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Welcome Mohammed Rahim Menu Exit Export Master Sheet Export Exam Commit Exam Go to Add Paper Password: www Paper Time: 120 Minuets Paper Number : 1 Fraction: 0.4375 Update Paper Properties Marking: Wrong Answer is Zero Question Number: 1 Question ID: 1795 Question Category: Medicine - General Question Diffeculty: 0.21 Date Created: 5/28/2008 10:39:00 AM Times Used: 2 Last Used : 7/29/2008 5:56:00 PM A 55 year old woman complains of a progressive difficulty of holding objects with her left hand. She also admitted to swallowing difficulties over the past 6 months. On examination the physician noted signs of lower motor neuron involvement. An initial diagnostic test in the work up of this patient should include : barium swallow F CT scan of the spine F MRI of the spine F Electromyography T MRI of the brain F Question Number: 2 Question ID: 1805 Question Category: Medicine - General Question Diffeculty: 0.64 Date Created: 5/28/2008 10:42:00 AM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM Which of the following statements is true regarding Malaria? severe infections should be treated with intravenous fansidar. F the thick blood film is used to identify the type of parasite. F mefloquin is contraindicated in epilepsy and lactation. T steroids are useful in treating cerebral malaria in falciparum infections. F the thin blood film is mainly used for rapid diagnosis. F Question Number: 3 Question ID: 1812 Question Category: Medicine - General Question Diffeculty: 0.74 Date Created: 5/28/2008 10:44:00 AM Times Used: 2 Last Used : 7/29/2008 5:56:00 PM A 50 year old male with type 2 diabetes mellitus is found to have 24 hr urinary albumin of 250 mg. Which of the following drugs may be used to retard progression of renal disease ? Hydrochlorothiazide F Enalapril T Amiloride F Aspirin F Question Number: 4 Question ID: 1822 Question Category: Pediatrics - General Question Diffeculty: 0.74 Date Created: 5/28/2008 10:59:00 AM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM In acute heart failure in children : raised JVP is a useful sign specially in small children. F presents with refusal of feeds in neonates as well as increased heart rate. T digoxin is the first line of management. F absence of a murmur excludes the diagnosis. F liberal rehydration helps the recovery. F Question Number: 5 Question ID: 1824 Question Category: Pediatrics - General Question Diffeculty: 0.69 Date Created: 5/28/2008 10:49:00 AM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM A child aged 4 years has had fever, malaise, vomiting and right-sided abdominal pain for 48 hours. The following are likely diagnoses except : acute pyelonephritis F shigella dysentry F ascaris lumbricoides infestation, if the child is living in the tropics F right sided abdominal tumour T lobar pneumonia F Question Number: 6 Question ID: 1826 Question Category: Pediatrics - General Question Diffeculty: 0.39 Date Created: 5/28/2008 10:50:00 AM Times Used: 2 Last Used : 7/29/2008 5:56:00 PM 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: 7 Question ID: 1828 Question Category: Pediatrics - General Question Diffeculty: 0.33 Date Created: 5/28/2008 10:52:00 AM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM 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: 8 Question ID: 1832 Question Category: Pediatrics - General Question Diffeculty: 0.61 Date Created: 5/28/2008 10:52:00 AM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM The most common cause of hypertension in children is: hyperaldosteronism F renal artery disease F renal disease T pheochromocytoma F coarctation of the aorta F Question Number: 9 Question ID: 1833 Question Category: Pediatrics - General Question Diffeculty: 0.72 Date Created: 5/28/2008 10:52:00 AM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM Which of the following is more characteristic of platelet abnormalities and not coagulation defects? hematomas F hemarthrosis F petechiae T minimal bleeding from small cuts F  positive family history F Question Number: 10 Question ID: 1842 Question Category: Pediatrics - General Question Diffeculty: 0.46 Date Created: 5/28/2008 10:54:00 AM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM Regarding typical febrile convulsions : It occurs during rising temperatures. F It occurs between the age of 5 months to 5 years. T It occurs at temp. of 39 c F Prophylactic anti-convulsion treatment is mandatory. F EEG is mandatory for all cases. F Question Number: 11 Question ID: 1948 Question Category: Pediatrics - General Question Diffeculty: 0.72 Date Created: 5/7/2008 11:21:00 AM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM The following are true about meningitis in the newborn except : The commonest organism is Neisseria meningiditis. T Can cause hydrocephalus. F Diagnosis should be confirmed by CSF examination. F Treatment should be continued for at least two weeks. F Require treatment with parenteral antibiotics. F Question Number: 12 Question ID: 1971 Question Category: Medicine - General Question Diffeculty: 0.13 Date Created: 4/16/2008 10:55:00 AM Times Used: 2 Last Used : 8/24/2008 4:31:00 PM A patient taking 100 mg of atenolol daily is most likely to complain of : Palpitation F Headache F Lassitude T Cold feet F Nightmares F Question Number: 13 Question ID: 1981 Question Category: Medicine - General Question Diffeculty: 0.68 Date Created: 4/16/2008 10:39:00 AM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM Which of the following antibiotics has negligible anti-helicobacter pylori action ? penicillin V. T amoxycillin. F tetracycline. F clarithromycin. F metronidazole. F Question Number: 14 Question ID: 1989 Question Category: Pediatrics - General Question Diffeculty: 0.11 Date Created: 4/16/2008 10:49:00 AM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM The following case pertains to this questions and the following one: A 12 month-old girl is brought to the emergency department for the second time in 2 days for vomiting and passage of 8 to 10 watery stools per day. Of the following, which provides the best estimate of the patient’s volume deficit: weight change since the beginning of the illness T hydration of mucous membranes, skin turgor, and level of consciousness F pulse, blood pressure, and peripheral capillary filling time F serum electrolytes F serum urea nitrogen and creatinine levels F Question Number: 15 Question ID: 1992 Question Category: Pediatrics - General Question Diffeculty: 0.65 Date Created: 4/16/2008 11:08:00 AM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM In a premature infant who is suspected of having necrotizing enterocolitis (NEC), each of the following is correct EXCEPT: septicemia is associated with an increased risk of NEC F NEC is thought to be caused by systemic hypertension T the finding of air in the portal vein indicates severe illness F respiratory distress increases the risk of NEC F Apgar scores inversely correlate with the risk of NEC F Question Number: 16 Question ID: 2014 Question Category: Medicine - General Question Diffeculty: 0.69 Date Created: 3/26/2008 10:48:00 AM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM A 43-year-old woman who works as a seamstress has a 3-month history of pain, weakness, and numbness of the right hand that is worse at night. Examination shows hypoesthesia and atrophy of the thenar eminence.These findings are most likely caused by compression of which of the following nerves? Brachial cutaneous. F Radial. F Axillary. F Ulnar. F Median. T Question Number: 17 Question ID: 2017 Question Category: Medicine - General Question Diffeculty: 0.36 Date Created: 3/26/2008 10:48:00 AM Times Used: 2 Last Used : 7/29/2008 5:56:00 PM Pseudomembranous colitis is usually caused by toxins of which organism ? Staph aureus. F Clostridium botulinum. F Bacteroides fragilis. F Clostridium difficile. T Clostridium perfringens. F Question Number: 18 Question ID: 2019 Question Category: Medicine - General Question Diffeculty: 0.58 Date Created: 3/26/2008 10:47:00 AM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM Which one of the following statements regarding liver failure is TRUE ? a liver biopsy is a not required with a good history of alcoholism. F encephalopathy may be reversible. T SBP (spontaneous bacterial peritonitis) is usually a result of blunt F abdominal trauma. coagulopathy is a result of poor diet in most patients with cirrhosis. F the size a varix is proportional to the degree of portal hypertension. F Question Number: 19 Question ID: 2030 Question Category: Medicine - General Question Diffeculty: 0.04 Date Created: 3/26/2008 10:47:00 AM Times Used: 1 Last Used : 3/26/2008 10:47:00 AM  A 50-year-old male complains of low back pain and stiffness, which becomes worse on bending and is relieved by lying down. There are no symptoms of fever, chills, weight loss, or urinary problems. He has had similar pain several years ago. On exam, there is paraspinal tenderness and spasm of the lower lumbar back. There are no sensory deficits, and reflexes are normal. The next step in management is : Weight training. F Lumbosacral spine films. F Activity as tolerated, optional 2-day bedrest. T MRI. F Stretching exercises. F Question Number: 20 Question ID: 2037 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 3/26/2008 11:18:00 AM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM A 65-year-old diabetic with a creatinine of 1.6 was started on an angiotensin converting enzyme inhibitor for hypertension and presents to the emergency room with weakness. His other medications include a statin for hypercholesterolemia, a beta blocker and spironolactone for congestive heart failure, insulin for diabetes, and aspirin. Laboratory examinations include: K: 7.2 meq/L.Creatinine: 1.8.Glucose: 400 mg/dL.CPK: 400 IU/L.Which is the most important cause of hyperkalemia in this patient ? Statin-induced rhabdomyolysis. F Worsening renal function. F Uncontrolled diabetes. F Drug-induced defects in the renin-angiotensin-aldosterone system. T Question Number: 21 Question ID: 2055 Question Category: Pediatrics - General Question Diffeculty: 0.55 Date Created: 3/26/2008 10:46:00 AM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM 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: 22 Question ID: 2061 Question Category: Pediatrics - General Question Diffeculty: 0.09 Date Created: 3/26/2008 10:47:00 AM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM Which of the following vitamins or minerals need to be supplemented in infants who are exclusively breast- fed beyond the six month of age Iron. F Calcium. F Folic Acid. F Vitamin D. T Vitamin A. F Question Number: 23 Question ID: 2162 Question Category: Medicine - General Question Diffeculty: 0.68 Date Created: 3/5/2008 10:32:00 AM Times Used: 2 Last Used : 7/29/2008 5:56:00 PM 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: 24 Question ID: 2195 Question Category: Pediatrics - General Question Diffeculty: 0.53 Date Created: 3/5/2008 10:20:00 AM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM The drug of first choice for treatment of supraventricular tachycardia in children is Digoxin F Verpamil F Quinidine F Adenosine T Atenolol F Question Number: 25 Question ID: 2200 Question Category: Pediatrics - General Question Diffeculty: 0.91 Date Created: 3/5/2008 10:25:00 AM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM A 6-month-old girl is referred to hospital for evaluation of her first episode of wheezing. Her mother reports that the infant has had rhinorrhea and cough for 3 days and her temperature was 38.2 0C at home. On examination she is tachypneic with mild subcostal retractions and diffuse wheezing. The most likely diagnosis is Acute Bronchiolitis T Aspiration Pneumonia F Bronchial Asthma F Chlamydia Pneumonia F Cystic Fibrosis F Question Number: 26 Question ID: 2203 Question Category: Pediatrics - General Question Diffeculty: 0.45 Date Created: 3/5/2008 10:34:00 AM Times Used: 2 Last Used : 9/14/2008 10:36:00 AM A 10-day-old baby develops heart failure secondary to coarctation of the aorta. The following sign is likely to be present: Pedal edema F Hepatomegaly F Central cyanosis F Diastolic murmur F Hyperdynamic precordium T Question Number: 27 Question ID: 2204 Question Category: Pediatrics - General Question Diffeculty: 0.30 Date Created: 3/5/2008 10:29:00 AM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM A one litre of the WHO oral rehydration solution contains 50 mmol of Sodium F 25 mmol of Potassium F 45 mmol of Chloride F 30 mmol of Citrate F 100 mmol of Glucose T Question Number: 28 Question ID: 2209 Question Category: Pediatrics - General Question Diffeculty: 0.49 Date Created: 3/5/2008 10:33:00 AM Times Used: 3 Last Used : 9/14/2008 10:36:00 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: 29 Question ID: 2355 Question Category: Pediatrics - General Question Diffeculty: 0.23 Date Created: 2/14/2008 12:58:00 PM Times Used: 2 Last Used : 7/29/2008 5:56:00 PM The viral infection most likely to cause CNS involvement and focal neurological findings is enterovirus F rhinovirus F herpes simplex T coxsackie virus F rabies F Question Number: 30 Question ID: 2362 Question Category: Pediatrics - General Question Diffeculty: 0.74 Date Created: 2/14/2008 1:08:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM Which of the following is most likely to provide the basis for making the correct diagnosis in an infant or child who has failure to thrive (FTT)? none of the answers F cultures F radiograph studies F history and physical exam T blood chemistries F Question Number: 31 Question ID: 2366 Question Category: Pediatrics - General Question Diffeculty: 0.26 Date Created: 2/14/2008 1:16:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM  A child presents with bilateral shin pain. Which of the following suggests that this is NOT growing pains? pain abates with reassurance and massage F no fever or rash F pain is poorly localized F child may limp in the morning from stiffness T pain awakens the child at night F Question Number: 32 Question ID: 2367 Question Category: Pediatrics - General Question Diffeculty: 0.69 Date Created: 2/14/2008 12:55:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM 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: 33 Question ID: 2369 Question Category: Pediatrics - General Question Diffeculty: 0.35 Date Created: 2/14/2008 1:11:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM Which of the following is NOT characteristic of a functional murmur? murmur varies with position F variably split S2 F pansystolic murmur T murmur becomes louder with fever F no extra clicks F Question Number: 34 Question ID: 2370 Question Category: Pediatrics - General Question Diffeculty: 0.72 Date Created: 2/14/2008 1:01:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM Which of the following is the most common congenital heart lesion in children? Tetralogy of Fallot F atrial septal defect F  coarctation of the aorta F patent ductus arteriosus F ventricular septal defect T Question Number: 35 Question ID: 2376 Question Category: Pediatrics - General Question Diffeculty: 0.13 Date Created: 2/14/2008 1:03:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM Which of the followng statements concerning minimal lesion glomerulonephritis is correct? it is a common cause of nephrotic syndrome in children, but it is a very F rare cause of nephrotic syndrome in adulthood glomerular filtration rate is usually preserved T the urine typically shows red blood cell casts (suggestive of proliferative F glomerulonephritis) it is usually unresponsive to treatment such as prednisone and F cyclophosphamide it is most often accompanied by severe hypertension F Question Number: 36 Question ID: 2377 Question Category: Pediatrics - General Question Diffeculty: 0.91 Date Created: 2/14/2008 12:59:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM Breast feeding is a contraindication to which of the following vaccinations? influenza F none of the answers T diptheria F MMR F hepatitis B F Question Number: 37 Question ID: 2381 Question Category: Medicine - General Question Diffeculty: 0.34 Date Created: 2/14/2008 1:22:00 PM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM In hyperreactive malarial splenomegaly syndrome : serum 1gG is high. F blood film is usually positive for malaria. F response to chloroquine is poor. F  liver biopsy shows sinusoidal lymphocytosis. T polycythaemia is a feature of the disease. F Question Number: 38 Question ID: 2407 Question Category: Pediatrics - General Question Diffeculty: 0.37 Date Created: 1/23/2008 10:21:00 AM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM Patients deficient in early complement elements have a susceptibility to: encapsulated bacteria T protozoa F intracellular bacteria F viruses F fungus F Question Number: 39 Question ID: 2410 Question Category: Pediatrics - General Question Diffeculty: 0.44 Date Created: 1/23/2008 10:21:00 AM Times Used: 2 Last Used : 7/29/2008 5:56:00 PM Select the TRUE statement for HIV positive mothers (positive before and at the birth of child): Should not breast feed their children T Must insist their HIV positive child be immunized with all vaccines F scheduled for a non-HIV positive child Must not take zidovudine (AZT) due to its teratogenicity F 90-100% will infect the child during delivery F Question Number: 40 Question ID: 2415 Question Category: Pediatrics - General Question Diffeculty: 0.07 Date Created: 1/23/2008 10:24:00 AM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM A 5 year old comes to the ER with fever, sore throat, hoarseness, and stridor developing over one to two days. He also appears to be drooling. Which of the following is the most appropriate initial step in management? do a detailed history and physical exam F get a lateral cervical neck x-ray F send him home F draw a CBC and blood cultures T prepare for emergency intubation F Question Number: 41 Question ID: 2416 Question Category: Pediatrics - General Question Diffeculty: 0.07 Date Created: 1/23/2008 10:24:00 AM Times Used: 2 Last Used : 9/14/2008 10:36:00 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: 42 Question ID: 2418 Question Category: Pediatrics - General Question Diffeculty: 0.41 Date Created: 1/23/2008 10:49:00 AM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM In comparing breast milk and formula, which of the following statements is NOT correct: breast milk contains leukocytes, complement and lysozymes F breast milk has a higher percentage of protein T breast milk has an optimal calcium:phosphorus ratio of 2:1 F breast milk has whey:casein ratio of 60:40 F breast milk has a lower concentration of iron than iron fortified formulae F Question Number: 43 Question ID: 2436 Question Category: Medicine - General Question Diffeculty: 0.56 Date Created: 1/23/2008 10:49:00 AM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM Which of the following is a feature of secretory diarrhea? persistent diarrhea despite fasting T blood and/or pus in stools F malodorous, often floating stools F increased stool osmotic gap F small stool volume (< 1L/day) F Question Number: 44 Question ID: 2440 Question Category: Medicine - General Question Diffeculty: 0.20 Date Created: 1/23/2008 10:18:00 AM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM  Hemolytic anemia is characterized by all of the following EXCEPT: increased reticulocytosis F lead poisoning F increased haptoglobin T increased unconjugated bilirubin F increased LDH F Question Number: 45 Question ID: 2461 Question Category: Medicine - General Question Diffeculty: 0.33 Date Created: 1/23/2008 10:49:00 AM Times Used: 2 Last Used : 7/6/2008 10:42:00 AM A patient was found to have a plasma sodium concentration of 143 mEq/L, glucose 1800 mg./dl., and a BUN of 28 mg./dl. The plasma osmolality is approximately. 395 m0sm /L F 315 m0sm /L F 365 m0sm /L F 425 m0sm /L T Question Number: 46 Question ID: 2464 Question Category: Medicine - General Question Diffeculty: 0.63 Date Created: 1/23/2008 10:24:00 AM Times Used: 2 Last Used : 7/6/2008 10:42:00 AM The following can cause bradycardia EXCEPT : hypothermia F hypothyroidism F subdural haematoma F shock F severe anaemia T Question Number: 47 Question ID: 2524 Question Category: Pediatrics - General Question Diffeculty: 0.50 Date Created: 6/17/2008 5:07:00 PM Times Used: 2 Last Used : 8/24/2008 4:31:00 PM 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 F vivax. lumbar pauctine is comtraindicated. F Question Number: 48 Question ID: 2527 Question Category: Medicine - General Question Diffeculty: 0.61 Date Created: 6/17/2008 5:07:00 PM Times Used: 2 Last Used : 7/29/2008 5:56:00 PM Which of the following is the most sensitive test for diagnosing diabetic nephropathy? Ultrasonography of the kidneys F Urine albumin measurement T Glucose tolerance measurement F Serum creatinine measurement F Creatinine clearance measurement F Question Number: 49 Question ID: 2609 Question Category: Pediatrics - General Question Diffeculty: 0.05 Date Created: 11/16/2007 10:51:00 AM Times Used: 2 Last Used : 7/29/2008 5:56:00 PM One of the following is NOT true about BCG vaccine: It is a live attenuated vaccine. F It is mainly for prevention of pulmonary tuberculosis. F Fever and abscess at the injection site are recognized complications. F It is mainly for prevention of tuberculous meningitis and miliary F tuberculosis. Recommended to be given in the 1st day of birth in Sudan. T Question Number: 50 Question ID: 2611 Question Category: Pediatrics - General Question Diffeculty: 0.22 Date Created: 11/16/2007 10:52:00 AM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM 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: 51 Question ID: 2612 Question Category: Pediatrics - General Question Diffeculty: 0.81 Date Created: 11/16/2007 10:52:00 AM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM Which of the following is a cause of delayed bone age : Obesity. F Congenital adrenal hyperplasia. F Hyperthyroidism. F Asthma. F Congenital hypothyroidism. T Question Number: 52 Question ID: 2626 Question Category: Pediatrics - General Question Diffeculty: 0.36 Date Created: 6/17/2008 5:07:00 PM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM A 15-month-old infant has been breastfed since birth. He eats eggs, peas, carrots and occasionally some cereals. His mother adheres to a vegeterian diet and plans the same for her child. A complete blood count documents anemia. Of the following, the MOST likely cause of this infant's anemia is a deficiency of folic acid F vitamin B12 T niacin F riboflavin F thiamine F Question Number: 53 Question ID: 2664 Question Category: Pediatrics - General Question Diffeculty: 0.73 Date Created: 10/26/2007 11:01:00 AM Times Used: 2 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: 54 Question ID: 2717 Question Category: Medicine - General Question Diffeculty: 0.81 Date Created: 10/26/2007 1:46:00 PM Times Used: 2 Last Used : 7/6/2008 10:42:00 AM Active salmonella typhi infection in the first week of the disease is best confirmed by : leucocytosis. F positive blood culture for causative organism. T high ESR. F positive widal agglutination test 1/80. F positive stool smear for causative organism. F Question Number: 55 Question ID: 2728 Question Category: Medicine - General Question Diffeculty: 0.18 Date Created: 9/7/2007 11:50:00 AM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM A 37-year-old male comes to your office for assessment of "skipping heart beats." These skipped beats have been a concern for the past 8 months. The patient reports no other symptoms accompanying these skipped beats. Specifically, he reports no increased sweating, no palpitations, no weight loss, no chest pain, no pleuritic pain, and no anxiety.On physical examination, his blood pressure is 100/70 mm Hg. On auscultation of his heart you observe that Sl and S2 are normal-there are no extra sounds or murmurs. You hear about 5 premature beats per minute. What is the most commonly encountered "premature contraction?" a ventricular premature beat F an atrial premature beat T atrial flutter F atrial fibrillation F none of the answers F Question Number: 56 Question ID: 2743 Question Category: Medicine - General Question Diffeculty: 0.37 Date Created: 6/17/2008 5:07:00 PM Times Used: 2 Last Used : 7/29/2008 5:56:00 PM Which of the following is FALSE with respect to chestpain? all patients presenting with chest pain shouldreceive an ECG F a normal ECG and normal cardiac enzymes rulean ischemic event T a careful history is essential in determining the etiology of the chest pain F reproducible chest pain on palpation of the chest wall does not rule out an F acute MI Question Number: 57 Question ID: 2808 Question Category: Pediatrics - General Question Diffeculty: 0.43 Date Created: 6/17/2008 5:07:00 PM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM The following statements are true about meningitis : dexamethasone if given early in the course of the illness will reduce T sensory neural deafness. chloranphenicol should be avoided because of risk of pancytopenia. F lumbar puncture should be performed in all patients irrespective of F presence of increased ICP. fluids should be restricted to half maintenance to prevent the syndrome of F inappropriate ADH secretion. duration of medication depends on improvement of the general condition F of the patient. Question Number: 58 Question ID: 2816 Question Category: Pediatrics - General Question Diffeculty: 0.83 Date Created: 6/17/2008 5:07:00 PM Times Used: 2 Last Used : 9/14/2008 10:36:00 AM In childhood, hypokalaemic alkalosis is a recognised finding: in a baby given feeds that are too concentrated F in congenital pyloric stenosis T in cystic fibrosis F following urinary diversion F in renal failure F Question Number: 59 Question ID: 2819 Question Category: Pediatrics - General Question Diffeculty: 0.46 Date Created: 6/17/2008 5:07:00 PM Times Used: 2 Last Used : 9/14/2008 10:36:00 AM An infant aged 16 months was referred for assessment of suspected mental retardation. Which one of the following findings is outside the normal range? He does not scribble spontaneously with pencil on paper. F He does not walk alone. F "Ma" and "Dada" are the only words which are clearly recognizable. F He is unable to build a tower of 4 cubes. F He is unable to throw an object. T Question Number: 60 Question ID: 2821 Question Category: Pediatrics - General Question Diffeculty: 0.38 Date Created: 8/24/2007 10:40:00 AM Times Used: 2 Last Used : 9/14/2008 10:36:00 AM A 6 year-old boy is brought to emergency with a 5 day history of fever, cough, and poor appetite, but no vomiting. On exam, he appears unwell, is febrile, and has crusty nasal discharge and a wet-sounding cough. Chest x-ray reveals a pulmonary infiltrate in the right middle lobe. He is admitted to hospital for pneumonia. What is the best management for this child? observe for 24 hours with IV fluids only F observe for 24 hours with IV fluids and acetaminophen F give oral amoxicillin and acetaminophen F give IV ampicillin and oral acetaminophen F give oral erythromycin and acetaminophen T Question Number: 61 Question ID: 3894 Question Category: Medicine - General Question Diffeculty: 0.33 Date Created: 7/17/2008 3:39:00 PM Times Used: 0 Last Used : 7/9/2008 10:27:00 AM Which of the following is an autosomal recessive disorder? Wilson's disease T osteogenesis imperfecta F familial colonic polyposis F adult polycystic kidney disease F Question Number: 62 Question ID: 3899 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE A 30 year-old man presents with convulsions. He is found to be anaemic (Hb 8.5 gm %), urea 250mg% and creatinine 8.9 mg%. Ultrasound of kidneys revealed small contracted kidneys. He is likely to have. : metabolic acidosis. T metabolic alkalosis. F low phosphorus. F normal urine sediment. F Hypotension. F Question Number: 63 Question ID: 3901 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE Which of the following are true about the malaria cycle : Hyponozites develop in bone marrow. F exo-erythrocytic cycle occurs in falciparum infection. F Persistent Sporozoites are found in salivary glands of the mosquito. T Merozites are liberated from rupture of hypnozites. F Gametocytes develop further in the liver. F Question Number: 64 Question ID: 3902 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE Scabies : Nits are present on hair shaft. F The primary lesion is a burrow. T is non-itchy F is treated with steroid cream. F Is caused by a fungus. F Question Number: 65 Question ID: 3904 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE Harmful interactions may occur when the following drugs are used together : Propranolol and hydralazine. F Cephaloridine and frusemide. F Levodopa and carbidopa. T Thiazide diuretics and ACE inhibitors. F Omeprazole and bismuth. F Question Number: 66 Question ID: 3905 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE Megaloblastic anaemia due to vitamin B12 deficiency occurs in : Pregnancey. F  Terminal ileitis (Crohn's disease). T Epileptic patients treated with phenytoin. F Tropical sprue. F The first 6 months after gastrectomy. F Question Number: 67 Question ID: 3906 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE Acquired Immune Deficiency Syndrome (AIDS) is : A genetically transmitted disorder. F Eeasly preventable by vaccination. F Transmitted by droplet infection. F Affects only sexually active adults. F Common in drug addicts. T Question Number: 68 Question ID: 3911 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE Which of the following diseases are caused by bacteria : Pityriasis versicolor. F Lupus pernio. F Candidiasis. F lupus vulgaris. T Acne vulgaris F Question Number: 69 Question ID: 3913 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 are recognized metabolic causes of secondary epilepsy except: hypocalcaemia. F hypernatremia. F hyperkalaemia. T hypomagnaemia. F  hypoglycaemia. F Question Number: 70 Question ID: 3918 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE 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: 3919 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE Thickened Nerves are encountered in all the following except: Tuberculoid leprosy. F Peroneal muscular atrophy. F Alcoholic polyneuropathy. T Leprosy. Amyloidosis. F Familial interstitial polyneuropathy. F Question Number: 72 Question ID: 3923 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE All of the followings are true about primary biliary cirrhosis except : It affects young girls. T Usually presents with pruritus. F Clubbing of the fingers is often found. F Osteomalacia may occur. F Mitochondrial antibody is positive in 90% of cases. F Question Number: 73 Question ID: 3926 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE Differential protein clearance (selective proteinura) is known to occur in : Renal amyloidosis. F Congenital nephritis. F Minimal change glomerculonephritis. T Malignant hypertension. F Diobetic glomerulosclerosis. F Question Number: 74 Question ID: 3932 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE Following drugs are helpful in eradication of H. pyloric infection: erythromycin. F tetracycline. F cocrimexazole. F clarithromycin. T Gentamycin. F Question Number: 75 Question ID: 3933 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE The normal portal venous pressure is : 2-5 mm Hg. T 5-10 mm Hg. F 10-15 mm Hg. F 30-40 mm Hg. F 0-1 mm Hg. F Question Number: 76 Question ID: 3935 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE Raised serum TSH with normal T3,T4 occurs in :  Normal finding. F hypothyroidism. F hyperthyroidism. F hyperpituitarism. F Subclinical hypothyroidism. T Question Number: 77 Question ID: 3939 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE The most common clinical manifestation of primary HIV infection is : fever. T Maculopapular rash. F Cervical lymphodenitis F oral ulcer. F Kaposi sarcoma. F Question Number: 78 Question ID: 3940 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 9/23/2008 4:27:00 PM Times Used: 0 NOT USED BEFORE Heparin therapy is monitored by : Prothrombin time. F Bleeding time. F Thrombin time. F P.T.T. T Platelet count. F Question Number: 79 Question ID: 4139 Question Category: Medical Ethics - General Question Diffeculty: 0.50 Date Created: 12/2/2008 5:18:00 PM Times Used: 0 NOT USED BEFORE ‫ ولكن يجوز للطبيب‬, ‫توجب القوانين الطبية واألخالقية علي الطبيب المحافظة علي اسرار المريض بصفة عامة‬ ‫االستثناء في الحاالت األتية‬ ‫رضاء صاحب السر بإفشائه‬ F  ‫ ‬ ‫اإلخبار عن عن االمراض المعدية للسلطات الصحية‬ ‫‪F‬‬ ‫ ‬ ‫اذا كان اإلفشاء في صالح صاحب السر نفسه‬ ‫‪F‬‬ ‫ ‬ ‫التبليغ عن الجرائم‬ ‫‪F‬‬ ‫ ‬ ‫جميع هذه الحاالت صحيحة‬ ‫‪T‬‬ ‫‪Question Number: 80‬‬ ‫‪Question ID: 4140‬‬ ‫‪Question Category: Medical Ethics - General‬‬ ‫‪Question Diffeculty: 0.50‬‬ ‫‪Date Created: 12/2/2008 5:21:00 PM‬‬ ‫‪Times Used: 0‬‬ ‫‪NOT USED BEFORE‬‬ ‫من أهم شروط مزوالة مهنة الطب‬ ‫ ‬ ‫الحصول علي المؤهل األكاديمي الالزم‬ ‫‪F‬‬ ‫ ‬ ‫الحصول علي المؤهل األكاديمي الالزم‬ ‫‪F‬‬ ‫ ‬ ‫إجتياز امتحان ممارسة المهنة الذي يجريه المجلس الطبي‬ ‫‪F‬‬ ‫ ‬ ‫الحصول علي ترخيص مزاولة المهنة لألطباء عند التسجيل الدائم‬ ‫‪F‬‬ ‫ ‬ ‫جميع هذه الشروط واجبة الحصول‬ ‫‪T‬‬ ‫ ‬ ‫قضاء فترة االمتياز بنجاح‬ ‫‪F‬‬ ‫‪Question Number: 81‬‬ ‫‪Question ID: 4141‬‬ ‫‪Question Category: Medical Ethics - General‬‬ ‫‪Question Diffeculty: 0.50‬‬ ‫‪Date Created: 12/2/2008 5:24:00 PM‬‬ ‫‪Times Used: 0‬‬ ‫‪NOT USED BEFORE‬‬ ‫يجوز للطبيب االعالن عن نفسه في الحاالت االتية‬ ‫ ‬ ‫القيام بالدعاية لنفسه عن طريق النشر او االذاعة او التلفزيون او السينما او اي‬ ‫‪F‬‬ ‫وسيلة إعالمية اخري‬ ‫ ‬ ‫اإلعالن باالعالم عن طريقة جديدة للتشخيص او العالج قبل االختبار او ثبات‬ ‫‪F‬‬ ‫الصالحية والنشر في المجالت المرجعية المعتمدة‬ ‫ ‬ ‫إعالن لصالح المرضي والجمهور‬ ‫‪T‬‬ ‫‪Question Number: 82‬‬ ‫‪Question ID: 4142‬‬ ‫‪Question Category: Medical Ethics - General‬‬ ‫‪Question Diffeculty: 0.50‬‬ ‫‪Date Created: 12/2/2008 5:27:00 PM‬‬ ‫‪Times Used: 0‬‬ ‫‪NOT USED BEFORE‬‬  ‫) من المستندات المهمة في عمليات معالجة الحوادث واالصابات والجرائم‬8( ‫يعتبر أورنيك‬ ‫) طالما قام بكتابة كل التفاصيل في‬8(‫يمكن للطبيب ان يمتنع عن ملئ اورنيك‬ F ‫ملف المريض‬ ‫واجب علي الطبيب عدم التدخل العالجي في حاالت إشتباه الجرائم والحوادث‬ F ‫) وتعبئته‬8( ‫اال بعد استالم أورنيك‬ ‫) هو أورنيك تتوقف عليه قرارات النيابة والشرطة باطالق سراح‬8( ‫أورنيك‬ F ‫المتهم او حجزه بالحراسة وال عالقة للطبيب به‬ F ‫) هوأاورنيك مالي لجمع الرسوم المالية في الحوادث‬8( ‫أورنيك‬ T )8(‫تقديم الخدمة الطبية مقدم علي ملئ أورنيك‬ Go to Add Paper Password: esr Paper Time: 120 Minuets Paper Number : 2 Fraction: 0.4375 Update Paper Properties Marking: Wrong Answer is Zero Question Number: 1 Question ID: 1853 Question Category: Surgery - General Question Diffeculty: 0.82 Date Created: 5/28/2008 12:58:00 PM Times Used: 1 Last Used : 5/28/2008 12:58:00 PM Select the most likely to cause painful bleeding per rectum: Diverticular disease F Haemmorhoids F Colon cancer F Ulcerative colitis F Anal fissure T Question Number: 2 Question ID: 1864 Question Category: Surgery - General Question Diffeculty: 0.73 Date Created: 5/28/2008 1:16:00 PM Times Used: 2 Last Used : 7/29/2008 5:56:00 PM Following incision of an abscess, the resulting wound is not stitched. However, it can be stitched if The patient is covered with strong antibiotics F A drain is inserted T  The patient wishes that F The abscess was less than one week old F Good curettage of its cavity was done F Question Number: 3 Question ID: 1865 Question Category: Surgery - General Question Diffeculty: 0.17 Date Created: 5/28/2008 1:26:00 PM Times Used: 2 Last Used : 7/29/2008 5:56:00 PM A 68 years old man presents to you with acute urine retention. He tells you that he has a ‘prostate’. He gives you history of frequency, urgency, nocturnal enuresis, weak stream, etc. He also says that he tried medical treatment for more than six months without improvement. Your choice of catheter for this man would be Urethral latex Foley catheter F Urethral rubber catheter F Suprapubic cystotomy set F Condom catheter F Urethral silicone Foley catheter T Question Number: 4 Question ID: 1866 Question Category: Surgery - General Question Diffeculty: 0.59 Date Created: 5/28/2008 1:18:00 PM Times Used: 2 Last Used : 8/24/2008 4:31:00 PM A fifty years old lady presented to you with a blood stained nipple discharge of one month duration. It is not associated with any other symptom. On examination there is no palpable abnormality, and it is difficult to determine the exact opening from which the blood comes. The plan of action would be Mammography T Breast ultrasound F Ductography F Breast MRI F Wait and see F Question Number: 5 Question ID: 1867 Question Category: Surgery - General Question Diffeculty: 0.57 Date Created: 5/28/2008 1:22:00 PM Times Used: 2 Last Used : 8/24/2008 4:31:00 PM A 35 years old man was brought back to the accident and emergency department from the radiology department after having done a CT scan brain and skull. The man is a victim of a RTA, in which he only hit his head after falling to the ground. His GCS has dropped to 11 after it was 15 upon arrival. The CT shows a right sided, hyperdense, biconvex lesion between the skull and brain causing a midline shift. Which of the following findings from his history, examination, and follow up notes strongly support this CT finding?  A normally reacting right pupil F The occurrence of one attack of haematemesis F A palpable slightly depressed fracture on the skull vault F Rising blood pressure and dropping pulse T A normally reacting left pupil F Question Number: 6 Question ID: 1873 Question Category: Surgery - General Question Diffeculty: 0.77 Date Created: 5/28/2008 1:21:00 PM Times Used: 2 Last Used : 8/24/2008 4:31:00 PM 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 F duodenal ulcer Antibiotics, antiulcer drugs, analgesics, and appointment for follow up F Question Number: 7 Question ID: 1890 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.41 Date Created: 5/28/2008 1:30:00 PM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM A 20 years old female reported complaining of failure to conceive one year after her marriage. The first diagnostic test to be done is: U.S F Hysteroscopy. F Semen analysis. T Hysterosalpingraphy. F Endometrial biopsy for histopathology. F Question Number: 8 Question ID: 1892 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.61 Date Created: 5/28/2008 1:22:00 PM Times Used: 2 Last Used : 7/29/2008 5:56:00 PM Miscarriage is caused by: E. coli. F Cervical stenosis. F Hypersecretion of LH. F Hyperoestrogenaemia. F Plasmodium falciparum. T Question Number: 9 Question ID: 1894 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.78 Date Created: 5/28/2008 1:14:00 PM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM Ectopic pregnancy: Is a leading cause of maternal mortality in the first trimester. T Commonly occurs in the ovary and peritoneum. F Is caused by the rapidly growing fertilized ovum. F Usually presents with mild symptoms. F |is treated conservatively in 90% of eases. F Question Number: 10 Question ID: 1896 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.59 Date Created: 5/28/2008 1:17:00 PM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM A primigravida presents to casualty at 32 wks gestation with acute pain abdomen for 2 hours, vaginal bleeding and decreased fetal movements. She should be managed by ? Immediate induction of labour F Tocolytic therapy F Magnesium sulphate therapy F immediate caesarean section T Question Number: 11 Question ID: 1906 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.48 Date Created: 5/28/2008 1:27:00 PM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM 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: 12 Question ID: 1908 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.46 Date Created: 5/28/2008 1:18:00 PM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM An abnormal hemorrhage complicating a delivery occurs most freqently:. in the third stage of labor F during the development of a hematoma which causes the placenta to F separate in the first hour following the delivery of the placenta T in the first stage of labor F at the time of complete cervical dilation F Question Number: 13 Question ID: 2083 Question Category: Surgery - General Question Diffeculty: 0.24 Date Created: 3/26/2008 1:39:00 PM Times Used: 2 Last Used : 7/6/2008 10:42:00 AM Ectopia vesicae (extrophy of the urinary bladder) is commonly associated with which of the following abnormalities Ambiguous genitalia F Widely separated pubic bones T Imperforate anus F Agenesis of the uterus F Hypospadias F Question Number: 14 Question ID: 2084 Question Category: Surgery - General Question Diffeculty: 0.24 Date Created: 3/26/2008 1:39:00 PM Times Used: 1 Last Used : 3/26/2008 1:39:00 PM 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: 15 Question ID: 2090 Question Category: Surgery - General Question Diffeculty: 0.58 Date Created: 3/26/2008 1:34:00 PM Times Used: 2 Last Used : 8/24/2008 4:31:00 PM When calculating fluid for a burn patient using the formula ½ bodyweight x % burn, the resulting amount represents the amount of fluid per Six hours F Ration T Twelve hours F One day F Shift (eight hours) F Question Number: 16 Question ID: 2123 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.72 Date Created: 3/26/2008 1:33:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM Management of rupture uterus does not include Hysterectomy F Uterine repair F Uterine repair with tubal ligation F Blood transfusion F Shorting of the round ligament T Question Number: 17 Question ID: 2125 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.61 Date Created: 3/26/2008 1:35:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM The following is contraindication for vaginal birth in previous scar Sub umbilical midline incision F Mild degree contracted pelvis T Previous ectopic pregnancy F Vertex presentation F  Rhesus negative mother F Question Number: 18 Question ID: 2126 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.88 Date Created: 3/26/2008 1:14:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM The following statement regarding true labour pain is correct Irregular F Relieved by sedation F Associated with cervical dilatation T Always preceded by rupture of membrane F Question Number: 19 Question ID: 2139 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.27 Date Created: 3/26/2008 1:35:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM Maternal mortality rate is defined as the number of maternal deaths per 1000 live-births F 10.000 live-births F 100.000 live-births T 1000 pregnancies F 100.000 pregnant women F Question Number: 20 Question ID: 2142 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.94 Date Created: 3/26/2008 1:24:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM The normal foetal heart rate at term is 80-100 beat per-minute F 120-160 beat per-minute T 175-190 beat per-minute F 50-45 beat per-minute F 100-110 beat per-minute F Question Number: 21 Question ID: 2143 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.83 Date Created: 3/26/2008 1:19:00 PM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM Which of the following substance is the primary agent-use prevention eclamptic seizure Phenobarbitol F Diazepam F Magnesium sulphate T Indomethacin F Labetalol F Question Number: 22 Question ID: 2159 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.82 Date Created: 3/26/2008 1:35:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM The most common cause of mid-trimester abortion Uterine fibroid F Rhesus incompatibility F Syphilis F Cervical incompetence T Congenital anomalies F Question Number: 23 Question ID: 2233 Question Category: Surgery - General Question Diffeculty: 0.63 Date Created: 3/5/2008 1:02:00 PM Times Used: 1 Last Used : 3/5/2008 1:02:00 PM The most common cause of small bowel obstruction nowadays is Peritoneal bands or adhesions T Strangulated hernia F Small bowel carcinoma F Intussusception F Enteric fever F Question Number: 24 Question ID: 2240 Question Category: Surgery - General Question Diffeculty: 0.52 Date Created: 3/5/2008 12:58:00 PM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM All of the following are complications of Plaster of Paris cast except Muscle atrophy F  Osteoporosis F Osteomalacia T Joint stiffness F Compartment syndrome F Question Number: 25 Question ID: 2241 Question Category: Surgery - General Question Diffeculty: 0.25 Date Created: 3/5/2008 1:09:00 PM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM A 50 years old man presented with acute severe left lower limb pain of 5hours duration. The limb is cold, pale, and there are absent popliteal, dorsalis pedis, and posterior tibial pulses. The management will be Urgent embolectomy using a Fogarty catheter T Urgent angiography F Urgent Doppler/duplex scan F Urgent anticoagulation with low molecular weight heparin and warfarin F Conservative treatment and awaiting the appearance of a demarcation F line Question Number: 26 Question ID: 2242 Question Category: Surgery - General Question Diffeculty: 0.45 Date Created: 3/5/2008 12:59:00 PM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM The diagnosis of DVT is mainly By Doppler/duplex scans T By angiography F Clinical F By coagulation profile F By fibrin degradation products or D-dimer F Question Number: 27 Question ID: 2254 Question Category: Surgery - General Question Diffeculty: 0.29 Date Created: 3/5/2008 1:00:00 PM Times Used: 2 Last Used : 7/6/2008 10:46:00 AM The balloon of a Foley catheter is best filled with Normal saline F Dextrose 5% in water F Air F  Tap water F Distilled water T Question Number: 28 Question ID: 2258 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.98 Date Created: 3/5/2008 12:22:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM 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: 29 Question ID: 2275 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.10 Date Created: 3/5/2008 1:03:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM A41 year-old woman presents with obesity, hirsutism and oligomenorrhea, which of the following tests will give the least useful information? FSH F LH T testosterone F TSH F urine free cortisol F Question Number: 30 Question ID: 2278 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.94 Date Created: 3/5/2008 1:03:00 PM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM The major cause of primary post-partum haemorrhage is : vaginal lacerations F atony of the uterus T perineal tear F ruptured uterus F coagulation disorders F Question Number: 31 Question ID: 2288 Question Category: Surgery - General Question Diffeculty: 0.59 Date Created: 2/14/2008 10:40:00 AM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM A friend of yours came to you in the clinic in the afternoon complaining of neck pain and limitation of movement since the morning, from the time he hit a car in front of him. Luckily he was wearing his seat belt, so only his head was flung forwards but did not hit the steering wheel. To save time he went and did an AP cervical spine X-ray and brought it with him. You cannot see any abnormality in it. Your advice would be Pain killers and physiotherapy F Bed rest at home, and repeat the AP film in a more reliable clinic after one F week Urgent hospital admission and observation for 48 hours F Cervical collar for three month F Cervical collar and more X-ray views T Question Number: 32 Question ID: 2290 Question Category: Surgery - General Question Diffeculty: 0.17 Date Created: 2/14/2008 10:36:00 AM Times Used: 1 Last Used : 2/14/2008 10:36:00 AM A 70 years old man, who is a known case of benign prostatic hyperplasia, presents to you with acute urine retention of 24 hours duration. He is in pain, vital signs are normal, and there is a visible urinary bladder on abdominal examination. By PR there is a moderately enlarged prostate. Your plan would be Insert a non self retaining catheter just to drain the bladder and remove it F Refer the patient to a more specialized hospital F Insert a rubber size 16 Foley catheter F Fix a suprapubic catheter from the start F Insert a silicone size 16 Foley catheter T Question Number: 33 Question ID: 2292 Question Category: Surgery - General Question Diffeculty: 0.36 Date Created: 2/14/2008 10:40:00 AM Times Used: 2 Last Used : 7/29/2008 5:56:00 PM According to the Goodsall’s law of anal fistulae, if there is a fistula in ano whose opening is in the 4 o’clock position, its internal opening is expected to be Absent , as it is likely to be just a sinus F In the 4 o’clock position F In the midline anteriorly F  In the midline posteriorly T In the 8 o’clock position F Question Number: 34 Question ID: 2296 Question Category: Surgery - General Question Diffeculty: 0.14 Date Created: 2/14/2008 10:37:00 AM Times Used: 2 Last Used : 7/6/2008 10:42:00 AM A 20 years old patient presents with acute severe left sided colicky abdominal pain. The patient rolls around during the attacks of colic. He vomited once. He gave a past history of a similar condition a few months ago. Examination was normal. An ultrasound abdomen was normal except for moderate dilatation of the pelvis and upper ureter on the left side. Your next step would be to Prescribe analgesics and advise increased fluid intake T Request a repeat ultrasound F Request a CT KUB (kidney, ureter, bladder) F Request a plain abdominal X-ray F Refer the patient for extracorporeal shockwave lithotripsy F Question Number: 35 Question ID: 2306 Question Category: Surgery - General Question Diffeculty: 0.44 Date Created: 2/14/2008 10:42:00 AM Times Used: 2 Last Used : 7/6/2008 10:46:00 AM You have five patients with different types of hernias and only one vacancy on your next elective list. The one you would give the priority would be the one with Indirect inguinal hernia F Incisional hernia F Femoral hernia T Epigastric hernia F Paraumbilical hernia F Question Number: 36 Question ID: 2312 Question Category: Surgery - General Question Diffeculty: 0.42 Date Created: 2/14/2008 10:38:00 AM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM On your minor elective list you have five patients awaiting surgery for certain conditions. Due to many technical reasons the anaesthetist tells you that he can only offer you unilateral or bilateral pudendal nerve blocks and says that it be enough for all of your patients. You disagree and tell him that even bilateral pudendal nerve block would not be adequate for a new male muslim convert for circumcision F a male with bilateral vaginal hydrocoeles for drainage and excision of the T  tunica vaginalis a patient with an anal fissure for lateral sphincterptomy F a recently delivered lady for repair of a third degree perineal tear affecting F the sphincters with the gynaecologist a patient with a low fistula-in-ano for fistulectomy F Question Number: 37 Question ID: 2313 Question Category: Surgery - General Question Diffeculty: 0.95 Date Created: 2/14/2008 10:23:00 AM Times Used: 2 Last Used : 8/24/2008 4:31:00 PM 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: 38 Question ID: 2315 Question Category: Surgery - General Question Diffeculty: 0.46 Date Created: 2/14/2008 10:41:00 AM Times Used: 1 Last Used : 2/14/2008 10:41:00 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 Numbe