1.

A 72 years old lady who has a poorly controlled diabetes had a knee
replacement surgery.She took antibiotics for one week and after 3 weeks she
complains pain in the knee joint with swelling and tenderness.How will you do a
focused examination?How will you proceed.what is the treatment.If she is on
steroids what is the long term complications.
2.A lady 32 years fell on the outstretched hand and has tenderness at the base
of thumb.What is tour diagnosis? what investigations will you do and the
treatment you will give.
3.What are the causes of supra ventricular tachycardia.what are the ECG findings
and the differential diagnosis and treatment
4.A child comes to you at 2am with cough and you can see the accessory
muscles of .respiration.what kind of asthma it is,and how will you proceed.How
will you treat croup and epiglotittis.
* This is the summary of the cases but they asked each and everything in detail.

1. Ectopic pregnancy
2. Anorexia nervosa
3. Acute bacterial meningitis!!!

1. A patient returning from Thailand with fever. Reported to have had sex
once without protection. No Immunizations.
2. A child, 6 years old with right arm swelling and pain. History of fall from
the bed.
3. An aboriginal patient who comes to you with lower abdominal pain, 33
weeks pregnant, complains of foul smelling something down there, does
not want to go to the hospital because of loss of another fetus earlier.
4. An elderly woman with both hands and feet swelling and stiffness for 3
months, unable to perform househod chores. Pain persists despite pain
medications.

1. Premature rupture of membrane

2. Dehydration of a child
3. Aboriginal background patient experiencing chronic pain with
malignancy, high blood pressure and blood glucose

1. A 7 year old boy brought by his father with a complaint of right knee
pain,
2. A 45 year old gardener with back pains
3. A 54 year old chronic smoker who is also a miner with complains of
tiredness and loss of weight
4. A 19 year old primi gravida at 34 weeks gestation and complains of
PV bleed.