Sept 2019 Recalls

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The document discusses various medical recall questions covering different body systems and conditions. Common topics include orthopedic injuries, thyroid disorders, burns, hernias and more.

Conditions discussed include kwashiorkor, Morton's neuroma, shoulder dislocations, sickle cell disease, thyroid cysts and cancers.

Treatments/procedures mentioned are skin grafts, hemithyroidectomy, cholecystectomy, thyroidectomy and more.

Sept 2019 recalls A lot of

similar questions from


other exams, but without
obvious answers (they
know what we know, So
don't put them in options,
huh?)

1. Child with kwashiorkor,


hepatomegaly- what
deposit in liver?
Lipofuscin?
2. Pain between 3rd and 4th
toes , pain elected by
vertical compression on
metatarsal heads. Morton
neuroma?
3. Shoulder dislocation - no
fracture, AC dislocation
Coracoacromial?
Coracoclavicular ligament?
4. Embolization of vessel
supplying sigmoid at L3
anterior branch of aorta-
IMA
5. Young female pt with blood
discharge. answer duct
papilloma
6. sickle cell child with
osteomyelitis answer
salmonella
7. Lady with thyroid
swellingwith forehead
pulsatile swelling. answer
follicular carcinoma
8. Features of thyroid cisis -
no major symptoms
mention - photophobia,
somnolence etc
9. Lateral thumb and index
dermatome/sensation - c6
10. Supination and pronation
of arm- c5
11. Back pain with radicular
pain to leg showing MRI
pic
12. TM joint - synovial joint?
13. Lower jaw protruding on
opening ™ joint?
14. Articular disc in ™ joint
15. Salivary stone impaction
scenario
16. Histology of patient with
Rheumatoid arthritis joint -
what found?
17. Histological features of
gout - negative
perfringence…..
18. Mediastinal biopsy- Hassal
corpuscles - thymoma
19. DVT regarding
Homan test - Hallux
extension, Hallux
flexion, Planterflexion,
inversion,version
20. DVT prophylaxis for patient
with IHD and peripheral
vascular d/s . a. Stocking,
b.infractionated heparin
1000 unit hrly, c. LMWH, d.
LMWH with pneumatic
compression
21. DVT prophylaxis regarding
patient with antithrombin 3
deficiency - a. warfarin
lifelong, b.wafarin 3 or 6
months, c IVC filter
22. DVT prophylaxis for
recurrent PE - IVC filter
23. Injury to shin - wound dirty
- split skin graft...etc
24. Burn to leg, wound 7×5 cm
exposing tibia - skin grat,
free flap,
25. A young woman with
breast cyst- aspirated to
dry- cytology NAD. No
follow up, culture of
aspirated fluid, excision of
cyst
26. Middle age woman with
breast cyst- Mx -
aspirations, Excision.
27. A young woman with 2 cm
size right thyroid swelling.
Biopsy show papillary with
no metastatis. Tx- Right
hemothyriodectomy,
subtotal, total
A pregnant woman 6 weeks with
Grave disease (palpitations etc)-
Tx - propranolol, thyroidectomy.
28. Lap: Cholecystectomy
patient, 1 months later,
unremitting jaundice with
pale stool, dark urine -
Residual CBD stone, Bile
duct injury
29. Acute Cholecystectomy
patient with known MRSA
carrier - Tx - daily bath,
mupirocin to nose, IV
antibiotics
30. Canadian girl with mild
jaundice, anaemia,
splenomegaly- sickle cells
disease, spherocytosis.
31. Wound healing 2nd phase
- Vitamin C
32. A patient with 50% BSA
Burn - Fluid requirement in
first 24 hrs - 10-13 L, 14-
16L, >17L
33. A kid, with Hydrocele fluid
in which layer - tunica
vaginalist
34. A kid with sudden onset
scrotal pain, visible black
spot above testes -
testicular torsion, Morgani
cyst torsion
35. Inguinal hernia repair,
patient lost extension of
knee. Which nerve?
36. September 2019 recall
37. Head
trauma,
depresse
d
fracture,
manage
ment: a.
Refer to
neurosur
gery ,b.
CT head
within
one
hours,c.
CT head
within 8
hours

38. Bluish colored flatulent


swelling under tongue -
Ranula .due to sublingual
gland?small salivary gland
tumor? Submental lymph
nodes
39. Weak sensation of lat
aspect of tongue after
sugery.glosso nerve?
40. Q concerned with Cerebral
perfusion pressure
calculation BP 110/80
ICP18. Ans 72, 92...etc
41. A man with left loin colicky
pain. Imaging -Stone
impaction at vesicoureteric
junction. Where visible? a.
Ischeal tuberosity b. ischial
spine c. L2-4 transverse
process
42. How to count vertebrae on
xray.bifid spinous process?
43. Cori cycle. The following
cells depends on Cori cycle
for O2 completely.
hepatocyte?osleocyte..etc
44. A lady with persistent
creamy dischrge from
breast.ductal ectasia
45. A lady with Thyroid
swelling and high calcitonin
.medullary ca
46. Bp measurement via
ordinal/nominal data? A.
Paired T test b. Unpaired T
test, Man Whitney test
47. 6yr,short leg,limb pain for 3
months - perthes disease
48. Mass in old age.invasive
ca
49. 13yr kid,no internal rotation
adduction.externally
rotated n limb pain.slipped
femoral/perthes?
50. Scalp laceration with dirt
no other lose.a. simple
suture b. wound deb with
sec intention healing?
51. Tension haemo-
pneumonthorax .chest
drain with active suction
52. After trauma.pain on
extremes of supination n
pronation.injury to
radial/post interr?
53. Mixed resp met acidosis
scenrio
54. Hypercalcemia.give . initial
treatment a. 9% n/saline b.
Palmidronate
55. A man hit with some thing -
Depressed fracture. A.
immediate ct b. CT later
within 6 hrs?
56. Ruptured aaa.do ct
57. A case of suspected PE,
what investigation . CTPA,
VQ perfusion scan
58. Femur fracture
dypniac,tachycardiac .rash
appear.fat embolism

59. 1/ acase of AAA with 6 cm


with distal gangrine. Cause
of gangrene Ans arterial
embolism (trash
foot)...other atherosclerosis
...thrombus٣...
60. A case of gangrene of the
toe On Doppler USG wave
form - Ans; monophasic
with low flow
velocity...other options
triaphasic doppler
signal ....biphasic
doppler ...monphasic with
high velocity
61. Elderly pt with AAA with
knee pain Cause of the
aneurysm ....answer :
correct atherosclosis..other
marfan ...thrombosis… one
autoimmune disease can't
recall.
62. A lady with varicose vein
clinical examination
suggest sapheno femoral
junction defect,
Management ....correct
answe is dupplex
us....other option SP
disconnection. endovenous
laser therapy ..CTA
63. A case of intermittent
claudication with loss of
pulse below knee only. Hip
flession pain. No knee
pain. leg with palpable
feomral pulse sfa
occlusion at the adductor
canal ..other options CFA
befor bifurcation...external
iliac artery ... anterior tibial
artery occlusion
64. A child with Hydrocele -
Procesus vaginalis comes
from what structure
Ans..peritineum.
65. Inguinal hernia surgery,
open what layer to explore
canal..external ob apo.
66. Ant relation of head of
pancreas a..pylorus of
stomach. CBD, c.portal
vein d portal vein.
67. To get ABG Femoral artery
cannulation.where? A.mid
point..b mid point of ing
ligament
68. Right testicular vein drains
into a. IVC b. Rt renal vein
69. Torticolis - spinal
accessary nerve
70. A woman with cervical LN,
on examination, supra,
axilla, inguinal all enlarged
Dx - lymphoma? TB?
71. A woman with a cervical
LN. Biopsy reveal
Squamous cell metastatis.
Aerodigestive tract - NAD
on scopy. What
investigation more to
detect primary? CT, PET,
MRT, PET-CT scan?
72. A 40-50 yrs old playing
football, sudden pain in the
calf, can't play anymore.
Squeeze on calf m/s
negative planter flexion Dx
- archilles rupture?
Gastronemius tear, baker
cyst rupture
73. Playing football, tackle to
knee, swelling , rest for 4
weeks, play again , happen
again this time…… Dx
medial meniscus
74. tear ant cruciate
ligament….
75. -a women noticed blood
spot in the pants OE -
inguinal lymph nodes-
Origin vulva, cervix, uterus
76. - relation of ureter with
gonadal vessel, iliac
artery..
77. -relation of median nerve
with bracheal artery
78. A man with
prostatism, On PR,
posterolateral ridge on
palpation. What
structure? Sacrospinal
ligament...puborectalis
muscle
79. On VE examination, You
feel something infront at
the level as cervix- base of
bladder, dome of bladder,
POD
80. A man with bp 200/100
potassium 2.1 what you
expect to be found in his
investigation? High
aldosterone/high
cortisol/low ACTH/High
urinary VMA/ High urinary
catecholamines.
81. A man with RTA had 10/15
(i dont quite remember)
unit blood transfusiin now
has low platelet, normal
APTT, low fibrinogen and
high PT? Whats the
diagnosis? DIC/ Deficiency
of antithrombin III/
Thrombin deficiency
82. A man underwent
oesophatogasteectomy for
ca oesophagus. Post op
period he lost significant
weight. Mx should have
been a. TPN b. RT feeding
c. Intraoperative
jejunostomy
83. A man admited with chest
pain .he remembered last
night he vomited
vigorously. O/E crepitation
in ant chest wall. Ans:
oesophagus rupture
( Mallory Weiss tear also in
answer)
84. Barret oesophagus
85. A patient with long term
UC, least likly
association .Ans.
polyarteritis
86. Facial injury - numbness in
cheek and upper 3 teeth.
Which nerve?
Supratrocheler , Infraorbital
87. A child with discharge from
medial canthus of left eye-
ethmoidal sinusitis?
Maxillary sinusitis? Ca
ethmoid?
88. Numbness in anterolateral
aspect of tongue after
molar surgery - lingual,
hypoglossal, facial…
89. Lacrimmation ..which
ganglion- Pterygopalatine
90. A young boy with sudden
mildly tender swelling in
dorsum of wrist- ganglion,
cyst
91. A man with Ca prostate.
His mother and sister have
Ca breast, father healthy,
what genetic association-
P53, Ras
92. A mother with Ca breast
with family history of ca
breast, concerned about
her daughter getting Ca
breast, which test? BRCA
1& 2
93. A women with displaced
fractured in distal radius,
reduced and put on a back
slab for 6 wks. After
removal of slab, she
complaining of pain and
limited movement during
supination and pronation.
Which structure injured?
CPRS, mal union, non
union, compartment
syndrome.
94. A patient with cervical
lymphadenopathy was
investigated and FNAC
suggested squamous cell
ca. Clinical examination
and upper tract endoscopy
normal. What should be
the next line of
investigation? CT, MRI,
FDG Pet CT, MRI of whole
body, Radio-isotope
investigation
95. A patient presented with
calf pain on walking 50
meter. Diagnosed as
claudication. Block of
which level is responsible?
Superficial femoral,
popliteal, deep femoral,
external illiac, profunda
femoris..
96.

Which level is
injured?

97. Features of Thyroid


crisis...somnolense, sinus
tachycardia, bradycardia,
photophobia
98. 26 yr old down syndrome
patient who understands
everything.. she needs
appendicectomy..who will
give consent?
99. Young RTA patient with
features of hypovolumic
shock, needs operation.
Who will give consent?
100. A man presented after
painting of celing with
shoulder pain. The pain is
mainly during movements
of shoulder between 60-
120 degrees. What is most
likely
diagnosis?..supraspinatus
tendinitis, subacromial
bursutis, frozen shoulder.
101. 35 yrs lod female with
pruritus ani. Sellotape
examination shows egg inn
stool. Rx? Enterovirus
vermicularis, Ascariasis
102. Cresent shaped lesion on
ct…..acute subdural
hematoma
103. Lymphoma associated
with coelic disease…….t
cell lymphoma
104. Ecg changes in PE….r
wave in v6 ,t wave
inversion in v1-v3
105. Level of lumbar cistern
csf fluid...s2
106. Enterobius vermicularis
treatment ….mebendazole
107. Structure divided in
esophagectomy to
mobalize
stomach…...gastrospleenic
ligament Lienorenal
ligament Lumbar cisterna
extends to? S2
108. 1 cm non healing wound at
ankle, tactic? punch biopsy,
dressing or topical steroids
with antibiotics?
109. Man hits head at door,
looses conciousness for 15
sec. Examined, found to be
ok. Management? Discharge
home with instructions on
head injury, neurosurgeon or
hospitalize?
110. Analysis of paired BP of
someone recorded 87 times.
Paired T-test or wilcoxon.
111. Palpable lymphs in both
femoral triangles. Source?
Cervix, bladder, uterine body?
112. RTA patient admitted.after
observation pt discharges by
giving conservative
treatment.10days later came
with abdominal discomfort
especially after eating. it
become worse....what is the
cause. Ans; Diaphragm
rupture, phrenic nerve.
113. lat
eral
cutaneou
s femoral
nerve
soruce
lumbar 2-
3 lateral
psoas
major exit
114. Acute loin pain +afebrile
+bl p 100/60 urine analysis
normal ? Rupture aortic
aneyrsm or perinephric
abcess
115. Prostatic carcinoma his
sister died of breast cancer
investigation of oncogen ?
P53 or kras
116. patient in ICU sudden
desaturation after leg
movement ?,Slipped
endotracheal tube
117. recurrant DVT ?warfaren
long term or IVC fliter
118. Patient with IV fluid
having Warming device
attached during surgery
which hormone secretion
decrease? ACTH,
Vassopressin
119. torniquet technique ?
above systolic blood
pressur or mean arterieal
pressure
120. Metabolic effect of
adrenaline ? Glycolysis,
tachycardia
121. bell s palsy
122. Feeling of discomfort at
left illiac fossa for 6 wks
with increase frequency of
defecation with occasional
blood with stool..what is
the dx? .. ca sigmoid colon,
IBD, Diverticulitis..
123. Infant with dyspnoea, h/o
recurrent chest infection? ..
Tracheo-oesophageal
fistula, diaphagmatic
hernia..
124. A Neonate with villious
vomiting with scaphoid
abdomen...duodenal
atresia, volvulus…
125. Position of CBD papilla
opening in duodenum in
ERCP - anterior & medial,
anterior & lateral, posterior
and medial, posterior &
lateral.
126. A woman with itchiness
around anus, cyst or
worms - Tx mebendazole,
tinidazole, metronidazole
127. Shoulder joint - painful
arc movement between 60-
120 degree, Dx of
supraspinatus was
considered. The tendon of
affected muscle is
Supraspinatus,infra
spinatus, subscapularis,
Latissimus dorsi,teres
minor
128. Another shoulder joint
pain - this time answers
options - subacromial
impingement..etc
129. A woman with torticollis ,
a mass near
sternocleidomastoid-
accessary nerve,
glossopharyngeal,
130. ECG changes supporting
Dx of PE.
131. A middle age man with
subcapital femoral neck #
with minimal displacement.
Mx- Internal fixation,
External fixation etc
132. RTA- grossly dirty &
comminuted #femur or tibia
Mx external fixation, wound
debridement and internal
fixation
133. A question regarding
autonomic nervous system
134. A patient with ureteric
colic, pain radiates into loin
to groin- Why? Which
dermatome
135. Hematuria,pain, multiple
osteolytic lesion in bone,
Lung metastatis - which
origin?
136. A thyroid swelling+ HT
(BP 200/100 mmhg. Dx-
137. A woman with Increased
TSH+ Normal T4 Dx-
primary hypothyroidism,
grave d/s, secondary
hypothyroidism
138. Diabetic (diet controlled)
undergoing sigmoid
colectomy- How to mx?
Monitoring of blood sugar
hourly? Other insulin stuff
139. Another DM patient
140. What is not included in
enhanced post op ٤
program. A. carbohydrate
drink 2 hr before. B. intra
op antiemitics. C. Preop
diazepam. 4.early post op
ambulation
141. Patient whi was admitted
and received antibiotics,
then developed severe
diarrhea. Treatment? =
treatment of Clostridium
difficile. Po vanco, po
flagyl, iv flagyl,...
142. A patient with infection,
crepitation
Which Organism- Clostridium
perfringens
145. Pfannenstiel's
surgery which structure is
divided. Rectus abdominis,
rectus sheath, arcuate
ligament
146. Jaundice most
likely associated with…?...
Increase Alkaline
Phosphatase..Increase
PT…
147. After ...Operation
foot
drop..cause...Neuropraxia
of common peroneal
nerve…
148. After….Operation
lateral part of foot
sensation loss...Sural
Nerve injury…
149. Best biopsy
method for breast...Core
biopsy..
150. Best way to
biopsy thyriod….FNAC
151. Irritibility, muscle
twitching after thyroid
surgery...Hypocalcaemia…
152. Gradual swelling
appearance at lateral
aspect of knee….meniscal
cyst…
153. Trying to grip knife
but failed...posterior cord
injury..medial cord
injury...lateral cord injury…
154. Part of MEN
I...Pituitary..
155. Unique features of
axis vertebrae...bifid
spinous process...carotid
tubercle…
156. A child with
distended abdomen, pain,
vomiting, groin
swelling...Inguinal hernia…
157. Deep inguinal ring
found in...Fascia
transversalis…
158.urinary bence jones
protein ? Multipel Myloma
159.sarcodosis pathology ?
Epitheloid granuloma
160.Frozen section tech?
Put cells on slide then stain

Another

1. A previously healthy Young


male wakes up in the
morning sudden SOB with
fall in spO2 low Bp and
tachycardia...absent breath
sounds on the left side.
Diagnosis. A.
Pneumothorax
B.Pneumonia C.Pleural
effusion
2. Mechanism of Analgesic
action of I.m Morphine A .
Acts on u and k receptors
3. A patient with bee sting -
shock. Which first? IM
adrenaline, IV
hydrocortisone, IV
antihistamine etc
4. Which cell in Lymphoma ?
B cells, T cells ,NK cells
5. A farmer with blood tinged
darkspot with eschar after
injury with fever and
severely toxic. A. Anthrax
B. S.pyogenes
6. Main support of uterus.
Options a Transverse
perineal muscle
7. A patient after colorectal
surgery, post-op
uneventful. WHat
investigation to be done to
rule out anastomotic leak.
CT, MRI,Barrium Enema,
water soluble double
contrast enema
8. Origin of Rt Coronary artery
a. anterior aspect of aorta above
valve? Inferiorly below cursp of
aortic valve?
9. A girl had mastoid
abscess. Spread of
infection Ans: sagital sinus,
sigmoid sinus internal ear

10. Tingling sensation over


median nerve sensory supply
area... Lunate dislocation ?
11. 25 year down syndrome pt
requires surgery for
appendicitis .Pt understand
the need of surgery And
complications from
surgery. A. Pt consent? A.
Parents consent
12. RTA patient with obviously
internal haemorrhage,
unstable - Proceed without
consent.
13. A Case of male 20 year ,
with history of trauma 6
weeks ago in groin , now
presented with irregular
hard testicular swelling with
fluid around it
transilluminated and Lt
supraclavicular
lymphadenopathy? 1-
hematoma 2 - hydrocele 3-
teratoma4-seminoma
14. Patient with
hydropneumothorax with
fluid level? 1- ICT 2_ICT
with suction
15. Pregnant women with
clinical hyperthyroid. What
treatment to go
for:Carbimazole
B.Propylthiouracil
C.Propranolol D.
Thyroidectomy, E.
Radioiodine
16. Patient with HB 9gm%.plan
for surgery after 6wk .what
is preferred iron therapy
17. Scenario 2
18. A 32-year-old man
presented with a 1-month
history of shoulder pain
especially on lifting his
arm. On examination, he
had marked tenderness
lateral to the acromion
process with a painful arc
of 60–120°.
19. Pregnant women Lower
back pain and h/o collapse
low BP
20. Tricuspid valve closure
occurs in
21. First response after
hypovolemia-baroreceptors
22. Gastrin increase by
adrenaline, glucagon,
calcitonin
23. Early response after injury -
mast cells, neutrophils
24. Structure carries
oxygenated blood
25.
MRCS

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