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Australian Medical Council (AMC) MCQ Recalls APRIL 2021 compilation
1) emergency department, wound on right calf. bitten by snake. 2cm x 5cm laceration wound without bite marks. next step?
a/ Take swab over wound site then apply pressure bandaging and immobilization
b/ Transfer him to a tertiary hospital immediately via ambulance
2) study conducted to assess relationship between high saturated fat consumption and occurrence of colorectal carcinoma among women.
The study showed that women with high baseline saturated fat consumption have four times the risk of colorectal cancer compared to women with low fat consumption (RR = 4.0, 95% CI = 1.5 – 6.5).
A. 25
B. 50
C. 75
3) schizoaffective disorder. repeated vomiting and diarrhea. becomes tremulous and uncoordinated. shows fasciculations and bilateral tremor. which medications caused this new symptoms?
a. Acetaminophen
b. Lithium
4) young man collapse 2 hours into basketball practice. temp 40 degree. Hot weather. before collapse, headache and dizziness. history of atypical depression. next step?
a. Cold water immersion
b. Cyproheptadine
5) syncope. neck veins are distended and heart sounds are distant. lungs are clear to auscultation bilaterally. Chest x-ray reveals small bilateral pleural effusions and enlarged cardiac silhouette. ECG findings?
a. Prolonged PR interval
b. Presence of F waves
c. Electrical alternans
6) 8-year-old girl, physical examination. no daily medications. webbed neck and a broad chest with widely spaced nipples. Likely associated cvs anomalies?
a/ Atrial septal defect
b/ Bicuspid aortic valve
7) 18-month-old girl, emergency department, seizure in day care, fell down, shaking. Family history is early-onset Alzheimer. lurching gait. Which investigation likely lead to diagnosis?
a/ DNA analysis
b/ Enzyme analysis
8) 35 weeks gestation, lower abdominal pain. conceived via in vitro fertilization. past 10 years, had 3 abortions. cervix is 4 cm dilated and 100% effaced. next step?
a/ Expectant management and spontaneous vaginal delivery
b/ Intrauterine pressure catheter and amnioinfusion
9) 14 weeks gestation, prenatal care. no chronic medical conditions, medication is a daily prenatal vitamin. vegan diet. 2 cups coffee daily. Avid runner runs 8 km everyday. Lifestyle modifications needed during pregnancy. recommendation?
a/ Decrease current exercise regimen
b/ Discontinue the vegan diet
10) recurrent epistaxis. nasal congestion, bleeding. history obesity, hypertension, and obstructive sleep apnea. nose has bilateral crusting with excoriations, no bleeding. next step?
a/ Biopsy of the nasal septum
b/ Complete blood count and coagulation panel
11) Old pt becomes confused, he is on multiple drug for multiple morbidity. Lab finding–increase Na ,k6.5,creatinine1.7,urea22,anaemia. What is next most appropriate step?
A. Dialysis
B. IV fluid
C. IV glucose with insulin
D. K binders
12) Siadh confusion hyponatremia tx?
Hypertonic saline
13) High Tg on diet with many drugs using,tx?
Cease indapamide
Gemfibrozil
14) Brain ct, hyperdense, gcs low, intubated, bp=180/110,what next?
Control htn
Thrombolysis
15) A 37y:o woman with heavy regular bleeding on iud, 18 months ago pap was nml,best?
Hysteroscopy
Mirena
Tranexamic acid
16) Pt on warfarin after surgery is on enoxa and warfarin, inr:1.8 on 7th day, what to do?
Continue enoxa and increase warfarin
Cease enoxa and continue warfarin
Cease both
17) A 17 y:o boy uncontrolled dm1, many dka attacks,wants to go and practice driving, what s ur advice?
We wont let him go till his bg is controlled
We let him go to class and we advice to control bg
A class about education of bg control
18) Aortic dissection cxr
19) a boy need emergency, surgery bcos of peritonitis, with sister with him, who would to call get the permission to do surgery?
- one to the parents on the call
20) 7-8 yrs old after resp tract inf, get hamaturia, oedema and oliguria, what will you confirm the dx?
-check the completement level
21) 30 yrs old athletes has swollen knee, he is in very bad pain, what will you do confirm the dx?
- Aspiration
- MRI
- CT
22) 27 yrs a woman with low fsh, what else close to dx?
- PCOS
23) 30 yrs old man lift the heavy object, he got neck stiffness, and HA, done CT and Ct is normal. What will you do now?
- LP
-CBC - do CT again
24) 40 yrs old man with orthopnea and dyspnoea , JVP 7 , odema till knees, crackles in his lungs done echocardiography and LV failure is detected, options are
- CHF on the treatment
- Heart failure
25) skin sores. ulcerations in mouth 3 weeks ago. oral mucosa shows several erosions and ulcerations. immunofluorescence microscopy shows intercellular deposits of IgG. diagnosis?
a/ Bullous impetigo
b/ Bullous pemphigoid
26) pelvic pain after sexual intercourse 3 hours earlier. laparoscopic appendectomy 5 years ago. menstrual period was 3 weeks ago. Pelvic ultrasound shows a 4×5 cm right cystic ovarian mass. diagnosis?
a/ Adnexal torsion
b/ Endometriosis
27) persistent low back pain and stiffness. pain progressed and no longer relieved by naproxen. unable to join exercise program due to his symptoms. lifetime nonsmoker and does not use alcohol or illicit drugs. next step?
a/ Ibuprofen as needed
b/ Methotrexate
28) increasing difficulty sleeping for past few months. menstrual periods irregular over last 2 years; last period was 3 months ago. sexually active. uterus is symmetrically enlarged. no palpable adnexal masses. next step?
a/ Abdominal CT scan
b/ FSH level
29) 42 weeks gestation. cervix is 4 cm dilated and 25% effaced. need for emergency cesarean delivery due to significant risk for fetal asphyxia and death. insist on a vaginal delivery. next step?
a/ Proceed with emergency cesarean delivery because the fetal rights are more important than the patient’s autonomy
b/ Proceed with emergency cesarean delivery because there is evidence of fetal distress
30) Old pt becomes confused, he is on multiple drug for multiple morbidity. Lab finding–increase Na ,k6.5,creatinine1.7,urea22,anaemia. What is next most appropriate step?
A. Dialysis
B. IV fluid
C. IV glucose with insulin
D. K binders
31) High Tg on diet with many drugs using,tx?
Cease indapamide
Gemfibrozil
32) Brain ct, hyperdense, gcs low, intubated, bp=180/110,what next?
Control htn
Thrombolysis
33) A 37y:o woman with heavy regular bleeding on iud, 18 months ago pap was nml,best?
Hysteroscopy
Mirena
Tranexamic acid
34) Pt on warfarin after surgery is on enoxa and warfarin, inr:1.8 on 7th day, what to do?
Continue enoxa and increase warfarin
Cease enoxa and continue warfarin
Cease both
35) A 17 y:o boy uncontrolled dm1, many dka attacks,wants to go and practice driving, what s ur advice?
We wont let him go till his bg is controlled
We let him go to class and we advice to control bg
A class about education of bg control
Aortic dissection cxr,
36)a boy need emergency, surgery because of peritonitis, with sister with him, who would to call get the permission to do surgery?
- one to the parents on the phone (ans)
37) 7-8 yrs old after resp tract inf, get hematuria, oedema and oliguria, what will you confirm the dx?
-check the completement level
38) 30 yrs old athletes has swollen knee, he is in very bad pain, what will you do confirm the dx?
- Aspiration
- MRI
- CT
39) 27 yrs a woman with low fsh, what else close to dx?
- PCOS
40) 30 yrs old man lift the heavy object, he got neck stiffness, and HA, done CT and Ct is normal. What will you do now?
- LP
-CBC - do CT again
41) 40 yrs old man with orthopnea and dyspnoea , JVP 7 , odema till knees, crackles in his lungs done echocardiography and LV failure is detected, options are
- CHF on the treatment
- Heart failure
42) Case of vasculitis symptoms with testicular involvement (PAN) what to do?
steroids
laparoscopy
diagnose disease with biopsy of testicle
43) Patient with ascites never had SBP. Wants to know management of SBP as read on internet. What will you advice?
a) abx prophylaxis lifelong
b) abx prophylaxis after first episode of SBP
44) Clinical scenario of stroke. CT revealed hemorrhagic (image given) what to do?
A) control htn
b) aspirin
C) mri
d) TPA
45) OGD image of bleeding ulcer with partially healead edges in a patient with long term GERDS. Ask for management. Cant rmb options
46) Patient with UTI. On abx and increased oral hydration. Been one day. Comes to ED with pain and AUR for 2 hours. What to do next?
catheterize with foleys
SPC
higher dose of abx
47) Parents refuse to vaccinate child. Child develops asthma. What do you do?
a) tell them nth to do with asthma
b) counsel on complications of asthma
c) accept their wish
48) Looked like optic neuritis scenario but description was hyper dense areas seen in orbital region. Management asked – Prednisolone
49) Breast abscess (L) scenario options were:
Cold pack
Discard milk
Keep mother hydrated
Start feeding from right breast first
50) Man wants to get prostrate tested
Counsel him
Do PSA and DR exam
51) Statin related rhabdomyolysis scenario . Stats given, CK super elevated.
52) Hyperkalemia 6.4. BP was corrected from 90/60 to 110/70 with saline. What will you administer?
Iv Calcium Gluconate
Iv Dextrose and Insulin
53) Teenager before good marks at school. Now bad marks. Doesn’t talk much to you when asking questions . No eye contact
Aspereger
Schizophreniform psychosis
54) Woman fights with her husband. Comes to you and emotionally tells that she is tired of this and wants to get rid of her children.
Inform CPA
Explore the meaning of what she meant
55) Continue heparin and increase warfarin scenario
56) Man going for CRC surgery. What will you give?
Heparin from now till discharge
Heparin from now till 30 days
Heparin from now till 6 months
57) Air under diaphragm after bowel surgery. X-ray given. What next?
Plueral tap
Reoperate
58) Builder, smoker 40 pack yrs came with lower left lobe fibrosis
Asbestosis
Silicosis
Handbook question Parotid swelling nontender. FNAB done what next:
59) X-ray
MRI
60) 17 yr Teenage girl comes for contra advice. What advice to give apart from contraception ?
HPV five years from now
Cervical screening from 25
61) pt has severe chest pain. pain started an hour ago and is constant. neck discomfort and right arm tingling. history of short stature, scoliosis, and heart murmur. ultrasound shows a 12-week intrauterine pregnancy. likely cause?
a/ Aortic dissection
b/ Coronary thrombosis
Forgot other option. Tough question
62) 2-year-old boy refusal to walk. patient limping mildly when running. no chronic medical conditions and takes no medications. Immunizations are up to date. receive intravenous vancomycin. continues to have fever and refuses to walk.
a/ Ceftriaxone
b/ Clindamycin
63) 8-month-old girl fatigue and anemia requiring transfusion of packed red blood cells. to maintain her hemoglobin at an appropriate level. require following supportive medications? (I think thalassemia major)
a/ Chelation therapy
b/ Hydroxyurea therapy
64) young boy poor weight gain. shortest student in class. has occasional abdominal discomfort and a bloating sensation. 3-year history of type 1 diabetes. family history for hypothyroidism in the mother.
a/ Antitissue transglutaminase antibody assay
b/ Contrast-enhanced abdominal CT scan
65) man blurred vision in right eye. no pain, ocular discharge, or gritty sensation. visual acuity is reduced in right eye. large geographic corneal staining defect. nerve dysfunctions?
a/ Facial
b/ Oculomotor
66) palpitations for past 4 hours. no chest pain, shortness of breath, or dizziness. medical history is Wolff-Parkinson-White syndrome. ECG shows atrial fibrillation with a rate of 160/min. next step?
a/ Adenosine
b/ Digoxin
67) head injury during sports. unable to recall her injury. headache responded to naproxen. The patient’s neurologic examination is normal, and remembers 3 of 3 words after five minutes. when she can begin to practice sports again. best response?
a/ You can gradually increase your activity over 1 week if you don’t have symptoms
b/ You can return to full activity after your current symptoms resolve
68) itchy rash on penis. noted lesions several months ago. diagnosis?
a/ Herpes simplex
b/ Lichen planus
69) 6-hour-old boy in newborn nursery, scalp swelling. born via cesarean delivery to a 21-year-old primigravida. Delivery was complicated by 18 hours of active labor. Family history with severe hemophilia A. edema from right ear across vertex to left ear. cause?
a/ Absent coagulation factor carboxylation
b/ Factor VIII deficiency
70) unconscious after collision, left leg deformity, large laceration left temporal scalp. recalls no details of the collision but reports severe left leg pain, headache, and some shortness of breath. develops progressive weakness on right side and becomes obtunded.
a/ Accessory
b/ Facial
71) 2-month-old girl born via cesarean delivery at 39 weeks gestation. mild hepatosplenomegaly and jaundice, and cardiac auscultation shows a soft I/VI systolic ejection murmur. Ultrasound of the head reveals punctate calcifications around the ventricular margin. complications?
a/ Cataracts
b/ Congestive heart failure
72) vomiting, diarrhea, and high fever for a day. severe headache. currently on fifth day of menstrual period. erythematous macular rash covers the entire body, including the palms and soles. microorganisms responsible?
a/ Neisseria gonorrhoeae
b/ Rotavirus
73) locking in bathroom and making superficial cut to her forearm the night before. has been contemplating suicide. too tired to get out of bed. barely slept. history of 2 suicide attempts at age 18 and 21. 4-cm, superficial laceration on her left forearm. next step?
a/ Bupropion
b/ Cognitive-behavioral therapy
74) 5-month-old boy, fever, irritability. less interested in drinking formula, woke up crying several times last night and developed a fever this morning. Otoscopic examination shows erythematous, bulging tympanic membranes bilaterally. relevant history?
a/ Delivery mode
b/ Formula preparation
75) elective cholecystectomy. intravenous fluids and antibiotics. sudden chest tightness and lightheadedness. medical history for anxiety. initial step in treating this patient?
a/ Adenosine
b/ Alprazolam
76) left lower extremity swelling for past 2 years. treatment with intravenous antibiotics. medical history is diet-controlled type 2 diabetes mellitus. firm edema of the left lower extremity. likely cause?
a/ Albuminuria
b/ Disruption of lymphatics
77) older brother died of cancer 3 months ago. patient feels sad and has lost interest in everything. falls asleep easily but awakens very early in the morning. been eating less. no suicidal thoughts. no psychiatric history. diagnosis?
a/ Acute stress disorder
b/ Adjustment disorder with depressed mood
78) right shoulder pain and weakness. returned from a 2-week hike and began noticing the symptoms during the
trip. no falls or trauma. no prior medical conditions. likely cause?
a/ Acromioclavicular ligament sprain
b/ Biceps tendon degeneration
79) bilateral lower extremity weakness and numbness for past 4 days. incident of urinary incontinence today. both legs are diffusely weak. Sensation to pinprick is decreased. likely cause?
a/ Autoimmune demyelination of peripheral nerves
b/ Compression of cauda equina nerve roots
80) fatigue. past 5 months since birth of her twins. often forgets to eat. unable to breastfeed. history of depression. last menstrual period was before her last pregnancy. primary cause?
a/ Autoimmune destruction
b/ Ischemic necrosis
81) fatigue and shortness of breath. history for type 2 diabetes mellitus. 25-pack-year smoking history and quit 2 years ago. moderate restriction and reduced diffusion lung capacity for carbon monoxide. therapy?
a/ Antifibrotic therapy
b/ Corticosteroid-based immunosuppression
82) 79-year-old man, cough and low-grade fever. difficulty swallowing and undigested food. history of hypertension and chronic atrial fibrillation. Chest x-ray shows infiltrate without cavitation in the right lower lung field. next step?
a/ Bronchoscopy
b/ Contrast esophagography
83) 7-year-old girl noticed dark hair in genital area. developed axillary hair and adult-type body odor. mother underwent menarche at age 12. Breasts are prepubertal. Mild comedonal acne is present on the forehead, nose, and chin. next step?
a/ Bone age evaluation
b/ Karyotype analysis
84) elective cholecystectomy. upper abdominal pain and nausea for past several months, and ultrasonography revealed gallstones. obesity and hypertension. severe sinus bradycardia and transient atrioventricular block is noted. likely cause?
a/ CO2 gas embolization
b/ Inadequate anesthesia
85) 18-year-old woman with her 3-day-old daughter for her first newborn visit. breastfeeding is painful and not producing enough milk. would like to stop breastfeeding and switch to formula. Correct statements?
a/ Breastfeeding is associated with increased risk of obesity in the infant
b/ Breastfeeding is associated with increased risk of endometrial cancer in the mother
86) Spider bite (black widow) ?
87) Fruit bat bite, immunization not mentioned
A. Rabies immunization
B tentanus booster
88) pt with wt loss and epigastric pain and vomiting, drinks 2 glass of alcohol everyday(not sure but it was not too much)
A. Stomach cancer
B duodenal ulcer
C. Alcohol liver disease
89) breast feeding mother with hot tender area on left breast, temp 39
A. Keep mother hydrated
B. Empty right breast first
C. Cool compression before feeding
D express milk and discard from left breast
90) pt comes with mother asks to run test for a painful vaginal swelling on her vagina, mom refuses and says she doesnt want any surgery at this age
A. Give symptomatic treatment
B. Court order
C. Ask the daughter to give in writing that she wants to perform screening
D. Ask relative
91) while performing a hernia repair the surgeon ruptures this bowl, surgeon asks registerar to tell the pt his surgery went uneventful.
A. Tell ahpra
B . Talk to surgery head
92) Previous flu like symptoms, Swollen red eye, hard to open, no discharge
What management to help diagnose
A.Ct orbit/sinus
B. Eye swab
93) Cause of diarrhea in a pt who came back from india, stool floats
A. Salmonella
B enterobactor
C ameiba
D. Giardiasis
94) pt has severe eye pain when a person sitting next to him brushed his newspaper against his face
95) Pt never had hpv vaccine, comes with no symptoms
A. Co test in 3 months
B colposcopy
C. Hpv test in 12 month
96) Man with c/o B/L on and off MCP joint pain and swelling. Now comes with acutely painful knee. Aspirated showed positively burefringent rhomboid crystals. (WAIT FOR THE TWIST). Smoker alcoholic. Dx?
1) acute gout
2) RA
3) psoriatic
4) reactive
5) hemachromatosis
97) A man came to a rural hospital with worst headache of his life. Lost consciousness for a bit but now is confused. Nearest Imagkne facility is 4 hours at a hospital BY ROAD. What to do?
1) send him on his way
2) observe
3) give him abx
4) airlift the dude up to the tertiary hospital
98) Jockey got thrown off from a horse. Came to the ER in 2.5 hours. B/l peri orbital edema and clear nasal discharge. NBS after stabilisation and ABC
IV ceftriaxone
Nasal packing
NG tube
99) there was one with a Man with lung findings of pneumonia. And liver (RUQ pain tenderness and fever)
Options were Q fever, brucellosis, hydatid disease
100) patient with slow progrssi of memory decline over 3 years, and has now started to lose her way to home and has many other alzheimer feature, asked where will you find the lesion in ctscan
- temporal love
- frontal lobe
- pareitooccipital lobe
- basal ganglia
forgot last option
101) patient’s sone brought her father to emergency and said they cant take care what to do as most appropirate action
- discharge and close follow up
- refer to nursing home
- social worker
- discharge and follow with community nurse
- discharge him with his son
102) patient’s grandson died under her care before 2 months, now feeling sad, full of guilt, hallucination about the her, whats the diagnosis
a acute stress disorder
b shcizophrenia
c complicated bereavement
103) Man with c/o B/L on and off MCP joint pain and swelling. Now comes with acutely painful knee. Aspirated showed positively burefringent rhomboid crystals. (WAIT FOR THE TWIST). Smoker alcoholic. Dx?
1) acute gout
2) RA
3) psoriatic
4) reactive
5) hemachromatosis
104) Hemochromatosis causes pseudo gout
105) A woman with a small nose deformity came for plastics referral. You examined it was a tiny thing but she was anxious and wasn’t leaving the house because she thought people were staring at her. Can’t for the love of god rememebr the whole stem. what in her history will help you diagnose
1) no intimate relationships
2) suicidal behaviour
3) family history of mood disorders
106) Jockey got thrown off from a horse. Came to the ER in 2.5 hours. B/l peri orbital edema and clear nasal discharge. NBS after stabilisation and ABC
IV ceftriaxone
Nasal packing
NG tube
Og tube
107) An old patient with history of falling , with sign of adbominal obstraction and pain , TR: soft stool.
With a xray( that recaller can’t dx) dx?
A. Sigmoid vovolus
B.cancer
C.pneumoperitoen
108) A 16 year old girl came to you to discuss about HPV vaccination. Her parents did not give her consent to get vaccinated at school. She is not sexually active. She has read about the vaccination in the magazine and has decided to get it. What do you do?
a. Inform the parents that she wants to get it
b. Tell her to come back when she is 18 years old
c. Do not give her the vaccine
d. Give the vaccine
e. Approach the guardianship court
109) Looked like optic neuritis scenario but description was hyper dense areas seen in orbital region. Management asked – Prednisolone
110) Statin related rhabdomyolysis scenario . Stats given, CK super elevated.
111) Hyperkalemia 6.4. BP was corrected from 90/60 to 110/70 with saline. What will you administer?
Iv Calcium Gluconate
Iv Dextrose and Insulin
112) Teenager before good marks at school. Now bad marks. Doesn’t talk much to you when asking questions . No eye contact
Aspereger
Schizophreniform psychosis
113) Woman fights with her husband. Comes to you and emotionally tells that she is tired of this and wants to get rid of her children.
Inform CPA
Explore the meaning of what she meant
114) Continue heparin and increase warfarin scenario
115) Man going for CRC surgery. What will you give?
Heparin from now till discharge
Heparin from now till 30 days
Heparin from now till 6 months
116) 17 yr Teenage girl comes for contra advice. What advice to give apart from contraception ?
HPV five years from now
Cervical screening from 25
117) Parotid swelling nontender. FNAB done what next:
X-ray
MRI
118) Builder, smoker 40 pack yrs came with lower left lobe fibrosis
Asbestosis
Silicosis
119) Air under diaphragm after bowel surgery. X-ray given. What next?
Plueral tap
Reoperate
120) Traumatic hemopneumothorax. What to do next?
Needle thoracocentesis
Chest drain
121) Mother complains about 20 yr old engineering son who recently became vegetarian. Stays aloof in his room and says that all meat contains toxins. He started skipping college.
-Call him for urine drug test
-Ask society critical mental health team to look into it
122) Nurse who is accepting gifts.
Raise the issue with the nurse
Ask son to talk to her
123) Son reports that his old mom is stockpiling tablets and is planning to consume them all at once to end her life. What next ?
Tell him that you’d speak to her on your own due to privacy concerns
Call and confirm with pharmacist
124) Man lifted weight now has neck pain. CT normal. What next?
LP
125) 24 yr old young man presents with episodes of chronic generalized abdominal pain with episodes of diarrhoea and constipation. He was investigated 2 months ago with CT abdomen, colonoscopy and other relevant investigations but all were normal. Next step in management?
A. Repeat CT abdomed
B. Repeat Colonoscopy
C. Start him on PPI
D. Start him on SSRI
E. Advise on Dietary modifications
126) Horners syndrome x 2
127) Intubation weaned and muscle weakness
patient had ear pain and discharge few days back and has weakness in the half of the face
a bells palsy
b ramsay hunt
c sialenitis
d pleomorphic adenoma
128) chronic parotitis picture from handbooknd asking for diagnostics
a pantoothrogram
b xray
c sialogram
forgot other options
129) patient given picture with black pigments on the lips and intestinal obstruction(scenario looked like puetz haeger) asking the cause
a small obwel volvulus
b ca cecum
c malrotation
130) patient with adhd non complaint to medications what to do next
a tell the patient that he has to compliant
b change to long acting methylphenidate
c change to atomoxetine
d arrange family meeting
131) patient eith inferior wall MI with shortness of breath after exersion
what to check
Trop T
Electrolyte
Echo
ABG
132) previous history of DVT treated with warfarin for 6 months, what to do
a low dose heparin
b low dose warfarin
c compression stocking
d aspirin
e treat dvt
133) patient with no fever, 4 weeks history of cough, no weightloss symptoms given, on xray has upper lobe haziness. asking for diagnosis
a PtB
b pneumonia
c bronchitis
d Ca
134) patient was on treatment of DVt
warfarin and enoxaparin , InR 1.8 what to do
acontinue enoxaparin and continue warfarin
b increase enoxaparin, continue warfarin and check INr after 3 days
c continue exonaparin and cease warfarin
d check INR after 3 days
135) same question got twice but this one didnot have option of increase enoxaparin, continue warfarin and check INR after three days
136) 6 month of inspiratory wheeze, no grunting, afrebrile, well between, and cough for few days. Initial investigation
a chest xray
b Viral PCR
c Ct
d broncial aspirate
137) picture if pyogenic granuloma asking for diagnosis
138) young patient came with urinary symptoms, previous histories of uti well treated wi antibiotics, asking what to do after urine analysis and culture
a miturating cystogran
b repeat urine
c usg kub
d ct scan
e guve antibiotic
139) Young boy around 6 years had recerrent uTI given labs confirming UtI ecoli 100000 and 10wbc/ml, ehat next after urinalysis
a renal ultrasound
b retrograde cystourethigram
c DMSA
d repeat culture
140) same recall but different scenario 15 year old boy need emergecny appendectomy, with 18 year old sister, parents at home, sister talked with parents through phone, whom to ask for consent
a telephone consent by parents
b from suster
c head surgeon
d hospital administration
141) young female preganat 21 weeks of gestion in rural hospital conceived after 3 IVF, now impending delivery within 1 hour, and asks you to do everything to save the child, what to do
a ask to terminate
b prepare for bag mask ventilation and chest comoression
c refer to tertiray after delivery
d refer before delivery
e forgot option
142) among 100 people study done for CvA risk
asipirin 1 developed MI and 99 didnot
non apsirin 2 developed Mi and 98 didnot
Absoulte risk reduction
a 30 percent
b 1 percent
c 50 percent
d 98 percent
e 10 percent
143) you have seen maultiple cases of gastroenteritis in your gp clinic recently, you are suspecting outbreak, how to prece with the research
a form a group and survey about the community
b ask for symptoms among those with gastoenteritis as well as with other with no symptoms
c ask the symptoms among the patient withs gastro and recent intake of what kind of food
d ask all the patient who developed Gi symptoms and also ate take away food
144) Sudden onset of ptosis with headache that he never had before, no visual problems, normal ocular movements, what to do next
a Mr angiography
b carotidoppler
c blood culture
145) same recall with young patient devrloped neck stiffness eith photophobia after exam excevise now what to do- i answered Lumbar punture
146) patient with diabetic ulcer at the dorl aspect of 5th toe eith yellowsih discharge about 1 cm diamter admitted for debridement what to do next
a MRI
b oral amox clav
c iv ticarcillin and clav
forgot other options
147) history of travel for 4 weeks in asia, after thst developed diarrhea with mucus and stracth marks on the legs asked with is the probable diagnosis
a guardiasis
b viral
c strongiloides
d amoeba
148) red back spider bite while gardening what is the most important sign of envenomation
a target ring at the bite site
b pain at the site
c abdominal pain
149) gardening and had wound had vaccine for tetanus 6 years back what to give
ADT
Dpta now
Dpta after 6 months
so nothing
150) hepatitis c needle injury from syringe discarding bix in hospital with many hep c patients admitted i the same ward
what to do
a hep c anitbody now
b serial testing until 6 months
c hiv now
d come back after symptoms
e antiviral
151) hep c patient came for advise
a use condom
b avoid anal sex
c avoid cutlery
d cleaning up the spilled blood immediately
152) pregant lady at 34 week had accident, fhr normal good fetal movement, signs of brusing at lower abdoment and upper chest from seatbelt what to do
a check fhr every 15 minute for 4 hours
b CtG
c pelvic ultraound now
d ressure
153) breast abscess after few weeks of breastfeeding, what will be the advise after giving antibiotics
A advise to reduce breast feeding frequency
b advise to use iceback before breastfeeding
forgot other options
154) patient around 60 years,after long holiday in asia now patient now at home , lives alone, neighbour noticed weight loss, loose clothes, disoriented, and unkempt. on examination axillary and inguinal lymph nodes enlarged waht could be the cause
a Hep c
b EVB
c HIV
d lymphoma
e malaria
155) patient with viral illness few days back now with petechail rashes all over eith no other signs. the patient was a young boy
a HsP
B ITP
c adenovirus
156) patient with 2 days histroy of sorethroat now with hematuria and +1 proteinuria, asking cause
pSGN
HsP
IGA nephropathy
157) patient with PSGN scenario asking what will you see in labs
qPq was A a Decreased serum c 3 level
as b itr options were irrelevant
158) medical student with low HR of 46 –
concerned at came to you. eCG was given with bradycardia whst to vheck next
a serum electrolyte
b glucose
c echo
d holter monitoring
159) the recall we did yesterday with dentate line, it was above the dentate line and there was mucus discharge no bleeding no fever, diagnosis asked
a internal hemorrhoid
b squamus cell carcinoma
c perianal abscess
d adenocarcinoma of rectum
160) one recall about patient traveling from asia with diarrhea for 4 weeks, no blood, stool culture negative asking about what to do:
i answered stool microscopy for ova and cyst
There were 3-4 iv fluid questions with drowsy pt:
So just remember the concepts!
161) When to give n/s (this pt had low na and normal k but drowsy
A. Half normal saline half half water
B. 3 n/s over 3 hours
C. Slow n/s over 12 hours not sure about this one )
D. Ca gluconate
And when to give insulin ( this pt had 48 mmol sugar and na was also low and the question was after iv fluid what will you give and the answer was insulin)
162) Pt going in for knee/hip surgery, shes on warfarin what to do before surgery
A. Decrease dose of warfarin
B. Cont same dose of warfarin
C. Commence clopidogrel
163) Pt is reffered to you by the other doctor gets angry at you saying these tests are unnecessary and you just doing it to make me feel like a nut head, he had unsuccesfully sued previous doctors as well
A. Passive aggressive
B borderline
C antisocial
164) Pt had an accident 5 years back ever since presents with hallucination and forgetfullness and has had 2 recent police arrest in 1 year for getting into fights with stranger for accusation
A. Schizophrenia
B borderline
C antisocial
165) Pregnant pt being treated for dvt, started on on clopidogrel for 7 days
A. Low dose aspirin
B cont same dose clopidogrel
C. Decrease dose of clopidogrel
166) Prolactin releasing adenoma, most appropriate treatment
A. Bromocriptine
B trans spenoidal surgery
C. Trans somthing surgery
167) Male Pt with nocturnal urgency frequency hesitancy psa5.1 (normal <4.1) on examination enlarged prostate, urine cytology done(dont remember values)
A. Cystoscopy with biopsy
B. rectal scan with biopsy
C. Repeat Cytology and microscopy
168) 24 yrs old disable boy boy recently develps cough since 5 days with copious(not sure)phlegem in a disability home
A. Aspiration pneumonia
B tb
169) A picture of unilateral gynaecomastia. With ranitidne use and excess alcohol consumption, parotid swelling what is the cause of the gynaecomastia
Alcohol,
ranitidine
170) Ross River virus question symptoms was muscle aches and pain ,head ache and rash after travel.
Options were malaria ( no rash in malaria).dengue was in option too but it was not dengue due to the result of the test given.
171) Picture give for patient having several complaints but test all negative.she got angry with the health staff.answer was factitious
172) Spider bite and important sign for evenomation .patient had both of 155/80 ,sweating around site of bite ,target ring on bite site
173) Ramsey hunt syndrome came out too. Patient had facial nerve palsy …..very classical
174) Patient had stent place which was passed through the groin area 24 hr later the site was swelling with a bruit .what to do when patient arrived in the emergency
1, apply pressure
2 give platelet
175) Woman had hysterectomy and osteopenia what to do
Oestrogen
Oestrogen and progesterone
Alendronate
176) study conducted to assess relationship between high saturated fat consumption and occurrence of colorectal carcinoma among women.
The study showed that women with high baseline saturated fat consumption have four times the risk of colorectal cancer compared to women with low fat consumption (RR = 4.0, 95% CI = 1.5 – 6.5). INCOMPLETE
A. 25
B. 50
C. 75