MBBS 2008 INTAKE (MBBS_2008_INTAKE) > TAKE ASSESSMENT: GENERAL PRACTICE FORMATIVE TEST

Take Assessment: General Practice Formative Test

Name General Practice Formative Test

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  Question 1

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A mother brings in her 1 year old child into your general practice with a 3 day history of a dry, barking cough. The cough is worse at night. The child has a mild fever, a clear chest and is otherwise well. Which of the following is the MOST LIKELY diagnosis?

Epiglottitis

Viral upper respiratory tract infection

Asthma

Bronchiolitis

Pneumonia

  Question 2

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  Which of the following statements about cataracts is correct?

Cataracts are the leading cause of blindness worldwide

A visual acuity of 6/12 or worse is required before surgery is indicated Medications cannot cause cataracts

A cataract is a growth of a film across the eye

Previously worn glasses will still be required after cataract

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surgery

  Question 3

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Sam is a 21 year old male who smokes at least 30 cigarettes a day and has done so for 5 years. While he has seen anti-smoking campaigns advertised in print media, on television and health warnings on cigarette packets, he does not wish to change his behaviour. The reason these campaigns fail to impact on young people is called 'optimism bias' and refers to?

An upward comparison where the young person concludes that their behaviour is much less dangerous than that of the 'average' smoker A downward comparison where the young person concludes that their behaviour is much less dangerous than that of the 'average' smoker A sliding scale where the young person concludes that their behaviour is much less dangerous than that of the 'average' smoker A specific form of self deception where the young person concludes that their behaviour is much more dangerous than that of the 'average' smoker A form of denial of the health consequences of smoking based on the belief that they only affect old people

  Question 4

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Patient non-compliance with medical regimes is MOST OFTEN an expression of:

A patient's disagreement with the doctor about treatment goals

A patient's lack of understanding about treatment goals

Patient cultural values and beliefs

The patient's lack of motivation and commitment to recovery

Financial restraints on the patient

  Question 5

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The National Bowel Cancer Screening Program offers:

Colonoscopy for 55-65 year olds every 2 years

Colonoscopy for over 50 year olds every 5 years

Faecal occult blood testing for over 50 year olds every 2 years

Faecal occult blood testing for 55-65 year olds every 2 years

Faecal occult blood testing for 55-65 year olds every 5 years

  Question 6

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With immunisation, there is a definite contraindication to:

The use of triple antigen in a baby that had a fever of 38 degrees for 12 hours after the previous triple antigen The use of triple antigen in a baby who had a 1 cm red swelling at the injection site for 3 days after the previous immunisation The use of a live vaccine in a child in an immunocompromised state The use of a live vaccine 4 months after a blood transfusion

The use of a live vaccine 5 months after an injection of immunoglobulin

  Question 7

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A 90 year old man presents to you with an ulcer on his left ankle that has failed to heal with simple home dressings over the last month. Which of the following features gives you the strongest indication that this ulcer is arterial in origin?

The ulcer is usually not painful

The ulcer is in the gaiter area

His advanced age

He has an ankle/brachial (Doppler) index of 1.1

He has an ankle/brachial (Doppler) index of 0.7

  Question 8

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You have been treating the chronic leg ulcer of a 74 year old lady for 4 weeks. Although it was reducing in size for the first 2 weeks, it has not reduced in size since then. What is the feature most suggestive of infection as a cause of the impairment in healing?

Hypergranulation tissue

Friable granulation tissue

Grey granulation tissue

Rolled wound edges

Erythema more than 2 cm from the wound edge

  Question 9

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  A 6 month old baby boy is brought to you by his mother with a symmetrical rash worsening over the previous month. Which clinical feature would make you favour a diagnosis of seborrhoeic dermatitis over atopic dermatitis?

The rash is on the cheeks and the fronts of the elbows

The rash is mainly in the neck flexure, axillae and groins

The child has been scratching constantly

The rash has areas which are weeping

The baby seems more irritated when in woollen clothing

  Question 10

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A 32 year old man consults you about some low back pain that he has had for the last two months. He had been to an Emergency Department a month ago where he had been diagnosed as having mechanical back pain. He was told that it would settle with rest and anti-inflammatories. However it has been worsening rather than improving since then. Which of the following clinical features would make you most suspicious that there was something other than a mechanical cause for his pain?

The pain is worse with standing still than with movement

The pain is radiating into his left buttock and posterior thigh

The pain has not been relieved by ibuprofen tablets 400 mg three times daily There is a history of morning stiffness lasting one to two hours

The pain is worse with coughing

10/10

10/10

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