316. A 28yo female who delivered 6wks ago feels sad and has no interest in feeding the baby.

She
has been eating poorly and having difficulty sleeping. She feels weak throughout the day and
has stopped taking the baby out of the house. She also says that the baby has evil eyes. What is
the most likely dx?
a. Postpartum blues
b. Postpartum depression
c. Postpartum psychosis
d. Schizophrenia
e. Psychotic depression
317. A 44yo man presents with periorbital and pedal edema. 24h urine shows 8g of protein/d and
serum cholesterol=7mmol/L. Renal biopsy results are awaited. What would be the most likely dx?
a. Minimal change disease
b. Glomerulonephropathy
c. Membranous glomerulonephropathy
d. FSGS
e. IgA nephropathy
f. Mesangiocapillary
318. A 53yo man presents complaining of weight loss, lethargy, increasing abdominal discomfort and
gout for the pat yr. Exam: spleen palpated 5cm below left costal margin, no fluid wave. CBC:
Hgb=10.5g/dL, WBC=200 – 85% neutrophils, plts=100, Na+=140mmol/L, K+ 4mmol/L,
create=151umol/L, urea=7mmol/L. Serum B12 increased. Philadelphia chromosome +ve. What
is the most likely dx?
a. CML
b. CLL
c. AML
d. ALL
e. Lymphoma
319. In a group of cancer pts, 10 died that wasn’t treated while 5 died in the tx group. Which
statement is correct?
a. Absolute risk =10
b. Relative risk =10
c. Relative risk =5
d. Absolute risk=5
e. Relative risk=2
320. A 67yo woman has presented with hard, irregular, poorly defined 5cm lump in her right breast.
She has a bruise on the surface and there is no discharge. What is the most likely dx?
a. Fibroadenosis
b. Fat necrosis
c. Fibroadenoma
d. Duct ectasia
e. Ca breast
321. A 67yo female who had undergone a radical mastectomy now comes with the complaint of
swelling and redness in her right upper limb. Involvement of which of the following structures
explain these symptoms?
a. Epitrochlear LN
b. Cephalic vein
c. Subclavian artery
d. Axillary group of LN
 e. Long thoracic nerve
322. A 50yo smoker and heavy drinker presents with complaints of racing heart. A 24h ECG comes
out normal. What is your next step in management?
a. ECHO
b. Reassure
c. Stress test
323. A 47yo man comes to the GP with a swelling in his left groin which disappears on lying down.
The swelling was bluish in color and felt like a bag of worms. He also complains of a mass in the
left loin along with hematuria occasionally. What could be the possible dx?
a. Left sided RCC
b. Varicosity 2nd to liver disease
c. Testicular tumor
d. UTI
e. IVC obstruction
324. A man presents with muffled hearing and feeling of pressure in ear with tinnitus and vertigo. He
also complains of double vision when looking to the right. What is the most appropriate dx?
a. Meniere’s disease
b. Acoustic neuroma
c. Acute labyrinthytis
d. Meningioma
e. Otosclerosis
325. In 85% of the population this artery is dominant. What is the single most appropriate option?
a. Left ant descending artery
b. Coronary sinus
c. Circumflex artery
d. Left main stem, post descending artery
e. Right coronary artery
326. A 54 yo lady presents with sudden, severe pain in the left half of her skull. She also complains of
pain around her jaw. What is the next likely step?
a. CT
b. MRI
c. Fundoscopy
d. ESR
e. Temporal artery biopsy
327. A teenage girl who was ‘fine’ until her boyfriend said he didn’t want the relationship anymore.
She took 10 tablets of paracetamol in front of his mother after taking alcohol. What should you
do?
a. Refer to psychiatry
b. Counselling
c. GP to sort out family issues
d. Return to work to relieve her anger
328. A 6yo fell on outstretched hand while playing. He feels tender at the elbow but otherwise well.
What is the most likely dx?
a. Spiral fx
b. Green stick fx
c. Compound fx
d. Supracondylar fx
e. Pulled elbow