MCQs Mastery Q

AMC-MCQ’s Mastery Questions

1. An anxious patient presents with status asthmaticus. Best acute treatment:
a. Parenteral steroids, inhaled B agonist, sedation
b. Theophyline, B agonist, hydration
c. Hydration, B agonist, iv steroids
d. B agonist, hydration, ipratropium
e. …

2. An elderly man presents with hematemesis. He has lost 1 litre of blood and has
two episodes of melaena. After resuscitation, next management is:
a. Omeprazol
b. Gastroscopy
c. H. pylori eradication
d. Surgery
e. Cimetidine should be attempted first

3. A 22 yrs old man had an appendicectomy 5 days ago. Now he has tachycardia and
fever. The most likely is:
a. Wound infection
b. Lung infection
c. UTI
d. Pelvic abscess
e. Subphrenic abscess

4. Hypokalaemic alkalosis presents most commonly with:
a. Intestinal obstruction
b. Pyloric stenosis
c. Colonic obstruction
d. Volvulus
e. Renal failure

5. A child with IDDM collapses at his school in the playground. The most
appropriate first action would be:
a. Assess his neurological status
b. Do a glycaemia test
c. Iv glucose
d. Test the urine for ketones
e. Insulin injection

6. The most important initial treatment of ketoacidosis is:

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MCQs Mastery Q

a. Inaulin
b. Normal saline
c. Potassium
d. Bicarbonate
e. Diuretics

7. The most common cause of diarrhea in a bed-ridden patient are:
a. Faecal impaction
b. Ca of rectum
c. Lacatives
d. …

8. Opening snap indicates
a. Mitral valve
b. Atrial fibrillation cause disappearance of the opening snap
c. Replaces S3
d. Best heard at 2nd right intercostals space
e. Remains unaltered despite progression of the disease

9. Which of the following conditions is most likely to become chronic?
a. HAV
b. HBV
c. HCV
d. EBV
e. Cholecystitis

10. A 70 yrs old woman complains of fatigue. The blood picture shows MCV 118, Hb
is decreased, WBC decreased, platelets decreased and hypersegmented polymorphs are
present. The most likely diagnosis is:
a. Autoimmune haemolytic anaemia
b. Pernicious anemia
c. Anaemia of chronic disease
d. Anaemia due to silent gastrointestinal bleeding
e. CML

11. A woman brings her husband who has recently lost interest in supervising his
work mates. He eats less and lost weight. He is restless at night and wanders on the lawn.
What do you think is the treatment of choice?
a. Antidepressant
b. Antipsychotic
c. Antianxiolytics

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MCQs Mastery Q

d. Sedatives
e. Stimulants

12. A panic attack
a. Presents in 2% of the population
b. Comes in mid twenties
c. Is equal in men and women without aqoraphobia
d. Trigger stimuli should always be avoided
e. …

13. A 45 yrs old man was hospitalized after a motorcycle accident where he hit a
lamp post. He has fracture of the femur and bruises over the chest. There is no apparent
injury on the head. On the 3rd day he became suddenly confused and disoriented and his
chest x-ray show bilateral infiltrates. What is the treatment
a. Steroids
b. In mannitol
c. Antibiotic
d. Intubation and O2 inhalation
e. …

14. A 50 yrs old man presents with confusion and pain in the RUQ. Liver is not
palpable. His gait is ataxic and has nystagmus in all directions. His lateral eye movements
are restricted and so is the upward gaze. What is the likely cause?
a. Wernicke’s encephalopathy
b. Subdural haematoma
c. Alcohol cerebellar degeneration
d. …

15. Which of the following is the prodomal feature of schizophrenic patient at risk?
a. Ideas of reference
b. Unemployment
c. Dysfunctional parenting
d. H/O of childhood abuse
e. Parietal lobe tumour

16. All of the following can cause serotonin syndrome when given alone with
fluxotene, except:
a. 1- tryptophan
b. Haloperidol
c. Chlomiphramine

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Hypothyroidism e. No precipitating features b. Tense and tender uterus b. A woman presents with 3 miscarriage in the 8-10 weeks gestation. Cervical dystocia c. Foetal infection 21. Insulin and dextrose iv 18. Normal saline (0.MCQs Mastery Q d. A pregnant woman at 34 weeks-gestational age. except: a.9%) and dextrose solution b. presents with antepartum haemorrhage. Family history of breast Ca 20. Abrupt onset c. O/E he is found to be hypoglycaemic. Moclobrmide e. With affective symptoms 19. Dextromethorpan 17. Early onset of menopause b. Schizoid personality d. Carcinoma of other breast e. Nulliparous d. What is the cause of her miscarriages? a. Shock out of proportion with bleeding 4 . Glucagons iv c. BP of 180/11 mm Hg c. has nystagmus. Diabetes mellitus d. All of the following are possible seen. drinks 6 gms of alcohol per day. Which of the following would be a better prognosis for schizophrenia? a. Chromosomal abnormality b. Prior of this she had two pregnancies terminated at 10 weeks and has history of chlamydial salphingitis. Iv thiamine followed by dextrose solution e. A 60 yrs old man with wernicke’s encephalopathy presents to casualty. All of the following cause breast cancer. except: a. Having first child after 35 years c. Drug abuse e. What is your initial management? a. 505 dextrose iv d. You diagnose abruption placenta.

the child appears normal. On P/E. Foetal head mobile above the pelvic brim e. Observation and reassurance 24. 12 months 25. The parents say that he babbles but does not speak any words yet. The presence of ANA could cause growth retardation of the foetus d. He was born at 36 weeks by normal vaginal delivery and his birth weight was 2500 gms. 5 weeks b. WOF is the best follow-up? a. Reassess at 18 months c.MCQs Mastery Q d. A 15 month old child is brought to you by his parents. At 8 months a mother and child health centre test for hearing was done. … 5 . … 23. Which of the following is not true for a woman having antenatal care? a. Repeat mother child test for hearing d. When supported can stand and bounce. uterine size corresponding to 16 weeks. 7 months d. Check placenta for signs of malignancy e. A mother brings her baby who is babbling and squeaking and is able to hold his head and move from prone to supine position and is able to sit unsupported and can reach for objects with palmer grasp. Weekly monitoring of urine HCG. Chest x-ray for metastasis d. Arrange for audiometry testing e. What will you suggest? a. A platelet count of 100. A young woman pregnant for 14 weeks. 2 weeks c. Reassure the parents that this is a normal variant b. now presents with bleeding and passing pout grape like material through a dilated cervix. Ultrasound c. 10 months e.000 is a risk for developing intracranial bleed in infant c. Presence of anti-Rho means that the baby can have permanent heart block b. which was normal. Dead foetus 22. What is the possible age of this child? a. until it comes to normal level b.

Full blood examination c. Give high concentration of oxygen via mask d. Chest x-ray b. K 2. Na 132 d. was jittery on handling and noticed to have cyanosis on the hands and feet. Cl 100 30. There is no family history of atopy. Check blood calcium c. Reassure the infant’s mother and check the infant later b. K 2. Take blood sample for blood sugar test e. Cow’s milk b. BP is normal. respiratory rate 40/min and lung and heart were normal on examination. Which of the following is your next step in management? a.2 b. A 4 yrs old child presents with sudden onset of cough. … 29. Take blood for full blood examination 28. WOF is least likely to cause of iron deficiency anaemia in children? a. What is the appropriate management?\ a. Prematurity d. Na 156 e. Multiple pregnancy 6 . Focal glomerulonephritis is the commonest cause c. A neonate was born at full term with a birth weight of 1500 gms.MCQs Mastery Q 26. A child with profuse diarrhea for 5 days develops convulsions. except: a. CT of chest d. Celiac disease e. Proteinuria more than 3 gms/day is usual d. All of the following are true. Ultrasound e. Steroids are useful in treatment b. Thalassemia c. The neonate has been given oxygen. Inspiratory and expiratory chest x-ray 27. A child with periorbital oedema and anasarca. unilateral wheeze and decreased respiratory movement on one side. This is commonest between 1 and 4 yrs of age e. The infant had normal temperature.6 c. WOF blood test results would most likely to cause convulsion? a.

Which of the following provides best indication that resuscitation is effective? a. 6 d. Ca of the colon 35. Pain 7 . A 65 yrs old woman develops acute abdominal pain with distension. Colour of the skin and mucous membrane d. Swab of the wound c. which has been treated by the community nurse for several months. Lumbar puncture 32. Which of the following is most likely? a. abdomen is tender with guarding and bowel sounds are absent. Mesenteric arterial occlusion c. 4 e. She has an ulcer on the lower part of her leg. BP 100/60 mm Hg. 10 c. Urine test b. … 33. O/E. You are performing external cardiac massage on a patient who has just suffered a cardiac arrest. Diverticullosis d. Prolapse of mucosa c. Size and reaction of pupils e. Blood culture d. irregular pulse at 120/min. Perforated peptic ulcer b.MCQs Mastery Q 31. there is a history of 12 hours of vomiting and cramping pain. What will assist in the diagnosis? a. CT scan e. Rectal examination reveals a dark bloodstain on the finger. Pruritus d. Response to stimuli 34. A 72 yrs old woman presents with confusion and O/E she was found to be afebrile and nothing abnormal was detected. 8 b. Which of the following is not a feature of uncomplicated haemorrhoids? a. Palpation of the radial pulse c. ECG b. GCS score of an unconscious man who responds to pain with limb movement and opening of the eyes as well as speaking incoherently: a. Bright red bleeding b.

Ulcerative colitis d. except: a. Early menarche d. Respiratory failure due to respiratory tract burns d. A 21 yrs old man presents with increasing dyspnea. Crohn’s disease c. … 37. Intubate c. Diverticulosis e. Insert a venflon into the 2nd intercostals space. Your immediate management would be: a. midaxilary line d. Investigation showed: Bilirubin: 5x the normal Alkaline phosphatase: 4x the normal AST and ALT: 4x the normal S. tachynoea and hyper inflated left hemithorax with evidence of a mediastinal shift. Most common cause of death in severe burns in Australia is: a. amylase: 2x the normal What is most likely diagnosis? a. Early artificial menopause b. Insert a water sealed chest drain b. The most common cause of diarrhea in bedridden elderly patient are: a. She immediately goes to see the doctor. All of the following are risk factors for breast cancer. Unable to maintain positive nitrogen balance e. Ca colon b. No breast feeding e.MCQs Mastery Q e. midclavicular e. A 35 yrs old woman having severe sudden abdominal pain throughout the night wakes up and passes dark urine in the bathroom. … 39. Insert a venflon into the 4th intercostals space. Cancer of the other breast 38. Irreversible shock b. Faecal impaction 40. acute cholelithiasis 8 . Mucous 36. First pregnancy after 35 years of age c. Septicaemia c.

sore throat. cough of 2 weeks. Silicosis d. A 29 yrs old male presented with nausea. maculopapular rash (not vesicular). and sore throat for last 12 days. Laboratory findings were: AST/ALT bilirubin-raised. Hbs-AG negative. malaise. rash on palms and soles and excoriating lesions around anus. especially at night and in the morning. generalized lymphadenopathy. Glandular fever b. with runny nose. Lung TB c. Secondary syphilis c. Examination showed white tonsillar exudates. What is the diagnosis? 9 . Pemphigus d. Haemophilia d. and anti HCV antibodies negative. Petechiae of the skin b. Iv drug users c. anti HBc IgG negative. A 24 yrs old male presented with fever. Which is the lowest prevalence of finding hepatitis C antibody? a. Thrombosis d. Acute choledocholelithiasis 41.MCQs Mastery Q b. Ca gall bladder d. Haemodialysis patients e. Bronchitis b. … 44. A middle aged male. Which of the following is the likely diagnosis? a. Post transfusion hepatitis b. Homosexual 43. malaise and upper abdominal discomfort. Bleeding c. acute cholecystitis c. Herpes simplex infection 45. Anti HBc IgM positive. … 42. the cough persist. with small amount of yellow sputum. WOF is typically seen? a. What is the diagnosis? a. Mycoplasma pneumonia e. Haematuria e. Steven Hohnson’s syndrome e. Anti HAV Ig-G positive. Picture: chest x-ray. In heparin induced thrombocytopaenia.

Before resuscitation. On examination her BP was 98/50. Hb 9 mg/dl. Alcohol induced hepatitis d. Immuno-fluorescence assay of HSV b. what is your initial management? a. what is the most likely diagnosis? a. glucose 1. An elderly woman presented with chest pain for several hours. CLL b. Chronic hepatitis B 46. Autoimmune haemolytic anaemia 49. When cardioversion is not available. Cardioversion b. Cryptococcus assay d. ECG should be done e. Acute hepatitis A b. … 47. blood picture shows that MCV is 110/dl. Pernicious anaemia e. wbc_. What of the following investigation you would like to do nest? a. Lidocaine d. Zieh-neelsen stain c. protein 1. Bacterial culture 10 . Iron deficiency anaemia d. … 48. An elderly patient presents with pallor and tired. ALL c. pulse irregular 120 beats per minute. Amiodarone e. Iv lidocaine should be routinely given b. Iv atropine should be given d. Thrombolyis with TBA c. WOF is most likely in heart and lung resuscitation? a. Virus culture e. every 3 minutes iv adrenalin should be given c. ECG: ST segment elevation in V2-V4. Cholecystitis e. CSF done shows: monocyte 70%. Now develops headache and mildly neck stiffness.2. Acute hepatitis B c.MCQs Mastery Q a. A 21 yrs old girl had kidney transplantation one year ago. pl_.8.

What is the most appropriate management? a. All are side effects of DEP-PROVERA. O/E normal.MCQs Mastery Q 50. … 54. On examination.000. Chest x-ray b. Sulphonamide e. The child look well. Anal atresia e. except: 11 . A 4 yrs old child presents with suddenly onset of unilateral wheeze and decreased respiratory movement on one side. Reassure that this is a normal variant b. FBE c. vomiting. Ultrasound e. her uterus was enlarged up to 8 weeks. Perthe’s disease b. Submucosal fibroids d. The most likely cause of bleeding is a. She is complaining of heavy period over 2 years time. Urinary analysis shows leucocytes 100. Slipped upper femoral impede d. Suprapublic aspiration c. Osteochondritis e. A mother came with 6 weeks old boy C/O no passing stool for 4 days. MSU d. Mother noticed that he has been limping for the same duration. osteoarthritis 51. Anal fissure with foecal impede d. What is the diagnosis? a. … 52. Inspiratory and expiratory chest x-ray 53. A newborn baby was not well. Adenomyosis b. Endometriosis c. Transient synovitis c. CT of the chest d. What is the appropriate management? a. What would you advise? a. Hirschprung’s disease c. Amocycillin b. Intramural fibroids 55. difficulty in feeding. A 42 yrs old nulliparous woman. Disturbance of hormonal regulation of endometrium e. the boy is on 90tt percentile of weight and height. A 12 yrs old boy came with the complaint of hip pain for 4 weeks.

About the corticosteroid and psychiatric side effects. Increase weight b. USG d. examination shows 2 contractions during the last 10 minutes. Alendronate d. which is correct? a. Patients with history of psychiatric disorders are more prone to psychiatric side effects b. the cervix dilated to 3cms. It doesn’t depend on the previous psychiatric illness of the patient 60. HRT b. HCG level is less than 3000 IU c. Has spot bleeding. … 59.MCQs Mastery Q a. Calcium e. Glucoccorticosteroid b. A pregnant woman who is at 26 weeks of gestation. More severe side effects are those of hypomania c. … 57. Infertility for 6-9 months after the 3rd shot d. Equal incidence in sex c. Foetus is alive b. Primary onset in school age (5-7 yrs old) b. Which of the following you can’t do? a. WOF is least useful for prevention o fosteoporosis in postmenopausal woman? a. 80 effaced. except: a. Regular exercise 58. Cervix cerclage e. Less severe side effects are those of depression d. Within 6 weeks after LMP d. Tamoxifen c. On withdrawal cause delirium e. WOF is the characteristic of ADHD? a. Treatment with sedatives is effective 12 . Test foetal fibronection c. Methotrexate can be used in ectopic pregnancy. Reading difficulty d. Irregular bleeding 56. Increase BP e. Amenorrhea c. abdominal cramp.

On discharge from the hospital e. Asterixis b. On admission in hospital 62. WOF is associated with depression: a. Acromegaly b. vekematba. I do. Schizophrenia b. Ability to give informed consent d. If there is suicide risk. Distorted body image is found in all except: a. the is swirl. a man develops confusion and irritability. Fluctuating consciousness 65.” WOF is the most probable type of disorder? a. Schizoaffective disorder 63. On beginning of the treatment c. It can occur in the young adolescents b. About highest risk of suicide in depression: a. A young man brought in by his girlfriend. He was very agitated and his speech was like this: “I love you. Excellent improvement with behavioural treatment 61. 100% of the patients attending general practice have depressive disorders d. you lovely girl. When the depression is getting worst b. “sun downing” effect c. You diagnose him to have electrolyte imbalance. Factious illness e. ask a psychiatrist for a second opinion c. You find all of the following except: a. … 66. He had the history of alcohol intake. Anorexia nervosa e. I do love you. Three days after cholecystectomy. On improvement with treatment d. Limb amputation d.MCQs Mastery Q e. hepatic failure and alcohol withdrawal. Hypochondriasis c. … 64. Hallucination e. Mania c. WOF is the most important initial aspect in psychotherapy? 13 . Histrionic personality disorder d.

L4 nerve root b. Discuss about safe level of drinking d. on taking history he says he drinks 3 bottles/week Bobourn whisky. A child presents with swollen elbow after fallen with an outstretched arm. Agoraphobia d. Social phobia 68. A good assessment and complete history c. … 69. Tibial nerve 70. Sciatic nerve e. Anthology picture: page 197. P/E shows pale. he is afraid to leave home and works close to his home. Refer him for detoxification e. pallor and painful forearm. A 35 yrs old man who is frightened of flying in airplane. WOF is affected? a. He fells nauseated and dizzy when he thinks about flying. L5 nerve root c. Establish good relationship b. What would be the next management: a. Supracondylar fracture x-ray. What is the most probable diagnosis? a. Simple phobia e. he refused to take any oversea assignment from his boss. Neurovascular assessment in every 4 hours b. Common peroneal nerve d. … 67. O/E: weakness of dorsiflixion and evertion. Alcoholic patient admitted with epigastric pain. knee jerk and ankle jerk are normal. Close reduction and reassess the neurovascular status urgently c. … 14 . A 70 yrs old DM presents with weakness of her right leg. plantar flexion and inversion are preserved. On counseling him what will be your important initial point? a. Immediate open reduction and neurolysis d. Give him docacard (drug) c. 12 days after CABG. Graded exposure d.MCQs Mastery Q a. Panic attack c. Advise for controlled drinking b. Panic attack with agoraphobia b. Because of this.

What is the most common cause of intestinal obstruction in an abdomen without any previous abdominal surgery in Australia? a. Head of the pancreas c. Dilatation of the bile duct d. Benign varicocoele d. Familiar adenomatous polyposis (FAP) d. Diverticulosis e. Retrograde amnesia b. Focal neurlogic deficit d. Ulcerative colitis 74. Gallstone b. Iv nerve palsy e. WOF is the most important sign of head injury? a. Level of consciousness 75. Groin hernia c. A 50 yrs old man presented with suddenly onset of varicocoele in the left scrotum most likely underlying condition is? a. Volvulus e. Testicular tumour c. Femoral hernia b. Colles fracture the dislocation of the distal fragment. What is the most important thing to look for in ultrasound in a jaundiced patient? a. Forward dislocation with radial deviation c. Inguinal hernia e.MCQs Mastery Q 71. Liver mass e. Left renal carcinoma 76. … 72. Internal hernia b. WOF is the most important association cancer colon? a. Malignancy d. WOF is correct: a. Forward dislocation with ulnar deviation b. Anterograde amnesia c. Backward dislocation with radial deviation 15 . Tubular adenoma b. Villous adenoma c. Intussusception 73.

The dilatation of the common bile duct (CBD) is most clearly shown by? a. CT b. Oral cholecystogram 80. A 21 yrs old girl presented with enlarged cervical lymph node. Conservative management failed. A 35 yrs old lady complains of mastalgia for the last 1 year. NSAID 81. OCP d. No displacement 77. Superficial femoral d. How would you manage this patient? a. Among the diabetes related complications. Clomiphene c. What is the most common site affected leading to intermittent claudication? a. Thyroglossal duct cyst d. ERCP c.MCQs Mastery Q d. Internal ileac artery c. Lymphadenoid thyroid 82. Adenoma of the thyroid c. Profunda femoris artery e. Popliteal artery b. Intercostals drainage b. Backward dislocation with ulnar deviation e. Insert a large bore needle in the second IC space d. Biopsy showed thyroid glandular tissue. Danazole e. US d. Chest x-ray 78. Regarding diabetic neuropathy. Bromocoriptine b. diabetic foot ulcer is the most common cause of prolonged hospital stay 16 . Common femoral artery 79. WOF is least likely? a. What is the most likely cause? a. Metastasis from thyroid carcinoma b. Insert chest tube into the 5th IC space in the axillary line e. Thoracostomy c. What is the first step in the management of tension pneumothorax? a.

Terminate the pregnancy b. Blunt affect b. Snake bites can cause coagulation problems e. Auditory hallucinations c. Colposcopy e. Tell her to come to see you again in two weeks 86. Ultrasound evidence of tubal mass d. A pregnant woman in 1st trimester is found to have CIN III. Immediate ultrasound b. A 28 yrs old woman at 39 weeks of pregnancy is found to have transverse lie. Catatonia 17 . Cone biopsy c. What is not true about snake bite in Australia? a. Bimanual examination e. Observe 87. Tourniguet should be applied to prevent venom from spreading c. P/V examination c. If diabetes is under good control amputation can be reduced by 50% d. Negative pregnancy urine test c.MCQs Mastery Q b. She is not in labour. Most of the snakes are non poisonous d. There are no other abnormalities. If untreated 1/3 of the patients will have amputation due to diabetic neuropathy e. 50% of the patient with diabetic neuropathy die within 3 yerars c. External cephalic version d. WOF is best diagnostic of tubal pregnancy? a. Hysterectomy d. Most snake bites cause only superficial abrasion 84. Beta HCG 85. What is your next step in management? a. Empty uterus on ultrasound b. With the presence of normal pedal pulse the development of ulcer is unlikely 83. What is your next step? a. Anti venom most dangerous side effect is anaphylaxis b. WOF is the negative symptom of schizophrenia? a. LS caesarian section e.

Sensory loss of the lateral aspect of the arm c. Radial nerve c. What is your next step in management of this patient? a. You don’t find any other abnormal signs and patient feels normal. Median nerve d. WOF is correct? a. Citalopram 90. Visual hallucinations 88. Send him home as there is only a scratch mark and no other signs of a snake bite. Smile for the first time after 3 months b. Chlormipramine e. A man presents to you with snakebite. Haloperidol c. Axillary nerve b. Sits without support at six months 18 . Give anti venom immediately e. WOF will cause serotonin syndrome if given together with SSRI like fluoxetine except? a. Examination shows only scratch mark on his lower limb without any marked necrosis.MCQs Mastery Q d. Posterior dislocation of the shoulder b. WOF is damaged in mid humerus fracture a. Do a swab and apply a pressure bandage c. Sensory loss of the medial aspect of the hand e. 1-tryptophan b. Moclobemide d. You are in a rural area with no major emergency medical facilities. WOF makes you suspect delayed development of a child? a. Fracture of the humerus 92. Says 3 words at 10 months for the first time d. An x-ray showing dislocation of the shoulder. Walked for the first time holding the furniture at 7 months c. Chlormipramine e. Formal thought disorders e. 91. Weakness of the hand d. Citalopram 89. Amputate his lower limb d. Arrange for air ambulance to transport to a city hospital b.

Calcium gluconate 19 . right bundle branch block (RSR in V1 and V2). with ST segment depression in leads I and AVL.MCQs Mastery Q e. Gentamycin c. She has ischaemic heart disease b. The rash is typical of meningococcal septicaemia. Glucose and insulin c. QRS complex normal. WOF is the best treatment? a. Pictures showing a rash on the body of a girl. Oral steroids d. Bone age is equal to 15 ears d. Flucloxacillin 95. ECG given. Bone age is equal 9years c. The child is dry in bed for the first time at 5 years 93. Iv ceftriaxone c. Sodium bicarbonate b. A neonate with cough and fever is found to be grunting. raised ST segment in leads II and AVF. ECG shows: bradycardia with variable rates (40-70 beats/minute). She has WPW syndrome 97. WOF is best prognostic? a. Bone age is equal to 10 ears 94. A 65 yrs old lady has emphysema for many years and presents with dyspnoea and chest pain. Bone age is equal to 13 years b. Reassurance 96. normal axis. All of the following can lower the level of potassium in the treatment of hyperkalaemia except: a. Amoxicillin d. She has right ventricular hypertrophy c. Chest x-ray shows round lesions with little pleural effusion. WOF is the next step in the management of this patient a. A 13 yrs old boy has height equal to 50th percentile for 9 years. WOF statements is trur? a. V2-V4 with slopping S waves and inverted T waves. Iv amoxicillin b. Crystalline penicillin b. She has evidence of dignoxin toxicity e. no p waves. Lumbar puncture e. Right bundle branch block is diagnostic of emphysema d.

Resonium e. WPW syndrome c. Pituitary tumour d. Cardioversion b. Carotid artery b. Carotid artery stenosis c. ECG given: wide slurred QRS and short PR interval. pulse irregular at 120 beats/min. You are examining a man in coma who was brought in the emergency department. 13-15 102. Atrial fibribblation d. delta waves. 10-12 e. What is most likely diagnosis? a. Where is the lesion? a. The patient withdraws his hands on painful stimulus and opens his eyes in respond to pain but shows no verbal response. Thrombolysis with TPA c. Cerebellar lesion e. Multiple ventricular ectopic beats b. He has also ipsilateral Horner’s syndrome. Haemodialysis 98. Myocardial infarction 100. ECG given: ST segment elevation in V2- V4. Lidocaine d. Vertebral artery 20 . On examination her BP was 98/50. An elderly lady presented with chest pain for several hours. what is your initial management? a. 7-9 d. Verapamil 99. Sinus tachycardia e. Trauma of head 101. What is the most likely diagnosis? a. Middle cerebral artery c. 0-3 b. palpitations and shortness of breath.MCQs Mastery Q d. What is his score on Glasgow coma scale? a. A 55 yrs old lady develops sudden left sided weakness and right eye blindness. A sweating patient presented with tachycardia. A man presents with suddenly onset of IX and Xth cranial nerves palsy and the loss of touch and sensation on the opposite side of the body. 4-6 c. Vertebro-basilar insufficiency b.

Multiple sclerosis b. A given chest x-ray of a 45 yrs old male who had a severe cold 2 weeks ago now presents to you with complaints of cough during night and early morning which produces 21 . Contains mononuclear cells predominantly c. Brainstem infarction 107. No marked skin necrosis b. Basilar artery e. WOF is the most characteristic of tuberculosis pleural effusion? a. Syringomyelia d. Bilateral unlnar nerve palsy e. Causes coagulation disorders d. Tourniquet should be applied so that nenom stays in that area e. He is at immediate risk of death from left ventricular failure c. If there is renal tenderness. a renal biopsy should be done e. All of the following cause drug interactions except: a. Dialysis is contraindicated during the acute phase of illness 108. Amiodoarone-B. oliguria.MCQs Mastery Q d. Very low or absent glucose d. Increase in oral fluid intake result in diuresis d. Digoxin-warfarin c. A 35 yrs old male with history of sore throat presents with a puffy face. ACE inhibitors-diuretics d. WOF is incorrect regarding snakebite in Australia? a. Acid fast bacilli found in culture 104. Affects cranial nerves 105. blockers 106. Heavily blood stained b. Bilateral median nerve palsy c. Posterior cerebral artery 103. What is the most likely diagnosis? a. Haematuria is a grave prognostic symptoms b. Most of the snakes are not venomous c. blood pressure reading of 160/120 and some pulmonary crepitations. A 28 yrs old male patient presents with distal weakness and atrophy of small muscles of both hands. WOF is correct? a. Erythromycin-theophylline b.

She was on nitroglycerine. Hepatitis A 110. On examination you find tonsillar exudates. Syphilis c. Bronchial breath sound 112. ventricular entopic. Hepatitis B d.125mg. Oral corticosteroids 22 . Reassure her b.MCQs Mastery Q small amount of yellow sputum especially when he wakes up in the morning. she has low-grade fever. Pleural rub e. Chronic bronchitis b. Pulmonary fibrosis e. Stop all medications and review in 12 hours b. On examination. Commence on frusemide 111. ECG: (seem to be grade II A-V block & T wave inversions. enalapril xxx. A 54 yrs old lady has rheumatoid arthritis for 10 yrs and is taking naproxen. red. Tachycardia c. Increase the dose of naproxen d. what is the best management? a. On examination she is found with biventricular enlargement. diltiazem 60mg. What is the most likely diagnosis? a. A 23 yrs old male student comes to see you with complaints of sore throat and fever with malaise for the last 12 days. 7 yrs old lady presents with chest pain. Injection of corticosteroids into the affected joint c. He also has excoriating lesions around the anus. Carcinoma of the bronchus 109. What is the most likely diagnosis? a. generalized lymphadenopathy and maculo-papular rash on his palms and soles of the feet. Dyspnoea d. Glandular fever b. digoxin 0. pulse rate 118/min. prednisolone 5mg daily. Now she complains of pain in the right knee. Decreased second heart sound b. Bronchiectasis d. the right knee is swollen. Infusion of potassium e. Tuberculosis c. WOF is the least likely characteristic of pulmonary embolism? a. What is your most appropriate next step in management? a. Increase the dose of digoxin c. HR: 50-65/ min). Commence of colvexin d.

Heart failure b. Pancreatic disease 115. Oral NAC c. Glucose and insulin c. Methyldopa b. Iv NAC d. All of the following can lower the level of potassium in the treatment of hyperkalaemia. Lung failure d. Endoscopy b. WOF is most likely occur in the 24 hours of acute pancreatitis? a. Omeprazole e. Peritoneal dialysis 117. Bicarbonate b. 113. Pseudocyst e. Cimetidine d. Renal failure c. Serology d.MCQs Mastery Q e. Resonium e. C 13 urea breath test c. start a course of antibiotics based on the result of blood culture. Digoxin c. Frusemide 116. WOF is least likely effective in treatment of paracetamol poisoning within 8 hours ingestion? a. Calcium d. Aspiration of the affected joint and blood culture. What is the best follow up investigation for patient with duodenal ulcer due to helicobacter pylori infection? a. WOF drug can cause gynaecomastia except: a. Charcoal b. except: a. Oral methinoine e. Culture e. Histological examination 114. Dialysis 23 .

Paracetamol and propranolol b. Acute hepatitis A c. jaundice and dark urine. Chronic hepatitis B 122. Laparoscopy 119. anti HBC-IgG – a. V3. Finding of birefringement crystals on arthroscopy b.. Ultrasound b. BP 85/60 mmHg. Oral cholecystogram e.MCQs Mastery Q 118. PR 150/min. anti HBV-IgM+. On examination. Thyroid scan showed low uptake of radioiodine. A 65 yrs old lady presents with right upper quadrant pain. ALT 630 (3-35). total bilirubin 200 (3017). What is your management? a. What is your diagnosis? a. ECG: atrial fibrillation with V2. Alcohol hepatitis d. AST 200 (3-35). She has cholecystectomy 7 yrs ago. Corticosteroid 120. What is your next appropriate investigation? a. A 43 yrs old lady presented with coital bleeding. Thyroxine d. nauseated. WPW 123. HBS-Ag . Acute hepatitis B b. What is most likely cause? 24 . Cholecystitis e. laboratory: ALP mildly increased. Increased neutrophil count c. Pulmonary embolism c. Increased urinary acid 121. V4 ST elevation. 30 yrs old man presented with malaise. WOF is the most important finding for the diagnosis of gout? a. Abdominal x-ray d. CT c. 55 yrs old man 3 days after abdominal aortic surgery complains of dyspnoea. Leaking aortic aneurysm b. Iodine c. anti HAV-IgG +. she was found to have tachycardia and tremor. Atrial fibrillation with anterior myocardial infarction d. Increased serum uric acid d. upper abdominal discomfort. A 35 yrs old lady presented with fever and painful neck.

Physiological jaundice 125. Hartmann solution b. Immune incompatibility b. WOF is the most common type of hiatus hernia? a. Paraoesophageal hiatus hernia b. the most likely underlying condition is: a. the coomb’s test weakly +. Reduced skin turgor. Congenital hernia 126. Cervix polyp d. Testicular tumour d. Submucous myomata b. Rh incompatibility d. ABO incompatibility c. Breast abscess d. NaHCO3 128. 0. A newborn baby presents jaundice within 24 hours after birth. The baby is Rh - and blood group type A. Left renal carcinoma c. Femoral hernia b. Benign varicocoele e. Ductal papilloma c. 50 yrs old lady presents with bloody discharge from nipple. Paget’s disease of the nipple b. Endometrial carcinoma c. Which fluid replacement regimen is most appropriate? a. the mother is Rh – and blood type O. A 50 yrs old man presents with suddenly onset of varicocoele in the left scrotum. ½ dextrose 5% + ½ isotonic NaCl e. Dextrose c.9% NaCl d.MCQs Mastery Q a. oliguria. Thrush 124. Intramural myomata e. 50 yrs old man presented with 5 days vomiting of food taken 24 hours ago. Normal condition 127. Sliding hiatus hernia c. what is your diagnosis? a. Eczema of the nipple 25 . what is the most likely diagnosis? a.

supracondylo-humeral fracture: 15 yrs old girl has right humeral fracture. Fat necrosis 129. WOF carries the most fatal outcome in a 5 months old baby? a. which of the following is the most correct statement? a. who said that he passed the last stool 4 days ago. Superficial femoral artery b.MCQs Mastery Q e. antology page 197. Bold area on the occiput e. Picture. Intercostals drainage b. Insert a chest tube into the 5th intercostals space at the axillary line e. Neurological and circulation assessment is essential b. Bruise on the left cheek b. Loperamide e. A six months old infant was brought in by his mother. The breast fed infant appeared well within normal weight gain. Nerve repair after 1 month c. Advise to start weaning 26 . The mother is concerned. Use of extra fluid d. Diamond shaped peeling lesion on the top of the head d. Blue spots on the buttocks c. Open reduction 131. Profunda femur artery e. Thoracostomy d. Use stool softeners c. About tension pneumothorax. What is the most common site affected leading to intermittent claudication? a. Popliteal artery c. Reduction and reassess the circulation urgently d. Reassure that the stool is within normal variations b. what is your first step of management? a. External iliac artery d. What is your management? a. Common femoral artery 132. Insert a large bore needle into the second intercostals space c. Nasty looking rash in the napkin area 133. Neurological and circulation record 4 hourly is required e. Chest x-ray urgently 130.

WOF is true regarding iron deficiency anaemia? a. Repeat antibiotics b. Carefully examine the nose under general anesthesia d. presented with perianal pain over 10 hours. Reticulocyte increase c. Peak time is the first 4-6 months old d. Haptoglobin decrease 136. The offspring may present with the disease 137. Benzodiazepines 138. What is the most useful management for this patient? a. the woman will have 50% chance of having child with the disease e. a basketball player. Use topical antibiotics c. what is the management? 27 . MRI 135. If both parents are carriers. Bleeding tendency e. they don’t present with the disease themselves c. The examiner’s hand can’t go over the scrotum c. He has had a course of antibiotics but his condition had not been improved. they will have 1:4 chance of having a child with the disease d. What is your management? a. He knows it’s not correct and tries to resist the thoughts. A 27 yrs old female. Painful scrotum 139.MCQs Mastery Q 134. On examination he is very irritable and does not let you examine his nostril. A young school teacher who complains of inability to fall asleep in the night as he gets repeated thoughts of what happened during the day. If a woman is a carrier. If the genes can be passed on silently from generation to generation b. Picture: shows an acute perianal haematoma. The swelling is transilluminable d. If both parents are carrier. A 40 yrs old man presents with inguinal scrotal swelling which of the following is consistent with the diagnosis of inguinal hernia? a. CT scan e. Behaviour therapy c. Premature newborns are more likely to develop iron deficiency anaemia b. What is not a feature of autosomal resessive disease? a. SSRI b. Swelling of the posterior part of the scrotum b. A 2 yrs old boy has had one side nasal purulent discharge since 2 weeks ago.

Haemorrhoidectomy 141. Acute inferior wall MI d. Strictures of oesophagus d. Gastric resection c. Cardiac failure e.MCQs Mastery Q a. ECG interpretation: classical S1Q3T3. A 50 yrs old businessman presents with severe chest pain and shortness of breath. Acute anterior wall MI 28 . A 55 yrs old man presents to your surgery with the complains of difficulty in swallowing solids for the past 3 months. Fundoplication d. He was a very healthy man and no significant past history. His past history reveals he had suffered from heartburn particularly on stooping forward for many years but this problem has settled and he is no more trouble. Incision under local anaesthetics b. Left bundle branch block b. most likely diagnosis is: a. Surgery on prosthetic heart valve b. Cardiogenic shock b. Hemicolectomy e. sinus tachycardia. Drainage abscess d. Pulmonary embolism c. Haemorrhoidectomy under GA c. Most likely diagnosis? a. Oesophageal web e.5. Septic shock 142. On examination his BP is 90/50 mmHg. He is pale and sweating. Zenker’s diverticulum 143. In WOF prophylactic antibiotic use is least needed: a. A patient presents to the A&E department with shortness of breath. pulse rate 96/min and central venous pressure measured along the anterior axillary line is 0. He has returned home after a business trip to Europe 7 days back. Achlasia cardia b. He has lost weight of more than 1kg in the last 3 months. Oesophageal cancer c. Give antibiotics e. Haemorrhoidectomy under LA 140. Vasovagal syncope d. Hypovolaemic shock c. Most likely diagnosis is: a.

Serum iron c. Psoriasis 29 . Atopic eczema c. Serum FSH b. Transferring saturation b. A 24 yrs old lady presents to your surgery with amenorrhea. increased perfusion 145. T4 and TSH e. decreased perfusion b. The most appropriate management at this time would be: a. No active agents 146. Abnormal CXR. Haemoglobin 147. Peri-oral dermatitis d. Normal CXR. Normal CXR. T3. decreased perfusion c. decreased ventilation. Normal CXR. Serum prolactin d. Which investigation will be most appropriate to arrive at diagnosis? a. SLE e. Serum LH c. decreased perfusion e. CT scan of the brain 148. Blood glucose e. decreased ventilation. A 55 yrs old man presents to the A&E department with acute hemiplegia of 4 hours duration. increased ventilation. Iv thrombolytic therapy c. Iv anticoagulatnt therapy d. Discoid eczema b. The most appropriate investigation in a diabetic patient with haemochromtaosis is: a. Serum ferritin d. decreased ventilation. The correct combination of pulmonary embolism is: a. galactorrhea and decreased libido for the last 6 months. Oral aspirin b. normal ventilation. Antibiotica e. Normal CXR. CT scan is normal. decreased perfusion d.MCQs Mastery Q 144. Topical corticosteroids are best avoided in: a.

All inferior MI c. What is the most appropriated action in this case? a. Vertebro basilar insufficiency c. Tension pneumothorax b. The most likely cause of non healing ulcer on the head of third metatarsal bone in a diabetic man is: a. Internal carotid stenosis b. Hypertensive retinopathy b. Ill fitting shoes d. Increase the dose of lispro e. 50 yrs old patienst presented with several attacks of blurring of vision (both eyes). The probable cause is: a. shocked. Macrobascular disease b. All second MI b. Change the long acting insulin d. Infection 151. In selected anterior MI e. a person got severe trauma. In non-ST depression MI 154. All anterior MI d. Decrease the dose of protophane b. Increase the dose of protophane 150. After accident. Carotid stenosis 153. TPA is administered in WOF? a. present with distended neck vein. night sweats. hypertension. Poor glucose control e. A know diabetic man takes lispro (fast acting) and protophane (intermediate acting) insulin for his blood glucose control before breakfast and also before supper now presents to your surgery with complaints of feeling weal. palpitations and tremor. Mid cerebral artery infarct 30 .MCQs Mastery Q 149. Neuropathy c. Decrease the dose of lispro c. Cardiac tamponade 152. What is the most diagnosis? a. ‘transient global amnesia d. A man with severe attacks of memory loss and blurred vision: a. Vertebro-basilar embolism c. massive chest injury.

requiring frequent transfusion b. Heterozygote have severe anaemia. Homozygote have severe disease 158. Cystic hygroma d. A child with helitrope rash and muscle weakness. All the children will be with thalassaemia major d. A child presents with a lump in his posterior cervical triangle of the neck. presents to the ED with acute attack. Branchial cyst b. A 3 yrs old girl presents with 3x3cm erythematous area on the upper eyelid. Hypertension in diastolic 157. Previous episodes of intubation due to asthma attack e. Enlarged lymph nodes 159. Thyroglossal duct cyst e. Topical steroids d. A young lady with history of asthma. Topical gentamycin 160. Iv flucloxacillin and cephalosphorin b. Topical chloramphenicol and cephalosporin c. What is the most likely diagnosis|? a. Essential hypertension c. what is the diagnosis? 31 . Surgical intervention e. Lipoma c. ACE inhibitors are first line of treatment in all of the following. Lid oedema. Previous treatment with steroids 156. On examination the lump was soft. What is the correct treatment? a. congestion of conjuctiva and normal eye movement. CCF e. Family history of cardiac disease d. but mother is normal. 25% of children will have thalassaemia major c. except: a. If the father is with thalassaemia major. except: a. Peanuts intake regularly b. WOF will make you think that the fatal outcome is possible? a. If both parents are with thalassaemia minor. Aortic stenosis b. History of smoking c. Left anterior infarct d. irresponsive to steroids. All are true about B-thalassaemia. transilluminated.MCQs Mastery Q 155.

Delusional disorder c.MCQs Mastery Q a. She also at times has suicidal ideas after the child birth. Post traumatic disorder e. WOF will be the sign of hypoxia? a. What is true regarding this patient? a. Guillain-barre syndrome. Anal fistula b. She thinks that something bad is going to happen to her. Separating mother and baby will help e. Paranoid schizophrenia b. Schizoid personality disorder 163. She has no thought disorder. Adjustment disorder with atypical syndrome d. Anal fissure c. Personal disorder 165. She can’t concentrate on study. She is anxious. Dermatomyositis b. A pregnant woman had CTG at 32 weeks gestation. She felt she isn’t herself. When asked about her belief. RA c. Haemorrhoids d. Alcohol disorder e. Cannabis abuse b. Dementia d. A 65 yrs old lady presents to you regarding her belief her husband suffers from an incurable cancer for 10 yrs. WOF best describe her problem? a. Bipolar disorder type 2 c. although her husband is perfectly healthy. A 19 yrs old university student who failed mid year exam. 161. ECT is the treatment of choice c. A 24 yrs old mother who gave birth to baby boy complaints of insomnia and irritability. No accelerations for 20 minutes 32 . Mothers bonding towards baby will be affected d. This is normal after giving birth and don’t need any intervention 164. She also thinks that he is a member of the world security organization and the plane flying above their house and trying to get some important information from her. Intussusception 162. she remains vague and can’t give you any logical explanation. Onset is characteristically within 12 hours b. What is most likely diagnosis? a. Meckel’s divertiulum e. The most common cause of blood stained stool in an otherwise normal infant is: a.

Fibroid c. Before commencement of the treatment you want to check her on disorders of coagulation and immune system that cause DVT. A 26 yrs old primigravid patient at 39 weeks gestation was found to have transverse lie. Factor VIII d. Caesarian section 33 . 16 weeks pregnant lady diagnosed with DVT. External cephalic version b. Beat to beat variability of 5 beats per 5 minutes c.000 – foetal intracerebral haemorrhage 169. You check all of the following except: a. The most common cause of jaundice in third trimester in pregnant woman in Australia is: a. All of the following is the cause of acute urinary retention in female. except: a. Herpes simplex virus e. WOF is true matching pairs except: a. Anti Rho antibody-heart block d. Protein 167. Decelerations occurring after the uterine contractions and coming back to the base line after the completion of the contraction is a sign of severe hypoxia e. Anticardiolipin antibody-IUGR b. Anticardiolipin antibodies b. Spinal tumour b. Cholestasis b. Acute cholecystitis 168. She comes to see you. No variability in beats per minute 166.MCQs Mastery Q b. Human papilloma virus d. Acute fatty liver of pregnancy c. Lupus anticoagulant-pulmonary embolism and thrombosis c. INR e. Gall stones e. Best management is: a. Retroverted gravid uterus 170. She is not in labour. Hepatitis A d. Platelet count < 100. Factor V c. Foetal heart rate of 40 beats per minute associated with uterine contractions d.

MCQs Mastery Q c. Popliteal artery d. Ultrasound to detect foetal abnormality e. Streptococcus infection d. head at 0 station. WOF is least likely to present with a supraclavicular swelling? a. Caesarian section b. Induction of labour after ECV 171. Common femoral artery c. 150cm tall with vertex presentation. Profunda femoris artery 175. 34 . External iliac artery e. WOF will be a sign of hypoxia? a. Carcinoma of the stomach e. Venous c. A pregnant woman had CTG at 32 weeks. Diabetic 174. Carcinoma of the breast d. Ischaemic b. Ask her to come and see you in two weeks time d. Superficial femoral artery b. Oxytocin to induce labour 172. Do immediate USG e. A patient with chromic ulcer of the limb. She is in labour. Trial of labour c. 26 yrs old primi. What is the commonest site of atherosclerosis in the lower limb? a. Proper management includes: a. cervix effaced completely and dilated to 4cm with intact membranes at 37 weeks. which becomes worse when the limb is elevated. No accelerations for 20 minutes. Subclavian artery aneurysm 173. Cervical rib c. Subclavian vein thrombosis b. X-ray pelvimetry d. What type of ulcer? a.