AMC Recalls April 2012

1. Mass in the posterior triangle of the neck on biopsy it was malignant so whats the best investigation to know the source of the malignancy: 1- MRI 2- CT scan 3- US 4- Sialogram 5- Oral x-ray 2. U r a DRUNK doctor on an airplane .. and someone asked for a doctor for emergency case what u will do : 1- Wait for 30 min if no one appear u will appear 2- Till them that u r drunk but u will try to help 3- Go to sleep and forgot about everything

3.

This is what the patient can see so where is the source of the lesion: 1- Temporal lobe 2- Parietal lobe 3- Optic chiasma 4. A man come to ER with laceration 3 cm he was given vaccine 3 years ago what to give him other than debridement and antibiotic: 1- Nothing 2- DPT and IG 3- DPT 4- IG

5. Patient on warfarin his INR was 3.9 and he has a history of surgery one year ago for small cell carcinoma of the lung came to ER with confusion whats ur diagnosis (the pic was similar ti this but with lesser lesion): 1- Cerebral hemmorage 2- Cerebral infarction 3- SAH 4- EDH 5- SDH 6. The same pic but with a mirror image for it with a history of confusion and dont remember the other but I think the answer was with cerebral hemmorage: 1- Cerebral hemmorage 2- Cerebral abcess 3- And others but there were no cerebral infarction between the choices 7. 70 year old women come to ER complaining that she has a severe pain in her hip when she tries go out of bed. So now she cant walk because of pain there was an x-ray for the hip but I cant understand anything from it: 1- Osteoporosis 2- Osteppetrosis 3- Osteopenia 4- Bone tumor 8. An elederly man with coma come with his wife, her consent has to depend on what: 1- call a guardianship court 2- do as u think 3- do for the pt best 4- Do for her wishes

9. 5 years old child who was a case of nephritic syndrome and initially responding with steroid now he has stopped responding to steroids and developed microscopic heamaturia and hypertension , what is the diagnosis: 1- FGN 2- superimposed PSGN 3- IgA 4- membranous GN 10. A pt developed severe respiratory distress 3 hours post thyredictomy what is most important step: 1- Open skin sutures 2- open all layers in ward including the muscles 3- intubation 11. a pic for conjectivitis and the patiens has multiple oral and genital ulcer whats the treatment: 1- oral steroid 2- topical steroid

3- topical choramphenicol 4- topical acyclovir 12. a pic for fundoscopy .. with hazy vision, I think it was retinal detachment he asks whats the treatment: 1- retinal detchament 2- acetazolamide 3- and other medication(all the options) 13. a women call you she is 38 weeks gestation tell you that she feel decrease fetal movement what to tell her: 1- reassure her that its normal to decrease fetal movement at this gestational age 2- tell her to come for urgent CTG 3- tell her that the fetus is dead 14. truck driver come with 3 months history of diarrhea he has the same history 12 months ago, he did colonoscopy at that time and it was normal what to do: 1- repeat colonoscopy now 2- do culture for ovum and cyst 3- . 15. You are resident in a ward , sister informed you that consent has not been taken from the elederly women who want to do hip surgery now what will you do: 1- You take consent 2- you ask surgeon to come and take consent 3- ask sister to take consent 4- dot he surgery without consent 16. all are side effects of steroid except: 1- osteomalacia 2- increase WBC 3- lymphopenia 4- easy brusibility 17. risk for the girl to be BRCA1 positive If her mother and her sister has breast cancer: 1- 1 2- .5 3- .25 4- .1 18. Ptn with weakness in extension of wrist and fingers, his brachiradialis are ok where is the lesion: 1- Radial nerve 2- Ulnar nerve 3- Median nerve 4- Anterios interoseous nerve Posterior interoesious nerve 19. A 5 year old boy with c/c hematuria, edema, hypertension. What will be seen:

1- IgA deficience 2- decrease C3 level 3- decrese platlets 20. A 45 year old female with menorragea and her consultation is due with a gynaecologist in few weeks , so what can you give her till that time: 1- Nothing 2- OCP 3- Mirena 4- Mydroxiprogesterone 21. obese female with menopause , what will be the hormonal level: 1- high E low FSH 2- very low E very high FSH 3- moderately low E and moderately high FSH 4- High E and high FSH 22. A 50 year old man who is history of silicosis is presenting with fever, productive cough . Dx 1- bronchogenic carcinoma 2- silicosis exerbation 3- absestosis 4- TB 23. one lady developed hot flushes , all treatment fails, she underwent hysterectomy few years ago and developed DVT in post op period , which is best HRT? 1- E and P 2- E and P transdemal 3- P only 4- E only patch--24. one population , mean systolic BP is 115 and SD is 15 so what will be range of 95% populations BP: 1- 100 to 130 2- 85 to 145 25. friend bring one pt, he was a chronic user of amphetamine and he took it during party ,he says that he is worried as gangsters are after him, friends say this is not true, what will be most important in management 1- drug abuse 2- involvement of police 3- CVS side effect of amphetamine 26. Pt got injury in eye and now developed hyphema . Mx: 1- call him after one week 2- refer immediately 3- make an appointment for tomorrow eye clinic 27. Husband bring her wife, she has started excessive cleaning of house , drinks alcohol a lot and fights with him, flirt with his friend, during consultation she was flirtatious initially then become angry and fights with you. Dx:

1- OCD 2- Hypomania 3- Histrionic 4- passive aggressive 28. sign of severe dehydrasion: 1- shrunken eyes 2- cappilar refiel >3 sec 29. One 48 year old lady is asking for advice about cancer screening . Her mother got breast ca at the age of 65, father got carcinoma colon at the age of 70, brother has DM at 48 years and few other relatives with other diseases. What is the best advice you can give her: 1- Colonoscopy 2- Memography 3- DM screening 4- Nothing 30. A patient with enlarged testis , enlarge ears but impotent and mental retardation . Cause? 1- Kleinfelter 2- Fragile X 31. One pty is on the OHG drugs, warfarine and Parindropril. Which one causes hypoglycaemia? 1- Warfarine 2- Parindropril 32. One patient is having orthostatic hypotension after RTA. How much is blood loss? 1- 10% 2- 15% 3- 20% 4- 25% 5- 45% 33. One pt is positive for HCV what will you do to prevent infection in fetus: 1- Do not do scalp blood sampling 2- ELECTIVE CS 34. Develpomental mile ston in 2 years old baby: 1- tower of 8 blocks 2- name and surename 3- Use pronouns
35. 2 yr old girl presented with fever, neck stiffness n lethargy rhinnrohea, kernings sign positive, H/O Meningococcal vaccination. What the most probable Dx? a. Bacterial meningitis b. Viral meningitis c. SAH d. Meningioma

26. 2 wk old baby with fever n lethergy n poor feeding. LP findings:colur, opaque glucose 1.2 ( lower then normal) ,cell count 26000 (<15), no growth on gram stain. Dx?? A. human simplex virus B. GBS C. E.Coli D.chlamydia 27. 10 yr old boy football player present with pain n lump at rt knee. What advice will u give to this pt? 1- starch quadriceps n massage lump upward 2- complete bed rest 3- will resolve in 1-2 yr 4- x-ray may be needed if the lump persist. 28. Young patient has multiple fibroids and It is palpable upto the umbilicus. Her hb is 6gm/dl. She wants to have children in future. What to do: 1- Open myomectomy after correcting her anemia with blood transfusion 2- Gnrh analogue for 3 months followed by myomectomy ---3- OCP for 3 months followed by myomectomy 4- hysterectomy 5- immediate myomectomy 29. sexually active lady with foul smelling, greenish vaginal discharge , burning n itching. Most probable Dx? 1- Chlamydia 2- gardenilla 3- Candida 4- E.coli 5- Gonorrhoea 30. X-ray chest with globular heart (Pericardial effusion) : 38 yr old lady with finger pain n discomfort for last 20 yrs and facial rash. on exam fingers are tender to palpation. Most important inv: 1- ds ANA 31. Known pt of Wagners granulomatosis , on azathioprine , came with cough n dyspnoea Po2 82, on examination no finding. On chest xray minimal bilateral infiltrates . Dx? 1- pneumocystis carinii pneumonia--2- klebsialla 3- H. influenza 4- S. Pneumonia 5- S. aureus 32. Old aged lady recentaly came from England , now presented with diarrhoea, abd pain n dyspnea. Na low. Dx? a. pneumonia b. PE c. MI

d. CHF 33. Which of the following r features of hyperthyroidism ? 1. Course tremors 2. Pain in shoulders 3. Narrow pulse pressure 4. Delayed reflex 5. Wt gain 34. 45 yr old male present with polyarthiritis, impotence and decrease libido. Which of the following inv will help to make Dx: 1- Iron studies 2- Fasting blood sugar 3- BP 4- CT head 5- Prolactin levels

Note: most of my questions was from march recalls but other doctors who examined with me they didnt get that much of recalls .. about 10 or less