MCQs 2010

Topic: Breast lumps (Differential Diagnosis):

Fibrocystic changes "disease' Simple cyst Fibroadenomas Mastitis Galactocele Breast Cancer Intraductal Papilloma Mammary duct ectasia Paget's disease of the nipple Inflammatory breast cancer

Topic: Dysphagia Defferential gaignosis: Achalasia Myasthenia gravis Esophageal webs Stoke Parkinson's disease Cancer Esophageal spasm Gastro esophageal reflux

Topic: Tachycardia, sweating Hyperthyrodism "Thyrotoxicosis" Anxiety Panic attack

TOPIC: Meningitis Drug of treatment: Your are given CSF finding for each case Amoxicillin Rifampcin Benzyl penicillin Vancomycin INH, Rifampcin, Pyrazinamide

Topic: Skin lesion Deferential diagnosis:

Squamous skin carcinoma Basal cell carcinoma Melanoma Caf Au Lait spot

Topic: Fever& rash Hand- Foot and Mouth disease Kwasaki disease Scarlet fever: Impetigo: Ring worm Lyme disease Steven Johnson Syndrome: Syphillis

Topic: Anemia
a. b. c. d.

Deferential diagnosis:

Sickle cell anaemia Thalassemia Pernicious anaemia Iron deficiency anaemia

Multiple Choice Questions:

1. Man with a CXR showing a solitary lesion like a coin in his lung. Which investigation will make a diagnosis? Most uninvasive procedure CT scan (best diagnostic, most reliable non invasive procedure) Lung biopsy Broncoscopy (most reliable minimally invasive test) Needle biopsy Sputum culture

2. Important investigation for monitoring a patient with head injury: Consciousness BP Pupil size

3. A man with eye pain, photophobia and headache. Which test

4. Patient with dilated pupil, one eye looked downward and outward and the eye lid is dropped (ptosis), what is the most likely diagnosis: Paralysis of one group of muscle Paralysis of one group of muscle Paralysis of 3rd cranial nerve palsy Paralysis of 4th cranial nerve palsy

5. Little boy with pain in the ear that get worse on eating, with preauricular lymphadenopathy Otitis media Otitis externa Temporomandibular Joint Syndrome

6. Patient with strept skin infection then has dark urine and High BP, what will not be found in urine: Proteinuria Nitrites Red H

7. BP+ bradycardia+ sever headache + vomitimg+ neck pain6 eye ball pointed out: Subarachnoid Hemorrhage Subdural Hemorrhage Intracerebral Hemorrhage Extradural hematoma

8. Child with Fever+ vomiting, normal CSF. What is your next laboratory investigation?

9.Most important investigation for epiglottis? monitor oxygen saturation (pulse oximeter)

10. woman with RT abdominal pain, choose the most correct option?

11. Little child with stridor, harsh cry? What is the diagnosis Croup

12. Chest pain, ST elevation which is not part of the management: Morphine Nitrates Oxygen Aspirin Streptokinase

13. Hypertensive pregnant women Aceinjis not given

14. Helminthic infestation, mebendazole has no effect on which of the following: Schistomiasis

15. RA with nail pitting Rheumatoid arthritis Osteoarthritis Psoriatic arthritis

16. Confusion, ataxia, and nystagmus Wernickes meningitis Korsakoff syndrome

17. Patient on Tb treatment, develop liver failure, most appropriate thing to do: Stop all drug Stop Pyrizinamide Stop INH Stop

18. Drug overdose: urinary retention- bradycardia- dilated pupil- Which drug? Benzodiazepine Digoxin

19. Patient with stab wound to the back, spinal cord injury with ispsilateral spastic paralysis and loss of vibration and fine touch and contralateral loss of pain and temperature sensation. The diagnosis is:

20. A woman has irregular menstruation, can't conceive, she has a child from her X boy friend. What are most appropriate approach: Test the semen of her partner

21. What do you do with a child that has drinks paraffin? Observe for 24 hrs Give him activated charcoal

22. Cholera?

23. Woman with repeated STI infections, which of the following will not be expected Ectopic pregnancy Tuboovarian abscess Endometriosis Infertility

24. Multiple Myeloma

25. What is the cause of sensineural deafness

26. RA+ loss of sensation of thumb+ 21/2 finger, Cervical disc Ankylosis spondylitis Median nerve paralysis Radial nerve palsy Carpel tunnel syndrome (Median nerve palsy)

27. Risk of OCP (oral contraceptives) Venous DVT thrombosis & stroke (dose related) Ovarian cancer ( reduce risk) Breast cancer (no effect) Bengin breast & ovarian Endometrial cancer ( reduce risk) Cervical cancer ( when use > 5 yrs)

28. trachea shifted to the rt, hyperresonance on the lt side of the chest, what is the diagnosis? Rt pneumothorax Lt pneumothorax Tension pneumothorax Pleural effusion

29.best diagnostic tool for ulcerative colitis?

30. patient on digoxin, was given thiasieds diuretics, he passes a lot of urine, ECG shows What is the best test to be done? Digoxin level Electrolyte

31. Patient with red eye (bleeding) subarachnoid hemorrhage Subdural hemorrhage Sub conjuntival hemorrhage Intrecerabral hemorrhage

32. which of the following will require immediate action Perianal asthesia

33. A young man was hit on the inside of the knee, he presents with a limp &there is tenderness on the medial side of the knee: McMurray test is normal Drawers test for cruciate ligaments normal Valgus and Varus test 5-10 degrees deviated

Which of the ligaments is affected? a. b. c. d. Medial collateral ligament Lateral collateral ligament Medial menisci Lateral menisci

34. A patient presents with swinging fever, knee pain, not very tender, RF negative but antinuclear ab is positive: a. Acute Rheumatic fever b. Osteochondritis dessicans c. Non-specific asceptic synovitis

Extended matching questions a. b. c. d. e. Lymph node biopsy Echocardiography Sputum mcs ESR Sigmoidoscopy

35.. A man with unilateral tonsillitis & cervical lymphadenopathy 36.. A man with cough, night sweats, weight loss, erythema nodosum 37. An IV drug user presents with fever, changing heart murmur (Infective endocarditis) 38. A man with occult blood, mass on left side, alternating constipation & diarrhoea 39. An 8-year old presents with swelling of hands & feet, jaundice, splenomegaly