1.

1one child with epiglottitis

2. lady 10 days after hyterectomy- CTPA
3. Clostridium difficile was given in stole finding - Metronidazole PO
4. Diarrhoea associated abg- PH-7.2 and pCO2 2.5kPa
5. NF- 1 (café-au-alite spots) what arethe chances. 1) 1: 2 2)1:4 3)zero
6. A question 40 weeks pregnant women with vaginal bleed, bdominal pain.
Uterus tense and tender.- Placental abruption
7. Annual incidence of ds. 700 (gmc website question)
8. breast cancer studies in 2 hositals 2009, in 2014 recurrences - I answered
prospective case control?????????
9. Girl with borderline disorder (mock question- laceration and all those signs)
10. untreated depression what will it lead to- suicide
11. lady attempted suicide with drug overdose and is not ready to take
treatment, will kill her as she reach home- Assess under mental law???
12. dementia- progressive deterioration of memory
13. fluid of rehydratn 4 vomitng?
14. contraception 6 weeks after delivery, breast feedding, will plan for another
baby in 6 months, contraceptive- POP
15. One with Wernicke's as diagnosis (total 4 thiamine and wernickes questions
were given. Yes 4)
16. plus there was a question bph and retention >> catheter prceded by
tamsolusin?
17. a women caoe frm abroad. No malaria prophylx. Lymphadntgy. Diagnsis?
Hiv, dengue, (no EBV was given) malaria
18. male pt with b/l ureteric obstrtn.hydronephrosis was given. Creatin was 380.
Want to atnd her dauter marge
19. pregnent pt at 10 wk has proteinuria.and h/o uti in chldhud. Diagn?'
20. PID- Ceftriaxone+ Doxy+ Metronidazole
21. pt with lung cncer ab to die. Masive pleural efusn. Management. Pleuderosis
/ chest drain / lung transplant
22. 37 yr old female shows inflamtry chnges in pap smear
23. 3rd nerve palsy- i answered midbrain
24. amsay hunt was answer with facial palsy and vesicles in ea
25. chld with asthma. Best diagnstc inv
26. A question about fall on outstreched hand, anatomival snuffbox tenderness-
27. A lady has 2 children, asking about a contraception with minimum chances
of pregnancy, what is the best- I know it was female sterilization but I answered
IUCD ;( ;(
28. pt thnkng hmself as profser of medicine – Delusion
29. exposure of chicken pox... i wrote preg women who have neg antibody titres
shud b immunized
30. female pt fels vertgo at work
31. 22 yr alchlc pt asoc, opens hs eye to pain. Initial inv?
32. ear foreign body- hook
33. mri of intrnal austic meas
34. Halpike maneuver - vertigo on getting up from bed
35. sid efct of lithum?
36. question about pt. on digoxin, with nausea, vomiting- Check digoxin level
37. schizophrenic patient with tardive diskinesia and ...., not compliant with
medication... i answered fluphenazine decanoate????
38. diabetic under going gastrostomy
39. a pregnant pt was cnstipatd.what l u gve here.
40. oxycodne phosphate. Pt cnt take it nw. Next
41. kid with hypertrophic villi had celiac
42. Femur shaft fracture- femoral artery
43. he was unable to dorsiflex leg n ankle n knew jerk were normal but btw first
and second toe the sensations were gone and they asked abt the nerve injured -
peroneal nerve
44. pregnant women with constipation eating fruits and vegetables, taking 1
litres of fluid, I answered increase fluid intake
45. pt. with injury, something fell on lower leg, severe pain in lower leg, o/e
tense, tender leg- compartment syndrome
46. a 70 yr old pt hav a large gal stne. Incidntal findng. Management?
47. a pt who had colles fracture a month back n again a fracture now what
would u give to prevent fractures ???
48. patient with displaced ankle, swelling, absent pulses in foot- E- reduce ankle
or A. consult vascular surgeon I answered reduce #
49. a pt who had a hx of taking cocps and is a smoker ... her aunt has ovarian ca
. she is 30 yrs whts the most imp risk factr for ovarian ca
50. lady with history of renal stone going to middle east agin, advise- increase
fluid intake
51. a gal on lng n shrt actng insln. Becme hype at 4pm. Redce dose of mrning
lng actng
52. the pt with chlamydial urethritis is at a high risk of gettipng which infect ???
i ansd epididmytis
53. chld took grand ma medctn.and dilate pupils,etc. What ws the med
54. and the pt who had swelling and testes couldnt be felt had hydrocele right
55. terinal pt on mrphne, ratlng breath sound. What l u gve for noisy breath –
anti muscarinic
56. paracetamol overdose above threshold level- NAC
57. 19 years old boy, stay alone, collected 200 toys- autistic spectrum disoredr.
58. Paracetamol overdose, suicdal gesture, below treatment threshold level, She
wants to leave the hsp and prmse she wnt take it again.
59. guy who was post mi and now presented with inc jvp and b/l crackles ...
whats the first iveg – xray, echo
60. a chld inhale foregn bdy. Best inv? Nasendoscopy, lat neck xray
61. blurd optc disc, flame hemorges, edematus edema
62. and there was one question where pt had inc end sytole n dec spetal wall sth
... was the ans dilated cardiomyopathy
63. ypertensive male with TIA, BMI-23, consume 21 units alcohol a week ansd
20 cigarettes per day... what advise- i answered stop smoking
64. the kid who had prolong bleeding from nose and inc aptt had hemophilia
right
65. pain relif for hepatc mets. Cnt take mrphne due to cnstipatn- amitryptalline /
gabapentine
66. one guy had facial pain and facial pain both on.right side and fever too did
what did he have ???
67. the cot death was to b prevented by the kid laying on his back n feet toward
the cot or sth right?
68. u/l facial pain with fever with swelling around eye- peri-orbital cellulitis
69. painless sudden loss of vision u/l, flame hemorrhages, papillodema- Central
retinal artery occlusion (no option of htnsv retinopathy was given)
70. patient stable on morphine 60 mg BD PO, not able to take oral drug- I
answered 60 mg bd morphine s/c
71. a painter who fainted and hit his head had gcs 15 presented in.er which
invesg will u do?? ct xray braim or carboxyhemoglobin levels ???
72. pt injury. He is respndng,bt opens eyes on verbl cmand. Wht was the answr.
Observe for 30,urgent ct, late ct,
73. question abt ovarian cancer the ans was family histry right ??? most imp risk
factor
74. one pt had macrocytic anemia and hypothroid so he had vit b def right ???
75. male pt with 6.4 hb. Treatment? Blod tranfusn, irn infusn?
76. DM and gynaecomastia- I answered Hemochromatosis
77. pregnant at 34 wks. Hb 10.6. Treatment?
78. Acute fibrillation- Bisoprolol
79. one.women with low mood n at times.exessive shopping had bipolar right ?
80. the guy with difficult chest movement had an injury arnd the neck or sth
which nerve was damaged ??? pherenic ???
81. Bipolar non compliant with drugs, had acute attack of depression stabilised
on antidepressants. prophylactic drugs- mood stabilizers
82. Female with history of breast abscess several times, with discharge and
bump at the junction of skin and areola- mammary duct fistula
83. Crohn's disease, presenting with faeculant dischrge from vagina- i answered
sigmoid colon
84. a women who had an injury of sternum now after ten has tender firm mass
in the outer quadrant
85. Membranes ruptured 48 hours ago, baby has grunt breathing, intercostal
recessions, temp-36.2, HR-145/min, RR- , investigation- I answered Chest
Xray
86. baby with purulent stcky eye dschrge. Mangement
87. 8 weeks old baby with fever-38, ........ admit for infection screen and start IV
antibiotics
88. pt was in gardn. Sudnly colapsd. Ecp showd incmplte heart blck
89. child developed jaundice few days after birth, fully breast fed, growing well,
yellow stools- Breast milk jaundice
90. abt turner syndrome ... these pts have ovarian failure or wht ???
91. Pt on morphine takes 60mg twice (120/day). Well controlled. Give 20mg
every 4 hours by elixir (120/day)

92. wht abt the gout question which drug was causing the prob ... nsaid or
colchinine or wht ???
93. one was trauma with left sided abdominal tenderness- spleen rupture?
94. 15 weeks pregnant, want to screen fetus for cong. anomalies- amniocentesis
95. what about..stroke featureStroke, CT- infarct- . initial management. aspirin
75 mg / clopido. i chose clopido.
96. child with oral lesion and palms and sole rash – coxsackie
97. rash in chld increasd with amoxil
98. chld had 3 atcks of tonsillitis last year, whats management- treat when ill
(all other options were for surgery)
99. man has joint painz, xray shows bony erosnz? Diagnsis
100. female wrkng in oldhome, have rash with intense itches. Whts mechansm?
101. mengiococal meningitis –ceftriaxone
102. every morning, cant extend his finger, straighten his ring finger and
reduces it with a click- Mallet finger / Triger fnger?
103. pt on tamoxifn han intrmenstrual bleed. Inv?
104. post menupausl woman have vagnal bled. Inv? There were sep optnz of
hystro and biopsy
105. diabtc pt lost central visn. Posible patholgy in retna or lense
106. a diabetc chld refuses to eat.and nt doing wel. Refr to where? Paedctrn,
psycholgst,dietcn
107. cx cancer...smoking is a risk in her history??
108. patient underwent lap cholecystectomy and one port below umblicus,
which structure is pierced? I answered Linea alba
109. Patient underwent TURp, what abnormality can be seen.... hyponatremia
110. Patient DM, HTN on medications, with constipation, confusion,polyuria
and polydipsia, Calcium-3.04, serum electrophoresis- negative, Xray normal-
drug induced- bendroflumethiazide
111. patient DM, immunosuppresed, treated for foot abscess, pain in back,
tenderness L3-L4, fever, blood culture positive for stap. aureus. what
investigation will u do? thought lumbar abscess- I answered Ct scan, was
confused between, CT/MRI and nuclear bone scan
112. pt has tibia frctre. Pop aplied. Dvlopz pain. What l u do skin and pulses
normal
113. Milestones>normal vs speech difficulties
114. Breast tender lump- inv ?
115. Prolapsed disc
116. Anterior MI ecg. Management? Pci / alteplase
117. 2nd ecg. Pericarditis / aortic dissection / PE
118. Testes drain para-aortic nodes
119. testicular torsion
120. multiple fracture history in old lady. Inv ? Dexa Scan
121. erythema multiforme
122. dense hemiplegia features. Which artery involved ? MCA
123. Eye involved, c/l hemiparesis. Which artery involved ? PCA
124. Absent femoral and popliteal pulses.. which site involved ? aorto-iliac, ilio-
femoral, external iliac, internal iliac
125. Mass visible on chest . lymph node biopsy of hilum
126. Mediastinitis features
127. hypoglycaemia of alcohol
128. heroin addict want to end. Methadone
129. shy dragger syndrome
130. metronidazole for trichomoniasis
131. oral candidiasis treatment
132. h pylori antibodies negative. Symptoms persist. What is next best inv
oesphagogastrodeudonoscopy
133. USG of pelvis and abdomen for unhealed PID
134. superficial inguinal lymphnodes for lesion on labia
135. 30 yrs old man, 2 days after urti- hematuria. Diagnosis ? Iga / Post strep
136. cardiac tamponade
137. I/M adrenaline for anaphylactic
138. dressler syndrome. 2 wks Post MI
139. metabolic acidosis after diarrhea
140. bladder cancer- cystoscopy
141.Young woman worried about her weight, BMI 22, cleaning until 3 am,
excessive spending shopping, Low Potassium. (Bulimia)

142.A woman paints her house, headache, fell. Investigation? (CT)

143.Pts having reduced central vision - which drugs responsible (I think this is
cataract - s.e of corticosteroids)

144. *that pts with dm and reduced vision should be cataract too

145.H pylori serology can be negative while organism still present. Urea breath
test is more sensitive.

No.100 - this is scabies - allergic to organism skin and droppings

146.Child milestone is isolated speech delay. Children by 18 months old should

have 6 words vocabulary. That child was 24 months old, can only say mama
daddy and one other word

The oral candida also has candida on throat - anti fungal suspension?
Chlorhexidine mouthwash wont reach there.

147.There were quite a bit of hypercalcimea and drugs side effect and
interactions.