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March 17, 2007

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2007 MCCEE and additional questions
1. The most common cause of false positive VDRL
ters is:
a)SLE
b)RA
c)TB
d)yaws
2. most common cause of rectal bleeding in an
infant is :
a) cow milk allergy
b)fissure
c)fistula
d) intussuseption
3. A boy presented with nausea, vomiting and
morning headaches. He cannot see the blackboard
in the class.
a) medulloblastoma
b) astrocytoma
c) craniopharyngioma
4. A boy with bitemporal hemianopia and normal
grouth:
a)craniopharyngioma
b)sellar tumor
c)eisinophilic cell tumor of pituitary gland
5. A boy develops sudden inguinal pain, the testis is
high up. Epididymis cannot be palpated.
Diagnosis?
a) torsion of testis
b) torsion of testic and the spermatic cord.
c) epididmoorchitis
6. A pt fell to the ground with an outstretched
hand, he developed pain in the wrist. X ray
normal. RX?
a) reassure
b) scaphoid plaster and repeat x ray after 2 weeks
c) x ray after 6 weeks.
6. In which of the following condition, both the
spouses should give consent?
a)surgical procedure for sterility (in each of them)

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b. for an elevtive surgical procedure on their child
c. in aborting their baby
7. A pt comes to ur office and tells u his intentions
to kill his wife and her lover. What do u do?
a. keep confidentiality and don't tell anyone about
his decision
b. tell the patint that u ought to inform his wife
c. contact ur own lawyer to announce to his wife
and her lover
d. tell the legal councl to inform his wife and
lover
8. Entering a lab, u saw a dead body fallen with
some petechiae and lacerations around his mouth.

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what do u do?
a. immediately take some samples for future
investigations.
b inform the coroner immediately
c. begin to do some procedures on other
employees
d. move the edead body to a safer place to avoid
others contact with it
Your should inform the authorities about which of
the following?
a. if ur colleague is in sexual relationship with on
of her patients
b. if she hears voices in the absence of any
auditory stimulus
c. if she drinks alcohol heavily
which is not an indication for bariatric surgery?
a. an obese pt without satisfactory response to
deiting
b. an obese with high level of cholesterol
c. an obese whose arthiritis hasn't responded to
other treatments
d. an obese with HTN
A pt with cough and asterexis. most pobable
cause?
a. hepatic encephalopathy
b. CCF
c. uremia
Immediate change due to elimination of measels:
a.decrease in money expenditure for admitting
patient with swquels of measles.
b. no further need to vaccinate against measels
c. decreases surviellance.
which is useful in the study of morbidity?
a. case control
b. cohort
c. cross sectional
Which one of the following given to a newborn
could cause intoxication?
a) Vit D 5000 IU for 6 months
b) vit K 50mg for 1 week
c) Vit A 50,000IU for 4 months
d)vit C 300mg for 4 months
e. Pyridoxine (vit B6) 10mg for 1 year
A 28-year-old G1P0 presents to your office at 18
weeks gestational age for an unscheduled visit
secondary to right-sided groin pain. She describes
the pain as sharp and occuring with movement
and exercise. She denies any change in urinary or
bowel habits. She also denies any fever or chills.
The application of a heating pad helps alleviate
the discomfort. As her obstetrician, what do you
tell this patient is the most likely etiology of this
pain?
a. Round ligament pain
b. Appendicitis

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c. Preterm labor
d. Kidney stone
e. Urinary tract infection
16. 17.A one-month-old baby presented with
vomiting and wt. Loss for last two weeks. On
examination bay found very week & lethargic,
there was no mass in the abdomen. What will you
do next?
a) Ba meal follow through
b) Gastric empting study
c) Ultrasonograpphy
d) Urine analysis
e) Enquiry about feeding
17. 18.Child while passing through a park is attacked
by bees and has received several stings. What are
you going to give to the boy?
a) I/V steroids
b) I/V adrenalin (if the child is having
anaphylactic shock, not mentioned in the qs
though)
c) O2 via musk
d) I/V fluids
e) Antibiotics
18. A lady in labor every thing was going normal.
Suddenly foetal heart rate dropped to 105
beat/min. P/V examination revealed cord
prolapsed. Operation theatre is not available for
next 30 minutes, what will you do immediately?
a) Keep the lady in a knee-chest position and try
to push the head towards the fundus
b)Try to slide back the cord behind the pushing
head
c) Keep patient bearing down
d) Immediate forceps delivery
e) Immediate C/S
19. Triazolam:
I has a short half-life.
II does not require dosage adjustment in elderly
patients.
III is metabolized primarily extrahepatically.
a. I only
b. III only
c. I and II only
d. II and III only
e. I, II and III
20. A 17 year old male with a highly resistant form of
testicular cancer, is in hospital for treatment. He is
an intelligent, articulate young man. His parents
are insisting that the physician treat him with the
latest experimental therapy, but JN does not want
to undergo the treatment. If the physician goes
ahead and gives the experimental therapy what
ethical principle will have been violated the most?

b. Non-maleficence
c. Justice
d. Veracity
e. Autonomy
21. The Canada Health Act (1984) embodies all of
the following principles, EXCEPT:

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a. Confidentiality

a. affordability.
b. accessibility.
c. comprehensiveness.
d. portability.
e. universality.
hich of the drugs cause amnesia the most?
-Triazolam ?
-Diazepam
-phenytoin
-Imipramine
24.Desensitisation is useful in which of the
following?
-Child with seasonal asthma (and wasn't only
asthma).
-As prophylaxis before vaccination (If known to
be allergic to vaccination).
-As prophylaxis before medication (If known to
be allergic to penicillin).
-Child with atopic dermatitis or hay fever.
-known allergy to pet (cat).
Paranoia is not seen in
-pernicious anemia
-hypothyroidism
-mania
All of the following patients are considered to be
at higher risk of NSAID-induced gastrointestinal
bleeding EXCEPT:
1-Patients on high doses of NSAIDs.
2-Patients over age 60.
3-Patients concurrently taking glucocorticoids.
4-Patients concurrently taking anticoagulants.
5-Male patients.
A business man with Hx of Depression, had 2
major depressive episodes, one after
the death of his son, and the second, after his
company went bankrupt (2 yrs ago). He has
2 months until retirement and plans a trip to
overseas. Pt feels well. A CXR shows
inoperable cancer. What should the physician do?
a. Withhold the information b/c it is fatal
b. Withhold the information b/c of his psychiatric
diagnostic
c. Withhold the information b/c
d. Tell only the wife who can provide supportive
care
e. Tell the truth to the pt
28.a patient with heart rate186 with wide QRS
complex. how will you differentiate SVT

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from ventricular arrhythmia?
a. fusion beat (specific for VT)
b. capture beat (specific for VT)
c. delta wave. (specific for WPW)
28. A patient is brought in with a history of
depression. He was rescued by his wife when he
was trying to commit suicide. You decide to give
him ECT. The patient is too depressed to give
consent. What will you do next?
A. Go ahead and give ECT
B. Get consent from the wife
C. Apply for consent for treatment from the
hospital committee
D. advice from hospital ethics board
29. A 5-year-old boy presents with abdominal pain.
Potential causes of his abdominal pain include:

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Pneumonia
Strep throat
Testicular torsion
Diabetic ketoacidosis
All of the above
All of the following are common causes of
pancreatitis in children EXCEPT:
Trauma
Idiopathic
Infection
Biliary disease
7-week-old, full-term girl has worsening jaundice
that the parents first noticed 10 days ago. On her
examination, she is well appearing and is noted to
have a liver edge 4cm below her costal margin.
Her direct bilirubin is 9. The most likely cause of
her direct hyperbilirubinemia is which of the
following:
Biliary atresia
Cholecystitis
Sepsis
Acetaminophen toxicity
Potentially life-threatening complications of
inflammatory bowel disease include:
Toxic megacolon
Gastrointestinal bleeding
Intestinal obstruction
All of the above
A pt. presents with anxiety, dysphoria, ms pain,
occasionally convulsion, these are the withdrawl
symptoms of which of the following/
a) benzodiazepines
b)cocaine
c)cannabis
60 year old man with weakness of adduction of R
eye, normal papillary reflex . Dx.
a. diabetes mellitus
b. aneurysm

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c. tentorial herniation
d. neurosyphillis
Which is NOT a precipitating factor for asthma?
a. beta blocker
b. cold
c. hyperventilation
d. calcium channel blockers
Which of the following is not carcinogenic
a. fat
b. alcohol
c. smoked food
d. aflatoxins
e. sodium gluconate
A 10-day old male presents with bilious emesis.
What is the most likely diagnosis?
Appendicitis
Pyloric stenosis
Malrotation with midgut volvulus
Feeding intolerance
A man with CCF, given digoxin and lasix,
develops ventricual premature beats. What
management?
a) stop digoxin and diuretic
b) stop digoxin and diuretic and give KCL
c) stip digoxin continue diuretic give KCL
d) reassure
A country's people health condition is best
reflected by:
a) the doctor patient ration
b) the accesibility to medical facility
c) the country's welfare system
75 yr old man presented with B/L loss of vision.
He gave h/o herpes zoster. What is the most likely
cause of him visual loss?
a)B/L corneal opacity due to herpes zoster
b)macular degeneration
c) glaucome
Post trauma, WOF signs will enforce u to admit
the pt?
a)corneal abrasion
b)conjunctival tear
c)soft eye
The most common retinal change associated with
pregnancy-induced hypertension is
1) detachment.
2) hemorrhage.
3) exudates.
4) spasm of arterioles.
5) papilledema.
A 5-day-old boy is brought in by his parents
because of a white discharge from both of his
breast. He was a full-term infant, and mom had an
uncomplicated pregnancy and delivery. He has
been otherwise well. He is afebrile and has no
masses, warmth or tenderness surrounding his

A 30-year-old man presents to the emergency room with a 7-day history of increasing pain in the perianal region. mean corpuscular volume (MCV) is 75 fL. 51. he has an indurated. 53. 47. Which one of the following is the next most appropriate step in management? 1) order a CT scan of the pelvis 2) prescribe ciprofloxacin and metronidazole 3) prescribe analgesics and sitz baths 4) order a barium enema 5) incise the indurated area Following a severe car accident. microcytic anemia is unresponsive to iron supplements prescribed by his family doctor. Which one of the following is the most likely diagnosis? 1) Schizophrenia 2) Antisocial personality disorder 3) Major depressive disorder 4) Hypomania 5) Hyperthyroidism Rectal prolapse in infants is most commonly associated with which one of the following diseases? 1) trisomy 21 2) microcephaly 3) cystic fibrosis 4) pyloric stenosis 5) intussusception A 49-year-old woman presents to your office complaining of increasing fatigue. The next most appropriate step in the investigation of this patient is to do which one of the following? 1) prescribe ferrous gluconate and monitor response 2) pelvic ultrasound 3) bone marrow 4) colonoscopy 5) take a detailed dietary history A 6-year-old boy with hypochromic. and impulsivity. Concerning a physician's obligation to provide due care to a patient. extending from the anal verge out into the left 50. This drainage is most suggestive of: Neonatal mastitis CNS tumor Breast cancer Normal newborn Physiology In post operative pt. 52. which one of the following is correct? 1) Beneficence is a moral commitment but not a legal obligation to the well-being of the patient 2) Respecting autonomy is both a moral commitment and a legal obligation to the patient 3) A physician can be found guilty of negligence even if he/she has acted in accordance with a practice acceptable to a responsible body of peers 4) Unanimity of practice is expected of physicians 5) Where patient outcomes are poor. 5) diuretics. -4- breasts . a 27-year-old man was found to have an unstable knee joint. which shows elevated hemoglobin A2 and normal hemoglobin A and F. On examination. On examination under anesthesia. irritability. What will u do? a)give placebo b)do not give placebo c)ask the pt's relatives to give consent to give placebo Which of the following physiologic changes occurs during a normal pregnancy? 1) hyperuricemia 2) proteinuria 3) hypertension 4) a 40% increase in the glomerular filtration rate (GFR) 5) metabolic alkalosis Breast engorgement in a woman eager to breastfeed is best managed by 1) bromocriptine administration. physicians may have their practices scrutinized by the courts but not by peer organizations 49. She has always had heavy menstrual periods. 2) oxytocin nasal spray. 46. 45. The doctor investigates further by requesting hemoglobin electrophoresis. it is possible to pull the tibia forward excessively on the femur. increased psychomotor activity.March 17. reddened and very tender area. buttock. her ferritin is 10 µmol/L. 4) frequent nursing. The attending nurse thought that this pt was lying and told u that the pt should be treated with a placebo. . His temperature is 38 °C. a pt demanded for morphine for pain relief every 4 hrs. 2007 44. Her hemoglobin (Hb) is 85 g/L. 54. Which one of the following structures is most likely injured in this patient? 1) medial collateral ligament 2) oblique popliteal ligament 3) anterior cruciate ligament 4) lateral meniscus 5) ligamentum patellae A 28-year-old female has insomnia. Live rubella vaccine should be given to 1) children between one year and puberty 2) infants less than one year 3) all adults 4) pregnant women 5) all exposed patients 48. 3) tight binder until condition relieved.

nosebleeds. a 27-year-old man was found to have an unstable knee joint. 64. extending from the anal verge out into the left buttock. it is noted that the hairs are extremely short and broken in appearance. 5) Where patient outcomes are poor. Examination reveals well-demarcated areas of erythema and scaling. he has an indurated. it is possible to pull the tibia forward excessively on the femur. 65. Which of the following is the patient most likely suffering from? 1) cutaneous candidiasis 2) tinea capitis 3) alopecia areata 4) scalp psoriasis 5) seborrheic dermatitis The most common pathogen causing urinary tract infection (UTI) in pregnancy is 1) Pseudomonas aeruginosa 2) Proteus mirabilis 3) Haemophilus influenzae 4) Escherichia coli 5) Klebsiella pneumoniae Which of the following physiologic changes occurs during a normal pregnancy? 1) hyperuricemia 2) proteinuria 3) hypertension 4) a 40% increase in the glomerular filtration rate (GFR) 5) metabolic alkalosis Live rubella vaccine should be given to 1) children between one year and puberty 2) infants less than one year 3) all adults 4) pregnant women 5) all exposed patients Concerning a physician's obligation to provide due care to a patient. His temperature is 38 °C. and a similar history among male family members. Laboratory investigations show normal INR and prolonged APTT. Which one of the following structures is most likely injured in this patient? 1) medial collateral ligament 2) oblique popliteal ligament 3) anterior cruciate ligament 4) lateral meniscus 5) ligamentum patellae A 28-year-old female has insomnia. 57. and impulsivity. 63.March 17. 62. increased psychomotor activity. On examination under anesthesia. 59. 2007 55. Which one of the following is the most likely diagnosis? 1) Schizophrenia 2) Antisocial personality disorder 3) Major depressive disorder 4) Hypomania 5) Hyperthyroidism A 3-week-old male is brought to the Emergency Room by his 17-year-old mother with a 14 hour . 58. physicians may have their practices scrutinized by the courts but not by peer organizations Six months after hepatitis B infection or immunization. 56. reddened and very tender area. 60. which one of the following markers would be the best indicator of acquired immunity? 1) HBsAg 2) Anti-HBs 3) Anti-HBe 4) HBeAg 5) Anti-HBc A 30-year-old man presents to the emergency room with a 7-day history of increasing pain in the perianal region. On examination. and although there is still some hair in the area. -5- Which one of the following is the most likely explanation for the persistent anemia? 1) lead poisoning 2) sideroblastic anemia 3) sickle cell trait 4) hereditary spherocytosis 5) ß-thalassemia trait A 4-year-old boy has a history of easy bruising. Which one of the following is the next most appropriate step in management? 1) order a CT scan of the pelvis 2) prescribe ciprofloxacin and metronidazole 3) prescribe analgesics and sitz baths 4) order a barium enema 5) incise the indurated area Following a severe car accident. Which one of the following is the most likely cause of this boy's tendency? 1) hemophilia A 2) Christmas disease 3) factor XIII deficiency 4) von Willebrand's disease 5) familial platelet function disorder A 6-year-old child presents complaining of patchy hair loss on the back of the scalp. which one of the following is correct? 1) Beneficence is a moral commitment but not a legal obligation to the well-being of the patient 2) Respecting autonomy is both a moral commitment and a legal obligation to the patient 3) A physician can be found guilty of negligence even if he/she has acted in accordance with a practice acceptable to a responsible body of peers 4) Unanimity of practice is expected of physicians 61. irritability.

palpitations. Echoviruses have been implicated as etiology of which one of the following diseases? 1) aseptic meningitis 2) Guillain-Barré syndrome 3) Reye's syndrome 4) orchitis 5) hemolytic uremic syndrome 67. Which one of the following is the most likely diagnosis? 1) colic 2) acute hydrocele 3) testicular torsion 4) child abuse 5) incarcerated hernia 66. Which one of the following is the most helpful diagnostic test? 1) CT scan of the brain 2) captopril renal nuclear medicine scan 3) 24-hour urinary 5-hydroxyindoleacetic acid (5HIAA) levels 4) 24-hour urinary aldosterone levels 5) 24-hour urinary vanillylmandelic acid (VMA) and catecholamine levels 69. Physical examination reveals a thin woman with a pulse of 112 beats/minute and a blood pressure of 150/100 mmHg lying and 130/80 mmHg standing. headaches and nausea. sometimes through her nose. Pt on carbamazepine with new onset seizures. Serum level of Carbamazepine is normal. A 27-year-old IV drug abuser presents with cough. A 25-year-old woman has intermittent diplopia. Which one of the following is the most likely diagnosis? 1) familial periodic paralysis 2) muscular dystrophy 3) polymyositis 4) myasthenia gravis 5) multiple sclerosis 68. vomiting and a tender mass in the right groin. and an abnormal chest x-ray showing hilar and mediastinal adenopathy and bilateral lower lobe infiltrates. EXCEPT 1) operant conditioning. She now complains of depressed mood. The following therapies may be used in the management of chronic pain.phenytoin . A 40-year-old woman has episodic headaches that last 30 minutes and are associated with sweating. An 18-year-old woman previously in good health seeks helps at an emergency room for lightheadedness. While waiting to see a physician. A 19-year-old college student broke up with her boyfriend 72 hours ago. 3) Order a urine drug screen. she begins to complain of tingling around her mouth and in her fingers. Which one of the following is the most likely underlying condition associated with this illness? 1) sickle-cell disease 2) alcoholism 3) drug abuse 4) human immunodeficiency virus (HIV) infection 5) Hodgkin's disease 70. Which one of the following is NOT a risk factor for Alzheimer disease? 1) trisomy 21 2) female sex 3) age 4) tobacco use 5) family history of dementian 73. His intermediate Mantoux skin test shows a greater than 5 mm induration. fever. 4) Give supplemental oxygen by mask. 3 attacks in last 2 weeks. 2007 -6- history of inconsolable crying. She appears anxious and is tremulous. She says she chokes on her food and regurgitates it. 2) Order immediate intravenous infusion of a glucose solution. 72.March 17. She has lost 6. deep tendon reflexes are normal. anxiety. Which one of the following would be your first management step for this patient? 1) Ask her to breathe into a paper bag. sweating and breathing heavily. difficulty concentrating on studies.8 kg over the past three months. 5) relaxation therapy. 2) cognitive therapy. Physical examination reveals drooping eyelids and bilateral facial muscle weakness without atrophy. 3) biofeedback. and preoccupation with "mistakes" she made in the relationship. What to do? -CT scan and EEG -Give another agent. and feelings of apprehension. 5) Administer 2 mg of sublingual lorazepam (Ativan) 74. 4) systematic desensitization. Which one of the following is the most appropriate treatment at this time? 1) desipramine 2) diazepam 3) phenelzine 4) psychotherapy 5) thioridazine 71.

b) Autoerotic asphyxia. It resolves without any significance. 76. She is treated with Sertraline. Pylory. 78. 82. have a body mass index (BMI) of greater than 83. c) Frotturism A middle aged man has flashes of light and shimmering. Several pornographic magazine were found around him at home. case contro b. 81.phenytoin -Coadminister St John’s wort at reduced dosage of 50% with Sertraline for its safe Surgical therapy should be considered for individuals who: a. -7- . 86. which is useful in the study of morbidity? a. What is the diagnosis? -Bipolar disorder -Dysthymia -Cyclothimia -Masked depression -Factitious disorder Loosening of association A/W -scizophrenia -mania Anti-depressant treatment should be carried on for how many months? -2weeks -6weeks -2years -indefinite time Which is not a part of normal grief reaction? -physical symptoms -preoccupation with suicide -hearing voices -consider himself responsible Pt is on Lithium therapy becomes hypothyroid. c. Immediate change due to elimination of measels: a. Old man past history of peptic ulcer disease presented with haemetasis on gastroscopy one shaggy ulcer was found.increase dose 17yr old girl comes with depression. 2007 75. cross sectional A middle aged man presented with central abdominal pain radiating to the back. can show that dietary attempts at weight control have been ineffective. Histology was negative. These were preceded by episodes of sadness & inability to cooperate with her colleagues in spite trying hard to do her best. D) I/V fluid. Then she admits abusing amphetamine. she also has episodes of hyperactivity & euphoria. 87. b. no further need to vaccinate against measels c. after 6 hours he returns to normotensive. what can be the cause? a) Acute pancreatitis b) Leaking aneurysm c) Ureteric calculus d) Mesenteric ischemia e) Mesenteric adenitis A man has presented with prominent a wave raised JVP and also 4th heart sound what is the Dx? a) Myocardial infarction b) Pulmonary embolism c) Infective endocarditis d) Heart failure A 45 yrs. 80. During the attack he becomes hypotensive . What is the treatment? -Reduce dose of lithium to 50% -Start levothyroxine -Stop lithium An aged female with history of depression for two months comes to psychiatrist. What will you do next? A) Antacid B) Omeprazol C) Breath test for H.decrease in money expenditure for admitting patient with swquels of measles. What could be the DX? a) Retinal artery thrombosis b) Macular degeneration c) Carotid artery disease .March 17. decreases surviellance. e) Antibiotic A 16 yrs. What should be done? -Stop using St John’s Wort and add Sertraline -Increase dosage of St John’s Wort to 1800 mg -Coadminister St John’s wort at reduced dosage of 50% with Sertraline for its safe -give paxel -Give another agent. 85. This is happening for last 6 months. 77. cohort c. 37 years has problems at work for several months. After 4 days symptoms returned and he completely lost his vision in one eye over a period of 6 hours. 88. She admits using St John’s Wort 300 mg for last 1 week in consultation with a naturopath. What can it be? a) Suicidal attempt. 84. have a BMI greater than 35 kg/m2 with significant co-morbidities. Old boy brought to emergency with rope around his neck. 79. What shd be done-Stop Setrtraline and give paxel -Give written instructions about amphetamine abuse -Inform family F. 40 kg/m2 b.

the most likely diagnosis is: gout osteoarthritis rheumatoid arthritis fibromyalgia syndrome 104. progesterone c. The most common soft tissue malignant tumor in adults is: a. 96. -8- d) Retinal & macular detachment e) Vertibrovasilar artery insufficiency Specificity is the test's ability to: include people with disease exclude people with disease include people without disease exclude people without disease The best treatment for prevension of post menopausal osteoprosis is: a. A 40-year-old woman presents with a selfdetected hard breast mass. EXCEPT: obesity anorexia nervosa Marfan's syndrome hyperprolactinemia 103. EXCEPT hypocalcemia hyperuricemia increased urinary hydroxyproline increased serum alkaline phosphatase A child is born with jaundice and has seizures.March 17.liposarcoma b-fibrosarcoma c-neurofibrosarcoma d-rhabdomyosarcoma e-synoviosarcoma 101. colectomy and end to end anastomosis b. Which of the following is a risk factor for cervical cancer? use of oral contraceptives frequent sexual intercourse high socioeconomic status none of the above . Which of the following is a risk factor for endometrial cancer? obesity smoking multiparity oral contraceptives 100. Following are secondary causes of osteoporosis. you find a single polyp between the rectum ad the sigmoid colon. 32 year old obese woman suffers from a progressive right knee pain. estrogen b. 91. 93. 92. 90. Ca and vit D supplements During examination of a child. the most likely diagnosis is: hepatitis B congenital rubella congenital syphilis congenital toxoplasmosis The characteristic dorsal kyphosis and cervical lordosis (dowager's hump) are features of: rickets osteomalacia osteoporosis Paget's disease of the bone Back pain with increased urinary hydroxyproline and serum alkaline phosphatase in a 70 year old man is most likely due to: rickets osteomalacia osteoporosis Paget's disease of the bone 97. F/U by barium enema every 6 months first sypmtom of comparmental syndrome is pallor coldness numbness dec pulse paralysis Following are laboratory abnormalities seen patients with Paget's disease. endoscopic removal c. Which one of the following is the procedure of choice for confirming the diagnosis? 1) mammography 2) thermography 3) ultrasonography 4) aspiration cytology 5) incisional biopsy histology 99. 32 year old woman with hyperthyroidism presents with palpitations. 94. Fosamax e. Inferior wall of the heart is supplied by which of the following arteries? circumflex left coronary right coronary left anterior descending 102.COCP d. Xray shows intracranial calcifications. 2007 89. 95. Your action? a. her ECG would most likely show: atrial fibrillation left ventricular hypertrophy left bundle branch block right bundle branch block 98. reassure the parents and tell them that it needs no treatment d.

immediate debridement and suture and antibiotic d. 2007 -9- 105. 115. a. most common cause of adult rectal bleeding a. An average IQ score is 100-110. you are working in an emergency and police request for blood alcohol level of your patient admitted in hospital . suture b. 50% have an intelligence quotient (IQ) score of less than 85. cardiovascular malformations. volvulus b. accutane congenital complication is. psychological impairments. clean and dressing 113. thymic aplasia. a. Preoccupation with an imagined physical defect is called: malingering hypochondriasis factitious disorder body dysmorphic disorder 109. You will ask patient if he is willing to give them his . neural tube defects. first sypmtom of comparmental syndrome is pallor coldness numbness (numbness for sure. Tactile fremitus is increased in: asthma pneumonia pneumothorax pleural effusion 110. on examination of wound there are no signs of abcess or dehescence? a. small jaw. X-ray shows compression fractures and kyphosis in the spine. Exposure to retinoic acid during pregnancy may result in malformations of the fetus such as craniofacial alterations. diverticulosis d. Pyelonephritis f. A patient comes to you on 7th post up day due to fever 39. You will order your nurse to give them patient's Blood alcohol levels b. as sonsory nerves are affected earlier than motor nerves or vessels) dec pulse paralysis 116.9 your diagnosis. suture and antibiotic c. spinal card deformities 114.March 17. Retinoic acid is teratogenic in humans at very low doses. often before the woman knows she is pregnant. DVT e. The most common cause of end-stage renal failure is: cystic kidney disease diabetic nephropathy hypertensive nephrosclerosis chronic glomerulonephritis 108. neurotoxicity d. absent or defective ears. carcinoma c. An acute upper GI bleeding from longitudinal esophageal tears after repeated vomiting occurs in: Menier's syndrome Job's syndrome Brown-Sequard syndrome Mallory-Weiss syndrome 107. A patient come to you with deep lacerated wound in her right wrist best way of management ? a. nephrotoxicity c. On the side of a large pleural effusion you would most likely expect to have: absent egophony hyperresonant on percussion increased tactile fremitus all of the above 111. cleft palate. Q In diffrentiating mania from schesophrynia. your respond will be. The critical exposure time is 3-5 weeks of pregnancy.the most useful finding is 1-paraniod diffusion 2-pressure of speech 3-tendency to pace 4-thought withdrawal 5-auditory hallucination 112. 72 year old woman presents with back pain. endometritis c. Of affected children. polyps 118. microcephaly b. the most likely diagnosis is: rickets osteomalacia osteoporosis Paget's disease of the bone 106. Superficial thromoboplebitis d. Cystitis b. and kidney alterations. Wound abcess 117. ototoxicity e.

He was treated with cardio version with DC shock 100 Joules.48 and PaCO2 is 24. retrograde ejaculation 124. aching pain on the penis. A 3-year-old girl is being evaluated for developmental delays. Rett syndrome 125. His parents report that the pregnancy was uneventful and that the delivery was without complications. A gallium scan demonstrated increased uptake in her neck region bilaterally. 1. the pediatrician noticed deceleration of head growth.What is the cause : a) Postoperative hypoparathyroidism b) Calcitonin deficiency c) Metabolic alkalosis due to dextrose and saline infusion d) respiratory alkalosis e) Thyroid crisis 123. Asperger disorder B. A man presented with pain in the chest. all are important in stress testing except chest pain st segment elevation (up sloping) ST segment depression >2mm hypotension 127. 18 yr old wth primary ammenorrhea breast development normal all investigations r included except TFT and prolactin FSH & LH serum progesterone laproscopy skull Xray 121. not otherwise specified E. Isoflurane 2. chlamydia d. Her movements became poorly coordinated. a) endocarditis b) subacute thyroiditis c) systemic lupus erythematosus d) lymphoma e) visceral leishmaniasis 120. Rapid induction of Anaesthesia occurs with. and loss of social engagement. and head circumference were all well within the normal range during the first year. Still on fibrillation. Autistic disorder D. Which of the following is the most likely diagnosis? A. 2007 . During her second year. Pt. subacute prostatits b. cystitis c. a. A 52-year-old female was referred to the infectious disease clinic for evaluation of fever for 24 days.Dx ?.5°F. You will advice lab to give them report 119. fatigue. You will ask police to bring court order to get a report d. You will deny giving them report d.10 - report c. A full-term infant presents to your office at 7 days of age with bilateral purulent conjunctive discharge. urine analysis was negative. guarding and rigidity is present and bowel sound are diminished? Investigation? X-Ray abdomen X-Ray chest US CT ERCP 128. Which one of the following is the most likely diagnosis? 1) Neisseria gonorrhoeae infection 2) herpes simplex infection 3) nasolacrimal duct inflammation due to Staphylococcus aureus 4) chemical irritation from eye oinment received at delivery 5) chlamydia infection 126. She was in excellent health until the onset of symptoms that included headache. What you will you do next? a) Repeat 360 Joules DC shock ? b) I/V Lignocaine c) I/V Adrenaline d) I/V atropine e) Mouth to mouth resuscitation 122. sweating. weight. On examination. 200 Joules & 360 Joules. A likely cause of her pyrexia is. there was white morning discharge. and her parents noticed a gradual decline in her fine motor abilities.. spermatorrhoea e. After a road traffic accident patient is presented in emergency with severe abdominal pain .March 17. Post operatively a pt on IV dextrose and saline develops tetany. Halothane . and shock. Pervasive developmental disorder. His blood pH is 7. Length. prostate was normal or slightly tender. The girl reached all milestones normally during his first year. and evening temperature elevations to 101. Male patient had dull. erythema and swelling at the medial aspect of the eyes. Attention-deficit/hyperactivity disorder C. frequent hand-wringing movements.

developed strange feeling and inability of self expressing for 2 months.which is worse in the morning and on lying down. experience 30 seconds of inability to find the words. as his red cell group and plasma group . 2007 . frontal lobe c. b. left parietal lobe c. RBC corresponding to his red cell group and colloids /crystalloid. 1. muscle relaxant increasing intracranial pressure 1.occasionly blood tinged. drug is effective. what do u do ? -Debrid & SKIN graft. wernicke's area 137. You conclude: a. 138. Q-Tthe most common cause of congenital deafness is a-TORCH syndrom b-maternal ingestion of ototoxic drug c-perinatal hypoxia .05 to be significantly different. Suxamethonium 4. If prevalence decreases what will happen? a)Decreased specificity and sensitivity b)Decreased negative predictive value c)Decreased positive predictive value d)Increased negative predictive value 141. the ineffectivity of drug is 5% d.Wet inspiratory rales are heard at the lung bases posteriorly.funtional loss 135. rt frontal lobe 136. A male accident victim in casualty urgently needs blood .optic neritis 3.shot duration and severe pain radiating to ear and begining with swallowing. whole blood corresponding to his plasma group 3. The most likely precursor of above disease is a)Bronchopnemonia b)Endobhronchial TB c)PErtusis d)Bronchopneumonia e)Influenza 134. Vecuronium 130. . cerebellum d. there is effectiveness of the drug at 95% c. the results do not match with the original figures.corneal edema 2.dx. Atracurium 3.glossopharyngeal neuralgia 139.March 17.bell palsy 2. 2nd degree in the upper limb. O positive RBC and colloids /crystalloid. The most likely diagnosis is a)Chronic Bronchitis b)bronchiectasis c)Disseminated pulmonary TB d)Pulmonary emphysema e)chronic obstructive emphysema. Rt parietal lobe b.purulent sputum. she only could recruit 100 persons and to her surprise . AB negative whole blood 131. 132. e) Hodgkins disease 133.On physical examination the patient appears chronicaly ill with clubbing of the fingers. THis syndrome is most likely associted with a)Lung cancer b)Dextrocardia c)fungal infection d)Carcinoid syndrome. unable to stand up but concious.11 - 3. 4. C. Mivacurium 2.amorosis fugax 4. then came to ER mute.05. the blood bank is unable to determine his ABO group .optic nerve pasly 5. Sevoflurane 129. the P was greater than 0.herpes zoster 4. a Broca's speech area b. 2. emergency transfusion of patient should be with 1. 37yy lady complain of repetitive . Rt handed person. 1. however.trigeminal nerve 3. Desflurane 4. acute visual loss is seen in all exceppt. rt temporal e. -Debrid puncture blisters & bandage with topic cream -Leave the wound open & systemic antibiotic 140. A 30 year old man presents with a history of reccurent pneumonias and a chronic cough productive of foul smelling. Old male pt. do not match . Psychiatrist was planing to detect efficacy of new drug on 150 new persons and would like to have P<0. B. a.

67 Years old man presented with collapse after postprandial abdominal pain radiated to the left flank. vomiting and diarrhea of 24 hours' duration. 151. An x-ray chest in the current admission also confirms a right lower lobe pneumonia. 4) Siblings and daycare contacts of children who develop systemic Haemophilus influenzae Type B infections.Perforated PU. Her blood pressure is 90/50 mm Hg and there is a diffuse erythematous rash.the mental status test most likelyto be done poorly is memory of 1-three items for 5minutes 2-his own name 3-digits (backward) 4-political figures of 10 years ago 5-digits (forward) 144.March 17. you find that at the end of expiration his blood pressure is 130/90 mmHg and at the end of inspiration it is 110/92 mmHg.The incidence of appendiceal perforation in children with acute appendicitis is: A. He says that this means that his future will be decided within 2 weeks. 2) calcium (total) 1. .Mesentric Ischemia. 2007 . on his way to your office he saw a man feeding two squirrels in the park. A 27-year-old carpenter dropped his circular saw and severed his lower leg. Q-In a pateint with recent onset of alcoholic amenstic disorder. Which one of the following would be indicative of a severed tibial nerve? 1) paralysis of the plantarflexors of the foot 2) paralysis of all the muscles in the posterior compartment of the leg 3) anesthesia of most of the sole of the foot 4) paralysis of the muscles in the lateral crural compartment 5) anesthesia to the medial aspect of the lower leg 146. Which one of the following would occur normally with age? 1) fall in vital capacity 2) fall in FEV1/FVC 3) fall in arterial p02 4) increase in arterial pCO2 5) decrease in arterial pH 148. EXCEPT 1) creatine kinase 290 U/L. Haemophilus influenzae Type B vaccine has been recommended for which one of the following groups? 1) All children at the time of their first birthday. A patient reports that. 5) All children at age 2 months. . A 3-year-old boy presents to the emergency room with a history of recurrent cough.Ruptured AAA. What is the most likely diagnosis? 1) cystic fibrosis 2) congenital lung abnormality 3) chronic granulomatous disease 4) asthma 5) bronchiectasis of the lingula 150. .66 mmol/L. All of the following laboratory results are in keeping with a diagnosis of toxic shock syndrome. Which one of the following conditions is most likely? 1) cardiac tamponade 2) pneumothorax 3) multiple rib fractures 4) acute myocardial infarction 5) aortic rupture 147. . Which one of the following terms best describes this mode of thinking? 1) illusion 2) hallucination 3) delusion 4) loose association 5) neologism 149. You are performing pulmonary function tests on a 80-year-old male with persistent cough .2% B-5% C-10% D-15% E-40% 143. 3) All children after the age of 5 years. What is the most likely diagnosis: . . He has no other major health issues. A review of his previous records reveals recurrent episodes of right lower lobe pneumonia. regardless of age.Volvulus. Q. A 30-year-old menstruating woman presents at the Emergency Department with a high fever.Pancreatitis.12 - d-idiopathic e-genetic 142. 3) white blood cell count 18 x 109/L. On examining a 51-year-old man with chest pain who was just involved in a motor vehicle accident. 2) Any child with impaired immunity or chronic disease. 145.

s. Autosomal recessive inheritance 3. retrograde ejaculation 155. Then for 3 months amenorrhea. 4) they may provide direct services to patients. Q2. angle recession glaucoma d. A newborn with CHF . 2) the case fatality rate is higher in women.a 3. Regular menses for 10 years. Autosomal dominant inheritance 2. 2) they are governed by volunteers rather than by professionals. 1. The most nephrotoxic aminoglycozide is: 1. Reduced calcium intake 4. chlamydia d. tobramycin 5. their families. uric acid and creatinine. DEFINITIVE MANAGEMENT of severe premenstural syndrome -hysterectomy -B/L oophorectomy -estrogen -progesterone -NSAIDS 154.s.most likely cause? -ASD -TOF -AS 156. hypotony 164.linked recessive inheritance 4.2 mmol/L. 2007 . Hypotension 3. On examination. EXCEPT 1) provincial governments contribute to their funding in proportion to the number of members. Nasal intonation in voice of a 5yr old child due to -nasal turbinate hypertrophy -Hard palate defect -a/w Cervical LN swelling -thyroid enlargement . Ankle joint injury with laceration. 5) this diagnosis is more often missed in women. magnesium. 153. 5) glucose 2. HRT in 60 year old. Question: 21 The incidence of a particular disease is greater in men than in women. kanamycin 159. Multifactorial inheritance 157. Male patient had dull. 1. cystitis c. there was white morning discharge. a. wht u will do? -reassure -Do endometrial biopsy -increase the progesterone component 163. aching pain on the penis. 1. no distal pulsations on Examination Pain Management? -Debride -Manipulate and feel for pulse -apply splint and immobilize 166. subacute prostatits b.is acyanotic. Low sodium diet 3. 5. Fever 162.All the following are known side effects with the use of tocolytic therapy except. 161. Avoid meat proteins. gentamycin 4. Blood in Schlemm's canal is seen in: a.group A streptococci d. carotid-cavernous fistula c. 3) they often carry out programs of education for the public. 5) they may conduct research or provide funds to others for research. Streptomycin 2. A diagnosis of idiopathic hypercalciuria is made.year old boy is detected to have bilateral renal calculi. neomycin 3.beta hemolytic streptococci 160. The most common cause of Ludwig's angina is: a. or health professionals. spermatorrhoea e.March 17.13 - 4) aspartate aminotransferase 100 U/L. X. 158. The most probable explanation is that 1) the mortality rate is higher in women. 4) women receive less adequate medical care for the disease. Metabolic evaluation confirms the presence of marked hypercalciuria with normal blood levels of calcium. Increased water intake 2. aureus b.Dx ?. pneumoniae c.. DVT management ? a)Heparin b)warfarin c)greenfield filter d)LmwH 165. phosphate. patients. urine analysis was negative. All of the following are characteristics of provincial voluntary health organizations. prostate was normal or slightly tender. but the prevalence shows no sex difference. Tachycardia 2. 3) the duration of the disease is longer in women. Sturge-Weber's syndrome b. 152. except 1. The dietary management includes all. Hyperglycemia 4.

A drop in fetal heart rate that typically lasts less than 2 minutes and is usually associated with umbilical cord compression is called. bile stained vomitus 2. A lady with occasional severe attack of dyspnea with facial edema. 181. A pt. On examination severe respiratory distress. 178. prevalance data for disease can be obtained from? 1. Variable declaration 4. usage -Cortison I. Fatty liver. neither 170. 2. except.March 17. Mild Hypovalemia 4. All of the following are characteristic features of Kwashiorkor. 4. papilledema 2. increased HR 4. -Debrid puncture blisters & bandage with topic cream -Leave the wound open & systemic antibiotic 168. 1.14 - 167. Systemic lupus erythematosus. .surveys? 176. Hypertrophic pyloric stenosis is characterized by: 1. diarrhea 3. both 4. red and inflamed pharynx. 4. what do u do ? -Debrid & skin graft. Blepharitis is common in children with.maple syrup urine dis 3-phenylketonuria 4-Down s-m 5-coarctation of aorta 180. LEAST likely fever associated with 1 bact pneumonia 2 viral p 3 mycoplasma p 4 chlamydia p 5 aspiration p 182. Late declaration 3. All of the following features are suggestive of asbestosis except: 1. Impetigo in child -oral TMP -oral penicillin -cefuroxime 174. 2. Welding burn management 2nd degree in the upper limb. What to do? -ASA -Warfarin 169. A 74 yr old male with platelet count of 350. In the immediate post operative period the common cause of respirator insufficiency could be because of the following. Occurs within five years of exposure.V -Lateral x.Ray of larynx -Epinephrine SC (subcutaneous) -Intubation 172.000. Sputum contains asbestos bodies. Thrombotic thrombocytopenic purpura. Mycocardial infarction 177. Hypoalbuminemia. Residual effect of muscle relaxant 2.24 pco2 38 hco3 17 this pt has met acidosis met acidosis +resp acidosis resp acidosis 179. 1-necrotizing enterocolitis 2. Overdose of narcotic analgesic 3. 2007 . Prolonged declaration 183. Early declaration 2. The disease progresses even after removal of contact. except : 1. Edema. with multiple rib fracture is agitated and not allowing doing any examination in ER.hospital records 4. High blood osmolarity. following are associated with increased i/cranial pressure EXCEPT: 1. 60% 5. Progressive systemic sclerosis 3. 10% 2. what is your management ? -Adrenalin for out pt. a pt in ICU has following ABG PH 7.community 3. 20% 3. 40% 4. 3. 2. gastrinomas (zollinger-ellison tumors) are malignant in: 1. increased RR 5. Which of the following two conditions are associated with Coomb's positive hemolytic anaemia: 1. What is the immediate management? -Diazepam -analgesic to ribs -haloperidol -morphine -oxygen 173. 80% 171. 3.census 2. headache/nausea/vomiting 175. increased BP 3. Can lead to pleural mesothelioma. 1.000 to 400.

A girl with recent suicidal attempt by swallowing a drug. 198. Total anomalous pulmonary venous drainge. 187. Ventricular septal defect with pulmonary arterial hypertension 186.March 17. ultrasound c ERCP d. Your have performed gastric lavage and kept her under observation and the pt is stable now. 197. close daily observation by as assesing group. A patient with recent-onset primary generalized epilepsy develops drug reaction and skin rash due to phenytoin sodium. All the following are known side effects with the use of tocolytic therapy except. and occult stool test -ve. Polyarteritis nodosa.3 gm/dl. Ostium primum atrial septal defect. The same situation with chicken pox. gram stain 194. 500ml 1000ml 1500ml 2000ml 2500ml (1000 ml 20% rapid 30 min 80% in 5 hours 1500 ml in next day)? 188. Best investigation in case of chronic pancreatitis is: a/ secretin test b. 3.external canal athrophy . 10kg baby with 10% dehydratation. 2.Hb 8.air after the membrane 199. iron deficiency anemia 192. To achieve best results to prevent future attempts. The most probable diagnosis is : 1.What will be your next step for management of this pt? 1.normal membrane . The most appropriate course of action is : 1. 3. Pregnant woman 8 weeks. Shift to sodium valproate. Management: a) immediate surgery b.urinary tuberculosis. Tachycardia 2. Isoniazid 2. Tricuspid atresia. Pyrazinamide 4. Hyperglycemia 4. X ray 191.hematoma intraocular (I donèt remember how did they call it) . The best parameter of CSF to differentiate aseptic from bacterial meningitis is? a. 2. Amount of fluid in first 24Hrs. respiratory and GIT infections b Obesity c hypoglycemia d.Order colonoscopy 4. Restart phenytoin sodium after 2 weeks. u find 5cm of ovarian cyst on routine check up. 4. 4. lamivudine and indinavir.15 - 4. giver her diazepam long term to calm her b. postmenopausal women 200. protein c. 3. He is proven to be suffering from genitor. contact with child with rubella. Shift to ethosuximide. Her EKG shows left axis deviation. 195. side effects hormonal replacement therapy .O/E general exam normal . Otosclerosis. On examination. Rifampicin 3. Methyldopa. WCC d.Order sigmoidoscopy 5. what to do? They mentioned few specific Ag. osteoporosis prophilactic. 1.orbital cellulites 196. A 46 yrs old man consults you for increasing weakness and lethargy.brest cancer -endometrial cancer . do psychiatric consultation c. 184. 2007 . 193. Breast fed infants are less prone to develop which of the following as compared to the bottle fed? a. 2.positive patient is on anti retroviral therapy with zidovudine. fixed split of S2 with ejection systolic murmur (III/VI) in left second intercostals space. CSF glucose b. Ethambutol 185. A young female presents with history of dyspnoea on exertion. 63 yr old woman. pressure e. aspiration and cytology 190. 5.Reassurance the pt and call after 3 months. Fever 189.Prescribe iron supplements . clin presentation: . An HIV. reassess after 3 months c. Hypotension 3. What was the reason to call ophtalmologist because of the emergency . Shift to clonazepam.Repeat occult stool test.corneal abrasion -orbital fracture without displacement . you should: a. she has wide. Which one of the following drugs not is given to this patient? 1.

His daughter doesn’t want you to tell her father about the diagnosis.9% Nacl b. Posture is normal. A 65 year old patient come to you complaining of mild tremor while at rest. What is true. Child with dehydration.ovarian cancer . He asks for refill of the drug.consistency with other data 2.low immune system during pregnancy C. An acute upper GI bleeding from longitudinal esophageal tears after repeated vomiting occurs in: Menier's syndrome Job's syndrome Brown-Sequard syndrome Mallory-Weiss syndrome 210. A patient is diagnosed as a schizophrenic by a psychiatrist and he is referred t0 You. Which one of the following is the main predisposing factor of asymptomatic urinary tract infection in a pregnant woman? A. (c) Ask for a permission and prescribe (d) Write down permission in your record 213. 5) prior urethropexy. A patient was diagnosed as a moderate dementia &he was again as incurable cancer. A teenage girl was raped and she was given a prophylactic drug to prevent gonorrhoea and incubating syphilis. Specificity is the test's ability to: include people with disease exclude people with disease include people without disease exclude people without disease 209.experimental 4. (a) do not tell the patient because he is not capable (b) do not tell because it will make his condition worse (c) Tell the patient anyway 207. With inspiration the right side of the chest elevates less.cardiovascular disease 201. He notices slight slowness of movement. K 5. Now. All of the following are considered possible indications for cesarean section. 4) carcinoma in situ of the cervix.pressure of enlarged uterus on bladder B. 32 year old woman with hyperthyroidism presents with palpitations. 2007 . 0. A patient was diagnosed by a psychiatrist as a case of depression & was prescribed an antidepressant for 8 months. Na is high.March 17. What would you give a. 0 45% Nacl . (a) Dopa/Levodopa (b) Bromocriptine (c) Benztropine (d) Amentidine (e) Cogentin 203.What and where is the pathological process?? a) consolidation on the right hemithorax b) consolidation on the left c) pneumothorax on the left d) pneumothorax on the right e) hemothorax on the left and pneumothorax on the right 205. you are the family physician to see him & the symptoms have already been subsided completely. 208. What is the most appropriate treatment of choice? (a) Ceftriazone 250mg IM stat (b) Doxycycline (c) Metronidazole 204.temporal relation 202. 3) genital herpes.dilatation of ureter and calyces due to progestrone D. What will be your action? (a) continue treatment for another 4months (b) stop therapy abruptly (c) reduce therapy slowly & stop (d) give therapy for life (e) continue therapy for another one year 212.on the left side there is less percussion resonance but stronger breath sounds. What is the reason for not telling the truth. Which therapy is the most appropriate in this stage of his Parkinsonism.high level of oestrogen increase urinary tract obstruction which predispose to infection 206.change of flora in perineal area during pregnancy E.16 - .time of presentation 3. 2) fetal distress. EXCEPT 1) placenta previa. The patient finished his drugs and got relief of his symptoms. her ECG would most likely show: atrial fibrillation left ventricular hypertrophy left bundle branch block right bundle branch block 211. (a) Assume that the patient is giving consent when he ask for refil (b) Do not need to ask for consent as he gave consent to his psychiatrist. all of the following are true about causation except 1.

1)familial polyposis. AIDS dimentia b. (b) Tell the other patient to request the first patient’s permission. Two men fought.enema. Multi infarct dementia 219. Now a gush of blood coming out from vagina. Diagnosis?.8 yrs witjh unilat blindness & blurred optic disc 215. LUMBAR PUNCTURE ABSOLUTELY CONTRAINDICATED IN A.PT ON PHENOTHIAZINE D.Ba. . A total of 10. 2)diverticulosis. neonatal sepsis 218. 65yr female presenting with episodic painless dark-red gastrointestinal bleeding. A man bit the other ones’s hand. Which of the following diseases would you give Immunoglobulin therapy in children: a.March 17. 226. 3)ulcerative colitis. He was hallucinating and O/E nystagmus found. a doctor who see the man who bit the hand of the other called the previous doctor to disclose the status of the patient he is caring as the blood was swollen at the time of fight. they vomit & have loose motions. What should the first doctor do? (a) Ask the second doctor to treat his patient as high risk as it is not possible to disclose the information.HYPERTHYROIDISMD.TRH 217. What is the diagnosis? (a) rupture of uterus 221. and although there is still some hair in the area. G2P1 with h/o previous CS for CPD presents with onset of labour. What test can be used to measure the singnificance of mean BP of two group of people . prolactin level are inc in each of the following EXCEPT A>PREGNANCY B. People came from a party & they have eaten -------. The man who hit came to GP. What was the substance? (a) PCP (b) LSD 220.A man came from a party. it is noted that the hairs are extremely short and broken in appearance.24hrs later.16yrs with vit A toxicity D. Thrombocytopenic Purpura d. Examination reveals well-demarcated areas of erythema and scaling. Brain stem tumor c. are asked to give a history of cancer since discharge. one member of a family suffers from swelling face tingling sensation after eating food other member of the family also suffer the same problem. brought to the ER yesterday mute but he seemed understand you.PITUARY STALK SECTIONC.000 Vietnam veterans. Which of the following is the patient most likely suffering from? 1) cutaneous candidiasis 2) tinea capitis 3) alopecia areata 4) scalp psoriasis 216. Then. This scenario best illustrates which one of the following? 1) case series report 2) case-control study 3) clinical trial 4) cohort study (retrospective) 5) case report 223. 47y male.food allergy test 227. Following drugs cause depression except (a) steroid (b) warfarin (c) cimetidine 225.WBC 3.Immunoglobulin hould be tested 2. started getting confused.2yrs old withAIDS B. C. Primocaine 214. The doctor sent blood for VDRL & HBs Ag. Steven Johnson Syndrom c.endoscopy and upper GI series are all normal. What is the organism? (a) Staphylococcus (b) Salmonella (c) Campylobacta (d) E. 4. Kawasaki ds b. sigmoidoscopy.colonoscopy. Choice of local anasthetics a. 4)Rt. A 6-year-old child presents complaining of patchy hair loss on the back of the scalp.17 - c. 2007 . diagnosis? a. (c) Give the results by taking another sample of blood from the first patient 222.colon angiodysplasia.3 months old with head tilt ataxia & blurred disc margins c. Coli (e) Giardia 224.gastroscop y. agitated 3 weeks ago. investigation? 1. half of whom are known by combat records to have been in areas where Agent Orange was used and half of whom are know to have been in areas where no Agent Orange was used.

./cumm 236. What is not the cause of Ca lung. 238. You found two stones in the gall bladder. 68 year old patient come to ER complaining of dyapnoea. All the following can cause this condition EXCEPT Condyloma Accuminata 242. Asthmatic patient presented in the ER with Dyspnea .. What is the procedure of choice to arrive at the diagnosis. lip with mild vesicles .. Diagnosis ? HSV infection 243. What would you like to do? (a) do nothing (b) cholecystectomy (c) cholecystostomy (d) laproscopic cholecystectomy 231. PE shows dyspnea slit rhonchi at the upper chest & neck .O (b) Digoxin IV (c) Digoxin + Furosemide (d) Digoxin & Warfarin (e) Adenosine 232. used to inhaled salbutamol with no Improvement. A collage student F 20 years presented with vaginal bleeding . Diagnosis ? Ectopic pregnancy 244. 68year old male suffers sudden mid abdominal pain. HR=160/min BP=110/60mmHg Supraventricular Tachycardia is the diagnosis. (a) Normal pressure hydrocephalus (b) Alzeimer’s disease (c) Sarcoidosis (d) Crutzfelt Jacob disease (e) B12 deficiency 233. and an abnormal chest x-ray showing hilar and mediastinal adenopathy and bilateral lower lobe infiltrates. All of the following dementias can be benefited from specific treatments except. What is the treatment of choice? (a) Digoxin P. A 27-year-old IV drug abuser presents with cough. (a) Asbestos ? (b) Coal mining (c) Nickel mining (d) Uranium mining (e) Tobacco 230. pale and diaphoretic but present no intensification of pain during abdominal palpation. He was brought to E R for hypotension 8060 HR 110.18 - a. 45 year old female came to you for a routine medical check up. 2007 . (a) Barium swallow (b) Serum protein electrophoresis (c) CBC (d) ESR 229.. management ? Reassurance 240. 17 years female at stage 3 Tanner does not mensurate . Chi Sq test b. Patient presents thickened upper Lt. O/E congested veins and tachycardia are found. All of the following are contraindicated to epidural anesthesia except : Labor at 35 wks. ? Inhaled Salbutamol + IV hydrocortisone + IV Fluid 241. T test c. All of the following epidemiological associations for cancer were proven except (a) Asbestosis—lung cancer (b) Alcohol------oesophageal cancer (c) Tobacco-----cervical cancer (d) Nickel--------liver cancer (e) Chewing bum nuts ----oral cancer 234. F test d. What is the diagnosis? (a) Intestinal ischaemia (b) Caecal volvulus (c) Diverticulitis (d) Appendicitis (e) Colon cancer 235. pregnancy test is (+) US shows empty uterus & left adnexal mass. His intermediate Mantoux skin test shows a greater than 5 mm induration. stooped at the day of admission . All the followings are normal findings except (a) Palmar erythema (b) HR=90 (c) Facial hyperpigmentation (d) BP=140/90 at 16 week (e) WBC=12000. O/E otherwise normal. A man 70 years old presents with recurrent bilateral upper lobe pneumonia with mild dysphagia. fever. Which one of the following is the most likely underlying condition associated with this illness? 1) sickle-cell disease 2) alcoholism 3) drug abuse 4) human immunodeficiency virus (HIV) infection 5) Hodgkin's disease 237.March 17. Sexually active lady present with dysuria & vaginal discharge. management... 72 years old with heart failure with high blood pressure treated for long time.. What is the most common complication of Juvenile Rheumatoid Arthritis: Iridocyclitis 239. 228.

2007 . Women pregnant with twins.At 9yrs problem recurred). .If this was the given scenario..12 weeks. All are true with post infectious GN. A 9-year-old boy has been referred to you for evaluation of bedwetting. Why? -iUGR -virus infection -incorrect gest age -? 264. C4 250. 266. 2) desmopressin (DDAVP®) 3) waking at night 4) nightly diapers 5) psychiatric counselling before all 261. All occur in DT. possible complication : Painful bleeding 256.anemia -? 265. he has 4 mo. A mother worried about her child because of history of myopathy in family . What PD is it? Antisocial PD 254. Charming manipulative does not learn from experience with lack of remorse (guilt). What to do? . After she loss her concissness her relative became a garantor and he asked about doing surgery. ECG changes Actually there is good news (for me) .March 17. His physical examination and urinalysis are normal... 12: The most common complication of Epidural Anesthesia in a pregnant woman: Hypotension 249. What is the most common cause of congenital heart failure in new born? VSD 246. Pregnant women declare that her last menst.and recovered spontaneously.. what is the first investigation to carry out? CPK 253. all are helpful EXCEPT: Misoprostol 255. Obese postmenopausal woman.. which is the most serious complication of the supra condilar fracture of the Humerus ? A compartment syndrome of forearm 251. Patient 68 years going to elective surgery . Except : Normal C3 . what do u do ? 257.. EXCEPT: Correct answer: Delusion 248. If prevalence decreases what will happen? a)Decreased specificity and sensitivity b)Decreased negative predictive value c)Decreased positive predictive value d)Increased negative predictive value 260. Spermatogramm. Postpone the operation & check function of the coronaries 258. wonder if question was phrased something like this-----(child was nocturnally enuretic from ages 5-7 yrs. history of chest pain & got same attack at night before the day of surgery . Woman with leg gangrene due to diabetis refuse surgery.19 - what to give ? Correct answer: Digitaline 245.. the principal coz of aging of canadian populationis a. Hyper K emia.. A child with juvenile poliposis . period was 18 weeks ago. 1) An alarm system that rings when the bed gets wet and teaches the child to respond to bladder sensations at night. Ask about advice for this man. Which one of the following is the most appropriate method for managing this child? ?? Is the above question complete?.then the answer would be. What is incorrect -fetals may have different size -she may develop preeclampsia -she may develop hypertension .do surgery -don't do sergery -to finish any tretment -to find other ways of gangrena therapy 262. Dyspepsia. He is dry during the day but wets every night. All of the following suggest thyrotoxicosis except : Meanorrghea 247.)newly ariving imigrants tend to b older than canadian b)declinind fertility rates after baby boom?? c)improved control over diseases occuring at older ages 259. All of the following are normal during pregnancy except White blood cell 3000 252. Osteoporosis profilactic: -est-prog -Ca + vit K -bisphosphonate -est -progest 263.there were no ECG in the exam. Uterine size . just questions.

When to swich from MAO to SSRI.fixed deformity of the distal phalanx b – passive extension of the distal phalanx but no active extension c.3 days -1 week .20 - 267. What to do . Clister headache.that go ahead and put the feeding tube in. What to do? -Start CPR -use special insulating protective gloves and extricate the patient -switch off the power supply and then resuscitate 279. Do the following exept -maneur. What do expect to find on examination? a.Barett esophagus . Child 3 y. . What will you advise? -Tell her that nothing to worry.4 weeks 275. Add a leukotriene inhibitor. Which one of the following fluids increases the risk of calcium oxalate stone formation? A.on examination you find that he needs a feeding tube.3. Grapefruit juice 283. please let me know if you know the answer How many gastric juice do we have when we are fasting and when we are eating. Man 55 years with painless mass in scrotum(2 cm) transillumination is (+ve).c/c . A pt developed a mallet finger after an injury to his index finger.March 17. Add an inhaled corticosteroid. It is the last question I remmember.aortic stenosis -pulmpmal stenosis . Beer C.. Child 3 years could't run and take stairs.5kg now 4 weeks weighs 3. Sholder dystocia. An unconscious old man is brought to the ER from a nursing home by his son and a daughter.CT -X-ray -? 268.6 kg. Investigation.what will you do? A. 7.? 270. Man suffered electrocution due to electric pole contact.oxitocine -ephistomy 274. litium side effects (not about TTH) 269.2 weeks .CK -myelogr. Coffee B. 2007 . 276. Woman with esophagial reflux for many years. I don't remmember -clav.o. fracture . A 15-year-old boy with persistent asthma that is poorly controlled on a short-acting inhaled beta2 agonist presents for routine evaluation.carcinoma .resistance to extension 278. now she can't swoloow a meal . B. Which one of the following is the most appropriate next course of action? A. 3.The daughter is against that.His son says. Patient is unconscious and clinging to the electric wire. A baby with birth wt. 272.. first time UTI. .hernia . what is wrong: -unilateral -temporal -worst because of alcohol -worst during night -? 273.PDA -? 271. period between the treatment .go ahead and incubate B-consult the ethics board of the hospital C-ask the court to appoint a legal guardian D-donot intubate 282. NST is indicated in all except: -IUGR -DM -HT -40 weeks pregnancy 281. as some kids don’t gain much weight in the first month -start formula feeding -investigate the kid 280.Diagnosis? -Hydrocele -spermatocele -Hernia -varicocele -Testicular ca 277. Mother worried not drinking enough milk. What does't cose pulse changes .

C. Regular menses for 10 years. Most patients present with a medical symptom. what is your diagnosis ? -Acute pancreatitis -Cholecystitis -Ureteral stone -Mesenteric Ischemia -Rupture of AAA 294. B. Most patients have relapsing-remitting course. Prescribe a tricyclic antidepressant. Perform a suicide risk assessment. When to give antibiotics in CS -1 hr before -after delivery of baby -after CLAMPING of cord 295. –MELANOMA 291. E.fat b. 285.21 - C. A 17-year-old presents with a history of asthma and dysthymia. HRT in 60 year old. Which of the following signs are not associated with severe pulmonary hypertension? (a) Hepatomegaly (b) Right ventricular heave (c) Large V waves in the JVP (d) Pan-systolic murmur loudest at the lower left sternal edge in expiration (e) Peripheral edema 288.March 17. B. 2007 . Add a long-acting beta2 agonist and leukotriene inhibitor 284. flank with pallor and diaphoresis with asymptomatic periods in between. which one is not indicative of sexual abuse in a child? -HSV . Diagnose adjustment disorder and initiate counseling therapy. with superficial ulcer & surrounding scar. Refer him for cognitive behavior therapy. 4. Perioperative antibiotic prophylaxis is beneficial. ? -Arterial insufficiency -perforator incompetence 290. Old lady with ankle edema at the right medial malleulus. Reassess the situation in a few weeks after he has had time to get over the breakup. 65 years obese Pt. Which one of the following statements about management options has been shown to be correct? A. General anesthesia is better than regional anesthesia. Lady after a prolonged labor she delivered a 4 kg baby. 287. Conservative management is better than surgical treatment. except: 1. Cognitive therapy is less effective than antidepressants 289. Each of the following statements about panic disorder is true. 99. Diagnosis. She is not able to urinate. Preoperative traction is beneficial. Maximum radiation exposure takes from? -Nuclear fallout -natural background -nuclear reactor -X-ray -uranium mine Dilutional thrombocytopenia b.alcohol c. Post-op pt continued to bleed despite 10 units of packed RBC transfusion. An 80-year-old woman is hospitalized with a hip fracture. What`s the most worrisome in 42w gestation? -Non reactive NST -decreased fetal movement -polyhydramnios 298. D.sodium monoglutamate 299. His mother reports that he broke up with his girlfriend a month ago and has become increasingly isolated. D. D. All of the following foods can cause cancer except a. 3. Then for 3 months amenorrhea. –BOWEN c. 286. Most patients will have another psychiatric disorder during their lifetime. He gave his sister his music collection earlier this week. 2. What is the most appropriate next step? A.. C. Add a second-generation antihistamine. Hyperkalemia 293. complains of repeated attacks of strong & sudden mid abdominal pain radiating to Lt. Hypercalcemia c. Diagnosis? -Urethral trauma -Maternal dehydration -Uterine atony -Bladder atony 297. –BCC b. -reassure -Do endometrial biopsy -increase the progesterone component 296. What is the cause of the continued bleeding??? 292. WHICH ONE IS LESS MALIGNANT? a.

John's wort. E.22 - -HPV -Vaginal hematoma -vulvar laceration 300. disoriented. 302. All of the following tests is/are indicated for the evaluation of a peripheral tumor except? A. D. pincillinase producing staph respond to all except: (1)methicillin (2)ampicillin (3)cloxacillin (4)oxacillin (5)naficillin 307. Became thirsty and increased urination. B. Paranoia is not seen in -pernicious anemia -hypothyroidism -mania 313. B. 312. with multiple rib fracture is agitated and not allowing doing any examination in ER.Chronic lymphocytic leukemia B . Weight loss 305. Cognitive behavior therapy. 48 years-old woman complains of a fullness in her abdomen.Lymphoma D .Hairy cell leukemia C . 8 weeks pregnant patient with depression on Sertraline wants to stop medication. C. Lithium. Elderly female on Tamoxifen therapy for advanced CA breast with bone mets. (1)erythromycin (2)penicillin (3)ampicillin (4)cloxacillin (5)methacillin 310. C. 301.March 17. A pt. A . Which one of the following is an effective lifestyle measure in managing gastroesophageal reflux disease (GERD) symptoms? 1. A diagnosis is made after reviewing a pheripheral smear and detection of cells with distant cytoplasmic projections.Myelodysplastic syndrome. asymptomatic bacturia is considerable normal in. (1)diabetus mellites (2)lithium (3)hypercalcemia (4)head trauma 311. the signs of malignancy in nevus are (1)bleeding and ulceration (2)increase in size (MAQ) (3)increase in pigmentation (4)fraiability 306. Smoking cessation 2. Nasal intonation in voice of a 5yr old child due to -nasal turbinate hypertrophy -Hard palate defect -a/w Cervical LN swelling -thyroid enlargement 304. What will you do? -do a detailed physical and mental examination -continue antidepressant -substitute another -lower the dosage 314. It is her first episode and the clinical assessment is that it is a mild depression. Sputum cytology. Tricyclic antidepressant. polydepsia and polyuoria are caused by. . Dietary interventions 4. gram negative hospital aquired infection. Bronchoscopy. Which of the drugs cause amnesia the most? -Triazolam -Diazepam -phenytoin -Imipramine 315. Transthoracic needle aspiration. 14-year-old girl is diagnosed with major depressive disorder. Ther is no evidence of lymphoadenopathy. 2007 . What is the immediate management? -Diazepam -analgesic to ribs -haloperidol -morphine -oxygen 303. St. Alcohol cessation 3. best antibiotic is. (1)pregnant woman (2)4 year old child (3)45 year old male (4)70 year old female 309. D. A complete blood count shows a hemoglobin of 9 mg/ dL. Which one of the following treatment choices is appropriate? A. Video-assisted thoracoscopy. Selective serotonin reuptake inhibitor. acute pancreatitis is associated with (1)increase calcium (2)blunt trauma (3)alcoholism (MAQ) (4)biliiarary disease 308. Physical examination reveals splenomegaly. with neutropenia as well as thrombocytopenia. Which of the following is the most likely diagnosis.

T-inversion. A Girdlestone Resection is: A. Desensitisation is useful in which of the following? -Isolated allergy to cats -food allergy -asthma 319. -Detrusor irritability. All are seen in delirium tremens. -Endocrine assessment. pt. Surgical removal of a portion of the capsule of a joint. It does not improve functional results. Presented with excessive vaginal bleeding for one week duration. 326. -Stress incont. -Platelet count. There was only one picture in the EE JAN 07. What is the diagnosis? -basillar migraine -atlanto occipital joint affection 318. 325. . D. It reduces the patient’s discomfort. -Overflow incont.no loss of consciousness and dilatation of right pupil. compared with a simple arm sling used in fractures of the middle one-third of the clavicle? A. 324. pt.Basal Cell Ca. 2007 . -Thyroid stimulating hormon assessment. 328. all occour EXCEPT -increased Amalyse -Abdominal pain -increased K -increased osmolarity . . -Ultrasound. What is the most appropriate next step in the management: -No further investigation. It has a lower incidence of complications. Case of occipital headache. Hb. 323. It provides a better cosmetic outcome. All of the following are normal during pregnancy EXCEPT: -spider telangiectasia? -heart rate of 90 -decreased BP -palmar erythema -white blood cell 3000? 320. In surveillance in worker for radiation hazard best will be -Annual PE. -UTI. . frequency but no complain at sleeping time-at night. Surgical transaction of fascia for compartment syndrome. C. .LBBB (New). only when she lift up her son or on exercise. Surgical decompression for the relief of pressure. -Total body radiation count -CBC every 6 months . C. is within the low normal limit. 317. 16 Years old female had her first menarche at the age of 14 . 18 Years old female G3P3. B. Holter monitor -Ejection fraction less than 20 % -Family history of sudden death -Atrial fibrilation on aprevious AMI -Severe narrowing of more than 1 coronary art. It was a picture of an old man (75-80 Years old) with Ulcer (deep ulcer & thick edge) at the angle of the mouth. with hypokalemia.leukocytosis 327.Melanoma.March 17. She has urgency. Options were: . Pelvic examination is normal.except: -HT -Fever -Tachycardia -fixed hallucinations 322.Squamous Cell Ca. D. Which of the following describe the figureof-eight bandage. Which are associated with highest risk of sudden death: -Multiple Ventricular Arrhythmia on 24 h. In the last month she started to complain of drippling & urine incont.Q-wave. My choice was Squamous Cell Ca.RBBB (New). Surgical excision of the femoral head and neck 329.23 - nausea and vomiting. What is the most likely diagnosis? -Psychosomatic. . confused and agitated -Hypercalcemia -brain metastasis 316.all true EXCEPT: -diarrhea @@ -paralytic ileus -hypotension -hypoventilation -muscular weakness -polyuria and polidepsia 321. The following ECG change is an indication of acute Myocardial infarction:. B. with Diabetic ketoacidosis.

. a. After resuscitation his BP is 110/70 mmHg. a patient with heart rate186 with wide QRS complex. . fusion beat (specific for VT) b. Toxic or therapeutic disturbance. What is the most likely diagnosis: . Thromboembolic or mechanical obstruction.March 17. 332. left to the vetebral column. His BP was 80/60 mmHg. capture beat (specific for VT) c. same question. A disease affecting the proximal tibial epiphysis causing valgus is known as: A. . followed by adrenaline IV for the treatment of sudden Ventricular Fibrillation (VF) caused by Acute MI. Interochanter line of the femur B. 334. Fracture 'of the hip' usually occurs at: A. BP 170/110.Laproscopy. 340. 2007 .Q-wave. sweating. He kicked a trash can and was looking for empty bottles and cans (for alcohol?). . Plica syndrome C. 337. What is the next step to do:. . (specific for WPW) 339. delta wave. irregular rhythm. Options different. . . 300. The police want to charge him.10% D. you manage to assess him. Hypoxia.what is the prevalence of anxiety disorders in children? A.Acknowlege her this is a simple cyst and will disappear after pregnancy. . give O2. The outlet is in the back. 8. Advanced Life support: Cardiac arrest -> precordial thump -> BLS -> Check rhythm -> Check pulse -> If VT/VF -> Defibrillate -> CPR (1 min)-> Check rhythm -> If non VT/VF -> CPR (3min) -> Check rhythm During CPR do the following: Check airway. 25 Years old male presented to the ER with a shot injury (inlet) on his abdomen just left to the umbilicus.24 - -Chest X ray yearly -eye examination for cataract yearly 330. at 16:00 hrs. Pt was brought to ER at 1800 hrs. . how will you differentiate SVT from ventricular arrhythmia? a.Pancreatitis.Ruptured AAA. Interior ramus of pubis 333. 67 Years old man presented with collapse after postprandial abdominal pain radiated to the left flank. . He resumed sinus rhythm but then started VF again. Hypokalemia.Volvulus.? Give a fourth DC. Pt said that he only needed some money to buy one thing. Acetabulum of the coxal bone D. They found him (pt) "euphoric" and shouting at the bypassers. .LBBB (New). The following ECG change is an indication of acute Myocardial infarction:. (drugs? Alcohol?)In ER pt is sleepy and uncooperative.Give adrenaline IV. .) respectively. Olliers disease B. . Blounts disease 336. .Ultrasound. P . What is true about organ donation? -Hypothermia should be done before -Less IV fluids should be given to avoid cerebral edema -Less packed RBcs should be given 338. -? 331. Hypovolemia.CT scan. but first they want the pt to be cleared medically. capture beat c.IVP. but with the help of police and staff. Osteochondritis D. 2% B.Give a 4th DC (360 J. Hypothermia 335. .15% TN says 2-15% 341.5% C. give epinehprine 3 times.Laprotomy.). She is 18 week gestation. 360 J. Tamponade.Perforated PU.Ask her to come back and deal with it postpartum.RBBB (New). Police was called to the mall by the owners. Neck of femur C. Shaft of the femur E.T-inversion. Pt has slurred speech. correct the reversible causes: 4T's and 4H's: Tension pneumothorax. ataxia. What is the next appropriate step in the management: .Give a drip of Lidocaine. What would you do now? . b/c a man tried to steal. 24 Years old female. A patient undergone 3 cardioversions (200. fusion beat b. Abdominal ultrasound showed 6 cm left adnexal mass.Mesentric Ischemia. .

Admit to hospital for phototherapy 2.is 390 Q2:What is your management? Select up to 3 or select "no further investigations". euphoria. What is the first step in the management of this patients? discontinue lithium 4. junk food 346. OVERDOSE=emergency: tachycardia. hypertension.March 17.1500 hrs. hypertension. 3. halucinosis. sweating. (5-7% weight loss is normal) Q1: What questions would you ask from the Hx? Select up to 4. respiratory distress. Bilirubin level mol/L. What is the first step in the management of this patients? levothyroxine (LT4) 2. Pt with brain death. What is the first step in the management of this patients? 4. psyho Sx: agitation. 1. T 38. 3. has controlled HTN.25 - 120. craing for opioids. poor concentration. sedentarism b. 1. 5-day old girl sent to you by the public health nurse at . Ask mom to expose the baby to sunlight 5. She has 73 kg & 160 cm . Opioid withdrawal – sympathetic + nausea. Child is sleepy and jaundiced. Make pt hypothermic to conserve organs All blood products are contraindicatedb. What is the best initial diagnostic test? serum lithium level A patient on lithium comes with high liver enzymes. restlessness. Treat dehydration 6. psychosis. Alcohol withdrawal – autonomic symptoms: tachycardia. Reassure mom and follow up in 2 days to check bilirubin 343. What is the best initial diagnostic test? A patient on lithium comes with fine tremor. impaired memory and judgment. dyspnea. A patient on lithium comes with hypothyroidism symptoms. with jaundice. 2007 . female asks about contraception. Birth wt 3375 g. Before organs for transplant are obtained: a. What is the baby fed with 3. Anxiety. 345. What is the first step in the management of this patients? 2. She does not wish any more pregnancies. anxiety. Supplement with iron in pregnancy 4. sympathetic stimulation: tachycardia. What is the first step in the management of this patients? ?? . What is the best initial diagnostic test? A patient on lithium comes with high liver enzymes. Refer to gastroentero logist 8. sweating. now she is divorced & entered a new relationship.1. Delivery was vaginally at 39 wks GA. Q1: Type 3 DDx: Cocaine intoxication – elation. The main factor that can be modified in obesity in kids: a. o. Explain the monitoring needed for a patient on Lithium. diarrhea. 5. Admit tomorrow at 0800 AM for further investigations 3. She has 2 children with her previous husband. now wt is 2900 g. What is the best initial diagnostic test? Serum thyrotropin to exclude concomitant hypothyroidism and anti-Tg antibodies for an autoimmune process A patient on lithium comes with fine tremor. Reassure mom and check bilirubin in 24 hrs 4. Q2: What investigations (if any) would you do? 1 Blood drug screen 2 Blood alcohol 3 Urine drug screen 4 Serum lytes 5 CBC 6 CT head 342. pressured speech. 5. seizures. 348. paranoia. 1. Call pediatrisc resident to guide your management and investigations 7.o.: seat bealt use ???? (can someone give a good reference for this PYLL?) tnx 347. few years ago she had a tubo-ovarian abscess. vomiting.She smokes 1 pack/day. majority unconjugated bilirubin. mydriasis. 38 y. ventricular arrhythmia. FHx of asthma P/E is normal. restlessness. Primary prevention measure most important in decreasing PYLL (years of potential life lost) in persons < 70 y. What is the first step in the management of this patients? 6. 1. patient on lithium comes with hypothyroidism symptoms. Ask about labour and delivery 2. fever. List contraceptive methods: 344.

prilocaie infiltration c. Tell only the wife who can provide supportive care e. His physical examination and urinalysis are normal. often precipitates hypothyroidism) 349. USS done –shows decreased liquor and estimated fetal weight 2000 gram.26 - 6. A patient sustained electrical burn and comes to your clinic. Which one of the following treatments for acute whiplash is most likely to be beneficial? A.CT . admit her and plan for induction of labor d.Transverse C . after his company went bankrupt (2 yrs ago). A vigorous home exercise program 352. Early return to normal activity and early mobilization D. Bed Rest B.Knock knees D .infiltration of Bupivacaine d. 2) desmopressin (DDAVP®) 3) waking at night 4) nightly diapers 5) psychiatric counseling before all 357. 60 years female on HRT. 2007 . Use of a neck brace for one month then physiotherapy C. BPP twice per week b.Foot drop B . send her home. a. Pancreatic cancer C. Withhold the information b/c it is fatal b.. What should be the next appropriate step? -Do ECG and if found normal then discharge and advise pt for followup -Do cardiac enzyme test -Admit the patient and monitor ECG for 24 hrs -Admit the patient and do ECG 3 times 353.topical preparation of prilocaine and lidocaine b. Which one of the following is the most appropriate method for managing this child? 1) An alarm system that rings when the bed gets wet and teaches the child to respond to bladder sensations at night. repeat scan after 24 hours c. A business man with Hx of Depression. Withhold the information b/c of his psychiatric diagnostic c. What should the physician do? a.. the amount needed for treatment is slightly different from the toxic.March 17.Wrist drop 358. What is this likely to be due to? A. Genu recurvatum refers to: A . What is the diagnosis? -Tuberculosis -mesothelioma -rapidly progressive silicosis 355. what is definitve diagnosis for pneumocystis Carini? -Gallium scan -Histopathology of bronchial secretions 350.Lateral (fibular) collateral D . . Pt feels well. A 60y old woman presents with bilateral thrombophlebitis and DVT which is difficult to control medically.Oblique B .management: a increase the dose of progesterone b ultrasound for endometrial thickness c reassurance 354. CXR shows fibrosis of upper lobes. had 2 major depressive episodes.Hyperextended knee C . Tell the truth to the pt 356.Posterior cruciate E .otoscopy .Anterior cruciate 360.. Small cell lung Ca D. He is dry during the day but wets every night. A patient with history of occupational exposure 20 years back now presents for 6 months with cough and weight loss. What will you give? a.. O/E a burn area 2cm by 6 cm is noted in the forearm with fingers affected.Pneumatic otoscopy 361. the diagnostic way of choice for otitis media with effusion .no anesthesia 351. Withhold the information b/c d. Ovarian cancer B.complain of no with drawal bleed for 3-4 months. He has 2 months until retirement and plans a trip to overseas. 3. (1. Explain the monitoring needed for a patient on Lithium. 2. She is going to have a vulval biopsy. and the second. A CXR shows inoperable cancer.. Which of the following ligaments prevents hyperextension of the knee and may be involved in locking of this joint? A ..having regular period. the first Sx of intoxication are very vague.Bi-partite patell E . A 9-year-old boy has been referred to you for evaluation of bedwetting. fundal height 31 cm. one after the death of his son. A lady is allergic to lidocaine. Myeloid leukaemia 359. What is your next action. a pregnant lady at 37 weeks date confirmed by first trimester scan.

cause? a) pituitary infarction b) hyperthyroidism c) danazol d) thoracic nerve stimulation e) dopamine agonist 365. good variability. they found that many doctors with variable periods of clinical experiences had reported that the man's liver was palpable as 13 to 15cm in length. Remove device postpartum c. The best parameter of CSF to differentiate aseptic from bacterial meningitis is? a. A mother brought to her son to your clinic with red spots around eye.Ketamine . To achieve best results to prevent future attempts. poor sensitivity. similar scenario. protein . B. 7 days later she presented with a rash all over the body . CSF glucose b.LSD 367. poor specificity 373.. What is the source of mercury poisoning hazard in the community? a. reduced specificity c. . -use disposable outfit -wear masks 370. You gave her estrogen-progesterone.rash present within 3 months of birth 2. What is your diagnosis? A. What is the cause of rash? -drug allergy -erythema multiforme -mycoplasma penumonia -scarlet fever 364.can present with weeping red areas in diaper area 4.commonly associated with food allergies 363. consumption of mercury contaminated fish c use of thermometers d... A girl with recent suicidal attempt by swallowing a drug.. the test is: a. What other finding is of concern to you a) petechiae all over body b) subconjunctival hemorrhage c) he developed vomiting after few hours (shaken baby syndrome) 375. Terminate pregnancy b. But no withdrawal bleeding. do psychiatric consultation c. mercury fumes coming out of factories b. Asherman syndrome C. sheehan syndrome. A lady had a sore throat and fever she took medications for it. close daily observation by as assesing group.does not itch 3. she had PPH and curetting done during delivery.reduced accuracy e.. 369. A man in autopsy was found to have liver length of 8cm. You confirmed it as petechiae. 2007 .Ecstacy . POA @ 8 weeks with IUD thread hanging down. Remove IUD e.. asherman syndrome.March 17.chronic scaly rashes and cracking around the ears 5. poor variability c. b. galactorrhoea .? 366.27 - E contraction stress test ( I am not sure whether this option was there or not) 362.. they will increase the detecting material in sticks to give positive results only in pts with high protein in urine.what is the best and most efficient way to reduce lead poisoning? -wash the hands thoroughly every time they eat. premature ovarian failure C. what is your diagnosis? A. reduced sensitivity 372. poor accuracy b.. a. Cut protruding portion of thread d. premature ovarian failure 368.Gamma butaryl etc . She had withdrawal bleeding when estrogen-progesterone given.. reduced validity d. within the hospital files. 371. use of dental ?? 374. Sheehan syndrome B. CK increased . what to do?. Pap smear swab collected from a) endo cervical and ecto cervix b) endocervical and endometrial c) endo cervical 376. A lady one year after delivery presents with amenorrhea even though She chose not to breast feed her baby . seborrheic eczema of infancy is charecterized by all of the following except 1. good accuracy. But here she had PPh but curetting not done. a man intoxicated in a party with jaw spasm. What is correct? a. poor specificity high sensitivity. you should: a. Proper disposal of waste. Your have performed gastric lavage and kept her under observation and the pt is stable now.. A company manufacturing the glucose sticks decided to overcome the excess false positive results. you will see more false negative pts. giver her diazepam long term to calm her b.

The mode of disease transmission that is most difficult to prevent is 1) person-to-person spread. Toxic shock syndrome. 389. WCC d. In order to study the possible association between hair dye and cancer.2°C and become very irritable within 8 hours of receiving his second dose of routine immunization. In a randomized controlled clinical trial. Hypotonia of muscles. the most feasible study design would be which one of the following? 1) randomized controlled trial 2) case-control study 3) cohort study 4) focus groups 5) case series report 387. 3) osteoporosis. enters the room and turns on the light. A 48-year-old with a 20-year history of severe Crohn's disease requiring in-patient hospitalization. and abdominal pain. 2007 . He had a seizure lasting for 10 to 15 seconds. 2) Give DTP instead of acellular pertussis. revealing the bear to be an armchair covered with a coat.28 - c. This experience would be an example of 1) a delusion 2) a hallucination 3) an illusion 4) deja vu . Not true a) exo toxin b) tampons c) skin necrosis d) fever e) rash 379. A 7-year-old girl hospitalized for a tonsillectomy awakens and cries out in fright that a "big bear" is in her room. 5) all those listed.March 17. 4) minimize the bias between the two groups. 5) Omit diphtheria toxoid from the combination. Hib. Baby 8 hours after birth. 4) Reassure the mother and proceed with DTaP. 2) droplet spread. Then he sleeps. 3) vector spread. Which of the following is the most common condition in Canada ? a) cervical malignancy b) endometrial malignancy c) endometrial polyp d) septulum uterus 378. 4) avascular necrosis. the purpose of randomization is to 1) keep the study subjects "blind" to treatment received. Which one of the following is the most likely diagnosis? 1) colic 2) acute hydrocele 3) testicular torsion 4) child abuse 5) incarcerated hernia 384. 385. What is your diagnosis? a) migraine b) temporal lobe epilepsy 383. 5) airborne spread. She is relieved when a nurse. 2) keep the observers "blind" to treatment received. 386. vomiting and a tender mass in the right groin. responding to her cry. What investigation you will do? a) CK b) Echocardiogram c) EEG 382. Behavior therapy least useful a) hallucination b) depression with strong suicidal ideation c) generalized anxiety d) 381. A child had headache. staring and severe Cyanosis. vomiting. A 3-week-old male is brought to the Emergency Room by his 17-year-old mother with a 14 hour history of inconsolable crying. 4-month-old baby has developed a fever of 40. Which one of the following options would you consider for completing the immunization of this baby? 1) Next time omit pertussis vaccine from the schedule. 4) vehicle spread. IPV. 2) ankylosis spondilitis. complains of the recent onset of left hip pain on walking. 388. pressure e. gram stain 377. 3) Omit Hib and administer DTaP and IPV. A child with tic disorder. 3) get a random sample of the population for treatment. Which one of the following is the most likely cause of the pain? 1) osteomalacia.what is the first thing in management a) benzodiazepine b) family psychotherapy 380. 5) osteoarthritis.

Thorough medical workup reveals no pathologic condition. 2) The incidence of the disease in this population is 80 per 100. Systemic lupus erythematosus.A+B ??? RX PG questions (part 2) . A new screening test for a type of cancer is carried out on 10. A 30-year-old woman complains of episodic faintness. These eight subjects survive longer than other persons suffering from the same type of cancer diagnosed by other means. there is wasting. No adult was present. 398. young female presents with history of dyspnoea on exertion. Polyarteritis nodosa. she has wide. The most probable diagnosis is : 1. His symptoms are reproduced by striking over the medial surface of the elbow.March 17. Which one of the following is the most appropriate management? 1) CT scan 2) overnight admission for observation 3) skull x-ray and discharging the patient if normal 4) instructions to the mother to observe the patient's neurological status during the next 24 hours 5) a skull x-ray.000.000 subjects. 5. Breast fed infants are less prone to develop which of the following as compared to the bottle fed? a. Methyldopa. 4) The predictive value of a positive test is 5% (8/160). 2.Ulnar nerve entrapment c. and discharge 391. Which one of the following is the most likely explanation? 1) acute mitral valve regurgitation 2) pulmonary embolism 3) myocardial infarction 4) acute respiratory distress syndrome 5) lobar pneumonia 395. 3) Early detection by this test improves survival. 4.000. A 53 y old diabetic man complains of hand numbeness and weakness. and his friends are unable to give a reliable history. 3. 2007 .29 - 390. During an episode of these symptoms.weakness. Ostium primum atrial septal defect. 4. of whom eight are determined to actually have the disease. and severe anxiety. there is a 3-4 cm abrasion on the left forehead.probability of finding one disease is A and other is B. fixed split of S2 with ejection systolic murmur (III/VI) in left second intercostals space. Ventricular septal defect with pulmonary arterial hypertension. Probability on finding the 2 diseases in one pt. Neurological examination reveals no abnormalities. Which one of the following conditions contraindicates routine childhood immunization? 1) prematurity 2) acute illness with an oral temperature over 39°C 3) antibiotic therapy 4) living with a pregnant woman 392. iron deficiency anemia 396. On examination.Diabetic Polyneuropathy b. A 28-year-old pregnant woman develops sudden onset of dyspnea and tachycardia. Tricuspid atresia. Which of the following is the most likely cause? a. (Independent). Her EKG shows left axis deviation. One hundred and sixty have a positive result. 24-hour observation. Question on probability. 397.4% (10. shortness of breath. Progressive systemic sclerosis 3. A 7-year-old boy is brought to a physician's office after falling from his bicycle and striking his head on the sidewalk. a) AX B b) A+B c) AXB. respiratory and GIT infections b Obesity c hypoglycemia d. tingling sensation in her hands. Which one of the following statements is correct? 1) The sensitivity of this test is [snip]. 393.Carpal tunnel syndrome d.000-160)/10.Apical lung tumour (Pancoast) 399. chemical analysis of the serum will probably reveal which one of the following? 1) decreased chloride 2) increased urea (BUN) 3) decreased protein 4) increased serum amylase 5) increased pH 394. 2.On exam. Which of the following two conditions are associated with Coomb's positive hemolytic anaemia: 1.Syringomyelia e. and fasciculations of the interosseous muscles of the right hand only with sparing of abductor pollicis brevis and normal reflexes. 5) The predictive value of a negative test is 95% (152/160). Total anomalous pulmonary venous drainge. Thrombotic thrombocytopenic purpura.

Note: 404. 2) repetitive experiences of "learned helplessness". 2007 . 405. Which one of the following suggests she is experiencing an exacerbation of her disease? 1) C3 and C4 are both normal. but regained consciousness within minutes. She has difficulty cooperating during the interview and physical examination. This clinical picture ismost compatible with which of the following? a. A 19 year old male college student was brought to your office in a state of agitation. endoscopy c. open surgery rarely needed.March 17. 68-year-old woman develops auditory hallucinations. alcoholic hallucinosis c. He has haematuria. After 8 hours with no fluid intake. An 18-year-old girl presents with thirst and polyuria in the order of 4-5 L per 24 hours. He claims that people have been calling him a homosexual. 3) CH50. ESWL d. adolescent turmoil d. On examination. 3) dysthymic or mood disorder. ureterolithotomy b. She has had some joint aching and been feeling unwell for a few days. a right bundle branch block. His electrocardiogram showed a sinus rhythm (76 beats per minute).lithotripsy stones 2-4cm with normal collecting system also suitable for lithotripsy in case of obstruction seek urological help. phencyclidine intoxication b. marijuana intoxication 406. schizophrenia e.30 - 400. The urine specific gravity is 1. Although he has been attending classes. Analysis of her urine reveals the presence of red cells. On USG no obstruction is seen. A 76-year-old man is brought to the Emergency Department by relatives who state that he had collapsed suddenly. Tx of choice . She cannot provide many details but believes her mother is speaking to her. Memory and immediate recall are good. A previously healthy. 5) sibling suffering from hypothyroidism 408. . if ureteric stone less than 5 mm. Which one of the following most likely accounts for this man's loss of consciousness? 1) ventricular tachycardia 2) type I second degree atrioventricular block (Wenckebach) 3) paroxysmal supraventricular tachycardia 4) intermittent heart block 402. Which one of the following factors would increase the likelihood of her compliance with treatment? 1) a positive family history 2) the patient's denial of her illness 3) marked secondary gain 4) a high level of subjective distress 5) short waiting-room time 407. he is found to be well oriented in all spheres. the urine specific gravity is 1. and left anterior fascicular block (left axis deviation). The urinalysis (urine microscopy) reveals no glucose or albumin and a normal sediment. A 5 yr child presents with calculus of size 2 cm. Which one of the following is the most likely diagnosis? 1) primary polydipsia 2) chronic renal failure 3) neurogenic (central) diabetes insipidus 4) nephrogenic diabetes insipidus 5) syndrome of inappropriate antidiuretic hormone (ADH) secretion 409. Her malar rash is about the same as usual for her. The development of a bipolar mood disorder is frequently associated with a history of 1) loss of a parent before age 11. Which one of the following is the most likely diagnosis? 1) complex partial seizures 2) Alzheimer's disease 3) adverse medication effect 4) hyperthyroidism 5) peduncular hallucinosis 401.001. a. which is unremarkable. observation e. 2) C3 is low and C4 is normal. just monitor progress by serial abdominal films as well as conservative management. in the upper ureter. 4) night terrors. There was no seizure activity. his academic performance has been poor for past month. The LUPUS patient you are following suddenly develops a fever and notes that her urine is dark in color.024 and the serum sodium 141 mmol/L. C3 and C4 are normal. You diagnose a 40-year-old woman with depression and prescribe an antidepressant. plenty of oral fluids 403. and the serum sodium 137 mmol/L. pelvicalyceal stones less than 5mm no treatment stones less than 2cm .

A young man sustains a severe blow to the head. The most likely diagnosis is a. Which nerve injury? a. They found him in the woods with an empty bottle of gin beside him. To determine the cause. there are vesicular formations on the dorsum of his feet. 15% 416. skeletal survey c. This finding represents which one of the following? 1) severe contusion 2) severe concussion 3) skull FRACTURE 4) FRACTURE of the nasal septum 5) subdural hematoma 413. 410. d. growth hormone assay b. Bone age delayed. Skull x-rays show air in the cranial vault. Urine output is 3400 mL/24 hours. On examination.partial rupture of the rotator cuff. 3) urine/serum creatinine ratio. Parent are of normal height. condyloma d.A 57-year-old woman is receiving total parenteral nutrition and pre-operative radiotherapy for obstructive esophageal carcinoma. A laborer feels a sharp pain in his right shoulder as he is lifting a heavy crate. The shoulder can be moved passively through most of the range. how long will u give desmopressin? a. 2007 . 2% b. 5% c.March 17. What is the prevalence of anxiety disorder in children? a. Sensations over the palm are norma. what will you give? a. c. 1 to 2 weeks 417. radial d. rupture of the tendon of the long head of biceps. hormonal assay 420. skeletal survey c. A lady is allergic to lidocain. infiltration of bupivacaine d. hormonal assay 421. subglenoid dislocation of the shoulder. karyotyping d. 4) liver enzymes. b. and both feet are red and edematous. He is doing good at school.acute subdeltoid bursitis. no anesthesia 415. Whch of the following is unlikely to be due to child abuse? a. is 5th percentile. 412. prilocaine infiltration c. weight 50th percentile. anterior interosseous e. For nocturnal enuresis. vulval hematoma 418. What inv. His ht. height 5th percentile. but active abduction can be achieved only if assisted. chlamydia infection e. 414. 6 to 9 months e.axillary nerve injury. 1 to 2 months b. 10% d. ulnar b. axillary 419. Parents brought their 14 year old boy. 32 years old woman is undergoing an annual physical examinaion. he has moderate pain and soreness in the right shoulder. the most useful test would be 1) lumbar puncture. 5) BLOOD GLUCOSE . 2 to 3 months c. What is the first investigation? a. median c. A man cannot touch his index finger with thumb. 4. hymen tear c. A 38-year-old man is brought to the Emergency Department on Christmas Eve by the police. topical preparation of prilocaine and lidocaine b. Which one of the following is the most likely diagnosis? 1) superficial spreading cellulitis 2) second degree frostbite 3) gout 4) first degree frostbite 5) compartment syndrome 411. 3 to 6 months d. She becomes lethargic and demonstrates bizarre behavior. He is agitated and confused. bone age b. will u do first? a. His vitals signs are: blood pressure 100/50 mm Hg pulse 60/minute respiratory rate 16/minute He is gray and cool. You identify an .karyotyping d. fouchette tear b. 5) terminal complement components are absent.31 - 4) C3 and C4 are low. She is going to have a vulval biopsy. 2) computed tomography scan of brain . Parents brought a 7 year old boy to you. e. No other abnormality.

Endometriosis E – Carcinoma 422. A radiograph reveals a 10 x 13 cm mass involving the right ischium of the pelvis. She complains of discomfort in the thumb.N. Q What is true about 11 y. A 51-year-old man has noted right hip pain for the past 3 months. child pulled by his mom with his arm PE shows arm is adducted and forearm is in pronation Humeral fracture laxation of inferior extremity of ulna sublaxation of radial head rupture of rotator cuff 431. A child presented with fever & small white lesion on the mucous membrane of the mouth followed by generalized macul0-papular rash.Leiomyoma B . 2 episodes in last 3 months. Which of the following attributes is most likely to describe this mass? A The most frequent primary tumor of bone B Usually seen in distal skeletal bones C More common in females D Sometimes seen to arise in benign cartilagenous tumors E Associated with Paget disease of bone 424. On physical examination he has diminished range of motion of the right hip. increase physical activity (checked from T. 65 yr obese pt complaining of sudden stron mid abdominal pain radiating to left flank cholecystitis ac pancreatitis abdominal aorta rupture mesenteric infarct ureteric stone 430. -Notify the public health unit -Isolation of the family member -acyclovir 426. Which one of the following would be consistent with the diagnosis? 1) unilateral headache 2) increased heart rate 3) increased respiratory rate 4) reduced blood pressure 5) reduced heart rate 429. Best recommendations could include all of the following EXCEPT: a) Disulfiram 250mg po qdaily b) Brief intervention for alcohol c) Naltrexone 50mg po qhs d) Cognitive behavioral therapy e) Increased follow-up 423. What is true regarding congenital pyloric stenosis? -Commonly present at 3 months -Associated with metabolic acidosis due to vomiting -Visible peristalsis is seen in abdomen 425.Pregnancy C . 1 week passing hard stool every 2-3 day . 2007 . A patient presents to your office with a history of ongoing excessive alcohol use and associated depression. index and middle fingers. No adnexal masses are noted. What is the management? -Give ASA to decrease fever -Give gamma Immunoglobulin. The mass has irregular borders and there are extensive areas of bony destruction along with some scattered calcifications.32 - enlarged uterus on bimanual examination. A . On examination there was no impairment of sensation and no loss of power or wasting of the thenar eminence. -rectal biopsy -sweat chloride test 427. Which one of the following conditions is the most likely cause of this enlarged uterus. Which one of the following nerves is most likely affected? 1) ulnar nerve 2) radial nerve 3) median nerve 4) musculocutaneous nerve 5) axillary nerve 428.o weight>120% of ideal? -Hypotension -Exercise. An elderly man with a history of unresected lung cancer and new onset decreased level of consciousness is found to have a large cerebral metastasis with some edema and midline shift on an magnetic resonance imaging MRI of the brain. Rectovaginal examination is unremarkable.tell the way to relieve colic. The lesion is resected.) -High density lipoproteins is increased -endocrinologist referral -diet reduced to 30% less calories 432.March 17. and grossly the mass has a bluish-white cut surface. A child with acute otitis media. A 54-year-old woman complains of "pins and needles" in her hand and difficulty in buttoning her clothes when dressing. What to do? -another course of antibiotics broad spectrum . Treated with antibiotics.Adenomyosis D .

and low platelets. Live attenuated vaccines are available against the following viruses. The development of a bipolar mood disorder is frequently associated with a history of 1) loss of a parent before age 11. a) Isolated LH deficiency b) Hemochromatosis c) Kallmann's syndrome d) Klinefelter's syndrome e) Laurence-Moon-Bardet-Biedel syndrome 436. 5) sibling suffering from hypothyroidism 435. 4) night terrors. Diagnosis? -coarctation PDA 443. should suggest a diagnosis of. He is dry during the day but wets every night. What Investigation to be done 1st ? -CPK . femoral pulse not palpable. May be diagnosed by PCR of the CSF d. 4 years African boy on trimethoprim/sulfamethoxazole for tonsillitis presented with Jaundice . 2) repetitive experiences of "learned helplessness". 3) dysthymic or mood disorder. 2 HRS BEFORE SURGERY 437. hearing loss and intracranial calcification-congenital viral infection CMV 442. Anosmia in a patient with poorly developed secondary sexual characteristics. Is usually diagnosed by culture of the CSF c. All are true of herpes Simplex encephalitis. Investigations : Hb.8 gm % . 2007 . Diagnosis? -Fetal alcohol synd.March 17. -coccaine -intrauterine infection 441. Yellow Fever Virus d. 9. Varicella-Zoster Virus 438. May be diagnosed by the finding of specific antibody in the CSF 440.child born with petechiae. Anti-HBc IgG c.33 - -myringostomy with insertion of vent -myringoplasty 433. HbeAg b. DURING SURGERY c. Hepatitis B Virus b. a. Which one of the following factors would increase the likelihood of her compliance with treatment? 1) a positive family history 2) the patient's denial of her illness 3) marked secondary gain 4) a high level of subjective distress 5) short waiting-room time 434. Diagnosis -Acute leukemia -Infectious mononucleosis Kawasaki disease 446. A child 3 years has BP 138/95. which of the following is not used in JRA? -methotrexate -steroids -physiotherapy -multivitamins -analgesics 447. All the following are markers of a hepatitis B carrier with chronic active hepatitis . what is the most likely diagnosis ? -Sickle cell anemia -Thalassemia -Spherocytosis -G6PD deficiency 444. Anti-HBc IgM d. Commonly affects the temporal lobe b. except. a. -desmopressin (DDAVP) -psychiatric counseling before all 445. Rubella Virus c. a.except. Mother worried about her child because of history of myopathy in family. The family history is noncontributory. small philtrium & small eyes & flattened meat facial area. except. Child 6 years old brought by his mother with otitis media then hepatosplenomegaly and lymphadenopathy at all sites along with fever. HbsAg 439. a. Newborn with small head. Which one of the following is the most appropriate method for managing this child? -An alarm system that rings when the bed gets wet and teaches the child to respond to bladder sensations at night. He has a systolic murmur right 2nd space. WHEN ABDOMEN IS CLOSED d. reticulocytes count 8 %. ONE DAY BEFORE SURGERY b. His physical examination and urinalysis are normal. small palpebral fissure. A 9-year-old boy has been referred to you for evaluation of bedwetting. In intestinal surgery when to give antibiotics . His blood investigation showed Hb=85g/l. You diagnose a 40-year-old woman with depression and prescribe an antidepressant. Born premature. . HBV-DNA e.

Here social support is: a. Which of the following is NOT done? a. Which of the following is most likely to be seen on chest x-ray? A. Patchy consolidation centered on bronchi E. A child has ingested cleaning liquid with lye. 3 yr old child presents with stridor and drooling features of Epiglottitis. there is a 3-4 cm abrasion on the left forehead. confirmed by computerized tomography scan. irritable and sad. including rectal examination. infanticidal thoughts c. suicidal thoughts b. Five days later. Management? -intubation -antibiotics -tracheostomy -xray 449. although she has had some occasional spotting. X ray 450. Which one of the following is the most appropriate management? 1) computerized tomography scan guided percutaneous biopsy (never d obiopsy if you suspect renal cell cancer) 2) retrograde pyelogram 3) repeat computerized tomography scan in 6 months 4) intravenous pyelogram 5) surgical resection 451. determinant b. NG tube c. Which one of the following is the . Which of the following is most unlikely? a. endoscopy e ETT 456. A 55-year-old male smoker undergoes a physical examination and laboratory workup for a life insurance application. No adult was present. confounding factor 455. ambivalent role of mother 453. and his friends are unable to give a reliable history. are normal. A man conducted a cohort study about social support on health outcomes. loses its effectiveness over the time b. Interaction with NSAIDS causes increase in lithium levels e. Blood count is also normal. CXR d. anxious. 2007 . Post partum lady. A patient at 17 weeks' gestation is diagnosed as having an intrauterine fetal demise. Lithium: a. nonproductive cough. This patient is at increased risk for which of the following? 1) septic abortion 2) recurrent abortions 3) consumptive coagulopathy with hypofibrinogenemia 4) future infertility 5) ectopic pregnancies 457. A patient develops an acute febrile illness with shivers.previous history of phobia and anxiety d. he presents to the emergency room after abruptly having "coughed up" nearly a cup of blood-stained sputum. crying excessively. Lithium toxicity 452. History and physical examination. an airway is best made through which one of the following structures? 1) thyrohyoid membrane 2) first ring of trachea 3) thyroid cartilage 4) cricothyroid membrane 5) cricotracheal ligament 458. 2 weeks after delivery. most likely ot have underlying mental disorder e. Complete opacification of one lobe with no additional findings D. Prominent bronchi that can be followed far out into the lung fields 454. but urinalysis reveals the presence of blood in the urine (> 20 RBC/HPF).IV fluids b. A 29-year-old man is admitted to the emergency department with a faciomaxillary injury and inability to breathe. Blunting of diaphragmatic costal angles C. Is non-addictive c. Abdominal ultrasound reveals a 5-cm solid mass in the upper pole of the left kidney. Cystoscopy is negative. works better in women than men d. A 7-year-old boy is brought to a physician's office after falling from his bicycle and striking his head on the sidewalk. ultrasound c ERCP d.34 - -Muscle biopsy -Nerve biopsy -EMG 448. commodity c. In the absence of special equipment. She returns to your office 5 weeks later and has not had a miscarriage.March 17. and pleuritic chest pain. Neurological examination reveals no abnormalities. Best investigation in case of chronic pancreatitis is: a/ secretin test b. A cavity with a fluid level B.

calcium channel blockers 462. ms pain. 60 year old man with weakness of adduction of R eye. cold c. tentorial herniation d. presents with anxiety. a. 24-hour observation. hyperventilation d. Which is NOT a precipitating factor for asthma? a. and discharge 459. Calculate SD .March 17. 120. A pt. Calculate vaccine efficacy 465. occasionally convulsion. normal papillary reflex . Calculate Relative risk 466. diabetes mellitus b. dysphoria.35 - most appropriate management? 1) CT scan 2) overnight admission for observation 3) skull x-ray and discharging the patient if normal 4) instructions to the mother to observe the patient's neurological status during the next 24 hours 5) a skull x-ray. None of the above 464. Spouse abuse c. 2007 . Child neglect d. neurosyphillis 461. Dx. Ultrasound will diagnose all the following at 20 wks EXCEPT : -Twin pregnant -Poyhydramnios -Trisomy 21 463. Which of the following you should not notify the police about ? a. Child abuse b. these are the withdrawl symptoms of which of the following/ a) benzodiazepines b)cocaine c)cannabis 460. aneurysm c. beta blocker b.