- In acute osteomyelitis,
a.
Polymicrobial aetiology is common
b.
Raised CRP indicates an acute infective
process
c.
Collection of pus is identifies
ultrasonically
d.
MRI is contraindicated
e.
Plain radiographs remain normal for the
1st 7-10 days
- A
55 year old diabetic man presents to the local hospital with a painless
heel ulcer of 3 months duration. He does not claudicate and all the
peripheral pulses are present. The ulcer is clean and there is no
cellulitis. His HbA1c is 8.5 (non-diabetic <6.7). He uses regular foot
ware at all times. The factors that contribute to non healing in this man
are,
a.
Wound infection
b.
Weight bearing on the ulcer
c.
Macrovascular occlusive disease
d.
Peripheral neuropathy
e.
Poor bleed sugar control
- Papillary
CA of the thyroid,
a.
Occurs commonly in long standing
nodular goiters
b.
Spread via lymphatics
c.
Is reliably diagnosed on FNAC
d.
Is effectively treated with radioiodine
as an alternative to surgery
e.
Has excellent long term survival
- Regarding
renal transplantation,
a.
Brain dead, heart beating cadavers are
an important source worldwide
b.
Live donors do not need life long
surveillance
c.
HLA mismatch is a contraindication
d.
Cellular rejection is mediated by
neutrophils
e.
Immunosupression is required in the
long term for recipients
- A
45 year old woman is noted to have 2cm solitary stone in the gall bladder on
a routine abdominal US study. She,
a.
Most likely has a cholesterol stone
b.
Is likely to develop obstructive
jaundice as a complication
c.
Has a significant risk of gall bladder
CA
d.
Should undergo CT confirmation of the
US diagnosis as the next step
e.
Should have a cholecystectomy in the
next 3 months to prevent complications
- Intermittent
claudication due to arterial occlusive disease,
a.
Is worse at night
b.
In diabetics, progress to gangrene in
>50% of instances
c.
Improves with low dose aspirin therapy
d.
Is an independent risk factor for MI
e.
Is best treated with early bypass
surgery
- Causes
of an umbilical discharge include,
a.
Umbilical granuloma
b.
Umbilical hernia
c.
Patent vitello-intestinal duct
d.
Patent urachus
e.
Unobliterated umbilical vein
- Familial
adenomatous polyposis,
a.
Spares small bowel
b.
Is due to a defect in the DNA repair
system genes
c.
Is diagnosed when more than 100 polyps
are present
d.
If suspected, screening of the family
is indicated
e.
Is treated by total proctocolectomy
- CA
of tongue,
a.
Presents as a painless ulcer
b.
Spreads to the submandibular LNs
c.
In the anterior 2/3rd
carries worse prognosis than when it is in the posterior third
d.
In the posterior part presents with
dysphagia
e.
Is resistant to radiotherapy
- A
60 yr old diabetic pt underwent anterior resection for rectal cancer. He
has an IV infusion and a urinary catheter. On the 4th post-op
day, he becomes tachypnoeic, tachycardic, & hypotensive. WOTF causes
must be considered?
a.
Metastatic disease
b.
Pul. embolism
c.
Inadequate analgesia
d.
Anastamotic leakage
e.
UTI
- Duodenal
ulcer,
a.
If due to H. pylori, treated with
amoxicillin & metronidazole
b.
Are pre malignant
c.
Vagotomy is an essential component in
the management
d.
Perforation is managed conservatively
in the majority
e.
Bleeding may require surgical Mx in
minority
- 35yr
old female (wt-60kg) had 2o burns in anterior aspect of face, head and
neck
a.
BSA is approximately 10%
b.
IM pethidine is contraindicated
c.
Fluid requirement in the first 8 hrs is
50% of that for 24 hrs
d.
Urinary catheter is required to monitor
UOP
e.
tracheostomy is a procedure to be
prepared for