MCCEE MAY 2004

1. allergy desensitization?
2. persons walk two blocks then rest ?
3. undercooked food and eggs caused by?
4. stree incontinence?
5. in pda?
6. pts has non biolous vomitting?
7. spermatic cord torsion?
8. a girl is 15 year fully sexually active want to use iud?
9. where one lady used IUD?
10. Bicor uterus has one women?
11. which throid tumor has good prognosis?
12. varcilla?
13. toxic shock syndrome?
14. pts has heavy bleeding with uterus emplty?
15. acynotic heart disease?
16. Schizophrenia-imaging changes:prefrontal cortex
17. 10 day newborn jaundice,treatment:stop brestfeeding,phototherapy
18. ac appendicitis missdiagn. ac mesenteric lymphadenitis
19. Man 64 year with hoarseness:laryngoscopy
20. syncope in young man:vasovagal
21. Cause of ac cholecystitis:obstr by stone
22. intest obstr,except:guarding
23. diabetic pregnant; control of glycemia during pregn
24. man with knife(!) in thigh; press fem art
25. esoph atresia:no air shadow
26. clue cells:vaginal secr,KOH,cover
27. neonatal sepsis:skin eruptions?hypothermia?
28. man with dark skin,hepatomegalia:hemochromatosis
29. ophtalmoplegia with pupillary sparing:diabetes
30. hemophilia A,carrier 1/4
31. Huntington:50%
32. baby with cleft palate:feeding problem
33. peptic ulcer:penetration
34. Hirschprung d:from birth
35. Hirschprung dg: X Ray
36. an infant with running nose plus wheeze?
37. disseminted intravascular bleeding?
38. a patient have gangrenous foot and doctor want to amputate what decision?
39. mania treated with?
40. gender identity?
41. rectal bleeding in infant?
42. in picture of an infant in which when mother change diaper what will doctor
do?
43. patient has jaundice plus Alanine increased plus aspirate increased what
diagnosi?
44. acute appendicitis is misdiagnosed with?
45. common symptom of sheehan syndrome?
46. 1q's about psa
47. hiv result what will u tell to pt
48. retinal detachment
49. oribtal sweeling = oribtal cellulitis

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 50. hearing test = wax
51. psa
52. +ve node in stage 1a prostate ca what to do
53. 15 % burn child with stridor
54. cleft palate what will be the problems in incoming years
55. consent for surgery what u will not mention
56. q's about case control + cohort study
57. psa livel increase in
58. precocous puperty what is of the 5 answers can be dx with precocus puperty
59. child development
60. bactrial vaginosis
61. in canada all regarding mortality is unequal except
62. q's about primary health care
63. elderly 2 yrs cough + chr b/l basal field hassiness = histoplsmisis
64. absoulte C/I in IUCD
65. 2 other q's about consent
66. Picture options:10 mcqs
67. 1 ECG:Mitral Stenosis
68. 2 ECG:LBBB
69. 3 Turner Sy -female genitalia
70. 4 Happy girl:school performance (no mental ret in Turner)
71. 5 Rectocel
72. 6 scleroderma
73. 7 Tempreture chart:ovulatory chart
74. 8 Kyst in the midle of the neck
75. 9 ptyriaqsis rosea
76. 1o Lesion on the lip:squamosus cell-carcinoma
77. Kid with migriane:Diagnostic, Treatement?
78. Why not give multivit to everyone.Which NOt true? Too Expensive
79. SSRi+ St John Wort? Serotonine syndrom
80. RTherapy + Hematuria? Cyctit Hem
81. When to start ABtherapy in C-section? After clamping
82. PCP intoxication
83. Ankle fracture + extremity cyanos.what to do?
84. Patient dies in emergency by a doc fault,but this doc is not employed by hosto
and is Preiviliged??? who is responsilble?(Hosto+doc)
85. The most common cause of legal medical problems?Negligence
86. 14 years old wants OCP?Give to her
87. Mother wants to remove a normal beauty navi from 10 yo child`s face but the
child wants to keep it.what u do? Respect child decision

1. Rheumatoid arthritis patient develops tinnitus. Cause?

a) Due to ASA
2. Most common occupational disease in Canada.
a) silicosis
b) dermatitis
c) asthma
d) asbestosis
3. Most common cancer in Canada/
a) lung
b) breast
c) prostate
d) brain

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4. 23 year old lady presented with cramping abdominal pain and heavy bleeding. Pregnancy test positive.
Bleeding stopped today morning. Pregnancy symptoms disappeared one week ago. USG shows empty
uterus and 3 cm mass in adnexa. Diagnosis?
a) ectopic pregnancy
b) complete abortion with corpus luteal cyst
c) ves. Mole with corpus luteum
d) twin gestation- one aborted and one ectopic
5. A lady 50 years with swelling medial to femoral pulse. Firm and smooth. Diagnosis?
a) femoral hernia
b) inguinal hernia
c) saphena varix
6. galactorrhoea . cause?
a) pituitary infarction
b) hyperthyroidism
c) danazol
d) thoracic nerve stimulation
e) dopamine agonist
8. Most common gynecological infection in Canada
a) candidiasis
b) bacterial vaginosis
c) gonorrhea
9-
. Most common cause for premenstrual itching (cyclical itching)
a) candidiasis
b) bacterial vaginosis
c) non specific vaginitis
10. Benzodiazepam. Cross-tolerance with which drug
a) chlorpromazine
b) alcohol
c) tricyclics
11. A child has ingested 30 tablets of imipramine. What should be done mean while contacting the
toxicology center.
a) forced diuresis
b) give ipecac syrup
c) drug to prevent convulsions
12. Which combination should not be used?
a) tranyl cypramine-sertraline
13. Toxic shock syndrome. Not true
a) exo toxin
b) tampons
c) skin necrosis
d) fever
e) rash
14. Commonest cause of broncheolitis
RSV
15. A child with proptosis, swelling and redness around eye, movement of eye painful. Diagnosis
a) orbital cellulites
b) preorbital cellulitis
16. Soldier returning from peacekeeping force. He has nightmares anxiety. Etc. what is the initial step in
management
a) psychoanalysis
b) benzodiazepine for 1year
c) a trial of behavior therapy for s assort period
17. hirshsprungs most imp. Inv
a) Barium enema
b) Colonic transit time with radio opaque markers
c) X ray
18. hirshsprung .diff from constipation
a) from birth
b) fecal soiling
19. Man 56 years. Father died of prostate ca. o/e a small nodule right lobe. PSA 2.2. What advice
a) follow up in 6 months DRE and PSA

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b) foloow up in 3 months PSA
c) uss guided Biopsy now
20. severe premenstrual syndrome. Definitive management
a) b/l oopherectomy
b) hysterectomy
c) prog
d) oes
e) NSAID
21. For which of the following is behavior modification is best?
a) phobic anxiety
b) generalized anxiet
22. A man 10 days after pancreatitis complains of abdominal pain, firm swelling
a) pseudocyst,
b) a/c hepatitis
c) cholangitis
d)
23. Peptic ulcer patient complaints of pain radiating to back. Diagnosis
a) perforation
b) penetration
24. A baby with birth wt.3.5kg now 4 weeks weighs 3.6 kg. Mother worried not drinking enough milk. What
will you advise?
25. Ophthalmoplegia with pupillary sparing. Cause?
a) diabetes
26. A lady gave birth to a cleft palate baby. You are going to send her home after counseling. For what
reason she is going to come to your office more often?
a) feeding problem
27. Which is not a cause for occupational asthma
28. A man with dark skin, liver 20 cm. Cirrhosis. Diagnosis
a) hemochormatosis
29. What inv. In the above patient
a) transferrin saturation
30. A man presented with pain in flanks radiating to groin. He had similar episodes 2 times previously. And
was diagnosed to have hyper calciuria. What should be done?
a) thiazides
b) allopurinol
c) reduce dietary calcium
31.post appendicectmy pt develop s-subphrenic abscess
32. Neonatal sepsis.a feature
a) hypothermia
33. A man with a swelling in the right scrotum. O/e- tender mass above testis. skin of scrotum red and
inflamed. Prostate enlarged He has pyuria. What is the diagnosis?
a) epididymitis
b) epididymitis and prostatitis
c) gonococcal urethritis
34. How to look for clue cells.
a) vaginal secretion with KOH and cover
35. Which is true about congenital anomalies?
a) congenital anomalies rarely affect growth
b) if symmetrical IUGR is detected look for congenital anomalies
c) trisomy 13&18 will not cause growth retardation

36.esophageal atresia with tracheo esophageal fistula at the lower end. What is true?
a) gastric aspiration common
b) gastric air shadow not seen
c)
37. A man sustained a stab wound on the thigh anteriorly. He is bleeding profusely. What is the first thing to
do?
a) apply tourniquet above the wound
b) press femoral artery
c) direct pressure
d) on wound
38. A child with 15% burns On face and chest. What is done?

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39. Laryngeal nodule- not a risk factor-
medication
39. A man 64 years c/o hoarseness. What is the first thing to be done?
a) chest X ray
b) laryngoscopy
40. Uncomplicated intestinal obstruction. All are seen except
a) increased bowel sounds
b) distension
c) guarding
d) tympanitic
41. Most common cause of syncope in a young man
a) vasovagal
b) hypoglycemia
42. Right upper quadrant pain, fever, jaundice. Diagnosis
a) a/c cholecystitis
b) cholangitis
c) hepatitis
43. A/c cholecystis. Cause.
a) obstruction of cystic artery
b) onstruction of CBD
c) obstruction of GB by stone
44. Treatment of nephritic syndrome. All except
a) diuretics
b) salt restriction
c) fluid restriction
d) prednisolone
e) protein restriction
45. Malaria treated. Recurrence after 1 year
a) dormant liver schizhont
46. Features of meningitis. What inv.
a) lumbar puncture
47. Elderly wife abusing husband who is suffering from arthritis what is not done
a) send hem to daycare
b) support to wife
c)
48. Status asthmaticus
a) hydration, inhaled beta agonist, IV steroid
49. Abruption placenta. Cause of DIC
a) fribrinolysis.
50. followings r characteristics of psychoanalysis except:
a) contertransference
b) resistance
c) rehearsal
51. newborn with congestive heart failure, is acyanotic, most likely cause?
a) TOF
b) ASD
c) aoteric stenosis
52. scenario of vaginal candidiasis and groin skin candidiasis, the patient probably has:
Answer: DM

community health
1-plants worker what cause most upsent ?
2-mortality rate decrease why ? better life style
3- who assess the capacity of pt
4- to refuse cont of resus who will sign
psychiatry
1- lady afraid to give speech diffn ? social phobia

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2-BN whats not tru metabolic acidosis
3-diffention of non social PD
4- difference between schizo and bi bolar disorder
5- < 24 mmse in elderly ?
paeds:
1-all true regarding breast milk except
2-q's about achondroplasia risk in children mother not a carrier father not her
brother is a carrier
3-UTI in child what Ix to be done MUCG + US
4-signs of mutism
5-autism = cont to stare at u ( good social )
6- feature of leukaemia in a child = thrombocytopenia + neuotropaenia
medicine
1- low mg all true except high ca
2-labetalol not used in
3-dka what not to do
4-most common hypothyroid disorder
5- best rx of dyspepsia
6- a case of hepatic encephalopathy
7- case of drug induced cirhosis
8- case of dermatomyocities
9- case old man obese snoring paq2=60 mg hg what advice
10- elderly afib adivese = start on coumadin therapy
11- case of mycoplasma pneumonia
12- which of the following organism doesnt caue lung abscess
13-rx of pleural effusion
14- man playing sea vollyball sudenly develop severe dyspnoa + mediastinal shift
what to do = insertion of a chest needle ( spon.. pneumothorax)
obs& gynae
1-case of PCOS
2- primgravida with active phase whats the feature
3- indication of assisted delivery except = station at -1
4- IUGR not associaed with =short lady
5- not true regarding karotype = umbilcal fetal blood smaple
6-variable deceleration= cord compression
7-most common cause of non reactive nst = fetal sleep
8-indication of parentral dx
9- f/u with a pt with GTN = serial bhcg
surgery
1-man walks 2 block and rest = angioplasty
2- q's regarding inital Ix intermittent cludication = AB index
3- ulcer beside 2nd molar teeth elderly man with il-defined denture = trumatic ulcer
4- elderly with chronic constipation rx = enema
5- 2 q's about femoral hernia