TRAS

October 1998
Surgery

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1- Signs of Expansion of Intra-cranial Lesions include;a. *Tachycardia. b. *Hypertension. c. *Small Pupils. d. Increasing GCS score. e. Deteriorating level of Consciousness. 2- Plastic Surgery; a. *Basal Cell Carcinoma metastasizes to Regional Lymph Nodes. b. Squamous Cell Carcinoma increases in the patients with Renal Transplantation. c. Burns to the Face rarely needs Admission. d. Burn to the whole lower Limb in an adult represents 10% of Body Surface Area. e. Exposed Tendons & bones always need Split thickness Skin Graft. 3- The following increase the Incidence of Oesophagus Carcinoma:a. Columnar Metaplasia in the Oesophagus. b. Achalasia. c. Smoking. d. Blood group-A. e. Helicobacter Pylori. 4- Oesophageal Stricture;a. The commonest cause is Reflux Oesophagitis. b. Frequently responds to Dilatation. c. May be due to Dye ingestion. d. *Usually needs Colonic Replacement. e. Usually present with Aspiration Pneumonia. 5- The following are True;a. Dorsal Angulation is Characteristic of Colles Fracture. b. *Ulnar Impaction is seen in Smith's Fracture. c. Scaphoid Fracture: treatment needs Immobiuzation of the First Joint of the Thumb. d. *Bennitts fracture involves the Radius. e. Frozen Shoulder may complicate Wrist Fracture. 6- In Diabetic patients;a. There is Resistance to infection. b. There is increased Insulin Requirements Peri-operaiively. c. They should be on the Top of the Operative list. d. They should be monitored by Urinalysis in the Post-operative period. e. They have Poor Wound Healing. 7- The following are True in Pyloric Stenosis;a. Metabolic Acidosis. b. Succusion Splash. c. *Billiou's vomiting. d. Visible Peristalsis. e. Discoloration of the urine.

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8- Breast Cancer;a. Incidence is 1:20 in Western Countries. b. Chemotherapy is contraindicated in Inflammatory Carcinoma. c. Tamoxifen may be used as Prophylaxis in High-risk patients. d. Post-menopausal patients with Ca Breast, Node +ve & Oestrogen Receptor +ve should be treated by Adjuvant Therapy. 9- The following are True about Groin Hernias:a. Symptomatic Femoral Hernias are Irreducible. b. The Absence of Obstruction excludes Strangulation. c. Scrotal Extension is more with indirect Hernias than Direct Hernias. d. Small Defects do not need Repair. e. They are associated with Hypertrophy of the Prostate. 10- Complications of Crohns Disease include;a. Perianal Abscess. b. Iritis. c. Ascending Cholangitis. d. *Poylarhtropathy. e. Pyoderma Gangrenosum. 11- The following are True about Ulcers;a. Ischemic ulcers are Painless. b. Malignant Ulcers are characterized by everted edges c. Ischaemic Ulcers occur on the Lateral aspect of the Leg. d. *Venous ulcers are Punched-out. e. Marjolin Ulcers are precancerous. 12- In Urogenital malignancies:a. Carcinoma of the prostate usually presents with painless haematuria. b. Carcinoma of Bladder usually treated by Cystoscopy. c. The Incidence of Penile CA increases if the patient is Circumcised. d. Testicular CA is usually treated by chemo without the need for Orchidectomy. e. *Renal Cell Carcinoma can be treated by Immuno-chemotherapy. Medicine

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13- The following are reliable in upper motor neuron Lesions;a. Extensor Plantars. b. Increased Abdominal Reflexes. c. Persistent Ankle Clonus. d. Hyperreflexia e. Positive Babiniski's Sign. 14- Third Nerve Palsy causes the following on the same side of the Lesion;a. Pupil Dilatation. b. Ptosis. c. Absence of Facial Sweating. d. Loss of Lateral Gaze. e. Loss of Accommodation. 15- Recognized Features of Thyrotoxicosis include;a. Glycosuria. b. *Deafness. c. *Ataxia. d. Unilateral Exophthalmous. e. Peripheral Myxoedema.
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October 1998

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16- Recognized features of Rheumatoid Arthritis;a. Hypertrophied Lymph nodes. b. Osteoarthrosis in later Stages. c. *Acute Febrile Illness. d. Early involvement of Sacro-iliac joint. e. Granulomatous disease of the Sclera. 17- Features of SLE includes:a. Equal incidence in males & females. b. *Leucocytosis. c. Butterfly rash on the Face is Characteristic. d. Renal Failure. e. *May be caused by Sulphonamides. 18-Recognized causes of Clubbing are;a. Chronic Bronchitis. b. *Aortic Aneurysm. c. Fibrosing Alveolitis. d. Crohn's disease. e. Infective Endocarditis. 19- The following are causes of Diminished Breath Sounds;a. Pneumothorax. b. Pleural effusion. c. Consolidation. d. Lung Collapse due to Foreign Body Obstruction. e. Bronchiactesis. 20- Well recognized features of Crohn's disease are:a. Iritis. b. Hydronephrosis. c. Erythema Marginatum. d. Cholangio-carcinoma. 21- Hepatic Encephalopathy is precipitated by;a. Surgical Operations. b. Oral Neomycin. c. Hyprekalaemia d. Barbiturates. e. Constipation. 22- In Bronchial Carcinoma;a. *Oat Cell Cancer is of Good Prognosis. b. Patient may present with Haematuria. c. Oat Cell Type can secrete ADH. d. If the Diaphragm is paralyzed, it is lifted when the patient sniffs. e. If Apical can lead to Horner's Syndrome. 23- Phenylbutazone causes; a. Oedema. b. Haematemesis. c. *Alopecia. d. Agranulocytosis. e. Nausea & Vomiting.

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24- The following are related to each other;a. Sugar Cane & Byssinosis. b. Tin Mining & Siderosis. c. Metal Grinding & Silicosis. d. Farming & Extrinsic Allergic Alveolitis. e. Plastic and Rubber & Bronchial Asthma. 25- Crohn's Disease is characterized by;a. Skip Lesions. b. Cobble Stone Lesions. c. Affects only Mucosal Layers. d. ______________________ PSYCH 26- *Alzheimer s Disease; a. Affects men more than women. b. Delta & Beta-waves occur in EEG. c. High Neurofibrillary Tangles correlate with increase in Severity. d. Commonest cause of Dementia at any age. e. Is Common in patients with Down's Syndrome. f. May be Familial in 10%. g. Reduction in the Biochemical Matter correlates with Cognitive Therapy. 27- *Anorexia Nervosa;a. Of poor prognosis if affected lower classes. b. Dental Problems commonly occurs. c. FSH does not return to Normal even after treatment d. There is Hypokalaemia. e. There is increased level of Cortisol. 28- ECT:a. Used in the treatment of Puerperal Psychosis. b. Is better than Medication in the treatment of Depression. c. *Is more successful in Depression with Delusion. d. *Is of no use in Neurotic Depression. e. *Has been validated in Double Blind Trials. f. It causes brief memory Disturbance after Application. 29- *Clozapine:a. Causes Agranulocytosis. b. Is used in the treatment of Resistant Schizophrenia. c. Does not cause Tardive Dyskinesia d. Acts on D1 Receptors. e. 30- *Temporal Lobe Epilepsy;(Q-21 paeds notes) a. Deja'vu occurs b. Smell Hallucinations occur. c. Is followed by Paralysis of one or two limbs for one or two hours. d. Anti-social Behavior occurs. e. Consciousness is affected.

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31- *Obsessive Thoughts;a. Can usually be resisted. b. Are usually Acted-upon. c. Coming from the subject's own Mind. d. Are Rituals. e. Are associated with Depression.

October 1998

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32- *Delirium is more common when the following conditions are present: a. Hypothyroidism. b. Broncho-pneumonia. c. An Unstimulating Environment. d. Treatment with Benzodiazepines e. Increasing Age. 33- *Anxiety Neurosis;a. Twins studies proved Genetic Elements. ' b. Found in men more than women. c. Cases of Pathological Anxiety are usually referred to 34- Enuresis:(Q-20 notes-paeds) a. Is associated with a Psychiatric Disorder in the majority of cases. b. Can be treated by Antidepressants. c. Runs in Families. d. *Occurs during Non-REM sleeping. e. Occurs in 1% of the Teenagers. OBS & GYN

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35- Supports of the Uterus include:a. Levator Ani Muscles. b. Utero-sacral ligaments. c. Pubo-cervical Ligaments. d. Round Ligaments. e. *Infudibulo-pelvic Ligaments. 36-Urogenital Ridge gives;a. Urinary Bladder. b. Uterus. c. Cervix. d. Vulva. e. Fallopian Tubes. 37- The following increase during Pregnancy;a. *Sodium b. Cardiac Output increases because of increased Heart Rate. c. Haematocrit. d. *Serum Aldosterone. e. Renal Blood Flow increases by 50%. 38- Smoking with Pregnancy;a. Premature Labour. b. Intra-uterine Growth Retardation (IUGR). c. *Pre-eclamptic Toxaemia PET. d. Placental Abruption. e. *Iron Deficiency Anaemia.
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(Q-26 notes)

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October 1998

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39-Gestational Diabetes Mellitus;a. *Found more in cases of Hyperemesis Gravidarum. b. Almost always leads to IDDM. c. *Leads to Macrosomia. d. Increased chances of Pre-eclamptic Toxaemia. e. Increased incidence of Vaginal Thrush. 40- The following are Anterior Pituitary Hormones;a. *Prolactin. b. Insulin. c. Estradiol d. *LH. e. Oxytocin. 41- *Diagnosis of Endometrial Carcinoma depends on;a. Cervical Smear. b. Endometrial Curettage. c. Hysteroscopy. d. Ionizing radiation. e. Chemotherapy.

(Q-18 notes)

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42. The following Infections are transmitted Trans-placentally to the Foetus;a. *Malaria. b. Toxoplasmosis, c. CMV. d. *Herpes Simplex. e. Rubella. f. *Echovirus. g. *Coxackie virus. 43- Double Blind Trial can be used to compare: (Q-23 notes) a. Methyldopa & Labitolol in the treatment of PET. b. Clomiphine & Tamoxifen in Induction of Ovulation. c. Hysterectomy & Endometrial Resection in the treatment of Menorrhagia. d. Aspirin & Placebo in the Prevention of PET. e. Outpatient & Inpatient Management of Asymptomatic Placenta Praevia. 44- Combined Oral Contraceptive Pills Increase the Incidence of;a. Ovarian Carcinoma. b. *Endometrial Carcinoma. c. DVT. d. Ectopic Pregnancy. e. Endometriosis. 45- Candidiasis increases by the following;a. Pregnancy. b. Steroids. c. *Broad-spectrum Antibiotics. d. Diabetes Mellitus. e. *Vaginal Delivery.
(Q-22 notes)

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October 1998

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46- The following Conditions tend to improve with Pregnancy;a. Migraine. b. Rheumatoid Arthritis. c. *Multiple Sclerosis. d. Asthma. e. Epilepsy. f. Graves disease. g. Sarcoidosis. h. Peptic ulcer.

(Q-20 notes)

PAEDS T T F T F 47- The following Vaccine are given either IM or SC:a. Measles. b. Tetanus. c. *Poliomyelitis 21. d. Small pox. e. *Tuberculosis.

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48- Cows milk contains the following more than Breast milk;a. Sodium b. *Lactose. c. Fats. d. Proteins. e. Phosphate

(Q-22 notes)

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49- Pertussis;(Q-23 notes) a. Usually caused by Bordetella pertussis. b. Almost never occur before 3 months age because of Breast Milk Immunity. c. *Mildly Contagious. d. Characterized by recurrent bouts of cough followed by Vomiting. e. Associated with Subconjuctival Hemorrhage. 50- Heart Failure in Infancy; a. Never occurs in the first day of life. b. Presents with Lower Limb Oedema. c. Presents with Hepatomegaly. d. Digoxin is never used. e. Leads to Feeding Difficulty. f. The JVP is helpful. 51- Infantile Eczema;a. Increases by Frequent Bathing. b. On the face is never treated by Topical Fluorinated corticosteroids. c. Improves with Cow Milk free Feeding. d. Improves with Hot Weather. e. Associated with Eosinophelia. f. Presents at birth. g. Causes Itching between 2-12 month.
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(Q-27 notes) 52- Cot Death;a. > 50% is Preventable. b. If occurred in one sibling, incidence increases in the following siblings. c. *Usually the cause is Parental Failure. d. Cause is identified in 90% of autopsies. e. Is related to parental Smoking.

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*53- You will be worried if a Child by the age of;a. 7 months can sit alone. b. 18 months can say sentence. c. 6 months has Head Lag when lifted from Supine Position. d. 10.5 months have a good Pincer Grip. e. *54- You will think of Handicap if the Child by the age of:a. 18 month can not walk. b. 6 months still has Moro Reflux. c. 2 year has hand preference. d. 18 month has Toy Mouthing. e.

(Q-26-A notes)

(Q-26-B notes)

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