Professional Documents
Culture Documents
1. 8 month old child with h/o diarrhoea 8 episodes in the last 24 hours
2. Child with diarrhoea & vomiting for past 3 days.
3. Child with Shigella dysentery.
4. A bottle fed baby with diarrhoea, urine reducing substance positive
5. 10 Year-old boy with h/o fall from cycle. o/e lower leg swelling & deformation.
6. 8 month old child with large blue patch on the bottom. Father Caucasian,
mother- African
7. 10 Year-old girl brought to the A&E by her stepfather. o/e girl has petechial
lesions around her waist & ankles
8. 5 year-old girl develops sore foot after playing football at her school. GP is
concerned about patches of different colours on her lower legs. Otherwise
the girl’s examination is normal.
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September-2002
A. Isotope scan
B. Xray wrist ap,lateral with views of scaphoid
C. Refer to ortho.
D. Xray thumb
E. Plaster cast of wrist
F. Discharge with advice
G. Physiotherapy
9. 10 year-old boy comes with h/o fall on his hand. X-ray of thumb reveals no
fracture.
10. 12 year-old comes with h/o fall on his hand.
11. 18 year-old comes with h/o fall on his hand. X-ray wrist reveals impacted
fracture lower hand on the left.
4.Theme:Investigations of Dyspepsia
12. 50 yr old obese woman with h/o pain in the epigastrium which comes on at
night & wakes her up .She also complains of cough & ?water brash.
13. Woman with h/o pain in the stomach after a fundoplication operation
14. Woman with long h/o peptic ulcer disease with positive H-pylori. Has not
had an examination for the past 4 yrs, now presents for a check up.
15. 36 year-old man who has been treating himself for dyspeptic symptoms for
several years.
16. A man who has a stressful job presents with history of epigastric pain for
past 2 years .He smokes about 20 cigarettes per day
2
September-2002
A. Abruptio placenta
B. Placenta praevia
C. Vasa praevia
D. Velamentous insertion
E. Show
F. Ca cervix
G. Trauma
17. A 21 year-old primi with h/o hypertension presents with acute abdominal
pain. O/e uterus is tender to palpation & BP-90/40
18. A 20 Year-old primi with h/o painless, bright red vaginal bleed over past 3
hours. o/e fetus transverse lie
20. A 38 year-old woman, 4th gravida with h/o blood & mucus. o/e vagina red &
ulcerated
22. 45 year-old alcoholic with h/o recurrent falls was brought to A&E by his wife
in a confused state.
23. 23 year-old footballer brought to the A & E. Was talking to the paramedics
well after injury but subsequently lost consciousness
24. 7 year-old boy with h/o fall from cycle. Lost consciousness initially but alert,
oriented now. Examination reveals no abnormality.
3
September-2002
8.Theme:Management of Burns
A. Escharatomy
B. Intravenous fluids
C. Intubation
D. Aspiration of blisters
E. De-roof blisters
F. Estimation of co2-Hb level
G. Fasciotomy
H. Debridement
I. Cold irrigation
31. Man with full & partial thickness burns from his elbows to hands.
32. Man rescued from burning house with singed nostrils asking for his other family
members
33. Man with burns over chest & anterior thigh.
34. Patient presented with scalds with large tense blisters
A. Eye operation
B. Laser treatment
C. Intraocular steroids
D. Oral steroids
E. Intravenous steroids.
F. B-blocker drops.
G. No treatment effective
41. 68 year-old male with 3 month h/o pain & diminished vision in left eye. Pain
increases towards evening. Peripheral vision constricted o/e glaucomatous
cupping seen.
42. 58 year-old male with right sided headache & pain R eye.
43. 45 year-old diabetic with proliferative retinopathy of right eye. Left eye shows
retinal haemmorhage on fundoscopy.
44. 78 year-old female with decreased visual acuity. On retinoscopy macula
shows pigmentation bilaterally.
45. 44y year old woman with h/o SLE has diminished vision .
5
September-2002
A. Chest X-ray
B. Serum amylase
C. Abdominal USG
D. Laparotomy
E. Laparoscopy
F. TOE
G. CT
H. Observation only
I. ECG
53. Male with h/o APD (acid peptic disease) presents with 24 hr h/o acute
abdominal pain. o/e board like rigidity abdomen & no bowel sounds.
54. Man with h/o intermittent claudication & IHD presents with tearing pain
radiating to back. o/e BP-90/ 40
55. Female with h/o pain started in loin. Radiating to groin now.
56. 14 Year-old boy with h/o abdomen pain periumbilically. Pain had spread to
the right iliac fossa. Now no pain. o/e mass palpable in right iliac fossa
without pain.
57. Man with h/o injury to upper abdomen. Now o/e a mass palpable in
epigastrium.
13.Theme:Diagnosis of Deafness
A. Acoustic neuroma
B. Noise induced deafness
C. Temporary shift of threshold of hearing
D. AOM with effusion
E. Meniere’s disease
F. Otosclerosis.
G. Adenoids
58. 18 year old presents with deafness of 1 day duration after a night out at the
local dance club.
59. 8 year old girl found to be deaf at a school hearing test. After 1 week mother
notices that girl is fine & can hear well.
60. 40 year-old man with h/o vomiting, vertigo & tinnitus .o/e low sensorineural
deafness of left ear.
61. 23 year-old lactating mother presents with hearing loss. After 9 months post
partum, she can hear well again.
62. 40 year-old man with family h/o deafness. o/e conductive deafness -left ear.
6
September-2002
14.Theme:Investigations of Epilepsy
A. CT scan
B. Blood glucose
C. EEG
D. ECG
E. MRI
F. Blood levels of anticonvulsant
63. 14 year-old girl with well controlled epilepsy so far presents with recurring
seizures. Dose of Valproate on which the girl is, has been increased several
times .Still she has convulsions.
64. 8 year old boy with h/o 2 episodes of seizures in his sleep. The seizures start
as twitching of mouth followed by generalized convulsions lasting for about 3
mins. He is all right in the morning.
65. 12 year-old boy with generalized tonic clonic convulsions lasting for ~ 5 min.
66. 23 yr old man with h/o diplopia , headache & seizures.
15.Theme:Investigations of stroke
A. Blood cultures
B. ECHO
C. Doppler ultrasound of neck
D. CT-scan
E. ECG
67. 32 Year-old woman 1 week after cholecystectomy presents with left sided
weakness. o/e she has a murmur precordially & is febrile, temp 37.7 deg C.
68. 42 yr old woman presents with hemiparesis. o/e a bruit in the neck.
69. 23 year-old woman with neck stiffness. No vomiting. Drowsy
16.Theme:Diagnosis of Dementia
A. Huntington’s chorea.
B. Alzheimer’s dementia
C. Pseudo-dementia
D. Multi infarct dementia
E. Aids dementia
70. Commonest dementia in UK.
71. dementia characterized by senile plaques & neurofibrillary tangles.
72. Dementia responsive to anti depressants
73. Family h/o dementia & characterized by early death.
74. Dementia common in hypertensives.
7
September-2002
8
September-2002
9
September-2002
22.Theme:Terminal Care
A. Metronidazole gel.
B. Hyoscine
C. Haloperidol
D. NSAIDS
E. Palliative Xray therapy
F. Lactulose
G. Biphosphonates
10
September-2002
25.Theme:Management of Backache
IVDP,
inj to spine in malignancy
musculosk pain in back
A. Bedrest
B. Traction
C. Surgery
D. Admit in hospital
E. Skeletal metastasis
F. Neurological problem
115. Man who has moved a cupboard in his house some time back presents
with h/o backache ever since.
116. Man with sudden h/o lower backache. Now has loss of sensation in his
perineum & inability to pass urine.
117. Man with h/o fall yesterday & backache & urinary retention ever since. CXR
shows suspicious lesions- 1 in the apex of lung & the other at base.
11
September-2002
26.Theme:Epistaxis
Ca maxillary antrum,
sepsis post nasal polyp surgery
fracture ethmoid etc
A. Maxillary sinusitis
B. Ca –maxillary antrum
C. Sepsis
D. Fracture ethmoid
E. Fracture nasal bone
F. Allergic rhinitis
G. Vasomotor rhinitis
H. Rhinitis medicamentosa
118. Woman with 3 month h/o headache, pain over maxillary antrum, epistaxis.
X-ray of sinus reveals clouded mastoid.
119. Woman presenting with headache, nasal discharge & blocked nose- 1
week history. Tenderness over maxillary sinus present.
120. 11 year-old boy with h/o fall. He had epistaxis initially but now only clear
fluid dripping from his nostrils.
121. Man who had a nasal polyp surgery a week back now presents to the A&E
with epistaxis.
123. Woman with h/o manic depressive illness on Lithium treatment presents
with tremors of hand.
124. Woman on Lithium treatment presents with depression, weight gain, cold
intolerance & lethargy.
12
September-2002
28.Theme:Diagnosis of Leukaemia
A. CLL
B. CML
C. ALL
D. Auto immune hemolytic anaemia
E. Myeloproliferative disorder
F. Sickle cell anaemia
G. ITP
H. Haemophilia
126. Elderly person presenting with massive lymphadenopathy & splenomegaly
127. Elderly man with spenomegaly & Philadelphia chromosome positive
128. Woman with antibodies in blood.
30.Theme:Invest in Malignancies
A. PSA
B. PAP
C. Skeletal survey
D. Thallium scan
E. Technitium scan
F. Abdominal USG
132. Man with prostatic carcinoma on Gnrh analogues now comes for follow up.
134. Man with Ca Prostate which has spread beyond the capsule now presents
with renal failure.
13
September-2002
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
E. Hypokalemia
F. Renal failure
135. A man having projectile vomiting due to pyloric stenosis with hypokalemia
& base excess
137. A man with pulmonary embolism with tacycardia & hypotension and
breathlessness
138. A man with pallor, dryskin & anuria
32.Theme:Management of Asthma
A. Intravenous steroids
B. Short acting B- agonist (inhaled)
C. Short acting b-agonist (nebuliser)
D. Long acting b-agonist
E. Na chromoglycate
F. Leukotriene receptor antagonist
G. inhaled steroids.
H. Theophylline
I. Aminophylline iv
J Avoid smoking
K. Avoid allergens
140. Boy has diagnosed first time h/o asthma. Comes to u for medication.
141. Man who has nocturnal wheeze inspite of being on twice daily b-agonists
142. 6 year-old girl who presents with wheeze when brother plays with his
friends cat.
143. 3 year-old girl whose parents are smokers coughs every time they smoke.
14
September-2002
A. TENS
B. NSAIDS
C. Palliative Xray
D. Opiates
E. Calcium supplements
F. Pamidronate
G. HRT
144. Man with Ca prostate c/o backache which prevents him from sleeping.
Already on opiates.
145. Woman with multiple myeloma presents with features of hypercalcemia.
X-ray shows bony rarefaction & this is causing her great pain.
146. Woman with Ca breast has pain in her elbow.
34.Theme:Management of Shingles
A. iv Acyclovir
B. Oral Acyclovir
C. Amitriptyline
D. SSRIs
E. Paracetamol
147. Woman with Ophthalmic Herpes.
148. Boy with Lymphoma has developed Herpes.
149. Woman with Herpetic neuralgia
150. Man with pain along distribution of intercostals nerve but no lesion over the
region.
35.Theme:Management of Meningitis
A. Parenteral Penicillin
B. Plasma expansion
C. CT scan
D. Lumbar puncture
E. Sputum for AFB
151. 8 Year-old child presents with fever & rash over his whole body. GP is
waiting for paediatricians advice.
152. Child with meningitis has been started on Antibiotics. He is still febrile and
drowsiness has increased.
153. Woman returned from Pakistan to meet her family at UK presents with
meningitis.
154. IV drug abuser has high, fever, headache & vomiting.
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September-2002
A. Splint fracture
B. gain IV access & Intravenous fluids
C. GAIN iv access & Blood transfusion
D. Intubation & ventilation
E. Open airway
F. CT scan
G. Cervical spine immobilization
H. ECG
155. 12 yr-old girl involved in RTA. Vitals stable, breathing is rattly. RR-30 /min
156. Man involved in RTA. Pale, tachycardia present. Pulse 120 per min, Blood
Pressure -90/40.thigh deformed & ecchymoses present over it.
157. Woman involved in RTA .Left side shows injury. Cold peripheries.BP-90/?
159. Man in RTA brought to A&E with head injury.PR-50 per min & BP-140/96
A. Atrial fibrillation
B. Ventricular tachycardia
C. Chordae tendinae rupture of mitral valve leaflet
D. Ventricular rupture
E. Pericarditis
F. Pulmonary embolism
G. Acute pulmonary oedema
H. heart block
161. Man post MI presents with palpitations & breathlessness. O/E pulse
irregular & rate – 120 per min
162. Man post MI presents with chest pain. Positional variation of pain present.
ECG shows saddle like ST elevation in ant leads.
163. Woman post MI presents with syncope. O/e systolic & diastolic murmur
audible at apex.
164. Man 1 week post cholecystectomy presents with an MI.4 days after MI he
presents with dyspnoea, tachycardia & frothy sputum.
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September-2002
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September-2002
Answers
1. F 61. C 121. C
2. E C F C C 62. F 122. A
3. H /G 63. F E F F A F 123. B/c
4. K / J 64. C 124. C
5. A 65. B C A C A 125. D E D D E B
6. D 66. A 126. A
7. B 67. A A A A B D A 127. B
8. F 68. C 128. D
9. B 69. A / D 129. D A D A D A A A A
10 .B 70. B 130. C
11. C 71. B 131. B
12. C 72. C 132. A
13. C 73. A 133. C E E D D
14. C F C F 74. D 134. D/ F
15. C F G E 75. B C B B D B B 135. B
16. C 76. D 136. E
17. A 77. B 137. C D C C A D
18. B 78. E 138. F
19. E 79. F 139. C
20. F 80. D 140. B
21. G 81. G 141. G D D G D
22. B 82. B 142. K
23. A 83. E E A E G 143. J
24. C D D D C 84. C 144. C
25. F 85. H 145. F
26. C 86. H 146. D/B
27. A 87. A 147. B
28. C 88. C 148. A
29. F 89. E 149. C
30. D 90. F 150. C
31. B H A I A A A A 91. D 151. A
32. F C C F C F C C 92. E 152. D
33. A 93. A A D A D A 153. E D E E D D
34. B D B B E D B D 94. B 154. C
35. B 95. A 155. E
36. D 96. B 156. C
37. D 97. C 157. B C B B C C
38. C 98. D 158. D D E H D F
39. E 99. A 159. G F F F G G F
40. C B C C C F B 100. C C C B C B 160. H
41. F F C F A F F 101. B 161. A B
42. D D D G E D G 102. F 162. E
43. B 103. D D E E E E 163. DC
44. G 104. G 164. G
45. D 105. A 165. C
46. A 106. B B C C E B 166. A E B
47. B 107. F B B F 167. A
48. B/c 108. D 168. E
49. D 109. E 169. B
50. E 110. F/ E 170. A
51. G 111. D 171. A B C A
52. H 112. B 172. C
53. A 113. E 173. A
54. F D g 114. A G G G G A A A 174. E
55. C C C H G C 115. D A A A A B 175. C
56. H E 116. F F C B C 176. F
57. C D B D G C B 117. E 177. B
58. B 118. B
59. C G 119. A
60. E 120. D
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