Posted by DRDEEPU on July 07, 2001 at 23:50:15:
THESE ARE MY ANSWERS FOR 11-21 QUESTIONS OF MAY .CORRECTED ONES ARE IN BOLD
11. The DDX of developmental delay
options
a) birth dysphyxia
b) Fragile X syndrome
c) Duchenne muscular dystrophy
d) Storage disorder
e) Hnter's disease
f) hypothyroidism
g) meningitis
h) constitutional delay
i) treatment of hyperthyroidism
j) prematurity
1. A four year old boy walks with a prominent lordosis. he has goood speech, can build objects using blocks and has good social awareness.
2. A nine month baby born at term has a weight in the 97th percentile. His development is delayed
3. A nine month baby born at term has a weight in the 3rd percentile. his development is delayed. his head and body size are both small.
4. A nine year old girl has difficulty with speech. she has recently been hospitalised for a medical reason. her speech before hospitalisation was completely normal
5. A four year old boy has delayed speech. both his father and paternal uncle has the same problem
Answers:
1.hunters as intelligence not much effected and lordosis is there
2.god only knows with so little info
3.is it constitutional delay?
4.meningitis
5.fragile x syndome
12. the management of coma
Options
a) 50% dextrose drip
b) 5% dextrose drip
c) naloxone
d) direct intravenous insulin
e) insulin through a drip
f) one litre of normal saline
1. A middle aged woman remains unconcious 12 hours following a cholecystectomy. On examination both pupils are seen to be pinpoint.
2. A young diabetic is admitted in a comatose state. his plasma glucose level is 2mmols
3. A young diabetic is admitted in a comatose state. his plasma glucose level is 17mmols and he is dehydrated
answers:
1. c
2. 50%dextrose
3. 1litre normal saline as rehdration takes precedence over hyperglycemia correction
13. The management of depression
Options
a) ECT
b) amitryptaline
c) tricyclic
d) imipramine
e) psychoanalysis
f) marital counselling
g) lithium
1) a middle aged woman has had several admissions for severe depression. She now turns up with a very severe depression despite all treatment
2) A woman has bouts of depression alternating with bouts of mania. She has had first line antidepressants but they haven't worked
3) A young dentist , successful at work lacks confidence in himself. he finds that he is unable to socialise properly and has early morning waking. he is on no treatment.
Answers:
1.a
2. g
3. tricyclics as it is typical depression
14. The investigation of hemoptysis
a) CT
b) MRI
c) laryngoscopy
d) sputum culture
e) sputum cytology
1. A elderly gentleman has a lower lobe consolidation and fever. he is treated with antibiotics which resolves the fever but the consolidation persists after four weeks.
answers:
1. a-as it is mandatory to investigate an unresolved cxr signs as it can be due to malignancy
15. The diagnosis of shock
Options
a) anaphylaxis
b) septic shock
c) cardiogenic shock
d) hypovolemic shock
e) pulmonary embolism
1. A middle aged man has recently been operated after sustaining a perforated gall bladder. he becomes increasingly comatose and on examination is noted to have peripheral warming.
2. Following a motorcyle accident a young man ha a pule rate of 110 and a blood pressure that falls to 90/50. On examination of the CXR he is noted to have fractures of the lower ribs on the left.
Answers:
1.b
2.that is hypovolemic shock due to ruptured spleen
16. the management of head injury
Options
a) CT scan
b) neck collar
c) MRI
d) skull Xray
e) discharge home with head injury instructions
f) admit overnight for observation
g) suction of skull vault
h) antibiotics
i) intracranial pressure monitoring
1. following an alcoholic binge a 36 year old male falls and comes to Casualty with a cut in his temporal region his Glasgow Coma Scale is normal and his neck is cleared by the orthopedic SHO .
2. An 8 year old boy falls off a swing at his school. He is brought to Casualty by one of his teachers. He has a bruise over his right eye but the examination is otherwise normal. He is fully conscious with no history of blackouts since the accident. A skull Xray is performed, which is normal.
3. A young woman is involved in an RTA and is brought in with a Glasgow Coma Scale of 6 . A CT scan shows evidence of diffuse cerebral oedema but no evidence of haemorrhage. She has bilateral papilledema.
4. A young man is involved in a fight and suffers a blow to the back of the head. A skull Xray reveals a depressed fracture of the occiput. His Glasgow Coma Scale on admission is 14 but falls rapidly within an hour .
answers:
1.skull x-ray
2 home with head injury instructions
3.?is mannitol in the options ,even it is given after intubation
4.a
17. Stroke ? investigation ? causes
options:
a) ESR
b) Carotid Doppler
c) Arteriography
d) CT scan
?? questions
18. the prevention of jaundice/hepatitis
Options:
a) hepatitis A
b) hepatitis B
c) hepatitis C
d) cirrhosis
e) hepatocellular carcinoma
f) sclerosing cholangitis
1. Immunization of health workers who are in contact with body fluid
2. Immunization of hepatitis B, besides preventing hepatitis B also prevents
answers:
1.b
2hepatocellular carcinoma
19. the management of earache
Options:
a) Removal of foreign body by suction under GA
b) Removal of foreign body using forceps under GA
c) amoxycillin
d) amoxicillin with clavulinic acid
e) trimethoprim
f) no specific treatment required
g) paracetamol
h) antibiotic against otitis externa
1. A 7 year old has right sided ear ache and rhinorrhea .On examination his right sided tympanic membrane appears pink in colour.
2. A 4 year old with right sided ear ache is examined using otoscopy. This reveals a red bulging tym[panic membrane
3. An 8 year old boy who has been playing outside now complains of right sided ear ache. On inspection a green bead is seen protruding into his ear canal. The walls of the canal are red.
4. A 9 year old girl with a history of recurrent otitis media now complains of left sided ear ache. On examination the right sided tympanic membrane appears scarred. On examination of the left ear, pus is seen throughout the ear canal
5. An 8 year old is noted to have a discharge from the left ear. He has only mild irritation and no significant ear ache. On examination his external canal is inflamed but the tympanic membrane appears normal.
Answers:
1.c
2.c
3IT IS SYRINGING NOT SUCTION,FORCEPS CAN SLIP THE BEAD DEEPER
4C
5H
20. the types of skin cancer
a) Kaposi
b) Lentigo
c) Squamous cell Ca
d) Basal cell Ca
e) melanoma
f) keratosis
g) acanthoma
1. A fair 18 year old girl has had dark black facial patches, one of which is now growing rapidly in size.
2. A 70 year old bald gardener has had a brownish patch on his scalp which has been slowly growing for the last 30 years
3. A young HIV positive man develops raised patches in his skin and in his mouth
4. A builder has been exposed to sun for long periods of time devlops an ulcerated lesion on his face
1.18 yr. girl with moles on her back of diff. colour&sizes
2.70 yr. male has mole on forehead for 20 yrs. now slowly increasing in size.
Answers:
1.e
2SEBORRHEIC KERATOSES
3.a
4E
21. causes of pneumonia
Options
a) bronchiectasis
b) hemophilus influenza
c) mycoplasma pneumonia
d) staphyloccus aureus
e) streptococcus pneumonia
f) pneumocystis carinii
g) acid fast bacillus
h) candidiasis
1. a middle age d woman develops a purulent cough with some hemoptysis. A chest Xray reveals right upper lobe consolidation
2. A young woman with no relevant medical history develops a severe purulent cough. A chest xray reveals multiple cavitating bilateral lung lesions
3. a young male prostitute develops a dry cough. A chest xray reveals bilateral interstitial infiltrates.
4. A young man has recently sufferes from a bout of influenza. he now develops a puruoent cough.
Answers:
1ACID FAST BACILLUS
2.STAPH
3PN.CARINII
4. STREP .PNEUMONIA