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HAAD EXAM DEC 2011

1.CHILD WITH CONTACT WITH PATIENT WITH OPEN TB,CHILD MANTOUX POSITIVE—NEXT STEP---CHEST X
RAY,SPUTUM AAFB,GASTRIC ASPIRATE AAFB
2.65YRS WITH # NECK OF FEMUR ---BEST TTT---ORIF,HEMIARTHROPLASTY,TOTAL HIP
REPLACEMENT,TRACTION
3.MOLLUSCUM CONTAGIOSUM---PHOTO SHOWN FOR A RASH IN ACHILD WHOSE TEACHER COMPLAIN THAT
HE IS INFECIOUS TO OTHER CHILDREN AT SCHOOL
4.ECG AND TYPICAL HISTORY OF ANT.MI----OXYGEN &MORPHINE AND WAIT FOR BLOOD RESULTS
INCLUDING CARDIAC MARKERS,URGENT PCI
5.ECG OF ATRIAL FIBRILLATION PT IS SYMPTOMATIC& HEMODYNAMICALLY STABLE---EMERGENCY
REFERRAL ,OPD CARDIOLLOGY CONSULT
6.STAGHORN CALCULUS,DEFINITIVE TTT—ESWL,PERCUTANEOUS LITHOTOMY,URETEROSCOPIC
EXTRACTION,OPEN NEPHROLITHOTOMY
7.CHILD WITH GROWTH CHART MOTHER C/O FTT AND THE CENTILE WITHIN NORMAL---IT IS A FALSE ONE,
NOT THE RIGHT PATIENT,REASSURANCE,ADMIT FOR FTT INVEST,ADMIT FOR MULTIDICIPLINARY CONSULT
8.PHOTO OF 17 YRS GIRL WITH SLE&SCENARIO TYPICAL--- WHAT POINT THAT IT IS AUTO IMMUNE—
NORMAL CRP,HIGH ESR AND LOW HB,HIGH TOTAL PROTEIN AND NORMAL ALBUMIN
9.X RAY BOTH LEGS TYPICAL OF RICKETS---HIGH ALK PHOSPHATASE LOW TO NORMAL Ca LOW TO
NORMAL Ph
10. PAGETS DISEASE TYPICAL SCENARIO
11.HITORY OF ATRIAL FIB PRESENT WITH ACUTE LL ISCHEMIA—ARTERIAL EMBOLISM, ARTERIAL
THROMBOSIS
12.HANDS PHOTO 7 TYPICAL KAWASAKI---INVEST BEFORE DISCHARGE—ECG , ECHO
13.GCS IN PT WIH NO EYE OPENING TO PAIN,EXTENSOR RESPONSE AND INCOMPREHENSIBLE SPEECH
14. PT POST RTA WITH BRAIN CONTUSION,SEVERE BRAIN OEDEMA ,AREESTED AND DIED---CAUSE OF
DEATH IN DEATH CERTIFICATE?
15.PERFORATED PEPTIC ULCER IN PT WITH OA AND NSAIDS
16. PT FALL ON BUTTOCK WITH PERFORATED VISCUS---URGENT LAPARATOMY, ENDOSCOPIC REPAIR
17.PREGNANT WITH SEXUAL INTERCOURSE WITH A MAN WITH SUSPECTED GONORRHEA—250MG
CEFTRIAXONE IM,CERVICAL SWAB AND TREAT ACCORDINGLY,REASSURE
18.PREGNANT WITH RECURREENT GENITAL HERPES---DELIVER VAGINALLY,ELECTIVE C/S,SWAB AND TREAT
ACCORDINGLY
19.ABRUBTIO PLACENTAE WITH DIC---FFP AND CRYOPRECIPITATE BEFORE DELIVERY
20.DUODENAL ATRESIA
21.MALROTATION
22.PERFORATED DIVERTICULAR DISEASE WITH PERITONITIS---URGENT SURGERY
23.CROHNS DISEASE
24.SEVERE PNEMONIA---ADMIT AND IV FLUID AND ANTIBIOTIC THERAPY
25.ASTHMA WITH TENSION PNEUMOTHORAX----NEEDLE THORACOCENTESIS
26.C.DIFFICILE FOLOWING AMOXCILLIN

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VT---CAUSE---MYOCARDIAL SCAR 55.GALACTORRHEA ANDHIRSUTISM---INVEST--.8 YRS PURULENT VAGINAL DISCHARGE WITH SOME BLOOD NO ABUSE OR TRAUMA--.MID CYCLIC PROGESTERONE 37.SALPINGECTOMY +METHOTEXATE TTT..SELECTIVE MUTISM 51. BISPHOSPHONATE.FLUID FOR24HRS--52.RETROCOLIC ABSCESS----LAPAROTOMY AND DRAINAGE 30.LASIX 43.NEONATE JAUNDICE AT DAY 2 WHAT COULDNOT CAUSE---BREAST MILK J.AMENORRHEA . 35.PHYSIOLOGIC J.FLUID RESTRICTION. TESTOSTERONE.CUSHING SYND.FLUID AND SODIUM RESTRICTION.HRT 36.65 KG.CXR.SALPINGOSTOMY. .PLUS RADIOIODINE. ACYCLOVIR 42.#PELVIS WITH POSTERIOR URETHRAL INJURY----ASCENDING URETHROGRAM 54.CUSHING SYND---INITIAL INVEST---24 HRS URINARY FREE CORISOL.PROLACTIN.ARTHROCENTESIS 50.PT WITH SIADH FOLLOWING CARBAMAZEPINE--.27.COMPLETION OF TOTAL THYROIDECTOMY PLUS RADIO THERAPY.HIGH CORTISOL---CONFIRMATION---HIGH DOSE DEXAMETHASONE SUPPRESION TEST 34.ALL---BONE MARROW ASPIRATION FOR CONFIRMATION 53.PERICARDIAL EFFUSION WITH TAMPONADE---.DIVERTICULAR DISEASE 29.PHOTOGRAPHER WITH WHITISH ECZEMATOUS PATCHES ---IRRITANT CONTACT DERMATITIS.PAINLESS JAUNDICE WHAT CAUSE A PALPABLE GB---ADENOCARCINOMA OF PANCREAS 47.OA SOWLLEN TENDER KNEE JOINT--.GROUP B STREPTOCOCCUS 40.PT WITH HERPES ZOSTER---PARACETAMOL.G6PD DEFICIENCY 48.BEST INVEST---TT ECHO 31.PT WITH PEURPERAL SEPSIS---BACTEROID FRAGILIS.PAINLESS PROGRESSIVE JAUNDICE WITH PALPABLE RUQ MASS MOVE WITH RESPIRATION---CA HEAD OF PANCREAS 46.FOREGIN BODY 49.8 AM CORTISOL 33.DHEAS&FSH/LH&ESTRADIOL.ALLERGIC CONTACT DERMATITIS.PT WITH FEATURES OF PCOS WITH 2 YRS INFERTLITY & 5MOTH AMENORRHEA--.ACUTE PYELONEPHRITIS IN PREGNANCY 2 .FOLLICULAR THYROID CANCER FOLLOWING LOBECTOMY---.DAYS LATER RED EYE—ACYCLOVIR +ANTIBITIC OINTMENT 41. SODIUM RESTRICTION.CDIFICILLE FOLLOWING AUGMENTIN HAAD EXAM DEC 2011 28. BURN ANTERIOR CHEST AND ABDOMEN.ENDOMETRIOSIS---DANAZOL 38.PLUSCHEMOTHERAPY 32.OSTEOPOROSIS# PREVENTION Z SCOR+2POSTMENOPAUSAL---DIETARY Ca& VIT D. ECTOPIC PREGNANCY---SALPINGECTOMY.PT WITH HERPES ZOSTER .ENDOGENOUS ASTHMA 45. 44.SEMINAL ANALYSIS.PR BLEEDING IN ELDERLY--. 39.PT ASTHMATIC HEAVY SMOKER 56YRS WITH HEMOPTYSIS--.

IDA 68.STUDY OF SERUM CHOLESTROL IN 1200 OBESE CHILD RANDOMLY SELECTED---COHORT.39 WKS NOT IN LABOUR BUT RUPTURED MEMBRANES---INDUCE LABOUR AFTER 24 HRS.39 WK IN LABOUR.AMUROSIS FUGAX AND 80% STENOSIS---CAROTID ENDARTERECTOMY.L5.CHILD WITH MURMUR THAT DISAPPEAR ON LYING DOWN----INNOCENT MURMUR 79.GIVEN FLUID FOR REHYDRATION---2%GLUCOSE AND 75MMOL NaCl 80.FOLLOWING TRANS SPHENOIDAL SURGERY PANHYPOPITUITARISM.TURP. 66. HYPOCHODRIASIS 59.MILD OBSTRUCTIVE SYMPTOMS---ALPHA BLOCKERS 72.PREGNANT .X-RAY PELVIS SHOW TEETH ON LATERAL RIGHT AND +VE PREGNANCY TEST--ECTOPIC.MILD OBSTRUCTIVE SYMPTOMS---TAMSULUSIN.RHEUMATOID ARTHRITIS . KERATOCONJUNCTIVITIS SICCA 58.8 --.CASE CONTROL.OTITIS M RECURRENT--.3 LDH NORMAL.LADY WITH FORGETFULLNESS AND SUSPECTED DEMENTIA---. UVEITIS 57.7---HEPATIC EFFUSION.HAND AND FOOT SYNDROME +BLOOD FILM SHOWN----SICKLE CELL ANAEMIA 70.U/S NO RETAINED PRODUCTS--D&C.IMMUNODEFICENCY SCREEN.METHTREXATE.ALBUMIN 2.B. BPH .MATURE TERATOMA.DECREASED VISION---IRIDO CYCLITIS. 3 .SPLENIC EFFUSION 82.PT WITH MITRAL STENOSIS.HEPARIN FOR PE 75.WHICH HORMONE TO REPLACE FIRST—THYROXINE.TAH.ABx ttt.CORTISOL 78.EMPYEMA.HYPERBILIRUBINAEMIA----BILIARY ATRESIA 64.CYSTITIS 65.NEONATE WITH MAINLY CONJ.TRAUMA WITH # VERTEBRA AND CORD COMPRESSION AND LOSS OF POSTERIOR TIBIAL REFLEX AND SENSATION OVER DORSAL OF 1ST METATARSAL AND LATERAL OF LEG---L3.HYDATIFORM MOLE EVACUATED.C/S AFTER 24HRS.S.CT ANGIOGRAPHY 81.ASPIRIN.THALASSEMIA TRAIT 69.PLEURAL EFFUSION RT SIDE PROTEIN 1.GENITAL PROLAPSE IN PARA 8 WITH STRESS INCONTINENCE---VAGINAL HYSTERECTOMY+REPAIR.TRAUMA .MEDROXYPROGESTERONE 73. 76.MENTAL TEST EXAMINATION 61.X RAYS 74.ANTI COAGULANT.IV LASIX.PT KNOWN AORTIC ANEURISM(AAA)PRESENT WITH SEVERE ABD PAIN&HYPOTENSION THAT SLIGHTLY IMPROVED AFTER 1L LR ---URGENT SURGERY .EXPERIMENTAL.BPH .VAGINAL HYSTERECTOMY 63.S1 60.RUPTURED MEMBRANES.CHILD WITH DIARRHEA &VOMITING.CROSS SECTIONAL 62. 77.ANTI PLATELET. 67.20 DAYS LATER BLEEDING.HAAD EXAM DEC 2011 56ANKYLOSING SPONDYLITIS—VISUAL PROBLEM---ANT.TR BIOPSY 71.GIRL WITH CORRECTED SCOLIOSIS PARENTS C/O LOW STATURE---BLOT HERWT AND HT IN THE CHART.DIABETIC WITH ABSCENT DORSALIS PEDIS AND ABPI 0.SUDDENLY DEVELOPED SEVERE DYSPNEA AND FROTHY SPUTUM—URGENT C/S.L4.

PROTEINURIA 90.RECURRENT GOUTY ARTHRITIS AND RENAL IMPAIREMENT ON CHOLCHICINE OD. HAAD EXAM DEC 2011 84.ALLOPURINOL 300 MG OD 86.PARACETAMOL 88.PULM.CHROMOSOMAL ABNORMALITIES 89.EMBOLISM---CT CHEST ANGIOGRAPHY.URGENT SURGERY.GFR 86— SULPHINPYRAZONE.IG M FOR MUMPS.Abx.TETICULAR TORSION WITH HORIZONTAL TETES---URGENT EXPLORATION 87.15YRS OLD PRESENT AT 11PM TO ER WITH SUDDEN ONSET SCROTAL PAIN AND TENDERNESS AND REDNESS—ARRANGE FOR SCROTAL U/S AS OUT PT. 4 .POST STREPTOCOCCAL GN---RED CELL CAST IN URINE.83 OTITIS M ACUTE---ABx ttt.D DIMER 91.RECURRENT (4 TIMES) 1ST TRIMESTER PREGNANCY LOSS---ANTI PHOSPHOLIPID HUGH’S .NOCTURNAL DIARRHEA &HYPOGLYCEMIA UNAWARENESS---COMPLICATION OF DIABETES 85.HAEMATURIA.