1005. A 20yo man presents with painful swallowing.

Exam: trismus and unilateral enlargement of his

tonsils. The peritonsilar region is red, inflamed and swollen. What is the most appropriate tx?
a. Oral antibiotics
b. IV antibiotics and analgesics
c. I&D with antibiotics
d. Analgesics with antipyretics
e. Tonsillectomy
1006. A 40yo manual worker presents with a swelling in the groin. Exam: mass is found to be just
above and lateral to the pubic tubercle. It is reducible. On applying pressure on the internal ring
there is no cough impulse seen. What is the most probable dx?
a. Direct inguinal hernia
b. Indirect inguinal hernia
c. Femoral hernia
d. Strangulated hernia
e. Femoral aneurysm
1007. A 34yo male presents with headache and vomiting. Exam: temp=38.5C, neck stiffness, discharge
from left ear and right sided hyper-reflexia with an extensor plantar response. What is the most
likely dx?
a. Cerebral tumor
b. Meningitis
c. Cerebellar tumor
d. Cerebral abscess
e. Normal pressure hydrocephalus
1008. A 26yo male presents with speech difficulties. Exam: nystagmus. Which anatomical site is most
likely to be affected?
a. Midbrain
b. Pons
c. Cerebellum
d. Cerebrum
e. Vestibule cochlear nerve
1009. A 75yo man presents with Bell’s palsy. His PMH is significant for late onset asthma and heart
failure. He also reports to have consulted his GP for generalized rash prv. CXR: multiple soft
shadows and CBC: eosinophilia. What is the single most likely positive antibody?
a. P ANCA
b. C ANCA
c. Anti Ro
d. Anti DS DNA
e. Anti centromere
1010. A 50yo man complains of visual prbs and dull pain in the left eye. Fundoscopy reveals
papilloedema. He was dx with MS 2yrs ago. There is no consensual light reflex of the right eye.
What is the single most likely defect?
a. Paracentral scotoma
b. Mono-ocular field loss
c. Homonymous upper quadrantanopia
d. Central scotoma
e. Homonymous lower quadrantanopia
1011. A 54yo pt wakes up with right sided weakness. His current medication is bendroflumethiazide
for HTN. Pulse=92bpm, BP=160/90mmHg. CT shows left cerebral infarct. What is the most
appropriate tx?
a. Alteplase
b. Aspirin
c. Clopidogrel
d. Dipyridamole
e. Simvastatin
1012. A 33yo man presented to the GP with hx of headaches and photophobia. The GP examines him
and finds a rash and is now ringing you at the hospital for advice. What would you advice the GP?
a. Send pt home
b. Start IV benzylpenicillin
c. Conduct LP
d. Start IV ceftriaxone
1013. An 89yo pt has lung cancer. His Na+=122mmol/l. What is the tx for this?
a. Demeclocycline
b. Vasopressin
c. Restrict fluids
d. Reassure
1014. A 25yo woman who is 11wks pregnant had central abdominal pain for 36h. The pain is now
colicky. There is no vaginal bleeding. She has vomited once and has had an episode of loose
motion. She looks ill, temp=37.8C and there is rebound tenderness in the RIF. What is the most
probable dx?
a. Salpingitis
b. PID
c. Appendicitis
d. Ovarian torsion
e. Uterine fibroid
1015. A 42yo man presents with stroke. He is not able to walk straight and his speech is slurred. What
is the initial appropriate inv?
a. CT brain
b. PET brain
c. MRI brain
d. Carotid angiography
e. Monitor for 24h
1016. A 24yo woman has severe depression 3m after the birth of her first child. She is breastfeeding
but is otherwise unable to look after the baby and is convinced that her family is likely to kill her.
She has no interest in anything and keeps crying. What is the most appropriate tx?
a. Fluoxetine
b. Citalopram
c. CBT
d. ECT
e. Haloperidol
1017. A 20yo woman with no prv hx of ear complains, presents with 1d hx of severe pain in the right
ear which is extremely tender to examine. What is the single most likely dx?
a. Chondromalasia
b. Furuncle
c. Myringitis