Professional Documents
Culture Documents
1) A 62 years old man presented with sudden onset of left sided chest pain of 30
min duration associated with palpitation. Clinically the BP was 140/90 , HR 125 ,
patient appeared tachypnoec with bilateral fine crepitations bibasally. ECG on
lead II showed new changes as below.
2) In ventricular tachycardia ,
A. QRS complex is less than 0.12s.
B. Positive QRS concordance in chest lead.
C. The mode of cardioversion is Asynchrony.
D. Amiodarone is a drug of choice in stable patient.
E. Implantable defribillator is indicated if it occurs within 24 hours of acute
myocardial infarction.
5) A 42 years old man presented with 5 days history of fever associated with
cough productive of greenish sputum. Clinically the patient has a temperature of
38.7 C , BP of 140/90 mmHg , PR 105 beats per minute. Lung examination
revealed dullness on percussion and increased breath sound are heard.
Regarding this patients illness ,
A. Mycoplasma is 2nd most common causative organism.
B. Pseudomonas is the most common causative organism.
C. Fluroquinolone is the 1st line antibiotic of choice.
D. Blood cultures are negative in majority of cases.
E. It requires hospital admission.
6) Regarding chorea :
A. It is a large amplitude movement involving proximal muscles.
B. It is occasionally suppressible.
C. It is a non-rhythmic and fleeting movement.
D. It is jerky and purposeless movements.
E. It is brief , repeated and stereotyped movements.
Aspirin is indicated.
IV Heparin is indicated.
Repeat CT brain is indicated.
His blood pressure of 170/95 need to be lowered immediately.
The diagnosis is stroke.
12) 55 years old female presented with lethargy over 4 months and frequent
vomiting over 5 days. She has history of osteoarthritis and on regular pain
reliever for 5 years , otherwise no other illnesses. Clinically she is pale ,
hypertensive , sallow complexion with bilateral pedal oedema ; creatinine is 1060
umol/L , urea 55 mmol/L , corrected serum Ca 1.98 mmol/L , PO 4 2.6 mmol/L.
Regarding this patient :
A. Serum bicarbonate is usually normal.
B. Ultrasound would show a normal sized kidney.
C. She requires urgent dialysis.
D. Long term dialysis is not yet indicated.
E. Renal transplantation is an option.
13) A 42 years old male presented with fever and dysuria of 6 days. Clinically the
temperature is 38.2 C , the rest of examination were unremarkable. Urine
dipstick and microscopy showed :
Leucocyte 100
RBC 150
Protein ++
Nitrate ++
Casts : Hyaline casts seen.
A.
B.
C.
D.
E.
18) A 22 years old lady presented with 3 months history of multiple joints pain
particularly right wrist , left elbow and left MCPs associated with constitutional
symptoms. Examination revealed rash over the face , oral ulcers and tenderness
over the affected joints with reduced range of movements. Investigations are as
follow :
FBC : Hb 9.0 g/dL , WCC 8 X 109 , Platelet 160 X 109 , MCV 80 fL , Retics 2.5%
BUSE/Cr : Na 137 mmol/L , K 3.8 mmol/L , Urea 6 mmol/L , Creat 85 umol/L
Urine : Protein 2+
Regarding this patient.
A.
B.
C.
D.
E.
A. non itchy
B. flat topped
C. Wickhams stria
D. leukoplakia
E. genitalia is one of the affected site