c.

CT
d. MRI
e. V/Q scan
531. A 5yo child was admitted with hx of feeling tired and lethargic all the time, bleeding gums and
sore throat since the last 3months. Exam: hepatosplenomegaly. What is the most probable dx?
a. ALL
b. AML
c. CML
d. CLL
e. Lymphoma
532. A 65yo man presents with back pain. Exam: splenomegaly and anemia. Blood: WBC=22,
Hgb=10.9, Plt=100, ESR=25. He has been found to have Philadelphia chromosome. What is the
single most likely dx?
a. ALL
b. AML
c. CML
d. CLL
e. Lymphoma
533. A 24yo woman has 8wk amenorrhea, right sided pelvic pain and vaginal bleeding. She is
apyrexial. Peritonism is elicited in the RIF. Vaginal exam reveals right sided cervical excitation.
What is the most probable dx?
a. Ectopic pregnancy
b. Salpingitis
c. Endometriosis
d. Ovarian torsion
e. Ovarian tumor
534. A 64 yo woman has been treated for breast cancer with tamoxifen. What other drug should be
added to her tx regime?
a. Bisphosphonates
b. Calcium
c. Vit D
d. Calcitonin
e. Phosphate binders
535. A 26yo woman with regular menses and her 28yo partner comes to the GP surgery complaining
of primary infertility for 2yrs. What would be the single best investigation to see whether she is
ovulating or not?
a. Basal body temp estimation
b. Cervical smear
c. Day2 LH and FSH
d. Day21 progesterone
e. Endometrial biopsy
536. A 10yo boy who takes regular high dose inhaled steroids for his longstanding asthma has been
advised to use bronchodilators to control his acute attacks. His parents are unsure when should
he use his bronchodilator. What is the single most appropriate inv?
a. CXR
b. None
c. Peak flow rate diary
d. Pulse oximetry
 e. Spirometry
537. A woman presented with blurred vision and intermittent clumsiness for 3m. Reflexes are brisk in
her arm and optic disc is pale. What is the single most appropriate test to confirm dx?
a. CSF analysis
b. CT
c. MRI
d. EEG
e. EMG
538. A 63yo man presents after having a seizure. Exam: alert, orientated, inattention on the left side
and hyperreflexia of the arm. What is the most probable dx?
a. Cerebral tumor
b. Pituitary adenoma
c. Cerebellar abscess
d. Huntingtons chorea
e. Parkinsonism
539. A 40yo man with a 25y hx of smoking presents with progressive hoarseness of voice, difficulty
swallowing and episodes of hemoptysis. He mentioned that he used to be a regular cannabis
user. What is the single most likely dx?
a. Nasopharyngeal cancer
b. Pharyngeal carcinoma
c. Sinus squamous cell carcinoma
d. Squamous cell laryngeal cancer
e. Hypopharyngeal tumor
540. A 30yo lady complains of intermittent diarrhea, chronic abdominal and pelvic pain and
tenesmus. Sometimes she notices blood in her stool. Select the most likely cause leading to her
symptoms?
a. Inflammatory bowel disease
b. Diverticulosis
c. Irritable bowel disease
d. Adenomyosis
e. UTI
541. A 50yo lady with weak limbs when examined was found to have burn marks on finger tips,
wasted and weak hands with diminished felexes. She also has weak spastic legs and dissociated
sensory loss. What is the dx?
a. MS
b. Syringomyelia
c. MND
d. Guillian-barre
e. Freidriech’s ataxia
542. A 23yo woman is being followed up 6wks after a surgical procedure to evacuate the uterus
following a miscarriage. The histology has shown changes consistent with a hydatidiform mole.
What is the single most appropriate inv in this case?
a. Abdominal US
b. Maternal karyotype
c. Paternal blood group
d. Serum B-HCG
e. Transvaginal US