1.The relative risk of death in smokers is 50%.With using
special medicine the risk of death decreased to one third compare with non-smokers.The number needed to treat is? a.500 b.100 c.33 d.9 2.To assess the side effects of a special drug in patients which type of research is used? a.case control b.cross-sectional c.controlled trial d.cohort 3.There was a nursing chart of a patient not clear,nothing could be seen and asked for the diagnosis of patient with out any explanation in the stem of question?!!! 4.A picture of angiography of lower limb vessels,asked for the diagnosis? a.dvt b.venous thrombosis c.artherial stenosis 5.2 questions of pin point pupil asked for the first treatment? a.adrenalin b.atropin c.n acetylcysteine d.flumazenil 6.A child swallowed a button 4 hours ago what is the best investigation? a.xray b.observe c.oesophagoscopy d.laparotomy 7.A picture of abdomen no mass could be seen.It said that mass can be seen when rasing head against resistant and when coughing?dx? a.epigastric hernia b.rectoinguinal hernia c.divarification of recti 8.what is the best fluid for a patient going for hemicolectomy? a.2lit n/s during surgery b.2lit n/s before surgery c.2lit Hartman during surgery d.2lit Hartman before surgery 9.patinet with some skin patches and eye problem(cant remember exactly the problem)whats the best management? a.nothing b.surgical c.neurological management d.skeletal examination 10.A child with mild jaundice,slightly yellow sclera,uncunjugated hyperbili,all other examination normal.dx? a.spherositosis b.biliary atresia c.gilbert d.dubin-johnson 11.infant with jaundice in 20 hour of birth.high unconjugated bili.most imp cause? a.biliary atresia b.ABO incompatibility c.neonatal hepatitis d.physiologic 12.lady 8w gestation.pain on right iliac fossa while straining.cause? a.ectopic pregnancy b.round ligament c.apandicitis 13.patient with back pain,large gall bladder on us,weight loss.most imp cause? a.cholecystitis b.hepatitis c.carcinoma of pancreas 14.10w pregnant lady.how to diagnosis of down syn? a.bhcg b.AFP c.nuchal translucency d.aminiocyntesis 15.depressed patient with insomnia? a.amitriptilyline b.fluoxetine c.mirtazapine 16.young female with depression,suicidal idea.what is most imp In her history? a.age b.drug abuse c.previous attempts d.sex 17.patient with thigh muscle pain and weakness,DM,HTN,and history of DVT,loss of knee reflex,what is dx? a.diabetic sensory neuropathy b.arterial occlusion c.amyotrophy *** 18.2 questions about pernicious anaemia,I cant remember the stem 19.patient came for operation,during operation a medicine not mentioned in her history used which patient was allergic to it and it lead to hospitalisation of her for another one week.her husband asks u about the problem,what should u say? a.it was the fault of doctor who took the patient history b.it was the fault of operation team c.she is now ok and nothing serious happened to her d.apologise and say u will find out the cause 20.13 year old girl living alone.unwanted pregnancy which she said related to sex in a party.whats the first management? a.call her parents b.call police c.inform sexual assault centre 21.mother brought her 6 year old child with symptoms of flu.during examination u found out some bruise on childs body.whats first management? a.ask mother about the bruises b.inform child protection authorities b.prescribe medicine for the flu 22.3 questions about loss of vision of one eye,cant remember the stem 23.posterior cervical lymph node.where is the stem? a.epigastre b.lung c.nasopharynx d.breast 24.patient with 5 day iv fluid administration because of cholestomy,whats the most common deficiency? a.iron b.zink c.iodine 25.20 year old boy came to u.He said he is a girl inside,dx? a.transvestism b.transexual 26.term newborn with dyspnea,apgar both were good in 1 and 5 min.mother has DM.first management? a.xray b.o2 c.antibiotic 27.12 year old boy with bone age of 11,asked for management? 28.which is tratogenic in pregnancy? a.marijuana b.LSD c.cocaine 29.2 ecg so unclear and fade nothing could be seen even the leads 30.lady with history of breast cancer in her sister before 50.what to do? a.2 yearly mammography b.6 monthly mamo c.refer for genetic counselling 31.patient absent of radial pulse and paralysis.first management? a.heparin b.warfarin c.angioplasty 32.patient with signs of guillain barre asked for dx? 33.patient with Parkinson+fluctuation in day.tx? a.levodopa b.benzhexol c.pergolide 34.cause of itussusception in a child?cant remember the choices! 35.old patient with central abdominal pain and vomititing,localised tenderness and absent bowel sound,best management? a.npo,xray b.immidiate surgery 36,scenario of oesteoartheritis in old patient asked for best tx? Thats what I can remember now,Ill try to upload another file if anything comes to my mind.I need your prayers,wish all of you the best.