1. What is psychodynamic psychotherapy used for? a.

Borderline personality

Also for Social phobia specific phobia .. anorexia nervosa

2. A colleague is self-medicating on antidepressants +/or antipsychotics. What do you do? a. Tell them to go for specialist review b. Tell medical board c. Prescribe him meds (( ANS B }} 3. Asthmatic young child. Parents are both smokers and state that they dont smoke in home + car. what do you say: a. Put a humidifier in childs bedroom b. Insist that parents go to counselling about stopping smoking ((ANS :b)) 4. Patient came in (around 8wks of gest.) with sx of typical ruptured ectopic pregnancy tenderness in lower abdominal, preg sx, US showed empty uterus. Slightly enlarged one ovary. What to do next? a. Laparoscopy b. Measure serum bhcg level ((ANS A}} 5. ECG question looked like WPW (delta wave); child (?) presented with SVT. Mx? a. Amiodarone 6. Elderly pnt came in with fatigue, fever, backache a. Do immunophoresis? b. Do calcium level c. Do PTH level {{ANS :A MULTIPLE MYELOMA }} 7. CXR - TB 8. Pnt with L5-S1 disc prolapse, what sign shows that he has S1 nerve root compression? a. Cant lift foot off ground b. Knee jerk c. Ankle jerk (ANS : C }} 9. All present in cluster headaches except: a. Has vomiting b. Aggravated by alcohol c. Comes few hours after going to sleep d. Severe pain ((ANS A }}

10. Child came in with 10 days of bad coughing, non-purulent, got worse after a few days. Dad is 3rd generation Australian. CXR given and asked for diagnosis

Pertussis
11. Jehovahs witness, says he doesnt want transfusion, what you should do? a. Get a signed form saying he doesnt want 12. Youre a doc and you saw an elderly pnt and prescribed him new meds. His pharmacist calls you + says that the new med was tried before and didnt work, what should you do? a. Tell him to prescribe them anyway b. Tell him to not give the new med c. Talk to his supervisor?? (something along those lines) {{ ANS C}

Bbbbbbbbbbbbbbbbbbbbbb
13. Polynesian woman with diabetic mother who was diagnosed at 45yoa (??), now dead (??). she comes to you normal exam. Wants to know about diabetes screening? a. OGTT every 1 years b. GTT every 2 years c. Tell her to screen after 45yoa ((ANS C}}

Aaaaaaaaaaaaaaaaaaaa
14. IV drug user comes to you with murmur. Cause? a. Tricuspid valve regurgitation b. Mitral valve regurgitation c. Aortic stenosis ((ANS A))( DUE TO ENDOCARDITIS TRICUSPID VALVE INVOLVMENT IS 50%, AORTIC & MITRAL VALVE 20 % INVOLVED.. INFECTION GOES FROM UNSTERILE I/V SYRINGE INTO VENOUS SYSTEM }}

Aaaaaaaaaaaaaaaaaaaaaaa

15. Lady (32 or 35) comes in with T2DM + obesity (BMI 34 or 32). Her sugar is 19 or 20mmol/l and her HbA1c is 12%. She and her partner keen to get preg, what would you advise her? a. Tell her to take folate or folic acid b. Lose weight to BMI 24 c. Bring HbAIc to 7% {{ANS B }}

cccccccccccccccccccccccccccccc
16. In addition to folate, which of following should be taken in preg a. Fe b. Folic acid c. Iodine ((ANS C}}

Ccccccccccccccccccccccc
17. Difference between schizo and acute organic brain dis (scenario given, cant remember)

18. Pnt on drugs and made trouble at mall, got arrested, at hospital he said hes going to commit suicide and that he cant go to jail, he has been there before and cant go back. Threatens to commit suicide. I think they asked what the problem was cant remember the options given 19. Pnt comes in with constricted pupils and other sx of intoxication (long stem) a. Heroin b. Cannabis c. Amphetamines d. Barbiturates {{ANS A}} (( OHCM:Constricted pupils: Opiates or insecticides (organophosphates, p831).
Dilated pupils: Amphetamines, cocaine, quinine, or tricyclics }}

20. Woman with H-mole. 13wks ago had operation, bhcg returns to normal. Now 4wks after, went to hospital again + bhcg was increased. What is the reason/next mx? a. Choriocarcinoma b. Invasive carcinoma c. New preg{{ ANS B }}

ccccccccccccccccccccccccc

21. FAS question; infant with (characteristic signsphiltrum, thin upper lip, short palpebral fissure etc). Mother was known to consume alcohol. Dx? a. Fetal alcohol syndrome 22. Woman diagnosed with grand mal seizure which is under control. Now preg, preg-induced HTN (>135/? ..not high enough to be mild or severe eclampsia) +/or glucose level increased. During preg, had an a. Grand mal seizure b. Eclampsia c. Glucose-induced (?) ((ANS A}}

Aaaaaaaaaaaaaaaaaaaaaaa
23. Parents brought in young girl shell be fine and then suddenly, shell stop everything and stare off and blink and then after a while, shes back to normal. Diagnosis? a. Absent seizure 24. Postpartum psychosis a. Ask mother if she has any thoughts of harming baby 25. Patient comes with face rash, joint pain and (something else). Tests were done: ANA +, Anti-Ro ve, ds-DNA +, RF +. Whats the diagnosis? a. SLE b. Sjogrens ((ANS A))

26. Abdo CTs quite a few a. One of them I couldnt differentiate so I answered Mx as open laparotomy b. Hydatid cyst of liver 27. Abdo XR a. Sigmoid volvulus b. Old patient gall stone ileus (I thought) 28. Chest XR a. Mesothelioma is what I saw b. Seemingly normal lungs on XR but patient had symptoms of atypical pneumonia question asked for possible cause I answered mycoplasma pn.

29. Lithium check of truck driver 3mo

30. Late deceleration on CTG during induction of 42 week pregnant lady. Oxytocin infusion stopped. What else to do for management? a. Do CTG in 30 mins b. Fetal scalp monitoring c. C/Section ((ANS B ))

Bbbbbbbbbbbbbbbbbbbbbbbbbb
31. Few of those drug combination questions a. Eg. Of one - HTN, DM and Warfarin patients - which drug is causing hypoglycaemia was one of them answered Warfarin {{ PERINDROPRIL]]

32. Few questions on lesions: a. Unable to spread fingers ((ANS ULNER NERVE C8 T1) b. Pincer grip loss (( MEDIAN +C8T1))