1
SBA MEDICINE SEM 5 ALL QUESTIONS WITH
CORRECT ANSWERS
LUMIERE SEM 5
1. Q: 45 year old come with renal colic pain. Xray detected no
abnormalities. KUB sonography shows 6mm stone at left renal
pelvis. What is the possible type of stone?
A.Calcium oxalate
B.Uric acid
C.Hydroxyapatite
2. Q: A 35 y/o woman presented to the clinic with multiple joint
deformities involving both hands and noted to have ulnar
deviation at the wrist. What is the most likely diagnosis?
A. Rheumatoid arthritis
B. Septic arthritis
C. Gouty arthritis
3. Q: An 70 years old man comes with complain of lesion on the face.
The lesion has pearly border and telangiectasia on the center of
the lesion. What is the possible prognosis?
A. Squamous cell carcinoma
B. Basal cell carcinoma
C. Melanoma
LUMIERE SEM 6
1. A 50 y/o male with chronic Hepatitis B and liver cirrhosis admit
to emergency due to hematemesis.
Best class medication?
A. Vasopressin antagonists.
B. Proton pump inhibitors.
C. H2 receptors antagonists.
2. 10 y/o boy presented with dry skin and lichenification at flexure
of elbow and knee, which is the most important information for
diagnosis?
A. Personal H/O asthma
,2
B. Severe itch
C. Family H/O skin disease
3. A 50 year old man presented with a 4 day history of fever, cough
with productive greenish sputum. Chest radiograph showed left
pleural effusion and a diagnostic pleural tapping done.
Pleural fluid investigation useful in determine course of
management
A. Biochemistry profile
B. Cytology
C. Culture and sensitivity
4. 17y/o female. Progressive lethargy and pale.
Hb : 7.6 (low)
MCV : 50fL(low)
MCL : 21pg (low)
TWBC : normal
Plt : 200 x 10^9 /L (normal)
A) IDA
B) Thalassemia
C) Sideroblastic anemia
LUMIERE SEM 9
N Soalan Pilihan jawapan
o.
1 A 42 y/o man noticed change of voice and a. Thyroid
increased in his shoe size over the past 2 years. function test
Physical examination revealed enlarged b. Random
extremities and bitemporal hemianopia. growth
hormone
Which of the following is the most appropriate c. Insulin-like
investigation? growth
hormone [IGF-
1]
2 A 30 year old female complained of 3 months A. Carbimazol
, 3
history of palpitation, heat intolerance and B. Propranolol
irritability. Physical examination revealed C. Lugols iodine
tachycardia, hand tremors and excessive
sweating.
Which is best treatment for immediate relief of
her symptoms?
3 A 50 year old diabetic was admitted with fever A. Subcutaneous
and lethargy. His blood glucose was 28mmol/L basal bolus
with positive urine ketones. insulin
B. IV antibiotic
Which of the following is the most important C. IV saline
treatment at this stage?
4 30 y/o male on treatment for renal tubular A. Serum calcium
acidosis (distal type) present with progressive B. Serum
generalized weakness last 2 days. Which potassium
following electrolytes must affected his C. Serum
condition? magnesium
5 46 years old male with no previous medical A. Post
illness complaint of passing blood in urine 2 day streptococcal
prior presentation. He has h/o sore throat and glomerulornep
low grade fever a day prior that. No h/o sandy hritis
urine B. IgA
nephropathy
What is the most likely diagnosis C. pyelonephritis
6 A 65 y/o man on regular hemodialysis since the A. Tertiary
last 5 years ℅ generalised bone pain and body hyperparathyro
itchiness. Blood ix idism
Ca : 1.7 mmol/L (2.2-2.6) B. Secondary
PO4 : 3 mmol/L (1.13-1.77) hyperparathyro
ALP : 200 IU/L (less than 140) idism
Which of the following likely to describe his C. Primary
condition? hyperparathyro
idism
SBA MEDICINE SEM 5 ALL QUESTIONS WITH
CORRECT ANSWERS
LUMIERE SEM 5
1. Q: 45 year old come with renal colic pain. Xray detected no
abnormalities. KUB sonography shows 6mm stone at left renal
pelvis. What is the possible type of stone?
A.Calcium oxalate
B.Uric acid
C.Hydroxyapatite
2. Q: A 35 y/o woman presented to the clinic with multiple joint
deformities involving both hands and noted to have ulnar
deviation at the wrist. What is the most likely diagnosis?
A. Rheumatoid arthritis
B. Septic arthritis
C. Gouty arthritis
3. Q: An 70 years old man comes with complain of lesion on the face.
The lesion has pearly border and telangiectasia on the center of
the lesion. What is the possible prognosis?
A. Squamous cell carcinoma
B. Basal cell carcinoma
C. Melanoma
LUMIERE SEM 6
1. A 50 y/o male with chronic Hepatitis B and liver cirrhosis admit
to emergency due to hematemesis.
Best class medication?
A. Vasopressin antagonists.
B. Proton pump inhibitors.
C. H2 receptors antagonists.
2. 10 y/o boy presented with dry skin and lichenification at flexure
of elbow and knee, which is the most important information for
diagnosis?
A. Personal H/O asthma
,2
B. Severe itch
C. Family H/O skin disease
3. A 50 year old man presented with a 4 day history of fever, cough
with productive greenish sputum. Chest radiograph showed left
pleural effusion and a diagnostic pleural tapping done.
Pleural fluid investigation useful in determine course of
management
A. Biochemistry profile
B. Cytology
C. Culture and sensitivity
4. 17y/o female. Progressive lethargy and pale.
Hb : 7.6 (low)
MCV : 50fL(low)
MCL : 21pg (low)
TWBC : normal
Plt : 200 x 10^9 /L (normal)
A) IDA
B) Thalassemia
C) Sideroblastic anemia
LUMIERE SEM 9
N Soalan Pilihan jawapan
o.
1 A 42 y/o man noticed change of voice and a. Thyroid
increased in his shoe size over the past 2 years. function test
Physical examination revealed enlarged b. Random
extremities and bitemporal hemianopia. growth
hormone
Which of the following is the most appropriate c. Insulin-like
investigation? growth
hormone [IGF-
1]
2 A 30 year old female complained of 3 months A. Carbimazol
, 3
history of palpitation, heat intolerance and B. Propranolol
irritability. Physical examination revealed C. Lugols iodine
tachycardia, hand tremors and excessive
sweating.
Which is best treatment for immediate relief of
her symptoms?
3 A 50 year old diabetic was admitted with fever A. Subcutaneous
and lethargy. His blood glucose was 28mmol/L basal bolus
with positive urine ketones. insulin
B. IV antibiotic
Which of the following is the most important C. IV saline
treatment at this stage?
4 30 y/o male on treatment for renal tubular A. Serum calcium
acidosis (distal type) present with progressive B. Serum
generalized weakness last 2 days. Which potassium
following electrolytes must affected his C. Serum
condition? magnesium
5 46 years old male with no previous medical A. Post
illness complaint of passing blood in urine 2 day streptococcal
prior presentation. He has h/o sore throat and glomerulornep
low grade fever a day prior that. No h/o sandy hritis
urine B. IgA
nephropathy
What is the most likely diagnosis C. pyelonephritis
6 A 65 y/o man on regular hemodialysis since the A. Tertiary
last 5 years ℅ generalised bone pain and body hyperparathyro
itchiness. Blood ix idism
Ca : 1.7 mmol/L (2.2-2.6) B. Secondary
PO4 : 3 mmol/L (1.13-1.77) hyperparathyro
ALP : 200 IU/L (less than 140) idism
Which of the following likely to describe his C. Primary
condition? hyperparathyro
idism
