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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