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MEDICINE
1. heterosexual
2. homosexual
3. intravenous drug users
4.blood products
5.
3. Women presented with bleeding. She has a family history of bleeding (brother,
father).
1. Haemophylia
2. Deficiency XII
3. Von Willebrand’s disease
4. .
5. .Christmas disease
5. Granuloma Anulare
1. premalignant
2. itch
3. irregular raised edge
4. oral antifungal treatment
5.
1. No EEG recording
2.
3.
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7. Myelofibrosis
1. tear drop cells
2. .
3. .
4. .
5. .
1. stop progesterone
2. start ergotamine
3. Relaxation method
4. .
5. .
12.
12. Woman (old) , history of tremor- increase when reach for an object. Treatment
1. propranolol
2. levedopa and carbidopa
3. .
4. .
5. .
13. Parkinsonism
1. loss of postural reflexes
2. .
3. .
4. .
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1.
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25. SLE
26. Patient with Rheumatic fever developed a new murmur- lower end of the
sternum
1. Aortic regurgitation
2. Pulmonary regurgitation
3. Rupture of
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5.
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33. 70 years old woman -with 3 week history of confusion. Increased Phosphate,
increased calcium.
1.paget disease
2. renal failure
3. .
4. .
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1.
2.
3.
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36. ITP
1. Extensor surfases
2. Splenomegaly
3. Rash
4. Haemorrage –fundoscopy
5. .
1. wrong antibiotic
2. .
3. .
4. .
5. .
44. man developed a rash on palms and the soles . Anal ------
1. second syphylis
2. yaws
3. .
4. .
5. .
1. Tachypnoea
2. Cyanosis
3. Hypotension
4. .
5. .
48. In kernicteros
1. Increased in total bilirubin
2. Inreased in uncongugated bilirubin
3. Increased in congugated biluribin
4. .
5. ,
1.
2.
3.
4.
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50. All causing hypoglycemia ecxept
1. cephalohaematoma
2. .
3. .
4. .
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52. L5 L4 affected
1.absent knee jerk
2. absent ankle jerk
3.
4.
5.
53. Acromegaly Ix
1. Oral and GH
2. .
3. .
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55. Man present with a ureteric colic and brought a sample of urine which contained
blood and asks for pethidine. On examination NAD. Urine sample containes blood.
Rx.
1. take a another urine sample for blood
2. give him pethidine
3. .
4. .
5. .
56. patient presents with (night time) paresthesia and waisting of thenar muscles
62. Diabetic patient taking morning and evening doses. He wakes up at night with
sweating
1. reduce evening dose
2. .
3. .
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6. Women presented with bleeding. She has a family history of bleeding (brother,
father).
6. Haemophylia
7. Deficiency XII
8. Von Willbird
9. .
10. .Christmas disease
Paediatrics
66. (overweight )Boy aged 12 years presents with a limp.
1. Perths disease
2. Slipped upper femoral epiphysis
3. .
4. .
5. .
68. Child present with moring vomiting . She also have headaches.
1. Migraine
2. Medulloblastoma
3. .
4. .
5. .
69. Iron deficiency anaemia in a 4 year old most common cause
1. diet mainly milk
2. increased consumption of fruit juices
3. .
4. .
5. .
70. Child (7 years) presents with a high temparature and with a sore throat.
He cannot swallow.
1. Intubation
2. Antibiotics
3. .
4. .
71.What age a child can talk with short sentences and follow simple
commands.
1. 18 months
2. 2 years
3. 3 years
4. .
5. .
76. Child with a swollen eye lid. Eye movements are ok.
1. B heam.strep. A
2. B heam.strep. B
3. .
4. .
5. .
80. 3 months old baby with purulent discharge from eye. Increased
neutrophils.
1.gonococcal
2.duct stenosis
3.chlamydia
4.
5.
1. sweat chloride
2. antigliadin antibodies
3. .
4. .
5. .
84. Haemophilia
1.
2.
3.
4.
5.
91. Lactating women eating a well balanced diet. What is the defficient
1.Vit c
2.Vit K
3. Vit D
4.
5.
93. Most common cause of loss of consciousness except
1. petit mal
2.
3.
4.
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SURGERY
1.After appendectomy. There is a swelling. Rx.
1. Remove the sutures
2. .
3. .
4. .
5. .
2. Picture varicocele
1. .9% Nacl
2. Hartman Solutuion
3. 5% dextrose
4. 5% dextrose and N.saline
9.Pt. admitted with a crush injury to his lower abdomen and pelvis. On examination he
has fresh blood at the external ureathal meatus.
1. Pass a catherter
2. Excretion urethrogram
3. Arrange urethroscopy
4. Urethrography
5. .
1. cyst
2. .
3. .
4. .
5. .
1. haemangioma
2. teleangiectasis
3. .
4. .
5. .
1. flucloxacillin
2. .
3. .
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14. Hx. Of a snake bite. On examination a scratch mark only. No other symtomps. Rx.
1. Observe
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GYN/OBS
1. Pregnant women – how to diagnose that she will have a premature delivery after another 4 weeks.
1. cervix mesure 3.8 cm long
2. external os one finger open but internal os closed
3. cervix firm and 5 cm long
4. .
5. .
2. Twin pregnancy
1.
2.
3.
4.
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4. woman –36 weeks preg. Complains of abdominal pain. Pulse rate increased. What is not seen
1. BP increased
2. .
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6. FH rate –CTG
6. 16 yr old girl . with breast budding sparse axillary, pubic hair. Which investigation is least likely
1. CT-head
2. Pelvic ultrasound
3. FSH
4. LH
5. Prolactin level
10.Puperal psychosis
1. >50% get
2. .
3. .
4. .
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13. Girl -high prolactin level. TSH normal. Found pituitary adenoma size 1.8 cm 3 cm extending to
chiazma. What is your first initial management
1. bromocriptine
2. .
3. .
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5. .
14. 68 yr. Woman recently started on warfarin and Pv bleeding. All true except
1. bleeding because cervical cancer
2. .
3. .
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5. .
1. foreign body
2. .
3. .
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20. Woman with Cystic fibrosis want to get pregnant what advise can be given
1. can deliver
2. should not encourage to get pregnant
3.
4.
5.
1. Metronidazole
2. .
3. .
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23. OCP –which effect is seen with progesterone only pill as compaired with eostrogen
1. low density lipid ……..
2. .
3. .
4. .
24. woman pregnant with her 2nd child . 1st pregnancy baby bw 4.5 kg and during the birh fractured the
clavicle. Ix.
29. Hypertensive patient well controlled with ACE. She wanted to get pregnant. What advise you would
give
1. Continue ACE
2. Rx with methyldopa and diuretics
3. .
4. .
5. .
30. What is the contraceptive pill for a woman who takes phenytoin
1.Microgynon 30
2. Microgynon 50
3. Diane
4.
5.
Psychiatry
1. What is “TESTAMENTARY CAPACITY”
1. ABLE TO MAKE A WILL
2. Able to give evidence in a court
3. .
4. .
5. .
2. Couple wants to get pregnant. But concerned because grandmother has bipolar disorder. What advise
1. not to get pregnant
2. Refer to genetic study
3. <10%
4. .
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5. Social phobia
1.
2.
3.
4.
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6. Serotonin Syndrome
1.
2.
3.
4.
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7. man wears womaen’s cloths
1. transsexualism
2. .
3. .
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8. Man presents with impotence what is least likely to given as a initial treatment
1. Viagra
2. .
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10. Canabis
1. increasesd with ingestion
2. less likely to have withdrawal symptoms
3. .
4. .
5. .
1. toxoplasmosis
2. .lymphomaa
3. .
4. .
5. .
1. histrionic personality
2. hypomania
3. .
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15 ADHD –cause
1. not known
2.