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4 5820981408335661502
4 5820981408335661502
surgery
1.a 54yr old male periampullary ca patient presented to u with yellowish discoloration of the eye
and skin.on physical examination he has icteric sclera,excoriation mark on skin and ecchymosis on
his left lower extremity.which is preferred blood component for transfusion?
2.which one of ff ix modality is dx choice for apatient presented with renal colic
a.contast CT scan
b.non contrast CT
c.Intravenous pyelography
3.45 yr male presented with intermitendiarrhea and lower abdominal pain .oncolonscopy he has
segmental ulcerationof bowel sparing area between the segment.what is the most likely
diagnosis?
4.a35 years old male patient on 7th post op day after resection and anastamosis developed high
grade intermittent fever,andominaldistension,and copious diarrhea.he was on iv ceftriatone and
metronadazole.on P/E abdomen is soft and the wound is clean.what is the next appopirate step?
a.stool culture
b.hold ceftriaxone
c.abdominal ultrasound
5.a54 yr old Parkinson patient presented with failure to pass faeces and flatus of 02 day duration
with associated vomiting .on P/E she has hypetympanic distended abdomen .on plain abdominal
x-ray there is distended bowel loop
6.a57 yr old pt presented with failure to pass faece,bilous non projectile vomiting,progressive
abdominal distesion and crampy lower abdominal pain.on plain abdominal x-ray he has dilated
bowel loop with kidney shape on the periphery.what is most likely dx
a.sigmoidvolvolus
b.cecalvololus
a.iv antibiotic
c.laparascopic exploration
9.which organ is most likely to be affected if apatient sustained bullet injury to his abdomen with
entry near to the umbilicus and exit on posterior left tosojuist below the 12 th rib?
a.small bowel
b.kidney
c.spleen
d.pancrease
10.45 yr old male patient presented with perianal pain and discharge from perianl area .on P/E he
has indurated anus with pus draining sinus tract.what is the most likely diagnosis.
a.perianal abscess
b.fistula in ano
c.Hemorrhoid
d.anal fissure
11.left anterior leg pain of 1wk duration.on P/E he has tenderness over his left anterior leg with
erythematous change
a.iv antibiotic
b.incision& drainage
A.UPPER GI ENDOSCOPY
B.COLONOSCOPY
13-A34 Yr old male patient presented with burning epigastic pain and on endoscopy he has
duodenal mucosal ulcer otherwise no remarkable finding.what is next step of mgt?
b.laparatomy
14-a35 yr old male patient come with massive bloody vomiting and at admission BP50/40 THEN HE
was resucitated with 2 bag of crystalloid but was still in shock and transfused andbp corrected .on
endoscopy he has duodenal uler with posterior visible vessel. what is next step of mgt?
B.LAPARATOMY
C.ENDOSCOPY
a.circularpop
b.posterior slab
a.male breast ca
b.lipoma
19.case presentation on thyrotoxicosiswithelevated T4 andlow TSH then what is most likely dx?
a. primary hyperthyroidism
b. secondary hyperthyroidism
a.levothyroxine
21.case presentation on pneumothorax in apatient presented with blunt chest trauma and rib
fracture .On PE hyperresonace and decrease air entry on chest.most likely CXR finding for this
case
a.lucency
a.hypokalemia
b. hypophosphatemia
c. hypernatremia
23.case presentation on hernia which is irreducible with bowel sound heard.thenask most likely
dx?
a.strangulated hernia
b.obstructed herina
a.idiopathic
b.secondary
28.35yr old male pt developed dyspnea atrer 03hr of transfusion with 03 unit of whole blood.
which of ff is most likely explanation?
A.FLUID OVERLOAD
B.ARDS
C.
29.which one of the ff is not part of mgt for patient with colorectal ca with vertebral bone
metastasis and have lower back pain and lower extremity weakenss?
a.radiotheraphy
b.chemotheraphy
c.steroid
d.physiotheraphy
30.a46 yr old female pt who had mastectomy 10yr back for the dx of breast ca come to u SOB &
chest pain .which one of ff is best initial ix modality
a.Ascarislumbricode
b.trichuristrichuria
c.E.vermicularis
32.What is next step of mgt in pt with chronic urine retention BPH and have elevated
creatine=2.5,residual-250ml)
A.admitandoperateonthenextday
B. catheterize
c. medical mgt
34. one more question on approach to patient with bleeding.THEN ASKING CHOICE OF MGT
A.CRYSTALLOID
B.WHOLE BLOOOD
C.PACKED RBC
D.PLATLET
Pediatrics Q
a.IN02,salbutamol,aminophylline,crystalline pencillin
b.INO2,salbutamol,crystalline pencilline,inhalation beclometasone,albuterol
c.IN02,salbutamol,prednisolone
a.ampicillineandgentamycine
5.Mgt of seizure
6. What is the best initial mgt of achildwho took too much tablets of his mother’s iron
supplementand come with in 5 minute of ingestion
A. MILK
B. ANTIDOTE
C. SYRUP OF IPECCAC
7.An 8month Infant came with failure to thriveand no pertinent physical examination and history.
what is the most likely diagnosis
a. chromosomal disorder
8. Which one of ff is most likely dx in a new born 34wk of GA coming to u with respiratory distress
A.RDS
B.MAS
A.CPAP
11. A child presented with small ear ,transverse palmar crease,hypotonic.....then what is most
likely chrosomal abnormality
A.TRISOMY 21
B.TRISOMY 18
a.IN02
d.transfusion
14.Typical case presentation on ALL which then ask best invstigation modality to confirm dx?
B.Splenic aspiration
C.peripheral morphology
15.case presentation on shock secondary to GI loss asking next step of mgt after 01 bolus of NS if it
fails to improve?
a.repeat 20ml/kg
b. antibiotic
c.inotrope
17.a child with preceding URTI and incomplete vaccination history presented to u with upper &
lower extremity weakness 01wk duration. (csf anlaysis-elevated protein &cell count).which one ff
is most likely DX
A.poliomyelitis
B.GBS
A.MUAC
B.W/H
A.small for GA
b.appropirate for GA
C.Large for GA
20.anew born came to u with RR-64,Mild subcostal & intercostals retraction AND grade 3
meconium up on delvery. otherwise no pertinent finding. which one of ff is next step of mgt
A.suctioning
b.antibiotic
c.intubation
21.a3yr old child with URTI developed one episode of GTC seizure .on PE T-38.4 C otherwise no
pertinent finding.what is most likely cause of seizure
a.febrile seizure
b.viral encephalitis
22.Adolecent female presented with menorrhagia & low platlet count.which of is most likely dx?
A.ITP
B.vwd
C.HEMOPHILIA
23.Best ix modality for patient with typical case presentation of rickets to confirm dx of rickets?
a.serum CALcium
b.serum ALP
c.WRIST X-RAY
a.admitand iv ceftriaxone
a.imperforate anuswithoutfistulae
27.anew born with home delivery come to u with bloody vomiting on 5th day .next step of mgt
a.vitamin k
b.FFP
28. a new born with shock and head swelling with extension to neck possible dx?
A. subgaleal hemorrhage
b.caput succendum
c.cephal hematoma
a.Caput succendum
b.subgaleal hemorrhage
c.cephal hematoma
30.A mother came complaining child developed mild rxn toim vaccination site.what will be ur
next step of mgt?
a.Reasureand paracetamol
31.supracristal vsd repair was done and then child came with infective endocarditis.which one of ff
is posssible explanation for that
A.Antibiotic prophylaxis
c.medical procedure
32.Typicalcase presentation on hemolytic uremic syndrome in patient who had dysentery .then
ask which toxin responsible?
a.shega toxin
Gyn-obs
1.GIIPI mother came to u at admission cx-6cm station 0 after 04hr cx is 6cm , station+1,GRADE 3
MOULDING & CAPUT and has adequate contraction..most likely cause
A.CPD
2.GII PI MOTHER came to LHC cx 6cm station 0 after 4hr cx 6cm station +1 what is dx is next step of
mgt------
3.30 yr old primgravid lady on 37wk of GA come to u with headache and bluring of vision but no
bluring of vision or RUQ pain.Bp 140/100,platlet count 90,000.what is the next best intialmgt
a.induction of labor
b.platlet transfusion
c.anticonvulsant
d.anti hypertensive
4.case presentation on cause of PPH in mother who had polyhydramino during px-----uterine atony
8.Case presentation on PID with RVI asking for indication for admission of patient?
a.E.colib
b.trachomatis
11.a24 female GIIIPII Mother who has two previous cs came to ANC with 3 month amenorrhea
and un reliable LNMPwhat is the next most important investigation
a.ultrasound
b.HCT
c.U/A
a.kell
b.RH –D
c.RH-C
d.MRc disease
13.mother with previous cs came to u on 3rd Tm Px what are u going to advice for birth
preparedness ?
14.case presentation on endometrial ca woman who Is obese and cigarette smoker then to
identify risk factor
a.obesity
b.smoking
15.smilar case presentation on endometrial ca with bmi-30.5 and was on OCP .which one of ff is
risk factor for current problem
a.coc
b.obesity
16.case presentation on infertility in awoman who wastreatedpreviouslyfor PID and male partner
having normal seminalysis. Which of ff is next best ix ?
a. HSG
17.case presentation on HEG with complication and having elevated creatine,abnormal ECG.Which
one of ff is cause of death in this patient
A.electrolyte disturbance
B.pneumomediasinum
a. HCG <6500
A.standing
b.supine
c.trendlburg
A.cerebral malaria
B.hypoglycemia
24.apregnant ladie who was on antiepileptic gave birth to new born with myelomeningocele
.which one of ff is the cause?-----folate deficiency
A.February 15,2019
B.February 16,2019
C.February 17,2019
D.February 18,2019
26.single painless genital lesion with clean base associate with malaise and fever.Which one of ff
is most likely dx?
A.CONDYLOMA LATA
B.CONDYLOMA ACCUMINATA
C.CHANCRE
A.reassurance
28.cause of post termfrom lnmponlywith discrepancy of date from lnmp and early us with similar
hx inprevious px
Internal medicine
A.DiURETIC,ANTIBIOTIC
b.Diretic,ACEI
b.immediately iv esmolol
c.urgently iv nitroprusside
5.which one of the ff is not choice of antibiotic for male pt with UTI?
A.nitrofurantoin
B.doxycycline
C.norfloxacin
D.cotrimoxazole
B.Mediatinal lap
A.LATENT REACTIVATION
B.PRIMARY INFECTION
C.RE-INFECTION
A.GI BLLEEDING
B.ARDS
C.DIC
A.NEPHROPATHY
B.NEUROPATHY
C.PAD
B.ASA,ATROVASTATIN
C-SIMVASTAIN,AMILODIPINE
11.case presentation on acute coronary syndromewith pso2-80% which one ff is next step of mgt?
A. 02 ,ASA,clopidogrel,UFH,nitroglycerin,morphine
12.typical case presentation on MI with elevated troponin asking for next ix modality?
A.CXR
B.ECG
13.Typical case presentation on PTE with normal cxr .which one of ff is best ix modality to confirm
dx?
A.CT ANGIOGRAPHY
B.D-DIMER
C.ECG
14.brain abscess as dx
15.12yr old male child presented with hand twitchand has hx of measle in the past.which one of ff
is most likely dx for current problem?
A.sydenum chorea
B.SSPE
a. clindamycine
b.metrondazole
c.ceftriaxone
17.45 yr old patient presented with low grade fever ,HTN,anemia ,hypocalcemia.which one of the
ff is most likely dx
A.pyelonephritis
b.RENAL CA
C.RENAL FAILURE
18.a 54 yr old mal patient presented to u with flank mass,hematuria.which one of ff is most likely
dx?
a.RCC
19.A 28yr old female patient presented to u with generalized body swelling of 01wk duration .lab-
elevated creatine which one of ff is next impt ix
A.ELECTROLYTE
B.CXR
C.ECHOCARDIOGRAPHY
B.PROPANLOL
C.OCTEROIDE
A.TROPONIN
B.NATRIURETIC PEPTIDE
C.CXR
A.AZITHROMYCIN
23.aknown rvi pt came to u with fever ,headache,right side hemiparessis.with current cd4 count of
150 & on CT SCAN-ring enhancing lesion. Which one of ff is most likely dx
A.CNS TOXO
B.CRYPTOCOCAL MENINGITIS
A.SSG
B.AMPHOTERCIN B
C.FLUCYTOSINE
D.PARMOMYCIN
a. Reassure
b.change medication
27.12yr old child on anti TB and adjuvant steroid for TB meningitis what is expected complication
A.hypernatremia
b. hypokalemia
c.subdural effusion
d.hydrocephalus
A.cobalaminpo ---3mn
b.cobalaminim ---3mn
29.which one of ff isexpected vitamin deficiency in apatient who had gastric surgery-----------
a. cobalamin(vb12)
a. pyridoxine(vb6)
a.philedelphia chromosome
b.jak mutation
a.hodgkin lymphoma
b.burkit lymphoma
34. Case presentation on HSV encephalitis(initial had vesicular lesion around the mouth then
neurologic symptoms) drug of choice for mgt of this case
a. iv acyclovir
b. Ivgalcyclovir
c.ivfoscarnet
35.aknown dm & htn pt came to u with TIA( ABCD2 SCORE-7) then what is next step of mgt
A.STRICT FOLLOW UP
A.ATENOLOL
B.DIGOXIN
C.AMIODARONE
38.A 24 yr old male patient presnted to u with hgif ,watery diarrhea and abdominal cramp.(LAB-
bun/cr<20).which one of ff is cause of renal failure
B.GLOMERULO NEPHRITIS
C.SEPTIC AKI
39.A patient on who was steroid for long and discontinued steroid become hypotensive what will
be next step of mgt
A.IV HYDROCORTISONE
B.IV FLUDICARTISONE
C.IV DOPAMINE
D.IV ADRENALINE
1.case presentation with treatment of tonsillitis then developed HGIF&unilateral neck swelling.with
lateral x-ray showing pre veretebral lucency.
A.RETROPHAYNGEAL ABSCESS
B.PARAPHAYNGEAL ABSCESS
C.LUDWING ANGINA
2.Typical case presentation on laryngeal ca in a smoker individual.which then ask for dx?
3. Case presntation on laryngeal papilloma with typical endoscopy finding which then ask for dx?
DENTISTRY
2. 24yr old man sustained trauma to central incissor teeth causing movemnet of teeth with out
changing its position .which one of ff is most likely dx
A.SUBLUXATION
B.EXTRUSION
C.INTRUSION
Derma-
3.scabies
4.A25 yr old male patient came to u with symmetrical maculopapular eruption over upper &lower
extremity after taking unspecified medication. Which one of ff is most responsible drug ?
a.ampicillin
b.norfloxacin
A.MALIGNANT MELANOMA
B.SCC
C.BCC
7.carbuncle rx
Opthalmolgy
1.fungal keratitis
2.htn retiniopathy
5.central arteyocclsion-------mgt-----masage,o2,STEROID
6.post herpticneuralhia
Psychaty
1.postpartal psychosis rx
2.postpartal depression rx
3.GAD
2.PREVALANCE CALCULATION
7.a researcher wanted to study age distribution of study population.which one of ff is best way of
studying age distribution?
A.MEAN
B.MODE
C.MEDIAM
C.RANGE
8.MONITORING EVALUATION
9.LEADERSHIP TYPES
10.TYPICAL CASE PRESENTATION ON IRON DEFCIENCY ANEMIA ASKING FOR DIETARY MX?
A.RED TEFF
B.TEA
14.QUALITY ASSURANCE