Annotated Multiple Choice Questions: Australian Medical Council PDF
Preview Annotated Multiple Choice Questions: Australian Medical Council
AUSTRALIAN MEDICAL COUNCIL QUESTIONS MEDICINE SURGERY PAEDIATRICS OBSTETRICS AND eed 7 .\ tole] Eo leh PSYCHIATRY SPECIALTIES GENERAL PRACTICE Blackwell LABORATORY TESTS aelelicialiare) DIAGNOSTIC IMAGING © 1997 by Blackwell Publishing Ltd First printed 1997 Reprinted 2000 Reprinted 2002 Reprinted 2004 Reprinted 2007 Reprinted 2008 Blackwell Publishing, Inc., 350 Main Street, Malden, Massachusetts 02148-5020, USA Blackwell Publishing Ltd, $3600 Garsington Road, Oxford OX4 2DQ, UK John Wiley & Sons (Australia), 155 Cremorne Street, Richmand. Victoria 3121, Australia The right of the Author to be identified as the Author of this Work has been asserted in accordance with the Copyright Act 1968 and all later amendments All rights reserved. No part of this publication may ba reproduced, stored in a retrieval system, ar transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the Copyright Act 1968 and all later amendments, without the prior permission of the publisher. Cataloguing-in-Publication Data Annotated multiple-choice questions Includes index ISBN 0 86793 3771 ine - Examinations. 2. Multiple-choice Examinations. 1. Australian al Council. For further information on Blackwell Publishing, visit ur website: http://www. blackwellpublishing.com The publisher's policy is to use permanent paper from mills that operate a sustainable forestry policy, and which has been manufactured from pulp processed using acid-free and elementary chlorine-free practices. Furthermore, the publisher ensures that the text paper and caver board used have met acceptable environmental accreditation standards. Design and typesetting by Stephanie Thompson Graphic Design Printed in China by Printplus Limited MEMBERS OF THE EDITORIAL PANEL FOREWORD John S Horvath .... PREFACE Arthur Lindesay Clark PACK NOWLEDGEMENTS. o.oo... ccc ccc ecee erences trteenenenensssneensesnenaessensnenasssrseesasenesiees xi INTRODUCTION Vernon C Marshall .............0..:-ccccccccceete tee eseeeerenesseneneneenenennsteneeensenenenens xiii SECTION 1 Multiple Choice Questions Medicine Type A Type J Surgery Type A.. Type J... Paediatrics Type A Type A Type A SECTION 2 Commentaries for Multiple Choice Questions and Summary of Correct Responses Medicine Type A Commentaries Correct Responses . Medicine Type J Commentaries .... Correct Responses . Surgery Type A Commentaries Correct Responses Surgery Type J Commentaries ‘i Correct Responses Paediatrics Type A Commentaries ..... Correct Responses Obstetrics and Gynaecology Type A Commentaries ..... Correct Responses Psychiatry Type A Commentaries Correct Responses FURRTHER PREADIING ooo. cece rere reneeeneenenstieneneseeeeneneaasnenenanensesesesssteenss APPENDIX I Summary of question classifications showing functions and systems Keys and Descriptors APPENDIX Il Alternative multiple choice question formats APPENDIX III Medical eponyms Medicine Questions TYPE Questions ME-Q1 to ME-Q125 WI Type A questions consist of a stem and five responses Wi One correct answer must be selected from five possible responses to the stem < Ww a > - | Ww r4 2) fa) Ww = MEDICINE QUESTIONS — TYPE A ME-Q1 Figure 1 The skin lesions shown in the accompanying photograph (Figure 1) were found on the hands of a 73-year-old nursing home patient. She has been noted to be constantly scratching the lesions and appears poorly cared for. The MOST APPROPRIATE treatment would be A. topical steroids. B_ erythromycin. C gamma benzene hexachioride. D_ miconazole cream. E prednisone, 60 mg daily. Figure 2 The lesions shown in the accompanying photograph (Figure 2) were observed on the chest wall of a 6-year-old child. The skin in other areas appears normal. The MOST LIKELY cause would be warts. herpes simplex. chicken pox. molluscum contagiosum. an allergic reaction. moow,r ANNOTATED MULTIPLE CHOICE QUESTIONS ME-Q3 Figure 3 The skin lesions in the accompanying photograph (Figure 3) would BEST be treated by moisture and wet dressil hot bathing. oral steroids. tar cream salicylic acid cream. mooDyY ME-Q4 Figure The MOST APPROPRIATE treatment for the lesions on the face and neck of the patient shown in the accompanying photograph (Figure 4), which have been unresponsive to conventional therapy, would be benzyl! peroxide. isotretinoin (Roaccutane®). tetracycline. 0.5% cortisone cream. occlusive mascara. moowo> a MEDICINE QUESTIONS — TYPE A ME-Q5 Figure 5 The lesion shown in the accompanying photograph (Figure 5) was found in a 28-year-old female patient who had a successful renal transplant 1 year ago. The MOST APPROPRIATE treatment would be no active treatment and await resolution. surgical removal. radiotherapy. removal with liquid nitrogen. topical podophyllin. mooD>Y ME-Q6 Figure 6 “> lesions shown in the accompanying photograph (Figure 6) are likely to be ASSOCIATED with liver disease. small bowel tumours. anaemia. polycythaemia. consumption of photosensitising drugs. MOOD DL, ANNOTATED MULTIPLE CHOICE QUESTIONS ME-Q7 Figure 7 A 47-year-old Aborigine complains of blurring of vision. His blood pressure is normal, he smokes 40 cigarettes per day and drinks 100 grams of alcohol per day. There is no history of chest pain. On examination his blood pressure is 140/80 mmHg. The fundus is shown in the accompanying picture (Figure 7). The MOST LIKELY cause is Previous hypertension alcohol amblyopia a secondary cerebral tumour. diabetes mellitus. Toxocara canis. moau> ME-@s8 A 65-year-old overweight man complains of recent misty vision on sunny days. His vision, when tested, is 6/18 right and left. Which of the following is the MOST LIKELY basis of his complaint? Chronic simple glaucoma Myopia. Cataract. Macular degeneration Diabetic retinopathy. mooo> ME-Q@9s Which of the following is LEAST likely to be a complication of chronic otitis media? Cholesteatoma. Decreased auditory acuity. Meningiti Otosclerosis. Thrombosis of the lateral venous sinus. moowr MEDICINE QUESTIONS — TYPE A ME-Q10 4 palpable and apparently solitary nodule in the thyroid is MOST COMMONLY a solitary cyst. part of a multinodular goitre. an adenoma of the thyroid. a thyroid carcinoma. localised Hashimoto disease. ME-Q11 /=-micke encephalopathy is CHARACTERISED by neck stiffness. ophthalmoplegia. Grand mal epilepsy. extensor plantar responses. all of the above features. ME-Q12 = stroke, a CLEAR DISTINCTION between haemorrhage and thrombosis can be made - wnich of the following points? The degree of loss of consciousness. The progress of clinical features. The abruptness of onset. T Ni moo > he presence or absence of headache. lone of the above. moo wm wE-Q13 \-scle tone is usually increased in lesions of all the following structures EXCEPT spinal cord. corticospinal pathways. cerebellum. basal ganglia. internal capsule. ME-Q14 3-year-old male has had three episodes of transient left monocular blindness and right naesthesia. There is a soft bruit in the neck on the left and Doppler studies show a stenosis of the internal carotid artery at the bifurcation. The currently =COMMENDED MANAGEMENT would be immediate carotid endarterectomy. carotid endarterectomy after 2 months. aspirin, 100 mg each day. warfarin (INR 3.5—4.0). intracarotid streptokinase infusion. ME-Q15 . ear-old woman experiences an episode of shimmering lights, which spread over her visual field during a 10 min period, leaving her with blurred vision that resolves after roximately 30 min. Which is the MOST LIKELY diagnosis? Migrainous aura. Transient carotid ischaemic attack. Vertebrobasilar insufficiency. Retrobulbar neuritis. Epilepsy. moo we m OO ©) @ mod WO » ANNOTATED MULTIPLE CHOICE QUESTIONS ME-Qi6 A 65-year-old man presents with a sudden, persisting monocular visual loss. There is a history of continual ipsilateral headache for the past 12 months. What laboratory test is MOST RELEVANT to the likely diagnosis? Urinalysis. Complete blood count. Erythrocyte sedimentation rate. Chest X-ray. Cerebral CT scan mooor ME-Q17 When the eyes of a semiconscious accident victim are examined it is found that the right pupil is dilated and does not react to light shone into either eye. The left pupil reacts to light shone directly into the left eye but not to light shone into the right eye. This could be DUE TO injury to the left optic nerve and left third nerve. B_ right third nerve alone. C right third nerve and left optic nerve D E > right optic nerve and left third nerve. right optic nerve and right third nerve ME-Q18 The SUDDEN ONSET of a left third nerve palsy and a right hemiplegia involving the face, arm and leg can be explained by which one of the following? Left internal capsule infarct. Left medullary infarct. Right upper cervical spinal cord infarct Left midbrain infarct. Left occipital lobe infarct. moou>r ME-Q19 A 50-year-old man has a 12 month history of episodes of severe vertigo and vomiting; between episodes he is asymptomatic. He has noticed progressively increasing deafness in his right ear with mild tinnitus. Examination reveals that, except for a nerve deafness in one ear, there are no abnormalities in the third, fourth, fifth, sixth or seventh cranial nerves during an acute attack of vertigo. The MOST LIKELY diagnosis is A acoustic neuroma. B_ vertebrobasilar insufficiency. C Méniére disease. D_ vestibular neuronitis. E_ benign positional vertigo. ME-Q20 A 67-year-old man presents with a history of progressive dysphagia and hoarseness over the preceding 24 h. On examination there is a right Horner syndrome and the right side of the palate does not elevate on phonation. The right gag reflex is absent and the patient cannot produce an explosive cough. These signs and symptoms are MOST LIKELY due to which of the following? A left capsular haemorrhage. A meningioma at the foramen magnum. Thrombosis of the left posterior inferior cerebellar artery. A left cerebello—pontine angle tumour. A right-sided brain stem infarction. moom,r
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