Dha 26/08/2019

1.screening of colon cancer in average risk person ..45 yrs

2..mamogram screening in 55 yrs old lady …every 2 yrs

3Tto of choice in uti by

ecoli..trimethoprim/sulphamethoxazole,nitrifurontion,cipro,

Ceftriaxone

4.aortic leak syndrome scenario

5HOCM scenario….repeated one ,,,brother died from cardiac disease

in young age

6child came for vaccine with mild flu symptoms n temp 38 c

Vaccine him now,reschedule after 2 weeks

7.US picture and scenario of anembryonic pregnancy ,,,only sac was

visible in us

8 ectopic pregnancy ..bhcg 5000 management

..laparoscopy,methotreaxate,observation

9hydatiform mole scenario repeated one from uqu …

10 endometrial cancer ,,13 mm thickness on us n post coital bleeding

after menupause typical

11 one case of uterine fibroid repeated one …woman with 2 child

after that complain of infertility with heavy menstrual bleed n pain
..age was 45

12..persistent fetal bradycardia inn ctg …cord

compression,uteroplacental insufficiency,head compression
13.35 yrs old female ,dm ,htn …drug to be used
..Acei,betablocker,ccb

14DM with renal nephropathy ..proteinuria

15Child with asthma ,,,symptoms increasing inspite of using inhaler

…improper technique …repeated

16 ..asthmatic on salbutamol symptoms increase 2 times in night

…Add ICS

17Girl on steroids ….vaccine after 1 month ,don t vaccine her ever

,vaccine her now

18 pregnant lady ,,there was an outbreak of one disease inn her child
school ..what vaccine she can take …influenza,varicella,rubella

19 parents don’t want to give vaccine to their child bcz they think
that vaccines are not good for him…clear their myths n vaccine the
child ..repated

20Otitis media with effusion scenario

21.sickle cell anemia scenario with lab values n histo pic ..

Options..folic acid,iron etc..asked what to give

22 wilson disease scenario with high copper n low cerruloplasmin

level…D pencillamine was ans

23 Thyroid solitary nodule …fna

24Acute pancreatitis scenario with abdominal pain ,vomiting

,jaundice ,history of cholelithiasiscute pancreatitis scenario with
abdominal pain ,vomiting ,jaundice ,history of cholelithiasis……cute
pancreatitis scenario with abdominal pain ,vomiting ,jaundice
,history of cholelithiasis,high amylase….diagnostic was asked means
acute pancreatitis was ans…others were primary biliary
cirrhosis,cholangitis

25 one very long scenario woman with abdominal pain ,vomiting

and all with narrow pyloric sphincter …hypokalemia I marked
….others were irrelevant options

26one scenario of pyloric stenosis clear cut ..ans metabolic alkalosis

27 pt with reduceable ,asymptomatic inguinal hernia forces u to do

his operation..u refused then he used to threaten u ..options tell the
administration ,,,call social service worker

28 another repeated one negligent parents of an asthmatic child

,wanted to take their child back to home from emergency ..call child
protection agency

29repeated one …hymen tear at 6 o clock

30 threatened abortion scenario

31child born 5 days ago at home now came with bruises on thigh
..increased pt n apt…….factor 10 defeciency]

32 pt with accident ,,jvp raised ,hypotension,normal bilateral breath

sounds…cardiac tamponade

33…another trauma pt hemodynamically unstable with jvp 15

,distant heart sounds,clear lungs….cardiac tamponade,flial chest
,pneumothorax

34one clear scenario of pneumothorax

35 ..one case of brutom agammaglobulinemia….x linked was ans

36 pregnant with previous history of dvt prophylaxsis..heparin

37 gold standard for dvt …ct angio,MR angi,us

36 stroke with any pervious medical history ,,one attack of TIA ..i
marked prophylactic thrombolytics ..others were irrelevant

37one sudden facial nerve palsy without previous illness..options

oxygen ,,hydrocortisone

38typical glomerulonephritis case

39 boy with hemoptysis n hematuria..good pastuer was ans

40diabetic nephropathy …proteinuria was ans

41..dehydrated child..what to measure trans cutaneously …options

were blood pressue,iv fluid…others I don t remember

42 repeated one in dialysis where fistula is formed..brachiocefalic

was ans

43..one scenario was of an old man with htn n some more diseases I
don remember ,,has an attack of MI ,tachycardiac….what medicine
to give ..i selected betablockers

44old man with asthma,dm,htn …medicines were given and asked

which one is causing respiratory compromise ..i selected Bisoprolol

45GAD scenario election was asked ….SSRI

46 one female with depression,worried abt everything,feeling low

like this …asked which is the positive sign in examination …..one was
eye contact I selected that

47 ..acute hepatitis scenario

48IDA scenario..sign n symptoms with labs

49 one scenario was out break of diarrhea in child care centre

,vomiting ,abdominal pain and watery diarrhea…options
doxycycline,metronidazole,supportive management
50 most common cutaneous manifestation of crohn
disease…erythema nodosum

51 scenario of ulcerative colitis

52 dm pt with ptosis,abnormal eye movements all that …ans was

diabetic 3rd nerve neuropathy

53guillan bare syndrome scenario prognosis asked..ans complete

recovery

54botulism scenario,,sign n symptoms was mentioned not diagnostic

..tto duration was asked….3 weeks,6 weeks,12 weeks

55infection by streptococcus ..elections was asked ..ampcillin was

right amonth those given options

56 pt came from America subsahariana 2 weeks ago with fever…I

marked malaria

57 pt with hemoptysis,upper lobe cavitation ,low garde fever

..options AFB stain ,anti tb drugs of first phase were mentioned

58 smoker with not wg loss but change of voice …..broncogenic

carcinoma

59 after surgery low pitched sound voice…external laryngeal

nerve,recurrent laryngeal

60one scenario about nephrotic syndrome ..ans was steroids