Professional Documents
Culture Documents
MCCEE 2004 Jan
MCCEE 2004 Jan
3. Femur fracture with angulation, lower leg is pale, pulseless and cold, what’s the first management?
a) straighten the leg and traction
b) immediate operation
8. patient said his boss let him come to see u because he always cannot keep good relationship with his
colleagues, he thinks his boss is harassing him, what’s the probable diagnosis?
a) borderline personality discorder
b) dependent personality discorder
c) schizotypal personality discorder
9. young lady with sudden onset right lower quadrant pain, pregnancy test is negative. Pelvic
examination reveals 6cm severe tender right adnexal mass, diagnosis?
a) adnexal torsion
b) ruptured ovarian cyst
c) ectopic pregnancy
10. old patient referred by his dentist with white lesion in his mouth, management?
Answer: biopsy
12. child bitten by some kind of insect came with symptoms of anaphylactic shock, management?
Answer: SC epinephrine
13. picture shown whitish lesions on the tongue (oral thrush) of an old woman after taking antibiotics
for 10 days. Management?
a) mycostatin gurgle
b) coticosteroids
c) amphotericin
answer: a
21. 30 y.o. female patient, her father has huntinton chorea, how big is the chance that she also has the
disease?
Answer: 50%
22. patient after big operation develops suddenly dyspnea, chest pain (probably PE), the most likely
finding on chest x-ray is:
answer: normal
23. patient with obstructive pulmonary disease, which of the following ABG finding suggests oxygen
therapy may be dangerous:
a) pH=7.34, pCO2=60, bicarbonate=30
b) pH=7.4, pCO2=40, bicarbonate=24
c) pH=7.19, pCO2=25, bicarbonate=forgotten
answer: a (primary respiratory acidosis and compensation with metabolic alkalosis)
24. imperforated hymen is associated with all of the following except:
a) abdominal mass
b) limb paralysis
c) obstruction of venous return
d) hydronephrosis
25. police took a man who sexually assaulted a boy. When u asked him how many legs does the horse
have, he answered ‘5’. Dignosis?
Answer: factitious disorder
27. 18 y.o. freshman came to u asking about the best way to prevent HIV transmission, your best
answer is:
a) combination use of condom and spermacide
b) sexual abstinence
c) judicious use of condom
d) HIV test of partners
28. patient taking many drugs including ACEI, TCA and… complaints of impotence, which drug is
most likely to cause this symptom?
a) ACEI
b) TCA
29. female patients presents with palpitation, EKG shows occasional premature ventricular beats,
management?
Answer: reassurance
30. young lady complaints of hopelessness, decreased in concentration especially at the end of the day.
management?
a) time off work
b) antidepressant
c) psychosocial support and return visit
d) psychosocial support and lorazepam
32. newborn with hart rate 40/min, irregular respiration, some flexion of the extremities, grimace to
nasal catheter. He is pale and blue. Apgar score is?
a) 2
b) 3
c) 4
d) 5
e) 6
33. newborn with congestive heart failure, is acyanotic, most likely cause?
a) TOF
b) ASD
c) aoteric stenosis
34. patient on warfarin for phlebitis presents with spontaneous bruises and petechiae. INR is also
increased. Management?
a) reduce warfarin
b) stop warfarin
c) stop warfarin + vitamin K
d) stop warfarin + fresh frozen plasma
36. female patient presents with right lower quadrant pain. Now she also complains of epigastric and
left abdominal pain. On examination, she has tenderness on epigastrium and left abdomen. Fever 38C,
labor:… your management within 30 min includes all of the following except:
a) repeat abdominal examination
b) check BP and pulse on standing
c) pelvic examination
d) requisition of ultrasound which is scheduled in next week
38. patient on lithium presents with fatigue, weight gain and constipation. Investigation?
a) serum electrolytes
b) serum lithium level
c) TSH
answer: c
39. black woman, nullipara, jogs 30 minutes three times a week. She smokes for 20 years. Height
150cm, weight 50kg. which of the factors increase the osteoporosis?
a) her race
b) her BMI
c) exercise
d) smoking
e) nullipara
answer: d
40. an evidence of decreasing osteoporosis in post-menopausal woman who are taking calcium
supplement can be strongest obtained from
a) a randomized control trial of giving calcium tablets and follow up for fractures for 10 years
b) comparison of fracture incidence in postmenopausal women who are living in high and low diary
products available
answer: a
44. all of the following are associated with posterior hip dislocation except:
a) avascular necrosis of femoral hear
b) sciatic nerve injury
c) femoral nerve injury
45. your colleague was preparing to do a surgery. You found out his gait is abnormal and you got
smell from him. You let him not to do the surgery but he said it was not your business. What should
you do?
a) inform the chief of staff on the next morning
b) inform the CEO immediately
c) let another colleague help to talk to him
49. woman with breast cancer was treated with radiotherapy. She was responding well but developed
depression. Then, she got pneumonia and died. What is the cause u should write on her death
certificate?
a) pneumonia
b) depression
c) brest cancer
answer: a
50. your neighbor called u because their child was choking during eating. U should do:
answer: put the child facing down and give blows on the back at the interscapular area
52. patient with lower back pain, x-ray: anterior osteophytes at L4-L5 and subchondral sclerosis,
diagnosis:
a) degenerative spondylitis
53. middle aged female patient with gastroesophageal reflux complaints of dysphagia for liquid and
solid food. Cause?
a) barrett esophagus
b) squamous cell carcinoma of esophagus
c) adnocarcinoma of esophagus
d) peptic stricture
54. picture shown 6-month-old infant with umbilical hernia. Your management?
Answer: reassurance and recheck at 1 year of age
55. in postoperative period, a patient demanded for morphine for relief of his pain every 4 hours. The
attending nurse thought that this patient was lying and told you that the patient should be treated with
placebo. What will u do?
a) give placebo
b) not give placebo
c) tell the patient’s relatives for consent to give placebo
56. U are family physician of a lab technician. He always drinks. U will report all the conditions
except:
a) you know that a lab technician disturbs his lab works
b) he drives car during drunk
c) he occasionally drives his private airplane during drunk
d) has sexual relationship with his 14-year-of daughter
57. patient presents with recurrent gouty arthritis attack, urinary uric acid is increased, you will
prescribe:
a) colchicine
b) allupurinol + colchicines
c) benzbromaron
58. patient post-MI, develops bradycardia with pulse 32/min, the best management
a) atropine
b) pacemaker
answer: b
62. patient postoperative presented with heavy wound bleeding, she also gave a history of massive
bleeding when she had a tooth extraction. Blooding time is increased. You will give:
a) DDAVP
b) factor XIII
c) fresh frozen plasma
answer: a
64. young male patient with painless scrotal mass, transilumination –ive, management?
Answer: refer to surgery
67. male patient had problem at work. Now he complains of back pain. Physical exam shows no
pathological finding but he obsessed with it. Diagnosis?
Answer: malingering
69. boy fell from a tree, presented with abdominal pain and hematuria. U will do:
a) renal scan
b) CT
note: there were no option like ‘IVP’ so I chose CT
70. central tendency: mean systolic pressure: 115mmHg with standard deviation of 15mmHg, ask 95%
of the population will have SP of:
Answer: 85-145mmHg
71. incidence of a disease in the exposure group is 137, in the non-exposure group is 8, ask 137/8 is
called:
Answer: relative risk
73. patient treated with amoxicillin for 10 days developed diarrhea, how to confirm your diagnosis?
a) stool culture for clostridium dificile
b) coloscopy
c) test of clostridium dificile toxin
78. post trauma, which of the following signs enforces you to admit the patient?
a) corneal abrasion
b) conjunctival tear
c) soft eye
answer: c
81. child with 2 years history of tourette’s syndrome, now developed obsessive compulsive disorder,
what would your give?
a) haloperidol
b) fluvoxamine
86. patient with anxiety, dysphoria, muscle pain, accasionally convulsion, these are the withdrawal
symptoms of which of the followings?
a) benzodiazepine
b) cocain
c) cannabis
89. 12 months infant only with breast feeding till now is most on risk of what deficiency?
a) vitamin D
b) iron
c) folic acid
90. child with knee pain, swelling and redness of the knee joint, management?
Answer: knee aspiration
92. patient had barbecue, developed muscle pain, diarrhea, eosinophelia. Best investigation to confirm
the diagnosis?
Answer: muscle biopsy
93. scenario of vaginal candidiasis and groin skin candidiasis, the patient probably has:
Answer: DM
94. patient presented with inability to dorsiflex the foot and loss of sensation over the dorsum of the
foot, diagnosis?
a) peripheral neuropathy
b) disc compression
Answer: b
96. female vaginal lubrication during sexual excitement period is due to secretion of:
a) cervical glands
b) vaginal glands
c) vaginal transudat