b.

Secure airway
c. Keep him laid flat
d. IV penicillin
1070. A pt presents with hemoptysis 7d after tonsillectomy and adenoidectomy. What is the next step
of management?
a. Explore again
b. Pack it
c. Oral antibiotics and discharge
d. Admit and IV antibiotics
e. Ice cream and cold fluid
1071. A 55yo man presents with swelling at the angle of the mandible which is progressively increasing
in size and it’s mobile for 6m. What is the most probable dx?
a. Benign parotid
b. Mandible tumor
c. Tonsillar carcinoma
1072. A 61yo man, known smoker, comes to the hospital with complaints of painless hematuria,
urgency and dysuria. He has been worried about his loss of weight and reduced general activity.
Which inv would be diagnostic of his condition?
a. Urine microscopy f. KUB
b. IVU g. Cystoscopy with biopsy
c. CT h. Mid stream urine for culture
d. Cystoscopy i. Trans rectal US
e. US abdomen
1073. An 8wk pregnant lady is brough to the ED due to severe vomiting. She was administered IV
fluids and oral anti-emetics. She still can’t tolderate anything orally. What is the next best tx?
a. IV feeding
b. IV antiemetics
c. Termination of pregnancy
d. PPI
e. IV steroid
1074. A 48yo man presents with bone pain. Labs: ALP=high, phosphate=normal. What is the most
likely dx?
a. Osteoporosis
b. Osteomalacia
c. Paget’s disease
d. Fx
e. Myeloma
1075. A 54yo lady presents with sudden severe pain in the left half of her skull. She also complains of
pain around her jaw. What is the most likely next step?
a. CT
b. MRI
c. Fundoscopy
d. ESR
e. Temporal artery biopsy
1076. A 7yo school boy has been dx with meningococcal meningitis. What is the advice for
schoolmates and staff?
a. Rifampicin for the whole class and family
b. Rifampicin for the whole school and family
 c. Meningococcal vaccine for the family
d. Benzylpenicillin
e. IV cefotaxime
1077. A pt came with dyskaryosis to the OPD. She is a heavy smoker and alcoholic. Cervical smear
shows abnormal cells. What is the best advice for her?
a. Colposcopy
b. Biopsy
c. Endocervical sample
d. Repeat after 4m
e. None
f. Cone biopsy
1078. Pt with pain and swelling in left leg and thigh up to the level of inguinal ligament. Where is the
level of occlusion?
a. Femoro-popliteal artery
b. Left common iliac artery
c. Aortoiliac artery
d. Femoral artery
e. Profound femoral artery
1079. A 65yo man presents with dyspnea 3d after an MI. On auscultation he has a pansystolic murmur
at the apex radiating to the axilla. What is the most likely dx?
a. Ruptured papillary muscle
b. Ventricular aneurysm
c. Pericarditis
d. Pericardial effusion
e. VSD
1080. A 64yo man with multiple myeloma has been vomiting since the past 2days. Labs:
Ca2+=3.2mmol/l, K+=5mmol/l, Na+=149mmol/l and PCV=55%. What is the most appropriate
next step?
a. IV insulin
b. IV calcium gluconate
c. IV fluids
d. IV bisphosphonates
e. Oral bisphosphonates
1081. A 30yo man from Australia returned from a business trip to Indonesia 6d ago presenting with
complaints of fever, joint and muscle ache and headache, in particular behind the eye for the
past 2 days. What is the most probable dx?
a. Malaria
b. Chicken pox
c. TB
d. Lyme’s disease
e. Dengue
1082. A lady came for OBGYN assessment unit with hx of 8wk pregnancy and bleeding per vagina for
last 2 days. On bimanual exam, uterus =8wks in size. On speculum exam, cervical os is closed.
How do you confirm the viability of the fetus?
a. Transvaginal US
b. Serum BHCG
c. Urinary BHCG
d. Abdominal US