My exam recall 10th may 2018

1. 6 month pregnant female newly diagnosed uterine fibroid what you will do:
a. Myomectomy
b. Pain management
c. Termination of pregnancy
d. Hysterectomy

2. Patient took 4 tablet of metformin overdose what will the effect

a. Hypoglycemia
b. Lactic acidosis
c. Metabolic acidosis

3. A picture showing 6 month child having cleft palate with h/o recurrent chest
infection with fever now lethargic weak what are the complication associated:
a. Deafness
b. Otitis media
c. Aspiration

4. A picture of chest x ray asking a child k/c asthma while doing exercise for sometimes
have to stop it as develop shotness of breath with wheeze otherwise normal he took
only 3-4 times a week salbutamol if needed what you will add
a. Salmoterol
b. Oral steroid
c. Budesonide

5. A mother brought her daughter to primary health care for annual screeing and check
up which came out to be normal but insist do a tuberculosis test, when to do this
test for a patient not contact to active tb patient n there is no past history also
a. 12 months
b. 6 months
c. 2 yearly
d. Once

6. A person coming every 6 months for checking FBS(fasting blood sugar) when to do in
undiagnosed normal individual for diabetes
a. 12 months
b. 6 month
c. 2 year
7. Vaccination which gives protection or work for 10 years:
a. Measles
b. Pertussis
c. Hepatis
d. ?? tetnus toxoid not there in option

8. Varicella vaccine in adult

a. Two doses with 3 weeks apart
b. Two doses with 6 weeks a part
c. Two doses with 12 months apart
d. Four doses

9. In hIV patient what organism you want to see

a. Pneumocystis carinni
b. Staph aureus
c. Candida albicans
d. ??

10. Glipizide mechanism of action:

a. Incease the sensitivity to liver and muscle
b. Increase secretion from b cell of pancreas
c. ??
d. ??

11. Vasomotor rhinitis

a. Local anti histamine
b. Local decongestant
c. Local steroid
d. Systemic antibiotic

12. Patient with DM and obese, plan to reduce weight your advice
a. Decrease calorie intake
b. High fat and decrease protein
c. Decrease by 500 kcal/ week
d. Decrease by 800 per day

13. Why SSRI is superior to other medications

a. Easily tolerated and very effective
b. No need to monitor blood level
c. Cheap
d. ??
14. Metabolic benefit of exercise
a. Decrease HDL level
b. Exercise increases c reactive protein
c. No effect on trunchal obesity
d. Continous gradually steady increase the BMR

15. A patient come with h/o pancreatic cancer and states he has taken chemotherapy in
this hospital and in three other hospital also when they check its not in the record
and when they confronted patient flee from the scene what he is having
a. Fictitious
b. Malingering
c. Somatization
d. ??

16. A patient come h/o fever, seizure, headache having papilloedema and something
what you will manage
a. Blood culture
b. CT/MRI
c. Lumber puncture
d. Urine c/s

17. Which anti depressant associated with weight gain:

a. Tca
b. SSRI
c. ??
d. ??

18. Patient came with right iliac fossa pain while you examining develop nausea and
vomiting diagnosis
a. Chrohn disease
b. Diverticulitis
c. Acute appendicitis
d. ??

19. A picture showing a women with proptosis eyes and asking diagnosis

a. Graves disease
b. Hypothyroidism
c. Hyperparathyroidism
d. ??
20. A patient came with pinpoint pupil and unconscious what you will give
a. ??
b. Naloxone
c. Atropine
d. ??

21. Patient with RA came asking pathophysiology

a. Synovial cell secretions of the susbtances
b. Prostaglandin hypersensitivity
c. ??
d. ??

22. Patient came with erythema, itching in web spaces diagnosis

a. ??
b. ??
c. ??
d. Saprophiicus scabie

23. A child came with moderate dehydration

a. 15ml four times daily
b. 150 ml after each stool
c. i/v fluid and ORS of needed
d. ??

24. A case of intravenous drug abuse with examination organism belong to flavi specie
a. Hep b
b. Hep c
c. Hep E
d. ??

25. patient has acute closed-angle glaucoma which of the following contraindication
a-acetazolamide
b-pilocarpine
c-laser iridotomy
d-dipivefrin
26. patient come big abscess over right leg management
a. systemic antibiotic
b. incision and drainage with antibiotic cover
c. pain management
d. ??

27. There is unilateral foul smelling greenish discharge what is the diagnosis
a. Staph aureus
b. Strep
c. Foreign body
d. ??

28. Patient with LBBB who routinely go for dental cleaning procedure came to you what
you will advice
a. No treatment needed
b. Antibiotic before procedure
c. ??
d. ??

29. which of the following medication s associated wid QT

prolongation??
A:chloropromazone
B:clozapine
C:helopridol
D:riprasidon

30. strawberry nevus

31.