a.

Anal carcinoma
b. Anal fissure
c. Hemorrhoid
d. Anal abscess
733. A woman is sad, fatigues and she is eating more and also has sleeping disturbance and hears the
voice of her husband who died 3yrs ago. What is the dx?
a. OCD
b. Psychotic depression
c. Grieving
d. Severe depression
734. A 40yo teetotaler woman is recovering from a hysterectomy 2days ago. At night she becomes
agitated and complains of seeing animals and children walking around the ward. What is the
most likely dx?
a. Delirium tremens
b. Toxic confusional state
c. Hysteria
d. Mania
e. Drug induced personality disorder
735. A woman with a hx of drug abuse and increased alcohol intake, now comes for help and she is
concerned about her problem. What is the most appropriate management option?
a. Voluntary admission
b. Psychiatry team
c. Mental health team
d. Psychiatry voluntary admission
736. A 28yo woman who is 32 wks pregnant in her 3rd pregnancy is diagnosed as a case of placental
abruption. After all the effective measures, she is still bleeding. What is the underlying
pathology?
a. Clotting factor problem
b. Clauser’s syndrome
c. Platelet problem
d. Succiturate lobe
e. Villamentous insertion of placenta
737. An old woman having decreased vision can’t see properly at night. She has changed her glasses
quite a few times but with no effect. She has normal pupils and cornea. What is the most likely
dx?
a. Cataract
b. Glaucoma
c. Retinal detachment
d. Iritis
e. GCA
738. A 53yo man was admitted to the hospital for inv of hemoptysis. 3 days after admission he
developed alternating state of consciousness, ataxic gait and some visual problems. What is the
most appropriate management of this pt?
a. Acamprosate
b. Chlordiazepoxide
c. Diazepam
d. High potent vitamins
e. Disulfiram
739. A pt underwent hip surgery. Later he presents with SOB and chest pain. What is the dx?
a. Pulmonary embolism
b. MI
c. Tension pneumothorax
d. Fat embolism
e. None
740. A 25yo man presents with hx of breathlessness. A transthoracic echo reveals a patent foramen
ovale. What diagnostic inv would you do for a patent foramen ovale?
a. Transesophageal echo
b. Bubble echo
c. Transthoracic echo
d. ECG
741. A 25yo woman with a hx of several episodes of depression is brought to the ED after she was
found with several empty bottles of her meds. She complains of coarse tremor, nausea and
vomiting. Which of the following drugs is likely to have caused her symptoms?
a. Fluoxetine
b. Amitryptilline
c. Lithium
d. Phenelzine
e. Olanzapine
742. A 23yo man feels anxious and agitated when faced with stress. He has an interview in 3days and
would like some help in relieving his symptoms. What is the most appropriate management?
a. SSRI
b. CBT
c. Propranolol
d. Diazepam
743. An 8yo boy dx with asthma is on salbutamol and beclomethasone. However, he wakes up at
night due to his symptoms. What is the next appropriate management?
a. LABA
b. High dose steroid
c. Aminophylline
d. Oral prednisolone
e. Sodium cromoglycate
744. A woman presents with a hx of poisoning 10x with different substances. There are no obvious
signs of depression or suicidal behavior. What is the best preventive step?
a. Open access to ED
b. 24h help line
c. CBT
d. Anti-depressants
e. Insight into problem
745. A boy was rushed to the ED unconscious after he had taken methadone belonging to the sister.
He was given naloxone and he regained consciousness. After a while he started getting drowsy
again. What is responsible for his present drop in level of consciousness?
a. Naloxone is absorbed faster than methadone
b. Methadone is absorbed faster than naloxone
c. He has also taken another substance apart from methadone
d. The methadone had already caused some brain damage
e. Naloxone is eliminated faster than methadone