Some post exam memory of 2nd round medicine licensure exam by UoG Students 2012e.

surgery

1.a 54yr old male periampullary ca patient presented to u with yellowish discoloration of the eye
and skin.on physical examination he has icteric sclera,excoriation mark on skin and ecchymosis on
his left lower extremity.which is preferred blood component for transfusion?

a.PLATLET B.FFP c.packed RBC d.whole blood

2.which one of ff ix modality is dx choice for apatient presented with renal colic

a.contast CT scan

b.non contrast CT

c.Intravenous pyelography

3.45 yr male presented with intermitendiarrhea and lower abdominal pain .oncolonscopy he has
segmental ulcerationof bowel sparing area between the segment.what is the most likely
diagnosis?

a.ulcerative colitis b.crohn disease

4.a35 years old male patient on 7th post op day after resection and anastamosis developed high
grade intermittent fever,andominaldistension,and copious diarrhea.he was on iv ceftriatone and
metronadazole.on P/E abdomen is soft and the wound is clean.what is the next appopirate step?

a.stool culture

b.hold ceftriaxone

c.abdominal ultrasound

5.a54 yr old Parkinson patient presented with failure to pass faeces and flatus of 02 day duration
with associated vomiting .on P/E she has hypetympanic distended abdomen .on plain abdominal
x-ray there is distended bowel loop

a.sigmoidvolvolusb.small bowel volvolus

c.olgive syndrome d.colonic ca

6.a57 yr old pt presented with failure to pass faece,bilous non projectile vomiting,progressive
abdominal distesion and crampy lower abdominal pain.on plain abdominal x-ray he has dilated
bowel loop with kidney shape on the periphery.what is most likely dx

a.sigmoidvolvolus

b.cecalvololus

c.small bowel volvolus

7.a38 yrs old 60 kg male patient presented with 2nd degreeflame burn involing the anterior torso
3hours after sustaing burn injury .which is next appropriate mgt

a.4320ml of Ns over 8hr

b.4320ml of NS over 5hr

c.2160ml of Ns over 5hr then 2160ml of ns over 16hr

d.2160ml of NS over 8hr then 2160ml of ns over 16hr

8.mgt of stable patient with obstructive jaundice 2ndary to cholidocholetiasis

a.iv antibiotic

b.ERCP removal of stone

c.laparascopic exploration

9.which organ is most likely to be affected if apatient sustained bullet injury to his abdomen with
entry near to the umbilicus and exit on posterior left tosojuist below the 12 th rib?

a.small bowel

b.kidney

c.spleen

d.pancrease

10.45 yr old male patient presented with perianal pain and discharge from perianl area .on P/E he
has indurated anus with pus draining sinus tract.what is the most likely diagnosis.

a.perianal abscess

b.fistula in ano

c.Hemorrhoid

d.anal fissure

11.left anterior leg pain of 1wk duration.on P/E he has tenderness over his left anterior leg with
erythematous change

a.iv antibiotic

b.incision& drainage

c.po antibiotic & analgesic

12.single best investigation for patient presented with melena

A.UPPER GI ENDOSCOPY
B.COLONOSCOPY

C.stool occult test

13-A34 Yr old male patient presented with burning epigastic pain and on endoscopy he has
duodenal mucosal ulcer otherwise no remarkable finding.what is next step of mgt?

a.out patient ppi

b.laparatomy

14-a35 yr old male patient come with massive bloody vomiting and at admission BP50/40 THEN HE
was resucitated with 2 bag of crystalloid but was still in shock and transfused andbp corrected .on
endoscopy he has duodenal uler with posterior visible vessel. what is next step of mgt?

A.HIGH DOSE PPI

B.LAPARATOMY

C.ENDOSCOPY

15.case presentation on shoulder dislocation and mgt

a.closed reduction with arm sling

b,open reduction with arm sling

16.type of radial bone fracture

17.rx of closed tibulofibularfracture(patient presented within the first 24 hrs)

a.circularpop

b.posterior slab

18.A 3 by 3 firmmobilemassontheupperouterquadrantofthechestona 60 yrsoldmale patient

a.male breast ca

b.lipoma

c.chest wall sarcoma

19.case presentation on thyrotoxicosiswithelevated T4 andlow TSH then what is most likely dx?

a. primary hyperthyroidism

b. secondary hyperthyroidism

20.case presentation on hypothyroidsm then ask mgt

a.levothyroxine
21.case presentation on pneumothorax in apatient presented with blunt chest trauma and rib
fracture .On PE hyperresonace and decrease air entry on chest.most likely CXR finding for this
case

a.lucency

22.which one of ff electrolyte abnormality is most expected in a patient with colostomy?

a.hypokalemia

b. hypophosphatemia

c. hypernatremia

23.case presentation on hernia which is irreducible with bowel sound heard.thenask most likely
dx?

a.strangulated hernia

b.obstructed herina

24.Typical case prestation of intucessption which then ask dx?

25.common ethology of intuception in pediatric(3yrs old)

a.idiopathic

b.secondary

26.Maximumdose of lidocaine 2% without adrenaline to be given for 35 yr old(wt=60kg,ht=)

a.15ml b.20ml c.25ml c.30ml

27.approach to mgt of seizure after lidocaine adminstration

a.give d10 and maintainairway

b. give diazepam and maintain airway

c. wait until the drug effect wears off

28.35yr old male pt developed dyspnea atrer 03hr of transfusion with 03 unit of whole blood.
which of ff is most likely explanation?

A.FLUID OVERLOAD

B.ARDS

C.
29.which one of the ff is not part of mgt for patient with colorectal ca with vertebral bone
metastasis and have lower back pain and lower extremity weakenss?

a.radiotheraphy

b.chemotheraphy

c.steroid

d.physiotheraphy

30.a46 yr old female pt who had mastectomy 10yr back for the dx of breast ca come to u SOB &
chest pain .which one of ff is best initial ix modality

a.chest CT scan b.pleural biopsy c.pleural fluid cytology

31.Case presentation on small bowel obstruction.which one of ff is possible intestinal parasitosis?

a.Ascarislumbricode

b.trichuristrichuria

c.E.vermicularis

32.What is next step of mgt in pt with chronic urine retention BPH and have elevated
creatine=2.5,residual-250ml)

A.admitandoperateonthenextday

B. catheterize

c. medical mgt

33. Case presentation on chronic venous insuffiency then ask dx

34. one more question on approach to patient with bleeding.THEN ASKING CHOICE OF MGT

A.CRYSTALLOID

B.WHOLE BLOOOD

C.PACKED RBC

D.PLATLET

Pediatrics Q

1.what is the best intital step of mgt in acute exacerbation asthma+CAP

a.IN02,salbutamol,aminophylline,crystalline pencillin
b.INO2,salbutamol,crystalline pencilline,inhalation beclometasone,albuterol

c.IN02,salbutamol,prednisolone

2. Mgt ofRVI exposedinfantwhosemotherchoosesnottobreast feed with low viral load up on

delivery

a. Nvp prophylaxis alone

b. NVP & CPT

3.Approach to child with dysentery?

4.Neonatal meningits mgt

a.ampicillineandgentamycine

b.ceftriaxone and gentamycine

c.cloxacillin and gentamycine

5.Mgt of seizure

6. What is the best initial mgt of achildwho took too much tablets of his mother’s iron
supplementand come with in 5 minute of ingestion

A. MILK

B. ANTIDOTE

C. SYRUP OF IPECCAC

7.An 8month Infant came with failure to thriveand no pertinent physical examination and history.
what is the most likely diagnosis

a. chromosomal disorder

b. congenital heart disease

8. Which one of ff is most likely dx in a new born 34wk of GA coming to u with respiratory distress

A.RDS

B.MAS

9.Typical case presentation on RDS(HMD).Which then ask Mgt?

A.CPAP

10.Typical case presentation on PNA .Which then ask the dx?

11. A child presented with small ear ,transverse palmar crease,hypotonic.....then what is most
likely chrosomal abnormality
A.TRISOMY 21

B.TRISOMY 18

12. Best mgt of TOF with polycthemia(hgb-25) and respiratory distress?

a.IN02

b.phlebotomy with normal saline

c.partial exchange transfusion

d.transfusion

13.LESHMANIASIS AS DX( withtypicalclinicalpresentation)

14.Typical case presentation on ALL which then ask best invstigation modality to confirm dx?

A.Bone marrow aspiration

B.Splenic aspiration

C.peripheral morphology

15.case presentation on shock secondary to GI loss asking next step of mgt after 01 bolus of NS if it
fails to improve?

a.repeat 20ml/kg

b. antibiotic

c.inotrope

17.a child with preceding URTI and incomplete vaccination history presented to u with upper &
lower extremity weakness 01wk duration. (csf anlaysis-elevated protein &cell count).which one ff
is most likely DX

A.poliomyelitis

B.GBS

18.Case prestation on SAM with anthropometry value of (w/h---on -2 z-score,MUAC-10.5cm)then

ask which of above parameter dx SAM

A.MUAC

B.W/H

19.Interpretation of luvencheco curve if measurement fall below 10th it means?

A.small for GA

b.appropirate for GA
C.Large for GA

20.anew born came to u with RR-64,Mild subcostal & intercostals retraction AND grade 3
meconium up on delvery. otherwise no pertinent finding. which one of ff is next step of mgt

A.suctioning

b.antibiotic

c.intubation

21.a3yr old child with URTI developed one episode of GTC seizure .on PE T-38.4 C otherwise no
pertinent finding.what is most likely cause of seizure

a.febrile seizure

b.viral encephalitis

22.Adolecent female presented with menorrhagia & low platlet count.which of is most likely dx?

A.ITP

B.vwd

C.HEMOPHILIA

23.Best ix modality for patient with typical case presentation of rickets to confirm dx of rickets?

a.serum CALcium

b.serum ALP

c.WRIST X-RAY

24.Recurrent UTI mgt

a.admitand iv ceftriaxone

25.Typical case presentation on SLE which then asking the dx?

26.anew born with down syndromewho passed clearurinebutno meconium passedandabdominal

distension after 48hr of birth and no anal perforation on physical examination what is most likely
dx

a.imperforate anuswithoutfistulae

b.impersonate anuswith fistula

27.anew born with home delivery come to u with bloody vomiting on 5th day .next step of mgt

a.vitamin k

b.FFP
28. a new born with shock and head swelling with extension to neck possible dx?

A. subgaleal hemorrhage

b.caput succendum

c.cephal hematoma

29. Flactulant massontherightsideofheadwithincreasing Headsizeafter vacum deliver.which one of

ff is most likely dx?

a.Caput succendum

b.subgaleal hemorrhage

c.cephal hematoma

30.A mother came complaining child developed mild rxn toim vaccination site.what will be ur
next step of mgt?

a.Reasureand paracetamol

31.supracristal vsd repair was done and then child came with infective endocarditis.which one of ff
is posssible explanation for that

A.Antibiotic prophylaxis

b.failure of closure of vsd

c.medical procedure

32.Typicalcase presentation on hemolytic uremic syndrome in patient who had dysentery .then
ask which toxin responsible?

a.shega toxin

33.known RHD patientpresentedwithfever,hematuria&bodyweakness. Which complication of IE

occured

A.septic CNS embolism

Gyn-obs

1.GIIPI mother came to u at admission cx-6cm station 0 after 04hr cx is 6cm , station+1,GRADE 3
MOULDING & CAPUT and has adequate contraction..most likely cause

A.CPD
2.GII PI MOTHER came to LHC cx 6cm station 0 after 4hr cx 6cm station +1 what is dx is next step of
mgt------

A.cx arrest disorder & refer to hospital

3.30 yr old primgravid lady on 37wk of GA come to u with headache and bluring of vision but no
bluring of vision or RUQ pain.Bp 140/100,platlet count 90,000.what is the next best intialmgt

a.induction of labor

b.platlet transfusion

c.anticonvulsant

d.anti hypertensive

4.case presentation on cause of PPH in mother who had polyhydramino during px-----uterine atony

5.case presentation on expected complication ofGIIPI mother on 34wk of GA with polyhydramino

having sudden rupture of membrane----- cord prolapse

6.ulcer(mixed dryandvesicularulcer) syndrome mgt

7.PID as dx(typical casepresented)

8.Case presentation on PID with RVI asking for indication for admission of patient?

9.dx of vaginal discharge syndrome(the patientonlyhasdischargefromthecervix, noothersn/sxof

PID)

10.most likely etiology of UTI in pregnant lady with sterile pyuria

a.E.colib

b.trachomatis

11.a24 female GIIIPII Mother who has two previous cs came to ANC with 3 month amenorrhea
and un reliable LNMPwhat is the next most important investigation

a.ultrasound

b.HCT

c.U/A

12.case presentation of hydropfetalis in primigravid lady.what is possible cause?

a.kell

b.RH –D

c.RH-C
d.MRc disease

13.mother with previous cs came to u on 3rd Tm Px what are u going to advice for birth
preparedness ?

a.place of delivery b.skilled attendant c,prepare money

14.case presentation on endometrial ca woman who Is obese and cigarette smoker then to
identify risk factor

a.obesity

b.smoking

15.smilar case presentation on endometrial ca with bmi-30.5 and was on OCP .which one of ff is
risk factor for current problem

a.coc

b.obesity

16.case presentation on infertility in awoman who wastreatedpreviouslyfor PID and male partner
having normal seminalysis. Which of ff is next best ix ?

a. HSG

17.case presentation on HEG with complication and having elevated creatine,abnormal ECG.Which
one of ff is cause of death in this patient

A.electrolyte disturbance

B.pneumomediasinum

18.Indication for medical mgt of ectopic px

a. HCG <6500

b.size</=4cm withoutcardiac activity

19.Typical case presentation on PPH then asking for DX?

20.Best position for examination ofthemaximumlengthinwhichthepopbecomes out of the vulva?

A.standing

b.supine

c.trendlburg

21.apregnant mother came with lethargy but no abnormal body movement.(BF-trophozoite of

p.falciparum,RBS= 38mg/dl).which one of ff is most likely dx?

A.cerebral malaria
B.hypoglycemia

22.POST ABORTAL SEPSIS RX

A.iv ceftriaxone and metrondazole

24.apregnant ladie who was on antiepileptic gave birth to new born with
myelomeningocele .which one of ff is the cause?-----folate deficiency

25.EDD calculation in European calendar(LNMP-MAY 9,2018)

A.February 15,2019

B.February 16,2019

C.February 17,2019

D.February 18,2019

26.single painless genital lesion with clean base associate with malaise and fever.Which one of ff
is most likely dx?

A.CONDYLOMA LATA

B.CONDYLOMA ACCUMINATA

C.CHANCRE

27.a woman came to u with complaint of mild contraceptive side effect

A.reassurance

28.cause of post termfrom lnmponlywith discrepancy of date from lnmp and early us with similar
hx inprevious px

A.wrong date b.IuGr

29.one more question on mgt of abnormal labor

Internal medicine

1.Asthma mgt(clinically looksseverepersistentasthmabuthewasnotonany modifier drug)----

A.inhaled beclometasone

2.D/ce b/n Asthma and copd

3.psgn RX with BP-

A.DiURETIC,ANTIBIOTIC
b.Diretic,ACEI

4.hypertensive emergency –BP -180/120 with retinal hemmorhage mgt

a,slowly with nitroglycerin

b.immediately iv esmolol

c.urgently iv nitroprusside

5.which one of the ff is not choice of antibiotic for male pt with UTI?

A.nitrofurantoin

B.doxycycline

C.norfloxacin

D.cotrimoxazole

6.commonest feature of primary tb on x-ray

a.hilarlap with collapse consolidation

B.Mediatinal lap

7.pathogenesis of TB – 60 yrsold copdpatient, upperlobeinfiltrationoncxr

A.LATENT REACTIVATION

B.PRIMARY INFECTION

C.RE-INFECTION

8. Typical case presentation on TF(stepladder fever pattern)which one of ff is expected

complication of case?

A.GI BLLEEDING

B.ARDS

C.DIC

9.Which diabetic complication exist before or with diabetic retinopathy?

A.NEPHROPATHY

B.NEUROPATHY

C.PAD

10. A known dm &HTN pt on medication came to u with 1gm/24hr proteinuriawhich one of ff is

next step of mgt
A.ASA ,ENALAPRIL

B.ASA,ATROVASTATIN

C-SIMVASTAIN,AMILODIPINE

11.case presentation on acute coronary syndromewith pso2-80% which one ff is next step of mgt?

A. 02 ,ASA,clopidogrel,UFH,nitroglycerin,morphine

12.typical case presentation on MI with elevated troponin asking for next ix modality?

A.CXR

B.ECG

13.Typical case presentation on PTE with normal cxr .which one of ff is best ix modality to confirm
dx?

A.CT ANGIOGRAPHY

B.D-DIMER

C.ECG

14.brain abscess as dx

15.12yr old male child presented with hand twitchand has hx of measle in the past.which one of ff
is most likely dx for current problem?

A.sydenum chorea

B.SSPE

16.case presentation on lung abcess.which one of ff is drug of choice-

a. clindamycine

b.metrondazole

c.ceftriaxone

17.45 yr old patient presented with low grade fever ,HTN,anemia ,hypocalcemia.which one of the
ff is most likely dx

A.pyelonephritis

b.RENAL CA

C.RENAL FAILURE
18.a 54 yr old mal patient presented to u with flank mass,hematuria.which one of ff is most likely
dx?

a.RCC

19.A 28yr old female patient presented to u with generalized body swelling of 01wk duration .lab-
elevated creatine which one of ff is next impt ix

A.ELECTROLYTE

B.CXR

C.ECHOCARDIOGRAPHY

20.Which one of ff is best way of preventing varical bleeding?

A.ENDOSCOPIC BAND LIGATION

B.PROPANLOL

C.OCTEROIDE

21.which one of ff best ix modality to r/o HF

A.TROPONIN

B.NATRIURETIC PEPTIDE

C.CXR

22.case presentation on atypical pneumonia then ask mgt

A.AZITHROMYCIN

23.aknown rvi pt came to u with fever ,headache,right side hemiparessis.with current cd4 count of
150 & on CT SCAN-ring enhancing lesion. Which one of ff is most likely dx

A.CNS TOXO

B.CRYPTOCOCAL MENINGITIS

24.which one of ff antileshmania drug req baseline ECG

A.SSG

B.AMPHOTERCIN B

C.FLUCYTOSINE

D.PARMOMYCIN

25.empyema(pe-dullneswithdecrased air entry)

26.a newly dx RVI patient came to u with vivid dreaming after started on efaverng containg
ART.what is next step of mgt

a. Reassure

b.change medication

27.12yr old child on anti TB and adjuvant steroid for TB meningitis what is expected complication

A.hypernatremia

b. hypokalemia

c.subdural effusion

d.hydrocephalus

28.Mgt of pernicious anemia in a patient who had gastrectomy

A.cobalaminpo ---3mn

b.cobalaminim ---3mn

c.cobalaminpo life long

d.cobalaminim life long

29.which one of ff isexpected vitamin deficiency in apatient who had gastric surgery-----------

a. cobalamin(vb12)

30.which one of ff is req as adjuvant therapy for anti tb

a. pyridoxine(vb6)

31.expected chromosal abnormality in CML

a.philedelphia chromosome

b.jak mutation

32.typical case presentation on septic shock.which then ask for dx?

33.Binucleated prominet eosinophilia with abundant cytoplasm on cervical LN biopsy.which one of

ff is most likely dx?

a.hodgkin lymphoma

b.burkit lymphoma

34. Case presentation on HSV encephalitis(initial had vesicular lesion around the mouth then
neurologic symptoms) drug of choice for mgt of this case

a. iv acyclovir
b. Ivgalcyclovir

c.ivfoscarnet

35.aknown dm & htn pt came to u with TIA( ABCD2 SCORE-7) then what is next step of mgt

A.STRICT FOLLOW UP

B.MANAGE LIKE ISCHEMIC STOKE & FOLLOW

37.Mgt of atrial fibrillation in patient with no other pertinent finding

A.ATENOLOL

B.DIGOXIN

C.AMIODARONE

38.A 24 yr old male patient presnted to u with hgif ,watery diarrhea and abdominal cramp.(LAB-
bun/cr<20).which one of ff is cause of renal failure

A.PRE RENAL AKI

B.GLOMERULO NEPHRITIS

C.SEPTIC AKI

39.A patient on who was steroid for long and discontinued steroid become hypotensive what will
be next step of mgt

A.IV HYDROCORTISONE

B.IV FLUDICARTISONE

C.IV DOPAMINE

D.IV ADRENALINE

ENT-all are case presntation

1.case presentation with treatment of tonsillitis then developed HGIF&unilateral neck swelling.with
lateral x-ray showing pre veretebral lucency.

A.RETROPHAYNGEAL ABSCESS

B.PARAPHAYNGEAL ABSCESS

C.LUDWING ANGINA

2.Typical case presentation on laryngeal ca in a smoker individual.which then ask for dx?
3. Case presntation on laryngeal papilloma with typical endoscopy finding which then ask for dx?

4..case presentation on laryngio malacia asking for dx?

5.case presentation on OTITIS MEDIA aking for dx

6.CASE PRESNTATION ATROPHIC SINUSITIS mgt

7.Case on bells palsy asking for DX?

DENTISTRY

1. Typical Case presntation on tmj ankylosis(HX OF TARUMA TO THE JAW)

2. 24yr old man sustained trauma to central incissor teeth causing movemnet of teeth with out
changing its position .which one of ff is most likely dx

A.SUBLUXATION

B.EXTRUSION

C.INTRUSION

3.DENTAL CARIES MGT----RCT

4.INFECTED DENTAL CARY MGT

5.TYPICAL CASE PRESNTATION ONPERICORONITIS.ASKING FOR DX?

6.CASE ON BENIGN TUMOR---AMELOBLASOTOMA,GRANULOMA

Derma-

1.superinfected tinea captis

2.malasea furfur(seborrhic dermatitis)

3.scabies

4.A25 yr old male patient came to u with symmetrical maculopapular eruption over upper &lower
extremity after taking unspecified medication. Which one of ff is most responsible drug ?

a.ampicillin

b.norfloxacin

5.typical case presentation ofkaposi sarcoma

6.NEVUS ON LIP could be pre malignant lesion for------

A.MALIGNANT MELANOMA
B.SCC

C.BCC

7.carbuncle rx

Opthalmolgy

1.fungal keratitis

2.htn retiniopathy

3.progressive blindness cause in dm

4.2020 subsharan leading cause of blindness

5.central arteyocclsion-------mgt-----masage,o2,STEROID

6.post herpticneuralhia

7.color blindness vs lens disease

8.leucorrhia,sluggish light reflex-----retinoblastoma

Psychaty

1.postpartal psychosis rx

2.postpartal depression rx

3.GAD

4.case on dx of malingering VS factious disorder

5.Case presentation on schizopherniform

7.posttrauma-----delirum vs acute stress disorder

8.case on social phobia

9.alchol intocication rx-----DIAZEPAM vs HALOPERIDOL

PUBLIC HEALTH

1.CASE FATALITY CALCULATION

2.PREVALANCE CALCULATION

3.CHILD MORTALITY CALCULATION

4.SAMPLE SIZE CALCULATION

5.case presentation on analytical study asking for type of study(CASE CONTROL,COHORT..)

6.case presentation on desciptive study(case report vs case series)

7.a researcher wanted to study age distribution of study population.which one of ff is best way of
studying age distribution?

A.MEAN

B.MODE

C.MEDIAM

C.RANGE

8.MONITORING EVALUATION

9.LEADERSHIP TYPES

10.TYPICAL CASE PRESENTATION ON IRON DEFCIENCY ANEMIA ASKING FOR DIETARY MX?

A.RED TEFF

B.TEA

11.ACHILD WITH ANTHROPEMTRY OF W/H---<-2 Z- SCORE WHAT IS DX

A.SEVERE ACUTE MALNUTRITION

B.MODERATE ACUTE MALNUTRITION

12.Case on solid waste disposal?

13.Whichone of ff is right way of writing specific objective ofa given research ?

A.TO STUDY ASSOCIATED FACTOR

B.TO IDENTIFY ASSOCIATED FACTOR

C.TO DETERMINE PREVALENCE

14.QUALITY ASSURANCE