Past Paper of MOH April 06th 2017 with Explanations

 

First we will share few MCQs and then the Link to Download complete PDF File.

1- Patient with lung cancer best way to evaluate metastasis:
A) MRI
D) PET scan
My answer was Positron emission tomography (PET) scan
I am not sure that CT scan was there are not
Explanation:
Positron emission tomography (PET) imaging is strongly indicated for the diagnosis of solitary pulmonary nodules and for the diagnosis, staging, and restaging of both non-small-cell lung cancer and esophageal cancer. PET is also used in guiding treatment plans, monitoring therapeutic response, and detecting tumor recurrence.
Why PET performed:
This test may be done to:
● Help look for lung cancer, when other imaging tests do not give a clear picture
● See if lung cancer has spread to other areas of the lungs or body, when deciding on the best treatment
● Help determine if a growth in the lungs (seen on a CT scan) is cancerous or not
● Determine how well cancer treatment is working

According to Canadian Cancer Society:Imaging tests Imaging tests are an important part
of diagnosing lung metastases. It is common for people to have one or more imaging tests
when the doctor thinks that cancer may have spread to the lungs. These tests include the
following.

Chest x-ray is usually the first test done to try to find out what is causing symptoms like a
cough and shortness of breath. Doctors use chest x-ray to look for any lung tumours.
Computed tomography (CT) scan of the chest is a common test used to check for lung
metastases. It provides more detailed images of lung tumours than a chest x-ray, including
the size and location of the tumours. It can also be used to check for cancer in nearby
lymph nodes.Positron emission tomography (PET) scan of the lungs or the whole body may
bedone.It may be used to check if lung tumours are cancerous or not.

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2-Patient complaint of light headedness, tachycardia, diarrhea, after meals, relieve by lying down, history of gastrointestinal surgery before 2 month, what is the your provisional diagnosis
A) IBS
B) Dumping syndrome
C) villous adenoma
D) Cronhn’s disease
Answer B

3-Case of Osgood schalter disease what area is effected
My answer was Traction of patellar tendon
Explanation:
Osgood-Schlatter disease is a common cause of knee pain in growing adolescents. It is an
inflammation of the area just below the knee where the tendon from the kneecap (patellar
tendon) attaches to the shinbone (tibia).

Paper is uploaded in Google drive for convenience, You can download it from the Link given bellow:





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