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2nd October ,2010NMCLE Questions

2nd October ,2010NMCLE Questions

1. Which Anti tuberculousis drug side effect is peripheral neuropathy?
   • Ethambutol b) rifampicin c) isonaizid d)streptomycin
2. A couple comes to you for family planning . They have five children and their family is complete. The youngest son is 5 years old .The mother is obesed. What would you suggest?
   • a) vasectomy b) tubectomy c) minilap
3. Philadelphia chromosome is seen in
   • a) AML b) ALL c) CML d) CLL
4. Reedsternberg cell is seen in
   • a) Non-Hodgkns lymphoma b) Hodgkins lymphoma c) Leukemia d) megaloblastic anemia
5. Which anti-coagulant is contraindicated in pregnancy?
   • a) heparin b) warfarin c) aspirin
6. A 57 year woman travels by 7 hour flight. She comes to the ER with a complain of chest pain and dyspnoea. Where is the origin of embolus?
   • a) heart b) lung c) calf region of the legs d) brain
7. Three swab test is done for
   • a) Hemorrhoid b) Vesicovaginalfistula c) fistula in ano
8. A woman usg shows fibroid uterus . She complains of per vaginal bleeding. What is the type?
   • a)Submucous b) subserous c)interstitial
9. Which anti-leprotic drugs side effect is black urine?
   • a)dapsone b) clofazimine c) rifampicin
10. A person age 45 yrs old comes with a complain of frank type hemoptysis. He had a history of primary tuberculosis in childhood.whats is your probable diagnosis?
    • a) Ca lung b) Bronchiectasis c) recurrent primary TB
11. Children with increase ICP features ?
12. Anesthetic drug which doesn’t increase ICP?
13. What is the anti-dote for Paracetamol? N-acetylcysteine
14. What is the vector of Japanese Encephalitis?
15. Dose of mebendazole for Tapeworm
16. What is prevalence and incidence?
17. Lead poisoning…… case?
18. Which drug is given fast IV?
    • a) Atropine b) Adrenaline c) Adenosine d) Noradrenaline
19. Confirmatory test for AIDS ?
    • a) Westernblot test b) ELISA
20. A doctor left scissors inside the abdomen cavity while operating and the patients dies ? whats is called ? Ans: Doctrine n res……………
21. Causes of Epidemic Dropsy?
22. how to prevent cross infection? Ans > Handwashing
23. In ORS what is the function of Glucose? Ans > increase the absorption of sodium and potassium
24. Case of vertigo? BenignParaoxysmalVertigo or menieres disease
25. CSOM > differentiation between AA and TT Anatomically
26. Defn Endemic
27. Cholelithiasis post op complication on day 2nd?
28. ECG features of hyperkalemia ?
29. Values of TFT in different types of hyperthyroidism ?
30. Cause of death in hanging? : 26) Defn Endemic27)Cholelithiasis post op complication on day 2nd?28)ECG features of hyperkalemia ?29)Values of TFT in different types of hyperthyroidism ? 30)Cause of death in hanging?
31. A person had a RTA . He comes to er with complains of dyspnoea and chest pain? What will you do first?a) send for X ray b) insert chest tube in triangle of safetyc) secure the cervical spine and do ABC
32. Case relating HSP?
33. Test done in compartment syndrome? Stretch test
34. Cubitus varus (gun stock hand) is seen in which fracture? Supracondylar fracture
35. what are the fractures with complication avascular necrosis?
36. glasglow coma scale? Case to calculate?
37. posterior hip dislocation features?
38. Charcots triad?
39. Hypertrophic pyloric stenosis? Case
40. Local anesthesia + Adrenaline Dose? 7 mg/kg
41. Apgar score? Features?
42. Defn of Low birth weight?
43. Blood spilled in your ward. What is the most efficient and cheapest way to clean it? Sodium…..(see component of virex)
44. Length of NG tube for gastric lavage? a) 40 b) 50 c) 60
45. What is the Ca following H. Mole ?
46. In head trauma whats is the common type of hematoma?a) extradural hematoma b) subdural hematoma
47. branches of arteries in legs ?
48. If a patient is allergic to penicillin which drug is also contraindicated? Cephalexin
49. X ray finding Gaint cell carcinoma( osteoclastoma) ) Soap bubble appearance
50. whats is primary prevention? Secondary prevention? Tertiary prevention?
51. Case of physiological jaundice?
52. A patient lost the sensation to sweet taste of anterior part of the tongue .which nerve is affected?
53. Which organism is related to antibiotic related diarrhea? Clostridium
54. what is the long term complication of indwelling catheter?
55. An infertile woman come to you for potency test .which day of cycle will you call her for the endometrial biopsy? 21-24 day
56. A patient becomes allergic to penicillin . which antibody is formed? IgE
57. Which is used for rheumatic heart disease prophylaxis? benzyl Penicillin or bezylthaine penicillin
58. In asthma which drug is not used as an inhaler? Prednisolone
59. Defn of carbuncle and location
60. Anti-nuclear test is done for? SLE
61. In which condition there is increase pulmonary blood flow? a) ASD b) TOF c) VSD d) Pulm. Stenosis
62. What is the precursor of thyroid hormone?
63. A children comes with asymptomatic varicella rashes for 3 days ? what will you do in opd?a) give him PCT b) Acyclovir c) Cephalexin
64. Difference between Daibetic retinopathy and hypertensive retinopathy
65. drug of choice for DM + HTN? ACE inhibitor
66. A patient have drunken gait? Which part of the brain is affected?
67. Case related to hematocolpus.(gynae)
68. Layers during spinal anesthesia?
69. Thaimin deficiency ? Case
70. Case of Aplastic Anemia?
71. Carbon monoxide poisoning? (from this point number is not matching with his slide because after 70 he has used directly 72)
72. Lab finding in polycythemia?
73. Common cause of anemia in Nepal? Nutritional defect
74. A old woman caught in RTA .Bleeding from the ear? What will you do? Ans: Use swab with antibiotics
75. Inguinal ligament anatomy?
76. Opium poisoning?
77. Nerve supply of larynx?
78. Differential diagnosis of Hoarseness of voice?
79. Primi mother with 4 weeks child? Which contraceptive measure is contra-indicated?
80. case of croup(laryngotracheobronchitis)?
81. Hypoparathyroidism. Clinal finding?
82. Common cause of VVF in Nepal?
83. autopsy specimen is preserved in ? Formalin
84. After operation of inguinal hernia .which antibiotics will you give and for how many days ??????
85. In a usg of a pregnant woman H.mole is seen. Which drug will you use to induce the termination?
86. Case Types of pharyngeal abscess?
87. Lesion at the chaisma of the optic nerve? What will happen?
88. What transfer iron in the body?
89. What is the age group for anti protozoans therapy for children? Ans 6 months to 5 years
90. case regarding meniscus injury? It occurs mostly in football players
91. types of erythema ?
92. case regarding scabies and atopic dermatitis (features of vesicles) ?

Long questions

1. Hernia .
   • A) strangulated hernia B) x ray position. C) Surgical plan. Type of surgery D) what is included in left hemicolectomy.
2. PPH. big baby weight 4 kg.
   • a) cause of PPH(obstructed labour).B) Amount of blood loss in pph. C)Common cause of maternal death in Nepal(PPH)
3. burn.
   • a) Rule of nine.b) Parkland formula . c) severity of burn(degree). d) What is blister?
4. Meningitis. case.
   • a) dagnostic features b) Group wise causative agent.. c) investigation of choice. LP5.
5. COPD case.
   • A) Clinical examination of heart in copd. B)Complication. C)Advise to patient. Cease smoking
6. Mitral vulvoplasty.
   • a ) Anti-coagulant prophylaxis. B) In pregnant choice.
7. Dm case.
   • a) Property of all the drugs. B) Inv of choice. C) Insulin choice and dose.D) Inv of choice in follow up after 6 weeks.Hb1Ac E) Drug of choice for DM + HTN?
8. nephritic syndrome.
   • a) Case. B) Cause.c) Management. d) Diagnosis.
9. Eclampsia.
   • A) case.b) Drug of choice for convulsion.c) Side effect of mag, sulfate . D) when to stop Mg2S04.
10. osteomyelitis. inv of choice. Diagnostic feature. How to use antibiotics. Common location of osteomyelitis.

NMLE Syllabus (Medical)

Introduction
General Medicine
General Surgery
Obstetrics & Gynaecology
Childhood Diseases
Community Medicine
Forensic Medicine & Jurisprudence
Psychiatry
Dermatolgy & STD
Ophthalmology
Ear, Nose & Throat
Bone & Joint Disease
Anesthesilogy
Pathology
Pharmacology

General Medicine
Respiratory Diseases: Acute Bronchitis, COPD, Bronchial Asthma, Pneumonia, Tuberculosis, Bronchial carcinoma, Bronchiectasis, occupational Lung diseases
Cardiovascular Diseases: Rheumatic Fever, RHD, CCF, Coronary insufficiency, MI, HTN, Inf. Endocardicitis, CHD, Cardiomayopathis, Core pulmonale
Gastrointestinal Diseases: APD, Bacillary & Amoebic dysenteries, Liver Cirrhosis, Hepatitis, Tuberculosis, Pancreatitis, Diarrhoea, Worm infestation, Ulcerative Colitis, Chron’s Disease, Ca. of GIT.
Blood & Lyphoreticular Diseases: Anemias, Leukemias, purpura, agranulocytosis, polycythemia, reticulosis, lymphomas
Neurological Diseases: CVA, meningitis encephalitis, Parkinson’s disease, paraplegia, multiple sclerosis, myasthenia gravis, epilepsy, neurocystisarcosis.
Endocrine & Metabolic Diseases: DM including hyperglaycaemia, non-ketotic coma, ketoacedosis, Thyrotoxicosis, Myxoedema, Cushin’s syndrome, Addison’s disease, Hyperparathyroidism, Tetani, Hypogonadism, Diabetes insipidus.
Joint & Collagen Diseases: Rhumatoid Arthritis, Gout, SLE, Rickets, Osteoarthritis, Osteomalacia, Ankylosing spondylitis
Renal Diseases: UTI, AGN, Nephrotic syndrome, Urinary calculi, Renal failure, Tuberculosis, Neoplasm, Acidosis, Alkalosis, Hyperkalaemia and Kidney transplantation
Tropical Diseases: Cholera, Enteric (typhoid) Fever, Malaria, Filaria, Leprosy, Kala-Azar, Chikon pox, Amoebiasis, Mumps
[break=General Surgery]
General SurgerySinus, Fistula, Ulcer, Tumor, Hernia, Hydrocele, Burn, Shock, Peptic Ulcer, Pyloric Stenosis, Hematemesis, Malena, Oesophageal varices, Intestinal obstruction, Paralytic Ileus, Lymphadenitis, Haemorrhoids, Gall stone, Urinary stone, Liver abscess, Hydatid cyst, Cholecystitis, Biliary obstruction, Pancreatitis, Pain abdomen, Pneumothorax, Pleural effusion, Hemothorax, Chylothorax, carcinomas, Thromboangitis Obliterans, Chyluria, DVT, Head injuris, Phimosis, Para-phimosis, Pin hole meatus, stricture urethra, Ca. *****, Hydronephrosis, Retention of Urine, Enlarge Prostate, Incontinence of Urine, Vasectomy, Goiter, tumor of testis, Lymphomas, Rupture spleen, Ca. Bladdar.
[break=Obstetrics & Gynaecology]
Obstetrics & GynaecologyAntenatal, natal & Postnatal services of pregnancy, Tuberculosis, HTN, DM & RHD in relation to pregnancy, stages of labour, Leukorrhoea, Antepartum & Postpartum haemorrhage, abortion, multiple pregnancy, Hydroamnios, Fetal Malformation, Endometriosis, Tumor of genital tract, Ovarian Cyst, Fibroid, Family Planning & MCH.
[break=Childhood Diseases]
Childhood DiseasesMeasles, Mumps, Pertusis, Poliomyelitis, Diphtheria, Tuberculosis, Enteric Fever, Diarrheal diseases, URTI, Bronchopneumonia, Lung Abscess, Cellulitis, Candidasi Meningitis, Rheumatic Fever, Worm infestation, Cyanotic CHD, Cretinism, PEM, Down’s syndrome, Turner syndrome, Rickets, School health
[break=Community Medicine]
Community MedicineDemography, Society, Concept of culture, social satisfaction, family, marriage, kinship & its relation to illness, concept of health and attitude towards illness, community survey, family case study, doctor patient relationship, social problem and social changes, epidemiology, investigation of epidemic in a district, Problem solving exercises on the epidemic of infectious disease, Infectious disease: bacterial, fungal, viral, protozoal, metozoal, cystode, nematodes, Epidemiology of non-infectious and chronic diseases, Various vertical programs and projects, biostatics, safe water and sanitation, Food health education, Principles of communications, Motivation and dynamics, Methods and media of health education, Nutrition and health, Breast feeding, weaning a supplementary food, Food hygiene, Adulteration and food processing, Nutritional education and surveys, Health care, Delivery service system in Nepal, Management and administrative requirement of the job description as drawn by Ministry for medical officer, Problem of health care delivery system of Nepal, District health services.
[break=Forensic Medicine & Jurisprudence]
Forensic Medicine & JurisprudenceRole and duties of medical practioner, Postmortem and its legal implication, Medical Ethics, Death, Rigor mortis, Putrification, Mummification, Soapanification, Wounds, Rape, Infanticide, Abortion, Homicide, Suicide, Procedure for identifying living person and dead body, Acts related to health and medical profession, Nepal health services act, Nepal Health regulation, National Health Policy, 2nd long term health plan, Nepal Medical Council Act, Mother’s Milk substitute Act & Other health related Act.
[break=Psychiatry]
Psychiatry (Mental Disorder)Emotional disorders, Neurosis, Psychosis, Pshychosomatic disorders, Mental retardation
[break=Dermatolgy & STD]
Dermatology & STDUrticaria, Scabies, Dermatophytosis, Herpes simples, Herpes zoster, Psoriasis, Lichen Plannus, Pemphigoid, Drug eruption, HIV/AIDS, Syphillis, Gonorrhoea, Non specific urethritis.
[break=Ophthalmology]
Ophthalmology: njuries of eye, Foreign body in eye, Malignancy of eye, Diabetic and Hypertensive retinopathy, Stye, Chalazion, Blephritis, Cellulitis, Corneal Ulcer, Keratomalacia, Scleritis, and Episcleritis, Choroditis, Iridocyclitis, Cataract, Glaucoma, Trachoma, Vitreous Haemorrhage, Optic Neuritis, Retinal Detachment, Myopia, Hpermetropia, Astigmatism, Presbiopia, diplopia, squint, proptosis, Ephophora, Dacrocystitis, Dacroadenitis, Ocular hazards in Agriculture and Industry.
[break=Ear, Nose & Throat]
Ear, Nose & Throat (ENT): Foreign body in Ear, Nose & Throat, Otitis media, Otitis externa, Mastoiditis, Rupture of tympanic membrane, Meniere’s disease, Nasal allergy, Nasal Polyp, Epistaxis, Sinusitis, Hearing Loss, tonsillitis, Peritonsillar abscess, Pharyngitis, Ludwig’s Angina, Hoarseness of voice, Laryngotracheitis, Laryngeal obstruction, Diphtheria, Indication of tracheostomy, Carcinoma of Larynx, wax in ear, Haematoma auris, Furunculosis.
[break=Bone & Joint Disease]
Bone & Joint Disease: Fracture, Dislocation, Crush injury, Amputation, Osteomyelitis, Tubercular spine, Septic arthritis, Spina bifida, Erb’s palsy, syndactyly, Poliomlitis, Rickets and scurvy, Artifical Limbs, Spnodylosis, Role of physiotherapy.
[break=Anesthesilogy]
Anesthesiology: Principles of administering safe genera aneasthesia, local anesthesia, pre-anesthetic history, pre-anesthetic drug, anesthetics, Post-operative complications of anesthesia, Cardiopulmonary resuscitation.
[break=Pathology]
Pathology: Interpretation of laboratory results, normal values of biochemical tests, hematological tests, aetiology, pthogensis, microscopic and macroscopic features of different disease entities listed under different subjects and mentioned under heading 1-5 and 8-11
[break=Pharmacology]
Pharmacology: Poison & Toxicology: Organophosphorus, Barbiturates, Corrosive, Heavy metals, Mushroom poisoning. Drug in pregnancy & lactation, prescribing in Children and Elderly, Dosage, preparation, Mode of action and side effects of drug acting on different system of body.

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