Posted by vijey on January 17, 2001 at 18:47:07:
I will try to post some emqs daily from jan 2002 exam for correction and adition from those who have given their exam so that we get all the questions with complete options,plz think and concentrate before u add and deduct any think
Heart management
a-tissue plasminogen actvation
b-heparin
c-heparin and dc cardioversion
d-streptokinase
e-warfarin
1-A man came to a and e c/o chest pain and brearthlessnes 2 hours ago,now there is no pain his ecg shows q waves in lead 1,11 and avf.
2-A man came to a and e c/o chest pain and beathlessness his ecg showed q waves and st elevation in leads v1 to v3.
3-Man came to and e with irregular heart rate of 140.
Vaginal bleeding medical traetment.
a-medroxyprogestorone depot form.
b-cocp.
c-danzol.
d-gnrh.
e-antifibrinlytics.
f-prostaglandine synthetase antagonist.
etc--
1-a young woman 13 to 14 with painless vaginal bleeding.
2-A woman with painful vaginal bleeding e brown clots ?she feels embarassing going to parties wants a soln for her problem normal remedies over the counter didn't help.
3-A woman of 45 with irregular vaginal blleeding,she doesn't want any children.
4-A woman who is mentally retarded and living in rural areas c/o irregular vaginal bleeding.
Management.
a-normal i/v line.
b-cv line.
c-fluids? at rate of 20/minute.
d-endotracheal intubation.
e-oropharengeal airway.
f-intraosseous line.
g-blood transfusion.
1-A 4 year boy dehdrated with blood loss acces at normal i/v line failed.
2-A 18 year old dehydrated acces at normal i/v line failed.
3- A man have 10 % burns on the chest.
4- A man had burnt nasal hair and throat pain and injury .
Cervical carcinoma from fischtest with all options.
1-when is the peak age of incidence of cervical ca.
2-when does screeing for it stops.
3-when is the recurrence of stage 1b treated.
etc etc all 5 questions of fischtest.
dianosing injury level[i think previous exam question ].
a-urethral stricture.
b-stenose external meatus.
c-stone
etc etc
1-pelvis injury in a man unable to pass urine or may be having blood at external urethral meatus.
2-pt had intermittent catherization for long time now unable to pass urine.
Diagnosis.
a-cardiogenic shock.
b-hypovolumic shock.
c-gram negative shock.
d-anaphylactic shock
1- A man had increase pulse and warm hands and peripheries after an opertaion.
2-A man had pelvis injury now bp is low pulse is 86? and low jvp.
3-A man has systolic bp decrease and pulse incraese he had some cardiac problem or cardiomyopathy.
4-a boy had been stung by a bee now has swollen lips.
Analgesia.
a-opiod
b-incraese opiate dose.
c-nsaids
d-patient controlled anaesthesia
e-pelvic irradiation
f-pcm.
g-i/m opiod?
h-s/c opiod?
i-oral steroid
1-A man have seminoma testis which have spread to pelvis normal analgesia didn't help.
2-a woman is anxious about some kind of analgesia after operation for her ca rectum.
3-a man had ca of arm? with swelling normal analgesia didn't help.
4-a man have some carcinoma taking low dose nsaids/opiod but still complaing of pain
psychiatery
a-shizophrenia
b-bukiia nevosa.
c-anxiety.
d-depression.
e-obsessive compulsion disorder
f-agarophobia
g-drug addiction.
h- alcohal drinking
1-this disease is common in younger age groups it gets better as age advances.
2-this diease is common in woman as age advances.
3-young woman didn't eat she is consious of her body figures wants to be slim.
4-a young lady stopped eating lost some wt,she stopped eating bcz she thinks that there is femine world over and she is feeling guilty if she eats.
5-this disease is more common in developed countries compared to non developed countries.
6-this is the 4th most common psychiatric disease in uk.
7-this disease is common in young age groups of all ethnic groups.
Prostat.
a-thalium scan
b-psa
c-transrectal u/s
d-transectal biopsy
e-transrectal resection.
f-galium scan
g-HLA status
h-bones survey
1-man 60 years with prostatic symptoms c/o sudden onset of back ache.
2-man c/o dribling ,hesitency frequency his psa is 120[raised].
3-a man having adenocarcinoma prostat spread to pelvis side walls will be given chemotherapy
Child care
a-child safety conference
b-child care centre
c-improve nutritional status
d-bones survey
e-coagulation screen
1-a boy brought to a and e with transverse fracture of humerus,no evidence of trauma found.
2-boy brought with bruising in his arm where his mom supposed to hold him.
3-a boy of unemployed parents brought with no progress in wt from previous examination.
Rheumatology
a-perthes disaease.
b-slipped femoral epiphysis.
c-septic arthritis.
d-osteomyletis.
e-cdh
1--a boy had difficulty in walking upstairs.
2-boy has difficulty in abducting his leg.
3-boy had difficulty in all movements at hip?/knee joint.
4-a boy had fever and pain in joints unable to wt bear or walk.
Dysphagia
a-achalasia.
b-barette oesphagus.
c-ph pouch
d-diffuse esophageal spasm.
e-ca esophagus.
1-60 year old long hx of dyphagia with wt loss,also alcohal user in the past?
2-man with dysphagia and regurgitation.
3-regurgitation which is associated with carcinoma esophagus.
Eye
a-cxr
b-ecg?
c-hb
d-doppler u/s
e-u and e?
1--80 year old man going cataract surgery under local anaesthesia.
2-a man going eye surgery he has carotid stenosis also.
Eczema
a-emolient
b-topical steroid
c-emolient and steroid[dexamethasone]
d-prolong use of steroid
e-refer to hospital
1-an eczema which has noy responded to emolient and topical steroid.
2-an eczema which is severe in a baby baby is crying[having fever?] and his mum is exhausted.
an eczema which has responded to steroid.
UTi
a-nitrofurantion.
b-gentamycin.
c-trimethoprim.
d-penicillin.
e-vit c
1-a boy has frequency ,dysuria and nitrites in urine positive.
2-a man has uti and anorexia.
3-a boy had uti e coli seen.
4-a man with uti and proteus organism seen.
5- aboy whose uti treated and is now symptom free.
Heart diseases.
a-ihd
b-cardiomypathy
c-htn
d-af
1-alcohal in moderate quantity reduces its risk.
2-warfarin reduces its risk.
3-this is the most common heart disease in uk.
4-a man had atrial/ventricular disease?
obesity
a-niddm
b-iddm
c-polcystic ovary
d-cushing disease
e-hypothyroidism
f-familial hypercholstrolaemia .
g-familial hypertriglyceridemia.
h-obesity.
1-reduction of wt results in better working of drugs at the receptors.
2-a man obese and had an ulcer on sole of his foot.
3-high cholestrol[11?] and triglyceride[2.5] in a boy.
4-high cholestrol and triglyceride in a man.
5-obesity in a female which can be corrected by surgery.
Investigations
a-stool culture
b-sigmoidoscopy
c-colonoscopy
d-blood culture
1-?a man had episodes of foul smeling stools/diarrhoea?
2-?a man had frequent stools and painful lesions of ankle??
Diagnosis
a-uc
b-crohn
c-fissure in ano
d-acute hematoma around anal region
e-trauma
f-ca rectum
1-a man had hard faecus constipation and pain around anal region.
2-a boy had some abdominal symptoms but all his investiations were normal
3-a 60 year old man had change in bowel habits wt loss an an ulcer at 10 cm on sigmoidoscopy.
4-frequent stools blood per rectum sigmiodoscopy normal?
Skin diagnosis
a-malanoma
b-ebv
c-kaposi??
d-herpes simplex virus
etc
1-central healing or pallor in a molar lesion.
2-a skin eruption vesicular? in a immnocompromise/or after transplant?.
3-some ulcers at mouth and around genitalia.
Investigations in ischaemia
a-arteriography
b-ankle brachial axis mesurements?
c-angiography?
d-doppler u/s?
1-a man c/o pain at rest
2-a man c/o intermittent claudication
Chest
a-pneumonia
b-tb
c-psittaci pneumonia
1-a man with fever and mid zone consolidation no hx of air travel.
2-alcohlic wt loss apical consolidation.
Trauma childrens
a-vaginal swab culture
b-examination under anesthesia
c- urine culture??
1- a 3 year girl brought with sore vagina and perineum inflammed plus uti?
Diagnosis
a-anaphylaxis
1-- a boy stung by a bee came with swollen lips.
tesicular problems
a-orchitis
b-epidiymitis
c-torsion testis
d-vericocele
e-hydrocele
f-epidydimal cyst
h-spermatocele
1-a boy c/o dragging sensation in his testes when standing for long time.
2-boy c/o pain when ever his testis is lifted up.
3- a boy has swelling neck and pain in his testes.
4-a boy came with sudden pain in his testes after cycling.
Diagnosis injury
1-mild injury
2-moderate injury
3-sdh
4-edh
5-sah
6-frature base of skull
1- am woman with gcs of 12 confused after injury
2-a man with injury and blood in his heamotymanium
3-some injury in a man he is conscious and no localising and all tests are normal.
Significance of tests
a-ggt
b-lfts?
c- serum calcium
d- serum magnisium
e-urea and electrlytes
f-serum creaine
1-to asses traetment and status of the condition alcohlics.
2-a man with polyuria,polydypsia and constipation
3- a man using lithium and u want to know its efect on renal clearence/excretion system.
4- to asses renal failure
Breast
a-u/s
b-mammography
c-wide excisiond
d-cystic aspiration cytology
e-stereotactic needle biopsy.
f-stereotactic core biopsy.
g-family hx
1- a woman has lump in her breasr and she is afraid of needles
2-a woman has diffuse nodularity e changes with menstrual cycle.
3-a 2 cm irregular swelling in a breast with no axilliary lymph nodes.
4-on mammography a woman has multple wide spead calcifications breast which are not localised.
an incomplete q with no option[investigations]
1-a woman has some form of allergy as well her son suffering from allergy
Diagnosis
a-pcm
b-salicylate
c-respiatory syncytial virus
d-mennier disease
e-acoustic neuroma
1-a 6 month old boy was breasr fedhad deafness?hearing problems and became alright after 3 months when he was off from milk.
2- a man c/o tinnitus,hyoerventilation
3-a woman with recurrent epiosed of tinnitus vertigo
Diagnostic tests
a-ct
b-toxicolgy screen
c-skull x ray
d-lp
e-blood gases??/
1- a boy drowsy unconsious with rash and fever.
2- a girl had an argument with her boy friend next morning she was found unconscious in her's flat no signs of external trauma were found.
3-a man with head injury unconscious.
4-a man with cyanosis dilated pupils
Tests
a-mri pitiutary
b-mri occipital
c-mri temporal
d- ct scan brain
e-skull x ray
f-prolacine level
1- woman with impotance and galactorrhoea
2-a man with upper quadrantopia
3-a man with increase shoe size and ring size
4- a man with central scotomata
Diagnosis
a- cystic fibrosis
b-allergic reaction to medicines
c-polyps
1- a man using some medicines came with some growth i his snose with blockage?
2-a boy with nasal polyps? and wt loss malabsorion??
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