Questions I remember from my GP prometric exam on 14/06/2015.

1. At which position is the hand most vulnerable to infection during a human bite?
a. Clenched fist
b. Extended fingers
c. Dependent
d. (can’t remember)

2. Epidemiology question: what is the prevalence of DVT?

3. Straight forward case of diagnosis, otitis media in a child

4. Case of right ear deafness with past history of otitis media, rinne test negative, weber test
louder on the right, diagnosis:
a. Serous otitis media
b. Chronic otitis media
c. Otitis externa
d. Mastoiditis

5. Diabetic nephropathy. Chart showing micro and macro albuminuria and GFR (sorry couldn’t find
anything close on google). How long after diagnosis did it start:

6. Case of multigravida with slow progress in labour (sorry couldn’t recall figures)

7. Drug least effective for prophylaxis of migraine:

a. Beta blocker
b. Tricyclic antidepressant
c. SSRI
d. Antiepileptics

8. Case of uveitis
9. Similar chart, question asking for the serological marker disappearing just before the window
period and the one appearing straight after (HbsAg and antiHbs)

10. 20 year old male can for a routine checkup, everything was normal, how frequent should his eye
exams be?
a. Twice before 25
b. At least once before 30
c. Annual
d. When symptomatic

11. 32 year old male came with facial spasms (chvostek’s sign). Labs: PTH (high) Ca (low) vitamin D
(normal) creatinine (high)
a. Digeorge syndrome
b. Pseudohypoparathyroidism
c. Chronic renal failure
d. Vitamin D deficiency

12. What is true regarding anorexia nervosa?

13. Young male presented with chest pain, improve with leaning forward aggravated by lying
supine. There was a CXR showing an enormous heart shadow
a. Pleurisy
b. Pericardial effusion
c. Hiatal hernia
d. (can’t remember)

14. Varicella vaccine, patient received a single dose about a year ago, how to proceed?

15. Alcoholic male with retching presented with sudden severe chest pain (CXR was given)
a. Boerhaave (esophageal rupture)
b. Mallory-Weiss syndrome
c. (can’t remember)

16. Young patient, status post renal transplantation, his mother was asking about the MMR, your
advice would be:
a. Its contraindicated
b. schedule an appointment
c. (can’t remember)

17. Obese child, BMI of 32, your advice to the mother:

a. Life style modification
b. (can’t remember)

18. Obese patient with DM and HTN, your advice regarding losing weight:
a. Decrease carbohydrate intake during day time
b. Decrease carbohydrate and increase fat intake
c. Decrease 500 kcal/kg/ week
d. Decrease caloric intake to 800 kcal/day

19. What maneuver to do on the pinna when examining the tympanic membrane in a child?
a. Inferior and posterior
b. Inferior and anterior
c. Superior and posterior
d. Superior and anterior

20. Signs of codeine intoxication:

a. Tremors and anxiety
b. CNS excitement and insomnia
c. Respiratory depression and bradycardia
d. Tachycardia and anxiety
21. Long case; pt. with Lt and Rt sided heart failure, where’s the fluid collecting?
a. Interstitial space
b. Venous
c. Arteriolar
d. Capillary

22. Causes of hyperuricemia (there was a table with several medical conditions and medications and
you have to choose the column with the correct combinations)

23. Case of elderly with bilateral knee pain aggravated by physical activity and worse at the end of
the day
a. Osteoarthritis
b. Osteomalacia
c. Rheumatoid arthritis
d. (can’t remember)

24. Case of epistaxis, no past history of bleeding disorders, no petechiae. By examination it was
from the posterior nasal septum, management:
a. Coagulation studies
b. Posterior nasal tampon
c. Place the patient on recumbent position
d. Spray local anesthetic and vasoconstictive agent