Professional Documents
Culture Documents
Question 1
Prolonged neurological sequelae in infants can occur if the mother has taken which of the following in
the third trimester?
a) Antipsychotics
b) Tricyclic antidepressants
c) Anticonvulsants
d) Benzodiazepines
e) Opioids
* Question 2
A 21 year old man walks into your surgery with his head tilted sideways, his eyes rolled up and his
tongue sticking out. He speaks with difficulty but says that he has been 'stuck' in this position since
taking a new medicine a few hours ago 'for his nerves'. You should administer:
a) Diazepam
b) Benztropine
c) Chlorpromazine
d) Phenytoin
e) Haloperidol
Question 3
Mr Brown is 70 years old and suffers with severe pain in his back from osteoarthritis. He also suffers
with emphysema and has had prednisolone for exacerbations of this disease. He is currently on
warfarin for a cardiac arrhythmia and is also taking lansoprazole as a maintenance dose after a
duodenal ulcer was diagnosed 4 years ago. Which of the following DOES NOT increase the risk of
gastrointestinal side effects from non-steroidal anti-inflammatory drugs (NSAIDs)?
Question 4
Coral is 55 years old. Her periods ceased 8 years ago. She now presents with vaginal itch, discharge
and soreness. The MOST LIKELY cause is:
a) Candida infection
b) Vaginal atrophy
c) Vaginal dermatoses
d) Gardnerella infection
2
e) None of the above
* Question 5
You are called to see a 78 year old woman with a three-week history of headaches and depressive
symptoms. She relates that 24 hours ago the vision in her right eye suddenly dimmed. Today the
visual acuity in the eye is limited to perception of hand movements only, compared with 6/6 in the left
eye. She is not known to be a diabetic and her blood pressure is only minimally elevated. Which of the
following possible causes of her visual loss require IMMEDIATE investigation and treatment to prevent
blindness in the other eye?
a) Detached retina
b) Central retinal artery occlusion
c) Central vein occlusion
d) Acute glaucoma
e) Temporal arteritis
* Question 6
Question 7
22 year old Melanie presents with a 2 day history of a vaginal discharge, urinary frequency and
dyspareunia. Which organism is the MOST LIKELY cause of this presentation?
a) Gardnerella
b) HIV
c) Chlamydia trachomatis
d) Giardia lamblia
e) Hepatitis B
Question 8
A 55 year old woman presents with an itchy purple papular rash on her wrist. She is not on any
medications. This is MOST LIKELY to be:
a) Lichen Planus
b) Lichen Simplex Chronicus
c) Lichenoid eruption
d) Lichen Sclerosus
e) Lichenification
* Question 10
A 21 year old female patient presents with lower abdominal pain and tenderness at 14 weeks of
gestation. Her temperature is 38.5 degrees Celsius. The most important diagnosis to EXCLUDE is:
a) Pyelonephritis
b) Threatened abortion
c) Ectopic pregnancy
d) Degeneration of a uterine fibroid
e) Appendicitis
* Question 11
A 42 year old man presents with a recurrent severe hemicranial nocturnal headache which lasts for 60
minutes and occurs regularly every 3 weeks. The headache is accompanied by a blocked nose and
watering eye. The MOST LIKELY diagnosis is:
Question 12
An elderly patient with rheumatoid arthritis has been on prednisolone in a dose of 12.5 mg daily for 8
years. After a fall, she complains of severe pain over her lower thoracic spine and is found to be very
tender over T11 and T12. A radiograph shows 'cod-fish' vertebrae, with generalised radiolucency of
bones and collapse of two vertebral bodies. Examination of her serum is MOST LIKELY to show:
Which of the following may be a good reason for stopping breast feeding:
a) Inverted nipples
b) Cracked nipples
c) Engorged breasts
d) Mastitis
e) Breast abscess
Question 14
A 40 year old physician has had muscle twitching for one year. The twitching occurs predominantly in
the lower extremities. A neurological and general physical examination is negative except for these
twitchings. What is the MOST LIKELY diagnosis?
a) Benign fasciculations
b) Hypoparathyroidism
c) Amyotrophic lateral sclerosis
d) Paramyoclonus multiplex
e) Dystrophia myotonica
Question 15
Which of the following is of LEAST value in assessing the level of active joint inflammation ('disease
activity') in rheumatoid arthritis?
Question 16
Sudden onset of unilateral orbital pain, photophobia, lacrimation and blepharospasm suggests a
diagnosis of:
a) Open-angle glaucoma
b) Anterior uveitis
c) Temporal arteritis
d) Unilateral blepharitis
e) Vitreous haemorrhage
Question 18
A patient presents with acute gout but has a low serum uric acid. Which of the following drugs can be
responsible for a low serum uric acid?
a) Colchicine
b) Prednisolone
c) Indomethacin
d) Naproxyn
e) Salicylates
Question 19
The 'benign' jaundice that occasionally occurs in the third trimester of pregnancy is most CLOSELY
related to:
Question 20
The serum phosphate is MOST LIKELY to be low in which of the following disorders:
a) Osteoporosis
b) Osteomalacia
c) Multiple myeloma
d) Polymyalgia rheumatica
e) Paget's disease
Question 22
Which of the following is NOT TRUE regarding asymptomatic bacteriuria in pregnant women?
* Question 23
Which finding in this report of a cerebrospinal fluid (C.S.F.) examination is INCONSISTENT with the
other results?
a) Elevated protein
b) Normal chloride
c) Elevated glucose
d) No red cells
e) Gross excess of polymorphonuclear leucocytes
Question 24
With regard to Tietze's syndrome, which of the following statements is INCORRECT? Tietze's syndrome
is:
A mother develops a fever of 38.2 degrees Celsius 3 days after the delivery of her baby. Which of the
following is the MOST LIKELY cause?
a) Endometritis
b) Dehydration
c) Breast engorgement
d) Deep venous thrombosis
e) Urinary tract infection (UTI)
Question 26
In which spinal cord segments are the motor neurones responsible for the knee-jerk located?
a) L1,L2
b) L2,L3
c) L3,L4
d) L4,L5
e) L5,S1
Question 27
Marion aged 56 years complains of constipation, tiredness, lethargy and lack of energy. She looks
puffy in the face, is faintly yellowish in colour and has a pulse of 56 beats/minute regular. Her full
blood count shows her haemoglobin is 9.7 g/dl, she has a macrocytosis, lymphocytosis and a raised
erythrocyte sedimentation rate (ESR). The MOST LIKELY diagnosis is:
a) Pernicious anaemia
b) Carcinoma of the bowel
c) Alcoholism with malnutrition
d) Hypothyroidism
e) Lymphocytic leukaemia
Question 28
In which of the following conditions of the colon is malignant change MOST LIKELY to occur?
a) Adenomatous polyp
b) Melanosis coli
c) Diverticulitis
d) Familial polyposis coli
e) Ulcerative colitis
8
Question 29
A 25 year old epileptic woman who had been in good health was admitted to hospital in a comatose
condition after the ingestion of 2.0 g of phenobarbitone. On examination, most reflexes appeared to be
intact and there was no depression of respiration. Which of the following forms of therapy would be
MOST appropriate?
Question 30
A 32 year old man with ankylosing spondylitis presents to you for management of his disease. Which
of the following clinical features is he LEAST LIKELY to complain about?
Question 31
In men less than 35 years of age the MOST COMMON causative organism in epididymitis is:
a) Mumps virus
b) Escherichia coli
c) Chlamydia trachomatis
d) Neisseria gonorrhoeae
e) Streptococcus faecalis
* Question 32
Jane is brought into the surgery after being struck in the eye with a tennis ball. On examination you
note blood in the anterior chamber of the eye. Which of the following statements regarding her
management is INCORRECT?
a) Iliofemoral
b) Subclavian
c) Saphenous
d) Pelvic
e) Popliteal
Question 34
A patient with moderate to severe emphysema would demonstrate all of the following physical signs
EXCEPT:
Question 35
Mrs Leung, aged 68 years, has Type 2 diabetes for which she takes metformin 850mg tds and
gliclazide 160mg bd. Her blood pressure is well controlled on candesartan 16mg daily. She has no
evidence of heart failure and is otherwise well. Her HbA1c is now 9.2% (nondiabetic range <6%).
Which of the following strategies would NOT be an appropriate next step?
Question 36
A 40 year old Vietnamese man who arrived in Darwin 6 weeks prior, presents with 5 days of headache,
fever and malaise. What is the MOST LIKELY diagnosis?
a) Malaria
b) Typhoid fever
c) Dengue fever
d) Filariasis
e) Meningococcal meningitis
Question 38
Peter presents with a painful left eye associated with a sudden loss of vision. Which of the following
conditions is NOT usually associated with pain in or around the eye?
a) Amaurosis fugax
b) Retrobulbar neuritis
c) Acute angle closure glaucoma
d) Temporal arteritis
e) Anterior uveitis
Question 39
A 62 year old housewife presents because of pain in her left cheek precipitated by eating or touching
her face just under the left eye. This pain lasts for 30 to 60 seconds. The patient is most likely to
benefit from:
a) Dental attention
b) Penicillin
c) Blockade of the infraorbital nerve
d) Carbamazepine
e) Corticosteroids
* Question 40
a) External intercostals
b) Diaphragm
c) Scalenes
d) Rectus abdominis
e) Internal intercostals
11
Question 41
a) Fluid loss
b) Myocardial depression
c) Myoglobinuria
d) Increased immunocompetence
e) Peptic ulceration
Question 42
a) Birth hypoxia
b) Down Syndrome
c) Intrauterine Growth Retardation
d) Fragile X Syndrome
e) Rett Syndrome
* Question 43
Peta, aged 3, presents distressed with an acute attack of asthma. She is treated with salbutamol via
MDA and face-mask. She improves symptomatically, but becomes breathless and wheezy again after
90 minutes. The next MOST APPROPRIATE step in management would be:-
Question 44
Mary-Jane Reid, aged 17, commenced the combined oral contraceptive pill nine weeks ago. She did
not have a withdrawal bleed after the first packet. She presents now, seven days after the end of the
active pills in her second packet, having not had a withdrawal bleed. The MOST APPROPRIATE advice
you could give would be:-
With regard to children in Australia who are infected with HIV, all of the following are true EXCEPT:-
* Question 46
A 58 year old lady presents with painless jaundice. Physical examination of the abdomen is
unremarkable. The results of her blood tests are:
Liver function tests: Bilirubin 90 umol/L (<21), ALP 650 U/L (30-115), GGT 540 U/L (<31), ALT 55 U/L
(<41), AST 45 U/L (<41), alb 35g/L (35-50)
a) Abdominal CT scan
b) Oral cholecystogram
c) Upper abdominal ultrasound
d) ERCP
e) Assay conjugated/unconjugated bilirubin
* Question 47
On the second post operative day following a right hemicolectomy, a 68 year old patient has a urine
output of 10mls per hour over the past 5 hours. On examination he is alert, T37.5 degrees Celcius,
P105, BP110/70. Abdomen is soft and nontender. All other examination findings are unremarkable and
the catheter isn't blocked. Intial management would be to:
Mr George Black, aged 76, presents to Emergency with shortness of breath. He is afebrile, pulse
108reg, gallop rhythm, BP150/72, with no cyanosis or peripheral oedema. His Chest X-ray is shown
above. The MOST APPROPRIATE initial management would be:-
Question 49
Which of the following is least likely to be associated with increasing the risk of squamous cell
carcinoma of the oesophagus?
a) Achalasia
b) Alcohol ingestion
c) Plummer-vinson syndrome
d) Tobacco consumption
e) Barrett's oesophagus
14
Question 50
Causes of pre term labour include all of the all of the following EXCEPT:
a) Cervical incompetence
b) Oligohydramnios
c) Multiple pregnancy
d) Pregnancy induced hypertension
e) Premature rupture of membranes
* Question 51
Peter is a 16 year-old who realizes he is gay. He confides this to his best friend, who rejects him. His
parents, whose relationship is strained, separate soon after he tells them. Peter looses interest in
school, starts drinking alcohol, and engages in risk-taking behaviour. When consulting with him, the
factor you would consider MOST IMPORTANT would be:-
Question 52
Lance, a happy three year-old, is bought to see you by his father. For the previous three days, Lance
has been passing large, pale, offensive stools containing undigested vegetable material. He is
otherwise well. This is MOST SUGGESTIVE of:-
a) Cystic fibrosis
b) Giardia
c) Excessive orange juice in his diet
d) Blastocystis hominis
e) Pinworm infestation
* Question 53
A 6 week old baby with a 36 hour history of projectile vomiting is at risk of which of the following
electrolyte and acid/base disturbances?
Question 54
15
Retroperitoneal fibrosis COMMONLY presents as:-
a) Ureteric obstruction
b) Bilateral leg lymphoedema
c) Bilateral thigh claudication
d) Testicular pain
e) Central abdominal pain radiating from the back while standing
Question 55
* Question 56
When assessing a patient in Emergency with suspected diabetic ketoacidosis, which of the following is
NOT true:-
* Question 57
George Weston is a 48 year old man who has a strong family history of premature death from
myocardial infarction in the males on his father's side. He has been treated for hypertension for the
past 2 years. For the past 2 years his blood pressure had been well controlled with a healthy diet,
regular excercise and an ACE inhibitor. However, when he comes for a 6 month review and renewal of
his prescription, his blood pressure is noted to be 150/90. The blood pressure is noted to be high on 3
separate occasions. All of the following are possible causes for loss of control of his blood pressure
except:
a) He has been taking diclofenac over the past 2 weeks for an ankle sprain
b) He recommenced smoking since he lost his job 2 months ago
c) He has gone back to heavy alcohol ingestion
d) He has been on sibutramine to help him lose weight
e) He has been having trouble sleeping since he lost his job and has been taking temazepam
prescribed by another doctor
Question 58
16
Which of the following statements concerning secondary dysmenorrhoea is TRUE?
* Question 59
Ms Bowden presents with her two year-old daughter, Melanie, who has recently spent a week at her
father's farm. She has been troubled by intense itching of her arms, trunk and buttocks. The
appearance of the rash is shown in the photograph above. Other members of Melanie's father's family
have similar troubles, and are being treated by the naturopath with a grass seed ointment. The MOST
LIKELY diagnosis is:-
a) Atopic eczema
b) Ringworm (tinea corporis)
c) Contact dermatitis
d) Scabies
e) Flea bites
Question 60
17
Which of the following types of lipid profiles is considered the MOST LIKELY to result in premature
coronary artery disease and premature death from myocardial infarction?
Question 61
a) Humerus
b) Femur
c) Clavicle
d) Pelvic
e) Cervical spine
Question 62
a) Anorexia nervosa
b) Hypothalamic-pituitary disorders
c) Pregnancy
d) Oral contraceptive pill
e) Imperforate hymen
* Question 63
From birth to four years of age, the MOST LIKELY setting for childhood injury is:-
a) Home
b) Child Care Centre
c) Motor Vehicle
d) Community recreational venues (i.e. parks and gardens)
e) Non-child safe residences (i.e. grandparent 's homes)
Question 64
18
Jenny is 32 years old and requires a splenectomy for idiopathic thrombocytopaenic purpura. The MOST
IMPORTANT factor in pre-operative preparation is:-
Question 65
All of the following are non-metastatic extrapulmonary manifestations of bronchial carcinoma except:
a) Nephrotic syndrome
b) Finger clubbing
c) Hypertrophic pulmonary osteoarthropathy
d) SIADH
e) Hypercalcaemia
* Question 66
When taking a history regarding tinnitus, which of the following is MOST SIGNIFICANT?
a) Is it rhythmical
b) Does it change with posture?
c) Is it affected by hot or cold fluids?
d) Does it disappear while sleeping?
e) Is there a family history?
Question 67
Thyroglossal cysts:-
Question 68
19
The LEAST LIKELY cause of isolated posterior cervical lymphadenopathy is:-
a) Tuberculosis
b) Toxoplasmosis
c) Ticks embedded in the occipital skin
d) Metastatic malignancy
e) Lymphoma
* Question 69
Mr Scott is a 58 year old diabetic patient with a BP of 150/95 and BMI of 29. All of the following are
true except
* Question 70
Bill Randall, a 58 year-old interstate truck driver, presents because of sudden onset of diplopia and
pain in the right orbit. His BP is 138/88, BMI is 32, and his abdominal girth is 124cm. Examination
reveals right sided ptosis and ophthalmoplegia, with normal pupillary constriction to light. The MOST
APPROPRIATE initial investigation is:-
a) CT Head
b) Carotid duplex ultrasound
c) 24hr ambulatory BP assessment
d) Random glucose
e) VDRL and TPHA
* Question 71
"Alarm" symptoms for complications of gastro-oesophageal disease include all of the following
EXCEPT:-
a) Dysphagia
b) Haematemesis
c) Odynophagia
d) Weight loss
e) Waterbrash
Question 72
20
Ms Elaine Landy, aged 56, has undergone Right breast lumpectomy for a mass which appeared
suspicious clinically and on mammography. The histology reports the tumour is "oestrogen receptor
positive". Clinically, this means that:-
* Question 73
* Question 74
Early warning signs of snake bite envenomation include all of the following EXCEPT:-
a) Headache
b) Diplopia or ophthalmoplegia
c) Bleeding from the bite
d) Vomiting
e) Abdominal pain
Question 75
Question 76
21
The MOST COMMON reported pathogen involved in childhood acute otitis media is:-
a) Streptococcus pyogenes
b) Moraxella catarrhalis
c) Streptococcus pneumoniae
d) Staph aureus
e) Corona viruses
Question 77
* Question 78
Jane is 15 years old and has not yet had a menstrual period. She denies any sexual activity.
Examination reveals breast and pubic hair development consistent with her age, and normal genitalia.
The MOST APPROPRIATE management would be:-
Question 79
22
Diastolic heart failure may be present in all of the following EXCEPT:-
a) Hypertensive cardiomyopathy
b) Restrictive cardiomyopathy
c) Acute myocardial infarction
d) Ventricular aneurysm
e) Constrictive pericarditis
Question 80
Georgina Hassard is a 47 year old woman who presents with menorrhagia of four cycles duration. Her
initial management would include all of the following EXCEPT:-
a) Transvaginal ultrasound
b) FBC, Iron studies and TFT 's
c) Referral for Hysteroscopy and endometrial biopsy
d) Prescription for combined oral contraceptive pill
e) Advice that the cause of the bleeding may not be found
* Question 81
Question 82
Mary gave birth to her first child 1 week ago and presents with difficulty breast feeding. She complains
of tiredness and left breast pain for days. On examination her temperature is 38 degrees Celsius and
the upper outer quadrant of her left breast is red and tender. Management would include all of the
following except:
a) Commencement of flucloxacillin
b) Paracetamol
c) Treatment of cracked nipples
d) Assessment of support at home
e) Continue breast feeding from the right breast until left breast pain resolves
Question 83
23
Disseminated Intravascular Coagulopathy may occur in pregnancy in association with all of the
following EXCEPT:-
a) Placenta praevia
b) Placental abruption
c) Sepsis
d) Amniotic fluid embolus
e) Retained dead foetus
Question 84
Question 85
The patient (whose C.T. is shown above) presented with weight loss, malaise and night sweats for four
months. The lesion (arrowed) would be MOST consistent with:-
a) Mediastinal lymphoma
b) Bronchogenic carcinoma
c) Mesothelioma
d) Psittacosis
e) Farmer's lung
Question 86
24
Which of the following types of hernia follows the path of a congenital tract which fails to close?
a) Femoral hernia
b) Indirect inguinal hernia
c) Direct inguinal hernia
d) Umbilical hernia
e) Perineal hernia
Question 87
Question 88
a) Constricted pupils
b) Bradycardia
c) Hypotension
d) Tears
e) Hypoventilation
* Question 89
Which of the following statements regarding cervical intraepithelial neoplasia (CIN) is FALSE?
* Question 90
25
Sally Hyde's mother noticed a "lump" on her back when she bent forwards to pick up her beach towel.
Sally is 14 years old, and your examination revealed an obvious Right sided protrusion of ribs and
scapula with forward flexion. X-ray verified bone age of 14yrs, and a 25 degree scoliosis between T4
andL1. The MOST APPROPRIATE management is:-
Question 91
The MOST COMMON cause of acute scrotal pain in young boys is:-
Question 92
April Jones, aged 28, presents for a Life Insurance Medical for her business. Her history and
examination are normal. Her ECG is shown above. This shows:-
a) LBBB
b) RBBB
c) Left anterior hemi block
d) Wenckebach effect
e) Torsades de Points
Question 93
26
The MOST APPROPRIATE management of diastolic heart failure is:-
a) Digoxin
b) ACE inhibitor
c) nifedipine
d) Pacing
e) Beta-blocker
Question 94
* Question 95
Question 96
* Question 97
27
The neonate whose x-ray is shown above presented with vomiting and irritability. The film strongly
suggests:-
a) Duodenal atresia
b) Pyloric stenosis
c) Jejunal atresia
d) Inefficient burping
e) Malrotation with volvulus
Question 98
Anita is six years old and presents with pubic hair and accelerated breast bud development. You
suspect she has precocious puberty, which is verified by elevated gonadotrophins. Concerning her
situation, which of the following is FALSE?
* Question 99
28
Helen Jones is a 19 year-old secretary who presents with a one year history of painless post-coital
bleeding. She takes a tri-sequential contraceptive pill. Clinical examination is normal except for a
degree of cervical erosion. Her Pap smear is reported as "inflammatory". The MOST APPROPRIATE
management is:-
* Question 100
The LEAST LIKELY problem a woman with fibroids is likely to suffer from is:
Question 101
a) Epilepsy
b) Migraine
c) Hay fever
d) Breast pain
e) All of the above
Question 102
29
Mr George Smith, aged 68, presented complaining of backache. Clinical examination was unhelpful,
but blood tests revealed a normochromic anaemic and elevated ESR of 104. His skull X-ray is shown
above. The MOST APPROPRIATE investigation to order next is:-
Question 103
A 31 year old woman presents for a 6 week postnatal check. She had a normal vaginal delivery with
no complications during the pregnancy. She is breastfeeding, normotensive and no abnormalities are
found on pelvic examination. When discussing contraception, all of the following methods could be
discussed as a possible option except:
Question 104
30
Angie, aged 20, is seen at 8 weeks amenorrhoea and has a positive urine pregnancy test. She
develops nausea and vomiting over the next five weeks to the extent that she lost 6kg weight.
Metoclopramide is ineffective. Her electrolytes and urine m/c/s are normal. The MOST APPROPRIATE
initial investigation would be:-
Question 105
a) Malabsorption
b) Intussusception
c) Ulceration
d) Fistula formation
e) Perforation
* Question 106
Mr Brown presents complaining of blood in his toilet bowl after defaecation. Digital rectal examination
detects a mobile mass and proctoscopy reveals a 1.5cm x 2.0cm sessile polyp. Colonoscopy reveals
the rest of the colon is clear. The polyp is completely removed by snare diathermy, and histology
reveals a villous adenoma. The MOST APPROPRIATE recommendation re further management is:-
Question 107
Damage to the recurrent laryngeal nerve during thyroid surgery can cause:-
Question 108
31
Timothy is 12 months old and is presented for his MMR (Measles, Mumps, Rubella) vaccination. His
parents are concerned that he does not appear interested in standing and grasps his food with his
whole hand. His clinical examination is otherwise normal. The MOST APPROPRIATE management is to:-
Question 109
The Intra-Uterine Device is an unsuitable form of contraception for all of the following EXCEPT:-
Question 110
a) Oligospermia
b) Azoospermia
c) Erectile failure
d) Varicocoele
e) Undescended testes
Question 111
32
* Question 112
The most sensitive indicator of future risk of insulin resistance in males is:-
Question 113
Penetration below the level of the muscularis mucosae by malignant colonic cells means that:-
Question 114
33
Betty Cummins presents with her three year old son, Roger. Her mother, Muriel, was concerned that
Roger's foreskin would not retract, and forcefully retracted it "for cleanliness". Roger now has redness,
oedema and pain of the foreskin, which is trapped proximal to the glans. This condition is called:-
a) Phimosis
b) Paraphimosis
c) Balanitis
d) Balanitis sclerotica obliterans
e) Epispadias
* Question 115
a) Ice packs
b) Gentle manipulation of the foreskin distally
c) Amoxicillin and clavulinic acid
d) Nil - it settles spontaneously if left alone
e) Referral to paediatric surgeon
Question 116
34
The woman shown above has mucocutaneous lesions present and has a past history of repeated bouts
of abdominal pain. These lesions and abdominal symptoms are also present in other family members.
She should have a regular:-
a) Colonoscopy
b) Echocardiography
c) Photography of the lesions
d) EEG
e) Blood glucose
Question 117
John Major, aged 39, suffered a prolapse of L5/S1 with resultant Left sciatica. Unfortunately, operative
management did not cure his sciatic pain. He presents complaining of inability to sleep because of the
pain, with early feelings for reduced hope and anhedonia. He is taking combination paracetamol and
codeine tablets. The MOST APPROPRIATE medication to add to his treatment would be:-
a) An SSRI at night
b) A tricyclic antidepressant at night
c) A hypnotic benzodiazepine at night
d) Morphine sulphate day and night
e) Carbamazepine day and night
Question 118
35
Omeprazole facilitates gastric and duodenal ulcer healing by:-
* Question 119
Splenectomy as early management for ITP should be avoided in which of the following groups of
patients:-
* Question 120
A patient has persisting symptoms of regurgitation despite healing of his oesophageal ulcers after 12
weeks of omeprazole therapy. The MOST APPROPRIATE management would be:-
* Question 121
Andrew Singh, aged 15, presents three days into the acute phase of Infectious Mononucleosis. He is
having great difficulty swallowing solid food because of pain but is tolerating regular small sips of
fluids. Prednisone is indicated in the management of I.M. when:-
* Question 122
36
Joshua, aged 4 months, presents unwell with multiple vesicles, pustules and erosions on his face and
in the napkin and flexural areas. His mother has a cold sore last week. The MOST APPROPRIATE
management is:-
* Question 123
On review of a three year old child, all of the following would be considered appropriate EXCEPT:-
Question 124
37
Ben Adams was born 12 weeks premature, and has had a stormy course with Respiratory Distress and
a large ventral hernia. Concerning his vaccinations, which of the following is TRUE?
* Question 125
a) Underfeeding
b) Infectious diarrhoea
c) Gastro-oesophageal reflux
d) Inherited metabolic disorders
e) Inadequate parenting
GOODLUCK
38
47- c 94- a
1- a 48- b 95- c
2- b 49- e 96- b
3- d 50- b 97- a
4- b 51- d 98- e
5- e 52- b 99- d
6- d 53- c 100- d
7- c 54- a 101- e
8- c 55- a 102- a
9- a 56- a 103- a
10- e 57- e 104- c
11- d 58- a 105- b
12- e 59- d 106- a
13- e 60- a 107- a
14- a 61- c 108- c
15- d 62- e 109- a
16- c 63- a 110- c
17- b 64- a,b,c,d 111- a
18- e 65- a 112- e
19- d 66- a 113- d
20- b 67- e 114- b
21- b 68- d 115- b
22- e 69- b 116- a
23- c 70- d 117- b
24- d 71- e 118- d
25- a 72- d 119- b
26- c 73- d 120- c
27- d 74- c 121- a
28- d 75- e 122- e
29- b 76- c 123- a
30- a 77- b 124- c
31- c 78- b 125- e
32- c 79- d
33- a 80- d
34- c 81- c
35- e 82- e
36- c 83- a
37- a 84- a
38- a 85- a
39- d 86- b
40- b 87- b
41- d 88- d
42- b 89- d
43- b 90- e
44- d 91- b
45- d 92- b
46- c 93- e