Combined Medical Services Examination Page 4

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18. With reference to frozen shoulder, consider the following statements:
1. It is associated with diabetes and heart disease.
2. It may follow minor trauma.
3. Its differential diagnosis are infection and fractures.
4. Treatment of choice is surgery.
Which of the statements given above are correct?
(a) 1 and 2 only
(b) 1, 2 and 3
(c) 2, 3 and 4
(d) 3 and 4 only
19. The prognosis in reduced or unreduced fractures involving epiphyseal plate is very
poor if the fracture line:
(a) Runs along the epiphyseal plate
(b) Extends into epiphysis
(c) Crushes the epiphyseal plate
(d) Crosses the epiphyseal plate
20. A 30 year old man met with an accident and presented with multiple fractures of
ribs and paradoxical movement with severe respiratory distress. X-ray shows
pulmonary contusion on right side without pneumothorax or haemothorax. Which
one of the following is the initial choice of treatment?
(a) Immediate internal fixation
(b) Endotracheal intubation and mechanical ventilation
(c) Thoracic epidural analgesia and O
therapy
2
(d) Stabilization with towel clips
21. Which of the following is not a clinical feature of tetanus?
(a) Risus sardonicus
(b) Opisthotonus
(c) Loss of consciousness
(d) Respiratory failure
22. Hyperchloremic acidosis is a common complication of:
(a) Ureterosigmoidostomy
(b) Diarrhoea
(c) Vomiting
(d) Ileostomy

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