Thumbs Up Amc medical council AMC MCQ 1 exam 2010 questions download

May 2007 MCQ Exam

1.A piicture of Dupuytren contracture. Cause:

A. Use of chronic vobrating tools

B. Chronic alcoholism

2. Picture of Bowen disease from Anthology. Dx?

3. Picture of perianal haematoma. Mn?

4. Features of complex partial seizure given. Rx?

5. A 60 yo man, commercial driver has had a recent stroke. He has left hemiparesis and left
homonymous hemianopia. What advice you will give him regarding driving in the future?

A. never drive again

B. Have an occupational driving test done

6. A sudanese boy came to you after administration of Co-timoxazole with the complaints of pallor
and increasing darkness of colour of urine. his reticulocyte count was 8%. His Coomb's test was
negative, no family history and on electrophoresis Type A hb was detected. What is the Dx?

a. Hereditary Spherocytosis
b. G6PD def
c. Autoimmune HA
d. Sickle cell anaemia
e. thalassaemia

7. What is the use of Psychodynamic psychotherapy in Australia ?

A. Phobia
B. Anxiety disorder
C. schizophrenia
D. OCD

8. A boy came with fever and pain in the right leg. he hardly moves the leg and does not allow
you to move it either. He refuses to carry weight on that leg. What could be the dx?

A. Septic arthritis of hip

B. OM of femur
C. D. E. could be excluded easily

9. one of your colleague is taking anti psychotic medication for her own psychiatric illness. what
should be your advice to her??

A. she should refrain from seeing pt. until she is asymptomatic

B. she should take specialist review
C. you should contact the medical advisory board
10. What is the most common association of childhood obesity in Australia ?

A. Above average height

B. Hypercholesterolaemia
C. DM
D. cataract

11. What will be the first S/S when a plaster is too tight?

A. Pain
B. Change of colour
C. Swelling
D. Stiffness

12. which nerve regenerates most after taumatic laceration?

A. ulnar n.
B. Median n.
C. Digital n.
D. sciatic n
E. Common peroneal n.

13. A patient came with 12 hr H/O severe vomiting. Pain in upper abdomen which is now constant
in the epigastrium. There is rigity and guarding in the abdomen. Dx?

A. ac. pancreatitis
B. Perforated DU
C. perforated GU

14. A pt came with an ill defined mass in the RIF and loose watery stools. He has fever and has
lost 6 kgs of weight recently. Dx?

A. Crohn disease
B. Meckel diverticulitis
C. UC
D. Ca large gut

15. Most common S/S assoc. with ca rectum?

A. altered bowel habit and tenesmus

16. A patient came with a pus discharging bead at 5 o'clock position at the anal verge. on probing
there was a track discovered which extended in the rectum for 15 cm. (these were the exact
words). DX?

A. Crohn dis
B. Ankylostomiasis
C. Ca rectum
D. Haemorrhoids

17. A badly injured patient who takes anti psychotics is on the verge of collapse. but he is violent
and refuses all treatment. what do you do?

A. restrain him and treat

18. A patient opens his eyes to pain, withdraws to painful stimulus ans is unable to answer ant
questions. What is his GCS?

A. 7-9
B. 10-12
C. 3-5
C. 13-15

19. An old man who suddenly collapsed was unconscious for three minutes following which he
recovered fully. 5 ECG rhythm strips given. Which could possibly explain his situation?

A. 1st deg. HB
B. 2nd deg HB
C. VF
D. Complete HB
D. LBBB

20. One ECG which has digitalis effect on it. DX?

1.A piicture of Dupuytren contracture. Cause

alcoholism

3. Picture of perianal haematoma. Mn?

incision under local

5. A 60 yo man, commercial driver has had a recent stroke. He has left hemiparesis and left
homonymous hemianopia. What advice you will give him regarding driving in the future?

http://www.austroads.com.au/aftd/downloa...EBREV1.pdf
page 71 stroke is mentioned & they said pt cant drive for 1 months after & 3 if SAH but if dense
hemiplegia then he cant drive before specialist & assesor asses him so i will chose the 2nd option

A sudanese boy came to you after administration of Co-timoxazole with the complaints of pallor
and increasing darkness of colour of urine. his reticulocyte count was 8%. His Coomb's test was
negative, no family history and on electrophoresis Type A hb was detected. What is the Dx?

G6pd, he is black as he is from suddan & he was give sulpha containing medication

7. What is the use of Psychodynamic psychotherapy in Australia ?

used allover the world for panic attacks so i guess anxiety disorder would be the one

8. A boy came with fever and pain in the right leg. he hardly moves the leg and does not allow
you to move it either. He refuses to carry weight on that leg. What could be the dx?

A. Septic arthritis of hip

B. OM of femur ****
C. D. E. could be excluded easily

OM should be excluded as per AMCQ book

10. What is the most common association of childhood obesity in Australia ?

A. Above average height

B. Hypercholesterolaemia
C. DM
D. cataract

dont know at all,any help plz

11. What will be the first S/S when a plaster is too tight?

A. Pain ******
B. Change of colour
C. Swelling
D. Stiffness

if there a discomfort option i would have choosen it

12. which nerve regenerates most after taumatic laceration?

A. ulnar n.
B. Median n.
C. Digital n. *****
D. sciatic n
E. Common peroneal n.

not sure why

13. A patient came with 12 hr H/O severe vomiting. Pain in upper abdomen which is now constant
in the epigastrium. There is rigity and guarding in the abdomen. Dx?

A. ac. pancreatitis
B. Perforated DU
C. perforated GU

all of them can have these symptoms,its missing some info,which way of sitting that help the pt
relief the pain,age of pt ,previous history ,i would go for Acute pancreatitis cuz there s no shoulder
tip pain,nothing said about bowel sounds

14. A pt came with an ill defined mass in the RIF and loose watery stools. He has fever and has
lost 6 kgs of weight recently. Dx?

A. Crohn disease
B. Meckel diverticulitis
C. UC
D. Ca large gut

UC bloody diarrhea & no masses

never heard about a meckel on the right
Ca usualy have histoy of bowel habits change but wt loss support that

crohns would be my choice

as emerck online say about crohns

The most common initial presentation is chronic diarrhea with abdominal pain, fever, anorexia,
and weight loss. The abdomen is tender, and a mass or fullness may be palpable
16. A patient came with a pus discharging bead at 5 o'clock position at the anal verge. on probing
there was a track discovered which extended in the rectum for 15 cm. (these were the exact
words). DX?

A. Crohn dis
B. Ankylostomiasis
C. Ca rectum
D. Haemorrhoids

crohns diz
merck says
Abscesses are common, and fistulas often penetrate into adjoining structures, including other
loops of bowel, the bladder, or psoas muscle; fistulas may even extend to the skin of the anterior
abdomen or flanks. Independently of intra-abdominal disease activity, perianal fistulas and
abscesses occur in 1⁄4 to 1⁄3 of cases; these complications are frequently the most troublesome
aspects of Crohn's disease.

18. A patient opens his eyes to pain, withdraws to painful stimulus ans is unable to answer ant
questions. What is his GCS?

A. 7-9
B. 10-12
C. 3-5
C. 13-15

eye on pain 2
withdraw to pain 5
unable to answer quz 1

so 7-9

11. What will be the first S/S when a plaster is too tight?

A. Pain******
B. Change of colour
C. Swelling
D. Stiffness

this is from Toronto notes

clinical signs and symptoms

early
pain
• greater than expected for injury
• not relieved by analgesics
• increase with passive stretch of compartment muscles
pallor
• palpable tense, swollen copmparment
late
• paralysis (inability to move limb - late)
• pulses are usually still present
• paresthesias
NOT pulslessness
• most important feature found on physical exam is PAIN out of
proportion to injury (the other signs are ‘late signs’)

4.a lady with sore throat, a week later developed a swelling which moves with deglutition

1 solitary thyroid nodule

2 MNG
3 thyroglossal cyst
4 cervical lymph node

The diagnosis is usually established by observing a 1- to 2-cm, smooth, well-defined midline neck
mass that moves upward with protrusion of the tongue. Routine thyroid imaging is not necessary,
although thyroid scintigraphy and ultrasound have been performed to document the presence of
normal thyroid tissue in the neck. Treatment involves the "Sistrunk operation," which consists of
en bloc cystectomy and excision of the central hyoid bone to minimize recurrence.1
Approximately 1% of cysts are found to contain cancer that is usually papillary (85%). Squamous,
Hürthle cell, and anaplastic cancers also have been reported, but are rare. Medullary thyroid
cancers are, however, not found in thyroglossal duct cysts.

I forgot to mention the relation to infection ...

Thyroglossal duct cysts present as midline masses of the anterior neck (Figure 25–4. ). Like
branchial cleft cysts, they may be asymptomatic and only appear when they become infected in
the setting of an upper respiratory tract infection...Current

thats a good was of practcisng but ur getting most questions statments wrong ,like there was
never written a mass in midline moved wit hdegulttaion ,and i dnt think there is conncetion bw
thyroglossal cyst and throat infection ,anywayz may be it was written midline i dnt rember exactly
may be ur rite and one of the choice for the other question was pilonidal sinus tract and it was at
3 o clok position or it was the other question i dnt rember exactly

1. A patient with acute myocardial infarction used heparin; which of the following methods is used
for monitoring:
a. BT
b. PT
c. ARTT
d. INR
e. Fibrinogen

2. A patient has a mitral valve stenosis – all of the following signs are correct EXCEPT:
a. AF
b. S 1 increased
c. Palpitation increased S 2 in apex
d. S 3
e. Presystolic murmur

3. In a patient with myocardial infarction was found a new systolic murmur on examination.
Cardiac ejection fraction was 55%. Which of the following is MOST probable cause:
a. Aortic regurgitation
b. Papillary muscle dysfunction
c. Mitral valve stenosis
d. Papillary muscle rupture
e. Tricuspid valve regurgitation

4. A young woman has hypertension with fibrosing stenosis of renal artery (60%) which of the
following is the MOST appropriate treatment:
a. Renal artery angioplasty
b. ACE Inhibitors
c. Antihypertensives
d. Diuretics
e. Arteries dilation drugs

5. An obese patient with diabetes mellitus is under anti-hypertension treatment. His blood
pressure is 160/100mmBg on examination. Which of the following is your INITIAL consideration
for this patient:
a. Decreased protein in his diet
b. Concurrent hypertensive therapy
c. Give diuretics
d. Control sugar intake in the diet
e. Ideal weight

6. At which level of cholesteral you consider to give lipid-lowering statins (eg, simvastatin,
pravastatin)
a. 6 mmol/l
b. 5.5 mmol/l
c. 5 mmol/l
d. 4.5 mmol/l
e. 4 mmol/l

7. Patient with coronary heart disease and xanthoma along the Achilles tendons. Which of the
following is THE MOST LIKELY diagnosis:
a. Familial hypercholesterolaemia
b. Familial combined hyperlipidaemia
c. Remnant removal disease
d. Hypolipoproteinaemia

8. Which of the following examination supports the diagnosis of pulmonary thromboembolism:

a. Chest PA X-rays
b. Pulmonary Doppler
c. Blood gas
d. Pulmonary ventilation perfusion mismatched on pulmonary scan
e. Lung function measurement

Contagious diseases

9. Which of the following is the MOST COMMON characteristic of pleura effusion of TB:
a. Glucose decreased or absent
b. Monocyte
c. Blood stained
d. Protein <2g
e. Find TB bacillus

10. Which following group is the MOST at RISK OF HIV infection:

a. Heterosexual
b. Homosexual
c. Intravenous drug user
d. Blood transfusion
e. Haemophilias

11. Which of the following group is LEAST LIKE of infection of HIV:

a. Heterosexual
b. Blood Transfusion
c. Homosexual
d. Haemodialysis
e. Haemophiliacs

13. A farmer has suddenly had undulant fever for 2-3 days with abruptly headache severe
myalgia, jaundice and petechial rash on the skin; liver and spleen enlargement. Which of the
following is the diagnosis:
a. Brucellosis
b. Yellow fever
c. Leptospirosis
d. Malaria
e. Anthrax

14. Dengue fever, all followings are correct EXCEPT:

a. Arbovirus
b. Mosquito transmission
c. Children get least severe illness
d. There is no specific treatment
e. Air droplet infection

15. A patient with mycobacteria infection which of the following is most appropriate treatment
a. cotrimoxazole
b. tetracycline
c. Amoxycilline
d. Metronidazole
e. Erithromycin

16. What is compatible with critical illness:

a. Increased cortisol , increased TSH
b. Both cortisol and TSH decreased
c. Increased cortisol, decreased TSH
d. Decreased cortisol, increased TSH
e. Normal cortisol, increased TSH

17. A 65 year old man has ‘bulk” diarrhoea with “oil”. He drinks alcohol for many years . Which of
the following is your investigation
a IV pancreagraph
b Endoscopy pancreagraph
c. Abdominal X-ray
d Ultrasound
e Enema

18.For an elderly man, which above following blood sugar level need further investigation
a. 5 mmol/l
b. 5.5 mmol/l
c. 6 mmol/l
d. 6.5 mmol/l
e. 7 mmol/l

19.Side effective of corticosteroids including all the following EXCEPT

a Lymphocytosis
b. Lymphopenia
c. Hirsutism
d. Osteoporosis
e. Weight gain

20. A patient has headache, prominent supraorbital ridge prognathism teeth spacing
increased,thick spade-like hands and seborrhoea and coarse oily skin. Which of the following is
BEST investigation to establish diagnosis:
a. Insulin-glucose
b. X-ray of pituitary test
c. Cranial CT scan or MRI scan
d. SERUM T4+PRL+growth hormone level
e. Oral glucose tolerance test (OGTT)

21.Which following patient is LEAST LIKELY to suffer primary hypothyroidism:

a. 65 year old female with goitre
b. 35 year old female with depression
c. 28 year old female with 3 years menorrhagia
d. 18 year old boy with relative less age
e. 32 year female with anaemia unresponsive to iron, B 12and folate

22 Patient has a single lump on one side of the thyroid, all following situation s suggest malignant
EXCEPT
a. Single nodule
b. US showed a solid nodule
c. Thyroid scan show “HOT’ lump
e. Associated with increased serum thyroglobulin
f. Associated with hoarseness

1. A patient with acute myocardial infarction used heparin; which of the following methods is used
for monitoring:
a. BT
b. PT
c. ARTT
d. INR
e. Fibrinogen

C) APTT

2. A patient has a mitral valve stenosis – all of the following signs are correct EXCEPT:
a. AF
b. S 1 increased
c. Palpitation increased S 2 in apex
d. S 3
e. Presystolic murmur

D) S3

3. In a patient with myocardial infarction was found a new systolic murmur on examination.
Cardiac ejection fraction was 55%. Which of the following is MOST probable cause:
a. Aortic regurgitation
b. Papillary muscle dysfunction
c. Mitral valve stenosis
d. Papillary muscle rupture
e. Tricuspid valve regurgitation

D) PMR

4. A young woman has hypertension with fibrosing stenosis of renal artery (60%) which of the
following is the MOST appropriate treatment:
a. Renal artery angioplasty
b. ACE Inhibitors
c. Antihypertensives
d. Diuretics
e. Arteries dilation drugs

a) Renal art angio

as per emedicine

http://www.emedicine.com/radio/topic600.htm

5. An obese patient with diabetes mellitus is under anti-hypertension treatment. His blood
pressure is 160/100mmBg on examination. Which of the following is your INITIAL consideration
for this patient:
a. Decreased protein in his diet
b. Concurrent hypertensive therapy
c. Give diuretics
d. Control sugar intake in the diet
e. Ideal weight

cuz of the word initial i went through the answers more than one time
he is diabetic ,obese with uncontrolled htn ,after that reading of his blood pressure i think the
correct answer would be b) but u never know ,i need input of the other members plz in that quest

6. At which level of cholesteral you consider to give lipid-lowering statins (eg, simvastatin,
pravastatin)
a. 6 mmol/l
b. 5.5 mmol/l
c. 5 mmol/l
d. 4.5 mmol/l
e. 4 mmol/l

b)5.5
despite that the new aussie guidlines have more details that that but i would still choose 5.5

7. Patient with coronary heart disease and xanthoma along the Achilles tendons. Which of the
following is THE MOST LIKELY diagnosis:
a. Familial hypercholesterolaemia
b. Familial combined hyperlipidaemia
c. Remnant removal disease
d. Hypolipoproteinaemia

its commonly associated with hyperlipidaemia type 2 not sure which one of those but i would
choose b) need some help in that one

8. Which of the following examination supports the diagnosis of pulmonary thromboembolism:

a. Chest PA X-rays
b. Pulmonary Doppler
c. Blood gas
d. Pulmonary ventilation perfusion mismatched on pulmonary scan
e. Lung function measurement

D) V/Q

9. Which of the following is the MOST COMMON characteristic of pleura effusion of TB:
a. Glucose decreased or absent
b. Monocyte
c. Blood stained
d. Protein <2g
e. Find TB bacillus

nothing is most characteristis really but finding a TB bacillus is very exclusive i think

http://medicine.ucsf.edu/housestaff/Chie..._fluid.pdf

10. Which following group is the MOST at RISK OF HIV infection:

a. Heterosexual
b. Homosexual
c. Intravenous drug user
d. Blood transfusion
e. Haemophilias

b) homosexuals
as per merck
The sexual practices with the highest risks are those that produce mucosal trauma, typically
intercourse. Anal-receptive intercourse poses the highest risk

11. Which of the following group is LEAST LIKE of infection of HIV:

a. Heterosexual
b. Blood Transfusion
c. Homosexual
d. Haemodialysis
e. Haemophiliacs

b. Blood Transfusion

13. A farmer has suddenly had undulant fever for 2-3 days with abruptly headache severe
myalgia, jaundice and petechial rash on the skin; liver and spleen enlargement. Which of the
following is the diagnosis:
a. Brucellosis
b. Yellow fever
c. Leptospirosis
d. Malaria
e. Anthrax

a)brucellosis

i had to dig hard for that answer

check
http://www.emedicine.com/emerg/topic883.htm

14. Dengue fever, all followings are correct EXCEPT:

a. Arbovirus
b. Mosquito transmission
c. Children get least severe illness
d. There is no specific treatment
e. Air droplet infection

i think it was mosquito bites not droblets so e) is my answer

15. A patient with mycobacteria infection which of the following is most appropriate treatment
a. cotrimoxazole
b. tetracycline
c. Amoxycilline
d. Metronidazole
e. Erithromycin

e) Erithromycin

A patient with acute myocardial infarction used heparin; which of the following methods is used
for monitoring:
a. BT
b. PT
c. ARTT ////////////////////
d. INR
e. Fibrinogen

2. A patient has a mitral valve stenosis – all of the following signs are correct EXCEPT:
a. AF
b. S 1 increased
c. Palpitation increased S 2 in apex
d. S 3 ////////////////////
e. Presystolic murmur

3. In a patient with myocardial infarction was found a new systolic murmur on examination.
Cardiac ejection fraction was 55%. Which of the following is MOST probable cause:
a. Aortic regurgitation
b. Papillary muscle dysfunction
c. Mitral valve stenosis
d. Papillary muscle rupture ////////////////
e. Tricuspid valve regurgitation

4. A young woman has hypertension with fibrosing stenosis of renal artery (60%) which of the
following is the MOST appropriate treatment:
a. Renal artery angioplasty /////////////////
b. ACE Inhibitors
c. Antihypertensives
d. Diuretics
e. Arteries dilation drugs

5. An obese patient with diabetes mellitus is under anti-hypertension treatment. His blood
pressure is 160/100mmBg on examination. Which of the following is your INITIAL consideration
for this patient:
a. Decreased protein in his diet //////////////
b. Concurrent hypertensive therapy
c. Give diuretics
d. Control sugar intake in the diet
e. Ideal weight

6. At which level of cholesteral you consider to give lipid-lowering statins (eg, simvastatin,
pravastatin)
a. 6 mmol/l
b. 5.5 mmol/l /////////////
c. 5 mmol/l
d. 4.5 mmol/l
e. 4 mmol/l

7. Patient with coronary heart disease and xanthoma along the Achilles tendons. Which of the
following is THE MOST LIKELY diagnosis:
a. Familial hypercholesterolaemia ///////////////
b. Familial combined hyperlipidaemia
c. Remnant removal disease
d. Hypolipoproteinaemia

8. Which of the following examination supports the diagnosis of pulmonary thromboembolism:

a. Chest PA X-rays
b. Pulmonary Doppler
c. Blood gas
d. Pulmonary ventilation perfusion mismatched on pulmonary scan ///////////////
e. Lung function measurement

Contagious diseases

9. Which of the following is the MOST COMMON characteristic of pleura effusion of TB:
a. Glucose decreased or absent
b. Monocyte ( lymphoctosis)/////////////
c. Blood stained
d. Protein <2g
e. Find TB bacillus

10. Which following group is the MOST at RISK OF HIV infection:

a. Heterosexual
b. Homosexual ////////////( 1:50-150)
c. Intravenous drug user
d. Blood transfusion
e. Haemophilias

11. Which of the following group is LEAST LIKE of infection of HIV:

a. Heterosexual
b. Blood Transfusion /////////////////////
c. Homosexual
d. Haemodialysis
e. Haemophiliacs

13. A farmer has suddenly had undulant fever for 2-3 days with abruptly headache severe
myalgia, jaundice and petechial rash on the skin; liver and spleen enlargement. Which of the
following is the diagnosis:
a. Brucellosis
b. Yellow fever
c. Leptospirosis ////////( this scenario mixes both brucellosis and leptosiprasis, because undulant
fever and splenomeagaly is in brucellosis , but no jaundice and rash is there)
d. Malaria
e. Anthrax
14. Dengue fever, all followings are correct EXCEPT:
a. Arbovirus
b. Mosquito transmission
c. Children get least severe illness
d. There is no specific treatment
e. Air droplet infection ///////////////

15. A patient with mycobacteria infection which of the following is most appropriate treatment
a. cotrimoxazole
b. tetracycline
c. Amoxycilline
d. Metronidazole
e. Erithromycin //////////////////////

16. What is compatible with critical illness:

a. Increased cortisol , increased TSH
b. Both cortisol and TSH decreased
c. Increased cortisol, decreased TSH
d. Decreased cortisol, increased TSH ///////////
e. Normal cortisol, increased TSH

17. A 65 year old man has ‘bulk” diarrhoea with “oil”. He drinks alcohol for many years . Which of
the following is your investigation
a IV pancreagraph
b Endoscopy pancreagraph
c. Abdominal X-ray
d Ultrasound
e Enema ( ans should be feacal fat for malabsorbption)**************

18.For an elderly man, which above following blood sugar level need further investigation
a. 5 mmol/l
b. 5.5 mmol/l ///////////////////////
c. 6 mmol/l
d. 6.5 mmol/l
e. 7 mmol/l

19.Side effective of corticosteroids including all the following EXCEPT

a Lymphocytosis //////////////////////
b. Lymphopenia
c. Hirsutism
d. Osteoporosis
e. Weight gain

20. A patient has headache, prominent supraorbital ridge prognathism teeth spacing
increased,thick spade-like hands and seborrhoea and coarse oily skin. Which of the following is
BEST investigation to establish diagnosis:
a. Insulin-glucose
b. X-ray of pituitary test
c. Cranial CT scan or MRI scan
d. SERUM T4+PRL+growth hormone level
e. Oral glucose tolerance test (OGTT) (GH+OGTT)///////////////
21.Which following patient is LEAST LIKELY to suffer primary hypothyroidism:
a. 65 year old female with goitre//////////
b. 35 year old female with depression
c. 28 year old female with 3 years menorrhagia
d. 18 year old boy with relative less age
e. 32 year female with anaemia unresponsive to iron, B 12and folate

22 Patient has a single lump on one side of the thyroid, all following situation s suggest malignant
EXCEPT
a. Single nodule
b. US showed a solid nodule
c. Thyroid scan show “HOT’ lump //////////////////
e. Associated with increased serum thyroglobulin
f. Associated with hoarseness

Thanks guys..I ve got just 2 diff.

17. A 65 year old man has ‘bulk” diarrhoea with “oil”. He drinks alcohol for many years . Which of
the following is your investigation
a IV pancreagraph
b Endoscopy pancreagraph
c. Abdominal X-ray *****
d Ultrasound
e Enema

Its most likley Ch.Pancreatits...So x-ray for any calcification ..Not definitive dx..
If pancratic enzyme was there would be the answer.

18.For an elderly man, which above following blood sugar level need further investigation
a. 5 mmol/l
b. 5.5 mmol/l
c. 6 mmol/l
d. 6.5 mmol/l
e. 7 mmol/l

indication of GTT

More thoughts welcomed

23. Uveitis is MOST COMMONLY found in which of th e following diseases:

a. Reiter’s disease
b. Rheumatoid arthritis
c. Ankylosing spondylitis
d. Sjogren’s syndrome
e. Psorisis

25. Eradication of HELICOBACTER PYLORI for duodenal ulcer:

a. Increase ulcer healing rate
b. Influence relapse rate
c. Decrease rate of gastric lymphoma
d. Decrease local gastritis
e. Decrease cimetidine dosage

26 A young patient comes from overseas with diarrhoea, no blood. Temperature 37.9C, stool
examination showed few Salmonellas. What is your management:
a. Observation and repeat stool examination 3 days later
b. Broad spectrum antibiotic like amoxicillin
c. Trimethoprine plus sulphasalazine
d. Cotrimoxazole plus trimethoprim
e. Reassure

27. Which of the following is MOST RELATED to adenoma/carcinoma of the colon:

a. Aspirin can caused
b. Low fibre diet
c. Saturated fat more than the unsaturated fat in the diet
d. Alcohol
f. Smoking

28. A 28-year-old policeman on sulphasalazin therapy for ulcerative colitis, Right hypochondrial
pain. SGPT and alk, phosphatase increased, bilirubin mild increased, SGOT normal and liver
aminotransferase enzymes normal (?) which of the following is THE MOST LIKELY diagnosis:
a. Primary biliary cirrhosis
b. Side effect of sulphasalazin
c. Sclerosing cholangitis
d. Cholangitis
e. Acute viral hepatitis

29. Patient with supposed hepatoma. Which of the following questions is MOST helpful for
diagnosis:
a. Present liver cirrhosis
b. Alcohol liver disease
c. Acute hepatitis
d. Cholangitis
e. Family history of liver hepatoma

30. Ascitis
a. _______
b. Bilateral abdominal varicosis
c. Peri-oral teleangiectasia
d. Jaundice and palmar erythema
e. Dupytren’s contracture

HAEMATOLOGICAL DISEASE

31. In anaemia patent with increased transferrin. All of the following is correct EXCEPT:
a. Increased serum ferritin
b. Decreased serum ferritin
c. Increased total iron binding capacity
d. Increased transferrin
e. Decreased serum iron

32. An anaemic patient with increased transferrin. All following are correct EXCEPT:
a. Thalassemia major
b. Chronic disease
c. Iron deficiency
d. Sideroblastic anaemia
e. Haemolysis
Good Luck

23. Uveitis is MOST COMMONLY found in which of th e following diseases:

a. Reiter’s disease
b. Rheumatoid arthritis
c. Ankylosing spondylitis
d. Sjogren’s syndrome
e. Psorisis

25. Eradication of HELICOBACTER PYLORI for duodenal ulcer:

a. Increase ulcer healing rate
b. Influence relapse rate
c. Decrease rate of gastric lymphoma
d. Decrease local gastritis
e. Decrease cimetidine dosage

26 A young patient comes from overseas with diarrhoea, no blood. Temperature 37.9C, stool
examination showed few Salmonellas. What is your management:
a. Observation and repeat stool examination 3 days later
b. Broad spectrum antibiotic like amoxicillin
c. Trimethoprine plus sulphasalazine
d. Cotrimoxazole plus trimethoprim
e. Reassure

Travel Diarrhae

27. Which of the following is MOST RELATED to adenoma/carcinoma of the colon:

a. Aspirin can caused
b. Low fibre diet
c. Saturated fat more than the unsaturated fat in the diet
d. Alcohol
f. Smoking

28. A 28-year-old policeman on sulphasalazin therapy for ulcerative colitis, Right hypochondrial
pain. SGPT and alk, phosphatase increased, bilirubin mild increased, SGOT normal and liver
aminotransferase enzymes normal (?) which of the following is THE MOST LIKELY diagnosis:

a. Primary biliary cirrhosis

b. Side effect of sulphasalazin
c. Sclerosing cholangitis
d. Cholangitis
e. Acute viral hepatitis

29. Patient with supposed hepatoma. Which of the following questions is MOST helpful for
diagnosis:

a. Present liver cirrhosis

b. Alcohol liver disease
c. Acute hepatitis
d. Cholangitis
e. Family history of liver hepatoma

Not Sure
30. Ascitis
a. _______
b. Bilateral abdominal varicosis ??/
c. Peri-oral teleangiectasia
d. Jaundice and palmar erythema
e. Dupytren’s contracture

I Dont know!!! I guess all associated with liver disease

HAEMATOLOGICAL DISEASE

31. In anaemia patent with increased transferrin. All of the following is correct EXCEPT:
a. Increased serum ferritin
b. Decreased serum ferritin
c. Increased total iron binding capacity
d. Increased transferrin
e. Decreased serum iron

32. An anaemic patient with increased transferrin. All following are correct EXCEPT:
a. Thalassemia major
b. Chronic disease
c. Iron deficiency
d. Sideroblastic anaemia
e. Haemolysis