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Question Number: 1
Question ID: 1794
Question Category: Medicine - General
Question Diffeculty: 0.65
Date Created: 5/28/2008 10:38:00 AM
Times Used: 3
Last Used : 1/14/2009 7:44:00 AM
A 26 year old man complains of abdominal distension , swelling of the legs and easy fatigability . His blood
pressure is 90/70 mm Hg and pulse becomes difficult to feel on inspiration. He has oedema, ascites and
tender hepatomegaly. Precordium is quite with loud and somewhat early apical third heart sound. The
probable diagnosis is :
• Pulmonary stenosis F
• Mitral stenosis F
• Constrictive pericarditis T
• Tricuspid stenosis F
• Cor pulmonale F
Question Number: 2
Question ID: 1799
Date Created: 5/28/2008 10:40:00 AM
Times Used: 4
Last Used : 1/14/2009 7:44:00 AM
Which one of the following drugs is nephrotoxic :

• ciprofloxacin. F
• metronidazole. F
• doxycycline. F
• frusemide . F
• amikacin. T
Question Number: 3
Question ID: 1804
Date Created: 5/28/2008 10:41:00 AM
Times Used: 3
Last Used : 1/14/2009 7:44:00 AM
In Brucellosis all the following are true except :

• the gold standard investigation is blood culture. F
• usually it is clinically difficult to differentiate a new infection from a

F
relapsing one in a patient who was treated in the past.
• neuro-brucellosis may presents like multiple sclerosis. F
• spinal tenderness is uncommon. T
• splenomegally usually indicates a chronic brucellosis. F
Question Number: 4
Question ID: 1810
Date Created: 5/28/2008 10:43:00 AM
Times Used: 3
Last Used : 12/23/2008 4:31:00 PM
The most common cause of meningitis in an 18 year old healthy man is/are:
• listeria F
• staphylococcus F
• haemophilus influenzae type B F
• escherichia coli and streptococcus viridans F
• neisseria (meningococcus) and pneumococcus (streptococcus) T
Question Number: 5
Question ID: 1833
Question Category: Pediatrics - General
Date Created: 5/28/2008 10:52:00 AM
Times Used: 5
Last Used : 2/16/2009 7:56:00 AM
Which of the following is more characteristic of platelet abnormalities and not coagulation defects?
• hematomas F
• hemarthrosis F
• petechiae T
• minimal bleeding from small cuts F

• positive family history F
Question Number: 6
Question ID: 1834
Date Created: 5/28/2008 10:52:00 AM
Times Used: 5
Last Used : 2/16/2009 3:38:00 PM
When prophylactic antibiotic therapy is used for tooth extraction in a patient with a ventricular septal defect:
• a second generation cephalosporin (cefuroxime) is the therapy of choice F
• therapy is started 24 hours prior to the procedure F
• a throat swab should be taken prior to the procedure F
• therapy is given for one week following the extraction F
• erythromycin is the drug of choice for those allergic to penicillin T
Question Number: 7
Question ID: 1841
Date Created: 5/28/2008 10:54:00 AM
Times Used: 4
Last Used : 2/16/2009 3:38:00 PM
The following are considered in the treatment of sickle cell anemia except :
• HB vaccine. F
• gene therapy F
• Spleenectomy at the age of 8 years. T
• Bone marrow transplantation. F
• Hydroxyurea F
Question Number: 8
Question ID: 1842
Date Created: 5/28/2008 10:54:00 AM
Times Used: 4
Last Used : 2/16/2009 7:56:00 AM
Regarding typical febrile convulsions :

• It occurs during rising temperatures. F
• It occurs between the age of 5 months to 5 years. T
• It occurs at temp. of 39 c F
• Prophylactic anti-convulsion treatment is mandatory. F
• EEG is mandatory for all cases. F

Question Number: 9
Question ID: 1847
Date Created: 5/28/2008 10:58:00 AM
Times Used: 5
Last Used : 2/16/2009 3:38:00 PM
The following would make you suspect developmental delay

• A 3-month-old infant who does not fix gaze T
• A 4-month-old infant who does not transfer objects F
• A 6-month-old infant who does not sit alone F
• A 9-month-old infant who does not show pincer grip F
• A 15-month-old child who does not walk F
Question Number: 10
Question ID: 1850
Date Created: 5/28/2008 10:59:00 AM
Times Used: 4
Last Used : 2/16/2009 3:38:00 PM
Escherichia coli gastroenteritis is associated with the following complication

• Membranous Colitis F
• Pseudoappendicitis F
• Erythema Nodosum F
• Failure to thrive F
• Hemolytic Uremic Syndrome T
Question Number: 11
Question ID: 1925
Date Created: 5/28/2008 11:00:00 AM
Times Used: 5
Last Used : 2/16/2009 7:56:00 AM
The initial investigation for a 3 year old child with a rounded mass in the left side of the abdomen should
be:
• ultrasound T
• barium enema F
• splenoportogram F
• intravenous pyelogram F
• CT scan of the abdomen F

Question Number: 12
Question ID: 1935
Date Created: 5/7/2008 11:05:00 AM
Times Used: 1
Last Used : 5/7/2008 11:05:00 AM
All of the following can cause hypercalcaemia, except ?

• Prolonged immobilization F
• Tumor lysis syndrome T
• Sarcoidosis F
• Multiple myeloma F
Question Number: 13
Question ID: 1949
Date Created: 5/7/2008 11:22:00 AM
Times Used: 5
Last Used : 2/16/2009 3:38:00 PM
A 6 month old child with Tetralogy of Fallot develops cyanotic spell initiated by crying. Which one of the
following drugs you would like to avoid ?
• Sodium bicarbonate F
• Propranolol F
• Phenylephrine F
• Isoprenaline T
Question Number: 14
Question ID: 1986
Date Created: 4/16/2008 11:05:00 AM
Times Used: 4
Last Used : 2/16/2009 7:56:00 AM
The following statement is true about Marfan’s syndrome :

• it is inherited as an autosomal dominant trait F
• sublaxation of lens occurs in less than 30% of cases. T
• body proportions show a decreased upper to lower segment for age. F
• antibiotic prophylaxis is recommended for dental extraction. F
• dilation of the aortic root is the most common CVS abnormality. F
Question Number: 15
Question ID: 1988
Date Created: 4/16/2008 11:06:00 AM
Times Used: 4
Last Used : 1/14/2009 7:44:00 AM
Recognized causes of hypospleenism includes one of the following:

• hereditary spherocytosis F
• thalasemia major F
• sickle cell anemia T
• cystic fibrosis F
• glycogen storage disease F
Question Number: 16
Question ID: 1993
Date Created: 4/16/2008 10:50:00 AM
Times Used: 4
Last Used : 2/16/2009 7:56:00 AM
All the following should be considered in the management of hyper cyanotic spells except :
• Chest-knee position. F
• B-Blocker. F
• Oxygen. F
• Morphine. F
• Atropine. T
Question Number: 17
Question ID: 2006
Date Created: 3/26/2008 10:42:00 AM
Times Used: 3
Last Used : 1/27/2009 4:27:00 PM
Which of the following marker in the blood is the most reliable indicator of recent hepatitis B- infection?
• lgG anti – HBs. F
• lgM anti – HBc. T
• lgM anti – Hbe. F
• HBsAg. F
Question Number: 18
Question ID: 2009
Date Created: 3/26/2008 10:39:00 AM
Times Used: 3
Last Used : 1/14/2009 7:44:00 AM
Which of the following is NOT true regarding the management of asthma patients in the emergency room:
• peak flow meters are the best way to assess response to therapy. F
• anti-cholinegics are the first line agents in the treatment of mild asthma. F
• patients unable to speak with an O2 sat < 90% should be intubated. F
• a silent chest on auscultaton indicates an emergency and requires

T
immediate treatment.
• patient education about the proper use of puffers is an important aspect of
F
treatment.
Question Number: 19
Question ID: 2011
Date Created: 3/26/2008 10:47:00 AM
Times Used: 3
Last Used : 1/27/2009 4:27:00 PM
Pulsus paradoxus is found in all of the following except :

• cardiac tamponade. F
• all of the answers. T
• airway obstruction. F
• superior vena cava (SVC) obstruction. F
• constrictive pericarditis. F
Question Number: 20
Question ID: 2019
Date Created: 3/26/2008 10:47:00 AM
Times Used: 4
Last Used : 12/3/2008 7:50:00 AM
Which one of the following statements regarding liver failure is TRUE ?

• a liver biopsy is a not required with a good history of alcoholism. F
• encephalopathy may be reversible. T
• SBP (spontaneous bacterial peritonitis) is usually a result of blunt

F
abdominal trauma.
• coagulopathy is a result of poor diet in most patients with cirrhosis. F
• the size a varix is proportional to the degree of portal hypertension. F
Question Number: 21
Question ID: 2025
Date Created: 3/26/2008 10:47:00 AM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
An elderly male develops fever 3 days after cholecystectomy. He becomes short of breath, and chest x-ray
shows a new right lower lobe infiltrate. Sputum Gram stain shows gram-positive cocci in clumps, and
preliminary culture results suggest staphylococci. The initial antibiotic of choice is :
• Penicillinase-resistant penicillin such as nafcillin. F
• Vancomycin. F
• Quinolones have become the drug of choice for pneumonia. F
• Antibiotic therapy should be based on the incidence of methicillin-resistant

T
staphylococci in that hospital.
Question Number: 22
Question ID: 2033
Date Created: 3/26/2008 10:42:00 AM
Times Used: 3
Last Used : 1/27/2009 4:27:00 PM
A 35-year-old alcoholic male is admitted for nausea, vomiting, and abdominal pain that radiates to the
back. The laboratory value that suggests a poor prognosis in this patient is :
• Elevated serum lipase. F
• Diastolic blood pressure greater than 90 mmHg. F
• Leukocytosis of 20,000/μm. T
• Elevated serum amylase. F
Question Number: 23
Question ID: 2035
Date Created: 3/26/2008 10:38:00 AM
Times Used: 4
Last Used : 12/23/2008 4:31:00 PM
A 50-year-old black male with a history of alcohol and tobacco abuse has complained of difficulty
swallowing solid food for the past 2 months. More recently, swallowing fluids has also become a problem.
He has noted black, tarry stools on occasion. The patient has lost 10 lb. Which of the following statements
is correct ?
• The most likely diagnosis is peptic ulcer disease. F
• The patient has achalasia. F
• The patient’s prognosis is good. F
• Barium contrast study is indicated. T
Question Number: 24
Question ID: 2039
Date Created: 3/26/2008 10:33:00 AM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
A 25-year-old female with diabetes mellitus presents with hypertension. The ideal target BP for
pharmacologic control of hypertension is :
• ≤135/85. T
• ≤140/90. F
• ≤150/95. F
• ≤125/75. F
Question Number: 25
Question ID: 2046
Date Created: 3/26/2008 10:41:00 AM
Times Used: 3
Last Used : 1/14/2009 7:44:00 AM
Among the following, the least likely risk factor for hearing impairment is :
• A family history of hearing impairmen. F
• Craniofacial abnormalities. F
• A maternal history of use of phenytoin during pregnancy. T
• Birth weight less than 1500 g. F
• Neonatal hyperbilirubinemia. F
Question Number: 26
Question ID: 2048
Date Created: 3/26/2008 10:39:00 AM
Times Used: 4
Last Used : 2/16/2009 3:38:00 PM
A 5-month-old child presents to the emergency room with generalized tonic clonic seizure activity of about
30-min duration that stops upon the administration of lorazepam. The most helpful information to gather
from the mother would be :
• Whether the child has had congestion without fever for the past 3 days. F
• Whether the mother has been diluting the infant’s formula to make it last
T
longer.
• The number of pets at home. F
• Whether the child is developmentally normal, as are his siblings. F
Question Number: 27
Question ID: 2054
Date Created: 3/26/2008 10:42:00 AM
Times Used: 5
Last Used : 2/16/2009 3:38:00 PM
During a regular checkup on an 8-year-old child, you note a loud first heart sound with a fixed and widely
split second heart sound at the upper left sternal border that does not change with respirations. The patient
is otherwise active and healthy. The mostly likely heart lesion to explain these findings is :
• Tetralogy of Fallot. F
• Mitral valve prolapse. F
• Atrial septal defect . T
• Isolated tricuspid regurgitation. F
• Ventricular septal defect. F
Question Number: 28
Question ID: 2058
Date Created: 3/26/2008 10:47:00 AM
Times Used: 5
Last Used : 2/16/2009 3:38:00 PM
A 6-year-old boy is brought to the emergency room with a 3-h history of fever to 39.5°C (103.1°F) and sore
throat. The child appears alert but anxious and toxic. He has mild inspiratory stridor and is drooling. You
should immediately :
• Prepare to establish an airway. T
• Obtain an arterial blood gas and start an IV line. F
• Examine the throat and obtain a culture. F
• Order a chest x-ray and lateral view of the neck. F
• Admit the child and place him in a mist tent. F
Question Number: 29
Question ID: 2075
Date Created: 3/26/2008 11:00:00 AM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
In comparison to Hb A, Hb S has :
• an extra beta chains. F
• a shorter molecule. F
• less solubility. T
• special disulphide bonds. F

• more alpha chain. F
Question Number: 30
Question ID: 2168
Date Created: 3/5/2008 10:16:00 AM
Times Used: 3
Last Used : 1/27/2009 4:27:00 PM
A 42-year-old man with acute renal failure is confused. His serum potassium is 8.1 mEq/L . The most likely
abnormal ECG finding is
• T wave inversion F
• PR interval of 300ms F
• QT interval of 0.4s F
• U wave F
• tall tented T waves T
Question Number: 31
Question ID: 2199
Date Created: 3/5/2008 10:31:00 AM
Times Used: 4
Last Used : 2/16/2009 3:38:00 PM
A cephalhematoma in a newborn infant

• is caused by moulding of the newborn scalp by the delivering cervix F
• is limited by the suture lines of the skull bones T
• is most commonly found over the frontal bones F
• is not associated with neonatal jaundice F
• often needs surgical drainage F
Question Number: 32
Question ID: 2205
Date Created: 3/5/2008 10:24:00 AM
Times Used: 4
Last Used : 2/16/2009 3:38:00 PM
A 5-year-old boy presents to hospital with abrupt-onset petechiae and ecchymoses over the trunk and the
lower limbs. He is not anemic and has no hepatosplenomegaly or lymphadenopathy. A complete blood
count reveals a normal white blood cell count; and a platelet count of 25,000. The parent reports that the
child had flu-like symptoms 2 weeks before presentation. The most likely diagnosis is
• Isoimmune thrombocytopenia F
• Anaphylactoid Purpura F
• Acute Leukemia F
• Thrombasthenia F
• Autoimmune Thrombocytopenic Purpura T
Question Number: 33
Question ID: 2213
Date Created: 3/5/2008 10:31:00 AM
Times Used: 4
Last Used : 1/14/2009 7:44:00 AM
A child is referred to hospital for evaluation of growth and development. Examination shows normal growth
parameters. Assessment of development reveals that the child can climb stairs with one foot on each step,
build tower of 9 cubes and name 2 colors, but she cannot skip rope or tell age. The developmental age of
this child is
• 2 Years F
• 3 Years T
• 4 Years F
• 5 Years F
• 6 Years F
Question Number: 34
Question ID: 2351
Date Created: 2/14/2008 1:15:00 PM
Times Used: 3
Last Used : 1/14/2009 7:44:00 AM
A newborn male spits up his first feeding and develops bilious emesis with subsequent feedings. On
physical exam he appears ill, has a scaphoid abdomen and absent bowel sounds. Abdominal x-ray shows
air in the proximal small bowel, but a paucity of air in the distal digestive tract.The most likely cause for this
infant's vomiting and clinical finding is:
• Hirsch-sprung disease F
• volvulus T
• antral web F
• choledochal cyst F
• tracheoesophageal fistula F
Question Number: 35
Question ID: 2352
Date Created: 2/14/2008 1:10:00 PM
Times Used: 5
Last Used : 2/16/2009 3:38:00 PM
Which one of the following defects is not associated with Tetrology of Fallot?
• pulmonary stenosis F
• atrial septal defect T
• right ventricular hypertrophy F
• over-riding dextroposed aorta F
• ventricular septal defect F
Question Number: 36
Question ID: 2354
Date Created: 2/14/2008 1:01:00 PM
Times Used: 4
Last Used : 2/16/2009 7:56:00 AM
A woman who is positive for hepatitis B surface antigen (HBsAg), but negative for hepatitis Be antigen
(HBeAg), delivers at term. What would be the best management for this woman's infant?
• administer gamma globulin intramuscularly immediately and at 1 month of
F
age
• advise mother that breastfeeding is contraindicated F
• administer hepatitis B (HB) vaccine immediately and at 1 month and 6

F
months of age
• administer hepatitis B immune globulin (HBIG) if cord blood is positive for
F
HBsAg
• administer HBIG and HB vaccine immediately, and HB vaccine again at 1
T
month and 6 months of age
Question Number: 37
Question ID: 2356
Date Created: 2/14/2008 12:48:00 PM
Times Used: 3
Last Used : 1/14/2009 7:44:00 AM
Which of the following predisposes infants to chronic otitis media?

• environmental factors such as passive smoking T
• bottle-feeding in upright position F
• abnormal tympanic membrane formation F
• none of the answers F
• allergies F
Question Number: 38
Question ID: 2366
Date Created: 2/14/2008 1:16:00 PM
Times Used: 5
Last Used : 2/16/2009 7:56:00 AM
A child presents with bilateral shin pain. Which of the following suggests that this is NOT growing pains?
• pain abates with reassurance and massage F
• no fever or rash F
• pain is poorly localized F
• child may limp in the morning from stiffness T
• pain awakens the child at night F
Question Number: 39
Question ID: 2375
Date Created: 2/14/2008 1:13:00 PM
Times Used: 5
Last Used : 2/16/2009 3:38:00 PM
Turner syndrome is associated with the following clinical features EXCEPT:

• wide carrying angle at elbows F
• primary amenorrhea F
• short stature F
• broad chest F
• major learning difficulties T
Question Number: 40
Question ID: 2376
Date Created: 2/14/2008 1:03:00 PM
Times Used: 5
Last Used : 2/16/2009 7:56:00 AM
Which of the followng statements concerning minimal lesion glomerulonephritis is correct?

• it is a common cause of nephrotic syndrome in children, but it is a very
F
rare cause of nephrotic syndrome in adulthood
• glomerular filtration rate is usually preserved T
• the urine typically shows red blood cell casts (suggestive of proliferative
F
glomerulonephritis)
• it is usually unresponsive to treatment such as prednisone and
F
cyclophosphamide
• it is most often accompanied by severe hypertension F
Question Number: 41
Question ID: 2384
Date Created: 2/14/2008 1:16:00 PM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
In tuberculous meningitis the following is found in cerebrospinal fluid:

• glucose 48mg/dI. T
• gram positive stain. F
• protein 60mg/dI. F
• Polymorph predominance. F
• Presence of I gG. F
Question Number: 42
Question ID: 2388
Date Created: 2/14/2008 12:38:00 PM
Times Used: 3
Last Used : 1/27/2009 4:27:00 PM
A 72 years old lady had been immobile for 3 weeks after total hip replacement. She had sudden onset of
crushing central chest pain associated with dyspnoea. She had tachycardia with unremarkable
examination of the chest. She is suffering from:
• acute myocardial infarction. F
• acute pericarditis. F
• aortic dissection. F
• massive pulmonary embolism. T
• pneumthorax. F
Question Number: 43
Question ID: 2392
Date Created: 2/14/2008 1:12:00 PM
Times Used: 3
Last Used : 1/14/2009 7:44:00 AM
A 46 year old woman discovered to have a 1.5 cm thyroid nodule during a routine examination. She had no
symptoms and her TSH, T4,T3 were normal. Which one of the following would be the most appropriate
recommendation :
• thyroxine suppressive therapy. F
• fine needle aspiration. T
• unilateral thyroid lobectomy. F

• radioiodine therapy. F
• no intervention needed, wait and see. F
Question Number: 44
Question ID: 2396
Date Created: 2/14/2008 1:08:00 PM
Times Used: 3
Last Used : 12/23/2008 4:31:00 PM
The following is found in systemic Lupus Erythematosus:

• leucocytosis. F
• hirsutism. F
• thrombocytopenia. T
• sclerodactyly. F
• extensive subcutaneous calcification. F
Question Number: 45
Question ID: 2398
Date Created: 2/14/2008 1:07:00 PM
Times Used: 3
Last Used : 1/27/2009 4:27:00 PM
The most serious complications of Diabetes in the eye is :

• background retinopathy. F
• maculopathy. F
• proliferative retinopathy. T
• cataract. F
• rubeosis iridis. F
Question Number: 46
Question ID: 2404
Date Created: 2/14/2008 1:13:00 PM
Times Used: 4
Last Used : 1/14/2009 7:44:00 AM
In snake bite antivenom is most effective if given within :

• one hour. F
• four hours. T
• two days. F
• one week. F
• three weeks. F
Question Number: 47
Question ID: 2410
Date Created: 1/23/2008 10:21:00 AM
Times Used: 4
Last Used : 2/16/2009 7:56:00 AM
Select the TRUE statement for HIV positive mothers (positive before and at the birth of child):
• Should not breast feed their children T
• Must insist their HIV positive child be immunized with all vaccines
F
scheduled for a non-HIV positive child
• Must not take zidovudine (AZT) due to its teratogenicity F
• 90-100% will infect the child during delivery F
Question Number: 48
Question ID: 2414
Date Created: 1/23/2008 10:21:00 AM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
A 4 year old child presents with fever, vomiting, and shortness of breath on exertion. Physical exam shows
muffled heart sounds, fever, a gallop rhythm, and tachycardia. The best diagnosis for this child is:
• costochondritis F
• mitral valve prolapse F
• none of the answers. F
• pericarditis F
• myocarditis T
Question Number: 49
Question ID: 2415
Date Created: 1/23/2008 10:24:00 AM
Times Used: 4
Last Used : 2/16/2009 7:56:00 AM
A 5 year old comes to the ER with fever, sore throat, hoarseness, and stridor developing over one to two
days. He also appears to be drooling. Which of the following is the most appropriate initial step in
management?
• do a detailed history and physical exam F
• get a lateral cervical neck x-ray F
• send him home F

• draw a CBC and blood cultures T
• prepare for emergency intubation F
Question Number: 50
Question ID: 2430
Date Created: 1/23/2008 10:49:00 AM
Times Used: 5
Last Used : 2/16/2009 3:38:00 PM
Which of the following is a characteristic chest x-ray appearance of respiratory distress syndrome (RDS)?
• atelectasis F
• fluid in fissure F
• patchy infiltrate F
• air bronchograms T
• enlarged heart F
Question Number: 51
Question ID: 2433
Date Created: 1/23/2008 10:49:00 AM
Times Used: 3
Last Used : 1/14/2009 7:44:00 AM
A1 year-old child with a rapid pulse, slightly low blood pressure, cool extremities, oliguria and dry oral
mucosa should be considered:
• 5% dehydrated F
• 15% dehydrated F
• 20% dehydrated F
• 10% dehydrated T
Question Number: 52
Question ID: 2439
Date Created: 1/23/2008 10:20:00 AM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
An elevated level of hemoglobin A2 in a patient with mild microcytic anemia suggests the diagnosis of:
• beta-thalassemia T
• hereditary spherocytosis F
• alpha-thalassemia F
• sickle trait F
• hereditary persistence of fetal hemoglobin F
Question Number: 53
Question ID: 2440
Date Created: 1/23/2008 10:18:00 AM
Times Used: 4
Last Used : 12/3/2008 7:50:00 AM
Hemolytic anemia is characterized by all of the following EXCEPT:

• increased reticulocytosis F
• lead poisoning F
• increased haptoglobin T
• increased unconjugated bilirubin F
• increased LDH F
Question Number: 54
Question ID: 2447
Date Created: 1/23/2008 10:24:00 AM
Times Used: 2
Last Used : 1/27/2009 4:27:00 PM
A 30 year-old patient with asthma complains of daily wheezing and occasional waking at night with cough
and chest tightness for three weeks. His usual medication is salbutamol two puffs tid-qid. The next step in
management is:
• increase salbutamol to two puffs q4h F
• add long-term theophylline F
• add beclomethasone two puffs qid T
• discontinue salbutamol and begin prednisone 50 mg od and taper over 2

F
weeks
• add ipratropium bromide two puffs qid F
Question Number: 55
Question ID: 2453
Date Created: 1/23/2008 10:24:00 AM
Times Used: 5
Last Used : 1/27/2009 4:27:00 PM
The following is true of malabsorption EXCEPT :

• high S Phosphate T
• low S.Calcium F
• osteamolacia F
• increased fat excretion in stools. F
• low S Potassium F
Question Number: 56
Question ID: 2589
Date Created: 6/17/2008 5:07:00 PM
Times Used: 3
Last Used : 1/27/2009 4:27:00 PM
18 year-old female with initial onset of pruritic rash characterized by excoriations, scaling and crusting and
distributed on the extremities, neck and eyelids. Past medical history is significant for asthma and hay
fever. The most likely diagnosis is:
• dyshydrotic eczema F
• atopic dermatitis T
• contact dermatitis F
• scabies F
• shingles F
Question Number: 57
Question ID: 2590
Date Created: 6/17/2008 5:07:00 PM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
A74 year-old, right-handed man presents with a past medical history of hypertension and dyslipidemia for
30 years. He is a retired banker who recently has had trouble calculating his restaurant bill. He also notices
that his writing has deteriorated. On physical exam, he has difficulty naming his fingers and is confused
with distinguishing left from right. The lesion is most likely in which part of the brain?
• right parietal F
• right temporal F
• left parietal T
• frontal F
• left temporal F
Question Number: 58
Question ID: 2592
Date Created: 6/17/2008 5:07:00 PM
Times Used: 3
Last Used : 12/23/2008 4:31:00 PM
Patient with mild left-sided hearing loss and absent left corneal reflex. Where is the lesion?
• left cerebellar pontine angle T
• left CN V F
• left cochlea F
• lateral medulla F
Question Number: 59
Question ID: 2605
Date Created: 6/17/2008 5:07:00 PM
Times Used: 5
Last Used : 2/16/2009 3:38:00 PM
Which one of the following is true about childhood tuberculosis?

• Ethambutol is one of the drugs used in treatment F
• It is easy to isolate the organism. F
• is highly infectous F
• history of contact is a majour feature T
Question Number: 60
Question ID: 2619
Date Created: 11/16/2007 10:54:00 AM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
Which of the following is not true about Pica:

• Children are at increased risk of lead poisoning . F
• Parasitic infection is a recognized complication. F
• Screening for iron deficiency anemia is mandatory. F
• It is usually an abnormal phenomenon in a child less than two years. T
• it is more common in children with autism F
Question Number: 61
Question ID: 2661
Date Created: 6/17/2008 5:07:00 PM
Times Used: 3
Last Used : 11/12/2008 8:10:00 AM
A 3-month-old female infant presents to the Accident & Emergency Department unresponsive. She shows
fever, tachypnea, bradycardia and hypotension. You should follow the following order in your initial
assessment
• Circulation, Airway, Breathing, Exposure, Disability F
• Airway, Breathing, Circulation, Disability, Exposure T

• Exposure, Airway, Breathing, Circulation, Disability F
• Breathing, Airway, Circulation, Disability, Exposure F
• Exposure, Breathing, Airway, Circulation, Disability F
Question Number: 62
Question ID: 2663
Date Created: 10/26/2007 11:03:00 AM
Times Used: 4
Last Used : 12/23/2008 4:31:00 PM
On examination she was hypotensive, dehydrated and has acidotic breathing. Investigations reveal plasma
glucose of 22 mmol/l, urine ketone of 4+ and Blood pH of 7.12. The following is the most appropriate initial
intervention
• Collect blood & urine for culture and cover with antibiotics F
• Give IV bolus of sodium bicarbonate immediately F
• Give intravenous bolus of normal saline 20 ml/kg first T
• Start insulin infusion 1 hour before the IV fluids F
• Start Ringer lactate infusion and give subcutaneous insulin simultaneously F
Question Number: 63
Question ID: 2726
Date Created: 9/7/2007 11:50:00 AM
Times Used: 3
Last Used : 2/16/2009 7:56:00 AM
Which of the following developmental milestones in not a cause for concern?

• 15 month old not walking F
• 12 month old not talking T
• 12 month old who does not search for hidden objects F
• 3 year old unable to stand on one foot momentarily F
• 6 month old with a persistent grasp reflex F
Question Number: 64
Question ID: 2734
Date Created: 9/7/2007 12:02:00 PM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
A 24-year-old woman develops wheezing and shortness of breath when she is exposed to cold air or when
she is exercising. These symptoms are becoming worse.Which of the following is the prophylactic agent of
choice for the treatment of asthma in these circumstances?
• inhaled β2-agonists T
• oral aminophylline F
• inhaled anticholinergics F
• inhaled sodium cromoglycate F
• oral corticosteroids F
Question Number: 65
Question ID: 2736
Date Created: 6/17/2008 5:07:00 PM
Times Used: 3
Last Used : 12/23/2008 4:31:00 PM
Initial screening for hepatitis B should include which of the following?

• anti-hepatitis B surface antigen (HBsAg) and anti-HBc F
• hepatitis B early antigen (HBeAg) and anti HBe F
• HBsAg and anti-HBs F
• HBsAg and anti-HBc T
• anti-HBe and anti-HBc F
Question Number: 66
Question ID: 2742
Date Created: 9/7/2007 12:02:00 PM
Times Used: 3
Last Used : 1/14/2009 7:44:00 AM
What is the most likely cause for this patient's symptoms?

• overstimulation of the adrenal gland F
• an adrenal adenoma F
• autoimmune destruction of the hyperparathyroid glands F
• autoimmune destruction of the adrenal gland T
• a pituitary adenoma F
Question Number: 67
Question ID: 2745
Date Created: 9/7/2007 12:04:00 PM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
Pseudomembranous colitis is usually caused by toxins of which organism?

• Staph aureus F
• Clostridium difficile T
• Clostridium perfringens F
• Clostridium botulinum F
• Bacteroides fragilis F
Question Number: 68
Question ID: 2750
Date Created: 9/7/2007 12:01:00 PM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
Hyperkalemia is reduced by each of the following EXCEPT:

• administration of calcium gluconate intravenously T
• administration of glucose, insulin and sodium bicarbonate intravenously F
• oral administration of potassium-exchange resins with sorbitol F
• hemodialysis with low potassium dialysate F
Question Number: 69
Question ID: 2753
Date Created: 6/17/2008 5:07:00 PM
Times Used: 3
Last Used : 1/14/2009 7:44:00 AM
Cautions and contraindications of NSAIDs include:

• a creatinine of 180 mmol/L F
• peptic ulcer disease F
• warfarin use F
• cirrhosis F
• all of the answers T
Question Number: 70
Question ID: 2789
Date Created: 6/17/2008 5:07:00 PM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
You examine a 78 year old right handed man who is dysphasic and has suffered from a stroke. Which one
of the following clinical signs would you expect to find?
• Left extensor plantar F
• Left homonymous hemianopia F

• Left sided hemiplegia F
• Right homonymous hemianopia T
• Right lower motor neurone VIIth nerve palsy. F
Question Number: 71
Question ID: 2803
Date Created: 8/24/2007 10:39:00 AM
Times Used: 5
Last Used : 1/27/2009 4:27:00 PM
The use of severe calorie-restricted diets (800 kcal/day) has been responsible for many deaths. What is
the most common cause of death in these cases?
• sudden cardiac dealth, secondary to dysrhythmia T
• congestive cardiac failure, secondary to anemia F
• hepatic failure F
• renal failure F
• septicemia F
Question Number: 72
Question ID: 2805
Date Created: 6/17/2008 5:07:00 PM
Times Used: 4
Last Used : 2/16/2009 3:38:00 PM
A healthy 2/12 old infant was born at 32 weeks gestation. She has grown well since birth. On physical
examination of this infant, the most likely finding is :
• babbling and cooing vocalizations. F
• ability to reach a grasp an object. F
• ability to demonstrate a primitive grasp reflex. F
• presence of tonic neck reflex. F
• ability to fixate on a face and follow it briefly. T
Question Number: 73
Question ID: 2806
Date Created: 6/17/2008 5:07:00 PM
Times Used: 5
Last Used : 2/16/2009 3:38:00 PM
A three year old boy suddenly developed paroxysmal cough as he was playing. Apart from dyspnoea and
local wheezes no other abnormalities were detected. The most likely diagnosis is :
• bronchial asthma. F
• whooping cough. F
• interistitial pneumonia. F
• bronchiolitis F
• foreign body inhalation. T
Question Number: 74
Question ID: 2807
Date Created: 6/17/2008 5:07:00 PM
Times Used: 5
Last Used : 2/16/2009 3:38:00 PM
The following statements are true about kerosene poisoning except :

• ingestion of a small amount less than 1ml is not known to cause lung
F
injury.
• pneumatoceles and abnormal CxR are an early finding. F
• large amount of kerosene ingested may cause constipation. T
• antibiotics are not routinely indicated. F
• steroids should be used to prevent seconry lung infection. F
Question Number: 75
Question ID: 2813
Date Created: 6/17/2008 5:07:00 PM
Times Used: 4
Last Used : 2/16/2009 7:56:00 AM
In acute heart failure in children :

• raised JVP is a useful sign specially in small children. F
• presents with refusal of feeds in neonates as well as increased heart rate. T
• digoxin is the first line of management. F
• absence of a murmur excludes the diagnosis. F
• liberal rehydration helps the recovery. F
Question Number: 76
Question ID: 2815
Date Created: 6/17/2008 5:07:00 PM
Times Used: 5
Last Used : 2/16/2009 3:38:00 PM
Acute bronchiolitis is associated with all of the following except

• a higher incidence in infants than in school children F
• respiratory syncitial virus infection F
• widespread fine crackles F
• a polymorphonuclear leucocytosis T
• Tendency to recur F
Question Number: 77
Question ID: 3905
Date Created: 9/23/2008 4:27:00 PM
Times Used: 1
Last Used : 12/3/2008 7:50:00 AM
Megaloblastic anaemia due to vitamin B12 deficiency occurs in :

• Pregnancey. F
• Terminal ileitis (Crohn's disease). T
• Epileptic patients treated with phenytoin. F
• Tropical sprue. F
• The first 6 months after gastrectomy. F
Question Number: 78
Question ID: 3907
Date Created: 9/23/2008 4:27:00 PM
Times Used: 0
NOT USED BEFORE
Clinical features of liver cirrhosis include :

• Cataracts. F
• Tylosis palmaris. F
• Osteoporosis. F
• Testicular atrophy. T
• Strawberry naevi. F
Question Number: 79
Question ID: 4139
Question Category: Medical Ethics - General
Date Created: 12/2/2008 5:18:00 PM
Times Used: 2
Last Used : 3/18/2009 7:49:00 AM
‫ ولكن يجوز للطبيب‬, ‫توجب القوانين الطبية واألخالقية علي الطبيب المحافظة علي اسرار المريض بصفة عامة‬
‫االستثناء في الحاالت األتية‬
• ‫رضاء صاحب السر بإفشائه‬ F
• ‫اإلخبار عن عن االمراض المعدية للسلطات الصحية‬ F
• ‫اذا كان اإلفشاء في صالح صاحب السر نفسه‬ F
• ‫التبليغ عن الجرائم‬ F
• ‫جميع هذه الحاالت صحيحة‬ T
Question Number: 80
Question ID: 4140
Question Category: Medical Ethics - General
Date Created: 12/2/2008 5:21:00 PM
Times Used: 3
Last Used : 3/18/2009 7:49:00 AM
‫من أهم شروط مزوالة مهنة الطب‬

• ‫الحصول علي المؤهل األكاديمي الالزم‬ F
• ‫الحصول علي المؤهل األكاديمي الالزم‬ F
• ‫إجتياز امتحان ممارسة المهنة الذي يجريه المجلس الطبي‬ F
• ‫الحصول علي ترخيص مزاولة المهنة لألطباء عند التسجيل الدائم‬ F
• ‫جميع هذه الشروط واجبة الحصول‬ T
• ‫قضاء فترة االمتياز بنجاح‬ F
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Password: lft
Question Number: 1
Question ID: 1863
Question Category: Surgery - General
Date Created: 5/28/2008 1:14:00 PM
Times Used: 3
Last Used : 1/27/2009 4:27:00 PM
You were called to see an elderly man who is hospitalized for stroke. He did not pass stools for ten days
and is having abdominal distension now. His abdomen is tympanitic and the bowel sounds are increased.
A PR reveals a rectum loaded with relatively hard faecal matter. The management will be
• Diverting colostomy F
• Didgital evacuation T
• Soap/saline enema F
• Oral lactulose F
• Nill by mouth, NG tube, and suction F
Question Number: 2
Question ID: 1872
Date Created: 5/28/2008 1:22:00 PM
Times Used: 2
Last Used : 9/24/2008 8:11:00 AM
A 22 years old married female came to the accident and emergency department, at 12 o’clock midnight,
with acute right side lower abdominal pain of eight hours duration. Her last menstrual period ended two
days ago. She vomited once and reports a slight pyrexia. On examination the abdomen is soft but tender in
right iliac fossa and suprapubic regions. There is also rebound tenderness. Per vaginal examination shows
a normal sized uterus. The ovaries and tubes were difficult to palpate because of the pain. The next course
of action should be
• Reassure the patient, allow to go home, and come with an ultrasound
F
scan abdomen tomorrow
• Take the patient for an urgent exploration F
• Admit the patient, start metronidazole and doxycycline, and order the
T
ultrasound in the morning
• Admit the patient, start metronidazle and cefuroxime, nill by mouth and i/v
F
fluids and observe
• Refer the patient to the obstetric and gynaecology department F
Question Number: 3
Question ID: 1884
Date Created: 5/28/2008 1:24:00 PM
Times Used: 3
Last Used : 12/23/2008 4:31:00 PM
You are about to catheterize an adult male. You have available a whole tube containing 30 ml of lignocaine
2% gel. You will
• Use some of it on the catheter tip F
• Squeeze out half of the contents of the tube down the urethra through the
F
external urinary meatus
• Use some of it on the external urinary meatus F
• Squeeze out all the contents of the tube down the urethra through the
T
external urinary meatus
Question Number: 4
Question ID: 1893
Question Category: Obstetrics and Gynaecology - General
Date Created: 5/28/2008 1:24:00 PM
Times Used: 5
Last Used : 1/27/2009 4:27:00 PM
Amenorrhea in a 28 year-old with a high LH and high LH/FSH ratio is a most recognized feature of:
• ovarian failure T
• hyperprolactinaemia F
• Sheehan's syndrome F
• Hypothyroidism F
• Asherman's syndrome F
Question Number: 5
Question ID: 1895
Date Created: 5/28/2008 1:19:00 PM
Times Used: 4
Last Used : 1/14/2009 7:44:00 AM
A woman in the reproductive age suffering from infertility due to polycystic ovary disease is best treated by:
• Cryosurgery of the ovary. F
• Climophine citrate tabs. T
• Rupture of the cyst by cautery. F
• Wedge resection of the ovaries. F
• Weight reduction. F
Question Number: 6
Question ID: 1902
Date Created: 5/28/2008 1:25:00 PM
Times Used: 3
Last Used : 10/19/2008 9:56:00 AM
One of the most common sexually transmitted diseases that may lead to cervical carcinoma is caused by
which of the following viruses
• Cytomegalovirus F
• Papillomavirus T
• Epstein-Barr virus F
• Herpes simplex virus F
• Adenovirus F
Question Number: 7
Question ID: 1911
Date Created: 5/28/2008 1:13:00 PM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
Which of the following conditions is characterized by the classic syndrome of amenorrhea with or without
abnormal vaginal bleeding, pelvic-abdominal pain and an adnexal mass?
• a tubo-ovarian abscess F
• intermenstrual pain (Mittelschmerz) F
• an ectopic pregnancy T
• a twisted ovarian cyst F
• diverticulitis F
Question Number: 8
Question ID: 1916
Date Created: 5/28/2008 1:27:00 PM
Times Used: 3
Last Used : 12/23/2008 4:31:00 PM
The most important cause of maternal mortality in Sudan is.

• Thrombosis and thromboembolism. F
• Malaria and its related anemia. F
• Hypertensive disorder of pregnancy. F
• Amniotic fluid embolism. F
• Hemorrhage T
Question Number: 9
Question ID: 1930
Date Created: 5/28/2008 1:20:00 PM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
The chance of having babies with Down's syndrome in women less than 20 years of age is one in:
• 550 live births F
• 1550 live births T
Question Number: 10
Question ID: 1932
Date Created: 5/28/2008 1:18:00 PM
Times Used: 3
Last Used : 12/23/2008 4:31:00 PM
Serum FSH and LH are increased in primary hypogonadism and in:

• secondary hypogonadism F
• menopause T
• pheochromocytoma F
• Addison's disease F
• Kallmann's syndrome F
Question Number: 11
Question ID: 2085
Date Created: 3/26/2008 1:39:00 PM
Times Used: 4
Last Used : 12/23/2008 4:31:00 PM
In an eight week old infant with hypertrophic pyloric stenosis, which of the following is considered to be a
sign of severity, dictating urgent resuscitation?
• Acidic urinary pH T
• Visible peristalsis F
• Palpable epigastric mass F
• Projectile vomiting F
• Succussion splash F
Question Number: 12
Question ID: 2093
Date Created: 3/26/2008 1:35:00 PM
Times Used: 5
Last Used : 1/27/2009 4:27:00 PM
A worker was rushed to you in the emergency department after having his hand caught in an electric saw.
His hand is badly contused and bleeding heavily. He is anxious, in pain, sweaty, and has a weak rapid
pulse the most important next step would be to
• Elevate the limb F
• Do an urgent exploration of the wound under general anaesthesia F
• Apply a tourniquet to the arm F
• Apply a pressure dressing to the wound T

• Compress the axillary artery F
Question Number: 13
Question ID: 2099
Date Created: 3/26/2008 1:33:00 PM
Times Used: 3
Last Used : 1/14/2009 7:44:00 AM
During your ward round you came by a diabetic patient who underwent drainage of a massive gluteal and
upper thigh abscess with a resulting large wound and some deep pockets. He complained that the
dressing was very painful that he almost fainted. To ease his suffering, you are going to order that his
dressing be done under
• Local anaesthetic spray F
• An analgesic dose of ketamine T
• Pethidine and diazepam F
• Inhaled general anaesthesia F
• Intramuscular diclofenac F
Question Number: 14
Question ID: 2103
Date Created: 3/26/2008 1:33:00 PM
Times Used: 3
Last Used : 1/27/2009 4:27:00 PM
You are following up a patient who underwent large bowel resection and anastomosis following a right
hemicolectomy. He is still fasting and on fluid therapy. An early sign of underhydration in this patient would
be
• Low urine output T
• Rapid small volume pulse F
• Feeling of thirst F
• Depressed JVP F
• Low blood pressure F
Question Number: 15
Question ID: 2104
Date Created: 3/26/2008 1:33:00 PM
Times Used: 2
Last Used : 1/14/2009 7:44:00 AM
A 25 years old patient came to you in the emergency department with abdominal pain and fever. He
underwent an appendicectomy one week ago and was discharged in a good condition. He now complains
of painful bouts of mucoid diarrhoea and fever. On examination the patient is febrile, pulse 105/min, BP
110/80 mmHg. There is tenderness on PR and the sensation of fullness anterior to the rectum. Urine
shows uncountable pus cells. These findings are consistent with the diagnosis of
• Rectal tumor F
• Acute amoebic dysentery F
• Generalized peritonitis F
• Acute UTI F
• Pelvic abscess T
Question Number: 16
Question ID: 2108
Date Created: 3/26/2008 1:37:00 PM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
A 20 years old lady, who is in her second year of medical school, came to you complaining of pain and
numbness in the right hand and forearm following prolonged writing. You examine her after writing a two
page assignment and find that the right radial pulse is weaker, and she reports parasthesia. The most
likely diagnosis would be
• Carpal tunnel syndrome F
• Raynaud’s disease F
• Peripheral neuropathy F
• Right cervical rib T
• Vitamin B1, B6, B12 deficiency F
Question Number: 17
Question ID: 2111
Date Created: 3/26/2008 1:34:00 PM
Times Used: 3
Last Used : 1/14/2009 7:44:00 AM
You are examining a 60 years old male known diabetic for 20 years. He is complaining of right leg pain and
parasthesia that are worse after prolonged standing. He also complains of back pain that is worse on
stooping and straining. Peripheral pulses are not palpable. You find that he is unable to dorsiflex his right
big toe. The left side is normal. The most likely cause for his presenting symptoms would be
• Diabetic autonomic neuropathy F
• L5-S1 intervertebral disc prolapse T
• Peripheral neuropathy F
• Mononeuritis multiplex F
• Peripheral vascular disease F
Question Number: 18
Question ID: 2114
Date Created: 3/26/2008 1:33:00 PM
Times Used: 5
Last Used : 1/27/2009 4:27:00 PM
A 28 years old male is a known case of a right duplication of his renal pelvis and upper ureter. He
developed numerous attacks of UTI since childhood. This time he came because he developed severe
right sided pain that was colicky in nature and that made him turn around in bed. His urinalysis revealed
the following: dark colour, alkaline pH, ++ protein, uncountable RBC’s, 8-10 pus cells/HPF, + crystals. You
suspect that he has a stone. Which type of stone you think this patient will be having?
• Calcium oxalate stone F
• Urate stone F
• Calcium-ammonium-magnesium phosphate stone T
• Calcium phosphate stone F
• Cysteine stone F
Question Number: 19
Question ID: 2116
Date Created: 3/26/2008 1:36:00 PM
Times Used: 5
Last Used : 1/27/2009 4:27:00 PM
When assessing a burn patient which of the following criteria would be a strong indication for admission?
• Deep burn to one buttock F
• If the burn was in a closed space T
• 7% burn in a ten years old child F
• Scalp burn of 2% F
• 10% burn in an adult F
Question Number: 20
Question ID: 2122
Date Created: 3/26/2008 1:17:00 PM
Times Used: 5
Last Used : 1/27/2009 4:27:00 PM
Ultrasound is helpful in the diagnosis of all the following except

• Twins F
• Placenta praevia F
• Macrosomia F
• Contracted pelvis T
• Congenital anomalies F
Question Number: 21
Question ID: 2129
Date Created: 3/26/2008 1:35:00 PM
Times Used: 4
Last Used : 1/14/2009 7:44:00 AM
Compared with singleton pregnancies, twin pregnancy have a high risk of all of the following except
• P.I.H F
• C/S delivery F
• Perinatal death F
• Shoulder dystocia T
• Congenital anomalies F
Question Number: 22
Question ID: 2135
Date Created: 3/26/2008 1:38:00 PM
Times Used: 3
Last Used : 9/24/2008 8:11:00 AM
A 16 year-old primigravida presented with severe pre-eclampsia, she has meconium stained liquor and
foetal heart rate 110 beats per minute, the best way to deliver her is
• An elective c/s next day morning F
• Induction of labour F
• Acceleration of labour F
• Assisted vaginal delivery F
• An emergency c/s T
Question Number: 23
Question ID: 2139
Date Created: 3/26/2008 1:35:00 PM
Times Used: 4
Last Used : 12/3/2008 7:50:00 AM
Maternal mortality rate is defined as the number of maternal deaths per

• 1000 live-births F
• 10.000 live-births F
• 100.000 live-births T
• 1000 pregnancies F
• 100.000 pregnant women F
Question Number: 24
Question ID: 2160
Date Created: 3/26/2008 1:38:00 PM
Times Used: 5
Last Used : 1/27/2009 4:27:00 PM
The following is not true with regard to ectopic pregnancy

• Trans-vaginal ultrasound is helpful in conjuction with H C g F
• P I D may be a cause F
• May occur in the cervix F
• Can be treated with methotrexate F
• colpocentesis is diagnostic in intact ectopic pregnancy T
Question Number: 25
Question ID: 2230
Date Created: 3/5/2008 1:11:00 PM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
A 30 years old para II lady is having a 5 cm incisional hernia in previous caesarean section scar. She had
two caesarean sections. The hernia is fully reducible. The choice of management would be
• Conservative or wait and see. T
• Anatomical repair with nylon stitches F
• Mesh plug repair F
• Mayo’s repair with nylon F
• only mesh repair now F
Question Number: 26
Question ID: 2234
Date Created: 3/5/2008 1:04:00 PM
Times Used: 4
Last Used : 1/14/2009 7:44:00 AM
The most significant/relevant symptom of a tumor in the left colon is

• Bleeding per rectum T
• Alternating bowel habits F
• Constipation F
• Flatulence F
• Fever F
Question Number: 27
Question ID: 2243
Date Created: 3/5/2008 1:12:00 PM
Times Used: 2
Last Used : 1/27/2009 4:27:00 PM
Which of the following conditions will benefit from transfusion of stored whole blood?
• Hypoalbuminaemia F
• Preoperative correction of anaemia T
• Bleeding tendency secondary to obstructive jaundice F
• Bleeding tendency secondary to hyperspleenism F
• Leukopaenia secondary to chemotherapy F
Question Number: 28
Question ID: 2246
Date Created: 3/5/2008 1:09:00 PM
Times Used: 4
Last Used : 1/14/2009 7:44:00 AM
Which of the following symptoms is NOT likely to be caused by acute intervertebral disc prolapse?
• Parathaesia over the lateral and posterior aspect of the leg F
• Inability to dorsiflex the big toe F
• Exacerbation of the pain with coughing F
• Exacerbation of the pain with bending F
• Precipitation of the pain by walking and its immediate relief by stopping for
T
a while
Question Number: 29
Question ID: 2259
Date Created: 3/5/2008 1:04:00 PM
Times Used: 4
Last Used : 1/14/2009 7:44:00 AM
With regards to fetal heart monitoring, which of the following is TRUE:

• Early decelerations are related to a vagal response to head compression T
• An acceleration is defined as an increase of at least 20 bpm lasting at

F
least 20 seconds
• Normal range is 100-180 bpm F
• A variable deceleration is the least common change seen during labour F

• A late deceleration peaks at the same time as the uterine contraction F
Question Number: 30
Question ID: 2263
Date Created: 3/5/2008 1:00:00 PM
Times Used: 3
Last Used : 12/23/2008 4:31:00 PM
A24 year-old female G1P0 is admitted to hospital at 34 weeks gestation. The patient describes passing a
large volume of clear fluid per vagina for 36 hours. Examination reveals the following: temp 38.5C, no
uterine contractions, vague lower abdominal tenderness, fetal heart rate 185 bpm. Lab investigations
reveal: Hb 120, WBC 19.0, + nitrazine test of vaginal fluid, + ferning of vaginal fluid. Which of the following
is the most likely diagnosis?
• premature rupture of membranes and chorioamnionitis T
• premature labour F
• acute pyelonephritis F
• acute vaginitis of pregnancy F
• premature rupture of membranes F
Question Number: 31
Question ID: 2265
Date Created: 3/5/2008 1:16:00 PM
Times Used: 4
Last Used : 12/23/2008 4:31:00 PM
The commonest indication for amniocentesis is:

• chromosome anomaly of the mother F
• teenage pregnancy F
• advanced maternal age T
• family history of Down syndrome F
• family history of cystic fibrosis F
Question Number: 32
Question ID: 2267
Date Created: 3/5/2008 1:10:00 PM
Times Used: 4
Last Used : 12/23/2008 4:31:00 PM
Causes of secondary amenorrhea include:

• Turner syndrome F
• anorexia T
• androgen insensitivity syndrome F
• gonadal dysgenesis F
• imperforate hymen F
Question Number: 33
Question ID: 2270
Date Created: 3/5/2008 12:59:00 PM
Times Used: 5
Last Used : 1/27/2009 4:27:00 PM
A55 year-old female presents with a "period-like" vaginal bleeding for 5 days that stopped spontaneously.
Your approach to the problem would be to:
• reassure the patient and manage expectantly F
• administer provera 10 mg od for 15 days F
• administer cyclic estrogen plus progesterone F
• obtain endometrial tissue T
• perform a pap smear plus endocervical curretage F
Question Number: 34
Question ID: 2272
Date Created: 3/5/2008 1:00:00 PM
Times Used: 5
Last Used : 1/27/2009 4:27:00 PM
The commonest cause of disseminated intravascular coagulation during pregnancy is:

• amniotic fluid embolism F
• abruptio placentae T
• placenta previa F
• missed abortion F
• chorioamnionitis F
Question Number: 35
Question ID: 2287
Date Created: 2/14/2008 10:27:00 AM
Times Used: 3
Last Used : 1/14/2009 7:44:00 AM
A middle aged man was brought to the accident and emergency department by bystanders after being
involved in a road traffic accident. He is clearly unconscious as they put him on the couch. There is much
blood on his cloth with an apparent bleeding wound over his right thigh. Which of the following steps would
be your first task?
• Stabilizing the cervical spine and checking the airway T
• Administering i/v glucose F
• Checking the pulse and blood pressure F
• Checking airway patency F
• Applying pressure to the bleeding wound F
Question Number: 36
Question ID: 2291
Date Created: 2/14/2008 10:40:00 AM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
A 28 years old patient presented to you with a one day history of acute colicky generalized abdominal pain
that later shifted to the right iliac fossa. He vomited once. On examination he does not look ill, pulse is
96/min, BP 110/70 mmHg, and is not pale. There is tenderness and rebound tenderness over the right iliac
fossa. You took the patient to the operating theatre and made a gridiron incision. You found the appendix
to look quite normal. What are you going to do next?
• Leave it, come out, and close the incision F
• Remove it, check the terminal ileum and pelvis T
• Remove it, extend the incision upward, and inspect the rest of the
F
abdomen
• Leave it, close the incision, and make a midline incision F
• Remove it, close the abdomen, and come out F
Question Number: 37
Question ID: 2295
Date Created: 2/14/2008 10:32:00 AM
Times Used: 3
Last Used : 10/19/2008 9:56:00 AM
A 13 years old boy was brought to you in the emergency department with acute severe scrotal pain
following a football match, in which he remembers being struck by a fast moving ball in his groin. The
match was four hours ago. On examination the right scrotum is slightly swollen and very tender and the
testicle is situated in the neck of the scrotum. The left testicle is not tender and is lying somewhat
horizontally. Your response would be
• To advise urgent scrotal exploration T
• To request a scrotal ultrasound with a high frequency probe F
• To request urinalysis and culture F
• To reassure the family and advise follow up after one week F
• To prescribe analgesics and bed rest for a few days F

Question Number: 38
Question ID: 2298
Date Created: 2/14/2008 10:32:00 AM
Times Used: 3
Last Used : 1/27/2009 4:27:00 PM
A 14 years old male fell down and fractured his left clavicle. Your management would be
• Refer him to another hospital for internal fixation F
• Prescribe him an arm sling/ holder as a definitive treatment T
• Take him to theatre for wiring of the fracture F
• Take him to theatre for fixation with a plate and screws F
• Take to theatre for the insertion of percutaneous K-wires F
Question Number: 39
Question ID: 2305
Date Created: 2/14/2008 10:34:00 AM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
A patient was brought to you with a simple fracture tibia, which you plastered and achieved excellent
reduction on the check X-ray after applying the plaster. When would you ask the patient to come for
another check X-ray to assure that the fracture did not displace?
• After 6 weeks F
• After one week F
• After 3 weeks F
• After 24 hrs F
• After 3 days T
Question Number: 40
Question ID: 2307
Date Created: 2/14/2008 10:21:00 AM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
A 40 years old male presents with an inguinooscrotal swelling of three months duration. After taking the
history and examining the patient you decide that it is an indirect inguinal hernia and plan the patient for
surgery. Which type of operation would you do to this patient?
• Herniotomy with strengthening of the posterior wall with nylon stitches F
• Herniotomy with strengthening of the posterior wall with chromic catgut

F
stitches
• Simple herniotomy without repair F
• Herniotomy with reinforcement of the posterior wall with a polyprolene
T
mesh
• Herniotomy with tightening of the fascia transversalis F
Question Number: 41
Question ID: 2308
Date Created: 2/14/2008 10:41:00 AM
Times Used: 3
Last Used : 12/23/2008 4:31:00 PM
Which of the following suture materials is the most suitable to use for closing the rectus sheath at the end
of a laparotomy?
• Chromic catgut size 2 F
• Vicryl (polyglycolide & polylactide) size zero F
• Prolene size 2 T
• Prolene size zero F
• Vicryl (polyglycolide & polylactide)size 2 F
Question Number: 42
Question ID: 2310
Date Created: 2/14/2008 10:37:00 AM
Times Used: 4
Last Used : 1/14/2009 7:44:00 AM
A lady presents to you with a lemon sized swelling in the middle of her previous caesarean section scar.
She underwent that surgery 18 months ago. She first noticed the swelling three month ago. After
examination you tell her that it is an incisional hernia. She is blaming it on her husband for making her do a
lot of house work for his mother three months ago. You are trying to convince her that this is not the reason
because a surgical wound is most weak and vulnerable to develop an incisional hernia in
• The first two years F
• The first month postoperatively F
• The immediate postoperative period T
• The first year F
• The first six month F
Question Number: 43
Question ID: 2320
Date Created: 2/14/2008 10:39:00 AM
Times Used: 3
Last Used : 1/27/2009 4:27:00 PM
What is the desired duration of time that the patient should be fasting for prior to elective surgery?
• Twelve hours F
• Eight hours F
• Three hours F
• Ten hours F
• Four hours T
Question Number: 44
Question ID: 2321
Date Created: 2/14/2008 10:37:00 AM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
The following is a cause of congenital malformation when taken during early pregnancy:
• Testosterone. F
• Methotrexate. T
• 17 hydroxyprogesterone. F
• Tetracycline. F
• Folic acid. F
Question Number: 45
Question ID: 2334
Date Created: 2/14/2008 10:35:00 AM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
Preterm labour:
• is not related to physical trauma. F
• has no identifiable single specific cause. T
• can not be iatrogenic. F
• is related to foetal abnormal lie. F
• is labour before 39th week of gestation. F
Question Number: 46
Question ID: 2346
Date Created: 2/14/2008 10:39:00 AM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
When prescribing the oral contraceptive pill (OCP), which of the following should be done:
• Perform breast, abdominal and pelvic exams and assess blood pressure T
• Perform a complete physical exam after taking a thorough sexual history F
• Inform patients that the OCP protects against STDs F
• Perform a Beta-HCG test prior to prescribing OCP F
• Warn patients that their risk of dysmenorrhea is increased F
Question Number: 47
Question ID: 2468
Date Created: 1/23/2008 12:58:00 PM
Times Used: 4
Last Used : 1/14/2009 7:44:00 AM
A 25 years old female underwent excision of a 10 cm lipoma from her back under local anaesthesia three
weeks ago. Her card states that there was slight ooze from the tissues that stopped with packing, the skin
was closed in asingle layer with obsorbable suture. Now she has a painless, soft, fluctuant swelling with
normal overlying skin at the site of surgery. The most likely diagnosis would be
• Seroma formation T
• Haematoma formation F
• Recurrence of the lipoma F
• Abscess formation F
• Rolls of gauze left from the surgery F
Question Number: 48
Question ID: 2472
Date Created: 1/23/2008 12:58:00 PM
Times Used: 4
Last Used : 12/23/2008 4:31:00 PM
A 45 years old female patient presented to you with jaundice, fever, nausea, vomiting, right hypochondrial
pain. An ultrasound scan reported enlarged liver with dilatation of the intrahepatic bile ducts, a common
bile duct of 13 mm diameter, and a small gallbladder with thick wall but no stones. No other pathology was
detected. You would next request, after appropriate resuscitation,
• Serology for viral hepatitis F
• Repeat ultrasound in a more reliable centre F
• ERCP T
• CT scan abdomen F
• MRCP F
Question Number: 49
Question ID: 2487
Date Created: 1/23/2008 12:58:00 PM
Times Used: 3
Last Used : 12/3/2008 7:50:00 AM
A mother brought to you her four month old uncircumcised child with a complaint that he cries when he
passes urine, the urinary stream is weak, and that the foreskin balloons during micturition. Your diagnosis
is
• Congenital urethral stricture F
• Phimosis T
• Meatal stenosis F
• Paraphimosis F
• Posterior urethral valves F
Question Number: 50
Question ID: 2489
Date Created: 1/23/2008 12:58:00 PM
Times Used: 4
Last Used : 1/14/2009 7:44:00 AM
A 26 year-old primigravida presents at 40 weeks in active labour with contractions every 2 minutes. She is
diagnosed as having a transverse lie with the back up. Which of the following would be the most
appropriate next step?
• start isoxuprine (Vasodilan) F
• perform an external version F
• none of the answers F
• prepare for an immediate C-section T
• rupture membranes and then perform an internal version F
Question Number: 51
Question ID: 2500
Date Created: 1/23/2008 1:00:00 PM
Times Used: 5
Last Used : 1/27/2009 4:27:00 PM
The most likely differential diagnosis in a case of endomedriosis is

• Irritable bowel syndrome F
• Uterine fibroid F
• Pelvic inflammatory disease T
• Ulcerative colitis F
Question Number: 52
Question ID: 2501
Date Created: 1/23/2008 12:59:00 PM
Times Used: 4
Last Used : 1/14/2009 7:44:00 AM
The most visible sign of placental separation in the third stage of labour is
• Gush of blood F
• Feeling the placenta in the vagina T
• Uterus rises up F
• Uterus become more mobile F
• Lengthening of the cord F
Question Number: 53
Question ID: 2508
Date Created: 1/23/2008 1:04:00 PM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
All the following are true regarding the management of sickle cell crises during pregnancy except
• Patial exchange transfusion F
• Iron administration T
• Using forceps in the second stage F
• Transfusion of packet cells F
• Oxygen administration F
Question Number: 54
Question ID: 2536
Date Created: 12/13/2007 1:10:00 PM
Times Used: 5
Last Used : 1/27/2009 4:27:00 PM
What is the earliest time when a multiple pregnancy can be detected by ultrasonography?
• between the 4th and 6th week of gestation T
• between the 8th and 10th week of gestation F
Question Number: 55
Question ID: 2537
Date Created: 6/17/2008 5:07:00 PM
Times Used: 2
Last Used : 9/14/2008 5:31:00 PM
Which of the following tests is unnecessary during the first trimester of pregnancy?
• a urinalysis F
• blood pressure measurements F
• measurements of the body weight F
• measurements of the abdominal circumference T
• vaginal examinations F
Question Number: 56
Question ID: 2555
Date Created: 12/13/2007 1:10:00 PM
Times Used: 2
Last Used : 7/6/2008 10:46:00 AM
All the following are types of inguinal herniae except

• Sliding F
• Rolling T
• Pantaloon F
• Congenital F
• Richter’s hernia F
Question Number: 57
Question ID: 2563
Date Created: 6/17/2008 5:07:00 PM
Times Used: 3
Last Used : 1/14/2009 7:44:00 AM
The following operations necessitate the preparation of blood, except

• Mastectomy F
• Laparotomy F
• Above knee amputation F
• Repair of a huge inguinal hernia T
• Repair of a huge incisional hernia F
Question Number: 58
Question ID: 2638
Date Created: 6/17/2008 5:07:00 PM
Times Used: 2
Last Used : 1/27/2009 4:27:00 PM
Which of the following is a potential, associated risk in patients developing eclampsia during their first
pregnancy?
• diabetes mellitus F
• chronic hypertension T
• habitual abortion F
• chronic liver disease F
• delivery of a dead fetus in the third trimester of pregnancy F
Question Number: 59
Question ID: 2644
Date Created: 6/17/2008 5:07:00 PM
Times Used: 3
Last Used : 11/12/2008 8:11:00 AM
Which of the following is the presenting part in frank breech presentation?

• the buttocks T
• the buttocks and both feet F
• the buttocks and one of the feet F
• both knees F
• one of the knees F
Question Number: 60
Question ID: 2650
Date Created: 6/17/2008 5:07:00 PM
Times Used: 3
Last Used : 1/27/2009 4:27:00 PM
In a patient whose blood group is O-Rh negative and whose husband has O-Rh positive blood, Rh immune
globulin (anti-D) should be given after all the following EXCEPT:
• artificial rupture of membranes T
• full term delivery of a baby with O-Rh positive blood group F
• amniocentesis F
• spontaneous abortion F
• therapeutic abortion F
Question Number: 61
Question ID: 2651
Date Created: 11/16/2007 1:41:00 PM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
A 35 year-old G0P0 has severe pain during menses which radiates into the anal region. On bimanual
exam, she has a small, retroverted uterus and tender nodules can be felt on palpation of the uterosacral
ligaments. Which of the following conditions does she most likely have:
• chronic PID F
• adenomyosis F
• fibroids F
• endometriosis T
• uterine carcinoma F
Question Number: 62
Question ID: 2652
Date Created: 6/17/2008 5:07:00 PM
Times Used: 3
Last Used : 12/23/2008 4:31:00 PM
The most common cause of early first-trimester abortion is :

• inadequate oestrogen production. F
• chromosomal abnormality in the foetus. T
• incompetence of the internal cervical os . F
• maternal diabetes. F
• cytotoxic drugs. F
Question Number: 63
Question ID: 2653
Date Created: 6/17/2008 5:07:00 PM
Times Used: 3
Last Used : 1/27/2009 4:27:00 PM
Which of the following is an absolute indication for caesarean section :

• major degree placenta previa . T
• previous C/S scar. F
• severe pregnancy induced hypertension. F
• breech presentation. F
• grandmultiparity. F
Question Number: 64
Question ID: 2683
Date Created: 10/26/2007 10:44:00 AM
Times Used: 3
Last Used : 1/14/2009 7:44:00 AM
Management of preterm labour does not include

• Dexamethasone. F
• Tocolytics. F
• Caesarean section. T
• Transfer to hospital with good neonatal facilities. F
• Treatment of associated UTI. F
Question Number: 65
Question ID: 2685
Date Created: 6/17/2008 5:07:00 PM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
The following statement is not true about renal disease in pregnancy

• Asymptomatic bacteruria should be treated . F
• Midstream urine analysis is helpful in diagnosis of acute cystitis. F
• Acute pyelonephritis increases the risk of preterm labour. F
• There is high incidence of gestational diabetes in cases of chronic renal

T
disease.
• Delivery by caesarean section is indicated only for obstetric causes. F
Question Number: 66
Question ID: 2706
Date Created: 6/17/2008 5:07:00 PM
Times Used: 3
Last Used : 1/27/2009 4:27:00 PM
A 10 year old boy sustained laceration to his cheek. The best way to control bleeding initially is :
• direct pressure. T
• clamps. F
• cautery. F
• suture ligation. F
• dissolving clips. F
Question Number: 67
Question ID: 2708
Date Created: 10/26/2007 1:47:00 PM
Times Used: 3
Last Used : 12/3/2008 7:50:00 AM
The initial maneuver to establish an airway in a patient with multiple injuries is :

• orophoryngeal air way. F
• uncuffed endotracheal tube. F
• suctioning foreign debris and lifting up the mandible ( jaw lift) T
• cuffed endotracheal tube. F
• tracheostomy. F
Question Number: 68
Question ID: 2715
Date Created: 10/26/2007 1:44:00 PM
Times Used: 4
Last Used : 1/14/2009 7:44:00 AM
A young child started feeling severe abdominal pain with current jelly stools with a palpable mass in the
right hypochondrium with vomiting. The most likely diagnosis is :
• acute appendicitis. F
• obstructed inguinal hernia. F
• congenital band obstruction. F
• intussusception. T
• mesenteric lymphadenitis. F
Question Number: 69
Question ID: 2766
Date Created: 9/7/2007 2:38:00 PM
Times Used: 3
Last Used : 1/14/2009 7:44:00 AM
Sterile pyuria is caused by all the following except

• Partially treated urinary tract infection F
• Urinary tract tuberculosis F
• Urinary calculi F
• Papillary necrosis F
• Fistula between the urinary bladder and colon T

Question Number: 70
Question ID: 2775
Date Created: 6/17/2008 5:07:00 PM
Times Used: 3
Last Used : 12/23/2008 4:31:00 PM
Which of the following materials is the most suitable to use when stitching the skin of a below knee
amputation in a diabetic?
• Prolene T
• Silk F
• Vicryl (polyamide and polylactide) F
• Catgut plain F
• Chromic Catgut F
Question Number: 71
Question ID: 2827
Date Created: 6/17/2008 5:07:00 PM
Times Used: 2
Last Used : 12/3/2008 7:50:00 AM
The following is a cause of congenital malformation when taken during early pregnancy:
• Tetracycline. F
• 17 hydroxyprogesterone. F
• Methotrexate. T
• Folic acid. F
• Testosterone. F
Question Number: 72
Question ID: 2843
Date Created: 8/24/2007 1:49:00 PM
Times Used: 2
Last Used : 7/6/2008 10:42:00 AM
When infusing potassium chloride to a patient without an ECG monitor, the maximum safe rate would be
• 10 mmol/ hour F
• 20 mmol/ hour F
• 30 mmol/ hour F
• 40 mmol/ hour T
• 50 mmol/ hour F
Question Number: 73
Question ID: 2845
Date Created: 6/17/2008 5:07:00 PM
Times Used: 3
Last Used : 1/27/2009 4:27:00 PM
The daily requirement of sodium and chloride can be given to a 70 kg fasting surgical patient
postoperatively in the form of
• One unit (500 ml) of normal saline per day T
• Two units of normal saline per day F
• Three units of normal saline per day F
• Four units of normal saline per day F
• Calculation of the deficit and giving it as sodium bicarbonate by slow

F
intravenous injection.
Question Number: 74
Question ID: 3171
Date Created: 1/23/2008 1:10:00 PM
Times Used: 4
Last Used : 1/14/2009 7:44:00 AM
A 40 years old patient is having calcular obstructive jaundice. He is scheduled for ERCP after tomorrow.
You were called to evaluate him because of an acute attack of high grade fever with rigors and abdominal
pain. His TWBC count is 15,000/ml, BFFM is +ve for P.falciparum gametocytes ; urinalysis is normal. Your
choice of drugs would be
• Cefuroxime, metronidazole, artemether F
• Cefuroxime, gentamicin, artemether F
• Cefuroxime, metronidazole, primaquine T
• Metronidazole, primaquine, artemether F
• Artemether and primaquine F
Question Number: 75
Question ID: 3176
Date Created: 1/23/2008 12:57:00 PM
Times Used: 3
Last Used : 1/14/2009 7:44:00 AM
A 25 years old boy was brought to you in the accident and emergency department with a fractured left
humerus secondary to a fall on the ground during a basket ball game. You confirm the fracture with an X-
ray. There are no associated injuries and the skin is intact. Your choice of immobilisation method will be
• Full upper limb cast F
• K-wires F
• Posterior slab T
• Fixation with an external fixator F
• Plate and screws F
Question Number: 76
Question ID: 3178
Date Created: 1/23/2008 12:54:00 PM
Times Used: 5
Last Used : 1/27/2009 4:27:00 PM
A 40 years old patient, who is a known case of prosthetic mitral valve, is going to undergo elective inguinal
hernia repair in the next list. He is on warfarin . Which of the following investigations would you like to order
to assess his coagulation profile?
• Partial thromboplastin time F
• Thrombin time F
• Prothrombin time T
• Bleeding time F
• Whole blood clotting time F
Question Number: 77
Question ID: 4157
Date Created: 2/15/2009 2:12:00 PM
Times Used: 0
NOT USED BEFORE
All of the following symptoms are associated with ectopic pregnancy in the fallopian tube EXCEPT:
• Rectal bleeding T
• Unilateral lower abdominal pain F
• Shoulder tip pain F
• Vaginal bleeding or spotting F
• Missed menstrual period F
Question Number: 78
Question ID: 4258
Date Created: 3/3/2009 9:45:00 AM
Times Used: 0
NOT USED BEFORE
Nausea and vomiting are common in pregnancy. Hyperemesis gravidarum, however, is a much more
serious and potentially fatal problem. Finding that should alert physician to the diagnosis of Hyperemesis
gravidarum early in its course include:
• Metabolic acidosis F
• Jaundice F
• Ketonuria T
• Electrocardiographic evidence of hypokalemia F
Question Number: 79
Question ID: 4264
Date Created: 3/3/2009 9:45:00 AM
Times Used: 0
NOT USED BEFORE
Which of the following statements regarding management of labor in a low-risk pregnancy is true?
• Amniotomy may shorten the length of labor slightly, but not as much
T
spontaneous rupture
• Universal electronic fetal monitoring improve prenatal outcome F
• Food and oral fluids are acceptable if labor is progressing normally F
• An indwelling catheter is frequently needed when the patient is unable to

F
void spontaneously
• F
Question Number: 80
Question ID: 4268
Date Created: 3/3/2009 9:45:00 AM
Times Used: 0
NOT USED BEFORE
You are delivering a 26 year-old G3P2002 at 40 weeks. She has a history of two previous uncomplicated
vaginal deliveries and has had no complications this pregnancy. After 15 min of pushing, the baby’s head
delivers spontaneously, but then retracts back against the perineum. As you apply gently downward
traction to the head, the baby’s anterior shoulder fails to deliver. All of the following are appropriate next
steps in the management of this patient EXCEPT:
• Cut generous episiotomy F
• All of the answers T
• Instruct the nurse to apply supra-pubic pressure F
• Call for help F
• Instruct the nurse to flex the patient’s legs back to her head F
Go to Add Paper
Password: 123
Question Number: 1
Question ID: 3704
Question Category: OSCE - General
Date Created: 6/17/2008 5:07:00 PM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
This child presented with this condition for thee last 2 months. What is the most likely diagnosis?
• Inguinal hernia T
• Orchitis F
• Testicular tumour F
• Testicular torsion F
Question Number: 2
Question ID: 3705
Date Created: 6/17/2008 5:07:00 PM
Times Used: 5
Last Used : 3/4/2009 7:53:00 AM
This is a CT scan of the brain. What is the most likely diagnosis?
• Subdural haematoma F
• Epidural haematoma T
• Subarachnoid haemorrhage F
• Intracerebral haemorrhage F
Question Number: 3
Question ID: 3706
Date Created: 6/17/2008 5:07:00 PM
Times Used: 4
Last Used : 3/4/2009 7:53:00 AM
What is the most likely diagnosis of this acute condition ?
• Cellulitis T
• Exophthalmos F
• Retinoblastoma F
• Bells palsy F
Question Number: 4
Question ID: 3707
Date Created: 6/17/2008 5:07:00 PM
Times Used: 5
Last Used : 3/4/2009 7:53:00 AM
One of the following statements is true regarding the area of the renal nephron indicated (by the red arrow)
on this diagram:
• Bumetanide acts here to inhibit passive sodium reabsorption. F
• Furosemide exhibits its maximal diuretic effect here. F
• Spironolactone acts here to prevent aldosterone-enhanced potassium

F
reabsorption.
• Thiazides act here to affect the corticomedullary concentration gradient. F
• Thiazides act here to inhibit active sodium reabsorption. T
Question Number: 5
Question ID: 3717
Date Created: 6/17/2008 5:07:00 PM
Times Used: 5
Last Used : 2/16/2009 3:38:00 PM
One of the following is not a cause of the abnormality shown in this gentle man ?
• testicular cancer F
• drugs F
• ca prostate T
• lung cancer F
Question Number: 6
Question ID: 3725
Date Created: 11/16/2007 4:00:00 PM
Times Used: 7
Last Used : 2/16/2009 3:38:00 PM
What is the most important investigation to be done for this patient who presented for the first time?
• Serum iron F
• Bleeding time T
• Prothrombin time F
• Factor VIII F
Question Number: 7
Question ID: 3726
Date Created: 6/17/2008 5:07:00 PM
Times Used: 4
Last Used : 2/16/2009 7:56:00 AM
Depending on the result of this CBC, what is the type of anaemia?
• Iron deficiency F
• Thalassemia F
• Macrocytic T
• Sickle cel F
Question Number: 8
Question ID: 3729
Date Created: 6/17/2008 5:07:00 PM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
Diagnosis of protein-calorie malnutrition in this child is suggested by:
• General misery F
• All the answers T
• Fineness and depigmentation of hair F
• Wasting and oedema F
Question Number: 9
Question ID: 3734
Date Created: 5/28/2008 1:59:00 PM
Times Used: 5
Last Used : 3/4/2009 7:53:00 AM
The underlying pathology in this kidney is:
• Hypernephroma. F
• Polycystic kidney disease. T
• Hydronephrosis. F
• Amyloidosis. F
Question Number: 10
Question ID: 3735
Date Created: 5/28/2008 2:10:00 PM
Times Used: 6
Last Used : 2/16/2009 3:38:00 PM
What is the most important complication?
• Haemorrhage F
• Fat embolism F
• Volkmann's contracture T
• malunion F
Question Number: 11
Question ID: 3740
Date Created: 5/28/2008 2:11:00 PM
Times Used: 5
Last Used : 3/4/2009 7:53:00 AM
What is the most important investigation to be done for this patient?
• Skin biopsy F
• Culture and sensitivity F
• Blood glucose T
• urinalysis F
Question Number: 12
Question ID: 3743
Date Created: 5/28/2008 2:04:00 PM
Times Used: 4
Last Used : 3/4/2009 7:53:00 AM
Which cranial nerve is being tested ?

• Optic. T
• Occulomotor. F
• Abducent. F
• Trochlear. F
Question Number: 13
Question ID: 3749
Date Created: 5/28/2008 2:22:00 PM
Times Used: 5
Last Used : 3/4/2009 7:53:00 AM
This lady can't open her eyes at evening but she is quite normal at the morning . What is the diagnosis?
• Myasthenia gravis T
• Gillian Barrie syndrome F
• Vitamin A deficiency F
• Hys F
Question Number: 14
Question ID: 3751
Date Created: 5/28/2008 2:13:00 PM
Times Used: 4
Last Used : 2/16/2009 7:56:00 AM
What is the cause of this abnormal placenta?
• Placenta previa. F
• Placental abruption. F
• Chorioamnionitis. T
• Congenital anomaly. F
Question Number: 15
Question ID: 3756
Date Created: 5/28/2008 2:03:00 PM
Times Used: 5
Last Used : 3/4/2009 7:53:00 AM
What is the diagnosis ?

• Pathological fracture of the ulna. F
• Pathological fracture of the radius . T
• Pathological fracture of the tibia. F
• Pathological fracture of the fibula. F
Question Number: 16
Question ID: 3757
Date Created: 5/28/2008 2:01:00 PM
Times Used: 5
Last Used : 3/4/2009 7:53:00 AM
What is this instrument ?

• Retractor. F
• Simms speculum. T
• Proctoscope. F
Question Number: 17
Question ID: 3758
Date Created: 5/28/2008 1:53:00 PM
Times Used: 5
Last Used : 3/4/2009 7:53:00 AM
One of the following is an indication for use of this instrument ?
• biliary surgery. F
• intestinal obstruction. T
• urinary obstruction. F
• pleural effusion. F
Question Number: 18
Question ID: 3761
Date Created: 5/28/2008 1:52:00 PM
Times Used: 4
Last Used : 1/14/2009 7:44:00 AM
What is the method of injection?

• Intramuscular F
• intravenous F
• subcutaneous T
• intradermal F
Question Number: 19
Question ID: 3762
Date Created: 5/28/2008 2:09:00 PM
Times Used: 6
Last Used : 3/4/2009 7:53:00 AM
These lesions started as painless papules for the last 4 months. What is the most likely diagnosis?
• Eczema. F
• Cutanous leishmaniasis. T
• Lepromatus leprosy. F
• Sarcoidosis. F
Question Number: 20
Question ID: 3786
Date Created: 3/5/2008 1:41:00 PM
Times Used: 6
Last Used : 2/16/2009 3:38:00 PM
The best description for the state of this child with meningitis is:
• Decorticate F
• Decerebrate T
• opithotonus F
• vegitative F
Question Number: 21
Question ID: 3790
Date Created: 3/5/2008 1:43:00 PM
Times Used: 6
Last Used : 2/16/2009 3:38:00 PM
The following abnormality is shown in this plain x-ray abdomen:
• Dilated small bowel loops T
• Gas in the rectum F
• Multiple gas-fluid levels F
• Distended u-shape large bowel loop F
Question Number: 22
Question ID: 3796
Date Created: 3/5/2008 1:45:00 PM
Times Used: 4
Last Used : 3/4/2009 7:53:00 AM
With which of the following is this physical sign associated?
• Tuberculoid leprosy T
• Lepromatous leprosy F
• Congestive heart failure F
• SLE F
Question Number: 23
Question ID: 3808
Date Created: 3/5/2008 1:39:00 PM
Times Used: 5
Last Used : 3/4/2009 7:53:00 AM
One of the following is an indication for this drug:
• Heart failure F
• Atrial fibrillation F
• Heart block T
• Supraventricular tachycardia F
Question Number: 24
Question ID: 3811
Date Created: 3/5/2008 1:41:00 PM
Times Used: 4
Last Used : 1/14/2009 7:44:00 AM
What is the abnormality shown ?
• balanitis. F
• hypospadius. T
• circumsition. F
• meatal ulcer. F
Question Number: 25
Question ID: 3819
Date Created: 3/5/2008 1:23:00 PM
Times Used: 5
Last Used : 2/16/2009 7:56:00 AM
What is the diagnosis?
• Cellulitis. F
• Dry gangrene. T
• Snake bite. F
• Foreign body F
Question Number: 26
Question ID: 3820
Date Created: 2/14/2008 2:09:00 PM
Times Used: 6
Last Used : 2/16/2009 3:38:00 PM
Depending on this plain x-ray of the abdomen, what is the diagnosis?
• Bilateral multiple renal stones F
• Renal calcification T
• gallbladder stones and left renal stones F
• artifact F
Question Number: 27
Question ID: 3823
Date Created: 2/14/2008 1:51:00 PM
Times Used: 5
Last Used : 2/16/2009 7:56:00 AM
A 74 year old man was admitted to hospital after he was found collapsed at the roadside. Over the
following hours he was noted to have a fluctuating level of consciousness. Based on the above information
and the brain imaging what is the most likely diagnosis?
• large left sided infarct F
• subdural haemorrhage T
• extradural haemorrhage F
• subarachnoid haemorrhage F
Question Number: 28
Question ID: 3824
Date Created: 2/14/2008 1:53:00 PM
Times Used: 5
Last Used : 2/16/2009 7:56:00 AM
An obese lady has this fundal appearance and a VI nerve palsy. How3 would you describe this
appearance?
• Optic atrophy F
• Papilloedema T
• Retinitis pigmentosa F
• Normal fundus F
Question Number: 29
Question ID: 3825
Date Created: 2/14/2008 2:03:00 PM
Times Used: 6
Last Used : 2/16/2009 3:38:00 PM
This patient was suffering from a chronic condition(A). After starting drug treatment which will continuo for
life , her condition very much improved(B). What is this chronic condition?
• Hypothyroidism T
• Acromegally F
• Cushing disease F
• Hypoparathyroidism F
Question Number: 30
Question ID: 3827
Date Created: 2/14/2008 2:06:00 PM
Times Used: 5
Last Used : 3/4/2009 7:53:00 AM
With which of the following is the physical sign shown associated ?
• myxedema F
• hyperthyroidism T
• hyperparathyroidism F
• hypopituitarism F
Question Number: 31
Question ID: 3835
Date Created: 2/14/2008 1:47:00 PM
Times Used: 5
Last Used : 2/16/2009 7:56:00 AM
What is the name of the top instrument ?
• kielland obstetric forceps. T
• wrigle obstetric forceps. F
• artery forceps F
• retractor F
Question Number: 32
Question ID: 3843
Date Created: 2/14/2008 1:41:00 PM
Times Used: 2
Last Used : 7/6/2008 10:46:00 AM
What is the abnormality shown ?
• pectus exacavatum. T
• pigeon chest. F
• surgical scar. F
• multiple fractures of ribs. F
Question Number: 33
Question ID: 3852
Date Created: 1/23/2008 2:39:00 PM
Times Used: 6
Last Used : 2/16/2009 3:38:00 PM
This patient presented with night sweats, weight loss and gradual increase of the swelling shown over the
last 3 months. There was no lymphadenopathy. What is the likely diagnosis?
• Dental abscess F
• Burkitt's lymphoma T
• Tuberculous lymphadenitis F
• Typhoid fever F
Question Number: 34
Question ID: 3853
Date Created: 1/23/2008 2:40:00 PM
Times Used: 5
Last Used : 2/16/2009 7:56:00 AM
This Sudanese patient had these lesions for the last 3 month, the most likely diagnosis is :
• Basal cell carcinoma F
• Malignant melanoma F
• Cutanous leshmaniasis T
• Leprosy F
Question Number: 35
Question ID: 3855
Date Created: 1/23/2008 2:42:00 PM
Times Used: 6
Last Used : 2/16/2009 3:38:00 PM
The most common cause of this condition in Sudan is :
• Onchocerciasis F
• Trauma F
• Wucheraria bancrofti T
• Congenital lympatic obstruction F
Question Number: 36
Question ID: 3859
Date Created: 1/23/2008 2:40:00 PM
Times Used: 5
Last Used : 3/4/2009 7:53:00 AM
With which of the following is the physical sign shown associated ?

• Rheumatic fever F
• Motor neurone disease T
• Leprosy F
• Liver cirrhosis F
Question Number: 37
Question ID: 3863
Date Created: 1/23/2008 2:32:00 PM
Times Used: 4
Last Used : 2/16/2009 7:56:00 AM
A 30 years old man presented with fever and cough for 3 days. This chest X- ray is shown. What is the
diagnosis?
• Rt. Sided lobar pneumonia. T
• Rt. Sided pleural effusion. F
• Congestive heart failure. F
• Bronchopneumonia. F
Question Number: 38
Question ID: 3865
Date Created: 1/23/2008 2:31:00 PM
Times Used: 4
Last Used : 1/27/2009 4:27:00 PM
What is the most likely diagnosis ?
• Cellulitis F
• Cavernous sinus thrombosis F
• Ophthalmic zoster T
Question Number: 39
Question ID: 3869
Date Created: 1/23/2008 2:26:00 PM
Times Used: 5
Last Used : 3/4/2009 7:53:00 AM
This patient presented to the emergency department with this condition. Her symptoms had been
worsening over the past few hours. About 4 months ago, she had had a similar episode, and the symptoms
resolved spontaneously. What is the most likely diagnosis?
• Nephrotic syndrome F
• Angineurotic oedema T
• Heart failure F
• glomerulonephritis F
Question Number: 40
Question ID: 3876
Date Created: 6/17/2008 5:07:00 PM
Times Used: 5
Last Used : 2/16/2009 3:38:00 PM
This patient developed gradually enlarging painless swelling in her right neck for the previous four months.
One month before, she had begun to note similar symptoms on the left side. She denied fevers, chills,
night sweats, anorexia, weight loss, malaise, or cough. What is the appropriate next step?
• fine needle aspiration T
• chest x-ray F
• sputum for AAFB F
• bone marrow aspiration F

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Which one of the following drugs is nephrotoxic :

In Brucellosis all the following are true except :

• usually it is clinically difficult to differentiate a new infection from a

• spinal tenderness is uncommon. T

• splenomegally usually indicates a chronic brucellosis. F

• haemophilus influenzae type B F

• escherichia coli and streptococcus viridans F

• neisseria (meningococcus) and pneumococcus (streptococcus) T

• minimal bleeding from small cuts F

• therapy is started 24 hours prior to the procedure F

• a throat swab should be taken prior to the procedure F

• therapy is given for one week following the extraction F

• erythromycin is the drug of choice for those allergic to penicillin T

• Spleenectomy at the age of 8 years. T

• Bone marrow transplantation. F

Regarding typical febrile convulsions :

• It occurs between the age of 5 months to 5 years. T

• Prophylactic anti-convulsion treatment is mandatory. F

• EEG is mandatory for all cases. F

The following would make you suspect developmental delay

• A 4-month-old infant who does not transfer objects F

• A 6-month-old infant who does not sit alone F

• A 9-month-old infant who does not show pincer grip F

• A 15-month-old child who does not walk F

Escherichia coli gastroenteritis is associated with the following complication

• Hemolytic Uremic Syndrome T

• CT scan of the abdomen F

All of the following can cause hypercalcaemia, except ?

• Tumor lysis syndrome T

The following statement is true about Marfan’s syndrome :

• sublaxation of lens occurs in less than 30% of cases. T

• body proportions show a decreased upper to lower segment for age. F

• antibiotic prophylaxis is recommended for dental extraction. F

• dilation of the aortic root is the most common CVS abnormality. F

Recognized causes of hypospleenism includes one of the following:

• sickle cell anemia T

• glycogen storage disease F

• lgM anti – HBc. T

• lgM anti – Hbe. F

• patients unable to speak with an O2 sat < 90% should be intubated. F

• a silent chest on auscultaton indicates an emergency and requires

Pulsus paradoxus is found in all of the following except :

• all of the answers. T

• superior vena cava (SVC) obstruction. F

Which one of the following statements regarding liver failure is TRUE ?

• encephalopathy may be reversible. T

• SBP (spontaneous bacterial peritonitis) is usually a result of blunt

• the size a varix is proportional to the degree of portal hypertension. F

• Quinolones have become the drug of choice for pneumonia. F

• Antibiotic therapy should be based on the incidence of methicillin-resistant

• Diastolic blood pressure greater than 90 mmHg. F

• Elevated serum amylase. F

• The patient has achalasia. F

• The patient’s prognosis is good. F

• Barium contrast study is indicated. T

• A maternal history of use of phenytoin during pregnancy. T

• Birth weight less than 1500 g. F

• Whether the child is developmentally normal, as are his siblings. F

• Mitral valve prolapse. F

• Atrial septal defect . T