let us try to chair our previous experinece with the GP
MCQ for prometric exam
17 yrs old C/O rt ear pain Examination a febrile mild perioudible LN swelling RT ear iflammed with yellowish discharge in canal most diagnosis Otitis media External media Oto--
72yrs old man living in nursery his wife die and develop bad mood -loss of appetite -disturbance of sleep most diagnosis Major depression Mild depression Dementia
The theraputic drug first line to be used in postpartum Hge
15 yrs old girls have illegal needle drug abuses the first step to evaluate her do HIV HBv Streptococc.
The main side effect of over dose codeine phosphate Insaomina and tachycardia Affect CNS Hypotension
18 yrs old girl sexually active C/O sore throat fatigue afebrile Examination soft firm LN not tender possible diagnosis HIV Infectious mononucleosis Hepatites
45 yrs old lady attend clinic for gynaecological checkup Pap smear show cervical dysplasia H S type 2and Chlamydia Dysplasia for Human Papllioma virus Chlamydia Herpes Smiplex virus
42 yrs old known poorly controlled type 2 DM have foot ulcer assiosiated with vascular disease received AB. But no improvement What will be your next step
Case control study ( statistic )
40 yrs old obese lady c/o red erthymatous red rash under her breast fold become red irritated and moist Best Rx Antifungul powder AntiViral cream AB
Post menopausal women didn't take hormonal replacement therapy have symptoms most likely to develop Osteoporosis Abnormal liver function
14 yes old girl complete her immunization except chicken pox and never have it ask if she need to take vaccine No need One dose of V-Z vaccine 2 dose 3 dose ( There is interval between each dose can't remember )
25 yrs old lady attend clinic to ask about her chance to have baby with analcephaly due to previous abnormal pregnancy with same condition 2% 8% 20% 10%
42yrs old lady in her 2nd trimmers attend clinic and ask about her possibility to have Down syndrome baby Triple test Amniocentesis Chorionic villous procures
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Mon Nov 26, 2012 7:37 am (10 months ago) #3
let us try to chair our previous experinece with the GP MCQ for prometric exam
17 yrs old C/O rt ear pain Examination a febrile mild perioudible LN swelling RT ear iflammed with yellowish discharge in canal most diagnosis Otitis media External media Oto--
72yrs old man living in nursery his wife die and develop bad mood -loss of appetite -disturbance of sleep most diagnosis Major depression Mild depression Dementia
The theraputic drug first line to be used in postpartum Hge
15 yrs old girls have illegal needle drug abuses the first step to evaluate her do HIV HBv Streptococc.
The main side effect of over dose codeine phosphate Insaomina and tachycardia Affect CNS Hypotension
18 yrs old girl sexually active C/O sore throat fatigue afebrile Examination soft firm LN not tender possible diagnosis HIV Infectious mononucleosis Hepatites
45 yrs old lady attend clinic for gynaecological checkup Pap smear show cervical dysplasia H S type 2and Chlamydia Dysplasia for Human Papllioma virus Chlamydia Herpes Smiplex virus
42 yrs old known poorly controlled type 2 DM have foot ulcer assiosiated with vascular disease received AB. But no improvement What will be your next step
Case control study ( statistic )
40 yrs old obese lady c/o red erthymatous red rash under her breast fold become red irritated and moist Best Rx Antifungul powder AntiViral cream AB
Post menopausal women didn't take hormonal replacement therapy have symptoms most likely to develop Osteoporosis Abnormal liver function
14 yes old girl complete her immunization except chicken pox and never have it ask if she need to take vaccine No need One dose of V-Z vaccine 2 dose 3 dose ( There is interval between each dose can't remember )
25 yrs old lady attend clinic to ask about her chance to have baby with analcephaly due to previous abnormal pregnancy with same condition 2% 8% 20% 10%
42yrs old lady in her 2nd trimmers attend clinic and ask about her possibility to have Down syndrome baby Triple test Amniocentesis Chorionic villous procures
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Mon Nov 26, 2012 7:38 am (10 months ago) #4
let us try to chair our previous experinece with the GP MCQ for prometric exam
17 yrs old C/O rt ear pain Examination a febrile mild perioudible LN swelling RT ear iflammed with yellowish discharge in canal most diagnosis Otitis media External media Oto--
72yrs old man living in nursery his wife die and develop bad mood -loss of appetite -disturbance of sleep most diagnosis Major depression Mild depression Dementia
The theraputic drug first line to be used in postpartum Hge
15 yrs old girls have illegal needle drug abuses the first step to evaluate her do HIV HBv Streptococc.
The main side effect of over dose codeine phosphate Insaomina and tachycardia Affect CNS Hypotension
18 yrs old girl sexually active C/O sore throat fatigue afebrile Examination soft firm LN not tender possible diagnosis HIV Infectious mononucleosis Hepatites
45 yrs old lady attend clinic for gynaecological checkup Pap smear show cervical dysplasia H S type 2and Chlamydia Dysplasia for Human Papllioma virus Chlamydia Herpes Smiplex virus
42 yrs old known poorly controlled type 2 DM have foot ulcer assiosiated with vascular disease received AB. But no improvement What will be your next step
Case control study ( statistic )
40 yrs old obese lady c/o red erthymatous red rash under her breast fold become red irritated and moist Best Rx Antifungul powder AntiViral cream AB
Post menopausal women didn't take hormonal replacement therapy have symptoms most likely to develop Osteoporosis Abnormal liver function
14 yes old girl complete her immunization except chicken pox and never have it ask if she need to take vaccine No need One dose of V-Z vaccine 2 dose 3 dose ( There is interval between each dose can't remember )
25 yrs old lady attend clinic to ask about her chance to have baby with analcephaly due to previous abnormal pregnancy with same condition 2% 8% 20% 10%
42yrs old lady in her 2nd trimmers attend clinic and ask about her possibility to have Down syndrome baby Triple test Amniocentesis Chorionic villous procures
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Mon Nov 26, 2012 5:40 pm (10 months ago) #5
Old man present with cardiac arrest PH- normal PO2- normal Hco3?? Main cause Respiratory acidosis Respiratory alkalosis Metabolic acidosis Metabolic alkalosis
The peak of alcoholism withdrawal start after 1- 2-3 days 2- 5-6 days 3- 10-20 days
I forget the story but pt have rectal carcinoma per operative pt request try to keep the sphincter if they do either they will have in adequate edges removable or : anal leakage : resurgery version : recurrent cancer : Lady have hemorrhoid long time without any complain you advise her to Eat more fibers Do elective surgery Drink a lot of water
Elderly patients C/O restless Fatiuge dysphaia regergitation of food and middle epigastric pain O/E tender epigastric Pictures show dilated oesphageous with no prestaltic movement and and dowin structure narrowing best explain for these symptoms diagnosis Oesophageal spasm Gastrooesphegeal reflux Oesophageal Cancer
1- Sudden loss of vision diagnosis
2- Schziophrania treatment and part of treatment what is there side effect of each drug
3- old patient lives in epidemic area C/O cough fatigue diagnosis bilateral biosuniositis Culture H-influenza best treatment * AB - nasal decongest ion - antihistamine * Antiviral -nasal steroid - antihistamine * Broad spectrum AB - nasal steroid
4- AF with hypertension and neuropathy best regem of reduce side effect hypotension control which medication
5- hypo-hyper thyrodisim
6- Treatment of migraine
7- lady admitted with bilateral lower abdominal pain nausea vomiting have sexual life examination lower abdo tenderness pregnancy test Negative if diagnosis acute appendicitis what are going also to evaluate 1- Pelvic USS 2- ?????
8- lady after mastectomy c/o can't rasied her arm above the shoulder which cranial nerves would be affected ( they mentions the cranial N number not the name)
9- LMWH is more likely to be used because * easily administrative and need for daily follow up with PTT *
10- 35yrs old Nigerian male present with acute hand, feet, and I forget chest or abdominal pain have same attack several time during past years CBC done and blood film as you see in the picture what is most likely diagnosis * thalassemia * sickle cell anaemia * microcystic anaemia * megaloblastic anaemia
11- man have swelling from the knee to the upper thigh have time to sit difficult in extension and feel pain releif with flexion Which muscle affected
12- 8 month old baby wake up from sleep with bad cough non stop and crying badly attend emergency sleeping well in his mother arm exam afebrile harshing of voice congested mucous membrane and odema of vocal cord diagnosis * Croup * pneumonia * meningitis * Asthma
13- old pt notices spot erthymatous dark pigment lesion in the back with irregular edges diagnosis Sickle cell carcinoma Basal cell carcinoma Melanoma
14- 18 month old child used to sit in W position and intoe legs at 10 degree !!!!! Hip when woke at 70% degree rotate possible diagnosis is ?????!!
15-yrs old C/O chronic pain failure to get proper treatment can cause pt to be Irritable Anorexia nervous Depression
18 yrs old girls have hypkalemia tetany tremors refered to psychiatric bec Abuse her ?????? --------------------------- After 6 month of delivery of her 1st baby young lady willing to used contraception and preferred IUCD what you will tell her ( side effect options was their ) * Irregular vaginal spotting * more safe
How to prevent eye infections in a day care teacher.
Several questions on psychiatry including anorexia nervosa,bulimia nervosa,schizophrenia,anxiety,depression.focus on their symptoms and drug treatment. and drugs side effect
Migraine and best drug to take depend on their side effect
I forget the story but they ask why we ask about the pain nature * onset and location help to limit the outcome * onset and duration help to assess the pathological origin involved
Old man heavy smoker for the past 2 yrs attend for follow up the doctor notes white patches on the tongue no c/o What is next step * Reasurance * biopsy * CT scan * ???
Old postmenpostal women C/O irregular vaginal bleeding I can't remember but Pap smear done showing abnormality next step ? Cone biopsy Uss
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Mon Nov 26, 2012 7:32 pm (10 months ago) #6
Its a good idea khokha to share questions here, i will try to answer some of them..
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Mon Nov 26, 2012 7:42 pm (10 months ago) #7
Old man heavy smoker for the past 2 yrs attend for follow up the doctor notes white patches on the tongue no c/o What is next step * Reasurance * biopsy * CT scan * ???
Answer is : Biopsy
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Mon Nov 26, 2012 7:45 pm (10 months ago) #8
10- 35yrs old Nigerian male present with acute hand, feet, and I forget chest or abdominal pain have same attack several time during past years CBC done and blood film as you see in the picture what is most likely diagnosis * thalassemia * sickle cell anaemia * microcystic anaemia * megaloblastic anaemia
Answer : Sickle cell anaemia
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Mon Nov 26, 2012 7:47 pm (10 months ago) #9
I will come back later to answer more questions,, Thanx khokha for posting these questions
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Wed Nov 28, 2012 4:22 am (10 months ago) #10
Disease according to the area [/img]
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Wed Nov 28, 2012 5:13 am (10 months ago) #11
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Wed Nov 28, 2012 7:26 am (10 months ago) #12
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Wed Nov 28, 2012 7:29 am (10 months ago) #13
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Wed Nov 28, 2012 10:34 am (10 months ago) #14
1. lishminia transmitted by sand fly 2. case of MI .. which drug contraindicated in it --- Ca Channel blocker 3. pt came with exertional dyspnea w/o cough with FEV/FVC = 90 ( > 80 restrictive lung disease ) 4. case of malaria most common cause in human .. malaria falciparum 5. pregnant lady on 38 wk fall from stairs came to hospital complaining of uterine tenderness , PV bleeding , fetal distress placental abruption 6. most common sign of placental abruption is vaginal bleeding 7. patient came with primary dysmenorrhea , painful coitus , painful defecation endometriosis 8. READ ABOUT TRICHOMONIASIS , BACTERIAL VAGINOSIS , CANDIDIASIS 9. pt post MI what is the drug prophylaxis for developing arrhythmia B-Blocker ( not sure ) 10. pt in thirties, married for 2 years , infertile with pelvic pain endometriosis 11. vaccination about V- Zoster in adult -- give 2 dose in 2 wks give 2 dose in 2 months give 2 dose in 6 wks give 3 dose in 6 months 12. the difference between Chron's disease and ulcerative colitis is Fistula in Chron's disease 13. case of Chron's disease .. which is true about it cause fistula 14. case of spontaneous pneumothorax -- needle decompression & chest tube 15. Treatment of bipolar disease ( maintenance Tx) Lithium 16. definition case control study ( read about it ) 17. case of otorrhea .. what is the most common cause Leakage of spinal fluid ( not sure ) 18 . pt came with congenital inguinal hernia ( adult pt ) w/o any symptoms -- elective surgery if it is easily reducible 19. case of carple tunnel syndrome .. when you are using a splint you have to keep the hand in which position ( keep in dorsiflexion planter flexion extension adduction ) == read about it . its a common question 20. which cancer of testis treated with radiotherapy ( yolk sac tumor choriocarcinoma leydig cell tumor - . ) 21. antidote of paracetamol is N acetyl cysteine 22. pt with non megaloplastic anemia , high MCV .. wht is the cause --- Alcohol 23. pt with symptoms of hypothyroidism + thyroid nodules .. what is the cause -- ( primary or secondary hypothyroidism ) 24. what is the active form of thyroid hormone T3 25. 2 easy questions of appendicitis 26. 6 days old baby with mild jaundice in the face and chest -- breast milk jaundice 27.pt with mild asthma Tx is Nebulizer albeurol 28. case of polycythemia vera .. he will present with splenomegaly ( not sure) 29. pediatric pt came with history of constipation , bilous vomiting , abdominal distention .. what is your best initial investigation barium swallow 30. most common cause of intracerebral hemorrhage is -- HTN 31. pt with stroke , came after 1 wk with loss of vision .. the lesion is in occipital area 32. pt with left eye looked out and downward 3rd nerve pulsy only 33. father pulled his childs's arm forcefully .. then the child started to cry and cannot move his arm .. then they came to ER , what are you gonna do do X-ray ( not sure )
34. baby after delivery with clavicle fracture .. what are you gonna do ( surgery put figure 8 splint afraid from brachial plexus injury the clavicle wil
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Wed Nov 28, 2012 7:38 pm (10 months ago) #15
Hello Dr Khokha.. Long time.. Hope your doing fine. These questions are for which exam MOH/HAAD or DHA?
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Wed Nov 28, 2012 8:19 pm (10 months ago) #16
dear Dr Thanks for sharing
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Wed Nov 28, 2012 8:54 pm (10 months ago) #17
Salam dr Darakashan Yes long time where are you now ? These question from DHA
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Fri Nov 30, 2012 5:45 am (10 months ago) #18
ABNORMAL HEART SOUNDS
Acute rheumatic fever = Loud first sound
Systemic hypertension = Accentuated second sound
Complet heart block = Slow heart rate, varying first sound
Right bundle branch block = Abnormal splitting of first sound
Mitral stenosis = Accentuated first sound
Mitral stenosis = Opening snap
Mitral stenosis = Short, mid-diastolic murmur
Mitral stenosis = Presystolic murmur
Mitral regurgitation = systolic murmur
Mitral regurgitation = Systolic murmur,high pitched and blowing type
Mitral regurgiation = Systolic murmur,crescendo type
Mitral regurgiation = Late systolic murmur,crescendo type
Mitral regurgiation = Mid systolic click and late systolic murmur
Mitral regurgiation = Holosystolic murmur
Mitral regurgiation = Third heart sound
Mitral regurgiation+Mitral stenosis = All sound features of mitral stenosis and mitral regurgitation
Aortic insufficiency = Loud systolic ejection murmur, third sound
Aortic stenosis = Opening snap of aortic valve, early systolic ejection sound
Left bundle branch block = Paradoxical splitting during expiration
Left bundle branch block = Paradoxical splitting during inspiration
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Fri Nov 30, 2012 7:08 am (10 months ago) #19
A 68-year-old man with metastatic lung cancer is brought to the emergency room by his daughter, who reports that his father has been increasingly confused and lethargic over the past week. He denies any recent head trauma or any other medical problems. He reports taking chemotherapy but no other medications. On physical examination, his vital signs are stable, no jugular venous distension is present, and cardiac and lung exams are unremarkable. A CT scan does not show any brain metastases.
Laboratory results show: Sodium: 124 mEq/L Potassium: 4.6 mEq/L Chloride: 102 mEq/:L Bicarbonate: 22 mEq/L What is the most appropriate next step in managing this patient? A. Administer diuretics and water orally B. Administer isotonic saline through a peripheral IV C. Vascular malformation D. Subacute infarction **E. Cerebral abscess
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Fri Nov 30, 2012 8:42 pm (10 months ago) #20
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Sat Dec 01, 2012 12:18 pm (10 months ago) #21
thanks
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Tue Dec 04, 2012 12:04 am (10 months ago) #22
It looks no one willing to add his experience Why ????????
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Tue Dec 04, 2012 11:58 pm (10 months ago) #23
young girl with pale,hypotensive,tachycardia,and massive spleenomegaly...
1. splenic crisis
2.haemolytic crisis
3.haemorrhagic crisis
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Wed Dec 05, 2012 2:37 am (10 months ago) #24
1)acute sinusitis 2)otitis media 3)otitis externa 4)meningitis 5)acute pancreatitis 5)alzhiemers disease 6)STD........gonorrhea/ chlamydia 7)cervical cancer invstigatn ///pap smear positive next what will u do.........colposcopy 8)generalised anxiety 9)mania / treatment 10)SLE /DLE
From ather forum
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Wed Dec 05, 2012 2:41 am (10 months ago) #25
Send by Dr Azeem, from previous forum
DHA GP exam NOV 5th 2012 1. Aneuploidy 45 and associated disease 2. Entaemeba Histolitica water treatment- a. iodine tablets, b. cholorine tablets 3. Given 4 Phrases to choose which group is used for Hearing acuity: spondee words...Audiology- word with 2 syllables disyllabic, that is pronounced with equal emphasis the 1st and 2nd syllableseg, baseball, toothbrush; SWs are used to test for auditory acuity in Pts with suspected hearing loss, and evaluate baseline hearing 4. Chlamydia Rx - a. azithromycin, b. doxycycline,c. cipro 5. Stats with bar charts- simple analysis question 6. What causes flash of light with eyes closed and coughing...a. vitreous pathology, b. retinopathy, c. retinal mechanical disruption 7. Choose from a list of food combinations the Diet best for a young child after 5 days of gastroenteritis - v&d. 8. Diagram of a CT scan of an old person that fell down - subdural haematoma 9. Dermatology: Picture of a tinea versicolor and the question asked whats the best treatment option. 10. Old Patient with Osteoarthritis Pain, what is the initial therapeutic management- a. opiods, b. paracetamol, c. tramadol, d. ibuprofen 11. HenochSch nlein purpura disease- given a hand drawing of vascular system and asked which part is affected by this disease. eg. venules, capillaries, veins, artery. 12. Dietary advice for patient with renal calculi, a. red meat, b. dairy products ... 13. Treatment of ED - list of therapeutics 14. Treatment of stable angina 15. Use of saw palmetto for BPH 16. What type of pain is acupuncture used to treat... choose from ...chronic/acute/longterm/shorterm combinations 17. Dermatology, clinical Description of a portwine stain on a childs face 18. ENT: Ear discomfort and description of a cholesteatoma vs. otosclerosis 19. Ear swelling on the pinna 2cm, non tender, numbness around skin... choices included the following... infection/abscess/leprosy 20. Drug interactions with clonidine 21. Endocrine: Hashimotos thyroiditis- hyperthyroid symptioms with thyroid peroxidase antibodies 22. Primary Bilary Cirrhosis description...clinical picture with labs- positive for antimitochondrial antiboidies
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Wed Dec 05, 2012 2:46 am (10 months ago) #26
1.diet restrictions for a patient recently had a heart attack. 2.temporal arterits. 3.polymyalgia rheumatica. 4.calculation of sensitivity and specificity. 5.few questions from dermatology regarding skin cancers and other skin lesions. 6.how to prevent eye infections in a day care teacher. 7.several questions on psychiatry including anorexia nervosa,bulimia nervosa,schizophrenia,anxiety,depression.focus on their symptoms and drug treatment. 8.hba1c. 9.ischemic heart dis. 10.hypertension patient diet. 11.ECG showing bundle branch block.
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Wed Dec 05, 2012 2:48 am (10 months ago) #27
hello,i m adding few more questions to my previous post. *some questions about PID,STD's. *labour. *ectopic pregnancy. *oral thrush. *ulcers on tongue. *pediatric infections.
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Wed Dec 05, 2012 2:53 am (10 months ago) #28
.for GP's it's majority Medicine and pedia..10 questions were psychiatry..8 questions ob gyne..here are some of the topics 1. acute glaucoma 2. pseudomembranous colitis 3. male gynecomastia 4. acute gastroenteritis in children 5. lyme disease 6. tuberculosis 7. std's 8. cardiac diseases 9.copd 10. major depressive disorder 11. phobic reaction 12.osteoporosis in athletes 13. respiridone 14. dvt- they ask i think 5 questions with this
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Wed Dec 05, 2012 2:57 am (10 months ago) #29
1.. osteoporosis T score 2. Male / female infertility 3. Glaucoma 4. Diabetes 5. hypertension 6. Drug interactions 7. PCOD 8. CT images of some conditions like acute pancreatitis 7. Skin infections like impetigo 8. Genitourinary tract infections particularly related to pregnancy and post op 9.STIs 10. One ques was about pruritic folliculitis of pregnancy 11. One ques was about infant botulism VS hypothyroidism
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Wed Dec 05, 2012 3:01 am (10 months ago) #30
Hello .. please find some question during August exams
1. Randomize clinical trial scenario 2. Which drug cases GI bleeding a Acetomehin, b. brufen , c. Tramal 3. Result of lab test .. TSH high .. T3 &T4 low , rest normal a .Hypothyroidism 4. Child is having Asthama attacks.. he is on Beta agonist ..syptom persist .. next step .. a. Oral steroids b. Inhaled steroids c. Theophyline 5. Side effect of Oxytocin in labour ?? a. hypernatremia b Hypo perfusion of uterine muscle 6. Slidnifil (Viagra) contraindicated in patient taking .. a Amytriptline b nitrates 7. Sign & symptoms of Coartaction of Aorta 8. Several hours after ingestion of iron tablest.. a Charcoal b Lavage c defroxime 9. Sign & Symptoms of Hyperthyroidism Treatment a Propylthouricil b Propronolol 10. Women with Thin hair and history of ingestion .. a. Tricotilomenia 11. Patient hearing voices .. a schizophrenia 12. Mass at cerobropotine angle with hearing problem. a Accoustic neoruma , b glioblastoma 13. Thick cheesy white Vaginal discharge a. Candida b bacterial Vaginosis 14. After flu like symptoms child develop unilateral watery eye discharge 15. Pilonidal Sinus .. initial treatment a oral antibiotic b I&D 16. Child bite sibling, laceration had booster 6 month ago a tetanus b suturing c Augmentin 17. Patient bring unconscious suspected suicide.. low oxygen carrying capacity a Carbon Monooxide b Cynide 18. Women having history of many abortion ..a Antiphospholipid syndrome 19. Long term adverse effect of steroids ?? 20. Scenario of Atopic dermatitis
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Wed Dec 05, 2012 3:04 am (10 months ago) #31
some more
21. H/o of Reflux .. histologic changes Barret esophagus 22. Raynuads disease history of pain in fingers in cold weather 23. Urinary tract infection in sexually active female a. Sanitory Napkin b. Diaphargm contraceptive c. cotton dress 24. Long S wave in lead V1-4 ??? a Right bundle branch block c Left bundle branch block ?? 25. Case control study 26. Which pneumonia patient can be treated out patient a 80 year BP 88/60 temp 101 RR 30 b 80 year BP 180/100 temp 104 RR 32 c 60 year temp 104 BP 160/ 27. Morbidly obese adolescent girl come with her mother for weight reduction , which is the best option a Drink plenty of water b Low Calorie diet c Low fat diet 28. A child with 2 year history of foul smelling discharge from left year comes with cranial nerve palsy which is the best treatment option a antibiotics b Mastoidectomy c tympanoplasty tube 29. 27 yr old man developed epidydimytis , smear show diplococci a, syphilis b Gonorrhea c Chalmydia 30. Patient taken antiphysiatric medicine what advise will u given a discontinue when feel Ok b take only when needed c long term continuous use 31. 55 yr old Women had breast surgery 10 year ago, two year ago her CA-125 was 20 now 37 (normal upto 35) a normally increase after Breast ca b Ovarian cancer c age
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Wed Dec 05, 2012 3:10 am (10 months ago) #32
Please any one with previous experience of the DHA or HAAD Put the question which can help All of our Doctors Good luck for all
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Sun Dec 09, 2012 6:51 am (9 months ago) #33
Hi All,Please Please Please Anyone preparing for the DHA prometric exams?Pls give your valubale inputs regarding the examination pattern.Which books to refer?what are the important topics? How tough is the exam? Pls add inputs on anything you think is improtant for someone preparing for the DHA exams? Thanks
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Mon Dec 10, 2012 8:44 pm (9 months ago) #34
5) The most important mechanism of action of combined oral contraceptive is: a. Inhibition of implantation b. Inhibition of fertilization c. Alteration of tubal motility d. Alxteration of cervical mucous e. Ovulation suppression
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Tue Dec 11, 2012 5:50 am (9 months ago) #35
child has tracheoesophageal fistula, all can be used in management, except a) Insertion of chest tube b) Insertion of NGT c) Pulmonary toilet d) Gastrostomy Answer is A Esophageal atresia with tracheoesophageal fistula occurs in more than 90% of case of esophageal atresia There are many types Type A : Esophageal atresia without TE fistula (8%) Type B: proximal Esophageal atresia with proximal TE fistula(1%) Type C : proximal Esophageal atresia with distal TE fistula (85%) Type D: proximal Esophageal atresia with proximal and distal TE fistula (2%) Type E :H-type TE fistula without Esophageal atresia (4%) Diagnosis: failure to pass an NG tube ,plain film demonstrates tube coiled in the upper esophaguse Initial treatment: 1-suction blind pouch (NPO-TPN) 2- upright position of child 3-prophylactic antibiotics
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Tue Dec 11, 2012 6:09 pm (9 months ago) #36
Dear Dr Khoka.. thanks for your valuabel inputs.. i appeared in exam on August but unfortunately didnt succeded. i have share more than 30 MCQs which i recalled (you already shared in this thread). i am preparing from Kaplan i found it more than enough except for Eye & ENT.
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Tue Dec 11, 2012 6:30 pm (9 months ago) #37
hakhter wrote: Dear Dr Khoka.. thanks for your valuabel inputs.. i appeared in exam on August but unfortunately didnt succeded. i have share more than 30 MCQs which i recalled (you already shared in this thread). i am preparing from Kaplan i found it more than enough except for Eye & ENT.
Dear dr I attend the exam on November but didn't pass I have shared my exam in this forum I used Kaplan but now I'm using diff books like Oxford ,family medicine Sawan And asking every where for any experience
Good luck for all
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Thu Dec 13, 2012 12:45 pm (9 months ago) #38
Dear Khokha Which is the book - from which the pictures of diseases are referred..
of Infectious mononucleosis etc
will help to read in a interactive.. would like to read from that book..
Pls advice
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Thu Dec 13, 2012 10:20 pm (9 months ago) #39
I am sittting for DHA exam end of this month, and i have no idea which book to refer to..
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Fri Dec 14, 2012 8:20 pm (9 months ago) #40
Hi, for all whipreparing for DHA GP medical license exam we can discuss the topics..above For who are intersted we can start sharing
Good Luck
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Sat Dec 15, 2012 8:47 am (9 months ago) #41
Pap Smear
1) Negative for intraepithelial lesion or malignancy
a) Organisms
Trichomonas vaginalis Fungal organisms morphologically consistent with Candida spp. Shift in flora suggestive of bacterial vaginosis Bacteria morphologically consistent with Actinomyces spp. Cellular changes consistent with Herpes simplex virus.
b) Other non-neoplastic findings
Reactive cellular changes Atrophy
2) Epithelial cell abnormalities
a) Squamous cell Atypical squamous cells Of undetermined significance (ASC-US) Can not exclude HSIL (ASC-H) Low grade squamous intraepithelial lesion (LSIL) encompassing: human papilloma virus (HPV)/mild dysplasia/CIN 1 High grade squamous intraepithelial lesion (HSIL) encompassing: moderate and severe dysplasia, CIS/CIN 2 and CIN3 with features suspicious for invasion (if invasion is suspected) Squamous cell carcinoma b) Glandular cell Atypical Endocervical adenocarcinoma in situ Adenocarcinoma
3) Other malignant neoplasm
5th disease caused by which virus?
complications of rubella virus
definition of polymenorrhea
pregnant wth varicella wht u do?
S1 [cardio], where do u hear it?
treatment of venticulat tahicardia
senario of pulmonary embolism wht u do next?
senario of ALL
senario of AML
Bacterial vaginosis wht can cause in pregnacy
causes of external otitis
senario of AOM
treatment of MI[except wht?]
senario of PID
causes of secondary hypertension
senario of RA
rash in a newborn, wht virus cause it?
pulmonary edema n XR findings
aniridia in a newborn wht examination u do next?
associations of placenta preavia
senario of eye injury
sarcoidosis, how u treat?
from surgery were questions of CA pancreas
basal CA
burns-grades
from rheumatology:
RA
newborn lupus
discoid lupus
endocrinology:
acromegaly
sheihans, how u treat?
progesteron injections, wht they cause?
hi n salam, here i give u some more:[in a mixed way]
senario of slipped femural epiphisis
senario of Perthes dis.
achalasia
luteal phase, how is LH?
antitrombotic treatment,wht do u check ; PT or PTT?
DKA, findings after hydration
where u hve mid systolic murmur?
senario of gynec case wth tb
peripheral neuropathy, causes
senario of a pregnant wth HPV CA-high squamus, wht u do next?
3rd grade block, wht r d findings?
pregnant wth senario of appendicitis or pyelonephritis Crohn dis
lead poisoning, wht r d findings, except 1?
after elective correction of aneurysm, wht is the most common cause of death?
high lower gastro.int bleeding, wht investigation u do?
acute pancreatitis, causes
strictures of choledoc, most common cause?
senario of jundice, give diagnosis
necrotising fascitis,wht is bacterial cause[staf- strept]? from hospital? from skin entry? choose the best
2 or 3 questions of short stature, causes, association wth anosmia, other diseases associated wth
amenorrhea, senario of a 16 years old, wht is the cause
osteosarcoma, peak age of appearance
there r some more left, some other time inshAllah
take care
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Mon Jan 14, 2013 8:29 pm (8 months ago) #58
khokha Supreme Guru
Posts: 929 Credits: 25483 Aim MRCOG Part 2
1. 74 y/o man was taken by his neighbors due to not looking well for 1 or 2 days. O/E fever, confused and Kerning's sign was positive (they did not mention the sign but the definition like the leg is fully bent in the hip and knee, and subsequent extension in the knee is painful). which organism is responsible for the condition?
a. H. influenza
b. S. pneumonia
c. M. tuberculosis
d. Klebsiella
e. ?? Listeria (if i remember correctly, but surely not N. meningitidis)
2. what is the appropriate treatment of above condition?
a. benzylpenicilline
b. ceftriaxone
c. metronidazole
d. ???
3. how cryptococcus meningitis is diagnosed?
a. india ink
b. microscopy
c. virology of CSF
d. ???
e. ???
4. a baby with slapped cheek. which organism is responsible?
a. paramyxovirus
b. B-haemolytic streptococci
c. parvovirus b19
d, e ?????
5. a scenario of asthmatic attack. what would you give?
a. low dose oxygen
b. ipratropium bromide (with dose)
c. salbutamol 500mg
d. IV steroids
e. ?
6. abovementioned person with asthma frequently uses a drug for control of his symptoms. he c/o tremors in his hands.
a. he should rinse his mouth everytime after taking that drug.
b. this drug causes hypokalaemia.
c. ipratropium bromide is as useful as the same drug.
7. an elderly male admitted in psychiatric ward for some psychiatric disease. he was doing well but then suddenly he became confused. a medical officer finds out that there is a bulge in the lower abdomen.
a. urgently arrange an US lower abdomen.
b. urgently catheterize.
c. urgent KUB
d. e ???
8. a person has ecg findings of HR 175, with QRS interval 0.08ms. how will you treat?
a. adenosine
b. atropine
c. digoxine
d. oxygen
e. ?
thanks.
some more mcqs which i remember.
9. a pregnant lady who has severe pain in his hands which reduces by dangling her hands out of bed. which condition is not associated with the disease?
a. pregnancy
b. cardiac failure.
c. psiform fracture.
d.
10. tetanus vaccine is
a. live attenuated
b. toxin
c. inactivated
d. e ???
11. a scenario of pregnant lady who developed SOB. which of these is least helpful?
a. pulse
b. BP
c. V/Q scan
d. Pulmonary angiogram
e. ABG's
12. A scenario where a lady starts feeling tiredness and she becomes extremely intolerant to cold. what investigation you will do?
a. TSH
b. thyroglobulin
c. Free T4
d. Free T3
e. ?
13. a scenario of Pneumothorax. what will you do?
a. insert chest drain.
b. insert large bore needle in 6th intercostal space
c. insert large bore needle in 2nd intercostal space
d. CXR
e. ?
14. a scenario of unstable angina which was treated by B-blockers. what is the function of Bb?
a. veno-dilation
b. something like increases release of prostaglandins
c. helps clean the vessel aggregated by platelets
d. e. ????
15. another unstable angina mcq asking what is true?
a. it increases the risk of MI
dont remember other options.
16. a person is given hep B vaccine. which test will show its adequate response?
a. HBsAg
b. anti-HBs
c. anti-HBe
d. anti-HBc
e. HBV-DNA
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Mon Jan 14, 2013 8:32 pm (8 months ago) #59
17. a pregnant lady with abdomen that is larger than dates. dont remember whole question but the answer was polyhydramnios.
khokha Supreme Guru
Posts: 929 Credits: 25483 Aim MRCOG Part 2
18. 19. scenario of DM
a. how will you diagnose
b. how will you treat hyperglycaemia in emergency.
20. same scenario but lab results of electrolytes were given and you had to calculate plasma osmolality.
21. a question regarding prescription sheet where name of doctor, date and bla bla was written and you had to answer what are necessary parts of a sheet. i did not know the correct answer but made an educational guess. hope my guess would do something
22. A neck lump in a child which transilluminates.
a. Cystic hygroma
b. Brachial cyst
c. Something hydrocele in neck (frankly never heard of it)
23. A scenario of bacterial endocarditis in a child.
24. A leukaemia question in elderly.
25. An elderly patient presents with more than 24 hour of left sided chest pain. Examination reveal a rash on the left side of chest.