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A.hay fever
B. Asthma
C. Sickle cell anemia
D. Chronic Lung and heart disease
E. Pregnancy
3. 2 years old boy, 2×2cm lump at right superficial ring. O/E cystic and transilluminant.
Moves downward, into scrotum when traction applied to testis. Most likely diagnosis?
A. Congenital hydrocele
B. Encysted hydrocele
C. Hydrocele-en-bissac
D. Infantile hydrocele
E. Spermatocele
4. 30 years old hairdresser presented with left lower limb swelling after pelvic surgery . On
examination , the the leg is swelling up to the thigh and painful at the calf area. All of the
pulses are palpable . What is the immediate management ?
A) Aspirin
B ) Heparin
C) Warfarin
D) Tramadol
E) Cephalosporine
5. A 70 year old man presented with Prostatomegaly and serum psa 35ng/ml.
what is the most appropriate investigation?
a. ultrasound abdomen
b. X ray KUB
c. IV urethrogram
d. cystoscopic biopsy
e. transrectal biopy
9. Old man with severe COPD ,came with bilateral pedal edema.O/E increase JVP and
signs of right ventricle overload.ABG at room air show pH 7.29, PCO2 55 , PaO2 60.
What is the most appropriate treatment for a better prognosis ?
A.Digoxin
B.ACEI
C.long term oxygen therapy
D. Forgot
E.forgot
13. Chronic Diabetic and hypertensive patient came with proteinuria. He also has left
ventricular hypertrophy . Management?
A. B- blocker
B. ACE inhibitor
C.diuretics
D.ccb
14. "Bag of worms" feel on palpation is a feature of:
A. Enterocele
B. Omentocele
C. Epididymdal cyst
D. Varicocele
E. Hydrocele
15. 28 y/o, sustained pelvic fracture after mva, unable to pass urine, palpable distended
urinary bladder, blood in external utethral meatus. Diagnosis?
17. which of the following features help differentiate between CKD and AKI ?
A. Hypophosphatemia
B. Hypocalcemia
C. Hyperkalemia
D. Hyponatremia
E. Metabolic acidosis
19. In an average man, how much g/dl of hemoglobin increases with 1 unit of blood
transfusion
A) 0.5 g/dl
B) 1.0 g/dl
C) 1.5 g/dl
D) 2.0 g/dl
E) 2.5 g/dl
20. 56y/o admitted for anemic symptom has been diagnosed with decompensated liver
cirrhosis due to hepatitis c. Full blood picture shows anemia, thrombocytopenia, mcv
67fL. Which one of following investigation n respective treatment would you consider?
A. Renal profile to look for heaptorenal syndrome, hemodialysis
B. OGDS to look for esophageal varices; ligation
C. Colonoscopy for colorectal ca; colestomy
D. Proctoscopy for hemorrhoid; ligation
23. Aspiration of gastric content into tracheobronchial tree should be managed immediately
by
A. Tracheal intubation and suctioning
B. Proton pump inhibitor
C. Salbutamol nebulizer
D. Cricothyroidotomy
E. Positive pressure ventilation
24. A 19 yo female with right upper quadrant of abdominal pain with fever, jaundice and
palpable mass on upper abdomen ? What is the most likely diagnosis?
A) Cholecystitis
B) Acute Choledochal cyst
C) Mucocele of gallbladder
D) Mirrizzi’s syndrome
E) Carcinoma of gallbladder
27. Man on blood transfusion complaint of sudden fever with rigor, back pain, anxiety and
red coloured urine
What is the immediate management after stopping boood transfusion
A) antibiotics
B) antihistamine
C) diuretic
D) epinephrine
E) steroid
28. 54 y/o male with type 2 Dm, HTN, (one more I forgot) was diagnosed with lower
esophageal Ca. ASV classification?
A.ASV I
B.ASV II
C.ASV III
D.ASV IV
E.ASV V
A. Beta thalassemia
B. Wilson disease
C. Marfan syndrome
31. Pt came w fever, dry mouth, palpitations, bottle of meds "take one as necessary for
stomach pain. Xigt sgt
Salicylate
Bzd
Pcm
2 more x igt
33. One of the family member has been tested positive for Diphtheria.
What prophylaxis will you administer to the rest of the family?
A.Co-trimoxazole
B.Metronidazole
C.Cefuroxime
D.Erythromycin
E.Gentamicin
34. 67 y/o man has 10-years history of GERD. Currently present with dysphagia. On
endoscopic examination, an obstructive lesion was seen at the lower esophagus ,
suspected to be Ca of esophagus .what is the most likely Histological finding of the
lesion?
A) squamous cell Ca
B) Normal squamous epithelium
C) Adenocarcinoma
D) Leiomyoma
E) Metaplastic Columnar epithelium
38. Which one of the following is not the causes of nephrotic syndrome?
A. Malaria
B. Syphilis
C. Hepatitis B
D. Rheumatic fever
E. Penicillamide
39. Which of these are examples of clean wound? IDK
41. 60yo, bloody diarrhea & lower abdominal pain, stool exam. Normal. Sigmoidoscopy
done shows typical ulcerative coliti. There severe features, except?
A) bowel output >10times
B) stool >200g/24h
C) fever 38°c in 2 consecutives
D) pulse rate 110bpm
E) ESR 80ml/h
42. A 45 year old man presented with epitaxis and progressively worsening dypsnea and
cough, 2 months. He also had few episodes of hemotypsis. He had rhinitis recent few
years. Chest X Ray on admission shows pulmonary infiltrates. Blood investigation
consistent with chronic renal impairment. cANCA is positive. What is the most likely
diagnosis?
A) wegener's granulomatosis
b) systemic sclerosis
C) membranous nephropathy
D) IgA nepropathy
E) SLE
A. Lithium
B. Methotrexate
C. Methysergide
D. Mephenemic Acid
E. Norfloxacin
44. 50 years old with sudden right sided chest pain along with tachycardia, tachypnoea, and
reduced PaO2 after 4th-day postoperative gastric surgery. Next step investigation. a.
ECG b. chest X-ray c. Echo d. cardiac enzyme e. ventilation perfusion ratio
45. 60 years old man, chronic smoker, partial ptosis of right eye with constricted pupils.
Numbness & weakness of the right shoulder & arm
A. Stroke ?
B. Venous sinus thrombosis
C. Pancoast tumour
D. Retro pharyngeal growth
E. Peripheral neuropathy
46. Normal levels of CRP, elevated ESR seen in which of the following?
A) rheumatoid arthritis
B) SLE
C) Sjogren
D) scleroderma
E) polymyalgia rheumatic
48. 65 years old with underlying copd fall and got 7,8,9 rib fracture. Chest xray normal.
Appropriate management?
50. 36 years old man, with body weight 60kg sustained burn 40% of total body surface area.
How much fluid should be given in 1st 8 hours base on parkland criteria?
A)600ml
B)1200ml
C)2400ml
D)4800ml
E)9600ml
51. acute renal transplant rejection is:a) with 1-3 days of transplantation b) after 3 weeks
of transplantation c) within one month of transplantation d) within 2nd week of
transplantation d) within few hours of transplantation (Hyperacute)
52. 39 y/o present with history of 6 weeks intermittent pain & swelling of submandibular
gland. Pain more after eating and resolves after few hour.The gland is enlarged & mildly
tender. No lympadenopathy. What is most likely diagnosis?
54. 57yo man schduled laparoscopic cholecystectomy, on warfarin for chronic atrial
fibrillation. How many days prior to operation he need to stop taking warfarin?
A. 1-3 days
B. 4-7
C. 8-10
D. 11-15
E. 16-30
55. n splenectomy:
A. Post-operative anti-immune prophylaxis within 24 hours of surgery.
B. Life long antibiotics.
C. Post-operative platelet transfusion.
D. Post-operative antibiotics.
E. Fresh frozen Plasma infusion.
56. A 26 years old lady come to do ultrasound for her 24 weeks of gestation pregnancy. The
fetus was confirm to be male. Her husband is positive Hemophilia A. Otherwise she was
negative for hemophilia screening.
What is the probability of the baby to get hemophilia?
A. 100%
B. 75%
C. 50%
D. 25%
E. 0% Pls check
A cp angle tumor
B pontine glioma
C lmn facial palsy
D trigeminal
E hemifacial spasm
60. A 40 years old lady presented with thyroid nodule. FNAC was done and confirmed to be
papillary carcinoma of thyroid. What is the treatment?
A.local excision
B.near total thyroidectomy
C.hemi thyroidectomy
D.lobectomy
E.total thyroidectomy
61. A 34 years old man presented with left scrotal swelling for 1 year duration. Can get
above swelling. Soft, fluctuant, non- trans illuminating.testis can be felt separately. What
is the diagnosis ?
A.cyst of epididymis
B.spermatocele
C.varicocele
D.vaginal hydrocele
62. 72yo man with pathological fracture of tibia. No lytic lesion on xray ribs. Serum calcium
more than 3. Usg show Large central abdominal mass withsome mesenteric
lymphadenopathy. What is the cause:
A) multiple myeloma
B)disseminated high grade non hodgkin lymphoma
C) disseminated Hodgkin lymphoma
D) plasmacytosis of tibia
E) Osteosarcoma of tibia
63. 55 year old man came to ED with severe upper abdominal pain. On examination his
abdomen was rigid and there was obliteration of liver dullness on percussion. the best
examination is A) abdomen ultrasound B) barium meal C) contrast CT D) ERCP E)
erect chest X ray
64. 70 year old man presented with arthritis in PIP and DIP joints and also carpometacarpal
joint of thumb. MCP joints and wrist joints are spared. What is the most likely
diagnosis?
A. Psoriatic arthritis
B. OA
C. Rheumaroid arthritis
D. Gout
E. Pseudogouty arthritis
66. A 60 year old lady presented with rapid emergency hypertension, by 210/105 without
any symptoms. Managed accordingly..
Which sign can be found by fundoscopy .
I HAVE NO IDEA
A )retinitis obliterant
B ) cotton wool
C) optic atrophy
D) retina detachment
67. what is the drug use as medical adrenalectomy for cushing sydrome:
A. Fluconazole
B. Metyrapone
C. Aminoglycoside
D. Labetolol
E. Amlodipine
68. 25 year old male came with a stab wound at the RIF. He is conscious, BP 110/55
mmHg, PR 110 bpm. Abdominal examination shows that there is a 5cm length
penetrating wound, generalised tenderness, guarding and rigidity. What is the next
appropriate step?
A. Observation
B. FAST scan
C. Diagnostic peritoneal lavage
D. Abdominal CT scan ?
E. Laparotomy
A. IV Cyclophosphamide
B. Oral prednisolone
C. Plasmapheresis
D and E?
72. 40 y/o patient developed cardiac failure, has history of 2 previous blood transfusions,
underwent splenectomy for enlarged spleen. Has multiple ulcers on leg.
A. B thalassemia minor
B. B thalassemia intermedia
C. B thalassemia trait
D. A thalassemia minor
E. A thalassemia major
74. A 70 years old man presented with features of gastric outlet obstruction. Investigations
shows an antral carcinoma of the stomach with liver metastasis. What is the most
appropriate management?
A. Total gastrectomy
B. Chemotherapy
C. Radiotherapy
D. Endoscopic ballon dilatation
E. Pyloric stent
75. 39 years old had transfusion reaction during resuscitation for upper GI bleed. Which of
the following is the appropriate management ?
A. Removal of foreign body irritants, such as Foley catheter
B. Steroids
C. Inotropic agents
D. Fluid restriction
E. Fluid, mannitol infusion
76. which of the drug have the least direct bronchodilating effect
A theophylline
B ipratropium
C beclamethasone
D montelukast
E salbutamol