MCQ QUESTIONS MAY 2006 cAtropine eye drops

d. Topical Pilocarpine
1.Photo: Dark discolouration on the side of the nose.After
excision report shows it as a Nodular malignant 8.Photo: A growth in the palm;developed over 2 weeks in a
malanoma.WOF is next Mx- (Antho-397 picture on the manual labour.Dx-
Sole)
a.Observe Pyogenic granuloma (Anthology-398)
b.Do nothing
c. Wider local excision 9.Photo: A man came with a soft swelling in groin for last 2
d. Radiotherapy years.It is soft, slowly growing over inguinal ligament &
e. Excision lateral to pubic tubercle.WOF is your Dx-
a. Lipoma
b. Inguinal Hernia (May-2005)
2.Photo:A child with rash on the buttocks and legs .Both
ankles swollen and tender, also abdominal pain,but no c. fever.
Femoral Hernia
No neck stiffness.WOF is most common major
complication- (Dx:HS purpura ;AMC-286) 10.Photo: X-ray chest of a 9 months old infant as shown in
a.Nephritis AMC book(page-119). What is the Dx? Staph.
Pneumonia( But most common in this age group is
3.Photo: One X-ray and one Mammogram of Breast Streptococcus pneumonia)
(Anthology-104).Dx:
a.Breast Cyst 11.Photo: CT Scan. A lady complains that she feels her left
side of body she feels heavy. She also has paralysis &
4.Photo:Lipoma on the neck of a man.H/O soft swelling weakness of left side. WOF is your Dx-
present for last 3 yrs, never had any trouble for that a. Cerebral Tumour
swelling.But now he came to you for your opinion.WOF b. Cerebral Haemorrhage
you will do- c. Cerebral Infarction
a.Reassure, nothing need to do ( Anthology-399) d. SAH
b.Refer for specialist opinion
c.FNAC 12.ECG: Wide QRS complex and tall T wave-
a.Hyperkalaemia
b.Hypokalaemia
5.Photo:X-ray chest of a 8 months old infant with opacity in
Rt lower zone and pneumatoceles(Staph. Pneumonia).Rx- c.Hyponatremia
(AMC: Fig-119)
I/V Flucloxacillin 13.ECG : Inferior Infarction

6.Photo: Psoriasis in the forearm ( Anthology Book- 14.ECG: Ventricular Fibrillation

buttock).WOF is your Rx-
a.Topical steroids (Antho-410) 15.ECG:Vetricular Ectopic
b.Erythromycin
c.Intralesional Steroids 16.ECG: WPW Syndrome.What is the Rx-
a.Surgical ablation of the extra circuit
7.Photo:Eye and dilated pupil.Man came to you withb.h/oRadiofrequency ablation of the abnormal tract
pain in the eye, also has headache and vomiting.Mx-
a.Tropical Acetazolamide 17.A pt. present with ptosis of left eye, left side sensory loss
b.Patch the eye to look for FB of face. Left side gag reflex was absent, Rt. Sided
hemiparesis and incoordination of Rt. Upper and lower 24.WOF is X linked Recessive?
limb.Where is the lesion? Haemophilia .
a.Middle Cerebral Artery
b.Internal Carotid Artery 25.WOF is a feature of Parkinsonism-
c. Vertebral Artery a..Loss of postural reflex
d. Multiple Sclerosis b.Hyperreflexia
e.Post. Cerebral Artery c.Hypotonia
d Wide based gait.
18.A baby has jaundice just after delivery. Mother is Rh -ve,
baby also Rh -ve. Coombs Test is -ve.What may be 26.WOFthe Dx? is not a feature of Lacunar Infarct?
a.Autoimmune condition a.Fascicultion
b.ABO incompatibility b.Spasticity
c.Rh incompatibility c.Face weakness(sensory loss of face)
d.Difficulty in walking
19.Apparent shortening due to severe osteoarthritis of e.Increase
the Reflexes
hip is due to:
a.Fixed adduction 27.A patient who was previously well comes to you with
b.Fixed flexion complains of weakness for last 2 weeks, his reflexes in
c.Degeneration of head of femur lower limbs are absent though in upper limbs are
normal.What will be the CSF findings-
20.Median nerve injury above the wrist.WOF is true-a.Elevated protein, elevated glucose, elevated leucocytes
paralysis of abductor pollicis brevis with inability to b.Elevated
abduct protein, normal glucose,leucocytes< 5ml
the thumb c.Normal protein,normal glucose, leucocytes>5ml
(LOAF) d.No ignificant abnormality
21.In pt. with pancreatitis for purpose of statistical
studies ,AOF are useful EXCEPT- 28.Child with her mother in a Supermarket picked a packet
a.Case control of Baloon.His mum snatched it & kept in place.The child
b.Cohort started crying and at one stage he became unconscious but
c.Case report/case study-(one study) regain consciousness within 45 seconds.WOF may be the
d.Double blind study cause-
e.Systemic review a.Petitmal epilepsy
b.Infantile spasm
22. What a 3 yrs. Old can do? c. Breath holding attack
a.Draw a man with 6 parts d.Complex partial seizure
b.Hop on one foot e.Grand mal seizure
c.Climb stairs
d.Name four colours 29. All of the following are feature of ROSS RIVER,
Except-
23.AOF are used in BISHOP Score , Except- a.Chest pain
a.Cervical length b.Muscle pain Davidson-107
b.Cervical dilatation c.Fever
c.Position relation to ischial spine d.Lathergy
d.Moulding of the head e.Arthralgia
e.Cervical effacement
30.A man came to a country hospital in East Timor because
of sudden onset of vomiting and headache after a Motora.Serum Fe
Vehicle Accident(MVA).He was conscious at the time b.Serum
of Ferritin
admission.There was no visuable major injury,so he c.Iron
was daturation
sent home after observation.But 3 days later he becamed.Serum transferrin
unconscious and O/E there was unilateral fixed dilated38.Mother came with her 3 month old baby,she told you that
pupil,BP-increased, Pulse-decreased.He was taken toher a baby cries a lot at evening time.Mother wants to know
tertiary hospital in Dili.Which will be the immediatedoes
Mx- the baby cry when he becomes hungry or any other
a.X-ray of the skull cause, and what she needs to do when her baby cries.
b.Immediate Bur hole of the Skull (Rx of Extra DuralReassure the mother
Haematoma)
c.Anti oedema measures [Investigation: CT Scan] 39. After screening with faecal blood test WOF is the
d.Carotid angiogram correct percentage of detection of Duke A1 colonic
carcinoma: Scott-323
31.Tennis elbow,cause is- a.<3%
Overstretch of the common extensor tendons origin at b.15% ( Duke A-tumour confined to bowel wall-survival
elbow 90%)
c.25%
32.A pt. complains of severe pain on pressing on naild.50%
of
thumb.WOF is most likely the cause- e.75%
a.Fibrosarcoma 40.WOF is a feature of Thyrotoxicosis?
b.Osteosarcoma a.Fine tremor
c.Glomus tumour b. Distal myopathy
c.Small muscle weakness.
33.WOF is compatible with severe illness:
a.Increased cortisol, increased THS Dav-552 41.You are called to solve a problem between a nurse and a
b.Both cortisone and THs decreased- (Sehan synd.) psychiatric patient. On your arrival the pt. told you that he
c.Increased cortisol, decreased THS(Cushing Synd. should be allowed to remove his I/V line as he has private
+Hyperthyroidism- worst combination ) insurance & you being a doctor would understand this,
d.Decreased cortisol, increased THS because you would also have private insurance,and as a
e.Normal cortisol, increased THS doctor you would not like these nurses those who has no
private insurance.What is the appropriate Dx of this case?
34.WOF drugs have strongest negative ionotropic action:
a.Digoxin (Compare Q.17/Oct.,04 & Q.9/May2000)
b.Dopamine a.Regression
c.Adenosine b.Splitting
d.Deltiazem c.Projection
d.Denial
35. Six month old infant was brought by his parents.Had
funnyturns, sudden flexion of upper and lower limbse.Suppression
for one
week.Previously had coryzal illness.Now child not
responding like previously.Dx- 42.A 56 yrs old man has h/o melanoma.He is suffering from
Infantile spasm depression and now he behaves very percusly.He doesnt
36.On 10th day after appendectomy apatient presentsbelieve
with he has any depression or needs any treatment.What
diarrhoea with fever and difficulty in passing urine, what
is your
is Dx?
the most likely cause? a.Relapse of depression
Pelvic abscess b. Psychotic depression
37.In Haemochromatosis, WOF will suggest diagnosis? c.Effects of melanoma.
43.A 3 yrs old child came with her mother.The child b. hasFamily should make an independent decision.
been suffering an attack usually once in a month.Thec.Request
attack them to get him operated.
lasts for 2-3 minutes and during the attack she is seend.Put
in on your view aside and tell her the Surgeons opinion
spinning.She does not loose conscious during that, but feels
frightened & runs to her mothers lap for comfort.WOF 48.WOFis is not a feature of ischaemic ulcer?
your Dx: a. Ulcer on the medial side
a.Minor form of epilepsy b.Ulcer on the great toe
b. Benign positional vertigo 49. WOF is not a feature of Bulimia Nervosa?
c.partial complexe seizure a. Amenorohea
44. A 40 yrs old man comes with short history of malaiseb. Dental decay
and cachaxia when he was on a short trip to Bangkok.His c. Swollen tonsils
wife thinks he is suffering from jaundice.Now he presents
d. Hirsutism
with fever and chills.Blood tests shows: S. Bilirubin-50.A 62 yr old man presents with tiredness ,weight
increased, Alk Phos- Much increased, AST-Slightly loss,anemia and fatigability. What is the Ix you will do first?
increased, ALT- Slightly increased.What is the Dx? a.Barium meal Oct.92
a.Viral Hepatitis b.Sigmoidoscopy
b.Cholengitis c.Colonoscopy
c.Malaria d.Fecal occult blood test
45.A lady comes to you with low BP(100/65), Pulse 51.A patient has hammered his nail and came to you with
120/minute.She complains of pigmentation speciallySubungual
around haematoma under his nail.WOF is your Mx-
her breasts.WOF is your Dx: a.Oral Trebinafine
a. SIADH b.Oral Griseoflvin OHCS-738
b. Addisons disease c.Remove the nail
c. Hyperaldosteronism d.Expressing the blood through a hole trephined in the nail
(In Oct.05 : Pt. presents with lathergy, mucous membrane
52. A 11 yr old boy has difficulty climbing stairs and
pigmentation and K+ : increased, Na+:123 walking & running.O/E there is weakness of both legs and
mmol/L(decreased)BP- low and low glucose) loss of reflexes.All other exminations are normal.WOF
investigations will confirm the Dx?
46.A 54 yr old man has CRF, his MCV is 80-90.It falls a.CSF
evenanalysis
more after treatment with Erythropoietin;when the therapy
b.Forced vital capacity
was stopped he becomes anaemic within two months.His c.MRI
condition is due to- d.Nerve conduction study
a.Fe def. Anaemia e.X-ray
b. Vit B12 def. 53. An infant presents with a typical crowing noise on
c.Folic acid def. inspiration.The noise is more noticeable on crying.There is
d.Bone marrow fibrosis no cough.WOF is the Dx-
e.Red Cell atypia a.Croup
47. An old man suffering from cancer.Surgeon says that b. Laryngomalacia
the ( Forrest-596 OHCS-558)
man has no chance to survive whether gone for a operation
c.Bronchiolitis
or not.Surgeons opinion is to send him home for rest54. of A his43 yr old man came to your surgery as he is worried
life to live with his family.But you feel that the pt. deserves
about his chances of getting of colon cancer.He told you
every chance to be operated.Your duty to explain thethat his father and elder brother had died of colon cancer.
situation to the daughter of the patient.What will youWhatdo? you will advice him?
a.You should say that though the surgeon does nt want a.Sigmoidoscopy
to
go for a operation ,but you feel operation should be done.
b.Colonoscopy
55. Q. on repeated abortion.A female with H/O 2 abortion.
63. A 34 yr old lady complains of weight loss.She says that
56.At what level OCP works? she has lost interest in day to day activities, and she feels
a.Cervix hot.Her husband says that her wife has become moody &
b. Hypothalamus irritable.Her conditions most probably due to-
c.Uterus a.Hypoythyroidism
57.Anti D immunisation.WOF is true- b.Hyperthyroidism
a. Not required in B-ve baby 64.Supra condylar fracture of Humerus:structure most likely
b. To be useful must be given within 24 hours of delivery
to be of
damaged-
the baby a.Radial nerve
c. If given during second trimester can reduce the riskb.Brachial
of artery
autoimmunization c.Median nerve
d. Is not required if there is associated ABO incompatibility
65.A 33 yr old man came in ER with H/O 3 days vomiting
e. Is an active immunization followed by mid abdominal pain.O/E abdomen is rigid,
58.You are called to see a psychotic patient.On your distended
arrival absent bowel sound on auscultation.Plain X-ray
you see a tall built strong man threatening with a riffle
shows
to multiple air fluid level.WOF is the appropriate fluid
shoot anyone who approaches him.You should- therapy for the patient:
a.Command him to surrender a.2000ml of dextrose in 4.5% NaCl preoperatively
b.Subdue the pt. and snap the riffle b.2000 ml of Hartmanns solution preoperatively
c.Call the Police informing the situation c.2000ml of Hartmanns solution during the operation
59.A 5 yr old boy brought by his parents who is suffering
from delayed development of speech after a period of66.What is true about SCOLIOSIS ?
normal development.O/E he avoids eye contact.Parents give
Congenital and more common among girls than boys .
h/o his unusual love for a toy Turtle.WOF is most probable
Dx- 67.A 22 yr old football player during a game fell down in
a.Autism awkward position, and developed pain and rapidly
b.ADHD increasing swelling of the knee. Anterior, posterior and
c.Deafness lateral X-rays are normal.WOF injuries you expect to find-
60. Parents of a 6 yr old boy complain that their son a.Tear
is of Medial Meniscus
overactive, not cooperative enough with other children at
b.Rupture of Anterior Cruciate Ligament
kindergarten, also of destructive behaviour.But when kept
alone, was found to be playing happily with toys and68.Leg
other ulcer due to peripheral neuropathy commonly
children.WOF is correct- located in-
a.It is a normal variant a.Medial malleolus
b.ADHD b.Sole of the foot
c.Autism
d.Poor parenting 70.Treatment of Alcohol withdrawl hallucination-
61.WOF is true about ADHD- a.Diazepam
a.Children has reading disability b.Halloperidol
b.The child responds to cognitive therapy 71. Keratoacanthoma,WOF is true-
c.They responds very well to behavioural therapy Fast growing tumour with spontaneous resolution
d.Commonly seen in pre-school age (5-7 yrs) 72. Ecstasy is very popular in Australia, commonly used
by youngs; its properties are similar to-
62. WOF is associated with ASD- a.Cocaine
a.Diastolic murmur b.LSD
b.Wide fixed split S2 c.Methamphetamines
d.Diazepam 81. Patient with ileal resection causing increased INR.WOF
73.A patient came with weakness in extension of hand is correct-
and
of pronation.O/E there is no wasting of hand muscles. a.Non absorption of Vit. K (Normal INR 0.9-1.2)
Flexion normal, Biceps and Triceps reflexes also normal,No
b.Bleeding disorder
Brachioradialis jerk.Where is the lesion? 82.A patient with INR 2.1: An old man is on Warfarin and
a.Median nerve July-2005 now he is discovered with a resectable colon
b.Radial nerve cancer.Management:
c.Ulner nerve Stop Warfarin and start low dose Heparin; operate when
d.Nerve to Postrior Interoseus INR is normal
e.Nerve to Anterior Interoseus
74. What is the priority in a Motor Vehicle Accident(MVA):
83. A 29 yr old woman developed severe paroxysm of pain
a.Stop bleeding in check and lip lasting for about 15-20 minutes.There is
b. Clear the airway @ A-B-C loss of sensation in trigeminal nerve area.Most likely Dx-
c.Shine a torch in the pupils a.Tic dorulex
75. The time of ovulation is accurately diagnosed byb. WOF?
Trigeminal neuralgia
a.Serial LH surge c.Multiple sclerosis
b.Urinary LH d.Migraine without aura
c.Regular basal body temp.
d.Estimation of progesteronein mid luteal phase 84.A 18 yr old girl comes to you for your advice regarding
Contraceptives as she is going to start her sexual
76.Treatment of Trigeminal Neuralgia- relationship.WOF you will prescribe:
Carbamezepine a. OCP
b.IUCD
77.Function of Adductor Pollicis is lost.Which nervec.Condom
is
affected? d. Low dose progesterone
a. Median nerve 85.WOF doesnt produce keratotic scale?
b. Radial nerve a. Basal cell carcinoma
c. Ulner nerve b.Squamous cell carcinoma
c.Pityriasis versicolor
78. Feature of Temporal Arteritis: Patient with loss ofd.Keratoacanthoma
vision
which lasted for few minutes.WOF is correct? e.Psoriasis
a.Temporal arteritis 86.Hutchisons Melanotic Freckle,WOF is not correct?
b.Lacuner infarct a.Mainly occurs in the covered parts of body
c. Carotid artery stenosis b.Irregular border
c.Malignant
79.A 38 yr old lady with dull contineous headache, could
not do her daily work.Most appropriate Ix- d.Mostly occurs in the elderly
a.ESR 87. Q. on Submandibular Gland:Still to be recalled
b.USG
c.CT Scan 88.A mother complains of her 10 months old baby who
80. A 35 yr old lady came to ED with twitching of wakes up during night many times.The baby is otherwise
fingers.Investigations done;CT normal.Reassuranca healthy and gaining weight properly.The mother is worried
given.But after few days she came back again with about this.what is the Mx-
twitching in hand again.Another CT & USG.Management: a.Urine culture
Give calcium because this is hypoglycaemia b.Give sedative to the baby
c.Tell the mother to cuddle the baby when he cries 89. A 45
year old man has fainted.His BP is 90/50 and Pulse JVP, huge hepato-splenomegaly and ascitisWOF is likely-
110/min.Serum Na-115(low), urine Osmolality-655.Most (May05)
likely diagnosis is: a.Cirrhosis
SIADH b.Costrictive pericarditis due to previous tuberculosis
c.SVC obstruction
90. A man presents with sudden onset of Horners d.Budd Chiari Syndrome
syndrome, 9 & 10 nerves palsy and loss of touch and95. A foot ball player while playing got injury in his
temperarure sensation on the opposite side of the Rt.Knee.The knee is locked.Dx: [Outline of fractures-
body.Where is the site of lesion? 224:Locking is common & important
a.Vertebrobasilar artery Tear of Medial Meniscus feature of torn medial
b.Basilar artery meniscus.Knee suddenly gives way]
c.middle cerebral artery
d.Vertebral artery 96.Two sisters are living together in a house.Elder sister
e.Carotid artery thinks that their neighbours are trying to poison them with
germs,so they have sealed their house.Younger sister
believes what her sister says.But she is normal when she is
91. A lady undergone surgery for gallstones.She developed
fever and tachycardia after 6 hrs.Oral Cholangiogramawaywas from her elder sister.This is an example of-
done; findindings were normal.Dx- a.de clerabault syndrome (Oct.-2004)
a.Atelectesis b.Induced delusion
b.Wound infection c.Capgras syndrome
c.Allergy to dye d.Folieodoux syndrome
97. A 29 yr old lady comes to you with obesity, irregular
92.A 63 yr old man presents with 3 days vomiting and cycles
has and hirsutism.What will help you to Dx her
lost 3 kilos.Five years ago he was treated with condition-
cimetidine.Over the last two months he has epigastrica.Increased
pain FSH : increased LH
and has been treated with aspirin.Vomitus is clear in b.Incrased
colour LH: increased FSH (Dx-Polycystic Ovarian
with identifiable food paticles.The Dx is: Synd.)
a.Drug induced gastritis c.Increased Prolactine level
b.Chronic duodenal ulcer 98A 32 yr old primi in her 33 weeks of gestation informs
c.Cancer of duodenum you that her babys movement suddenly become decrease
d.Pyloric stenosis for the last 28 hrs.Before that her pregnancy was going
e.Cancer of cardia normal without any problem.WOF would be your
management to combat the concern:
93. A 45 yr old lady complains of irregular menstruala.USG [October'03]
b. Do
bleeding.She has been treated for CIN-II previously and a Cardiotopography(CTG)
Pap smear done 6 months ago was fond normal.WOFc.Fetal is the Scalp pH
most appropriate investigation for her? d.Immediate delivery of the baby
a.Colposcopy Repeat: March06 99. A 38 yr old primi of 39 weeks pregnancy admitted in
b.USG to detect endometrial thickness Labour Unit with the onset of regular uterine
c.Cone biopsy (see the difference: Q-40/oct04) contraction,her cervix is 8 cm dilated, fully effaced,station
d.Endometrial curettage +1, initially fetal hear rate was 155 but after a while on the
e.Repeat Papsmear progress of labour fetal heart beats suddenly falls from 155
94. A labourer who is a heavy smoker find difficult toto 80 per minute; otherwise normal in respect of mothers
perform his duties and worried about his physical general condition.What would be your next step of Mx:
a.Fetal scalp pH
conditions.On examination there is ankle oedema, raised
b.Cardiotopography (Oct.2003) FSH increased, Oestradiol -decreased.Rx:
c.Vaginal examination to exclude any cord prolapse a.Clomiphen citrate
d.Emergency delivery by C/S b.Give her Oestrogen daily
e.Percutaneous umbilical sampling c.IVF
100.A 57 yr old lady develops sudden onset of left sided
108.A young obese 24 yr old female with hirsutism,
weakness and right eye blindness.This is most likelyoligomenorrhoea
due to- and irregular periods, was found to have
a.Vertebro-basilar insufficy endometrial hyperplasia(benign)on curettage.AOF are
b.Pituitary tumour appropriate treatments,Except-
c.Carotid artery stenosis a.Progesterone from 14 to 21 day of each cycle
d.Cerebellar lesion b.Diane35
e.Retinal detachment c.Clomiphene citrate
101.A girl lost her father 6 months ago.She can not get
d.OCP
over
it.She lost weight 10 kg.Most important thing you neede.Oestrogen
to alone
enquire about her: 109.Pain in epigastrium which does not releifs by eating or
a.Eating pattern (May05) any effort.Has no relation with food.Dx-
b.Suicidal ideas Hiatus hernia
c.Menstrual regularity 110.Question on Basal cell carcinoma
102. Pleural Effusion: Typical presention.Stony dull 111.Rx
on of ADHD: Dexa amphetamine
percussions,bronchial breath sound above the area, 112.Management of Supracodyler # of Humerus(Anthology
restricted movements on the affected side. book)
113.A boxer comes to the ED after a fight in which he was
knocked out.His left pupil is dilated, but otherwise he is
103.A patient presents with impaired sensation on medial
aspect of the hand, 4th and 5th fingers of the hand arenormal and he feels ok.WOF would you do-
flexed.Where is the lesion? a.Give Manitol
Ulner nerve at elbow b.CT Scan of head
104.A pt. was on warfarin, he developed haematemesis and
melena.His INR is 10 times normal.WOF should be the 114.A man presents with pain over the L4 region.His X-ray
management? (Sept.05) shows multiple metastatic lesions in the spine.WOF
a.Fresh plasma infusion investigations is most appropriate:
b.I/V Fluids a. Prostate specific antigen
c. Oral Vit-K b. CT Scan
d.Transfuse blood c. MRI
e.Intra muscular Vit-K 115.A young man comes to you with epigastric pain.His
105.What is the best medication to give as Postcoitalwife is pregnant and he is on edge.AOF would support
Contraception ? you inference that he is an alcoholic,EXCEPT-
a.OCP a.Attempt to Cut down in the past
b.Levonogestrol within 72 hrs,and second dose 12 hrs b.Anger
after on enquiry CAGE- 1.cut down 2.anger 3.guilty
the first one. 4.eye opener
c.Guilty about drinking
106.A lady recently married comes to you with vaginal d.Eye opener (drink first thing in the morning)
d. Two
infection(cystitis).This is 3rd episode.Most appropriate Ix- bottle of light beer/day
a.Vaginal swab
b.Husbands urethral swab 116. A 12 yr old boy presented with painless lump in the
c.Colposcopy scrotum for the last 6 months.He is otherwise healthy grown
107.A female comes to you for infertility.Her LH increased,
up.What is the most likely Dx?
 Derived from sympathetic neuroblasts,most common solid
a.Hernia tumour in children<5yr.Likely to present with abdominal
b.Seminoma swelling and urinary catecholamines (vanillylmandelic&
c.Encysted hydrocelc of the cord homovanillic acids) raised in 92% cases.
d.Saphena varix 124.Hypospadias: incidence of 1:350 male birth.
e.Haematocele 125.All are autosomal recessive , Except-
117.A mother of a 4 yr old child noticed that there is a.Neurofibroblastoma
a solid
b.Phenylketonuria
mass in the Rt. Loin area of her child which she noticed for
the first time with occasional blood in urine.WOF is c.Galactossemia
your
initial Dx: OHCS-220 d.Cystic fibrosis
a.Neuroblastoma Wilms tumour:Commonest e.Sickle cell anaemia
intraabdominal tumour of 126.After his baby sister was born, a 6 yr old boy began
b.Wilms tumour childhood.Haematuria not common,but suck his thumb and wetting his bed, behaviour he had
fever,flank pain c c.Hydronephrosis abdominal massgrown found.out of long before.This is an instance of-
US-pelvicdisortion,hydronephrosis a. Regression
d.Plycystic kidney disease . 127.A child has swollen joints and cries whenever the
118.Two months old childs mother noticed a firm lump napkin
in is changed, irritable, ecchymoses and hyperplastic
her baby in the left side of upper abdomen while gums. WOF is Dx ?
bathing.Child has bilateral periorbital ecchymosis.what a.Rickets
is
the most likely cause? b.Scurvy
a.Neuroblastoma May-2000 128.A multigravida presents at 37 weeks gestation, not in
b.Wilms tumour labour, with a breech presentation and ruptured
membranes.What should you do initially?
119.Mother of a 3 year old child noticed a mass in the a.Immediately C/S
abdomen on the left side.AOF could be the cause,except- b.Vaginal examination
a.Hydronephrosis October96 129.A 23 yr old man limped into ED and stated that he was
b.Neuroblastoma kicked in the post. Aspect of the leg during a game of foot
c.Nephroblastoma(Wilms tumour) ball.He experienced immediate sharp pain which
d.Poly cystic kidneys-(Die before 1 year of age ) subsided.O/E there is decreased planter flexion.What is the
e.Chr. constipation Dx-
Rupture of achillis tendon
120.In minimental examination WOF indicate severe130.Peritonsilar abscess(Quinsy): Caused by
outcome for the patient: Streptococcus& Trismus seen.
a.Unable to recognize you 131.Zygomatic bone (maxillo facial) fractures characterized
b.Unable to recall own identity by-
121. A 73 yr old woman presented with polymyalgiaa. Involvement of infraorbital nerve
rheumatica.Most likely characteristic of this disorder-b. Subconjuctival hge. with no definitive posterior limit
There are fatigue,fever and depression c. Loss of senstion over canine & first premolars
122.A baby with Downs syndrome is born to a couple d. Partial
who trismus
e. All of the above
definitely refuse to take the child home after failure to
convince them.The most appropriate course of action: 132.In senile dementia WOF would be least likely to be
Arrange temporary foster care lost(last to lose) :
123.An 8 yr old girl presents with abdominal a.Memory for faces
protusion,anaemia and tenderness.O/E there is a big b.Memory fpr neighbourhood
irregular and mobile mass crossing the midline.Dx- c.Arithmetic memory
Neuroblastoma d.Language memory(vocabulary)
e.Short term memory
133.WOF is most likely to be damaged during carotid
endarterectomy:
a .Vagus nerve
b.Hypoglossal nerve NMS-132
c.Facial nerve ( 1.vagus 2.hypoglossal 3.Recurrent laryngeal
4.Marginal mandibular)
d.Laryngeal nerv