5. ‘S70 ®) 'A.28 year ol parson wits history of visting fresh flowers shop ooy 4, Fa reat od pareon tat rc papal and wheale on Ms tace rd forthe via 4 ~ eon You think he haa. Sxtremitios within stow Wien type of hypersens! @ ones oe C. tpes actinic terse picermal news Speier meus Biopsy of a skin nodule sn ule shows atypical squamous calla Shin nod anid Keratn peat. ‘Me following fs the most potent Fak factor or te Weslen Which one. A. chronic dermatosis B. chronic infection dysplastic nevus UV radiation A newborn is diagnosed as congenital rubella syndrom: sical tad of above syndrome? Which of the following are included in the cl A. Cleft palate, cataract, spleen enlargement B. Hydrocephalus, cleft palate, Patent Ductus Arteriosus Hydrocephalus, Patent Ouctus Arteriosus, cataract Microcephaly, Patent Ouctus Arterlosus, cataract "A 15 years old boy has painful lytic lesion on the upper end of tibia . He Is ‘suspected to have osteo sarcoma. Presence of which one of the following wil be a hallmark for this diagnosis? A. location on tibia atypical round cells B C, Iytic bone malignant osteoid paia in the leg Skin biopsy In a 60 years old patient shows subepidermal bullae and mixed with eosinophils, ‘ows linear positivity for IgG and C3 in basement infiltrate Immunofluorescence studies sh membrane zone (BMZ)- What is your diagnosie 7 allergic contact dermatitis bullous pemphigoid C. dermatitis herpetiformis O. epidermolysis bullous E. pemphigus vulgaris A12. revealed atypic nucle. “YPeAl et What is the diagnosis? 1on In alze with Myperch ‘ay vorate AL chond ondrablastoma 8. hontioma 2 chondromyxoi 3 GS Srendionrona E. chordoma 8 Aas 438 Yos old man reer wth sary cle Diney snowed GHC elserma, wih cng fe are ard pone What fs the chagnoaiay Co comy. nnmrated BY seuitrophi: daar: A. discoid lipus B. lichen planus lichen simplex b: & psoriasis ‘A -40 yrs old patient ys old patient noted an enlarging black colored nodule on his hand. The biopsy proved ito bea malinant malanoma resence of which one of the following features favors a diagnosis of said nancy over a benign nevus? A. Smooth surface Ieregular borders Melanocytes D. Symmetrical shape E. Uniform pigmentation tuberculosis presented with high 40. A 43 yrs old woman suffering from pulmonary A sje ever, pain in back and legs. Her MRI showed collapse of vertebral ciacs- What is the most likely diagnosis? A. Osteomalacia B. Osteoporosis Paget's disease Potts disease 41, G12 years old boy presents with painful swollen leg: He Is suspected to have Ewing sarcoma. Which one of the following is characteristic of this tumor? ‘A. origin from metaphy: B. osteoid on histology s triangle presence of Codman's © Prmestnater ct ‘42 yrs old boy presented with swelling on lower end of femur. Biopsy showed Denign trabecular bone capped by cartllage. What is the diagnosis? chondroblastoma Chondroma A B, oO osteochondroma osteoid osteoma E. osteoblastomaallersie contact dermattis lous pemphigoig C- dermatitis nerptitorms epidermolysis bullous Pemphigus vulgaris A. bordertine lepromatous (81) borderine tuberculoid 7) CB msermate pry (9) lepromatous leprosy (Lt) E. tuberculoid leprosy (77) 15. Keprony ls chronic Inlectous disease of varying severity, usually Involving {Rerves and skin, caused by Mycobacterium pray {Wich one of he following Is characteristic ofthe organism? ‘cannot be cultured atti facultative anaerobe © gramnegative ©. grows at37c strongly acid fast organism 16. An emaciated, nondiabetic, 60 yrs old wom: resented with polyuria, Her labs Which one of the folowing is the cause ot her pokvurce @ eateuria ahcosurs ©. provenura D. ureotune 17. A young male patient ts suttering from bone lesion. His ALP abnormally high. Hls liver function fs normal, Which one of the following Isoenzyme of ALP would you lke to order? up Awp2 Caps O. aps E as 18. A 36 yrs old femal beter medical OPD of ANMG hospital with cio pain, rode’ stiffness and deformity of Joints for the last twe Yrs. She also had skin nodules, What Is your diagnosis? GAY ewnats ns ve 8. Gouty arthritis C. infective arthritis D. osteoarthritis20. 21. 22. ‘crtopedic OPO of ALaNG Hospital wit clo dene A £0 yre ois Achy ain in enee fa lientation of range of Which one of the tonoumen Sse oc E, osteocytes. 8. Which of the fot the following Is the most likely microbe responsible for this patient's symptoms? B) corretia B chimydiea G tashrons B._tycobecterum E nchcusis A At-year old man, who works ass rodent handle . 8 a rodent handler presents with skin cash, headache, and fever. Physical examination shows maculopapular rash on. tana ‘azo present abdomen Vasculitis due to capillary endothelial cell dam: ni age Which one of the following pathogens Is responsible for this dis 30? A. Borrelia burgdorferi B. Chiamyaia psittact C) Rickettsia typhi B. Toxoplasma gondii A 67-year old man has leg pain for the last § years. He als the last 2 years. A bone biopsy shows a mosaic ith increased osteoblastic and progressive hearing loss over pattern with prominent cement lines along wi complains of ‘osteoclastic activity. What is the diagnosis? A. Amyloidosis Multiple myeloma B C. Osteogenic sarcoma Q. Osteomalacia E) Paget's disease °F postmenopausal woman fractures her hip after slipping on @ sidewalk. An X-ra} ia. A bone biopsy reveals attenuated bony tral Serum calcium and phosphate levels 21 shows generalized osteopen and a normal ratio of mineral-to-matrix. normal. F What will be the pathogenesis of this disease? impaired mineralization of osteoid ARease-modtying anticheumatic drug: it can show anti: Noe So Wh of the following active metabolite? » case of gout 2 Te Rt few druge ts an ents to the OPO with history of ths He ATRL SY Wench ot ove Renonng spent that acts by binding > ~ the OFO for chronic Backache, She has no co- moti and oes moe J defck in the extremities. The physician Soca moan acs ns an agonatat alpha-2-recoptors ta Page 6 of 11AS.Ye2 9d female presented in medical OPD with complaints of general. muscle weakness, easy fatigeanye drooping of both the eyelids and eerie a Frolonged reading for the past? monte A CT scaffipl the chest showe ‘thymoma. , ‘What is the underlying mechanism of this disorder? A disrupted muscle innervation 5D) formation of ant acetylcholine receptor antibodies ‘mutations inthe dystrophin gene Duce atrophy due to prolonged dius of mules 28. An 8 years old boy presented in pasdlatrc OPD with difficulty in walking, muscle NeENesS and dittcuny in climbing stat Go ‘examination, he had proximal waekness Sf pectoral and pelvic girdle muscig Waddling gait and apparently enlarged calf muscles, ‘Which of these investigations shouldbe caried out to Confirm the diagnosis 7 A. autoimmune profile serum aitaine shosphataze lve! Sy serum creatine kinase level o 28 fongnased a8 having Bol's Palsy by 9 sf ecraed Nstory of presenting complatnee patient Yul vesicular rash in his ear singe haere 8 Niehof the folowing vita intectons prediepsaen ie ‘Such disorder? ‘A. Herpes simpler C. Mottuscum contagiosum D varicets E 21. A 40 yoars old femalo jtcominal distension and menstrual lrregutarty tor last 6 rm ine mass whieh was eosinophilic spindle cells which inte ed nucle, What is the diagnosis 7, AL hemangioms B) leiomyoma ee pares eee ol pated i compan ooh pace ere, gearing Fe tty Macser rou ne eee ca comm Iymphadenopathy Ponsa ed fin eres te esc ioe eebay Pg ative. " fz fhe folowing al ifcton she ste to Ge.) Epstein Barr virus BP Herpes simplex! C. Human papitioma virus D. Measles vies E. Smallpox viusaminoglycoside antibiotic, 7 Which of the following groups of bacteria does this class df drugs cover? A 5 Gram eve baci Aerobic gram ~ve bacter TC. Gram-ve cocci D. Obligate anaerobes E. Facultative anaerobes 35. A drug that Is administered orally for the treatment of infections by dermatophytes he 38. we ,, 38. Nystatin Griseotulvin Clotrimazole Miconazole E Fruconazsle The antidote that may be of great benefit in early management of acetaminophen’s liver toxicity ts oo) Q) sacervieysteine mow E. Prabdonime aan jar old woman presents with sla and symptoms of rhaumatald arte Which of the folowing i the most eampeling Teason in her htar fr avelding the use of clacoxib the Weatmont other aris? eral tr ite Aspirin toxic re ale sutlere rom made Me yes a excretion when infused wth icity; he may be managed by inhibits the production sibed an ant-gout drug that sme xanthine OXG38®. ost ikely preserbed prese Suifinpyrazon€complication of chicken pox me Reye's syndrome inaccurate dose of spin Respirator fa a. ater a)> 3 2 ver failure Respiratory Falure Hemorthage Pulmonary edems Hch Fug Is associated with hypotension Diazepam Pancuronium Tubocurarine Yecuroniam Teanidine ‘Or the treatment of referred Bar gmool a Amphoterk Vorconaiole Posaconazole lraconatale E._ketoconatole the nooner a Ire car accident, ured wre brought for treatment to Lhe hospital. Which one of following i wuss ee “ beeen! was brought othe ER with the tory of hea nary wich was found to conaminter coup Injury. Counter coup injury Ye sean ne the folowing condition? Head injury dve to ficearm Injury t0 the fed head SG. electrocution DJ Head injury due tofat E. When cricket ball hits the stationary head 46. & patient Is brought to the hospital, Ralivay spine was observed regandng “Railway spine54, 55. Puslistic attitude Wy Soot particles in the air passage ‘ Kerosene smellover the oat Blisters present over the body Backening ofthe whole body A person has been stabbed by on right side of abdomen, umbilicus. ‘cribe this injury according to Qisas and Diyat Act: moo@b> Jurh-Ghayr-Jaifah Hashimah moog > Qalt-Shibh-Lamd Qatl-ikhata Ofpa >flowers shop develop, \siting # fresh S28 year old pore with a history of vi ls On his face and dint, erythematoun, eaenmon vad Peeper caren Wanton within a few hours after the via “ire nl Wien type of hypersensitivity reaction do you A pea 8 typea Dynes 48 year old boy hay taareiide Founded plamented lesion on the forehead. The 3 maeeet 18 uniform and margine are emoste Blopsy shows benign nests of Mrelanceytes in the dermis, Squamous cells and keratin pearis, Potent risk factor for this fealon'? A. chronic dermatosis chrom intection Serotec news 2. Unsutce Wek ara Sisaroved a8 congenial rubelia. 1yndrome, ‘ofthe following are incided in thea, alate cataract. spleen enlargement Srerahs cle palate, Patent Ovctus Artericus ot DuctusArteriogus, tent Duets Ateriosus, cataract 2 eotnas Painful Iyte lesion on the 2 hanmarsforhav@ osteo sarcoma. "Proven co Which 2 hallmark for this diagnes PP er end Of tibia. He is . ‘one of the following will ue paren POM Subepidermal buitas and mixed em ereSCONCe studies sho 208inophits, — ws linear positivity for 196 ang C3 in basement mem ron (MZ) 4's your diagnos”