1. Generally accepted indicator of the i!nolo"ic copetence of the
patient #ith $I% infection A. le&el of pla'a &ireia B. CD 4 + T lymphocyte count C. i!no"lo(!lin le&el D. PPD ). The hallar* of $I% di'ea'e i' A. +apo'i,' 'arcoa -. opport!ni'tic infection' C. cell-mediated immunodeficiency D. h!oral i!nodeficiency .. A ./ year' old ale 0o( applicant con'!lted (eca!'e of a hepatiti' 'creenin" te't' #hich 'ho#ed $-'A"1234 I"G anti5$-c1234 $-eA"1234 anti5 $-'1534 anti5$-e153. $e ha' A. Ac!te $epatiti' % &iral infection -. Chronic $-% infection4 lo# infecti&ity 3. Chronic HBV infection high replication state D. Cirrho'i' 6. A edical technolo"i't had accidental needle'tic* #hile at #or*. $i' chance' of "ettin" infected i' hi"her if the patient he handled i' po'iti&e to $-eA". 7hat do yo! recoend8 A. amma glo!ulin -. $epatiti' - i!ne "lo(!lin C. fir't do'e of $epatiti' &accine D. interferon 9. A fir't year &et5ed 't!dent #a' (itten (y a do" he #a' e:ainin"4 he clai' to ha&e had anti5ra(ie' i!ni;ation 1 year a"o. 7hat do yo! recoend8 A. "a!ies #accine !ooster on days $ % 3 -. Gi&e ra(ie' i!ne "lo(!lin C. #o!nd treatent D. all of the a(o&e <. The earlie't anife'tation of Tetan!' A. opi'thoton!' -. dy'pha"ia C. loc& 'a( D. !'cle 'pa'' =. 7hich of the follo#in" i' a 'i"n of 'e&ere 1'ta"e III3 tetan!'8 A. 'pa'' la'tin" for le'' than 1/ 'econd' -. loc* 0a# C. risus sardonicus D. locali;ed !'cle 'tiffne'' >. The o't fre?!ent anife'tation of typhoid fe&er i' A. Ro'e5'pot' -. p!l'e5fe&er di'proportion C. prolonged persistent fe#er D. 'plenoe"aly @. A 'ocial #or*er fre?!ently a''i"ned to area' of calaity con'!lted for prophyla:i' a"ain't Typhoid. Ahe clai' to ha&e i!ni;ation #ith one in0ection of %i poly'accharide &accine 9 year' a"o. 7hat do yo! recoend8 A. li&e atten!ated &accine 1 cap'!le a' a (oo'ter B. 3 doses of li#e attenuated oral typhoid #accine C. "aa "lo(!lin D. none of the a(o&e 1/.The follo#in" contri(!te to the renal fail!re in lepto'piro'i' e:cept A. hypo&oleia -. ac!te t!(!lar necro'i' C. acute cortical necrosis D. direct renal ti''!e in0!ry (y the lepto'pire' 11.A 6/ yBo #oan pre'ented #ith ) day' diarrhea #ith fe&er and headache. The 'tool' #ere !coid #ith (lood4 'all &ol!e (!t &ery fre?!ent accopanied (y tene'!'. Fecaly'i' 'ho#ed plenty of p!' and red (lood cell'. The follo#in" ay anife't #ith the a(o&e type of diarrhea e:cept A. Ahi"ella -. E. coli C. %. paraheolytic!' D. V. cholera 1).An OF7 on &acation fro hi' #or* in Africa had hi"h fe&er and chill' for 9 day'. Atained thic* (lood 'ear' #ere reported to (e po'iti&e to alaria. 7hich of the follo#in" i' the preferred treatent8 A. Chloro?!ine B. )uinine C. Meflo?!ine D. A!lfado:ineBPyriethaine 1..The earlie't phy'ical anife'tation of 'ep'i' i' A. tachypnea -. tachycardia C. hypoten'ion D. altered ental 'tat!' 16.The ff. play' a a0or role in the 'e&ere &a'odilatation in 'eptic 'hoc* A. TNFa B. nitric o*ide C. thro(o:ane' D. Interle!*in51 19.EffectB' of acti&ated Protein C that ay co!nteract 'oe of the echani'' in 'ep'i' A. inhi(it' the coa"!lation ca'cade -. increa'e fi(rinoly'i' C. inhi(it le!cocyte adherence to endotheli! D. all of the a!o#e 1<.A .>yBo ale #ho ha' had cheotherapy for lyphoa 'o!"ht adi''ion (eca!'e of fe&er C ar*ed le!*openia. No foc!' of infection can (e fo!nd. $e #a' on Cefepie for 'e&eral day'. 7hat do yo! recoend8 A. Anti5anaero(ic anti(iotic -. anti5f!n"al treatent C. anti-pseudomonal anti!iotic D. &ancoycin 1=.A ./yBo ale #a' aditted (eca!'e of pro"re''i&ely 'e&ere a(doinal pain. On laparotoy4 he #a' fo!nd to ha&e r!pt!red appendi:. 7hich of the follo#in" i' appropriate8 A. TicarcillinBCla&!lanic -. PiperacillinBTa;o(acta C. Iipene D. any of the a!o#e 1>.The o't coon re'piratory 'ypto of po't priary t!(erc!lo'i' A. heopty'i' -. che't pain C. chronic cough D. dy'pnea 1@.Ipact of $I% infection on t!(erc!lo'i' A. ore atypical ca'e' of t!(erc!lo'i' -. ore fre?!ent occ!rrence of e:trap!lonary T- C. ore diffic!lt to identify (eca!'e of 'iilaritie' of 'ypto' D. all of the a!o#e )/.Decrea'ed al&eolar &entilation re'!lt' fro the ff. condition4 e:cept A. Decrea'ed CNA dri&e B. Decreased physiologic dead space C. Ne!ro!'c!lar di'ea'e' E. Increa'ed #or* of (reathin" #ith inade?!ate &entilation )1.The !'e of PEEP 1po'iti&e end e:piratory pre''!re3 in echanical &entilation i' helpf!l (eca!'e it can A. Liit &eno!' ret!rn B. +ncrease air(ay pressure C. Decrea'e the cardiac o!tp!t D. Increa'e FRC and pre&ent' al&eolar collap'e )).7hich of the ff. patholo"ic chan"e' i' NOT a characteri'tic of ARDA A. Diff!'e al&eolar daa"e -. $yaline e(rane foration C. Hyperplasia of mucus gland and smooth muscle D. Increa'ed al&eolar5capillary perea(ility )..A!perior &ena ca&a 'yndroe i' characteri;ed (y the follo#in" A. Phrenic ner&e paraly'i' and ele&ation of heidiaphra" -. Aho!lder pain radiatin" to !lnar di'tri(!tion of the ar C. ,dema and ru!or of the face- nec& and upper chest D. Anhidro'i'4 io'i'4 pto'i' of affected 'ide )6.One of the follo#in" i' not a characteri'tic of the dy'pnea of patient' #ith COPD A. #aria!le- fre.uent at night -. pro"re''i&e C #or'enin" o&er tie C. pre'ent daily D. #or'e on e:erci'e )9.A proinent cardiac 'ilho!ette on che't :5ray of a COPD #ith cor p!lonale patient i' d!e to A. "ight #entricle -. aorta C. left atri! D. left &entricle )<.The o't coon ri'* factor for de&elopent of ARDA i' A. pne!onia B. sepsis C. a'piration D. 'e&ere tra!a )=.Necroti;in" pne!onia A. ca#ities / 0 cm diameter -. ca&itie' D ) c diaeter C. proce'' confined to al&eoli conti"!o!' to (ronchi D. inter'titial in&ol&eent only )>.Pne!onia #ith erythea !ltifore4 heolytic aneia4 (!llo!' yrin"iti' A. Atreptococc!' pne!oniae -. Mora:ella catarrhali' C. 1ycoplasma pneumoniae D. Le"ionella pne!ophilia )@.Ri'* factor for l!n" a('ce'' A. inhalation of (acteria B. sei2ure C. 'pinal ane'the'ia D. aphetaine inta*e ./.A!r"ical indication for (ronchiecta'i' A. Co'etic -. 'e&ere dy'pnea C. massi#e hemoptysis D. (ilateral l!n" in&ol&eent .1.E'!al 'o!rce of ple!ral fl!id in noral 'tate' A. parietal pleura -. &i'ceral ple!ra C. inter'titi! D. peritoneal ca&ity .).Mo't fre?!ent ca!'e of ali"nant ple!ral eff!'ion A. Lyphoa -. (rea't Ca C. !ronchogenic Ca D. e'othelioa ...The o't 'erio!' coplication of hyper*aleia A. 'ei;!re B. cardiac to*icity C. re'piratory fail!re D. !'cle paraly'i' .6.-ence Fone' Protein!ria i' a''ociated #ith A. myeloma -. hyperten'ion C. lyphoa D. dia(ete' .9.The o't coon e:trarenal 'y'te to de&elop cy'tic chan"e' in ADP+D A. li&er -. thyroid C. pancreas D. o&ary .<.Erinary findin"' of patient #ith T!(!lointer'titial Di'ea'e A. Protein G . "ra' -. heat!ria C. pyuria D. R-C ca't' .=.E:aination of the 'yno&ial fl!id of the *nee of a patient #ith o'teoarthriti' #ill re&eal the follo#in" e:cept A. Clear &i'co!' fl!id -. Ne"ati&e c!lt!re C. 7-C co!nt of )//Bhpf D. 3+4 C55D crystals .>.Inflaation of the 1 't etatar'al 0oint d!e to MAE cry'tal i' called A. -!r'iti' -. Poda"ra C. ,nthesitis D. Tophi .@.The 'tr!ct!re in the 0oint that i' affected in o'teoarthriti' A. Ayno&i! -. Cap'!le C. Cartilage D. A!(chondral (one 6/.One of the follo#in" i' NOT a cla''ification criteria in the dia"no'i' of Rhe!atoid arthriti' A. Ayetric arthriti' -. Aer! rhe!atoid factor po'iti&ity C. Radio"raphic chan"e li*e ero'ion D. 1orning stiffness less than an hour 61.The earlie't and con'i'tent findin" on :5ray of patient #ith an*ylo'in" 'pondyliti'H A. O'teopenia -. O'teophyte' C. 6acroilitis D. A!(chondral (one ero'ion 6).Cry'tal a''ociated #ith p'e!do "o!t A. Mono'odi! !rate B. Calcium pyrophosphate dihydrate C. Calci! o:alate D. Eric acid 6..The o't 'pecific te't in the dia"no'i' of ALE A. ANA B. ds D7A C. Anti hi'tone D. Anti5' 66.The a0or ri'* factor in the de&elopent of o'teoarthriti' A. o(e'ity B. Aging C. Tra!a D. Endocrine di'order 69.-ony hypertrophy of the di'tal interphalan"eal 0oint i' *no#n a' A. -o!chard,' node -. -o!tonniere' defority C. A#an nec* defority D. He!erden8s node 6<.7hich of the follo#in" aneia' i' o't li*ely to re'pond to the adini'tration of erythropoietin8 A. Iron deficiency aneia -. Pernicio!' aneia C. P!re red cell apla'ia D. Anemia of renal disease 6=.Pancytopenia #ith an IeptyJ arro# i' 'een in A. Aplastic anemia -. Myelody'pla'tic 'yndroe C. Paro:y'al noct!rnal heo"lo(in!ria D. Ac!te le!*eia 6>.The patient #ith intra&a'c!lar heoly'i' can pre'ent #ith all of the follo#in" clinical and la(oratory findin"' e:cept A. Lo# le&el' of 'er! hapto"lo(in -. Increa'ed indirect (ilir!(in and 'er! lactic dehydro"ena'e 1LD$3 C. 6plenomegaly D. $eo"lo(in!ria and heo'iderin!ria 6@.The dia"no'i' of chronic ITP i' e'ta(li'hed (y A. Marro# e:aination that 'ho#' increa'e e"a*aryocyte' -. Pre'ence of anti5platelet5a!to(odie' C. Pre'ence of "iant platelet' in the peripheral (lood 'ear D. ,*clusion of other causes of throm!ocytopenia 9/.7hich of the follo#in" i' a 'trate"y for priary pre&ention of cancer8 A. Pap' 'ear -. Di"ital rectal e:a C. Hepatitis B #accination D. Aelf5(rea't e:aination 91.De'ired re'pon'e to treatent if the "oal of treatent i' TO PALLIATE A. Coplete re'pon'e -. Partial re'pon'e 3. 6ta!le disease D. Pro"re''i&e di'ea'e 9).$ER5) ne! i' coonly e:pre''ed in #hich of the follo#in" ali"nancie'8 A. Colonic Ca B. Breast Ca C. -roncho"enic Ca D. Endoetrial CA 9..The o't coon ali"nant ca!'e of ortality in (oth 'e:e' i' A. Cer&ical Ca B. Bronchogenic Ca C. -rea't Ca D. Colonic Ca 96.A )/ yBo ale #a' noted to (e oli"!ria ) day' after ha;in" in fraternity. Erine #a' de'cri(ed a' reddi'h in color. E:tree tenderne'' noted all o&er the (ody. The ca!'e of reddi'h !rine i' A. $eat!ria -. heo"lo(in!ria C. myoglo!inemia D. porphyria 99.A ).yBo feale coplainin" of 1 day d!ration of dy'!ria4 #ith !r"ency C he'itancy4 afe(rile #ith ild hypo"a'tric tenderne''. 7hat i' the o't coon !ropatho"en A. ,. coli -. Ataph 'aprophytic!' C. Prote!' C. Candida 9<.A .9yBo F4 #B Type 1 DM 'ince 11yBo had a con'!ltation for "enerali;ed edea. $ad hyperten'ion for ) year' C had la'er therapy of (oth eye' for retinopathy. Acrea i' ..> "K $"(L>/. The 'ta"e of dia(etic "loer!lopathy i' A. Initial $yperf!nctionin" 'ta"e -. Incipient Gloer!lopathy C. O&ert Gloer!lopathy D. A2otemia lomerulopathy E. End Ata"e Gloer!lopathy 9=.</ yBo ale4 'o*er4 had con'!ltation for "ro'' heat!ria on C off for . onth' C #ei"ht lo''. There i' a palpa(le a'' on 1L3 flan*. The la(oratory e:aination #hich #ill (e &ery helpf!l to clinically 'ta"e thi' di'ea'e i' A. renal ETM -. I%P C. CT scan (ith contrast D. Renal 'can 9>.The o't coon "loer!lopathy #orld#ide A. Ac!te po't 'trep GN -. L!p!' Nephriti' C. +gA 7ephropathy D. Thin -a'eent Me(rane Di'ea'e 9@.The o't coon f!nctionin" pit!itary adenoa 9. 5rolactinoma -. ACT$5'ecretin" adenoa C. TA$5'ecretin" adenoa D. Acroe"aly </.A <= year old #oan ha' 0!'t !nder"one near total thyroidectoy for follic!lar thyroid carcinoa. Ne:t 'tep i' A. Cheotherapy #ith adriaycin B. "adioacti#e iodine therapy C. Le&othyro:ine replaceent therapy D. O('er&e and follo#5!p <1.7hich of the follo#in" can differentiate a patient #ith Gra&e' di'ea'e fro a patient #ith tran'ient thyroto:ic pha'e of '!(ac!te thyroiditi' A. CT'can -. Eltra'o!nd C. 'er! thyroid horone' le&el D. + 939 scan of thyroid <).7hich of the ff. la(oratory findin"' i' con'i'tent #ith Gra&e' di'ea'e A. High T4 (ith lo( T6H -. $i"h T6 #ith hi"h TA$ C. lo# T6 #ith hi"h TA$ D. lo# T6 #ith lo# TA$ <..Dia(ete' i' characteri;ed (y the follo#in" A. $yper"lyceia -. Di't!r(ance' in car(ohydrate4 fat and protein eta(oli' C. A''ociated #ith a('ol!te or relati&e deficiency of in'!lin 'ecretion andB ipaired action D. All of the a!o#e <6.Dietary ana"eent of dia(etic patient 'ho!ld incl!de #hich of the ff. A. Total caloric inta*e to achie&e C aintain ideal (ody #ei"ht -. Red!ced inta*e of 'at!rated fat' and chole'terol D. A&oidance of 'iple '!"ar' ,. All of the a!o#e <9.7hich of the follo#in" i' dia"no'tic of dia(ete' A. a 'in"le deterination of F-A G 1)< "K -. (lood '!"ar of G )//"K after an OGTT C. "B6 of / 0$$mg: D. po'iti&e "l!co'!ria <<.7hich of the follo#in" i' o't dia"no'tic of hypercorticoli' A. o&erni"ht de:aethha'one te't B. lo( dose de*amethasone test C. Rando 'er! corti'ol deterination D. !rinary corti'ol deterination <=.7hich of the follo#in" #ill yo! con'ider in a yo!n" patient #ith hyperten'ion #ith and hypo*aleia A. C!'hin",' di'ea'e B. Conn8s disease C. Pheochroocytoa D. E''ential hyperten'ion <>.Ca!'e of dy'otility type of chronic diarrhea A. Hyperthyroidism -. %IPoa C. Radiation coliti' D. Lacta'e deficiency <@.Tr!e re"ardin" Crohn' di'ea'e A. More coon aon" non5'o*er' -. Rectal (leedin" i' coon C. A!r"ery offer' peranent c!re D. 5eri-rectal fistulas are common =/.A '!r"ically re'ected colon re&ealed t!or cell' in&adin" the !'c!lari' #ith 6 lyph node' al'o 123for t!or. Patient (elon"' to D!*e' 'ta"eH A. A -. -1 C. -) 4. C =1.Tene'!' i' A. E:ce''i&e pa''a"e of flat!' -. Indicati&e of 'i"oid patholo"y C. A 'ypto of inflaation of the an!' D. 5ainful straining % sensation of incomplete emptying during defecation =).-e't odality to deterine the pre'ence and le&el of inte'tinal o('tr!ctionH A. Colono'copy B. 5lain film of the a!domen C. An"io"raphy D. Ga'tro'copy =..A 6.BM had 'e&eral epi'ode' of (loody !coid 'tool' d!rin" the pa't > onth'. $e had recei&ed ) co!r'e' of Metronida;ole C . co!r'e' of ?!inolone'. Ne:t o't lo"ical 'tep i' to A. Do lo(er gut endoscopy -. Repeat ro!tine 'tool e:a C. Re?!e't for A!dan II 'tainin" D. Re?!e't for fecal occ!lt (lood te'tin" =6.Mo't coon ca!'e of ac!te pancreatiti' A. dr!"' and "enetic' B. alcohol and gallstone C. ERCP and hypercalceia D. In'ect to:in' and i'cheia =9.Treatent for "all(ladder 'tone' 'een incidentally (y !ltra'o!nd on a noral indi&id!al A. eer"ency cholecy'tectoy -. electi&e cholecy'tectoy C. ERCP D. 7one of the a!o#e =<.Mo't coon (eni"n t!or of the e'opha"!' A. Polyp' -. Leiyoa C. Hemangiomas D. A?!ao!' cell papilloa ==.7hich of the follo#in" te't for $. pylori cannot (e !'ed to onitor re'pon'e to treatent A. Rapid !rea'e te't -. Aerolo"ical te't C. ;rea !reath test D. C!lt!re =>.7hich of the follo#in" food 't!ff i' the o't potent 'ti!lant "a'tric acid 'ecretionH A. Car(ohydrate' B. 5rotein C. Fat' D. Alcohol =@.The o't coon ca!'e of o('c!re GI (leedin" A. Aall (o#el t!or -. Die!lafoy,' le'ion C. Angiodysplasia D. Arterio&eno!' alforation >/.The epithelial linin" of the e'opha"!' i' A. Cornified 'tratified '?!ao!' 0. 7on cornified stratified s.uamous C. Non cornified non 'tratified '?!ao!' D. Cornified non 'tratified '?!ao!' >1.D!rin" the "ap or #indo# period4 thi' i' the only 'erolo"ic e&idence Of hepatiti' - A. $-'A" -. $-eA" C. Anti-HBc D. Anti5$-' >).De'pite per'i'tence of &ir!' in the li&er4 &iral 'heddin" in fece'4 &ireia and infecti&ity diini'h rapidly once 0a!ndice (ecoe' apparentH A. Viral hepatitis A -. %iral hepatiti' - C. %iral $epatiti' C D. %iral $epatiti' D >..7hich of the follo#in" dr!"' can relie&e dy'pnea in C$F8 A. Aal(!taol (y inhalation B. <urosemide +V C. Nitrate' '!(lin"!al D. -eta (loc*er per ore E. Di"itali' (y I% ro!te >6.7hich of the dr!"' can di''ol&e the thro(!' in ac!te coronary A. Lo# olec!lar #ei"ht heparin -. Enfractionated heparin C. A'pirin D. 6trepto&inase E. A(ci:ia( >9.In'piration increa'e' the inten'ity of lo!dne'' the !r!r of A. tricuspid regurgitation -. atrial 'eptal defect C. M%P D. Aortic 'teno'i' ><.The o't coon priary ali"nant t!or of the heart i' A. atrial y:oa B. sarcoma C. ali"nant D. fi(roa >=.All of the follo#in" are a0or Fone' criteria for the dia"no'i' of rhe!atic fe&er e:cept A. chorea -. erythea ar"inat! C. fe#er D. carditi' >>.Tr!e of Coarctation of Aorta A. femoral pulse is (ea& and delayed -. (lood pre''!re in the le" i' "reater than the ar C. priary ca!'e of hyperten'ion D. pre'ence of (oot 'haped heart on che't :5ray >@.Che't pain i' pre'ent in patient #ith A. aortic di''ection -. yocardial infarction C. !oth D. neither @/.Type of con"enital heart di'ea'e that i' acyanotic #itho!t a 'h!nt A. atrial 'eptal defect -. &entric!lar 'eptal defect C. coarctation of aorta D. tetralo"y of Fallot @1.Aecond heart 'o!nd i' #idely 'plit and relati&ely fi:ed A. atrial septal defect -. &entric!lar 'eptal defect C. patent d!ct!' arterio'!' D. tetralo"y of Fallot @).Atandin" increa'e' the inten'ity of the !r!r of A. tric!'pid re"!r"itation -. itral 'teno'i' C. mitral #al#e prolapse D. p!lonic 'teno'i' @..Cho'e the correct 'tateent re"ardin" aortic in'!fficiency A. high pitched- !lo(ing diastolic murmur -. (e't heard #ith the (ell of the 'tetho'cope C. decrea'e p!l'e pre''!re D. (e't heard at the ape: @6.A )> yBo feale patient cae in #ith dy'pnea. On a!'c!ltation the fir't heart 'o!nd i' lo!d and a lo# pitched dia'tolic !r!r #a' noted at the ape:. No L% hea&e #a' al'o noted. The o't li*ely condition i' A. aortic re"!r"itation -. itral &al&e prolap'e C. mitral stenosis D. patent d!ct!' arterio'!' @9.The 'e&erity of thi' coponent of tetralo"y of Fallot deterine' the cyanotic anife'tation of thi' con"enital anoaly A. &entric!lar 'eptal defect B. o!struction to "V outflo( C. o&erridin" aorta D. R% hypetrophy @<.Infecti&e endocarditi' prophyla:i' i' indicated e:cept A. itral 'teno'i' -. PDA C. AAD4 &eno'!' type D. 1V5 (ithout 1" @=.The o't iportant phy'ical 'i"n of ac!te pericarditi' A. che't pain B. pericaridal friction ru! C. parado:ical p!l'e D. +!''a!l,' 'i"n @>.A'pirin i' indicated A. ac!te yocardial infarction -. ac!te pericarditi' C. !oth D. neither @@.Mo't coon ca!'e of death in ad!lt' #ith dia(ete' A. pericardial di'ea'e B. coronary artery disease C. &al&!lar heart di'ea'e D. renal fail!re 1//. A <) yBo an #a' aditted for e&al!ation of 'yncopal attac*. $e denied 'ypto' of che't pain nor dy'pnea on e:ertion. On P.E.4 a har'h "rade I%B%I 'y'tolic e0ection !r!r #a' heard at the ri"ht 'ternal (order #ith radiation to the carotid'. Carotid !p'tro*e #a' delayed. 7hat i' the o't li*ely dia"no'i'8 A. p!lonic 'teno'i' -. itral re"!r"itation C. aortic stenosis D. aortic re"!r"itation