1.

Ttt of frostbite
a. Immersion in water 40-45 C
b. Debridement
c. Leave it at room tepmrature

2. Case about a child both RBS, FBS are elevated so he has DM1what's the type of HLA
a.DR3
b.DR4
c.DR5
d.DR6
e.DR7

3. Definition of PPV
4. What's the most common case in PHC centers
a.UTI
b.HTN
c. Coryza

5. all of the following will decrease pt compliance except:
a. involve pt in the plan
b. make simplified regimen
c. give easy written instructions
d. make appointments flexible
e. warn the patient about the danger of missing a pill

6. Case about old diabetic patient who still have hyperglycemia despite increase insulin
dosethe problem with insulin in obese patients is
a. Post receptor resistance
7. Case about a child with drooling, fever, barking cough in sitting position, dx:
a. Croup
b. Broncholities
c. Pneumonia
8. Mother came to you after her son had hematoma under the nail dt injury:
a. Send home with a pad on the head
b. Send home with acetaminophen
c. Do wedge resection
d. Evacuate the hematoma

9. What vaccine u'll give to a SCD child
a.HBV
b. H.influenza
c. pneumococcal
d. both A and B
e. all of the above

10. a mother with HBsAg positive came with her child 6 yrs old who has HBsAg +ve
what will you give him:
a. oral polio, DTP, MMR
other choices all had HBV vaccine which u'll not give

11. Patient wil LLQ pain, vomiting, fever, high WBC (17.000), tenderness and rebound
tenderness
a. Diverticulitis
b. Sigmoid volvulus
c. Appendicitis
d. Toxic enteritis
12. What's the organism responsible for psuedomembranous colitis:
a. Pseudomonas
b. Colisteridum
c. E.coli
d. Enterococcus fecalis
13. Mother came with her child who had botillism, what you will advice her:
a. Never eat canned food again
b. Store canned food at home
c. Boil canned food for 40-50 min
d. Check expiry date of canned food

14. Old pt presented with abdominal pain, back pain, pulsatile abdomen what's the step
to confirm dx: this is a case of aortic aneurysm
a. Abdominal US
b. Abdominal CT
c. Abdominal MRI
15. 18 months old came with bite by her brother, what you will do:
a. Give augminten
b. Give titunus toxoid
c. Suture
16. 19 yrs old after bike accident, he cant bring the spoon infront of himself to eat, lesion
is in:
a. Temporal lobe
b. Cerebellum
c. Parietal lobe
d. Occipital lobe
17. How to dx DVT:
a. Contrast venography
b. Duplex US
18. Pt came after RTA, GCS 14, near complete amputation of the arm, 1
st
step:
a. Secure air way
b. Tourniquet on the arm
c.

19. Pt with hx of prolonged heavey bleeding 2 hrs post partum, you will give:
a. Ringers lactate
b. NS
c. NS+ packed erythrocytes

20. What is special about placenta abruption:
a. Abnormal uterine contractions
b. PV bleeding
c. Fetal distress

21. Pt 34 wks, hx of PV bleeding for many hrs, dark blood, abdominal tenderness, FHR
120, uterine contractions every 3 min, Dx:
a. Abruption placenta
22. One of the steps in managing epistaxis:
a. Packing the nose
b. Press the fleshy parts of nostrils
c. Put patient of lateral lying position

23. Pt with hx of diarrhea, abdominal pain, agitation, headache, dizziness, weakness,
pulstile thyroid, unsteady gate. Examination was normal. Dx:
a. Hypochondriasis
b. Somatization disorder
c. Thyroid Ca
d. Anxiety

24. Child with headache that increase by changing head postion, unilateral, photophobia
a. Sinus headache
b. Migraine
c. Cluster headache
d. Tension headache

25. Ttt of isolated fracture of femur (repeated)
26. Younge pt with pain in LL after running 3 kgs, more at night, swelling, XR was NL
Stress fracture
27. HTN pt, with decrease vision, fundal exam showed increase cupping of optic disc dx:
1. Open angle glaucoma
2. Closed angle glaucoma
3. Cataract
4. HTN changes

28. Pt with unilateral red eye, tearing, clear tears no swelling or discharge:
a. Give topical antihistamin
b. Give topical AB
c. Give systemic AB
d. Reassurance
29. Business man went to Pakistan, came with bloody diarrhea, stool examination
showed trophozoite with RBC inclusion, Dx:
a. Amebic desyntry
30. 5 yrs old child with abdominal pain after 2 wks of URTI, HB 8, retics 12% WBC NL
peripheral blood smear showed target cells, RBC inclusions dx:
a. SCA (the only hemolytic anemia in the answers)
31. Child had hb electrophoresis showed hb 2%
a. HBA 40 HBS 35 HBF 5 HBA2
b. Sickle cell trait
c. Thalacemia major
d. Minor
32. Younge pt with hx of cough, chest pain, fever CXR showed RT lower lobe infiltrate:
a. Amoxicillin
b. Ceferuxim
c. Emipenim
d. Ciprofloxacin

33. Best thing to reduce mortality rate in COPD:
a. Home O2 therapy
b. Enalipril
c. Stop smoking

34. Drug that will delay need of surgery in AR:
a. digoxin
b. verapamil
c. nefidipin
d. enalpril

35. Child with skin rash, pericarditis, arthritis dx:
Kawasaki
36. Pic of skin with purple flat topped polygonal papules, dx:
a. Lichen plannus
37. Child with atopic dermatitis, what you will give other than cortisone
a. There were many drugs, steroids and AB and only one strange name maybe
moisturizer. That's the answer
38. A man had increase shoe size and jaw, the responsible is:
a. ACTH
b. Somato??
c. TSH
d. Cortisone
39. The best advice to patient travelling is:
1. Boiled water
2. Ice
3. Water
4. Salad and under cooked sea shells
40. Seldinfil is contraindicated with:
a. Nitrate
b. Methyldopa
c. Gabapentine
41. Pt with TB, had ocular toxicity symptoms, the drug responsible is:
a. INH
b. Ethambutol
c. Rifampicin
d. Streptomycin
42. Another pt treated for TB started to develop numbness, the vit deficient is:
a. Thiamin
b. Niacin
c. Pyridoxine
d. Vit C
43. Pt with bilateral breast disease, dx:
a. Paget
b. Papilloma
c. Meduallary
d. Lobular
44. Child fell on her elbow and had abrasion, now swelling is more, tenderness, redness,
swelling is demarcated (they gave dimensions) child has fever. Dx:
a. Gonoccal arthritis
b. Synovitis
c. Cellulitis of elbow
45. About burn
a. You will give 1\2 fluid in the 1
st
8 hrs
b. 1\4 in the 1
st
8 hrs

46. You r supposed to keep a child NPO he's 25 kgs, how much you will give:
a. 1300
b. 1400
c. 1500
d. 1600

47. Young patient with pharyngitis, inflammation of oral mucosa and lips that has whitish
cover and erythmatous base, febrile, splenomegaly. Dx: (this is infectious mono)
a. Scarlet fever
b. EBV
c. HZV
48. Female with greenish vaginal discharge, red cervix. Dx:
Trchimoniosis
49. Another female with malodorous discharge and pain maybe. Dx:
Bacterial vaginosis


50. The best way to reduce the weight in children is:
a. stop fat intake
b. Decrease calories intake
c. Drink a lot of water

51. You have to advice a teenager that mainly eats fast food to take:
a. Folic acid and Ca
b. Vit C and Ca
c. Ca alone
52. Patient has symptoms of infection, desquamation of hands and feet, BP 170\110 dx:
a. Syphilis
b. Toxic shock syndrome
c. Scarlet fever
53. Snellin chart, if patient can read up to line 3, how much is his vision loss
54. I cant remember the case but gram +ve cocci were isolated, dx is sterpt bcz it was
the only gm +ve cocci.
55. Diabetic mother asking about risk of diabetes related congenital defect. It will be in:
a. 1
st
trimester
b. 2
nd
trimester
c. 3
rd

56. If diabetic mother blood sugar is always high despite of insulin, neonate complication
will mostly be:
a. Maternal hyperglycemia
b. Maternal hypoglycemia
c. Neonatal hypoglycemia
d. Neonatal hyperglycemia

57. Obssive neurosis patients will have:
a. Major depression
b. Lake of insight
c. Schizophrenia
58. Before giving bipolar patient lithium you will do all of the following except:
a. TFT
b. LFT
c. RFT
d. Pregnancy test
59. Patient came with PV small bleeding (she fell down and felt decrease in fetal
movement but on examination baby was ok) all her 3 previous pregnancies were
normal, you will do:
a. Immediate CS
b. Careful observation of the bleeding
c. Medication (strange name)
d. Mg sulphate

60. Pt came to you missing her period for 7 wks, she had minimal bleeding and
abdominal pain, +ve home pregnancy test, 1
st
thing to order is:
a. BHCG
b. US
c. Drugs maybe
61. Patient came to you and you suspect pre eclampisa, which of the following will make
it most likely:
a. Elevated blood pressure
b. Decrease fetal movement
c. ??
62. Old patient male, hematuria, passing red clots and RT testicular pain:
a. Testicular Ca
b. RCC
c. Cystitis
63. Undecent tesitis
64. Trauma pt with dislocated hip
65. IDA
66. Pedia psych
67. Drug over dose
68. Malaria
69. Antidepressant
70. Stroke
71. DTP
72. Scoliosis
73. Ocp
74. Lactation
75. OM
76. Phenobarb
77. 10 kg fluid
78. Polymyalgia
79. Melanoma
80. Pelvic fx crahing
81. Ankylosing spond
82. Chenye stocks breathing