DR - Aadi KHAN MOH EXAM 23 MAY 2017

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DR.

Aadi KHAN MOH EXAM 23 MAY 2017


MAIN TOPICS AND PAPER
1.HTN DISEASE IN PREGNANCY

2. MI

3.GERD

4.CHD

5.PULMONARY EDEMA

6.HCM

7.PERICARDITIS

8.HEART DISEASE IN PREGNANCY

9.THYROID DISORDER

10.DM

11.ASTHMA

12.COPD

13.BRONCHIECTASIS

14.ABPA

15.CYSTIC FIBROSIS

16.PNEMONIA

17.PCP

18.TB

19.SARCOIDOSIS

20.PE

21.DVT

22.ARDS

23.OS
24.GOUT

25.RA

26.JRA

27.SLE

29.SJOGREN SYNDROM

30.VASCULITIS

31.OSTEOPOROSIS

32.SEPTIC ARTHRITIS

33.STDS

34.ANEMIA

35.SCD

36.P.VERA

37.CLL +ALL

38.NHL

39.HL

40.BLEEDING DISORDER

41.ACHALASIA

42.GERD

43.BARRETT ESOPHAGUS

44.PUD

45.DIABETIC GASTROPARESIS

46.GASTROINTESTINAL BLEEDING

47.IBS

48.IBD

49.ACUTE PANCREATITIS
50.PBC

51STROKE

52.HEADACHE

53.SEIZURES

54.SAH

55.PARKINSONISM

56.MG

57.DEMENTIA

58.ESRD

59.NEPHROLITHIASIS

60.BREAST CANCER

61.CERVICAL CANCER

62.ECZEMA

63.PSORIASIS

64. pt treated for colon ca ,again develop new cancer ,wat to


do(surgery,chemotherapy,radiation)

65.Rx of Rosacea other than medical treatment (laser,derm abrasion )

66)Rx of acute glaucoma 

67)questions about femoral anteversion,asking for diagnosis

68)post menopausal woman with strenuous exercise,she is at wat risk(osteoporosis)

69)hormonal assay of post menopausal state

70)pt with ovarian failure,given trial of progesterone for Rx,wat will happen (withdrawal
bleeding once only,withdrawal bleeding with resumption of regular cycle,no bleeding at all)

71)pt wid wt loss and insomnia,RX for depression (answer mirtazapine)

72)Pt manager in the office c/o palpatition,chest pain,sleep disburbances,during examination


continuously scanning every object in the room(GAD ,hyperthyroidism)

73)picture of neonatal toxicum


74)pt on antidepressant since two months,symptoms improved,for how long she has to take
medication (1month,2month,3 or 4month)

75)female right lower abd pain,Beta HCG negative,tenderness present,became nauseatic on


palpation,diagnosis(ovarian torsion,ruptured cyst,appendicitis )

76)Picture of gouty arthritis


woman multiparous wid h/o mitral stenosis ,asthma in labor since 12hours,which condition is
of more concern for you now(prolonged labor,mitral stenosis ,asthma)

Q1. Patient with long h/o achalasia. What surgical procedure can be done?

a) Heller’s myomectomy
b) Nissen fundoplication

Q2.pregnant maltibrous 41weaks and 2day gestation the cervicx


Dilated 2cm the fetus is mid anterio posterio
Station -2, effacement50%: how to manage:
A. Oxytocin
B. Rubture the membrane
C. Cervical ripinig agent
D. Insert acatheter

Q3. pt take ACEI and he is on high protein diet

A:increase serum albumin


B:decrease serum albumin
C:icrease proteinurea
D:decrease proteinurea

Q4. HTN +PALPITATION IV TREAMNENT


A.PROPOBOL
B.ADONOSINE
C.ACEI

Q5.CASE OF HPV CACCINE SUBTYPE


A.70 AND 80
B. 1 AND 3
C.17 AND 18

Q6.ATICAL CASE OF CUSHING SYNDROM DIAGNOSIS


Q7. Long scenario : A 68 years old male complaining of shortness of breath on exertion ,
fatigue and weakness . On examination lung crackles, point of maximal impulse, pan systolic
murmur- apex, jugular venous distention.
Which non – invasive test is the best to do to see these findings .

a. X ray
b. ECG
c. Echocardiogram
d. 24 hr holter monitoring

Q8. 30 years old female was screened with pap smear and was normal 6 months ago. Her
mother was diagnosed with cervical cancer when she was 40 years old.
How often should the 30 year old female be screened with pap smear ?

a. 6 months
b. Every year
c. 5 years
d. 10 years

Q9. Starting a patient on Glyburide what is the most important side effect you need to inform
him:

a. Hyperlipidemia
b. Hypoglycemia
c. Weight gain
d. Vomiting

Q10. A 43 yr old woman comes for a pre-employment medical check-up. Her twin brother has
diabetes. What is the chance that the woman will develop diabetes?
a) 25%
b) 30%
c) 50%
d) 70%

Q11. A child with in-toeing. Can sit in W position with feet by his side. o/e hip rotation
internally 70 degrees. What is the most likely diagnosis?
a) Medial femoral torsion
b) Medial tibial torsion

Q12. A scenario about a middle aged man having features of


hypocalcemia(10.4mg/dl), hyperphosphatemia(3.4mg/dl) and PTH level around
401…..Off and on having renal colics, US showing multiple renal calculi, he also
gave h/o multiple fractures. Labs show low calcium, markedly elevated PTH,wt u
will do?
A. Observe
B. Bisphosphonates
C. Ca and vit D
D. Start workup for parathyroid adenoma

Q13. Patient presents with vomiting diarrhea, abdominal pain also and pale skin
and brown nails and with irritable leg and more ----dx
-irritable/Restless leg syndrome
-clostridium difficile
-Chronic renal failure

Q14. T score for osteoporosis


A. -2
B. -2.5
C. -3
D. -3.5

Q15. Prophylactic treatment of asthma?

1. Salbutamol
2. Salmetrol
3. Inhaled corticosteroids

Q16. Placenta is anterolateral and the examiner was not able to palpate it:

A- Marginal placenta previa


B- partial placenta previa
C-low lying placenta previa
D- Normal placenta

Q17. .A person when trying to sit on automobile has tachycardia, sweating, palpitations.
Diagnosis
1. Panic attack
2. Specific anxiety disorder
3. GAD

Q18. diet in celiac disease ANSWER: gluten free diet

Q19. Perthes disease association


– avascular necrosis
Q20. Best HIV medication in Pregnancy newly diagnosed

Q21.A child with history of renal transplant on steroids and


tacrolimus “immunosuppressive’’ about MMR vaccine . What is
true?

A.Schedule for MMR vaccine

B.Avoid MMR**

C.Replace with polio vaccine

Elderly patient complaining of urination during night


Q22.
and describe when he feel the bladder is full and need to
wake up to urinate, he suddenly urinate on the bed this is:
A.Urgency incontinence
B.Urge incontinence**
C.Stress incontinence
D.Flow incontinence

Q23.Henosch-Scholein purpura affect in


vasculitis
a) A
b) B
c) C
d) D
Q24. A patient with diagnosis of tenia pedis treatment of choice

naftifine

Q25. A baby is found to have HbA2-30% & HbF-50% whats the disease he is having.
a- Sickle cell anemia.
b- Alpha thalasemia.
c- B thalasemia major.
d- B thalasemia minor

Q26. A patient presented with H/O ingestion of 4 tablets metformin 500mg what to expect.?

a- Hypoglycemia.
b- Hyperglycemia.
c- Lactic acidosis,
d- Metabolic acidosis
Q27. A 10 years old child brought to clinic by his mother with h/o diarrhea for( I think it was 8 month),
stool sometimes contain blood also. Also has abd pain sometimes. Mother says he has lost weight. On
examination abdomen was soft non tender.There was a long list of labs showing, Hb 8mg/dl MCV low,
Albumin 2.3, crp >15. Esr was nt mentioned. What drug would u start?

a. 5-ASA
b. Corticosteroids
c. Metronidazole

Q28. Drug of choice for Gout in patient with increase frequency of attacks and
with renal impairment?

Q29. . 23yr female with sore thoat, hx of recent oral sex

1) give antibiotic
2) reassure
3) throat swab

Q30. - Pseudomembranouc colitis  start watery diarrhea then become bloody after course of amoxicillin for 5 day
+ bleeding per rectum what is the diagnosis

Q31. 16 year old girl come with Amenorrhea ,doesn’t have breast development and have pubic hair ,she is
46xx  what is the diagnosis

Q32.PIC OF SCD
Q33. Rheumatic fever prophylactic ttt in pt allergic to penicillin:

A) IV somehting

B) IM Ceftriaxone

C) Oral sulphadiazine

Q34.CLEAR SCEINE OF DIGNOSIS OF CUSHING SYNDROM

Q35.CASE OF COPD……….. STOP SMOKING

Q36.RUPTURE OF EAR DRUM WHAT IS TREAMENT

Q37.CASE CHOLESTOMA

Q38.CASE OF IRON ANTIDOTE

Q39.CASE OF ALLERGIC CONJUCTIVIS TREAMENT

Q40.30 YEARS OLD NO MEDICAL ISSUE .HOW MANEY TIME EXAMIN THE EYE

Q41.2 CASES RELETED TO SSRI

42.HYPHOTHYROIDISM TREATMENT.

Q43. CASE OF HAAD ……DISCUSS IN PRIVATE

I JUST REMENBER THESE QUESTIONS MY FRIEND

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