l{!

,t

i Li

\ l,!

46r ) c<, j POSTTEST REMEDIALS 2006 9. ARDSphase with dstrucrion ottvr I pneumocFes, hyaline membmne formatioh._.. A. Proliferative C. Eytdattue B. Fibrosis D. Recovery

l;rltlCINE 2 [';EMATOLOGY

I. MCY I2O-MACROCYTTC' 2. Retic,index 4 - Bone mar.ow re.spon.ling Anehria of b ,. 3. Clinicalmanifesrarionspancyopcnia of excepr A. rauor C. ScDsjs B. gleeding D, Thtombosfs 4. Anemia......t-rhro... - Anemia ofChronic .liseose 5. kon sireofabsorptionrtoderrn 6. Low/absenr iron stores- Iton Dellclenq, Anen h 7. Endprodfctof 20homcostasisFlbtltlclotlo ntion 8. Factot - Prothrcmbin ll 9. Definkivc rrealmenr chronic - qrlenecnmy for ITp l0.Ceneml S/SXisdueto - AlJinky ofhenogtobin to 02 ll. Vainrredhenr ofcnoice Anemia ot ofchronic rencl 05e/rnsuthcr(nc) . Ertthtopocitih PULMONOLOCY

11.Pleurodhis...

L Characrerisiric ofHONK- pH > 7,3

12. Characterhtic oIDKA _pfi< ZJ

DMsymptoins cxcept. tysrlg/r/|' 13. Sheehan'$tndrome . P/rlaclt !4, 5.Normal ofFBS 70-rrr,ng% valuc Normal of2ppBS<tt, value i6. r7. High insulin . Ttpe resisrance II DM
8. Not a hiShrisk facror ofDM - Srnoking 9. Thyrojd CA with a besrprognosis papilot! t nht 10.Effectofhyperprolactinemia except ytrlllz[tioh I l. Grave's - TBZ J Lttt dse. 12.After surgry ofFolicular Adenoma J?4 lLSf 13.Increases duringstress excapl prctactin -

l.,Most common etiology ofcommuniry pneumonrl 6cquired ltrycobqctlnl 2. AP.J)S AP|O2/FIO2 < 200nnHg 3. P\lmonary iufarcr, Hohptot ,s 4. Idiosyncraric ofastilma type - (+) tcsponseto Metacho ne testlhg Oronchoproyocdtpe) 5- Mos!coftmonweaningmodejlmech. venriralon . SIMY 6. Most common support modein mech. ventilation . AIC 7. Mostcolnmon presentation ofBronchictasis

14. a manifeslation Nor . Crhr?{x.,, ofThyroLoricosis 15. RAIprimary tratrnent....

A. Cough B. Hemoprysis

'C.Dyspnea D. Pteural Eftusion

8. Oxidative siress means A. Alpha I AntiTrypsinDeficiencv B. Elasrase AnhElastase &

,".*"rr,.u..,.. j,u.

U 4lnr ) ce,j

POST TEST
Fi'MATOLOGY I. MCV I2O- MACROCYTIC

REMEDIALS 2OO6

2. Retigindexof 4 - Bone mar@v respondlnEro Anehis J. Clinicalmanifeshrions pancFopenia of excepr A. vallor C. Sepsis B. Bleeding D. Tt;rombost 4. Anemia......erythro... - Anemla o/Chnnic tisease 5. lron siteofabsorptionDarderrh 6. Lowabsenriron stores- hon Defrclenq)Anemta 7, Endploduct 20homeostasisFlbrtnalotfonatiotl of 8. Factorll - Prothrcmbitl 9, Dcfi!ifivc treatmenr chrcniclTp - Spleneuom), for I0.OeneralS/SX to isdle - AIfinlty oJhamogtobhtto 02 Il. Mainrreamenr ofchoice ofAnemia ofchronic renal dse/insuffrciency

Protiferative lA. rrorosls D. -. '

l l*"Xy-:j*xIi:f:*ction

ottvpepneumoc)tes' 1

C. Exxdattve D, Recovery

ofmectianical !enrilarion llo. Ot comptication '(. Cholernsb C. Dysphagia rr.Heparo D.lleiris

L Ple!rodisis... il
lZ Moslcommon.............Transudarive pleurat e|lLsro. - t'dtapneunonic Elluston Mostcomnon dfense upper in respiratory - 1g,1 tract ll3. 14..Most imponant defense mechanism ofrhe r(,plf,trof) - Mucoclllsry clearahce

l noo"*,,ro,.o"" le
of HON jl, Charactrisitic K - pH > Z.j Characteristic ofDKA -pt< ZJ 12, DM syftptorns exceprn/eigrrSdln 13. sheehan'q . P;oracrr, syndrome \]4. 5,Normal valuc ofFBS, Zr-rr, rng% Normalvalue of2ppBS.<1/,

PULMONOLOGY

]6. l,-Most common eriology ofcommunhy acquired pneumonja

2. A,WS - APaO2/FIO2 <200nnHE 3. Pulmonary infarct ltlr pt nb 4. Idiosyncraiic ofasrima rype - \+) tctponse to Mettchoune testlng orcnchoptovo.ative) 5. Mostcomnton weaningmodei;rrinech. vntilation ' SIMY 6. Most comrnolr suppo(modein mech. ventiladon . AIC 7, Mostcommon presentation ofBronchiectasis A. Cough C. Dyspnea B. Hemoprysis D. Pleural Efflsion 8, Oxidative stress means A- Alpha I AntiTrypsinDeficiency B. Elastase AntiElasrase &

Highinsulin . TrpeII DM reshtance ]7. 8.Nota high factor risk ofDM - Snoklng 9. ThyroidCA wirh a bestprognosispipillnry unlot l. ^ _ ^ ^ lu. Efiecr hyperpro ot lacrinefiia e\,ce - yhlllzutok I L Graveb - tTJIJ lf,tl/ dse. 12. Aftersuery ofFollicutar Adnoma " ltr' tffl/ ll. Increases sress during exc.pr pntactitt 14. a manifestation Not ofThyrotoxicosis - Canrrydlio, l5l I{AI primary trearment.... 16. Screeningtest..... i

.JAR-DIOLOGY L Mostcommon cardiac manifesrarion ofHI. 2. lnfective endocardiris indicated h for A. MR B. PureMVp 3. Pulsusparr'uset rardus .,r.t 4. Continousmurmur- pr.it 5. WidesOread elevation ST with upward concavlty A. AcureMl B, A.ute Pe cafttitis 6. 52 (ciosure ofthesemilunar valve) A. ClosLrre ofAV yalve B. Closure mitral& tricusDid of valvc C. None 7, 4th heart sound best is heard with A, DiaphraSm B. Bell 8. Enhanced insprrarion by (Carvallo,s sign)- fn y, MOst commcn primary tumorof$c heart A' Mtxoma B, Sarcoma 10.Systolic murmu. A, MS B, AR C,'NONE CIf. Dr. Lopcz l, Denotes pfognosis except Masson andoscop! 2. Chronic secrctory dianhea-l/IpOMA 3. Fealure Ulcerative of Colitis- Backwash lteltts 4. Mostcommon ofbleeding diverticulith C.can sile in 5. Absenrin Ileus- Cofakl abdortt ratpalh 6. Choleslasis-R irtbln 7. Diagnosis ofgallbladder - ILltrusoun.l dse, 8. Charcoatstriad except- Coisttpdllon 9. Not aprognostic factorofAcutepancreatitis 10,Mostcommon cause ofAcute pancreatitis - Gallstone

NEPHRO- Dr. Lu rl. Congo srain Amytoidosis red 12.AUT "lB in XP.ay- Cateallcarion l^,

osmolalirv ]4.Normalptasma | 275 - 290 nos;oikg 5. Mosrcommon oanism inuTl - E, Coti

l)[];yy, J:

r,v . .:n.e. o,,,,,ive nepruosc rerosis...onion on

O........."xc"pt A. Oliglria C. RBC Pyuria D. Hemaruria 18. Nephrosclerosis l/. rrue or Matrgnanr B. Hyaline arreriosclcaosis Afferentancriosclerosis iC, NDPHRO- Dr. Cortz Case.,,,,. , l. Diagnosh

- Aculeon ChtunlcRena! Folture

2. Faturc ofthe Abovcdiagnosis excrp! A. votume ocpletion B. Infection

C.Obstructioo indicatcs ctlroniciry inpE- pattar ]3.Ir 4. Mos! common finding inR9CN" Crcscentlonrdh,l 15. Strep. Post Glomerutoncpfuilis
6. ....,inserum creatinine -,larg. changct In GFR conetpon.ttng to ont! n stfulf ch.mgcr 7, Whatis theimmediate thingto do in theabove case A. Stopmedication B, Hydrate

Ctro tcctoneru,,... n JD.

c.

D. Dialysis

(I{DUMATOLOGY A 50years female old with progessive, bilaleral, .. syinmetricat..............3 hours momin;stiffness 1.wlat is thediagnosisX..l(pIP) 2.ilF-inrhk pt. h t-,, whuti" ri" rrue t.ment - ,gr n toA,Ute$ can heprcsent b, horrnol tn.lirldual "t J. Theff. manifeslation tluc ofRA exceorl are - tweUing& ercslon ofDIp 4. TheFF.arerrueofRA exceD! - ESR& RF shoutdar,eoys rcpealed b;

ioNcoLocy
il. fi|; ;;^"" l?.

Heparoccllular ",4Fp marker ^"o"tty fordisseminated cancers

i.....
l
l';*I;n

Is chemorhe.aey be rhemainrrea,menr wiI

ll,tlit:!|il:'f:'--t
jP,oercsstve ^e.

which indicates dse no thar the is

t^The,pr. didnor.respond NSAID & low dosc ro sterolds 3 for Mostinpoftant prognostic - Axiuary mos.what is thebcsttbingto do factot LN KeJcrpL to a thaumatologlsl 16. J0 years femalc fcv.r, dimrscinflammed old (+) --. .-. allnfltls.weigh! Ioss, malarnsh 6. what is thediaqnosis - Luptti (SLE) 7. Mostsensitive for Lupus tcst -,{y'{,{ 8. Mos!specific tesr for Lupusrrrly,{ 9.ln.case ofsLrspected Lupusflareor cxaccrbanons, whichof

5. Riskfactors breast A exceprEarl! pregnanct for _ C

i7. ]l.Jf;:l,l*r - smauceu

PoorprogDosis Lung Ca.except Fenute for -

a"rn*t assrcssivc responr.!e ,redrmenr bur ro

or cororectar ca l)'ii;;' :i|::i:,ffi"' "ctor

I L Trueofnanagement ofColorecralCa exceD. ch.motheruplJor l- AuJuvant stuge & I It

True ofcotorectat e xceptLelr Si.tetl Ca i9. -

the acrrviry orsLE I I 2. Glcason . Crad. :Tj|,$Ui,:f ::.j?led tororrow dse. score
l0- rhefL are nanifcsrarion ofSLEcxccpr - Jow etuston XRat on
13.Tratrnofi for ;ctastrti a prost^ri. Ca - Hothon l ctinically C.rvtca,Ca ]14.Stage -

I L What thebest is laborarory lo diagnosod test drug induced Risk factor ovariane.- ttt!)) for Fe drug Antl-hbtoaeontlbod! ll5. 12.Best maintenance treatment tbeconstitutional for synptoms - Eldtuqtchloroqutfie

Mosr comnon ofptostatic - pe ph.ttl site Ca 116.

l.'#;P;Y;
I

;t

"r

Nasopharynsear ca

<*l'""'et 1];;jffi ur"*' ""9

l4 Esophageal dysmoritiry telangiecrasia...,

18. a riskfacror .....,....,.,.......Ca Not of - pAgnanc!

I ]fl;;;;.non*,

.i.t ructor Head Neck fox & ca

IItIEUMATOLOCY- Drd.R. Sy I . Thepain in OA arisesfrom &e following srucrures except A. Artic lar ca itase eroslon B. Stsetching ofjoint capsule C SEetch-ing ofperiosteum covering osreoph)les lIe u, syDovttrs OA -chronic.nonjnflammarory. is nor pajn scvere (Jn Acurc,lnflaftmarory,monGanicular 2. 1hefottowin8 LhJracrerisric a,e ofa couryAnhnlis except A. Acutein onset D. Plasma tevet UA ma) Dorbc f in aU!6cs

D. Tranadol

C . NSAID cream

NSAID-COX2 - prod.OlpG inducibte . COX2Specific/ Setective . COX2Non Spccific - inhibits COXi & COX2 _goodhousekeeping COX . - promotes renalbloodilow _ prevenb ulce|arior Eastric 7. Not a render pointside A. cluneal B. I"ow cervical C. Scapato, D. Trapezius Tnder pointside - Fibromyalgiaachs pajn & - gencmlized lyidesDred\l & poiotsider 80%sufe - tcnder 8. Moir comjnon ofOA in eld,:rly sirc in thf dcrc.ol-o counries A. Arlle (ttt_ reperitive, coustant uscl C, Hsnd D. Hips(2M- wt. bearingj$.) OsreoArthriris Before 50 - 4\ mala a8c Afterage 50 - 6 fqnale HandOA - with gneticpredisposition Join;Entargemert . Bony hyprtrophy S),rlovialhlperpl.sia ' . Fluidin thcjoinr BonyDIP- HEBERDBN'S NOD6S PIP- BOURCHARD'S NODES . BOUTONIERE'SNODES.RA . PIANO KEY RA 9. Th forceapplied a reoder lo poinrofribrom)i.r-r.r A. 40 gms B.400gns C. 4000 gtns D. 40,000 grns I0. One ofrhefollowing nanifcsr chrunir with monoaniclar arth u riris A. Crystalinduced B. Fractue C, Mlcoblcte um TB D. Staph. Aureus -4-6 wksIV antibidjcrx

**t t' n.c.ssary hsthe da - :::",:;i!",::*"r D,tjsually rhonoaniculaf, iflanmsrory acute, (CA)

Civing. 4ltopurinot untyprotongs dumrion the ofCouh Anhritis 3. lh (4^strlfounJ rhcsyno!ialfluid in in tseudogour A. Ca Oxalarc 8, CalclumDt ,tlhosphatedelrydnte L. lll0testcrot D. Mouosodiun uratc PscudogourCppD _rhomboid, triangular GA * MSU shape - needle e, Acu:egouly.a(hriris pJthog.ncsis /\, ueIydfttron B. D-cpdsirior) of|rlonosodium uralccrysrats injoin!s \. E nauot hgeslion D. lncnclton of utule crlstots&pMN 5.Thehosrc-ommon routeby \.v/c bacrcda efltelthejoinl /\. Lonog0Us ofinfection site B. DirectInoculation C, Hematogenous D. Trauma li STAI'H AUREUS- mosr.common organism sptic in A(hdtis TB Artlriris - cluonic (2 yrs, to slrcw clanges) SEPTIC ARTHRITIS _ don,rshow moloallicular hvolvemedt 6 A rubifacirnr dmg!rhosemechanism ofacrionis lo oeprere subeancein rhetocatnerve l, ending 4. LaNaAn crcam B. Menthotared cream

pff*#g#li'#ffiu*ln){i,ir
IL fhe mostappropriate jou thing aregoingro Ooat ttris A, Do hothlng D. slan Altopurinol lo ! rheUA 18.AculeCA cha.ractrk,i^. - monoanicular - tnflainrnabry - acutetn onst

;: ffilii,T?lilf"i8td:Ii,^ **

l9..Acrion Coichicine of pl\4Nacrjvation 'nnrbrts by inhjbiting prorern 20. comrion bacteria for OA _ STA\H AIlnEU.\^

3i*:ff:;|i"t:11*rhia

when cA,Renar there's

i'r+1fif3ff,f"fi!" vc bacteria !rre.joj,), eme,s

22. - ljgaments, tcndons attachesthebone to - zero spondyto (_)

_r grn day per (maxim_uit};no""u* irelderlv :'' o"q - Nljir2oo/o "p6a _

drawback; expcnsivo

J',DOCofOA PARACETAMOUACEI

wirh painrul vcry .1-,li "*,';*::^l'::1,:, rresen* No :ec.coC rj.iii![i" ankre hxortrauma. is remp. ii
/2. Whar yougojng ar ro do at rhi3ri-"

N cellcourtarthejoint

; );;;;.;;:;:;i;i;i,;):ilt|! *,,,,*, "",

2.2000

rxtoranrrritis ; :;::::l1l,rlflI,J"J.,ff

14;$;"0"tt.", "n-r". t oe cadilage.ofoA res!lr will ir A V^irnurrl ofchondroc) ber rcs- Tru,.
& coltdlen r, _ :. vnntnnune u. . .lo,s: ciipt* ir;;;=;;;;i,: , , ,.

--"iffifi:ff

..rj'ur 'ndrecirrirasc of proreogty;n

OA - no immune cornplex th! cartilage in

rl*1*ll*?,rrffi:*f, jffi ,'n"'"*"

o. uramstaijt& cukurc r: yrgar & prorcth u. Lrysrdlanalysk 14. Mostcommon jn orgarism lnfectious arthritis

elcepr neubrJ " ';*iii:'ffiffi:fiT*1ith {arJ ( n

s. nypoparathyroid;srn . tflrc r. xnemta false _ t *o rx of arrhliris drc is ro

'u,oot*",oto

- co x2
- FibroDyalSia

Inc

RA - Female cA - Male

.t

"".i"*'0"",",'an -'),fi;' ;'.xD.

16,. Management ofOA include(

j:"Tj ,lxli,ft:il;*[5,i"i,fr i"f"lil,jxT;lf ]illl

RiskFactor:

Bursa, terdon,ljgament, epiphy,(is _soll thsuerheuoratisrlr

, meramol, NSAlD..ubifocienr dru8 q dnn& cold compress r r. srerord injectjon

imnonunt .' f;ffi - most 'r

T.Changes OA in I " dsrrucdod ofhyaline

canilage

&Til"*,"" #ffi1p1::rx:iff

:9,A,lbroceDrcsistheR knee...Capfophospnalc in . - Rhottbold 30. False tra8nent OA A. no drugto preventOA B. Slstehk stercidsarc benellcttt ll. ioinl replocemenr OA wilt improve in quatiry oflife. Sugeryis inctuded if A. ft canmainhindesired bodyweight B. (f) oneophlr,es do!\ corelatew clin.man C. elevated DSR not a! ijdication3 for surge.y D. ,eiactabk pol & los, o unctlan J/- une or theJoflowing nora diagnostix is xRay findingof vA uornrcanrtage darhage) A, subchondBlsclerosis B. lossofjoi;lt space C. ostec.phltosis l). osaeophorosts (t^6e.ularjt. Bonelo6s) 33.Mechanism ofactionofNSAID - hlhlbib COX2 34.pr. wirhOA raki0gNSA.ID devetoped sidecffecl. CI RiskFicrorfor NSATD(se: grsEopathy) EXCEpT A. UsinganricoaSulants -T B. Past ofot bleedinr -T Hx C. Pt.with esophagitis --T D. 20 "30!.o patient _ FALSE 35.JS.40 obcse. driD.king yo post sproo... wnkcup... 6rrhntts. diagnosjs ,, .GA 36. hyperuriccniaresultsin retal dsecxceDt A. u'ate ncpbropathy T F. nrorithiasis T C. UTI _ FALSE 37. ll)?eruricemia secondary purine !o overproduction is A. B. C. D. V excretion -F dehydration F low dose salicylare -F Henotrttc d/d -.fr.tld

40. Tbefollowingarcnsifesrations otRA ex.. t,. A, bwatrtreckdeformiry B. Boutomier's C. Joinr.erosion peri-afticutar & osreopnyre. u. twethg & ercstonofDtp 4 L th; fotlowing aretruc of RA except A. Morecommon foale in pirh.lacc atkn oJ ESR A. Assoclated and Rht should ateats be. 42. acdvc didn'tresponded NSAJD los oo,c pl. lo & srcrords lbrJ mos.Whatis lbe best rhinA do lo A. Add Methotlr'exate B. Chatrge anotherNSAID or ,1,lhe doseot to conicosteroids 30 y/o female,-febrile, diffuse inflammation arthrfrs, wr loss. malarrash, discoidrash, alopecia. moLrh L.!e,, prufl chestlain.Laboratoryndings: trc fi anemra. thromboc''topenia, Glomerulo..,,/D\D\ 4, r, (r)anti,smhh. ESR Urinatysis: 8rbc.I0 kb(. . -l A\^ vc3&c4 ^

43.Diagnosis -SLE 44.wbich oflhcfollowillg tI( most is sensiri\e for r0.l

Lrlp'-ls- ANl

45. Most spcificfor Lrpus rrrN,4 46. in casc_of Lupus flarcorxacirbarjon. whjcr ofrhe rorowng taboratory cxamcouldbi repsated fo,low !o rir dscactivityofSLE - ESR,D'DNA, C3 & C1 47. Iianifstarion ofSLE cxcepa -Jolnl etuslon on xra! 48. Mostimporta labtestto dri drus-induce SLL . ANTI HISTONE Ab 49,bestmaintnance trcamenr connirutional & -.r, , {\ for ofSLE A, Hldtoxychlonqubte B. NSAID C, Prdnisorc D. Cyclgphosphamide 50 l-0 y/o wirl' headache, claudicrrion ofuE. Rr hp . 60/10 Dsc - Rehcet,s

\l

38. Cbronic,polyarthdtis, BilateEl involvemont -EA RA. PIP . DIP 39. RhFin thispt is (-), rvhat thctruestatemenr is A. Dx is unlikely RA ifR.F is (-) B. RhF is spccific for RA C- NtF l lote tlters can beprese t tn N tndh,tdaal