Posted by Kylie on May 04, 2001 at 13:22:03:
1. THEME : DIAGNOSIS OF VAGINAL DISCHARGE
Options
A. Candidiasis
B. Trichomonas vaginalis
C . Bacterial vaginosis
D. Carcinoma vulva
E. Gonococcal PID
F. Chlamydial PID
G. Herpes simplex
H. Granuloma inguinale
I .Tuberculosis
J. Syphilis
K.Eczema
L.Pinworm infestation
M.Carcinoma cervix
Questions
1. A 25-year-old female complains of thick white vaginal discharge. Vaginal pH is 4. Vaginal smear shows numerous mycelia.
2. A 32-year-old female complains of foul smelling vaginal discharge. Smear examination shows numerous squamous cells and clue cells.
3. A 22-year-old sexually active female complains of vaginal discharge and deep dysparaunia. Smear for gonococcus is negative.
4. A 31-year-old sexually active female has thin vaginal discharge and pain during micturation. On examination she had multiple ulcers at the vaginal introitus.
Answers
1. A 2. B 3. F 4. G
2. THEME : FEVER AND RASH IN CHILDREN
Options
A.Measles
B. Ebstein barr virus
C. HIV
D. Herpes simplex
E. Roeola infantum
F. Eruthema toxicum
G. Kawasaki disease
H. Encephalitis
I. Henoch schonlein purpura
J. Idiopathic thrombocytopenic purpura
K. Porphyria cutanea tarda
L. Malaria
M. Meningococcus
Questions
1. A 14-year old girl developed sore throat, fever and splenomegaly was started on Ampicillin.On the third day she developed rashes all over the body.
2. A 2-year old year boy presents with high fever, Erythema and peeling of skins over palms and soles. On examination there is maculo popular rash all over the body and lymphadenopathy is present.
3. A 2-year old child develops high fever, febrile fits and was treated with paracetamol syrup. Fever subsides and the child was discharged. Two days later he develops florid rash throughout the body. The baby is alert and well.
4. A 6-year old boy developed mild fever and malaise. On examination he had multiple perioral and labial ulcers and rashes.
5. A 5-year old child was sent from school since she developed high fever and headache .The teacher noted multiple non-blanching rashes.
Answers
1. B 2. G 3. E 4. D 5. M
3. THEME : GENETIC DISORDERS- MODE OF INHERITANCE
Options
A. Autosomal dominance
B. Autosomal co dominance
C. Autosomal recessive
D. X linked
E. Polygenic
F. Single gene defect.
Questions
1. An 1- year old male child presents with failure to thrive and anaemia. His father has had a work up for anemia and his mother received multiple transfusion of blood.
2. A 28-year old man presents with increasing instability, ataxia and tremor. His father and his grand father had the same disease and died at their 40’s.
3. A 5- year old boy developed swelling of his left knee with trivial injury. He had similar episodes like this before. His maternal uncle and his grand father had the same disease.
4. An 18-year old female underwent caries tooth extraction and developed profuse bleeding. On history she revealed menorrhagia. Her mother and her grand father had the same disease.
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5. A 21-year old female developed Insulin dependent Diabetes Mellitus. Her uncle and grandmother had the same disease.
Answers
1. F 2. A 3. D 4. C 5. E
4. THEME : WEIGHT LOSS - DIAGNOSIS
Options
A. Anorexia nervosa
B. Cardiac cachexia
C. Starvation
D. Thyrotoxicosis
E. Giardiasis
F. Carcinoma lung
G. Tuberculosis
H. Depression
I. Achalasia cardia
J. HIV
K. Cryptomenorrhoea
Questions
1. A 68- year old man lost about 5 kg over the past 3 months. He also complains of diarrhea and palpitations. ECG shows absent ‘a’ waves but ST segment is normal.
2. An 18-year-old female student was brought by her mother with history of 8 kg weight loss and 4 months amenorrhoea. But she says she is healthy and denies her weight loss.
3. A 34-year-old businessman lost about 5 kg in the past 2 months. He told that he had started a new construction work 3 months ago. He denies stress but complains of easy fatigability.
4. A 60-year-old man with more than 40 years history of smoking presents with 5 kg weight loss over the past 3 months.
Answers
1. D 2. A 3. C 4. F
5. THEME : PAIN MANAGEMENT IN LABOUR
Options
A. General Anasthesia
B. Spinal Anaesthesia
C. Epidural Anasthesia
D. Pudental block
E. Entonox
F. IM Morphine
G. IV Pethidine
H. NSAID
I. Paracetamol
J. Prochlorperazine
K. Transcutaneous nerve stimulation
L. Pressure massage
M. Acupuncture
Questions
1. A 32 year old primi is in labour.Her Cervix is 8 cm dilated in 12 hours. She said that the contractions are more painful and she could no longer tolerate it.
2. A pregnant mother discusses about pain relief in the antenatal clinic. She insists upon her freedom of movement during her labour and she wants to walk during labour.
3. A 28 year old primi delivered a baby 30 minutes ago and she is still bleeding vaginally. The decision to remove the placenta manually was made.
4. A 32 year old gravda 2 complains of pain during uterine comtractions. Cervix is 6 cm dilated. She already received 2 injections of Pethidine.
5. A 29 year old primi is in labour. Cervix is 9 cm dilated and the head is in Occipito posterior position.
Answers
1. ?B(Not Clear) 2. C 3. A 4. E 5. B
6. THEME : SUDDEN LOSS OF VISION
Options
A. Central Retinal artery occlusion
B. Central Retinal vein occlusion
C. Retinal detachment
D. Uveitis
E. Acute glaucoma
F. Cranial arteritis
G. Occipital infarct
H. Pituitary infarct
I. migraine
J. Cataract
K. Optic Neuritis
L. Chorio retinits
Questions
1. . A 40 year old male presents with sudden loss of vision, vomitting and red eye for 1 day.
2. A 23 year old male complains of detoriating vision. In the past he had several attacks of back pain.
3. A 64 year old patient with a long history of hypertension and Diabetes woke up in the morning with sudden loss of sight in his left eye.
4. A 68 year old female with known lung cancer had cough and was admitted in the hospital. The next morning she couldn't see her breakfast tray.
5. . A 62 year old female developed transient loss of vision. She also has headcahe, malaise and proximal muscle weakness.
Answers
1. E 2. D 3. C 4. H 5. F
7. THEME : ANTICOAGULATION
Options
A. Subcutaneous Heparin 5000 u twice daily
B. Intravenous Heparin
C. Aspirin
D. Oral Warfarin
E. Vitamin K
F. Crepe bandage
H. Graduated compression bandage
I. Leg massage
J. Radiograph of leg
K. None required
Questions
1. A 45 year old obese man is going to have bilateral varicose vein surgery
2. A 60 year old patient underwent total hip replacement 2 weeks ago and he now developed deep vein thrombosis.
3. A 35 year old fit man is planned to have a hernia repair as a day case surgery.
4. A 48 year old man seeks advice regarding his air travel that will extend about 20 hours. His father died at the age of 58 due to Pulmonary Embolism.
5. A 75 year old man develops pneumonia
Answers
1. A 2. B 3. K 4. ?H 5. ?C (Not Clear)
8. THEME: HEAD ACHE
Options
A. C T Scan of head
B .EEG
C. ECG
D. Lumbar puncture
E. X-ray skull
F. Angiography
G. Fundus examination
H .Intubation and ventilation
I. Nasal catheter oxygen
J. Pychiatric anylysis
K. ESR estimation
L. Aspirin
M.Tonometry
Questions
1. A 12 year old boy is recovering from his bilateral parotitis. He now develops headache and delirium.
2. A 42 year old man develops headache, transient vision loss and lost consciousness.Within 2 hours all his symptoms subside and then he is normal.
3. A 47 year old man complains of sudden severe head ache in his occiput.
4. A 68 year old man presents with severe headache and red eye. His fundoscopy reveals pale disc.
5. . A 69 year old female presents with headache that is more marked while she is combing her hair. She also complaints of shoulder.and hip weakness.
6. A 53 year old man presents with headache, pinpoint pupil and deep slow respiration of 6/min.
Answers
1. D 2. F 3. A 4. M 5. K 6. H
9. THEME : HAEMATURIA- DIFFERENTIAL DIAGNOSIS
Options
A.Renal cell carcinoma
B.congenital polycystic kidney
C.Adult polycystic kidney
D.Wilms tumor
E.Nephrotic syndrome
F.Acute glomerulonephritis
G.Drug side effect
H.Bilateral renal artery stenosis
I. Ig A Nephropathy
J.Acute Intermittent Porphyria
K.Renal calculi
L.Cercinoma Bladder
M.Deep Vein Thrombosis
Questions
1. A 7 year old child was brought to the A&D with complaints of breathlessness and haematuria. On exaination there is generalised edema and B.P is 140/96 mm Hg. 2 weeks back he had fever, but it subsided without any treatment.
2. A 23 year old male presents with recurrent hematuria for the past 4 months He is having fever and mucosal lesions but he refuses pain during micturation.
3. A 48 year old anemic man presents with hematuria. On examination B.P is 170/100mm Hg. There is a ballotable abdominal mass present in the right loin. He lost 9 kg in the past 3 months.
4. A 32 year old woman was started on oral contraceptive pills. On the fourth day she developed severe abdominal pain, hypertension and altered behaviour. Urine is clear but turns into red after few hours of standing.
5. A 26 year old female develops sudden severe pain in the left loin which radiates to the groin and mild hematuria.
Answers
1. F 2. I 3. A 4. J 5. K
10. THEME : ANEMIA- DIFFERENTIAL DIAGNOSIS
Options
A. Anemia of chronic disease
B. Cold agglutinin hemolytic anemia
C. Warm agglutinin hemolytic anemia
D. Non-immune hemolytic anemia
E. Aplastic anemia
F. Parvovirus infection
G. Hookworm infestation
H. Iron deficiency anemia
I. Plummer vinson syndrome
J. Megaloblastic anemia
K. Blind loop syndrome
L. Thalassemia
M. Sickle cell anemia
N. Lead poisoning
Questions
1. A 38-year-old female with symptomatic multiple submucosal fibroids presents with easy fatigability. Her Hb is 8.6 gm% and mcv is 70 fl, and the platelets 550000/cubic cm.
2. A 6month old baby with congenital hereditary spherocytosis suddenly develops severe pallor and his Hb is 3,8 gm%. 2 weeks back her Hb was 11.2%
3. A 43-year-old man complaints of easy fatigability, palpitation and dysphagia. On examination pallor, nail cracking and glossitis present.
4. A 3-year-old black children presents with abdominal colic and pica. His Hb is 7 gms %, MCV 50 fl. RBCs are microcytic and hypochronic with basophilic stippling.
5. An 11-month-old black infant presents with pallor, painful and fusiform digits.
Answers
1. H 2. F 3. I 4. N 5. M
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