BiYe Kaoshi - Grade 2009 exam

Single Choice Questions

1.
2.
3.
4.
5.
6.
7.
A.
B.
C.
D.
E.

_____is fiirstly used in mild to moderate Ulcerative Colitis

corticosteroids
Immunosuppressive agents
SASP
Antibiotics
Atropine

8.
A.
B.
C.
D.
E.

The most valuable marker of decompensated liver cirrhosis is

ascities
splenomegaly
jaundice
esophageal varices
fatigability

9.
A.
B.
C.
D.
E.

DIC appears most commonly in type of

acute promyelocytic leukemia (M3)
acute myelomonocytic leukemia (M4)
acute monocytic leukemia (M5)
acute lymphoblastic leukemia (ALL)
chronic myelocytic leukemia (CML)

10.
A.
B.
C.
D.
E.

_____ is the most exact examination for the diagnosis of lymphoma

CT scan
Bultrasound
Radionuclide image
Pathological examination
Bllood test

11.
A.
B.
C.
D.
E.

More leukocyte casts be found in the urine is often seen in one of the following diseases
Acute glomerulonephritis
Chronic glomerulonephritis
Acute pyelonephritis
Nephrotic syndrome
IgA nephropathy

12. Which of the followinf is most significant in differentiation of acute renal failure and chronic
renal failure?
By. Muhammad Saad

A.
B.
C.
D.
E.

hematuria
blood pressure
kidney size
edema
anemia

13. Which hormone is from posterior pituitary ?

14. A 3 year old woman with regular menstrual periods complaints of 2 days vaginal bleeding in a
weeks after her last menstrual period. The bleeding is dark in color , painless and began after
intercourse. Home Pregnancy test is positive.
Examination show a small amount of dark blood in the vagina and at the cervical os. The cervix is
closed and no tissue is visible. Bimanual examination reveals a slightly soft, normal size uterus
and normal adnexa without masses or tenderness. what is the likely diagnosis ?
A. ectopic pregnancy
B. evitable abortion
C. threatened abortion
D. habitual abortion
E. dysfunctional uterine bleeding
15. A nulligravida at 30 gestational week, was found in bed with severe vaginal bleeding without
abdominal pain, what is the most possible diagnosis of her ?
A. marginal placenta previa
B. rupture of uterus
C. complete placenta previa
D. placenta abruption
E. cervical cancer
16. A routinepelvic examination indicates tht a 25-year old woman has an asymptomatic 5cm long
pelvic mass Laboratory test reveal a negative Which of the following conditions is the most likely
diagnosis ?
A. Acute promyelocytic leukemia (M3)
B. Acute myelomonocytic leukemia (M4)
C. Acute monocytic leukemia(M5)
D. Acute lymphoblastic leukemia (ALL)
E. Chronic myelocytic leukemia (CML)
17.
A.
B.
C.
D.
E.

___ is the most exact examination for the diagnosis of lymphoma

CT scan
B ultrasound
Radionuclide image
Pathological examination
Blood test

18. More leukocyte casts be found in the urine is often seen in one of the following diseases:
A. Acute glomerulonephritis
B. Chronic glomerulonephritis

By. Muhammad Saad

C. Acute pyelonephritis
D. Nephrotic syndrome
E. IgA nephropathy
19. Which of the following is most significant in differentiation of acute renal failure and chronic
renal failure?
A. Hematuria
B. Blood pressure
C. Kidney size
D. Edema
E. Anemia
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
A.
B.
C.
D.
E.

Which hormone id from posterior pituitary?

Abscess of the right adnexa

Endometriosis in right ovary
Ovarian carcinoma
Appendicitis
Dermoid cyst

32. a 36 years old women with regular menstrual periods complaints of 2 days vaginal bleeding in 6
weeks after her last menstrual period. The bleeding is dark in color, painless and begins after
intercourse. Home pregnancy test is positive.
Examination shows a small amount of dark blood in the vagina and at the cercivalos.
The cervix is closed and no tissue is visible. Bimanual examination reveals a slightly soft normal
Size ------- and normal adnexa without masses or tenderness, what is the likely diagnosis?
A. Ectopic pregnancy
B. Evitable abortion
C. Threatened abortion
D. Habitual abortion
E. Dysfunctional uterine bleeding
33. A multigravida at 30 gestatuinalweek, was found shocked in bed with severe vaginal bleeding
without abdominal pain, what is the most possible diagnosis of her?
A. Marginal placenta previa
B. Rapture of uterus
C. Complete placenta previa
D. Placenta abruption

By. Muhammad Saad

E. Cervical cancer
34. A routine pelvic examination indicates that a 25 year old woman has an asymptomatic 5cm long
pelvic mass. Laboratory test reveal a negative, which of the following conditions is the most
likely diagnosis?
A. Dermoid cyst
B. Corpus luteum cyst
C. Serous cystadenoma
D. Pelvic kidney
E. Submucosalmyoma
35. A 39 year old woman gravida 3, para 3, complains of severe, progressive secondary
dysmenorrhea and menorrhagia. Pelvic examination demonstrates a tender, diffusible enlarged
venous and without adnexal mass, results of endometrial biopsy are normal, which of the
following condition is the most likely diagnosis?
A. ______
B. Endomyoma
C. Adenomyoma
D. Uterine myoma
E. Other
36.
A.
B.
C.
D.
E.

Which of the following statements relate to large bowel obstruction is false

Caecal perforation is more likely if the ileocaecal valve is incompetent
It is usually caused by carcinoma of the colon
Vomiting is an late feature
Distension is usually marked
The rectum is usually dilated and empty

37. The most frequently injured organ in closed abdominal injury is __________
A. spleen
B. liver
C. colon
D. kidney
E. pancreas
38.
A.
B.
C.
D.
E.

The main problem of shock is

Hypotension
High CVP
Acidosis
Oliguria
Cellular Hypoxia

39.
A.
B.
C.
D.
E.

The most common organ of hematogenous metastasis of rectal cancer is __________

liver
lung
brain
bone
kidney

By. Muhammad Saad

40.
A.
B.
C.
D.
E.

The most classical feature of acute peritonitis

vomit
nausea
abdominal pain
fever
Raised pulse rate

41.
A.
B.
C.
D.
E.

Type III of Mirrizi syndrome is __________

No fistula present
Fistula present defect smaller than 33% of the CBD diameter
Defect 33%-66% of the CBD diameter
Defect larger than 66% of the CBD diamenter
Defect larger than 76% of the CBD diameter

42.
A.
B.
C.
D.
E.

Charcot's triad sign is __________

Biliary colic, intermittent chills and fever, jaundice
Biliary colic, shock, jaundice
Intermittent chills, fever, jaundice
Intermittent chills, jaundice, shock
Intermittent chills, fever, jaundice and shock

43.
A.
B.
C.
D.
E.

Clinical manifestation of primary liver cancer not include

Left hypochondrial pain
Jaundice
Edema
Weight loss
Right hypochondrial pain

44.
A.
B.
C.
D.
E.

Monteggias fracture is
Proximal 1/3 part fractures of ulna and radius
Distal 1/3 part fractures of ulna and radius
Distal 1/3 part fracture of radius accompanying dislocation of inferior ulnoradial joint
proximal 1/3 part fracture of radius accompanying dislocation of inferior ulnoradial joint
proximal 1/3 part fracture of radius accompanying dislocation of superiorulnoradial joint

45.
A.
B.
C.
D.
E.

Dugas sign is always used for diagnosis of _____ joint dislocation

wrist
elbow
shoulder
hip
ankle

46.
A.
B.
C.

which case should be considered possible urinary tuberculosis?

Urgency, frequency, dtsuria
Painless hematuria permanently
Typical symptoms of urinary tract infection, but common bacterial culture of urine is negative

By. Muhammad Saad

D. Lumbago with fever

E. None of the above
47.
A.
B.
C.
D.
E.

The main drug for treatment of benign prostatic hyperplasia are______

M receptor blocker + receptor agonist
receptor blocker + receptor blocker
5 reductase inhibitor + receptor agonist
receptor blocker + 5 reductase inhibitor
none of the above

48. the main cell types of urothelial tumor is ________

49.
50.

IV. Short answer questions.(20 points)

1. Explain the mechanism of labor for LOA. (5 points)
2. How to diagnose ectopic pregnancy? (5 points)
3. Please write down the method of steroid therapy for nephrotic syndrome (middle or lonf term
therapy). (5 points)
4. What are the key points diagnosis of bronchopneumonia? How to differentiate
bronchopneumonia and bronchitis. (5 points)
V. Case analysis (20 points)
1. A male 26 years old. Main complaint is "melena and hematemesis for 3 hours. He has a history
of irregular epigastric pain for five years but has no history of chronic hepatic disease. Three
days ago, the patient caught a cold and took ____________ drugs including aspirin. Three hours
ago, he felt dizziness and then discharged ____________ stool about 200ml. One hour later, the
patient felt nausea and vomited for two times. The vomiting was bloody and the total volume of
vomiting was about 500ml. Physical examination: pulse 100, Bp 80/50 mmhg, pale, sweating,
epigastric tenderness, active intestine sounds.
Questions:
1. What's the possible diagnosis? What may be the cause of disease? What are the main
supporting points?
2. The emergent treatment approaches.
3. What diagnostic approach should be used to confirm the diagnosis? When should the patient
undergo this diagnostic approach?

By. Muhammad Saad

2. Try to write the diagnosis of ECG and diagnostic basis. (5 points)

3. Imaging analysis ? (5 points)

a 41 year old lady, her X-rays of the involved extremity showed in Fig 1. There was no open
injury on her body. The feeling, blood supply and movement of her feet were normal. Please
give a correct diagnosis.

By. Muhammad Saad