COMPREHENSIVE EXAMINATIONS

REVIEW

For items 1 – 3: GH, 34 y/o male, public utility jeepney driver, married, consults because of
unintentional weight loss. He lost16 lbs in 3 months. He experiences frequency in urination and thirst.
Other symptoms are: generalized body malaise and blurry vision. 5 days prior to this consult, he had
distressing cough, thus the consult
1. Suppose you consider Diabetes Mellitus as your working diagnosis, which of the following tests
would least likely confirm your impression?
A. Glycosylated Hgb
B. Fasting Blood Sugar
C. Oral Glucose Tolerance Test
D. Benedict’s Test

2. A pathophysiologic mechanism that explains etiopathogenesis of Type 1 DM:

A. Autoimmune destruction of pancreatic Beta cells
B. Ineffective receptor lock-and-key mechanism
C. Hypoinsulinemic state in a young patient
D. Underutilization of endogenous insulin

3. Maturity-onset diabetes in the young, once confirmed is initially treated with _________
A. Exercise
B. Diet alone
C. Human insulin
D. Metformin

For items 4 – 6: FU, 35y/o, Filipina, office worker complains of musculoskeletal pain. She claims she is
‘overworked’. Past Medical-Other components of medical history are unremarkable. No history of
steroids use.
• PE: BP=120/80; CR=78; RR=17; T=37.5; Wt=72kgs (158.4 lbs); Ht=5’2” (1.57m)
• BMI = 32 WC=91cms(36”)
• All other findings including back maneuvers are normal
4. Based on the International Classification of BMI levels, FU is categorized __
A. Normal
B. Overwieight
C. Obese I
D. Obese 2

5. For FU, the best behavioral intervention must be __

A. Advise her to stop visits to fastfood chains right away
B. Counsel her on stress management and good eating habits
C. Educate her to refrain from eating fatty foods and instead, take fruits and vegetables
D. Tell her to manage workload and prescribe antidepressants

6. If we are to involve family in the care of our patient with nutritional problem, we should____
A. Assess patient’s readiness for change
B. Identify resons for gaining or losing weight
C. Emphasize the benefits of weight control
D. All of the above

For items 7– 9. Dr MD, recently passed the physician’s licensure examination. As he is very eager to
start his own practice in his hometown in Besao, Mountain Province, he joins the “Doctors to the
Barrio” program of the Philippine government. Upon settling in his community of practice, Dr MD
realized that the topmost health problem is malnutrition among children aged 5-7 years old.
7. The process of community characterization, identification of community’s health problems,
employing interventions and evaluating results is termed as_____
A. Community Oriented Primary Care
B. Community Immersion & Engagement
C. Community Diagnosis
D. Community Services

8. The type of malnutrition concerns the lack of essential vitamins and minerals required by the
body for proper growth and development:
A. Micronutrient Deficiency
B. Probiotic Deficiency
C. Stunting of growth
D. Wasting

  1  
 9. CBC was done among the children identified with malnutrition. RBCs were found to be
microcytic, hypochromic. The nutrient that is lacking is most likely_____
A. Folate
B. Cobalamine
C. Riboflavin
D. Iron

For items 10 – 13; Because of her memory problems for the past 4 years, HM, an 84 y/o retired
teacher was brought by her distraught eldest sister to a medical clinic.
• HM lives in a condominium unit with her daughter and a household helper.
• Her daughter observed that there are times when HM ‘attempted to offer food to the
picture’ of her husband who died 9 months ago.
• HM would often cry for no apparent reason.

10. Dementia is diagnosed when there are cognitive and behavioral symptoms that are ___
A. Shows decline in the levels of functioning and performing
B. Correlated with a major psychiatric disorder or delirium
C. Interfering with usual work and social activities
D. Related to increased levels of productivity

11. One of the following manifestations would point to HM’s cognitive impairment related to
senile dementia:
A. Crying spells without apparent reason
B. Failure to recognize her former students
C. Impaired ability to recognize common objects
D. Inability to hold anger when needs are not met

12. This is the most likely trigger factor to HM’s depression leading to dementia
A. Death of a loved one
B. Less caring household helper
C. Pathetic health care provider
D. Lack of financial support

13. The most common cause of irreversible dementia is:

A. Vascular dementia
B. Alzheimer’s disease
C. Parkinson’s disease
D. Frontoparietal dementia

For items 16 – 20: FG, a 64 y/o dealer of auto supplies consults because of difficulty of breathing and
increased phlegm for the last 2 weeks. He also mentions that he has been experiencing progressively
worsening shortness of breath and cough for the past 7 years. (+) History of smoking since he was in
high school. PE disclosed: Heart exam showed slight tachycardia; Lung exams disclosed rales over
both lung fields
14. The systems most likely to be of direct involvement are_____
A. Cardiovascular and Endocrine
B. Respiratory and Cardiovascular
C. Pulmonary and Neurologic
D. Neurologic and Endocrine

15. A point in the history which would give us some hint that this is somehow related to
pneumoconiosis, particularly _silicosis, is Mr FG’s chronic exposure to environmental ____
A. Fibers
B. Smoke
C. Paints
D. Fumes

16. The attending physician revealed the diagnosis to Mr FG’s family telling them that their father
has COPD. This is the gold standard confirmatory test:
A. Chest X-ray
B. Peakflow Meter
C. Spirometry
D. Chest CT Scan

17. In asthma and COPD, the commonalities in their pathophysiology are __

A. Hyperresponsiveness and Inflammation
B. Inflammation and edema of the brochial tree
C. Allergic reaction and hypersecretion
D. Bronchoconstriction and fibrosis

  2  
 18. A ‘word’ to distinctly differentiate asthma from COPD
A. Reactive
B. Reversible
C. Response
D. Recovery

19. According to the results of landmark studies: ALLHAT, ASCOT, etc. _the most achievable
general prevention strategy for non-communicable chronic disabling diseases:
A. Environmental protection
B. Health risks reduction
C. Stress management
D. Lifestyle change

20. Which of the following is TRUE about association of chronic kidney disease with DM?
A. Chronic kidney disease is a risk factor for diabetes
B. Globalization has contributed to the decreasing rate of chronic kidney diseases
C. Chronic Kidney Disease is emerging as a global health problem due to increasing
diabetes worldwide
D. Overall prevalence of diabetes is inversely related to the frequency of CKD

For items 21- 25, Refer to Jerome’s case

Jerome, a 55 y/o male, married is brought to the emergency room with tremors of both upper
extremities. His wife reports that his tremors are so bad that when he puts on spoonful of food in his
mouth, the food sometimes spills out of the spoon. The tremors started one day prior to consultation
and have been getting worse. She refers to his condition as “pasma” (native healer terminology)
and believes that it is because of his job as a welder. On further history taking, you find out that the
patient has been a heavy alcohol drinker since he was in his twenties and over the last 5 years has
been drinking average of one bottle “lapad” (325 mL of rhum) per day. Three days ago, in the
morning, he developed a flu-like illness and this prompted him to stop his intake of rhum. The tremors
appeared in the afternoon of that day and have been growing progressively worse. this has
happened before and the wife reports that when he drinks alcohol, the tremors disappear, She also
reports that the patient told her that yesterday, he seemed to be talking to someone but he was all
alone in the room. When asked who he was talking to, he answered that he was talking to his
deceased uncle who was there in the room with him.
On physical examination, the patient is slightly disoriented and irritable. Blood pressure is 150/95,
heart rate is 102 cpm, respiratory rate is 22 cpm, body temperature is 37 C ̊. There is no icterisia. Lungs
are clear. He is tachycardic, however, heart sounds are distinct with normal rhythm. On palpation,
abdomen is full but with no liver nor other organs enlargement.
He manifests prominent tremors on both upper extremities. The patient claims that his uncle is
there in the emergency room with him, and he “converses” with his uncle from time to time.
Laboratory tests show elevated liver enzymes, low calcium low magnesium, and low potassium.

21. Jerome’s clinical manifestations are most likely related to __

A. Alcohol abuse
B. Alcohol withdrawal
C. Alcohol intoxication
D. Alcohol dependence
E. Alcohol tolerance

22. Seeing a person who is in reality not actually present is termed as __

A. Hallucination
B. Obsession
C. Delusion
D. Compulsion
E. Illusion

23. Jerome has 2 brothers (ages 23 and 19 respectively) who lives with them. The best preventive
measure for them must be __
A. Counseling
B. Good nutrition
C. Early detection and brief intervention
D. Control of alcohol-related diseases
E. Referral to psychologist

24. In primary care settings, the most sensitive and is commonly used screening questionnaire for
alcohol dependency but not on heavy drinking is __
A. CAGE
B. MAST
C. AUDIT
D. TWEAK
E. BriefMAST

  3  
 25. While on the overt clinical manifestations of his condition, at the emergency room which of
the following interventions would be the MOST helpful for Jerome?
A. Let him drink alcohol to avert the acute symptoms
B. Place him on IV fluids and treat the condition symptomatically
C. Commence team approach management (caregiver, internist, psychiatrist, family,
etc)
D. Give injectable medications to relieve spasms and send him home
E. B and C only
For Items 26 – 30: Consider the case of Mr Soriano:
Mr Soriano, fondly called by neighbors as Mang Pio is a 50-year old salesman who comes to your
clinic seeking consult regarding cigarette smoking. He has stable vital signs and the physical
examination findings are unremarkable. He only points out that medically, he has been having
cough ‘for a long time now’ which he claims does not go away even with prescribed medications.
He has a 30 pack-year history of smoking. One of his concerns is that his brother, who also is a
smoker, died a month ago due to lung cancer. He fears that he will succumb to the same fate.
26. As a primary care physician, what should be your first step?
A. Assess Mang Pio’s readiness to quit
B. Give Mang Pio a brief advice regarding smoking cessation
C. Further ask in detail things concerning his tobacco use
D. Create a cessation plan
E. Ask the patient to come back if he’s sure he wants to quit

27. Additionally, Mang Pio tells you that he is now planning to quit in the next 6 months, however,
he has not made any attempt yet in the past year. Based on the TTM stages of change for
smoking cessation is he most probably in the __
A. Preparation
B. Precontemplation
C. Contemplation
D. Action
E. Maintenance

28. You assessed Mang Pio’s nicotine dependence using the Fagerström test, where he scores 5.
The score of 5 means that he is_
A. Independent
B. Minimally dependent
C. Moderately dependent
D. Highly dependent
E. Severely dependent

29. In addition, Mang Pio is concerned for the health of his wife and 4 kids, and asks about
secondhand smoke. Which of the following statements concerning second hand smoke is the
most accurate?
A. Children are predominantly exposed to SHS outside home
B. Sidestream smoke is much more toxic than the mainstream smoke
C. Although harmful, secondhand smoke has not been related to any disease in
particular
D. Sidestream smoke is equally dangerous with the mainstream smoke
E. SHS is less dangerous than the mainstream smoke

30. Mang Pio asked you of any medical treatment that can be offered to those who would want
to stop smoking. Which of the following drugs will you most likely offer him?
A. Verenicline
B. Methadone
C. Naltrexone
D. Disulfiram
E. Zolpidem

31. Which of the following smoking cessation techniques is most apt for large populations but is
relatively less effective to other techniques?
A. Brief advice
B. Medical treatment
C. Intensive counseling
D. Behavioral modification
E. Referral to psychiatrists

32. In patient unwilling to quit smoking, the 5Rs can be applied. Which of the following is not
included in the 5Rs?
A. Risks
B. Rewards
C. Relevance
D. Restrict
E. Repetition

  4  
For items 33 -35: In 2010, registered substance – use health problems was tripled. The consequence of
this was increase in the number of violence in public places as well as in patients’ homes
33. Among the types of family violence, the least understood is __
A. Child abuse
B. Elder abuse
C. Couple violence
D. Sibling violence

34. The most extreme and serious form of domestic violence

A. Absence of financial support for the family
B. Forcing the child to be family’s breadwinner
C. Inflicting physical and emotional injuries
D. Uttering hurting words to the siblings

35. Reason(s) why battered wives remain in their abusive relationship:

A. Persistent stalking of their abusive partners
B. Women love much their abusive partners
C. Lack of social support network
D. All of these

INFORMATION MASTERY
36. In Evidence-Based Medicine, the center of all care decisions is __
A. Patient outcomes
B. Physician’s competencies
C. Pathophysiologic reasoning
D. Physician’s compassion
E. Patient-physician rapport

37. Engaging in research activities (CHED MO 18 MD PLO#4) explicitly means __

A. Generating original researches
B. Basing care decisions on valid evidences
C. Updating continuously with new inventions
D. Contributing noble breakthroughs in medicine
E. Submitting research paper before graduation

38. The practice of EBM begins with a through understanding of the __

A. Patient
B. Diagnosis
C. Management
D. Evidence
E. Cause

39. Elements of EBM practice

A. Patient values, information, psychosocial factors
B. Physician merits, patient benefits, best information
C. Physical, psychological, socio-economic factors
D. Patient predicaments, evidences, core values
E. Physician’s competencies and his subspecialty

40. The technique in selecting cases from a population such that each participant in a study has
an equal chance of being selected
A. Random sampling
B. Stratified sampling
C. Purposive sampling
D. Non-probability sampling
E. Convenient sampling
41. A systematic assessment of validity and usefulness of a scientific literature is __
A. Research process
B. Literature search
C. Critical appraisal
D. Problem solving
E. Research writing
42. The essential first step in the Evidence-based Medicine (EBM) cycle
A. Decision-making
B. Identify the problem
C. Search for evidence
D. Appraisal of literature
E. Evaluation of intervention

  5  
 43. Statistical approach to combining the results extracted from several studies
A. Cohort studies
B. Observational studies
C. Prevalence studies
D. Systematic Reviews
E. Meta-analysis

44. The DNA sequencing for the identification of fetal trisomy has an overall sensitivity of 87
and specificity of 98. With these results, the best use of this test will be as __
A. Screening test
B. Confirmatory test
C. Gold standard test
D. Supportive test
E. Diagnostic test
45. Research technique in which the experimental drug is being concealed to the participants,
investigator and the statistician
A. Blinding
B. Controlled
C. Randomization
D. Selection
E. Allocation

46. Amrita, a medical student is doing a research about the prevalence of hypertension among 20-
40 y/o female, teachers of VMUF Senior High School. She prepared the research proposal and
have her work reviewed by the INSTITUTION ETHICS COMMITTEE. This step in the research process
that includes the ethical and legal ramifications of a research study is _
A. Statement of the problem
B. Formulation of hypothesis
C. Setting of objectives
D. Research method
E. Designing the study

47. After the proposal was approved by the ERB, she drafted the research framework and chose
the target population. The manner of selecting the subset of participants according to some
laws of chance in which unit has some definite preselected attributes based on specified
inclusion criteria is __
A. Quota sampling technique
B. Systematic random sampling
C. Judgment sampling technique
D. Snowball sampling technique
E. Non-probability samplin

48. After she completed the study, The research paper was published in the VMUF FAMILY MEDICINE
JOURNAL. This part of her research work that includes assumptions and values that served as
rationale and standards for interpreting data results and drawing up conclusions is __
A. Abstract
B. Introduction
C. Methodology
D. Results
E. Discussion

49. Mr FR is charged spouse batterer under VAW law. He manifests signs of substance dependence.
The attending medico-legal officer utilized the CAGE Questionnaire to screen for problem
drinking a CAGE LR score of 0.05 for the diagnosis of alcohol dependence/alcoholism means __
A. Strong evidence to rule in alcoholism
B. Moderate evidence to rule in alcoholism
C. Strong evidence to rule out alcoholism
D. Moderate evidence to rule out alcoholism

50. The statistical indicator of a diagnostic test that is more widely used to ‘rule out’ a disease
(Harrison’s Principles of Internal Medicine)
A. Sensitivity
B. Specificity
C. Likelihood Ratio
D. Positive predictive value

  6  
 If any of you lacks wisdom, he should ask of God,
Who gives generously to all..
But when he asks,
he must believe and not doubt.
James 1: 5,6

51. Landmark Study for Hypertension and ESRD

A. MRFIT (Multiple Risk Factor Intervention Trial).
B. ASCOT
C. ALLHAT
D. HOT (Hypertension Optimal Treatment)

52. Prevention and Control of Hypertensive Renal Disease

A. Elimination of risk factors for Hypertension
B. Adequate glycemic control
C. Both
D. Neither

53. Glomerulonephritis (GN) manifestations, EXCEPT:

A. Hematuria and proteinuria
B. Proteinuria, and RBC cast
C. Hypertension and Edema
D. Oliguria and renal insufficiency

54. Analgesic Nephropathy (AAN):

A. Acute and progressive renal disease
B. Prevalent in most South East Asian countries
C. More common in women than men
D. Pathogenesis is well understood.

55. Acute Renal Failure:

A. Community-acquired cases have treatable causes
B. Prostatic enlargement is one of its several causes
C. Indiscriminate use of diuretics is implicated
D. Sepsis is an unrecognized risk factor

56. Illicit drug – use renal syndrome associated with Hepatitis B infection:

  7  
 A. Renal deposition amyloid
B. Immune complex GN
C. Membranoproliferative GN
D. Cryoglobulinemia

57. Renal Disease and the HIV/AIDS combo

A. HAART was a proven cure for HIV nephropathy
B. Hemodialysis is done until kidney function returns
C. Renal transplant decreased the overall morbidity and mortality
D. Protease inhibitors bear no significant effect on its progression to ESRD

58. Hemolytic Uremic Syndrome is documented in researches to be caused by____

A. Enteropathogenic E. Coli
B. Enterohemorrhagic E. Coli
C. Enteroinvasive E. Coli
D. Enteroaggregative E. Coli

59. Urinary Tract Infections in general population is characterized as:

A. UTIs are common among preschool boys than young adults
B. Uncomplicated UTI’s are most in young, healthy, sexually active women with
abnormal urinary tract
C. UTIs frequently affect elderly men who are institutionalized and those with indwelling
catheters
D. Complicated UTIs in older women are often associated with pregnancy and
menopause

60. Risk for Urinary Stone Disorder

A. Male sex
B. Asian Race
C. Lack of Exercise
D. Diet high in Calcium and Colored fluids

61. Prostate Cancer:

A. A disease of aging men
B. The most commonly diagnosed cancer in men
C. The second cause of male cancer deaths
D. All of the above

62. Benign Prostatic Hyperplasia:

A. It is a precursor of cancer
B. Symptoms result from bladder outlet compression
C. Beta – adrenergic blocking agents delay the progression of symptoms
D. A Firm indication for surgery is acute hematuria

63. END – STAGE RENAL DISEASE Treatment Advances, EXCEPT:

A. Automation of peritoneal dialysis
B. High flux, bicarbonate hemodialysis
C. Use of Vitamin A derivatives for treatment of renal osteodystrophy
D. Genetically engineered erythropoietin reduces the need for blood transfusion

64. Prevention of ESRD:

A. Control of Urinary Tract Diseases
B. Promotion of Healthy Lifestyle
C. Screening for microalbuminuria
D. Summation of the above

65. Worldwide, the most common cancers are:

A. Lung, breast, colorectal
B. Colorectal, liver, and cervix
C. Liver, breast, and oropharynx
D. Colorectal, lung, and prostate

66. Cancer is regarded as group of diseases characterized by:

A. Abnormal growth of cells
B. Ability to invade adjacent tissues
C. Eventual death of the afflicted patient if the tumor has progressed beyond the stage
when it can be successfully removed
D. All of the above

67. Top 3 causes of death from cancer: (WHO, 2000)

A. Lung, breast, colorectal
B. Breast, Prostate, uterus

  8  
 C. Lung, liver, stomach
D. Breast, stomach, liver

68. Most conspicuous feature of this cancer distribution is its male preponderance:
A. Lung Cancer
B. Cancer of the stomach
C. Liver Cancer
D. Cancer of the bladder

69. Reasons for the increasing cancer deaths, EXCEPT:

A. Longer life expectancy
B. More accurate diagnosis
C. Rise in Cigarette smoking
D. High index of suspicion

70. Cancer Patterns have wide variations due to the following factors, EXCEPT:
A. Genetic
B. Technology
C. Poverty
D. Lifestyle

71. Genetics determinants of Cancer:

A. Hereditary susceptibility
B. Fetal exposure to carcinogens
C. Both
D. Neither

72. Environmental factor of cancer development, EXCEPT:

A. Lack of Physical activity
B. Smoking during pregnancy
C. Excessive alcohol
D. Parasites

73. Secondary Prevention of cancer:

A. Adequate screening
B. Better chemotherapeutics
C. Early Radiotherapy
D. All of the above

74. Colorectal cancer control, EXCEPT:

A. Early reporting of symptoms
B. Surgical Resections
C. Thermography
D. FOBT Screening

75. Methods of cancer screening, EXCEPT:

A. Focused PE of specific organs
B. Rapid clinical assessment of body sites
C. Patients’ Involvement to chemotherapeutic trials
D. Identifying groups of people as population-at-risk

76. Pap test indication:

A. All women even those who never had sexual contact
B. Past history of cervical cancer
C. All recipients of HPV vaccines
D. For women of 65 with strong FH of reproductive cancers

77. Risks for these human neoplasms is clearly associated with alcohol consumption, EXCEPT:
A. Mouth
B. Breast
C. Hepatobiliary
D. Prostate

78. Chronic Lung disease in infancy, EXCEPT:

A. Ineffective gas exchange
B. Need for ventilator support in the neonatal period
C. Persistent pulmonary dysfunction
D. Surfactant deficiency associated with lung immaturity

  9  
 79. Cystic Fibrosis
A. Frequent cause of respiratory distress syndrome
B. Impaired Mucous secretion
C. CFTR gene mutation
D. Recurrent Viral infection of the lungs

80. Childhood asthma risk factor:

A. Prematurity
B. Bottle feeding
C. Neonatal sepsis
D. Obesity

81. Genetic determinant(s) for childhood asthma

A. Atopy
B. Male gender
C. Ethnicity
D. All of these

82. Asthma in adults:

A. Interventions are entirely different from childhood asthma
B. Lifestyle is implicated as potential cause
C. Both
D. Neither

83. COPD
A. Enlargement of the air sacs
B. Asymptomatic in most cases
C. Reversible airway obstruction
D. Diesel exhaust fumes exposure

84. Acute Respiratory Disease Syndrome causative factors, EXCEPT:

A. Viral Pneumonia
B. Pancreatitis
C. Blood Transfusion
D. Drug Overdose

85. Surgical Risk Factor(s) for pulmonary embolism

A. Open reduction for fractures
B. Explore lap for cancer
C. Caesarian section
D. All of these

86. Diffuse parenchymal lung disease:

A. Pulmonary edema without cardiac basis
B. Radiation-induced lung disorder
C. Respiratory failure and pulmonary edema
D. All of the above

87. Causes of interstitial lung disease, EXCEPT:

A. Angiitis
B. Sarcoidosis
C. Mesothelomia
D. Unknown

88. Mechanism of injury for mesothelioma:

A. Carcinogenesis
B. Inflammatory
C. Fibrogenesis
D. Immunologic

89. Sleep apnea:

A. Equal gender preponderance
B. Night-time over-sleepiness
C. Proportional to age
D. Underweight patients

90. Key for making accurate diagnosis for lung diseases

A. Identification of a risk factor
B. Routine chest radiography
C. Pulmonary lung function test
D. DSSM

  10  
 91. Disorders primarily of children, EXCEPT:
A. Slipped capital femoral epiphysis fracture
B. Juvenile rheumatoid arthritis
C. Dislocation of hip
D. Scoliosis

92. Specific lesion responsible for low back pain:

A. Unknown
B. Congenital abnormalities
C. Facet aberrations
D. Spinal stenosis

93. Risk Factors for neck pain, EXCEPT:

A. Physiological
B. Binge Alcohol Drinking
C. Prolonged motor vehicle driving
D. Frequent aquatic driving

94. Most practical preventive measure for low back and neck pains:
A. Attitude changes
B. Ergonomics redesign
C. Risks identification
D. Physical fitness skills

95. Pathogenesis of OSTEOPOROSIS:

A. Normal aging sequence
B. Micro architectural deterioration of bone tissue
C. Focal loss of articular cartilage
D. Remodeling subchondral bone

96. Recommended pharmacological treatments for osteoporosis:

A. Biphosphonates and SERMS
B. Calcium and Vitamin D
C. Both
D. Neither

97. Radiographic findings in OA, except:

A. Osteophytes
B. Subchondral cysts
C. Joint space widening
D. Bony remodeling

98. Among the perimenopausal with OA the commonest joint affected is:
A. Knees
B. Hands
C. Spine
D. Hips

99. Screening test(s) for OA with high specificity and sensitivity:

A. COMP – Cartilage oligometric matrix protein
B. hsCRP – High sensitivity C – reactive Protein
C. Both
D. Neither

100. Which of the following is the preferred long-term oral analgesic for degenerative OA?
A. Ibuprofen
B. Meloxicam
C. Paracetamol
D. Celecoxib

101. Patients in whom NSAIDs are contraindicated, ineffective or poorly tolerated, the
useful alternative is:
A. Glucosamine Sulfate
B. Hyaluronic Acid
C. Opiod Analgesic
D. Paracetamol

102. Intra-articular injection of long acting steroid is specifically indicated in:

A. Intolerable pain
  11  
 B. Poor response to NSAIDs
C. Joint Effusion
D. Allergy to analgesics

103. A first – line therapy for Rheumatoid Arthritis must be____

A. Salicylates
B. Antimalarial drugs
C. Cyclosporine A
D. D-penicillamine

104. Joaquin is a 65 y/o mechanical engineer who presents pain of hands and wrist joints:
The most likely diagnosis:
A. Osteoarthritis
B. Rheumatoid Arthritis
C. Gouty Arthritis
D. Osteoporosis

105. The most common cause of paraplegia:

A. Traumatic injury of spine
B. CVA, thrombotic type
C. Malignancy of the spinal cord
D. Autoimmune disease of the CNS

106. True statement about SCOLIOSIS:

A. Frequently diagnosed earlier in boys than girls
B. Risk is 3x higher for first degree relatives than in other children
C. Evidences proved the etiological involvement of visual and vestibular functioning
D. Primarily a disease of the adolescents

107. Contact sports in adolescents usually associated in the fracture of:

A. Forearm
B. Phalanges
C. Humerus
D. Metacarpals

108. Tim, a 6 y/o boy is found with multiple fractures. He may possess which of these high –
risk attribute(s)?
A. Limp and thin
B. Tall and heavy
C. Wit and playful
D. Any of the above

109. WHO defines blindness as:

A. Visual acuity of less than 3/60 (Snellen) or its equivalent
B. Inability to count fingers in daylight at a distance of 3 meters
C. Both
D. Neither

110. WORLDWIDE, the most common cause of blindness is:

A. Cataract
B. Glaucoma
C. Trachoma
D. Unknown

111. Cause of childhood blindness most likely linked to prematurity:

A. Xerophthalmia
B. Retinopathy
C. Macular disease
D. Congenital cataract

112. The Primary Eye Care Concept:

A. Focus on the measurements of incidence and prevalence of eye health conditions
B. Introduction of auxiliary eye health personnel
C. Model eye care at community level
D. Recognition of PHC approach in Government Health Services

113. Primary eye care intervention(s):

  12  
 A. Essential drugs
B. Personal hygiene
C. Healthy diet
D. All of the above

114. Predominantly eye health conditions in the elderly, EXCEPT:

A. Retinal vascular disease
B. Angle closure glaucoma
C. Macular degeneration
D. Cataract

115. One of the following is a female dominated neurological disorder:

A. Stroke
B. Back pain
C. CNS tumors
D. Dementias

116. The commonest form of CP is:

A. Athetotic
B. Dystonic
C. Hypotonic
D. Spastic

117. Risk factors for cerebral palsy, EXCEPT:

A. Antiphospholipids antibodies in term infants
B. Hyperbilirubinemia in neonates
C. Low socio-economic status
D. Short menstrual cycles

118. This neurological manifestation can occur before the AIDS – related complex is
present:
A. Multifocal encephalopathy
B. Primary CNS Lymphoma
C. Toxoplasmosis
D. Neuropathies

119. In several studies, the risk factor with proven association with seizure disorders and
epilepsy across all ages is____
A. Hypoxia at birth
B. Degenerative brain disease
C. Pertussis immunization
D. Toxemia of pregnancy

120. True statement about Multiple Sclerosis

A. Demyelinating disease of the gray matter
B. Characterized by remissions and exacerbations
C. Alcohol use exacerbates signs and symptoms
D. Predominantly manifest sensory dysfunctions

121. Current treatment for Multiple Sclerosis exacerbations:

A. ACTH
B. Beta Interferon
C. Azathioprine
D. Cyclosporine

122. Most common modifiable risk factor for strokes:

A. Cardiac Disease
B. Physical activities
C. Hyperlipidemia
D. Overweight

100. This landmark study demonstrated significant 28% RR in TIAs

A. ALLHAT trial
B. NASCET
C. Scandinavian Simvastatin Survival study
D. Atherosclerotic Risk in Communities Study

Take a few minutes of your time to rate the following classroom activities:

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Rate the learning plans according to the modified LIKERT Scale below

1 2 3 4 5

Needs More Important Good Better Best

Improvement
But, it needs more Good participation More student- Real outcomes-
Least yield for preparation on the for all learners centered based, student
students part the students involvement is
maximum

a) Lectures
b) Team-based learning
c) Small group discussions
d) Mini- workshops
e) Community immersion
f) Interactive discussion
g) Role play
h) Projection quizzes
i) Reporting
j) Actual skills demo
k) Panel discussion
l) Web-assisted learning systems
m) Actual conduct of research
n) Critical appraisal of published papers

If any of you lacks wisdom, he should ask of God,

Who gives generously to all..
But when he asks,
he must believe and not doubt.
James 1: 5,6

Thank you for all your efforts in answering the survey

Salamat, salamat

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