National licensing exam 2011 first round medicine MCQ

1. First line treatment for PID( inpatiant) a. ceftra + metro b. cefotetan +doxy c.ampicillin +
gent
2. Management for CO poisoning
3. PID ( case asking for diagnosis)
4. WHO growth curve
5. What is the age( if the child can wear with help, go upstair ,know his age and gender, feed
himself) a.2yrs b.3yr c.4yr
6. Case asking for acute bacterial rhinosinitus
7. Case asking for PSGN complication
8. Best diagnostic modality for loculeted pleural effusion a.CT b. PA CXR c.lateral CXR d.chest
U/S
9. Dm screening method in pregnant mother a. 50g glucose tolerance test b. 100g po tolerance
test
10. Best time to start fetal survalaince in DM mother a. 26 b.32 c.33 d.36
11. Type of epidemics a. mixed b. propagated c.continues common source d.common source
12. Which study design is best for rare occurance a.cohort b.case control
13. Case control
14. Ulnar shaft fracture + radial head dislocation a.galazzie b.montagia
15. Strangulated SBO( hx suggest SBO + mild tenderness around the umblicas)
16. First management in pt SBO.
17. Gunshot case …protruded Bowel .what is management a. conservative b. explore c. local
exploration under local anesthesia
18. Pelvic trauma …after 4bag of crystalloid still BP <90/60 what is next a.send for CT b. transfuse
whole blood c. more crystalloid
19. 20 yrs old young presented with sudden onset of scrotal pain of 3hrs, cremastiric reflex absent ,
pain exarcabate with elevation what is next a. explore b. send for Doppler c. antibiotics and
analgesic
20. 24 yrsold present with rummy nose, low grade fever , cough ..P/E erythmatous nasal fold . what
is management a. reassurance
21. Complication of parapneumonic effusion.. it was tapped and frunk pus
a. Thocacentesis b. thoracostomy
22. Hx suggestive of Acute pyleonephtritis: U/A leucocyte +ve , nitrite +ve ..antibiotics of choice
a.cephalexin b.cipro c.cotrimoxazole d. amoxicillin
23. Acute otitis media,Antibiotics a.augmentin
24. Case asking Tb lymphadenitis
25. 65yrs old male known asthmatic pt presented with recurrent attack of Right middle lobe
pneumonia … he is alcoholic, he smoke 30 pack yr,
What is the top cuase of his recurrent pneumonia
a. Asthma b. airway obstruction c. immunocompromise
26. 24 yrs old para I on her 4th post op( CS) day presented with sign and symptoms peripartal
infection .. labor stays 28hrs and rupture of membrane is 20hr
What is the single most important cuase of her endomtritis
 a. CS delivery b. prolonged rupture of membrane c. multiple digital exam c. prolonged
labor
27. Cause otitis media in Swimmers
a. Pseudomonas b. S.aureas c.streptoccocos d. E.choli
28. Nasal bleeding from anterior plexus case ….bleeding doesn’t stop after cuatery ..what is next step
A. Anterior nasal Packing b. Embolization c. surgery
29. Stage IIA cervical ca mgt a. radical hysterectomy c. radiation therapy c.
30. 34yrs old women unable to concise for the last 4yrs 1.which investigation you sent first U/S is
normal
a. Follicle stimulating hormone b. progesterone c. salpingohysrogrphy d.CT
31. 50yr old with breast lump …swelling in the right upper outer quadant, involve the skin ..what is
the minimum stage
a.IIIA b. IIB

32. pt with head trauma scalp laceration sutured with lidocaine . What is the earliest sign lidocaine toxixty

A. SEIZERU B. DISOREINTATION C.SLURRED SPEECH D. tongue

33. bilateral submandibular swelling………..luwding angina

34. 50yr old male presented with painless preauricular swelling w/c is mobile,firm ,non tendor

A. PLEOMORFIC PAROTIED ADENOMA B. PAROTID CA C.WARPHir tumor of parotid D.

TUMOR OF THE

PAROTID

35. Case Diabetic retinopathy: w/c needs urgent referral to ophthalmologist

A. Neovascularization B. Retinal aa narrowing C. Hemorrhage D. Occular spoting

36. A 25yr old pt presented with loss of vision 5 days duration BP=170/110mmhg w/c of the ff is save his
vision if managed first

A. controlling sysytemic BP B. decreasing ICP C. Refer to ophthalmologist

37. Case of s.malaria with COMA + p.falcifurum

A. COMA CARE +ARTISUNATE+ANTIBIOTICS

B.COMA CARE+ ARTISUNATE

C. COMA CARE+ QIUNINE

D. COMA CARE+ ARTHEMETER

38. A 12wk pregnant mother wants go to malaria endemic area. w/c prophylaxis you prefer

A. Doxycycline B. Quinine C. chloroquine D. Mafloquine

39. A 9 day neonate surgery was done for meningocele,afer 4 day he presented with bulged

fontanel,incrseaed H.C ,sun set appearance

A. Hydocelaphalus . B. Meningitis

40. 20yrs male pt fall from 10m high ,presente with head CT Showed brain contution. After 4 days he

developed persistent head beside analgesia ,vomiting .P/E no focal neoroligic deficit, he has

bradycardia and irregular respiration

A. ICP B.brain herniation C. Subdural hematoma

41. A 30yr old known RVI pt presented with fever,head ache 15 days duration. CT normal,CD4

100,CSF –opening pressure 200,glucose 20,protein 100,WBC 100. The most likely DX

A. Toxoplasmosis B.Cryptococcus C. Bacterial meningitis

42. Newly RVI DX pregnant 3wks back mother gave birth to neonates , she is on HAART 3wks back

43. a 7 YRS OLD MALE PT partially treated meningitis presented with same complain . CT shows 2x2
enhancing lesion on frontal lobe. What is mgt

A. Cefrtiaone +vaco+metro

B. Ceftra +vanco

44. An 19yr old female presented with the complain of amnorrhea of 2month duration after she got
pregnant from her brothers close friend without her willing. What is legal base to terminate?

A. Rape B Incest C age

45. A60 yr old known hypertensive on HCT and strict diet modification presented to OPD. On PE BP is
159/100mmHg. What is next plan?

A. Increase dose of HCT B. salt restriction same dose of HCT C, HCT +Amilodipine D. Enapril

46. Safety triangle case

47.Case of lefort fructre

48. A45 yr old female presented complaining with failure to close her mouth that occur after yawing.
What is the Dx

A. TMJ dislocation B. Mandibular fracture

49. A 13 day old male neonate presented with right leg and thigh swelling. PE swollen right thigh and leg
with limitation of knee joint. DX
A. septic arthritis B myositis C. Pyomyositis

50. A 20 yr old male pt presented with complain of preiumbilical pain of 4days wich shifted to RLQ later.
He treated with antibiotics .PE 4x5cm firm slightly well demarcated mass

A appendiceal mass B Appendiceal abscess

51.perforated PUD case

52. testiculat torsion Case

52 which is not routine in basic neonatal care

A. suction B, breart feeding, C TTC

53.Neonatal sepsis Case

54. Case of apnea of prematurity

54. Neonatal hypoglycemia with Seizure mgt. Ten percent glucose 4mg/kg then 10% glucose
maintenance

55. A 30yr Fe pt presented with diarrhea vomiting abdominal pain of 20days. Lab Na is 120meq/mol

What is the cause of hyponatremia

A. vomiting B. Diarrhea

56. Lab K 3meq/l what is abnormality

A. hypokalemia B hyponatremimia

57 case of acute pyscotic disorder

58. case of post truomatic depression

59. A25 yr old para II mother who is on levothyroxine presented with hypothyroid symptoms

Lab TSH is 6(high) what is mgt

A. increase levothroxine B. PTU

60.Which antipsychotic drug needs regular TFT checkup

A. Lithium B.Sodium valporiate C. Carbamezapine

61. Side effects of anti depressent

62. Pt presented with tonic clonic sz of right side of the body late involved whole body, loss of
consciousness. What is Dx

A primary seizure B. secndory generalized C. status epilepticus

63.Gardiasis Rx A. Tinidazole B. paromycine

64. pt presented bloody diarrhea + vomiting , S/E: puss cells

what is Rx

a. ORS + cipro b. albendazole c. ORS alone

65. case of brief psychotic disorder
66. Delirium, case
67. Case of vaginal candidiasis .. What is treatment?
68. 34wks pregnant mother come for ANC, no bleeding and other complain. U/S shows placenta previa
Totalis.. plan
a. do CS at 37weeks b.do Cs at 38 weeks c. wait for labor
69. 20yrs old mother comes with pushing down pain,p/E membrane intact, cervix 6cm , contraction
3’10’35’’ what is Dx a. latent b.active first stage c.2 nd stage
70. 24yrs old female presented with pushing down pain
P/E on digital examination you palpate mouth and the chin is toward the rectum
What is the presentation
a. mentum anterior face presentation
b. mentum, posterior face presentation
c. mentum anterior brow presentation
d. mentum posteriot brow presentation

71. 20yr old male presented with perianal pain and fever P/E … there tender, indurated mass on the
posterior part of rectum ..what is management

a. I and D b. antibiotic analgesic with close follow up c. Send home with Po antibiotics

72. 3month baby presented with recurrent vomiting, significant weight loss .P/E visible peristalsis with
palpable mass on epigastric area … which investigation do you send first

a. abdominal U/s b. plan abdominal X-ray c. barium enema D.CT

73. 40yrs old presented with abdominal pain and melena .Which of the following the best investigation to
confirm a.sigmodoscopy b. colonoscopy c.CT d. Endoscopy

74. Case DVT in post operative

75. HIV with DVT management

76. Case of CHF….which of the following drug decrease progression of disease in CHF

a. Beta blocker .b. digitalis c. loop diuretics c. calcium channel blockers

77. 7yr old male pt presented with swelling on un erupted upper canines…it was tapped and mucus
content
Management a.mursupilization and follow b. dissimpaction c.enuclation

78. 21yrs ol male pt presented with swelling and pin on the 3rd molar. On exam there un erupted wisdom
teeth ,tender ,swollen .what is management

a.antibiotics , analgesic + follow up

79. Drug reaction case ( see type of drug reaction like fixed drug reaction, TEN, Erythema multiforme )

80. case of cervical insufficiency

81. the neonate borned at 32weks and wt 900g …diagnosis

a. preterm + extremely very low birth weight