---

1) Cerebral abscess in the absence of endocarditis is a recognised complication of:

Choose 4 of the following options.

1. Tetralogy of Fallot

2. Eisenmenger's Syndrome

3. Tricuspid artresia

4. Transposition of the great arteries

5. Tricuspid prolapse

---

2) Nephrogenic diabetes insipidus:

Choose 3 of the following options.

1. Has an autosomal recessive inheritance

2. Can be associated with sickle cell anaemia

3. Is characterised by normal or low serum vasopressin levels

4. Can be caused by hypercalcaemia

5. Is Secondary to Lithium Treatment

---

3) Extrinsic allergic alveolitis:

Choose 2 of the following options.

1. Occurs only in atopic individuals.

2. Is associated with precipitin production to relevant antigens.

3. Characteristically causes an eosinophilia.

4. Results in a restrictive pattern of ventilatory abnormality with marked reduction of transfer factor.

5. None of the Above

---

4) Which of the following are associated with dissecting aneurysm of the aorta?

Choose 3 of the following options.

1. Coarctation of the aorta

2. Hypertension

3. Marfan's syndrome

4. Syphilitic aortitis

5. Gonorrhoea

---

5) Lung complications may result from the ingestion of:

Choose 4 of the following options.

1. Paraquat

2. Busulphan

3. Bleomycin

4. Aspirin

5. Paracetamol

---

6) In coarctation of the aorta:

Choose 2 of the following options.

1. Rupture of the aorta is a recognised complication

2. Congestive failure is usually due to hypertension

3. Cerebrovascular haemorrhage is a known hazard

4. Infective endocarditis of the bicuspid valves is a very rare occurrence

5. None of the Above

---

7) Hypothyroidism:

Choose 2 of the following options.

1. Is more common than hyperthyroidism

2. Is a cause of pericardial effusion

3. Is associated with low serum carotene

4. May present with cerebellar ataxia

5. No cerebellar Symptoms

---

8) A patient suffering from dystrophia myotonica is likely to suffer from:

One answer only.

A. Progressive external ophthalmoplegia.

B. Cataracts.

C. Symptoms that begin in childhood.

D. Fasiculations presenting in childhood.

E. Tendon reflexes that are retained despite muscle wasting.

---

9) An unconscious man is brought to hospital as an emergency. He is a known methylated-spirit drinker. If he is suffering from methyl alcohol poisoning:

Choose 4 of the following options.

1. Kussmaul's breathing (air hunger) would be expected as a prominant feature

2. Papilloedema would be consistant with the condition

3. The methyl alcohol would be metabolised to formaldehyde

4. The plasma bicarbonate would be very low

5. No effect on acid base balance

---

10) Proliferative glomerulonephritis:

Choose 3 of the following options.

1. May present as a nephrotic syndrome

2. May present with haematuria + convulsions

3. Is the lesion which can occur in Henoch- Schönlein syndrome

4. In childhood can be expected to respond well to steroids

5. May present as nephritic syndrome