.I shall send 10 each time thanks

A young medical student, who has started his clinical postings, comes to because his colleagues noticed a yellowish, tinge to his sclera. On examination he is normal except for the yellow sclera. Investigations showed:
Total bilirubin—Elevated
Direct bilirubin – Elevated
Direct bilirubin > (Total – Direct bilirubin)
Which of the following is most likely?

a) Gilbert’s syndrome………. causes conjugated hyperbilirubinemia
b) Haemolytic jaundice…. causes conjugated
c) Ca Pancreas ………. young
d) Hepatitis …………… causes increase both conjugated and non conjugated
e) Carotenemia ……..doesn t cause increase in bilirubin

[d]


2. A young man has a syncopal attack while weight lifting. He has had similar episodes twice before. His father died of cardiac disease. What is the most appropriate management?

a) Holter monitor
b) Echocardiogram
c) Stess test
d) BP in supine & lying down
e) CT scan
the clinical picture is that of aortic stenosis so I will choose b

3. A 23-years old young lady complaints of lethargy and weakness. She has sore throat and 3 days ago she has returned from JAVA where she suffered from fever recently. Her weakness is due to --

a) TB
b) Tonsillitis
c) Post viral fever fatigue
d) Infectiuos mononucleosis

not sure , history ,age goes with infectious mononucleosis , but the giving symptoms and signs are not specific



4. A 29-year old woman, 6 months previously had pleurisy, in the last 2 years mouth ulcers, now develops stiffness and oedema of the wrist and MCP joints; in the morning which disappears afterwards. The most likely cause?

a) Rheumatoid arthritis
b) Crohns disease
c) Ulcerative colitis
d) SLE
e) Dematomyositis
history suggestive of SLE though not very typical

5. Which of the following most commonly causes pulmonary hypertension & corpulmonale?

a) Emphysema
b) Bronchiectasis
c) Pulmonary embolism
d) Pneumothorax
e) Foreign body

not sure …chronic lung disease are the most common cause …….pulonary embolism can cause sever pulmonary hypertension……..
6. Which of the following is a common side effect of calcium channel blockers?

a) Peripheral oedema
b) Angio-oedema
c) Headache
d) Insomnia
e) Cough
ca channel blockers can cause fluid retention.....so the answer is a

7. In diabetic neuropathy you can find each of the following except?

a) Bradycardia
b) Urine retention
c) Impotence
d) Diarrhoea at night
e) Foot ulcer

the answer is a because there will be resting tachycardia

8. All of the following are true about duodenal ulcer ,except?

a) Hunger pain
b) Loss of appetite
c) Weight gain
d) Pelapses & remissions
e) Relief by antacids
I think[ e ] cause it is a feature of gastric ulcer…or may be weight gain? But sometimes hunger pain may lead to increase in body weight so the answer may be [c]


9. An 18-year-old student presents with jaundice, sore throat and dark urine. There was no hepatitis contact, no IV drug use, and no recent travel history. Bilirubin 80, elevated Gamma-GT, AST 300, ALT 400 and albumin normal. What is the most likely diagnosis?

a) Hepatitis A
b) Hepatitis B
c) Infectious Mononucleosis
d) Cholangitis
e) Acute Cholecystits
hepatitis A ? but the sore throat and absence of hepatitis contact can point to infectious mononucleosis………the given symptoms are non specific but I will go with [c]

10. How would you differentiate between haemolytic anaemia and anaemia of chronic blodd loss?
a) Decrease haptoglobin
b) Increased reticulocyte count
c) Megaloblastosis
d) Polychromasia
e) Raised ferritin
I think [a] in hemolysis haptoglobin decrease cause it binds free Hb , increased reticulocytes indicates erythropoiesis …..

hey friends...these are previous recall papers and few amc candidates took the pain to recall them after there hectic day of amc exam part 1.so..m really thankful to them..i collected them from various sites..they are not so complete and ans are also not given in many questions..but u can have a gross idea about the paper style..if u have better material then this please share with us..




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hello
puransankar
ur doin great job
keep it up
i hope to send a few mcqs sooner
see ya

where are thje mcqs

I think these recall papers might be very harmful coz of many wrong answers

both failed downloading coz there is an error even though tired a couple of times
, anyone can help ?

[quote=perfusion2004;29748]hey friends...these are previous recall papers and few amc candidates took the pain to recall them after there hectic day of amc exam part 1.so..m really thankful to them..i collected them from various sites..they are not so complete and ans are also not given in many questions..but u can have a gross idea about the paper style..if u have better material then this please share with us..

perfusion2004 where are the mcqs

thanks!!!

hI

Thanks
How do I have acess to these past papers