DHA exam 27.9.

2017
1.Calcium supplementation required for osteoporotic lady
A. 200 mg
B. 400 mg
C. 1000
D. 100mg
2. Scaphoid fracture management
3. Patient in labour 3cm 60 percent effaced after 6 hours 4cm dilated 60.percent effaced
What to do now
Ans augment with oxytocin
3. Patient 41 weeks 2cm dilated how to manage
Ans cervical ripening agents
4. Diabetic at 32 weeks with previous iud at 34 weeks how to manage
A. Wait for spontaneous onset of labour
B. C section at the moment
C. C section at 38 weeks
5. Incidence calculation
6. 3 4 easy scenarios about alzheimer's
7. Flight of idea Q
8. Mother uncontrolled diabetic fetus will be at risk of
Hypo or hyperglycaemia
9. 13 y girl got varicella her brother is nephrotic and is on corticosteroids
What to do
A. VZIG to girl only
B. VZIG Plus acylovir to both
C. Acyclovir to girl only
10. 3 4 Qs about iron deficency anemia
11. G6pd deficiency what to give
Folate
12. Pregnant at 24 weeks came for the 1st time
Otherwise normal with Hb 10
Indices were normal
What to offer
A. Iron
B. Folate
C. B12
13. Q about ewing sarcoma
14. Boy with trauma to ankle with soft tissue swelling
What to do
A.Physiotherapy
B. Immobilisation
15. How to antagonise the estrogenic effects of ca breast in postmenopausal
Ans. Aromatase inhibitors
16. Male 53 yrs active physically with father died of mi uncle has dyslipidemia
He takes a diet of 50 % fat 30 percent protein and 10 percent cars
Lipid profile mildly deranged how to manage
A. He is not at risk of cardiac disease
B. Statins
C. Reduce calories
D. Exercise
17. Child with upper respiratory symptoms and bilateral mild crepitations and diarrhea of 5 times a day
Vitally stable what to do
A. Amoxicillin
B. Stool RE and cultural
C. Paracetamol only
D admit
18. 3 scenarios about celiac disease
19. Girl recently separated from family
Mother on antidepressants
She has some absence spells
Hyperventilation followed by same spells
What to do
A. EEG
B. Refer to social services
20. Psoriasis how to prevent keratinisation
A. Avoid sun
B. Avoid trauma
C. Bathe daily
21. Management of anorexia nevosa patient
22 . 2 Qs about pap smear
24. Indication of lipid screening in 13 yo boy
28 . 2 months baby smiles bit doesn't hold neck A. Reassure B. Thyroid function C. CT
29
Tarsal tunnel syndrome which nerve affected
28. Shingles picture
29. Dx of acute appendicitis
31. Kaposi sarcoma treatment
32. Kyphosis congenital or acquired
33. Dysmenorrhoea
34 . Cushing disease
35. Infertility and amenorrhea in athlete who doesn't want to give up athletics What to do
Pulsatile gnrh
36. Cold lower limbs due to cold exposure
Warm water immersion
37. Viral warts what else the organism can cause
Cervical cancer
38. 2 Qs about syphilis
1- c
2- spica cast
3- oxytocin
4-c
5-
6-
7-
8/ hypo
9 - No right answer
10-
12- depends on MCV , if less than 80- iron, more than 100-folic acid
14-b
15- inhb of aromat
16-c
17- depends on age
19-a
20-c ( use creams )
28-c
29- median
30- viral warts are usually benign and caused by HPV 8, 11