1) The clinical features of Cushing's Cushing's syndrome include all of the following except: a. Cent Centri ripe peta tall fat fat depo deposit sitio ion n b. sk skin in th thic icke keni ning ng c. Prox Proxim imal al muscl musclee wasti wasting ng d. Hypo Hypoka kale lem mia e. Hype Hypert rten ensi sio on 2) In a a. b. c. d. e.
patient presenting with ascites all are true except: Malign Malignanc ancy y shoul should d always always be sus suspec pected ted A diagn diagnostic ostic paracen paracentesis tesis should should be be carried carried out It may may be due due to hep hepati atic c cirr cirrhos hosis is It may may be due due to card cardiac iac failur failure e It may may be indu induced ced by spiro spironola nolacton ctone e therap therapy y
3) Which, if any, of the following statements matching nail signs to systemic conditions are not correct: ( You may choose more than one answer) a. Nail pitti pitting ng may may indicat indicate e iron iron deficien deficiency cy anaem anaemia ia b. eucony euconychia chia may indicate indicate chronic chronic li!er li!er disease disease c. "eau# "eau#s s lines lines may may indica indicate te chro chronic nic illn illness ess d. $plinter $plinter haemor haemorrha rhages ges may indica indicate te systemic systemic lupus lupus erythema erythematous tous e. %nych %nycholy olysis sis may may indica indicate te psor psorias iasis is &) 'lubbing of the fingernails is associated with one of the following conditions: a. Atri Atrial al sept septal al defe defect ct b. Irri Irrita tabl ble e bowe bowell dise diseas ase e c. Acute Acute infect infecti!e i!e endoc endocard arditi itis s d. (ast (astri ric c carc carcin inom oma a e. Cry Crypto ptogen genic ic fibros fibrosing ing alv alveol eoliti itis s ) %n e*amination of the hand, one statement is only true: a. 'lubbing 'lubbing may be seen with with underl underlying ying gastric gastric carcin carcinoma. oma. b. eucony euconychia chia is is always always a sign sign of under underlyin lying g patholog pathology. y. c. +oilonych +oilonychia ia is associate associated d with with a macrocyti macrocytic c anaemia anaemia.. d. upuytre upuytren#s n#s contrac contracture ture is is associate associated d with the the use of pheny phenytoin. toin. e. %nycholy %nycholysis sis is seen with hypothyr hypothyroidi oidism. sm. -) %ne of the following clinical features are associated with the named haematological condition a. $plenom $plenomegal egaly y and idiopath idiopathic ic thromboc thrombocytop ytopenia enia purpu purpura ra b. Alcohol Alcohol induce induced d pain pain in on/0odg on/0odg1in 1ins s lymphom lymphoma a c. %ptic %ptic atroph atrophy y in folat folate e defici deficienc ency y d. Hyp Hyperca ercalcae lcaemia mia and Mult Multiple iple Mye Myeloma loma
) egarding general neurological e*amination, all are true e*cept: a. $pastic paralysis is suggesti!e of an upper motor neuron lesion b. 4wo to three beats of clonus elicited in the calf muscles is considered to be a normal response c. efle*es are typically increased following an upper motor neurone lesion d. 5pper motor neuron lesions are associated with a positi!e babins1i sign e. The action of frontalis is typically spared in a lower motor neurone lesion affecting the innervation to the muscles of the face .
6) 4he following ner!e roots are responsible for e*cept : a. An1le An1le planta plantarr fle*i fle*ion on 7 $8, $8, $2 b. An1l An1le e dors dorsif ifle le*i *ion on 7 &, &, c. +n +nee ee 9e 9er1 r1 e*t e*ten ensi sion on 7 8, 8, 2 2
d. "iceps refle* 7 ', 'e. 4riceps refle* 7 ' )4he following are causes of 9aundice e*cept: a. (ilbert#s syndrome. b. ubin/;ohnson syndrome. c. Von Willibrand disease d. $odium
e. Pernicious !nemia 1") #ne of the following is a feature of =ar1insons disease : a. b. c. d. e.
Intention tremor =oor perception of time Wide based gait $ymmetrical distribution of symptoms 'lasp +nife $pasticity
88) egarding chronic cough, all are true e*cept: a. Is seen in gastro/oesophageal reflu* b. 4hat is worsening is a common presenting symptom of "ronchial 'arcinoma c. Is often seen in indi!iduals with "ronchiectasis d. Is common in someone taing !ngiotensin II inhibitors e. Is seen in people with hinosinusitis 82) >eatures that are indicati!e of Irritable "owel $yndrome ?I"$) include all of the
following except: a. b. c. d. e.
Altered bowel habit Abdominal pain relie!ed by defaecation Mucorrhoea "ectal bleeding $ub9ecti!e sensation of incomplete e!acuation
