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RECALL MCQs Aug 2008

(Pls to be informed that Qs are not the exact word as in the exam, just an overall idea, so
pls study on topic.)
1. In which of the following condition has no role in treatment with topical
corticosteroids?
A. atopic dermatitis
B. discoid eczema
C. psoriasis
D. perioral dermatitis
E. SLE
2. A lady was recently diagnosed with high grade CA breast after mastectomy and
axillary clearance. This morning, she was already informed about this in the
presence of her daughter & discharged from hospital. She also said that her
marriage life is problematic. Now, her husband come to u and ask about the
severity of the d/s. You should
A. tell him about her d/s condition
B. contact her & ask her permission
C. tell him to ask her directly
3.
A.
B.
C.
D.
E.

The most characteristic feature of chronic ischemic pain is


relieve pain by resting the leg on the pillow
pain felt in the muscle of the foot
leg shows dependent rubor
reduce pain by walking
ankle brachial pressure index >1

4. An overweight man BMI 28, smoking 20/day, drinking 2 glasses of win/d. With
C/F of GORD & endoscopy shows oesophagitis, initial Tx
A. stop smoking, drinking, & reduce wt
B. stop smoking & reduce wt
C. stop smoking & drinking
D. IV omeprazole
E. Triple therapy
5. How do you reduce dental caries in school children?
A. adding fluoride in drinking water
B. adding fluoride in toothpaste
6. Pic CXRs
7. Pic CT( brain) with large whit area in left cerebral hemisphere, C/F given as
sudden onset, loss of conciousness , right sided stroke
A. cerebral haemorrhage
B. cerebral infarct
C. SAH

D. Brain tumour
8.Pic CT (brain) with no apparent lesion, C/F also given as above but less dramatic
onset
A. ischemic stroke
B. cerebral hge
C.SAH
9. Pic scabies hand from antho , 38 yr old homeless woman come to ED with these
lesion. WOF is the most likely cause?
A. self-neglect
B. mite infestation
10. Pic of left thigh with erythematous area on lateral aspect,C/F farmer got scratch
injury with seaweed mower & 2 days later, this lesion appear, most likely organism?
A. staph. Aureus
B. strep. Pyogenes
C. pseudomonas pseudomallei
11. ECG showing RBBB, ST elevation in inf leads, C/F 38 year old with severe chest
pain
A. acute MI
12. Pic of pigmented lesion on right cheek of elderly woman
A. Hutchison melanotic freckle
13. Pic of foot with pigmented irregular lesion between little and 4th toe, C/F young
lady with itchy lesion
A. malignant melanoma
14. 20 yr old uni student on routine medical check up, CXR shows inactive
pulmonary TB, Mantoux test positivem appropriate next step Mx?
A. review after 3 months
B. get 6 sputum samples for AFB
C. give INH prophylaxis for 6 months and recheck X-ray after that
D. recheck X-ray after 6 months
15. 35 yr old primi gravida with 8 week gestation, wants to know about tests on
Downs $. WOF tests is safest (i.e. least likely to cause pregnancy loss & most
likely to be diagnostic)?
A. nuchal translucency at 8 wk
B. triple marker screening at 12 wk
C. amniocentesis at 18 wk
D. CVS at 9 wk
16. stastic Q on null hypothesis

17. Sample of TURP shows <5% cancer cells, next step


A. observation
B. total prostectomy
C. orchidectomy
D. radiotherapy
18. Pic of ulcerated lesion at natal cleft pilonidal sinus
19. Q on human bite, some blood enters biters mouth, already tested HIV but now
biters doctor also wants to test Hep C, but the victim repeatedly refuse to be
tested, how to procede?
A.
B.
C.
D.

ask advice from medical board


do test despite her refusal
ask them to find other way to get her permission
tell the biters dr to give the prophylaxis as if the victims has the d/s

20. A lady with C/F of multiple sclerosis, she wants to know the chance of getting
another neurological event in the next 10 years
A. 10%
B. 20%
C. 50%
D. 70%
E. 90%
21.
22.
23.
24.
25.
26.
27.
28.
29.

Q on % of detecting Dukes A diagnosed by fecal occult blood testing


many Qs in h/o injury and DPT immunization
many Qs on C/F of renal and ureteric colic, next IVG?
Pic of plain X ray abd of young girl???
Q on laproscopy
many Qs on breast lump Dx
Q on pyromanic
Serological marker of Hepatitis carrier after 6 months infection HBs Ag
Elderly woman got injury to the wrist after single vehicle accident, on
examination, peripheral vision loss and lens opacity is detected, most app next
step
A. review driving license
B. check eye pressure
C. refer for cataract surgery
30. Q on GCS
2008 AUG 6 (WED) OFF- SHORE
1. A patient come toed after falling from6m high, blood at the external urinary
meatus, which is the most appropriate Mx?

A. cystoscopy
B. urethroscopy
C. IVP
D. Spc catheter
E. Urethrography
Ans : D
2. 17 preg female has a/c RIF pain, what is the least likely cause of the pain?
A. pyelonephritis
B. ectopic preg
C. a/c appendicitis
D. degeneration of fibroid
E. ovarian cyst torsion
Ans : B
3. * 30 yr old presented at 33 week preg, found to have BP 140/90 mmHg ,
proteinuria ++, what is the most app Mx?
A. immediate delivery
B. full bed rest Mg SO4 R:b
4. 70 yr c/o sore wrist which happened a/f an accident . On exam, peri vision loss
and small left side pupil, opacity of lens . What will u do most appropriate?
A. review driving licence
B. check IOP
C. refer for cataract surgery
D. CT
E. Retinal exam
Ans: B
5. 40 yr old male present with 4 wk h/o fatigue , lethargy, wt loss , night sweat on
admission she had 37.6C what will u do to get Dx?
A. ANA
B. CRP
C. Anti RNP
D. Sputum culture
E. Blood culture
6. Which of the following is associated with childhood undescended testes?
A. indirect hernia
B. direct hernia
C. malignancy
Ans :A
7. Zygomatic bone fracture ask Dx?

8. 48 yr lady presented with frequent 5-6 syncopal attack of 6 wk. Pulse rate 44/min,
B.P= 180/110, and ESM in the aortic region. Dx?
A. arrythmia
B. vasovagal attack
C. complete ht block
D. AS
E. AF
Ans: C
9.
A.
B.
C.
D.

A preg with CIN 2 on pap smear, what will u do next/


Colposcopy
Cone Bx
Reassess
Wait

10. Screening about Ca colon and Ca breast


11. Patient with failed defibrillation
A.
B.
C.
D.

HCO3 IV 10MINLY
CPR
Adrenalin
ECG

12. 80 kg man burn injury with 15% body surface area, the most appropriate fluid
replacement?
A. Blood
B. 3L Hartmann + 2L 5% glu
Ans : b
13. A patient with parkinsonism for 2 years on long term Rx, now comes with tongue
protruding out. What is your management?
A. decrease levo+ carbidova
B. increase levo+ carbi
C. stop levo + carbi dova
D. add benzhexol
Ans: A
14. Pain with swelling around the knee, aspirated fluid contains yellowish fluid and
numerous neutrophils, no organism or crystal.
A. gout
B. pseudogout
C. septic arthritis
D. Reiters
E. RA

Ans: C
15. A drug which decrease BP and HR is
A. CCB
B. ACEI
Ans : A
16. What is the percentage of detection of Duke stage A of ca colon after screening
with FOBT?
A. less than 5%
B. about 15 %
C. about 25%
D. about 50%
E. about 75%
17. Photo of Dupuytrens contracture, which is true?
A. due to thicking of palmar aponeurosis
18. Drugs that causes nephrotoxicity
A. Aminoglycoside
19. Which of the following will resolve spontaneously in 30 % of new borns
A. small VSD in 1 year old
B. PDA
C. COA
D. ASD
E. Heart block
20. An elderly lady with h/o prolong constipation, now presents with intestinal
obstruction, dx?
A. volvulus sigmoid
B. ca sigmoid
21. Q regarding child with injury , no immunization
22. .yr, .wk preg, spontaneous labour (the Q I hate the most), similar 3 Qs are
asked.
23. Insulinoma
A. increased insulin, increased C peptide
24. In anxious hyperventilation
A. PO2 106, PCO2, pH 7.48
25. A 2 yr old can do
A. 2-3 blocks

B. hop on one leg


C. point to one color
D. draw a part of man
E. count 1 to5
25. % yr old presented with painful arm, support with other hand not allowing to
exam
A. Humerus fracture
B. Ulna fracture
C. Radial head subluxation
26. 5 month present with funny turns, forward flexion , EEG- hysarrythmia,
treatment?
A. sodium val
B. ethosuxamide
C. vagbactrin
D. carbamazapine
E. not ACTH
27. Regarding laproscopy except,
A. can present with shoulder tip pain
B. can injure viscera
C. can injure aorta
28. A 6 week infant with undescended testis, what will u do?
A. immediate orchidopexy
B. milk down
C. review after 6 month
D. wait until 4 yr
E. reassess
29. about 10 photos which show neck swelling, CXR, melanoma, pilonidal sinus,
scabies
30. A man with 3 point restraint, met with MVA, brought to emergency department,
X-ray reveals gas under diaphragm
A.
B.
C.
D.
E.

intestinal perforation
diaphragm rupture
spleen rupture
bladder rupture
P.intestinalis

31. Site in the brain where affect is managed


A. putamen
B. thalamus

C. amygdala
D. cerebral
E. cerebellum
32. You are at conference with parents which would be the most suspicious Q from
parents?
A. 3 month not smiling at mom.
B. ?
C. ?
D. ?
E. 10 month no teeth
33. A child with febrile fit, his bro has h/o epilepsy
A. can get repeated fit with high fever
B. more chance to get epilepsy
C. benzodiazepine
34. A boy with haematuria, proteinuria after 2 days, after viral infection
A. APSGN
B. IGA
35. 3 weeks old child or duration 3 weeks with purulent eye d/c
A. blocked duct
B. gono
C. chlymdia
36. An 18 month old child with breast development, no menarche
A. isolated thelarche
37. SU Q 127
38. SU Q 41
39. Loss if plantar flexion and inversion, loss of ankle jerk
A. S1
B. L4
C. L5
D. Tibial N
E. Sciatic N
38. A p/t on warfarin, undergone urgent Sx, INR 1.2
A. Vit K
B. stop Warfarin
C. stop War and heparin
40. ME Q M 62
41. Periorbital cellulites, Dx?
42. Periorbital cellulites Tx?

43. C/F of GBS


A. CSF
B. CT
C. MRI
D. LP
E. EEG
44. ECG inferior MI
45. A man CXR inactive TB, skin test +, next step Mx?
A. INH 6 months
B. Sputum culture
C. Repeat CXR
46. Regarding Sjogrens , all of the following are true except.
A. Anti Rho, Anti La
B. Dry mouth
C. Dry eye
D. Always give steroid
E. Associated with lymphoma
47. Down $ Dx and safest test
48. ITP Dx?
49. septic arthritis, most common cause of organism is
A. staph aureus
50. A neonate with hepatomegaly, jaundice and there is reducing sugar
A. glycogen storage d/s
B. galactocemia
51. breast dx, inv, mx?
52. A preg with tissue at os, with B/P 90/60, PR 110, Mx?
A. IV line
B. Remove t/s at ED
C. Remove at theatre