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Welcome omer abdelgadir Menu Exit Export Master Sheet Export Exam Commit Exam Go to Add Paper Password: 123 Paper Time: 120 Minuets Paper Number : 1 Fraction: 0.4375 Update Paper Properties Marking: Wrong Answer is Zero Question Number: 1 Question ID: 1776 Question Category: Medicine - General Question Diffeculty: 0.68 Date Created: 5/28/2008 10:33:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM A 72 year old man presents with back pain, nausea, vomiting, and weight loss over the past 2 months, blood tests show hypercalcemia, what is the most likely cause malignancy T thyrotoxicosis F milk-alkali syndrome F primary hyperparathyroidism F Question Number: 2 Question ID: 1777 Question Category: Medicine - General Question Diffeculty: 0.74 Date Created: 5/28/2008 10:33:00 AM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM A 28 year old woman presents with chest pain that worsens by taking deep breathes and improves by leaning forward, ECG shows tachycardia and diffuse ST segment elevation, what is the most likely diagnosis myocardial infarction F ischemic heart disease F pericarditis T cardiomyopathy F Question Number: 3 Question ID: 1791 Question Category: Medicine - General Question Diffeculty: 0.71 Date Created: 5/28/2008 10:37:00 AM Times Used: 2 Last Used : 12/23/2008 4:31:00 PM  Which of the following is characteristic of asthma but not other obstructive lung Disease? Hypoxia occurs as a consequence of ventilation-perfusion mismatch F Exacerbation often occurs as a result of an upper respiratory tract F infection Airway obstruction is reversible T hyperinflation is present on chest x-ray F The FEV1/FVC ratio is reduced F Question Number: 4 Question ID: 1813 Question Category: Medicine - General Question Diffeculty: 0.50 Date Created: 5/28/2008 10:45:00 AM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM Following are features of myxedema coma, EXCEPT: occurrence in old persons F hypotension, bradycardia and hyponatremia F occasional seizures and high mortality rate F hyperthermia and hyperglycemia T increased thyroid-stimulating hormone (TSH and thyrotropin) F Question Number: 5 Question ID: 1823 Question Category: Pediatrics - General Question Diffeculty: 0.47 Date Created: 5/28/2008 10:49:00 AM Times Used: 4 Last Used : 1/27/2009 4:27:00 PM A fourteen year old boy is admitted with history of fever, icterus, conjunctival suffusion and haematuria for twenty days. Which of the following serological test can be of diagnostic utility ? Widal test F Microscopic agglutination test T Paul Bunnel test F Weil felix reaction F Question Number: 6 Question ID: 1827 Question Category: Pediatrics - General Question Diffeculty: 0.32 Date Created: 5/28/2008 10:51:00 AM Times Used: 4 Last Used : 1/27/2009 4:27:00 PM A child underwent a tonsillectomy at 6 years of age with no complications. He underwent a preoperative screening for bleeding at the age of 12 years before an elective laparotomy, and was found to have a prolonged partial thromboplastin time but normal Prothrombin Time. There was no family history of bleeding. The patient is likely to have ?  Acquired vitamin K deficiency F Acquired liver disease F Factor XII deficiency F Mild hemophilia A T Question Number: 7 Question ID: 1849 Question Category: Pediatrics - General Question Diffeculty: 0.37 Date Created: 5/28/2008 10:59:00 AM Times Used: 3 Last Used : 1/27/2009 4:27:00 PM Jaundice appearing in the first day of life can be caused by Biliary atresia F Galactosemia F Hypothyroidism F G6PD deficiency T Breast milk jaundice F Question Number: 8 Question ID: 1924 Question Category: Pediatrics - General Question Diffeculty: 0.39 Date Created: 5/28/2008 10:59:00 AM Times Used: 4 Last Used : 1/14/2009 7:44:00 AM The most common cause of meningitis in children (after neonatal period) is: escherichia coli F group B streptococcus F neisseria meningitidis F listeria monocytogenes F haemophilus influenzae T Question Number: 9 Question ID: 1952 Question Category: Pediatrics - General Question Diffeculty: 0.67 Date Created: 5/7/2008 11:24:00 AM Times Used: 4 Last Used : 1/27/2009 4:27:00 PM The normal daily maintenance fluid requirement for a 25 kg child is: 1200 ml/day F 1400 ml/day F 1600 ml/day T 1800 ml/day F  2000 ml/day F Question Number: 10 Question ID: 1971 Question Category: Medicine - General Question Diffeculty: 0.15 Date Created: 4/16/2008 10:55:00 AM Times Used: 3 Last Used : 12/3/2008 7:50:00 AM 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: 11 Question ID: 1981 Question Category: Medicine - General Question Diffeculty: 0.71 Date Created: 4/16/2008 10:39:00 AM Times Used: 4 Last Used : 12/3/2008 7:50:00 AM Which of the following antibiotics has negligible anti-helicobacter pylori action ? penicillin V. T amoxycillin. F tetracycline. F clarithromycin. F metronidazole. F Question Number: 12 Question ID: 1994 Question Category: Pediatrics - General Question Diffeculty: 0.82 Date Created: 4/16/2008 10:51:00 AM Times Used: 5 Last Used : 1/27/2009 4:27:00 PM A 9-year-old girl presents with polyuria and weight loss. You diagnose type 1 diabetes mellitus. The following laboratory finding is consistent with diabetic Ketoacidosis High Anion Gap T High serum lactate F Hypercalcemia F Hypercarbia F Hyperphosphatemia F Question Number: 13 Question ID: 2005 Question Category: Medicine - General Question Diffeculty: 0.88 Date Created: 3/26/2008 10:48:00 AM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM Atrial fibrillation may occur in all of the following conditions, except: Mitral stenosis. F Mitral regurgitation F Dilated cardiomyopathy. F Hypothyroidism. T Question Number: 14 Question ID: 2012 Question Category: Medicine - General Question Diffeculty: 0.32 Date Created: 3/26/2008 10:47:00 AM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM An asymptomatic 56-year-old man comes to the physician for a health maintenance examination. He has never consumed alcohol.Examination shows increased skin pigmentation and spider angiomata. There is cardiomegaly and an S3 gallop. The liver is firm with a span of 8 cm; there is no ascites. The testes are atrophic.This patient is at greatest risk for which of the following conditions? Cerebellar degeneration. F Hepatic vein thrombosis. F Wernicke’s encephalopathy F Renal failure. F Hepatoma. T Question Number: 15 Question ID: 2014 Question Category: Medicine - General Question Diffeculty: 0.69 Date Created: 3/26/2008 10:48:00 AM Times Used: 4 Last Used : 12/3/2008 7:50:00 AM 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: 16 Question ID: 2028 Question Category: Medicine - General Question Diffeculty: 0.35 Date Created: 3/26/2008 10:47:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM An 18-year-old male has been seen in clinic for urethral discharge. He is treated with ceftriaxone, but the discharge has not resolved and the culture has returned as no growth. The most likely etiologic agent to cause this infection is : Ceftriaxone-resistant gonococci. F Chlamydia trachomatis. T Herpes simplex. F Chlamydia psittaci. F Question Number: 17 Question ID: 2038 Question Category: Medicine - General Question Diffeculty: 0.44 Date Created: 3/26/2008 10:34:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM Which of the following is the most important factor in determining the initial treatment of hyperkalemia ? The presence of renal failure. F The magnitude of the hyperkalemia. F Severity of weakness. F The presence of ECG changes consisting of a widened QRS. T Question Number: 18 Question ID: 2045 Question Category: Pediatrics - General Question Diffeculty: 0.41 Date Created: 3/26/2008 10:48:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM A 2-year-old boy has been vomiting intermittently for 3 weeks and has been irritable, listless, and anorectic. His use of language has regressed to speaking single words. In your evaluation of this patient, the least likely diagnosis to consider is : Tuberculous meningitis. F Lead poisoning. F Brain tumor. F Food allergy. T Subdural hematoma. F Question Number: 19 Question ID: 2059 Question Category: Pediatrics - General Question Diffeculty: 0.25 Date Created: 3/26/2008 10:46:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM You are called to evaluate a newborn girl for intrauterine growth retardation (IUGR). Her length, weight and  head circumference are below the 5th percentile. Examination shows that she has hepatosplenomegaly. A head ultrasound reveals intracerebral calcification. Which of the following is the most likely cause for the IUGR? Placental Insufficiency. F Cytomegalovirus. T Toxoplasmosis. F Chorioamnionitis. F Herpes Simplex Virus. F Question Number: 20 Question ID: 2064 Question Category: Pediatrics - General Question Diffeculty: 0.55 Date Created: 3/26/2008 10:49:00 AM Times Used: 4 Last Used : 1/14/2009 7:44:00 AM Gastro-oesophageal reflux is : a common cause of projectile vomiting. F self limiting and harmless. F usefully treated by anti-motility drugs. F best diagnosed by oesophageal pH monitoring. T more common in patients with portal hypertension. F Question Number: 21 Question ID: 2065 Question Category: Pediatrics - General Question Diffeculty: 0.62 Date Created: 3/26/2008 10:49:00 AM Times Used: 5 Last Used : 1/27/2009 4:27:00 PM A 4-month-old boy presents to the hospital with fever and poor feeding. The physical examination revealed moderate dehydration and irritability. Urinalysis of a catheterized specimen reveals red blood cells, white blood cells and scanty bacteria. You suspect urinary tract infection. Beside correction of dehydration, which of the following is the most appropriate course of treatment? Citrate treatment to alkalinize the urine. F Empiric Intravenous Antibiotic Therapy. T Delayed Antibiotic Therapy based on culture results. F Urethro-Cystoscopy to exclude uretheral valves. F Empiric oral Antibiotic Therapy. F Question Number: 22 Question ID: 2079 Question Category: Pediatrics - General Question Diffeculty: 0.84 Date Created: 3/26/2008 10:57:00 AM Times Used: 3 Last Used : 1/27/2009 4:27:00 PM  A child accidentally drinks a bottle of kerosene. The single most important initial investigation is : full blood count. F arterial blood gases. F blood kerosene level. F chest x-ray. T urea & electrolytes levels. F Question Number: 23 Question ID: 2080 Question Category: Pediatrics - General Question Diffeculty: 0.20 Date Created: 3/26/2008 10:58:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM A 12 years old girl presents with goiter, excessive weight gain and constipation. Investigations show low free T4 and elevated TSH levels. The most likely diagnosis is : Central Hypothyroidism. F Hashimoto Thyroiditis. T Iodine Deficiency. F Simple goiter. F Familial hypothyroidism. F Question Number: 24 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: 25 Question ID: 2172 Question Category: Medicine - General Question Diffeculty: 0.77 Date Created: 3/5/2008 10:36:00 AM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM An epileptic on anti-hypertensive treatment develops acute hemorrhagic pancreatitis. Which medication is  the most likely cause? Propranolol F Nifedipine F Verapamil F Sodium Valproate T Nitroglycerin F Question Number: 26 Question ID: 2178 Question Category: Medicine - General Question Diffeculty: 0.73 Date Created: 3/5/2008 10:19:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM Severe bloody, afebrile diarrhea is associated with what bacterial infection? Salmonella infection F Enteroinvasive E.coli infection F Enterohemorrhagic E. coli infection T Enterotoxigenic E. coli infection F Giardiasis F Question Number: 27 Question ID: 2182 Question Category: Medicine - General Question Diffeculty: 0.62 Date Created: 3/5/2008 10:32:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM Which of the following cardiac conditions is most commonly associated with cardiac cirrhosis? Mitral valve prolapse. F Aortic insufficiency. F Pericardial effusion. F Constrictive pericarditis T Pulmonary valve stenosis. F Question Number: 28 Question ID: 2187 Question Category: Medicine - General Question Diffeculty: 0.44 Date Created: 3/5/2008 10:30:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM The most common cause of dysphagia is? achalasia F esophageal spasm F  a lower esophageal ring (Schatzki ring) T nonspecific motor disorders F an esophageal stricture F Question Number: 29 Question ID: 2202 Question Category: Pediatrics - General Question Diffeculty: 0.73 Date Created: 3/5/2008 10:14:00 AM Times Used: 5 Last Used : 1/27/2009 4:27:00 PM A 13-year-old girl has been making twisting movements of limbs and tongue at school. These movements are not noticed during sleep. Examination reveals hypotonia, arthritis and heart murmur. The best treatment for these movements is: ACTH F Phenytoin F Haloperidol T Diazepam F Methylphenidate F Question Number: 30 Question ID: 2214 Question Category: Pediatrics - General Question Diffeculty: 0.76 Date Created: 3/5/2008 10:34:00 AM Times Used: 4 Last Used : 1/14/2009 7:44:00 AM A Male infant with known congenital heart disease was investigated for suspected immune deficiency problem. Blood tests revealed a biochemical abnormality and chest radiograph showed absent thymus shadow. The type of immunodeficiency disorders he is likely to have is Complement Disorder F Di George Syndrome T Phagocytic Disorder F Selective IgA Deficiency F X-linked Agammaglobulinemia F Question Number: 31 Question ID: 2350 Question Category: Pediatrics - General Question Diffeculty: 0.93 Date Created: 2/14/2008 12:45:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM Most umbilical hernias in children: need strapping F require immediate surgery F are associated with a higher incidence of inguinal hernias F  require elective surgery F resolve spontaneously T Question Number: 32 Question ID: 2353 Question Category: Pediatrics - General Question Diffeculty: 0.80 Date Created: 2/14/2008 1:00:00 PM Times Used: 4 Last Used : 1/14/2009 7:44:00 AM Which of the following is the most significant risk factor for the development of childhood asthma: stress in the family F presence of pets in the house F family social background F parental asthma T parental smoking F Question Number: 33 Question ID: 2359 Question Category: Pediatrics - General Question Diffeculty: 0.71 Date Created: 2/14/2008 1:06:00 PM Times Used: 4 Last Used : 1/27/2009 4:27:00 PM Causes of microcytic anemia include all of the following EXCEPT: excessive cow's milk intake F folic acid deficiency T iron deficiency F lead poisoning F thalassemias F Question Number: 34 Question ID: 2364 Question Category: Pediatrics - General Question Diffeculty: 0.08 Date Created: 2/14/2008 12:53:00 PM Times Used: 4 Last Used : 10/19/2008 9:56:00 AM The most common cause of chronic diarrhea in a 6 month - 36 month old child is: disaccharidase deficiency F malabsorption F protein intolerance F chronic non-specific diarrhea T enteric infection F Question Number: 35 Question ID: 2371 Question Category: Pediatrics - General Question Diffeculty: 0.35 Date Created: 2/14/2008 12:59:00 PM Times Used: 4 Last Used : 1/14/2009 7:44:00 AM Choose the INCORRECT statement about breastfeeding: breastmilk contains more amino acids than cow’s milk. T for healthy term babies, breastfeeding is recommended over formula F feeding assessment of adequate intake can be done by counting F exclusively breastfed babies should be supplemented with iron after 6 F months of age an HIV-positve mother should not breastfeed F Question Number: 36 Question ID: 2373 Question Category: Pediatrics - General Question Diffeculty: 0.18 Date Created: 2/14/2008 12:59:00 PM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM Which of the following developmental milestones is not a cause for concern? 15 month old not walking F 12 month old who does not search for hidden objects F 3 year old unable to stand on one foot momentarily F 12 month old not talking T 6 month old with a persistent grasp reflex F Question Number: 37 Question ID: 2377 Question Category: Pediatrics - General Question Diffeculty: 0.91 Date Created: 2/14/2008 12:59:00 PM Times Used: 4 Last Used : 12/3/2008 7:50:00 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: 38 Question ID: 2393 Question Category: Medicine - General Question Diffeculty: 0.94 Date Created: 2/14/2008 1:13:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM Sickle cell disease : needs long iron replacement. F acute painful crisis is caused by vascular occlusive episodes. T common in the north of Sudan. F affects males more than females F manifests cliniclally after the age of 25 years F Question Number: 39 Question ID: 2402 Question Category: Medicine - General Question Diffeculty: 0.75 Date Created: 2/14/2008 1:13:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM A female 60 years presented with acute renal failure. The following signs and symptoms are indicative of an urgent dialysis: Hb less than 5 gm. F B.P. 200/110. F presence of pericardial rub. T K+5 meq/L. F raised JVP. F Question Number: 40 Question ID: 2406 Question Category: Pediatrics - General Question Diffeculty: 0.12 Date Created: 1/23/2008 10:21:00 AM Times Used: 5 Last Used : 1/27/2009 4:27:00 PM If dietary iron is not provided, infants begin to deplete their iron stores by: 2 months F 1 month F 4 months T 12 months F 6 months F Question Number: 41 Question ID: 2408 Question Category: Pediatrics - General Question Diffeculty: 0.55 Date Created: 1/23/2008 10:22:00 AM Times Used: 4 Last Used : 1/14/2009 7:44:00 AM All of the following are true concerning otitis media EXCEPT:  Bottle feeding can predispose children to ear infections F One of the most common causes of bacterial otitis media is F S.pneumoniae. Treatment of choice is clindamycin T Chronic or recurrent ear infections lead to conductive hearing loss. F Question Number: 42 Question ID: 2411 Question Category: Pediatrics - General Question Diffeculty: 0.54 Date Created: 1/23/2008 10:24:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM A 1 year old female had a seizure after having a temperature of 39.5 degrees C. If her seizure was a simple febrile seizure, all of the following statements would be true EXCEPT: the seizure would probably not recur within 24 hours F The child would not require further evalution beyond determining the F etiology of the fever The seizure would last approximately 20 minutes T the seizure would consist of generalized tonic/clonic movements F Question Number: 43 Question ID: 2420 Question Category: Pediatrics - General Question Diffeculty: 0.42 Date Created: 1/23/2008 10:21:00 AM Times Used: 3 Last Used : 1/27/2009 4:27:00 PM Which of the following is false about physiological jaundice? it may cause kernicterus T in premature infants it may persist for 3-4 weeks F it is mainly due to temporarily impaired hepatic clearance of bilirubin F it does not always require treatment with phototherapy F it rarely presents before the age of 24 hours F Question Number: 44 Question ID: 2428 Question Category: Pediatrics - General Question Diffeculty: 0.65 Date Created: 1/23/2008 10:16:00 AM Times Used: 3 Last Used : 1/27/2009 4:27:00 PM A 6-week-old male infant develops recurrent episodes of vomiting with dehydration. Each of the following would be consistent with a diagnosis of congenital hypertrophic pyloric stenosis EXCEPT: a history of increasing constipation F visible epigastric peristaltic waves F a metabolic acidosis and hyperkalemia T  non-bile stained vomitus after feeding F good appetite F Question Number: 45 Question ID: 2429 Question Category: Pediatrics - General Question Diffeculty: 0.37 Date Created: 1/23/2008 10:17:00 AM Times Used: 3 Last Used : 9/24/2008 8:11:00 AM A10 year-old boy with cough, fever and night sweats has a positive skin test for tuberculosis. A chest x-ray reveals minimal hilar adenopathy and a small pulmonary infiltrate. The current recommended treatment is: isoniazid plus rifampin and pyrazinamide T rifampin and corticosteroids F rifampin and ethambutol F isoniazid alone F isoniazid plus rifampin and streptomycin F Question Number: 46 Question ID: 2436 Question Category: Medicine - General Question Diffeculty: 0.57 Date Created: 1/23/2008 10:49:00 AM Times Used: 4 Last Used : 12/3/2008 7:50:00 AM 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: 47 Question ID: 2445 Question Category: Medicine - General Question Diffeculty: 0.44 Date Created: 1/23/2008 10:49:00 AM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM Highly infective chronic hepatitis B is suggested by: normal liver enzymes, HBeAg+, anti-HBc IgG+ F elevated liver enzymes, HBeAg+, anti-HBc IgM+ F normal liver enzymes, HBeAg-, anti-HBc IgG+ F elevated liver enzymes, HBeAg+, anti-HBc IgG+ T Question Number: 48 Question ID: 2449 Question Category: Medicine - General Question Diffeculty: 0.28 Date Created: 1/23/2008 10:24:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM Which finding is NOT frequently found in Chronic Myelogenous Leukemia (CML)? elevated WBCs F elevated vitamin B12 level F increased uric acid level F elevated LDH F translocation between chromosomes 9 and 14 T Question Number: 49 Question ID: 2455 Question Category: Medicine - General Question Diffeculty: 0.77 Date Created: 1/23/2008 10:24:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM The vitamin most commonly implicated as being deficient in alcoholic polyneuropathy is: pyridoxine F niacin F thiamine T cyanocobalamin (Vit.B12) F riboflavin F Question Number: 50 Question ID: 2465 Question Category: Medicine - General Question Diffeculty: 0.26 Date Created: 1/23/2008 10:24:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM A medication that may elicit headache as a side effect : Procainamide F thiazide F Labetalol F Methyldopa F hydralazine T Question Number: 51 Question ID: 2523 Question Category: Pediatrics - General Question Diffeculty: 0.28 Date Created: 6/17/2008 5:07:00 PM Times Used: 3 Last Used : 11/12/2008 8:10:00 AM  One of the following findings make the diagnosis of asthma unlikely : lobar collapse identified on a CXR. F a cough productive of sputum F the absence of a family history of asthma. F cough occurring only during vigorous exercise. F failure to improve after 2 weeks on high dose oral steroid. T Question Number: 52 Question ID: 2525 Question Category: Pediatrics - General Question Diffeculty: 0.52 Date Created: 6/17/2008 5:07:00 PM Times Used: 4 Last Used : 1/27/2009 4:27:00 PM Recognised features of tender scrotal swelling in infancy include all of the following except: inguinal hernia F epididymo-orchitis F breech delivery F torsion of testis F teratoma T Question Number: 53 Question ID: 2528 Question Category: Medicine - General Question Diffeculty: 0.64 Date Created: 6/17/2008 5:07:00 PM Times Used: 3 Last Used : 11/12/2008 8:10:00 AM The following endocrine disorders are associated with systemic hypertension except Conn's syndrome F hypopituitarism T Hyper-parathyroidism F Acromegaly F Cushing's syndrome F Question Number: 54 Question ID: 2529 Question Category: Medicine - General Question Diffeculty: 0.77 Date Created: 12/13/2007 10:31:00 AM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM The following can cause bradycardia except hypothermia F hypothyroidism F  severe anaemia T subdural haematoma F shock F Question Number: 55 Question ID: 2530 Question Category: Medicine - General Question Diffeculty: 0.59 Date Created: 6/17/2008 5:07:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM The following drugs reduce gastric acid secretion except aluminium hydroxide T omeprazole F cimetidine F misoprostol F Question Number: 56 Question ID: 2533 Question Category: Medicine - General Question Diffeculty: 0.31 Date Created: 6/17/2008 5:07:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM Megaloblastic anemia is expected in all the following except : Ileocaecal tuberculosis F Gastrectomy F Crohn’s disease F Hypothyroidism F Ancylostoma worms infestation T Question Number: 57 Question ID: 2595 Question Category: Medicine - General Question Diffeculty: 0.93 Date Created: 6/17/2008 5:07:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM Which of the he following findings are found in left sided pneumothorax: Hyper-resonant percussion note on the left T Increased breath sounds on the left F Apex beat displaced to the left anterior axillary line F Increased tactile fremitus on left side F Shift of trachea to the left F Question Number: 58 Question ID: 2613 Question Category: Pediatrics - General Question Diffeculty: 0.52 Date Created: 6/17/2008 5:07:00 PM Times Used: 4 Last Used : 1/27/2009 4:27:00 PM The following are radiological signs of active rickets except : Cupping F Demineralization of the shafts. F Increased distance between the distal ends of radius and ulna and the F metacarpal bones. Fraying. F appearence of the line of calcification T Question Number: 59 Question ID: 2627 Question Category: Pediatrics - General Question Diffeculty: 0.52 Date Created: 11/16/2007 10:56:00 AM Times Used: 4 Last Used : 1/14/2009 7:44:00 AM A 7-year-old girl presents to your clinic with a 2- to 3-day history of a nonproductive cough, malaise, and temperature to 101°F (38.3°C). On physical examination, you note that the girl does not appear ill and are surprised to hear widespread crackles in the lungs bilaterally. Chest radiography demonstrates bilateral diffuse infiltrates. Of the following, the MOST appropriate antimicrobial agent to treat this girl's infection is: azithromycin T doxycycline F levofloxacin F trimethoprim-sulfamethoxazole F amoxicillin F Question Number: 60 Question ID: 2633 Question Category: Pediatrics - General Question Diffeculty: 0.57 Date Created: 11/16/2007 11:01:00 AM Times Used: 5 Last Used : 1/27/2009 4:27:00 PM Breastfeeding is contraindicated if the mother has: acute EBV infection F acute HepA infection F chronic HepB infection F asymptomatic HIV infection T none of the answers F Question Number: 61 Question ID: 2658 Question Category: Pediatrics - General Question Diffeculty: 0.18 Date Created: 10/26/2007 11:13:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM In addition to supportive care, the following treatment is recommended for this infant Humidified oxygen F Aminophylline F Dexamethasone T Nebulized Salbutamol F Ribavirin therapy F Question Number: 62 Question ID: 2660 Question Category: Pediatrics - General Question Diffeculty: 0.33 Date Created: 10/26/2007 11:10:00 AM Times Used: 5 Last Used : 1/27/2009 4:27:00 PM Which of the following tests would you order next? Bone age T Karyotype F Lateral skull x-ray F Random sample growth hormone F Serum Thyroxine F Question Number: 63 Question ID: 2663 Question Category: Pediatrics - General Question Diffeculty: 0.86 Date Created: 10/26/2007 11:03:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM On examination she was hypotensive, dehydrated and has acidotic breathing. Investigations reveal plasma glucose of 22 mmol/l, urine ketone of 4+ and Blood pH of 7.12. The following is the most appropriate initial intervention Collect blood & urine for culture and cover with antibiotics F Give IV bolus of sodium bicarbonate immediately F Give intravenous bolus of normal saline 20 ml/kg first T Start insulin infusion 1 hour before the IV fluids F Start Ringer lactate infusion and give subcutaneous insulin simultaneously F Question Number: 64 Question ID: 2717 Question Category: Medicine - General Question Diffeculty: 0.86 Date Created: 10/26/2007 1:46:00 PM Times Used: 3 Last Used : 12/3/2008 7:50:00 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: 65 Question ID: 2724 Question Category: Pediatrics - General Question Diffeculty: 0.42 Date Created: 6/17/2008 5:07:00 PM Times Used: 4 Last Used : 1/27/2009 4:27:00 PM A 10 month-old child develops low-grade fever and sunburn-like erythema over much of the body, but most prominently in the intertriginous areas. Within 36 hours, sheet-like desquamation is noted in the flexures and around the mouth. The mucous membranes are spared. Which of the following is the most likely diagnosis: Kawasaki disease F staphylococcal scalded skin syndrome T Stevens-Johnson syndrome F toxic epidermal necrolysis F toxic shock syndrome F Question Number: 66 Question ID: 2725 Question Category: Pediatrics - General Question Diffeculty: 0.36 Date Created: 6/17/2008 5:07:00 PM Times Used: 3 Last Used : 1/27/2009 4:27:00 PM A 8 year-old boy has had paroxysmal abdominal pain since his parents separated 6 months ago. Which of the following symptoms would support an organic basis for his disease? headaches accompanies the pain F pain located in the periumbilical region F pain awakens child at night T symptoms last < 1hr F none of the above F Question Number: 67 Question ID: 2728 Question Category: Medicine - General Question Diffeculty: 0.38 Date Created: 9/7/2007 11:50:00 AM Times Used: 4 Last Used : 12/3/2008 7:50:00 AM  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: 68 Question ID: 2732 Question Category: Medicine - General Question Diffeculty: 0.56 Date Created: 9/7/2007 11:47:00 AM Times Used: 3 Last Used : 11/12/2008 8:10:00 AM What is (are) the drug(s) of choice for patients with a documented pulmonary embolus? continuous intravenous (IV) heparin F intermittent IV heparin F intermittent subcutaneous heparin F any of the answers T low molecular heparin F Question Number: 69 Question ID: 2748 Question Category: Medicine - General Question Diffeculty: 0.33 Date Created: 6/17/2008 5:07:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM If a patient comes to your office complaining of chest pain and a cough producing a current jelly-like sputum, which organism would be the most likely cause of his/her pneumonia? Streptococcus pneumoniae F Haemophilus influenzae F Pseudomons aeruginosa F Influenza virus F Klebsiella pneumoniae T Question Number: 70 Question ID: 2801 Question Category: Medicine - General Question Diffeculty: 0.07 Date Created: 8/24/2007 10:29:00 AM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM Which of the following investigations is the most sensitive test for confirming the diagnosis in this patient? sigmoidoscopy F colonoscopy F barium enema T Computed tomography (CT) scan of the abdomen F Magnetic resonance imaging (MRI) scan of the abdomen F Question Number: 71 Question ID: 2809 Question Category: Pediatrics - General Question Diffeculty: 0.18 Date Created: 6/17/2008 5:07:00 PM Times Used: 4 Last Used : 1/14/2009 7:44:00 AM A 15 day old baby has conjugated hyper bilinubiaemia. The most likely diagnosis is: breast milk jaundice. F congenital CMV infection. T Crigglar Najar syndrome F ABO incompatibly F hyperthyroidism. F Question Number: 72 Question ID: 2814 Question Category: Pediatrics - General Question Diffeculty: 0.68 Date Created: 8/24/2007 10:39:00 AM Times Used: 5 Last Used : 1/27/2009 4:27:00 PM The following statements regarding retinoblastoma are correct except : it is usually fatal even if diagnosis is made early T the tumour is heritable F it may occur bilaterally F the finding of leucorrhoea suggests the diagnosis F it may present with heterochromia iris F Question Number: 73 Question ID: 2821 Question Category: Pediatrics - General Question Diffeculty: 0.52 Date Created: 8/24/2007 10:40:00 AM Times Used: 3 Last Used : 12/3/2008 7:50:00 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: 74 Question ID: 3902 Question Category: Medicine - General Question Diffeculty: 0.30 Date Created: 9/23/2008 4:27:00 PM Times Used: 1 Last Used : 12/3/2008 7:50:00 AM 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: 75 Question ID: 3904 Question Category: Medicine - General Question Diffeculty: 0.14 Date Created: 9/23/2008 4:27:00 PM Times Used: 1 Last Used : 12/3/2008 7:50:00 AM 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: 76 Question ID: 3913 Question Category: Medicine - General Question Diffeculty: 0.43 Date Created: 9/23/2008 4:27:00 PM Times Used: 1 Last Used : 12/3/2008 7:50:00 AM The following are recognized metabolic causes of secondary epilepsy except: hypocalcaemia. F hypernatremia. F  hyperkalaemia. T hypomagnaemia. F hypoglycaemia. F Question Number: 77 Question ID: 3923 Question Category: Medicine - General Question Diffeculty: 0.27 Date Created: 9/23/2008 4:27:00 PM Times Used: 1 Last Used : 12/3/2008 7:50:00 AM 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: 78 Question ID: 3939 Question Category: Medicine - General Question Diffeculty: 0.18 Date Created: 9/23/2008 4:27:00 PM Times Used: 1 Last Used : 12/3/2008 7:50:00 AM 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: 79 Question ID: 4141 Question Category: Medical Ethics - General Question Diffeculty: 0.56 Date Created: 12/2/2008 5:24:00 PM Times Used: 3 Last Used : 3/25/2009 7:50:00 AM ‫ﯾﺠﻮز ﻟﻠﻄﺒﯿﺐ اﻻﻋﻼن ﻋﻦ ﻧﻔﺴﮫ ﻓﻲ اﻟﺤﺎﻻت اﻻﺗﯿﺔ‬ ‫اﻟﻘﯿﺎم ﺑﺎﻟﺪﻋﺎﯾﺔ ﻟﻨﻔﺴﮫ ﻋﻦ ﻃﺮﯾﻖ اﻟﻨﺸﺮ او اﻻذاﻋﺔ او اﻟﺘﻠﻔﺰﯾﻮن او اﻟﺴﯿﻨﻤﺎ او اي‬ F ‫وﺳﯿﻠﺔ إﻋﻼﻣﯿﺔ اﺧﺮي‬ ‫اﻹﻋﻼن ﺑﺎﻻﻋﻼم ﻋﻦ ﻃﺮﯾﻘﺔ ﺟﺪﯾﺪة ﻟﻠﺘﺸﺨﯿﺺ او اﻟﻌﻼج ﻗﺒﻞ اﻻﺧﺘﺒﺎر او ﺛﺒﺎت‬ F ‫اﻟﺼﻼﺣﯿﺔ واﻟﻨﺸﺮ ﻓﻲ اﻟﻤﺠﻼت اﻟﻤﺮﺟﻌﯿﺔ اﻟﻤﻌﺘﻤﺪة‬  ‫إﻋﻼن ﻟﺼﺎﻟﺢ اﻟﻤﺮﺿﻲ واﻟﺠﻤﮭﻮر‬ T Question Number: 80 Question ID: 4142 Question Category: Medical Ethics - General Question Diffeculty: 0.46 Date Created: 12/2/2008 5:27:00 PM Times Used: 4 Last Used : 3/25/2009 7:50:00 AM ‫( ﻣﻦ اﻟﻤﺴﺘﻨﺪات اﻟﻤﮭﻤﺔ ﻓﻲ ﻋﻤﻠﯿﺎت ﻣﻌﺎﻟﺠﺔ اﻟﺤﻮادث واﻻﺻﺎﺑﺎت واﻟﺠﺮاﺋﻢ‬8) ‫ﯾﻌﺘﺒﺮ أورﻧﯿﻚ‬ ‫( ﻃﺎﻟﻤﺎ ﻗﺎم ﺑﻜﺘﺎﺑﺔ ﻛﻞ اﻟﺘﻔﺎﺻﯿﻞ ﻓﻲ‬8 )‫ﯾﻤﻜﻦ ﻟﻠﻄﺒﯿﺐ ان ﯾﻤﺘﻨﻊ ﻋﻦ ﻣﻠﺊ اورﻧﯿﻚ‬ F ‫ﻣﻠﻒ اﻟﻤﺮﯾﺾ‬ ‫واﺟﺐ ﻋﻠﻲ اﻟﻄﺒﯿﺐ ﻋﺪم اﻟﺘﺪﺧﻞ اﻟﻌﻼﺟﻲ ﻓﻲ ﺣﺎﻻت إﺷﺘﺒﺎه اﻟﺠﺮاﺋﻢ واﻟﺤﻮادث‬ F ‫( وﺗﻌﺒﺌﺘﮫ‬8) ‫اﻻ ﺑﻌﺪ اﺳﺘﻼم أورﻧﯿﻚ‬ ‫( ھﻮ أورﻧﯿﻚ ﺗﺘﻮﻗﻒ ﻋﻠﯿﮫ ﻗﺮارات اﻟﻨﯿﺎﺑﺔ واﻟﺸﺮﻃﺔ ﺑﺎﻃﻼق ﺳﺮاح‬8 ) ‫أورﻧﯿﻚ‬ F ‫اﻟﻤﺘﮭﻢ او ﺣﺠﺰه ﺑﺎﻟﺤﺮاﺳﺔ وﻻ ﻋﻼﻗﺔ ﻟﻠﻄﺒﯿﺐ ﺑﮫ‬ F ‫( ھﻮأاورﻧﯿﻚ ﻣﺎﻟﻲ ﻟﺠﻤﻊ اﻟﺮﺳﻮم اﻟﻤﺎﻟﯿﺔ ﻓﻲ اﻟﺤﻮادث‬8 ) ‫أورﻧﯿﻚ‬ T (8 )‫ﺗﻘﺪﯾﻢ اﻟﺨﺪﻣﺔ اﻟﻄﺒﯿﺔ ﻣﻘﺪم ﻋﻠﻲ ﻣﻠﺊ أورﻧﯿﻚ‬ Go to Add Paper Password: smc Paper Time: 120 Minuets Paper Number : 2 Fraction: 0.4375 Update Paper Properties Marking: Wrong Answer is Zero Question Number: 1 Question ID: 1852 Question Category: Surgery - General Question Diffeculty: 0.24 Date Created: 5/28/2008 1:23:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM Ear piercing that is commonly practised by girls represents which of the following processes? Stable wound F Sinus F Fistula T Atrophic ulcer F Fibrous track F Question Number: 2 Question ID: 1854 Question Category: Surgery - General Question Diffeculty: 0.67 Date Created: 5/28/2008 1:16:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM A 25 years old male presented with colicky periumbilical pain that shifted to the right iliac fossa for ten hours. On examination there is tendrness and rebound tenderness in the right iliac fossa. During surgery the appendix was found to be uninflamed. The plan of action will be to Remove the appendix and look for a Meckel’s diverticulum T Remove the appendix and send to histopathology F Remove the appendix and give heavy parentral antibiotics F Remove the appendix and open a laparotomy incision F Close the incision and send the patient for CT scan F Question Number: 3 Question ID: 1857 Question Category: Surgery - General Question Diffeculty: 0.19 Date Created: 5/28/2008 1:29:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM Which of the following organisms will, if present, be a contraindication to skin grafting? Staphylococcus aureus F Streptococcus pyogenes T Pseudomonas pyocaenia F Klebsiella pneumoniae F Proteus mirabilis F Question Number: 4 Question ID: 1868 Question Category: Surgery - General Question Diffeculty: 0.77 Date Created: 5/28/2008 1:25:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM A 25 years old male was brought to the accident and emergency department after being hit by a car. His GCS is 15, pulse 105/min, BP 95/65 mmHg, there are no visible injuries or deformities, and he can move all his limbs. However he is dyspnoeic with flaring of his nostrils. There are moderately distended neck veins. On inspection the left hemithorax is moving less and is bulging slightly more than the other side. On percussion there is a hyperresonant note on the left, with diminished cardiac dullness. Given these findings you are going to Order a high resolution CT scan chest F Request an echocardiogram to confirm or exclude cardiac tamponade F Insert a chest tube immediately T Perform a diagnostic/ therapeutic pericardiocentesis F Order a PA plain chest X-ray F Question Number: 5 Question ID: 1879 Question Category: Surgery - General Question Diffeculty: 0.18 Date Created: 5/28/2008 1:22:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM A 29 years old average sized male presented to the emergency department with acute severe epigastric pain of six hours duration. The pain is continuous, moderately severe, and sharply localised. The patient vomited once and was yellowish in colour. He was quite healthy prior to this event but admits to have had milder attacks of pain referable to the same area. He does not smoke, snuff, or drink alcohol. He works as traffic police officer in charge of a busy crossing. On examination the only positive finding is a very tender spot in the epigastric region in the midline on deep palpation. The most likely diagnosis would be Perforated peptic ulcer F Acute myocardial infarction F Strangulated epigastric hernia T Acute pancreatitis F Acute exacerbation of a peptic ulcer F Question Number: 6 Question ID: 1888 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.78 Date Created: 5/28/2008 1:20:00 PM Times Used: 3 Last Used : 11/12/2008 8:11:00 AM Ovulation is associated with: Low oestradiol level. F Two degrees rise in body temperature. F a prior 24 hrs rise of progesterone. F L H surge which occurs 38 hrs before. T copious watery vaginal discharge. F Question Number: 7 Question ID: 1899 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.40 Date Created: 5/28/2008 1:25:00 PM Times Used: 4 Last Used : 1/27/2009 4:27:00 PM Which of the following is TRUE regarding malpresentation of a fetus? It is associated with an increased risk of congenital anomaly T Compound presentation precludes a vaginal delivery F It commonly occurs in association with an anthropoid pelvis F It may be corrected during labour by intravenous oxytocic agents F It should be treated by immediate stabilizing induction if the membranes F rupture Question Number: 8 Question ID: 1908 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.49 Date Created: 5/28/2008 1:18:00 PM Times Used: 3 Last Used : 12/3/2008 7:50:00 AM 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 stage of labor F at the time of complete cervical dilation F in the first hour following the delivery of the placenta T Question Number: 9 Question ID: 1913 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.82 Date Created: 5/28/2008 1:18:00 PM Times Used: 4 Last Used : 1/27/2009 4:27:00 PM A 23-year-old woman (2 pregnancies, 2 deliveries) presents with bloody vaginal discharge persisting for 7 days after delivery. The patient should be reassured that bloody puerperal discharge normally lasts for: 2 days F 5 days F 8 days F 14 days T 11 days F Question Number: 10 Question ID: 1915 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.21 Date Created: 5/28/2008 1:17:00 PM Times Used: 3 Last Used : 1/14/2009 7:44:00 AM Which of the following is the most common indication of primary caesarean section in the Sudan: Difficult and prolonged labor. F Prolapsed cord F Insulin dependent Diabetes in pregnancy F Pre-eclampsia. T Malpresentation of the fetus. F Question Number: 11 Question ID: 1964 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.86 Date Created: 5/7/2008 12:54:00 PM Times Used: 5 Last Used : 1/27/2009 4:27:00 PM Which of the following cardiopulmonary symptoms may develop in normal pregnancy? dyspnea during exercise F tachycardia F heart murmurs F lower extremity edema F all of the answers T Question Number: 12 Question ID: 1967 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.63 Date Created: 5/7/2008 1:00:00 PM Times Used: 3 Last Used : 1/14/2009 7:44:00 AM Episiotomy: Is synonymous with decircumcision. F Is usually performed after the delivery of the anterior shoulder. F May cause postpartum haemorrhage. T The midline type decreases the risk of third and fourth degree perineal F tears. Is indicated in all primigravidas. F Question Number: 13 Question ID: 2002 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.56 Date Created: 4/16/2008 1:28:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM Risk factors for shoulder dystocia include all the following EXCEPT: prolonged second stage of labour F maternal obesity T macrosomia F maternal diabetes F Question Number: 14 Question ID: 2092 Question Category: Surgery - General Question Diffeculty: 0.14 Date Created: 3/26/2008 1:36:00 PM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM During your daily round, you come across a newly admitted patient. He has a large offensive tumor in the sole of his foot, from which a biopsy was taken. The co-patients tell you that he is not eating or talking and  you notice that he has difficulty opening his mouth. He developed a generalized muscle spasm when the door slammed. You decide to isolate the patient in a quiet room and do a bedside debridement and daily thorough dressing. The most important next step would be to Administer tetanus toxoid and antitoxin F Do a below knee amputation F Do a debridement of the wound under general anaesthesia F Start diazepam and chlorpromazine immediately T Administer penicillin and metronidazole F Question Number: 15 Question ID: 2095 Question Category: Surgery - General Question Diffeculty: 0.30 Date Created: 3/26/2008 1:32:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM You just finished applying a plaster of Paris cast to a 22 years old male who sustained a spiral fracture shaft of his right tibia while playing football. He is asking about when he would be able to fully bear weight on his leg. Your response will be After three weeks F After six weeks F After twelve weeks T After sixteen weeks F After eight weeks F Question Number: 16 Question ID: 2097 Question Category: Surgery - General Question Diffeculty: 0.29 Date Created: 3/26/2008 1:39:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM In the outpatient department you are reviewing the investigations of a 45 years old lady who is having an irreducible incisional hernia and is planned for elective mesh repair next week. She is having iron deficiency anaemia with a Hb of 58%. Your management plan would be to Administer oral iron and proceed with the operation F Administer parentral iron and proceed with the operation F Start parentral iron and delay the surgery until her Hb improves sufficiently F Start oral iron, transfuse the patient, and operate T Transfuse the patient preoperatively and operate F Question Number: 17 Question ID: 2107 Question Category: Surgery - General Question Diffeculty: 0.12 Date Created: 3/26/2008 1:36:00 PM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM An elderly diabetic and hypertensive man is having extensive atheromatous plaque in his right superficial femoral artery. You expect his symptoms to be related to which muscle groups in the lower limb? Posterior leg compartment T Anterior leg compartment F Gluteal compartment F Anterior thigh compartment F Posterior thigh compartment F Question Number: 18 Question ID: 2109 Question Category: Surgery - General Question Diffeculty: 0.47 Date Created: 3/26/2008 1:36:00 PM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM A 26 years old boy was involved in a road traffic accident where he was hit by a car and bumped his head hard on the ground. He lost consciousness for a few minutes. When he arrived in the accident and emergency department he was conscious with a GCS of 15, pulse of 90/min and a BP of 110/80 mmHg. You decided to keep him overnight for observation as a CT scan is not available. Six hours later you find him to have a GCS of 11, pulse of 70/min, and a BP of 130/90 mmHg. His right pupil is dilated and fixed. The left is reactive. You will think of Diffuse cerebral contusion F Intracerebral haemorrhage F Left acute extradural haematoma F Right acute extradural haematoma T Subarachnoid haemorrhage F Question Number: 19 Question ID: 2117 Question Category: Surgery - General Question Diffeculty: 0.78 Date Created: 3/26/2008 1:33:00 PM Times Used: 2 Last Used : 12/23/2008 4:31:00 PM A 45 years old man underwent an ERCP today because of obstructive jaundice. A stone was released following a sphincterotomy. In the evening you found him in severe pain, sitting in bed and leaning forward. He describes the pain as belt-like, felt in the epigastrium but radiates to the back, constant, and severe. On examination all the abdomen is tender but specially the epigastrium. In view of these findings you will think of Acute stress ulcer F Ascending cholangitis F Bile peritonitis F Acute cholecystitis F Acute pancreatitis T Question Number: 20 Question ID: 2126 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.89 Date Created: 3/26/2008 1:14:00 PM Times Used: 4 Last Used : 12/3/2008 7:50:00 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: 21 Question ID: 2134 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.67 Date Created: 3/26/2008 1:34:00 PM Times Used: 5 Last Used : 1/14/2009 7:44:00 AM Engagement is said to have occurred when The infants head is with the pelvis F The biparietal diameter of the infants head passes through the plane of T the inlet The presenting part is above the level of the ischial spine F The head is of station –1cm F These is first degree of moulding F Question Number: 22 Question ID: 2144 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.78 Date Created: 3/26/2008 1:20:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM The average blood loss during normal menstruation is about 150-160 ml F 30-80 ml T 10-15 ml F 125-175 ml F 200-280 ml F Question Number: 23 Question ID: 2149 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.66 Date Created: 3/26/2008 1:41:00 PM Times Used: 4 Last Used : 1/14/2009 7:44:00 AM  Dysfunctional uterine bleeding can be associated with Uterine fibroid infection F Cervical polyp F Endometrial carcinoma F Anovulatory cycle T Question Number: 24 Question ID: 2151 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.63 Date Created: 3/26/2008 1:29:00 PM Times Used: 4 Last Used : 1/14/2009 7:44:00 AM The first investigation to be done for primary infertility of infertile couple is Hystrosalpingogrophy F Hormonal profile F Seminal analysis T Endometrial biopsy for histopathology F Laparoscopy F Question Number: 25 Question ID: 2154 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.31 Date Created: 3/26/2008 1:31:00 PM Times Used: 5 Last Used : 1/14/2009 7:44:00 AM Risk factor of cervical cancer include First coitus at a young age T Single sexual partner F Cervical erosion F Cervical polyp F High socioeconomic status F Question Number: 26 Question ID: 2155 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.67 Date Created: 3/26/2008 1:32:00 PM Times Used: 5 Last Used : 1/27/2009 4:27:00 PM The following is not a presentation of cases of imperforate hymen Primary amenorrhoe F Abdominal swelling F Cyclic lower abdominal pain F  Absent secondary sexual character T Retention of urine F Question Number: 27 Question ID: 2161 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.48 Date Created: 3/26/2008 1:37:00 PM Times Used: 3 Last Used : 1/14/2009 7:44:00 AM Which of the following methods of contraception primary suppress ovulation medicated intrauterine device F levonogstrol implant F Combined oral contraceptive device T Progesterone only pills F Spermicidal gel F Question Number: 28 Question ID: 2220 Question Category: Surgery - General Question Diffeculty: 0.54 Date Created: 3/5/2008 1:05:00 PM Times Used: 4 Last Used : 11/12/2008 8:11:00 AM Acute and early complications of obstructive jaundice include all of the following except Hepatic encephalopathy F Haematemesis F Hyperkalaemia F Fever F Periorbital xanthelasmata T Question Number: 29 Question ID: 2228 Question Category: Surgery - General Question Diffeculty: 0.57 Date Created: 3/5/2008 1:07:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM The most suitable management for a patient with oesophageal varices and moderate ascites, secondary to portal hypertension would be Distal spleenorenal shunt F Proximal spleenorenal shunt F Portocaval shunt F Regular endoscopic sclerotherapy or banding of the varices T Spleenectomy and devascularisation (Hasab’s operation) F Question Number: 30 Question ID: 2238 Question Category: Surgery - General Question Diffeculty: 0.50 Date Created: 3/5/2008 12:59:00 PM Times Used: 2 Last Used : 9/24/2008 8:11:00 AM The initial diagnosis of acute osteomyelitis is mainly Radiological F By performing a radioisotope bone scan F Clinical T By blood cultures F Serological F Question Number: 31 Question ID: 2244 Question Category: Surgery - General Question Diffeculty: 0.50 Date Created: 3/5/2008 12:59:00 PM Times Used: 3 Last Used : 12/23/2008 4:31:00 PM A patient sustained a penetrating injury to the anterior aspect of his wrist. He cannot oppose his thumb to the other fingers. He has most likely injured his Flexor pollicis longus muscle F Median nerve T Ulnar nerve F Radial nerve F Opponens pollicis muscle F Question Number: 32 Question ID: 2245 Question Category: Surgery - General Question Diffeculty: 0.44 Date Created: 3/5/2008 1:02:00 PM Times Used: 2 Last Used : 9/24/2008 8:11:00 AM A patient sustained a road traffic accident and badly injured his knee. You suspect that he might have damaged his common peroneal nerve. Which of the following signs helps in confirming the diagnosis? Inability to evert the foot T Inability to flex the toes F Loss of sensation over the sole of the foot F Loss of sensation over the medial aspect of the leg and foot F inability to plantarflex the foot F Question Number: 33 Question ID: 2248 Question Category: Surgery - General Question Diffeculty: 0.49 Date Created: 3/5/2008 1:03:00 PM Times Used: 2 Last Used : 9/14/2008 5:31:00 PM You want to suture a mastectomy wound and you find that the edges will come together but with some tension. Your choice will be Interrupted vertical mattress stitches T Continuous through and through stitches F Subcuticular stitches F Skin staples F Strips (skin adhesive tape) F Question Number: 34 Question ID: 2254 Question Category: Surgery - General Question Diffeculty: 0.63 Date Created: 3/5/2008 1:00:00 PM Times Used: 3 Last Used : 12/3/2008 7:50:00 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: 35 Question ID: 2275 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.07 Date Created: 3/5/2008 1:03:00 PM Times Used: 4 Last Used : 12/3/2008 7:50:00 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: 36 Question ID: 2277 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.42 Date Created: 3/5/2008 1:10:00 PM Times Used: 4 Last Used : 12/23/2008 4:31:00 PM  In pregnancy : the blood volume increases by 1200-1400 ml. T the cardiac output continues to increase until the end of the third trimester. F the heart rate is increased by 40%. F the arterivenous oxygen gradient increases. F the diastolic blood pressure tends to rise slowly throughout. F Question Number: 37 Question ID: 2281 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 0.87 Date Created: 3/5/2008 1:08:00 PM Times Used: 3 Last Used : 1/27/2009 4:27:00 PM Cause of postmenopausal bleeding : adeno-carcinoma of the uterus. T decubital ulcer of complete procedentia. F urethral stenosis. F oestrogen therapy. F dermoid cyst. F Question Number: 38 Question ID: 2285 Question Category: Obstetrics and Gynaecology - General Question Diffeculty: 1.00 Date Created: 3/5/2008 1:05:00 PM Times Used: 4 Last Used : 1/27/2009 4:27:00 PM Progress in labour is monitored by : progressive dilatation of the cervix. T rise of blood pressure (BP). F slight rise of the pulse. F odeama of the vulva. F leaking liquor. F Question Number: 39 Question ID: 2296 Question Category: Surgery - General Question Diffeculty: 0.21 Date Created: 2/14/2008 10:37:00 AM Times Used: 3 Last Used : 12/3/2008 7:50:00 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: 40 Question ID: 2303 Question Category: Surgery - General Question Diffeculty: 0.19 Date Created: 2/14/2008 10:40:00 AM Times Used: 2 Last Used : 7/6/2008 10:42:00 AM You are working in a remote health centre without X-ray facilities and a 25 years old patient comes to you after she twisted her ankle as she was walking down the street. She cannot walk alone or bear weight on the affected ankle. On examination the ankle is slightly swollen with marked tenderness on palpation of the lateral aspect of the joint. All passive movements are intact. Active movements are limited in all directions. Your plan of management would be Analgesics, elevation, and bed rest for one week F Ankle brace, follow up X-ray after one week, then decide further F Ankle brace for three weeks without weight bearing T Referral to the nearest accident and emergency department F Ankle brace temporarily until she can be x-rayed F Question Number: 41 Question ID: 2306 Question Category: Surgery - General Question Diffeculty: 0.43 Date Created: 2/14/2008 10:42:00 AM Times Used: