May 2007 MCQ Exam1.A picture of Dupuytren contracture. Cause:

A. Use of chronic vibrating toolsB. Chronic alcoholism

2. Picture of Bowen disease from Anthology. Dx?

3. Picture of perianal hematoma. 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 againB. Have an occupational driving test done

6. A sudanese boy came to you after administration of Co-trimoxazole 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 Spherocytosisb. G6PD defc. Autoimmune HAd. Sickle cell anaemiae. thalassemia

7. What is the use of Psychodynamic psychotherapy in Australia ?

A. PhobiaB. Anxiety disorderC. schizophreniaD. 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 hipB. OM of femurC. 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 asymptomaticB. she should take specialist reviewC. you should contact the medical advisory board

10. What is the most common association of childhood obesity in Australia ?

A. Above average heightB. HypercholesterolaemiaC. DMD. cataract

11. What will be the first S/S when a plaster is too tight?

A. PainB. Change of colourC. SwellingD. Stiffness

12. which nerve regenerates most after taumatic laceration?

A. ulnar n.B. Median n.C. Digital n.D. sciatic nE. Common peroneal n.

13. A patient came with 12 hr H/O severe vomiting. Pain in upper abdomen which is now constant in the epigastrium. There is rigity and guarding in the abdomen. Dx?

A. ac. pancreatitisB. Perforated DUC. perforated GU

14. A pt came with an ill defined mass in the RIF and loose watery stools. He has fever and has lost 6 kgs of weight recently. Dx?

A. Crohn diseaseB. Meckel diverticulitisC. UCD. Ca large gut

15. Most common S/S assoc. with ca rectum?

A. altered bowel habit and tenesmus

16. A patient came with a pus discharging bead at 5 o'clock position at the anal verge. on probing there was a track discovered which extended in the rectum for 15 cm. (these were the exact words). DX?

A. Crohn disB. AnkylostomiasisC. Ca rectumD. Haemorrhoids

17. A badly injured patient who takes anti psychotics is on the verge of collapse. but he is violent and refuses all treatment. what do you do?

A. restrain him and treat

18. A patient opens his eyes to pain, withdraws to painful stimulus ans is unable to answer ant questions. What is his GCS?

A. 7-9B. 10-12C. 3-5C. 13-15

19. An old man who suddenly collapsed was unconscious for three minutes following which he recovered fully. 5 ECG rhythm strips given. Which could possibly explain his situation?

A. 1st deg. HBB. 2nd deg HBC. VFD. Complete HBD. LBBB

20. One ECG which has digitalis effect on it. DX?

1.A piicture of Dupuytren contracture. Cause

alcoholism

3. Picture of perianal haematoma. Mn?

incision under local

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?

http://www.austroads.com.au/aftd/downloa...EBREV1.pdfpage 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. 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?

G6pd, he is black as he is from sudden & he was give sulpha containing medication

7. What is the use of Psychodynamic psychotherapy in Australia?

Used all over the world for panic attacks so I guess anxiety disorder would be the one

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 hipB. OM of femur ****C. D. E. could be excluded easily

OM should be excluded as per AMCQ book

10. What is the most common association of childhood obesity in Australia?

A. Above average heightB. HypercholesterolemiaC. DMD. cataract

don’t know at all, any help plz11. What will be the first S/S when a plaster is too tight?

A. Pain ******B. Change of colourC. SwellingD. Stiffness

if there a discomfort option I would have chosen it

12. Which nerve regenerates most after traumatic laceration?

A. Ulnar n.B. Median n.C. Digital n. *****D. sciatic nE. Common personal n.

Not sure why

13. A patient came with 12 hr H/O severe vomiting. Pain in upper abdomen which is now constant in the epigastrium. There is rigidity and guarding in the abdomen. Dx?

A. ac. pancreatitisB. Perforated DUC. perforated GU

all of them can have these symptoms, its missing some info, which way of sitting that help the pt relief the pain, age of pt ,previous history, I would go for Acute pancreatitis cuz there s no shoulder tip pain, nothing said about bowel sounds

14. A pt came with an ill defined mass in the RIF and loose watery stools. He has fever and has lost 6 kgs of weight recently. Dx?

A. Crohn diseaseB. Meckel diverticulitisC. UCD. Ca large gut

UC bloody diarrhea & no massesnever heard about a meckel on the rightCa usually have history of bowel habits change but wt loss support that

crohns would be my choiceas emerck online say about crohns

The most common initial presentation is chronic diarrhea with abdominal pain, fever, anorexia, and weight loss. The abdomen is tender, and a mass or fullness may be palpable

16. A patient came with a pus discharging bead at 5 o'clock position at the anal verge. on probing there was a track discovered which extended in the rectum for 15 cm. (these were the exact words). DX?

A. Crohn dseB. AnkylostomiasisC. Ca rectumD. Haemorrhoids

crohns dsemerck saysAbscesses are common, and fistulas often penetrate into adjoining structures, including other loops of bowel, the bladder, or psoas muscle; fistulas may even extend to the skin of the anterior abdomen or flanks. Independently of intra-abdominal disease activity, perianal fistulas and abscesses occur in 1⁄4 to 1⁄3 of cases; these complications are frequently the most troublesome aspects of Crohn's disease.

18. A patient opens his eyes to pain, withdraws to painful stimulus and is unable to answer any questions. What is his GCS?

A. 7-9B. 10-12C. 3-5C. 13-15

eye on pain 2withdraw to pain 5unable to answer question 1

so 7-9

11. What will be the first S/S when a plaster is too tight?

A. Pain******B. Change of colorC. SwellingD. Stiffness

this is from Toronto notes

clinical signs and symptomsearlypain• greater than expected for injury• not relieved by analgesics• increase with passive stretch of compartment musclespallor• palpable tense, swollen compartmentlate

• paralysis (inability to move limb - late)• pulses are usually still present• paresthesiasNOT pulslessness• most important feature found on physical exam is PAIN out ofproportion to injury (the other signs are ‘late signs’)

4.a lady with sore throat, a week later developed a swelling which moves with deglutition

1 solitary thyroid nodule2 MNG3 thyroglossal cyst4 cervical lymph node

The diagnosis is usually established by observing a 1- to 2-cm, smooth, well-defined midline neck mass that moves upward with protrusion of the tongue. Routine thyroid imaging is not necessary, although thyroid scintigraphy and ultrasound have been performed to document the presence of normal thyroid tissue in the neck. Treatment involves the "Sistrunk operation," which consists of en bloc cystectomy and excision of the central hyoid bone to minimize recurrence.1 Approximately 1% of cysts are found to contain cancer that is usually papillary (85%). Squamous, Hürthle cell, and anaplastic cancers also have been reported, but are rare. Medullary thyroid cancers are, however, not found in thyroglossal duct cysts.

I forgot to mention the relation to infection ...

Thyroglossal duct cysts present as midline masses of the anterior neck (Figure 25–4. ). Like branchial cleft cysts, they may be asymptomatic and only appear when they become infected in the setting of an upper respiratory tract infection...Current

thats a good was of practicing but ur getting most questions statments wrong ,like there was never written a mass in midline moved with deglutition, and i dont think there is connection bw thyroglossal cyst and throat infection, anyways maybe it was written midline i dnt remember exactly may be ur rite and one of the choice for the other question was pilonidal sinus tract and it was at 3 o clock position or it was the other question i dnt remember exactly

1. A patient with acute myocardial infarction used heparin; which of the following methods is used for monitoring:a. BTb. PTc. ARTT

d. INRe. Fibrinogen

2. A patient has a mitral valve stenosis – all of the following signs are correct EXCEPT:a. AFb. S 1 increasedc. Palpitation increased S 2 in apexd. S 3e. Presystolic murmur

3. In a patient with myocardial infarction was found a new systolic murmur on examination. Cardiac ejection fraction was 55%. Which of the following is MOST probable cause:a. Aortic regurgitationb. Papillary muscle dysfunctionc. Mitral valve stenosisd. Papillary muscle rupturee. Tricuspid valve regurgitation

4. A young woman has hypertension with fibrosing stenosis of renal artery (60%) which of the following is the MOST appropriate treatment:a. Renal artery angioplastyb. ACE Inhibitorsc. Antihypertensivesd. Diureticse. Arteries dilation drugs

5. An obese patient with diabetes mellitus is under anti-hypertension treatment. His blood pressure is 160/100mmBg on examination. Which of the following is your INITIAL consideration for this patient:a. Decreased protein in his dietb. Concurrent hypertensive therapyc. Give diureticsd. Control sugar intake in the diete. Ideal weight

6. At which level of cholesterol you consider to give lipid-lowering statins (eg, simvastatin, pravastatin)a. 6 mmol/lb. 5.5 mmol/lc. 5 mmol/ld. 4.5 mmol/le. 4 mmol/l

7. Patient with coronary heart disease and xanthoma along the Achilles

tendons. Which of the following is THE MOST LIKELY diagnosis:a. Familial hypercholesterolaemiab. Familial combined hyperlipidemiac. Remnant removal diseased. Hypolipoproteinaemia

8. Which of the following examination supports the diagnosis of pulmonary thromboembolism:a. Chest PA X-raysb. Pulmonary Dopplerc. Blood gasd. Pulmonary ventilation perfusion mismatched on pulmonary scane. Lung function measurement

Contagious diseases

9. Which of the following is the MOST COMMON characteristic of pleura effusion of TB:a. Glucose decreased or absentb. Monocytec. Blood stainedd. Protein <2ge. Find TB bacillus

10. Which following group is the MOST at RISK OF HIV infection:a. Heterosexualb. Homosexualc. Intravenous drug userd. Blood transfusione. Haemophilias

11. Which of the following group is LEAST LIKE of infection of HIV:a. Heterosexualb. Blood Transfusionc. Homosexuald. Haemodialysise. Haemophiliacs

13. A farmer has suddenly had undulant fever for 2-3 days with abruptly headache severe myalgia, jaundice and petechial rash on the skin; liver and spleen enlargement. Which of the following is the diagnosis:a. Brucellosisb. Yellow feverc. Leptospirosisd. Malariae. Anthrax

14. Dengue fever, all followings are correct EXCEPT:a. Arbovirusb. Mosquito transmissionc. Children get least severe illnessd. There is no specific treatmente. Air droplet infection

15. A patient with mycobacteria infection which of the following is most appropriate treatmenta. Cotrimoxazoleb. Tetracyclinec. Amoxycillined. Metronidazolee. Erythromycin

16. What is compatible with critical illness:a. Increased cortisol , increased TSHb. Both cortisol and TSH decreasedc. Increased cortisol, decreased TSHd. Decreased cortisol, increased TSHe. Normal cortisol, increased TSH

17. A 65 year old man has ‘bulk” diarrhoea with “oil”. He drinks alcohol for many years . Which of the following is your investigationa. IV pancreagraphb. Endoscopy pancreagraphc. Abdominal X-rayd. Ultrasounde. Enema

18.For an elderly man, which above following blood sugar level need further investigationa. 5 mmol/lb. 5.5 mmol/lc. 6 mmol/ld. 6.5 mmol/le. 7 mmol/l

19.Side effective of corticosteroids including all the following EXCEPTa .Lymphocytosisb. Lymphopeniac. Hirsutismd. Osteoporosise. Weight gain

20. A patient has headache, prominent supraorbital ridge prognathism teeth spacing increased,thick spade-like hands and seborrhoea and coarse oily skin. Which of the following is BEST investigation to establish diagnosis:a. Insulin-glucoseb. X-ray of pituitary testc. Cranial CT scan or MRI scand. SERUM T4+PRL+growth hormone levele. Oral glucose tolerance test (OGTT)

21.Which following patient is LEAST LIKELY to suffer primary hypothyroidism:a. 65 year old female with goitreb. 35 year old female with depressionc. 28 year old female with 3 years menorrhagiad. 18 year old boy with relative less agee. 32 year female with anaemia unresponsive to iron, B 12and folate

22 Patient has a single lump on one side of the thyroid, all following situation s suggest malignant EXCEPTa. Single noduleb. US showed a solid nodulec. Thyroid scan show “HOT’ lumpe. Associated with increased serum thyroglobulinf. Associated with hoarseness

1. A patient with acute myocardial infarction used heparin; which of the following methods is used for monitoring:a. BTb. PTc. ARTTd. INRe. Fibrinogen

C) APTT

2. A patient has a mitral valve stenosis – all of the following signs are correct EXCEPT:a. AFb. S 1 increasedc. Palpitation increased S 2 in apexd. S 3e. Presystolic murmur

D) S3

3. In a patient with myocardial infarction was found a new systolic murmur on examination. Cardiac ejection fraction was 55%. Which of the following is

MOST probable cause:a. Aortic regurgitationb. Papillary muscle dysfunctionc. Mitral valve stenosisd. Papillary muscle rupturee. Tricuspid valve regurgitation

D) PMR

4. A young woman has hypertension with fibrosing stenosis of renal artery (60%) which of the following is the MOST appropriate treatment:a. Renal artery angioplastyb. ACE Inhibitorsc. Antihypertensivesd. Diureticse. Arteries dilation drugs

a) Renal art angioas per emedicine

http://www.emedicine.com/radio/topic600.htm

5. An obese patient with diabetes mellitus is under anti-hypertension treatment. His blood pressure is 160/100mmBg on examination. Which of the following is your INITIAL consideration for this patient:a. Decreased protein in his dietb. Concurrent hypertensive therapyc. Give diureticsd. Control sugar intake in the diete. Ideal weight

cuz of the word initial i went through the answers more than one timehe is diabetic ,obese with uncontrolled htn ,after that reading of his blood pressure i think the correct answer would be b) but u never know, i need input of the other members plz in that quest

6. At which level of cholesterol you consider to give lipid-lowering statins (eg, simvastatin, pravastatin)a. 6 mmol/lb. 5.5 mmol/lc. 5 mmol/ld. 4.5 mmol/le. 4 mmol/l

b)5.5despite that the new aussie guidelines have more details that that but i

would still choose 5.5

7. Patient with coronary heart disease and xanthoma along the Achilles tendons. Which of the following is THE MOST LIKELY diagnosis:a. Familial hypercholesterolaemiab. Familial combined hyperlipidaemiac. Remnant removal diseased. 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. Which of the following examination supports the diagnosis of pulmonary thromboembolism:a. Chest PA X-raysb. Pulmonary Dopplerc. Blood gasd. Pulmonary ventilation perfusion mismatched on pulmonary scane. Lung function measurement

D) V/Q

9. Which of the following is the MOST COMMON characteristic of pleura effusion of TB:a. Glucose decreased or absentb. Monocytec. Blood stainedd. Protein <2ge. Find TB bacillus

nothing is most characteristis really but finding a TB bacillus is very exclusive i think

http://medicine.ucsf.edu/housestaff/Chie..._fluid.pdf

10. Which following group is the MOST at RISK OF HIV infection:a. Heterosexualb. Homosexualc. Intravenous drug userd. Blood transfusione. Haemophilias

b) homosexualsas per merckThe sexual practices with the highest risks are those that produce mucosal trauma, typically intercourse. Anal-receptive intercourse poses the highest

risk

11. Which of the following group is LEAST LIKE of infection of HIV:a. Heterosexualb. Blood Transfusionc. Homosexuald. Haemodialysise. Haemophiliacs

b. Blood Transfusion

13. A farmer has suddenly had undulant fever for 2-3 days with abruptly headache severe myalgia, jaundice and petechial rash on the skin; liver and spleen enlargement. Which of the following is the diagnosis:a. Brucellosisb. Yellow feverc. Leptospirosisd. Malariae. Anthrax

a)brucellosis

i had to dig hard for that answercheckhttp://www.emedicine.com/emerg/topic883.htm

14. Dengue fever, all followings are correct EXCEPT:a. Arbovirusb. Mosquito transmissionc. Children get least severe illnessd. There is no specific treatmente. Air droplet infection

i think it was mosquito bites not droPlets so e) is my answer

15. A patient with mycobacteria infection which of the following is most appropriate treatmenta. Cotrimoxazoleb. Tetracyclinec. Amoxycillined. Metronidazolee. Erithromycin

e) Erithromycin

A patient with acute myocardial infarction used heparin; which of the

following methods is used for monitoring:a. BTb. PTc. ARTT ////////////////////d. INRe. Fibrinogen

2. A patient has a mitral valve stenosis – all of the following signs are correct EXCEPT:a. AFb. S 1 increasedc. Palpitation increased S 2 in apexd. S 3 ////////////////////e. Presystolic murmur

3. In a patient with myocardial infarction was found a new systolic murmur on examination. Cardiac ejection fraction was 55%. Which of the following is MOST probable cause:a. Aortic regurgitationb. Papillary muscle dysfunctionc. Mitral valve stenosisd. Papillary muscle rupture ////////////////e. Tricuspid valve regurgitation

4. A young woman has hypertension with fibrosing stenosis of renal artery (60%) which of the following is the MOST appropriate treatment:a. Renal artery angioplasty /////////////////b. ACE Inhibitorsc. Antihypertensivesd. Diureticse. Arteries dilation drugs

5. An obese patient with diabetes mellitus is under anti-hypertension treatment. His blood pressure is 160/100mmBg on examination. Which of the following is your INITIAL consideration for this patient:a. Decreased protein in his diet //////////////b. Concurrent hypertensive therapyc. Give diureticsd. Control sugar intake in the diete. Ideal weight

6. At which level of cholesteral you consider to give lipid-lowering statins (eg, simvastatin, pravastatin)a. 6 mmol/lb. 5.5 mmol/l /////////////c. 5 mmol/l

d. 4.5 mmol/le. 4 mmol/l

7. Patient with coronary heart disease and xanthoma along the Achilles tendons. Which of the following is THE MOST LIKELY diagnosis:a. Familial hypercholesterolaemia ///////////////b. Familial combined hyperlipidaemiac. Remnant removal diseased. Hypolipoproteinaemia

8. Which of the following examination supports the diagnosis of pulmonary thromboembolism:a. Chest PA X-raysb. Pulmonary Dopplerc. Blood gasd. Pulmonary ventilation perfusion mismatched on pulmonary scan ///////////////e. Lung function measurement

Contagious diseases

9. Which of the following is the MOST COMMON characteristic of pleura effusion of TB:a. Glucose decreased or absentb. Monocyte ( lymphoctosis)/////////////c. Blood stainedd. Protein <2ge. Find TB bacillus

10. Which following group is the MOST at RISK OF HIV infection:a. Heterosexualb. Homosexual ////////////( 1:50-150)c. Intravenous drug userd. Blood transfusione. Haemophilias

11. Which of the following group is LEAST LIKE of infection of HIV:a. Heterosexualb. Blood Transfusion /////////////////////c. Homosexuald. Haemodialysise. Haemophiliacs

13. A farmer has suddenly had undulant fever for 2-3 days with abruptly headache severe myalgia, jaundice and petechial rash on the skin; liver and spleen enlargement. Which of the following is the diagnosis:

a. Brucellosisb. Yellow feverc. Leptospirosis ////////( this scenario mixes both brucellosis and leptospirosis, because undulant fever and splenomegaly is in brucellosis , but no jaundice and rash is there)d. Malariae. Anthrax

14. Dengue fever, all followings are correct EXCEPT:a. Arbovirusb. Mosquito transmissionc. Children get least severe illnessd. There is no specific treatmente. Air droplet infection ///////////////

15. A patient with mycobacteria infection which of the following is most appropriate treatmenta. cotrimoxazoleb. tetracyclinec. Amoxycillined. Metronidazolee. Erithromycin //////////////////////

16. What is compatible with critical illness:a. Increased cortisol , increased TSHb. Both cortisol and TSH decreasedc. Increased cortisol, decreased TSHd. Decreased cortisol, increased TSH ///////////e. Normal cortisol, increased TSH

17. A 65 year old man has ‘bulk” diarrhea with “oil”. He drinks alcohol for many years. Which of the following is your investigationa. IV pancreagraphb. Endoscopy pancreagraphc. Abdominal X-rayd. Ultrasounde. Enema ( ans should be fecal fat for malabsorbption)**************

18.For an elderly man, which above following blood sugar level need further investigationa. 5 mmol/lb. 5.5 mmol/l ///////////////////////c. 6 mmol/ld. 6.5 mmol/le. 7 mmol/l

19.Side effective of corticosteroids including all the following EXCEPTa. Lymphocytosis //////////////////////b. Lymphopeniac. Hirsutismd. Osteoporosise. Weight gain

20. A patient has headache, prominent supraorbital ridge prognathism teeth spacing increased, thick spade-like hands and seborrhea and coarse oily skin. Which of the following is BEST investigation to establish diagnosis:a. Insulin-glucoseb. X-ray of pituitary testc. Cranial CT scan or MRI scand. SERUM T4+PRL+growth hormone levele. Oral glucose tolerance test (OGTT) (GH+OGTT)///////////////

21. Which following patient is LEAST LIKELY to suffer primary hypothyroidism:a. 65 year old female with goiter//////////b. 35 year old female with depressionc. 28 year old female with 3 years menorrhagiad. 18 year old boy with relative less agee. 32 year female with anemia unresponsive to iron, B 12and folate

22 Patient has a single lump on one side of the thyroid, all following situation s suggest malignant EXCEPTa. Single noduleb. US showed a solid nodulec. Thyroid scan show “HOT’ lump //////////////////e. Associated with increased serum thyroglobulinf. Associated with hoarseness

I ve got just 2 diff.

17. A 65 year old man has ‘bulk” diarrhea with “oil”. He drinks alcohol for many years . Which of the following is your investigationa IV pancreagraphb Endoscopy pancreagraphc. Abdominal X-ray *****d Ultrasounde Enema

Its most likley Ch. Pancreatits...So x-ray for any calcification ..Not definitive dx..If pancreatic enzyme was there would be the answer.

18.For an elderly man, which above following blood sugar level need further investigationa. 5 mmol/lb. 5.5 mmol/lc. 6 mmol/ld. 6.5 mmol/le. 7 mmol/l

indication of GTT

23. Uveitis is MOST COMMONLY found in which of the following diseases:a. Reiter’s diseaseb. Rheumatoid arthritisc. Ankylosing spondylitisd. Sjogren’s syndromee. Psoriasis

25. Eradication of HELICOBACTER PYLORI for duodenal ulcer:a. Increase ulcer healing rateb. Influence relapse ratec. Decrease rate of gastric lymphomad. Decrease local gastritise. Decrease cimetidine dosage

26 A young patient comes from overseas with diarrhea, no blood. Temperature 37.9C, stool examination showed few Salmonellas. What is your management:a. Observation and repeat stool examination 3 days laterb. Broad spectrum antibiotic like amoxicillinc. Trimethoprine plus sulphasalazined. Cotrimoxazole plus trimethoprime. Reassure

27. Which of the following is MOST RELATED to adenoma/carcinoma of the colon:a. Aspirin can causedb. Low fibre dietc. Saturated fat more than the unsaturated fat in the dietd. Alcoholf. Smoking

28. A 28-year-old policeman on sulphasalazin therapy for ulcerative colitis, Right hypochondrial pain. SGPT and alk, phosphatase increased, bilirubin mild increased, SGOT normal and liver aminotransferase enzymes normal (?) which of the following is THE MOST LIKELY diagnosis:

a. Primary biliary cirrhosisb. Side effect of sulphasalazinc. Sclerosing cholangitisd. Cholangitise. Acute viral hepatitis

29. Patient with supposed hepatoma. Which of the following questions is MOST helpful for diagnosis:a. Present liver cirrhosisb. Alcohol liver diseasec. Acute hepatitisd. Cholangitise. Family history of liver hepatoma

30. Ascitisa. _______b. Bilateral abdominal varicosisc. Peri-oral teleangiectasiad. Jaundice and palmar erythemae. Dupytren’s contracture

HAEMATOLOGICAL DISEASE

31. In anaemia patent with increased transferrin. All of the following is correct EXCEPT:a. Increased serum ferritinb. Decreased serum ferritinc. Increased total iron binding capacityd. Increased transferrine. Decreased serum iron

32. An anaemic patient with increased transferrin. All following are correct EXCEPT:a. Thalassemia majorb. Chronic diseasec. Iron deficiencyd. Sideroblastic anaemiae. Hemolysis

23. Uveitis is MOST COMMONLY found in which of th e following diseases:a. Reiter’s diseaseb. Rheumatoid arthritisc. Ankylosing spondylitisd. Sjogren’s syndromee. Psorisis

25. Eradication of HELICOBACTER PYLORI for duodenal ulcer:a. Increase ulcer healing rateb. Influence relapse ratec. Decrease rate of gastric lymphomad. Decrease local gastritise. Decrease cimetidine dosage

26. A young patient comes from overseas with diarrhoea, no blood. Temperature 37.9C, stool examination showed few Salmonellas. What is your management:a. Observation and repeat stool examination 3 days laterb. Broad spectrum antibiotic like amoxicillinc. Trimethoprine plus sulphasalazined. Cotrimoxazole plus trimethoprime. Reassure

Travel Diarrhae

27. Which of the following is MOST RELATED to adenoma/carcinoma of the colon:a. Aspirin can causedb. Low fiber dietc. Saturated fat more than the unsaturated fat in the dietd. Alcoholf. Smoking

28. A 28-year-old policeman on sulphasalazin therapy for ulcerative colitis, Right hypochondrial pain. SGPT and alk, phosphatase increased, bilirubin mild increased, SGOT normal and liver aminotransferase enzymes normal (?) which of the following is THE MOST LIKELY diagnosis:

a. Primary biliary cirrhosisb. Side effect of sulphasalazinc. Sclerosing cholangitisd. Cholangitise. Acute viral hepatitis

29. Patient with supposed hepatoma. Which of the following questions is MOST helpful for diagnosis:

a. Present liver cirrhosisb. Alcohol liver diseasec. Acute hepatitisd. Cholangitise. Family history of liver hepatoma

Not Sure

30. Ascitisa. _______b. Bilateral abdominal varicosis ??/c. Peri-oral teleangiectasiad. Jaundice and palmar erythemae. Dupytren’s contracture

I Dont know!!! I guess all associated with liver disease

HAEMATOLOGICAL DISEASE

31. In anemia patent with increased transferrin. All of the following is correct EXCEPT:a. Increased serum ferritinb. Decreased serum ferritinc. Increased total iron binding capacityd. Increased transferrine. Decreased serum iron

32. An anaemic patient with increased transferrin. All following are correct EXCEPT:a. Thalassemia majorb. Chronic diseasec. Iron deficiencyd. Sideroblastic anaemiae. Haemolysis

TIPS:For the MCQ,No need to memorize the doses, but of course know the common drugs used. Also it is good to know antidotes, though not the dosages.

One has to memorize the following values (according to the AMC specifications handbook): in SI unitsFBC (blood count)Common serum electrolytesABGsglucoseCSFMicrourine mircroscopy and culture

The other reference values will be given for a particular SEX /age.

Best source of pictures will be Anthology of Medical Conditions as they get

most of their pictures from there. Try to get any ECG book for ECGs, but I would suggest Basic Electrocardiography in Ten Days by David Ferry, cos it has lots of ECG pictures, and they are well explained.

Readings for any subject even if just once is alright, provided that you understand it. Remember quality is more important than quantity.

IMPORTANT TOPICS:Medicine=>ECG of MI, Heart Blocks, Afib, VT & VFManagement of Acute MI & it's complicationsEndocarditisPEPneumothoraxPneumoniasSub arachnoid h'geMeningitisCT scans of SDH & EDHMyasthenia gravisGB Syndromestroke artery & territory identificationAcromegaly diagnostic test, Hypopituitarism, Hypo & Hyperthyroidism management in relation with CarbimazolRenal ColicUTIReflux nephropathyBiliary colicHepatitis (viral & Alcohalic)NASHCirhosisRheumatiod, Osteo, Spondylo & Psoriatic arthropathiesAnemias including Sickle cell A.LeukemiasMyelofibrosisPeptic ulcerPancreatitisGI BLeedBleeding diathesisAlcohal & Paracetamol Poisoning

Surgery=>Colonic Cancer & D/DFew fractures were there I can't recall now SORRY!Median & Peroneal nerve palsyFew trauma cases where u may be asked about management as per standard management (ABCDE) here u 've to be conscious about steps in

management so that u dont jump to higher level of managemnet.

OB/GY=>APH, PPH, Polyhydrioamnios, Cholestasis of pregnancy, HELLP, Acute fatty liver in pregnancy, DVT, Pre-eclampsia management, Tetralogic drugs & Varicella infection in pregnancy management.

Dermo=>Erythma nodosum, Erythma margnatum, Sq.C.Ca, Basal Ca, Melanoma Pemhigus v/s Pemphigoid & Erythma multiformis--> these were pictures in exam which may fetch u cash marks therefore I would suggest to see these pics on net frequently esp one day prior to exam.