PLAN DE ACCIÓN PARA LAS PERSONAS CON DISCAPACIDADPERSONAS CON DISCAPACIDAD

APPROPRIATE management would be:

a) Reassure the parents that the condition is self-limiting b) Refer for CT of the head

c) Instruct parents in a set of exercises to be done daily to strengthen the bad eye

d) Patch the good eye

e) Refer to an Ophthalmologist

EEE

Question 95

Which of the following conditions may have a fatal outcome? a) Angry looking napkin rash

b) Blue spots on the buttocks

c) Blue spots on the buccal mucosa

d) Diamond shaped area of hair loss on the scalp e) Variable-aged bruises with demarcated edges

EEE

* Question 96

Regarding sciatic pain, which of the following is TRUE? a) It is only felt in the buttock

b) It can occur in the absence of disc prolapse c) The pain is referred to the anterior thigh d) It is usually cured by operation

e) Groin pain is highly suggestive of nerve entrapment

EEE

Question 100

A three year old child has a generalized seizure lasting 3 minutes. He has a temperature of 38.5 degrees Celsius. After 30 minutes, he is seen to be playing happily with his mother. The MOST APPROPRIATE next step in

management is:

a) Arrange outpatient neurological review with EEG b) Perform lumbar puncture

c) Arrange for FBE, blood cultures and chest X-ray d) Commence valproate prophylactically

e) None of the above

EEE

Question 104

Terri is 16 years old and wishes to take the contraceptive pill. The BEST clinical predictor of post-pill amenorrhoea is:

a) Oestrogen dose in the pill b) Age since menarche

c) Use of sequential formulations d) Duration of regular cycling

e) Serum FSH and oestradiol mid-cycle

DDD

* Question 105

The MOST COMMON cause of chronic pancreatitis is: a) Virus infection

b) Gallstones c) Alcohol d) Carcinoma

e) Illicit IV drug use

CCC

* Question 106

Jenny is three years old. At this age she should be able to: a) Ride a three-wheeler bike

b) Create a tower of 8 cubes c) Do up her own buttons d) Name four colours e) Tie shoe laces

AAA

* Question 107

Elsie Warne, an 82 year old woman, has been a Nursing Home resident since suffering a Right parietal CVA three years prior. On presentation, she is obese and appears demented. Her BP is 160/100, pulse 60regular, and she has macroglossia and coarse skin. Her cholesterol is 12.4mmol/L. Her sudden death, three weeks later, was MOST LIKELY caused by:

a) Complete heart block

b) Hypertension induced Cerebrovascular accident

c) Excessive thyroxine replacement d) Acute myocardial infarction

e) Chronic obstructive sleep apnoea syndrome

CCC

In children, an innocent cardiac murmur has all of the following attributes EXCEPT:

a) Variation in loudness with change in posture b) Murmur heard in early diastole

c) An ejection click d) Absence of a thrill

e) Continuous murmur through systole and diastole

CCC

Question 112

A Pap report reads "No cervical columnar cells seen. No cellular

abnormalities seen. Red blood cells and bacteria present. Inflammatory-type smear". This result is not reliable because:

a) The transitional layer was not sampled b) Inflammation was present

c) The smear was traumatic

d) A spatula was used instead of a cytobrush e) It is clinically irrelevant

AAA

* Question 113

Concerning children with asthma, all of the following are recommended EXCEPT:

a) Education of the parents

b) Development of asthma care plans c) Ready use of oral prednisolone

d) Access to "reliever" at the child's discretion e) Desensitization to allergens orally or parenterally

EEE

* Question 114

Heidi Brown, a 22 year old teacher, presented complaining of increasing dysmenorrhoea and deep dyspareunia. Clinically, the speculum exam was normal, but there was a feeling of discomfort on the left with bimanual examination. Heidi's problem is MOST LIKELY due to:

a) Pelvic inflammatory disease b) Pre-menstrual syndrome c) Psychological problems d) Endometriosis

DDD

Question 116

Mr John Hill is a 25 year-old optometrist with no previous history of health problems and no significant family history. He presents with a 1 month history of alternating bowel habit, with bloating and pain, flatulence, abdominal distension, the passage of mucus without blood rectally and a feeling of incomplete evacuation. He gains relief from his symptoms with defecation and it never troubles him at night. He has not lost any weight and his appetite is unchanged. He finds that his abdominal discomfort is

interfering with his work. He has recently taken on a large debt. Which of the following is CORRECT?

a) Colonoscopy is indicated to exclude malignancy

b) He should be managed with reassurance and education c) Small bowel biopsy is indicated to exclude Crohn's disease

d) A full blood screen, including CEA and HIV serology is required e) His symptoms will settle after the debt is under control

BBB

* Question 117

The patient above presented feeling unwell with a mild fever. The rash had appeared the day before. The condition is:

a) Erythema marginatum b) Erythema infectiosum c) Erythema nodosum d) Erythema multiforme e) Erythema ab igne DDD Question 120

Signs of left ventricular failure consist of all of the following EXCEPT: a) Gallop rhythm

b) Low volume pulse c) Pedal oedema d) Basal crepitations

e) Paroxysmal nocturnal dyspnoea

CCC

Question 124

This lesion has been present at the root of this patient's neck for ten months. Its appearance is most consistent with a:

a) Nodular melanoma

b) Pigmented basal cell carcinoma c) Seborrheic keratosis

d) Hutchinson's melanotic freckle e) Squamous cell carcinoma

BBB

* Question 125

Jordan Miller, aged 19, is bought to Emergency after fainting while running a 100 metre sprint at his Athletics Club. He is extremely fit, and exercises

frequently. He states that it was the second time he "blacked out" while

running. There are no other symptoms except a 2/6 systolic bruit along the left sternal edge best heard with standing. Which of the following is the MOST LIKELY diagnosis?

a) Hypertrophic obstructive cardiomyopathy b) Aortic stenosis

c) Atrial myxoma

e) Re-entrant tachycardia

AAA

Question 43

Peta, aged 3, presents distressed with an acute attack of asthma. She is treated with salbutamol via MDA and face-mask. She improves symptomatically, but becomes breathless and wheezy again after 90 minutes. The next MOST APPROPRIATE step in management would be:-

a) Double the dose of Salbutamol

b) Repeat Salbutamol and commence oral steroids c) Assess with spirometry

d) Measure Oxygen saturation to determine need for hospitalization e) Commence I.V. Aminophylline

BBB

Question 46

A 58 year old lady presents with painless jaundice. Physical examination of