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July 2018 recalls
1.lady35 yr old has a swelling in her lft groin,below and laterlato pubic tubercle for 3
weeks;tender,non reducible;no coug impulse;what will be nxt mx?
/
a.surgical exploration b.ct abd c.usg abd d.fnac e.biopsy
m
2.paretnts come with 22 m old child concern abt speech;parents speak hindi at home;baby
has only 4 discernible words,no comprehensible sentence;baby was very active but little eye
co
contact,throw all toys given to him;what will be ur app mx besdie hearing and visual
assessment?
a.reassure parents its nrml to lag in language for the child as different language at home
x.
b.refer for muldicsiplinary developmental approach
c.others I forgot but not relevant
us
3.prents come with a 8yr old child grade 3.teachers are concerne abt him for the last 2 yrs.he
is struggling with writing task and study in remedial approach despite parents support.what
will be most appro next mx for this child?
a.psychiatric studies
b.assesment of family dynmaics
pl
.m
c.talk to teacher regarding the child)
d.screen for ADHD
4.mother concerned abt 15yr old daughter recent change in bhvr,stopped studying,became
r
vegetarian,take long shower at night.what in history will lead to dx?
be
a.her though that neighbours are influencing her concentration
b.h/o marijuana abuse at her high school
c.she changed her sub from law to mdcn last yr
em
d.she had salmonella enteritis 3 mnth back
5.GP working at a remote aboriginal community where STD increasing.what will u do do
reduce incidence of STD?
//m
a.tv campaign
b.lecture in community health centreregarding effect of STI
c.arrange community wide progamme directed well behavior and knowledge(by excluding
other options)
d.educate school age child
s:
e.arrange peer education for aboriginal male
tp
##women beaten by drug addict son.what will be adviceto her?
a.urge her to go to women refugee
b.urge her go to police
ht
c.admit her son to drug rehab
##wome brought by neighbor h/o beated by husband.lots of bruises and soft tissue injury,no
fracture.woman is afraid to return home due to her partner.what will be ur approach to this
ptnt?
a.offer her to arrange shelter accommodation in refugee centre(as offer to arrange so I
didn’t choose it)
b.encourage her to tell police
c.admit her
, Get more from: MplusX Qbank (https://member.mplusx.com/)
Facebook Page: (https://www.facebook.com/mplusxqbank/)
5.in a hospital u want to reschedule a seminar at noon which was used to continue at 9 am
so that most people can attend.but that is lunch time.a pharmaceutical company wants to
arrange lunch.what will be the most appro approach?
a.accept the offer but insist that no represensative can’t speak
b.arrange seminer at 9 am
/
c.tell the employee to bring lunch
m
d.tell the company to fund for hospital research instead
6.a women with schizotypal personality came for pension.Long scenario .the woman has
co
persecutory delusion that some employee told her to take pension or to take medical
review.whta in her history is relevant?
a.the extent of her persecutory delusion
x.
b.i forgot
us
7.women with ttrifluperazine,stopped drug ,had rigidity---old recall
Ans—quietiapine
8.mother called gp regarding her 19 yrs daughters visit whom visited u last week;u suspected
pl
her drug abuser and gave sleeping pil for 2 week.what will be ur approach?
a.advise her that u cant disclose information regardins that visit
.m
b.tell the mother regarding daughters drug abuse
c.tell her to make appointment for both together
9.one scenario of epigastric lump from umbilicus to xiphisternum prominent on cough,strain
r
,when raised leg or head from bed.what will be most appro mx? Pic was close to
be
this,elongated swelling from umbilicus to xiphisternum so I diagnosed as diastasis recti.
a.physiotherapy b.herniplasty with mesh
c.abdominal binder d.abdominal trauss
em
//m
s:
tp
ht
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Facebook Page: (https://www.facebook.com/mplusxqbank/)
/
m
co
x.
us
pl
r .m
be
10.another hernia ques ,waist circumference 97 or like that,obese ptnt epigastric
hernia.what will be ur most appro advice?
em
I choose wt reduction as asked for advice
11.obese ptnt,BMi 35.beside regular exercise what will will be the most appro long term
strategy for this patient?
a.lipase inhibitor b.low CHO c.4000kj/day d.regular healthcare review
//m
12.baby developed jaundice day2,now comes at day 7 with bilious vomiting,meconium
passed on day 4.what will be the next initial mx for this child?
a.laparotomy
b.iv fluid and nasogastric aspiration
s:
c.iv antibiotic
13.child developed jaundice at 3rd day,total 240,direct 120,liver palpable---old recall.next
tp
appro..
a.usg hepatobiliary
b.hold breast feeding
ht
14.man 45 yr,alcoholic comes with jaundice,yellow sclera,liver palpable 2cm.very long ques
and lots of lab.so far I can recall GGT,ALP raised.AST,ALP normal;on usg intrahepatic biliary
channel was dilated but no intrahepatic or extrahepatic pathology seen.what will be next
most appro?
a.ct abd(ques was confusing to me,no mention of cbd stone or dilatation and there was
hepatic enlargement,so I choose this opt)
b.ERCP
c>MRCP
d.percutaneous perhepatic cholangiography
, Get more from: MplusX Qbank (https://member.mplusx.com/)
Facebook Page: (https://www.facebook.com/mplusxqbank/)
14.manwith dyspnea for 3yr,now comes with 1mnth loin pain and 24 hour haematurai.what
will be nxt appro inv.lots of lab.Hb reduced,ESR raised,ca raised.xray close to this
/
m
co
x.
us
pl
.m
a.anti GBM AB
r
b.ACE level
be
c.parathyroid hormone level
15.xray of child with effusion.nxt inv-blood culture
16aboriginal lady with 6 weeksdyspnoea,37.5temp,no mention of cough.xray seems to me
pulmonary HTN so choose that.xray close to this
em
//m
s:
tp
ht
Facebook Page: (https://www.facebook.com/mplusxqbank/)
July 2018 recalls
1.lady35 yr old has a swelling in her lft groin,below and laterlato pubic tubercle for 3
weeks;tender,non reducible;no coug impulse;what will be nxt mx?
/
a.surgical exploration b.ct abd c.usg abd d.fnac e.biopsy
m
2.paretnts come with 22 m old child concern abt speech;parents speak hindi at home;baby
has only 4 discernible words,no comprehensible sentence;baby was very active but little eye
co
contact,throw all toys given to him;what will be ur app mx besdie hearing and visual
assessment?
a.reassure parents its nrml to lag in language for the child as different language at home
x.
b.refer for muldicsiplinary developmental approach
c.others I forgot but not relevant
us
3.prents come with a 8yr old child grade 3.teachers are concerne abt him for the last 2 yrs.he
is struggling with writing task and study in remedial approach despite parents support.what
will be most appro next mx for this child?
a.psychiatric studies
b.assesment of family dynmaics
pl
.m
c.talk to teacher regarding the child)
d.screen for ADHD
4.mother concerned abt 15yr old daughter recent change in bhvr,stopped studying,became
r
vegetarian,take long shower at night.what in history will lead to dx?
be
a.her though that neighbours are influencing her concentration
b.h/o marijuana abuse at her high school
c.she changed her sub from law to mdcn last yr
em
d.she had salmonella enteritis 3 mnth back
5.GP working at a remote aboriginal community where STD increasing.what will u do do
reduce incidence of STD?
//m
a.tv campaign
b.lecture in community health centreregarding effect of STI
c.arrange community wide progamme directed well behavior and knowledge(by excluding
other options)
d.educate school age child
s:
e.arrange peer education for aboriginal male
tp
##women beaten by drug addict son.what will be adviceto her?
a.urge her to go to women refugee
b.urge her go to police
ht
c.admit her son to drug rehab
##wome brought by neighbor h/o beated by husband.lots of bruises and soft tissue injury,no
fracture.woman is afraid to return home due to her partner.what will be ur approach to this
ptnt?
a.offer her to arrange shelter accommodation in refugee centre(as offer to arrange so I
didn’t choose it)
b.encourage her to tell police
c.admit her
, Get more from: MplusX Qbank (https://member.mplusx.com/)
Facebook Page: (https://www.facebook.com/mplusxqbank/)
5.in a hospital u want to reschedule a seminar at noon which was used to continue at 9 am
so that most people can attend.but that is lunch time.a pharmaceutical company wants to
arrange lunch.what will be the most appro approach?
a.accept the offer but insist that no represensative can’t speak
b.arrange seminer at 9 am
/
c.tell the employee to bring lunch
m
d.tell the company to fund for hospital research instead
6.a women with schizotypal personality came for pension.Long scenario .the woman has
co
persecutory delusion that some employee told her to take pension or to take medical
review.whta in her history is relevant?
a.the extent of her persecutory delusion
x.
b.i forgot
us
7.women with ttrifluperazine,stopped drug ,had rigidity---old recall
Ans—quietiapine
8.mother called gp regarding her 19 yrs daughters visit whom visited u last week;u suspected
pl
her drug abuser and gave sleeping pil for 2 week.what will be ur approach?
a.advise her that u cant disclose information regardins that visit
.m
b.tell the mother regarding daughters drug abuse
c.tell her to make appointment for both together
9.one scenario of epigastric lump from umbilicus to xiphisternum prominent on cough,strain
r
,when raised leg or head from bed.what will be most appro mx? Pic was close to
be
this,elongated swelling from umbilicus to xiphisternum so I diagnosed as diastasis recti.
a.physiotherapy b.herniplasty with mesh
c.abdominal binder d.abdominal trauss
em
//m
s:
tp
ht
, Get more from: MplusX Qbank (https://member.mplusx.com/)
Facebook Page: (https://www.facebook.com/mplusxqbank/)
/
m
co
x.
us
pl
r .m
be
10.another hernia ques ,waist circumference 97 or like that,obese ptnt epigastric
hernia.what will be ur most appro advice?
em
I choose wt reduction as asked for advice
11.obese ptnt,BMi 35.beside regular exercise what will will be the most appro long term
strategy for this patient?
a.lipase inhibitor b.low CHO c.4000kj/day d.regular healthcare review
//m
12.baby developed jaundice day2,now comes at day 7 with bilious vomiting,meconium
passed on day 4.what will be the next initial mx for this child?
a.laparotomy
b.iv fluid and nasogastric aspiration
s:
c.iv antibiotic
13.child developed jaundice at 3rd day,total 240,direct 120,liver palpable---old recall.next
tp
appro..
a.usg hepatobiliary
b.hold breast feeding
ht
14.man 45 yr,alcoholic comes with jaundice,yellow sclera,liver palpable 2cm.very long ques
and lots of lab.so far I can recall GGT,ALP raised.AST,ALP normal;on usg intrahepatic biliary
channel was dilated but no intrahepatic or extrahepatic pathology seen.what will be next
most appro?
a.ct abd(ques was confusing to me,no mention of cbd stone or dilatation and there was
hepatic enlargement,so I choose this opt)
b.ERCP
c>MRCP
d.percutaneous perhepatic cholangiography
, Get more from: MplusX Qbank (https://member.mplusx.com/)
Facebook Page: (https://www.facebook.com/mplusxqbank/)
14.manwith dyspnea for 3yr,now comes with 1mnth loin pain and 24 hour haematurai.what
will be nxt appro inv.lots of lab.Hb reduced,ESR raised,ca raised.xray close to this
/
m
co
x.
us
pl
.m
a.anti GBM AB
r
b.ACE level
be
c.parathyroid hormone level
15.xray of child with effusion.nxt inv-blood culture
16aboriginal lady with 6 weeksdyspnoea,37.5temp,no mention of cough.xray seems to me
pulmonary HTN so choose that.xray close to this
em
//m
s:
tp
ht
