May 2007 MCQ Exam 1.A picture of Dupuytren contracture. Cause: A. Use of chronic vibrating tools B.

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 again B. 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 Spherocytosis b. G6PD def c. Autoimmune HA d. Sickle cell anaemia e. thalassemia 7. What is the use of Psychodynamic psychotherapy in Australia ? A. Phobia B. Anxiety disorder C. schizophrenia D. OCD 8. A boy came with fever and pain in the right leg. he hardly moves the leg and does not allow you to move it either. He refuses to carry weight on that leg. What could be the dx? A. Septic arthritis of hip B. OM of femur C. D. E. could be excluded easily

9. one of your colleague is taking anti psychotic medication for her own psychiatric illness. what should be your advice to her?? A. she should refrain from seeing pt. until she is asymptomatic B. she should take specialist review C. you should contact the medical advisory board 10. What is the most common association of childhood obesity in Australia ? A. Above average height B. Hypercholesterolaemia C. DM D. cataract 11. What will be the first S/S when a plaster is too tight? A. Pain B. Change of colour C. Swelling D. Stiffness 12. which nerve regenerates most after taumatic laceration? A. ulnar n. B. Median n. C. Digital n. D. sciatic n E. 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. pancreatitis B. Perforated DU C. 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 disease B. Meckel diverticulitis C. UC D. 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 dis B. Ankylostomiasis C. Ca rectum D. 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. 7-9 B. 10-12 C. 3-5 C. 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. HB B. 2nd deg HB C. VF D. Complete HB D. 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.pdf page 71 stroke is mentioned & they said pt cant drive for 1 months after & 3 if SAH but if dense hemiplegia then he cant drive before specialist & assesor asses him so i will chose the 2nd option A sudanese boy came to you after administration of Co-timoxazole with the complaints of pallor and increasing darkness of colour of urine. 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 hip B. 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 height B. Hypercholesterolemia C. DM D. cataract dont know at all, any help plz 11. What will be the first S/S when a plaster is too tight? A. Pain ******

B. Change of colour C. Swelling D. 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 n E. 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. pancreatitis B. Perforated DU C. 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 disease B. Meckel diverticulitis C. UC D. Ca large gut UC bloody diarrhea & no masses never heard about a meckel on the right Ca usually have history of bowel habits change but wt loss support that crohns would be my choice as emerck online say about crohns The most common initial presentation is chronic diarrhea with abdominal pain, 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 dse B. Ankylostomiasis C. Ca rectum D. Haemorrhoids crohns dse merck says Abscesses 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 14 to 13 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. 7-9 B. 10-12 C. 3-5 C. 13-15 eye on pain 2 withdraw to pain 5 unable 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 color C. Swelling D. Stiffness this is from Toronto notes clinical signs and symptoms early pain

 greater than expected for injury not relieved by analgesics increase with passive stretch of compartment muscles pallor palpable tense, swollen compartment late paralysis (inability to move limb - late) pulses are usually still present paresthesias NOT pulslessness most important feature found on physical exam is PAIN out of proportion 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 2 3 4 solitary thyroid nodule MNG thyroglossal cyst 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, Hrthle 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 254. ). 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. BT b. PT c. ARTT d. INR e. Fibrinogen 2. A patient has a mitral valve stenosis all of the following signs are correct EXCEPT: a. AF b. S 1 increased c. Palpitation increased S 2 in apex d. 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 regurgitation b. Papillary muscle dysfunction c. Mitral valve stenosis d. 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 Inhibitors c. Antihypertensives d. Diuretics e. 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 therapy c. Give diuretics d. Control sugar intake in the diet e. Ideal weight 6. At which level of cholesterol you consider to give lipid-lowering statins (eg, simvastatin, pravastatin) a. 6 mmol/l

b. 5.5 mmol/l c. 5 mmol/l d. 4.5 mmol/l e. 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 hyperlipidemia c. Remnant removal disease d. Hypolipoproteinaemia 8. Which of the following examination supports the diagnosis of pulmonary thromboembolism: a. Chest PA X-rays b. Pulmonary Doppler c. Blood gas d. 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 absent b. Monocyte c. Blood stained d. Protein <2g e. Find TB bacillus 10. Which following group is the MOST at RISK OF HIV infection: a. Heterosexual b. Homosexual c. Intravenous drug user d. Blood transfusion e. Haemophilias 11. Which of the following group is LEAST LIKE of infection of HIV: a. Heterosexual b. Blood Transfusion c. Homosexual d. Haemodialysis e. 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. Brucellosis b. Yellow fever c. Leptospirosis d. Malaria e. Anthrax 14. Dengue fever, all followings are correct EXCEPT: a. Arbovirus b. Mosquito transmission c. Children get least severe illness d. There is no specific treatment e. Air droplet infection 15. A patient with mycobacteria infection which of the following is most appropriate treatment a. Cotrimoxazole b. Tetracycline c. Amoxycilline d. Metronidazole e. Erythromycin 16. What is compatible with critical illness: a. Increased cortisol , increased TSH b. Both cortisol and TSH decreased c. Increased cortisol, decreased TSH d. Decreased cortisol, increased TSH e. 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 investigation a. IV pancreagraph b. Endoscopy pancreagraph c. Abdominal X-ray d. Ultrasound e. Enema 18.For an elderly man, which above following blood sugar level need further investigation a. 5 mmol/l b. 5.5 mmol/l c. 6 mmol/l d. 6.5 mmol/l

e. 7 mmol/l 19.Side effective of corticosteroids including all the following EXCEPT a .Lymphocytosis b. Lymphopenia c. Hirsutism d. Osteoporosis e. 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-glucose b. X-ray of pituitary test c. Cranial CT scan or MRI scan d. SERUM T4+PRL+growth hormone level e. Oral glucose tolerance test (OGTT) 21.Which following patient is LEAST LIKELY to suffer primary hypothyroidism: a. 65 year old female with goitre b. 35 year old female with depression c. 28 year old female with 3 years menorrhagia d. 18 year old boy with relative less age e. 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 EXCEPT a. Single nodule b. US showed a solid nodule c. Thyroid scan show HOT lump e. Associated with increased serum thyroglobulin f. Associated with hoarseness 1. A patient with acute myocardial infarction used heparin; which of the following methods is used for monitoring: a. BT b. PT c. ARTT d. INR e. Fibrinogen C) APTT 2. A patient has a mitral valve stenosis all of the following signs are correct EXCEPT:

a. AF b. S 1 increased c. Palpitation increased S 2 in apex d. S 3 e. 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 regurgitation b. Papillary muscle dysfunction c. Mitral valve stenosis d. Papillary muscle rupture e. 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 angioplasty b. ACE Inhibitors c. Antihypertensives d. Diuretics e. Arteries dilation drugs a) Renal art angio as 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 diet b. Concurrent hypertensive therapy c. Give diuretics d. Control sugar intake in the diet e. Ideal weight cuz of the word initial i went through the answers more than one time he 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/l b. 5.5 mmol/l c. 5 mmol/l d. 4.5 mmol/l e. 4 mmol/l b)5.5 despite 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 hypercholesterolaemia b. Familial combined hyperlipidaemia c. Remnant removal disease d. 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-rays b. Pulmonary Doppler c. Blood gas d. Pulmonary ventilation perfusion mismatched on pulmonary scan e. 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 absent b. Monocyte c. Blood stained d. Protein <2g e. 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. Heterosexual b. Homosexual c. Intravenous drug user d. Blood transfusion e. Haemophilias b) homosexuals as per merck The 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. Heterosexual b. Blood Transfusion c. Homosexual d. Haemodialysis e. 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. Brucellosis b. Yellow fever c. Leptospirosis d. Malaria e. Anthrax a)brucellosis i had to dig hard for that answer check http://www.emedicine.com/emerg/topic883.htm 14. Dengue fever, all followings are correct EXCEPT: a. Arbovirus b. Mosquito transmission c. Children get least severe illness d. There is no specific treatment e. 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 treatment a. Cotrimoxazole b. Tetracycline c. Amoxycilline d. Metronidazole e. Erithromycin e) Erithromycin A patient with acute myocardial infarction used heparin; which of the following methods is used for monitoring: a. BT b. PT c. ARTT //////////////////// d. INR e. Fibrinogen 2. A patient has a mitral valve stenosis all of the following signs are correct EXCEPT: a. AF b. S 1 increased c. Palpitation increased S 2 in apex d. 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 regurgitation b. Papillary muscle dysfunction c. Mitral valve stenosis d. 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 Inhibitors c. Antihypertensives d. Diuretics e. 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 therapy c. Give diuretics d. Control sugar intake in the diet e. Ideal weight 6. At which level of cholesteral you consider to give lipid-lowering statins (eg, simvastatin, pravastatin) a. 6 mmol/l b. 5.5 mmol/l ///////////// c. 5 mmol/l d. 4.5 mmol/l e. 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 hyperlipidaemia c. Remnant removal disease d. Hypolipoproteinaemia 8. Which of the following examination supports the diagnosis of pulmonary thromboembolism: a. Chest PA X-rays b. Pulmonary Doppler c. Blood gas d. 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 absent b. Monocyte ( lymphoctosis)///////////// c. Blood stained d. Protein <2g e. Find TB bacillus 10. Which following group is the MOST at RISK OF HIV infection: a. Heterosexual b. Homosexual ////////////( 1:50-150)

c. Intravenous drug user d. Blood transfusion e. Haemophilias 11. Which of the following group is LEAST LIKE of infection of HIV: a. Heterosexual b. Blood Transfusion ///////////////////// c. Homosexual d. Haemodialysis e. 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. Brucellosis b. Yellow fever c. Leptospirosis ////////( this scenario mixes both brucellosis and leptospirosis, because undulant fever and splenomegaly is in brucellosis , but no jaundice and rash is there) d. Malaria e. Anthrax 14. Dengue fever, all followings are correct EXCEPT: a. Arbovirus b. Mosquito transmission c. Children get least severe illness d. There is no specific treatment e. Air droplet infection /////////////// 15. A patient with mycobacteria infection which of the following is most appropriate treatment a. cotrimoxazole b. tetracycline c. Amoxycilline d. Metronidazole e. Erithromycin ////////////////////// 16. What is compatible with critical illness: a. Increased cortisol , increased TSH b. Both cortisol and TSH decreased c. Increased cortisol, decreased TSH d. 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 investigation a. IV pancreagraph b. Endoscopy pancreagraph c. Abdominal X-ray d. Ultrasound e. Enema ( ans should be fecal fat for malabsorbption)************** 18.For an elderly man, which above following blood sugar level need further investigation a. 5 mmol/l b. 5.5 mmol/l /////////////////////// c. 6 mmol/l d. 6.5 mmol/l e. 7 mmol/l 19.Side effective of corticosteroids including all the following EXCEPT a. Lymphocytosis ////////////////////// b. Lymphopenia c. Hirsutism d. Osteoporosis e. 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-glucose b. X-ray of pituitary test c. Cranial CT scan or MRI scan d. SERUM T4+PRL+growth hormone level e. 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 depression c. 28 year old female with 3 years menorrhagia d. 18 year old boy with relative less age e. 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 EXCEPT a. Single nodule b. US showed a solid nodule c. Thyroid scan show HOT lump ////////////////// e. Associated with increased serum thyroglobulin

f. 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 investigation a IV pancreagraph b Endoscopy pancreagraph c. Abdominal X-ray ***** d Ultrasound e 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 investigation a. 5 mmol/l b. 5.5 mmol/l c. 6 mmol/l d. 6.5 mmol/l e. 7 mmo l/l indication of GTT 23. Uveitis is MOST COMMONLY found in which of the following diseases: a. Reiters disease b. Rheumatoid arthritis c. Ankylosing spondylitis d. Sjogrens syndrome e. Psoriasis 25. Eradication of HELICOBACTER PYLORI for duodenal ulcer: a. Increase ulcer healing rate b. Influence relapse rate c. Decrease rate of gastric lymphoma d. Decrease local gastritis e. 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 later b. Broad spectrum antibiotic like amoxicillin

c. Trimethoprine plus sulphasalazine d. Cotrimoxazole plus trimethoprim e. Reassure 27. Which of the following is MOST RELATED to adenoma/carcinoma of the colon: a. Aspirin can caused b. Low fibre diet c. Saturated fat more than the unsaturated fat in the diet d. Alcohol f. 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 cirrhosis b. Side effect of sulphasalazin c. Sclerosing cholangitis d. Cholangitis e. Acute viral hepatitis 29. Patient with supposed hepatoma. Which of the following questions is MOST helpful for diagnosis: a. Present liver cirrhosis b. Alcohol liver disease c. Acute hepatitis d. Cholangitis e. Family history of liver hepatoma 30. Ascitis a. _______ b. Bilateral abdominal varicosis c. Peri-oral teleangiectasia d. Jaundice and palmar erythema e. Dupytrens contracture HAEMATOLOGICAL DISEASE 31. In anaemia patent with increased transferrin. All of the following is correct EXCEPT: a. Increased serum ferritin b. Decreased serum ferritin c. Increased total iron binding capacity d. Increased transferrin e. Decreased serum iron

32. An anaemic patient with increased transferrin. All following are correct EXCEPT: a. Thalassemia major b. Chronic disease c. Iron deficiency d. Sideroblastic anaemia e. Hemolysis 23. Uveitis is MOST COMMONLY found in which of th e following diseases: a. Reiters disease b. Rheumatoid arthritis c. Ankylosing spondylitis d. Sjogrens syndrome e. Psorisis 25. Eradication of HELICOBACTER PYLORI for duodenal ulcer: a. Increase ulcer healing rate b. Influence relapse rate c. Decrease rate of gastric lymphoma d. Decrease local gastritis e. 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 later b. Broad spectrum antibiotic like amoxicillin c. Trimethoprine plus sulphasalazine d. Cotrimoxazole plus trimethoprim e. Reassure Travel Diarrhae 27. Which of the following is MOST RELATED to adenoma/carcinoma of the colon: a. Aspirin can caused b. Low fiber diet c. Saturated fat more than the unsaturated fat in the diet d. Alcohol f. 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 cirrhosis b. Side effect of sulphasalazin c. Sclerosing cholangitis d. Cholangitis e. Acute viral hepatitis 29. Patient with supposed hepatoma. Which of the following questions is MOST helpful for diagnosis: a. Present liver cirrhosis b. Alcohol liver disease c. Acute hepatitis d. Cholangitis e. Family history of liver hepatoma Not Sure 30. Ascitis a. _______ b. Bilateral abdominal varicosis ??/ c. Peri-oral teleangiectasia d. Jaundice and palmar erythema e. Dupytrens 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 ferritin b. Decreased serum ferritin c. Increased total iron binding capacity d. Increased transferrin e. Decreased serum iron 32. An anaemic patient with increased transferrin. All following are correct EXCEPT: a. Thalassemia major b. Chronic disease c. Iron deficiency d. Sideroblastic anaemia e. 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 units FBC (blood count) Common serum electrolytes ABGs glucose CSF Microurine 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 & VF Management of Acute MI & it's complications Endocarditis PE Pneumothorax Pneumonias Sub arachnoid h'ge Meningitis CT scans of SDH & EDH Myasthenia gravis GB Syndrome stroke artery & territory identification Acromegaly diagnostic test, Hypopituitarism, Hypo & Hyperthyroidism management in relation with Carbimazol Renal Colic UTI Reflux nephropathy Biliary colic Hepatitis (viral & Alcohalic)

NASH Cirhosis Rheumatiod, Osteo, Spondylo & Psoriatic arthropathies Anemias including Sickle cell A. Leukemias Myelofibrosis Peptic ulcer Pancreatitis GI BLeed Bleeding diathesis Alcohal & Paracetamol Poisoning Surgery=> Colonic Cancer & D/D Few fractures were there I can't recall now SORRY! Median & Peroneal nerve palsy Few 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.