e.

CXR
683. A child admitted with progressive muscle weakness and frequent falls. What is the most
probable dx?
a. Duchenne’s MD
b. Becker’s MD
c. Polymyositis
d. Dermatomyositis
e. Polymyalgia rheumatic
684. A 56yo man presents to the ED with chest pain. The following ECG was taken. What is the most
likely dx?

a. Anterior MI
b. Inferior MI
c. Lateral MI
d. Posterior MI
e. NSTEMI
685. A schizophrenic says: life is unfair. I like fairs. Fairs have food. It must be good. What term
describes this pt’s speech?
a. Neologism
b. Flight of ideas
c. Broca’s aphasia
d. Wernicke’s aphasia
e. Clang association
686. A man comes to the ED with hx of pulsatile swelling in the abdomen, he has hx of HTN and exam:
pulse=120bpm, BP=70/40mmHg. He is restless and in shock. What emergency management
should be done on priority basis?
a. Urgent abdominal CT
b. Urgent abdominal US
c. IV fluids 0.9% NS crystalloids to bring SBP to 90mmHg
d. IV fluids 0.9% NS crystalloids to bring SBP to 120mmHg
e. Dopamine inj
687. A 5yo boy has cough and swelling at the knee after falling on the ground with rashes on the
buttocks which are non-blanching. PT=13, APTT=71, Hgb=11, WBC=8, Plt=200. Choose the most
likely dx?
a. NAI
b. Hemophilia
c. HSP
 d. Osler weber reindu syndrome
e. Von-Willebrand disease
688. A 45yo woman presents with discharge from the left nipple. The discharge is brownish-green
and foul smelling. What is the most likely dx?
a. Duct papilloma
b. Intra-ductal papilloma
c. Duct ectasia
d. Mammary duct fistula
e. Breast abscess
689. A 10yo boy presents with generalized swelling. This has been present for 4days and included
swollen ankles and puffiness of the face. It started a few days after he had a mild cold with
runny nose. His only PMH was eczema. Urine analysis: hematuria, proteinuria 10g/24h, creat
60umol/l and albumin=15g/l. What is the single most likely dx?
a. IgA nephropathy
b. HSP
c. Minimal change nephropathy
d. Wilson’s disease
e. Cardiac failure
690. A 28yo man complains of vertigo, nausea and vomiting for more than 30 mins and tinnitus,
hearing loss in the left ear. What is the tx for this pt?
a. Buccal prochlorperazine (2nd line)
b. Metachlorpromide
c. Cyclazine (1st line)
d. Cotrimazole
e. Ondansetron
691. A 16yo girl has been unwell for 5days with malaise, headache and dry cough. She has a few
crackles in her chest. Her CXR shows patchy consolidation in the lower lobes. What is the single
most likely causative organism?
a. Cold agglutinins
b. Gram –ve diplococci in sputum
c. Gram +ve diplococcic in sputum
d. Serology for legionella
e. Sputum staining for mycobacterium TB
692. A child with increasing jaundice and pale stools. Choose the appropriate test:
a. Endomyseal antibodies
b. Sweat test
c. TFT
d. LFT
e. US
693. A 73yo woman with RA is unable to extend the fingers of her right hand at the MCP joint and IP
joints following a fall. What is the single most likely tendon to have been damaged?
a. Extensor carpi radialis
b. Extensor carpi ulnaris
c. Extensor digitorum
d. Extensor indicis
e. Flexor digitorum profundum
694. You are called to see a 20yo woman 2h post-LSCS. She has not passed urine since her operation.
She denied any urinary symptoms preoperatively. Exam: appears unwell, temp=37.5C,