M.C.C.E.E.

Mar 1992

1. People usually get infected with trichinosis by eating ?

a. Roasts
b. Sausage
c. Beef
d. Chicken
2. A 4 year old black child develops anemia after being treated with trimethoprime-
sulfamethoxazole. His spleen and liver are not enlarged. Coombs test is negative. No
family history of difficulties and no other positive family history. Dx :
a. Transient aplasia anemia
b. G6PD deficiency
c. Sickle cell anemia
d. Rh immunization
3. Average BP is 130 +/- 25. about 95% people will lie between :
a. 115-155
b. 80-180
c. 95-100
4. A burned patient . After a few weeks developed pale hand, the pulsation in the radius
artery disappeared. Treatment :
a. IV Dextran
b. Fasciotomy
c. Escharotomy
5. Picture of a male babys genitalia showing hypospadias, what history can be obtained
from the mother during pregnancy ?
a. Treatment with diethylstilbestrol (DES)
6. A man with congestive heart failure, given digoxin and furosemide, develops
ventricular premature beats. What management ?
a. Stop digoxin and diuretics
b. Stop digoxin and diuretics - supply KCL
c. Stop diuretics continue digoxin supply KCL
d. Stop diuretics, continues digoxin given KCL
7. the followings are increased during pregnancy, except :
a. Urea
b. Creatinine
c. GFR
d. Blood volume
e. Cardiac output
8. After renal transplantation, the most common malignancy is ?
a. Breast Ca
b. Colon Ca
c. Lung Ca
d. Non Hodgkins disease
9. in renal artery stenosis
a. juxtaglomerular apparatus (JGA) hypertrophy in the same side
b. arteriolar sclerosis in the same side
c. arteriolar sclerosis in the opposite side
d. JGA hypertrophy in the opposite side

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 10. Allergy shock with hypotension, treatment :
a. Corticosteroid
b. Nor epinephrine
c. Epinephrine
11. Pregnant woman 34 w presented with vaginal bleeding, soak 3 pads. What is the most
useful sign for diagnosis ?
a. Uterine tenderness
12. Cause of DIC during pregnancy, except ?
a. Placenta preavia
b. Placenta abruption
c. Hypertension
d. Foetal death
13. Most common cause of hirsutism in woman is :
a. Polycystic ovary disease
b. Thecal cell tumour
c. Exogenic androgen
d. Hyperplasia of adrenal gland
e. Constitutional hirsutism
14. Volkmanns ischemic contracture, cause
a. Fracture of supracondyle
b. Fracture epicondyle
15. A 10 Kg baby with 10% dehydratation, amount of fluid given within the first 24h
should be :
a. 2000 ml
16. A 28 weeks old foetus should weight :
a. 1000 mg
b. 500 mg
c. 1500 mg
17. a man has a splinter in his finger several days before, now come with a flexed finger
painful and swollen. Dx
a. Tenosynovitis
b. Felon
18. A man developed diarrhoea nausea and abdominal cramps 3h after eating . Cause ?
a. Clostridium difficilae
b. Staphylococcus aureus
c. Salmonella
19. Growth rate equals to :
a. Crude birth rate minus crude death rate
20. the fertility of the population is measured by :
a. the n of women in fertility age
21. A countrys people health condition is well reflected by ?
a. The doctor to patient ratio
b. The accessibility t medical facility
c. The countrys welfare system
22. The population pyramid is a measure of :
a. The population broken down, by sex into a no. of age group at a certain time

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 23. A depressed patient with second degree heart block. Treatment :
a. Imipramine
b. Amitriptyline
c. Doxepine
d. Electro-convulsivo-therapy
24. In lithium therapy, what is true :
a. Polyuria is a sign of intoxication
b. Hypothyroidism is an indication for discontinuing the drug
c. Can cause congenital heart abnormalities in pregnant women
25. the risk of suicide is
a. rare before 17 yo
b. higher with previous suicide attempt
c. malignancy
d. in elderly women
26. Risk of an acquired disease is measured by :
a. Incidence rate
27. A 24 yo woman P1G1 on oral contraceptive has a pap smear of dysplasia and
malignant change. Treatment :
a. Stop oral contraceptive and repeat pap smear
b. Cone biopsy
c. Reassurance
28. Treatment of post-menopausal bleeding :
a. Fractionnal D&C
29. True in menopause :
a. LH increase
b. FSH increase
c. Estrogen increase
30. A baby with heart rate 80 bpm, irregular respiration, flaccid , acrocyanosis, slight
reflex response, what is the Apgar score :
a. 5
b. 4
c. 7
31. A pregnant woman should get weight of :
a. 11 Kg
b. 25 Kg
c. 15 Kg
32. Most common cause of delayed speech in child is :
a. Psychosis
b. Deaf
c. Emotional depression
d. Otitis media
33. A girl with pan-systolic heart murmur, with fixed split S2. Dx :
a. Arterial septal defect
b. Ventricle septal defect
c. PDA

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 34. Which of the following given to a newborn could cause intoxication :
a. Vit D 5000 IU for 6 months
b. Vit K 50mg for 1 week
c. Vit A 50000 IU for 4 months
d. Vit C 300 mg for 4 months
e. Pyridoxine (Vit B6) 10 mg for 1 year
35. A 4 month old infant with anemia, what is the most appropriate management :
a. Give FeSO4
b. Examine the diet
36. Picture, showing a boy with a big swollen abscess near the right jaw. He has a history
of inflammation and was given antibiotics, but the abscess enlarged and became hot
and painful. Treatment :
a. Give antibiotics
b. Incise and drain under general anaesthesia
c. Incise and drain under local anaesthesia
d. Aspiration and inject antibiotics
37. A 24 male after a car accident. Has a rib fracture, chest wall move inward during
inspiration (flail chest). Treatment :
a. Occlusive dressing
b. Endotracheal intubation with positive pressure ventilation
38. Treatment of an overdose of anticholinergic drug
a. Physostigmine
39. Absolute contraindication of ECT is ?
a. Heart block
b. MI two weeks ago
c. Brain tumour/brain lesion
40. Picture showing a skin lesion (kaposis sarcoma). The patient has developed
pneumonia, what is the causative agent of pneumonia ?
a. S. aureus
b. Pneumococcus
c. Pneumocystis carinii
41. The most common cause of mental retardation of offspring during pregnancy is
a. CMV
b. Herpes simplex
c. Toxoplasmosis
42. A woman on labour, with weak contractions come every 4-5 min, last 20-30sec,
station 0, cervix open 10 cm. Management ?
a. Wait
b. Oxytocin
c. Rupture membrane
d. Caesarean
43. Pregnant woman with LOT presentation. Management ?
a. Caesarean
44. Management of face presentation :
a. Ceasarean
45. Delusion in dementia is usually ?
a. Persecutive in content
46. Downs syndrome patient after 35 years old usually develop ?
a. Alzheimers disease

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 47. Most common tumour in infant is ?
a. Neuroblastoma
48. Patient with peritoneal fistulae and abscess is seen in ?
a. Ulcerative colitis
b. Crohns disease
49. A nurse after contact with a TB patient. DPP convert from ve to +ve . Treatment :
a. Rifampin for 12 months
b. INH for 6 months
50. A girl who contact a patient with haemophilus influenzae meningitis. Treatment ?
a. Chemoprophylaxis with Rifampin
51. Patient with rheumatoid arthritis suddenly develops pain in the right calf and ankle.
The tight measurement is the same, the calf circumference is enlarged. Dx :
a. Bleeding in the muscle
b. Popliteal cysts rupture (Bakers cysts)
52. A man after car accident developed diplopia. Dx
a. Zygomatic arch fracture
53. A boy with fever, 2 days of respiratory infection. Develops tachycardia, ECG shows T
wave flatten, echocardiogram normal. Dx ?
a. Myocarditis viral
b. Pericardiac effusion
c. Rh carditis
54. Deficiency in vit B12 will cause change in ?
a. Posterior column atrophy and lateral column atrophy
55. Hypertension related to pregnancy is associated with all except ?
a. Teenage pregnancy
b. Diabetes mellitus
c. Grand multipara
d. Pre-existing hypertension
56. Drugs that cause the least depression :
a. Clonidine
b. Thiazide
c. Methyldopa
d. Reserpine
e. Metaprolol
57. A woman developed rash, joint pain after treatment. What is the possible drug given ?
a. Procainamide
58. Hypercalcemia is found in all except ?
a. Primary PTH
b. Bone metastasis
c. Myeloma
d. Secondary PTH
59. Vaginal carcinoma is common in ?
a. Endometrial ca
b. Cervix ca
c. Vulva ca
d. Ovary ca
60. Cause of dysmenorrhea is ?
a. Endometriosis in sacro-spinal lig

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 61. A patient fall to the ground with an outstretched hand develop pain in the wrist. X-ray
normal. Treatment ?
a. Reassurance
b. Scaphoid plaster and repeat x-ray after 2 weeks
c. X-ray after 6 weeks
62. Mitral valve prolapse. Findings ?
a. Mid-systolic click
b. Systolic ejection
63. In severe ruptured tympanic membrane, weber test will find ?
a. Hearing is better in the affected side
b. Hearing is better in the unaffected side
c. Hearing is the same in both sides
64. A boy develops sudden inguinal pain, the testis is high up. Epididymis cannot be
palpated. Dx ?
a. Torsion of testis
b. Torsion of spermatic cord and testis
65. Child with a boil on the face, develop exophthalmia and external eye muscle palsy.
Cause :
a. Cavernous sinus thrombosis
66. Symptoms seen in frontal lobe syndrome :
a. Apathy
b. Disinhibition
67. Side effect of Phenothiazine all except ?
a. Decrease sweating
b. Dystonic
c. Orthostatic hypotension
d. Parkinsonian syndrome
e. Diarrhea
68. What is true about precocious puberty :
a. Usually idiopathic in girls
b. More in male than in female
c. Hyperfunction of adrenal gland
69. Young lady on oral contraceptive pills, developed early intermenstrual bleeding (day 1
to 9 ), management :
a. Progestin
b. Estrogen
70. Associated with pharyngeal Ca :
a. Nickel
b. Asbestosis
c. Arsenic
d. Ethanol
71. Nasal carcinoma is associated with :
a. Nickel
b. Asbestosis
c. Arsenic
d. Ethanol
72. What is true about passive smoking
a. Risk of developing lung ca
b. Eye irritation and tearing
c. Severe lung destruction

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 73. Man went to Rocky mountain, after he developed diarrhea for 3 weeks, no WBC in
stool. Cause
a. E coli
b. Salmonella
c. Giardia Lamblia
74. Enuresis in a 6-year-old boy is most likely to be :
a. Psychosocial
b. Normal
c. Familial
75. A woman with a solid mass on outer quadrum of the breast. Management
a. Mammography
b. Wide excision and biopsy
76. Variable deceleration in fetus is caused by :
a. Compression of the fetus head
b. Compression of the cord
c. Fetoplacental vascular insufficiency
77. Heart rate is not accelerated in non stress test . Cause :
a. Fetus death
b. Fetoplacental vascular insufficiency
c. Fetus sleeps
78. Cause of acute pancreatitis :
a. Stone
b. Alcoholism
c. Tramus
d. Hypercalcemia
e. All listed above
79. People forget about the date and the place of the experience, but can remember the
experience itself. Dx :
a. Normal forgetfulness
b. Wernicks encephalopathy
c. Dementia
80. A child has periodic nausea and headache in the night, then fall asleep. Cause ?
a. Children migraine
81. The first sign of puberty in boys is :
a. Testis enlargement
b. Growth spurt
c. Axillary hair
d. Pubic hair
82. A 60 yo man, with productive sputum, cyanosis. Total lung capacity (TLC) is 11%
FEV is 0.9%. After bronchodilatation, FEV became 1.1%. Dx
a. COPD, bronchitis type (blue bloater)
b. COPD, emphysema type (pink puffer)
83. Patient with perforated ulcer was given 500 mL Ringer solution, antibiotics. After
anesthesia develop hypotension, cause ?
a. Plasma volume deficiency
b. Bleeding
c. Reaction to antibiotics

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 84. 6 hours after intoxication of acetaminophen, management ?
a. Gastric lavage
b. Acetylcystein
c. Diuretics
85. diet in patient with dumping syndrome contains
a. High in carbohydrate (CHO) low in protein and fat
b. High CHO high protein low fat
c. High CHO high fat low protein
d. Low CHO low fluid high protein high fat
86. After operation on a perforated appendix, a patient develops fever pain in the low right
abdomen. Cause ?
a. Pelvic abscess
b. Pseudomembranous colitis
c. Subphrenic abscess
87. Malignancy most susceptible to radiation :
a. Dysgerminoma
b. Thecal cell CA
c. Dermoid cyst
88. Associated with turner syndrome, except :
a. Webbing neck
b. Cardiac anomaly
c. Infertility
d. Arachnodactilty
89. A woman at term with active herpes simplex, management :
a. Vaginal delivery and separate the baby after birth
b. C-section
90. Cause of epidural hematoma
a. Middle meningeal anterior artery tear
91. Patient with gonorrhea infection given spectinomycin but symptoms persist , possible
cause :
a. Associated with chlamydia infection
92. Patient develops vomiting after which physical exam shows emphysema beneath the
sternum. Dx :
a. Esophageal rupture
b. Mallory-Weiss syndrome
93. Abdominal calcificate of a baby with bowel obstruction. Dx
a. Meconium peritonitis
94. A baby with bloody stools ; bent his legs toward his abdomen. Dx
a. Intussusceptions
95. A boy with bitemporal anopia and normal growth
a. Craniopharyngioma
b. Sellar tumor
c. Eosinophilic cell tumor of pituitary gland
96. A 24 yo man with diabetes mellitus is on NPN and crystal insulin twice daily at
07.30and 20.30 respectively. Which of the following statement is true :
a. If his blood sugar (BS) at 11.30 is > 8.3 (150 mg/dL) then increase the crystal
insulin at 07.30
b. If his BS > 8.3 then increase the crystal insulin
97. A picture showing a nail with many pinpoint pitting. Dx
a. Psoriasis

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 98. A RA patient develop numbness in the hand. Possible cause :
a. Carpal tunnal syndrome
99. A patient after a car accident found that he cannot move his forefinger + atrophy of
the thenar muscle. Dx :
a. Injury of the ulna nerve
b. Injury of median nerve
c. Injury of radius nerve
100. The most common cause of rectal bleeding in infant is :
a. Allergy to cow milk
101. The most common cause of false +ve VDRL is :
a. SLE
b. RA
c. TB
d. Yaws
102. Which of the following is primary prevention :
a. Seat belt
b. Chemoprophylaxis of a person with +ve PPD
c. Steroid in a patient with multiple sclerosis
103. Endometric Ca can be seen in , except :
a. Diabetes mellitus
b. Hypertension
c. Exogenic estrogen
d. Nullipara
e. Multipara
104. A patient with recurrent painful and swollen salivary gland. Cause ?
a. Calculus in submandibulary gland
105. Which of the following is secondary prevention :
a. Birth consultation in Huntingtons disease
b. Speed limitation
c. Vaccination
d. Rifampicin in person whose skin test convert from ve to +ve
e. Diuretics in patient with hypertention

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 ANSWERS

1. b 11. a 21. ? 31. a 41. c 51. b 61. a 71. a 81. a 91. a 101. d
2. a 12. ? 22. a 32. c 42. b 52. a 62. a 72. a-b-c 82. a 92. a 102. a
or a-b-c-d
3. b 13. e 23. d 33. a 43. a 53. a 63. a 73. c 83. c 93. a 103. e
4. b 14. a 24. c 34. b 44. a 54. a 64. ? 74. a 84. b 94. a 104. a
5. a 15. a 25. a.b.c 35. b 45. a 55. c 65. a 75. b 85. d 95. a 105. d
6. b 16. a 26. a 36. b 46.a 56. b 66. a-b 76. b 86. a 96. a ?
7. b 17. a 27. b 37. b 47. a 57.a 67. e 77. c 87. a 97. a
8. d 18. b 28. a 38. a 48. b 58. d 68. a 78. e 88. d 98. a
9. b 19. a 29. a 39. c 49. b 59. b 69. b 79. a 89. b ? 99. b
10. c 20. a 30. b 40. c 50. a 60. a 70. c 80. a 90. a 100. a

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