. All of the following joints are involved in RA when compared to OA

    A. Sternoclavicular joint
    B. Temporomandibular joint
    C. Metacarpophalangeal joints
    D. Carpometacarpal joints of the thumb

    85. Rheumatic fever arthritis most typical findings?

    A. Heals without deformities
    B. Affects only small joints
    C. Affects small and large joint equally
    D. Confined to one joint

    86. 54 year old patient complaints of diarrhea for the past 3 months. Which is least likely the cause?

    A. Campylobacter Jejuni
    B. Ca of the colon
    C. Giardia lamblia
    D. Chronic use of laxative
    E. Inflammatory bowel disease

    87. What is the best indication of thyroid malignancy?

    A. Compression of the trachea
    B. Compression of the oesophagus
    C. Stridor
    D. Pemberton’s sign
    E. Recurrent laryngeal nerve involvement

    88. Chronic liver disease in cirrhosis. All of the following could be the features, except?

    A. Perioral telangiectasis
    B. Palmar erythema
    C. Dupuytren’s contracture
    D. Ascitis
    E. Xanthomas

    89. Small boy 2 year old found in the bush, suspected snake bite on the leg. All of the following would be related to snake bite , except?

    A. Application of the tourniquet on the affected leg.
    B. Snake venom can produce…

    90. Post operative patient. Potassium 2.7 (3.5-5 mmole/L). The patient was given 2L of IV infussion, 2L loss from nasogastric tube, urine output is 700ml. What is your next fluid management in the next 24hrs?

    A. 2L Hartman sol + 1L NSS + 50 mmole KCl
    B. 3L Hartman sol + 2L NSS + 100 mmole KCl
    C. 2L 5% dextrose sol + 3L NSS + 100 mmole KCl
    D. 2L Hartman sol + 2L NSS + 50 mmole KCl
    E. 2L Hartman sol + 3L NSS + 50 mmole KCl

    91. Which of the following movement is first lost in degenerative disease of the hip?

    A. Flexion
    B. Extension
    C. Rotation
    D. Abduction
    E. Adduction

    92. 18 months old child not babbling, mother concerned and has audiological assessment at the age of 10 months. What is the next step?

    A. Arrange audiometry
    B. Repeat hearing test
    C. Reassure mother

    93. Photo of the leg with chronic venous ulcer. What is the least appropriated management?

    A. Topical antibiotics
    B. Ointment with contains enzymes
    C. Apply bandage and use of stockings
    D. Keep leg elevated

    94. Child has sleep terror for 12 months. Parents are concerned and want your advice. What is true?

    A. Tell them that you don’t have enough experience in this area and will be referred to Paediatrician or Psychiatrist
    B. It is associated with sleep disorder
    C. Often positive family history

    95. A 2 year old boy has abdominal distension and failure to thrive. Mother claims that her son has been having large and offensive bowel motions. Which investigation would you do?

    A. Sweat test
    B. Duodenal biopsy
    C. Abdominal xray

    96. All of the following are beneficial in the treatment of acute asthma in adult, except?

    A. Oral corticosteroid during acute attack
    B. Inhaled salbutamol and oral theophylline
    C. Let the patient be involved in the management plan
    D. Inhaled salbulamol

    97. Retrograde blood flow into the left vertebral artery can be due to obstruction of:
    A. Internal carotid artery
    B. Proximal subclavian artery
    C. Distal subclavian artery

    98. Diabetic patient developed ulcer on the foot. Most likely cause is ?

    A. Neuropathic ulcer
    B. Atherosclerosis
    C. Infection
    D. Microvascular disease

    99. CT scan of the abdomen, patient is vomiting. What is the possible cause except?

    A. Cyst of spleen
    B. Pancreatic cyst
    C. Ascites
    D. Mesenteric cyst
    E. Acute gastric dilatation

    100. Myasthenia gravis, what is correct?

    A. Thymectomy is only indicated for thymoma
    B. EMG can always positive
    C. Some does not have antibody
    D. Anticholinergic drug is the treatment

    101. A seven week old baby is brought to you by his mother. She complaint that the baby had been vomiting intermittently since birth. On examination you find no abnormalities except for some weight loss. What is your probable diagnosis?

    A. UTI
    B. Pyloric stenosis
    C. Phenylketonuria
    D. DI
    E. GORD

    102. A chest xray of a child, shows consolidation on lower right side of the lungs. What is your diagnosis?

    A. Streptococcal pneumonia
    B. Mycoplasma pneumonia
    C. TB
    D. Aspergillus pneumonia
    E. Viral pneumonia

    103. A pregnant woman presents to you at 38 weeks of gestation with 1000ml of blood loss and lower abdominal pain. Which of the following is not associated with abruptio placenta?

    A. Foetal death
    B. Tense uterus
    C. Foetal head is high up
    D. BP is 180/110
    E. Normal pulse rate

    104. What is the most common cause of bleeding from the nipple of the breast?

    A. Intraductal papilloma
    B. Ductal CA
    C. Paget’s disease
    D. Mastitis

    105. Which vitamin will be deficient in a breast fed baby?

    A. Vitamin A
    B. Vitamin K
    C. Vitamin D
    D. Vitamin B12
    E. Vitamin E

    106. 54 year oldman with sudden onset of left sided weakness without dysphasia. What is the possible diagnosis?

    A. Right middle cerebral art
    B. Internal carotid artery occlusion
    C. Epilepsy
    D. Hypertensive hemorrhage in the area of the internal capsule

    107. The patient present in emergency department with BP 90/50, pulse rate 98 min and CVP is 0.5 water. What is the possible cause?

    A. Cardiac arrest
    B. Hypovolemic shock
    C. Bowel obstruction
    D. Pancreatitis

    108. ECG of inferior infarction – ST elevation on Leads II III and aVf

    109. 12 months baby what can he do, except?

    A. Transfer object from one hand to the other
    B. Can grasp object with thumb and index finger
    C. Can walk without support
    D. Can sit without support

    110. 36 months old child what can do

    A. Hop on one leg
    B. Draw a triangle
    C. Can say a complete sentense
    D. Draw 4 parts of human body

    111. Anti-D immunoglobulin should be given to a negative mother in which of the situation:

    A. Must be given within 24 hours of delivery
    B. Anti-D in the second trimester reduce the chance of immune reaction
    C. Should be given to all mothers with Rh- blood group

    112. Picture. An old man with a skin lesion on the domain of the hand for 1 year without any changes.

    A. Squamous cell carcinoma
    B. Ruptured agio….
    C. Malignant melanoma

    113. A child developed seizures. What is your management?
    A. Phenobarbital and propranolol
    B. Diazepam IV

    114. A souccer player presents with weakness of dorsiflexion of the foot
    with a normal ankle and knee jerk. What is the possible cause?

    A. L4
    B. L5
    C. Popliteal nerve
    D. Common peroneal nerve

    115. In regards to the nosocomilal infections, all can be true, except:

    A. Staff with active infection should not be allowed to deal directly with patients
    B. Staff members who are carries of staphilococcus aureus in their nose should not be allowed to work with patients
    C. Staff members should wash their hands between dressing
    D. Staff members should have a prophylactic antibiotics policy

    116. Infant baby developed fever and subsided. After couple of days, mother noted a maculopapular rash over the trunk. What is your diagnosis?

    A. Roseola
    B. Mumps
    C. Rubella
    D. Measles
    E. Scarlet fever

    117. Which drug can reverse the effect of heparin?

    A. Vitamin K
    B. Protamine Sulphate

    118. In which of the following condition managing hypertension has been proven as a preventing factor?

    A. TIA
    B. Ischemic stroke
    C. Coronary artery disease
    D. Congestive heart failure
    E. Atherosclerosis

    119. A diabetic patient is taking insulin in the morning before meal intermediate acting and short acting insulin. Also taking the same IA and SA insulin before evening meal. He complains of sweating at night. What alteration in insulin doses needs to be done?

    A. Reduce dose of IA insulin in the morning
    B. Reduce dose of SA insulin in the morning
    C. Reduce dose of IA insulin in the evening
    D. Reduce dose of SA insulin in the evening
    E. Increase dose of IA insulin in the morning

    120. A 70 year old lady presented to the emergency department with an episode of memory loss and blurring vision. What is likely the diagnosis?

    A. Vertebral artery occlusion
    B. Carotid artery stenosis
    C. Embolus in arteria cerebri media
    D. Global amnesia
    E. Epilepsy

    121. A young man comes to you dressed as a female and complaining about problems with his sexual identity from childhood. He has always felt like a woman and has been cross-dressing on several occasions. Which one of the following is correct?

    A. Transexualism
    B. Transvestism
    C. Homosexual
    D. Schizophrenia
    E. Personality disorder

    122. Serotonin syndrome can occur by using SSRI’s with all the following drugs, except?

    A. Moclobemide
    B. L. Tryptophan
    C. Citalopram
    D. Clomipramine
    E. Dextromethorphan

    Which of the following will cause SEROTONIN syndrome if given together with SSRI like Fluoxetine EXCEPT?
    'd. Chlorpromazine

    "The serotonin syndrome is a hypersotonergic state which is a very dangerous and a potentially fatal side effect of serotonergic enhancing drugs which can have multiple psychiatric and non-psychiatric symptoms. This is a toxic condition which requires heightened clinical awareness in order to prevent, recognize, and treat the condition promptly. Promptness is vital because, as we just mentioned, the serotonin syndrome can be fatal and death from this side effect can come very rapidly. The suspected cause of that increase is the introduction of the new selective serotonergic enhancing agents in clinical practice - the SSRIs. This disorder, brought on by excessive levels of serotonin, is difficult to distinguish from the neuroleptic malignant syndrome because the symptoms are so similar. The neuroleptic malignant syndrome is a serious condition brought on by the use of the neuroleptic drugs.

    "The symptoms of the serotonin syndrome are: euphoria, drowsiness, sustained rapid eye movement, overreaction of the reflexes, rapid muscle contraction and relaxation in the ankle causing abnormal movements of the foot, clumsiness, restlessness, feeling drunk and dizzy, muscle contraction and relaxation in the jaw, sweating, intoxication, muscle twitching, rigidity, high body temperature, mental status changes were frequent (including confusion and hypomania - a "happy drunk" state), shivering, diarrhea, loss of consciousness and death.
    "The serotonin syndrome is generally caused by a combination of two or more drugs, one of which is often a selective sertonergic medication. The drugs which we know most frequently contribute to this condition are the combining of MAOIs with Prozac (this should also include the other SSRIs) or other drugs that have a powerful effect upon serotonin, ie, clomipramine (Anafranil), trazadone (Deseryl), etc. The combination of lithium with these selective serotonergic agents has been implicated in enhancing the serotonin syndrome. The tricyclic antidepressants, lithium, MAOIs, SSRIs, ECT (electric shock treatment), tryptophan, and the serotonin agonists (fenfluramine) all enhance serotonin neurotransmission and can contribute to this syndrome. Anything which will raise the level of serotonin can bring on this hyperserotonergic condition. The optimal treatment for the serotonin syndrome is discontinuation of the offending medication or medications, offer supportive measures, and wait for the symptoms to resolve. If the offending medication is discontinued, the condition will often resolve on its own within a 24 hour period. If the medication is not discontinued the condition can progress rapidly to a more serious state and become fatal.

    123. Parents and a 5 months old infant are anxious about attacks of stiff tonic jerks with drawing up the legs on the abdomen, which occurs during day time for several weeks now and some decline in milestones. What is your diagnosis?

    A. Febrile seizures
    B. Infantile spasms
    C. Benign infantile convulsions
    D. Intussusception
    E. Urinary tract infection

    124. Haemochromatosis is best diagnosed by:

    A. Serum Ferritin increase
    B. Serun iron increase
    C. Increase concentration of haemoglobin
    D. FBC
    E. Ultrasound of the liver

    125. Polymyalgia Rheumatica

    A. Distal limb muscle aching
    B. Increase muscle CPK
    C. There are fatigue fever and depression
    D. ESR normal
    E. Giant cell artritis

    126. Patient with Cirrhosis includes all of the following signs, except?

    A. Generalised pigmentation
    B. Bilateral abdominal varicosis
    C. Peri-oral telangiectasia
    D. Jaundice and palmar erythema
    E. Dupuytren’s contracture

    127. A 25 year old witnessed an armed bank robbery. Which of the following is most likely to present?

    A. Erotic memories of the events
    B. A brief psychotic reaction
    C. Visual hallucination of the events
    D. Irritability and outburst of anger
    E. Hypersomnia

    128. A girl has a dog phobia. Her boyfriend owns a big German shepherd. She comes to see you for advice. Which of the following is initial advised.

    A. Tactfully suggest her that she should tell her boyfriend to choose between her and the dog.
    B. She should suggest to her boyfriend to buy a smaller dog and cat
    C. She should take alprazolam tablet before she visits her boyfriend
    D. Tell her the fear usually disappear at later age.
    E. Advise her to buy a book about German shepherd and look at the photos.

    129. What is the percentage of detection of duke stage A1 colonic carcinoma after screening with faecal blood test?

    A. <3%
    B. 15%
    C. 25%
    D. 50%
    E. 75%

    130. A 13 year old boy is below the 3rd percentile for height (his height is equal to 50th percentile for nine year old). Which of the following is the best prognostic sign for him to reach the normal adult height?

    A. Bone age equal to 13 years
    B. Bone age equal to 9 years
    C. Bone age equal to 15 years
    D. Weight more than 5th percentile for his age
    E. Weight equal to the 90th percentile for his age

    131. A triple antigen immunisation, what is a contra indication?

    A. Child HIV positive
    B. Child on steroid therapy
    C. Viral infection with 39 degrees C
    D. Previous immunisation with mild reaction

    132. Coarctaion of aorta in 4 year old child, what is true?

    A. Rib notching in Xray
    B. Volume of femoral pulse less than brachial pulse
    C. It leads to right ventricular hypertrophy
    D. Difference between right and left radial pulse
    E. Continuous machinery murmur

    133. A 50 year old woman complain that she believes her husband of 20 years will die of cancer though he is perfectly health. She also believes she was a member of a secret service organisation. On examination she appeared to be normal and her pre-morbid personality was normal. When asked about her beliefs she became withdrawn and had evasive and vague answers. What is the diagnosis?

    A. Delusional disorder
    B. Paranoia
    C. Schizophrenia
    D. Organic mental disorder
    E. Dementia

    134. PHOTO of anus of a young female. The picture showed a small swelling bluish in color on one side of the anus. The patient complains of severe pain and been present for 24hours. What is the best treatment?

    A. Hemorrhoidectomy under anaesthesia
    B. Soak on warm saline
    C. Internal sphincterectomy
    D. Send her home and examine her tomorrow
    E. Local anaesthesia and incision

    135. Raynaud’s phenomenon is seen in all of the following, except

    A. SLE
    B. Rheumatoid arthritis
    C. Scleroderma
    D. Ankylosing spondylitis

    136. In puerperal depressive psychosis with suicidal tendencies, agitation and insomnia, which is more correct?
    A. ECT is the treatment of choice
    B. Social isolation is a major risk
    C. Always fatal
    D. Seen in 25% of mothers
    E. Reassure and tell her it is normal

    137. 4 day-old child with central cyanosis and lack of peripheral pulses

    A. TOF
    B. Transposition of great vessels with VSD
    C. ASD

    138. 36 y old women with history of fever for a month and arthralgia and facial flushing was brought to ED with a temperature of 37. After several hours she developed T=38. Possible diagnosis
    A. SLE
    B. Sepsis

    139. A young women presents with headache with mild neck stiffness. CSF is cloudy with increased WCC, predominantly neutrophiles; protein > 1 g, glucose reduced. Possible diagnosis?

    A. Bacterial meningitis
    B. Viral meningitis
    C. Herpes simplex
    D. TB meningitis

    140. A young woman present with antinatal bleeding. What is the indication of placenta previa.

    A. Abdomenal pain with bleeding
    B. Tender uterus

    141. A child with continues heart murmur

    A. PDA
    B. VSD
    C. TOF
    D. ASD

    142. Peptic ulcer disease after treatment of NSAIDs with urea breath test negative. What is the best management?

    A. Triple therapy
    B. Omeprazole long term therapy
    C. Ranitidine long term therapy
    D. Reassurance

    143. A child with skin rash and muscle weakness:

    A. Dermatomyositis
    B. Myasthenia gravis
    C. Psoriasis

    144. Which of the following diseases is least likely to be transmitted through blood transfusion?

    A. Hepatitis A
    B. Hepatitis B
    C. Renal dialysis
    D. CMV
    E. Aedes mosquito bites

    145. Which of the following hepatitis has similarity with hepatitis E

    A. Hepatitis A
    B. Hepatitis B
    C. Hepatitis C
    D. Hepatitis D

    146. Which part of the limbic system is responsible for AFFECT?

    A. Amygdala
    B. Thalamus

    147. Antiphoslipids antibodies:

    B. Infection
    C. Ischemic stroke
    D. SLE

    148. ECG- A lady with bivetricular heart failure, ischemic heart, taking nitrates, digoxin 0.125mg and captopril. What would you do next after the above ECG?

    A. Stop all meds and reassess medications after 12 hours
    B. Increase digoxin to 0.25mg
    C. Increase captopril

    149. ECG with pace marker

    150. Picture of rupture of the long head of bicep. See AMC book surgery

    151. Chest Xray 46 year old man with history of URTI. He has been cough at night and in the morning with mild yellowish sputum.

    A. Bronchitis
    B. TB
    C. Sarcoidosis
    D. Brochiectasis
    E. Pulmonary fibrosis

    152. Cardiac catheter Superior and inferion vena cana – normal pressure. Right Aorta increase, right ventricle increase and pulmonary artery increase.

    A. Continues murmur
    B. Murmur at L sternum goes to 4th intercostal

    153. Antinatal check up of a lady at 39 weeks of gestation with transverse lie. All of the following can be done, except?

    A. C/S
    B. External version
    C. Vaginal examination
    D. U/S
    E. Await for normal occurrence (labor)

    154. Soccer player kicking the ball… positive drawer sign. What is the diagnosis?

    A. Rupture of median meniscus
    B. Rupture of the anterior knee cap

    155.Which one of the following is the common side effect of Atypical antipsychotic drug?

    A. Weight gain
    B. Hypertension
    C. Hypotension
    D. Headache

    156. Which of the is not a part of parkinsonism?

    A. Hyperreflexia
    B. Muscle weakness
    C. Rigidity
    D. Shuffle gait

    157. Lady with history of insomnia for few months, irritability and weight loss. She and her husband are working and had a lot of expenses including hire purchase. They can’t afford to go for holiday.

    A. Refer to Psychiatrist
    B. Refer to social worker

    158. Surgery at the cervical area of the neck… Two hours later, patient starts to have dyspnea.

    A. Concealed hemorrhage
    B. Collapse of diaphragm

    159. What is the least important factor in the hierarchy of the evidence base medicine?

    A. Cohort study
    B. Case study
    C. Systemic review
    D. Survey study

    160. Pituitary tumor, except

    A. Nasal visual defect

    161. Which the of following are susceptible to osteoporosis, except?

    A. Anorexia nervosa
    B. 36 year old menopausal woman
    C. corticosteroid

    162. All of the following surgical procedure will need prophylactic antibiotic, except?

    A. Fundoplication
    B. Valvuloplasty

    163. A case of Coeliac disease, except

    A. Fe deficiency
    B. Serum and red cell folate deficiency
    C. Vitamin B12 deficiency

    164. Case- Patient is going for surgical procedure for colon CA. Just before surgery was known to be taking aspirin. What would you do?

    A. Discontinue aspirin and reschedule 10 days later
    B. Carry on with surgery with vitamin k injection as part of premedication
    C. Carry on with surgery with protamine sulphate as part of premidication
    D. Stop aspirin and give heparin IV and carry on with surgery

    165. A female patient arrived in emergency department with ABG – pH is increase, PO2 and PCO2 are reduced. Which of the following is not associated with this picture?

    A. Severe liver disease
    B. Pulmonary infection
    C. Sepsis
    D. Sedative overdose

    166. Which of the following is the most commonly associated presentation of cardiac tamponade?

    A. Increase JVP with neck engorgement

    167. Which of the following is true in relation to fetal monitoring

    A. loss of beat to beat variability for 5 sec indicates fetal hypoxia and immediate delivery is indicated

    168. Which of the following is the most serious condition?

    A. Tension pneumothorax
    B. Spontaneous pneumothorax
    C. Hemopnemothorax
    D. Dissecting aneurism

    169. Patient with history of haemoptysis about 1000ml and melena. What is your management?

    A. Immediate surgery
    B. Endoscopy
    C. Irradicate H. pylori

    170. School age child present with headache and a transient hemiplegia. What is possible cause?

    A. Migraine
    B. Medulloblastoma

    171. Which of the following disease does not produce fetal abnormality after maternal exposure?

    A. CMV
    B. Toxoplasmosis
    C. Rubella
    D. Hepatitis
    E. Rota virus

    Recall questions October 2003 (S.S)

    172. ECG with new right bundle branch block and irregular p waves. Question: Young male recently had a business trip, now presents with shortness of breath. What is the most likely diagnosis indicated by the ECG.

    a. Pulmonary embolism

    173. Patient post operative. Nasogastric drainage 2 litre, urine output 500ml and surgical drain 600ml. Received 2 litre IVI fluids. Biochemistry: Sodium 134; Potassium 3.0; Chloride normal. What fluid would be required over the next 24 hours?

    a. 2 l Saline + 1 l 5% Dextrose water + 50 mmol KCL
    b. 2 l Saline + 3 l 5 % Dextrose water + 100 mmol KCL

    174.Antidote for heparin

    a. Protamin Sulfate
    b. Vit K

    175.Adult man 4 weeks ago had flu-like illness, since then coughing mostly at night and in the morning with yellow sputum. CXR given with a lesion in the right upper lobe.

    a. bronchitis
    b. pulmonary TB

    176. 55 yr old man. TB when he was young. Now ulcer on lateral aspect of tongue for 6 weeks. Smokes for many years. Teeth and gingiva in good condition. Most likely cause.

    a. squamous CA
    b. TB
    c. Aphtous ulcer
    d. Stomatitis

    177. Young man post MVA with chest contusion. Most likely cause for distended neck veins:

    a. tension pneumothorax
    b. cardiac tamponade

    178. Which of the following injuries will cause rapid death if not treated immediately?

    a. pneumothorax
    b. ruptured spleen
    c. torn aorta

    179. Splenectomy will be most beneficial in

    a. chronic ITP

    180. In children with ITP

    a. usually history of viral illness
    b. raised ASOT

    181. Most common cause of death in children

    a. accidents
    b. malignancies

    182. Thyroid scan with increased uptake in one lobe. What is this patient most likely to present with?

    a. thyrotoxicosis
    b. myxoedema
    c. palpable mass

    183. Regarding Polyhydramnios which of the following is not true

    a. common in IVF

    184. First sign of puberty in boys
    a. enlarement of testis
    b. growth spurt
    c. enlargement of penis
    d. pubic hair

    185. ECG of rapid AF with patient low BP and poor consciouscness. What is your first action?

    a. cardioversion

    186. ECG with anterolateral MI and atrial flutter. Patient already received oxygen and aspirin. What will you give next?

    a. t-pa
    b. amiodarone
    c. verapamil

    187. Elderly woman on GTN patch, digoxin and calcium channel blocker. Presents with signs of cardiac failure. ECG given showing complete heart block. What do you do

    a. stop all mediaction and review in 12 hours
    b. cardiovert
    c. give frusemide 20 mg IVI

    188. Middle aged woman presents with one episode of haematemesis. Otherwise healthy. On endoscopy a single duodenal ulcer is seen with signs of s recent bleed. Rapid urease test is negative. What to do?

    a. suture over ulcer
    b. omeprazole IVI
    c. omeprazole IVI + Clarythromycin + metronidazole
    d. ranitidine + Clarythromycin + metronidazole

    189. What is the least inconvenient test for H.Pilori

    a. Urease breath test

    There were 10 ECG questions
    There were 2 CT heads, one abdo CT and 1 thyroid scan

    Good Luck

    191. Which of the following doesn’t cause SSRI’s syndrome?

    a. Haloperidol

    192. WOF does not cause congenital defect?

    b. Hep C
    c. Toxoplasma
    d. Siphilis
    e. Rotavirus

    193. Female with rosacae associated with:

    a. Achne form
    b. Abscess
    c. Malaria rash

    194. Olazepine, side effects:

    a. Headache
    b. Sexual dysfunction

    195. Antidot for headache

    a. Protamine

    196. Female with Helicobacter Pylori. What is the simplest and least complicated way of diagnosis?

    a. Urea Breath test

    197. Female, pre-operative situation on warfarin previously and currently. Next step for the operation?

    a. Change/stop warfarin and put on heparin
    b. Stop warfarin
    c. Keep/continue warfarin in smaller dosage

    198. Male, diagnosed with carcinoma of the stomach is admitted for elective surgery. On history he is found to take aspirin 150 mg daily. What will you do?

    a. Stop aspirin and do surgery
    b. Give protamine and do surgery
    c. Stop aspirin and postpond srgery after 1 week

    199. Picture

    A plain upright abdominal X-Ray showing fluid levels mainly on the left upper quadrant area

    a. Early obstruction of the small intestines
    b. Late obstruction of the small intestines
    c. Late obstruction of the large intestines
    d. Early obstruction of the large intestines
    e. Gold stone ileus

    200. Hematochromatosis. Which is the finding?

    a. Increase of saturation of transferrine
    b. Inreased ferritine

    201. Male, diagnosed with thyroid carcinoma. What is the feature most likely?

    a. Paralysis of cranial 7-th nerve
    b. Dysphagia
    c. Paralysis of current laryngeal nerve

    202. What is the most important feature in a history of an asthmatic patient?

    a. Past history of intubation because of bronchospasm
    b. History of taking steroid

    203. Question about Gillbere- Syndrome

    204. What is the least likely IV blood transfusion?

    a. Hep A
    b. Hep B
    c. Cytomegalovirus

    205. Male, Neck vein inflated, shock, trauma

    a. Pericarditis
    b. MI
    c. Hemopneumothorax

    206. The eleventh cranial nerve is motor which one of the following?

    a. Sternocleidomastoideus and trapezius ( soft palate and pharynx)

    207. CT scan Picture of a brain, transversal section. Male, head trauma with nothing just bruise on the frontal lobe. No other symptoms. What is the diagnosis?

    a. Subdural haemorrhage
    b. Extradural haemorrage

    208. Male can not dorsiflex and….. foot. Pain in the knee. MCQ 2000 Oct

    a. Absent ankle jerk
    b. Weakness of dorsiflexion

    209. Picture, Mammogramm with a tumour over 5 cm. What is the next appropriate step?

    a. Needle aspiraion
    b. Total Mastectomy

    210. Female, married with 3 kids. No problems in the family. Too much suffering from

    a. Talk to the husband
    b. Advice to have a holiday
    c. Depression

    211. Picture, X-Ray, child

    a. Klebsiella Pneumonia
    b. Streptococcal Pneumonia

    212. Picture, ulcer of the leg. Least likely?

    a. Topical Antibiotics

    213. Asthma

    a. Do not give oral corticosteroids for every attack

    214. Picture of the right hand- ulnar, radius. Insignificant defect on the ulnar close to the joint with scapular.

    a. Non-union

    215. Male, was prescribed SSRI. Comparisson with TCA’s. Patient worry to have adverse effect such as sexual dysfunction and to be addicted to it. Your advice is:

    a. SSRI can give sexual dysfunction, but there are no known addiction

    216. ECG-s

    a. Left block
    b. Atrial fibrillation
    c. Ventricular tachycardia with anterior MI
    d. Hyperkalaemia….Pulmonary embolism
    e. Complete block
    f. Pericarditis

    217. Picture, X-Ray

    a. TB

    218. In a patient with massive ascities. Which one is possible to find?


    219. Parkinson disease. What is a feature?

    a. Hyperreflexia

    220. Female, on OCP. She forgot to take a pill in a specific time. 12 hrs later she took a tablet. 3 days later she found blood spotting. What is your suggestion to her?

    a. Continue OCP
    b. Do a test to eliminate pregnancy
    c. Do a test to prove pregnancy

    221. Baby with presentation of transverse lie.

    222. Talassemia

    223. Jaundice in male adult. What is likely cause?

    a. Conjugated bilirubin
    b. Unconjugated bilirubin
    c. Hemolysis

    224. Twins. Non- identical

    a. Acute polyhydramnious
    b. Chronic polyhydramnious

    225. Twins, identical. Feature you can find.

    a. Acute polyhydramnious

    226. Rh- factor to give to mother

    a. Best given at 2-nd trimester
    b. Withtin 24 hrs

    227. Elderly woman not a cause of dyspereunia

    a. atrophyc vaginitis
    b. HPV
    c. Relaxed pelvic muscles
    d. Endometrial Ca

    228. Woman with an Obsessive Compulsive Disorder. She has symptoms for a year. What is the likely cause of the disease?

    a. Px develop schysophrenia
    b. Follows a cause of remission ….
    c. Can develop psycosis
    d. Px becomes suicidal

    229. Glaucoma- most characteristic feature:

    a. hazy comea
    b. photosensity

    230. Cause of Helicobacter Pylori . What is the simplest and least inconvenient management?

    a. urea breath test

    231. ACE & diuretics

    a. GFR
    b. Na+
    c. K+

    232. Dx? Mx? T4 T3 TSH

    233. PaCO2 Pa O2 Dx? Mx?

    234. Pulmonary embolism
  2. Guest

    Guest Guest

    Thanks friend, These questions were of great help... :)
  3. Guest

    Guest Guest

    some more questions

    Thanks so much for your thorough response. It is such a big help and reassurance to me Its a great idea to do a Spanish course at the university, because I may be able to gather some inside information on the English department that way. Ive sent an email, and hope theyll have a course to fit my schedule/arrive time...

    Platypus--maybe not a bad place to spend a week. Thanks for that.

    You mentioned that youre more keen to meet locals. Have you found any good places to meet people? Do you salsa? Any particularly good places for that?

    Anyway, thanks again for all your help--it makes my day
  4. Guest

    Guest Guest

    :lol: Can u post the correct answer????
  5. dr. Ana

    dr. Ana Guest

    Could you please post the answer?
    Everyone wants to compare the solutions of the posted questions?
    I am doing all these questions of the forum at the moment
  6. dr. Ana

    dr. Ana Guest

    I am doing the questions of the AMC question bank
    Anyone want to compare the solutions?
    Could anyone post the correct answer?
  7. Guest

    Guest Guest

    :lol: :lol: :lol: who post the questions???? plz post the answers also.......... thanks for posting again
  8. Guest

    Guest Guest

    anyone available for group study for AMC MCQs.........
  9. Guest

    Guest Guest

    hi dr sharmaadi....dr. navjot here..may i know ur location n if ur interested in combined study as well.. m in punjab. my email id s

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