DHA RECALLS OCT 2017

1. Screening of AAA

-Once in 65 To 75 whoever has smoked

2.Scenario of 68y man coming with some silly complaint. O/E normal. Which organ to screen

-Prostate u/s

-RFT

-Abdominal Aorta

3.56y htn pt on diuretics, diagnosed to have gout. change the drug to

-losartan

-atenelol

-amlodipin

-thiazides

4.Old lady with htn and DM epigastric pain since 2months not relieved with ranitidine, now acute pain in
epigatrium radiating to back since two hrs. o/e bp 150/95, hr 115, rr19.

-aortic disection

-MI

-perforation of peptic ulcer

-prinzmetal angina

5.Scenario of a pt with painless hearing loss. imp hx to b asked?

-exposure to loud noise

6.2y recurrent otitis media, irritable and disturbed sleep. advice?

-surgery consult

-skin biopsy

-reassure

7.Man htn and DM came with depression symtoms. wt loss and sleeplessness. drug of choice

-ssri

-meperamine

8.25y female depression pt on ssri, wat s true?

-20% complaint of sexual dysfunction on ssri

_velaxetine isdrug of choice htn pt

9.Multigravida 40wk 2days, in labor, 6cm dilated, 60% effaced, some scenario to confuse as obstructed
labour. wat nxt

-AROM

10.infected sebaceous cyst scenario

-Complete excision

11.HBsAg postive mother bot her 6y old son who s positive for HBsAg, did not take ny vaccine except bcg
at birth .wat to gv

-DPT, OPV HBV,MMR, Hib

-DPT,OPV,MMR,HIB

dT,OPV,HBV,MMR,HIB

-dT, OPV, HBV,MMR

12.Two tables wer given. calculate the rate of the disease.

13.11y old girl with IBD. mouth ulcers n ulcers in git.rx

-methotrxate

-corticostiroid

-azathioprine

-infliximab

14.miscarrige defination

-within 20wks? 22? 24? 26?

15.drug use to rapid reverse panic attack

-ssri

-benzodiazepam

-buprapion

16.Case of PCP. WAT to check

-HIV status

17.Elderly with htn c/o blurry vision, headache n dizziness o/e platlets wer low n hb was high. rx

-steroid

-methotrexate

-?

18.Child with swollen hot ankle joint ,fever,anorexia n fatigue. 3months ago same complaints with salmon
rash dx 5th disease n was treated.
-septic arthritis

-JRA

-ALL

-?

19.child aft back from trip got pharyngitis with maculopapular rash, hepatosplenomegaly

-brucellosis

-EBV

-Lyme disease

-?

20.Another case with headache and high hb. investigation?

-bonemarrow

-erythropoitin level

21.Patient withTB came with painful eye,red conj, photophobia

-viral conj

-bacterial coj

uvietis

-gluacoma

22.pap smear

23.typical chronic bronchitis case

24.most common symptom of emphysema

25.child had viral inf one week ago, now c/o hematuria. investigation ?
-urine analysis

-renal u/s

biopsy

26.again child aft viral infection c/o protenuris n purpura. what complication?

-renal insufficiency

-hemolytic anemia

-infection

27.child with diarrhea 4days, now bloody diarrhea with chills. pathogen?

-salmonella

-verotoxin releasing E.coli

-?

28.sertoli leydig cell tumor

29.MCA of glipizid

30.how to carry newborn advice

-head inside elbow n body resting in forearm

31,girl after failing in maths exam came hyperventilation n symptoms

-hyperventilation syndrome

-mauchausen syndrome

32.drug f choice for unipolar depression

33.iucd side effects. wch s true?

-perforation more than one in thousand

-stimulate irregular vaginal bleeding

34.40y lady after tubectomy c/o dysperunia. advice to use lubricants

35.htn on diuretics. now c/o diarrhea weekness

-hyponatremia

-hypercalcemia

-hyperkalemia

-hypokalemia

36. introduction food for 5month infant

37.36y pt with hypocalcemia, normal pth, normal vitD, increased creatine.

-pseudo hypoparathyroidism

-chronic renal disease

-digeorge syndrome

-VitD deficiency

38.glaucoma pathophysiology

39. stages of lesions in ischemia of leg

40.side effects of glaucoma drugs

41.GCA

42. rosacea rx

43.stage wise asthma rx

44.drug with antiinflammatory property in asthma?

45.Mgx of alziemer
46.young htn," beads in string" artery

-atherosclerosis

-fibrodysplasia

-?

47.newborn with big clitorus,fused labia. xx chrom. with uterus n ovary

-female pseudo hermo

-male pseudo hermo

_androgen insensitivity

48.16y female normal breast development sparse axillary n pubic hair c/o amenorrhea

-androgen insensitivity

-mullerian agenesis

49.RA on methotrexate. advice to prevent contracture after inflammation

-exercise

-cold compression

-rest

50.aft treated colon cancer. metastasis to lung, resected.. wats the chance of 5y survival?

51.GERD surgery

52.UC with polyp. rx?

53.IBD WITH FISTULA

-antibiotic

-medical rx before fistulectomy

54.iron overdose came with bloody diarrhea dizziness

-iv dexafero

-hemodialysis

55.5y urti with b/l mild crepitation ,diarrhea 5times a day, not v dehydrates , ors started. nxt?
-admit n workup

-stool culture

-antibiotic

56.abcess in forearm

-I N D WITH ABX

-Topical abx

-abx

57.ear dischage with rupture tymp memb.

-topical abx

-systemic abx

-topical steroid

systemic steroi

58.hemophilus ducreyi. rx partners.. all or symptomatic?

59.prevention of clamydial conj

60.acute gluacoma rx

61.retinal detachment

62.diabetic retinopathy.