Sunteți pe pagina 1din 32

Mon Nov 26, 2012 7:37 am (10 months ago) #2

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


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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..


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


Wed Nov 28, 2012 4:22 am (10 months ago) #10


Disease according to the area [/img]


report this post to a moderator
please rate this post


Wed Nov 28, 2012 5:13 am (10 months ago) #11




report this post to a moderator
please rate this post


Wed Nov 28, 2012 7:26 am (10 months ago) #12




report this post to a moderator
please rate this post


Wed Nov 28, 2012 7:29 am (10 months ago) #13




report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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?


_________________
D.A
report this post to a moderator
please rate this post


Wed Nov 28, 2012 8:19 pm (10 months ago) #16

dear Dr Thanks for sharing


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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

Pulmonary stenosis = Harsh systolic ejection murmur

Tricuspid regurgitation = Holosystolic murmur,high
pitched,lower during expiration and louder during
inspiration

Ventricular sepatal defect = Continuous murmur

Atrial septal defect = Abnormal splitting of second sound
during expiration


Patent ductus arteriosus = Continuous "machinery"
murmur


Coarctation of aorta = Systolic murmur

Left bundle branch block = Paradoxical splitting during
expiration

Left bundle branch block = Paradoxical splitting during
inspiration


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


Fri Nov 30, 2012 8:42 pm (10 months ago) #20




report this post to a moderator
please rate this post


Sat Dec 01, 2012 12:18 pm (10 months ago) #21

thanks


report this post to a moderator
please rate this post


Tue Dec 04, 2012 12:04 am (10 months ago) #22

It looks no one willing to add his experience
Why ????????



report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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.


report this post to a moderator
please rate this post


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.


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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.


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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..


report this post to a moderator
please rate this post


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


report this post to a moderator
please rate this post


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


report this post to a
moderator
please rate this
post
Back to top




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


report this post to a moderator
please rate this post
Back to top




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.




a. MI.

b. Angina

c. Herpes simples.

d. Herpes zoster.

S-ar putea să vă placă și