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MCCEE MAY 2004 1. allergy desensitization? 2. persons walk two blocks then rest ? 3. undercooked food and eggs caused by? 4. stree incontinence? 5. in pda? 6. pts has non biolous vomitting? 7. spermatic cord torsion? 8. a girl is 15 year fully sexually active want to use iud? 9. where one lady used IUD? 10. Bicor uterus has one women? 11. which throid tumor has good prognosis? 12. varcilla? 13. toxic shock syndrome? 14. pts has heavy bleeding with uterus emplty? 15. acynotic heart disease? 16. Schizophrenia-imaging changes:prefrontal cortex 17. 10 day newborn jaundice,treatment:stop brestfeeding,phototherapy 18. ac appendicitis missdiagn. ac mesenteric lymphadenitis 19. Man 64 year with hoarseness:laryngoscopy 20. syncope in young man:vasovagal 21. Cause of ac cholecystitis:obstr by stone 22. intest obstr,except:guarding 23. diabetic pregnant; control of glycemia during pregn 24. man with knife(!) in thigh; press fem art 25. esoph atresia:no air shadow 26. clue cells:vaginal secr,KOH,cover 27. neonatal sepsis:skin eruptions?hypothermia? 28. man with dark skin,hepatomegalia:hemochromatosis 29. ophtalmoplegia with pupillary sparing:diabetes 30. hemophilia A,carrier 1/4 31. Huntington:50% 32. baby with cleft palate:feeding problem 33. peptic ulcer:penetration 34. Hirschprung d:from birth 35. Hirschprung dg: X Ray 36. an infant with running nose plus wheeze? 37. disseminted intravascular bleeding? 38. a patient have gangrenous foot and doctor want to amputate what decision? 39. mania treated with? 40. gender identity? 41. rectal bleeding in infant? 42. in picture of an infant in which when mother change diaper what will doctor do? 43. patient has jaundice plus Alanine increased plus aspirate increased what diagnosi? 44. acute appendicitis is misdiagnosed with? 45. common symptom of sheehan syndrome? 46. 1q's about psa 47. hiv result what will u tell to pt 48. retinal detachment 49. oribtal sweeling = oribtal cellulitis

m o c . t o p s g o l b . d a o l n w o d s q c m l a c i d e m ww.
50. hearing test = wax 51. psa 52. +ve node in stage 1a prostate ca what to do 53. 15 % burn child with stridor 54. cleft palate what will be the problems in incoming years 55. consent for surgery what u will not mention 56. q's about case control + cohort study 57. psa livel increase in 58. precocous puperty what is of the 5 answers can be dx with precocus puperty 59. child development 60. bactrial vaginosis 61. in canada all regarding mortality is unequal except 62. q's about primary health care 63. elderly 2 yrs cough + chr b/l basal field hassiness = histoplsmisis 64. absoulte C/I in IUCD 65. 2 other q's about consent 66. Picture options:10 mcqs 67. 1 ECG:Mitral Stenosis 68. 2 ECG:LBBB 69. 3 Turner Sy -female genitalia 70. 4 Happy girl:school performance (no mental ret in Turner) 71. 5 Rectocel 72. 6 scleroderma 73. 7 Tempreture chart:ovulatory chart 74. 8 Kyst in the midle of the neck 75. 9 ptyriaqsis rosea 76. 1o Lesion on the lip:squamosus cell-carcinoma 77. Kid with migriane:Diagnostic, Treatement? 78. Why not give multivit to everyone.Which NOt true? Too Expensive 79. SSRi+ St John Wort? Serotonine syndrom 80. RTherapy + Hematuria? Cyctit Hem 81. When to start ABtherapy in C-section? After clamping 82. PCP intoxication 83. Ankle fracture + extremity cyanos.what to do? 84. Patient dies in emergency by a doc fault,but this doc is not employed by hosto and is Preiviliged??? who is responsilble?(Hosto+doc) 85. The most common cause of legal medical problems?Negligence 86. 14 years old wants OCP?Give to her 87. Mother wants to remove a normal beauty navi from 10 yo child`s face but the child wants to keep it.what u do? Respect child decision

1. Rheumatoid arthritis patient develops tinnitus. Cause? a) Due to ASA 2. Most common occupational disease in Canada. a) silicosis b) dermatitis c) asthma d) asbestosis 3. Most common cancer in Canada/ a) lung b) breast c) prostate d) brain

m o c . t o p s g o l b . d a o l n w o d s q c m l a c i d e m ww.
4. 23 year old lady presented with cramping abdominal pain and heavy bleeding. Pregnancy test positive. Bleeding stopped today morning. Pregnancy symptoms disappeared one week ago. USG shows empty uterus and 3 cm mass in adnexa. Diagnosis? a) ectopic pregnancy b) complete abortion with corpus luteal cyst c) ves. Mole with corpus luteum d) twin gestation- one aborted and one ectopic 5. A lady 50 years with swelling medial to femoral pulse. Firm and smooth. Diagnosis? a) femoral hernia b) inguinal hernia c) saphena varix 6. galactorrhoea . cause? a) pituitary infarction b) hyperthyroidism c) danazol d) thoracic nerve stimulation e) dopamine agonist 8. Most common gynecological infection in Canada a) candidiasis b) bacterial vaginosis c) gonorrhea 9. Most common cause for premenstrual itching (cyclical itching) a) candidiasis b) bacterial vaginosis c) non specific vaginitis 10. Benzodiazepam. Cross-tolerance with which drug a) chlorpromazine b) alcohol c) tricyclics 11. A child has ingested 30 tablets of imipramine. What should be done mean while contacting the toxicology center. a) forced diuresis b) give ipecac syrup c) drug to prevent convulsions 12. Which combination should not be used? a) tranyl cypramine-sertraline 13. Toxic shock syndrome. Not true a) exo toxin b) tampons c) skin necrosis d) fever e) rash 14. Commonest cause of broncheolitis RSV 15. A child with proptosis, swelling and redness around eye, movement of eye painful. Diagnosis a) orbital cellulites b) preorbital cellulitis 16. Soldier returning from peacekeeping force. He has nightmares anxiety. Etc. what is the initial step in management a) psychoanalysis b) benzodiazepine for 1year c) a trial of behavior therapy for s assort period 17. hirshsprungs most imp. Inv a) Barium enema b) Colonic transit time with radio opaque markers c) X ray 18. hirshsprung .diff from constipation a) from birth b) fecal soiling 19. Man 56 years. Father died of prostate ca. o/e a small nodule right lobe. PSA 2.2. What advice a) follow up in 6 months DRE and PSA

m o c . t o p s g o l b . d a o l n w o d s q c m l a c i d e m ww.
b) foloow up in 3 months PSA c) uss guided Biopsy now 20. severe premenstrual syndrome. Definitive management a) b/l oopherectomy b) hysterectomy c) prog d) oes e) NSAID 21. For which of the following is behavior modification is best? a) phobic anxiety b) generalized anxiet 22. A man 10 days after pancreatitis complains of abdominal pain, firm swelling a) pseudocyst, b) a/c hepatitis c) cholangitis d) 23. Peptic ulcer patient complaints of pain radiating to back. Diagnosis a) perforation b) penetration 24. A baby with birth wt.3.5kg now 4 weeks weighs 3.6 kg. Mother worried not drinking enough milk. What will you advise? 25. Ophthalmoplegia with pupillary sparing. Cause? a) diabetes 26. A lady gave birth to a cleft palate baby. You are going to send her home after counseling. For what reason she is going to come to your office more often? a) feeding problem 27. Which is not a cause for occupational asthma 28. A man with dark skin, liver 20 cm. Cirrhosis. Diagnosis a) hemochormatosis 29. What inv. In the above patient a) transferrin saturation 30. A man presented with pain in flanks radiating to groin. He had similar episodes 2 times previously. And was diagnosed to have hyper calciuria. What should be done? a) thiazides b) allopurinol c) reduce dietary calcium 31.post appendicectmy pt develop s-subphrenic abscess 32. Neonatal sepsis.a feature a) hypothermia 33. A man with a swelling in the right scrotum. O/e- tender mass above testis. skin of scrotum red and inflamed. Prostate enlarged He has pyuria. What is the diagnosis? a) epididymitis b) epididymitis and prostatitis c) gonococcal urethritis 34. How to look for clue cells. a) vaginal secretion with KOH and cover 35. Which is true about congenital anomalies? a) congenital anomalies rarely affect growth b) if symmetrical IUGR is detected look for congenital anomalies c) trisomy 13&18 will not cause growth retardation

36.esophageal atresia with tracheo esophageal fistula at the lower end. What is true? a) gastric aspiration common b) gastric air shadow not seen c) 37. A man sustained a stab wound on the thigh anteriorly. He is bleeding profusely. What is the first thing to do? a) apply tourniquet above the wound b) press femoral artery c) direct pressure d) on wound 38. A child with 15% burns On face and chest. What is done?

m o c . t o p s g o l b . d a o l n w o d s q c m l a c i d e m ww.
39. Laryngeal nodule- not a risk factormedication 39. A man 64 years c/o hoarseness. What is the first thing to be done? a) chest X ray b) laryngoscopy 40. Uncomplicated intestinal obstruction. All are seen except a) increased bowel sounds b) distension c) guarding d) tympanitic 41. Most common cause of syncope in a young man a) vasovagal b) hypoglycemia 42. Right upper quadrant pain, fever, jaundice. Diagnosis a) a/c cholecystitis b) cholangitis c) hepatitis 43. A/c cholecystis. Cause. a) obstruction of cystic artery b) onstruction of CBD c) obstruction of GB by stone 44. Treatment of nephritic syndrome. All except a) diuretics b) salt restriction c) fluid restriction d) prednisolone e) protein restriction 45. Malaria treated. Recurrence after 1 year a) dormant liver schizhont 46. Features of meningitis. What inv. a) lumbar puncture 47. Elderly wife abusing husband who is suffering from arthritis what is not done a) send hem to daycare b) support to wife c) 48. Status asthmaticus a) hydration, inhaled beta agonist, IV steroid 49. Abruption placenta. Cause of DIC a) fribrinolysis. 50. followings r characteristics of psychoanalysis except:

a) contertransference b) resistance c) rehearsal 51. newborn with congestive heart failure, is acyanotic, most likely cause? a) TOF b) ASD c) aoteric stenosis 52. scenario of vaginal candidiasis and groin skin candidiasis, the patient probably has: Answer: DM
community health 1-plants worker what cause most upsent ? 2-mortality rate decrease why ? better life style 3- who assess the capacity of pt 4- to refuse cont of resus who will sign psychiatry 1- lady afraid to give speech diffn ? social phobia

m o c . t o p s g o l b . d a o l n w o d s q c m l a c i d e m ww.
2-BN whats not tru metabolic acidosis 3-diffention of non social PD 4- difference between schizo and bi bolar disorder 5- < 24 mmse in elderly ? paeds: 1-all true regarding breast milk except 2-q's about achondroplasia risk in children mother not a carrier father not her brother is a carrier 3-UTI in child what Ix to be done MUCG + US 4-signs of mutism 5-autism = cont to stare at u ( good social ) 6- feature of leukaemia in a child = thrombocytopenia + neuotropaenia medicine 1- low mg all true except high ca 2-labetalol not used in 3-dka what not to do 4-most common hypothyroid disorder 5- best rx of dyspepsia 6- a case of hepatic encephalopathy 7- case of drug induced cirhosis 8- case of dermatomyocities 9- case old man obese snoring paq2=60 mg hg what advice 10- elderly afib adivese = start on coumadin therapy 11- case of mycoplasma pneumonia 12- which of the following organism doesnt caue lung abscess 13-rx of pleural effusion 14- man playing sea vollyball sudenly develop severe dyspnoa + mediastinal shift what to do = insertion of a chest needle ( spon.. pneumothorax) obs& gynae 1-case of PCOS 2- primgravida with active phase whats the feature 3- indication of assisted delivery except = station at -1 4- IUGR not associaed with =short lady 5- not true regarding karotype = umbilcal fetal blood smaple 6-variable deceleration= cord compression 7-most common cause of non reactive nst = fetal sleep 8-indication of parentral dx 9- f/u with a pt with GTN = serial bhcg surgery 1-man walks 2 block and rest = angioplasty 2- q's regarding inital Ix intermittent cludication = AB index 3- ulcer beside 2nd molar teeth elderly man with il-defined denture = trumatic ulcer 4- elderly with chronic constipation rx = enema 5- 2 q's about femoral hernia