1.
Pulmonary oedema can be caused by
A. Aspiration of pleural effusion
B. Bronchiectasis
C. Cerebral injury
D. High altitudes
E. Mitral stenosis
2. Hypertension refractory to medical therapy requires exclusion of the following
possibilities
A. Excessive use of multi-vitamins
B. Renal artery stenosis
C. Pheochromocytoma
D. Anti-inflammatory drug therapy
E. Hypoadrenalism
3. In the management of acute pancreatitis
A. Early laparotomy is advisable to exclude alternative diagnosis
B. Opiates should be avoided because of spasm of the sphincter of Oddi .
C. Intravenous fluids are unnecessary in the absence of a tachycardia
D. The urine output and paO2 should be monitored ‘
E. persistent elevation in the serum amylase suggests pancreatic duct obstruction.
4. The cardiac drugs listed below are associated with the following adverse effects
A. Digoxin-acute confusional state
B. Verapamil- constipation
C. Amiodarone- photosensitivity
D. Propafenone- corneal microdeposits
E. Lidocaine (lignocaine)- convulsions
5. Headache caused by increased intracranial pressure has the following characteristics
A. Worse in the morning
B. Worse when the patient is upright
C. Intensified by coughing
D. Usually felt diffusely over the head
E. May be accompanied by vomiting
6. Low serum potassium may be found in
A. Stored blood transfusion
B. Conn's disease
C. Excessive vomiting
D. ACE inhibitor therapy
E. Spironolactone therapy
7. Central cyanosis is an expected finding in
A. Superior venacava obstruction
B. Fibrosing alveolitis
C. Polycythaemia
D. Hypothermia
E. Chronic bronchitis
8. The following are opiates withdrawal symptoms
A. Constipation
B. Constricted pupil
C. Insomnia
D. Piloerection
E. Running nose
9. Hypoglycaemic coma
A. May be caused by chlorpropamide.
B. May follow after unaccustomed exercise in IDDM taking insulin injection.
C. Is associated with ketonuria.
D. Is associated with signs of dehydration.
E. is a common finding in children/pregnant women with severe falciparum
malaria.
10. In Cirrhosis of the liver, hepatic encephalopathy is precipitated by
A. Infection
B. Hypokalemia
C. Constipation
D. Diarrhoea
E. Varices bleeding
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1. Typical features of acute pericarditis include
A. chest pain identical to that of myocardial infarction
B. friction rub that is best heard in the axilla in mid-expiration
C. ST elevation on the ECG with upward concavity
D. elevation of serum creatine kinase
E. ECG changes that are only seen in the chest leads.
2. Causes of pancytopenia are
A. Acute leukaemia
B. Hypersplenism
C. Systemic lupus erythematosus
D. Felty’s syndrome
E. Carcinoma
3. Hypoglycaemic coma
A. May be caused by chlorpropamide.
B. May follow after unaccustomed exercise in IDDM taking insulin injection.
C. Is associated with ketonuria.
D. Is associated with signs of dehydration.
E. is a common finding in children/pregnant women with severe falciparum
malaria.
4. In the management of acute pancreatitis
A. Early laparotomy is advisable to exclude alternative diagnosis
B. Opiates should be avoided because of spasm of the sphincter of Oddi .
C. Intravenous fluids are unnecessary in the absence of a tachycardia
D. The urine output and paO2 should be monitored ‘
E. persistent elevation in the serum amylase suggests pancreatic duct obstruction
5. In Cirrhosis of the liver, hepatic encephalopathy is precipitated by
A. Infection
B. Hypokalemia
C. Constipation
D. Diarrhoea
E. Varices bleeding
6. The cardiac drugs listed below are associated with the following adverse effects
A. Digoxin-acute confusional state
B. Verapamil- constipation
C. Amiodarone- photosensitivity
D. Propafenone- corneal microdeposits
E. Lidocaine (lignocaine)- convulsions
7. Characteristic features of Nephrotic syndrome are
A. Pyuria
B. Pain in lumber regions
C. Retention of urine
D. Proteinuria
E. Metabolic acidosis
8. An elevated blood urea level is characteristic of
A. Severe pyloric stenosis
B. Nephrotic syndrome
C. Chronic renal failure
D. Gastrointestinal haemorrhage
E. Cirrhosis of liver
9. Causes of acute tubular necrosis include
A. minimal change glomerulo-nephritis.
B. Accelerated hypertension.
C. Disseminated intravascular coagulation.
D. Snake bite.
E. Burns
10. The following disorders characteristically produce type I respiratory failure
A. Kyphoscoliosis
B. Gullain-Barre polyneuropathy
C. Acute respiratoy distress syndrome (ARDS)
D. Extrinsic allergic alveollitis
E. Inhaled foreign body in a major airway.
……………………………………………………………………………………………………………………………………………………………
The clinical features of acute myocardial infarction include
A. Nausea and vomiting
B. Breathlessness and angor animi
C. Hypotension and peripheral cyanosis
D. Sinus tachycardia or sinus bradycardia
E. Absence of any symptoms or physical signs.
2. The common causes of Haematemesis and malaena include
A. Gastric ulcer
B. Oesophageal varices
C. Ca Stomach
D. Appendicitis
E. Duodenal ulcer.
3. Typical features of hepatic encephalopathy include
A. Disordered sleep and loss of concentration
B. Aggressive behavior and personality change
C. Yawning and hiccupping
D. Drowsiness and disorientation
E. Confusion progressing to coma
4. The following are found in hypoglycaemia
A. Fits
B. Sweating
C. Hypotension
D. Bradycardia
E. Hyperventilation
5. Clinical features of diabetic ketoacidosis include
A. Dry tongue and skin
B. Air hunger
C. Vomiting
D. Abdominal pain
E. Hypertension
6. Salicylate overdosage produces
A. Tinnitus
B. Hypercapnoea
C. Sweating
D. Mental confusion
E. Hypothermia
7. The following are true of viper bites.
A. marked tissue necrosis.
B. Ptosis.
C. Marked haemorrhage.
D. Respiratory failure.
E. Myalgia
8. Thiamine deficiency is associated with
A. heart failure.
B. nystagmus.
C. confusion.
D. neuropathy.
E. chronic alcoholic
9. Typical clinical features in patients with Type II respiratory failure include
A. retinal venous distension.
B. Drowsiness.
C. Cold and clammy skin.
D. Headache.
E. Muscle twitching
10. Clinical features of raised intracranial pressure include
A. tachycardia and hypotension.
B. Headache aggravated by bending and straining.
C. Behavioural and personality changes.
D. Acute blurring of vision.
E. Absent corneal reflexes
F. 6th or 3rd cranial nerve palsy
