Реколы 2007 May 2007 MCQ Exam 1.A piicture of Dupuytren contracture. Cause: A. Use of chronic vobrating tools B.

Chronic alcoholism 2. Picture of Bowen disease from Anthology. Dx? 3. Picture of perianal haematoma. Mn? 4. Features of complex partial seizure given. Rx? 5. A 60 yo man, commercial driver has had a recent stroke. He has left hemiparesis and left homonymous hemianopia. What advice you will give him regarding driving in the future? A. never drive again B. Have an occupational driving test done 6. A sudanese boy came to you after administration of Co-timoxazole with the complaints of pallor and increasing darkness of colour of urine. his reticulocyte count was 8%. His Coomb's test was negative, no family history and on electrophoresis Type A hb was detected. What is the Dx? a. Hereditary Spherocytosis b. G6PD def c. Autoimmune HA d. Sickle cell anaemia e. thalassaemia 7. What is the use of Psychodynamic psychotherapy in Australia ? A. Phobia B. Anxiety disorder C. schizophrenia D. OCD 8. A boy came with fever and pain in the right leg. he hardly moves the leg and does not allow you to move it either. He refuses to carry weight on that leg. What could be the dx? A. Septic arthritis of hip B. OM of femur C. D. E. could be excluded easily

9. one of your colleague is taking anti psychotic medication for her own psychiatric illness. what should be your advice to her??

D. He has fever and has lost 6 kgs of weight recently. Change of colour C. until she is asymptomatic B. Meckel diverticulitis C. Pain in upper abdomen which is now constant in the epigastrium. Common peroneal n. Crohn dis . Crohn disease B. There is rigity and guarding in the abdomen. perforated GU 14. altered bowel habit and tenesmus 16. A patient came with a pus discharging bead at 5 o'clock position at the anal verge. she should take specialist review C. Pain B. sciatic n E. cataract 11.A. ac. Most common S/S assoc. C. which nerve regenerates most after taumatic laceration? A. Stiffness 12. (these were the exact words). DM D. with ca rectum? A. What will be the first S/S when a plaster is too tight? A. you should contact the medical advisory board 10. A patient came with 12 hr H/O severe vomiting. B. Dx? A. Swelling D. UC D. A pt came with an ill defined mass in the RIF and loose watery stools. 13. Perforated DU C. What is the most common association of childhood obesity in Australia ? A. Ca large gut 15. pancreatitis B. Dx? A. she should refrain from seeing pt. ulnar n. Above average height B. Hypercholesterolaemia C. on probing there was a track discovered which extended in the rectum for 15 cm. Digital n. DX? A. Median n.

B. LBBB 20.. withdraws to painful stimulus ans is unable to answer ant questions. his reticulocyte count was 8%.A piicture of Dupuytren contracture. Complete HB D. 1st deg. One ECG which has digitalis effect on it. Cause alcoholism 3. A badly injured patient who takes anti psychotics is on the verge of collapse. What advice you will give him regarding driving in the future? http://www. Haemorrhoids 17.com. What is his GCS? A. commercial driver has had a recent stroke. Mn? incision under local 5. What is the Dx? G6pd. what do you do? A. He has left hemiparesis and left homonymous hemianopia. he is black as he is from suddan & he was give sulpha containing medication . Which could possibly explain his situation? A. His Coomb's test was negative. VF D.pdf page 71 stroke is mentioned & they said pt cant drive for 1 months after & 3 if SAH but if dense hemiplegia then he cant drive before specialist & assesor asses him so i will chose the 2nd option A sudanese boy came to you after administration of Co-timoxazole with the complaints of pallor and increasing darkness of colour of urine. 3-5 C. A 60 yo man. A patient opens his eyes to pain. DX? 1. HB B. no family history and on electrophoresis Type A hb was detected.EBREV1. 7-9 B. 10-12 C.. restrain him and treat 18. Picture of perianal haematoma. but he is violent and refuses all treatment. 5 ECG rhythm strips given. Ca rectum D.au/aftd/downloa. Ankylostomiasis C. 2nd deg HB C. 13-15 19.austroads. An old man who suddenly collapsed was unconscious for three minutes following which he recovered fully.

Pain in upper abdomen which is now constant in the epigastrium. B.any help plz 11. Above average height B. he hardly moves the leg and does not allow you to move it either. C. Stiffness if there a discomfort option i would have choosen it 12. DM D. sciatic n E. Hypercholesterolaemia C. He refuses to carry weight on that leg. Common peroneal n. Digital n. What could be the dx? A. What is the use of Psychodynamic psychotherapy in Australia ? used allover the world for panic attacks so i guess anxiety disorder would be the one 8. pancreatitis B. 1st deg. cataract dont know at all. Median n. OM of femur **** C. What will be the first S/S when a plaster is too tight? A. not sure why 13. A boy came with fever and pain in the right leg. Dx? A. What is the most common association of childhood obesity in Australia ? A. D. Swelling D. E. perforated GU19. Pain ****** B. ulnar n. which nerve regenerates most after taumatic laceration? A. Perforated DU C. 5 ECG rhythm strips given. ac. 2nd deg HB . There is rigity and guarding in the abdomen. ***** D. Which could possibly explain his situation? A. Septic arthritis of hip B. A patient came with 12 hr H/O severe vomiting. An old man who suddenly collapsed was unconscious for three minutes following which he recovered fully. Change of colour C. HB B. could be excluded easily OM should be excluded as per AMCQ book 10.7.

What is the most common association of childhood obesity in Australia ? A.com. DX? 1. Picture of perianal haematoma.. could be excluded easily OM should be excluded as per AMCQ book 10. Mn? incision under local 5..A piicture of Dupuytren contracture. cataract .C. Cause alcoholism 3. His Coomb's test was negative.EBREV1. What advice you will give him regarding driving in the future? http://www. One ECG which has digitalis effect on it. E. D. Above average height B. A boy came with fever and pain in the right leg. What is the use of Psychodynamic psychotherapy in Australia ? used allover the world for panic attacks so i guess anxiety disorder would be the one 8. DM D. He has left hemiparesis and left homonymous hemianopia. He refuses to carry weight on that leg. OM of femur **** C. What is the Dx? G6pd. Hypercholesterolaemia C. Septic arthritis of hip B. A 60 yo man. What could be the dx? A.austroads. Complete HB D.au/aftd/downloa. LBBB 20.pdf page 71 stroke is mentioned & they said pt cant drive for 1 months after & 3 if SAH but if dense hemiplegia then he cant drive before specialist & assesor asses him so i will chose the 2nd option A sudanese boy came to you after administration of Co-timoxazole with the complaints of pallor and increasing darkness of colour of urine. no family history and on electrophoresis Type A hb was detected. commercial driver has had a recent stroke. he is black as he is from suddan & he was give sulpha containing medication 7. VF D. his reticulocyte count was 8%. he hardly moves the leg and does not allow you to move it either.

Ca large gut UC bloody diarrhea & no masses never heard about a meckel on the right Ca usualy have histoy of bowel habits change but wt loss support that crohns would be my choice as emerck online say about crohns The most common initial presentation is chronic diarrhea with abdominal pain. which nerve regenerates most after taumatic laceration? A. DX? .which way of sitting that help the pt relief the pain. anorexia. Common peroneal n. (these were the exact words). C. fever.i would go for Acute pancreatitis cuz there s no shoulder tip pain. ulnar n. Dx? A.age of pt . not sure why 13. Swelling D.its missing some info. ac. pancreatitis B. Perforated DU C. on probing there was a track discovered which extended in the rectum for 15 cm.nothing said about bowel sounds 14. UC D. and a mass or fullness may be palpable 16. and weight loss. Median n. B. Crohn disease B. ***** D. He has fever and has lost 6 kgs of weight recently.dont know at all.any help plz 11. A pt came with an ill defined mass in the RIF and loose watery stools. Digital n. A patient came with a pus discharging bead at 5 o'clock position at the anal verge.previous history . sciatic n E. Pain in upper abdomen which is now constant in the epigastrium. Dx? A. A patient came with 12 hr H/O severe vomiting. Pain ****** B. Meckel diverticulitis C. What will be the first S/S when a plaster is too tight? A. Stiffness if there a discomfort option i would have choosen it 12. The abdomen is tender. perforated GU all of them can have these symptoms. Change of colour C. There is rigity and guarding in the abdomen.

perianal fistulas and abscesses occur in 1⁄4 to 1⁄3 of cases. Haemorrhoids crohns diz merck says Abscesses are common. Crohn dis B. 7-9 B. the bladder. swollen copmparment late • paralysis (inability to move limb . 13-15 eye on pain 2 withdraw to pain 5 unable to answer quz 1 so 7-9 11. Ca rectum D. these complications are frequently the most troublesome aspects of Crohn's disease. 18. including other loops of bowel.late) • pulses are usually still present • paresthesias NOT pulslessness . Pain****** B. Change of colour C. Independently of intra-abdominal disease activity. Swelling D. What will be the first S/S when a plaster is too tight? A. fistulas may even extend to the skin of the anterior abdomen or flanks. Ankylostomiasis C. and fistulas often penetrate into adjoining structures. 10-12 C. A patient opens his eyes to pain. Stiffness this is from Toronto notes clinical signs and symptoms early pain • greater than expected for injury • not relieved by analgesics • increase with passive stretch of compartment muscles pallor • palpable tense. or psoas muscle. withdraws to painful stimulus ans is unable to answer ant questions. 3-5 C.A. What is his GCS? A.

Treatment involves the "Sistrunk operation. Mitral valve stenosis d. smooth. a week later developed a swelling which moves with deglutition 1 solitary thyroid nodule 2 MNG 3 thyroglossal cyst 4 cervical lymph node The diagnosis is usually established by observing a 1. Palpitation increased S 2 in apex d. S 1 increased c.. Presystolic murmur 3. A patient with acute myocardial infarction used heparin.. Which of the following is MOST probable cause: a. Hürthle cell. S 3 e. INR e. ). Routine thyroid imaging is not necessary. BT b. Papillary muscle dysfunction c. I forgot to mention the relation to infection .• most important feature found on physical exam is PAIN out of proportion to injury (the other signs are ‘late signs’) 4. PT c. however.Current thats a good was of practcisng but ur getting most questions statments wrong .. although thyroid scintigraphy and ultrasound have been performed to document the presence of normal thyroid tissue in the neck. In a patient with myocardial infarction was found a new systolic murmur on examination.1 Approximately 1% of cysts are found to contain cancer that is usually papillary (85%). Fibrinogen 2. A patient has a mitral valve stenosis – all of the following signs are correct EXCEPT: a.and i dnt think there is conncetion bw thyroglossal cyst and throat infection . AF b. ARTT d.to 2-cm.anywayz may be it was written midline i dnt rember exactly may be ur rite and one of the choice for the other question was pilonidal sinus tract and it was at 3 o clok position or it was the other question i dnt rember exactly 1. Aortic regurgitation b. well-defined midline neck mass that moves upward with protrusion of the tongue. and anaplastic cancers also have been reported. Medullary thyroid cancers are. Papillary muscle rupture . Like branchial cleft cysts.like there was never written a mass in midline moved wit hdegulttaion . they may be asymptomatic and only appear when they become infected in the setting of an upper respiratory tract infection. but are rare." which consists of en bloc cystectomy and excision of the central hyoid bone to minimize recurrence.a lady with sore throat. Thyroglossal duct cysts present as midline masses of the anterior neck (Figure 25–4.. not found in thyroglossal duct cysts. which of the following methods is used for monitoring: a. Squamous. Cardiac ejection fraction was 55%.

Hypolipoproteinaemia 8. pravastatin) a. Find TB bacillus 10.5 mmol/l c. Heterosexual b. ACE Inhibitors c. An obese patient with diabetes mellitus is under anti-hypertension treatment. A young woman has hypertension with fibrosing stenosis of renal artery (60%) which of the following is the MOST appropriate treatment: a. Which of the following is THE MOST LIKELY diagnosis: a. 5. 5 mmol/l d. Ideal weight 6. Chest PA X-rays b. Tricuspid valve regurgitation 4. Blood gas d. 6 mmol/l b. Which of the following examination supports the diagnosis of pulmonary thromboembolism: a.5 mmol/l e. His blood pressure is 160/100mmBg on examination. Diuretics e. Pulmonary ventilation perfusion mismatched on pulmonary scan e. Patient with coronary heart disease and xanthoma along the Achilles tendons. 4 mmol/l 7. 4.e. Renal artery angioplasty b. simvastatin. Which of the following is the MOST COMMON characteristic of pleura effusion of TB: a. Arteries dilation drugs 5. Concurrent hypertensive therapy c. Which following group is the MOST at RISK OF HIV infection: a. Remnant removal disease d. At which level of cholesteral you consider to give lipid-lowering statins (eg. Blood stained d. Lung function measurement Contagious diseases 9. Which of the following is your INITIAL consideration for this patient: a. Protein <2g e. Decreased protein in his diet b. Familial combined hyperlipidaemia c. Give diuretics d. Homosexual . Glucose decreased or absent b. Control sugar intake in the diet e. Antihypertensives d. Familial hypercholesterolaemia b. Monocyte c. Pulmonary Doppler c.

Normal cortisol. A 65 year old man has ‘bulk” diarrhoea with “oil”. Mosquito transmission c. Metronidazole e. Yellow fever c. liver and spleen enlargement. Arbovirus b. decreased TSH d. Increased cortisol. A patient with mycobacteria infection which of the following is most appropriate treatment a. Abdominal X-ray d Ultrasound e Enema . Which of the following group is LEAST LIKE of infection of HIV: a. He drinks alcohol for many years . Dengue fever. Leptospirosis d. all followings are correct EXCEPT: a. Blood Transfusion c. Malaria e. Which of the following is the diagnosis: a. Which of the following is your investigation a IV pancreagraph b Endoscopy pancreagraph c. increased TSH e. Haemodialysis e. Homosexual d. Both cortisol and TSH decreased c. increased TSH 17. There is no specific treatment e. Increased cortisol . increased TSH b. cotrimoxazole b.c. What is compatible with critical illness: a. Amoxycilline d. Haemophiliacs 13. A farmer has suddenly had undulant fever for 2-3 days with abruptly headache severe myalgia. Brucellosis b. Air droplet infection 15. Haemophilias 11. Blood transfusion e. tetracycline c. jaundice and petechial rash on the skin. Heterosexual b. Children get least severe illness d. Decreased cortisol. Anthrax 14. Erithromycin 16. Intravenous drug user d.

Hirsutism d. Fibrinogen C) APTT 2. 5. AF . which of the following methods is used for monitoring: a.5 mmol/l e. X-ray of pituitary test c. 32 year female with anaemia unresponsive to iron. ARTT d.Side effective of corticosteroids including all the following EXCEPT a Lymphocytosis b. all following situation s suggest malignant EXCEPT a. A patient with acute myocardial infarction used heparin. BT b.Which following patient is LEAST LIKELY to suffer primary hypothyroidism: a. 5 mmol/l b. 6. Associated with increased serum thyroglobulin f. Osteoporosis e. Which of the following is BEST investigation to establish diagnosis: a. 35 year old female with depression c. A patient has a mitral valve stenosis – all of the following signs are correct EXCEPT: a. 28 year old female with 3 years menorrhagia d. PT c. prominent supraorbital ridge prognathism teeth spacing increased. Thyroid scan show “HOT’ lump e.thick spade-like hands and seborrhoea and coarse oily skin. Single nodule b. 18 year old boy with relative less age e. A patient has headache. US showed a solid nodule c. B 12and folate 22 Patient has a single lump on one side of the thyroid. SERUM T4+PRL+growth hormone level e.18.For an elderly man. which above following blood sugar level need further investigation a. 65 year old female with goitre b. INR e. Insulin-glucose b.5 mmol/l c. Associated with hoarseness 1. 7 mmol/l 19. Cranial CT scan or MRI scan d. Lymphopenia c. Weight gain 20. Oral glucose tolerance test (OGTT) 21. 6 mmol/l d.

obese with uncontrolled htn . 4. Decreased protein in his diet b. Renal artery angioplasty b. S 3 e. Control sugar intake in the diet e. Which of the following is MOST probable cause: a. Papillary muscle dysfunction c. An obese patient with diabetes mellitus is under anti-hypertension treatment. Cardiac ejection fraction was 55%. Concurrent hypertensive therapy c. Antihypertensives d. 5.com/radio/topic600. 6 mmol/l b. His blood pressure is 160/100mmBg on examination. In a patient with myocardial infarction was found a new systolic murmur on examination. Give diuretics d. 5 mmol/l d. 4 mmol/l . A young woman has hypertension with fibrosing stenosis of renal artery (60%) which of the following is the MOST appropriate treatment: a. Palpitation increased S 2 in apex d. Arteries dilation drugs a) Renal art angio as per emedicine http://www.5 mmol/l e. Ideal weight cuz of the word initial i went through the answers more than one time he is diabetic .b. Tricuspid valve regurgitation D) PMR 4.htm 5. Which of the following is your INITIAL consideration for this patient: a. S 1 increased c. ACE Inhibitors c. At which level of cholesteral you consider to give lipid-lowering statins (eg. pravastatin) a. Aortic regurgitation b.5 mmol/l c. Diuretics e.i need input of the other members plz in that quest 6.after that reading of his blood pressure i think the correct answer would be b) but u never know .emedicine. Papillary muscle rupture e. Presystolic murmur D) S3 3. Mitral valve stenosis d. simvastatin.

ucsf. Which of the following is THE MOST LIKELY diagnosis: a. Pulmonary ventilation perfusion mismatched on pulmonary scan e. Hypolipoproteinaemia ts commonly associated with hyperlipidaemia type 2 not sure which one of those but i would choose b) need some help in that one 8.5 7. Chest PA X-rays b..5 despite that the new aussie guidlines have more details that that but i would still choose 5. Monocyte c. Familial combined hyperlipidaemia c. Find TB bacillus nothing is most characteristis really but finding a TB bacillus is very exclusive i think http://medicine.edu/housestaff/Chie. Which of the following group is LEAST LIKE of infection of HIV: a. Pulmonary Doppler c.. Glucose decreased or absent b. typically intercourse. Which of the following examination supports the diagnosis of pulmonary thromboembolism: a._fluid. Homosexual c. Heterosexual b. Which following group is the MOST at RISK OF HIV infection: a. Familial hypercholesterolaemia b. Patient with coronary heart disease and xanthoma along the Achilles tendons. Remnant removal disease d. Blood transfusion e. Blood gas d. Blood Transfusion c. Intravenous drug user d. Protein <2g e. Anal-receptive intercourse poses the highest risk 11. Lung function measurement D) V/Q 9. Heterosexual b. Blood stained d.pdf 10. Haemophilias b) homosexuals as per merck The sexual practices with the highest risks are those that produce mucosal trauma.b)5. Homosexual . Which of the following is the MOST COMMON characteristic of pleura effusion of TB: a.

S 3 //////////////////// . liver and spleen enlargement. PT c. A patient has a mitral valve stenosis – all of the following signs are correct EXCEPT: a. tetracycline c. There is no specific treatment e. all followings are correct EXCEPT: a. Arbovirus b. S 1 increased c. A farmer has suddenly had undulant fever for 2-3 days with abruptly headache severe myalgia. Which of the following is the diagnosis: a. Erithromycin e) Erithromycin A patient with acute myocardial infarction used heparin. AF b. Fibrinogen 2.com/emerg/topic883. ARTT //////////////////// d. Air droplet infection i think it was mosquito bites not droblets so e) is my answer 15. Blood Transfusion 13. Yellow fever c.htm 14. Dengue fever. Malaria e. Mosquito transmission c. BT b. Leptospirosis d. Haemodialysis e.d. Anthrax a)brucellosis i had to dig hard for that answer check http://www.emedicine. INR e. Palpitation increased S 2 in apex d. which of the following methods is used for monitoring: a. Metronidazole e. jaundice and petechial rash on the skin. Haemophiliacs b. cotrimoxazole b. Amoxycilline d. A patient with mycobacteria infection which of the following is most appropriate treatment a. Children get least severe illness d. Brucellosis b.

Remnant removal disease d. Arteries dilation drugs 5. Which of the following is the MOST COMMON characteristic of pleura effusion of TB: .5 mmol/l ///////////// c. Familial combined hyperlipidaemia c. Papillary muscle dysfunction c. 4.e. Tricuspid valve regurgitation 4. Mitral valve stenosis d. Control sugar intake in the diet e. Renal artery angioplasty ///////////////// b. Papillary muscle rupture //////////////// e. An obese patient with diabetes mellitus is under anti-hypertension treatment. Chest PA X-rays b.5 mmol/l e. His blood pressure is 160/100mmBg on examination. 6 mmol/l b. simvastatin. Which of the following is your INITIAL consideration for this patient: a. pravastatin) a. 4 mmol/l 7. A young woman has hypertension with fibrosing stenosis of renal artery (60%) which of the following is the MOST appropriate treatment: a. Aortic regurgitation b. Decreased protein in his diet ////////////// b. Which of the following examination supports the diagnosis of pulmonary thromboembolism: a. At which level of cholesteral you consider to give lipid-lowering statins (eg. Antihypertensives d. 5 mmol/l d. 5. Concurrent hypertensive therapy c. Ideal weight 6. Patient with coronary heart disease and xanthoma along the Achilles tendons. Hypolipoproteinaemia 8. Pulmonary Doppler c. Which of the following is MOST probable cause: a. Pulmonary ventilation perfusion mismatched on pulmonary scan /////////////// e. Lung function measurement Contagious diseases 9. Diuretics e. Which of the following is THE MOST LIKELY diagnosis: a. Presystolic murmur 3. Give diuretics d. In a patient with myocardial infarction was found a new systolic murmur on examination. Familial hypercholesterolaemia /////////////// b. Blood gas d. ACE Inhibitors c. Cardiac ejection fraction was 55%.

There is no specific treatment e. jaundice and petechial rash on the skin. Monocyte ( lymphoctosis)///////////// c. Amoxycilline d. Heterosexual b. Haemophilias 11. liver and spleen enlargement. Glucose decreased or absent b. Yellow fever c. Normal cortisol. decreased TSH d. Air droplet infection /////////////// 15. Intravenous drug user d. Increased cortisol . Blood stained d. Protein <2g e. Haemodialysis e. Both cortisol and TSH decreased c. Metronidazole e. Blood Transfusion ///////////////////// c. What is compatible with critical illness: a. Erithromycin ////////////////////// 16. Brucellosis b. all followings are correct EXCEPT: a. Children get least severe illness d. Heterosexual b. Which following group is the MOST at RISK OF HIV infection: a. A farmer has suddenly had undulant fever for 2-3 days with abruptly headache severe myalgia. increased TSH /////////// e. Mosquito transmission c. Blood transfusion e.a. Homosexual d. increased TSH b. Malaria e. Which of the following group is LEAST LIKE of infection of HIV: a. Increased cortisol. Haemophiliacs 13. Leptospirosis ////////( this scenario mixes both brucellosis and leptosiprasis. Anthrax 14. increased TSH . Find TB bacillus 10. tetracycline c. but no jaundice and rash is there) d. Dengue fever. Arbovirus b. A patient with mycobacteria infection which of the following is most appropriate treatment a. Which of the following is the diagnosis: a. cotrimoxazole b. Homosexual ////////////( 1:50-150) c. because undulant fever and splenomeagaly is in brucellosis . Decreased cortisol.

Associated with hoarseness Thanks guys. Single nodule b.Which following patient is LEAST LIKELY to suffer primary hypothyroidism: a. SERUM T4+PRL+growth hormone level e. 65 year old female with goitre////////// b. A 65 year old man has ‘bulk” diarrhoea with “oil”. 7 mmol/l 19. Weight gain 20.Side effective of corticosteroids including all the following EXCEPT a Lymphocytosis ////////////////////// b. Abdominal X-ray d Ultrasound e Enema ( ans should be feacal fat for malabsorbption)************** 18. 17.For an elderly man. which above following blood sugar level need further investigation a. X-ray of pituitary test c. B 12and folate 22 Patient has a single lump on one side of the thyroid. Cranial CT scan or MRI scan d. all following situation s suggest malignant EXCEPT a. He drinks alcohol for many years .thick spade-like hands and seborrhoea and coarse oily skin. 32 year female with anaemia unresponsive to iron. US showed a solid nodule c. A 65 year old man has ‘bulk” diarrhoea with “oil”. Insulin-glucose b. 6. Lymphopenia c.5 mmol/l e.. Associated with increased serum thyroglobulin f. A patient has headache.17. 5. Osteoporosis e. 6 mmol/l d. 28 year old female with 3 years menorrhagia d. He drinks alcohol for many years . Thyroid scan show “HOT’ lump ////////////////// e. Which of the following is your investigation . prominent supraorbital ridge prognathism teeth spacing increased. Oral glucose tolerance test (OGTT) (GH+OGTT)/////////////// 21.5 mmol/l /////////////////////// c. 18 year old boy with relative less age e.I ve got just 2 diff. Which of the following is your investigation a IV pancreagraph b Endoscopy pancreagraph c. 35 year old female with depression c. Which of the following is BEST investigation to establish diagnosis: a. 5 mmol/l b. Hirsutism d.

Saturated fat more than the unsaturated fat in the diet d. no blood. Sjogren’s syndrome e. 6 mmol/l d. A 28-year-old policeman on sulphasalazin therapy for ulcerative colitis. 18.. which above following blood sugar level need further investigation a. Aspirin can caused b. If pancratic enzyme was there would be the answer. Smoking 28. Broad spectrum antibiotic like amoxicillin c. Which of the following is MOST RELATED to adenoma/carcinoma of the colon: a. Low fibre diet c. Abdominal X-ray ***** d Ultrasound e Enema Its most likley Ch.9C. 6.For an elderly man. Eradication of HELICOBACTER PYLORI for duodenal ulcer: a. Decrease rate of gastric lymphoma d. Influence relapse rate c. Rheumatoid arthritis c.. Psorisis 25. Decrease cimetidine dosage 26 A young patient comes from overseas with diarrhoea. Ankylosing spondylitis d.Not definitive dx. Observation and repeat stool examination 3 days later b. 7 mmol/l indication of GTT More thoughts welcomed 23.So x-ray for any calcification . 5 mmol/l b. What is your management: a.5 mmol/l e.a IV pancreagraph b Endoscopy pancreagraph c. Reiter’s disease b. Right hypochondrial .Pancreatits.. Reassure 27.5 mmol/l c. Trimethoprine plus sulphasalazine d.. Uveitis is MOST COMMONLY found in which of th e following diseases: a. Increase ulcer healing rate b. Alcohol f. Temperature 37. Cotrimoxazole plus trimethoprim e. stool examination showed few Salmonellas. 5. Decrease local gastritis e.

Increased transferrin e. Alcohol liver disease c. Present liver cirrhosis b. Chronic disease c.pain. Dupytren’s contracture HAEMATOLOGICAL DISEASE 31. Bilateral abdominal varicosis c. Increased total iron binding capacity d. In anaemia patent with increased transferrin. Sideroblastic anaemia e. phosphatase increased. Ascitis a. Patient with supposed hepatoma. Thalassemia major b. Haemolysis . Family history of liver hepatoma 30. Cholangitis e. _______ b. Sclerosing cholangitis d. All of the following is correct EXCEPT: a. Iron deficiency d. Increased serum ferritin b. Peri-oral teleangiectasia d. All following are correct EXCEPT: a. Side effect of sulphasalazin c. Decreased serum ferritin c. Primary biliary cirrhosis b. SGPT and alk. bilirubin mild increased. Acute viral hepatitis 29. Acute hepatitis d. SGOT normal and liver aminotransferase enzymes normal (?) which of the following is THE MOST LIKELY diagnosis: a. Jaundice and palmar erythema e. Which of the following questions is MOST helpful for diagnosis: a. Cholangitis e. An anaemic patient with increased transferrin. Decreased serum iron 32.