THE MCQs HAVE ARRIVED - AMC MCQ

Discussion in 'Australian Medical Council (AMC) EXAM' started by Guest, Dec 9, 2005.

  1. Guest

    Guest Guest

    Thanks to my fellow WA doctor :D

    PSYCHIATRY


    1.A lady with a previous divorce now comes to you with a seductive behaviour

    a. Narcistic
    b. Histrionic
    c. Borderline

    2.In Australia bush fire are common either accidentally or some people lighting fire deliberately. Which is true regarding pyromaniacs?

    a. Done for notoriety or publicity
    b. To hide their acts
    c. As they like to play with fire
    d. Set fire and get panic attacks
    e. For satisfaction

    3.Depersonalization may occur in

    a. Schizophrenia
    b. Ecstatic religious experience
    c. Depression
    d. Post traumatic disorder
    e. All of the above

    4.A middle aged lady present to you with nausea dyspepsia abdominal distention. She had a past history of going to many doctors and being treated for many disorders. she has been treated by a rheumatologist for aches and pains, cardiologist for her palpitations and gave her propanolol without improvement , a neurologist for her epilepsy. On examination you find a tense anxious woman in spite of her daily dose of benzodiazepine. There are scar from appendectomy and hysterectomy operations. What is the most appropriate diagnosis?

    a. Munchausen syndrome
    b. Conversion disorder
    c. Hypochondriasis
    d. factitious disorder,
    e. Neurotic anxiety

    5.Many psychopharmacologic substance are lipophilic the advantage is

    a. better absorbed with meals
    b. promptly binds with free fatty acids
    c. more resistant to be metabolized by thae liver
    d. the pass rapidly to the brain and to the blood
    e. a drug which has a long life and needs to be given once a day daily

    6. Lithium:

    a. loses it effectiveness over the time
    b. is non addictive
    c. works better in women than men
    d. interaction with NSAIDS

    7. morbid jealousy

    a. alcoholism
    b. schizophrenia
    c. depression
    d. obsessive compulsive
    e. mania

    8. A 40 yr old male school teacher who has recently separated from his wife was; prescribed imipramine 25 mg for his depression. He had a road accident in which he hurt his child. He was admitted to hospital for taking an overdose of imipramine with alcohol. He does not give consent to go for psychiatric counselling or to be admitted hospital for further treatment. Your next step in the management of this patient is:

    a. Ask him to go to alcoholics anonymous
    b. Increase the dose of Amitriptyline to 125 mg and send him home
    c. Change to another drug
    d. Retain him in the hospital against his using he Mental health act
    e. Contact his wife and try to persuade her to return to him
    f. Alcohol counselling

    9.A 46 year old widow consults you for advice on management of insomnia, indifferent appetite; recent weight loss of 5 kg., headaches and tearfulness. 4 weeks ago her only son died after subarachnoid haemorrhage. Since then she had experienced auditory hallucination, of her son's voice calling out her name and had felt his presence in their living room. Your initial management of this woman would involve:

    a. Grief counselling and a brief course of benzodiazepine
    b. Grief counselling and a brief course of TCA
    c. Grief counselling and a brief course of phenothiazine’s
    d. Referral to psychiatrist
    e. Referral for hospitalisation and treatment

    10.Depersonalization may occur in:

    a. schizophrenia
    b. ecstatic religious experience
    c. depression
    d post traumatic disorder
    e.A11 of the above

    11. A 36 yr old engineer is due to give an speech soon and is reluctant to be exposed to people. At the same time, he does not want to sign cheques or write anything in public. He also thinks his, boas is controlling what he is doing although he knows that there is no motive for that because he is a very good worker. He realizes there is no reason to act this way, Lately he has been avoiding to go to the canteen with his mates and takes alcohol to cope with the situation. What he is suffering from?

    a. Social phobia
    b. agoraphobia
    d. antisocial personality disorder
    e. panic disorder
    f. paranoid disorder

    12. Deinstitutionalisation means:

    a. Transferring a patient from a psychiatric hospital to a community based facility.-
    b . Put him in prison hospital
    c. discharge the patient to a nursing home
    d. Put patient in a psychiatric hospital
    e. psychiatric patients are not permitted to vote


    13.Lithium:

    a. loses its effectiveness over the time
    b. Is non-addictive
    c. works better in women than men
    d. Interaction with NSAIDS causes increase in lithium levels
    e. Lithium toxicity

    14.Cognitive therapy has good results in:

    a. depression
    b- chronic pain
    c. social phobia
    d. bulimia
    e. all of the above

    15. Many psychopharmacologic substance are lipophilic. The advantage is:

    a. better absorbed with meals
    b. promptly bind to free fatty acids
    c. more resistant to be metabolised by the liver they pass rapidly to the blood and to the brain
    e. a drug has a long life and needs to be given once a day only

    16. Psychiatric treatment in women is more commonly found in:

    a. first trimester of pregnancy
    b. second trimester
    c. third trimester
    d. puerperium
    e.6 weeks after the first control


    17.Regarding depression, what is true?

    a. onset in winter, disappear in summer
    b. -onset in autumn, disappear in summer
    c. onset in summer; disappear in winter
    d. onset in summer, disappear in autumn
    e. onset in spring, disappear in winter

    18. Despite obvious to the contrary, a 16 w old female with anorexia nervosa, thinks she is overweight. This is an example of :

    a. delusion
    b. obsession
    c. over valued idea
    d. rumination
    e. hallucination


    19. A 35 year old female secretary, unmarried, complains of feeling of mass or lump on her neck:

    a. psychological (Globus Hystericus)
    b. inflamed tonsils
    c. lingual thyroid
    d. hyperthyroidism
    e. goitre

    20.In generalized anxiety disorder, what Will develop in the next follow :

    a. Schizophrenia
    b. bipolar manic depression.
    depressive illness
    mania
    phobia.


    21. Using the WHO criteria, what is the most common symptoms of schizophrenia?

    a. Flat affect
    b. Auditory Hallucination
    c. Visual hallucination
    d. Lack of insight
    e. Suicidal ideation

    22. Exposure to stimuli and response prevention is the treatment of

    a. Obsessive-compulsive disorder
    b. Agoraphobia
    c. Depression
    d. Bipolar manic depression
    e. Schizophrenia

    23.Morbid jealousy, associated with:

    a. alcoholism
    b. schizophrenia
    c. depression
    d. obsessive compulsive
    e. mania


    24.WOF may be treated with ECT

    a. puerperal depression
    b. catatonic schizophrenia
    c. mania
    d. acute schizophrenia
    e. all of the above


    25.A 1 yr old child of normal intelligence becomes withdrawn and shows deterioration in his school work. What is most likely:

    a. schizophrenia
    b. response to stress *in the family
    c. normal variance of adolescence
    d. Migraine

    26. Anorexia nervosa is characterized by all of the following except.

    1. 90% of those affected are females
    2. raised FSH is pathognomonic
    3. not eating or recognizing hunger

    27. Fluoxetine is a new antidepressant unrelated to TC.A but with similar pharmacologic action. What is its mechanism of action?

    a. inhibits uptake of dopamine
    b. inhibits uptake of norepephrine
    c. inhibits uptake of serotonin
    d. inhibit uptake of epinephrine


    28.Apatient maintained on lithium carbonate was given an NSAIDS and developed then Most likely explanation for this :

    - lithium toxicity
    - toxicity to NSAIDs


    29. In married couple, the most likely cause of inhibited sexual excitement is?

    a. fear of pregnancy
    b. marital discord
    c. empty nest syndrome
    d. organic disorder

    30.A Malaysian university student who is working as a waiter, whose girlfriend went home to attend her father's funeral became irritable, restless and unable to sleep. He complains that his companions are talking behind his back and plotting against him what is your diagnosis?

    a. reactive psychosis
    b. grief reaction
    c. onset schizophrenia
    d. suspicious cannabis
    e. panic psychosis

    31. A 45 yr old salesman comes to you with complaints of difficulty of getting to sleep, waking up with nightmares & loss of weight. What is your diagnosis'?

    - anxiety
    - depression


    32. The most common cause of vaginismus :
    -- Phobia
    - schizophrenia

    33. In borderline personality. What is correct?

    a. antisocial with difficulty in establishing a relationship
    b. histrionic personality
    c. social withdrawal
    d. identification problem –
    e. tendency to self harm

    34. What is correct of obsessive rumination?

    a. compulsive hand washing
    b. repetitive, persistent sexual fantasy c.


    35. A 35 yr old man maintained on lithium was admitted for an infection. HIV test taken and done without his consent turned up positive. What is correct in this case?

    a. stop lithium and start AZT
    b. Tell the patient he has AIDS and extract a history of his sexual contacts/partners
    c. It is unlawful to do the test without consent and pre treatment counselling
    d. Inform the staff of the patient condition



    36. A 65 yr old Greek lady living in Australia since 34 yrs ago has been living alone. She now seems to answer voices and does strange things. The most likely

    a. paranoid delusions
    b. migrant psychosis
    c. Capgras syndrome
    d. Paraphilia
    e. Frigoli

    37. A 23 yr old male unemployed is complaining about his nose. He says that he can't get a good job because of his nose. He also said he can't get a girl friend , and is demanding about a reduction of his nose. The doctors an opinion is that the nose looks normal. What is your management?

    a. refer to p1'astic surgeon
    b. refer to psychiatry
    d. try a short course of...
    e. explain him very gently that his nose looks normal and try to find out what social causes and difficulties about his work.

    38. What is delusion?

    a. False Belief
    b. False thought
    c. Sexual Fantasy

    39. Most appropriate re :post partum psychosis is:-

    a. family counselling
    b. ask mother to stop breastfeeding
    c. admit to hospital
    d. psychiatric treatment to the mother
    e. treat and send home

    40. A 85 YO old man with progressive loss of memory for recent events, unable to do any calculations is disoriented for time, WOF is correct?

    1. frontal lobe tumour
    2. Alzheimer’s
    3. Multi infarct Dementia
    4. Due to old age

    41. A young girl with running nose; diarrhoea. sweating; lacrimation, and abdominal pain. WOF is the cause'?

    a. heroin withdrawal
    b. cocaine
    c. LSD
    d. marijuana
    e. amphetamine


    42. Endogenous depression. WOF is true?

    a. Early morning waking
    b. Difficulty in initial sleep
    c. Dreams with content involving death patient
    d. Somnolence in the early part of day
    e. None of Above


    43. Basis of Dopamine theory of Scz:

    a. Phenothiazine can cause Parkinson like syndrome
    b. Amphetamine can cause schizophrenia
    c. Anticholinergic drug can cause delirium.
    c. Tricyclic Antidepressants have anticholinergic effects.
    d. Imipramine helps in obsessive neurosis.

    44 Acute alcoholic hallucination can be differentiated from delirium tremens by the fact that:

    A. It occurs following ingestion of small amount of ethanol whereas DT is a withdrawal syndrome.
    c. Unilateral tinnitus is pathognomic of alcohol hallucination.
    d. Unilateral auditory hallucination is path gnomic of alcoholic, hallucination.
    e. The sensorial remain clear despite the presence of terrifying auditory hallucination.
    f. The hallucination of alcoholic is visual and unpleasant.


    45. WOF is characteristic of schizophrenia'?

    a auditory hallucination
    b. Depersonalisation
    d. antisocial behaviour
    e. flight of ideas
    f. all of the above

    46 A 70 yr old male taking Aldomet for hypertension for the last 10 Years starts to isolate himself and is suffering from deafness: He feels that people are speaking about him. What is most likely diagnosis:

    a. Symptoms of Aldomet
    b. reaction to deafness
    c. atherosclerotic dementia
    d. senile dementia
    e. senile paraphrenia



    MEDICINE

    1. In dislocation of shoulder, which nerve is liable to be injured?

    a. Radial
    b. Axillary
    c. Musculocutaneous
    d. Ulnar
    e. Brachial plexus


    2. Which of the following is likely to damage an artery?

    a. Anterior Dislocation shoulder
    b. Posterior dislocation shoulder
    c. Anterior dislocation hip
    d. Posterior dislocation hip
    e. Posterior dislocation knee


    3. In Colles Fracture, the distal segment is displaced:

    a. Backwards and ulnarwards
    b. Backwards and radially
    c. Forwards and ulnarwards
    d. Forwards and radially
    e. Minimally displaced

    4. An 18-month-old is brought to you by the mother for breast enlargement. Tanner 3. No pubic hair or axillary hair is seen. No other abnormality is seen. What is your diagnosis?

    a. Precocious puberty
    b. Idiopathic thelarche


    c. Congenital adrenal hyperplasia
    d. Breast tumour
    e. Mastitis

    5. A 21-year-old child is brought to you for having loose motions for 3 days. The stool contains undigested food material. No vomiting. Thriving well. What is he suffering from?

    a. Cystic fibrosis
    b. Coeliac disease
    c. Gastroenteritis
    d. Toddlers diarrhoea
    e. IBS


    6. A large man presents with big face broad hands thick and oily skin and hoarse voice. What is the initial investigation of choice?

    a. GTT + GH
    b. Insulin challenge test + GH
    c. GH+ cortisol
    d. GH
    e. GTT


    7. Regarding heparin induced thrombocytopenia, what is true?

    a. Purpura
    b. Joint bleeding
    c. Ecchymosis
    d. Thrombosis
    e. Hematuria

    8. Regarding ADHD, what is correct?

    a. Age 5-7 years
    b. Reading difficulties
    c. Social withdrawal
    d. Females affected more than Males
    e. Prevalence is 15%

    9. All the following can cause dysphagia except:

    a. Oesophageal cancer
    b. Achalasia
    c. Oesophageal varices
    d. Barrett’s oesophagus
    e. Hiatus hernia

    10.A 6 week old is brought to you for not having passed motion for last 4 days. He has been feeding well, and is gaining weight. Otherwise well and active. What is the most probable explanation?

    a. Hirsprung’s disease
    b. Normal variant
    c. Hypothyroidism
    d. Acquired constipation
    e. Foreign body

    11. A man returns after a trip to India. Now has 3 days diarrhoea with blood in stools. Looks run out and dehydrated. Noted to have fever. What is most correct?

    a. Giardia infection
    b. Amoebiasis
    c. E. coli gastroenteritis
    d. Viral diarrhoea
    e. Cholera

    12. In a 40 years old lady, all the following may be the cause of menorrhagia except:

    a. Hormonal response to uterus
    b. Subserous fibroid
    c. Intermural fibroid
    d. Adenomyosis
    e. Endometriosis

    13. 3 month old comes with unilateral eye discharge. What is the most possible cause:

    a. Chlamydia infection
    b. Gonococcus
    c. Ophthalmia neonatorum
    d. Blocked nasolacrimal duct
    e. Normal variant

    *14. A 6-month-old presents with SOB. There was a birthday party at home yesterday. On examination, child is wheezing. What is most initial investigation?

    a. Sweat test
    b. Bronchogram
    c. CXR
    d. Inspiratory and Expiratory Rontogram
    e. PEFR measurement

    15. A mother brings her 3-year-old baby girl with unilateral nasal discharge off and on for last 3 months. Secretion is foul smelling and at times copious. Baby is uncooperative. What is the initial investigation of choice?

    a. CXR
    b. indirect laryngoscopy
    c. Examination under GA

    16. A 6-year-old girl wakes up at night c/o sever pain in her calves. Mother rubs her calves and she feel fine, goes to sleep. This has been happening for a number of days now. At daytime she is active and playing. All of the following are true except:

    a. Ca and CK will be abnormal
    b. No investigations are needed
    c. Family Hx will be positive
    d. Reassurance is the treatment.

    17. Which vaccination should not be given to a child who is under remission on chemotherapy for CLL?

    a. Polio
    b. MMR
    c. HiB
    d. DPT

    18.Solitary mobile carcinoma breast lump. No axillary lymphadenopathy. Which of the following is a prognostic marker?

    a. Age > 45
    b. Neu2 / HER oncogene status
    c. Oestrogen level

    19. All can occur with chronic limb ischemia except:

    a. Great Toe gangrene
    b. Pallor
    c. Ulcer on medial side of leg above malleolus
    d. Rest pain
    e. Intermittent claudication

    *22. 40 year old with acute painful testis:*

    a. Varicocele
    b. Hydrocele
    c. Epididymoorchitis
    d. Torsion
    e. Tumour

    23. WOF is true regarding a 2cm kidney stone in the pelvis seen in KUB examination.:

    a. Expectant treatment is right
    b. It is a urate stone
    c. Lithotripsy
    d. Open surgery

    24. Patient can’t dorsiflex or evert his foot. What is wrong?

    a. L4
    b. L5
    c. Tibial nerve
    d. Peroneal nerve
    e. Sciatic nerve

    25. Body dysmorphia is seen in AOF except:

    a. Anorexia nervosa
    b. Acromegaly
    c. Non dominant parietal lobe lesion
    d. Dominant parietal lobe lesion
    e. Narcissistic personality disorder

    26. 6 year old child comes to you with up rolling if eyes, neck stiffness, protruded tongue, rigid body and face tilted to one side. Had vomiting and was being treated by the GP. What is the cause?

    a. Huntington’s chorea
    b. Epilepsy
    c. Reaction to metoclopramide
    d. Gastritis

    27. Lung cancer associated with non-smokers:

    a. Sq. cell Ca.
    b. Adenocarcinoma
    c. Small cell Ca.
    d. Oat cell Ca.
    e. Large cell Ca.

    28. All of the following cause gynecomastia except :

    a. spironolactone
    b. cimetidine
    c. digoxin
    d. alpha methyldopa
    e. labetolol

    29.A young female presents with 24 hour h/o sore throat. Later she develops proteinuria and some hematuria. What is the most probable cause?

    a. Glomerulonephritis
    b. IgA Nephropathy
    c. Nephrotic syndrome
    d. HTN

    30.What is the most important step in psychotherapy?

    a. Detailed history
    b. Isolation
    c. History from friends and relatives.
    d. Developing relationship
    e. Investigations

    31. When do we use Psychodynamic Psychotherapy?

    a. Obsessive Compulsive Disorder
    b. Bipolar Disorder
    c. Schizophrenia
    d. Depression
    e. Anorexia Nervosa

    32. You are asked to examine a person. He is cut off from the world since he was teen. Lives alone and wants to be alone. No friends. Family wants to support but he refuses to get any help. He doesn’t have any thought disorder or perceptional symptoms, but his affect is blunt. What would be the most probable diagnosis?

    a. Chronic schizophrenia
    b. Major depression
    c. Narcissistic Personality
    d. Bipolar disorder

    33.Regarding Billing’s method of contraception, AOF are true except:

    a. Cervical mucus has to be palpated
    b. Unsafe sex, if it becomes more
    c. Safe sex after 2-3 days of becoming more
    d. Since it considers the cervical mucus, it is same contraception in regular, irregular and lactational menstrual periods.

    34.Regarding Levonorgestral containing IUCD, AOF are true except:

    a. Light periods
    b. Amenorrhoea
    c. Decreased risk of cervical carcinoma
    d. Decreased risk of sexually transmitted diseases
    e. Decreased risk of ectopic pregnancy

    35.Spleenectomy in spherocytosis will do all the following except:

    a. Normalize anaemia
    b. Normalize spherocytosis

    36. An 8-year-old child presents to the ED with bilateral tonsillitis with greyish white exudates. He has cervical lymphadenopathy, fever and hepatosplenomegaly. What is the probable cause?

    a. EBV
    b. CMV
    c. Diphtheria
    d. Bacterial

    37. A young child with 2-week h/o dry cough with whop, and some times vomits. What is true about this patient?

    a. Will have cough for the next 4 weeks
    b. Amoxicillin should be started
    c. D & T vaccine should be given immediately

    38. A patient with pyloric stenosis, vomiting for 4 days now presents to ED with mother. He is dull lethargic, skin turgor is lost, and BP is 90/50. What is the most initial choice of fluid in this patient?

    a. Normal saline
    b. Hartman’s solution
    c. Ringer’s lactate solution
    d. Dextrose 5% and Normal saline

    39.Regarding diffuse fibrosing alveolitis what is true?

    a. Decreased FEV1 / FEV
    b. Decreased TLC
    c. Decreased Expansion
    d. Decreased O2 tension
    e. Hypercarbia

    40.Psychiatric side effect of corticosteroids?

    Withdrawal causes delirium

    41. A patient is suffering from cyclical mastalgia. Routine treatment fails. What is your next management?

    a. NSAID
    b. Bromocriptine
    c. Danazol
    d. Progesterone
    e. Lasix

    42.Regarding CPR, WOF statement is most correct?

    a. Adrenaline should be given every 10 minutes
    b. Bicarbonate is mandatory
    c. ECM only pumps ½ of the cardiac output in one stroke
    d. ECG is necessary before cardio-version.


    43. Patient with grandiose character. Doesn’t care about others. Feels himself to be unique:

    a. Histrionic personality
    b. Schizoid
    c. Narsistic
    d. Delusional
    e. Borderline


    44.Picture of CT Scan showing two white spots just lateral to the midline. A patient 59 year old presents with sudden onset of left hand weakness. What could be the possible cause?

    a. SDH
    b. SAH
    c. Intra cerebral haemorrhage
    d. Cerebral infarct

    45. WOF has the least risk of having congenital malformation at birth.

    a. Chromosomal abnormality AD, AR, Sex linked recessive
    b. Rubella at 18 weeks


    46. What is the most likely cause of post coital bleeding?

    a. Endometrial Carcinoma
    b. Vaginal candidiasis
    c. Cervical polyp
    d. Fibroid

    47. Regarding thyroid cancer, all are true except:

    a. Enlarged thyroid
    b. Solitary nodule
    c. Hot nodule
    d. Change in voice
    e. Tracheal compression


    48. Patient presents with fever, tachycardia (Pulse 110/mt), Tremors, and palpable & tender thyroid. On investigation, there is no radioactive iodine uptake. What is the possible treatment?

    a. Carbimazole
    b. I131
    c. Beta-Blocker + Paracetamol
    d. Thyroxine

    49. A women has bilateral suppurative inflammatory lesion on the axilla and groin. What is true?

    a. Actinomycosis
    b. Fungal infection – Mycosis Fungoides
    c. Suppurative Hidradenitis
    d. Multiple lymphadenopathy with abscess
    e. Pilonidal sinus


    50. An old man who was operated for aortic aneurysm 3 weeks ago, presents to the ED with irregular pulse, restlessness, abdominal distension and not having passed flatus and motions for last 2 days. WOF is the most possible cause?

    a. Rupture of suture site
    b. Mesenteric artery embolism
    c. Urinary retention
    d. Diverticulosis

    51 Why do we do an ultra sound in a patient with sign symptoms of biliary disease?

    a. To visualize stones in the GB or CBD
    b. To visualize pancreatic cancer
    c. To see the dilation of bile tree
    d. To locate the hepatic cancer
    e. To visualize the GB pathology


    52. A seventy-year lady who is alcoholic and smokes > 20 cigarettes a day, presents to you with tiredness and fatigue. She also complains of weakness in limbs. Her Hb was 98, MCV 110, and platelets were decreased. What is the most possible cause?

    a. AoCD
    b. IDA
    c. Alcoholism
    d. Pernicious Anaemia
    e. Auto immune Haemolytic Anaemia


    53. A young female on oral contraceptive misses one tablet while in the mid cycle. Had coitus the same day, and takes the ‘missed’ tablet 12 hours later. Then continues with rest of her tablets. She has spotting on the third day of coitus. What will be your advice?

    a. Continue with the OCP.
    b. Change to different contraceptive drug.

    54. AOF are the features of basal ganglion except:

    a. Ataxia
    b. Tremor
    c. Bradykinesia
    d. Chorea
    e. Rigidity


    55.Most common cause of bowel obstruction in Australia assuming that he as not undergone any abdominal surgery, is:

    a. Volvulus
    b. Intersuseption
    c. Groin hernia
    d. Internal hernia
    e. Tumours


    56. A patient presents with wasting of small muscles of hand with thenar sparing. What is the most probable diagnosis?

    a. Ulnar N
    b. Median N
    c. Axillary N
    d. Musculocutaneous N

    57. Picture on Page 206 of AMC. Picture of scalp showing white scaly lesion.

    a. Psoriasis
    b. Alopecia Areata
    c. Pediculosis
    d. Tinea Capitis

    58. A young couple wants to adopt abstinence as contraception. Assuming the female is having a regular monthly cycle of 28 days, you would advice them to avoid sex on AOF days except:

    a. Day 4 – 17
    b. Day 8 – 17
    c. Day 10 – 19
    d. Day 12 – 19
    e. Day 17 - 21

    59. Most common cause of cholecystitis in Australia

    a. Gall stone at out flow
    b. Gall stone in CBD
    c. Pancreatitis
    d. Tumour
    e. Hepatitis

    60.WOF is expected to happen after splenectomy for spherocytosis?

    a. RBC life span improves
    b. Leukopenia
    c. Reduction in anaemia
    d. Reduction of spherocytes
    e. Reduction in fragility of RBCs.


    61.What is the cause of majority of HbsAg patients in Chinese population?

    a. Blood product
    b. IVDU
    c. Child birth
    d. Sexual spread
    e. Haemophilia

    62. A 60 years old female patient of RA takes 5mg of Prednisolone tabs BD for last 10 years. Now she comes to you complaining sudden onset of pain and swelling of her right knee, which is warm and tender. Your management would be:

    a. Increase dose of NSAID
    b. Decrease dose of NSAID
    c. IV Antibiotics & hospitalisation
    d. Knee X Ray for unrecognised trauma
    e. Knee aspiration for cytology.

    63. A 12 year old is having pain in his hip. His mother noticed a limp. He is afebrile, and the general examination is normal. What is the most probable cause of his symptoms?

    a. Slipped upper femoral epiphysis
    b. Perthes disease
    c. Non specific synovitis
    d. Osteomyelitis

    64. Photo of viral wart on the eyelid of a young female.

    a. Wart
    b. Molluscum contagiosum
    c. Herpes simplex
    d. Skin tag

    65. AOF cause gynecomastia, except:
    a. Spironolactone
    b. Digoxin
    c. Methyldopa
    d. Labetolol

    66. A 41 week primi comes to you complaining of no fetal movements for last 24 hrs. FHS is 140/mt, CTG is normal, and rest of the examination is normal. You send her home. Next day she rings you stating that there is again no fetal movement for the last 24 hrs. What will be you next step of management?

    a. Tell her that all her examinations are fine, & she should not worry
    b. Ask her to wait for another 24 hrs.
    c. Admit labour ward and induce labour.
    d. Immediate LSCS

    67. Picture of supracondylar fracture (AMC Book): A young girl fall on her out stretched hand. What will be your management?

    a. Neurological study to check the Median Nerve involvement
    b. Fasciotomy
    c. # Reduction and assessment of circulation
    d. Back slab and review in 24 hours

    68. Many people attended a dinner party on a week end. 10% had diarrhoea. Most of them recovered spontaneously, but few needed hospitalisation for severe dehydration. What is the most probable cause?

    a. Giardia
    b. Salmonella
    c. Clostridium
    d. Shigella

    69.Complication of # of epiphyseal plate

    a. Retardation of longitudinal growth
    b. Joint stiffness
    c. Malunion
    d. Non-union
    e. Avascular necrosis

    70.4 day old full term baby normal at birth. Suddenly collapse at cot. O/E baby is peripherally cyanosed , no pulse and respiratory distress. Diagnosis?

    a. Pulmonary Hypertension
    b. Fallot’s Tetralogy
    c. PDA
    d. CHD
    e. Lt Heart hyperplasia.
    f. Transposition of great vessels

    MEDICINE, SURGERY , OBSTETRICS AND PSYCHIATRY

    1. An elderly woman can read the newspaper, but has halos in bright sunlight.

    A. Cataract

    B. Glaucoma

    C. Presbyopia

    D. Macular Degeneration

    2. Which of the following drugs decrease renin:

    A. Beta Blockers

    B. ACE Inhibitors

    C. Spironolactone

    D. Hydralazine

    E. Centrally acting antihypertensives.


    3. Newborn with respiratory distress , faint breath sounds on the left and with a scaphoid abdomen

    A. Meconium aspiration syndrome

    B. Situs inversus

    C. Diaphragmatic hernia


    4. Which nerve gives the sensation of taste to the anterior 2/3rd of tongue.

    A. Trigeminal nerve

    B. Facial nerve

    C. Hypoglossal nerve

    D. Glossopharyngeal nerve



    5. A Patient who underwent a cholecystectomy, now comes with jaundice .what is the investigation of choice.

    A. Oral cholecystogram

    B. CT scan

    C. Ultrasound

    D. Sr. Creatinine

    E. Upper GI Studies


    6. Regarding pseudobulbar palsy AOF is true …except

    A. Wasting and fasciculation of tongue

    B. Jaw jerk decreased

    C. Loss of sphincter control

    D. Gag reflex present


    7. Regarding ACE Inhibitors, which is not true :

    A. Used in the treatment of heart failure

    B. Used as first line in the treatment of Hypertension

    C. Used in Diabetics

    D. Cannot be used in the treatment of Aortic stenosis.


    8. Regarding CRF and Calcium metabolism

    A. Ca is decreased

    B. Ca is increased

    C. There is no relation between CRF and Ca

    D. Causes Osteomalacia.




    9. Most significant complication of massive blood transfusion. ( *)

    A. Pulmonary oedema

    B. Change in acid base balance

    C. DIC and coagulation defect

    D. Increased CVP


    10. Regarding CRF and Potassium all of the following reduce potassium except (treatment of hyperkalemia) *

    A. Calcium Carbonate

    B. Glucose and Insulin

    C. Dialysis

    D. Resonium

    E. Sodium Bicarbonate


    11. 55year old patient with dysphagia for solids with a previous history of reflux

    A. Carcinoma oesophagus

    B. Stricture

    C. Scleroderma

    D. Achalasia \

    E. Raynaud’s syndrome


    12. An infant came with pneumonia , X ray showed consolidation of a lobe with round translucencies and a small pleural effusion. What is the treatment of choice?

    A. Crystalline penicillin

    B. Flucloxicillin

    C. Amoxicillin / clavulanic acid

    D. Tetracycline

    13. A new born was peripherally cyanosed and crying lustily ..the axillary temperature recorded was 37.2degrees what would be the next step( *)

    A. Take an x ray

    B. reassure

    C. oxygen

    D. urine culture


    14. 34 year old lady on phenytoin wants to take OCP’S what can be prescribed

    A. Microgynon 30

    B. Microgynon 50

    C. Triphasic

    D. Oetradiol patches

    E. Progesterone only pill


    15. 6 months old boy brought by his mother with a temperature of 38.9degrees with bilateral wheezing .his resp. rate was 36/min .other members in the family had a h/o similar illness. There is family h/o asthma. What is the diagnosis?

    A. Asthma

    B. Foreign body

    C. Bronchiolitis

    D. Pneumonia


    16. 16 weeks p

    regnant lady came for a check up ,for the diagnosis of foetal anencephaly all are true except

    A. increased alpha feto protein

    B. increased beta HCG

    C. nuchal thickness

    D. decreased alpha fetoprotein
    17. Regarding tubal pregnancy most suggestive is (*)

    A. –ve beta HCG

    B. ultrasound showing empty uterus

    C. ultrasound showing tubal mass

    D. CT scan

    18. 10 weeks old child with persistent unilateral eye discharge responding to antibiotics but recurring

    A. nasolacrimal duct obstruction

    B. gonococcus

    C. Chlamydia

    19. unilateral foul smelling ,bloodstained discharge from nose

    A. foreign body

    B. nasal polyps

    C. Atopy

    D. Rhinitis


    20. 10 year old came to your surgery with scrotal pain .on examination both testis are in the scrotum , next management :

    A. do an ultrasound

    B. arrange surgery

    C. write some analgesic and send him home

    D. do nothing it will go away

    E. tell his mother to review back again when the pain recurs



    21. 19 year old girl had a binge of drinking the previous night with lower abdominal tenderness and all investigations and testis are normal (*)

    A. treat as gastroenteritis

    B. tell her it is due to alcohol

    C. not sure of diagnosis ;come back for review

    D. Give analgesic and antiemetic and send her home.



    22. Reversal of non depolarising skeletal muscle blockade

    A. Pyridostigmine

    B. Neostigmine

    C. Atropine

    D. Benzhexol



    23. differentiation between schizophrenia and shcizophreniform disorders is by (*)

    A. affective symptoms

    B. duration of symptoms

    C. lack of insight

    D. female and male ratio



    24. A lady with a previous divorce now comes to you with a seductive behaviour

    A. Narcicistic

    B. Histrionic

    C. Borderline


    25. In Australia bush fires are common either accidentally or due to some people lighting fire deliberately, which is true regarding pyromaniacs.

    A. Done for notoriety and publicity

    B. To hide their acts

    C. As they like to play with fire

    D. Set fire and get panic attacks

    E. For satisfaction.



    26. People living near airport have(*)

    A. Explosive personality

    B. Insomnia

    C. Agitated

    D. Depression



    27. Regarding panic attacks all are true except (*)

    A. 20% have had at least one attack in their lifetime.

    B. With out agoraphobia it is equal in male and female

    C. Always avoid precipitating factors

    D. Usually occurs in the twenties



    28. Regarding treatment of chronic duodenal ulcer

    A. eradication of H pylori

    B. H2 blockers

    C. PPI

    D. Selective vagotomy



    29. 4 year old boy with fever and malaise , lymphocyte count –normal, platelets decreased ,Hb decreased

    A. ALL

    B. Infectious mononucleosis

    C. Hodgkin’s disease


    30. Pregnant lady with Group B strep infection, what is true.

    A. Penicillin to be given as prophylaxis

    B. Bolus dose of penicillin before labour

    C. Take a swab and if B strep present then treat.


    31. Regarding MI , maximum deaths occur in (*)

    A. with in 1st 2 hrs

    B. 2 to 12hrs

    C. 12 to 24hrs

    D. 2 to 7days

    E. after discharge


    32. A case of stable angina with chest pain. On examination enzymes, ECG are normal but as you were examining him he belches and says he feels better - what would you do (*)

    A. Admit to coronary care Unit and do ECG monitoring.

    B. send him home with appointment to cardiologist

    C. refer to gastroenterologist

    D. if enzymes normal then probably no cardiac



    33. With regard to primary health care all are true except(*)

    A. 1/3rd of population come to a GP with psychiatric symptoms.

    B. Most patients are psychotic

    C. Only few are referred to psychiatrists

    D. Alcoholics and drug abuse frequently overlooked by GP’s



    34. A patient with known Parkinson’s disease for 2 yrs on long term treatment now comes with tongue protruding out. What would you do ?

    A. Decrease levodopa +carbidopa

    B. Increase levodopa + carbidopa

    C. Stop levodopa +carbidopa

    D. Treat with chlorpromazine



    35. In a case of twin pregnancy all are true except

    A. asymmetrical growth retardation

    B. anaemia in pregnancy

    C. premature labour

    D. acute polyhydramnios

    E. 2nd twin foetal malformation.


    36. 60 yr old female with diarrhoea and profuse mucous discharge .what could be the cause

    A. Cron’s disease

    B. ulcerative colitis

    C. villous adenoma

    D. rectal Ca

    E. acute mesenteric ischaemia



    37. How do you differentiate between anorectal and colorectal cause of bleeding(*)

    A. Blood mixed with stools

    B. Fresh bright bleeding

    C. Mucoid discharge

    D. Pain during defecation


    38. most common cause of severe chest pain in pericarditis

    A. viral pericarditis

    B. tuberculosis

    C. Mycoplasma

    D. Uraemia

    E. MI



    39. all of the following are causes of supraclavicular mass except (*)

    A. stomach Ca

    B. cervical rib

    C. breast Ca

    D. subclavian thrombosis

    E. subclavian artery aneurysm



    40. which of the following has worst prognosis

    A. advanced breast Ca

    B. choriocarcinoma

    C. Hodgkin’s lymphoma

    D. Non-Hodgkin lymphoma

    E. Prostate carcinoma



    41. Which of the following does not metastasise to brain

    A. Malignant melanoma

    B. Prostatic Ca

    C. Lung Ca

    D. Breast Ca



    42. 40 yr old lady with a 2 cm palpable breast lump on the right side .What is the next step.(*)

    A. FNAC

    B. Ultrasound

    C. Lumpectomy

    D. Mammography

    E. Radical mastectomy



    43. A lady with a palpable breast lump, FNAC showed few malignant cells regarding conservative surgery what is true? (*)

    A. Assess for oestrogen receptors

    B. Bone marrow biopsy

    C. Axillary lymph node sampling

    D. Mammography


    44. A lady with a breast cancer on left side operated 2yrs ago now detects a small lump on the right side .how do you explain the lump

    A. Cancer arising de novo

    B. Fibroadenoma

    C. Metastasis from the previous one


    45. facial nerve palsy can be associated with all of the following except

    A. chronic parotitis

    B. Ca parotid

    C. Acoustic neuroma

    D. # base of the skull

    46. A middle aged woman with deafness and loss of corneal reflex but with no tinnitus

    A. vestibular neuronitis

    B. Meniere’s disease

    C. Acoustic neuroma

    D. Multiple sclerosis


    47. Ptosis ,dysphagia ,ataxia ,on the same side and spinothalamic loss on the opposite side:

    A. vertebral artery occlusion

    B. basilar artery occlusion

    C. MS – midbrain

    D. Posterior communicating artery syndrome (PICA)



    48. 22yr old lady with diplopia. On closing the right eye ,the medial side of the image is lost ( i.e diplopia on looking laterally ) what is the diagnosis

    A. left 6th nerve palsy

    B. left 3rd nerve palsy

    C. right 6th nerve palsy

    D. posterior cranial fossa tumour



    49. Regarding a patient with hepatoma , which of the following is least likely

    A. Hepatitis B

    B. Hepatitis C

    C. Hemochromatosis

    D. CMV

    E. Alcoholic cirrhosis


    50. In which of the following cell mediated immunity is lost first followed by loss of humoral immunity (*)

    A. CLL

    B. HIV

    C. RA


    51. which of the following is not a carcinogen (*)

    A. EBV

    B. CMV

    C. Hep C

    D. HIV


    52. Picture of a lesion at the lateral angle of the eye what is the treatment ( it’s a BCC) :

    A. Surgical removal

    B. Excision and radiation

    C. Cryotherapy

    D. Chemotherapy

    E. Local steroids


    53. Picture of swelling at the outer angle of the eye .it is described as being hard and present since birth:

    A. Osteoma

    B. Sebaceous cyst

    C. Lipoma
    54. picture of a large swelling on the back near the left scapula

    A. lipoma

    B. sebaceous cyst

    C. 2ndary breast


    55. Picture of the face with a non itchy rash like lesion on the cheeks, forehead.

    A. SLE

    B. Seborrheic dermatitis

    C. Acne rosacea

    D. Dermatomyositis


    56. post operative specimen ( testicle with epididymis )

    A. TB

    B. Epididymoorchitis

    C. Teratoma

    D. Torsion of testis

    E. seminoma


    57. A chest x ray of a child showing consolidation > neutrophils increased. What could be the cause

    A. Klebsiella pneumonia

    B. Group B streptococcus

    C. Staphylococcus

    D. Mycoplasma pneumonia



    58. A lesion (looks like an ulcer) diagnosis?

    A. Amelanotic melanoma

    B. Implantation dermoid

    C. Basal cell carcinoma



    59. ECG- patient is a diabetic and he is dyspnoeic .diagnosis(*)

    A. Inferior wall MI

    B. Anterior wall MI

    C. Pericarditis

    D. WPW syndrome

    E. Pulmonary embolism



    60. ECG patient has palpitations, otherwise normal (*)

    A. Atrial fibrillation

    B. Atrial flutter with variable block

    C. WPW syndrome with accelerated beats


    61. ECG patient comes with sweating , palpitations

    A. Ventricular ectopic

    B. Ventricular tachycardia

    C. Atrial fibrillation

    D. RBBB


    62. How do you treat WPW in a patient with a previous history of collapse?

    A. Beta blockers

    B. Cardioversion

    C. Radiofrequency ablation abnormal tract

    D. Surgical ablation
    D. Long term verapamil


    63. 40 yr old man with SVT 160/min ..Patient not arousable , Treatment is

    A. cardioversion

    B. adenosine

    C. procainamide

    D. verapamil

    E. take an ECG


    64. A child with heart rate of 220/min otherwise normal , how do you manage

    A. cold stimulus

    B. Valsalva

    C. Verapamil

    D. DC shock


    65. All of the following are side effects of depot medroxyprogesterone , except(*)

    A. Amenorrhoea

    B. Weight gain

    C. Depression

    D. Used with oestrogen causes stratification and cornification of vagina

    E. hypotension


    66. 20yr old man came with pain referring from groin to loin to tip of penis brought a sample of urine mixed with blood and asks for a shot of pethidine to relieve his pain. What is the next step

    A. give him an injection of pethidine to relieve his pain

    B. KUB

    C. Ultrasound abdomen

    D. Examine fresh urine sample

    67. 12yr old boy with bee sting with wheeze ,with swollen lips ,tachycardia , restless, immediate treatment(*)

    A. adrenaline IM

    B. hydrocortisone IV

    C. oxygen

    D. antihistamine

    E. give NSAID and send him home


    68. Young man with tachycardia, BP 90/70,Pulse 140 difficulty in breathing (*)

    A. start two IV line to Hartmann

    B. wide bore needle

    C. tube drainage


    69. RTA respiratory distress mediastinal shift to opposite side with emphysema in the neck .what is the diagnosis

    A. Tension pneumothorax

    B. Hemothorax

    C. Cardiac tamponade

    D. Bronchial tear


    70. Newborn male with normal genitalia , which is true

    A. 47xxy

    B. 46xy with androgen insensitivity

    C. mother treatment with cyproterone from 8 weeks


    71. 16yr old girl came with her mother with no menstrual , breast development is normal (testicular feminisation)

    A. 45xo

    B. 46xy

    C. Turner syndrome


    72. After MVA a patient is dyspnoeic BP 100/70, HR 110/min, Breath sounds decreased on left side, heart sounds normal, JVP raised, next step in management (*)

    A. IV fluids

    B. Wide bore thoracostomy

    C. Tube thoracostomy

    73. A patient with excruciating chest pain and a diastolic murmur .what does the X-ray show (*)

    A. widening of mediastinum

    B. increased left ventricular size

    C. trachea shifted to left


    74. A child with fever malaise, sore throat …white papillae on the tongue and later a sandpapery rash...what is the diagnosis

    A. measles

    B. rubella

    C. scarlet fever


    75. A child with fever of 3 days duration and a rash develops when fever subsides

    A. Rubella

    B. Roseola

    C. Erythema multiforme




    76. An unconscious man (a known COPD case) was brought to the emergency, on examination there was a bruise on the parietal area and needle mark in the cubital fossa. His ABG was as follows (PH: 7.26, PCO2: 60, PO2: 50) His previous ABG showed (PH: 7.35, PCO2: 30, PO2: 60) .what is the diagnosis? (*)

    A. Narcotic

    B. Subdural haemorrhage

    C. Subarachnoid haemorrhage


    77. 16 weeks pregnant woman with proteinuria 3 +, hematuria, and hypertension (*)

    A. PIH

    B. Pre-existing renal disease

    C. Essential hypertension

    D. Pregnancy will continue until term


    78. Which of the following is familial

    A. papillary carcinoma

    B. medullary carcinoma

    C. follicular Ca

    D. anaplastic

    E. secondary Ca of thyroid


    79. A patient with HIV and cough (respiratory symptoms) has a Mantoux 5mm +ve , what is the next step

    A. INH prophylaxis

    B. Zidovudine

    C. Interferon


    80. Patient with HIV +ve status ..what is true (*)

    A. Life long infectivity

    B. He has AIDS

    C. Can transmit through saliva

    D. He should avoid sexual intercourse


    81. Tremor can be present in all of the following except

    A. hyperthyroidism

    B. hypothyroidism

    C. benign essential tremor

    D. Parkinsonism

    E. chronic liver disease

    82. A lady with tremor on lifting the phone and disappears when she looks at her hand with mild rigidity of the hand but no cogwheel rigidity. What is the treatment?

    A. Propranolol

    B. Benzhexol

    C. Levodopa

    83. Complication of # of epiphyseal plate

    A. retardation of longitudinal growth

    B. joint stiffness

    C. malunion

    D. non-union

    E. avascular necrosis



    84. which of the following does not have any interaction

    A. warfarin & Isosorbitrate

    B. verapamil & metoprolol

    C. erythromycin & terfenadine

    D. digoxin & amiodarone


    85. 12yr old child weight 90th percentile with a limp

    A. Perthes’s disease

    B. slipped capital femoral epiphyses

    C. tibial synovitis


    86. 13yr old child which would be the appropriate bone age for a normal adult height

    A. 9yr old

    B. 13yr old

    C. 18yr old


    87. Regarding mammography, what is true?

    A. It is painless

    B. Can diagnose breast Ca earlier than self-examination

    C. More diagnostic for 70yr old

    D. Definitive diagnosis of Ca breast


    88. 10 days old boy with vomiting, serum potassium is 7.7; serum Na is 118.what is the diagnosis.

    A. Pyloric stenosis

    B. congenital adrenal hyperplasia

    C. SIADH

    D. Posterior cranial fossa tumour



    89. A young boy has fever and limp. There is tenderness at one point in the tibia; all movements are full except flexion which is restricted to 30degrees. what is the diagnosis?

    A. Septic arthritis

    B. Osteomyelitis

    C. Perthes disease


    90. 6 hours after difficult catheterisation, a patient developed fever with chills

    A. suppurative urethritis

    B. gram negative septicaemia (bacteremia)

    C. haemorrhage


    91. Regarding hemochromatosis , diagnostic investigation is

    A. Sr. ferritin

    B. Transferrin

    C. Sr .Iron

    D. Liver biopsy



    92. In Australia the common cause of iron deficiency is

    A. Nutritional deficiency

    B. Malabsorption

    C. Diarrhoea


    93. most common cause of bleeding P/R in children

    A. fistula in ano

    B. fissure in ano

    C. haemorrhoid


    94. Patient with depression is treated with antidepressants; following a course of treatment she now wants to stop the drug .What do you advice?

    A. Follow up every week

    B. Follow up every month

    C. Admission to hospital


    95. Child with abdominal mass and with metastasis to skull

    A. neuroblastoma

    B. Willm’s tumour

    C. retinoblastoma


    96. A child babbles , sits for sometime unsupported ,stands with support and holds an object by the palm .what is the age (*)

    A. 5 months

    B. 7 months

    C. 1year

    D. 18 mon.



    97. A patient with dysthymia for 2years ..treatment is (*)

    A. SSRI + SSRI+ benzodiazepine

    B. SSRI cognitive + behaviour therapy

    C. SSRI

    D. Antipsychotics +SSRI


    98. A young patient vomits 1Litre of blood and has 2 times malaena. what is next appropriate step

    A. Gastroscopy

    B. Immediate surgery

    C. Barium meal



    99. old lady with knee swelling and has weekly positive birefringent crystals ,the crystals contain

    A. calcium pyrophosphate dihydrate

    B. calcium hydroxyapatite

    C. urate


    100. A patient is worried about the (sexual dysfunction and depression) side effects of sertraline. What would be the advice regarding the same to the patient?

    A. It is only side effect of antidepressant

    B. both these side effects are not related to sertraline


    101. Young man after a RTA was found unconscious only responds to painful stimuli and eye cold stimuli what is the GCS score

    A. GCS >3

    B. 3 to 6

    C. 6 to 9

    102. child with fever and blisters in the palm and sole and mouth ,there is lymphadenopathy

    A. Coxsackie’s

    B. Kawasaki

    C. Herpes

    103. All of the following are scaly lesions except

    A. Keratoacanthoma

    B. Squamous cell Ca

    C. Pityriasis rosea

    D. Psoriasis


    104. Rash similar to syphilis except

    A. Infectious mononucleosis

    B. Atopic eczema

    C. Discoid eczema

    D. Tinea corporis


    105. Pregnant lady with carpel tunnel syndrome .what is true?

    A. Surgical intervention is rarely needed

    B. Splinting in hyperextension

    C. Surgical correction


    106. what is typical feature of carpal tunnel syndrome

    A. severe pain awakening the patient at night

    B. pain in the ring and little finger

    C. paresthesia restricted to median nerve

    D. history of myxedema


    107. 3rd day blues what is correct? (*)

    A. Occurs at least in 50% after delivery

    B. More common following “C “section

    C. Always lead to psychosis

    D. Results in more premature malformed children


    108. regarding child abuse

    A. more common in deformed ,premature and LBW children

    B. toddlers are more commonly affected

    C. majority patients would have a psychiatric disorder

    D. other children in the family wont get affected



    109. confidentiality can be broken in which of the following situations

    A. child abuse

    B. when the police comes to ask

    C. insurance matters


    110. all are hepatotoxic except

    A. paracetamol

    B. OCP’S

    C. Halothane

    D. INH


    111. carcinomatous change can occur in all except

    A. Sjogren’s syndrome

    B. thyrotoxicosis

    C. coeliac disease


    112. 2yr old child with chronic respiratory infection, what would you do?

    A. Sweat chloride test

    B. X ray chest

    C. Barium meal


    113. Child with chronic cough and rectal prolapse, diagnosis?

    A. Congenital megacolon

    B. Cystic fibrosis

    C. Whooping cough


    114. 6 weeks old child on breast feeding with 4 days constipation and thriving well diagnosis? (*)

    A. Hirschsprung’s disease

    B. normal variant

    C. hypothyroidism

    D. acquired constipation


    115. Which of the following is not associated with brain metastasis?

    A. Small cell Ca

    B. Breast Ca

    C. Renal Ca

    D. Lung Ca


    116. An elderly patient ,known case of Ca rectum , on morphine has chronic constipation and was treated with lactulose but was not responding .what is the next step

    A. Arrange a surgical consultation

    B. Enema

    C. P/R examination

    D. Modify diet

    117. All of the following are associated with Raynaud’s except

    A. RA

    B. SLE

    C. Scleroderma

    D. Dermatomyositis

    E. Ankylosing spondylitis



    118. cause of diarrhoea in an old bed ridden patient

    A. faecal impaction

    B. Carcinoma

    C. Constipation


    119. Haemolytic anaemia all are true except

    A. Increased urobilinogen

    B. Icterus and clear urine

    C. MCV decreased


    120. A child ingested washing powder half an hour ago next management(*)

    A. Admit to hospital and possible endoscopy

    B. Charcoal

    C. Sent him home

    D. Syrup of ipecacuanha

    E. Observe

    121. Mother of an 18 month child was concerned as it was not babbling .audiological assessment was done when he was 10 months old .what is the next step

    A. Arrange audiometry

    B. Repeat hearing test

    C. Reassure the mother


    122. 71/2 yr old girl attained menarche; her mother noticed the breast growth and axillary hair growth 6 months ago.

    A. premature puberty

    B. undiagnosed congenital adrenal hyperplasia

    C. turner syndrome


    123. In a young female patient what is the most common cause of subarachnoid haemorrhage?

    A. Ruptured aneurysms

    B. Av malformations

    C. Mycotic aneurysms

    D. trauma


    124. A neonate few hours after birth developed cyanosis which was not responding to oxygen. NO murmer is there. Diagnosis? (*)

    A. Transposition of great vessels

    B. Tetralogy of fallot’s

    C. VSD

    D. ASD


    125. Lung Carcinoma seen in non smokers

    A. Adenocarcinoma

    B. Squamous cell carcinoma

    C. Small cell ca.

    D. Basal cell ca.



    126. A child has facial movements and it is increased on watching TV (question on tics). They are present even during examination.

    A. Myoclonic epilepsy

    B. Tics

    C. Partial complex epilepsy

    D. Panic attack
    127. In TNM staging which has a better prognosis

    A. T1 N0 M0

    B. T1 N1 M0

    C. T1 NI MI



    128. 60 yr old female patient had repeated bilateral thrombophlebitis and DVT cause

    A. pancreatic Cancer

    B. ovarian cancer

    C. protein c deficiency



    129. Most common cause of central cyanosis

    A. Left to right shunt

    B. Right to left shunt

    C. CO poisoning



    130. Regarding immunology what is correct?

    A. Ig G associated with atopic eczema

    B. Delayed hypersensitivity is T cell mediated



    131. Why is it difficult to differentiate beta HCG and LH

    A. FSH high

    B. LH high

    C. Prolactin high

    D. Progesterone low



    132. Young hypertensive male with proteinuria, hematuria and upper respiratory infection for 2 days .Diagnosis?

    A. Ig A nephropathy

    B. Glomerulonephritis

    C. Nephrotic syndrome

    D. Acute pyelonephritis

    E. Membrane nephropathy


    133. All of these can cause gynecomastia except

    A. Spironolactone

    B. Cimetidine

    C. Labetolol

    D. Digoxin

    E. methyldopa


    134. which of the following is least likely associated with primary hypothyroidism

    A. 72y/o with multinodular goitre

    B. 28 y/o with menorrhagia

    C. 9y/o with retarded bone age

    D. 16y/o with anovulatory cycles


    135. which of the following is incorrect :

    A. alcohol reduces triglycerides

    B. olive oil decreases HDL

    C. increased LDL/HDL ratio is good

    D. Taking 300 gms of fish daily does not reduce cholesterol



    136. Point prevalence in schizophrenia means the

    A. Current cases at that time

    B. Cases in one year

    C. The total number of cases


    137. Regarding Diabetes mellitus what is true? (*)

    A. At least take 100gms of carbohydrate everyday to prevent ketonuria.

    B. If one parent has diabetes there is 1:8 chance of getting affected.

    C. You can’t give insulin until level comes to normal.


    138. Regarding diabetic foot ,all are true ,except (*)

    A. 50% mortality following amputation

    B. If the pulse is present patient is unlikely to have it.

    C. To have diabetic foot controlling glucose level can help


    139. Regarding 80% carotid artery stenosis. What is true? (*)

    A. The incidence of stroke will be halved

    B. 40% stroke with out treatment

    C. 50% incidence of stroke after endarterectomy

    D. 40% death will occur within 30days


    140. Spiral # of humerus which nerve damaged

    A. Radial

    B. Ulnar

    C. Median

    D. Volkmann’s ischemia contracture



    141. 50 yr old patient wakes up at night due to pain in the calf which is relieved by walking. What is the cause?

    A. Ischemic pain

    B. Raynaud’s phenomenon

    C. Muscular cramps

    D. DVT

    E. Intermittent claudication


    142. A patient with pain in the calf worsened by elevation of feet

    A. Ischemia

    B. Nocturnal cramps

    C. DVT


    143. Which of the following feature is unlikely to be due to arterial ischemia

    A. Pain along the buttock and thigh after exertion

    B. Weakness of the buttock and thigh

    C. Shooting pain from buttock and thigh

    D. Leg paralysis



    144. Most common feature of rectal carcinoma

    A. Tenesmus

    B. Bleeding

    C. Incomplete defecation

    D. rectal prolapse

    145. A patient after MVA sustained a pelvic # and has blood in the external meatus ,initial investigation of choice is (*)

    A. Urethrogram

    B. CT scan

    C. Cystoscopy

    D. Catherisation

    E. IVU


    146. Regarding uncomplicated haemorrhoids all are true except

    A. Pain

    B. Pruritus

    C. Bleeding

    D. Prolapse

    E. Mucus discharge


    147. Regarding PMS what is true?

    A. 5% have very severe symptoms

    B. 40% have PMS

    C. all patients with PMS always have dysmenorrhoea


    148. Patient mechanic with penetrating hand injury. What is true? (*)

    A. Drainage should be done from extensor surface

    B. It indicates that there is extension of the palmar abscess into extensor aspect

    C. The swelling is due to oedema

    D. It indicates the involvement of extensor tendons

    149. Apathetic and dull are the negative symptoms of schizophrenia. Which is the other negative symptom (*)

    A. Catatonia

    B. Blunted affect

    C. Cataplexy


    150. A patient who is aware about his own problems during treatment .what is it ? (*)

    A. Instinct

    B. Insight

    C. Pseudo altruism

    D. Intellectualisation


    151. In chronic liver failure (obstructive jaundice) what’s true

    A. Vitamin K absorption is reduced

    B. Prothrombin cannot be converted to thrombin

    C. Chronic hepatitis


    152. In hemochromatosis after venesection all are true except

    A. Skin pigmentation becomes normal

    B. Cardiac siderosis is reversible

    C. Hepatoma can be cured


    153. In hemochromatosis

    A. size of the liver is decreased following treatment


    154. A patient with perforated peptic ulcer all are correct except

    A. Patient remembers exactly the moment of rupture

    B. Back pain

    C. Vomiting

    D. Board like rigidity

    E. Guarding


    155. Concerning cluster headache all are correct except

    A. vomiting

    B. treat with methysergide

    C. occurs after 3-4 hrs of falling asleep

    D. occurs at the same time of the day


    156. A young man with throat infection in child hood and was treated with penicillin ..He now comes with a fear of developing a rash due to penicillin as he was influenced by his friends words. What does he have?

    A. Induced delusion

    B. Hypochondriasis



    157. young man with needle marks and pin point pupils ,gag reflexes are normal ,no extensor plantar reflexes(*)

    A. opiate ingestion

    B. temporoparietal #


    158. A young man with left sucking wound in the chest .After initial airway resuscitation and circulation management what is the next step(*) C.

    A. Debridement and closure

    B. Pressure bandage

    C. IV fluids



    159. Which infection is least likely during childbirth?

    A. Syphilis

    B. Gonorrhoea

    C. Streptococcal

    D. HIV

    E. Herpes



    160. Appropriate Estimation of the foetal gestational age is by (*)

    A. Transvaginal ultrasound at 8 weeks

    B. Bimanual examinations at 8 weeks

    C. Ultrasound at 18 weeks

    D. Transvaginal ultrasound at 18 weeks


    161. Regarding OCP what is the absolute contraindication?

    A. Focal migrainous hemiplegia

    B. Hypertension

    C. Diabetes

    162. Regarding OCP what is correct? (*)

    A. All the progesterone’s except cyproterone have derived from testosterone

    B. Derive from oestrogen

    C. Derive from progesterone



    163. Young man with severe joint pain and profuse bleeding from venipuncture site. Diagnosis? (*)

    A. DIC

    B. Thrombophlebitis

    C. Clotting defect

    164. All are true regarding DIC except (*)

    A. Fibrin decreased

    B. FDP decreased

    C. PTT increased
    165. intermittent claudication commonest site

    A. profunda femoris

    B. superficial femoral artery

    C. posterior tibial artery

    D. bifurcation of abdominal aorta

    E. external iliac artery


    166. Which defence mechanism is mature?

    A. Denial

    B. Projection

    C. Introjection

    D. Humour



    167. Undescended testis is most commonly associated with (*)

    A. Torsion of testis

    B. Spermatogenesis will be perfect if the operation is done before 3 years

    C. Development delay of the child

    D. Acute epididymitis

    E. Hernia



    168. G3P0 pregnant lady came to you at 16 weeks pregnancy .She had two spontaneous abortions at 17 and 18 weeks in the previous pregnancies .how do you treat?

    A. Chromosomal analysis

    B. Cervical stitch

    C. Complete bed rest


    169. Regarding Mullerian agenesis all of the following is true except

    A. Short vagina

    B. Normal breast development

    C. X linked recessive



    170. What would be the most likely cause for bloody discharge from the nipple in a 50 year old lady?

    A. Intraductal papilloma

    B. Intraductal carcinoma

    C. Paget’s disease

    D. Fibrocystic disease


    171. The relative marker in Hepatocellular carcinoma is

    A. PSA

    B. CA125

    C. CEA

    D. CA153

    E. AFP


    172. Treatment of seminoma stage 2 with metastasis to the para-aortic lymph nodes

    A. Radio therapy to testis and nodes

    B. Surgery and radiation to Para aortic nodes

    C. Chemotherapy

    D. Surgery


    173. 70 year old woman with vaginal prolapse with ring pessary what is the complication (*)

    A. atrophic vaginitis

    B. cervical carcinoma

    C. decubitus ulcer

    D. carcinoma of vagina


    174. After splenectomy you expect all of the following except (*)

    A. Life long increased risk of infection

    B. Transient increased platelets to predispose to thrombosis

    C. Persistent decrease of RBC life span

    D. Decrease in anaemia


    175. Diabetic mother after prolonged labour delivered a jittery baby which responds to oxygen ..what is the diagnosis

    A. Hyperglycaemia

    B. Hypoglycaemia

    C. Meconium aspiration

    D. Hyperbilirubinemia


    176. Splenectomy is most beneficial in which of the following

    A. Haemophilia

    B. Chronic ITP

    C. Myelofibrosis



    177. A middle aged man unable to fall asleep has night mares and remembers his daily activities diagnosis?

    A. Anxiety disorder

    B. Depression

    C. OCD

    D. Insomnia

    178. Alcoholism is associated with all of the following except

    A. Substance abuse (benzodiazepine)

    B. Depression

    C. OCD

    179. Proteinuria is seen in all of the following except

    A. congenital nephritis

    B. RPGN

    C. UTI

    D. RA

    E. Horseshoe kidney



    180. Tourette syndrome ; all are correct except

    A. Motor and vocal tics are seen

    B. 2 or more bouts per day

    C. the person is not distressed with vocal tics

    D. coprolalia is less than 10%

    E. onset always less than 18 years of age



    181. A 35 year old lady has a grey greenish vaginal discharge, microscopy shows clue cells, and she responded well to metronidazole .diagnosis (*)

    A. Chlamydia

    B. Bacterial vaginosis

    C. Trichomoniasis

    D. Moniliasis



    182. Regarding stammering which is correct

    A. spontaneous resolution at 16years

    B. resolution after 2 year.

    C. No resolution in life

    D. Operative measure


    183. Still birth after a normal delivery. all of the following tests are done except

    A. Kleihaur test

    B. Chromosomal analysis

    C. Foetal parts

    D. Maternal antibodies

    E. Foetal post-mortem


    184. Polyhydramnios all are true except

    A. Rh incompatibility

    B. Oesophageal atresia

    C. bladder neck obstruction

    D. Anencephaly


    185. Polyhydramnios see in all except

    A. Diabetes

    B. Multiple pregnancy

    C. Cardiac anomalies

    D. Hydrops fetalis



    186. Child with greyish tonsillar exudate and atypical lymphocytes

    A. Infectious mononucleosis

    B. CMV

    C. ALL


    187. Urge incontinence all are true except (*)

    A. Colposuspension

    B. Taping the vagina

    C. Pelvic exercise

    D. Weighted vaginal cones


    188. (Regarding Rubella and pregnancy) a kindergarten teacher 6 weeks pregnant had one of her student with rubella .all are true except

    A. immunoglobulins

    B. IgG is increased initially then IgM

    C. Antibody measure and repeat SRH after 10 days

    D. If mother infected early then child can have microcephaly, seizures and cataracts


    189. A patient with pyloric stenosis vomiting a lot and vomitus contains undigested food material taken 2 days back. What is the initial management?

    A. Normal saline

    B. Hartmann’s

    C. Ringer lactate


    190. daily requirement of potassium

    A. 50mmol

    B. 1gm

    C. 30mmol

    191. In pyloric stenosis vomiting is

    A. Intermittent

    B. Occurs 1hour after food

    C. 2 days after food



    192. A man with abdominal pain x ray showed multiple fluid levels .what is the management

    A. 2 litres RL

    B. 2 litres Hartmann’s before surgery

    C. 2 litres Hartmann’s after surgery

    D. 2 litres Hartmann’s after surgery



    193. regarding antibiotic prophylaxis what is true

    A. single dose is sufficient when compared to multidose

    B. urologic surgery needs a culture for the specific antibiotic



    194. 4 year old child constipated ,rectum empty and sphincter tone lax ,mass at the apex of rectum

    A. Hirschsprung’s

    B. acquired megacolon

    C. hypothyroidism


    195. hypercalcemia seen in all except

    A. hyperparathyroidism

    B. pancreatitis

    C. RTA

    196. 3 year old girl with periorbital oedema ,protein 3+, all are true except

    A. prednisolone will impr
  2. pguest

    pguest Guest

    thanks

    thanks niruben,i have already cleared my mcq exam but i am sure it will be very helpful to the rest.
    i have copied n posted the questions on another site, given u the credit, i hope u dont mind.
  3. Guest

    Guest Guest

    STICKY TOPICS

    I would have preferred to keep the questions here...i think admin should move this page to sticky topics...
  4. Guest

    Guest Guest

    1-b
    2-c or e
    3-e
    4-a
    5-???
    6-b
    7-a
    8d
    9-d
    10-e
    11-a
    12-a
    13-b and d
    14-c or e
    15-????
    16-d
    17-a
    18-c
    19-a
    20-C ??
    21-d
    22-a
    23-a
    24-???
    25-IS the age 10, if yes then i think the answer is b
    26-b
    27-c
    28-litiunm toxicity
    29-b
    30-a
    31-anxiety
    32-phobia
    33-d and e
    34-b
    35-c
    36-????
    37-b or e
    38-a
    39-c
    40-2
    41-a
    42-a or b
    43-a
    44-A???
    45-a???
    46-b????
  5. sadiqaa

    sadiqaa Guest

    answers..psychiatry
    1...b
    2...e
    The diagnostic criteria for pyromania are:

    deliberate and purposeful firesetting on more than one occasion;
    tension or emotional arousal before the act;
    intense interest, curiosity or fascination about fire (which can include fire equipment and the consequences of fire);
    pleasure, gratification or relief when setting or witnessing fires and their aftermath;
    the firesetting is not done for another motive such as financial gain, anger or revenge, to gain recognition or to relieve boredom, and is not done in response to a delusion or hallucination or due to impaired judgment (such as through intoxication); and
    the firesetting is not better accounted for by conduct disorder, antisocial personality disorder or a manic episode.
    3...c
    4...a
    5...d
    6...b
    7...b
    8...d
    9...a
    10...c
    11...f
    12...a
    13...b
    14...e
    15...e
    16...e 6 weeks post partum
    17...b...not sure ,this is what happens in seasonal dysthymic disorder
    18...a Delusion

    A delusion is commonly defined as a fixed false belief and is used in everyday language to describe a belief that is either false, fanciful or derived from deception.
    19... :roll:
    20...e
    21...d
    22...a
    23...b...also in alcoholism and cocaine addiction
    24...e
    25...b
    26...b
    27...c
    28...developed what :?
    29...a????
    32....fear is a common cause
    33...a
    35...c
    37...b
    38...a
    39...d
    41...a
    43...a
    44...a
    45...a
    46...b
  6. sadiqaa

    sadiqaa Guest

    MEDICINE
    1...b....in ant.dislocations
    3...c
    4...c
    5...d
    6...a
    7...d
    8...a
    9...c
    10...b
    11...c
    12...b
    13...d
    14...d
    15...c
    16...b
    17...b
    18...c
    19...c
    22...c
    23...c
    24...d
    26...c
    27...e...
    28...e
    29...a
    30...d
    31...e....not sure
    32...b.......not sure
    34...d
    35...b
    36...c
    37...a
    38...d
    39...c
    41...c
    43...c
    44...c
    46...c
    47...c
    48...c
    49...c
    50...b
    51...c
    52...d...????
    53...advice to stop taking pills from the this pack that will initiate bleeding and start another .
    54...a
    55...c
    56...a
    57...d
    58...c
    59...a???
    60...c
    61...???
    62...e
    63...
  7. Guest

    Guest Guest

    MEDICINE
    63...a
    65...d
    66...c ....its 41 weeks!
    67...c..b/c volkmann contractures r common in this injury
    68...b
    69...a though all epiphyseal # dont cause growth retardation..it depends on severity of injury, invovement of growth plate
    70...e....if it is "hypoplasia"
  8. Guest

    Guest Guest

    MEDICINE, SURGERY , OBSTETRICS AND PSYCHIATRY
    1...b
    2...a
    3...c
    4...b
    5...c...US ?????
    6...all r false except d
    7...d...afterload reducers r not used in AS.
    8...d
    9...b
    10...a
    11...a
    12...c caused in this age group by S. pnemoniae, H.influenzae and staphlococcus.
    13...b...excessive crying causes cyanosis
    14...b
    15...c????
    16...c
    17...c???
    18...a
    19...a
    20...b...b/c the most common cause of scrotal pain in infants and children is torsion f testes
    22...b ...
    23...b
    24...b
    25...c
    26...b
    28...d????
    30...b
  9. Guest

    Guest Guest

    31...a
    32...c ????? anyone??
    33...b
    34...c
    35...e
    37...b
    38...e
    39...d
    40...a
    41...b
    42...a
    43...c
    44...a
    45...a
  10. Guest

    Guest Guest

    46...d ...c can also be true b/c sometimes acoustic neuroma patients dont complain of tinnitis.
    47...D
    PICA =posterior inf cerebellar artery .
    Lateral medullary syndrome (also called Wallenberg's syndrome and posterior inferior cerebellar artery syndrome) is a disease in which the patient has difficulty with swallowing or speaking or both owing to one or more patches of dead tissue (known as an infarct) caused by interrupted blood supply to parts of the brain.
    This syndrome is characterized by sensory deficits affecting the trunk and extremities on the opposite side of the infarct and sensory and motor deficits affecting the face and cranial nerves on the same side with the infarct. Other clinical symptoms and findings are ataxia, facial pain, vertigo, nystagmus, Horner's syndrome, diplopia and dysphagia. The cause of this syndrome is usually the occlusion of the posterior inferior cerebellar artery (PICA) at its origin.

    The affected persons have difficulty in swallowing (dysphagia) resulting from involvement of the nucleus ambiguus, and slurred speech (dysphonia, dysarthria). Damage to the spinal trigeminal nucleus causes absence of pain on the ipsilateral side of the face, as well as an absent corneal reflex.

    The spinothalamic tract is damaged, resulting in loss of pain and temperature sensation to the opposite side of the body. The damage to the cerebellum or the inferior cerebellar peduncle can cause ataxia.

    48...c
    49..d
    50...b
  11. Guest

    Guest Guest

    46...d ...c can also be true b/c sometimes acoustic neuroma patients dont complain of tinnitis.
    47...D
    PICA =posterior inf cerebellar artery .
    Lateral medullary syndrome (also called Wallenberg's syndrome and posterior inferior cerebellar artery syndrome) is a disease in which the patient has difficulty with swallowing or speaking or both owing to one or more patches of dead tissue (known as an infarct) caused by interrupted blood supply to parts of the brain.
    This syndrome is characterized by sensory deficits affecting the trunk and extremities on the opposite side of the infarct and sensory and motor deficits affecting the face and cranial nerves on the same side with the infarct. Other clinical symptoms and findings are ataxia, facial pain, vertigo, nystagmus, Horner's syndrome, diplopia and dysphagia. The cause of this syndrome is usually the occlusion of the posterior inferior cerebellar artery (PICA) at its origin.

    The affected persons have difficulty in swallowing (dysphagia) resulting from involvement of the nucleus ambiguus, and slurred speech (dysphonia, dysarthria). Damage to the spinal trigeminal nucleus causes absence of pain on the ipsilateral side of the face, as well as an absent corneal reflex.

    The spinothalamic tract is damaged, resulting in loss of pain and temperature sensation to the opposite side of the body. The damage to the cerebellum or the inferior cerebellar peduncle can cause ataxia.

    48...c
    49..d
    50...b
  12. Guest

    Guest Guest

    51...b
    52...a
    54...a
    57...d???
    62...c
    63...a
    65...e
    66...d
    67...O2 then adrenaline
    69...a
  13. Guest

    Guest Guest



    57...if the child is upto 2 months old its group B strep.
    if he is older then staph is the right answer
  14. Guest

    Guest Guest

    74...c
    75...b
    76...a
    77...b
    78...b
    79...a
    80...a
    81...b
    82...a
    83...a
    84...a
    86...b
    87...b
    88...b
    89...b
    90...b
  15. mrs j

    mrs j Guest

    plz note that not all answers are right..as for example......16....a
  16. Mohammad

    Mohammad Guest

    Not all answers are right!

    Salamu Alaykum Sister Sdiqa:
    plz refer to questions:
    medicine: 29- ithink its IgA neph. 36-ithink its EBV bcoz diphtheria doesnt cause hepatosplnomegaly.
  17. Guest

    Guest Guest

  18. cosa

    cosa Guest

    AMC MCQ book

    Hi everybody,

    I have the AMC MCQ book and I have to sell it.
    I live in Brisbane, if somebody is interested please call me at:
    0432565579.

    Thank you
  19. yoosh

    yoosh Guest

    can there be more than one answer for any of the questions above ????

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