MBBS 2008 INTAKE (MBBS_2008_INTAKE) > TAKE ASSESSMENT: GENERAL

PRACTICE FORMATIVE TEST

Take Assessment: General Practice Formative Test

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Name General Practice Formative Test

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1
A mother brings in her 1 year old child into your general practice with
a 3 day history of a dry, barking cough. The cough is worse at night.
The child has a mild fever, a clear chest and is otherwise well. Which
of the following is the MOST LIKELY diagnosis?

Epiglottitis

Viral upper respiratory tract infection

Asthma

Bronchiolitis

Pneumonia

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2
Which of the following statements about cataracts is correct?
 Cataracts are the leading cause of blindness worldwide

A visual acuity of 6/12 or worse is required before surgery is

indicated
Medications cannot cause cataracts

A cataract is a growth of a film across the eye

Previously worn glasses will still be required after cataract

surgery

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3
Sam is a 21 year old male who smokes at least 30 cigarettes a day and
has done so for 5 years. While he has seen anti-smoking campaigns
advertised in print media, on television and health warnings on
cigarette packets, he does not wish to change his behaviour. The reason
these campaigns fail to impact on young people is called 'optimism
bias' and refers to?

An upward comparison where the young person concludes that

their behaviour is much less dangerous than that of the 'average'
smoker
A downward comparison where the young person concludes that
their behaviour is much less dangerous than that of the 'average'
smoker
A sliding scale where the young person concludes that their
behaviour is much less dangerous than that of the 'average'
smoker
A specific form of self deception where the young person
concludes that their behaviour is much more dangerous than that
of the 'average' smoker
A form of denial of the health consequences of smoking based on
the belief that they only affect old people

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4
Patient non-compliance with medical regimes is MOST OFTEN an
expression of:

A patient's disagreement with the doctor about treatment goals

A patient's lack of understanding about treatment goals

Patient cultural values and beliefs

The patient's lack of motivation and commitment to recovery

 Financial restraints on the patient

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5
The National Bowel Cancer Screening Program offers:

Colonoscopy for 55-65 year olds every 2 years

Colonoscopy for over 50 year olds every 5 years

Faecal occult blood testing for over 50 year olds every 2 years

Faecal occult blood testing for 55-65 year olds every 2 years

Faecal occult blood testing for 55-65 year olds every 5 years

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6
With immunisation, there is a definite contraindication to:

The use of triple antigen in a baby that had a fever of 38 degrees

for 12 hours after the previous triple antigen
The use of triple antigen in a baby who had a 1 cm red swelling at
the injection site for 3 days after the previous immunisation
The use of a live vaccine in a child in an immunocompromised
state
The use of a live vaccine 4 months after a blood transfusion

The use of a live vaccine 5 months after an injection of

immunoglobulin

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7
A 90 year old man presents to you with an ulcer on his left ankle that
has failed to heal with simple home dressings over the last month.
Which of the following features gives you the strongest indication that
this ulcer is arterial in origin?

The ulcer is usually not painful

The ulcer is in the gaiter area

His advanced age

 He has an ankle/brachial (Doppler) index of 1.1

He has an ankle/brachial (Doppler) index of 0.7

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8
You have been treating the chronic leg ulcer of a 74 year old lady for 4
weeks. Although it was reducing in size for the first 2 weeks, it has not
reduced in size since then. What is the feature most suggestive of
infection as a cause of the impairment in healing?

Hypergranulation tissue

Friable granulation tissue

Grey granulation tissue

Rolled wound edges

Erythema more than 2 cm from the wound edge

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9
A 6 month old baby boy is brought to you by his mother with a
symmetrical rash worsening over the previous month. Which clinical
feature would make you favour a diagnosis of seborrhoeic dermatitis
over atopic dermatitis?

The rash is on the cheeks and the fronts of the elbows

The rash is mainly in the neck flexure, axillae and groins

The child has been scratching constantly

The rash has areas which are weeping

The baby seems more irritated when in woollen clothing

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10
A 32 year old man consults you about some low back pain that he has
had for the last two months. He had been to an Emergency
Department a month ago where he had been diagnosed as having
mechanical back pain. He was told that it would settle with rest and
anti-inflammatories. However it has been worsening rather than
 improving since then. Which of the following clinical features would
make you most suspicious that there was something other than a
mechanical cause for his pain?

The pain is worse with standing still than with movement

The pain is radiating into his left buttock and posterior thigh

The pain has not been relieved by ibuprofen tablets 400 mg three
times daily
There is a history of morning stiffness lasting one to two hours

The pain is worse with coughing

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