March 2011

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. C colonoscopy every 5 yearly + FOBT annually C thickened gall bladder is a sign of cholecystitis B [ daughter cyst HMCQ 449] .. B E C A [ May 2011 as well] if plaque in CXR> mesothelioma If just pleural effusion.> most likely bronchogenic Ca A C Lung > SCC/// stomach > Adeno C stomach ---- adenocarcinoma/// breast- ductal ca.. A (COPD- respiratory acidosis) A VT D lynch 80% Need more detail B B C (obstruction jaundice// painless jaundice.. D .. .. B (TIP- tibia/ inversion/ plantar flexion) A (DM--- RTA 4, MM--- RTA 2) RTA---- [OHCM8ed: page 310] Type 4--- elevated K, acidosis D (exactly the same question in May 2011, but they asked about most important investigation to do (Echo) for HOCM B A A In Ig A deficiency do not give immunoglobulin A (Barret esophagus) OHCM-p 708/// uptodate [d--- GORD] A [therapeutic guideline] tg.org.au B A (low level of C3 in PSGN) B Cluster; M>F, night pain B B then D (therapeutic guideline)// [in May 2011 as well without option B!] so the answer in May 2011 was D!

36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. 70. 71. 72. 73. 74. 75. 76. 77.

E (by tx of DKA K will reduce) A B [ in May 2011 as well] then E (probably) B B (PH monitoring (D) for GORD) AMC clinical/ page 746 E B (E5M for HS; HMCQ-p 559] C A C B B A (therapeutic guideline) B A B B C 0.25 Learn the pattern for mitochondrial inheritance & X-linked recessive, (May 2011 as well) C B (May 2011) E B A (?) C complete heart block, stop both Dig & verapamil B Hepatitis A (in May 2011) .. C anaplastic ca (May 2011) C (20*0.5= 10 g) C C !! (FXS: Fragile X Synd. = Martin bell Synd.) C D B A A B A A

78. .. 79. 1 80. 3 81. 2 CT 82. 1 83. 4 84. 2 85. 5 least common site 86. 2 epididimitis is more common than orchitis 87. 1 88. 1 (it seems to b Fisher variant of Guillen barret Syndrom) 89. 1 90. 1 91. WPW 92. 3 93. FISTO- Tx: SAFE (JM)- Sx, azithro, facial cleanliness, environment upgrade 94. 2 95. 96. C 97. B 98. A 99. .. 100. .. 101. A (second 101: hemi special neglect- contralateral parietal lobe Rt side parietal lobe ) 102. ? 103. C 104. A 105. C 106. B 107. HUS: (diarrhea + nephropathy) 108. B 109. B Ob & Gyne 1. A (Vit D + folic acid to pregnant woman) 2. A 3. C 4. A 5. B 6. A 7. C 8. Bad recall (if completed family D) Hb?

9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50.

B C B E C (similar question in May 2011) acyclovir PO in pregnancy C B A A E B A (? // VWD) E heavy blood loss at first or 2nd trimester (PH/ 354) A C A L J/ 314 B C B Uterus rupture: rebound tenderness, sever pain + fetal distress, low BP A A C B B No answer B C C A C 1 3 A B .. .. C .. .. D D

Pediatrics
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. - inform coroner in any sudden death Fecal impaction B A A A C A B A .. C (May 2011 with blank growth chart,) A C C A C A then B B B B C C A <6m or sick child --- genta/ Peni (IV) //// >6 months & well ---trimetoprim B A 1 4 4 2 B .. B [(or A Royal Melbourne 341 & 402, excoriation in buttock - lactose intolerance)] DMD X-linked B B D?

Psychiatry

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42.

B B A .. .. B A C D .. A D D A D .. B (you can withdraw not keep!) A A A D D A A B C A D If they live together ask the partner, otherwise guardianship C A A B C (?) A (?) .. A A B (GAD restlessness) A (in AN you are concern about BMI, in this question pt is concern) C 4

43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58.

2 3 1 1 B c/d .. B C D .. C B C B B (a not happy about their sex)

Surgery (PDF 35/ 42)

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. A B A D C C B C (from paper 1989) Rectus sheath hematoma JM/ 759

18. stop aspirin (if bleeding, give PLT) 20. D 23. SBO- Hartman Solution 24. A 25. A 26. Tilt + - Purple book (p. 232, SU-C 43) acute blood loss (5-10%, >20%, 30%, 40%, 80%)

32. Biliary colic pain- Morphine= petidine 37. Infected pressure ulcer 43. 2 57. 3 Liter (2 L Dextrose + 1 L N/S) + lost {+ K+ 20mmol/L}: {{{ 2 L Dextrose + 2.2 N/S + 90 mmol/L K}}!