QUESTION: 49

A 6-year-old boy fell in the playground and has been holding his forearm complaining of pain. Exam: no sign swelling. However, there is minimal tenderness on exam.
What is the diagnosis?

Green stick fx of distal radius
Fracture neck of humerus
Fracture mid ulnar
Fracture mid radius

Answer(s): A

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QUESTION: 50

A 37-year-old woman presents with heavy bleeding. Investigation shows subserosal fibroid-4cm and intramu.
Which is the most appropriate treatment?

Abdominal Hysterectomy
Vaginal Hysterectomy
Abdominal Myomectomy
Hysteroscopic Myomectomy

Answer(s): C

Explanation:

As patient is young we should go for myomectomy. As hysteroscopic myo mainly sub mucosal fibroids we should go for abdominal myomectomy which will deal with both subserosal a fibroids.

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QUESTION: 51

Which vitamin has a protective effect against colon cancer?

Vitamin C
Vitamin D
Folic acid
Vitamin K

Answer(s): B

Explanation:

Calcium and vitamin D Calcium may protect against bowel cancer, according to the World Cancer Research Fund. A 2004meta analysis showed that people with the highest levels of calcium intake (from food and supplements) reduced their risk of bowel cancer by 22% compared to people with the lowest calcium intake.
However, 2 meta analyses in 2010 found that calcium supplements had no effect on bowel cancer risk in the general population. But they did find a link between calcium intake and a reduced risk of polyps coming back in the bowel after previous treatment. Polyps are growths in the bowel that may develop into cancer over a long period of time, if left untreated. To reduce bowel cancer risk, it may be better to take vitamin D and calcium together. We need vitamin D to be able to absorb calcium. A large randomized controlled trial in 2006 showed that only the people with high intakes of both calcium and vitamin D had a reduced risk of bowel cancer. Other studies have shown that people with the highest intakes of vitamin D have a lower risk of bowel cancer and bowel polyps. Dairy There is some evidence that drinking milk reduces the risk of bowel cancer. A review in 2011 showed that the benefit of dairy in reducing bowel cancer risk was only seen at levels over 100 grams (g) a day. Having 500 to 800g milk a day reduced bowel cancer risk by 20 to 30%. One pint, or 0.5 liters, of semi skimmed milk weighs about 550g. The effect of milk on lowering bowel cancer risk may be partly due to the calcium. But milk contains many other substances which may also play a role. There is limited evidence that eating cheese may increase the risk of bowel cancer. It is not clear how cheese may increase the risk, but it may have something to do with the saturated fatty acids.

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QUESTION: 52

A 32-year-old woman presents with malaise fatigue and fever. She complains about weight loss. Exam: malar nasolabial fold can be seen.
What is the most appropriate investigation?

Anti-histone
Anti-centromere
Anti-ds DNA
Anti Jo
Anti Scl70

Answer(s): C

Explanation:

Features are suggestive of SLE. So most appropriate investigation from the given option DNA.

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