Random Recalls 3

Question 1

Right testicular paon for 2 hours
Scrotum is tender and swollen spermatic cord thickened and can go abov3 the lump

Answer 1

Surgery

Question 2

Three most commonly performed operations for the treatment of obesity in Australia

Answer 2

Sleeve gastronomy
Adjustable gastric band
Round en Y gastric Bypass

Question 3

Most effective treatment of obstructive sleep apnea

Answer 3

Continuous positive airway pressure

Question 4

Which medication should be avoided in parkinsons disease

Answer 4

Haloperidol

Question 5

Melanoma 2.5mm deep with clear margins 1-2cm

Answer 5

Wide excision

Question 6

Pus surrounding the urethral meat’s
Foreskin partially retractable
No erythenatous or skin changes

Answer 6

Mypirocin cream
Bacterial balanitis

Question 7

Waddling
Difficulty in walking

Answer 7

Duchenne Musculat Dystrophy

Question 8

Patient sitting forward in distress
Visible peristalsis
Loud borborygmi
Dehydration
Increased sharp and tinkling bowel sounds

Answer 8

Small bowel obstructions

Question 9

Palpable breast mass
Quickest and most effective to diagnose breast cancer

Answer 9

Fnac

Question 10

Left sidedfacial weakness
Inability to close left eye and drooling from the corner of the moutherythematous vesicular rash along the auditory canal

Answer 10

Dx Ramsay Hunty Syndrome
It is a lower motor neuron facial palsy which results in the abrupt oneself of unilateral facial weakness, I.paired blinking and drooling from the corner of the mouth

Tx ACYCLOVIR ORAL

Question 11

Main complications of surgery for the retroperitoneal lymph node Dissection for the retroperitoneak metastasis from a non seminomatous testicular tumour

Answer 11

Retrograde ejaculation

Question 12

Right leg pain and swelling after swimming in the beach
Sharp sting on the right leg
By a bLue bottle jellyfish

Answer 12

Hot water immersion

Question 13

Fever
Right upper quadrant ain
Developing jaundice

Answer 13

Acute cholabgitis

Question 14

Vsd
Doppler USG shows small.left to right shunt with pulmonary to systemic flow ratio of less than 1.5

Answer 14

Infective endocarditis

Question 15

Best test to monitor heparin therapy

Answer 15

Activated partial thromboplastin time

Question 16

Deep.pain in the calf muscles that occurs intermittently after walking for a given distance and subsides after a few minutes of resr

Answer 16

Atherosclerosis stenosis of the distal duperficial femoral artery

Question 17

PSA below 4 0 ng /dl
Best initial treatment to prescribe

Answer 17

Finssteride
Dx. Benign Prostatic Hyoerteophy

Question 18

Mantoux test is reactive
Chest xray shoes a right made lobe infiltrate and hilar lymphadenopathy
Child s grandmother has similar symptoms
Fever cough and night sweats for 3 wks
Most appropriate enzt step

Answer 18

Gastric aspiration
PULMONARY TUBERCULOSIS

Question 19

Small red draining pustule on the lateral side of the right ring finger

Answer 19

CUTANEOUS sporotrichosis caused by the fungus sprothrix schenckii
Treated by Itraconazole

Question 20

Woman complains that her mother is undereducated and selfish and on the other hand she idealizes her aunt whom.she describes to be kind and source of strength in her life

Answer 20

Splitting

Question 21

Refers to the attribution of one’s feelings or beliefs to another

Answer 21

Projection

Question 22

Refers to the exaggeration of an individual qualities by an admirer

Answer 22

Idealization

Question 23

Refers to the transformation of psychological stressors into physical complaints

Answer 23

Conversion

Question 24

Refers to the selection of a particular object tor event to represent other meanings

Answer 24

Symbolization

Question 25

Trajectory bullet above the level of the angle of the mandible Most appropriate next step

Answer 25

Arteriogram

Question 26

Continuous machinery murmur that is most audible at the left infraclavicular area LVH is present in the Ecg CXR shows slight enlargement of the heart and increased venous markings

Answer 26

PDA

Question 27

Widely split and fixed second heart sound

Answer 27

ASD

Question 28

Harsh holosystolic murmur best heard over the lower left sternal border

Answer 28

VSD

Question 29

Presence of VSD right ventricular hypertrophy, plutonium stenosis and overriding aorta. Murmur is a long systolic ejection murmur

Answer 29

Tetralogy of Fallot

Question 30

High outched systolic ejection murmur most audible at the upper left sternly border Systolic thrill maybe present at the left sternly border and in the suprasternal notch

Answer 30

Pulmonic stenosis

Question 31

Chronic diarrhoea and weight loss Growth retardation Muscle wasting Distended abdomen Hyperactive bowel sounds Decrease serum iron and Foliate levels Dx?

Answer 31

Coeliac disease

Question 32

Continuous machinery murmur

Answer 32

PDA

Question 33

Sixty nerve palsy is caused very rarely by which one of the Ff

Answer 33

Low csf pressure after lumbar puncture

Question 34

Most common cause of acute limb ischaemia

Answer 34

Thrombosis

Question 35

Cognitive behavioural therapy is useful in all except

Answer 35

Sleep walking

Question 36

Jaundice, dark urine and pale stool Palpable gallbladder and moves with respiration No pain elicited Denied hx of pancreatic or alcohol intake

Answer 36

Periampullary tumour

Question 37

Best test todiagnose falcon's anaemia

Answer 37

Chromosome fragility test

Question 38

Bilateral parotid swelling noted with pre-sternal oedema

Answer 38

Parymyxovirus can be isolated from CSF in mumps meningitis

Question 39

Best initial treatment of Mallet finger caused by tendon injury

Answer 39

Maintain hyper extension of the distal interphalangeal joint for 6 wks

Question 40

Blinking of both eyes and smacking of mouth esp when watching television ir feeding Shrugging his shoulder on and off when walking

Answer 40

Habit spasms Aka Tics

Question 41

Fever, anaemia, high esr, elevated estr, scalp ain or tender

Answer 41

Grant cell arthritis Tx Prednisolone

Question 42

Blurring of vision Glare

Answer 42

Cataract

Question 43

Malodorous Gray with burning and itching

Answer 43

Gardnerella vaginalis Bacterial vaginosis

Question 44

Loud borborygmi Patient sitting forward in distress Visible peristalsis Dehydration Increase sharp and tinkling bowel sounds

Answer 44

Small bowl obstruction

Question 45

Tc for high blood pressure within end organ damage Fundoscooy shows bilateral papilloedema with exudate and haemorrhages

Answer 45

Intravenous Sodium nitroprusside

Question 46

Drug of choice for malignant hypertension in pregnancy

Answer 46

Hydralazine

Question 47

Dementia Myoclonus Ataxia Chorea

Answer 47

Creutzfeldt-Jakob Jakob disease

Question 48

Respiratory unfertilised and diarrhea

Answer 48

Cystic Fibrosis Sweat chloride Test

Question 49

Classic triad of dementia, gait disturbance and urinary incontinence

Answer 49

Normal.pressuee hydrocephalus

Question 50

Management I'd Psoriasis Arthritis

Answer 50

Sulfasalazine

Question 51

Man with dirty laceration on the keg 5 wks earlier got tetanus prophylaxis . What to administer ?

Answer 51

Fluxocacillin

Question 52

Breat lum 55 ductal 35 fibro 245 cystcic

Question 53

Danger sign breast

Answer 53

Dimpling

Question 54

Nipple discharge Bloody papillary ca below 50 Ductal carcinoma more than 50