RACP Past Exam Questions and answers | latest update
Terms in this set (544)
A 25-year-old male patient is post induction d) Piperacillin and Tazobactam
chemotherapy for Acute Myeloid Leukaemia
and has an absolute neutrophil count of 0.4
x 109/L. He has no known allergies. He is
not known to be colonised with any
resistant micro-organisms. He is febrile to
38 degrees Celsius. He has a heart rate of
100 and a blood pressure of 120/70 mm
Hg. What is the most appropriate
empirical antibiotic regimen?
a) Flucloxacillin and Gentamicin
b)Moxifloxacin
c) Ceftriaxone and Metronidazole
d) Piperacillin and Tazobactam
e) Vancomycin,
A 74-year-old man present for review after Left Internal Carotid Artery
developing blurring of vision in his left eye
for 20 minutes which has now resolved. He
had a similar episode whilst driving two
weeks ago, but reports being able to
continue driving as his right eye was
unaffected. His neurological examination is
unremarkable.
He likely has a stenosis of which artery?
Basilar Artery
Right Internal Carotid Artery
Left Internal Carotid
Artery Left Vertebral
Artery
Right Vertebral Artery,
,An elderly lady presents to ED and is found Hydrochlorothiazide
to be hyponatraemic. She is on each of the
following medications. Which of the
following is the most likely cause of her
hyponatraemia?
Candesartan
Hydrochlorothiazide
Simvastatin
Metoprolol
Trimethoprim
A 40-year-old male presents to ED with a Autosomal Dominant Polycystic Kidney Disease
sudden onset headache. The headache is
severe. On examination, he has abdominal
fullness, haematuria and proteinuria. What is
his most likely diagnosis?
Autosomal Dominant Polycystic Kidney
Disease
IgA Nephropathy
Medullary Sponge Kidney
Polyarteritis Nodosa
Cirrhosis
Which of the following serum electrolyte c) Calcium
levels typically decreases in tumour lysis
syndrome?
a) Sodium
b)Potassium
c) Calcium
d) Phosphate
e)Magnesium
Q1. A 72 year old man presents with C.
CXR unilateral ptosis and meiosis. What is the best
initial investigation?
A. MRI B
B.CTB
C. CXR
D.CT Carotid Angiography
Q2. A 53 year old woman presents with C. Flucloxacillin
sudden onset joint pain and swelling. She is
febrile with a WCC of 13. Joint aspirate
shows 103,000 WCC with >95% neutrophils.
What is the most appropriate initial
choice of antibiotic?
A. Ceftazidime B. Clindamycin C.
Flucloxacillin D. Tazocin
, Q3. A 54 year old man has severe aortic C. LVEF < 50%
regurgitation on echocardiogram. He has no
cardiac symptoms. What feature in
echocardiogram would be the strongest
indication for AV replacement?
A. Anterior mitral valve leaflet fluttering B.
Holodiastolic reversal of flow
C. LVEF <50%
D. LVEDD <65
Q4. A 50 year old woman with a history of B. Pericardial Effusion
metastatic breast cancer who has recently
completed her first round of chemotherapy
presents with shortness of breath. Her
observations include BP 100/60 and HR 125
bpm, with ECG showing sinus tachycardia.
Her chest x-ray is shown below.
What is the most likely diagnosis?
A. Lymphangitis carcinomatosis B.
Pericardial effusion
C. PE with infarction
D. Atypical pneumonia
Q5. Which class of drugs is first line C. SSRIs
treatment for the management of obsessive
compulsive disorder?
A. Benzodiazepines
B. MOAIs
C. SSRIs
D. SNRIs
Q6. A 70 year old male with a history of B. Metoclopramide
Parkinson's disease presents with nausea
and vomiting. Which of the following
medications would most likely cause an
exacerbation of the patient's Parkinson's
disease?
A. Cyclizine
B. Metoclopramide
C. Domperidone
D. Ondanestron
Q7. Which of the following histological D. Linear IgG along the basement
membrane findings is most consistent with bullous
pemphigoid?
A. Granular IgG in the cell space and
basement membrane
B. Granular IgG in the basement membrane
C. Linear IgA along the basement membrane
D. Linear IgG along the basement membrane
Terms in this set (544)
A 25-year-old male patient is post induction d) Piperacillin and Tazobactam
chemotherapy for Acute Myeloid Leukaemia
and has an absolute neutrophil count of 0.4
x 109/L. He has no known allergies. He is
not known to be colonised with any
resistant micro-organisms. He is febrile to
38 degrees Celsius. He has a heart rate of
100 and a blood pressure of 120/70 mm
Hg. What is the most appropriate
empirical antibiotic regimen?
a) Flucloxacillin and Gentamicin
b)Moxifloxacin
c) Ceftriaxone and Metronidazole
d) Piperacillin and Tazobactam
e) Vancomycin,
A 74-year-old man present for review after Left Internal Carotid Artery
developing blurring of vision in his left eye
for 20 minutes which has now resolved. He
had a similar episode whilst driving two
weeks ago, but reports being able to
continue driving as his right eye was
unaffected. His neurological examination is
unremarkable.
He likely has a stenosis of which artery?
Basilar Artery
Right Internal Carotid Artery
Left Internal Carotid
Artery Left Vertebral
Artery
Right Vertebral Artery,
,An elderly lady presents to ED and is found Hydrochlorothiazide
to be hyponatraemic. She is on each of the
following medications. Which of the
following is the most likely cause of her
hyponatraemia?
Candesartan
Hydrochlorothiazide
Simvastatin
Metoprolol
Trimethoprim
A 40-year-old male presents to ED with a Autosomal Dominant Polycystic Kidney Disease
sudden onset headache. The headache is
severe. On examination, he has abdominal
fullness, haematuria and proteinuria. What is
his most likely diagnosis?
Autosomal Dominant Polycystic Kidney
Disease
IgA Nephropathy
Medullary Sponge Kidney
Polyarteritis Nodosa
Cirrhosis
Which of the following serum electrolyte c) Calcium
levels typically decreases in tumour lysis
syndrome?
a) Sodium
b)Potassium
c) Calcium
d) Phosphate
e)Magnesium
Q1. A 72 year old man presents with C.
CXR unilateral ptosis and meiosis. What is the best
initial investigation?
A. MRI B
B.CTB
C. CXR
D.CT Carotid Angiography
Q2. A 53 year old woman presents with C. Flucloxacillin
sudden onset joint pain and swelling. She is
febrile with a WCC of 13. Joint aspirate
shows 103,000 WCC with >95% neutrophils.
What is the most appropriate initial
choice of antibiotic?
A. Ceftazidime B. Clindamycin C.
Flucloxacillin D. Tazocin
, Q3. A 54 year old man has severe aortic C. LVEF < 50%
regurgitation on echocardiogram. He has no
cardiac symptoms. What feature in
echocardiogram would be the strongest
indication for AV replacement?
A. Anterior mitral valve leaflet fluttering B.
Holodiastolic reversal of flow
C. LVEF <50%
D. LVEDD <65
Q4. A 50 year old woman with a history of B. Pericardial Effusion
metastatic breast cancer who has recently
completed her first round of chemotherapy
presents with shortness of breath. Her
observations include BP 100/60 and HR 125
bpm, with ECG showing sinus tachycardia.
Her chest x-ray is shown below.
What is the most likely diagnosis?
A. Lymphangitis carcinomatosis B.
Pericardial effusion
C. PE with infarction
D. Atypical pneumonia
Q5. Which class of drugs is first line C. SSRIs
treatment for the management of obsessive
compulsive disorder?
A. Benzodiazepines
B. MOAIs
C. SSRIs
D. SNRIs
Q6. A 70 year old male with a history of B. Metoclopramide
Parkinson's disease presents with nausea
and vomiting. Which of the following
medications would most likely cause an
exacerbation of the patient's Parkinson's
disease?
A. Cyclizine
B. Metoclopramide
C. Domperidone
D. Ondanestron
Q7. Which of the following histological D. Linear IgG along the basement
membrane findings is most consistent with bullous
pemphigoid?
A. Granular IgG in the cell space and
basement membrane
B. Granular IgG in the basement membrane
C. Linear IgA along the basement membrane
D. Linear IgG along the basement membrane
