Golden Pearls for PMDC NEB / Clinical Guidelines, Iranian Hospital Dubai, Dubai (2026)

15/10/2019

1:Baby ate 2 common pins on xray one is at ascending colon other is on descending colon next best step? ……Observation with serial Xrays 2:Person using PPis presented with severe abd pain cause….. Duodenal ulcer perforation 3:change in bowel habbits with normal findings… IBS 4: Acute appendicitis case... RLQ pain 5: H.pylori Tx...lansoprazole+Amoxicillin+ clarithromycin 6: Bloood can be given without adequate cross matching...O Negative 7: appendix MC site....retrocecal 8: Amoebic liver abscess….i&D 9: third degree hemorrhoids..bulges from the a**s during bowel movements and must be pushed back in with a finger. 10: indirect Inguinal hernia..protrude through the deep inguinal ring 11: Rx Ulcerative colotis ....Azathioprine 12: GCS:9 2 cases 13:man had peptic ulcer came after 1 year for control next best step…Endoscopy 14.Tubular device diameter ? 15:Blood at meatus …Suprapubic catheterization 16:h pylori using ppi diagnosis for h pylori test urease breath or serum ??? 17:gallstones…ERCP 18: footballer hit by on head next day died….Subdural hematoma 19: Incidental finding of gall stones?....Elective cholecystectomy 20: liver and spleen injury,...repair liver and splenectomy 21: hypovolemic shock ideal fluid…..crystalloid 22:uc trt … azathioprine 23 :60 yrs persistent dysphagia from 3 month: plummer vinson syndrome? 24:after apendectomy pus and fever next managemnt iv antibiotic 25: Hemlick manoivere ... abdominal thrusts ,,,chocking 26: pressure on the wound …rupture vessel bleeding 27: Accident near home ....airway first ABCD 28: Hydrocele case 29:fat female …gallstone 30: Breast : 2nd to 6th rib 31: inferiolateral episode to prevent the cut up to re**um 32:Strangulated hernia high risk which hernia...indirect inguinal 33: a**l fissure …conservative trt 34: pancreatitis complications ....pseudocyst 35: Bleeding caused by fracture femur: 1.5L blood loss 36: Tibia and fibula fracture causes... compartment syndrome 37: aortic dissection scenario ... interscapular pain 38:cause of transfusion rxn….recepient antibodies against donors rbcs 39 :emergency blood transfusion…o negative https://m.facebook.com/FDA.Pakistan/
: 1:Aortic stenosis murmer …. Ejection systolic right 2nd IC space 2: AntiBiotic nd steroid presented with whitish lesion in mouth nd can be removed with spatula....Oral thrush 3: Iron deficiency anemia...low serum iron nd low ferritin 4: Megaloblastic anemia case 5: headache with lacrimation....Cluster headache 6: mumps case...swollen glands 7: Dimentia..... can't recall past memory 8:GCS:9 9:elemental iron require in iron deficiency anemia….3mg 10:worst headache of life ….. Subarachnoid hemorrhage 11:falciparum…cerebral malaria 12:HbA2 … b Thalasemia 13:neck stiffness…LP 14:above 60 leukemia symptoms….CLL 15: Macrocytic ... megaloblastic 16:acid base disorder….resp acidosis 17: One kidney small one large HT….Renal artery stenosis 18:hemoptysis…Bronchoscopy 19: Dark urine .... myoglobinuria 20:20000 feet height feel bad bring down how much…100 21: bb blockers ..... orthostatic hypotension 22: Morning stiffness ...... RA 23:COPD needed 2L/min ..... nasal cannula 24: Ventricular septal rupture 25: Pleural effusion case with dullness by percussion 26: Respiratory failure type 2 27: Lady with weight gain Ix: thyroid test 28: beck triad…next best step …echo 29:SVT 1st management vagal maneuver? 30 :nephrotic nephritic syndrome cause by….p.falciparum 31:tension headache case https://m.facebook.com/FDA.Pakistan/
&Obs: 1 : after several d &c amenorrhea…. Asherman syndrome 2:after delivery failure to lactate… Sheehan syndrome 3:ht in pregnancy trt… Methyldopa 4: Breast abscess...Incision nd drainage 5: Diagnostic of Gestational DM..75gm Oral glucose tolerance test 6: turner syndrome case 7: 40yr old prgnant high risk for.....Down syndrome baby 8:post menopausal bleeding next step….Endometrial biopsy
9: luteal phase ….14 days 10 heavy mens with blood clot toc…Tanexemic acid 11: Tokolytic ,,,nifedipine 12: mother - father + baby well ...mother keruich test later or rhogam?? 13: Use ocp with methotrexate and for three months after stopping treatment. 14: female at 40+5 but not booked for delivery and walked in with some symptoms , how confirm gestation age.... ? 15: 40 week pregnancy .....oxytocin 16: missed abortion ,,,, fetus with no cardiac activity 20: Transverse lie ...... emergency c section? 21:20 week infection blood test pregnant lady…Rubella hep b hepc 22: Endometrial cancer first stage... chemotherapy 23: young female bloody ni**le discharge ....US 24: Stress incontinence case 25: Anomalies test done at : 20 wks 26:indication of surgery for ectopic pregnancy …..increase gestational sac size 27:Heb B mother .....protocol after giving birth 28:contraception in heart disease patient with 1 child…sterilization after 1 month 29 :thick white discharge from va**na ,,,candida https://m.facebook.com/FDA.Pakistan/
: 1: false perception with external stimuli ….. Illusion 2: Neurotransmitter involve in schizophrenia…. Dopamine 3: social phobia case 4: sudden falling sleep….Narcolepsy 5:depression after delivery more than 2 week….Postpartum depression 6:repetitive ….Obsession 7: panic attack case 8: hallucination in delirium.. visual 9:bank manager expecting more care from nurse….regression 10:manic patient ….psycho motor activity 11:good prognosis in schizo…absence of affective symptoms https://m.facebook.com/FDA.Pakistan/
sciences: 1:from broader to more specific questions ….Funneling 2: defense mechanism Woman angry from husband. Yell at sister in law …..Displacement 3:taxi driver after accident cant drive bcz of having flashbacks ….Post traumatic stress disorder 4: justice case between rich and poor critcal patient 5:dearming sleep phase….REM 6:illiterate woman consent…tell everything to her 7: non-harming or inflicting the least harm …. Nonmaleficence
8: Denial ....after breaking bad news 9: Breaking bad news ....bps model 9:man with 2 daughter 2 sons widow leg frx soon retire most painful event in his life acc to rahe…wife death https://m.facebook.com/FDA.Pakistan/
: 1: Scabies treatment…..5% Permethrin from head to toe 2: Multiple patches of alopecia with scales and black dots...Tinea capitus 3: measles pathognomonic sign... Kopliks spots 4: SLE ….malar rash 5: Proptosis evening weakness ....myasthenia gravis 6: isoteriotion last drug for acne 7: guttate psoriasis case 8: hypoesthtic raised lesions on his trunk …leprosy 9: Ulcer on ge***al causes by all except….. 10:scabies case 11:rash after using antiepileptic…. lamotrigin https://m.facebook.com/FDA.Pakistan/
: 1:lime accidentally in eyes next best step : Wash with plenty water 2: most dangerous acid to eyes …. Battery acid 3 : Failure to abduct eye …. Cn 6 demage 4: one eye bigger than other , ….conge***al cataract 5: endophthalmitis case...after eye surgery 6: Phacoemulsification…cataract 7: Age related macular degeneration case 8: retinal detachment case 9: trauma to eye penetrating.... MRI contraindicated 10: trabecular meshwork 11: Myopia lead to close angel glaucoma 12: Hypema case 13: CRVO case 14:conjunctival xerosis…vit a def https://m.facebook.com/FDA.Pakistan/
: 1:steple sign on xray…. Croup 2:most common cause of bronchiolitis in infants…. RSV 3: frontal headache....frontal sinusitis 4: Dizziness, vertigo, hearing loss.... meniere disease 5: Middle meatus lies btw middle and inf meatus 6 :foul smelling unilateral nasal discharge : foregn body
7:perofration tympanic membrane next management….. antiobiotic 8:ASOM case 9: Absolute indication of tonsillectomy… Recurrent choronic tonsillitis 10:nasal bon frx when to perfume reconstruction …after 1 month 11: cholesteatoma…temporal lobe affect 12: maxillary sinus is at…..premolars and molars, 13:BBPv case 14: Nasopharyngeal carcinoma ….epistaxis 15: complication due to ludwig angina …airway compromise 16: Site of little's area?...ant inf 17:treacheostomy …2nd 3rd 18: Lacrimal gland opens in = inferior meatus 19 conductive hear loss case https://m.facebook.com/FDA.Pakistan/
: 1:rice water diarrhea…. V.Cholera 2: preterm with ground glass appearance on XRay....Resp distress syndrome 3: neonate with blood ozing from cord....Tx Vit K 4: 2 year loose stool without blood loss… gradiasis 5: kid with swollen calf muscle and weakness…duschene muscular dystrophy 6: PSGN case 3 qeuestions 7: Foreign body…right main bronchus 8:child with father in farm…. Organophosphate 9: Baby diaper rash ... Allergic contact dermatitis 10: 6 week vaccine,,,pertussis 11: Child AlL case 12: Child can set, holds neck, says 2 words and stands with stretched legs - 10 months 13:shoulder dystocia risk ….glucose intolerenace 14 :unvaccinated baby on formula feeding concern….vaccination 15:enteric fever case 16:child with b symtoms and lymohadenopathy …hodgkin 17:uncontrolled epilepsy in child risk ….aspiration pneumonia 18:after diarrhea hemolytic uremic syndrome in child
NEW PAPER
Medicine MCQs:
1. MI Ecg change... convax ST elevation 2. Pericarditis ECG change... concave upward ST elevation 3. Ix of PE in women after delivery.. V/Q scan
4. COPD obstructive .... fev/ ... 70% 5. management of adrenal insufficiency. 6. Young age man with cough fever weight lost and hemoptysis .... TB 7. Tipical MCQ of digoxin toxicity 8. SVT managment... Adenosine 9. Anaphylactic shock. Adernaline 10. P-wave... atrial depolarization 11. young man with swollen asymetic knee joint & pain.... aspiration of joint fluid & biopsy 12. peak t wave and PR prolong contraindicated .... iv potassium 13. hypocalcemia carpopedal spasm with positive chovotek sign treatment.... iv calcium 14. spore forming causes gangrene, teta**s, pseudomembranous colitis ...... clostridium 15. 60kg man dise of acyclovir..800 mg in 5 doses 16. vomiting in conge***al hypertrophic pyloric stenosis .... metabolic Alkalosis 16. platelet half life ... 3-4 days 17. pain RHC with fever. Liver Abcess 18. Farmer with symptoms.. organophosphate poisoning 19. Child with symptoms.. organophosphate poisoning 20. Central cyanosis in child of year cause.. transposition of great vessel 21. CKD anemia is due to .... erythropoiten deficiency 22. Warfarin .... PT 23. Philadelphia chromosome.. CML 24. can't keep coordination problem in....cerebellum 25. dehydrated in child having dairrhea but no vomiting choice of fluid ... 1/2Dextrose saline 26. Hypotension in patient having RTA but choice of fluid ... 5% Dextrose Saline 27. climbing stairs dyspnea.. angina pectoris 28. diabetic patient having frequent hypoglycemic attack insulin of Choice... Long acting 28. Patinet with diarrhoea and pyoderma gangrenosum .... UC 29. Lung tumor spread mostly ....Chostocondroma 30. Soldier with malaria prophylaxis .... primaquin 31. Anemia with spherocytes cell seen .... spherocytosis 32. colore**al cancer gold standard Investigation..... CEA 33. Post MI damage to heart.... Right Ventriclar Failure 34. Dark urine after exercise.... rhabdomyosis 35. meningitis old age .... s-pneumoniae 36. Neprotic Syndrome..minimal change disease 37. contraindication of lumbar puncture. Buldging Anterior fontenalle 38. contraindication of lumbar puncture... Papilloedema 39. Solder with bite from DG khan... Scorpion 40. Best for Urine R/E...mid stream urine 41. Typhiod Ix.... Blood culture 42. GBS Rx........... IViG 43. DIC Rx........ FDA
44. SIADH......... SCLC 45. Ejection murmur...... pulmorny stenosis 46. ARDS+Liver absces....... Cystic fibrosis 47.
Surgery: https://m.facebook.com/FDA.Pakistan/
1. Typical Umbilical pain shift to RIF... Appendicitis 2. ATLS ... airway, breathing, circulation 3. esophagus lenght... 25cm 4. Strongest layer of intestine....submucosa 5. pain RHC after eating having similar eposide in last 2 year with relieve with medicine...gall stones 6. Surgery inguinal hernia when... descend in sc***um 7. femoral hernia land of mark... Femoral ring 8. life threatening condition ...pneumothorax 9. presence of urine in posterior....its uretha rupture 10. supracondylar fracture nerve involved.... median 11. Gallbladder/Liver scan... HIDA scan 12. One is Scan for risk assessment. FAST Scan 13. Glasgow comà scale....9 14. Swelling on Neck..thyroglossal cyst 15. Patient having thyroid swelling Ix of choice.... TSH 16. Hoarseness of vioce after surgery...recurrent laryngeal nerve injury 17. 20 yr female with mobile 2cm in breast mass. fibroadenoma 18. hepatocellular cancer.... AFP 19. First sign of compartment syndrome... Paraesthesia 20. Site for Pressure sores..sacral tuberosity 21. surgeon facing difficulty while isolatiin nerve in hernia .... Adhesion 22. cause of hemoptsis in Cirrhosis... esophageal varices 23. Causes os Stomach cancer..H pylori 24. 4day post appendicectomy having fever with redness and discharge from stitches.. wound site infection 25. During delivery shoulder injury... c5-c6 26. Bone fracture present in ER with swelling pain....Leg elevation and remove plaster 27. Bladder capicity..... 600(400 -600) 28. FIA of thigh with both entery exit wound no nerve invovled.... Debridment and leave wound open 29. Straw dog bite..... ARV+IVIG 30. Hydatid cyst treatment.... Medical or cutaneous Aspiration 31. Before Spleenectomy...... immunization 2week before 32. Blant trauma with SOB BP60/30 and Abdominal destination... Lapratomy 33. Chronic pancreatitis........ steatora
34. Hematuria with Flank pain Investigation of choice..... USG 35. Gerd develops to dysphagia 1st to liquid then solid.... Barium 36. Stone obstruction site.... PancreaticDeuodenal ampulla 37.
Paediatric: https://m.facebook.com/FDA.Pakistan/
1. Maternal rubella infection cause... PDA 2. 5 yr child with lab values ... ALL 3. Type of dysentery. 3 days blood with mucus.. Shigellosis 4. Vaccination at 14 weeks... MMR Meningococcal + IPV 5. Hyporeflexia Hypotonia of one limb and unvaccinated child.. poliomylitis 6. Serious concern for 4week child having more sleep and 400ml feeding and no vaccination excluding birth.. food intake 7. otitis media then meningitis .... Hinfluenza 8. tonsilitis druf of choice ... coamoxil 9. 17 year old atypical lymphocytes.... infectious mononucleosis 10. low glucose... lymphocytosis .... TB meningitis 11. GB Syndrome ... complylobacter jejuni 12. Delay growth of child cause having murmur...ASD 13. bronchiolitis treatment... IV antibiotic 14. hirshprung disease diagnostic Ix.. Biopsy 15. child with blood test value of cousin marriage...Hb electrophoresis 16. Child havin thumb print sign on Xray... Acute Epiglottis 17. microcytic hypochromic..... beta thalasemia 18. villous atrophy.... ceilic disease 19. ABO incompatibility child should.... immediately stop Breast feeding 20. Most common cause of ricket in child.... VitD deficiency 21. Painless Bleeding PR due to.... Bleeding disorder 22. Most common neonatal sepsis in Pakiatan. E-Coli 22. Asphyxia child......bag and mask ventilation 23. Height 30th percentile less than normal elder brother aslo got daily injection treatment for height...GH deficiency or VitD 24. defferention of thalasemia vs IDA...... spleenomegaly 25.
ENT: https://m.facebook.com/FDA.Pakistan/
1. Epistaxsis...little Area 2. Ototoxic drug... Aminoglucoside
3. otitis media complication .... meningitis 4. snoring with mouth breathing.. enlarge tonsils 5. Antrochoa**l polyp.. surgery 6. peritonsillar abscess...diphtheria 7. TM perforation.....Cover during bath 8. Asthma prophylaxis ... mast cell stabilizer 9. Cough with inspiratory stridor... Acute Larngeotracheobronchitis 10. Boxer fracture bone lead to... Meningitis 11. ASOM....Strep Pneumonia 12. Bluesh TM due to......CSOM 13. Ruptured TM with lose of hearing.... conductive deafness 14.
Eye: https://m.facebook.com/FDA.Pakistan/
1. malignat tumor of eyelid... MCC 2. medial squint.....esotropia 3. branching lesion ... herpes simplex 4. divergent squint..Anisotropia 5. reading news paper difficulty......presbyopia 6. Can't see far......Myopia 7. No abduction.... 6CN 8. glucoma drug aggravated Asthama....beta blocker 9. Contraindicated drug in close angle glucoma... pilocarpine 10. Acid in Eye.... Irrigation of eye 11. Foreign body in eye... fully examination under microscopic 12. loss of vision with feeling of curtain fall .... retinal detachment 13. contact lense wearer have redness of eye.. Bacterial Conjunctivitis 14. A 3 year old child white reflex and mass .... retinoblastoma 15. Tennis ball bone fracture with nerve damage... Maxillary bone 16. Hypophon is..... posterior chamber 17.
Gynae/Obs: https://m.facebook.com/FDA.Pakistan/
1. hyperprolactinoma effect... decrease chances of pregnancy 2. smoking effect... increase chance of PROM 3. 4week ectopic pregancy having >300mg... methotrexate 4. o***y related.....ca 125 5. PV bleed with fetal heart sound audible with close OS..... threatened Abortion 6. Painless bleeding.... P previa. 7. Abd pain and PV bleeding...P Abruptio 8. Hormone for Ovalution.... LH
9. Down syndrome....Chorionic villi sampling 10. pregnant 32 week Hb 8... check serum ferriten 11. BP 160/100....Gestational HTN 12. post menopausal bleeding .... endometrial biopsy 13. vitaly normal diabetic pregnant lady at 49week .... deliver the baby 14. pregnant lady diagnosed recently HIV..... CS 15. doc of UTI in pregnant .... Amoxil 16. Testicular feminization...XY 17. pregnant lady with fever Abd pain and discharge...... ChorioAminoitis 18. Gonococus infection TX...... Metronidazole 19. Yellow foul smell discharge..... Tracho Vaginosis 20. Oligomerrohea and thin hair..... PCOS 21. Presenet Secondry sexual characters E amennorhea age 14..... constitueinal delay 22. NVD at Home Came with beeding with fundal height above umblicus... Uterine massge. 23. Female 23 yr with single size fibroid managemt.... POCP
Dermatology: https://m.facebook.com/FDA.Pakistan/
1. boggy scalp lesion ... tinea Capitis 2. Sand fly.....cutaneous leishmaniasis 3. lesion with Ulnar Nerve... Leprosy 4. syphilis treatment .... Doxycycline 209mg BD for 14 day 5. vesiclopupular rash .... chicken pox 6. scabies .......burrow lesion 7. skin rash with oral muscosa invlomnt with target lesion .... Steven j0hson syndrome 8. erythema nodosum + bihilar lymphadenopathy ... Sarcoidosis 9. Extensor surface silver scally lesion...psoriasis 10. Tx for wart on beard....cryotherapy 11. STD lesion... Ge***al warts 12. Skin lesion with unilateral dermatone...HZ 13. Cat scratched skin leasion..Tenia versicular 14. lesion with red point scaling on sole... Wart 15. Pediculosis DOC..... Permithrin 16.
Behavioural Science: https://m.facebook.com/FDA.Pakistan/
1. pregnant lady refused ... va**nal delivery 2. Ethics of Doctor related...... moral ethics 3. In Emergency.... treat the pt without consent 4. Intensed patient in ICU.... seeing envornmet of icu feeling of aneixty and isolation 5. breaking bad.... to the pt & key family members
6. Boy with isolation..... take breif Hx from mother and boy 7.
Psychiatry: https://m.facebook.com/FDA.Pakistan/
1. hearinv voice without any external stimulus.....Auditory Hallucination 2. False belief.....Delusion of grandiosa 3. Misinterpreted of external stimulas...Illusion 4. Ix to rule out medical cause in patient. aniexty related symptoms... TSH 5. depression hormone.... Serotinine 6. schizophrenia hormone... dopamine 7. Repetative checking of things. OCD 8. Not due to PTSD... Numbness 9. seeking physcian attention...histrionic 10. 80 yr forget about date & child etc... 11. complian of gas pain without medical cause..stomatization disorder 12. Not sleeping well.....Narcolepsy 13. Co***ne withdrawal .......body cramps 14. Mode stabilizer.... Lithium 15. Anxiety Tx...... Fluxotine 16. Patient with recent MI.... anexity disorder/Hallucination 17. TCA side effect...... Dry mouth 18.
By: FDA Pakistan
New Paper

MCQs of PMDC NEB Step-2 by NUMS
1. Patient with deteriorating memory and depression – Alzheimer’s disease 2. Trousseaus sign – CA pancrease 3. Patient with anemia and low MCV next Ix – Serum Ferritin 4. Cause of hepatic encephalopathy – Conspitation 5. Atropine is used as tx of – Organophosphate poisoning 6. 7 month old with frontal bossing and Hb= 7.0g/dl and family h/o transfusions Ix – Hb electrophoresis
7. Ankylosing Spondylitis – 30 year old with backache (sacr-iliaitis) and uveitis 8. Patient with factor VIII deficiency and prolonged bleeding time – Von Wilibrand disease 9. SLE – Anti dsDNA antibody 10. Anti CCP antibodies – Rheumatoid Arthritis 11. Contraindicated in bilateral renal Artery stenosis – ARBs 12. Cause of dry cough – ACE inhibitors 13. CURB- 65 – Community acquired pneumonia 14. Child Pugh – Liver disease 15. Foul smelling after use of Ceftriaxone – Pseudomembranous colitis 16. Beck triad – Low systolic pressure Distended JVP, muffled heart sound 17. Major criteria for Rheumatic fever – Migratory Polyarthritis 18. Anemia with MCV 102 – Folate deficiency 19. Army barrack meningitis – Meningococcus 20. Caput medusa and ascites – Portal hypertension 21. Melena, splenomegaly etc in alcoholic – Esophageal varices 22. Cause of acute infective endocarditis – Staphylococcus Aureus 23. Develop diarrhea after eating meat – staphylococcal toxin 24. Isolated thrombocytopenia – ITP 25. Patient with anemia, thrombocytopenia and renal involvement after diarrhea – hemolytic Uremic Syndrome 26. Female with URI and cervical lymphadenopathy – IgM against CMV 27. Army in Waziristan with cutaneous lesion on shin – Cutaneous leishmaniasis 28. Leishmania transmit through – Sand-fly 29. Large acral parts and raised GH – Acromegaly 30. Stomach lavage contraindication – Kerosene oil 31. Vitiligo, cheilitis etc associated with – Pernicious anemia 32. Tetany, Carpopedal associated with – Hypocalcaemia 33. Thyroid storm 34. Plethora, engorged neck veins and edematous upper limbs – SVC syndrome 35. Diabetic with red, tender, swollen, hot and impotence in knee joint – Septic arthritis 36. Features of mitral stenosis – Mid diastolic murmur with pre-systolic accentuation 37. Blue green discharge – Pseudomonas 38. Common involvement in Multiple Sclerosis – Optic neuritis 39. Mycoplasma associated with – Hemolytic anemia 40. Type II respiratory failure – Hypercarbia 41. Gout – Crystals in synovial fluid 42. Tonic-clonic attack with tongue biting and urinary incontinence is associated with – Grand Mal Epilepsy 43. Active viral replication – HbeAg 44. Myasthenia gravis is a disease of – Neuromuscular junction 45. Most rapid confirmation of TB – Sputum for AFB 46. Patient with battery acid in eye – frequent irrigation 47. Aplastic crisis in sickle cell anemia – Parvovirus B19
48. Dermatomyositis – Gottron papule 49. Flare of SLE – C3/C4 and raised anti dsDNA antibodies 50. Coronary arteries scan – Thallium 51. 1. 50 years old with pain in umbilical region which later shifted to RIF and Rovsing positive – Appendicitis 2. Confirmation of thyroid CA – FNAC 3. Glottis Ca tx – Radiotherapy 4. Patient > 45 years with thyroid CA – Sub-total thyroidectomy 5. Thyroid CA with previous h/o Hashimoto thyroiditis – Lymphoma 6. Tract connected to skin – Fistula 7. Throbbing pain in which increases on sitting – peria**l abcess 8. Compound fracture – 2 or more fragments 9. Humerus diaphysis fracture – Radial nerve injury 10. Intact comprehension but difficulty speaking – Broca’s area damage 11. Wasting of thenar muscles – Carpal tunnel syndrome 12. Mediastinal shift to left and hyper-resonant right hemithorax – Tension pneumothorax 13. Main supply of laryngeal muscles – Vagus nerve 14. Massive lower GI bleed – Ulcerative colitis 15. Involvement of GIT with oral ulcer – Crohn’s disease 16. Patient with hematuria after kicked and bruise on lumbar region – Renal injury 17. Amputation of leg, develop respiratory symptoms and crepitations at amputated area – Gas gangrene 18. Patient recovered from crushed home – Compartmental syndrome 19. Pituitary enlargement – Ganglion cyst 20. Bitemporal hemianopia 21. Tearing chest pain – Aortic dissection 22. Board hard abdomen, air below diaphragm with 3 weeks of swinging fever – Typhoid perforation 23. Air level in Gall bladder with intestinal obstruction – Gall stone ileus 24. Most common bed ulcers – Sacral ulcers 25. Endogenous cause of infection in burns – Immunocompromised state 26. Abdominal pain and Atrial Fibrillation – Mesenteric infarction 27. Initial Rx in burns – I/V fluids 28. Fluid monitoring in burns – Urine output 29. Pneumaturia and sometime feaces in urine – Recto-vesicle fistula 30. Most common site of saccular aneurysm – Posterior communicating artery 31. Chewing, suckling etc during epileptic attack – Temporal lobe epilepsy 32. Acute Pancreatitis, initial Rx. – I/V fluids 33. Glucagonoma – Acanthosis Nigrican 34. Patient with laparoscopy done – Incisional hernia 35. Swelling beneath ear – Pleomorphic adenoma
36. Breast CA with back pain, metastasis in bones – Bone scan 37. Numbness in lateral 2 fingers – Median nerve 38. Surveillance for colore**al CA – CEA 39. Sciences 1. Patient insists one particular doctor who he think is like his father – Transference 2. Girl seeing her parents fighting – Dissociative disorder 3. Loss of vision after noticing fight between parents – Conversion disorder 4. Mood stabilizer – Lithium 5. Drug for panic attack – Paroxetine 6. SNRI – Venlafaxine 7. Delusion – Delirium 8. Depression – Decrease Serotonin 9. Patient with dog phobia Rx. – Behavior therapy 10. Most common hallucination in Schizophrenia – Auditory 11. Student failed in exam saying that “this is not my fault…..” – Rationalization 12. Cognitive impairment – Delirium 13. Extra-pyramidal S/S – Dystonia 14. Attempted su***de – H/o previous harm to his body 15. Medical condition that should be ruled out in anxiety disorder – TSH 16. Insight – Patient knows about his disease and willing to take Tx. 17. 1. Rose spots – Typhoid fever 2. Hypotonic child with small palpebral fissures etc – Trisomy 21 3. Child born to diabetic mother having lethargy etc initial Ix – Blood sugar level 4. Neonatal vaccination – BCG 5. Vaccine that can be dangerous in infant if used early – Measles 6. Cause of constipation in child – Hurshpurg disease 7. Child having per re**al bleed and empty RIF – Intussusception 8. Sudden weakness in left lower limb – Polio 9. Bitot spots are present in – Vitamin A deficiency 10. Greyish white membrane on tonsils – Diphtheria 11. Child with recurrent UTIs and poor stream – Posterior urethral valve 12. Compression rate in child ALS/BLS – 100 13. Most common cause of meningitis in 14 years old – Pneumococcus 14. Diphtheria – Causes respiratory obstruction 15. Initial Dose of N/S in infant – 20 mg/kg 16. Treatment of shock in infant – Adrenaline 17. 14 years old with retinoblastoma may develop – Osteosarcoma 18. Dehydrated child, unable to drink – I/V Ringer Lactate 19. Infant with URTI and R/R=65/min no chest indrawing – No pneumonia 20.
1. Shallow anterior chamber and 45mmHg of IOP – Acute angled glaucoma 2. Buphthalmosis – Conge***al glaucoma 3. Prevention of acute angle glaucoma if already occurred in one eye – Peripheral iridiotomy 4. Traumatic injury and retina not visible – Vitreous hemorrhage 5. Curtain falling in front of my eye – Retinal detachment 6. 64 years old hypertensive lady having diffusely hemorrhagic and edematous retina along with sudden loss of vision – CRVO 7. 64 years old hypertensive lady having diffusely hemorrhagic and edematous retina along with sudden loss of vision – CRVO 8. Retinoblastoma 9. Retinoblastoma (2 different cases) 10. Posterior capsulectomy – YAG laser 11. Most common type of cataract – Senile cataract 12. Child cannot read white board but can easily read book – Myopia 13. Gradual loss of vision after 40 years – Presbyopia 14. Hypopyon in anterior chamber – Uveitis 15. Patient cannot see up and down – CN IV injury 16. Patient unable to see laterally – Abducent nerve 17. Branching ulcer – Herpes Zoster 18. 1. Impacted wax – Conductive deafness 2. Conductive deafness – Otosclerosis 3. Sensory-neuronal deafness – Acoustic neuroma 4. Involved nerve in Acoustic neuroma – CN VIII 5. Common cause of tonsillectomy – Recurrent tonsillitis 6. Antro- coa**l polyp arise from – Maxillary sinus 7. Maxillary sinus open in – Middle nasal meatus 8. Child with watering eye – Nasolacrimal duct blockage 9. Nasolacrimal duct open into – Inferior nasal meatus 10. Posterior epistaxis – Posterior nasal packing 11. Most dangerous tympanic membrane perforation – Postero-superior 12. Blood supply to tonsils – Tonsillar branch of facial 13. Child have fear on seeing nurse, stimulus is – Injections 14. Tracheostomy – frequent suctions 15. Boy with mouth ulcer during exam – Aphthous ulcer 16. Tracheostomy site – 3rd-4th tracheal rings 17. Complication of tracheostomy – Can’t speak 18. 1. Yellow crusting on face – Impetigo
2. Pustules over face Tx. – Flucloxacillin 3. Patient with eruption involving one dermatome – Acyclovir 4. Family in Muree have itching – Scabies 5. 6 moth old, Rx of scabies – 5% permethrin 6. Melanoma – Asymmetrical changes in shape and color of nevus 7. A 20 year old female developed skin rash 3 days after URTI – Chicken Pox 8. Hypopegmention over face – Tinea Alba 9. Patient with facial plaques and caseating granuloma – Dapsone 10. Skin lesion with ulnar and peroneal nerve involvement – Leprosy 11. 1. Bulging membrane – Imperforated h***n 2. BP >140/90 on 2 different occasions but dipstick negative – Gestational hypertension 3. Curdy white va**nal discharge – Candidiasis 4. Painless bleed in 32nd week of gestation – Placenta previa 5. Raised BP in third trimester and brisk tendon reflexes – Pre-eclampsia 6. Commonly used tocolytic – Nifedipine 7. Prophylaxis of fits in pregnancy (Eclampsia) – MgSO4 8. Ix. for Endometriosis – Laparoscopy 9. Ix. for Asherman Syndrome – Hysteroscopy 10. Pregnant with transverse lie – ECV and SVD 11. 38 years old smoker on COCP with cervical changes – Pap smear 12. Female > 45 years per va**nal bleed – Endometrial biopsy 13. Hyperprolactinemia – Decreased chances of pregnancy 14. Young obese female with increased LH – PCOD 15. Hidatiform mole – Biweekly B-HCG with contraception 16. Post-partum hemorrhage – Oxytocin 17. Menstrual irregularities in 22 year-old female....cocp
MCQs of PMDC Neb Step-II held on 23 December 2018 by NUMS university
Compiled by:
: 1:Baby ate 2 common pins on xray one is at ascending colon other is on descending colon next best step? ……Observation with serial Xrays 2:Person using PPis presented with severe abd pain cause….. Duodenal ulcer perforation 3:change in bowel habbits with normal findings… IBS 4: Acute appendicitis case... RLQ pain 5: H.pylori Tx...lansoprazole+Amoxicillin+ clarithromycin 6: Bloood can be given without adequate cross matching...O Negative 7: appendix MC site....retrocecal 8: Amoebic liver abscess….i&D 9: third degree hemorrhoids..bulges from the a**s during bowel movements and must be
pushed back in with a finger. 10: indirect Inguinal hernia..protrude through the deep inguinal ring 11: Rx Ulcerative colotis ....Azathioprine 12: GCS:9 2 cases 13:man had peptic ulcer came after 1 year for control next best step…Endoscopy 14.Tubular device diameter ? 15:Blood at meatus …Suprapubic catheterization 16:h pylori using ppi diagnosis for h pylori test urease breath or serum ??? 17:gallstones…ERCP 18: footballer hit by on head next day died….Subdural hematoma 19: Incidental finding of gall stones?....Elective cholecystectomy 20: liver and spleen injury,...repair liver and splenectomy 21: hypovolemic shock ideal fluid…..crystalloid 22:uc trt … azathioprine 23 :60 yrs persistent dysphagia from 3 month: plummer vinson syndrome? 24:after apendectomy pus and fever next managemnt iv antibiotic 25: Hemlick manoivere ... abdominal thrusts ,,,chocking 26: pressure on the wound …rupture vessel bleeding 27: Accident near home ....airway first ABCD 28: Hydrocele case 29:fat female …gallstone 30: Breast : 2nd to 6th rib 31: inferiolateral episode to prevent the cut up to re**um 32:Strangulated hernia high risk which hernia...indirect inguinal 33: a**l fissure …conservative trt 34: pancreatitis complications ....pseudocyst 35: Bleeding caused by fracture femur: 1.5L blood loss 36: Tibia and fibula fracture causes... compartment syndrome 37: aortic dissection scenario ... interscapular pain 38:cause of transfusion rxn….recepient antibodies against donors rbcs 39 :emergency blood transfusion…o negative https://m.facebook.com/FDA.Pakistan/
: 1:Aortic stenosis murmer …. Ejection systolic right 2nd IC space 2: AntiBiotic nd steroid presented with whitish lesion in mouth nd can be removed with spatula....Oral thrush 3: Iron deficiency anemia...low serum iron nd low ferritin 4: Megaloblastic anemia case 5: headache with lacrimation....Cluster headache 6: mumps case...swollen glands 7: Dimentia..... can't recall past memory 8:GCS:9 9:elemental iron require in iron deficiency anemia….3mg
10:worst headache of life ….. Subarachnoid hemorrhage 11:falciparum…cerebral malaria 12:HbA2 … b Thalasemia 13:neck stiffness…LP 14:above 60 leukemia symptoms….CLL 15: Macrocytic ... megaloblastic 16:acid base disorder….resp acidosis 17: One kidney small one large HT….Renal artery stenosis 18:hemoptysis…Bronchoscopy 19: Dark urine .... myoglobinuria 20:20000 feet height feel bad bring down how much…100 21: bb blockers ..... orthostatic hypotension 22: Morning stiffness ...... RA 23:COPD needed 2L/min ..... nasal cannula 24: Ventricular septal rupture 25: Pleural effusion case with dullness by percussion 26: Respiratory failure type 2 27: Lady with weight gain Ix: thyroid test 28: beck triad…next best step …echo 29:SVT 1st management vagal maneuver? 30 :nephrotic nephritic syndrome cause by….p.falciparum 31:tension headache case https://m.facebook.com/FDA.Pakistan/
&Obs: 1 : after several d &c amenorrhea…. Asherman syndrome 2:after delivery failure to lactate… Sheehan syndrome 3:ht in pregnancy trt… Methyldopa 4: Breast abscess...Incision nd drainage 5: Diagnostic of Gestational DM..75gm Oral glucose tolerance test 6: turner syndrome case 7: 40yr old prgnant high risk for.....Down syndrome baby 8:post menopausal bleeding next step….Endometrial biopsy 9: luteal phase ….14 days 10 heavy mens with blood clot toc…Tanexemic acid 11: Tokolytic ,,,nifedipine 12: mother - father + baby well ...mother keruich test later or rhogam?? 13: Use ocp with methotrexate and for three months after stopping treatment. 14: female at 40+5 but not booked for delivery and walked in with some symptoms , how confirm gestation age.... ? 15: 40 week pregnancy .....oxytocin 16: missed abortion ,,,, fetus with no cardiac activity 20: Transverse lie ...... emergency c section? 21:20 week infection blood test pregnant lady…Rubella hep b hepc
22: Endometrial cancer first stage... chemotherapy 23: young female bloody ni**le discharge ....US 24: Stress incontinence case 25: Anomalies test done at : 20 wks 26:indication of surgery for ectopic pregnancy …..increase gestational sac size 27:Heb B mother .....protocol after giving birth 28:contraception in heart disease patient with 1 child…sterilization after 1 month 29 :thick white discharge from va**na ,,,candida https://m.facebook.com/FDA.Pakistan/
: 1: false perception with external stimuli ….. Illusion 2: Neurotransmitter involve in schizophrenia…. Dopamine 3: social phobia case 4: sudden falling sleep….Narcolepsy 5:depression after delivery more than 2 week….Postpartum depression 6:repetitive ….Obsession 7: panic attack case 8: hallucination in delirium.. visual 9:bank manager expecting more care from nurse….regression 10:manic patient ….psycho motor activity 11:good prognosis in schizo…absence of affective symptoms https://m.facebook.com/FDA.Pakistan/
sciences: 1:from broader to more specific questions ….Funneling 2: defense mechanism Woman angry from husband. Yell at sister in law …..Displacement 3:taxi driver after accident cant drive bcz of having flashbacks ….Post traumatic stress disorder 4: justice case between rich and poor critcal patient 5:dearming sleep phase….REM 6:illiterate woman consent…tell everything to her 7: non-harming or inflicting the least harm …. Nonmaleficence 8: Denial ....after breaking bad news 9: Breaking bad news ....bps model 9:man with 2 daughter 2 sons widow leg frx soon retire most painful event in his life acc to rahe…wife death https://m.facebook.com/FDA.Pakistan/
: 1: Scabies treatment…..5% Permethrin from head to toe 2: Multiple patches of alopecia with scales and black dots...Tinea capitus 3: measles pathognomonic sign... Kopliks spots 4: SLE ….malar rash
5: Proptosis evening weakness ....myasthenia gravis 6: isoteriotion last drug for acne 7: guttate psoriasis case 8: hypoesthtic raised lesions on his trunk …leprosy 9: Ulcer on ge***al causes by all except….. 10:scabies case 11:rash after using antiepileptic…. lamotrigin https://m.facebook.com/FDA.Pakistan/
: 1:lime accidentally in eyes next best step : Wash with plenty water 2: most dangerous acid to eyes …. Battery acid 3 : Failure to abduct eye …. Cn 6 demage 4: one eye bigger than other , ….conge***al cataract 5: endophthalmitis case...after eye surgery 6: Phacoemulsification…cataract 7: Age related macular degeneration case 8: retinal detachment case 9: trauma to eye penetrating.... MRI contraindicated 10: trabecular meshwork 11: Myopia lead to close angel glaucoma 12: Hypema case 13: CRVO case 14:conjunctival xerosis…vit a def https://m.facebook.com/FDA.Pakistan/
: 1:steple sign on xray…. Croup 2:most common cause of bronchiolitis in infants…. RSV 3: frontal headache....frontal sinusitis 4: Dizziness, vertigo, hearing loss.... meniere disease 5: Middle meatus lies btw middle and inf meatus 6 :foul smelling unilateral nasal discharge : foregn body 7:perofration tympanic membrane next management….. antiobiotic 8:ASOM case 9: Absolute indication of tonsillectomy… Recurrent choronic tonsillitis 10:nasal bon frx when to perfume reconstruction …after 1 month 11: cholesteatoma…temporal lobe affect 12: maxillary sinus is at…..premolars and molars, 13:BBPv case 14: Nasopharyngeal carcinoma ….epistaxis 15: complication due to ludwig angina …airway compromise 16: Site of little's area?...ant inf 17:treacheostomy …2nd 3rd
18: Lacrimal gland opens in = inferior meatus 19 conductive hear loss case https://m.facebook.com/FDA.Pakistan/
: 1:rice water diarrhea…. V.Cholera 2: preterm with ground glass appearance on XRay....Resp distress syndrome 3: neonate with blood ozing from cord....Tx Vit K 4: 2 year loose stool without blood loss… gradiasis 5: kid with swollen calf muscle and weakness…duschene muscular dystrophy 6: PSGN case 3 qeuestions 7: Foreign body…right main bronchus 8:child with father in farm…. Organophosphate 9: Baby diaper rash ... Allergic contact dermatitis 10: 6 week vaccine,,,pertussis 11: Child AlL case 12: Child can set, holds neck, says 2 words and stands with stretched legs - 10 months 13:shoulder dystocia risk ….glucose intolerenace 14 :unvaccinated baby on formula feeding concern….vaccination 15:enteric fever case 16:child with b symtoms and lymohadenopathy …hodgkin 17:uncontrolled epilepsy in child risk ….aspiration pneumonia 18:after diarrhea hemolytic uremic syndrome in child
NEB Step-II Exam MCQs 2016 Recall based MCQs with Key.
By Pakistan https://m.facebook.com/FDA.Pakistan/
1) Tympanic membrane rupture Rx A Antibiotics and prevention from water get in B packed the ear key A
2) Uterus larger for dates except in A- mistaken B- chromosomal defect C- IUGR D- all Key A
3) Question about female with MS , which drug should not be given in labor A oxytocin
B. diuretics C. ergotamine’s D. digoxin Key D
4) Kid with femoral shaft close fracture A skeleton traction B skin traction followed by hip Spica C hip Spica D intermediary nailing E compression plates Key A/B 50:50
5) Patient need renal transplantation which one is absolute contraindication. A active malignancy B diabetic C hypertension D age >60 yr. E diabetic inspides Key A
6) Condition with least likely cause of recurrent abortion A arcuate B septet C uterus didelphys D unicornuate uterus E bicornuate uterus Key A
7) Doctor patient relationship which language should be used A English language B Urdu language C patient language D foreign language Key C
😎 Which of the following is most commonly omitted in medical practice A) no history taking 😎 wrong prescription C) confidentiality D) none of the above Key C
9) Bilateral abductor paralysis of laryngeal muscle cause? A dysphonia, B stridor,
C dysphagia, D hoarseness E All Key mixed answers B /E /A
10) Early symptom of corneal ulcer? A Pain, B photophobia, C Dec sensitive, D all Key A checked
11) Patient present with Pneumonia and sputum and diarrhea plus deranged LFTs plus high CK and on lab its hypernatremia which of the following lab will confirm diagnosis? A CRP, ESR, B urine antigen Key B
12) patient present with purities and urticarial rash which of the following is first line A antihistamine B topical hydrocortisone C prednisolone D raniditine E cyclosporin Key A
13) Which of the following condition least likely to cause hypercalemia A hyperparathyroidism B hypothyroidism C milk alkali syndrome D sarcoidosis Key B
14) Patient come in for chronic COPD you recommend him long term oxygen therapy for home how many hr. you will recommend him oxygen therapy to use every day? A 3 hours B 5 hours C 10 hours D 15 hours E 20 hours Key D
15) Debriefing A r**e victim B flood victim C earth quake victim
D burn victim E fire fighter Key everyone wide guess A /C
16) Rutherford Morison incision was done for appendix which of the following nerve will be damage from this incisor A genitofemoral B subcostal nerve C illioinguanial D lateral cutaneous nerve E illiohypogastic nerve Key E
17) child present with fits of right side of perioral area and tongue which of the following seizure can be characterized A absence seizure B grand mal C Benign partial, D complex, Key C
18) Site from where nasopharyngeal fibroma arise A sphynopalatine recess B maxillary sinus C inferior nasal conco D balabala Key most popular A also some consider B
19) A 62 yr. old person with sever major depression has to undergo electroconvulsive therapy what would be the side effect in this patient A) cardiac arrest 😎 brain hemorrhage or something C) temporary memory loss D) permanent memory loss Key C
20) pregnant lady present at 35 week in labor ultrasound show twin baby first baby with head engagement second baby is oblique or horizontal lie both diamniotic dichorionic twins cervix is 9cm dilated what is the best option A external cephalic version B wait for spontaneous delivery C C section D balabala Key B
21) choriamniotitis infection in which way fetus does not get the fetal infection statement was just like this difficult to understand A aspiration B swallowing C placenta D va**nal after rupture of amniotic membrane E hematogenous Key wild guess B/D
22) Which was not a complication of enteric fever? A peroration B obstruction C adenocarcinoma D arthritis Key C
23) lady with intrauterine device got pregnant can have which of the following complication A septic abortion B ectopic pregnancy C recurrent abortion D placenta abrubtion E fetal malformation Key B
24) During normal labor fetal head presentation is mostly likely which of the following A submentobragmatic B suboccipitobragmatic C occipitofrontal Key B
25) Patient with decompensated live cirrhosis now develops asterisks and flapping tremors what is the cause of this exabration A Large volume paracentesis, B increase glucose, C nephrotic syndrome D gall stone myocardial infarction Key A
26) lady present which disorder of obsessive compulsive disorder having repetitive hand washing compulsion which affect her hand need psychological help now therapist ask to touch the tap feel dirty but does not allow to wash this cycle repeat again with more frequency what is this therapy? A systemic desensitization
B exposure and response restriction Key B
27) female present in 12 week of pregnancy with va**nal bleeding examination show placenta is more than 1 cm away from cervical os what will it be at the end of pregnancy A complete cover the os B goes away from the os C chance of abortion D placenta previa Key B
28) Definitive sign of Compartment syndrome A loss of pulse B pallor or loss of color C pain of passive movement D Pain and edema Key long debate if question ask definitive than A if question early than C
29) Which organism causes malignant otitis external A) Klebsiella 😎 Pseudomonas C) staph aureus D) streptococcus Key B
30) male 12 year anemia blood pica shows hypochromic microcytic anemia TIBC increase A IDA B thalassemia trait C megaloblastic Key A
31) Patients of chronic schizophrenia taking haloperidol having fever lying in bed cannot talk sense of malignant hyperthermia which drug to counter? No option of dantroline A bromocriptine B benztropine C balabala Key A
32) Burn patient present in scar which of the following cancer can develop from burn scar. A basal cell carcinoma B melanoma C squamous cell D adenocarcinoma Key C
33) Typical panic disorder case did anyone miss that one Previous attacks and now palpitations and shortness of breath symptoms last for 20 min all lap and physical exam is normal 34) chronic cirrhotic patient present with Hematemesis now done upper GIT endoscope which show multiple punctuate patches on stomach mucosa which of the following strategy prevent again bleeding A omeprazole B propranolol C TIPS Key B/C
35) House officer is passing subclavian line which of the following organ least likely to be injured. A ansa cervicalis B phrenic nerve C first thoracic anterior motor nerve Key A
36) Patient with lower limb ischemia which one is not the sign of atrial disease A Gangrene B Ulcer C Pain D blue color E Hair loss Key E
37) infants and child with primary tuberculosis have A high risk to be contagious B medium risk of contagious" C rarely contagious D become milliary and then contagious Key A
38) First question when its seems like we are sitting for FCPS 2 12 year old boy with central cyanosis and have cardiac anomaly give rise to systole ejection murmur on pulmonary area which of the follow anomaly is A VSD B Pulmonary stenosis C PDA D tetralogy of fallots E ASD Key D
39) Lady having job on X high floor always use stairs not lift she has no harassment in lift but afraid to use lift Dx
A agoraphobia B social C specific D nonsense others Key C
40) schatzki ring which one is correct A) pharyngeal esophagus 😎 lower esophagus C) mid esophagus D esophageal dilation Key B
41) Vitamin B 12 is absorbed in which part of GIT A duodenum B jejunum C distal small intestine D Colon Key C
42) mother at 36 weeks present in labor cervix 5 cm open cord pr*****ed baby is at 1+ station what is the best option A C section B wait for spontaneous va**nal delivery C vacuum suction D forceps delivery Key C
43) 1 case of mitral stenosis with dyspnea mitral valve was not calcified and not even cause regurgitate patient only on beta blocker and diuretic? A anticoagulant B ballooning C valvuplasty D fissurectomy Key B/A 44) patient of angina pectoris present sudden withdrawal of which of the following drug aggravate of patient symptoms A Aspirin B beta blocker C glycerin trinitrate D amlodipine Key B
45) lady P5 present after delivery of newborn with post-partum hemorrhage which of the following is most common cause
A cervical laceration B Uterine Atony C Uterine rupture Key B
46) Which of the following is the rate of growth of head circumference in 3 month old child from new born to per month up to 3 month? A 1.25 cm per month B 0.5cm C 1.5cm D 2 cm Key D
47) Lady admit to hospital for surgery after one week suddenly develop chest pain and dyspnea you suspect pulmonary embolism which of the following sign you will find? A accentuation of second heart sound B opening snap, C taping apex beat, D bradycardia Key A
48) Treatment of myopia A concave lens B convex lens Key A
49) Which of the following is used in triple therapy in H. pylori eradication A) Ampicillin 😎 metronidazole C) penicillin D) sucralfate Key B
50) A 7 yr. old child often pretends having pain while going to school she remains fine on weekends with her parents .what is the diagnosis A)Attachment disorder 😎 separation anxiety disorder Key B https://m.facebook.com/FDA.Pakistan/
51) Which of the following is not a serious hemorrhage. A Epistaxis, B hematemesis. C Bloody discharge from ni**le, D hematuria
E hemoptysis Key A
52) Flooding A GAD B phobia C generalized anxiety disorder D schizophrenia Key B 53) Kid with unable to walk from last 2 month pain and sallow both knee joints? A oligoartharlgia JIA B polyarthralgia JIA C osteoarthritis Key A
54) Lady 45 year old heavy menstrual bleeding uterus enlargement with is symmetrical A leiomyoma B endometrial cancer C adenomyosis D placenta accrete Key C
55) Which drug is not used in T.B A Isoniazid B Rifampicin C Streptomycin D Co amoxiclav Key D 56) Doctor patient relationship to remove conflict use which model A vertical B teacher student C horizontal Key C 57) Positive nikolsky sign A) Lichens planes 😎 pemphigus C) Bullous pumphigoid Key B
58) scalded skin syndrome is cause by A styphlococcous B streptococcus Key A
59) Human IQ level is A genetic B environmental C both D none of above Key C
60) Female lady married from last 3 years having history of sub fertility no adnexal mass no tenderness there are multiple some cysts in ovaries Dx A PCOD
61) Patient with abdominal symptoms excessive concern about developing cancer despite of all the labs normal no improvement with drugs what is the condition? A Somatization disorder B hypochondriasis Key B
62) Malathion was given to child of scabies but after some time on follow up patients still have barrows not relieved A treatment resistance B face is not included C family member are not treated D he didn’t use it for the 2nd time E) permithrin is not scabicidal Key C
63) 13 year old boys having fever malaise and general sign of infection doctor gave him amoxicillin and he get maculopapular rash he is infected with what infection A styphlococcous B streptococcus C infection mononucleosis Key C
64) Case of lady deliver a baby in complicated delivery need blood transfusion cannot breast feed baby as there is no milk production amenorrhea from last 2 years. A Sheehan syndrome
65) Which of the following drugs r used in primary open angle glaucoma... A Beta blockers 😎 latanoprost C) acetazolamide D) all of the above Key D
66) Female with vacuities with joint pain pulse in upper limb is weak of no pulse like this description lower limb claudication
A takayasu disease B polyarthritis nodular C polymyalgia rheumatic 67) A child with night blindness symptom... A) Vitamin A deficiency 😎 vitamin B deficiency C) vitamin C deficiency Key A
68) Diagnosis of fungal infection is diagnosis by A KOH examination B giemsa stain C bacterial culture D leishman stain E Tzank stain Key A
69) Patient with corneal ulcer option how to diagnose is florescence stain?
70) Patient with myopia A anterior staphyloma B posterior staphyloma Key B
71) Pyramid of Maslow’s at the base is A self-actualization B esteem C basic needs Key C
72) Retinopathy of prematurity caused by: A All premature, B hyperbaric o2 after birth C mature infants D premature infant with hyperbaric Oxygen therapy Key D
73) Retinal detachment. Separation of sensory retina from retinal pigment epithelium
74) Not a cause of painful red eye. A Corneal ulcer B sclerotitis C close angle glaucoma D open angle glaucoma E irididocyclitis Key D
75) Best Surgery of senile cataract. A Emulsification B ECCE C ICCE D lensectomy Key A
76) Ix of choice for deep neck infections? A X ray B CT scan C MRI D CT scan with contrast medium E lateral X ray Key D debate is still on
77) commonest symptoms of Larynx cancer A hoarseness of voice B throat pain C dysphagia Key A
78) Slap of teacher to child with hearing loss. Rinne negative, weber lateralized to affected ear A conductive deafness B sensirineural deafness C mixed Key A
79) patient travel from Karachi to Lahore by air get ear pain no discharge on ear examination A ASOM B CSOM C aero otitis Key C
80) Patient present with fatigue malaise hepatospleenomagely and chorea lab reports say low blood ceruloplasmin. A Wilson disease B hemochromatosis C hepatitis Key A
81) 5 month old malnutrition infant presented in pediatric OPD he had a sign of rickets which of the sign of rickets he had A Bone pain B bow legs
C knock knees D long bone fracture E rachitic rosary Key E
82) Resuscitation of new born can be disconnected in the following condition. A there is no cardiac activity despite 10 min of activity B baby heart remain less than 60 after resuscitation C gasping and hypertonia present D meconium is removed from endotracheal tube E baby is 900 gram at birth Key A
83) 24 year old female complaining g numerous depigmented area which of the following most likely condition is A Addison disease B hyperparathyroidism C pernicious anemia D SLE E tuberous sclerosis Key E
84) Risk of hormone therapy does not include A breast cancer B endometrial cancer C thromboembolism D gall bladder disease E osteoporosis Key E
85) what is the gold standard method of detection of ectopic pregnancy A culdocenteasis B endometrial biopsy C laparoscopy D serial measurement of Beta HCG E pelvic ultra sound Key C
86) which of the following is true for syphilis A caused by sarcaptus scabies B no skin leason in tertiary syphilis C papulosquomous leason may appear D extremity pruritic E chancre appear in secondary stage Key C
87) Which of the following statement is true for chickenpox? A highly infectious when crusting has occur B Never involve oral mucosa C always need antiviral agents D leasons are polymorphic E caused by HPV Key D
88) Midline cystic swelling on tongue protrusion. Thyroglossal cyst
89) Child present with frigidness hyperactive, inadequate attention in classroom no attention in home, impulsive. A ADHD
90) Kawasaki disease is diagnosed which of the following is not the feature of disease A iridocyclitis B conjunctivitis C body rash. D Swollen, red, cracked lips and tongue. E Swollen lymph nodes in the neck. Key A 91) Which of the following is not a diagnostic criteria of nephrotis syndrome. A derange LFTs B 40mg/m2/hr. C cholesterol 250 mg D serum protein less than 2.5g E limb edema Key A
92) Kid with femoral shaft close fracture A skeleton traction B skin traction followed by hip Spica C hip Spica D intermediary nailing E compression plates Key A/B
93) Contra in pregnancy. This patient present during labor. A Diuretics B digoxin C ergometrine D prostaglandin E oxytocin Key B not sure
94) patient present with Traumatic head injury which of the following ulcer can be present in this patient A Cushing ulcers. B curling ulcer C marjolin ulcer Key A
95) Female present with patches of hair loss, hypopigmentation and atopic dermatitis type of history diagnosis A.SLE B sebhoric dermatitis C. alopecia errata Key C
96) Presbyopia is due to which of the following A decrease elasticity of lens B forward lens C lens fiber defect Key A 97) later cord of brachial plexus is damage in axilla which of following will be presentation A klumpkey's palsy B erb's palsy C loss of sensation on inner side of arm Key B
98) young lady fallen on outstretched hand x ray show there is no fracture of any bone but physical exam tell us pain in the anatomical snuffbox which of the following bone is damage A lunate B scaphoids C radial D ulnar Key B
99) burn patient present in emergency department which of the following is best fluid therapy for A .ringer lactate B normal saline C dextrose D crystalloid Key A https://m.facebook.com/FDA.Pakistan/
100) nasopharyngeal angiofibroma treatment options a. radiotherapy
b. Chemotherapy c. Surgical Incision d. Surgical incision e chemotherapy Key A/D If question ask about nasopharyngeal carcinoma than A if fibroma than D
101) Psychoa**lysis study detect which of the following A- patient unconscious B- Error C- behavior Key A
102) Osteoporosis ladies how to make diagnosis definitive Dexa scan 103) Osteoporosis ladies how to make diagnosis definitive Dexa scan 104) patient present in with ulnar nerve damage at the wrist level which of the following is not present A claw hand B loss of intrinsic muscle fiber C loss of nerve of ulnar carpi D hypothanar atrophy Key C 105) Hypertrophy cardiomyopathy which of the following pulse you suspect A Jerky pulse. B paradoxical pulse C thread pulse D collapsing pulse Key A
106) Mother bring her Child with diarrhea, child is irritable and sunken eyes which of the following is your recommendation. A ORS 75ml/kg in 4 hrs. B plain water C IV fluid D ORS if vomit IV fluid Key A
107) Glasgow scale include which of the following A eye opening B verbal response C motor response D all of the above Key D
108) Which of the following type of question should not be asked during doctor patient interaction? A open ended question
B close ended question C leading question Key C
109) What is most important thing to do during post-operative periods? A NPO B encourage patient for early movement C antibiotics D heparin Key B
110) African women having scan formation which grow beyond scar edges is which of the following type A keloid scar B Hypertrophic scars C Contracture scars Key A
111) 20 year old male present with fever malaise hepatospleenomegaly ALT 920 Alkaline phosphate 120 and bilirubin near normal range. which is best you will choice A HAV B HBV C HCV D leptospirosis Key most clueless question everyone choice its own.
112) kid with proteinuria of 9g/24hr hypoalbulism with edema after giving steroid to him proteinuria below 0.8g /24hr which of the following disease best suit the case A minimum change disease B goodpasture syndrome C PSGN Key A
113) patient present with hepatomegaly and joint pain ,increase ferritin rheumatic factor and ANA is negative which of the following is your diagnosis A rheumatic arthritis B IDA C still disease Key C
112) 5 year old male present with joint pain and bleeding after minor trauma history of heavy bleeding from circumcision patient lab increase APPT normal PT and bleeding time A hemophilia A B vWF disorder C ITP Key A
114) lady with strict vegetarian food will have which of the following deficiency eating anemia A vitamin b12 B folic acid C pernicious anemia Key A
115) pregnant female with positive history of HBV give to fetus is HBsAg what is best treatment option A HBIG B vaccination C vaccination + HBIG Key C
116) A patient present with foul smelling discharge from ear and extremely itching.... Dx A) acute supportive otitis media 😎 CSOM C)otomycosis Key C
117) Case of motor problem, falling, h/o vesicular eruptions A HBV B EBV C Mumps D Chickenpox Key D
118) Pregnant Lady with hyperthyroid problem which of the following way thyroid hormone effect the baby A thyroxin cross placenta B thyroglobulin cross placenta C baby brain cannot mature without thyroxin before birth Key A
119) Kid with adenoids present with ear ache and otitis media with no ear discharge which of the following type
A CSOM B ASOM C Otitis media with effusion Key C
120) Patient present in eye OPD on examination anterior chamber is shallow which of the following problem eye have A primary open angle glaucoma B close angle glaucoma
C iridocyclitis Key B
121) Myocutaneous flaps transfer from one place to another which of the following is correct option ( does not remember the actual question) weather except or not? A use random blood supply B use blood supply of flap C use the flap for emergency use
122) what is the indication of surgery for ptosis A bilateral B vision disturb 123) what is the main purpose of fundoscopy A watch retina B see vessels of retina C check choroid of eye 124) child present with difficulty when he crosses church hear the world God wear pop in his mind late decision counting up to 20 before saying anything which of the following drug is best A clomipramine B alprazolam C imipramine D phenobarbital Key A
125) clomiphene citrate is best for which of the following A ovarian resistance syndrome B gonadal dysgenesis C Polysystic ovarian syndrome D Hypothalmopiturity ovarian dysfunction Key debated A
126) endometrial carcinoma is associated with which of the following disorder A breast cancer B Nonpolypsis colore**al carcinoma Nych syndrome C ovarian cancer D cervical cencer Key B
127) First sign of hypovolemic shock is A tachycardia B slow capillary refilling C hypotension Key A
128) Clean and approximated incision is healed by which of the following process A healing for primary intension B healing by secondary intension C healing by tertiary intension Key A
129) Neonates and infants which of the following is best method of CPR A thumb method B finger method C hand method Key A
130) Kid with foreign body obstructed in right main bronchus which of the following is present on auscultation A increase breathing sound on affected side B decrease breathing sound on affected side C wheezing D saliva drooling Key B
131) Case of pneumothorax /hemopneumothorax which of the following is the best treatment option A aspiration B under water seal drainage C pleurodesis D decortication key for pneumo is A key for hemo is B
132) Recurrent loss of fetus at 2nd trimester which of the following is proven method A cervical cerclage suture 133) Complicated cataract is due to diabetics 134) Seen in cataract surgery vitreous opacity 135) Natural history of disease 136) Diabetic foot cause. Motor neuropathy. Infection of skin, previous callous formation, 137) Post epistaxis plus red mass nasopharyngeal angiofibroma 138) Plumber syndrome with presentation of esophageal webs nail sign and IDA Dx? 139) Plumber syndrome with presentation of esophageal webs nail sign and IDA Dx? 140) myopia...concave lens 141) rhigmstosis retinal detachment is due to which of the following Cx? break in retina 142) breslow thickness...for melanoma is used for prognostic factor 143) Apnea definition; sudden stop of breathing for 10-15 second 144) patient cannot attend parties and stay home speech anxiety; social phobia

Foreign Doctors Association of Pakistan FOREIGN DOCTORs ASSOCIATION of PAKISTAN

Golden Pearls for PMDC NEB / Clinical Guidelines

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