NEW QUESTIONS MODEL AS PER NMC NOTICE ON 20TH DECEMBER 2007
TOTAL MARKS :240
PASS MARKS : ALL TOGETHER 120( 50%)
TIME: 2 HRS
PLACE: AS PER NMC NOTICE
GROUP A
100 MCQS –EACH CARRY 2 MARKS
MAJORITY OF THE QUESTIONS WILL BE FROM 4 MAJOR SUBJECTS
1.MEDICINE
2.SURGERY
3.OBG
4. PAEDIATRICS
4 QUESTIONS EACH FROM:PSYCHIATRY DERMATOLOGY ENT OPHTHALMOLOGY FORE NSIC MEDICINE PUBLIC HEALTH
SOMETIMES 1 QUESTION EACH FROM :ANAESTHESIA RADIOLOGY DENTISTRY
NOTE THE PATTERN MAY CHANGE
GROUP :B
CSQS ( EACH I MAJOR QUESTIONS HAVE 5 MULTIPLE CHOICE QUESTIONS)
8X5 : 40
FROM EACH MAJOR SUBJECTS 2 QUESTIONS (TOPICS)WILL BE THERE
NMCLE POUSH 7 TH 2064 (22 DECMBER 2007)
CORRECT ANSWERS ARE GIVEN IN BOLD ITALIC LETTERS. PLEASE HELP YOURSELF REGARDING UNANSWERED QUESTIONS AND IF ANY DOUBT ABOUT HIGH LIGHTED ANSWERS
GROUP A
1;WHICH OF THE FOLLOWING IS TRUE
A;ACIDIC DRUGS ARE BEST IONISED IN ACIDIC MEDIUM
B;GENTAMYCIN IS GIVEN I;V AS IT IS UNIONISED IN GIT
C;ASPIRIN;;;;;;;;;;;;;;;;;;
D;
2;ILLUSION IS
A;MIS INTERPRETATION
B;MISBELIEF
C;FALSE BELIEF
D;FALSE MEMORY
3;B BLOCKER SHOULD BE AVOIDED IN
A;HT
B;ARRHYTHMIA
C;CCF
D;MI
4;A PT; WITH SPUTUM NEGATIVE PULMONARY TB IS TREATED WITH CATEGORY 3 REGIMEN OF WHO FOR 2 MONTHS AND HE BECAME SPUTUM POSITIVE AT THE END OF 2 MONTH;HOW WILL YOU TREAT THIS PT; FURTHER?
A;STOP THIS REGIMEN AND START WITH CAT=1
B;STOP THIS REGIMEN AND START WITH CAT;2
C;CONTINUE THIS REGIMEN AND RECHECK SPUTUM AT 5 MONTHS
D;SWITCH TO 2ND LINE DRUGS
5;CLUBBING IS NOT FOUND IN
A;BRONCHIECTASIS
B;TUBERCULOSIS
C;LEFT TO RIGHT SHUNT
D;CYSTIC FIBROSIS
Compiled by Dr. JJ
6;A PT WITH ORGANOPHOSPHORUS POISONING IS BEING TREATED BY ATROPINE IN THE WARD;HIS BOTH PUPILS ARE DILATED ;DEVELOPS FEVER AND IS TACHYPNOIEC ;SUDDENLY HE DEVELOPS CONVULSION;WHAT WILL YOU DO;;;;;;;;;;;;;;;;
A;START PRALIDOXIME
B;GIVE IV MIDAZOLAM
C;GIVE PHENYTOIN
D;STOP ATROPINE AND WATCH
7;A 35 YEARS FEMALE HAS SOLITARY THYROID NODULE;WHAT WILL YOU ADVICE?
A;ANTITHYROID DRUGS
B;SURGERY
C;RADIO IODINE
D;OBSERVATION
8;A 40 YEARS MALE HAS DEVELOPED BRONCHIAL ASTHMA;WHAT WILL YOU ADVICE
A;TERBUTALINE NEBULIZER
B;STEROID THERAPY
C;THEOPHYLLINE
D;MONTELUKAST THERAPY
9;1 GM HEMOGLOBIN COMBINES WITH
A;1.35MLO2
B;2;35ML O2
C'0=35 ML O2
D;35 ML 02
10;WHICH OF THE FOLLOWING ANTIBIOTIC IS C\I IN SUSPECTED TB PT?
A;AMOXYCILLIN
B;TETRACYCLINE
C;OFLOXACIN
D AZITHROMYCIN
11;PARONYCHIA IS A INFECTION OF
A;NAIL BED
B'PULP OF THE NAIL
C;APEX OF THE NAIL
D;BASE OF THE NAIL
12;A DEHYDRATD PT HAS FEVER;WHICH OF THE FOLLOWING COMPLICATION OCCURS FIRST
Compiled by Dr. JJ
A;RESPIRATORY ACIDOSIS
B;METABOLIC ACIDOSIS (please help yourself too)
C;RESPIRATORY ALKALOSIS
D;METABOLIC ALKALOSIS
13;WHICH OF THE FOLLOWING IS NOT THE MACROVASCULAR COMPLICATION OF DM
A;CAD
B;CEREBRAL THROMBOSIS
C;PERIPHERAL NEUROPATHY
D;
14; CAUSE
A;ENDOCARDITIS
B;MYOCARDITIS
C;PERICARDITIS
D;PANCARDITIS
15 A PT; CAME WITH ALCOHOL POISONING IN THE EMERGENCY DEPARTMENT WHERE YOU ARE MEDICAL OFFICER;WHAT WILL YOU DO
A;GIVE WATER
B;GIVE 3;5%HYPERTONIC SALINE
C;METHYL ALCOHOL (please help yourself too)
D;ETHYL ALCOHOL
16; A POOR FARMER FROM PHOOLBARI VDC NEAR DHANGADHI CAME IN THE OPD WITHOUT SLIPPER AND PROPER DRESS WITH THE H/O LOSS OF APPETITE ;WEIGHT LOSS AND IS ICTERIC ON EXAMINATION;WHAT COULD BE THE POSSIBLE DIAGNOSIS
A;AMOEBIASIS
B;GIARDIASIS
C;ASCARIASIS
D;HOOKWORM INFESTATION
17;DIABETES IS SUSPECTED IF THE FASTING BLOOD SUGAR IS ABOVE
A;116MG%
B;126MG%
C;140MG%
D;200MG%
18;HUMAN MILK PROVIDES
A;47KCAL
B;57KCAL Compiled by Dr. JJ
C;67KCAL (please help yourself too)
D;77KCAL
19;WHICH OF THE FOLLOWING IS NOT MACROLIDES;;
A;TETRACYCLINE
B;AZITHROMYCIN
C;ERYTHROMYCIN
D;ROSITHROMYCIN
20; A PERSON WITH DAMAGED MITRAL VALVE DEVELOPS ENDOCARDITIS;THE MOST COMMON ORGANISM IS;;;
A;S;VIRIDANS
B;STAPH EPIDEMIDIS (please help yourself too)
C;H;INFLUENZAE
D;S;MITIS
21;A 26 YEARS MALE STARTS MICTURITION;WHAT WILL BE THE PRESSURE INSIDE URINARY BLADDER?
A;15
B;25
C;35
D;45
22;A 6 MOTH CHILD CAME IN THE OPD WITH POSTERIOR TRIANGLE SWELLING IN THE NECK;WHAT COULD BE THE POSSIBLE CAUSE?
A;THYROGLOSSAL CYST
B;LIPOMA
C;CYSTIC HYGROMA
D;THYROID SWELLING
23;A LACTATING MOTHER CAME TO YOUR OPD WITH RIGHT BREAST SWELLING;ON EXAMINATION FOUND RED;TENDERNESS AND SWOLLEN;;;;SUSPECT BREAST ABSCESS
WHAT IS YOUR NEXT STEP
A;ASPIRATE AND CONFIRM ABSCESS (please help yourself too)
B;GIVE ANTIBIOTIC AND ASK HER TO COME AFTER 3 DAYS
C;INCISION AND DRAINAGE
D;CONFIRM ABSCESS BY ULTRASOUND
24;VASECTOMY MOST COMMAN COMPLICATION
A;HEMATOMA
B;VARICOCELE Compiled by Dr. JJ
C; SPONTANEOUS RECANALIZATION OF CORD
D;
25; A 27 YEARS OLD MALE PATIENT HAS FOUND PATENT PROCESSUS VAGINALIS;WHAT COULD BE THE POSSIBLE COMPLICATION/DIAGNOSIS;;
A;INGUINAL HERNIA
B;DIRECT HERNIA
C;HYDROCOELE
D TESTICULOUR TUMOUR
26;PAROTID TUMOUR MOST COMMON
A;
B;
C;
D;
27;WHICH OF THE FOLLOWING DEVELOPS IN THE FIRST POST OPERATIVE DAY?
A;ATELACTASIS
B;FEVER
C;DVT
D;INFECTION `1
28;A PT; SUDDENLY PRESENTS MASS OUTSIDE THE ANAL CANAL WITH SOME BLOOD STREAKS IN THE STOOL;AFTER 2 HRS LATER WHILE DEFECATION SIMILAR EVENTS OCCURRED;WHAT COULD BE THE MOST POSSIBLE CAUSE;;;;;;;;
A;HEMORRHOIDS
B;ANAL FISSURE
C;ANAL FISTULA
D;PROLAPSE OF THE RECTUM
29;A PT WITH SIGNS OF DEHYDRATION AND ALTERED SENSORIUM ADMITTED TO THE EMERGENCY DEPARTMENT WITH SERUM SODIUM LEVEL 115MEQ/L;WHICH FLUID WILL YOU PREFER;;;;;;;;;;;;;
A;5%DEXTROSE
B;0.9%NACL
C;RL
D;3=5%HYPERTONIC SALINE
Compiled by Dr. JJ
30;A 32 YEARS OLD PATIENT STARTS NON BILEOUS PROJECTILE VOMITTING WITH CONTAINS OF FOOD PARTICLES AND HAS DISTENDED
A BDOMEN WITH VISIBLE PERISTALSIS AND CIRCUM SPLASH IS ADMITTED IN YOUR WARD;WHAT COULD BE YOUR MOST PROBABLE DIAGNOSIS''''
A:GASTRIC OUTLET OBSTRUCTION
B;SMALL INTESTINE OBSTRUCTION
C;LARGE INTESTINE OBSTRUCTION
D;ESOPHAGEAL STRICTURE
31;A 2 MONTHS CHILD CAN;;;
A;HOLD HEAD ON VENTRAL SUSPENSION
B;HAS PROTECTIVE REFLEX AGAINST EXTERNAL STIMULI
C;
D;
32;A CHILD HAS 70%BODY WT OF HIS EXPECTED WT AT THAT AGE WITH OEDEMA;;;WHICH ONE IS TRUE
A;MARASMUS
B:KWASHIWORKER
C;STUNTED
D;UNDERNUTRITION
33;A MODERATELY DEHYDRATED CHILD IS IN YOUR HOSPITAL;WHAT IS THE FLUID REQUIREMENT FOR FIRST 4 HOUR
A;100ML/KG
B;75 ML/KG
C;65ML/KG
D;50ML/KG
34;A 8 YEARS CHILD WITH PUFFINESS OF THE FACE AND PERIORBITAL OEDEMA WHICH LATER DEVELOPS IN LOWER EXTREMITIES;;WHAT IS THE MOST PROBABLE CAUSE?
A;NEPHROTIC SYNDROME
B;NEPHRITIS
C;CUSHING SYNDROME
D;DOWNS SYNDROME
35;NEPHRITIS FALSE
A;HYPOTENSION
B;OLIGIRIA
C;HEMATURIA
D;OEDEMA
36;B THALASSEMIA CHOOSE THE CORRECT ONE
A;BOTH A AND B CHAIN INCREASED Compiled by Dr. JJ
B;BOTH A AND B CHAIN DECREASED
C;A CHAIN INCREASED AND B CHAIN DECREASED
D;B CHAIN INCREASED AND A CHAIN DECREASED (please help yourself too)
37;ADOLESCENCE PERIOD
A;10 19YEARS
B;13 19YEARS
C;13 24 YEARS
D;8 27YEARS
38;MENORRHAGIA IS A COMMON FEATURE OF;;;;
A;FIBROID
B;CA CERVIX
C;OVARION TUMOUR
D;
39;UTERUS NERVE SUPPLY
A;HYPOGASTRIC PLEXUS
B
C
D
40 UTI IN PREGNANCY ;SAFE DRUG
A=CIPROFLOXACIN
B;NITROFURANTOIN
C;OFLOXACIN
D ZENTAMYCIN
41;PID COMMENEST CAUSATIVE AGENT
A;CHLAMYDIA
B;ECOLI
C;SALMONELLA
D;STREPTOCOCCUS
42;A PREGNANT LADY WITH BLOOD GROUP A POSITIBE NEEDS IMMEDIATE BLOOD TRANSFUSION AFTER DELIVERY;BUT THAT BLOOD GROUP IS NOT FOUND;WHAT WILL YOU DO?
A;GIVE A NEG; BLOOD GROUP
B;GIVE O NEGATIVE BLOOD GROUP
C;GIVE AB POSITIVE BLOOD GROUP
D; GIVE B POITIVE BLOOD GROUP
43;PAP SMEAR IS TAKEN FROM Compiled by Dr. JJ
A;ANTERIOR FORNIX
B;LATERAL FORNIX
C;ALL FORNIX
D;CERVIX
44;38+W PREGNANT LADY HAS DEVELOD PAINLESS BLEEDING PER VAGINA WITHOUT ABDOMINAL PAIN;COMMONEST CAUSE
A;PLACENTA PREVIA
B;ABRUPTIO PLACENTA
C'; ABORTION
D;STILL BIRTH
45;ANTI TB DRUG AVOIDED IN PREGNANCY
A=ISONIAZID
B;RIFAMPICIN
C;PYRAZINAMIDE
D;STREPTOMYCIN
46;A 42 + WEEKS PREGNANT LADY WITH ABDOMINAL PAIN AND NOT FULLY DILATED CERVIX HAS DONE ARM ;WHAT WILL BE YOUR NEXT STEP
A;AUGMENTATION BY OXYTOCIN
B;INDUCTION BY OXYTOCIN
C;APPLY CERVIPRIME GEL LOCALLY
D;GIVE PROSTAGLANDIS FOR INDUCTION
47;KOPLIK SPOT IS SEEN IN
A;MEASLES
B;TYPHOID
C;CHICKEN POX
D;MUMPS
48;A 5 YEARS OLD CHILD HAS DIFFICULTY IN OPENING THE MOUTH; UNILATERAL PAROTID SWELLING AND FEW DAYS BEFORE HIS CLASSMATE HAD ALSO DEVELOPED THE SIMILAR SWELLING;WHAT COULD BE THE MOST COMMON CAUSE;;
A;DIPTHERIA
B'MUMPS
C;TETANUS
D;RUBELLA
49;MOST COMMON COMPLICATION OF DIPTHERIA
A;PERITONSIOLLAR ABCESS
B;ORAL THRUSH Compiled by Dr. JJ
C;MYOCARDITIS (please help yourself too)
D;MENINGITIS
50;MEASLES RASHES FIRST APPEARS IN
A;FACE
B;TRUNK
C;ABDOMEN
D;HANDS
51;CYSTICERCOSIS –DRUG OF CHOICE
A;PYRANTEL PAMOATE
B;ALBENDAZOLE
C;NICLOSAMIDE
D;MEBENDAZOLE
52;A PT WITH PLASMODIUM FALCIPARUM MALARIA CAME TO YOUR OPD;WHAT WILL BE YOUR INITIAL TREATMENT
A; TAB;CHLOROQUINE BASE 600 MG FOLLOWED BY CHLOROQINE BASE 3OO MG IN NEXT 6 HR AND 300 MG FOR 2 MORE DAYS
B;IV QUININE WITH 10% DEXTROSE
C;
D;
53;JE IS TRANSMITTD FROM
A;CULEX MOSQUITO
BAEDES MOSQUITO
C;ANOPHELES MOSQUITO
D;
54;TRIAGE
A;
B;
C;
D;
55;RARE CAUSES ARE STUDIED UNDER
A;DESCRITIVE STUDY
B;ANALYTIC
C;EXPERIMENTAL
D;RETROSPECTIVE
56;IMR
A=THE NUMERATOR INCLUDES CHILD OF AGE LESS THAN 28 DAYS
B;LESS THAN 7 DAYS
C;LESS THAN 1 YEAR
D;LESS THAN 2 MONTHS Compiled by Dr. JJ
57;LIVE ATTENUATED VACCINE
A;BCG
B;DPT
C;HEPATITS
D;SALK
58;HIV BY NEEDLE PRICK TRANSMITTED
A;0.3%
B;3%
C;10%
D;20%
59;OCP MECHANISM
A;SUPRESS LH BY NEGATIVE FEED BACK MECHANISM AND PREVENT S OVULATION
B;
C;
D;
60;LIFE LONG IMMUNITY IS ACHIEVED BY
A'DIPTHERIA
B;TETANUS
C;MUMPS
D;TYPHOID
61;KETAMINE FALSE
A;NYSTAGMUS
B;HALLUCINATION
C;SALIVATION
D;HYPOTENSION
62;WHICH OF THE FOLLOWING IS PAIRED CARTILAGE
A;THYROID CARTILAGE
B;CRICOID CARTILAGE
C;EPIGLOTTIS
D;CORNICULATE
63;SINUS NOT PRESENT AT BIRTH
A;FRONTAL
B;MAXILLARY
C;ETHMOIDAL
D;SPHENOID
Compiled by Dr. JJ
64;GROMET INSERTION IS DONE IN
A;GLUE EAR(RUPTURED TM)
B;FUNGAL INFECTION
C;OTOSCLEROSIS
D;FOREIGN BODY IN EXTERNAL EAR
65;60 YEARS MALE PRESENTED IN YOUR OPD WITH THE COMPLAIN OF HOARSENESS OF VOICE AND H/O SMOKING; MOST PROBABLE DIAGNOSIS IS
A;B/L RECURRENT LARYNGEAL NV PALSY
B;CARCINOMA OF THE LARYNX
C;PHARYNGITIS
D;FB OBSTRUCTION
66;IN SCABIES THERE IS
A;VESICLE
B;PAPULES
C;BULLA
D;BURROW
67;PAUCIBACILLARY SINGLE LESION TUBERCULOID LEPROSY IS BEST TREATED BY
A;CLOFAZAMINE
B;DAPSONE
C;AMPHOTERICIN B
D;TETRACYCLINE
68;A MAN HAS HABBIT OF PRICKING HAIRS IN BEARD SHAVING AREA AND THE HAIRS PRICK EASILY
A;PSYCHIOSIS BARBIE
B;TINEA BARBIE
C;
D;
69;EPS IS CAUSD BY
A;HALOPERIDOL
B;RESPERIDONE
C;OLANZAPINE
D;PHENYL HEXIDINE
70;ANTIPSYCHOTIC DRUG IS USED IN
A;DEPRESSION
B;ANXIETY DISORDER
C;SCHIZOPHRENIA Compiled by Dr. JJ
D;NEUROSIS
71;A PT ON TRICYCLIC ANTIDEPRESSION DRUG HAS TAKEN OVERDOSE;WHAT COULD BE THE MOST COMMON COMPLICATION
A;LARYNGOSPASM
B;ARRHYTHMIA
C;DIARRHOEA
D;CEREBRAL OEDEMA
72;A PT WITH LIVER DISESE SICE LAST 3 MONTHS IS UNDER TREATMENT AND HE FINDS HIMSELF THAT HE IS NOT IMPROVING ;HE IS IN HOME STAY FOR LONG TIME;NOW HE IS IRRITATVE AND THINKS HE IS NOT GOING TO BE ALRIGHT AND IS SAD;WHAT HAS HAPPENED TO HIM
A;GENERALISED ANXIETY DISORDER
B;DEPRESSION
C;PSYCHOSIS
D;ORGANIC MENTAL DISESE
73; IN A CASE OF DIABETIC RETINOPATHY THE EARLIER SIGN IS:
A;RETINAL HEMORRHAGE
B;SOFT EXUDATES
C;HARD SXUDATES
D;PAPILOEDMA
74;IRIDOCYCLITIS PATIENT; WHAT WILL YOU GIVE
A;ASPIRIN
B;ANTBIOTIC
C;STEROID
D ;ACETOZOLAMIDE
75;A 60 YEARS OLD MAN WITH H/O GRADUAL LOSS OF VISION WITH MILD PAIN AND H/O HEADACHE BLURRING OF VISION ;WHAT IS YOUR MOST PROBABLE DIAGNOSIS
A;CATARACT
B;PRESBYOPIA
C;ACUTE GLAUCOMA
D;CONJUNCTIVITIS
76;AGE ESTIMATION CAN BE DONE BY:
A:ATTRITION
B;DENTITION
C;BONE CALCIFICATION
D; Compiled by Dr. JJ
77;MUGGING IS
A;
B;
C;
D;
78;COBRA VENOM IS
A;CARDIOTOXIC
B;NEUROTOXIC
C;HEPATOTOXIC
D;GIT TOXIC
79;WHICH OF THE FOLLOWING IS DEVELOPED FROM SHAFT OF THE BONE
A;OSTEOCLASTOMA
B;OSTEOID OSTE0MAS
C;EWING SARCOMA
D;
80;COMPARTMENT SYNDROME IS MORE DANGER WHEN IT IS IN
A;LOWER END OF FEMUR
B;UPPER END OF HUMERUS
C;LOWER END OF TIBIA
D;LOWE END OF HUMERUS
81;ORTHOPAEDIC EMERGENCY
A;SEPTIC ARTHRITIS
B;FRACTURE NECK OF FEMUR
C;FRACTURE SKULL
D;RHEUMATOID ARTHRITIS
82; FRACTURE OF SHAFT OF FEMUR TREATMENT IN CHILD OF 2 YRS
A;ABOBE KNEE PLASTER
B;
C;
D;
83 .WHICH OF THE FOLLOWING INVESTIGATION IS ORDERED FOR MAXIMUM INFECTIVE PERIOD IN HEPATITIS B PATIENT?
A;HBsAg
B.HBcAg
C;HBeAg
D;ANTI HCV
Compiled by Dr. JJ
84;WHICH OF THE FOLLOWING DISEASE IS BENIGN?
A;BASAL CELL CARCINOMA
B;MALIGNANT MELANOMA
C;SQUAMOUS CELL CARCINOMA
D;
85;IODINE DAY IN NEPAL
A. B; C; D ??????HELP YOURSELF
86;OPHTHALMIA NEONATORUM MOST COMMON ORGANISM
A.N.GONORRHOEA
B;STREPTOCOCCUS
C;H;INFLUENZAE
D;STAPH AUREUS
87.10 YEARS OLD CHILD WITH MULTIPLE LARGE JOINT PAINS FOR TWO WEEKS;MOST PROBABLE DIAGNOSIS IS
A;JRA
B;ACUTE RHEUMATIC FEVER
C;SEPTIC ARTHRITIS
D;OSTEOARTHRITIS
89;TREATMENT OF PARAPHIMOSIS
A;CIRCUMCISION
B;MULTIPLE PUNCTURE OF GLANDS
C;
D;
90. CLINICAL QUESTION REGARDING REFERRED PAIN FROM CHEST TO SHOULDER
91;ONWARDS COULD NOT REMEMBERED
GROUP :B
A= A 4 YEARS OLD CHILD PRESENTED TO YOU WITH TURNER SYNDROME
1' WHAT WILL BE THE XENOTYPE OF THIS PATIENT?
A;45XXY
B'45XO
C;47XXY
D'47XYY
2'WHICH OF THE FOLLOWING FINDINGS IS PRESENT IN THIS PATIENT?
A'VSD
B'COARCTATION OF AORTA
C'ENDOCARDIAL CUSHION DEFECT
D'TGA
3'WHICH OF THE FOLLOWING IS ASSOCIATED WITH TURNER SYNDROME?
A'PCKD
B'HOARSE SHOE KIDNEY
C;MINIMAL CHANGE DISEASE
D'AGN
4'WHICH OF THE FOLLOWING IS FASE?
A;SHORT STATURE
B HEIGHT TALL
C;
D;
5;TREATMENT OF TURNER SYNDROME?
A;GROWTH HORMONE
B;TSH
C;STEROID
D;DDAVP
B;9 MONTH OLD CHILD WITH FEATURES OF MENINGITIS
1MOST COMMAN 'CAUSATIVE AGENT ?
A'KLEBSIELLA
B'H'INFLUENZAE
C'S;PNEUMONIAE
D;ECOLI
2;TRUE REGARDING CSF FINDINGS
A;CELL COUNT 650 WITH MOSTLY NEUTROPHILS
B;PROTEIN:20 GM
C;SUGAR 45MG%
D'CELL COUNTS 200 WITH MOSTLY LYMPHOCYTES
3;TRUE REGARDING BRUDGKISKY SIGN
A;NECK PAIN WHILE PASSIVE FLEXION OF NECK
B;FLEXION OF KNEE WHILE BENDING NECK Compiled by Dr. JJ
C;PAIN ON THIGH WHILE BENDING NECK
D;NECK STIFFNESS
4;REGARDING BRAIN ABSCESS AT THIS AGE WHICH ONE IS NOT COMMON?
A;S; PYOGEN
B;STAPH AUREUS
C' MYCOPLASMA
D;VIRAL
5;TREATMENT OF ABOVE CASE
A;CEFTRIAXONE
B;CRYSTALLINE PENICILLIN
C;ZENTAMYCIN
D;VANCOMYCIN
C= A CASE OF CHOLELITHIASIS_ ___ _
1MOST COMMON ORGANISM ASSOCIATED WITH INFECTION
A; E; COLI
B;STREPTOCOCCUS
C'STAPHYLLOCOCCUS
D;SALMONELLA
2;IMMEDIATE COMLICATION OF THIS PATIENT
A;CHOLANGITIS
B;ACUTE CHOLECYSTITIS
C'PAIN/COLICK
D;ACUTE PANCREATITIS
3;BLACK COLOUR STONE IS DUE TO
A;INFECTION
B;HEMOLYSIS
C;OBSTRUCTION
D'BILE
4;CAN HAPPEN EXCEPT
A;DU PERFORATION
B=GALL STONE ILEUS
C;PANCREATITIS
DCH0LANGITIS
Compiled by Dr. JJ
5;ALL ARE TRUE EXCEPT
A;10% GALL STONES ARE RADIO OPAQUE
B;90%GALL STONES ARE DETECTED BY USG
C:90% GALL STONES ARE RADIOLUSCENT
D;10%GALL STONES ARE DETECTED BY USG
D;60 KG MAN WITH H/O BURN PRESENTD IN EMERGENCY
1;HOW WILL YOU ACCESS THE SEVERITY OF THE BURN
A;DEPTH OF THE BURN (PLEASE HELP YOURSELF TOO)
B;SURFACE AREA OF THE BURN
C;WEIGHT OF THE PATIENT
D;SEX OF THE PATIENT
2;THE PT HAS LOWER LEFT EXTREMITY BURN
WHAT IS THE % OF BURN OF THIS PATIENT?
A;9%
B;18%
C;36%
D;24%
3; WHAT IS THE FLUID REQUIREMENT FOR 24 HOUR OF THIS PATIENT
A;9L
B;12L
C;6L
D18 L
4:TRUE REGARDING BURN
A;BUBBLING IS SEEN IN SUPERFICIAL BURN
B;PAIN IS MORE IN MORE DEPTH BURN
C;CRT IS DECREASED IN SUPERFICIAL BURN
D;
5;WHICH ONE OF THE FOLLOWING MUST BE MONITERED IN THIS PATIENT
A; URINE OUTPUT
B;PAIN
C;ORAL INTAKE
D; FEVER
Compiled by Dr. JJ
PROBABLE QUESTIONS
4; A PATIENT CAME 4 HOURS AFTER THE BURN TIME HOW WILL YOU CALCULATE FLUID REQUIREMENT
A; GENERALLY 50% FLUID SHOULD BE GIVEN IN FIRST 8 HOURS
B;REST 50% FLUID SHOULD BE GIVEN IN NEXT 24 HOURS
C;IN THIS CASE 50% FLUID SHOULD BE GIVEN IN NEXT 4 HOURS
D;
5;FLUID OF CHOICE
A;NACL
B;RL
C;5% DEXTROSE
D;HYPERTONIC SALINE
E;A FIFTY YEARS MALE PT WITH MYOCARDIAL INFARCTION
1;ECG CHANGES ARE >2mm ST ELEVATION IN LEADS V1 TO V6 ;WHAT IS YOUR DIAGNOSIS
B;POSTERIOR WALL MI RSION AND ST ELEVATION IN LEAD V1 TO A;ANTEROSEPTAL MI
C;EXTENSIVE ANTERIOR WALL MI
D; INFERIOR WALL MI
2;DRUG FOR REPERFUSION
A'STREPTOKINASE
B;ASPIRIN
C;GTN
D;MORPHINE
3'MOST COMMON CAUSE OF DEATH IN 24 HR?
A VENT;;ARRYTHMIA
B;HEART FAILURE
C
4 PANSYSTOLIC MURMUR
A VSD
B;MR
C;MS
D;AR
Compiled by Dr. JJ
5; STREPTOKINASE IS GIVEN; FURTHER TREATMENT BY(TO DECREASE REMODELIN)
A;ASPIRIN
B;ACE INHIBITOR
C;B BLOCKER
D;ACE NHIBITOR+B BLOCKER+ASPIRIN
F;A CASE OF TYPE 2 DM
1'OBESE PT WITH H\O GENERALISED PRURITUS AND SERUM CREATININ LEVEL 2=5 MG%;WHAT WILL YOU GIVE
A;INSULIN
B;METFORMIN
C;METFORMIN+GLIACTAZONE
D;METFORMIN +SULPHONYLUREA
2.WHICH OF THE FOLLOWING IS NOT THE MACROVASCULAR COMPLICATION OF DM?
1;CAD
2;CEREBRAL THROMBOSIS
3;PERIPHERAL NEUROPATHY
4;
3;TRUE REGARDING TYPE 2 DM
A; IT IS ASSOCIATED WITH ADDISONS DISEASE
B;IT IS AUTOIMMUNE DISEASE
C;
4;COMPLICATION……………………
5;DM IS FOUND IN
A=THALASSEMIA PT
B IRON DEFICIENCY ANAEMIA PT
C;APLASTIC ANAEMIA PT
D;SICKLE CELL DISEASE
Compiled by Dr. JJ
G=38+ WEEKS PREGNANT LADY PRESENTED IN EMERGENCY WITH VAGINAL BLEEDING AND MILD ABDOMINAL PAIN;SHE HAS GIVEN THE H/O VAGINAL BLEEDING 8 HORS BACK
1;WHAT IS YOUR MOST PROBABLE DIAGNOSIS
A;NORMAL LABOUR
B;PP
C;AP
D;VASA RECTA
2 PREGNANT LADY AT TERM;ON EXAMINATION NO FHS HEARD HEAD AT STATION +2 WITH LATE DECELLERATION;;;DELIVERY BY
A;FORCEP
B;VENTOUSE
C;C/S
D;NORMAL DELIVERY
3;
A;
B;
C;
D;
4;
A;
B;
C;
D;
5;
A;
B;
C;
D;
H;2 MONTH PREGNANT LADY WITHC/O VOMITTING' SEVERE RIGHT ILIAC PAIN WITH RIGHT LOWER ABDOMINAL PAIN AND REBOUND TENDERNESS IS PRESENTED IN EMERGENCY
1;WHAT IS YOUR MOST PROBABLKE DIAGNOSIS?
A;ACUTE APPENDICITIS
B'RUPTURED OVARION CYST
C;ECTOPIC PREGNANCY (PLEASE HELP YOURSELF TOO)
D; INTETINAL OBSTRUCTION Compiled by Dr. JJ
2;RETENTION OF URINE IN PREGNANT LADY;MOST COMMON CAUSE
A;RETROVERTED UTERUS
B;
C;
D;
3;
A;
B;
C;
D;
4;
A;
B;
C;
D;
5;
A;
B;
C;
D;
WITH REGARDS TO ALL OF MY NEAR N DEAR ONES
BEST OF LUCK
ONCE AGAIN
PLEASE REMEMBER "KNOWLEDGE SHOULD BE SHARED NOT SHOULD BE SOLD OR BOUGHT!!!!!!"
NOTE:
NMCLE MADE EASY
COMPILED BY Dr.JJ IS AVAILABLE AT FRIENDS COMMUNICATION PHOTOCOPY CENTRE NEAR BIR HOSPITAL CANTEEN (WITH ALL OLD QUESTIONS AND NEW MODEL QUESTIONS)
Compiled by Dr. JJ
most common parotid gland tumour >> mixed (pleomorphic)
which of the following vaccine is live attenuated >> Mumps MEASLEs BCG
which of the following is the complication of Diptheria >>myocarditis
in measles rashes starts from >> FACE trunk hand
which of the following is best method for the study of Rare disease>> CASE CONTROL cohort experimeantal
Illusion is >> false interpretation of stimulaii
anti psychotic drg is indicated in >> SCHIZOPHRENIA anxiety diaorder depression
a child with odema an wt 70% >> KWASIYOKAR marasmus kwashiwokarmarasver
a child with ht 90% wt 80% with wide wrist jt bowin legs >> shunted retarded RICKETS
Koplik spot is seen in >> Typhoid MEASLEs Mumps.
a child with swellinnn on rt side of chick with tresmus a student in his class is also sufferin from the same diseae >> MUMPS parotid tumour
60yr male with horseness of voice n palpable ly node on supraclavicular ly node >> Ca. LARYNX recurrent nrv palsy vocal cord nodule
most common cause of infection in PP fever >> clamydia
most commonly affected in PP Sepsis>> ENDoMENTRIUM salphinx cervix vagina
21 ??yrs male with vomiting visible peristalisis lt to rt suc.splash + >> small bowel obs. GRASTIC OUTLET Obs. Large bowel obs.
?? yr person sputum ve TB on ATT now becomes sputum +ve after 2mt of therapy >> cnage to cat 1 chang to cat 2 ....
moutoux test is best read after >> 12 24 48 72 hrs (48)
2 mth old child can do >>> .......from motor developement
100ml of breast milk contains how much cal. >> 47 57 67 77 (67)
t/t of toxic nodule >> SURGERY medical radio iodine..
female on PP period with red hot tender rt breast >> i n d aspirate to confirm brest absess FLUCLOXACILLIN AN F/U AFTER 2 DAYS
infectivity of HBV is indicated my >> HBeAg IgMHBV
t/t of choice of t.solium > Py Meb Alb (praz)
opth. neonatarumi s caused by >> ghonorria stap strep
pt with couldnot see far n near obj with pain eye>> glaucoma presy.
??t/t of iritis >>atropin .......
with neoplasm usually venot mets at time of dia. > SSC RCC Malig. melanoma BASAL CELL Ca.
gomet insertion in >> GLUE EAR CSOM ASOM...
ext. pyramadal rxn >> haloperidol
not ADR of Ketamin>> halucination dissociative ana. inc. IOP bradycard.
IODINE day >> ????
which doesn't cause empyma in child >> stap strep myco N.
a clinical que from Rheumatic hrt disease ??
a clinical que from MS??
comprehension ques. each carry 1 marks
9mth child ..
common cause of meningitis >> H inf
csf finding >> >100 wbc with neutro indominent
t/t >> Cefuro..
common compli>??
one i can't remember
Turner synd.
genetic abn > 46 X 45X 46 XXY 45XXY
common associaeed contd > VSD ASD Co. Of Aorta PDA
common associated kidney disorder > horse shoe kidney
t/t >growth hormone
not found > ht tall ht short web neck ......
MI
in chest >2mm ST elevation >> ant MI Ant septal MI. massive ant MI
drg for ?? reperfusion >> streptokinase?? aspirin GTN.
coz of death in 1st 24 hr >> venti arry CCF....
which drg comb. prevent decrease pain n prevent remodelin >> O2 morphine b block aspisin ACE inhibit.
pansystolic murmur coz?>> VSD MR MS
burn
to calculate % of burn <rule of nine>
fluid requirement (parkland formula)
TOTAL MARKS :240
PASS MARKS : ALL TOGETHER 120( 50%)
TIME: 2 HRS
PLACE: AS PER NMC NOTICE
GROUP A
100 MCQS –EACH CARRY 2 MARKS
MAJORITY OF THE QUESTIONS WILL BE FROM 4 MAJOR SUBJECTS
1.MEDICINE
2.SURGERY
3.OBG
4. PAEDIATRICS
4 QUESTIONS EACH FROM:PSYCHIATRY DERMATOLOGY ENT OPHTHALMOLOGY FORE NSIC MEDICINE PUBLIC HEALTH
SOMETIMES 1 QUESTION EACH FROM :ANAESTHESIA RADIOLOGY DENTISTRY
NOTE THE PATTERN MAY CHANGE
GROUP :B
CSQS ( EACH I MAJOR QUESTIONS HAVE 5 MULTIPLE CHOICE QUESTIONS)
8X5 : 40
FROM EACH MAJOR SUBJECTS 2 QUESTIONS (TOPICS)WILL BE THERE
NMCLE POUSH 7 TH 2064 (22 DECMBER 2007)
CORRECT ANSWERS ARE GIVEN IN BOLD ITALIC LETTERS. PLEASE HELP YOURSELF REGARDING UNANSWERED QUESTIONS AND IF ANY DOUBT ABOUT HIGH LIGHTED ANSWERS
GROUP A
1;WHICH OF THE FOLLOWING IS TRUE
A;ACIDIC DRUGS ARE BEST IONISED IN ACIDIC MEDIUM
B;GENTAMYCIN IS GIVEN I;V AS IT IS UNIONISED IN GIT
C;ASPIRIN;;;;;;;;;;;;;;;;;;
D;
2;ILLUSION IS
A;MIS INTERPRETATION
B;MISBELIEF
C;FALSE BELIEF
D;FALSE MEMORY
3;B BLOCKER SHOULD BE AVOIDED IN
A;HT
B;ARRHYTHMIA
C;CCF
D;MI
4;A PT; WITH SPUTUM NEGATIVE PULMONARY TB IS TREATED WITH CATEGORY 3 REGIMEN OF WHO FOR 2 MONTHS AND HE BECAME SPUTUM POSITIVE AT THE END OF 2 MONTH;HOW WILL YOU TREAT THIS PT; FURTHER?
A;STOP THIS REGIMEN AND START WITH CAT=1
B;STOP THIS REGIMEN AND START WITH CAT;2
C;CONTINUE THIS REGIMEN AND RECHECK SPUTUM AT 5 MONTHS
D;SWITCH TO 2ND LINE DRUGS
5;CLUBBING IS NOT FOUND IN
A;BRONCHIECTASIS
B;TUBERCULOSIS
C;LEFT TO RIGHT SHUNT
D;CYSTIC FIBROSIS
Compiled by Dr. JJ
6;A PT WITH ORGANOPHOSPHORUS POISONING IS BEING TREATED BY ATROPINE IN THE WARD;HIS BOTH PUPILS ARE DILATED ;DEVELOPS FEVER AND IS TACHYPNOIEC ;SUDDENLY HE DEVELOPS CONVULSION;WHAT WILL YOU DO;;;;;;;;;;;;;;;;
A;START PRALIDOXIME
B;GIVE IV MIDAZOLAM
C;GIVE PHENYTOIN
D;STOP ATROPINE AND WATCH
7;A 35 YEARS FEMALE HAS SOLITARY THYROID NODULE;WHAT WILL YOU ADVICE?
A;ANTITHYROID DRUGS
B;SURGERY
C;RADIO IODINE
D;OBSERVATION
8;A 40 YEARS MALE HAS DEVELOPED BRONCHIAL ASTHMA;WHAT WILL YOU ADVICE
A;TERBUTALINE NEBULIZER
B;STEROID THERAPY
C;THEOPHYLLINE
D;MONTELUKAST THERAPY
9;1 GM HEMOGLOBIN COMBINES WITH
A;1.35MLO2
B;2;35ML O2
C'0=35 ML O2
D;35 ML 02
10;WHICH OF THE FOLLOWING ANTIBIOTIC IS C\I IN SUSPECTED TB PT?
A;AMOXYCILLIN
B;TETRACYCLINE
C;OFLOXACIN
D AZITHROMYCIN
11;PARONYCHIA IS A INFECTION OF
A;NAIL BED
B'PULP OF THE NAIL
C;APEX OF THE NAIL
D;BASE OF THE NAIL
12;A DEHYDRATD PT HAS FEVER;WHICH OF THE FOLLOWING COMPLICATION OCCURS FIRST
Compiled by Dr. JJ
A;RESPIRATORY ACIDOSIS
B;METABOLIC ACIDOSIS (please help yourself too)
C;RESPIRATORY ALKALOSIS
D;METABOLIC ALKALOSIS
13;WHICH OF THE FOLLOWING IS NOT THE MACROVASCULAR COMPLICATION OF DM
A;CAD
B;CEREBRAL THROMBOSIS
C;PERIPHERAL NEUROPATHY
D;
14; CAUSE
A;ENDOCARDITIS
B;MYOCARDITIS
C;PERICARDITIS
D;PANCARDITIS
15 A PT; CAME WITH ALCOHOL POISONING IN THE EMERGENCY DEPARTMENT WHERE YOU ARE MEDICAL OFFICER;WHAT WILL YOU DO
A;GIVE WATER
B;GIVE 3;5%HYPERTONIC SALINE
C;METHYL ALCOHOL (please help yourself too)
D;ETHYL ALCOHOL
16; A POOR FARMER FROM PHOOLBARI VDC NEAR DHANGADHI CAME IN THE OPD WITHOUT SLIPPER AND PROPER DRESS WITH THE H/O LOSS OF APPETITE ;WEIGHT LOSS AND IS ICTERIC ON EXAMINATION;WHAT COULD BE THE POSSIBLE DIAGNOSIS
A;AMOEBIASIS
B;GIARDIASIS
C;ASCARIASIS
D;HOOKWORM INFESTATION
17;DIABETES IS SUSPECTED IF THE FASTING BLOOD SUGAR IS ABOVE
A;116MG%
B;126MG%
C;140MG%
D;200MG%
18;HUMAN MILK PROVIDES
A;47KCAL
B;57KCAL Compiled by Dr. JJ
C;67KCAL (please help yourself too)
D;77KCAL
19;WHICH OF THE FOLLOWING IS NOT MACROLIDES;;
A;TETRACYCLINE
B;AZITHROMYCIN
C;ERYTHROMYCIN
D;ROSITHROMYCIN
20; A PERSON WITH DAMAGED MITRAL VALVE DEVELOPS ENDOCARDITIS;THE MOST COMMON ORGANISM IS;;;
A;S;VIRIDANS
B;STAPH EPIDEMIDIS (please help yourself too)
C;H;INFLUENZAE
D;S;MITIS
21;A 26 YEARS MALE STARTS MICTURITION;WHAT WILL BE THE PRESSURE INSIDE URINARY BLADDER?
A;15
B;25
C;35
D;45
22;A 6 MOTH CHILD CAME IN THE OPD WITH POSTERIOR TRIANGLE SWELLING IN THE NECK;WHAT COULD BE THE POSSIBLE CAUSE?
A;THYROGLOSSAL CYST
B;LIPOMA
C;CYSTIC HYGROMA
D;THYROID SWELLING
23;A LACTATING MOTHER CAME TO YOUR OPD WITH RIGHT BREAST SWELLING;ON EXAMINATION FOUND RED;TENDERNESS AND SWOLLEN;;;;SUSPECT BREAST ABSCESS
WHAT IS YOUR NEXT STEP
A;ASPIRATE AND CONFIRM ABSCESS (please help yourself too)
B;GIVE ANTIBIOTIC AND ASK HER TO COME AFTER 3 DAYS
C;INCISION AND DRAINAGE
D;CONFIRM ABSCESS BY ULTRASOUND
24;VASECTOMY MOST COMMAN COMPLICATION
A;HEMATOMA
B;VARICOCELE Compiled by Dr. JJ
C; SPONTANEOUS RECANALIZATION OF CORD
D;
25; A 27 YEARS OLD MALE PATIENT HAS FOUND PATENT PROCESSUS VAGINALIS;WHAT COULD BE THE POSSIBLE COMPLICATION/DIAGNOSIS;;
A;INGUINAL HERNIA
B;DIRECT HERNIA
C;HYDROCOELE
D TESTICULOUR TUMOUR
26;PAROTID TUMOUR MOST COMMON
A;
B;
C;
D;
27;WHICH OF THE FOLLOWING DEVELOPS IN THE FIRST POST OPERATIVE DAY?
A;ATELACTASIS
B;FEVER
C;DVT
D;INFECTION `1
28;A PT; SUDDENLY PRESENTS MASS OUTSIDE THE ANAL CANAL WITH SOME BLOOD STREAKS IN THE STOOL;AFTER 2 HRS LATER WHILE DEFECATION SIMILAR EVENTS OCCURRED;WHAT COULD BE THE MOST POSSIBLE CAUSE;;;;;;;;
A;HEMORRHOIDS
B;ANAL FISSURE
C;ANAL FISTULA
D;PROLAPSE OF THE RECTUM
29;A PT WITH SIGNS OF DEHYDRATION AND ALTERED SENSORIUM ADMITTED TO THE EMERGENCY DEPARTMENT WITH SERUM SODIUM LEVEL 115MEQ/L;WHICH FLUID WILL YOU PREFER;;;;;;;;;;;;;
A;5%DEXTROSE
B;0.9%NACL
C;RL
D;3=5%HYPERTONIC SALINE
Compiled by Dr. JJ
30;A 32 YEARS OLD PATIENT STARTS NON BILEOUS PROJECTILE VOMITTING WITH CONTAINS OF FOOD PARTICLES AND HAS DISTENDED
A BDOMEN WITH VISIBLE PERISTALSIS AND CIRCUM SPLASH IS ADMITTED IN YOUR WARD;WHAT COULD BE YOUR MOST PROBABLE DIAGNOSIS''''
A:GASTRIC OUTLET OBSTRUCTION
B;SMALL INTESTINE OBSTRUCTION
C;LARGE INTESTINE OBSTRUCTION
D;ESOPHAGEAL STRICTURE
31;A 2 MONTHS CHILD CAN;;;
A;HOLD HEAD ON VENTRAL SUSPENSION
B;HAS PROTECTIVE REFLEX AGAINST EXTERNAL STIMULI
C;
D;
32;A CHILD HAS 70%BODY WT OF HIS EXPECTED WT AT THAT AGE WITH OEDEMA;;;WHICH ONE IS TRUE
A;MARASMUS
B:KWASHIWORKER
C;STUNTED
D;UNDERNUTRITION
33;A MODERATELY DEHYDRATED CHILD IS IN YOUR HOSPITAL;WHAT IS THE FLUID REQUIREMENT FOR FIRST 4 HOUR
A;100ML/KG
B;75 ML/KG
C;65ML/KG
D;50ML/KG
34;A 8 YEARS CHILD WITH PUFFINESS OF THE FACE AND PERIORBITAL OEDEMA WHICH LATER DEVELOPS IN LOWER EXTREMITIES;;WHAT IS THE MOST PROBABLE CAUSE?
A;NEPHROTIC SYNDROME
B;NEPHRITIS
C;CUSHING SYNDROME
D;DOWNS SYNDROME
35;NEPHRITIS FALSE
A;HYPOTENSION
B;OLIGIRIA
C;HEMATURIA
D;OEDEMA
36;B THALASSEMIA CHOOSE THE CORRECT ONE
A;BOTH A AND B CHAIN INCREASED Compiled by Dr. JJ
B;BOTH A AND B CHAIN DECREASED
C;A CHAIN INCREASED AND B CHAIN DECREASED
D;B CHAIN INCREASED AND A CHAIN DECREASED (please help yourself too)
37;ADOLESCENCE PERIOD
A;10 19YEARS
B;13 19YEARS
C;13 24 YEARS
D;8 27YEARS
38;MENORRHAGIA IS A COMMON FEATURE OF;;;;
A;FIBROID
B;CA CERVIX
C;OVARION TUMOUR
D;
39;UTERUS NERVE SUPPLY
A;HYPOGASTRIC PLEXUS
B
C
D
40 UTI IN PREGNANCY ;SAFE DRUG
A=CIPROFLOXACIN
B;NITROFURANTOIN
C;OFLOXACIN
D ZENTAMYCIN
41;PID COMMENEST CAUSATIVE AGENT
A;CHLAMYDIA
B;ECOLI
C;SALMONELLA
D;STREPTOCOCCUS
42;A PREGNANT LADY WITH BLOOD GROUP A POSITIBE NEEDS IMMEDIATE BLOOD TRANSFUSION AFTER DELIVERY;BUT THAT BLOOD GROUP IS NOT FOUND;WHAT WILL YOU DO?
A;GIVE A NEG; BLOOD GROUP
B;GIVE O NEGATIVE BLOOD GROUP
C;GIVE AB POSITIVE BLOOD GROUP
D; GIVE B POITIVE BLOOD GROUP
43;PAP SMEAR IS TAKEN FROM Compiled by Dr. JJ
A;ANTERIOR FORNIX
B;LATERAL FORNIX
C;ALL FORNIX
D;CERVIX
44;38+W PREGNANT LADY HAS DEVELOD PAINLESS BLEEDING PER VAGINA WITHOUT ABDOMINAL PAIN;COMMONEST CAUSE
A;PLACENTA PREVIA
B;ABRUPTIO PLACENTA
C'; ABORTION
D;STILL BIRTH
45;ANTI TB DRUG AVOIDED IN PREGNANCY
A=ISONIAZID
B;RIFAMPICIN
C;PYRAZINAMIDE
D;STREPTOMYCIN
46;A 42 + WEEKS PREGNANT LADY WITH ABDOMINAL PAIN AND NOT FULLY DILATED CERVIX HAS DONE ARM ;WHAT WILL BE YOUR NEXT STEP
A;AUGMENTATION BY OXYTOCIN
B;INDUCTION BY OXYTOCIN
C;APPLY CERVIPRIME GEL LOCALLY
D;GIVE PROSTAGLANDIS FOR INDUCTION
47;KOPLIK SPOT IS SEEN IN
A;MEASLES
B;TYPHOID
C;CHICKEN POX
D;MUMPS
48;A 5 YEARS OLD CHILD HAS DIFFICULTY IN OPENING THE MOUTH; UNILATERAL PAROTID SWELLING AND FEW DAYS BEFORE HIS CLASSMATE HAD ALSO DEVELOPED THE SIMILAR SWELLING;WHAT COULD BE THE MOST COMMON CAUSE;;
A;DIPTHERIA
B'MUMPS
C;TETANUS
D;RUBELLA
49;MOST COMMON COMPLICATION OF DIPTHERIA
A;PERITONSIOLLAR ABCESS
B;ORAL THRUSH Compiled by Dr. JJ
C;MYOCARDITIS (please help yourself too)
D;MENINGITIS
50;MEASLES RASHES FIRST APPEARS IN
A;FACE
B;TRUNK
C;ABDOMEN
D;HANDS
51;CYSTICERCOSIS –DRUG OF CHOICE
A;PYRANTEL PAMOATE
B;ALBENDAZOLE
C;NICLOSAMIDE
D;MEBENDAZOLE
52;A PT WITH PLASMODIUM FALCIPARUM MALARIA CAME TO YOUR OPD;WHAT WILL BE YOUR INITIAL TREATMENT
A; TAB;CHLOROQUINE BASE 600 MG FOLLOWED BY CHLOROQINE BASE 3OO MG IN NEXT 6 HR AND 300 MG FOR 2 MORE DAYS
B;IV QUININE WITH 10% DEXTROSE
C;
D;
53;JE IS TRANSMITTD FROM
A;CULEX MOSQUITO
BAEDES MOSQUITO
C;ANOPHELES MOSQUITO
D;
54;TRIAGE
A;
B;
C;
D;
55;RARE CAUSES ARE STUDIED UNDER
A;DESCRITIVE STUDY
B;ANALYTIC
C;EXPERIMENTAL
D;RETROSPECTIVE
56;IMR
A=THE NUMERATOR INCLUDES CHILD OF AGE LESS THAN 28 DAYS
B;LESS THAN 7 DAYS
C;LESS THAN 1 YEAR
D;LESS THAN 2 MONTHS Compiled by Dr. JJ
57;LIVE ATTENUATED VACCINE
A;BCG
B;DPT
C;HEPATITS
D;SALK
58;HIV BY NEEDLE PRICK TRANSMITTED
A;0.3%
B;3%
C;10%
D;20%
59;OCP MECHANISM
A;SUPRESS LH BY NEGATIVE FEED BACK MECHANISM AND PREVENT S OVULATION
B;
C;
D;
60;LIFE LONG IMMUNITY IS ACHIEVED BY
A'DIPTHERIA
B;TETANUS
C;MUMPS
D;TYPHOID
61;KETAMINE FALSE
A;NYSTAGMUS
B;HALLUCINATION
C;SALIVATION
D;HYPOTENSION
62;WHICH OF THE FOLLOWING IS PAIRED CARTILAGE
A;THYROID CARTILAGE
B;CRICOID CARTILAGE
C;EPIGLOTTIS
D;CORNICULATE
63;SINUS NOT PRESENT AT BIRTH
A;FRONTAL
B;MAXILLARY
C;ETHMOIDAL
D;SPHENOID
Compiled by Dr. JJ
64;GROMET INSERTION IS DONE IN
A;GLUE EAR(RUPTURED TM)
B;FUNGAL INFECTION
C;OTOSCLEROSIS
D;FOREIGN BODY IN EXTERNAL EAR
65;60 YEARS MALE PRESENTED IN YOUR OPD WITH THE COMPLAIN OF HOARSENESS OF VOICE AND H/O SMOKING; MOST PROBABLE DIAGNOSIS IS
A;B/L RECURRENT LARYNGEAL NV PALSY
B;CARCINOMA OF THE LARYNX
C;PHARYNGITIS
D;FB OBSTRUCTION
66;IN SCABIES THERE IS
A;VESICLE
B;PAPULES
C;BULLA
D;BURROW
67;PAUCIBACILLARY SINGLE LESION TUBERCULOID LEPROSY IS BEST TREATED BY
A;CLOFAZAMINE
B;DAPSONE
C;AMPHOTERICIN B
D;TETRACYCLINE
68;A MAN HAS HABBIT OF PRICKING HAIRS IN BEARD SHAVING AREA AND THE HAIRS PRICK EASILY
A;PSYCHIOSIS BARBIE
B;TINEA BARBIE
C;
D;
69;EPS IS CAUSD BY
A;HALOPERIDOL
B;RESPERIDONE
C;OLANZAPINE
D;PHENYL HEXIDINE
70;ANTIPSYCHOTIC DRUG IS USED IN
A;DEPRESSION
B;ANXIETY DISORDER
C;SCHIZOPHRENIA Compiled by Dr. JJ
D;NEUROSIS
71;A PT ON TRICYCLIC ANTIDEPRESSION DRUG HAS TAKEN OVERDOSE;WHAT COULD BE THE MOST COMMON COMPLICATION
A;LARYNGOSPASM
B;ARRHYTHMIA
C;DIARRHOEA
D;CEREBRAL OEDEMA
72;A PT WITH LIVER DISESE SICE LAST 3 MONTHS IS UNDER TREATMENT AND HE FINDS HIMSELF THAT HE IS NOT IMPROVING ;HE IS IN HOME STAY FOR LONG TIME;NOW HE IS IRRITATVE AND THINKS HE IS NOT GOING TO BE ALRIGHT AND IS SAD;WHAT HAS HAPPENED TO HIM
A;GENERALISED ANXIETY DISORDER
B;DEPRESSION
C;PSYCHOSIS
D;ORGANIC MENTAL DISESE
73; IN A CASE OF DIABETIC RETINOPATHY THE EARLIER SIGN IS:
A;RETINAL HEMORRHAGE
B;SOFT EXUDATES
C;HARD SXUDATES
D;PAPILOEDMA
74;IRIDOCYCLITIS PATIENT; WHAT WILL YOU GIVE
A;ASPIRIN
B;ANTBIOTIC
C;STEROID
D ;ACETOZOLAMIDE
75;A 60 YEARS OLD MAN WITH H/O GRADUAL LOSS OF VISION WITH MILD PAIN AND H/O HEADACHE BLURRING OF VISION ;WHAT IS YOUR MOST PROBABLE DIAGNOSIS
A;CATARACT
B;PRESBYOPIA
C;ACUTE GLAUCOMA
D;CONJUNCTIVITIS
76;AGE ESTIMATION CAN BE DONE BY:
A:ATTRITION
B;DENTITION
C;BONE CALCIFICATION
D; Compiled by Dr. JJ
77;MUGGING IS
A;
B;
C;
D;
78;COBRA VENOM IS
A;CARDIOTOXIC
B;NEUROTOXIC
C;HEPATOTOXIC
D;GIT TOXIC
79;WHICH OF THE FOLLOWING IS DEVELOPED FROM SHAFT OF THE BONE
A;OSTEOCLASTOMA
B;OSTEOID OSTE0MAS
C;EWING SARCOMA
D;
80;COMPARTMENT SYNDROME IS MORE DANGER WHEN IT IS IN
A;LOWER END OF FEMUR
B;UPPER END OF HUMERUS
C;LOWER END OF TIBIA
D;LOWE END OF HUMERUS
81;ORTHOPAEDIC EMERGENCY
A;SEPTIC ARTHRITIS
B;FRACTURE NECK OF FEMUR
C;FRACTURE SKULL
D;RHEUMATOID ARTHRITIS
82; FRACTURE OF SHAFT OF FEMUR TREATMENT IN CHILD OF 2 YRS
A;ABOBE KNEE PLASTER
B;
C;
D;
83 .WHICH OF THE FOLLOWING INVESTIGATION IS ORDERED FOR MAXIMUM INFECTIVE PERIOD IN HEPATITIS B PATIENT?
A;HBsAg
B.HBcAg
C;HBeAg
D;ANTI HCV
Compiled by Dr. JJ
84;WHICH OF THE FOLLOWING DISEASE IS BENIGN?
A;BASAL CELL CARCINOMA
B;MALIGNANT MELANOMA
C;SQUAMOUS CELL CARCINOMA
D;
85;IODINE DAY IN NEPAL
A. B; C; D ??????HELP YOURSELF
86;OPHTHALMIA NEONATORUM MOST COMMON ORGANISM
A.N.GONORRHOEA
B;STREPTOCOCCUS
C;H;INFLUENZAE
D;STAPH AUREUS
87.10 YEARS OLD CHILD WITH MULTIPLE LARGE JOINT PAINS FOR TWO WEEKS;MOST PROBABLE DIAGNOSIS IS
A;JRA
B;ACUTE RHEUMATIC FEVER
C;SEPTIC ARTHRITIS
D;OSTEOARTHRITIS
89;TREATMENT OF PARAPHIMOSIS
A;CIRCUMCISION
B;MULTIPLE PUNCTURE OF GLANDS
C;
D;
90. CLINICAL QUESTION REGARDING REFERRED PAIN FROM CHEST TO SHOULDER
91;ONWARDS COULD NOT REMEMBERED
GROUP :B
A= A 4 YEARS OLD CHILD PRESENTED TO YOU WITH TURNER SYNDROME
1' WHAT WILL BE THE XENOTYPE OF THIS PATIENT?
A;45XXY
B'45XO
C;47XXY
D'47XYY
2'WHICH OF THE FOLLOWING FINDINGS IS PRESENT IN THIS PATIENT?
A'VSD
B'COARCTATION OF AORTA
C'ENDOCARDIAL CUSHION DEFECT
D'TGA
3'WHICH OF THE FOLLOWING IS ASSOCIATED WITH TURNER SYNDROME?
A'PCKD
B'HOARSE SHOE KIDNEY
C;MINIMAL CHANGE DISEASE
D'AGN
4'WHICH OF THE FOLLOWING IS FASE?
A;SHORT STATURE
B HEIGHT TALL
C;
D;
5;TREATMENT OF TURNER SYNDROME?
A;GROWTH HORMONE
B;TSH
C;STEROID
D;DDAVP
B;9 MONTH OLD CHILD WITH FEATURES OF MENINGITIS
1MOST COMMAN 'CAUSATIVE AGENT ?
A'KLEBSIELLA
B'H'INFLUENZAE
C'S;PNEUMONIAE
D;ECOLI
2;TRUE REGARDING CSF FINDINGS
A;CELL COUNT 650 WITH MOSTLY NEUTROPHILS
B;PROTEIN:20 GM
C;SUGAR 45MG%
D'CELL COUNTS 200 WITH MOSTLY LYMPHOCYTES
3;TRUE REGARDING BRUDGKISKY SIGN
A;NECK PAIN WHILE PASSIVE FLEXION OF NECK
B;FLEXION OF KNEE WHILE BENDING NECK Compiled by Dr. JJ
C;PAIN ON THIGH WHILE BENDING NECK
D;NECK STIFFNESS
4;REGARDING BRAIN ABSCESS AT THIS AGE WHICH ONE IS NOT COMMON?
A;S; PYOGEN
B;STAPH AUREUS
C' MYCOPLASMA
D;VIRAL
5;TREATMENT OF ABOVE CASE
A;CEFTRIAXONE
B;CRYSTALLINE PENICILLIN
C;ZENTAMYCIN
D;VANCOMYCIN
C= A CASE OF CHOLELITHIASIS_ ___ _
1MOST COMMON ORGANISM ASSOCIATED WITH INFECTION
A; E; COLI
B;STREPTOCOCCUS
C'STAPHYLLOCOCCUS
D;SALMONELLA
2;IMMEDIATE COMLICATION OF THIS PATIENT
A;CHOLANGITIS
B;ACUTE CHOLECYSTITIS
C'PAIN/COLICK
D;ACUTE PANCREATITIS
3;BLACK COLOUR STONE IS DUE TO
A;INFECTION
B;HEMOLYSIS
C;OBSTRUCTION
D'BILE
4;CAN HAPPEN EXCEPT
A;DU PERFORATION
B=GALL STONE ILEUS
C;PANCREATITIS
DCH0LANGITIS
Compiled by Dr. JJ
5;ALL ARE TRUE EXCEPT
A;10% GALL STONES ARE RADIO OPAQUE
B;90%GALL STONES ARE DETECTED BY USG
C:90% GALL STONES ARE RADIOLUSCENT
D;10%GALL STONES ARE DETECTED BY USG
D;60 KG MAN WITH H/O BURN PRESENTD IN EMERGENCY
1;HOW WILL YOU ACCESS THE SEVERITY OF THE BURN
A;DEPTH OF THE BURN (PLEASE HELP YOURSELF TOO)
B;SURFACE AREA OF THE BURN
C;WEIGHT OF THE PATIENT
D;SEX OF THE PATIENT
2;THE PT HAS LOWER LEFT EXTREMITY BURN
WHAT IS THE % OF BURN OF THIS PATIENT?
A;9%
B;18%
C;36%
D;24%
3; WHAT IS THE FLUID REQUIREMENT FOR 24 HOUR OF THIS PATIENT
A;9L
B;12L
C;6L
D18 L
4:TRUE REGARDING BURN
A;BUBBLING IS SEEN IN SUPERFICIAL BURN
B;PAIN IS MORE IN MORE DEPTH BURN
C;CRT IS DECREASED IN SUPERFICIAL BURN
D;
5;WHICH ONE OF THE FOLLOWING MUST BE MONITERED IN THIS PATIENT
A; URINE OUTPUT
B;PAIN
C;ORAL INTAKE
D; FEVER
Compiled by Dr. JJ
PROBABLE QUESTIONS
4; A PATIENT CAME 4 HOURS AFTER THE BURN TIME HOW WILL YOU CALCULATE FLUID REQUIREMENT
A; GENERALLY 50% FLUID SHOULD BE GIVEN IN FIRST 8 HOURS
B;REST 50% FLUID SHOULD BE GIVEN IN NEXT 24 HOURS
C;IN THIS CASE 50% FLUID SHOULD BE GIVEN IN NEXT 4 HOURS
D;
5;FLUID OF CHOICE
A;NACL
B;RL
C;5% DEXTROSE
D;HYPERTONIC SALINE
E;A FIFTY YEARS MALE PT WITH MYOCARDIAL INFARCTION
1;ECG CHANGES ARE >2mm ST ELEVATION IN LEADS V1 TO V6 ;WHAT IS YOUR DIAGNOSIS
B;POSTERIOR WALL MI RSION AND ST ELEVATION IN LEAD V1 TO A;ANTEROSEPTAL MI
C;EXTENSIVE ANTERIOR WALL MI
D; INFERIOR WALL MI
2;DRUG FOR REPERFUSION
A'STREPTOKINASE
B;ASPIRIN
C;GTN
D;MORPHINE
3'MOST COMMON CAUSE OF DEATH IN 24 HR?
A VENT;;ARRYTHMIA
B;HEART FAILURE
C
4 PANSYSTOLIC MURMUR
A VSD
B;MR
C;MS
D;AR
Compiled by Dr. JJ
5; STREPTOKINASE IS GIVEN; FURTHER TREATMENT BY(TO DECREASE REMODELIN)
A;ASPIRIN
B;ACE INHIBITOR
C;B BLOCKER
D;ACE NHIBITOR+B BLOCKER+ASPIRIN
F;A CASE OF TYPE 2 DM
1'OBESE PT WITH H\O GENERALISED PRURITUS AND SERUM CREATININ LEVEL 2=5 MG%;WHAT WILL YOU GIVE
A;INSULIN
B;METFORMIN
C;METFORMIN+GLIACTAZONE
D;METFORMIN +SULPHONYLUREA
2.WHICH OF THE FOLLOWING IS NOT THE MACROVASCULAR COMPLICATION OF DM?
1;CAD
2;CEREBRAL THROMBOSIS
3;PERIPHERAL NEUROPATHY
4;
3;TRUE REGARDING TYPE 2 DM
A; IT IS ASSOCIATED WITH ADDISONS DISEASE
B;IT IS AUTOIMMUNE DISEASE
C;
4;COMPLICATION……………………
5;DM IS FOUND IN
A=THALASSEMIA PT
B IRON DEFICIENCY ANAEMIA PT
C;APLASTIC ANAEMIA PT
D;SICKLE CELL DISEASE
Compiled by Dr. JJ
G=38+ WEEKS PREGNANT LADY PRESENTED IN EMERGENCY WITH VAGINAL BLEEDING AND MILD ABDOMINAL PAIN;SHE HAS GIVEN THE H/O VAGINAL BLEEDING 8 HORS BACK
1;WHAT IS YOUR MOST PROBABLE DIAGNOSIS
A;NORMAL LABOUR
B;PP
C;AP
D;VASA RECTA
2 PREGNANT LADY AT TERM;ON EXAMINATION NO FHS HEARD HEAD AT STATION +2 WITH LATE DECELLERATION;;;DELIVERY BY
A;FORCEP
B;VENTOUSE
C;C/S
D;NORMAL DELIVERY
3;
A;
B;
C;
D;
4;
A;
B;
C;
D;
5;
A;
B;
C;
D;
H;2 MONTH PREGNANT LADY WITHC/O VOMITTING' SEVERE RIGHT ILIAC PAIN WITH RIGHT LOWER ABDOMINAL PAIN AND REBOUND TENDERNESS IS PRESENTED IN EMERGENCY
1;WHAT IS YOUR MOST PROBABLKE DIAGNOSIS?
A;ACUTE APPENDICITIS
B'RUPTURED OVARION CYST
C;ECTOPIC PREGNANCY (PLEASE HELP YOURSELF TOO)
D; INTETINAL OBSTRUCTION Compiled by Dr. JJ
2;RETENTION OF URINE IN PREGNANT LADY;MOST COMMON CAUSE
A;RETROVERTED UTERUS
B;
C;
D;
3;
A;
B;
C;
D;
4;
A;
B;
C;
D;
5;
A;
B;
C;
D;
WITH REGARDS TO ALL OF MY NEAR N DEAR ONES
BEST OF LUCK
ONCE AGAIN
PLEASE REMEMBER "KNOWLEDGE SHOULD BE SHARED NOT SHOULD BE SOLD OR BOUGHT!!!!!!"
NOTE:
NMCLE MADE EASY
COMPILED BY Dr.JJ IS AVAILABLE AT FRIENDS COMMUNICATION PHOTOCOPY CENTRE NEAR BIR HOSPITAL CANTEEN (WITH ALL OLD QUESTIONS AND NEW MODEL QUESTIONS)
Compiled by Dr. JJ
most common parotid gland tumour >> mixed (pleomorphic)
which of the following vaccine is live attenuated >> Mumps MEASLEs BCG
which of the following is the complication of Diptheria >>myocarditis
in measles rashes starts from >> FACE trunk hand
which of the following is best method for the study of Rare disease>> CASE CONTROL cohort experimeantal
Illusion is >> false interpretation of stimulaii
anti psychotic drg is indicated in >> SCHIZOPHRENIA anxiety diaorder depression
a child with odema an wt 70% >> KWASIYOKAR marasmus kwashiwokarmarasver
a child with ht 90% wt 80% with wide wrist jt bowin legs >> shunted retarded RICKETS
Koplik spot is seen in >> Typhoid MEASLEs Mumps.
a child with swellinnn on rt side of chick with tresmus a student in his class is also sufferin from the same diseae >> MUMPS parotid tumour
60yr male with horseness of voice n palpable ly node on supraclavicular ly node >> Ca. LARYNX recurrent nrv palsy vocal cord nodule
most common cause of infection in PP fever >> clamydia
most commonly affected in PP Sepsis>> ENDoMENTRIUM salphinx cervix vagina
21 ??yrs male with vomiting visible peristalisis lt to rt suc.splash + >> small bowel obs. GRASTIC OUTLET Obs. Large bowel obs.
?? yr person sputum ve TB on ATT now becomes sputum +ve after 2mt of therapy >> cnage to cat 1 chang to cat 2 ....
moutoux test is best read after >> 12 24 48 72 hrs (48)
2 mth old child can do >>> .......from motor developement
100ml of breast milk contains how much cal. >> 47 57 67 77 (67)
t/t of toxic nodule >> SURGERY medical radio iodine..
female on PP period with red hot tender rt breast >> i n d aspirate to confirm brest absess FLUCLOXACILLIN AN F/U AFTER 2 DAYS
infectivity of HBV is indicated my >> HBeAg IgMHBV
t/t of choice of t.solium > Py Meb Alb (praz)
opth. neonatarumi s caused by >> ghonorria stap strep
pt with couldnot see far n near obj with pain eye>> glaucoma presy.
??t/t of iritis >>atropin .......
with neoplasm usually venot mets at time of dia. > SSC RCC Malig. melanoma BASAL CELL Ca.
gomet insertion in >> GLUE EAR CSOM ASOM...
ext. pyramadal rxn >> haloperidol
not ADR of Ketamin>> halucination dissociative ana. inc. IOP bradycard.
IODINE day >> ????
which doesn't cause empyma in child >> stap strep myco N.
a clinical que from Rheumatic hrt disease ??
a clinical que from MS??
comprehension ques. each carry 1 marks
9mth child ..
common cause of meningitis >> H inf
csf finding >> >100 wbc with neutro indominent
t/t >> Cefuro..
common compli>??
one i can't remember
Turner synd.
genetic abn > 46 X 45X 46 XXY 45XXY
common associaeed contd > VSD ASD Co. Of Aorta PDA
common associated kidney disorder > horse shoe kidney
t/t >growth hormone
not found > ht tall ht short web neck ......
MI
in chest >2mm ST elevation >> ant MI Ant septal MI. massive ant MI
drg for ?? reperfusion >> streptokinase?? aspirin GTN.
coz of death in 1st 24 hr >> venti arry CCF....
which drg comb. prevent decrease pain n prevent remodelin >> O2 morphine b block aspisin ACE inhibit.
pansystolic murmur coz?>> VSD MR MS
burn
to calculate % of burn <rule of nine>
fluid requirement (parkland formula)
