February 2012 Medicine

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1. 2yrs old child come with parents having rash on arm and trunk and cervical
lymphadenopathy for 4 days . WOF is the Dx? a. Vaccination of the child is fully done b. His siblings are fully vaccinated. c. They are having pet in their home. 2. Picture o fundoscopy of retinal vein thrombosis 3. Picture of pyogenic granuloma given…..What is the treatment ( Local excision) 4. ECG given related to Digoxin toxicity 5. 30 yrs old lady travelling from Singapore complicated about cough, fever, no symptoms of shortness of breath given, on examination bilateral basal crackles . What is the Dx? a. Pulmonary embolism b. Chronic Fatigue syndrome. c. Pneumonia d. Tuberculosis 6. Which one of the following drug has ionotropic effect? a. Digoxin b. Digitalis c. Frusemide d. Deltiazem 7. CT scan of man of 74 yrs old given .According to his son he was normal 14 days back and suddenly developed confusion, drowsy . No history of fall given clearly , no other neurological signs and symptoms were given . WOF is Dx? a. Subdural Haematoma. b. Extradural Haemorage. c. Subarachnoid Haemorage. d. Cerebral infarction. 8. History of soccer player injured his Rt Knee .Sudden pain and swelling and locking of Rt knee . WOF is the cause. a. Ant. Cruciate Ligament. b. Lateral Collateral Ligament . c. Tear of medial meniscus. d. Medial collateral ligament. 9. Old women with history of shunt of common bile duct , 2 weeks back now complaining of sweeting, dark color urine, no symptoms of fever, Rt Upper quadrant pain given. WOF is the Dx.? a. Pancreatitis b. Cholangitis c. Rupture of bile duct. 10. Picture of man given with SCC of hand. 11. Worker in insulating factory for 20 yrs, with history of smoking for 30 yrs and 15 packs per day, complaints of SOB, 6 Kg Wt loss and haemoptysis. What is the Dx? a. Mesothelioma. b. SCC c. Tuberculosis.

12. All are true for Cluster headache , except: a. Duration less than 2 hours b. Rhinorrhoea. c. Lacrimation d. Happen 2-3 hours after sleep e. Accompanied by vomiting.

13. Old lady develop sudden back pain after closing window, she is complaining of
tenderness of lower back area, after investigation, it was noted that she is having osteopenia. WOF is the cause of her presentation. a. Osteomyelitis b. Multiple myeloma. c. Osteoporosis. d. Stress fracture.

14. 22 yrs old girl had MVA, 5-11 ribs fractured, she is having SOB, tachypnoea,WOF is
the most immediate management for her air travel? a. Needle aspiration at 2nd intercostal apace. b. Underwater seal drainage. c. Intubation and ventilation 15. Picture of tinea capitis. 16. Picture of Scaphoid fracture given and question about how to apply the cast. 17. Treatment of keratoacanthoma given and treatment asked. 18. 35 yrs old man complaining of pain in testes, USG was done and normal. WOF is the cause? a. Vericocele b. Epididymitis c. Tortion of Testes 19. 60 yrs female come with history of abdominal distention, constipation and decreased bowel sound , PR was normal, previous H/O appendisectomy at 44 yrs old of age ….X-Ray given …WOF is the cause? a. Sigmoid Volvulus b. Small intestine obstruction c. Ca Caecum. 20. ECG was given. After MI patient develop Arrhythmia, WOF is the drug of choice? a. Digoxin b. Amiodarone c. Atropine

21. 25 yrs old man develop SVT , vagal manuver done , still he was having increase heart
rate, he didn’t want adenosine, WOF is next drug to administer? a. Digoxin. b. Atenolol c. Verapamil 22. 10 yrs old boy had minor wounds with no past H/O vaccination for tetanus, on examination wound was not contaminated too much. Most appropriate management? a. Ig b. DPT

c. Tetanus toxoid+Ig.

23. Pic of abdominal mass give protruding out of umbilical area and treatment was asked.
a. Debribe b. Surgical intervention. 24. 64 yrs old woman complaining of weakness and fatigue for last few days , there is no family history of any malignant condition . WOF investigation sud be performed? a. Colonoscopy b. FBC c. FOBT d. Sigmoidoscopy 25. 28 yrs old man with a history of URTI , after 1 week there is haematuria, HTN, Proteinuria. WOF is the cause? a. Ig A nephropathy b. Nephrotic Syndrome. c. Renal failure d. FSGS. 26. Pt going for cholecystectomy is on warfarin , INR 2.2, how you proceed and adjust Warfarin? a. Delay surgery for 3 days b. Stop Warfarin and start Heparin and do surgery c. Stop Warfarin , give FFP and proceed to surgery. d. Continue Warfarin. 27. 46 yrs old woman H/O thyroidectomy few hours ago , nurse noted pt is suddenly having difficulty in respiration, and condition was deteriorating . what is your next step in Mx? a. Call the senior surgeon. b. Shift patient to operation theatre. c. Give her bedside O2. d. Open sutures in ward.

28. 29 yrs old had MVA , tibia fractured , after few hours there is redness and absent
pulses at lateral malleolus , what will be your next step investigation. a. Doppler USG b. Arteriography. 29. 62 yrs old lady noticed lump in her breast, after a dog jumped on her chest, WOF is the cause of her lump? a. Fibroadenosis b. Fat necrosis c. Ca Breast. 30. 26 yrs old patient having Diarrhoea and vomiting for last 2 days, O/E drosy and lethargic. WOF is the nest step in Mx? a. Colloids. b. Hartmans solution c. Crystalloids

31. A 20 yr old presented with weakness and edema of left hand,with h/o cat scratch 4 days ago..lymph nodes enlarged and non tender...what s the cause? a) cellulitis b)cat scratch c)axillary vein thrombosis 32. patient cannot extend wrist and fingers...all other things normal...lesion... a)anterior interosseous nerve b)ulnar nerve c)radial n d)posterior interosseous n 33. 23 yr old nurse working n rural hospital presented with c/o cough, foll by hemoptysis for 1 mnth....crr given....(?apical lobe affected) diagnosis a)hiv b)tuberculosis c)lung ca d)pneumonia 34. bacterial conjuctivitis pic given....treatment a)symptomatic b)ciprofloxacin drops c)chloramphenicol eye drops 35. man with symptoms of difficulty in plantar flexion,inversion,dorsiflexion,eversion of foot...knee reflex present..where s the lesion. a)sciatic n b)L5 c)tibial n d)common peroneal n 36. ct scan on cerebral tumor,cerebral h'ge 37. stem on heparin induced thrombocytopenia...wht to do next?he s on low mol wt heparin a)change to unfractionated heparin b)change to another anticoagulant other than heparin grp c)?????

38. 75 yr old with c/o bloating ,abdo distension, diarrohea alternating with
constipation....no blood n stools...colonoscopy done 12 mnths back,,came out norml....wht to do nxt? a)repeat colonoscopy b)diet advice c)?????????????

75 yr presented with post prandial abdo pain..COLI b)strep...wht happens next a)involutes b)grows fast .. pic of scc....diagnosis?? a)EDH b)SDH c)post traumatic headache 43. qs on trichotillomania 47.39. ECG of wpw syndrome wth wide qrs.othr thng norml..pneumonia c)kleibsiella 48.now presenting with occipital headache.neck stiffness.... sign of chronic limb ischemia a)pain b)paralysis c)rubor 46.no h/o unconsciousness..qs abt meningitis... management of tennis elbow a)no option for rest b)elbow immobilisation splint c)brace below elbow.. 41. biker fell frm bike 1week back. a)E. 2 week infant presented with fever...management a)amiodarone b)adenosine c)cardioversion 44.......diagnosis? a)Ca duodenum b)Ca cardia c)cholecystitis d)????????????? 40.. sign of acute limb ischemia indicative of surgery a)pain b)paralysis c)color 45... typical qs on bells palsy 42.causative organism..

1:100 C.. treatment of alopecia areata a)application of hydrocortisone on tht area b)injection of steroid on tht area c)???????? 54.diagnosis and inv.cause a)petrol sniffin b)alcohol c)marijuana 57. 51.. 50.amox was tkn fr urti 3 days back.c)spread to lymph nodes 49.. 1:200 D. 1:400 E.unconscious... 1:10 B. mre qs on peptic ulcer ds.unconscious........diuretic. indigenous boy brought. A.perindopril... 1:700 58..What is the risk of conceiving a child with Down Syndrome for a 38 year old female. how would diagnosis him A) Bronchoscope B) USG C) Ct scan D) Needle aspiration . Indigenous boy brought..dvlpd swelling and itching of rt side of tongue. Xray was given.. His height is at 97th percentile for his age and weight is at 3rd percentile.cause a)petrol sniffin b)alcohol c)marijuana 52. qs on serotonin syndrome 53.. pt on metformin...A pt who worked in a gold mine for 20 years and is smoker and history of working in petrol station for 20 years now presents with hematemasis and cough. qs on conduct disorde and adhd 55.. 19 year old boy complains of having difficulties in playing sports at school.....cause fr tht a)mox b)perindopril c)diuretic 55. What is your next step in management a) Karyotyping b) bone scan c) growth hormone test d) CT Scan e) Cardiac ultrasound 59. Pic of psoriasis Tx. child with petechia and bruises after URTI.Ca duodenum...Ca Cardia 56......

How will you decide on his rx now a) Intibuate and ventilate b) IV line and feed c) Cvp and fluid d) Oral small sips of water e) Send him for terminal care 65. A picture of psoriasis of the leg with extensive lesions. What is the treatment of choice? a)UVB light b) calcitriol 63. a) Cranial USG b) MRI c) No need to investigate 67. A critically ill pt who mad advance directives when he was in good health now no tubes Now he has a massive stroke and critically ill. a 18 month old has head circumference 25th percentile at birth 50th percentile at 6 moth 75th percentile at 1 year and 97th percentile at presentation what is the best way to diagnose. A middle aged lady w hx of pain over distal fingers .ECG of SVT from blue book asked diagnosed 68.more on palpation with no obvious deformity for 20 years + Anaemia + CXR shows enlarged heart . A Ct scan of a 80 years old man was given ( massive bleed with displaced ventricles. what is most common cause? a) Smoking b) Sun exposure c) Mets d) Unknown cause 64. pts wife want a calm ending for him while the Son want to do want ever it takes to save his father.what is the diagnosis? a) scleroderma b)SLE 62. is admitted to the ICU.60. Who would decide on the treatment? a) Follow the wife wishes b) Follow the son wishes c) Decide by your own using the doctor power d) Arrange family meeting e) Guardian ship court 61. A pt had an accident his pulse is 120 BP is 120/80 laying and 90/70 standing what is the percentage of blood loss a) 10 % b) 20 % c) 25% d) 35% e) 40% 66. A pic of SCC at lower lip. His family also agreed with his decision previously made. old home pt with off and on constipation and Xray of the sigmoid volvulus on blu book page 458 was given and asked for diagnosis a) sigmoid volvulus b) lage bowl obstruction c) small bowl obstruction d) adhission .

There is a mass which moves with respiration. ECG of an old lady with SVT and then sudden a systole after carotid message .An old pt on who just had drug elucidating prosthetic valvein place is on clopidrogril came in to preoperative clinic for evaluation. 72. ecg of WPW asked for rx a) Carotid message b) amidrion c) digoxin d) adenosine 70. Most likely diagnosis? a) Choledocolithiasis b) Carcinoma of ampulla of pancreas c) Mucocele 75. Having paradoxical breathing. A 60 year old man with a long history of diabetes. What would be the most appropriate next step in management? a) Amputate the toes. asked for tx a) amioderon b) adenosine c) shift her to ICU d) atropine i/v e) do not do carotid message again. SVT ECG from blue book and dx asked. Pain in right upper quadrant. A 30 year old man with multiple rib fractures following a motor vehicle accident.69. a pic of ulcer o the medial meallolus what the diagnosis a) arterial ulcer b) venous ulcr c) diabetic ulcer 74. what would be the most appropriate next step in management? a) strap the chest well b) CPAP with Ventilation c)no option for intubation and ventilation . 71. There is foul smelling discharge from the right side ulcer. venous ulcer asked about the most common association a) smoking b) DVT c) long bone fracture 73. in both the legs. b) Do Doppler Ultrasound c) Give antibiotics (Amoxicillin and Clavulonic Acid) 77. comes to the hospital with ulcer in each dorsum of the toe. He has a non complicated vericocele. Wht will you advise him regarding the operation a) reacess the nedd for durgery b) stop clopidrogil and shift to heparin one week before surgery c) give FFP before surgery d) stop clopidrogril few days before surgery e) giv vit K 76. Patient complains of jaundice with dark urine and pale stools.

which of the following is true regarding Naltrexone A.ecchimosis . a) reassure him as nothing is wrong b) advice him monthly self testicular examination c) annual AFP d) regular review with USG 82.CXR showed. lower lobe consolidation.hirsutism . oral amoxicillin and clavulanate b.A middle aged women with calf pain from few days came to hospital.leucocytosis . a pt after being drinking and sudden pain in and vomiting in the epigastria area and shock. A substitute for Methadone e) . Oral flucloxacillin 87.IV ampicillin d.osteomalasia . a) endoscopy b) gastro graffin c) Ct chest 81.Middle aged man with history of cough. oral azithromycin c. the pain came after bout of vomiting what is mx. d. OP management with compression and LMWH d. How will you advice him. You examined him and found that one testicle is slightly large the other no other abnormality detected.78. What is the management? a. ct of intra cerebral bleed dx asked 83. typical Presentation of ITP initial test asked 1) FBC 2) Aptt c) INr d) bleeding time 84. Given for chronic marijuana users c. Generic name for naloxone 85. OP management with leg elevation and LMWH 86. her investigations showed Deep vein thrombosis. IP management with compression with compression socking and LMWH b. Ideal for IV drug user since it is long acting. Short acting b. a young male came as one of his friends recently has been diagnosed with the testicular cancer. pic of red eye with watery discharge . IP management with elevation and LMWH c. What is the management? a. All are S/E of corticosteroid therapy except: . Q on leukaemia with blast cells 80. two weeks earlier pt had oral and genital ulcers what the rx a) antibiotics b) chlormphencol ointment c) oral steroids d)steroid drops 79.lymphopenia .

You are a medical officer in tertiary hospital.focal glomerulosclerosis 93.what is the best investigation to come to a diagnosis? a) colonoscopy b) sigmoidoscopy c)celiac serology d)FBC 90.88. WOF can be the cause: A . Pain persist for almost 30 min after he opens bowls.Ig A nephropathy B . A 14 yr old boy separated from his parents n currently living w his father since 3 months having bloody diarrhoea . A 12 years old boy h/o Nephrotic syndrome not responding well to high dose corticosteroid therapy. Mother very concerned as child not feeding well. What the MX? a) DRE b) colonoscopy c) high fibre diet d) high fibre diet and glyceraltrinitrate ointment e) Steroid ointment 92. What you do about the consent now? a) Send the pt to surgery. a pt is about to undergo abdominal surgery. as the anaesthetist can do this just before anaesthesia b) Take the consent and send the pt for surgery c) Download information from internet provide it to pt and take the consent. What is the characteristic sign of chronic limb ischemia a ) pain relieved by walking b) rubor c ) color of limb improved after hanging limb at end of bed d ) numbness . A 2 week old child with temp of 40'c came to hospital w hx of seizure + looking ill. 94. IN a patient with GBS which is the appropriate way to monitor his oxygenation? a) Forced vital capacity in 1sec b) forced expiratory capacity in 1 sec c) blood gases d) pulse oxymeter e) Oxygen saturation 89. d) Call the operating surgeon and ask him to take the consent e) Ask the attending nurse to take the consent from the pt while sending him to OT. A man presented with the painful defecation and blood on stools.PSGN C . urine protein-++. What is the diagnosis? a) febrile convulsion b) septicaemia c) encephalitis d)epilepsy 91.no fever .hypertension. Just before the surgery when the pt is being shifted to the operation theatre. hematuria with red casts. the nurse told you that the consent for surgery has not been taken.

. viral meningitis.23 yr old nurse working n rural hospital presented with c/o cough. foll by hemoptysis for 1 mnth.. Bacterial meningitis. a girl is coming to the gp for evaluation with her parents as she is unable to concentrate on her studies.. History of eye injury blowout what will you find in the signs a) diplopia b) hyphemia c) fracture zygoma 98..5 asked the rx. another q on diabetes controlled at the moment but HBA1c increased 7. Q on intestinal obstruction 3 ecg Question 3 ct scan Q 2 Xray chest 4 skin condition with pic 103. which of the following piece of information in the history is most helpful to reach a diagnosis.Q on sodium low 120 asked the reason can’t remember the full Q.stem on heparin induced thrombocytopenia. SCC of lung and mesothealeoma do these topic 99.ct scan on cerebral tumor.95.. Although she go out with her friends.crr given. 102. Diabetic pt on metformin. encephalitis please read all about them.. a) mother also experience sleep disturbance b) Brother has ADHD c) She has suicidal ideation d) She use drugs at school e) She is being bullied at school 96. cannot remember the options. she dose not seem to enjoy much of the activities.bacterial conjuctivitis pic given.treatment a)symptomatic b)ciprofloxacin drops c)chloramphenicol eye drops 106. 101. endepamide having hypoglycaemic attacks what’s the reason for hypoglycaemia a) metformin b) endepmide 100..wht to do next?he s on low mol wt heparin a)change to unfractionated heparin b)change to another anticoagulant other than heparin grp c)????? .(?apical lobe affected) diagnosis a)hiv b)tuberculosis c)lung ca d)pneumonia 104.. 97..cerebral h'ge 107... she also experiences some sleep disturbance.

..wht u do next...diagnosis?? a)EDH b)SDH c)post traumatic headache 115)ECG of wpw syndrome wth wide qrs.. a)do pap smear now...came out norml.108.causative organism.abdo distension...... a)E..colonoscopy done 12 mnths back.75 yr presented with post prandial abdo pain.pic of psoriasis......75 yr old with c/o bloatin.wht to do nxt? a)repeat colonoscopy b)diet advice c)????????????? 109.COLI b)strep..pneumonia c)kleibsiella 117...management of tennis elbow a)no option for rest b)elbow immobilisation splint c)brace below elbow 114)biker fell frm bike 1week back.othr thng norml.. c)????????? 112.....diagnosis? a)Ca duodenum b)Ca cardia c)cholecystitis d)????????????? 110...management a)amiodarone b)adenosine c)cardioversion 116.neck stiffness....qs abt meningitis..no blood n stools.no h/o unconsciousness. b)cervical length measurement...treatment .....2 week infant presented with fever...18 weeks pregnant who s a known c/o cin2 with compalins of clear vaginal dischrge..now presenting with occipital headache.typical qs on bells palsy 113..diarrohea alternating with constipation.

---Rectocoele 128...somebody did CPR and was revived when she arrived at ER.Most likely diagnosis.indigenous boy brought.17 years old jogging then collapsed..dvlpd swelling and itching of rt side of tongue..ct scan of rectus sheath hematoma 131. child with bruises and petechiae after a viral infection weeks ago.......perindopril.. situation about testicular sweeling.cause a)petrol sniffin b)alcohol c)marijuana 122. 120..diuretic.treatment of alopecia areata a)application of hydrocortisone on tht area b)injection of steroid on tht area c)???????? 123. child with constipation..Woman when she defecates a mass is noted to bulge out of her introitus.pt on metformin....unconscious..amox was tkn fr urti 3 days back....child with petechia and bruises after URTI.pic of scc...wht happens next a)involutes b)grows fast c)spread to lymph nodes 119..... Which is the likely diagnosis? --HOCM 126.qs on conduct disorde and adhd 124.most likely diagnosis? --ITP 130.Ca duodenum.Ca Cardia 125... What do you do next? --ultrasound --FNAC 132.mre qs on peptic ulcer ds.cause fr tht a)mox b)perindopril c)diuretic 121... question about painless hematuria --bladder tumor --renal tumor . Identify and Treatment --Amiodarone 127.diagnosis and inv. Has history that father died suddemly. What is the next management --laxative 129.118..... ECG on V tach.

xray of sigmoid volvulus .. patient just had cricothyroidectomy and developed stridor while she was still in the recovery room.question july 2010 #110 140.. What will you do? --call the surgeon --explore the wound in the ward --remove the skin sutures 143. question july 2010 #101 139. think it was more than 20years). What is the most probable diagnosis? --brochogenic CA 146. what to give to pregnant woman aside from folic acid to prevent NTD? --iodine 138. what is the most important sign to indate for immediate embolectomy --paralysis --pain --rubor 135. Man is a non-smoker and working in the mine industry (did mention the years. Daugther has many complaints about father. Has been coughing --mesothelioma 144. xray given. 6weeks old infant with fever. smoker and working in the mine industry.old man was found by police and brought to hospital. Man coughing. xray given. What is the indication that she has a severe bacterial infection --unresponvie to mother --pallor 147.133. --reassure? --FOBT --colonoscopy 134. Father diagnosed prosteate CA at 85 years old. She said he has been living in squalor and eating rubbish.0% 145. question about an old lady after closing the window (?) sustained a crush fracture on her vertebrae. Mother notes some twitches before. question about a man 35years old asking about his risk of developing prostate CA. question about percentage passing the disease to their children with cystic firbosis -. What is the most likely diagnosis --septiceamia --febrile convulsion 136. a child with fever. question july 2010 #111 141.what kind of dementia? --frontal lobe dementia --lewy body dementia 137. She had a history of opertation for CA of ceucum --metastasis from primary cancer --osteoporosis 142.

Boy having balck and white drawings.give the numbers 150. Rupture of tendon 156. Sacodosis b. BP pulse?? What will you do next to dx his condition? a) Ctpa b) Echo cardio 8.148.Mallert finger pic. Radiotherapy 154. Which type of injury will occur a. dry cough. What is the most appropriate Mx? --ask the boy about his drawing 149. Ca c. Biphosephanate b. Lymphoma d.Short acting 152.CXR – night sweat. HSP 155. but in file said “do not give OCP” as Stand by husband -. 17yo wants OCP. woman with 3 children wants space. Pregnant lady with bruises. Hyperflexion occur due to extension b. question about domestic violence.GIVE OCP --GIVE OCP AND USE CONDOM* 153. Stop digoxin and give K suppliment b.A patient who started hydrochlorothiazide with digoxin develop nausea electrolyte pic given only potassium decrease a.X-ray of hip osteopenia ALP is 800 ( that is the only information given ) Rx a. Stop hydrochlorothazide and give K supp 158.Pic of both lower limbs showing red rash.SVT ECG a) b) c) d) Adenosing Amiodarone Verapermil Dogoxin 159.NALOXONE is -. wt loss.ECG . A boy came with bloody diarrhea with less urine output what is the dx a) Renal failure b) HUS . Tb c. 34y old male with diarrhoea and admitted in the hospital Dx a. Parent just separted. Vita b12 d. enlarge bilateral cerviacal lymphnode Dx a. a pt who had stroke came to hospital on 5# day she collapsed in the toilet. What do you do? -.its her opinion and give her OCP 151. She had seizsure whihc is controlled with carbamepine and subdural haematoma -. CLL 157.

5th POD for input output chart given. Pt on warfarrin and INR 4.You went to old house to trat a person and prescribe b-blocker and asprin.A couple comes telling that one child diagnosed as cystic fibrosis concern about next child incidence a) 0.5 chance 167.25 c) 100 168. 165. 170. But nurse use to crush the medicine to pt as it is hard for him to swallowing what will you do a) Complain nurse manager b) Go to nurse board c) Complain to the sup in age care.5 what will you do a) giveFFP b) give platelet 171.In both recall output is more than input.5 b) 0.Abd x-ray 5th POD due to hip replacement a) Pt rectus tube b) Gastro graffin enama c) Colonscopy 164.You consider to old care notice that it is written in their chart telling dont crash the medicine.160.A infected batholian cyst a) Antibiotic will resolve it b) Cause by gonnorrhoea c) It is asymptomatic 161.A lady and husband came to you recently dx cystic fibrosis concern abouthe their child getting it a) 0. The nurse told that he is not responding to B-blocker what ill you do a) Talk with nurse durin her break b) Report nurse manager c) Do as she told 169.25 chance b) 0. What is it a) Facticious dis b) Depression c) Normal grief 163. other recall 2100.A pt 70 yrs old man came to the hospital think that he is having serial illness coming to doctor with different names.CT head showing same lesion like infaction a) Multi infarct dementia b) Cerebral hmg c) Cerebral abcess .A pt who had an injury to eye due to hit from metalic spike what will you do a) Use local anaesthetic and removed 162. One is 1400 is differnt. a) Resolved paralytic ilius b) Wrong chart 166.CT head show hemorrhage.

Husband is recenly dx as hemochromatosis having 9 & 18 year kid. b) Carpal tunnel c) Ant.A down syndrom under go surgery develop hypersensitive a) Latex b) Anaestheic drugs 179.A 34yr male havin. ploydypsia.A chinese lady come to your. male taken to a research and during it he become dementia and his primary carier is his son what will you do a) Ask from son b) Gardianship c) Ethic and comity 177. CRX given a) Smallcell carcinoma b) Squamous cell carcinoma c) Metho 179.80 lady comeing with rectocele a) Pessary b) Sx c) Pelvic exercise 175. What will you do a) Check wife only b) Check 9 yr only c) Check 18 year d) Check both children 178. Wife is not screen for heamochromtosis.VT ecg a) Adenosin b) Amiodaerone c) Adrenaline 173. 50 yrs old man coming with sccrotal pain which is reddened what ill you do a) Urine catha b) b/d culture c) FNAC 176.A male who use to work in mine in 20yr smoker 40yr what is the dx.A lady comeplain loss of finger grip in index and thumb what nerve is having. HTN ployuria.Fundoscopy pic. Intoressisis d) Ulner n. what is dx a) DM b) HTN c) CRAO d) CRVO 178. a) Radial n. ACEI Statin b-blocker develop calf pain tenderness in calf a) Check ck level creatin b) Check FBC .172. 174.

Coal miner. CT b. Echo NB: no BSL option! .A pic both eye increase tearing who will you do a) Refer plastic surgery b) Cold compression 181.180. SVT NB: no AFib option! 188. What will you do to dx it a) CRP and ESR b) Echo c) CXR 184.o. FNA 189. AFlatter c. What is true? a. Next Ix? a. Stop driving 186.CXR given and ask of diagnosis a) Pul edema b) Metastasis c) Carcinoma 182. CXR : pleural effusion.A yong boy comes with rashes in both hand and arthralgia. He is driving at night. Dx? Infected Bartholin cyst? Mx Pt with Paget’s disease. USG b. falls every morning. Biopsy d. Urine culture c. male c/o tenderness of left scrotum.Pt with dizziness + palpitation + elevated JPV. with many co-morbidities + polypharmacy. What is your advice? a.Big stem: old man.Old man with Hx of confusion and forgetfulness. Transillumination – (-)ive. Is asymptomatic b.23y. Most appropriate Ix? a.AFlatter: full ECG – Dx? 187. 5 ECG strips: a.A 2nd POD a person develop agitated confusion. Caused by gonococcus 185. no smoking Hx. What is it associated with? Infected Bartholin cyst. VT b. working since 40 years. Temp normal and pulse and BP normal what is the cause a) Alcohol withdrawal b) Pulmonary atelectesia c) Electrolyte imbalance 183. Treated by a/b c. ECG c.

What will you give? a.Pt complains of developing digital ulcers when exposed to cold in winter. What do you do? a. Mx? a. b. brought in to ED.Pic of Staphylococcal pneumonia. Clotrimazole d.Carpet layer presents with pain and tenderness in one knee. female with a lot of complains and Hx.o.o.Big stem: 32y. if one of the parents is a career? a. ECG of VT.Husband is diagnosed with hereditary haemochromatosis. Mother couldn’t bring her child for the appointment. Call her in 14 days c. 0 b.o.o. Doesn’t want to live. c.190.5 c. Haloperidol b. He is living alone 197.Mother brought the child with some problem.How many children will be affected by Cystic fibrosis.Pt agitated and confused. Azithromycin b. Hydroxychloroquine b. Corticosteroids intra articular b. Tx? a. and 18y. 9y. WOF would be of more concern? a.25 194. Ticaracillin 192. Compression bandage 191. Fluoxetine 196.Old man living alone. Tx? a. Rest for 2 wks c. 0. Verapamil 198. Olanzepine c.o. Carotid massage b. Oral prednisolone c. Whom are you going to screen? a. Wife is healthy. Tx? a. Doctor ordered CT. 18y. CXR: patchy infiltrates (but looked normal to candidate). He is looking for suicidal methods on internet b. wife died few years ago. Don’t do anything b. IM prednisolone 195. Prednisolone c. Send her home a formal follow up letter . They have two children: 9y. Diazepam d. His any previous suicide attempts c. Amiodarone c. Both 193. 0.

INR 4 (2.Pt agitated and breathless immediately after operation. Dx? Pt after trauma becomes agitated at hospital and wants to run around. Do not transfuse the Pt c. CT is needed. a. Transfuse the Pt b.199. Vit B12 208.Pregnant lady with hyperthyroid findings.Pt on warfarin. Call the surgeon d. Iron supplements c. a. 202. Explore wound in the ward c. Follow patient’s wishes c. Adenosine 209. Folic acid b. Do one to one nursing 207. wants Sx for him. His son. CT: rectus sheath hematoma. PTU (propylthiouracil) b. Send him to nearest hospital by ambulance b. Carbimazole 203.Pic of drug rash on legs.Old man with a terminal illness agrees to receive supportive treatment.5-3. Air ambulance the Pt c. he is having a clear fluid discharge from the nose.WPW + VT. What to prescribe to her? a. ‘Big’ hospital is 4 hours away by road. Arterial ulcer b. Amiodarone c. Pull sides of his bed up b. Do nothing 204. no gardening.Jehovah witness Pt needs blood transfusion for Ph incompatibility.Boy fell from the tree. What will you do? a. Sotalol b. Discuss with the son pros and cons of the operation and convince him 200. who is not living with him and is not his attorney of medical advice. Remove superficial sutures b. There is tenderness in LIF.5) came to hospital with pain in left side of the chest. Relatives say ‘no’. Mx? a.Pic of Erythema Multiforme 201. What to do? a. What would you give her initially? a. Ask the Pt to sign ‘ No transfusion form’ 206. Venous ulcer . Discuss the situation with relatives d.Pt comes with peripheral weakness and has difficulty seen at night. What will you do? a. Ask the son to go to medical legal board b. Tell the Pt you can’t do CT 205. What do you do? a. Restrain c.Pic of venous ulcer.

Open discussion with both parents c.A man with a low visual acuity. Pic is given. Focal segmental GS .Nephritic syndrome becomes steroid resistant. Dx? a. CXR given: changes in pleura. Post-streptococcal GN c.Pic of apical TB in lungs. Mechanism of injury.‘Big stem’: Pt with Hx of gastrectomy. Acytozolamide f. Dx? a. low grades at school.A 6y. What will you do? a. a. IOL (intraocular lenses) b. Reassure and see her in 6 month b. A rural nurse comes with hemaphtysis. Bronchoscopy and Bronchoalveolar Lavage b. Ca ++ b. IgA nephropathy b. Electrophoresis 217.Mallet finger. Fe deficiency b.Pic: Tinea capita 221.6y. 218. Trabeculectomy 211.A plumber comes with cough. TB c. which becomes worse in sunlight. no fever.A girl becomes dizzy few times while at the market. Pleural biopsy c. Next Ix? a. Dx? a. a. girl comes with pubic hair and breasts in Tanner stage 1.Woman with vaginal discharge. cervical excitation. Her teacher is worried. What is definitive Ix? a. girl is very scared vigilant anxious. CT chest 214. Talk to mother alone b.o. Vit B12 deficiency 219. He is a smoker. Next step? a. no Ca ++ given. Migraine b. Bronchitis b. Do FSH and LH 215. Pilocarpin d. Phacoemulsification c. Absent Gag reflex 222.210.o. Becomes ok in 2-3 minutes. all lab tests are given: low Hb + high MCV. Keratoplasty e. Arrhythmia 213.Pseudobulbar palsy which feature is absent? a.Bone pain. Take more information from the teacher 216. Very high ALP/ALKP. Dx? a. Bronchogenic Ca 212. PID 220.

Frontal lobe dementia b.Pt with weakness in one hand + headache. On presentation pale and unhappy + lost 2 kg. Elderly Pt in nursing home is abusing nurses while they shower him. Celiac disease b.Child. ASD c. VSD d.Which one of these disorders is affected by/ related to culture? a.10 month old child has been weaning + started cow milk and solids. Cystic fibrosis 229. ITP c. What is the diagnosis? a) febrile convulsion b) septicaemia c) encephalitis d)epilepsy 225.4y. Agoraphobia 232.32y. Atypical migraine b. Dx? a. Anorexia nervosa c.o.Old lady in a nursing home masturbates privately. HSP b. Ht . Ear swab c. What do you do next? a. aboriginal child speaks 5 words only + nose and ear discharge. Hearing test d.Lewy body dementia: short stem (4-5 sentences) mentioning visual hallucinations. What do you do? a. Mother very concerned as child not feeding well. Wt . Tetralogy of Fallot b. On exam: pansystolic murmur.10th percentile. Complain to nurse’s supervisor . Cow-milk allergy c. Alzheimer’s disease c. presents to GP for a checkup. normal delivery. Schizophrenia b. Cystic fibrosis 228. What do you do? a. Migraine 226. Tympanometry 231. Dx? a. Dx? a. Celiac disease b. TGA 230. pt with rash on buttocks + fever + … a.223.25percentile.Q8 from Peads Nov’11: 224. Hemolytic uremic syndrome 227.o.A 2 week old child with temp of 40'c came to hospital w hx of seizure + looking ill. Cow-milk allergy c. a.10 month old unhappy baby. Lewy body dementia 233. masturbates a front of the nuking station. Nasal swab b.

low urine output. Sclera therapy .Child with 5-9% dehydration. P/E: HR 44.For H. Pt with CRAO 237. Condom 236. PPIs help a/b to penetrate the ulcer 238.b. Hold in left hand and put your right leg forward 240. pillory medications: a/b with PPIs will help to: a. CHB 238. Hemolytic uremic syndrome b. child with bloody diarrhea. Salmonella diarrhea c. How to use stick? a.Several faintings in old Pt. Leave her alone 234. Mx? a. develops mouth ulcers.Fundoscopy: 76y.Pt coming with pain on defecation.HIV . Dx? a. Increase fiber in diet b. Give folic acid Viral meningitis: CFS findings? % of burns in a child (picture is given). pruritis and hemorrhoids seen only on anal wedge. Cease Celecoxib b.2y. swellings. BP 180/110. Bacterial septicemia 237.o. NG dehydration 235. petechiae. Now lethargic. a. AS b. Rubber band ligation c. ejaculating murmur.Pt comes with h/o of treatment of osteoarthritis with Celecoxib. Best method for protection. n & v. What is the cause for fainting? a. Mx? a.Female Pt right hip.112) BBC (pinna of ear) Colles # Ulnar distal # Spine # (osteoporosis) Pictures from ‘Blue Book’: Acanthosis nigricans Bulemia nervosa 239.o. 2 homosexuals. Increase the relapse time b. a. Mx? Pictures from ‘Anthology’: HCC Rectus sheath hematoma RA XR Burns (p. Ischemic abdo pain.

Histology showed carcinoid tumour of 2cm. Check his mental status c. Go with son c. Colectomy d. Prescribe OCP b. Antepartum hemorrhage b.A girl comes for an OCP prescription. Adrenaline c. Lignocaine 249. ChemoTx c. Write “DNR” sign on his bad b. Dx? a.ECG od SVT. Berger’s disease b. Go with wife b. Rx? a. RadioTx c. H/o DM and HT + was a smoker. Previous C-section 244. Raynaud’s phenomena c. wants to have safe sex.Pt doesn’t want resuscitation. ChemoTx b. SLE 250. Amiodarone b. 5-FU (5-fluorouracil) 246. Pelvic examination b. a. SLE . Atropine b. Mx? a.Tocolytics contraindications: a. Dx? a. Allergic reaction b. Conflict between wife’s and son’s wishes. Rt hemicolectomy d. After 4 days presented with rash. Ask him to sign the form 245. What do you do? a. Screen her for coagulopathy c. till 3 years ago she developed DVT syndrome and quitted. Periods are just started. She tells mother and sister has menorrhagia problems.Female Pt presents with peripheral vascular disease. After Sx what do you do? a. ECG given.Pt underwent appendectomy. Pros and contras of the condition 242. carotid massage c.Pt with dementia + critical illness.Pt with VFib. adenosine 248.Pt with sore thoat treated with amoxicillin. Leave it as it is 247. What do you next? a.Pt diagnosed with colon Ca Duke C stage.241. Tell her to use OCP and condom 243. What do you do? a.

Treated by a/b c. IM prednisolone 262. and 18y.How many children will be affected by Cystic fibrosis. What is it associated with? 255. working since 40 years. if one of the parents is a career? a. c. Smoking c.o. Talk to the nurse during the break b. 0. CXR : pleural effusion. Wife is healthy. 9y. Dx? Infected Bartholin cyst? Mx 254. Dx? a. no smoking Hx. Pneumonia 252. Tx? a. Caused by gonococcus 256.Old man with Hx of confusion and forgetfulness.The nurse in a nursing home advises you what to prescribe to the Pt.Chronic PID Mx? IV drug user arrives to hospital with high fever. 18y.25 261.5 c. Hydroxychloroquine b.Coal miner. Obesity b. OCP d. WOF will be the best method? a. Is asymptomatic b. Oral prednisolone c. Talk to the nurse supervisor c.What are the risk factors of endometrial Ca? a. b. What is true? a.Pt with Paget’s disease. Case control study b. Whom are you going to screen? a.o. Randomized study 259. Rheumatic fever b.Husband is diagnosed with hereditary haemochromatosis. They have two children: 9y. Multiparity . Endocarditis c.Infected Bartholin cyst. 0 b. Both 260. 0.251. He is driving at night. What do you do? a.o. What is your advise? a.Pt complains of developing digital ulcers when exposed cold in winter.o. Stop driving 257AFlatter: full ECG – Dx? 258. Write a formal complaint to the nursing home administration 253.You are running investigation/survey: how many people in the area are having a particular disease (DM or Hypertension).

Boy fell from the tree. What will you give? a.Mother brought the child with some problem. 278.Pregnant lady with hyperthyroid findings. wife died few years ago. Do nothing 270.Pic of Staphylococcal pneumonia. His any previous suicide attemts c. Air ambulance the Pt c. Diazepam d. He is living alone 265. mother couldn’t bring her child for the appointment. What to prescribe to her? a. PTU (propylthiouracil) b. Explore wound in the ward c. Amiodarone c. Doctor ordered CT. Verapamil 266. Remove superficial sutures b. Send him to nearest hospital on ambulance b. Call her in 14 days c. His son. Carotid massage b. Discuss with the son pros and cons of the operation and convince him Pic of Erythema Multiforme Pic of drug rash on legs. Follow patient’s wishes c.Old man with a terminal illness agrees to receive supportive treatment. ECG of VT.Pt agitated and breathless immediately after operation.263. What to do? a. who is not living with him and is not his attorney of medical advice. What do you do? a. brought in to ED. Doesn’t want to live. Send her home a formal follow up letter 267. Carbimazole 269. WOF would be of more concern? a. Call the surgeon d. CT is needed. Fluoxetine 264. wants Sx for him. He is looking for suicidal methods on internet b. Mx? a. Ask the son to go to medical legal board b. Olanzepine c.Pt agitated and confused. a. Don’t do anything b. What will you do? a. he is having a clear fluid discharge from the nose. ‘Big’ hospital is 4 hours away by road. Tell the Pt you can’t do CT . Haloperidol b.Old man living alone.

Transfuse the Pt b. Restrain c.5) came to hospital with pain in left side of the chest. Phacoemulsification c. Bronchoscopy and Bronchoalveolar Lavage b. Bronchogenic Ca 279.Pt comes with peripheral weakness and has difficulty seen at night. What will you do? a.A man with a low visual acuity. IOL (intraocular lenses) b. Ask the Pt to sign ‘ No transfusion form’ 272. Arterial ulcer b. which becomes worse in sunlight. Adenosine 276. Becomes ok in 2-3 minutes. Do one to one nursing 274.Pt after trauma becomes agitated at hospital and wants to run around. Amiodarone c. Iron supplements c. Dx? a. TB c. What would you give her initially? a. CXR given: changes in pleura. Pilocarpin d. Trabeculectomy 278. a.5-3. CT: rectus sheath hematoma. Dx? 273. Folic acid b. no gardening. Venous ulcer 277.Pt on warfarin. What is definitive Ix? a.WPW + VT. He is a smoker. Sotalol b. Keratoplasty e. Bronchitis b. Arrhythmia 280. Dx? a. Do not transfuse the Pt c.A plumber comes with cough. Mx? a.A girl becomes dizzy few times while at the market. Pic is given.271. Migraine b.Pic of apical TB in lungs.Jehovah witness Pt needs blood transfusion for Ph incompatibility. INR 4 (2. Discuss the situation with relatives d.Pic of venous ulcer. There is tenderness in LIF. Acytozolamide f. a. Pleural biopsy c. What do you do? a. Rural nurse comes with hemaphtysis. Relatives say ‘no’. Vit B12 275. Pull sides of his bed up b. CT chest .

Electrophoresis 284. Cystic fibrosis . Vit B12 deficiency 285. Take more information from the teacher 283.o. a.25percentile. Dx? a.Big stem’: Pt with Hx of gastrectomy. a. no fever. all lab tests are given: low Hb + high MCV.281. Talk to mother alone b.A 2 week old child with temp of 40'c came to hospital w hx of seizure + looking ill. Very high ALP/ALKP.Nephritic syndrome becomes steroid resistant. Her teacher is worried.Pt with weakness in one hand + headache. Ht . What is the diagnosis? a) febrile convulsion b) septicaemia c) encephalitis d)epilepsy 288. 10 month old unhappy baby. Dx? a. What will you do? a. Dx? a. Mother very concerned as child not feeding well. Reassure and see her in 6 month b. girl comes with pubic hair and breasts in Tanner stage 1. Celiac disease b.10th percentile. Migraine 289. Next Ix? a.6y. cervical excitation. On presentation pale and unhappy + lost 2 kg.Woman with vaginal discharge. Cow-milk allergy c.Bone pain. Celiac disease b.10 month old child has been weaning + started cow milk and solids. Post-streptococcal GN c. Atypical migraine b. Cow-milk allergy c. PID Pic Tinea capita 286. Open discussion with both parents c.A 6y. Focal segmental GS Q8 from Peads Nov’11: 287. no Ca ++ given. Next step? a. Cystic fibrosis 290. Ca ++ b. IgA nephropathy b. Dx? a. Do FSH and LH 282.o. low grades at school. Wt . Fe deficiency b. girl is very scared vigilant anxious.

Dx? a. petechiae. n & v. TGA 292. BP 180/110. presents to GP for a check up. Ratio CD4 to CD8 is more than 5 300. On examination. What do you do next? a. develops mouth ulcers.o.291. Hemolytic uremic syndrome b. aboriginal child speaks 5 words only + nose and ear discharge. Tetralogy of Fallot b.o. Mx? a. low urine output. VSD d.A man post gastrectomy 3 years ago c/o lethargy.For H.o.more on palpation with no obvious deformity for 20 years + Anaemia + CXR shows enlarged heart . Nasal swab b.Pt comes with h/o of treatment of osteoarthritis with Celecoxib. Now lethargic. CHB 296. Tympanometry Fundoscopy: 76y. pillory medications: a/b with PPIs will help to: a. child with bloody diarrhea.What is true about HIV.4y. Cease b. ejaculating murmur. P/E: HR 44. Ear swab c. Salmonella diarrhea c. Increase the replse time b. A middle aged lady w hx of pain over distal fingers . Pt with CRAO 293. Dx? a.Several fainting in old Pt. PPIs help a/b to penetrate the ulcer 294.what is the diagnosis? a) scleroderma b)SLE 301. pallor+ . What is the cause for fainting? a. Bacterial septicemia 295. normal delivery. Antibodies appears after 9 years b. a. swellings.Wht is the diagnosis? A) iron def Anemia b) vit B def Anemia c) chr Anemia . Risk transmission to foetus is 50% c. Hearing test d. ASD c. Celecoxib 297.0 mcv:110 all other normal range . On exam: pansistolic murmur.2y.Child. AS b.blood ix: hb 9.

was scrathed by his cat. Year old man. Patient came to the hospital after 4 hours of symptoms. She is on warfarin and posted for surgery.Patient complains of jaundice with dark urine and pale stools.which feature would be absent in pseudarbulbar palsy? a)Dysarthria b)Dysphagia c)Absent Gag Reflex 307. What will you do ? a) Stop warfarin. She cannot reduce the swelling anymore and it is painful.302.Herpes d.A ECG w WPW + vent tachycardia . give FFP and do surgery c) Give vit k and delay surgery for 7 days d) Delay surgery for 3 months 306.9. What could be the diagnosis? a)Cellulitis b)cat scrath fever c. Patient is in a Metropolitan Hospital.A women w hx of passing small quantities of urine after bouts of cough each time was sent fr investigation.Inferior Wall MI . diarrhoea and patient complains of palpitations. Pain in right upper quadrant.Wht us the mx? a) adenosine b)amiodarone c)b blocker d)verapamil 303.Wht is the best investigation to come to a diagnosis? a)ct abd n pelvis b)laproscopy c)cystoscopy 304. About 3 days later patient complains of nausea. what would be the most appropriate next step in the management of this patient. Morphine and Aspirin.Patient who was on digoxin for atrial fibrillation was given hydrochlothiazides for Hypertension. with history of Hyperension. Patient has been given Oxygen. and 7 days after there was a pustules from humerus to thumb and oedema of arm at the site of the scrath .Strep 308. There is a mass which moves with respiration. Most likely diagnosis? a) Choledocolithiasis b) Carcinoma of ampulla of pancreas c) Mucocele 305. b) stop digozin and give pottassium supplements . vomiting. INR is 2. What would be the most appropriate next step in management? a) stop hydrochlothiazides and give pottassium supplements. start heparin and do surgery b) Stop warfarin. Nitrates . a) Check Troponin right now and 8 hours later b)Coronary Angiography 309.Patient with mass above the umbilicus . Of a 55 year old man.

OP management with compression and LMWH d.310. Use condom and safe sex b. check lithium levels every 6 months c. he comes with fever and night sweats.A middle aged women with calf pain from few days came to hospital.5.Most common cause a. both should use anti HIV drugs 314.A 30 year old lady comes with a bruise on the left cheek and a cut on the lip. check lithium levels every 3 months b.How do you monitor him? a. Acyclovir drops 316.Vit D toxicity c. full blood count 315.her investigations showed Deep vein thrombosis. Pyrazinamide and ethanbutamol c) Amoxicillin 313. IP management with elevation and LMWH c.what is the management? a. what would be the most appropriate step in the management? a) Isoniazid prophylaxis b) Isoniazid.What is the management? a.Investigations are as follows—Ca 3. She said her seizures were well controlled the past 3 years with the antiepileptic medication and again they reappeared since recently. OP management with leg elevation and LMWH .Urea 10. Osteoporosis b.85yr old patient presented with right thigh and leg pain after fall. Acetazolamide d. Chloramphenicol ointment b.A HIV pt came to your clinic along with partner and asking for the best prophylactic measures they should take… a. check lithium levels every month d. How long should she wait to drive? a) 6 months seizure free period b) 2 years of seizure free period c) she can drive straight away 311.A driver from interstate has moved to your locality recently and is stable on lithium for the past 15 yrs.Picture of man w normal eyes. IP management with compression with compression socking and LMWH b. Rifampacin. cold compress c.History of watery discharge. sputum doesnt show any acid fast bacilli. Primary hyperthyroidism 317.Chest Xray showing a cavitary lesion at the apical part of the right side lung in a tourist coming from sudan. If you check which system would you be able to come to a diagnosis? a) CVS b) Respiratory System c) Central Nervous System d) Musculo skeletal system 312.A 30 year old woman comes to your clinic with complaints of a seizure like activity which occurred last night.

give GTN c. Came to your practice complaining of dry cough. Oral flucloxacillin 319. oral amoxicillin and clavulanate b.patient with severe chest pain with half an hour history. polyuria.Sixth nerve palsy picture given. IV fluids b. Gastric lavage d.Young slim marathon runner with a hx of 2 hour sudden onset of left sided chest pain and shortness of breath on mild exertion.Increase oxygen d CPAP 322. His blood sugar 17 mmol/l.stress test 324. night sweating.Amitriptyllin intoxication.send him home b. WOF is the most appropriate management: -Isoniazid -Quadri-TB therapy -Chest CT 326. Intubation and Sodium bicarbonate c.35 years old women with h/o headache and bi-lateral homonymous hemianopia. Stop thiazide and reassess b.What is the management? a. weight loss. Activated charcoal 321. She recovered from headache but the h/h still persist after 6 weeks. insulin treatment 323. What is next management? a.spontaneous pnemothorax c.IV ampicillin d.do pci d. what is most appropriate step in management of this patient? a.cardiomyopathy 325. Immediate Cxray b.A patient on following medications---thiazide 25 mg. oral azithromycin c. What is the next step? a. B-blocker presented with polyuria.COPD patient received 6L oxygen and get worse. Ecg was done which was normal.Cxay showed---lower lobe consolidation. dxa.MI b.Middle aged man with history of cough. Start on oral hypoglycemic c. She came to your practice asking when she can drive her car : -after 3 months -after 6 months -never drive again .Diagnosis? 320.What is the management? a. Reduce oxygen c. chest X-ray given that shows right lung apical cavitation.A man came from Sudan for a visit. cardiac markers were normal too.318.

A man on treatment with warfarin for DVT.Na valproate . with history of nausea since last night. 333. She had alcohol drinking last night. P/E normal.WPW syndrome with ventricle ectopic. 2 days ago roxithromycin was added and now INR-9. what would be the next initial management? a) Change to another antiboitic. 329.A pt came with headache and tightness on the scalp. Today morning nausea with vomiting. she vomited once 10am and abdominal pain 1200. b) Give FFP c) Stop warfarin d) Cryptococcus 331.Young lady presents to GP early morning with history of 8 glasses of spirits last night.A young lady had headache after she wake up this morning.What is best treatment child with petit mal. A) temporal artery biopsy. B) Tell her it is alcohol related. Your examination is normal.-after 1 year 327. What is the next step management.Barbiturates .Diazepame . A) tell her is normal.Carbomazepine . and send her home.Pt has mild rectal bleeding. Next step in Mx? -Review in 4 hours -Review later in the day -explain this is due to excess alcohol and no need to worry -prescribe anti-emetics and review if symptoms recur 328. What is the next step. . a) Adenosine b) Verapamil c) Amioderon 334. review her after 4 hours. What is your next step in management. B) prednisolone C) CT . neuro examination are normal. And send her home C) Tell her the diagnosis is uncertain. What is the treatment? A.Pt with Osteoporosis and oesophagitis.IN a patient with GBS which is ah appropriate way to monitor his oxygenation? a) forced vital capacity in 1sec b) forced expiratory capacity in 1 sec c) blood gases d) pulseoxymeter e) Oxygen saturation 332. All vital sings and physical.No option with ethosuccinate 330. alendronate B. zoledronic acid c) Increse milk intake d) risedronate e) Give Calcium supplement.

A picture of Keratoacanthoma. There is a mass which moves with respiration. diarrhea and patient complains of palpitations. Local excision with sentinel node biopsy D. She cannot reduce the swelling anymore and it is painful. SCC C. INR is 2. Refer to plastic surgery E.Same picture as above. b) stop digoxin and give pottassium supplements 336. Local incision C. Pyoderma granulosa B. Pain in right upper quadrant. give FFP and do surgery c) Give vit k and delay surgery for 7 days d) Delay surgery for 3 months 339.Patient who was on digoxin for atrial fibrillation was given hydrochlothiazides for Hypertension. Most likely diagnosis? a) Choledocolithiasis b) Carcinoma of ampulla of pancreas c) Mucocele 338. vomitting. What will you do ? a) Stop warfarin.CT scan given.exactly the same in the eye] What is the Diagnosis? A.335. What would be the most appropriate next step in management? a) stop hydrochlothiazides and give pottassium supplements. Dx a)rectus sheath haematoma b)appendicitis c)mesentric eschemia 340. start heparin and do surgery b) Stop warfarin. Nodular Melanoma E.Patient complains of jaundice with dark urine and pale stools. She is on warfarin and posted for surgery. Wide local excision of at least 4mm margin B. What would be the most appropriate next step a) give vitamin K b) GIVE protamine sulphate c) Give FFP . Review after 6 weeks 342. A.A lady on warfarin developed Rt iliac fossa pain. Keratoacanthoma 341. patient was on warfarin and his INR at the moment is 4.9. [ Lifted from the AMC Anthology book. BCC D. About 3 days later patient complains of nausea.9.A 30 year old lady comes with a bruise on the left cheek and a cut on the lip. If you check which system would you be able to come to a diagnosis? a) CVS b) Respiratory System c) Central Nervous System d) Musculo skeletal system 337.Patient with mass above the umbilicus. What is the next step in management.Ct scan showing Intercerebral Haemorrhage .

smoking b. What would be the most appropriate next step in management? a) Amputate the toes. in both the legs. comes to the hospital with ulcer in each dorsum of the toe. Bimanual Palpation was done and what would be the most appropriate next step? a) Intraoral Xray of mandibula b) CT scan c) Sialogram d) OPG E) US 346. hyperflexion injury c. Patient comes to you with complaints of swelling under the jaw. hes worried he might get prostate cancer.A 50 year old man comes with a swelling in the groin region. There is foul smelling discharge from the right side ulcer. his father was diagnosed with prostate cancer at 85years age. patient was put on aspirin and clopidogrel 3 months back for atrial fibrillation. its reducible on lying down and patient says its slightly tender. just refer the patient immediately for surgery. and its more prominent after food. 35 year old man comes saying. his prostate was smooth .343. What would you advice to this patient? a) Reassuarance b) PSA c) DRE annually 348. 345. which feature would appear 1st in cancer of the caecum? a) palpable mass b) altered bowl habbits c) Anaemia 347.He has no symptoms suggestive of prostate cancer.A 60 year old man with a long history of diabetes. b) Do Doppler Ultrasound c) Give antibiotics (Amoxicillin and Clavulonic Acid) 344. Previous history of DVT c. remove the foreign body with the needle b. miotic drops . A 70 year old woman of Ca colon. and neighbour was diagnosed with the same condition recently.Picture of venous ulcer. What is the initial management? a. comes with lethargy . d) no need of any medications . what would be the most appropriate next step in the management? a) five vitamin k and send the patient immediately for surgery b) give ffp and surgery c) stop aspirin and clopidogrel for 1 week and then proceed with the surgery. antibiotic drops d.and altered bowel habits.soft and median sulcus was felt. e) nothing needs to be done. Local anaesthetic drops and irrigate with fluids c. hyperextention injury 350.Mallet finger –Mechanism of injury a. feeling tired . which one of the following are the risk factors? a. flexion injury b. On digital Rectal Examination. Coronary aretery disease 349.History of foreign body in the eye.

What is the diagnosis? a) Hydrocele. disturbed. Hydrocele 353. Dxa.An executive undergone major surgery. But no injury was recorded. On examination you found effusion around the knee. He has 2 boots his anti-tetanus vaccination. OPG b. Whats the cause? -S/E of medication -Alcohol withdrawal -Psychotic exacerbation -Chest infection 356.Patient with earache. tortion of testes c. Head CT c. cruciate ligament injury c. X-ray mandibulae 352.351. while you know. nobody entered his room.medial meniscus injury d. epididymo orchitis b.. What is the most appropriate management after wound debridement: -toxin and Ig -aDTP and Ig -Ig -reassure 355. tenderness and guarding Lt hypochondriac region. Says strangers entering his room.lateral meniscus injury 354. BP 90/40. What is the cause? -oesophageal tear -ruptured peptic ulcer -spontaneous pneumothorax -Hiatus hernia 358.35 yr old male who noticed his right testes was bit swollen and larger than left one. 5 yo child had lower limb injury until the fat layer.gastroscopy and colonoscopy -sigmoidoscopy -colonoscopy 357. P/E P-110. swelling in the cheek.Elderly patient with history of anaemia and respectively symptoms of it. on exam everything looked ok. What is the next step investigation? . agitated.A 18 years old male patient presented with painless swelling of scrotum which he realized after sport. b) teratoma c) Seminoma d) Torsion of testis .post.CT e.24 years old with severe knee pain.Middle age man after binge drinking in a party suddenly presents with pain abdomen. vomittings. reduced breath sounds & dull percussion at Lt lower chest . sialogram d.anterior cruciate ligament injury’ b. On examination—ear—N. dx a. pain on knee movements. no other history or symptoms.What is the next intial investigation? a. After 72 hours Post-op.

Platelets decreased.gamma globulin c. colonoscopy 365. WOF can be the cause: A . Child with history of URTI 3 weeks ago. All other on investigations Normal. history of opening bowels once 4 to 5 days. swollen. What is your next step of Mx? a) Insert a cheat tube and drain.Ig A nephropathy B .PSGN C . steroids d. Strict bed rest b.bruises. She is conscious and well. What is the diagnosis? a) febrile convulsion b) septicaemia c) encephalitis d)epilepsy 363.Pt w 15% pnemothorax. Increase fluids c. Cow's milk cessation B.hypertension. A 14 years old boy h/o nephrotic syndrome not responding well to cortico-steroid therapy. painful. She got multiple rib fractures on her left side from.focal glomerulosclerosis OBS & GYN . A child is brought with complaints of rectal bleeding. Laxative and diet rich in fibre b. Her physical examination is dull on percussion on the left side.A 2 week old child with temp of 40'c came to hospital w hx of seizure + looking ill. hot. Intubation e.A female patient had trauma. His knee is red.antibiotics 366. Mother very concerned as child not feeding well.What is the treatment? a. Drainage under seal water c.proctoscopy d. aspiration 362. a.359. Reassurance and observe b. Doudenal biopsy 364. A 18 month old girl who was started on solid foods and cow's milk since 10 months ago is seen not well and had lost considerable weight at presentation. b) Intubate and ventilate 361.A teenage boy came with pain in his right knee after knee injury in the sport game. hematuria with red casts.now presents with ptechiae. What is the management? a. urine protein-++. and decrease the breath sound on the same side. Mx. Oxygen d. What is the diagnose tool? a) CT b) MRI c) Aspiration of the knee e) X-ray 360. How will a confirmatory diagnosis be expediently achieved? A.

Wht is true regarding infected bartholin cyst? a)maybe caused by gonococcal infection b) treat w antibiotics c) surgical removal d) caused by Stahp e) caused by Strep 368. A lady on sodium valproate w hx of well controlled seizure during pregnancy and BP 165/85. Interferon d. advise her about the benefits of quitting smoking d. On lab inv —Herpes infection.protein +3 in urine. was sent for investigation. oral acyclovir b.US of visral organ b.post delivery day 2-developed generalised seizure . no other systemic illness.367. A women w hx of passing small quantities of urine after bouts of cough each time. A pregnant woman with vesicles in the vagina. Increased risk of heart disease <1% 373. CT abdo . b. Increased risk of osteoporosis by 5% d.Which of the following is applicable considering that she no risk factors? a. Give her bupropion tablets. Increased risk of breast Cancer by 25% b. Wht is the best investigation to come to a diagnosis? a)ct abd n pelvis b)USG pelvis c)Cystoscopy 369. A long stem wanted to know …what would indicate the delivery is most likely to occur before 16wks of gestations. Bhcg c. Oral fancyclovir 374. Laproscopy d. Fetal fibronectine test on cervical secretion is positive b) Vaginal discharge c) Absent Fetal heart sounds d) US of cervix length 371. IV acyclovir c. have difficulty in micturition. give her nicotine chewing gums or patch c. a. A lady 37yrs old comes for prescription for OCPs. A women is advised by her GP to take OCP for next 5yrs. DX for FT ectopic preg a. what is the diagnosis? a) generalised seizure b)eclampsia c)hypoglycaemia 370. What is the management? a. refer her to de-addiction centre 372. What advice would give this lady about smoking? a. Increased risk of stroke by 10% c. She is known smoker.

2 weeks postpartum lady present with psychotic episodes. Best treatment: -Olanzapine . slightly low estrogen and slightly high FSH 379. 21 year old at 26 week gestation with lower abdominal pain n tenderness (Rt iliac fossa).Hb-90. high maternal plasma HIV RNA increases transmission risk. pyelonephritis b. ectopic pregnancy e. degeneration of unknown uterine fibroid d. USG c.Lithium -diazepam 382. appendicitis c. c.which is inappropriate advice? a. on no medication .CD4 count was given otherwise well . h/o amenorrhea since 12 months what do you expect to find in her lab analysis: a. uknown cause 378. She is breast feeding. CT 376.PV bleeding. Apart from condom advice. Young lady with DVT comes to GP for contraception. b. WOF will leads you to suspect ectopic pregnancy: a)low BP b)lower abdominal guarding c) PV bleeding d) low Hb 380. Ago dxa.cesarean -amniotomy -expectant ( Observe ) 381.375.last menstrual period was 8 weeks ago. 52 years old women with a BMI-33 . viral load undetected. pregnant lady detected with HIV . a. transmission risk to foetus is high during antenatal period . very low estrogen and very high FSH c. pulse110. B hcg b. Preg lady …10 wks … uterus size 14 wk… best Dx method. what else you will add? -spermicidal gel -continuous OCP -Estrogen patch -Progesteron only pill . high estrogen and low FSH b. low BP-90/50. 377. highest risk of transmission is likely with low CD4 count.Management of abruptio placenta with death foetus: . Appendectomia was done 10 y. Young women came to ER for severe lower abdominal pain.

is admitted to the ICU. pic of pilonedal sinsus in blu book page 207 asked diagnosis exect same pic 384.A middle aged lady w hx of pain over distal fingers .a pt who worked in a gold mine for 20 years and is smoker and history of working in petrol station for 20 years now presents with hematemasis and cough. His family also agreed with his decision previously made.A critically ill pt who mad advance directives when he was in good health now no tubes Now he has a massive stroke and critically ill.A Ct scan of a 80 years old man was given ( massive bleed with displaced ventricles. what is most common cause? a) Smoking b) Sun exposure c) Mets d) Unknown cause 389.more on palpation with no obvious deformity for 20 years + Anaemia + CXR shows enlarged heart . What is your next step in management a) Karyotyping b) bone scan c) growth hormone test d) CT Scan e) Cardiac ultrasound 385. how would diagnosis him A) Bronchoscope B) USG C) Ct scan D) Needle aspiration 386. Xray was given. Who would decide on the treatment? a) Follow the wife wishes b) Follow the son wishes c) Decide by your own using the doctor power d) Arrange family meeting e) Guardian ship court 387. What is the treatment of choice? a)UVB light b) calcitriol 388.19 year old boy complains of having difficulties in playing sports at school.what is the diagnosis? a) scleroderma b)SLE 22) A picture of psoriasis of the leg with extensive lesions.383. How will you decide on his rx now a) Intibuate and ventilate b) IV line and feed c) Cvp and fluid d) Oral small sips of water e) Send him for terminal care . His height is at 97th percentile for his age and weight is at 3rd percentile. pts wife want a calm ending for him while the Son want to do want ever it takes to save his father. A pic of SCC at lower lip.

old home pt with off and on constipation and Xray of the sigmoid volvulus on blu book page 458 was given and asked for diagnosis a) sigmoid volvulus b) lage bowl obstruction c) small bowl obstruction d) adhission 394.Q about the CTG interpretation what is more likely associated with foetal hypoxia. a 18 month old has head circumference 25th percentile at birth 50th percentile at 6 moth 75th percentile at 1 year and 97th percentile at presentation what is the best way to diagnose.venous ulcer asked about the most common association a) smoking b) DVT c) long bone fracture 398.SVT ECG from blue book and dx asked. ECG of an old lady with SVT and then sudden a systole after carotid message . ecg of WPW asked for rx a) Carotid message b) amidrion c) digoxin d) adenosine 395. a pic of ulcer o the medial meallolus what the diagnosis a) arterial ulcer b) venous ulcr c) diabetic ulcer 399. a) Cranial USG b) MRI c) No need to investigate 392. 396. Ca not remember the option .A pt had an accident his pulse is 120 BP is 120/80 laying and 90/70 standing what is the percentage of blood loss a) 10 % b) 20 % c) 25% d) 35% e) 40% 391.390. ECG of SVT from blue book asked diagnosed 393. asked for tx a) amioderon b) adenosine c) shift her to ICU d) atropine i/v e) do not do carotid message again. 397.

Remove the deep muscle sutures. pic of the old lady with a red swollen check like cellulites what is the mx. What would be the most appropriate next step in management? a) Amputate the toes. She was noted to have stertous respiration in the ward.A 60 year old man with a long history of diabetes. Request CXR urgently E. Wht will you advice him regarding the operation a) reacess the nedd for durgery b) stop clopidrogil and shift to heparin one week before surgery c) give FFP before surgery d) stop clopidrogril few days before surgery e) giv vit K 402. Having paradoxical breathing.A teenage boy came with pain in his right knee after knee injury in the sport game.Patient complains of jaundice with dark urine and pale stools. painful. His knee is red. What is the next step in the management? A.an old pt on who just had drug elucidating prosthetic valvein place is on clopidrogril came in to preoperative clinic for evaluation. What is the diagnose tool? a) CT b) MRI c) Aspiration of the knee d) antibiotic . hot. Remove the skin staples 404. A lady of a certain age had Subtotal Thyroidectomy several hours ago. There is a mass which moves with respiration. what would be the most appropriate next step in management? a) strap the chest well b) CPAP with Ventilation c)no option for intubation and ventilation 406. b) Do Doppler Ultrasound c) Give antibiotics (Amoxicillin and Clavulonic Acid) 405. Perform bedside Ultrasound B. Pain in right upper quadrant. There is foul smelling discharge from the right side ulcer.A 30 year old man with multiple rib fractures following a motor vehicle accident. comes to the hospital with ulcer in each dorsum of the toe. There is some swelling and redness on the post-op site. Most likely diagnosis? a) Choledocolithiasis b) Carcinoma of ampulla of pancreas c) Mucocele 401. Call the Surgeon and arrange intra-op exploration of the wound site D. acute limb ischemia . He has a non complicated vericocele. C. a) Incision and drainage b) Antibiotic c) OPG 407.what sign would require for urgent surgery? a) paresthesia b)paralysis c)rubor 403.400. swollen. in both the legs.

What the initiation step. a lady 30 y old with 4 weeks amenorrhea and clear vaginal discharge presented to ER what is the initial step.a pt after being drinking and sudden pain in and vomiting in the epigastria area and shock. A substitute for Methadone e) . d. the pain came after bout of vomiting what is mx. a) endoscopy b) gastro graffin c) Ct chest 413. a) I/m pethadene b) Morphine and metaclapramide c) morphine d) paracetamol and codine 415. a) CXR B) CTPA C) ECG d) Cardiac enzymes 409. pic of red eye with watery discharge .A pregnant lady with typical migrant came to you what is best rx you give her. You examined him and found that one testicle is slightly large the other no other abnormality detected. ct of intra cerebral bleed dx asked 416. two weeks earlier pt had oral and genital ulcers what the rx a) antibiotics b) chlormphencol ointment c) oral steroids d)steroid drops 411.Q on leukaemia with blast cells 412. a young male came as one of his friends recently has been diagnosed with the testicular cancer.408.which of the following is true regarding Naltrexone A. Generic name for naloxone .typical Presentation of ITP initial test asked 1) FBC 2) Aptt c) INr d) bleeding time 417. a) USG b) Antibiotics c) BHcG d) vaginal exam 410. Short acting b. a) reassure him as nothing is wrong b) advice him monthly self testicular examination c) annual AFP d) regular review with USG 414. Ideal for IV drug user since it is long acting. How will you advice him. Given for chronic marijuana users c.an old pt after surgery uneventfull recoveryafter five-six days suddenly developed chest pain and severe short of breath.

leucocytosis .you are planning to conduct a study what would be the best method to sample the study participants. oral azithromycin c.CXR showed. lower lobe consolidation.what is the best investigation to come to a diagnosis? a) colonoscopy b) sigmoidoscopy c)celiac serology d)FBC .A middle aged women with calf pain from few days came to hospital. IP management with elevation and LMWH c.130 c) 70-160 d 85-145 423. What is the management? a.All are S/E of corticosteroid therapy except: .hirsutism .lymphopenia 421.418. Oral flucloxacillin 420. Middle aged man with history of cough.175 b) 100. IN a patient with GBS which is ah appropriate way to monitor his oxygenation? a) Forced vital capacity in 1sec b) forced expiratory capacity in 1 sec c) blood gases d) pulse oxymeter e) Oxygen saturation 422.The mean Bp of a population is 115 mmhg what would be the rage for 95% CI to include 95% population in it with a slandered deviation of 15. OP management with compression and LMWH d. OP management with leg elevation and LMWH 419.IV ampicillin d. her investigations showed Deep vein thrombosis. What is the management? a.osteomalasia .no fever . a) Take study sample from university b) Take study sample from your hospital c) Take study sample from old house d )Take study sample the register of general population E) Snowball sampling 424 A 14 yr old boy separated from his parents n currently living w his father since 3 months having bloody diarrhoea . oral amoxicillin and clavulanate b. a) 150.ecchimosis . IP management with compression with compression socking and LMWH b.

urine protein-++. What the MX? a) DRE b) colonoscopy c) high fibre diet d) high fibre diet and glyceraltrinitrate ointment e) Steroid ointment 427.A man presented with the painful defecation and blood on stools. Pain persist for almost 30 min after he opens bowls. a) mother also experience sleep disturbance b) Brother has ADHD c) She has suicidal ideation d) She use drugs at school e) She is being bullied at school 429. 74) Q on sodium low 120 asked the reason can’t remember the full Q. WOF can be the cause: A .Ig A nephropathy B . 430.5 asked the rx.A 2 week old child with temp of 40'c came to hospital w hx of seizure + looking ill. endepamide having hypoglycaemic attacks what’s the reason for hypoglycaemia a) metformin b) endepmide 433. History of eye injury blowout what will you find in the signs a) diplopia b) hyphemia c) fracture zygoma 431.425. she also experiences some sleep disturbance.focal glomerulosclerosis . 434.another q on diabetes controlled at the moment but HBA1c increased 7. What is the diagnosis? a) febrile convulsion b) septicaemia c) encephalitis d)epilepsy 426. Although she go out with her friends. she dose not seem to enjoy much of the activities. which of the following piece of information in the history is most helpful to reach a diagnosis. Bacterial meningitis. A 12 years old boy h/o Nephrotic syndrome not responding well to high dose corticosteroid therapy.PSGN C .Diabetic pt on metformin. viral meningitis. Mother very concerned as child not feeding well. cannot remember the options.hypertension. encephalitis please read all about them. SCC of lung and mesothealeoma do these topic 432. hematuria with red casts.What is the characteristic sign of chronic limb ischemia a ) pain relieved by walking b) rubor c ) color of limb improved after hanging limb at end of bed d ) numbness 428. a girl is coming to the gp for evaluation with her parents as she is unable to concentrate on her studies.

A picture showing ulcer near thenar eminence of hand? a. Previous tibia/fibula fracture b. Parotitis b. retinal detachment 6. What is the likely diagnosis? a. What is the feature suggestive of ischemic change? a. Cystic fibrosis b. Abdominal radiation c. Fundoscopy pictures of central retinal artery occlusion/ central retinal vein occlusion 5. focal pain d. A patient with Duke C colon cancer. A patient was found to have Peau de orange while taking an ECG. Carcinoma of breast 4. A picture of venous ulcer on the medial malleolus of leg. A picture showing whitish aspirate from parotid duct a.Coeliac disease c.Whipple disease 436. colicky pain . What is the diagnosis? a. man complains of flashes and floaters in vision a. Calculus 3. Arterial insufficiency 9. Other recalls 1. Whitish echogenic lesion on mammography picture of 60 y. Carcinoma breast 8. 50 y. distension and Diarrhoea and failure to thrive after weaning started . In the history. Stem abt Kawasaki disease given and asking abt treatment. Aspirin b. WOF is the DX? a. patient has a shortness of breath. CT picture of pulmonary embolism. woman. 5-fluorouracil 2. A patient diagnosed with Sigmoid volvulus. What is the cause? a. had left Hemicolectomy. She admits she had an accident of hitting with a steering wheel on the same breast a year ago. Total Colectomy b.435. Heparin 7.o. 10 cm dilatation of sigmoid c. What is the treatment? a. Warfarin c. Focal fat necrosis b. A 2 yrs old child . what can be done? a. parents complaining of his loss of wt for few days with abd. Epitheliod sarcoma 10.o. gross distention of abdomen b. For 5 year survival rate.

A 45 y. circulating DNA 17. Tertiary hospital 300 km away.V4. anal canal d.o. Dairy workers b. Cholecalciferol 16. Calcium tablet b. patient from Sudan found to have a low calcium. When can he go back to school? a. joint pain. aspirin. What is the most important thing to rule out? a. HBS Ag b. Patient was given oxygen.11. Rectum b. Complement assay c. A lady presented to EMD in a drunk state with a black around eye. Testis c. HBS Ab c. Vitamin D c. Now and use separate toilet b. morphine. A patient came in with left eye pain of 6 min duration? comes for about 1 hour every day. What should you do? a. fresh water fisherman 19. patient. ECG showed ST elevation in V2. after 3 days c. Anti DS DNA 14. t-PA c. A 15 y.o. PCI ( percutaneous coronary intervention) b. What will you give him? a. colon 12. M. What is the treatment? a. A 20 y. Fall b.V3. once the enzyme comes to normal 18. female presented with malaria rash. HBE Ag d.o. What will you find on him? a. A patient has been a chronic carrier of Hepatitis B for 6 months. male presented with swollen inguinal lymph node. Acetazolamide b.V5. ANA b. streptokinase 15. Domestic violence . What test will you do? a. A boy had hepatitis A infection and 10 days after he became physically fit.Who is likely to get Coxiella burnetti infection? a. Hydrocortisone c. Where could be the primary? a. topical pilocarpine 13. Alcohol c. now increasing intensity.I. fundoscopy shows arterial injection.

question july 2010 #101 31.somebody did CPR and was revived when she arrived at ER. USG d. Optic Chiasma c. Has history that father died suddenly. Identify and Treatment --Amiodarone 27. bladder tumor b. A patient had bitemporal hemianopia.20. Father diagnosed prostate CA at 85 years old. bilirubin 40. What is the diagnosis? a. renal tumor 28. Optic nerve 23. ECG on V tach. Cholangitis b. respiratory alkalosis 22. regurgitation of undigested food.o. hepatitis 21. What is likely diagnosis? a. DRE annually 29. Woman when she defecates a mass is noted to bulge out of her introitus. question about painless hematuria a. What will be the blood gas analysis picture? a. 17 years old jogging then collapsed. reassure b. Question on Osteoporosis 24. frontal lobe dementia b. Carcinoma Oesophagus b. female came with history of food getting stuck in the throat. PSA c. Where is the lesion? a. a. Acute cholelithiasis c. question july 2010 #110 . Old man was found by police and brought to hospital. Respiratory acidosis b. question about a man 35 years old asking about his risk of developing prostate CA. She said he has been living in squalor and eating rubbish.what kind of dementia? a. A patient with right upper quadrant pain. Most likely diagnosis? ---Rectocoele 27. all enzymes elevated. Lewy body dementia 30. mild jaundice. Which is the likely diagnosis? --HOCM 26. Optic tract b. A 40 y. A patient was given Morphine. Daughter has many complaints about father. Zenker Diverticulum 25.

smoker and working in the mine industry. call the surgeon b. metastasis from primary cancer b. What is the likely diagnosis? a. 34 year old male with diarrhoea and admitted in the hospital Dx? . patient just had Cricothyroidectomy and developed stridor while she was still in the recovery room. Stop digoxin and give K supplement b. osteoporosis 34. Xray given. enlarge bilateral cervical lymph nodes. What is the most probable diagnosis? --bronchogenic CA 38.think it was more than 20years). Calcium c. She had a history of operation for CA of caecum a. Biphosphonate b. What will you do? a. question about percentage passing the disease to their children with cystic fibrosis -. short acting 39. Treatment? a. X-ray of hip osteopenia ALP is 800 ( that is the only information given ) Rx a. Sarcoidosis b. dry cough. question july 2010 #111 33. Adenosine b.HSP 41. Man coughing. Tb c. Xray given. Has been coughing. Amiodarone . wt loss. question about an old lady after closing the window (?) sustained a crushed fracture on her vertebrae. A patient who started hydrochlorothiazide with digoxin develop nausea electrolyte pic given only potassium decrease a. remove the skin sutures 35. --mesothelioma 36.0% 37. SVT ECG.32. Lymphoma d. Man is a non-smoker and working in the mine industry (did mention the years. Naloxone is: a. CLL 42. Pic of both lower limbs showing red rash. Stop hydrochlorothiazide and give K supplement 43. CXR – night sweat.Vitamin b12 d. Radiotherapy 40. explore the wound in the ward c.

Interosseous c. Renal failure b. Fundoscopy pic. what will you do? • Use local anaesthetic and removed 48. CTPA b. give platelet 52. DM b. CRAO . 0. what is dx? a. a pt who had stroke came to hospital. HTN c. blood culture c. Pt on warfarin and INR 4. Multi infarct dementia b. Ant. A couple comes telling that one child diagnosed as cystic fibrosis concern about next child incidence a. VT ecg a. polydipsia. give FFP b.25 c. ECG . Adenosine b. A lady and husband came to you recently dx cystic fibrosis concern about their child getting it a. HTN. 100 51. A boy came with bloody diarrhoea with less urine output. 0. CT head showing same lesion like infarction a. CT head show hemorrhage. polyuria. 0. Cerebral hemorrhage c. FNAC 58. Verapamil d. BP pulse?? What will you do next to diagnose his condition? a. Digoxin 44. A lady complain loss of finger grip in index and thumb what nerve is affected? a.5 chance 49. 0. 50 year old man coming with scrotal pain which is reddened. A pt who had an injury to eye due to hit from metallic spike. on 5th day. Radial nerve b. she collapsed in the toilet. HUS 47. Ulnar nerve 57. Echo cardio 45. what is the diagnosis? a.c.5 what will you do? a. Adrenaline 55.5 b. what will you do? a. Urine catheter b. Amiodarone c. Cerebral abscess 54.25 chance b.

o. macular degeneration 77. a person developed agitation and confusion. CRVO 59. CRVO . A chinese lady comes to your clinic. tenderness in calf. What is the diagnosis? a.o. FUNDOSCOPY PICTURE ( + microaneursym seen) : patient has a history of Diabetes Mellitus type 2 later on positive blurring of vision and sought check up.d. Check both children 71. Check 18 year old only d. Check creatinine c. A down syndrome underwent surgery and developed hypersensitivity. Diabetic retinopathy b. woman had a gradual onset of bilateral visual loss. pulse and BP normal. Check FBC 73. Alcohol withdrawal b. They have 9 y. Pulmonary oedema b. A male who used to work in mine industry for 20 years and smoker for 40 years. Check wife only b. What is the next step? a. retinal detachment d. male having ACE inhibitor. Electrolyte imbalance 76. Cold compression 74. Squamous cell carcinoma c. Carcinoma 75. Pulmonary atelectasis c. Husband is recently diagnosed having haemochromatosis. What is the dx? ( CXR given) a. What will you do? a. and 18 year old children . Temp normal. What will you do? a.o. Statin. A pic both eye increase tearing. Wife is not screen for haemochromatosis. Check CK level b. What is the likely cause? a.o. Anaesthetic drugs 72. What is the cause? a. A 34 y. Mesothelioma 60. Metastasis c. Refer to plastic surgery b. only c. FUNDOSCOPY PICTURE ( + drusen): 78 y. Latex b. What is the cause? a. At 2nd Post Op day. Small cell carcinoma b. b-blocker develop calf pain. Check 9 y. hypertensive retinopathy c. CXR given and ask of diagnosis a.

controlled and positive ventilation c. A 60 + y. mesothelioma b. Nasogastric decompression c. He had a history of working in a gold mine industry and was diagnosed before of moderate silicosis. dyspepsia 81. What would be the most appropriate next step in management? a. Xray wrist c. tiredness and fatigue d. altered bowel habits c. palpable mass b. he suddenly developed retrosternal pain and collapse. pulmonary tuberculosis d. What is the first symptom noted in this patient? a. bowel obstruction e. He was rushed to ED and given oxygen and iv fluids. A 30 y. CRAO c. weight loss of 3 kg ( forgot the duration). After eating. What is the next management? a. man with multiple rib fractures following a motor vehicle accident.b. exacerbation of silicosis c. The patient is a NON-SMOKER. Chest tube drainage d. Old lady comes to the ED following MVA with a wrist fracture and confusion. He is noted of having paradoxical breathing. Diabetic retinopathy d. Emergent laparotomy e. Wrist plaster cast . Ultrasonography ( no options for ECG) 80. bronchogenic carcinoma 79. man presents with cough and productive sputum. A patient with a history of ischemic heart disease and hiatus hernia attends a dinner conference.Pulmonary angiography b. strap the chest wall b. What would be the most appropriate next step? a. What is likely the diagnosis of present symptom? a. A picture of chest X-ray and ECG in one stem. Retinal detachment e.o. Macular degeneration 78. insert chest tube d. woman diagnosed of cancer of the caecum. Urgent CT head b.o.o. a 70 y. 100 % oxygen via bag mask 82.

What could be the risk factor? a. man comes to your clinic and concerned of his family history which his father was diagnosed of having prostate cancer at 85 y. A patient is diabetic and was scratched by a cat in the arm and few days later. aDTP and Ig c. A 55 y. No fever mentioned in the stem). man had a major motor vehicular accident which liver and spleen have lacerations. Few hours after. 100% oxygen via bag mask c. reassurance b. aDTP b. his prostate was smooth. What would you advice? a. chest tube and drain 98.o. Patient has breathlessness but conscious. Cellulitis . DIC e. and neighbor was diagnosed of same condition recently. On DRE. spleen rupture d. He is worried he might get prostate cancer. dilutional thrombocytopenia 97. He had a complete vaccination history and last dose was 9 years ago. A 27 y. Whats the next step management? a. malignant change 95. Chest xray e. Ig d. Man had lower limb injury involving the fat layer. transfusion reaction b. reassure 96. A young patient had a fall injury. multiple wounds and fractures. controlled oxygen d. PSA for the next 4 weeks c.o. What is the most appropriate management? a. No other symptoms. previous history of DVT at same leg c. intubate and ventilate b. Cat scratch fever b. hypocalcemia c.93.o. He received 15 units of blood during resuscitation. What is the likely diagnosis? a. PO2 60 and PCO2 55. diabetes mellitus d. forearm and anterior shoulder ( no LAD. soft and median sulcus was felt. Patient has an ulcer at medial malleolus of left leg. + red rash at arm. Ultrasound 94. smoking b. DRE annually d. paralyze. What is the cause? a. it was noted positive bleeding in all sites.

Fragile X syndrome 100. ecg of ventricular ectopic beats d. 25 c. no methotrexate. ( this is a long stem mentioning uncle also has same features) What is the diagnosis? a. pityriasis versicolor d. Cisplatin . A boy with long ears and large forehead. UVB light b.99. no tar in the options) 106. steroids ( no dithranol. Steroids c. Hydroxychloroquine b. ecg of Complete heart block e. A patient was diagnosed of having colon cancer ( i forgot the stage) . seborrheic dermatitis 103. . Klinefelters d. systematic review 105. 102. Whats the management? a. ecg of Atrial flutter c. pityriasis capitis ( dandruff) c. A pedigree pattern of Autosomal recessive. ecg of Atrial fibrillation b. Cohort b. XYY c. Methotrexate 107. cross sectional d. case report e. whats the management? a. 50 101. 0 b. what is the diagnosis? a. tinea capitis b. A long stem about patient has dryness in the eyes and mouth. ecg with tall t waves ( Hyperkalaemia?) 104. What is the treatment of choice? a. Choose ECG that fits: a. case control c. calcipotriol c. A picture of psoariasis at both lower legs with extensive lesions. Old patient has history of syncope 3 episodes. Anti RO and Anti La POSITIVE detected. Picture : exactly the same page 206 anthology of medical condition. surgical operation done and chemotherapy should be started. 5 Fluorouracil b. Down syndrome b. Which one of the following studies is LEAST useful? a. What is the chance of having a child affected of cystic fibrosis if one parent is a carrier? a.

lady has one episode of seizure.o. Primary hyperparathyroidism d. check lithium every 3 months b. Urea. Vitamin D toxicity c.o. Sputum negative for acid fast bacilli. Patient came from Sudan. Whats the treatment? a. can drive after 12 months d. WOF features would be absent in pseudobulbar palsy? a.85 y. Isoniazid. vomiting. no treatment necessary 113. dysphagia c.10 ( phosphate level not given). pyrazinamide and ethambutol c. Investigations are: calcium 3. Chest X-ray showing a cavitary lesion at the upper right lobe. What would be the most appropriate management? a.1-2. Most common cause? a. stop digoxin and give potassium supplements b. absent gag reflex 110. What would be the most appropriate step? a. He comes with fever and night sweats. She asks you on advice for driving? a. topical hydrocortisone b. She experienced of having muscle jerks in her right arm few months ago.6). A driver from interstate has moved to your locality recently and is stable on lithium for past 20 years.5 ( 2. check lithium every 6 months c. A picture of patient having redness in the eye ( anterior uveitis). can drive after 24 months 111. Recently. oral steroids 109. give potassium 112. she complains of nausea. and palpitations. check lithium every 1 year 114. Isoniazid prophylaxis b. can drive after 6 months b. rifampicin. woman presented with right thigh and leg pain after fall. stop thiazide and give potassium c. Hypercalcemia of malignancy . How do you monitor? a. dysarthria b.c. Patient with a maintenance of digoxin for AF and thiazide for HTN. Amoxicillin d. can drive after 3 months c. A 24 y. He had a history of mouth ulcer and genital ulcers. Osteoporosis b. Ceftriaxone e. Methotrexate 108.

lymphopenia e. In a patient with GBS which is appropriate way to monitor his oxygenation? a. Her investigations showed DVT. increase WCC 119. man had a headache with tenderness on the scalp especially on the right side. postural drainage d. oral steroids c. temporal biopsy b. Oral azithromycin e.115. hirsutism b. ABG c. anti tb drugs c. oral flucloxacillin d. A man complains of cough productive with green sputum and occasional blood. ecchymosis c. What is the initial management? a. forced vital capacity b. inpatient management with compression stocking and LMWH b. OP management with leg elevation and LMWH 116. Noted muscle jerks. O2 saturation 121. Oral amoxicillin and clavulanate b. reassure . 65 y. fever of 40 deg C. BP: 157/98. Young girl collapsed in a party brought to ED. IP management with elevation and LMWH c. pulse oximeter d. tetracycline 117.o. Thiamine and oral hydration b. A middle aged woman with calf pain and tenderness from few days came to hospital. Middle aged man complains of cough and productive sputum. cold saline infusion and cold blanket c. WOF is the best long term management? a. What is the management? a. She has no other associated symptoms. She is confused. outpatient management with compression and LMWH d. Positive history of headaches for few days. CT scan ( no ESR or FBC options) 120. Iv ampicillin c. low dose tetracycline for 12 months b. ALL are side effect of steroids EXCEPT: a. osteomalacia d. CXR showed patchy infiltrates. No fever. What is the next management? a. What is the management? a. haloperidol 118. diazepam d.

digoxin c. + metal spikes seen. Patient has a right LAD when biopsy + squamous cell ca. Construction worker complains of eye redness and lacrimation after hammering a nail at work. super absorbent sanitary pads b. nocturia c. kidney 123. Whats is your management? a. An alcoholic man with pain radiating to the back. What to do next? a. MRI c. Urinalysis showed many rbc and atypical nuclei. verapamil d. An elderly patient brought to ED with lightheadedness and palpitations. adenosine b. constant pain b. urine culture and sensitivity 129. NO numbness or decrease ankle jerk. Where is the primary site? a. Nerve conduction study 128.122. Diagnosed of acute pancreatitis. breast b. What to do next? a. lumbosacral xray b. antibiotics b. local anesthetic and probe the eye 125. an indigenous boy complains of greenish discharge coming out from the ear and also has green nasal secretions. WOF is the LEAST likely to present with? a. Toxic shock syndrome caused by staphylococcus aureus is associated with: a. A patient complains of lower back pain. irrigation of fluids c. dysuria. ct scan of abdomen c. not to repeat the carotid massage . bronchus d. diarrhoea d. swab ear discharge b. thyroid c. What is the appropriate management? a. On PE noted lumbar spine is not in its normal curvature. What is the management? a. swab nasal discharge c. audiometry ( no option antibiotic) 126. ECG is given. renal ultrasound b. was diagnosed of Aortic stenosis. regurgitation of food 127. endotoxin production 124. A patient came in with haematuria.

A 42 y.o. Famciclovir 133. Whats the immediate management? a. suddenly had hoarseness of voice and difficulty of breathing.o. administer Oxygen 132. Diazepam d. A 50 y. short acting b. you notice that recently more cases of Hepatitis C has been diagnosed and want to do research to find out the incidence of hepatitis C in the community with a population of around 3000. cystocoele b. cellulitis b. rectocoele 131.Naltrexone is: a. + tremors ( fine) bilateral in both hands. No confusion. Adrenaline IM b. A GP is in rural area. not agitated.o. All patients with current Hepatitis C antigen positive d. Haloperidol 135.o. Benztropine c. Lymph node enlarged and non tender. Acyclovir c. A man with heavy alcohol intake brought to ED. Whats the cause? a. Nulliparous woman has a bulging mass in the perineum especially during straining on defecation. All cases diagnosed as hepatitis C positive for the past 5 years 134. substitute for methadone in treating drug dependence 136. What is the appropriate management? a. How will you get the information you need for the research? a. intubate and ventilate c. A 38 y. easily absorbed orally c. Carbamazepine b. Propanolol b. What is the appropriate management? a. What is the likely cause? a.130. cat scratch c. ( no rashes mentioned). All patients with current hepatitis C PCR positive c. Antihistamine d. presented with weakness and oedema of left hand with history of cat scratch 4 days ago. woman complains of pain at maxillary area and some redness. Find the number of all patients with current hepatitis C antibody b. man was attending a party and ate some peanuts in the cake. BP 180/100 HR 120. axillary vein thrombosis . A 20 y.

repeat colonoscopy b. radial nerve d. A question on Heparin induced thrombocytopenia. No blood in stools. A 75 y. cholecystitis 145. inversion. elbow immobilisation splint . A bacterial conjunctivitis picture given. diarrhea alternating with constipation. dorsiflexion. HIV b. Lung CA d.o.o. chloramphenicol drops 140. Carcinoma cardia c. L5 c. posterior interosseous nerve 138. Common peroneal nerve 141. Sciatic nerve b. Nurse working in Rural hospital presented with cough followed by hemoptysis for 1 month. The patient is on low molecular weight heparin.o. change to another anticoagulant other than heparin group 143. What will you do next? a. A patient cannot extend wrist and fingers. with complains of bloating. What to do next? a. Carcinoma duodenum b. eversion of foot. Tuberculosis c. CXR given ( apical lobe affected) What is the diagnosis? a. ulnar nerve c. Where is the lesion? a. Colonoscopy done 12 months ago and came out normal. All other normal. A 75 y. A man with symptoms of difficulty in plantar flexion. A 23 y. change to unfractionated heparin b. 4 other questions on GIT 146. typical question on Bells Palsy 147. presented with postprandial abdominal pain.137. Tibial nerve d. no option for rest b. What nerve is affected? a. symptoms. What is the diagnosis? a. Knee reflex is present. What is the treatment? a. anterior interosseous nerve b. symptomatic b. abdominal distention. No other assoc. Management of Tennis elbow a. ciprofloxacin drops c. CT SCAN of cerebral hemorrhage and cerebral tumour 142. diet advice 144. Pneumonia 139.

Perindopril and diuretic. paralysis c. CA duodenum. No history of unconsciousness. What will you advice her? a. She should not breastfeed her child as risk is great c. Treatment of Alopecia Areata? a. Biker fell from bicycle 1 week back. A picture of SCC. color 151. dementia b. Pain b. ECG of WPW syndrome with wide QRS. application of hydrocortisone on that area b. A lady is hepatitis B positive. rubor 152. Sign of chronic limb ischemia? a.c. brace below elbow 148. Amoxicillin was taken 3 days ago for URTI. what is the cause? a. MORE questions on Peptic Ulcer disease. Sign of acute limb ischemia indicative for surgery? a. what will happen next? a. A patient is on Metformin. He developed swelling and itching of right side of tongue. delirium 157. MMSE score 26/30 brought by his family as symptom getting worse. Adenosine c. Amoxicillin b. Post traumatic headache 149. Subdural hemorrhage c. She should have CS for delivery b. An old man was well before and suddenly confused and agitated with memory loss in 2 weeks time thoughts on and off. injection of steroid on that area 155. She is coming for advice regarding the Hepatitis B transmission to her unborn baby. Epidural hemorrhage b. Cardioversion 150. What is the management? a. What is the diagnosis? a. Perindopril c. grows fast c. paralysis c. CA cardia 156. What is the diagnosis? a. But now presenting with occipital headache. Amiodarone b. involutes b. Pain b. Diuretic 154. the baby should receive Hepatitis B immunoglobulin and vaccination at delivery . spread to lymph nodes 153.

what is the most common cause? a. Bone scan c.o. A picture of SCC at lower lip.158. How would you diagnose him? a. bronchoscope b. smoking b. What is the diagnosis? a. A patient had an accident. 1:400 e 1:700 160. sun exposure c. CT scan e. Scleroderma b. BP is 120/80 lying down and 90/70 standing. What is the risk of conceiving a child with Down syndrome for a 38 y. What is her percentage of developing breast cancer? a. more on palpation with no obvious deformity for 20 years. A middle aged lady with history of pain over distal fingers. lady with mother having breast cancer at 47 years and sister diagnosed with ovarian cancer at 30 years. Growth hormone d. 1:200 d. 20% c.A patient who worked in a gold mine for 20 years and is a smoker and history of working in petrol station for 20 years now presents with hematemesis and cough. 0.50 d. unknown cause 164. metastasis d. What is the percentage of blood loss? a. Cardiac ultrasound 161. 1:100 c. +anaemia.o. SLE 163. What is your next step management? a. female? a. Karyotyping b. 0 159. His height is at 97th percentile for his age and weight is at 3rd percentile. USG c. boy complaining of having difficulties in playing sports at school. his pulse is 120. 35% . 0.10 c. CT scan d.o. 1:10 b. 10% b. A 19 y. CXR shows enlarged heart .0. A 35 y. 25% d.25 b. Xray was given. needle aspiration 162.

shift her to ICU d. atropine e. carcinoma of ampulla of pancreas c. There is a mass which moves with respiration. What to do next? a. He has non complicated varicocoele. choledocholithiasis b. give FFP before surgery c. reassess the need for surgery b. Asking for treatment? a. adenosine 167. sigmoid volvulus b. There is some swelling and redness in the post op site. She was noted to have stertorous respiration in the ward.A patient complain of jaundice with dark urine and pale stools. A lady of a certain age had Subtotal thyroidectomy several hours ago. What is the diagnosis? a. ECG of WPW. 40% 165. arterial ulcer b. amiodarone b. ECG of an old lady with SVT and then suddenly asystole after carotid massage.A picture of ulcer of the medial malleolus. amiodarone c. smoking b. mucocoele 171. venous ulcer c. Xray of the abdomen ( Blue book page 458). What is the immediate management? . diabetic ulcer 170. An old patient who had drug eluting at prosthetic valve place. small bowel obstruction d. Most likely diagnosis? a. What is the diagnosis? a. What will you advice him regarding the operation? a.digoxin d. stop Clopidogrel few days before surgery d. carotid massage b. large bowel obstruction c. Pain in right upper quadrant.e. adhesion 166. Give vitamin K 172. dvt c. do not do carotid massage again 168. clopidogrel. Old patient at nursing home with on and off constipation. adenosine c.Venous ulcer asked about the most common association? a. long bone fracture 169. and came to you for preoperative clinic evaluation.

amputate the toes b. What would be the most appropriate next step in management? a. ECG d. + shock. An old patient after uneventful recovery from surgery. What is the . strap the chest wall b. Cardiac enzymes 178. What is the initial step? a. Whats is the management? a. give antibiotics ( amoxicillin and clavulanate) 174. antibiotics b. He's having a paradoxical breathing. His knee is red and swollen. aspiration of the knee d. CXR b. painful.o. A picture of red eye with watery discharge. remove the deep muscle sutures c. remove the skin staples 173. oral steroids d. What is the investigation? a. man with a long history of diabetes comes to the hospital with ulcer in each dorsum of the toe in both legs. CTPA c. call the surgeon and arrange intra op exploration of the wound site d. request CXR urgently e. MRI c.a. What would be the most appropriate next step in management? a. chloramphenicol ointment c. A patient after binged drinking and sudden vomiting and pain in the epigastric area later on. 5 or 6 days post op. 2 weeks earlier. A teenage boy came with pain in his right knee after knee injury in the sport game. CT b. OPG 176. antibiotic 177. man with multiple rib fractures following a motor vehicular accident. steroid drops 179. suddenly developed chest pain and severe short of breath. There is foul smelling discharge from the right side ulcer. Question on leukemia with blast cells 180.o. hot. A picture of an old lady with a red swollen cheek like cellulitis. A 30 y. perform bedside ultrasound b. What is the treatment? a. CPAP with ventilation 175. patient has oral and genital ulcers. antibiotic c. A 60 y. incision and drainage b. do doppler ultrasound c.

what is the initial test? a. bleeding time 184. ideal for IV drug user since it is long acting d. Gastro graffin c. A young male came to you asking for advice because one of his friends has been diagnosed with testicular cancer recently. sigmoidoscopy c. Oral Flucloxacillin 186. after he opens his bowel. Endoscopy b. What will you advice him? a. IV ampicillin d. Pain persist for almost 30 mins. No fever. CXR showed lower lobe consolidation. forced expiratory capacity in 1 sec c. What is the management? a. In a patient with GBS which is an appropriate to monitor his oxygenation? a. INR d. forced vital capacity in 1 sec b. CT scan ( looks like intra cerebral bleed) What is the diagnosis? 183.o. APTT c. advice him monthly self testicular examination c. A 14 y. short acting b. What is the management? . Typical presentation of ITP. coeliac serology d. FBC 188. CT chest 181. oral amoxicillin and clavulanate b. colonoscopy b. You examined him and found out that one of the testicle is slightly larger than the other. boy separated from his parents and currently living with his father since 3 months having bloody diarrhea. given for chronic marijuana users c. WOF is true regarding Naltrexone? a. Middle aged man with history of cough. What is the best investigation to come to a diagnosis? a. blood gases d. A man presented with the painful defecation and blood on stools. annual AFP d. FBC b. generic name for Naloxone 185. a substitute for methadone e. oral azithromycin c.management? a. regular review with USG 182. reassure him as nothing is wrong b. pulse oximeter 187. No other abnormality detected.

( can't remember the full question and options) 196. What is the diagnosis? a. A middle aged lady with history of pain over distal fingers more on palpation with no obvious deformity for 20 years . numbness 190. Indapamide 194. Antibodies appear after 9 years b. encephalitis.What is the reason for the hypoglycemia? a. A woman with history of passing small quantities of urine after bouts of cough each time was sent for investigation. Ratio CD4 to CD8 is more than 5 199. Another question on Diabetes and is controlled at the moment But later on HBA1C increased to 7.5. Question on intestinal obstruction 197. high fibre diet d. diplopia b. scleroderma b. 3 ECG questions. What is true about HIV? a. fracture zygoma 192. high fibre diet and glyceryl nitrate ointment e. Indapamide having hypoglycemic episodes. colonoscopy c. All other normal range. Stem asked for the reason. Risk transmission to foetus is 50% c. What is the best investigation to come to a diagnosis? . hyphema c. Metformin b. SLE 200.please read all these topics 191. viral meningitis.please read these topics 193. blowout injury. What is the diagnosis? a. DRE b. A man post gastrectomy 3 years ago complains of lethargy. steroid ointment 189. What will you find? a. + anaemia.120). color of the limb improved after hanging limb at the end of the bed d. A case of hyponatraemia ( Na. Iron deficiency anaemia b. Chronic anaemia 201.0. Diabetic patient on Metformin. On examination. 3 CT scan. CXR shows enlarged heart. MCV 110. Blood Investigation: Hb 9. Bacterial meningitis. + pallor. rubor c. History of eye injury. 198. What is the characteristic sign of a chronic limb ischemia? a. vitamin b 12 deficiency anaemia c. SCC of lung and mesothelioma. 4 skin condition with pics. 2 CXR.a. pain relieved by walking b. Asked for the treatment? ( cannot remember the options) 195.

both should use anti HIV drugs 207. lady comes with a bruise on the left cheek and a cut on the lip. acyclovir drops 208. Respiratory system c. morphine and aspirin. An HIV patient came to your clinic along with partner and asking for the best prophylactic measures they should take: a. woman comes to your clinic with complaints of a seizure like activity which occurred last night. IV fluids b. she can drive straight away 205.o. gastric lavage d. What could be the diagnosis? a. What would be the most appropriate next step in the management of this patient? a. Inferior wall MI of a 55 y. activated charcoal . Picture of man with normal eyes. 6th nerve palsy picture given. Musculo skeletal system 206. How long should she wait to drive? a. CVS b. which system would you be able to come to a diagnosis? a. She said her seizures were well controlled the past 3 years with antiepileptic medication and again it reappeared since recently.o. cellulitis b. check troponin right now and 8 hours later b. there were pustules from humerus to thumb and oedema of arm at the site of the scratch. CT abdomen and pelvis b. man with hx of HTN. Patient came to hospital after 4 hrs of symptoms. intubation and sodium bicarbonate c. cold compress c. Herpes 203. 2 years seizure free period c.o. 6 months seizure free period b. Central Nervous system d. nitrates. man was scratched by his cat and 7 days after. A 30 y.a. A 30 y. A 30 y. Cystoscopy 202. History of watery discharge. Amitryptilline intoxication. cat scratch fever c. Patient is at Metropolitan hospital. Acetazolamide d. What is the management? a.o. Laparoscopy c. Patient has been given oxygen. If you check. Diagnosis? 209. What is the management? a. Chloramphenicol ointment b. Use condom and safe sex b. coronary angiography 204.

Patient with osteoporosis and oesophagitis. do PCI d. prescribe anti-emetics and review if symptoms recur 216. give GTN c. COPD patient received 6 L of oxygen and get worse. alendronate b. review later in the day c. What is the treatment? a. normal. What is the next management? a. reduce oxygen c. A 35 y. A young slim marathon runner with a history of 2 hour sudden onset of left sided chest pain and shortness of breath on mild exertion. Beta blocker. woman with h/o headache and bilateral homonymous hemianopia. never drive again d. In the morning. adenosine b.210. What is your next step in management? a. after 1 year 215. increase oxygen d. What is the most appropriate step in management of this patient? a. explain this is due to excess alcohol and no need to worry d. amiodarone . verapamil c.o. send him home b. Start on oral hypoglycemic c. His blood sugar level is 17 mmol/L. Diagnosis? a. Next step in management? a. ECG was done which was normal. Immediate CXR b. P. review in 4 hours b. spontaneous pneumothorax c. WPW syndrome with ventricle ectopic. A patient is on following medications. after 6 months c. risedronate e. stress test 213. MI b. A young lady presents to GP early morning with history of 8 glasses of spirits last night.E. with history of nausea since last night. Stop Thiazide and reassess b. thiazide 25 mg. increase milk intake d. still positive nausea with vomiting. presented with polyuria. What is the next step? a. She's asking when she can drive again? a. cardiac markers were normal too. after 3 months b. polydipsia. She recovered from headache but the visual defect still persists after 6 wks. A patient with severe chest pain with half an hour history. give calcium supplement 217. insulin treatment 212. zoledronic acid c. cardiomyopathy 214. CPAP 211.

local excision with sentinel node biopsy d. A 24 y. give FFP and surgery c. A 50 y. OPG b. A picture of keratoacanthoma. Bimanual palpation was done and what would be the most appropriate next step? a. Head CT c. just refer the patient immediately for surgery e. anterior cruciate ligament injury b. What is the next step in management? a. What would be the most appropriate next step? a. remove the foreign body with the needle b. Patient was put on aspirin and clopidogrel 3 months back for atrial fibrillation. intraoral X-ray of mandible b. Its reducible on lying down and patient says its slightly tender. posterior cruciate ligament injury . ear is normal. OPG e. USG 223.o. local incision c. swelling in the cheek. sialogram d. review after 6 weeks 220. CT scan c. antibiotic drops d. Patient with earache. you found effusion around the knee. miotic drops 224.218. Xray mandible 225. refer to plastic surgery e. What is the next initial investigation? a. CT scan showing intracerebral hemorrhage. + pain on knee movements. CT e. give vitamin K and send patient immediately for surgery b. patient was on warfarin and his INR at the moment is 4. What is the diagnosis? 219. On examination. man comes with a swelling in the groin region.o. What is the initial management? a. Patient comes to you with complaints of swelling under the jaw and its more prominent after food. give FFP 221. Same picture as above. History of foreign body in the eye. On examination. nothing needs to be done 222. give protamine sulfate c. give vitamin K b. What would be the most appropriate next step in management? a. wide local excision of at least 4 mm margin b. Sialogram d. man with severe knee pain. stop aspirin and clopidogrel for 1 week then proceed with surgery d.9. Diagnosis? a. local anesthetics drops and irrigate with fluids c.

aspiration 228. falls every morning. Iron supplements c. acetazolamide f. intubation e. What is the definitive investigation? a. Treatment? a. Picture of Erythema multiforme 232. ( Big stem) Old man with many comorbidities. Bronchoscopy and bronchoalveolar lavage . oxygen d. ECG c. Carpet layer presents with pain and tenderness in one knee. keratoplasty e. rest for 2 weeks c. What would you give her initially? a. Picture of drug rash on legs 233. lateral meniscus injury 226. Pic is given. A patient with 15 % pneumothorax. A patient complains of developing digital ulcers when exposed to cold in winter. corticosteroids intra articular b. + polypharmacy. CXR given: + changes in pleura. A man with a low visual acuity which becomes worse in sunlight. A plumber comes with cough. CT b. Folic acid b. Echo ( no BSL option) 229. no other history or symptoms.c. Treatment? a. reassurance and observe b. What is the next step investigation? a. Most appropriate management? a. Vitamin B 12 234. a. Oral prednisolone c. A patient comes with peripheral weakness and has difficulty seeing at night. sigmoidoscopy c. drainage under seal water c. Intraocular lenses b. Im prednisolone 231. pilocarpine d. colonoscopy 227. gastroscopy and colonoscopy b. compression bandage 230. Phacoemulsification c. trabeculectomy 235. Elderly patient with history of anaemia and respectively symptoms of it. medial meniscus injury d. Management? a. Hydroxychloroquine b. He is smoker.

Viral meningitis. no calcium given. Fundoscopy 76 y. What is the management? 246. PE: HR 44 BP 180/110. Spine fractures ( osteoporosis) 247. Ulnar distal fractures. Patient with ventricular fibrillation. A patient with sorethroat treated with amoxicillin. For Helicobacter pylori medications: antibiotic with PPI will help to: a. DX? a. SLE . very high ALP. adrenaline c. Bulemia nervosa 248. Pictures from Anthology of Medical Condition: HCC. patient with rash on buttocks. + fever. HSP b.o. Burns ( page 112). Bone pain. RA Xray. MX? a. give folic acid 244. Ischemic abdominal pain. PPIs help antibiotic to penetrate the ulcer 242.o. Calcium b. After 4 days developed a rash. atropine b. rectus sheath hematoma. A patient comes with h/o of treatment of osteoarthritis with Celecoxib. CSF findings? 245. patient develops mouth ulcer. pleural biopsy c. CT scan 236. Aortic stenosis b. with CRAO 241. IgA nephropathy b. migraine 239. Post streptococcal GN c. Mx? a. + murmur.b. Allergic reaction b. What is the cause? a. A 32 y. Complete heart block 243. HUS 240. increase the relapse time b. Several syncope in old patient. atypical migraine b. ITP c. Dx? a. Colles fractures. Nephrotic syndrome becomes steroid resistant. A patient with weakness in one hand and headache. DX? a. Next IX? a. Diagnosis? a.Pictures from Bluebook: Acanthosis nigricans. BBC ( pinna of ear). electrophoresis 237. Focal segmental glomerulosclerosis 238. ECG given. lignocaine 249. cease celecoxib b.

what sign would require urgent surgery ? a. she developed DVT syndrome and stopped smoking. A 60 + y. paralysis c. Patient has INR of 2. No bleeding.250. Diabetic retinopathy b. FFP c. Patient has increasing abdominal pain at right side. CRAO c. she was smoker until 3 years ago. Buergers disease b. FUNDOSCOPY PICTURE ( + microaneursym seen) : patient has a history of Diabetes Mellitus type 2 later on positive blurring of vision and sought check up. DX? a. 2012 1.9. Pneumonia Feb 18. Patient has maintenance of enoxaparin and he is schedule for a surgery. laparatomy d. Macular degeneration 6. IV drug user arrives to hospital with high fever. CRVO b. aspiration 3. drainage c. A female patient presents with peripheral vascular disease. What is the likely cause? a. History of DM and HTN. retinal detachment d. Raynauds phenomenon c. He had a history of working in a gold .o. Acute limb ischemia. man presents with cough and productive sputum. paresthesia b. Endocarditis c. Rheumatic fever b.o. Vitamin K b. macular degeneration 5. swelling 2. DX? a. What is the diagnosis? a. weight loss of 3 kg ( forgot the duration). Protamine Sulfate d. What is the next management? a. woman had a gradual onset of bilateral visual loss. What will you give? a. rubor d. hypertensive retinopathy c. observation b. Diabetic retinopathy d. FUNDOSCOPY PICTURE ( + drusen): 78 y. Retinal detachment e. laparoscopy e. Ct scan of Rectus sheath haematoma. SLE 251. Dimercaprol 4.

A picture of chest X-ray and ECG in one stem. his prostate was smooth. A patient with a history of ischemic heart disease and hiatus hernia attends a dinner conference. Xray wrist c. Nasogastric decompression c.o. A patient had a Subtotal thyroidectomy few hrs ago. Emergent laparotomy e. A 55 y. a 70 y. tiredness and fatigue d. Chest tube drainage d.Pulmonary angiography b. He is noted of having paradoxical breathing. he suddenly developed restrosternal pain and collapse. pulmonary tuberculosis d. remove the skin sutures c. arrange intra-op exploration of the wound site 8. woman diagnosed of cancer of the caecum.mine industry and was diagnosed before of moderate silicosis.o. What is the first symptom noted in this patient? a. insert chest tube d. A 30 y. explore the wound in the ward d.o. What is the immediate management? a. She was noted to have stridor and difficulty of breathing. soft and median sulcus was felt. Urgent CT head b. strap the chest wall b. Wrist plaster cast 12. Noted swelling and redness in the neck area. What would be the most appropriate next step in management? a. palpable mass b. What would be the most appropriate next step? a. Ultrasonography ( no options for ECG) 9. What would you advice? . man with multiple rib fractures following a motor vehicle accident. and neighbor was diagnosed of same condition recently. No other symptoms. The patient is a NONSMOKER. controlled and positive ventilation c. 100 % oxygen via bag mask 11. exacerbation of silicosis c. He was rushed to ED and given oxygen and iv fluids. dyspepsia 10. After eating. On DRE. bronchogenic carcinoma 7. What is the next management? a. He is worried he might get prostate cancer.o. mesothelioma b. Call the surgeon b. bowel obstruction e. What is likely the diagnosis of present symptom? a. Old lady comes to the ED following MVA with a wrist fracture and confusion. altered bowel habits c. man comes to your clinic and concerned of his family history which his father was diagnosed of having prostate cancer at 85 y.

Ultrasound 13. Hx of viral infection. What would be your next step? a. Cellulitis 18. steroids b. forearm and anterior shoulder ( no LAD. aDTP and Ig c. Patient has breathlessness but conscious. arrange autopsy at hospital c.a. Noted of no pulse and respiration. PSA for the next 4 weeks c. He had a complete vaccination history and last dose was 9 years ago. He received 15 units of blood during resuscitation. diabetes mellitus d. No fever mentioned in the stem). intubate and ventilate b. previous history of DVT at same leg c. DRE annually d. Cat scratch fever b. PO2 60 and PCO2 55. A week old neonate was apnoeic and brought by parents to the ED. What is the likely diagnosis? a. controlled oxygen d. Man had lower limb injury involving the fat layer. transfusion reaction b. Few hours after. it was noted positive bleeding in all sites. A patient is diabetic and was scratched by a cat in the arm and few days later. dilutional thrombocytopenia 16. reassure 15. A 27 y.o. antibiotics 19. What is the most appropriate management? a. What is the cause? a. Whats the next step management? a. Next step in management? a. A young patient had a fall injury. malignant change 14. paralyze. chest tube and drain 17. reassurance b. hypocalcemia c. + red rash at arm. spleen rupture d. smoking b. DIC e. Ig d. Chest xray e. immunoglobulins c. 100% oxygen via bag mask c. Inform coroner b. Patient has an ulcer at medial malleolus of left leg. he refused to stand. give a deatch certificate stating SIDS . aDTP b. man had a major motor vehicular accident which liver and spleen have lacerations. 18 month old boy has bilateral calf tenderness. What could be the risk factor? a. multiple wounds and fractures.

Primigravida at 28 weeks AOG. Her mother also mentioned she had same history with the child when she was young. epilepsy 21. repeat ultrasound at 37 weeks b.A boy with long ears and large forehead. What is the likely diagnosis? a. tocolysis d. This occurs 3 episodes in a month. methylsergide d. Patient 18 weeks AOG. A pedigree pattern of Autosomal recessive. wait and reassure e. What is the chance of having a child affected of cystic fibrosis if one parent is a carrier? a. 25 c. What is the management to indicate premature labor? . morphine 22. maybe caused by gonococcal infection c. strict bed rest b. and scheduled of repeat ultrasound at 34 weeks and now placenta is not low lying but seen one loop of cord around babys neck. Down syndrome b. 0 b. Fragile X syndrome 23. What is the management? a. paracetamol c. CS at term c. can be asymptomatic b. A 2 week old neonate with temp of 40 deg C came to hospital with poor feeding and irritability. febrile convulsion b. labs given: only platelet count is decreased. steroids d. instrumental delivery 26. encephalitis d. XYY c. 25. placenta low lying. what is the management? a. gamma globulin c.20. ( this is a long stem mentioning uncle also has same features) What is the diagnosis? a. 50 24. What is the most appropriate management? a. + seizure. treat with antibiotics ( no option of surgical removal) 27. septicemia c. What is true regarding Bartholin cyst? ( not mentioned infected) a. bruises in ant trunk and upper and lower ext. Klinefelters d. A child with a history of URTI 2 weeks ago now presents with petechiae. ibuprofen e. A 10 y. sumatriptan b. girl is brought by her mother for severe headache associated with nausea. antibiotics 23.o.

When he was asked questions. History of amenorrhoea since 12 months. occult feto-maternal transfusion 29. A young lady 16 y. autism d. antidepressant b. Whats the reason for patient having mild sensitization? a. very low estrogen and very high FSH c. You were called because she's having conflict with the nurse. psychotherapy 34.a. An RH negative woman ( G2P0) at 34 wks AOG was found to be mildly RH sensitized. psychodynamic psychotherapy is mostly recommended for which one of the following? a. What is the recommended management? a. She told you that " you . profound anaemia c. She skips classes. He was found boarding the plane and was held and detained. woman with a BMI of 30. auditory hallucination when he fall asleep c. slightly low estrogen and slightly high FSH d. blood transfusion c. long stem but only ask in the end: What is the most likely sign to indicate ectopic pregnancy in this patient? a. He told that the TV is telling him to go. What do you expect to find in her labs? a. schizophrenia b. Her first pregnancy was with an RH + foots. Her current pregnancy was found out the foetus is RH +. low abdominal rigidity b. Thought broadcasting b. She was given anti-RHo after and miscarriage ensued.A middle aged man watching tv about Australian Airforce going to Iraq. cognitive behavior therapy c. A lady admitted to the hospital for elective surgery. 47 y. family therapy d. Anti-Rho given b.In Australia. Few weeks earlier. USG of cervical length 28. high estrogen and low FSH b. She had antibody test which was found negative.o. history of drug abuse 32. High estrogen and High FSH 31. What is this? a. She talks rudely to her father. OCD 33. was brought by her mother to your GP clinic complaining of her daughters behavior. depressed mood d. school authorities plan to expel her. specific phobia e.o. from previous pregnancy d. Hypotension 30. fibronectin test b. She had an orthopedic operation which underwent blood transfusion. personality disorder c.

UVB light b. petrol sniffing 36. Which one of the following studies is LEAST useful? a. Hypochondriasis c. Narcissistic PD b.are a doctor and you understand unlike this stupid nurse". metamphetamine d. He also noticed his wife becomes flirtatious to his friends and drinks alcohol. What is the treatment of choice? a. Methotrexate .o. Steroids c. A 14 y. had auditory and visual hallucinations at times. His wife had history of excessive cleaning the house. steroids ( no dithranol. Borderline personality disorder 38. pityriasis versicolor d. Picture : exactly the same page 206 anthology of medical condition. Hydroxychloroquine b. A long stem about patient has dryness in the eyes and mouth. case report e. what is the diagnosis? a. Hx of leaving family. alcohol b. Anti RO and Anti La POSITIVE detected. Splitting d. ecg of Atrial flutter c. What could be the cause? a. case control c. seborrheic dermatitis 37. ecg of ventricular ectopic beats d. ecg of Complete heart block e. tinea capitis b. pityriasis capitis ( dandruff) c. systematic review 40. A picture of psoariasis at both lower legs with extensive lesions. cross sectional d. What is likely the diagnosis? a. calcipotriol c. Old patient has history of syncope 3 episodes. Whats the management? a. she also flirts to the doctor and became abusive. Hypomania c. ecg of Atrial fibrillation b. marijuana c. When check up by a doctor. aboriginal boy had history of good school performance but recently had problems with it. Denial 35. substance abuse d. What is the diagnosis? a. no tar in the options) 41. no methotrexate. Histrionic personality disorder b. Choose ECG that fits: a. ecg with tall t waves ( Hyperkalaemia?) 39. Cohort b. Husband brought his wife for check up.

stop thiazide and give potassium c. she complains of nausea.42. WOF features would be absent in pseudobulbar palsy? a. check lithium every 1 year 49. rifampicin. can drive after 12 months can drive after 24 months 46. Isoniazid. Patient came from Sudan. can drive after 6 months b. and palpitations. Recently. He had a history of mouth ulcer and genital ulcers. A patient was diagnosed of having colon cancer ( i forgot the stage) . can drive after 3 months c. She asks you on advice for driving? a. no treatment necessary 48. surgical operation done and chemotherapy should be started. How du you monitor? a. Methotrexate 43. 5Fluorouracil b. oral steroids 44. Amoxicillin d. A 24 y. Primary hyperparathyroidism d.85 y. woman presented with right thigh and leg pain after fall. whats the management? a. give potassium 47. stop digoxin and give potassium supplements b. check lithium every 6 months c. Most common cause? a.o. A driver from interstate has moved to your locality recently and is stable on lithium for past 20 years. What would be the most appropriate step? a. Isoniazid prophylaxis b. check lithium every 3 months b. CIsplatin c. dysarthria b. He comes with fever and night sweats. What would be the most appropriate management? a. absent gag reflex 45. A picture of patient having redness in the eye ( anterior uveitis). topical hydrocortisone b. Patient with a maintenance of digoxin for AF and thiazide for HTN. vomiting. lady has one episode of seizure. Hypercalcemia of malignancy .5 ( 2. Chest X-ray showing a cavitary lesion at the upper right lobe.1-2. Osteoporosis b. pyrazinamide and ethambutol c.10 ( phosphate level not given). Urea. She experienced of having muscle jerks in her right arm few months ago. Ceftriaxone e.6). Whats the treatment? a.o. Vitamin D toxicity c. Sputum negative for acid fast bacilli. Investigations are: calcium 3. dysphagia c.

lymphopenia e. She is confused. Thiamine and oral hydration b. woman presents with secondary amenorrhoea for 12 months.50. pulse oximeter d. hirsutism b. postural drainage d. A 38 y. tetracycline 52. low dose tetracycline for 12 months b. A man complains of cough productive with green sputum and occasional blood. Noted muscle jerks. forced vital capacity b. outpatient management with compression and LMWH d. anti tb drugs c. In a patient with GBS which is appropriate way to monitor his oxygenation? a. CT scan ( no ESR or FBC options) 55.o. ecchymosis c. WOF is the best long term management? a. cold saline infusion and cold blanket c. oral flucloxacillin d. Iv ampicillin c. 65 y. oral steroids c. diazepam d. reassure 57. BP= 157/98. IP management with elevation and LMWH c. inpatient management with compression stocking and LMWH b. haloperidol 53. O2 saturation 56. Oral amoxicillin and clavulanate b. increase WCC 54. Young girl collapsed in a party brought to ED. man had a headache with tenderness on the scalp esp on the right side. CXR showed patchy infiltrates. What is the next management? a. What is the management? a. Positive history of headaches for few days. her blood results showing FSH increased and Oestradiol . OP management with leg elevation and LMWH 51. osteomalacia d. ALL are side effect of steroids EXCEPT: a. Middle aged man complains of cough and productive sputum. She has no other associated symptoms.o. What is the initial management? a. temporal biopsy b. A middle aged woman with calf pain and tenderness from few days came to hospital. fever of 40 deg C. Her investigations showed DVT. What is the management? a. ABG c. No fever. Oral azithromycin e.

local anesthetic and probe the eye 62. constant pain b. cough when lying b. What to do next? a. prolactin normal and TSH normal. On PE noted lumbar spine is not in its normal curvature. irrigation of fluids c. bronchus d. What is the diagnosis? a. An alcoholic man with pain radiating to the back. a. Whats is your management? a. A patient came in with haematuria. regurgitation of food 64. Construction worker complains of eye redness and lacrimation after hammering a nail at work. passive raise patients legs 59. Urinalysis showed many rbi and atypical nuclei. pregnancy 58. What is the appropriate management? a. an indigenous boy complains of greenish discharge coming out from the ear and also has green nasal secretions. ask patient to voluntary raise hands d. Nerve conduction study 65. Toxic shock syndrome caused by staphylococcus aureus is associated with: a. swab nasal discharge c. Where is the primary site? a. thyroid c. Diagnosed of acute pancreatitis. diarrhoea d. endotoxin production 61. A patient had history of surgery and noted palpable mass in midline. lumbosacral xray b. audiometry ( no option antibiotic) 63.A patient complains of lower back pain. pituitary adenoma c. nocturia c. breast b. USG has 3-4 cysts in the ovary. + metal spikes seen. WOF is the LEAST likely to present with? a. NO numbness or decrease ankle jerk. cough when sitting c. kidney 60. PCOS d. What to do next? a.decreased. Premature menopause ( exact option not written as premature ovarian failure) b. swab ear discharge b. Patient has a right LAD when biopsy + squamous cell ca. renal ultrasound . dysuria. super absorbent sanitary pads b. MRI c. antibiotics b.

What is the likely cause? a.o. was diagnosed of Aortic stenosis. A man with scrotal swelling noted palpable cord and is thickened on PE. amniotomy b. oxytocin infusion c. do nothing 74. FNAC d. ultrasound b. reassure b. no rupture of membranes. An 18 month old infant has in toeing. AFP 67.o. refer to ortho 70. and asking for HPV vaccination. digoxin c. 5 month old infant had constipation. Nulliparous woman has a bulging mass in the perineum especially during straining on defecation. woman came to see you. not to repeat the carotid massage 68. A primigravida presented at term for delivery. urine culture and sensitivity 66. IE done with 4 cm dilated cervix. rectocoele 73. What is your investigation? a. LEEP . station 0. ct scan c. ECG is given. Give HPV vaccine now 69. What is the management? a. Pap smear 4 weeks postpartum c. still continuous breastfeeding. HPV is not indicated b. Cone biopsy b. Pap smear now b. whats the most appropriate management? a. What will you advice? ( this is longer stem) a. A woman ( forgot the age) was diagnosed of having CIN II. What is the cause of constipation? a. cystocoele b. 30-40 % effaced. adenosine b. inadequate fluid intake b. ct scan of abdomen c. What is the management? a. A 39 y. fully effaced and station +2. An elderly patient brought to ED with lightheadedness and palpitations. IE during admission: 1 cm cervical dilatation. CS 72. wait another 4 hrs and assess d. verapamil d. Whats the next step? a. what will you advice the mother? a. its on 2nd or 3rd tri. A 42 y. starting solids 71.b. Started solid foods given 3x a week. 24 wks or 30 plus) has cervical ectropion. After 4 hrs. A pregnant woman ( forgot the AOG.

man was attending a party and ate some peanuts in the cake. Her appetite hasn't change.o. PE is normal. A 6 month old infant presents with lethargy. ANA c. Adrenaline IM b. On PE. Probable diagnosis? a. has ankle pain. IV fluids b. What is the next step? a. Major depression b. No other abnormalities seen. Her mother noticed of few bruises and petechiae. Urine microscopy 79. + episodes of vomiting. chest xray 81. No fever. What is the management? a. What is your management? a. Penicillin b. girl came to see her GP. steroids 80. IV immunoglobulin c. the vulva is reddened and no other signs. avoid bubble bath d. What is the next investigation? a.o.Observe d.o. antibiotics 76.8 deg C. normal adolescent behavior c. Whats the immediate management? a. A child had a URTI last 2 weeks ago. examine under general anesthesia c. tachypnoea ( this is a long stem forgot other infos). administer Oxygen 78. A mother brings her 5 y. full blood count 77. Salbutamol nebulisation c. reassure d. FBC b. Few rashes on the back. Dysthymic diorder . prodromal schizophrenia d. ABG b. Infant with 2 day history of cough and fever temp of 37. report to child protection authority b. WOF is the next step in management? a. A 16 y. hysterectomy 75. She finds it difficult to concentrate for 6 months and previously did well in academic studies.o. boy has fever and knee pain at first then later on. She prefers to be alone in her room most of the time when she's at home. electrolytes c. A 38 y. Child is irritable. suddenly had hoarseness of voice and difficulty of breathing. intubate and ventilate c.c. A 10 y. Antihistamine d. wheezing heard. She goes with her friends but she finds it very hard to entertain herself. poor feeding. girl who has sore down below.

82. An 89 y.o. woman living in a nursing home is found masturbating in the privacy of her room by the nurse. The nurse asks you to intervene. What is the best step? a. refer for counselling b. do nothing as its her private affair c. tell the patient that his behavior is inappropriate 83. An 83 y.o. old woman living in a rest home complains of insomnia. On asking she says, she is not depressed and does not suffer from any other illness and is not on any medication. What is your next step? a. Sleep hygiene b. antidepressant c. relaxation therapy and meditation 84. A colleague fed up with work told you he drinks to fall asleep. What to do? a. tell head of the intern b. Hospital director c. Advice him to seek professional advice d. Tell medical board 85. A young man is agitated and presents to ED with a knife in his hand. He has been seeing a psychiatrist in the past and refuses to give any details regarding his illness. Later on, patient is calm and handed you the knife. What will you do next? a. restrain him b. talk to him regarding his psychiatric illness c. talk to the psychiatrist against patients wish d. ask his relative about his mental history 86. Young man lost his job recently broke up with girlfriend. History of drug abuse and violent behavior. WOF is he likely to benefit from? ( the stem is much longer than this) a. Behavior therapy b. motivational therapy c. psychotherapy 87. A 50 y.o. woman complains of pain at maxillary area and some redness. ( no rashes mentioned). What is the appropriate management? a. Carbamazepine b. Acyclovir c. Famciclovir 88. A study testing drug B reveals significant benefit of drug B> drug A with probability of < 0.01. this means: a. Drug A is better than B b. Drug B is better than A c. The difference between drug A and drug B occur by chance ( ? not the exact option) 89. A GP is in rural area, you notice that recently more cases of Hepatitis C has been diagnosed and want to do research to find out the incidence of hepatitis C in the community with a population of around 3000. How will you get the information you need for the research? a. Find the number of all patients with current hepatitis C antibody b. All patients with current hepatitis C PCR positive c. All patients with current Hepatitis C antigen positive

d. All cases diagnosed as hepatitis C positive for the past 5 years 90. A man with heavy alcohol intake brought to ED. BP 180/100 HR 120, + tremors ( fine) bilateral in both hands. No confusion, not agitated. What is the appropriate management? a. Propanolol b. Benztropine c. Diazepam d. Haloperidol 91.Naltrexone is: a. short acting b. easily absorbed orally c. substitute for methadone in treating drug dependence 92. A case of 45 y.o. woman having menorrhagia. was diagnosed of intramural fibroids, has enlarged uterus. What is the management? a. low dose Oral contraceptive pill b. Oral oestrogen and progesterone hormone replacement therapy c. norethisterone d. Depo provera 93. A picture of CTG ( looks like early deceleration). What is the next management? a. CS b. Amniotomy c. ultrasound d. repeat CTG after 24 H e. continuous CTG monitoring

Extra
1.17 years old jogging then collapsed.somebody did CPR and was revived when she arrived at ER. Has history that father died suddemly. Which is the likely diagnosis? --HOCM 2. ECG on V tach. Identify and Treatment --Amiodarone 3. Woman when she defecates a mass is noted to bulge out of her introitus.Most likely diagnosis. ---Rectocoele 4. woman with increased LH and FSh. Most likely diagnosis ---ovarian tumor --pitiutary tumor 5. child with constipation. What is the next management --laxative 6. woman with hot flushes. Had hysterectomy years ago. What isthe most appropriate treatment? --conjugated equine estrogen 0.625 7. child with bruises and petechiae after a viral infection weeks ago.most likely diagnosis? --ITP 8. ct scan of rectus sheath hematoma 9. july 2010 question number 53 10. situation about testicular sweeling. What do you do next? --ultrasound --FNAC

11. question about painless hematuria --bladder tumor --renal tumor 12. question about a man 35years old asking about his risk of developing prostate CA. Father diagnosed prosteate CA at 85 years old. --reassure? --FOBT --colonoscopy 13. what is the most important sign to indate for immediate embolectomy --paralysis --pain --rubor 14. 6weeks old infant with fever. Mother notes some twitches before. What is the most likely diagnosis --septiceamia --febrile convulsion 15. old man was found by police and brought to hospital. Daugther has many complaints about father. She said he has been living in squalor and eating rubbish.what kind of dementia? --frontal lobe dementia --lewy body dementia 16. what to give to pregnant woman aside from folic acid to prevent NTD? --iodine 17. question july 2010 #101 18. question july 2010 #110 19. question july 2010 #111 20. question about an old lady after closing the window (?) sustained a crush fracture on her vertebrae. She had a history of opertation for CA of ceucum --metastasis from primary cancer --osteoporosis 21. patient just had cricothyroidectomy and developed stridor while she was still in the recovery room. What will you do? --call the surgeon --explore the wound in the ward --remove the skin sutures 22. xray given. Man is a non-smoker and working in the mine industry (did mention the years, think it was more than 20years). Has been coughing --mesothelioma 23. question about percentage passing the disease to their children with cystic firbosis -- 0% 24. xray given. Man coughing, smoker and working in the mine industry. What is the most probable diagnosis? --brochogenic CA 25. a child with fever. What is the indication that she has a severe bacterial infection --unresponvie to mother --pallor 26. xray of sigmoid volvulus 27. Boy having balck and white drawings. Parent just separted. What is the most appropriate Mx? --ask the boy about his drawing 28. question about domestic violence. Pregnant lady with bruises. What do you do? -- give the numbers 29. woman with 3 children wants space, but in file said “do not give OCP” as Stand by husband -- its her opinion and give her OCP

30. NALOXONE is -- Short acting 31. 17yo wants OCP. She had seizsure whihc is controlled with carbamepine and subdural haematoma -- GIVE OCP --GIVE OCP AND USE CONDOM* • X-ray of hip osteopenia ALP is 800 ( that is the only information given ) Rx • Biphosephanate • Ca • Vita b12 • Radiotherapy • Pic of both lwoer limbs showing red rash. 34y old male with diarrhoea and admitted in the hospital Dx • HSP • Mallert finger pic. Which type of injury will occur • Hyperflexion occur due to extension • Rupture of tendon • CXR – night sweat, dry cough, wt loss, enlarge bilateral cerviacal lymphnode Dx • Sacodosis • Tb • Lymphoma • CLL • A patient who started hydrochlorothiazide with digoxin develop nausea electrolyte pic given only potassium decrease • Stop digoxin and give K suppliment • Stop hydrochlorothazide and give K supp • SVT ECG • Adenosing • Amiodarone • Verapermil • Dogoxin • ECG . a pt who had stroke came to hospital on 5# day she collapsed in the toilet. BP pulse?? What will you do next to dx his condition? • Ctpa • Echo cardio • A boy came with bloody diarrhea with less urine output what is the dx • Renal failure • HUS • A infected batholian cyst • Antibiotic will resolve it • Cause by gonnorrhoea • It is asymptomatic • A pt who had aninjury to eye due to hit from metalic spike what will you do • Use local anaesthetic and removed • A girl comes with 6 week ammenorrhoea diagnosed she is preg. After home preg test. Now develop lower abdominal pain and slight vaginal discharge • Quntitative serial BHCG • USG • P/V exam • A prenant lady 22 week developed lower abd pain tenerness in the left iliac fossa and supra pubic region. Appendicitemy done when she is tennager. Dx • Incidental finding of red degen of ut fibroid • Round lig pain. • A pt 70 yrs old man came to the hospital think that he is having serial illness coming to doctor with different names. What is it

• Resolved paralytic ilius • Wrong chart • A lady and husband came to you recently dx cystic fibrosis concern abouthe their child getting it • 0.• Facticious dis • Depression • Normal grief • Abd x-ray 5th POD due to hip replacement • Pt rectus tube • Gastro graffin enama • Colonscopy • 5th POD for input output chart given.5 • 0. other recall 2100. • Ovarian Ca where is the primary site? • Breast • Lung • CT head show hemorrhage. But nurse use to crush the medicine to pt as it is hard for him to swallowing what will you do • Complain nurse manager • Go to nurse board • Complain to the sup in age care.25 chance • 0. • Carpal tunnel • Ant.5 chance • A couple comes telling that one child diagnosed as cystic fibrosis concern about next child incidence • 0.25 • 100 • You went to old house to trat a person and prescribe b-blocker and asprin. • In both recall output is more than input. One is 1400 is differnt. The nurse told that he is not responding to B-blocker what ill you do • Talk with nurse durin her break • Report nurse manager • Do as she told • You consider to old care notice that it is written in their chart telling dont crash the medicine. • Radial n. . Her last preg is a premature delivery what to konw the outcome his • Cervical length • Fibronectin • VT ecg • Adenosin • Amiodaerone • Adrenaline • A lady comeplain loss of finger grip in index and thumb what nerve is having.5 what will you do • giveFFP • give platelet • CT head showing same lesion like infaction • Multi infarct dementia • Cerebral hmg • Cerebral abcess • A prg lady came to with you are 18weeks. Pt on warfarrin and INR 4. Intoressisis • Ulner n.

What will you do • Check wife only • Check 9 yr only • Check 18 year • Check both children • A down syndrom under go surgery develop hypersensitive • Latex • Anaestheic drugs • A 34yr male havin. Temp normal and pulse and BP normal what is the cause • Alcohol withdrawal • Pulmonary atelectesia • Electrolyte imbalance • A yong boy comes with rashes in both hand and arthralgia. HTN ployuria. ACEI Statin b-blocker develop calf pain tenderness in calf • Check ck level creatin • Check FBC • A pic both eye increase tearing who will you do • Refer plastic surgery • Cold compression • CXR given and ask of diagnosis • Pul edema • Metastasis • Carcinoma • A 2nd POD a person develop agitated confusion.• 80 lady comeing with rectocele • Pessary • Sx • Pelvic exercise • 50 old man coming with sccrotal pain which is reddened what ill you do • Urine catha • b/d culture • FNAC • 50 male taken to a research and during it he become dementia and his primary carier is his son what will you do • Ask from son • Gardianship • Ethic and comity • Fundoscopy pic. ploydypsia. what is dx • DM • HTN • CRAO • CRVO • A male who use to work in mine in 20yr smoker 40yr what is the dx. Wife is not screen for heamochromtosis. Husband is recenly dx as hemochromatosis having 9 & 18 year kid. CRX given • Smallcell carcinoma • Squamous cell carcinoma • Metho • A chinese lady come to your. What will you do to dx it • CRP and ESR • Echo • CXR • All The best ………………………………. .

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