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Menu Exit Welcome Mohammed Rahim 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: 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: 5 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: 6 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: 7 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: 8 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: 9 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: 10 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: 11 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: 12 Question ID: 2170 Question Category: Medicine - General Question Diffeculty: 0.18 Date Created: 3/5/2008 10:42:00 AM Times Used: 1 Last Used : 3/5/2008 10:42:00 AM  A 55 year old woman complains to her general practitioner 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 one of the following barium swallow F Electromyography T CT scan of the spine F MRI of the spine F MRI of the brain F Question Number: 13 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: 14 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: 15 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: 16 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: 17 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: 18 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: 19 Question ID: 2529 Question Category: Medicine - General Question Diffeculty: 0.71 Date Created: 12/13/2007 10:31:00 AM Times Used: 2 Last Used : 8/24/2008 4:31:00 PM The following can cause bradycardia except hypothermia F hypothyroidism F severe anaemia T subdural haematoma F Shock F Question Number: 20 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: 21 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: 22 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: 23 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: 24 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: 25 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: 26 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: 27 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: 28 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: 29 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: 30 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: 31 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: 32 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: 33 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: 34 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: 35 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: 36 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: 37 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: 38 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: 39 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: 40 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 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: Ulcerative colitis F Anal fissure T Haemmorhoids F Colon cancer F Diverticular disease F 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  Antibiotics, antiulcer drugs, analgesics, and appointment for follow up F Admission, resuscitation, and emergency cholecystectomy F Admission, resuscitation, and emergency laparotomy for a perforated F duodenal ulcer Question Number: 7 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: 8 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: 9 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: 10 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: 11 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: 12 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: 13 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: 14 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: 15 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: 16 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: 17 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: 18 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: 19 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: 20 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: 21 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: 22 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 Number: 23 Question ID: 2319 Question Category: Surgery - General Question Diffeculty: 0.72 Date Created: 2/14/2008 10:40:00 AM Times Used: 2 Last Used : 8/24/2008 4:31:00 PM When managing a diabetic patient at hospital as an inpatient, it is desirable to keep his two hour postprandial blood glucose Between 181-220 mg/dl F Between 80 -119 mg/dl F Between 120 mg – 180 mg/ dl T Less than 79 mg/dl F Between 221-250 mg/dl F Question Number: 24 Question ID: 2476 Question Category: Surgery - General Question Diffeculty: 0.40 Date Created: 1/23/2008 1:01:00 PM Times Used: 1 Last Used : 1/23/2008 1:01:00 PM A 40 years old lady presented to your outpatient clinic four month after undergoing an open uneventful cholecystectomy. She is complaining of on and off sharp pricking pain in the scar of the operation. On examination the scar has healed well and no abnormality could be detected. You will Prescribe a course of antibiotic F Reassure her that this is most probably the sharp ends of the F nonabsorbale stitches causing the pricks  Book the patient for scar revision F Reassure her that this is a normal phenomenon of wound healing T Request an ultrasound scan of the abdomen F Question Number: 25 Question ID: 2485 Question Category: Surgery - General Question Diffeculty: 0.14 Date Created: 1/23/2008 12:59:00 PM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM Which of the following surgical patients is the one who will benefit most from a single dose of cefuroxime as a premedication? A diabetic patient with infected gangrene reaching up to the knee and who F is planned for emergency above knee amputation. A patient with acute uncomplicated appendicitis for emergency F appendicectomy A patient with third degree haemorrhoids for elective haemorrhoidectomy F A patient with a gluteal antibioma for evacuation F A patient with a simple multinodular goitre for elective thyroidectomy T Question Number: 26 Question ID: 2487 Question Category: Surgery - General Question Diffeculty: 0.47 Date Created: 1/23/2008 12:58:00 PM Times Used: 2 Last Used : 7/29/2008 5:56:00 PM A mother brought to you her four month old uncircumcised child with a complaint that he cries when he passes urine, the urinary stream is weak, and that the foreskin balloons during micturition. Your diagnosis is Congenital urethral stricture F Phimosis T Posterior urethral valves F Meatal stenosis F Paraphimosis F Question Number: 27 Question ID: 2569 Question Category: Surgery - General Question Diffeculty: 0.38 Date Created: 12/13/2007 1:07:00 PM Times Used: 1 Last Used : 12/13/2007 1:07:00 PM A 40 year old male who is a known cirrhotic admitted with massive haematemesis. After resuscitation what is the best treatment for him : transjegular portosystemic shunting (T.I.P.S). T emergency portocaval shunt. F  splenectomy. F sclerotherapy. F gastro-oesophegeal devascularization F Question Number: 28 Question ID: 2696 Question Category: Surgery - General Question Diffeculty: 0.69 Date Created: 10/26/2007 1:42:00 PM Times Used: 2 Last Used : 7/6/2008 10:46:00 AM A 45 year old male has an active anterior duodenal ulcer which was resistant to medical treatment and interfering with his work. The best treatment option for him is : to continue with medical treatment. F perform truncal vagatomy and gastrojejunostomy. F perform parietal cell mass vagotomy ( highly selective vagotomy) T perform truncal vagatomy with antretomy. F Perform truncal vagotomy with pyloroplasty. F Question Number: 29 Question ID: 2704 Question Category: Surgery - General Question Diffeculty: 0.14 Date Created: 10/26/2007 1:43:00 PM Times Used: 2 Last Used : 7/6/2008 10:42:00 AM Which of the following is the most common skin tumour : sarcoma F basal cell carcinoma. T sweat gland tumour F melanoma. F squamous all carcinoma. F Question Number: 30 Question ID: 2708 Question Category: Surgery - General Question Diffeculty: 0.79 Date Created: 10/26/2007 1:47:00 PM Times Used: 2 Last Used : 7/8/2008 4:51:00 PM The initial maneuver to establish an airway in a patient with multiple injuries is : orophoryngeal air way. F uncuffed endotracheal tube. F suctioning foreign debris and lifting up the mandible ( jaw lift) T cuffed endotracheal tube. F  tracheostomy. F Question Number: 31 Question ID: 2709 Question Category: Surgery - General Question Diffeculty: 0.68 Date Created: 10/26/2007 1:13:00 PM Times Used: 1 Last Used : 10/26/2007 1:13:00 PM Initial fluid resuscitation of a patient with multiple fractures and hypovolaemic shock should be : blood transfusion. F hypertonic saline. F fresh frozen plasma. F Ringer's lactate. T albumin. F Question Number: 32 Question ID: 2710 Question Category: Surgery - General Question Diffeculty: 0.75 Date Created: 10/26/2007 1:48:00 PM Times Used: 2 Last Used : 7/6/2008 10:42:00 AM If deep vein thrombosis is documented. Initial treatment should include subcutaneous heparin therapy. F intravenous heparin therapy. T thrombolytic therapy with urokinase. F aspirin therapy. F warfarin treatment. F Question Number: 33 Question ID: 2714 Question Category: Surgery - General Question Diffeculty: 0.12 Date Created: 10/26/2007 1:48:00 PM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM A fracture of the mid shaft of the clavicle is best treated by : clavicle rings. F figure of eight bandage. T open reduction and plating. F an intramedullary nail. F a broad arm sling and analgesics. F Question Number: 34 Question ID: 2758 Question Category: Surgery - General Question Diffeculty: 0.08 Date Created: 9/7/2007 2:29:00 PM Times Used: 2 Last Used : 7/8/2008 4:51:00 PM A 45 years old lady presented with a 6 cm tumor in the breast, palpable multiple discrete axillary nodes and back pain. Her tumor stage according to the TNM classification would be T2 N2 M0 F T3 N1 M1 F T3 N1 Mx T T4 N2 M1 F T2 N2 Mx F Question Number: 35 Question ID: 2763 Question Category: Surgery - General Question Diffeculty: 0.78 Date Created: 9/7/2007 4:03:00 PM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM Mycetoma lesions spread by all of the following routes except Haematogenously F Lymphatic spread F Local spread F Accidental iatrogenic inoculation F By air T Question Number: 36 Question ID: 2769 Question Category: Surgery - General Question Diffeculty: 0.83 Date Created: 9/7/2007 2:26:00 PM Times Used: 1 Last Used : 9/7/2007 2:26:00 PM An ideal vein to insert a canula should have all the following criteria except Straight F Palpable rather than visible F Lying across a joint T Starting from a union of two or more veins F Be on the dorsum of the forearm or hand F Question Number: 37 Question ID: 2772 Question Category: Surgery - General Question Diffeculty: 0.52 Date Created: 6/17/2008 5:07:00 PM Times Used: 2 Last Used : 7/29/2008 5:56:00 PM  Indications for bowel preparation include Intestinal obstruction F Resection of a small bowel tumor F Laparotomy F Elective resection of the sigmoid colon T Elective haemorrhoidectomy F Question Number: 38 Question ID: 2778 Question Category: Surgery - General Question Diffeculty: 0.08 Date Created: 9/7/2007 2:40:00 PM Times Used: 2 Last Used : 7/6/2008 10:42:00 AM The following are suitable investigations for a lesion suspected to be mycetoma, except X-ray F U/S scan F Serology F Biopsy and histopathology F Radioisotope bone scan T Question Number: 39 Question ID: 2838 Question Category: Surgery - General Question Diffeculty: 0.22 Date Created: 8/24/2007 1:51:00 PM Times Used: 1 Last Used : 8/24/2007 1:51:00 PM All of the following findings differentiate a direct from an indirect inguinal hernia except Whether or not the hernia reaches the scrotum T The relation of the neck of the sac to the inferior epigastric vessels F The relation of the sac to the spermatic cord F The way and direction by which the patient reduces the hernia F Whether the hernia remains reduced after reduction and asking the F patient to cough while occluding the deep ring. Question Number: 40 Question ID: 3170 Question Category: Surgery - General Question Diffeculty: 0.60 Date Created: 1/23/2008 1:38:00 PM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM A 65 year old lady was admitted with obstructive jaundice. Her liver was 4 cm below the costal margin and the gallbladder was palpable. The most likely cause is : adenocarcinoma of the first part of the duodenun F  Striction of the CBD. F carcinoma of the head of the pancreas. T cholangiocarcinoma below the insertion of the cystic duct. F double impaction of stone in the CBD and Hartman pouch. F Go to Add Paper Password: wbc Paper Time: 60 Minuets Paper Number : 3 Fraction: 0.75 Update Paper Properties Marking: Wrong Answer is Zero Question Number: 1 Question ID: 3699 Question Category: OSCE - General Question Diffeculty: 0.88 Date Created: 6/17/2008 5:07:00 PM Times Used: 2 Last Used : 9/14/2008 10:36:00 AM What is the diagnosis? Supracondylar fracture T Fracture of the radius F Bone tumour F Elbow dislocation F Question Number: 2 Question ID: 3719 Question Category: OSCE - General Question Diffeculty: 0.99 Date Created: 6/17/2008 5:07:00 PM Times Used: 2 Last Used : 8/24/2008 4:31:00 PM What is the most likely diagnosis ? cellulitis F osteomylitis F Potts disease of the spine T bone tumour F Question Number: 3 Question ID: 3720 Question Category: OSCE - General Question Diffeculty: 0.99 Date Created: 6/17/2008 5:07:00 PM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM  What is this instrument? tracheostomy tube F nasogastric tube F T-tube F endotracheal tube T Question Number: 4 Question ID: 3739 Question Category: OSCE - General Question Diffeculty: 0.71 Date Created: 5/28/2008 2:18:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM  Young boy presented with fever , rapid progressive anemia and bleeding. what is the most likely diagnosis? Acute leukaemia T Bleeding disorder F Scurvy F gingivitis F Question Number: 5 Question ID: 3749 Question Category: OSCE - General Question Diffeculty: 0.73 Date Created: 5/28/2008 2:22:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM This lady can't open her eyes at evening but she is quite normal at the morning. What is the diagnosis? Myasthenia gravis T Gillian Barrie syndrome F Vitamin A deficiency F Hys F Question Number: 6 Question ID: 3752 Question Category: OSCE - General Question Diffeculty: 0.71 Date Created: 5/28/2008 2:12:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM  This 60 year old patient presents with stroke. Thee physical sign shown locates the lesion to which of the following? Frontal lobe T Parietal lobe F Occipital lobe F Temporal lobe F Question Number: 7 Question ID: 3760 Question Category: OSCE - General Question Diffeculty: 0.82 Date Created: 5/28/2008 1:39:00 PM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM what is type of breech presentation complete F incomplete F frank T footling F Question Number: 8 Question ID: 3763 Question Category: OSCE - General Question Diffeculty: 0.85 Date Created: 5/28/2008 2:01:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM What murmur is best heard with the manouver shown? Mitral stenosis F Aortic incompetence T VSD F Pulmonary stenosisNo Text! F Question Number: 9 Question ID: 3764 Question Category: OSCE - General Question Diffeculty: 0.93 Date Created: 5/28/2008 2:16:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM What is the diagnosis? Left sided Horner's syndrome T  Right sided occulomotor nerve palsy F Right abducent nerve palsy F Left facial nerve palsy F Question Number: 10 Question ID: 3767 Question Category: OSCE - General Question Diffeculty: 0.94 Date Created: 5/28/2008 1:54:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM The most important examination to do for this patient is to examine for : Reflexes. F lymphadenopathty. F Field of vision. F Pain sensation. T Question Number: 11 Question ID: 3785 Question Category: OSCE - General Question Diffeculty: 0.90 Date Created: 4/16/2008 2:06:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM  One of the causes of the physical sign shown is : Facial nerve palsy. F Trigeminal nerve palsy. F Occulomotor nerve palsy. T Trochlear nerve palsy. F Question Number: 12 Question ID: 3799 Question Category: OSCE - General Question Diffeculty: 0.91 Date Created: 3/5/2008 1:29:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM What is the abnormality shown ? left lower lobe pneumonia F  cavity in the left lower lobe F Large left lower lobe bronchial carcinoma T left pleural effusion F Question Number: 13 Question ID: 3804 Question Category: OSCE - General Question Diffeculty: 0.93 Date Created: 3/5/2008 1:44:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM What is the diagnosis ? Osteomyelitis T compound fracture F bone tumour F Fracture dislocation F Question Number: 14 Question ID: 3805 Question Category: OSCE - General Question Diffeculty: 0.96 Date Created: 3/5/2008 1:28:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM  This patient presents with joints pains. What is the most important investigation to be ordered ? Rheumatoid factor. F Serum uric acid. T ESR. F Antinuclear antibody F Question Number: 15 Question ID: 3814 Question Category: OSCE - General Question Diffeculty: 0.99 Date Created: 3/5/2008 1:31:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM What are the lesions shown? stomach ulcers F  intestinal polyps T Ca colon F intestinal villi F Question Number: 16 Question ID: 3817 Question Category: OSCE - General Question Diffeculty: 0.99 Date Created: 3/5/2008 1:47:00 PM Times Used: 2 Last Used : 9/14/2008 10:36:00 AM The clinical sign shown is most likely associated with: Hypocalcaemia T Hyperkalaemia F Hypomagnesaemia F Hponatraemia F Question Number: 17 Question ID: 3819 Question Category: OSCE - General Question Diffeculty: 1.00 Date Created: 3/5/2008 1:23:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM  What is the diagnosis? Cellulitis. F Dry gangrene. T Snake bite. F Foreign body F Question Number: 18 Question ID: 3823 Question Category: OSCE - General Question Diffeculty: 0.64 Date Created: 2/14/2008 1:51:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM  A 74 year old man was admitted to hospital after he was found collapsed at the roadside. Over the following hours he was noted to have a fluctuating level of consciousness. Based on the above information and the brain imaging what is the most likely diagnosis? large left sided infarct F subdural haemorrhage T extradural haemorrhage F subarachnoid haemorrhage F Question Number: 19 Question ID: 3828 Question Category: OSCE - General Question Diffeculty: 0.84 Date Created: 2/14/2008 1:43:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM  The important abnormality shown is associated with: Hyperinflated lungs F Ca bronchus F Ruptured abdominal viscous T Right pneumothorax F Question Number: 20 Question ID: 3829 Question Category: OSCE - General Question Diffeculty: 0.88 Date Created: 2/14/2008 2:05:00 PM Times Used: 2 Last Used : 7/6/2008 10:46:00 AM  Which of the following muscle weakness causes this appearance? Trapezius F Serratus anterior T Deltoid F Levator scapula F F Question Number: 21 Question ID: 3831 Question Category: OSCE - General Question Diffeculty: 0.91 Date Created: 2/14/2008 1:38:00 PM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM  The following pelvic x-ray displays radiographic features of: Pagets disease F Rheumatoid arthritis F Osteoarthritis T Osteoncrosis F Question Number: 22 Question ID: 3832 Question Category: OSCE - General Question Diffeculty: 0.94 Date Created: 2/14/2008 1:59:00 PM Times Used: 2 Last Used : 7/8/2008 4:51:00 PM  What diagnosis is suggested by this ECG? Atrial fibrillation. F Myocardial infarction. T Ventricular tachycardia. F Second degree heart block F Question Number: 23 Question ID: 3833 Question Category: OSCE - General Question Diffeculty: 0.91 Date Created: 2/14/2008 1:58:00 PM Times Used: 2 Last Used : 7/6/2008 10:46:00 AM With which is the physical sign shown be associated ? Lung suppuration F Infective endocarditis T  Tobacco smoking F Liver cirrhosis F Question Number: 24 Question ID: 3835 Question Category: OSCE - General Question Diffeculty: 0.91 Date Created: 2/14/2008 1:47:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM What is the name of the top instrument ? kielland obstetric forceps. T wrigle obstetric forceps. F artery forceps F retractor F Question Number: 25 Question ID: 3836 Question Category: OSCE - General Question Diffeculty: 0.89 Date Created: 2/14/2008 1:52:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM  The congenital abnormality shown is: Micrognethia T Microcephally F Macrognethia F Anencephaly F Question Number: 26 Question ID: 3837 Question Category: OSCE - General Question Diffeculty: 0.94 Date Created: 2/14/2008 2:04:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM  What is the most likely diagnosis? Rheumatoid arthritis T Osteoarthritis F Gouty arthritis F Osteomalacia F Question Number: 27 Question ID: 3839 Question Category: OSCE - General Question Diffeculty: 0.92 Date Created: 2/14/2008 1:57:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM  This patient complains of limb aching and swelling that worsen at the end of the day. This is most likely secondary to Vasculitic ulcer F Venous ulcer T Neurotrophic ulcer F Lumphatic ulcer F Question Number: 28 Question ID: 3840 Question Category: OSCE - General Question Diffeculty: 0.97 Date Created: 2/14/2008 2:07:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM  What is the most likely diagnosis of this acute condition ? Cellulitis T Exophthalmos F Retinoblastoma F Bells palsy F Question Number: 29 Question ID: 3841 Question Category: OSCE - General Question Diffeculty: 0.95 Date Created: 2/14/2008 1:29:00 PM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM  The first measure to take for this old man who presents to the casualty is? Per rectal examination F Urinary catheterization T IVU F Abdominal ultrasound F Question Number: 30 Question ID: 3844 Question Category: OSCE - General Question Diffeculty: 0.94 Date Created: 2/14/2008 1:45:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM This lesion started out as a raised papule that enlarged over a few weeks. It did not itch and was not painful. The patient denied fever, chills or night sweats. What is the most likely diagnosis ? Tuberculosis F Leprosy F Leishmaniasis T Boil F Question Number: 31 Question ID: 3845 Question Category: OSCE - General Question Diffeculty: 0.97 Date Created: 2/14/2008 2:05:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM  This kidney was removed from a patient presenting with high blood pressure and haematuria. What is the likely diagnosis ? polycystic kidney disease T hypernephroma F glomerulonephritis F renal stone F Question Number: 32 Question ID: 3846 Question Category: OSCE - General Question Diffeculty: 1.00 Date Created: 2/14/2008 1:48:00 PM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM  The area indicated by the arrow represents : hernia. F colostomy. T tumor. F ulcer. F Question Number: 33 Question ID: 3851 Question Category: OSCE - General Question Diffeculty: 0.65 Date Created: 1/23/2008 2:41:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM  What physical sign is shown ? Raised JVP. T Thick nerve. F Muscle hypertrophy. F Keloid. F Question Number: 34 Question ID: 3853 Question Category: OSCE - General Question Diffeculty: 0.63 Date Created: 1/23/2008 2:40:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM This Sudanese patient had these lesions for the last 3 month, the most likely diagnosis is : Basal cell carcinoma F  Malignant melanoma F Cutanous leshmaniasis T Leprosy F Question Number: 35 Question ID: 3864 Question Category: OSCE - General Question Diffeculty: 0.95 Date Created: 1/23/2008 2:31:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM The painless ulcers shown here developed in a 55-year-old man with diabetes who did not recall any antecedent trauma. What type of ulcer is this? Venous F Arterial F Arteriolar F Neurotrophic T Embolic F Question Number: 36 Question ID: 3878 Question Category: OSCE - General Question Diffeculty: 0.94 Date Created: 12/13/2007 2:30:00 PM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM  What is the likely diagnosis? hydrocele F inguinoscrotal hernia T testicular tumour F acute epididymo-orchitis F Question Number: 37 Question ID: 3879 Question Category: OSCE - General Question Diffeculty: 0.66 Date Created: 10/26/2007 4:03:00 PM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM  The name of the instrument shown is: Ovum forceps F Tissue forceps F Volecellum T Artery forceps F Question Number: 38 Question ID: 3886 Question Category: OSCE - General Question Diffeculty: 0.81 Date Created: 9/7/2007 5:10:00 PM Times Used: 3 Last Used : 9/14/2008 10:36:00 AM What is the type of breach? Complete F  Frank T Footling F None of the answers F Question Number: 39 Question ID: 3887 Question Category: OSCE - General Question Diffeculty: 0.79 Date Created: 9/7/2007 4:58:00 PM Times Used: 3 Last Used : 8/24/2008 4:31:00 PM Tthe most important investigation to be done for this patient is: TSH, T4, T3 T TSH, T4 F T4, T3 F TSH, T3 F Question Number: 40 Question ID: 3891 Question Category: OSCE - General Question Diffeculty: 0.86 Date Created: 9/7/2007 5:04:00 PM Times Used: 3 Last Used : 9/14/2008 5:31:00 PM Similar lesions were present and were painful. They haeled in 7-10 days but recurred at other sites. What is the diagnosis? Aphthous ulceration T Herpes simplex F Herpes zoster F Sjogrin syndrome F