Document Text Contents
Page 1
1.A middle aged woman with calf pain from yesterday came to hospital; you did
investigations and diagnosed deep vein thrombosis. Now she doesn’ t have any
problem. What is next step in Mx?
a. Inpatient management with compression socking and LMWH
b. Inpatient management with leg elevation and LMWH
c. Outpatient management with compression and LMWH
d. Outpatient management with lag elevation and LMWH
2.A 55 year old worker of insulating factory for 30 years, came with breathlessness
from several months ago and now with haemoptysis, (CXR was given; unilateral
pleural effusion was obvious!) he has smoked from 20 years ago. What’s the
diagnosis?
a. Squamous cell Ca
b. Small cell Ca
c. Mesothelioma
3.A girl who visited SE Asia 6 months ago now has c/o diarrhoea, 3 kg wt loss, loss of
appetite. Stool results: Blastocystis hominis and Giardia lamblia positive. What
could be the cause for her presentation? (Feb 2011-Q 44)
a) Blastocystis hominis
b) Giardia lambliac
c) Coeliac disease
d) Rotavirus
4. A young lady with history of central chest pain and sweating for half an hour. In
Ph/E everythings was NL, EKG, troponin, CXR and CTPA were NL. what’s the
next step?
a. Check troponin in 8 hours
b. Discharge the patient
5. 60y man comes with severe sudden chest pain, vomiting and sweating. ECG and
Troponin level are normal. What’s the next management?
a) Check troponin again in 8 h
b) Admit patient to CCU
c) Discharge pt with B Blocker and Aspirin.
NOVEMBER 2011 RECALLS
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Small cell ca usually associated with paraneoplastic syndrome.
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Page 2
d) Discharge pt without any drug
6. Patient with cluster headache. Treatment?
a. Steroid
b. Somatriptan
c. Vigabatrin
d. Na- valproate
7. z-score in bone densitometry for femoral neck was :-2.5 and for hip was:-1.5 what
do you do?
a. Reassre and do nothing
b. Start immediately on biphosphonates
c. Advise regular intake of calcium
8. In 2
nd
day after operation, patient suddenly became very agitated and anxious, apart
from O
2
which is very important to do?
a. Starting anticoagulant therapy
b. Brain CT
c. hallopridole
9. Old patient felt pain in the buttock and thigh yesterday while walking, today he felt
it again when he wanted to come to see you. In the examination there is slight
tenderness in arm muscles. he is on treatment of HTN, hyperlipidemia and gout. He
uses ACEi, atrovastatin… Which one is the important next step to do?
a. check creatinin and electrolytes
b.EMG
c. nerve conduction studies
10. Old lady stretches her back to open the window pf her house then suffered from
back pain, MCV < 98, microcytic hypochromic anemia blood picture(huge
presentation of full blood count) urea, creatinin and electrolytes). What is the most
likely diagnosis?.
a. Osteoporosis
b. Multiple myeloma
11. Old lady case, presents with back pain. MCV <98, microcytic hypochromic anemia
blood picture. What is the most appropriate investigation?.
a. CT
b. X Ray
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Page 9
c) Distribute public educational seminars and pamphlets about Chlamydia awareness
and prevention
d) Advise the community members to get checked for chalmydia yearly
54. You are conducting a randominzed controlled trials. In the result drug b has better
affects that drug A.
a) More trials are not required after this trial
b) Proves that drug b should be prescribed and drug A not
c) Both drug b and drug A can be prescribed
d) Drug B seems to have better results Than Drug A, but both can be prescribed
accordingly
55. What does the value of P less than 0.01 stands for?
56. What is 95% confidence interval
This time too any questions from Randomized controlled trials.
57. A 80 year old man had already gone many surgical procedures and as a his doctor you
believe that another surgical procedure can be very help ful for him. The mini mental
status of old man was given has 26/30. his daughter approaches you and tells you that she
has power of Attorney and requests you not to perform this procedure as he has already
gone through lot of agony. What would be your approach?
a) agree with daughter’s decision as she has power of attorney
b) refuse the daughter’s advice and perform the S/p by your own decision as it would
in the best interest of patient
c) Ask the patient
d) consult the health services council (or a body which takes decision on such matter)
58.Patient with known case of moderate renal failure and on warfarin for AF came
with chest infection and sepsis. INR 2.2. in addition to IV antibiotics, what else
would you give?
a) LMW hep
b) Unfrac hep
c) Aspirin
d) Clopidogrel
e) Do nothing
sadia
Highlight
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Highlight
sadia
Sticky Note
Kaplan page 149
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sadia
Sticky Note
kaplan-page 146
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Page 10
59.Who is at the most risk if a patient is psychotic?
a) Children
b) Parents
c) Neighbors
d) Friends
60.Which past history is significant if the patient is violent?
a) Crimes
b) Cruelty to animals
61.Old patient sustained back pain while opening window. X ray compressed fracture
at L4. Lab results : Hb low, K high, urea high, creat high. What is the next
investigation?
a) Bone scan
b) Serum calcium
c) Urine and serum electrophoresis
62.Patient came with post prandial abdominal pain
a) PID
b) Mesenteric adenitis
c) Mesenteric ischaemia
63.Chest x ray with mediastinal lympadenopathy. Patient came with night sweats,
fever, malaise, loss of weight, dry cough for a few months.
a) TB
b) Sarcoidosis
c) Lymphaema
d)
64.Chest xray: left sided pleural effusion. Patient working in a insulating industry for a
30 years. Also smoker.
a) Ca of bronchus
b) Asbestosis
c) Silicosis
d) Mesothelioma
65.Child with encoperesis
sadia
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Sticky Note
murtagh page 67
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Page 18
treatment of convulsions after delivery in hypertensive pt
sternomastoid tumour
coeliac disease
non dominant parietal lobe lesion
painless rectal bleeding in elderly...divertiular disease
pharyngeal pouch x ray
x rays of samall intestine large intestine obstruction, sigmoid volvulus
variceal bleeding
pulmonary embolism
ecg acute pericarditis
IgA nephropathy
Diabetic retinopathy fondoscopy
3rd nerve palsy but presrvation of pupilary reflex-DM
25yrs male with testicular swelling
many psychiatry ethics
risk factors of colonic carcinoma
schizzzzzoophrenia too many questions
hyaline membrane disease
labrynthitis
food causing asthma- sulphite food allregy
most common hernia which undergoes strangulation- femoral
cystic fibrosis risk- 1 in 4
MORE 2011 NOV RECALLS
Anee
Sticky Note
jm 1029
Anee
Sticky Note
jm 871
Anee
Sticky Note
jm 811
Page 19
hemophilia- no girl n half the boys
pneumonia which doesnt causes abscess....--?
wof causes hepatoma- cirrhosis or hemochromatosis..
which of the following drug combinations shouldnt b used- in renal failure NSAID, ACEI n
furesemide
an xray of sigmoid volvulus
an xray of small intestinal obstruction
ECG for hyperkalemia n the patient was on ACEIS--> i wrote stop aceis.(it was quite long
question with many lab values n pt was on many drugs)
a child with features of ADHD__> talk to teacher
a post menopausal women started on HRT-- shez at risk of which cancer__> Both breast n
endometrial cancers
sadia
Highlight
1.A middle aged woman with calf pain from yesterday came to hospital; you did
investigations and diagnosed deep vein thrombosis. Now she doesn’ t have any
problem. What is next step in Mx?
a. Inpatient management with compression socking and LMWH
b. Inpatient management with leg elevation and LMWH
c. Outpatient management with compression and LMWH
d. Outpatient management with lag elevation and LMWH
2.A 55 year old worker of insulating factory for 30 years, came with breathlessness
from several months ago and now with haemoptysis, (CXR was given; unilateral
pleural effusion was obvious!) he has smoked from 20 years ago. What’s the
diagnosis?
a. Squamous cell Ca
b. Small cell Ca
c. Mesothelioma
3.A girl who visited SE Asia 6 months ago now has c/o diarrhoea, 3 kg wt loss, loss of
appetite. Stool results: Blastocystis hominis and Giardia lamblia positive. What
could be the cause for her presentation? (Feb 2011-Q 44)
a) Blastocystis hominis
b) Giardia lambliac
c) Coeliac disease
d) Rotavirus
4. A young lady with history of central chest pain and sweating for half an hour. In
Ph/E everythings was NL, EKG, troponin, CXR and CTPA were NL. what’s the
next step?
a. Check troponin in 8 hours
b. Discharge the patient
5. 60y man comes with severe sudden chest pain, vomiting and sweating. ECG and
Troponin level are normal. What’s the next management?
a) Check troponin again in 8 h
b) Admit patient to CCU
c) Discharge pt with B Blocker and Aspirin.
NOVEMBER 2011 RECALLS
sadia
Highlight
sadia
Sticky Note
Small cell ca usually associated with paraneoplastic syndrome.
sadia
Highlight
sadia
Highlight
sadia
Highlight
sadia
Highlight
sadia
Highlight
Page 2
d) Discharge pt without any drug
6. Patient with cluster headache. Treatment?
a. Steroid
b. Somatriptan
c. Vigabatrin
d. Na- valproate
7. z-score in bone densitometry for femoral neck was :-2.5 and for hip was:-1.5 what
do you do?
a. Reassre and do nothing
b. Start immediately on biphosphonates
c. Advise regular intake of calcium
8. In 2
nd
day after operation, patient suddenly became very agitated and anxious, apart
from O
2
which is very important to do?
a. Starting anticoagulant therapy
b. Brain CT
c. hallopridole
9. Old patient felt pain in the buttock and thigh yesterday while walking, today he felt
it again when he wanted to come to see you. In the examination there is slight
tenderness in arm muscles. he is on treatment of HTN, hyperlipidemia and gout. He
uses ACEi, atrovastatin… Which one is the important next step to do?
a. check creatinin and electrolytes
b.EMG
c. nerve conduction studies
10. Old lady stretches her back to open the window pf her house then suffered from
back pain, MCV < 98, microcytic hypochromic anemia blood picture(huge
presentation of full blood count) urea, creatinin and electrolytes). What is the most
likely diagnosis?.
a. Osteoporosis
b. Multiple myeloma
11. Old lady case, presents with back pain. MCV <98, microcytic hypochromic anemia
blood picture. What is the most appropriate investigation?.
a. CT
b. X Ray
sadia
Highlight
sadia
Highlight
sadia
Highlight
sadia
Highlight
sadia
Highlight
Page 9
c) Distribute public educational seminars and pamphlets about Chlamydia awareness
and prevention
d) Advise the community members to get checked for chalmydia yearly
54. You are conducting a randominzed controlled trials. In the result drug b has better
affects that drug A.
a) More trials are not required after this trial
b) Proves that drug b should be prescribed and drug A not
c) Both drug b and drug A can be prescribed
d) Drug B seems to have better results Than Drug A, but both can be prescribed
accordingly
55. What does the value of P less than 0.01 stands for?
56. What is 95% confidence interval
This time too any questions from Randomized controlled trials.
57. A 80 year old man had already gone many surgical procedures and as a his doctor you
believe that another surgical procedure can be very help ful for him. The mini mental
status of old man was given has 26/30. his daughter approaches you and tells you that she
has power of Attorney and requests you not to perform this procedure as he has already
gone through lot of agony. What would be your approach?
a) agree with daughter’s decision as she has power of attorney
b) refuse the daughter’s advice and perform the S/p by your own decision as it would
in the best interest of patient
c) Ask the patient
d) consult the health services council (or a body which takes decision on such matter)
58.Patient with known case of moderate renal failure and on warfarin for AF came
with chest infection and sepsis. INR 2.2. in addition to IV antibiotics, what else
would you give?
a) LMW hep
b) Unfrac hep
c) Aspirin
d) Clopidogrel
e) Do nothing
sadia
Highlight
sadia
Highlight
sadia
Sticky Note
Kaplan page 149
sadia
Highlight
sadia
Sticky Note
kaplan-page 146
sadia
Highlight
Page 10
59.Who is at the most risk if a patient is psychotic?
a) Children
b) Parents
c) Neighbors
d) Friends
60.Which past history is significant if the patient is violent?
a) Crimes
b) Cruelty to animals
61.Old patient sustained back pain while opening window. X ray compressed fracture
at L4. Lab results : Hb low, K high, urea high, creat high. What is the next
investigation?
a) Bone scan
b) Serum calcium
c) Urine and serum electrophoresis
62.Patient came with post prandial abdominal pain
a) PID
b) Mesenteric adenitis
c) Mesenteric ischaemia
63.Chest x ray with mediastinal lympadenopathy. Patient came with night sweats,
fever, malaise, loss of weight, dry cough for a few months.
a) TB
b) Sarcoidosis
c) Lymphaema
d)
64.Chest xray: left sided pleural effusion. Patient working in a insulating industry for a
30 years. Also smoker.
a) Ca of bronchus
b) Asbestosis
c) Silicosis
d) Mesothelioma
65.Child with encoperesis
sadia
Highlight
sadia
Highlight
sadia
Highlight
sadia
Highlight
sadia
Highlight
sadia
Sticky Note
murtagh page 67
sadia
Highlight
Page 18
treatment of convulsions after delivery in hypertensive pt
sternomastoid tumour
coeliac disease
non dominant parietal lobe lesion
painless rectal bleeding in elderly...divertiular disease
pharyngeal pouch x ray
x rays of samall intestine large intestine obstruction, sigmoid volvulus
variceal bleeding
pulmonary embolism
ecg acute pericarditis
IgA nephropathy
Diabetic retinopathy fondoscopy
3rd nerve palsy but presrvation of pupilary reflex-DM
25yrs male with testicular swelling
many psychiatry ethics
risk factors of colonic carcinoma
schizzzzzoophrenia too many questions
hyaline membrane disease
labrynthitis
food causing asthma- sulphite food allregy
most common hernia which undergoes strangulation- femoral
cystic fibrosis risk- 1 in 4
MORE 2011 NOV RECALLS
Anee
Sticky Note
jm 1029
Anee
Sticky Note
jm 871
Anee
Sticky Note
jm 811
Page 19
hemophilia- no girl n half the boys
pneumonia which doesnt causes abscess....--?
wof causes hepatoma- cirrhosis or hemochromatosis..
which of the following drug combinations shouldnt b used- in renal failure NSAID, ACEI n
furesemide
an xray of sigmoid volvulus
an xray of small intestinal obstruction
ECG for hyperkalemia n the patient was on ACEIS--> i wrote stop aceis.(it was quite long
question with many lab values n pt was on many drugs)
a child with features of ADHD__> talk to teacher
a post menopausal women started on HRT-- shez at risk of which cancer__> Both breast n
endometrial cancers
sadia
Highlight
