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+ Welcome Mohammed Rahim Menu Exit Export Master Sheet Export Exam Commit Exam Go to Add Paper Password: 123 Paper Time: 120 Minuets Paper Number : 1 Fraction: 0.4375 Update Paper Properties Marking: Wrong Answer is Zero Question Number: 1 Question ID: 1774 Question Category: Medicine - General Question Diffeculty: 0.24 Date Created: 5/28/2008 10:59:00 AM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM A 38 year old woman being treated for hypertension and diabetes has sudden onset of swelling and tenderness of the wrists and knees. On examination she is febrile and flushed. A friction rub can be heard at the left lower sternal border. Which of the following drugs is most likely the cause of these findings ? Metformin F Hydralazine T Minoxidil F Nitroprusside F Propranolol F Question Number: 2 Question ID: 1790 Question Category: Medicine - General Question Diffeculty: 0.46 Date Created: 5/28/2008 10:37:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM Choose the ONE CORRECT statement. A lesion of the left cerebellum could cause? akinesia F right arm and leg ataxia F left arm and leg weakness F spasticity of the right arm and leg F dysmetria on finger to nose testing of the left arm T Question Number: 3 Question ID: 1798 Question Category: Medicine - General Question Diffeculty: 0.32 Date Created: 5/28/2008 10:59:00 AM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM Which of the following is a Beta-1 selective blocker ? propranolol F nadolol F pindolol F oxprenolol F metoprolol T Question Number: 4 Question ID: 1806 Question Category: Medicine - General Question Diffeculty: 0.54 Date Created: 5/28/2008 10:42:00 AM Times Used: 2 Last Used : 11/12/2008 8:10:00 AM Typhoid fever is NOT associated with: leukopenia F tachycardia T splenohepatomegaly F splenohepatomegaly F rose spots on the skin F Question Number: 5 Question ID: 1818 Question Category: Pediatrics - General Question Diffeculty: 0.71 Date Created: 5/28/2008 10:47:00 AM Times Used: 3 Last Used : 11/12/2008 8:10:00 AM An infant, seen in the ER, presents with a fever and persistent cough. Physical examination and a chest x-ray suggest pneumonia. Which of the following is most likely the cause of this infection? Rotavirus F Adenovirus F Coxsackie virus F Respiratory syncytial virus T Rhinovirus F Question Number: 6 Question ID: 1819 Question Category: Pediatrics - General Question Diffeculty: 0.45 Date Created: 5/28/2008 10:47:00 AM Times Used: 3 Last Used : 1/14/2009 7:44:00 AM One of the following statements is true regarding subacute bacterial endocardititis : absent cardiac murmur at presentation virtually excludes the diagnosis of SBE. F  the spleen is usually enlarged and tender. F glomenulonephities may result due to autoimmune mechanism. T mycotic aneurisms most frequently affect medium sized renal arteries. F heart failure when present is usually mild and does not affect the outcome. F Question Number: 7 Question ID: 1826 Question Category: Pediatrics - General Question Diffeculty: 0.38 Date Created: 5/28/2008 10:50:00 AM Times Used: 3 Last Used : 12/3/2008 7:50:00 AM A 3 year old boy has bilateral renal calculi secondary to idiopathic hypercalciuria. The dietary management includes all of the following except ? Increased water intake F Reduced calcium intake F Avoidance of meat proteins F Low sodium diet T Question Number: 8 Question ID: 1828 Question Category: Pediatrics - General Question Diffeculty: 0.32 Date Created: 5/28/2008 10:52:00 AM Times Used: 4 Last Used : 12/3/2008 7:50:00 AM A 5 year old child is rushed to casualty reportedly electrocuted while playing in a park. The child is apneic and is ventilated with bag and a mask. Which of the following will be the next step in the management ? Check pulses T Start chest compression F Intubate F Check oxygen saturation F Question Number: 9 Question ID: 1831 Question Category: Pediatrics - General Question Diffeculty: 0.40 Date Created: 5/28/2008 10:52:00 AM Times Used: 4 Last Used : 11/12/2008 8:10:00 AM 12 year old girl has history of recurrent bulky stools and abdominal pain since 3 years of age. She has moderate pallor and her weight and height are below the 3rd percentile. Which of the following is the most appropriate investigation to make a specific diagnosis ? Small intestinal biopsy T Barium studies F 24-hrs fecal fat estimation F Urinary d-xylose test F Question Number: 10 Question ID: 1836 Question Category: Pediatrics - General Question Diffeculty: 0.21 Date Created: 5/28/2008 10:52:00 AM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM A 12 years old child with huge spleen was suspected to have hyperreactive malarial splenomegally syndrome, the definitive diagnosis is achieved by: ICT for malaria. F Blood film for malaria. F Liver biopsy. T Serology for Igm F Bone marrow aspiration. F Question Number: 11 Question ID: 1837 Question Category: Pediatrics - General Question Diffeculty: 0.31 Date Created: 5/28/2008 10:59:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM Medulloblastoma: is a slow growing tumor F8 is highly radioresistant F is usually located in anterior fossa F causes decrease in intracranial pressure F usually occurs in children between 3 to 5 years of age T Question Number: 12 Question ID: 1845 Question Category: Pediatrics - General Question Diffeculty: 0.77 Date Created: 5/28/2008 10:56:00 AM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM The following is the most serious complication of DKA & its treatment Hyponatremia F Hypokalemia F Metabolic alkalosis F Cerebral oedema T Pulmonary oedema F Question Number: 13 Question ID: 1848 Question Category: Pediatrics - General Question Diffeculty: 0.46 Date Created: 5/28/2008 10:59:00 AM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM A 10 days old neonate is posted for pyloric stenosis surgery. The investigation report shows a serum calcium level of 6.0 mg/dl. What information would you like to know before you supplement calcium to this neonate ? Blood glucose F Serum protein T Serum bilirubin F Oxygen saturation F Question Number: 14 Question ID: 1938 Question Category: Medicine - General Question Diffeculty: 0.85 Date Created: 5/7/2008 11:06:00 AM Times Used: 3 Last Used : 11/12/2008 8:10:00 AM Hepatic coma may be precipitated by Constipation. F GI hemorrhage. F Diuretics. F Uremia F All answers are true T Question Number: 15 Question ID: 1945 Question Category: Pediatrics - General Question Diffeculty: 0.86 Date Created: 5/7/2008 11:15:00 AM Times Used: 4 Last Used : 1/14/2009 7:44:00 AM Which of the following statements regarding iron deficiency anaemia is most accurate : reticulocyte count is often elevated. F spleenomegaly occurs in up to 50% of cases. F koilonychia is characteristic and rarely seen in other forms of anaemia. T pins and needles in hands and feet may indicate early peripheral neuropathy. F it has no effect on school performance and communication. F Question Number: 16 Question ID: 1946 Question Category: Pediatrics - General Question Diffeculty: 0.56 Date Created: 5/7/2008 11:16:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM A 10 year old male child presents with a 1 week history of increasing headaches, now also associated with nausea, vomiting, and truncal ataxia. Focal neurologic findings reveal papilledema. A likely diagnosis is :  encephalitis F thrombosis of a major dural sinus F medulloblastoma T meningitis F Question Number: 17 Question ID: 1970 Question Category: Medicine - General Question Diffeculty: 0.46 Date Created: 4/16/2008 11:01:00 AM Times Used: 2 Last Used : 9/14/2008 10:36:00 AM With regard to the possibility that the cavitary lesion is a bronchogenic carcinoma, which one of the following statements is most CORRECT: The absence of previous symptoms makes carcinoma unlikely. F If a fluid level is seen in the cavity a carcinoma is unlikely. F The absence of hilar and mediastinal nodes on CT scanning makes carcinoma F unlikely. It is impossible to exclude carcinoma on clinical grounds T It is impossible to exclude carcinoma without surgical exploration. F Question Number: 18 Question ID: 1975 Question Category: Medicine - General Question Diffeculty: 0.71 Date Created: 4/16/2008 10:51:00 AM Times Used: 1 Last Used : 4/16/2008 10:51:00 AM Condition which predispose to acute pyelonephritis include : Vesico – uretrec reflux F Pregnancy F Diabetes mellitus F Analgesic abuse F All answers are true T Question Number: 19 Question ID: 1982 Question Category: Medicine - General Question Diffeculty: 0.72 Date Created: 4/16/2008 11:05:00 AM Times Used: 3 Last Used : 9/24/2008 8:11:00 AM A patient with long standing renal insufficiency develops mild generalized ecchymoses. Platelet dysfunction is suspected despite a normal platelet count. The most useful test in this patient is bone marrow aspirate F Clot retraction F  Tourniquet test F Bleeding time T Prothrombin time (PT) F Question Number: 20 Question ID: 1990 Question Category: Pediatrics - General Question Diffeculty: 0.44 Date Created: 4/16/2008 10:49:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM A girl patient has lost 0.6 kg. She is moderately lethargic and hasdry mucous membranes and reduced skin turgor. Blood pressure is 80/40 mm Hg, and pulse is 120 per minute; capillary refill is reasonably brisk. Lab studies reveal: sodium 131, potassium 4.8, chloride 101, bicarbonate 16 mEq/L, urea nitrogen 24 mg/dL and creatinine 0.6 mg/dL. The best strategy for managing this child is to: hospitalize for administration of IV fluid therapy T administer an oral rehydrating solution while the child is under medical F supervision for 4-6hours instruct the parents about oral rehydration at home F hospitalize after giving 20 mL/kg of 0.9% saline IV F instruct parents on use of soy formula F Question Number: 21 Question ID: 2008 Question Category: Medicine - General Question Diffeculty: 0.36 Date Created: 3/26/2008 10:42:00 AM Times Used: 3 Last Used : 1/27/2009 4:27:00 PM Antibiotic treatment of choice for treating cholera in an adult is a single dose of : Furazolidone F Tetracycline. F Co-trimoxazole. F Doxycycline. T Question Number: 22 Question ID: 2010 Question Category: Medicine - General Question Diffeculty: 0.48 Date Created: 3/26/2008 10:47:00 AM Times Used: 2 Last Used : 9/14/2008 10:36:00 AM In the treatment of Type I Diabetes, which of the following is TRUE? Sulfonylureas are useful as an adjunctive therapy to insulin. F Once diagnosed with Type I DM, patients must immediately be assessed for F retinopathy. During periods of illness or infection, patients may require additional insulin. F  Most patients are adequately controlled with one type of insulin (non-mixed) T only. The most common initial presentation is visual disturbance. F Question Number: 23 Question ID: 2023 Question Category: Medicine - General Question Diffeculty: 0.73 Date Created: 3/26/2008 10:46:00 AM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM A 30-year-old male patient complains of fever and sore throat for several days. The patient presents to you today with additional complaints of hoarseness, difficulty breathing, and drooling. On examination, the patient is febrile and has inspiratory stridor. Which of the following is the best course of action ? Culture throat for β-hemolytic streptococci. F Begin outpatient treatment with ampicillin. F Schedule for chest x-ray. F Admit to intensive care unit and obtain otolaryngology consultation. T Question Number: 24 Question ID: 2031 Question Category: Medicine - General Question Diffeculty: 0.73 Date Created: 3/26/2008 10:47:00 AM Times Used: 4 Last Used : 11/12/2008 8:10:00 AM A patient with low-grade fever and weight loss has poor excursion on the right side of the chest with decreased fremitus, flatness to percussion, and decreased breath sounds all on the right. The trachea is deviated to the left. The most likely diagnosis is : Pleural effusion. T Atelectasis. F Consolidated pneumonia. F Pneumothorax. F Question Number: 25 Question ID: 2042 Question Category: Pediatrics - General Question Diffeculty: 0.66 Date Created: 3/26/2008 10:25:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM A child is brought to your clinic for a routine examination. She can dress with help, can ride a tricycle, knows her own age, and can speak in short sentences. She had difficulty in copying a square. The age of this child is most likely : 5 years. F 1 year. F 3 years. T 4 years. F  2 years. F Question Number: 26 Question ID: 2049 Question Category: Pediatrics - General Question Diffeculty: 0.38 Date Created: 3/26/2008 10:37:00 AM Times Used: 3 Last Used : 11/12/2008 8:10:00 AM A full-term newborn infant is having episodes of cyanosis and apnea, which are worse when he is attempting to feed, but he seems better when he is crying. The most important next step to quickly establish the diagnosis is : Bronchoscopic evaluation of palate and larynx. F Ventilation perfusion scan. F Echocardiogram. F Hemoglobin electrophoresis. F Passage of catheter into nose. T Question Number: 27 Question ID: 2050 Question Category: Pediatrics - General Question Diffeculty: 0.35 Date Created: 3/26/2008 10:40:00 AM Times Used: 5 Last Used : 1/27/2009 4:27:00 PM The mother of a 7-day-old infant has developed chickenpox. Which of the following is the most appropriate measure? Administer varicella-zoster immunoglobulin to the infant. F Advise the mother to continue regular well-baby care for the infant. T Hospitalize the infant in the isolation ward. F Isolate the infant from the mother. F Administer acyclovir to the infant. F Question Number: 28 Question ID: 2055 Question Category: Pediatrics - General Question Diffeculty: 0.52 Date Created: 3/26/2008 10:46:00 AM Times Used: 4 Last Used : 12/3/2008 7:50:00 AM A previously well 1-year-old infant has had a runny nose and has been sneezing and coughing for 2 days. Two other members of the family had similar symptoms. Four hours ago, his cough became much worse. On physical examination, he is in moderate respiratory distress with nasal flaring, hyperexpansion of the chest, and easily audible wheezing without rales. The most likely diagnosis is : Bronchiolitis. T Asthma. F Viral croup. F Epiglottitis. F  Diphtheria. F Question Number: 29 Question ID: 2068 Question Category: Pediatrics - General Question Diffeculty: 0.33 Date Created: 3/26/2008 10:51:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM A healthy 4-week-old baby : requires 120 kcal/kg daily. F gains 20-30g in weight per day. T requires 50 ml of milk/kg/day. F passes a urine with a higher specific gravity than older infants. F should be given routine iron supplement. F Question Number: 30 Question ID: 2077 Question Category: Pediatrics - General Question Diffeculty: 0.67 Date Created: 3/26/2008 10:56:00 AM Times Used: 3 Last Used : 9/24/2008 8:11:00 AM Escherichia coli gastroenteritis is associated with which of the following complications ? Erythema Nodosum. F Intussusception. F Pseudoappendicitis. F Failure to thrive. F Hemolytic Uremic Syndrome. T Question Number: 31 Question ID: 2162 Question Category: Medicine - General Question Diffeculty: 0.76 Date Created: 3/5/2008 10:32:00 AM Times Used: 3 Last Used : 12/3/2008 7:50:00 AM A 45 year old lady presents after a 6 week history of a painful neck. The pain is described as shooting in nature and severe. Now she describes a 3 day history of right arm weakness Examination reveals weakness on right shoulder abduction and right elbow flexion. Reflexes in her right arm are all absent apart from triceps. There are no sensory findings. The remainder of the examination is normal. The most likely diagnosis is: CVA F cervical myelopathy F brachial neuritis T radial nerve palsy F frozen shoulder F Question Number: 32 Question ID: 2163 Question Category: Medicine - General Question Diffeculty: 0.49 Date Created: 3/5/2008 10:30:00 AM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM You examine a 78 year old right handed man who is dysphasic and has suffered from a stroke. Which one of the following clinical signs would you expect to find? Left extensor plantar F Left homonymous hemianopia F Left sided hemiplegia F Right homonymous hemianopia T Right lower motor neurone VIIth nerve palsy. F Question Number: 33 Question ID: 2165 Question Category: Medicine - General Question Diffeculty: 0.28 Date Created: 3/5/2008 10:34:00 AM Times Used: 3 Last Used : 10/19/2008 9:56:00 AM The following drugs reduce gastric acid secretion except aluminium hydroxide T Omeprazole F Cimetidine F Misoprostol F Question Number: 34 Question ID: 2183 Question Category: Medicine - General Question Diffeculty: 0.96 Date Created: 3/5/2008 10:22:00 AM Times Used: 3 Last Used : 11/12/2008 8:10:00 AM Following a thyroidectomy operation performed 3 days earlier ; the patient developed tetany. His immediate management requires the administration of : Hydrocortisone F Vitamin C F Calcium T Potassium F Thyroxine F Question Number: 35 Question ID: 2198 Question Category: Pediatrics - General Question Diffeculty: 0.67 Date Created: 3/5/2008 10:35:00 AM Times Used: 3 Last Used : 9/24/2008 8:11:00 AM An 18-month-old boy presents with severe failure to thrive. Investigation showed blood pH 7.2, HCO3 12, Anion Gap 8, Na 130, K 2.4, CL 120. The most likely cause of the acidosis is Chronic Renal Failure F Diabetic Ketoacidosis F Diabetes Insipidus F Respiratory failure F Renal Tubular Acidosis T Question Number: 36 Question ID: 2208 Question Category: Pediatrics - General Question Diffeculty: 0.15 Date Created: 3/5/2008 10:26:00 AM Times Used: 5 Last Used : 1/14/2009 7:44:00 AM The best time to perform neonatal screening for metabolic disorders is on the cord blood sample at birth F on the 2nd day of life F on the fifth day of life T at the age of two weeks F at six weeks of age F Question Number: 37 Question ID: 2209 Question Category: Pediatrics - General Question Diffeculty: 0.43 Date Created: 3/5/2008 10:33:00 AM Times Used: 4 Last Used : 12/3/2008 7:50:00 AM Which condition is inherited as an X-linked dominant trait? haemophilia A F achondroplasia F Red/green colour blindness F Marfan syndrome F Familial hypophosphatemic rickets T Question Number: 38 Question ID: 2212 Question Category: Pediatrics - General Question Diffeculty: 0.75 Date Created: 3/5/2008 10:29:00 AM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM A 4 year-old-girl presents to the emergency room with difficulty of breathing and cough of rapid onset. Examination reveals stridor, tachypnea and marked intercostal recessions. The chest X-ray shows lobar  hyperinflation and reduced vascular markings. The most likely diagnosis is Acute laryngitis F Croup F Epiglotitis F Foreign body inhalation T Retropharyngeal abscess F Question Number: 39 Question ID: 2357 Question Category: Pediatrics - General Question Diffeculty: 0.48 Date Created: 2/14/2008 12:49:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM All infants less than 3 months of age who have fever and no localizing signs should have all of the following evaluations EXCEPT: urine culture F CBC F chest x-ray T careful history and physical exam F blood cultures F Question Number: 40 Question ID: 2367 Question Category: Pediatrics - General Question Diffeculty: 0.67 Date Created: 2/14/2008 12:55:00 PM Times Used: 4 Last Used : 12/3/2008 7:50:00 AM Which of the following steps is NOT indicated in the management of croup? keeping the child calm F humidified oxygen F hydration F antibiotics T antipyretics F Question Number: 41 Question ID: 2386 Question Category: Medicine - General Question Diffeculty: 0.76 Date Created: 2/14/2008 1:06:00 PM Times Used: 3 Last Used : 9/24/2008 8:11:00 AM In patients with underlying cardiac disease, congestive cardiac failure can be precipitated by: excessive salt intake. F non steroidal anti-inflammatory drugs. F  arrhythmias. F pulmonary embolism. F all of the answers. T Question Number: 42 Question ID: 2397 Question Category: Medicine - General Question Diffeculty: 0.34 Date Created: 2/14/2008 1:07:00 PM Times Used: 4 Last Used : 11/12/2008 8:10:00 AM The best initial treatment of myasthenia gravis is prostigmine (neostigmine) T Ephedrine F thymectomy F prednisilone F Pyridostigmine (mestanon) F Question Number: 43 Question ID: 2405 Question Category: Pediatrics - General Question Diffeculty: 0.78 Date Created: 1/23/2008 10:21:00 AM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM Which one of the following is not considered a major Jones criterion for rheumatic fever. Carditis F Sydenham;s Chorea F Arthralgia T Subcutaneous Nodules F Erythema Marginatum F Question Number: 44 Question ID: 2416 Question Category: Pediatrics - General Question Diffeculty: 0.07 Date Created: 1/23/2008 10:24:00 AM Times Used: 3 Last Used : 12/3/2008 7:50:00 AM When does the umbilical cord typically fall off a normal term infant? two days F one month T two weeks F two months F Question Number: 45 Question ID: 2421 Question Category: Pediatrics - General Question Diffeculty: 0.28 Date Created: 1/23/2008 10:49:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM A woman who is positive for hepatitis B surface antigen (HBsAg), but negative for hepatitis B antigen (HBeAg), delivers at term. What would be the best management for this woman's infant? administer hepatitis B immune globulin (HBIG) if cord blood is positive for F HbsAg administer HBIG and HB vaccine immediately, and HB vaccine again at 1 T month and 6 months of age administer gamma globulin intramuscularly immediately and at 1 month of age F advise mother that breastfeeding is contraindicated F administer hepatitis B (HB) vaccine immediately and at 1 month and 6 months F of age Question Number: 46 Question ID: 2423 Question Category: Pediatrics - General Question Diffeculty: 0.42 Date Created: 1/23/2008 10:31:00 AM Times Used: 3 Last Used : 10/19/2008 9:56:00 AM All of the following are appropriate in the initial assessment of a child with failure to thrive EXCEPT: growth hormone levels T bone age x-ray F social history F measurement of height, weight and head circumference F diet history F Question Number: 47 Question ID: 2426 Question Category: Pediatrics - General Question Diffeculty: 0.29 Date Created: 1/23/2008 10:49:00 AM Times Used: 4 Last Used : 10/19/2008 9:56:00 AM The most common cause of deterioration of diabetic control in an 8 year-old boy is: lack of compliance F emotional stress F acute infection T change in exercise level F change in diet F Question Number: 48 Question ID: 2451 Question Category: Medicine - General Question Diffeculty: 0.82 Date Created: 1/23/2008 10:24:00 AM Times Used: 4 Last Used : 10/19/2008 9:56:00 AM A 55 year-old woman with asthma is on systemic steroids for one year. She develops a recent right-sided pleural effusion. She feels unwell and tires easily. Aspiration reveals a turbid fluid, a high lymphocyte count, high LDH, low glucose, and a pH of 7.4. The most compatible diagnosis is: tuberculosis T pulmonary embolism F Empyema F pancreatitis F subphrenic abscess F Question Number: 49 Question ID: 2458 Question Category: Medicine - General Question Diffeculty: 0.31 Date Created: 1/23/2008 10:24:00 AM Times Used: 3 Last Used : 11/12/2008 8:10:00 AM All of the following can cause respiratory failure EXCEPT: Myathenia gravis F Epilepsy T Poliomelitis F Guillian –Barre Syndrome F Barbiturate overdosage F Question Number: 50 Question ID: 2524 Question Category: Pediatrics - General Question Diffeculty: 0.52 Date Created: 6/17/2008 5:07:00 PM Times Used: 3 Last Used : 12/3/2008 7:50:00 AM One of the following is true about severe malaria : hypoglycemia is a common presentation. T arterial blood gas will confirm alkalosis F intiavenoles quinine is the only dug used for treatment. F can be caused by plasmodium falcipram and severe form of plasmodium vivax. F lumbar pauctine is comtraindicated. F Question Number: 51 Question ID: 2583 Question Category: Medicine - General Question Diffeculty: 0.71 Date Created: 6/17/2008 5:07:00 PM Times Used: 3 Last Used : 11/12/2008 8:10:00 AM Clubbing of the fingers is associated with which of the following? Bronchitis F Tuberculosis F Emphysema F Cystic fibrosis T Asthma F Question Number: 52 Question ID: 2591 Question Category: Medicine - General Question Diffeculty: 0.86 Date Created: 6/17/2008 5:07:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM A chronic dialysis patient who passes no urine has missed 3 hemodialysis treatments in the last week and comes into the emergency room with a serum potassium value of 8.5 mmol/L. An ECG shows cardiac changes consistent with severe hyperkalemia. Blood glucose is 4.5 mmol/L. Which ONE of the following would be the best action to take: Give insulin and calcium gluconate intravenously and inhaled salbutamol F Give inhaled salbutamol and larger doses of intravenous furosemide F Give the patient a prescription for an oral potassium exchange resin and F arrange dialysis within 24 hours Give insulin and glucose intravenously F Give insulin, calcium gluconate and glucose intravenously and arrange for T urgent dialysis Question Number: 53 Question ID: 2597 Question Category: Medicine - General Question Diffeculty: 0.72 Date Created: 11/16/2007 10:47:00 AM Times Used: 4 Last Used : 11/12/2008 8:10:00 AM Which of the following is considered diagnostic of diabetes: random plasma glucose level of 10 mmol/L F on OGTT, 2 hour plasma glucose level > 7.8 F presence of polyuria and polydipsia and plasma glucose level of 12 mmol/L T fasting plasma glucose level of 6.8 mmol/L F on OGTT, 1 hour plasma glucose level > 11.1 F Question Number: 54 Question ID: 2604 Question Category: Medicine - General Question Diffeculty: 0.26 Date Created: 6/17/2008 5:07:00 PM Times Used: 3 Last Used : 1/14/2009 7:44:00 AM Which of the following statement is true regarding body mass index (BMI) : Moderate malnutrition is defined as a BMI of 18.5-24.9 kg/m2 F Normal BMI is defined as 18.5-24.9 kg/m2 F Overweight is defined as a BMI of 20-24 kg/m2 F Obesity is defined as a BMI of 25-29.9 kg/m2 T Morbid obesity is defined as a BMI of 25-29.9 kg/m2 F Question Number: 55 Question ID: 2611 Question Category: Pediatrics - General Question Diffeculty: 0.21 Date Created: 11/16/2007 10:52:00 AM Times Used: 4 Last Used : 12/3/2008 7:50:00 AM The best index for growth assessment in children is : Osseous maturation. T Assessment of weight. F Teething F Anthropometric measurement. F Assessment of head circumference. F Question Number: 56 Question ID: 2616 Question Category: Pediatrics - General Question Diffeculty: 0.77 Date Created: 11/16/2007 10:53:00 AM Times Used: 4 Last Used : 1/14/2009 7:44:00 AM Rehydration of a malnourished child should be done by : F-100. F ORS. F Normal saline. F F-75. F Resomal. T Question Number: 57 Question ID: 2620 Question Category: Pediatrics - General Question Diffeculty: 0.33 Date Created: 6/17/2008 5:07:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM Which of the following is true about hypertonic dehydration? Re-hydration should be done over 6 hours. F  Ringer lactate is the best fluid for treatment. F Re-hydration should be done very slowly over 36-48 hours. T Treatment should be started by NS F Convulsion is not a recognized complication. F Question Number: 58 Question ID: 2623 Question Category: Pediatrics - General Question Diffeculty: 0.32 Date Created: 6/17/2008 5:07:00 PM Times Used: 2 Last Used : 11/12/2008 8:10:00 AM A mother brings her 10-month-old son to the emergency department because he has been vomiting for the past 10 days. The child has not experienced any diarrhea. On physical examination, he is lethargic and has dry mucous membranes, reduced tears, a full anterior fontanelle, and 2-second capillary refill. After a second intravenous bolus of 20 mL/kg of normal saline, the boy extends his arms and legs forcefully for 10 seconds. Of the following, the MOST appropriate next step in the management of this child is administration of : additional intravenous normal saline bolus of 20 mL/kg F intravenous dexamethasone of 1 mg/kg T rapid intravenous lorazepam of 0.05 mg/kg F intravenous fosphenytoin bolus at 20 mg/kg phenytoin equivalents over 10 F minutes intravenous prochlorperazine of 5 mg F Question Number: 59 Question ID: 2722 Question Category: Medicine - General Question Diffeculty: 0.26 Date Created: 6/17/2008 5:07:00 PM Times Used: 2 Last Used : 8/24/2008 4:31:00 PM In Yellow fever : the transmission is from cows through mosquitoes. F a long incubation period of 3-6 months. F there is marked neutrophil leukocytosis. F there is poor response to lamivudine. T the usual presentation is with fever followed by acute respiratory distress. F Question Number: 60 Question ID: 2730 Question Category: Medicine - General Question Diffeculty: 0.38 Date Created: 6/17/2008 5:07:00 PM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM A 51-year-old male comes to the Emergency Department with an acute episode of chest pain. He has a history of atrial fibrillation. On examination, his blood pressure is 80/60 mm Hg and his ventricular rate is approximately 160 bpm. He is in acute distress. His respiratory rate is 32 breaths/min. His electrocardiogram (ECG) shows  atrial fibrillation with a rapid ventricular response. What should your first step in management be? digitalize the patient F give the patient intravenous (IV) verapamil F give the patient IV procainamide F cardiovert the patient with a direct current (DC) T start rapid IV hydration F Question Number: 61 Question ID: 2744 Question Category: Medicine - General Question Diffeculty: 0.34 Date Created: 9/7/2007 11:51:00 AM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM Acceptable methods of assessing for obesity include the following except: BMI F daily calorie intake T waist-hip ratio F percent body fat F Question Number: 62 Question ID: 2817 Question Category: Pediatrics - General Question Diffeculty: 0.33 Date Created: 6/17/2008 5:07:00 PM Times Used: 3 Last Used : 11/12/2008 8:11:00 AM Psychosis in children is suggested by all of the following except absence of speech F intense outbursts of temper F sudden onset of stuttering T feelings of depersonalization F Stereotype play F Question Number: 63 Question ID: 2822 Question Category: Pediatrics - General Question Diffeculty: 0.48 Date Created: 6/17/2008 5:07:00 PM Times Used: 2 Last Used : 9/14/2008 10:36:00 AM In comparing breast milk and formula, which one of the followingstatements is NOT correct: breast milk has a higher percentage of protein T breast milk has whey:casein ratio of 60:40 F breast milk contains leukocytes, complement and lysozymes F  breast milk has a lower concentration of iron than iron fortified formulae F breast milk has an optimal calcium:phosphorus ratio of 2:1 F Question Number: 64 Question ID: 2823 Question Category: Pediatrics - General Question Diffeculty: 0.29 Date Created: 6/17/2008 5:07:00 PM Times Used: 2 Last Used : 11/12/2008 8:11:00 AM Central cyanosis in the newborn infant is the one most common cause of: congenital heart disease F lung disease T central nervous system disease F Methemoglobinemia F Hypoglycemia F Question Number: 65 Question ID: 2824 Question Category: Pediatrics - General Question Diffeculty: 0.69 Date Created: 8/24/2007 10:39:00 AM Times Used: 3 Last Used : 9/24/2008 8:11:00 AM Which one of the following is the most significant risk factor for the development of childhood asthma: family social background F parental asthma T stress in the family F parental smoking F presence of pets in the house F Question Number: 66 Question ID: 3898 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE A 55 year old diabetic male presents with fever and abdominal pain of 3 days during which he did not take his diabetic treatment. He became unconscious on the day of admission. Random blood sugar is 450 mg/dl. Urine sugar +++, no acetone. Indicate the correct response : give 20 units mixtard. F administer IV 5% dextrose with normal saline. F start IV bicarbonate immediately. F treat initially with IV half normal saline. T give 20 units soluble insulin hourly. F Question Number: 67 Question ID: 3900 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE A small cardiac shadow on chest radiograph is seen in : dilated cardiomyopathy F Malnutrition. F beri beri F Addison's disease. T Amyloidosis F Question Number: 68 Question ID: 3915 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE A 23 -year old man presented with acute urine retention followed 24 hrs later by numbness then weakness of both upper and lower limbs that was complete in 3 days. From this history what is the most likely diagnosis : Pott,s disease. F Syringomyelia. F transverse myelitis. T anterior spinal artery occlusion. F brainstem infarction. F Question Number: 69 Question ID: 3917 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE Which one of the following infections is transmitted by the bite of an arthropod : Dracontiasis. F Relapsing fever. F Q- fever. F Chagas disease. F “Oriental sore”. T Question Number: 70 Question ID: 3918 Question Category: Medicine - General Question Diffeculty: 0.34 Date Created: 9/23/2008 4:27:00 PM Times Used: 2 Last Used : 2/16/2009 7:56:00 AM The human asymptomatic carrier is important in the epidemiology of all the following except : HA viral hepatitis. F Shigella infection. F H.I.V (A.I.D.S) infection F Leprosy. T Ascariasis infection. F Question Number: 71 Question ID: 3921 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE The followings are true about tropical splenomegaly except : Blood film for malaria is positive in the majority of cases. T It occurs commonly in malarious areas. F Ig M is raised in all eases. F There is a strong familial tendency. F It is less frequent in white skinned persons. F Question Number: 72 Question ID: 3922 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE Tropical Enteropathy is characterized by : Steatorrhoea more than 6 gm /24 hour. F Hypocalcaemia. F Villi which are short and leaf like. T Intense plasma cell infiltration of the lamina propria of the villi. F Good response to a month course of tetracycline capsules. F Question Number: 73 Question ID: 3927 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE Eosinophilic consolidation in the lung occur in all of the following infections except :  Toxocara canis. F Ascaris. F Strongyloides stercoralis. F Enterobius vermicularis. T Aspergillus fumigatus. F Question Number: 74 Question ID: 3928 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE The following diseases are caused by endotoxin : tetanus. F malaria. F Typhoid fever. T amoebic dysentery. F Cholera. F Question Number: 75 Question ID: 3934 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE Bilateral lower motor neurone lesion of the facial nerve occurs in: Left hemiplegia. F encephalitis. F hyperthyroidism. T hyperpituitarism. F Sub clinical hypothyroidism. F Question Number: 76 Question ID: 4140 Question Category: Medical Ethics - General Question Diffeculty: 0.89 Date Created: 12/2/2008 5:21:00 PM Times Used: 1 Last Used : 12/3/2008 7:50:00 AM ‫ﻣﻦ أھﻢ ﺷﺮوط ﻣﺰواﻟﺔ ﻣﮭﻨﺔ اﻟﻄﺐ‬ ‫اﻟﺤﺼﻮل ﻋﻠﻲ اﻟﻤﺆھﻞ اﻷﻛﺎدﯾﻤﻲ اﻟﻼزم‬ F  ‫ ‬ ‫اﻟﺤﺼﻮل ﻋﻠﻲ اﻟﻤﺆھﻞ اﻷﻛﺎدﯾﻤﻲ اﻟﻼزم‬ ‫‪F‬‬ ‫ ‬ ‫إﺟﺘﯿﺎز اﻣﺘﺤﺎن ﻣﻤﺎرﺳﺔ اﻟﻤﮭﻨﺔ اﻟﺬي ﯾﺠﺮﯾﮫ اﻟﻤﺠﻠﺲ اﻟﻄﺒﻲ‬ ‫‪F‬‬ ‫ ‬ ‫اﻟﺤﺼﻮل ﻋﻠﻲ ﺗﺮﺧﯿﺺ ﻣﺰاوﻟﺔ اﻟﻤﮭﻨﺔ ﻟﻸﻃﺒﺎء ﻋﻨﺪ اﻟﺘﺴﺠﯿﻞ اﻟﺪاﺋﻢ‬ ‫‪F‬‬ ‫ ‬ ‫ﺟﻤﯿﻊ ھﺬه اﻟﺸﺮوط واﺟﺒﺔ اﻟﺤﺼﻮل‬ ‫‪T‬‬ ‫ ‬ ‫ﻗﻀﺎء ﻓﺘﺮة اﻻﻣﺘﯿﺎز ﺑﻨﺠﺎح‬ ‫‪F‬‬ ‫‪Question Number: 77‬‬ ‫‪Question ID: 4142‬‬ ‫‪Question Category: Medical Ethics - General‬‬ ‫‪Question Diffeculty: 0.46‬‬ ‫‪Date Created: 12/2/2008 5:27:00 PM‬‬ ‫‪Times Used: 1‬‬ ‫‪Last Used : 12/3/2008 7:50:00 AM‬‬ ‫ﯾﻌﺘﺒﺮ أورﻧﯿﻚ )‪ (8‬ﻣﻦ اﻟﻤﺴﺘﻨﺪات اﻟﻤﮭﻤﺔ ﻓﻲ ﻋﻤﻠﯿﺎت ﻣﻌﺎﻟﺠﺔ اﻟﺤﻮادث واﻻﺻﺎﺑﺎت واﻟﺠﺮاﺋﻢ‬ ‫ ‬ ‫ﯾﻤﻜﻦ ﻟﻠﻄﺒﯿﺐ ان ﯾﻤﺘﻨﻊ ﻋﻦ ﻣﻠﺊ اورﻧﯿﻚ)‪ (8‬ﻃﺎﻟﻤﺎ ﻗﺎم ﺑﻜﺘﺎﺑﺔ ﻛﻞ اﻟﺘﻔﺎﺻﯿﻞ ﻓﻲ ﻣﻠﻒ‬ ‫‪F‬‬ ‫اﻟﻤﺮﯾﺾ‬ ‫ ‬ ‫واﺟﺐ ﻋﻠﻲ اﻟﻄﺒﯿﺐ ﻋﺪم اﻟﺘﺪﺧﻞ اﻟﻌﻼﺟﻲ ﻓﻲ ﺣﺎﻻت إﺷﺘﺒﺎه اﻟﺠﺮاﺋﻢ واﻟﺤﻮادث اﻻ ﺑﻌﺪ‬ ‫‪F‬‬ ‫اﺳﺘﻼم أورﻧﯿﻚ )‪ (8‬وﺗﻌﺒﺌﺘﮫ‬ ‫ ‬ ‫أورﻧﯿﻚ ) ‪ (8‬ھﻮ أورﻧﯿﻚ ﺗﺘﻮﻗﻒ ﻋﻠﯿﮫ ﻗﺮارات اﻟﻨﯿﺎﺑﺔ واﻟﺸﺮﻃﺔ ﺑﺎﻃﻼق ﺳﺮاح اﻟﻤﺘﮭﻢ‬ ‫‪F‬‬ ‫او ﺣﺠﺰه ﺑﺎﻟﺤﺮاﺳﺔ وﻻ ﻋﻼﻗﺔ ﻟﻠﻄﺒﯿﺐ ﺑﮫ‬ ‫ ‬ ‫‪F‬‬ ‫أورﻧﯿﻚ ) ‪ (8‬ھﻮأاورﻧﯿﻚ ﻣﺎﻟﻲ ﻟﺠﻤﻊ اﻟﺮﺳﻮم اﻟﻤﺎﻟﯿﺔ ﻓﻲ اﻟﺤﻮادث‬ ‫ ‬ ‫‪T‬‬ ‫ﺗﻘﺪﯾﻢ اﻟﺨﺪﻣﺔ اﻟﻄﺒﯿﺔ ﻣﻘﺪم ﻋﻠﻲ ﻣﻠﺊ أورﻧﯿﻚ) ‪(8‬‬ ‫‪Question Number: 78‬‬ ‫‪Question ID: 4163‬‬ ‫‪Question Category: Medicine - General‬‬ ‫‪Question Diffeculty: 0.50‬‬ ‫‪Date Created: 2/15/2009 2:44:00 PM‬‬ ‫‪Times Used: 0‬‬ ‫‪NOT USED BEFORE‬‬ ‫‪Ptosis is a sign of :‬‬ ‫ ‬ ‫‪7th nerve palsy of LMNL‬‬ ‫‪F‬‬ ‫ ‬ ‫‪6th nerve palsy‬‬ ‫‪F‬‬ ‫ ‬ ‫‪MND‬‬ ‫‪F‬‬ ‫ ‬ ‫‪Horner's syndrome‬‬ ‫‪T‬‬  Syringomyelia F Question Number: 79 Question ID: 4170 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 2/15/2009 2:44:00 PM Times Used: 0 NOT USED BEFORE In a patient with CHF the best drug to start with is : aldactone. F B-blocker F calcium antagonist F frusemide. T ACE inhibitor. F Question Number: 80 Question ID: 4173 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 2/15/2009 2:44:00 PM Times Used: 0 NOT USED BEFORE Which of the following findings on the history and physical examination increases the likelihood of a patient having pulmonary embolism ? haemoptysis F surgery in the previous 4 weeks F all of the answers T heart rate of >100beats / min F previous DVT F Go to Add Paper Password: asd Paper Time: 120 Minuets Paper Number : 2 Fraction: 0.4375 Update Paper Properties Marking: Wrong Answer is Zero Question Number: 1 Question ID: 1870 Question Category: Surgery - General Question Diffeculty: 0.09 Date Created: 5/28/2008 1:29:00 PM Times Used: 3 Last Used : 9/24/2008 8:11:00 AM A 35 years old woman was brought to the accident and emergency department after being hit by her husband. She is crying excessively and complains of severe abdominal pain. On examination she is not pale, pulse is 105/min good volume, BP is 130/85 mmHg; neck and chest examination are normal; the abdomen is flat, moves a little with respiration, there are bruises over the epigastrium, and the two upper quadrants are tender. Bowel sounds were heard. An ultrasound scan showed the presence of a subcapsular hepatic haematoma affecting most of the left lobe and two deep hepatic lacerations. No other abnormality could be detected. Your plan would be  Urgent CT scan abdomen T Urgent laparotomy F Ultrasound guided drainage of the haematoma and lacerations F Conservative management, follow up with weekly ultrasound scan F Conservative management, follow up, and ultrasound scan after two weeks F only. Question Number: 2 Question ID: 1871 Question Category: Surgery - General Question Diffeculty: 0.37 Date Created: 5/28/2008 1:17:00 PM Times Used: 3 Last Used : 11/12/2008 8:11:00 AM A soldier was brought to you after being evacuated from the front lines 24 hours ago. He was injured by a bomb exploding near him. The blast threw him against a tree, where he injured his spine and was since then unable to move his lower limbs or control his urine. He did not pass any faeces or flatus since the injury. He is also complaining of abdominal pain although there were no visible penetrating injuries to the abdomen. The abdomen is moderately distended with generalized tenderness. Bowel sounds are absent. A lateral abdominal decubitus film showed in addition to the distended bowel loops, gas under the lateral abdominal wall. The most likely diagnosis would be An overlooked penetrating injury F Perforated duodenum or caecum T Paralytic ileus secondary to the spinal trauma F Faecal impaction F Perforated acute gastric erosions F Question Number: 3 Question ID: 1873 Question Category: Surgery - General Question Diffeculty: 0.76 Date Created: 5/28/2008 1:21:00 PM Times Used: 3 Last Used : 12/3/2008 7:50:00 AM A 42 years old para 3 lady presented with acute epigastric pain of ten hours duration. The pain also involves the right hypochondrium and is felt at the right shoulder and at the right side of the middle of the back. The pain is severe and prevents the patient from taking deep breaths. She gives a past history of peptic ulcer disease for which she received ranitidine some years ago. An ultrasound scan one year ago shows a gall bladder with a thick wall but without stones. She also reports frequent dyspepsia and indigestion. On examination she looks relatively ill, in pain, not pale, pulse 100/min, BP 100/80 mmHg, temp 38.5⁰C. Abdominal examination reveals epigastric and right upper quadrant tenderness and the presence of bowel sounds. Your management for this patient will be Admission, conservative treatment, and elective cholecystectomy T Admission, conservative treatment, no plans for cholecystectomy F  Admission, resuscitation, and emergency cholecystectomy F Admission, resuscitation, and emergency laparotomy for a perforated duodenal F ulcer Antibiotics, antiulcer drugs, analgesics, and appointment for follow up F Question Number: 4 Question ID: 1880 Question Category: Surgery - General Question Diffeculty: 0.87 Date Created: 5/28/2008 1:21:00 PM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM An eighteen years old male presents to you with a unilateral undescended testicle since birth. He presented earlier to a paramedic who advised him just to wait for the testicle to come down. He is quite healthy with well developed secondary sexual characteristics, and local examination reveals no abnormality other than the underdeveloped empty hemiscrotum. An abdominal ulstrasound scan localises the atrophied testicle to the deep ingunal ring. You advise the patient surgery to try and bring it down or remove it if it is too high on the grounds that is not functioning and will not function even if brought down. He is convinced partly and thinks that if it would not do any good if brought down, then why go through the risk of surgery. You reply that surgery is necessary because Usually there is an associated indirect inguinal hernial sac with undescended F testicles that should be treated An undescended testicle may be associated with other internal abnormalities F that need to be explored during surgery An undescended testicle is liable to trauma F An undescended testicle is liable to torsion F An undescended testicle is liable to malignant transformation T Question Number: 5 Question ID: 1891 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.43 Date Created: 5/28/2008 1:20:00 PM Times Used: 4 Last Used : 10/19/2008 9:56:00 AM Polycystic ovarian syndrome presents as: Infertility. F Metrorrhagia. F Amenorrhea. T Galactorrhoea. F Loss of body hair. F Question Number: 6 Question ID: 1906 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.46 Date Created: 5/28/2008 1:27:00 PM Times Used: 3 Last Used : 12/3/2008 7:50:00 AM  A young woman with anovulatory cycles for long time is MOST LIKELY to developwhich of the following? Cervical cancer F Endometrial Cancer F Cancer of the Vulva F Ovarian cancer T Question Number: 7 Question ID: 1907 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.38 Date Created: 5/28/2008 1:31:00 PM Times Used: 2 Last Used : 9/14/2008 10:36:00 AM A 52 years old obese post menopausal woman presents with no signs of Menopause and amenorrhoea. What could be the cause? Normal oestrogen and high FSH F High oestrogen and low FSH T High oestrogen and high FSH F Low oestrogen and High FSH F Question Number: 8 Question ID: 2000 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.43 Date Created: 4/16/2008 1:28:00 PM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM During the first trimester of pregnancy the following is true: There is a significant increase in the heart rate. T The total cardiac output increases by 25 percent. F As a result of the increase of the blood volume there is haemodilution. F The blood pressure rises by 10-15 degrees. F There is a marked increase in the thyroid function. F Question Number: 9 Question ID: 2001 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.65 Date Created: 4/16/2008 1:30:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM With regard to thromboembolism and pregnancy all of the following are true EXCEPT: Risk increases with maternal age F Warfarin is teratogenic F There is an increase in factors I, VII, VIII, IX, X, XII F Heparin crosses the placenta T  The uterus compresses veins contributing the venous stasis F Question Number: 10 Question ID: 2003 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.87 Date Created: 4/16/2008 1:34:00 PM Times Used: 2 Last Used : 9/14/2008 10:36:00 AM The most prevalent cause of maternal mortality is: Toxemia F Infection F cardiac disease F Hemorrhage T Diabetes F Question Number: 11 Question ID: 2082 Question Category: Surgery - General Question Diffeculty: 0.75 Date Created: 3/26/2008 1:38:00 PM Times Used: 2 Last Used : 11/12/2008 8:11:00 AM The main indication for mammography is Staging of malignant breast lesions F Differentiation between solid and cystic lesions F Delivery of a toxic dose of radiation to small tumors F Screening for early malignant lesions T Differentiation between benign and malignant lesions F Question Number: 12 Question ID: 2084 Question Category: Surgery - General Question Diffeculty: 0.19 Date Created: 3/26/2008 1:39:00 PM Times Used: 3 Last Used : 2/16/2009 7:56:00 AM A four weeks old child was brought by his mother because of failure to thrive, excessive crying during micturition and weak urinary stream. The boy is the outcome of spontaneous vaginal delivery. The only abnormality was that the amniotic fluid was less than normal according to her doctor. Blood analysis showed a high urea level. Ultrasound abdomen revealed gross bilateral hydronephrosis. What other investigation do you need to reach a final diagnosis? Ascending urethrogram F Intravenous urography F DTPA (diphenylenetriamine pentaacetate) scan F CT KUB (computerized tomography kidney ureter bladder) F Micturating cystourethrogram T Question Number: 13 Question ID: 2105 Question Category: Surgery - General Question Diffeculty: 0.55 Date Created: 3/26/2008 1:38:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM Nine days after an open cholecystectomy, a 55 years old diabetic patient presented to you with continuous hiccups and mild abdominal distension. There is occasional vomiting. On examination there is tachypnoea and mild right hypochondrial tenderness. A chest X-ray reveals an elevated right hemidiaphragm. What further investigation would you like to do to reach a diagnosis? ERCP F Renal function tests F Random blood sugar and urine for ketones F Abdominal ultrasound T Diagnostic peritoneal lavage F Question Number: 14 Question ID: 2110 Question Category: Surgery - General Question Diffeculty: 0.44 Date Created: 3/26/2008 1:37:00 PM Times Used: 4 Last Used : 1/27/2009 4:27:00 PM A tracheostomy is preferred over an endotracheal tube for prolonged (days) mechanical ventilation, mainly because a tracheostomy Is more resisitant to blockage F Reduces dead space better F Is less prone to dislodgement F Is easier to insert F Enables the removal of respiratory secretions with more ease T Question Number: 15 Question ID: 2115 Question Category: Surgery - General Question Diffeculty: 0.48 Date Created: 3/26/2008 1:35:00 PM Times Used: 4 Last Used : 1/27/2009 4:27:00 PM A patient was involved in a road traffic accident and sustained head trauma. He is clinically well with a GCS of 15. There are no external wounds. A CT scan showed the presence of a fissured skull fracture affecting the vault of the skull. There is no comminution or depressed segments. Your plan of management will be Urgent refer to a neurosurgical emergency department F Watchful waiting T Initiation of steroid therapy F Initiation of antibiotic therapy F  Wiring F Question Number: 16 Question ID: 2127 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.57 Date Created: 3/26/2008 1:33:00 PM Times Used: 2 Last Used : 9/24/2008 8:11:00 AM Regarding management of diabetes with pregnancy Diet control has no role F Oral hypoglycaemic can be used safely F C/S is always indicated F A combination of short and long acting insulin can be used T Urine investigation is very helpful in control F Question Number: 17 Question ID: 2130 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.27 Date Created: 3/26/2008 1:33:00 PM Times Used: 3 Last Used : 9/24/2008 8:11:00 AM The commonest cause of polyhydramnios is Diabetes mellitus F Twins F Osophageal atresia F Idiopathic T Anencephaloidy F Question Number: 18 Question ID: 2132 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.82 Date Created: 3/26/2008 1:21:00 PM Times Used: 4 Last Used : 2/16/2009 7:56:00 AM Placenta accreta is most likely to cause bleeding During the first stage of labour F During attempts to remove it T Prior to labour F Following consumption coagulapathy F After amniotic membrane rupture F Question Number: 19 Question ID: 2138 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.28 Date Created: 3/26/2008 1:30:00 PM Times Used: 2 Last Used : 11/12/2008 8:11:00 AM A 1-hour glucose tolerance test in a woman with a pervious SB is 140. Follow up should include Nothing further F A 2000-calorie diet F Standard G.T.T T Home glucose urine testing F A 2–hour post prandial blood sugar F Question Number: 20 Question ID: 2148 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.56 Date Created: 3/26/2008 1:37:00 PM Times Used: 5 Last Used : 1/14/2009 7:44:00 AM The following is unaccepted finding in ectopic pregnancy Pain precedes bleeding F Shoulder pain is important symptom F The isthmus of the tube is the commonest site T Ultrasound scan can help in the diagnosis F The incidence is higher in woman with I U D F Question Number: 21 Question ID: 2218 Question Category: Surgery - General Question Diffeculty: 0.39 Date Created: 3/5/2008 12:58:00 PM Times Used: 4 Last Used : 2/16/2009 7:56:00 AM A 35 years old lady presents to you with a lump in the right breast and cyclical mastalgia for 1 year. On examination you find multiple lumps in both breasts. You will Order a fine needle aspiration cytology of the lump F Advise quadrantectomy F Reassure the patient and advice regular follow up T Order an ultrasound scan F Advise mastectomy of the right breast F Question Number: 22 Question ID: 2237 Question Category: Surgery - General Question Diffeculty: 0.69 Date Created: 3/5/2008 1:08:00 PM Times Used: 3 Last Used : 2/16/2009 3:38:00 PM  Chronic osteomyelitis is commonly the result of Open fractures F Prolonged immobility leading to pressure sores F Increased use of orthopaedic implants F Inadequately treated acute osteomyelitis T Infection with Mycobacteria F Question Number: 23 Question ID: 2239 Question Category: Surgery - General Question Diffeculty: 0.38 Date Created: 3/5/2008 1:08:00 PM Times Used: 2 Last Used : 7/6/2008 10:42:00 AM All of the following is true about fracture neck of the femur except It is common in the elderly F It is a pathological fracture F Leads to major complications and death if not managed quickly and correctly F Is usually caused by a direct trauma to the hip region T The affected limb is usually shorter at presentation F Question Number: 24 Question ID: 2255 Question Category: Surgery - General Question Diffeculty: 0.28 Date Created: 3/5/2008 12:57:00 PM Times Used: 4 Last Used : 1/14/2009 7:44:00 AM You want to remove a Foley catheter from your patients’s urethra, but the balloon fails to deflate. You will Call your senior to handle it F Overinflate the balloon and puncture it transcutaneously T Perform a mini cystotomy to extract the catheter suprapubically after cutting it F from below Leave the catheter in place and ask the patient to come at a later date F Send the patient to the urology department to try and remove it using a F cystourethroscope. Question Number: 25 Question ID: 2258 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.97 Date Created: 3/5/2008 12:22:00 PM Times Used: 4 Last Used : 12/3/2008 7:50:00 AM A 28 year old G1P0 woman at 35 weeks presents to the labour floor with painless vaginal bleeding. Which of the following should NOT be done? vaginal examination T  complete blood count F crossmatch blood F Ultrasound F fetal heart rate monitor F Question Number: 26 Question ID: 2273 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.33 Date Created: 3/5/2008 1:08:00 PM Times Used: 4 Last Used : 11/12/2008 8:11:00 AM Contraindications to vaginal delivery include each of the following EXCEPT: previous classical cesarean section F squamous cell carcinoma in situ of the cervix T total placenta previa F transverse lie with ruptured membranes F primigravida breech with cephalo-pelvic disproportion F Question Number: 27 Question ID: 2297 Question Category: Surgery - General Question Diffeculty: 0.83 Date Created: 2/14/2008 10:36:00 AM Times Used: 4 Last Used : 2/16/2009 7:56:00 AM A young previously healthy patient developed pain, redness, and a serous discharge from an appendicectomy wound on the 3rd postoperative day. The most likely cause would be Too tight sutures F Faecal fistula F Leak of peritoneal fluid F Wound infection T Normal postoperative event F Question Number: 28 Question ID: 2304 Question Category: Surgery - General Question Diffeculty: 0.74 Date Created: 2/14/2008 10:33:00 AM Times Used: 4 Last Used : 2/16/2009 7:56:00 AM The suitable and convenient way to collect urine from a paraplegic patient, who is confined to bed, is to Use of an indwelling urethral catheter F Use of an indwelling suprapubic catheter F Perform urinary diversion via an ileal conduit F  Use of a condom catheter T Use of clean intermittent self catheterization F Question Number: 29 Question ID: 2313 Question Category: Surgery - General Question Diffeculty: 0.96 Date Created: 2/14/2008 10:23:00 AM Times Used: 3 Last Used : 12/3/2008 7:50:00 AM The ideal treatment of an abscess is The use of Ichthamol ointment to make the abscess ripe F Aspiration using a syringe and a fine needle F Use of broad spectrum potent combination of antibiotics F Surgical drainage at time of presentation T Conservative managment and await spontaneous resolution F Question Number: 30 Question ID: 2315 Question Category: Surgery - General Question Diffeculty: 0.42 Date Created: 2/14/2008 10:41:00 AM Times Used: 3 Last Used : 2/16/2009 7:56:00 AM Screened blood that is crossmatched for elective operations differs from that prepared for emergency purposes in that Transfusion reactions are almost unlikely with elective cross matching T The oxygen carrying capacity of the blood is enhanced by elective cross F matching Blood borne infections are less likely with elective cross matching F The amount of coagulation factors is increased by elective cross matching F The amount of platelets is increased by elective cross matching F Question Number: 31 Question ID: 2322 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.83 Date Created: 2/14/2008 10:37:00 AM Times Used: 3 Last Used : 9/24/2008 8:11:00 AM The following are documented risk factors for placenta praevia except: Previous dilatation & curettage. F Multiple pregnancy. F Primigravidity. T Previous caesarean section. F Spontaneous abortion & evacuation. F Question Number: 32 Question ID: 2327 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.28 Date Created: 2/14/2008 10:16:00 AM Times Used: 4 Last Used : 11/12/2008 8:11:00 AM The following is not a common cause of maternal mortality in Sudan: Puerperal psychosis F Pulmonary embolism. T Abortion. F Eclampsia. F Placental abruption. F Question Number: 33 Question ID: 2335 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.97 Date Created: 2/14/2008 10:33:00 AM Times Used: 4 Last Used : 11/12/2008 8:11:00 AM Preterm labour is not caused by the following: Placental abruption. F Hydramnios. F Multiple pregnancy. F Intravenous saline. T External cephalic version. F Question Number: 34 Question ID: 2338 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.58 Date Created: 2/14/2008 10:41:00 AM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM The following is an indication for LSCS: Vaginal bleeding due to placenta praevia with uterine contractions. F Placenta praevia type II anterior. F Previous LSCS in a para one done for a non- recurrent cause. F Transverse lie during labour. T Grandmultiparity with breech. F Question Number: 35 Question ID: 2343 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.51 Date Created: 2/14/2008 10:41:00 AM Times Used: 2 Last Used : 7/29/2008 5:56:00 PM Non-contraceptive benefits of oral contraception pills include: Reduced dysmenorrheal F Reduced risk of ovarian carcinoma F Reduced benign breast disease and ovarian cysts F All the answers are true T Reduced anemia F Question Number: 36 Question ID: 2486 Question Category: Surgery - General Question Diffeculty: 0.08 Date Created: 1/23/2008 12:58:00 PM Times Used: 4 Last Used : 2/16/2009 3:38:00 PM A 34 years old engineer presents to you with a painless nodule in the palm of his right hand of four month duration. O/E it is firm, 2 cm in diameter, slightly mobile, and the skin over it is normal. You are going to Advice him just to come for follow up every three month F Refer him to specialized hand surgeon T Request fine needle aspiration cytology to decide on its nature F Book the patient for removal of the lump under general anaesthesia and a F tourniquet Book the patient for removal of the lump under local anaesthesia F Question Number: 37 Question ID: 2488 Question Category: Surgery - General Question Diffeculty: 0.39 Date Created: 1/23/2008 12:58:00 PM Times Used: 4 Last Used : 2/16/2009 3:38:00 PM A 68 years old night guard was brought to you in the emergency department at 2 am with acute urine retention. He is a known case of benign prostatic hyperplasia. You tried twice to introduce a catheter but failed. The next step would be Take the patient to theatre for urethral dilatation and another attempt at F catheterization Send the co-patients to buy a suprapubic catheter set (e.g. Cystofix® ) F Call a senior to come and try it F Do a suprapubic aspiration of the bladder with a syringe and needle F Insert a suprapubic Foley catheter under local anaesthesia T Question Number: 38 Question ID: 2493 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.57 Date Created: 1/23/2008 12:59:00 PM Times Used: 4 Last Used : 2/16/2009 7:56:00 AM The commonest type of bleeding encountered with uterine leiomyomata is: post-coital spotting F mid-cycle bleeding F hypermenorrhea T Oligomenorrhea F post-coital staining F Question Number: 39 Question ID: 2498 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.89 Date Created: 1/23/2008 12:59:00 PM Times Used: 3 Last Used : 11/12/2008 8:11:00 AM In a differential diagnosis of third trimester bleed, which of the following should not be included? placenta previa F vasa previa F abruptio placentae F threatened abortion T marginal sinus hemorrhage F Question Number: 40 Question ID: 2513 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.62 Date Created: 1/23/2008 1:00:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM All the following statements about complete hydatidiform mole are true except : the the karyotype is 46,XX F it always presents with vag