You are on page 1of 18

Thumbs Up Amc medical council AMC MCQ 1 exam 2010 questions download 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?? A. she should refrain from seeing pt. until she is asymptomatic B. she should take specialist review C. you should contact the medical advisory board

Pain in upper abdomen which is now constant in the epigastrium. B. sciatic n E. what do you do? A. A badly injured patient who takes anti psychotics is on the verge of collapse. D. Pain B. Change of colour C. Hypercholesterolaemia C. which nerve regenerates most after taumatic laceration? A. Dx? A. What will be the first S/S when a plaster is too tight? A. (these were the exact words). pancreatitis B. Dx? A. Haemorrhoids 17. Median n. with ca rectum? A. 13. Ca large gut 15. What is the most common association of childhood obesity in Australia ? A.10. He has fever and has lost 6 kgs of weight recently. A patient came with 12 hr H/O severe vomiting. ac. but he is violent and refuses all treatment. There is rigity and guarding in the abdomen. Crohn disease B. Meckel diverticulitis C. DM D. Crohn dis B. Ca rectum D. on probing there was a track discovered which extended in the rectum for 15 cm. Common peroneal n. DX? A. A pt came with an ill defined mass in the RIF and loose watery stools. cataract 11. Stiffness 12. C. Above average height B. Perforated DU C. ulnar n. UC D. A patient came with a pus discharging bead at 5 o'clock position at the anal verge. A patient opens his eyes to pain. Ankylostomiasis C. perforated GU 14. Swelling D. withdraws to painful stimulus ans is unable to answer ant . Most common S/S assoc. Digital n. altered bowel habit and tenesmus 16. restrain him and treat 18.

An old man who suddenly collapsed was unconscious for three minutes following which he recovered fully. LBBB 20. he is black as he is from suddan & he was give sulpha containing medication 7. What advice you will give him regarding driving in the future? http://www. DX? 1.austroads.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. 10-12 C. He has left hemiparesis and left homonymous hemianopia. 7-9 B. Picture of perianal haematoma. He refuses to carry weight on that leg.questions. could be excluded easily OM should be excluded as per AMCQ book . His Coomb's test was negative. he hardly moves the leg and does not allow you to move it either. D. Which could possibly explain his situation? A. Mn? incision under local 5. his reticulocyte count was 8%. Complete HB D. 2nd deg HB C.EBREV1. 3-5 C. 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. What could be the dx? A. OM of femur **** C.au/aftd/downloa. Septic arthritis of hip B..A piicture of Dupuytren contracture.com. 5 ECG rhythm strips given. HB B. 1st deg. 13-15 19. commercial driver has had a recent stroke. no family history and on electrophoresis Type A hb was detected. E. Cause alcoholism 3. What is his GCS? A. What is the Dx? G6pd. One ECG which has digitalis effect on it. A 60 yo man. A boy came with fever and pain in the right leg.. VF D.

not sure why 13.i would go for Acute pancreatitis cuz there s no shoulder tip pain. perforated GU all of them can have these symptoms. Median n. anorexia. ***** D. Perforated DU C.age of pt . Above average height B. and weight loss. ac. 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. ulnar n. Hypercholesterolaemia C. Pain ****** B. What will be the first S/S when a plaster is too tight? A. and a mass or fullness may be palpable . B.10. Stiffness if there a discomfort option i would have choosen it 12.which way of sitting that help the pt relief the pain.previous history . sciatic n E. C. Pain in upper abdomen which is now constant in the epigastrium. He has fever and has lost 6 kgs of weight recently. What is the most common association of childhood obesity in Australia ? A.nothing said about bowel sounds 14. Digital n. Meckel diverticulitis C. cataract dont know at all.its missing some info. which nerve regenerates most after taumatic laceration? A. A patient came with 12 hr H/O severe vomiting. Dx? A. Common peroneal n.any help plz 11. A pt came with an ill defined mass in the RIF and loose watery stools. DM D. UC D. fever. Change of colour C. Dx? A. pancreatitis B. Swelling D. There is rigity and guarding in the abdomen. Crohn disease B. The abdomen is tender.

fistulas may even extend to the skin of the anterior abdomen or flanks. Haemorrhoids crohns diz merck says Abscesses are common. Independently of intra-abdominal disease activity. or psoas muscle.16. 13-15 eye on pain 2 withdraw to pain 5 unable to answer quz 1 so 7-9 11. (these were the exact words). 3-5 C. A patient opens his eyes to pain. What will be the first S/S when a plaster is too tight? A. 18. on probing there was a track discovered which extended in the rectum for 15 cm. What is his GCS? A. DX? A. Crohn dis B. swollen copmparment late • paralysis (inability to move limb . including other loops of bowel. Swelling D. 7-9 B. Pain****** B. these complications are frequently the most troublesome aspects of Crohn's disease. 10-12 C. perianal fistulas and abscesses occur in 1⁄4 to 1⁄3 of cases.late) • pulses are usually still present • paresthesias NOT pulslessness . Ca rectum D. the bladder. Ankylostomiasis C. A patient came with a pus discharging bead at 5 o'clock position at the anal verge. Change of colour C. 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. and fistulas often penetrate into adjoining structures. withdraws to painful stimulus ans is unable to answer ant questions.

. they may be asymptomatic and only appear when they become infected in the setting of an upper respiratory tract infection. Aortic regurgitation b. In a patient with myocardial infarction was found a new systolic murmur on examination. but are rare. and anaplastic cancers also have been reported. ARTT d. PT c..like there was never written a mass in midline moved wit hdegulttaion . S 3 e. Medullary thyroid cancers are. ).a lady with sore throat. Mitral valve stenosis d. BT b. however. Papillary muscle rupture e. not found in thyroglossal duct cysts. Like branchial cleft cysts.and i dnt think there is conncetion bw thyroglossal cyst and throat infection ." which consists of en bloc cystectomy and excision of the central hyoid bone to minimize recurrence. which of the following methods is used for monitoring: a. Tricuspid valve regurgitation 4.. Palpitation increased S 2 in apex d. Papillary muscle dysfunction c. Treatment involves the "Sistrunk operation. smooth. Cardiac ejection fraction was 55%. INR e. Hürthle cell. I forgot to mention the relation to infection . A patient has a mitral valve stenosis – all of the following signs are correct EXCEPT: a. Squamous.1 Approximately 1% of cysts are found to contain cancer that is usually papillary (85%). A patient with acute myocardial infarction used heparin.to 2-cm.• most important feature found on physical exam is PAIN out of proportion to injury (the other signs are ‘late signs’) 4. Presystolic murmur 3. although thyroid scintigraphy and ultrasound have been performed to document the presence of normal thyroid tissue in the neck. well-defined midline neck mass that moves upward with protrusion of the tongue. S 1 increased c. AF b. Routine thyroid imaging is not necessary. Which of the following is MOST probable cause: a. Thyroglossal duct cysts present as midline masses of the anterior neck (Figure 25–4. 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.. A young woman has hypertension with fibrosing stenosis of renal artery (60%) which of the . Fibrinogen 2.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.Current thats a good was of practcisng but ur getting most questions statments wrong .

Which of the following group is LEAST LIKE of infection of HIV: a.5 mmol/l e.5 mmol/l c. Homosexual c. Which of the following is the MOST COMMON characteristic of pleura effusion of TB: a. 4. ACE Inhibitors c. Diuretics e. Pulmonary Doppler c. 5. Find TB bacillus 10. His blood pressure is 160/100mmBg on examination. Heterosexual . Lung function measurement Contagious diseases 9. Which following group is the MOST at RISK OF HIV infection: a. Which of the following examination supports the diagnosis of pulmonary thromboembolism: a. Patient with coronary heart disease and xanthoma along the Achilles tendons. 4 mmol/l 7. Glucose decreased or absent b. Blood gas d. Ideal weight 6. Familial combined hyperlipidaemia c. Monocyte c. Blood transfusion e. Protein <2g e. 5 mmol/l d.following is the MOST appropriate treatment: a. Arteries dilation drugs 5. At which level of cholesteral you consider to give lipid-lowering statins (eg. Blood stained d. 6 mmol/l b. Antihypertensives d. Hypolipoproteinaemia 8. Renal artery angioplasty b. Which of the following is THE MOST LIKELY diagnosis: a. Haemophilias 11. Remnant removal disease d. Control sugar intake in the diet e. Concurrent hypertensive therapy c. Give diuretics d. Heterosexual b. simvastatin. Chest PA X-rays b. Familial hypercholesterolaemia b. pravastatin) a. Intravenous drug user d. An obese patient with diabetes mellitus is under anti-hypertension treatment. Which of the following is your INITIAL consideration for this patient: a. Pulmonary ventilation perfusion mismatched on pulmonary scan e. Decreased protein in his diet b.

There is no specific treatment e. Both cortisol and TSH decreased c. 6. increased TSH e. Malaria e. jaundice and petechial rash on the skin. A farmer has suddenly had undulant fever for 2-3 days with abruptly headache severe myalgia. A 65 year old man has ‘bulk” diarrhoea with “oil”.b. Air droplet infection 15. decreased TSH d.For an elderly man. Arbovirus b. Leptospirosis d. Erithromycin 16. cotrimoxazole b. Which of the following is the diagnosis: a. Yellow fever c. A patient with mycobacteria infection which of the following is most appropriate treatment a. 5 mmol/l b. Metronidazole e. Normal cortisol. Brucellosis b. Which of the following is your investigation a IV pancreagraph b Endoscopy pancreagraph c. Haemodialysis e. Children get least severe illness d. Abdominal X-ray d Ultrasound e Enema 18. which above following blood sugar level need further investigation a. Increased cortisol. all followings are correct EXCEPT: a. tetracycline c. Dengue fever.5 mmol/l e. Anthrax 14. Amoxycilline d. liver and spleen enlargement. Blood Transfusion c. He drinks alcohol for many years . Decreased cortisol.5 mmol/l c.Side effective of corticosteroids including all the following EXCEPT a Lymphocytosis . Mosquito transmission c. What is compatible with critical illness: a. increased TSH 17. increased TSH b. Homosexual d. 5. 7 mmol/l 19. Haemophiliacs 13. 6 mmol/l d. Increased cortisol .

Oral glucose tolerance test (OGTT) 21. 32 year female with anaemia unresponsive to iron. Papillary muscle dysfunction c. Cranial CT scan or MRI scan d. 18 year old boy with relative less age e. SERUM T4+PRL+growth hormone level e. B 12and folate 22 Patient has a single lump on one side of the thyroid. Thyroid scan show “HOT’ lump e. Single nodule b. Associated with increased serum thyroglobulin f. A patient has a mitral valve stenosis – all of the following signs are correct EXCEPT: a.b. Presystolic murmur D) S3 3. Insulin-glucose b. Mitral valve stenosis d. Hirsutism d. 28 year old female with 3 years menorrhagia d. INR e. Fibrinogen C) APTT 2. ARTT d. S 1 increased c. Which of the following is MOST probable cause: a. Palpitation increased S 2 in apex d. 65 year old female with goitre b. Which of the following is BEST investigation to establish diagnosis: a. Cardiac ejection fraction was 55%. Associated with hoarseness 1.thick spade-like hands and seborrhoea and coarse oily skin.Which following patient is LEAST LIKELY to suffer primary hypothyroidism: a. S 3 e. 35 year old female with depression c. Aortic regurgitation b. BT b. X-ray of pituitary test c. Papillary muscle rupture . which of the following methods is used for monitoring: a. Osteoporosis e. prominent supraorbital ridge prognathism teeth spacing increased. A patient has headache. In a patient with myocardial infarction was found a new systolic murmur on examination. AF b. US showed a solid nodule c. A patient with acute myocardial infarction used heparin. PT c. Lymphopenia c. Weight gain 20. all following situation s suggest malignant EXCEPT a.

pravastatin) a. Familial combined hyperlipidaemia c.5 mmol/l c. Which of the following examination supports the diagnosis of pulmonary thromboembolism: a. Tricuspid valve regurgitation D) PMR 4. Arteries dilation drugs a) Renal art angio as per emedicine http://www.after that reading of his blood pressure i think the correct answer would be b) but u never know .5 7. Ideal weight cuz of the word initial i went through the answers more than one time he is diabetic .emedicine. Remnant removal disease d. Familial hypercholesterolaemia b. Which of the following is THE MOST LIKELY diagnosis: a. Which of the following is your INITIAL consideration for this patient: a. Hypolipoproteinaemia its commonly associated with hyperlipidaemia type 2 not sure which one of those but i would choose b) need some help in that one 8. 6 mmol/l b. At which level of cholesteral you consider to give lipid-lowering statins (eg. Pulmonary Doppler .i need input of the other members plz in that quest 6. 5 mmol/l d. 5. Antihypertensives d.5 mmol/l e. 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.5 despite that the new aussie guidlines have more details that that but i would still choose 5. Renal artery angioplasty b. Patient with coronary heart disease and xanthoma along the Achilles tendons. 4 mmol/l b)5. His blood pressure is 160/100mmBg on examination. Give diuretics d.obese with uncontrolled htn .e.com/radio/topic600. Decreased protein in his diet b. Chest PA X-rays b. ACE Inhibitors c. simvastatin. Concurrent hypertensive therapy c. 4. Diuretics e.htm 5. Control sugar intake in the diet e.

Blood Transfusion 13. all followings are correct EXCEPT: .emedicine.com/emerg/topic883. Yellow fever c. Monocyte c. Brucellosis b. Blood gas d. Malaria e. Haemodialysis e. Homosexual c. Homosexual d. Heterosexual b. liver and spleen enlargement. Pulmonary ventilation perfusion mismatched on pulmonary scan e.. Which following group is the MOST at RISK OF HIV infection: a. Which of the following is the MOST COMMON characteristic of pleura effusion of TB: a. Blood Transfusion c. jaundice and petechial rash on the skin. A farmer has suddenly had undulant fever for 2-3 days with abruptly headache severe myalgia.c.htm 14. Protein <2g e. Glucose decreased or absent b. Dengue fever. Anal-receptive intercourse poses the highest risk 11. Leptospirosis d. Find TB bacillus nothing is most characteristis really but finding a TB bacillus is very exclusive i think http://medicine. Blood stained d. Anthrax a)brucellosis i had to dig hard for that answer check http://www. typically intercourse. Blood transfusion e._fluid. Which of the following group is LEAST LIKE of infection of HIV: a.ucsf.pdf 10.edu/housestaff/Chie. Lung function measurement D) V/Q 9. Which of the following is the diagnosis: a.. Intravenous drug user d. Haemophiliacs b. Haemophilias b) homosexuals as per merck The sexual practices with the highest risks are those that produce mucosal trauma. Heterosexual b.

Mosquito transmission c. Air droplet infection i think it was mosquito bites not droblets so e) is my answer 15. S 3 //////////////////// e. Concurrent hypertensive therapy c. A patient with mycobacteria infection which of the following is most appropriate treatment a. Give diuretics d. Cardiac ejection fraction was 55%. An obese patient with diabetes mellitus is under anti-hypertension treatment. In a patient with myocardial infarction was found a new systolic murmur on examination. ARTT //////////////////// d. cotrimoxazole b. Amoxycilline d. Erithromycin e) Erithromycin A patient with acute myocardial infarction used heparin. Mitral valve stenosis d. Aortic regurgitation b. Which of the following is MOST probable cause: a. A patient has a mitral valve stenosis – all of the following signs are correct EXCEPT: a. which of the following methods is used for monitoring: a. tetracycline c. Arteries dilation drugs 5. Diuretics e. INR e. Children get least severe illness d. AF b. Which of the following is your INITIAL consideration for this patient: a. BT b. Presystolic murmur 3. Papillary muscle dysfunction c. Fibrinogen 2. ACE Inhibitors c. A young woman has hypertension with fibrosing stenosis of renal artery (60%) which of the following is the MOST appropriate treatment: a. Arbovirus b. Antihypertensives d. Tricuspid valve regurgitation 4. Metronidazole e. His blood pressure is 160/100mmBg on examination. There is no specific treatment e. Palpitation increased S 2 in apex d. PT c. Renal artery angioplasty ///////////////// b. Papillary muscle rupture //////////////// e.a. Decreased protein in his diet ////////////// b. Control sugar intake in the diet . S 1 increased c.

5. Glucose decreased or absent b.5 mmol/l ///////////// c. Patient with coronary heart disease and xanthoma along the Achilles tendons. Which of the following group is LEAST LIKE of infection of HIV: a. 4. Pulmonary Doppler c. Blood Transfusion ///////////////////// c. Lung function measurement Contagious diseases 9. Protein <2g e. Remnant removal disease d. Intravenous drug user d. liver and spleen enlargement. Ideal weight 6. Blood gas d. jaundice and petechial rash on the skin. Haemophiliacs 13. pravastatin) a. Haemophilias 11. Chest PA X-rays b. Haemodialysis e. 5 mmol/l d. Heterosexual b. because undulant fever and splenomeagaly is in brucellosis . Which following group is the MOST at RISK OF HIV infection: a. Monocyte ( lymphoctosis)///////////// c. 6 mmol/l b. Blood stained d.5 mmol/l e. Which of the following is the diagnosis: a. Anthrax . simvastatin. 4 mmol/l 7. but no jaundice and rash is there) d. Brucellosis b. Leptospirosis ////////( this scenario mixes both brucellosis and leptosiprasis. Which of the following is THE MOST LIKELY diagnosis: a. Heterosexual b.e. Familial combined hyperlipidaemia c. Hypolipoproteinaemia 8. Yellow fever c. Malaria e. Pulmonary ventilation perfusion mismatched on pulmonary scan /////////////// e. Homosexual ////////////( 1:50-150) c. Blood transfusion e. Homosexual d. Which of the following is the MOST COMMON characteristic of pleura effusion of TB: a. At which level of cholesteral you consider to give lipid-lowering statins (eg. Which of the following examination supports the diagnosis of pulmonary thromboembolism: a. A farmer has suddenly had undulant fever for 2-3 days with abruptly headache severe myalgia. Familial hypercholesterolaemia /////////////// b. Find TB bacillus 10.

decreased TSH d. increased TSH b. Erithromycin ////////////////////// 16. Which of the following is your investigation a IV pancreagraph b Endoscopy pancreagraph c. all followings are correct EXCEPT: a. 5. Children get least severe illness d. 6 mmol/l d. Dengue fever.For an elderly man. Weight gain 20. SERUM T4+PRL+growth hormone level e. Normal cortisol. Air droplet infection /////////////// 15. A patient with mycobacteria infection which of the following is most appropriate treatment a. What is compatible with critical illness: a. Hirsutism d.thick spade-like hands and seborrhoea and coarse oily skin.Side effective of corticosteroids including all the following EXCEPT a Lymphocytosis ////////////////////// b. Metronidazole e. There is no specific treatment e. which above following blood sugar level need further investigation a. 5 mmol/l b. Increased cortisol . Abdominal X-ray d Ultrasound e Enema ( ans should be feacal fat for malabsorbption)************** 18. increased TSH 17. A patient has headache. He drinks alcohol for many years . Increased cortisol. A 65 year old man has ‘bulk” diarrhoea with “oil”. Mosquito transmission c. Both cortisol and TSH decreased c.5 mmol/l e.14. cotrimoxazole b. Amoxycilline d. Decreased cortisol. Which of the following is BEST investigation to establish diagnosis: a. Oral glucose tolerance test (OGTT) (GH+OGTT)/////////////// . Cranial CT scan or MRI scan d. Lymphopenia c. Arbovirus b. 7 mmol/l 19.5 mmol/l /////////////////////// c. 6. X-ray of pituitary test c. Osteoporosis e. tetracycline c. Insulin-glucose b. increased TSH /////////// e. prominent supraorbital ridge prognathism teeth spacing increased.

. Which of the following is your investigation a IV pancreagraph b Endoscopy pancreagraph c. 5. Reiter’s disease b.Not definitive dx. Decrease local gastritis e. Associated with hoarseness Thanks guys.5 mmol/l c. Influence relapse rate c. Single nodule b.Which following patient is LEAST LIKELY to suffer primary hypothyroidism: a. A 65 year old man has ‘bulk” diarrhoea with “oil”. Decrease cimetidine dosage 26 A young patient comes from overseas with diarrhoea. B 12and folate 22 Patient has a single lump on one side of the thyroid. If pancratic enzyme was there would be the answer. Associated with increased serum thyroglobulin f. no blood.I ve got just 2 diff. 28 year old female with 3 years menorrhagia d. Decrease rate of gastric lymphoma d. stool . Psorisis 25... 5 mmol/l b. Rheumatoid arthritis c. Eradication of HELICOBACTER PYLORI for duodenal ulcer: a. Thyroid scan show “HOT’ lump ////////////////// e. 7 mmol/l indication of GTT More thoughts welcomed 23. Uveitis is MOST COMMONLY found in which of th e following diseases: a. 32 year female with anaemia unresponsive to iron. Increase ulcer healing rate b. Abdominal X-ray ***** d Ultrasound e Enema Its most likley Ch. 18 year old boy with relative less age e. He drinks alcohol for many years . Sjogren’s syndrome e.21. 18. which above following blood sugar level need further investigation a. Temperature 37. 65 year old female with goitre////////// b.5 mmol/l e. 6. all following situation s suggest malignant EXCEPT a. 6 mmol/l d.. US showed a solid nodule c.Pancreatits.For an elderly man.So x-ray for any calcification . 35 year old female with depression c.9C. Ankylosing spondylitis d. 17..

Reassure 27. Sclerosing cholangitis d. Patient with supposed hepatoma. A 28-year-old policeman on sulphasalazin therapy for ulcerative colitis. Chronic disease c. Saturated fat more than the unsaturated fat in the diet d. Peri-oral teleangiectasia d. Alcohol liver disease c. All of the following is correct EXCEPT: a. SGOT normal and liver aminotransferase enzymes normal (?) which of the following is THE MOST LIKELY diagnosis: a. Side effect of sulphasalazin c. Ascitis a. In anaemia patent with increased transferrin. Iron deficiency d. Sideroblastic anaemia e. Acute hepatitis d. _______ b. Family history of liver hepatoma 30. What is your management: a. Right hypochondrial pain. Broad spectrum antibiotic like amoxicillin c. Cotrimoxazole plus trimethoprim e. Increased transferrin e. Which of the following is MOST RELATED to adenoma/carcinoma of the colon: a. Increased total iron binding capacity d. bilirubin mild increased. Decreased serum ferritin c. Dupytren’s contracture HAEMATOLOGICAL DISEASE 31.examination showed few Salmonellas. Observation and repeat stool examination 3 days later b. Bilateral abdominal varicosis c. Present liver cirrhosis b. Thalassemia major b. phosphatase increased. Low fibre diet c. Jaundice and palmar erythema e. All following are correct EXCEPT: a. Which of the following questions is MOST helpful for diagnosis: a. An anaemic patient with increased transferrin. Smoking 28. Decreased serum iron 32. SGPT and alk. Trimethoprine plus sulphasalazine d. Increased serum ferritin b. Alcohol f. Cholangitis e. Primary biliary cirrhosis b. Acute viral hepatitis 29. Aspirin can caused b. Cholangitis e. Haemolysis .

Reiter’s disease b. SGPT and alk. Smoking 28. Sjogren’s syndrome e. Low fibre diet c. Increase ulcer healing rate b. Cotrimoxazole plus trimethoprim e. Observation and repeat stool examination 3 days later b. Temperature 37. Decrease cimetidine dosage 26 A young patient comes from overseas with diarrhoea. Side effect of sulphasalazin c. Broad spectrum antibiotic like amoxicillin c. no blood. phosphatase increased. Influence relapse rate c. Acute hepatitis d. Right hypochondrial pain. bilirubin mild increased. Acute viral hepatitis 29. Alcohol liver disease c. Saturated fat more than the unsaturated fat in the diet d. Cholangitis e. Cholangitis e. Which of the following questions is MOST helpful for diagnosis: a. Uveitis is MOST COMMONLY found in which of th e following diseases: a. Decrease local gastritis e. Reassure Travel Diarrhae 27. Primary biliary cirrhosis b. Family history of liver hepatoma Not Sure . Trimethoprine plus sulphasalazine d. SGOT normal and liver aminotransferase enzymes normal (?) which of the following is THE MOST LIKELY diagnosis: a. Ankylosing spondylitis d. What is your management: a.Good Luck 23. Decrease rate of gastric lymphoma d. stool examination showed few Salmonellas. Sclerosing cholangitis d. A 28-year-old policeman on sulphasalazin therapy for ulcerative colitis. Psorisis 25. Aspirin can caused b. Alcohol f. Patient with supposed hepatoma. Which of the following is MOST RELATED to adenoma/carcinoma of the colon: a. Rheumatoid arthritis c. Present liver cirrhosis b.9C. Eradication of HELICOBACTER PYLORI for duodenal ulcer: a.

Bilateral abdominal varicosis ??/ c. Increased serum ferritin b. An anaemic patient with increased transferrin. In anaemia patent with increased transferrin. Chronic disease c. All following are correct EXCEPT: a. Peri-oral teleangiectasia d.30. Decreased serum iron 32. Decreased serum ferritin c. Jaundice and palmar erythema e. All of the following is correct EXCEPT: a. _______ b. Dupytren’s contracture I Dont know!!! I guess all associated with liver disease HAEMATOLOGICAL DISEASE 31. Sideroblastic anaemia e. Increased transferrin e. Haemolysis . Thalassemia major b. Ascitis a. Increased total iron binding capacity d. Iron deficiency d.