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‫√√√امتحان المجلس الطبي السوداني‬

Sudan Medical Council Exam

Paper Number: 3

Question 1

What is the most likely diagnosis?

Select one of the following answers:
Marasmus

Sickle cell anaemia

Kwashiorkor √
Pellagra
Question 2

The most likely cause of the abnormality shown in this barium swallow is:
Select one of the following answers:
Achalasia

Ca oesophagus √
Oesophageal varices

Oesophageal spasm

Question 3
?What is the most likely cause of this lesion
Select one of the following answers:
Infection

Diabetes

Hypertension

Vitamin A deficiency
√

Question 4
The clinical sign shown is most likely associated with:
Select one of the following answers:
Hyperkalaemia

Hypomagnesaemia

Hponatraemia
Hypocalcaemia √

Question 5
The name of the instrument shown is:
Select one of the following answers:
Tissue forceps

Artery forceps

Volecellum
√
Ovum forceps

Question 6

What is the confirmatory investigation to do for the most likely diagnosis in this case?
Select one of the following answers:
Serology

Lymph node biopsy

Ear lobe biopsy √

CBC
Question 7

This patient developed this condition for the last two hours. The first step in her management is
:administration of
Select one of the following answers:
Diphenhydramine

Adrenaline √
Hydrocortisone

Oxygen

Question 8
The following abnormality is shown in this plain x-ray abdomen:
Select one of the following answers:
Gas in the rectum

Multiple gas-fluid levels

Distended u-shape large bowel loop

Dilated small bowel loops √

Question 9
What is the diagnosis?
Select one of the following answers:

Foreign body

Snake bite.

Dry gangrene. √
Cellulitis.

Question 10
:These eye features are consistent with
Select one of the following answers:
Occulomotor nerve palsy

Myasthenia graves

Abducent nerve palsy

Horners syndrome √

Question 11

One of the important presentations of the disease caused by what is shown is :

Select one of the following answers:
Heamaturia √
Elephentiasis

Hemoptysis

Heamatemesis

Question 12
Which one of these nerves is affectd ?
Select one of the following answers:

Lt. glossopharyngeal

Rt hypoglossal

Rt glossopharyngeal

Lt. hypoglossal
√

Question 13
What is the abnormality shown ?
Select one of the following answers:
koplic,s spots √

oral thrush

vincet,s angina

Kaposi sarcoma

Question 14
With which of the following is this physical sign associated?
Select one of the following answers:
Congestive heart failure

Tuberculoid leprosy √
Lepromatous leprosy

SLE

Question 15
What diagnosis is suggested by this ECG?
Select one of the following answers:

Second degree heart block

Atrial fibrillation.

Myocardial infarction.
√
Ventricular tachycardia.

Question 16
What is the likely diagnosis ?
Select one of the following answers:
Downs syndrome

Congenital hypothyroidism √
Diabetes mellitus

Cerebral palsy

Question 17
This patient presents with joints pains. What is the most important investigation to be ordered ?
Select one of the following answers:
Antinuclear antibody

ESR.

Rheumatoid factor.

Serum uric acid. √

Question 18
With which of the following is the physical sign shown be associated?
Select one of the following answers:

Tetralogy of Fallot √

Anaemia

Coarctation of the aorta

Atrial septal defect

Question 19
?What is the instrument used
Select one of the following answers:
Ovum forceps

Volesellum

Obsteatric forceps

Ventose √

Question 20
?What is the diagnosis
Select one of the following answers:
Nephrotic syndrome

Portal hypertension √
Tuberculous ascites

Hepatoma

Question 21
What is the diagnosis ?
Select one of the following answers:

bone tumour

compound fracture

Fracture dislocation

Osteomyelitis
√

Question 22
The most important investigation to do for this man is :
Select one of the following answers:
chest x-ray

serum cholesterol √
serum uric acid

ECG

Question 23
What are the lesions shown?
Select one of the following answers:

intestinal villi

intestinal polyps √
stomach ulcers

Ca colon

Question 24
What is the abnormality shown ?
Select one of the following answers:

cavity in the left lower lobe

left pleural effusion

Large left lower lobe bronchial carcinoma √

left lower lobe pneumonia

Question 25
This child develops these lesions with a respiratory infection. What are these lesions?
Select one of the following answers:

erythema multiforme
impetigo √
pemphegoid

chicken pox

Question 26
This peripheral blood picture is suggestive of:
Select one of the following answers:

Haemolytic anaemia
Megaloblastic anaemia √
Iron deficiency anaemia

Thalassaemia

Question 27
The gross appearance of this liver is suggestive of:
Select one of the following answers:
Hepatoma

Fatty liver
Cirrhosis √
Secondaries

Question 28
Which of the following rheumatic disorders do this pelvic x-ray radiographic features suggest ?
Select one of the following answers:

Osteoarthritis
√

Rheumatoid arthritis

Paget’s disease

Osteonecrosis

Question 29
:The swellings around the elbow in this patient are
Select one of the following answers:
lipomas

rheumatoid nodules √
subcutaneous nodules of rheumatic fever

enlarged epitrochlier lymph nodes

Question 30
The first step in the assessment of this patient is:
Select one of the following answers:
Fine needle aspiration √
CBC

Mammography

Chest x-ray

Question 31
One of the following is an indication for this drug:
Select one of the following answers:
Heart failure

Supraventricular tachycardia

Atrial fibrillation

Heart block √

Question 32
What is the most likely diagnosis?
Select one of the following answers:
Lobar pneumonia

Lung cancer

Bronchopneumonia

Pulmonary tuberculosis √

Question 33
This appearance is most likely associated with?
Select one of the following answers:
Scurvy

Heart failure

Rickets

Sickle cell disease √

Question 34
What lesions are shown?
Select one of the following answers:
Hemorrhagic telengiectasia

Spider naevi √

Erythema marginatum.

Papular skin rash.

Question 35
Skin exam revealed these anesthetic lesions and polyneuropathy had been noted previously. The
likely diagnosis is :
Select one of the following answers:
lepromatous leprosy

dermatitis

tuberculoid leprosy √
eczema
Question 36

What is the abnormality shown ?

Select one of the following answers:

meatal ulcer.

balanitis.

hypospadius. √
circumsition.

Question 37
This patient developed this condition for the last few days and he has a history of contact with a
similar case 3 weeks before. What is the likely diagnosis ?
Select one of the following answers:
herpes zoster.

glanular fever.

measles.

chicken pox. √

Question 38

The physical sign shown is associated with

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Select one of the following answers:
Hypothyroidism

Hyprcalcaemia
 Hepatic encephalopathy

Parkinsonism

Question 39

This type of respiration is best described as

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Select one of the following answers:
Tachypnoea

Hyperventilation

Chyne stokes √
Apnoea

Question 40

What is the most likely diagnosis?

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Select one of the following answers:
Lower motor neuron Rt facial palsy √
upper motor neuron Rt facial palsy

upper motor neuron Lt facial palsy

Lower motor neuron Lt facial palsy

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