JUNE2020PLAB1RECALL

QUESTI
ONS
(anumberofr
epet
it
ions/
over
lapsmaybeencount
ered)

1.A50yrol dmanwhoi sinanur singhomeanddevel opedconfusion.Hewasr ecentl

yinconti
nent.
HasAFandwaspl acedonwar f
arin.ECG:i r
regul arrhythm,onesidedsensoryl
ossandbr uiseson
thear m andf ace.
Whati sthePossi blecauseofhi sconf usion.
A.St roke
B.Meni ngitis
C.Subdur alhemat oma.
D.UTI .
E.??
2.Apat ienthasachi ldwhohadhemol yticdiseaseoft henewborn.Current
lypr
egnantandaski ng
forthechanceofhi sunbor nchildhavi ngt hesamedxs
A.O%
B.25%
C.50%
D.75%
E.100%
3.Apat ientwhohasdement i
aandhasbeent reated3t imesinthelast6weekswi thbrui
sesont he
arm andf ace.Possi blediagnosi s
A.Acci dent alinjury
B.War fari
n
C.NAI
D....
...
4.Apat ientwi t
hdement i
awhopr esent edtot hecl i
nicwi t
hhisson.Hissoniswor r
iedthathe
recent l
ysental argeamountofmoneyt oanunknownaccount .
Whati sthemostappr opri
ateact ion
A.Advi cesont or eporttopol i
ce
B.Cal lsaf eguar ding
C.Cal lthebank.
D.Advi cesont ogetpowerofat torney
E.Ref ert omemor ycli
nic
5.Amanwhohascyst i
cfibrosis.
Onechi ldal readyhasi t
.
Whati sthepossi bil
it
yofthesonhavi ngt hedi sease
A.1:2
B1: 3
C.1:4
D.2:3
E.3:4
6.Apat ientwhohasabdomi nalpai nand2epi sodesofdi arr
heainthepast? 2month.Hasmout h
ulcers,wtl ossof8kg.Possi blediagnosi s.
A.Cyst icf ibrosis
B.Coel iacdi sease.
C.Col onCA
D.Ul cerativecol i
tis
E.Chr on' sdi sease
7.A36yearol dl adywhowasdi agnosedwi thDM 6mont hsago.Whatinvest
igat
iont
ouseand
di
fferent iatet het ypeofDM.
A.Cpept ide
B.Ant iGADant ibodi es.
C.Glucoset oler ancet est .
D.Gr owt hhor mone
E?
8.A1yrchi ldwhohasbeenadmi ttedseverall
yforcoughandwheeze.Temp36.7.Wt@ 3r dcent
il
e
andHtat75t hper cent ile.
Diagnosi s
A.Ast hma
B.Cyst i
cf ibr osi s.
C.Bronchi t
is.
D.Bronchi oliti
s
E...
..
..
9.Apat ientwhoi sfeel i
ngunwel l.
Blablahbl ah. ..
K+hi gh.Nal ow.Al lot heri nvesti
gationsarenormal .
Mostappr opr iatei nvest igationtodo.
A.ABG.
B.CXR
C.ECG
D.ser um dr ugl evel (can' tremembert hedrugsef)
E...
..
..
10.At ype1di abet icpat i
entwhohasepi gastri
cpain.RBSwas36.
Mostappr opr iatei niti
alf luidtogive.
A.Insul in
B.O.9%N/ S
C.0.4%N/ S.
D.Har tmansol ution.
E...
..
11.Apat i
entpr esent i
ngwi thfeaturesofhypercalcemia.
Takes4t absofmul tiviteever yday.
PTHi snor mal .Cai shi gh.ALPi shigh.Diagnosis
A.VitDexcess.
B.Sar coi dosi s
C.Met ast at icCancer .
D...
.
E..
..
12.Ayoungboypr esent ingwi t
hcrying,rhi
norhea,mxspain.
Takesal coholandi l
licitdr ug.
Possibl edr ugofabuse.
A.Cocai ne.
B.Amphet ami nes
C.LSD.
D.Her oi n
E.Cannabi s
13.A22yrol dmanwhowentt oeatatapar ty(l
ongerthr
oat)anddevel
opedwheezeandit
chyrash.
Whichmedi cat i
ont ogi ve
A.O.5i n1000I M ofadr enal i
ne
B.O.5i n1000I V
C.10i n10001M
D.10i n1000I V.
E.10i n1000subcut
14.Apat ientwhocamet oherGPwor ri
edaboutt hepossibil
it
yofherhavi ngal zheimerasher
mot herhadal zhei mer satanear lyage.Genei nvolved..
A.ApoE. ..
B.BRCA.
C.COH. .
15.A78yearol dmanwhohasf ami l
yhi st
oryofcancerandwor kedinaf actor y.Hasahighsmoking
andal cohol histor y.Wasdi agnosedt ohavebl adderCa.
Whati st hemosti mpor tantr iskf
act orforbladderCA.
A.Al cohol
B.Smoki ng.
C.Fami lyhistor y.
D.Occupat i
onalhx
E.Age
16.Amanwhohasdement i
aandhasandacci dent.Hehitapoleandcoul dn' tremembertheevent
s
oftheacci dent .
Whati st hemostappr opriateaction.
A.St opdr ivingandt ellDVLA.
B.Cont inuedr iving.
C.Repor ttopol i
ce.
D.Dr iveonl yaccompani ed.
E.Dr iveonf ami li
arr oad
17.A22yearol dgi rlwhohadabor tion6daysagopr esenti
ngwi t
hvaginal bleedingandabdominal
pain.
Diagnosi s.
A.PI D.
B.Endomet rit
is
C.Ut er iner uptur e.
D....
E..
.
18.Apat ientwhohasdi abet es.
Glycat edHbwas58.
BMI32kg/ m2.Onmet formi n1gt wiceaday.
Nextappr opr i
at eact ion
A.Cont i
nuel i
fest ylechanges.
B.Sul phonyl ur eas.
C.SGLT2i nhibi t
or .
D.Insul inbase.
E.GLP.
19.Anel der l
ymanwhohashyper t
ension, DM andchr onicglomerul
onephr it
is.BPwas? 180/
100.
Protei nur i
aandhemat ocrit.Whatmedi cationwi l
lslowthediseaseprocess.
A.ACEI .
B.CCB.
C.St er oid.
D.Fr usemi de
E.Bet abl ocker s
20.Apat ientwhohasonesi dedheadachewi thnausea, vomiti
ngandphot ophobi a.Which
medi cat i
oncanbeusedt or educet hefrequencyofsympt oms.
A.Pr opanol ol
B.Ver apami l.
C.Sumat ri
pt an.
D.Topi ramat e
E....
..
21.Apat ientwhohashyper tension,DM wi thpr oteinuri
a+, hematuri
a+++.Whi chinvest
igati
onisthe
mostdi agnost ic.
A.Ur inalysi s.
B.USS.
C.Renalbi opsy.
D.CTKUB
E.cyst oscopy
22.Apat ientpr esent i
ngwi thtiredness,? easyf atiguabili
tyandmi ldjaundice
Pale.Bl oodf ilm showedpol ymi crosi
a,spher eocyt es
Hbl owandMCVhi gh.LDHhi gh.BBhi gh
Invest i
gationt odo. .
A.Fer rit
inst udy.
B.Di rectcoombt est .
C.VitB12.
D.Fol ate.
E...
..
23.Apat ientwhohaswei ghtlossdespi t
egoodappet it
eand6mont hshistor
yofamenor rhea.
Dxs.
A.PCOS.
B.Hyper thyr oidism.
C.Hypot hyr oidism
D.Pr emat ureovar ianf ailure.
E.Pr olactinoma
24.A38yearol dpat i
entwhost oppedt akingcont raceptives6mont hsagoandhasamenor rheaof7
mont hs.
FSH25, LH15, prolact i
n550.
BMI24. 9kg/ m2.
Diagnosi s.
A.PCOS.
B.Pr emat ur eovar ianf ailure.
C.Postpi llamenor rhea
D.Hypot hal ami camenor rhea.
E...
..
.
25.Apat ientwi thnonbl anchi ngr ash,l
imi tedl ateralneckf lexi
on,photophobia,headacheandf ever
.
Possi bledi agnosi s.
A.ITP.
B.TPP.
C.meni ngi ti
s
D.SAH.
E....
..
26.Apat ientwi tht ir
edness, blahblahbl ah...
WBCnor mal ,HBl ow, plateletlow, LFTwasnor mal .MCVwashi gh
Invest i
gationt hatwi llleadt odi agnosi
s.
A.FBC/? ironst udy
B.Bonemar rowaspi ration
C.DAT.
Df olatelevel .
E.VitB12l evel
27.Achi ldwhocannotf inishhi sassignment .Collectscarsandar rangesrepeat edl
yandwhen
disrupt ed, heget sangr y.
Possi bl edi agnosi s.
A.ADHD.
B.Lear ningdi sabi l
iti
es
C.OCD
D...
.
E...
..
28.Apat ientwhohasl owmood, lackofener gyandl ossofint
erest.Findsi tdi
ffi
cul
ttogetoutof
bedi nt hemor ning
Stil
lhear sherhusbandwhodi ed3year stalkingtoher.
A.Gr iefadj ustmentdi sorder.
B.Bi pol ardi sor der.
C.Psychot icdepr essi on.
D.Schi zophr enia
E.Mani a
29.Apat ientwhocheckshi sdoormul ti
pletimesandwasheshandssever all
y.Hegoestowor klat
e.
Diagnosi s
A.Mani a.
B.Schi zophr enia.
C.OCD.
D.Depr ession.
E.Mani a
30.Anel der lywomanwhobr oughttotheGPbyherdaught ercompl ai
ningandsheshout satpeople
atnightandnei ghbor sar ecomplaini
ng.Atot hertimessheconver seswel l.Sherecent
lybecame
forget ful.
Diagnosi s.
A.Del i
r i
um
B.Dement ia.
C.Mani a.
D.Schi zophr enia
E.Bi pol ar
31.Achi ldwhohadat empof39. 1for2dayspr esenti
ngwithvesicularlesionsandbli
stersespon
herf lexur es, crust edlesi onsont hemont h,eyesandnose.
Diagnosi s.
A.Kawasaki
B.Impet i
go
C.St aphyl ococcusscal dedsyndr ome.
D.Eczema
E...
..
...
PS:t her ewasapi xoft hechi l
d.IwishIcanr eproduceitt
oo
32.Achi ldwhohasbl istersandvesicles.Somear ecrust
edandsomear eweepi ngwithredness
aroundt hel esion.Feverof? 38.
Appr opr i
atet reat ment .
A.Ant ibiotics.
B.Ant ifungal
C.Ant iviral
D.St er oid
E...
..
..
33.Anel der lymanwhohadTI A3year sago.Hasnotbeenonanymedi cationfor2years.Present
ed
tourGP.Whi chmedi cat i
onwi l
lugivet opreventfuturest
roke.
A.Api xabanandcl opidogr el
.
B.Aspi rinanddi pyr i
damol .
C.Aspi ri
nandat ovast ati
n
D.Clopi dogr elandat ovastatin
E.War fari
nand? ??
34.AmanwhohadCOPD, HTNandI HD.On, l
isi
nopr i
l,aspir
in,beclomet hsone,sal
but amol etc.
Devel opeddi arr
heaandvomi ti
ngwi t
hderangedRFT.
Whichmedi cat i
ont ost op.
A.Met formin
B.Becl omet hsone.
C.Aspi ri
n
D...
.
E.Lisinopr il
35.Apat ientwhopr esented1hragowi t
hretrost
er nalchestpai nof3hour s.Hadsimi l
arepisode12
hoursago.Wasgi venaspi rinandGTNandwasr elieved.BPnor mal
PR45bpm.
Diagnost i
cinvest igations
A.CXR
B.ECG.
C.Troponi n
D.ECHO.
E..
..
36.Af teraf ight.Aboypr esentedwi t
hnasalbleedingwhi chlastedf or3hrs.Bleedinghasst opped
now.Nasalsept um isdevi ated.
Whati nvestigationt odo.
A.Xr ayofpar anasalsi nus
B.Xr ayoft henose.
C.Exami nationoft hesept um. .
D...
E..
..
37.Apat ientonwar fari
nwhopr esentedwithepistaxisfor3hour s.Conser vat
ivemeasur esf ail
edto
stopt hebl eeding.
Whati sthemostappr opriatenextst ep.
A.VitK.
B.Nasalt amponade
C.PPC.
D.FFP
E.Silverni tr
ite
38.Apat ientonwar fari
npr esent i
ngwi t
hbleeding(Ican' trememberwher ethebleedingwas) .
Whati sthemostappr opriatefluidtogive.
A.Vitk.
B.PPC.
C.FFP.
D...
.
E..
.
39.An1hrf oll
owi nganuncompl icat
edlaparoscopi ccholecystectomy, apat i
entpresentedwi thSOB
andf ever40degr ee.BPwas? 97/ 70mmhg.PR120bpm.Hewasgi venGA
Diagnosi s.
A.RDS
B.Car diogeni cshock
C.Hypovol emi cshock.
D.Neur ogeni cshock.
E.Sept i
cshock
40.A15yrol dgi rlthatwaspl acedoncont r
aceptive,hasment alcapacity,themotherdi scoveredfew
weeksl aterandvi sit
st heGPangr yaboutt hedeci sionoft heDoct orplacingheroncont raceptive
pil
ls,whatwi l
lyoudo.
A)Tel lt hemot hert ocomewi ththedaught erandwi thdrawdr ugs
B)expl aint ohert hedaught erwasgi vendr ugsbecausesheshowedment alcapacit
y
C)Tell hershehasnor ightst oppi ngherdaught erfrom r ecei
vingt hedrugs
41.Apat i
entwhoi sonpal l
iativecar ef ormet astaticl ungCA.St artedvomi tingblood.Shewas
scaredandagi tat ed
Whati st hemostappr opr i
ateact ion
A.FFP.
B.VitK.
C.Mi dal ozam.
D.IVF
E..
..
42.Amanwhoi sonpal li
ativecar ef orl ivermet ast aticand? coloncancer .Hewasmanagedathome.
Devel opednoi sybr eathing.Shehasdi f
f i
cul t
yinswal lowingor almedications.
Appr opr i
at est ep.
A.Nebul izedadr enal i
ne
B.Nebul izen/ s.
C.Or al. ...
D.Subcuthyosci nbut ylbromi de..
E.? ?
43.Aknowndi abet icandhyper tensi vemanonmedi cati
on.Recent lystar
tedonser t
rali
nef or
depressi on.Nowdevel opeder ectil
edysf uncti
on.
Possi blecause.
A.Aut onomi cneur opathy
B.Ser tral ine
C.CCB.
D..
.
E..
.
44.Apat i
enwi thanAdvanceddi r
ect iveofDNR.Hedoesn' twantt obemanagedi nthehospi t
al.
Hest ar teddet er iorati
nganddaught erwant shimt obemanagedi nthehospi t
al.
Mostappr opr i
at eact i
on.
A.Tel lhert hatDNRcanber evoked.
B.Tel lhert ogetacour tor der? ?
C.Expl ainwhatDNRmeanst oher .
D.Respectt hedaught er '
swi shes.
45.A4mont hsol dbabyvomi tingsi ncebi rthafterever yfeedi rr
espectiveoft heamountgi ven.Heis
gainingwei ghtandwel l.Mostappr opr i
at eRx.
A.Gavi scon.
B.? .
.Icannotr emembert heot heropt i
ons.Sor r
y
46.Apxtwi thesophagealcancerandl ivermet astasi sdevelopeddysphagi a.
Mostappr opr i
at edi mmedi ateRx.
A.Chemot her apy
B.PEG.
C.St ent .
D.Radi ot her apy
E.NGt ube
47.Achi ldwhohadchi ckenpox.Mot heri saskingwhenshecanr eturntoschool .
A.Never .
B.Isol at et hechi l
d.
C.Whenr ashhascr usted
D.Af terant i
bi otics.
E...
...
48.Fol lowi ngal apar oscopicchol ecystectomy,apxtdevel opedshor t
nessofbreat
handchestpain.
ECGnor mal ,CXRnor mal.
Mostappr opriatedi agnost i
ci nvest i
gati
ons.
A.CTPA
B.Echo
C.Doppl erUSS.
D.VQscan
49.Apat ientwi t
hvesi cularr ashont hetrunkwithhistoryoftravel5monthsago.Presenti
ngwith
fever,del irium
Diagnosi s
A.Pephemi goid.
B.Shingl es.
C.Measl es.
D.Chickenpox.
E..
.
50.Apat ientwhor ecentl
ydevel opeddysphagi atosolidfood.
Diagnosi s
A.OesophagealCa.
B.Achal asi acar diac.
C.Phar yngealpouch.
D.Bar ret t'
sesophagus
E..
...
51.Apat ientwhowasr ecent lymanagedf orint
racer
ebr alhemor r
hage6weeksago.Hedevel oped
DVT.
Mostappr opriateact i
on.
A.Directt hr ombi ninhibit
or .
B.War f ar i
n
C.IVt hr ombol ysi s.
D.Compr essionsocks.
E..
.
52.Apxtt odoanel ecti
veher nior
r apphy.HasHBA1c68, BP170/ 90mmhg, MI6weeksago.
Whati st heabsol utecont raindicat i
onf orsurgery.
A.Uncont rolledbl oodsugar .
B.Uncont rolledBP.
C.RecenthxofMI .
D...
E..
.
53.Ar ef ugeewhoj ustret urnedf rom UKanddevel opeddi ast
olicmurmurattheapex.
Diagnosi s
A.At r
ialst enosi s
B.Pulmonar yr egur gitat
ion
C.Mi r
t alst enosi s
D.Tricuspi dst enosi s
E.Aor t i
cr egur gitation
54.A19yearol dboywhodevel opedsuddenonsetoft esti
cularpainwhil
eplayi
ngfootbal
l.Had
simil
arepi sodei nt hepast .Mostappr opri
ateact i
on.
A.Sur gi cal expl or ati
on
B.Ant iboi tics.
C.USSoft hescr otom
D.Notact ion
E..
..
55.Amanwhor ecent l
yr et urnedf rom cent ralAmer i
cawher ehewor kedinafar
m.Developednight
sweatandf ever .Hasenl ar gedspl een.
Diagnosi s
A.Tb
B.Lymphoma
C.Brucel losi s
D.CML.
E..
.
56.Anast hmat icchi l
donSABAandst eroidinhal er.Stil
lhavingsympt oms.
Appropr iatenextst ep..
A.Increasest eroid.
B.LABA.
C.LTRA
D.Theophyl line
E..
..
57.Ayoungmanwhopr esent edt ot heclini
cwi thtest i
cularpainf
oll
owi ngaki
ckonthescrotum.
Appropr iateact i
on
A.Sur gical expl or at
ion
B.Antibiot ics
C.USS.
D.Noact i
on
E..
58.Amanwhocannotdr awci r
cl e, doar i
thmet icet c.
Whichl obei saf fect ed.
A.Front al.
B.Pariet al
C.Tempor al .
D.Occi pital
E.Subcor tical
59.Apat ientbi ll
edf orel ect i
veher ni orr
aphy.HB? .8.7.MCVl owandMCHCi sl
ow.
Whati st hemostappr opr iateact ion.
A.Def ersur ger yanddof urtheri nvest i
gati
on.
B.Givei ronandcont i
nuewi thsur ger y.
C.Cont inuewi t
hsur ger y.
D.Transf useandcont inuewi t
hsur gery.
E.Transf useanddef ersur gery
60.Amanwi thal efttest i
cul arswel l
ingthatdisappear sonl yingf
lat
.
Diagnosi s
A.Var i
cocel e.
B.Hydr ocel e.
C.Test i
cul arCa.
D.Semi noma.
E.Epidymal cyst
61.Amanwhosuddenl ycol lapsedwhi l
ejoggi ng.
Hasahi st oryofepi sodi cpal pit
at ionsand? ? .Hashyper tension
Mostappr opr iatedi agnost i
ci nvest i
gation
A.24hrur inecor ti
sol
B.24hrur inecat echol ami nes
C.Urine5HTT
D.Dexasuppr essi ont est .
E.Aldost er one/ reninr atio
62.Apxtt odoanel ectiveher nior rapphy.HasHBA1c68, BP170/90mmhg, MI6weeksago.
Whati st heabsol ut
econt raindicationforsur gery.
A.Uncont rol l
edbl oodsugar .
B.Uncont rol l
edBP.
C.RecenthxofMI .
D...
E..
.
64.Ar efugeewhoj ustret urnedf rom UKanddevel opeddi astol
icmurmurattheapex.
Diagnosi s
A.Atrialst enosi s
B.Pulmonar yr egur gitat
ion
C.Mi r
talst enosi s
D.Tricuspi dst enosi s
E.Aor ticr egur gitati
on
65.A19yearol dboywhodevel opedsuddenonsetoft esti
cularpai
nwhi l
epl
ayingfoot
ball
.Had
si
mi l
arepi sodei nthepast .Mostappr opriateact i
on.
A.Sur gical expl oration
B.Ant i
boi tics.
C.USSoft hescr otom
D.Notact ion
E..
..
66.Amanwhor ecent l
yret urnedf rom centralAmer i
cawher eheworkedinafarm.Devel
opednight
sweatandf ever .Hasenl ar gedspl een.
Diagnosi s
A.Tb
B.Lymphoma
C.Brucel losi s
D.CML.
E..
.
67.Anast hmat i
cchi l
donSABAandst eroidinhaler.Stillhavingsymptoms.
Appropr iatenextst ep. .
A.Increasest eroid.
B.LABA.
C.LTRA
D.Theophyl line
E..
..
68.Ayoungmanwhopr esent edt otheclini
cwi thtest i
cularpainfoll
owingakickonthescr
otum.
Appropr iateact i
on
A.Sur gical expl oration
B.Ant i
biot ics
C.USS.
D.Noact ion
E..
69.Amanwhocannotdr awci rcle,doar i
thmet i
cet c.
Whichl obei saf fected.
A.Front al.
B.Par i
etal
C.Tempor al .
D.Occi pital
E.Subcor tical
70.Apat ientbi ll
edf orelect i
veher nior
raphy.HB? .8.7.MCVl owandMCHCi slow.
Whati st hemostappr opriateact i
on.
A.Def ersur ger yanddof urtherinvestigati
on.
B.Gi vei r onandcont i
nuewi thsur gery.
C.Cont inuewi thsur ger y.
D.Tr ansf useandcont inuewi t
hsur gery.
E.Tr ansf useanddef ersur gery
71.Amanwi thal efttest i
cul arswel l
ingthatdi sappearsonl yingflat
.
Diagnosi s
A.Var i
cocel e.
B.Hydr ocel e.
C.Test icularCa.
D.Semi noma.
E.Epi dymal cyst
72.Amanwhosuddenl ycol lapsedwhi l
ejoggi ng.
Hasahi storyofepi sodi cpal pitat
ionsand? ?.Hashyper tension
Mostappr opr iatedi agnost i
ci nvesti
gat i
on
A.24hrur i
necor ti
sol
B.24hrur inecat echol ami nes
C.Ur ine5HTT
D.Dexasuppr essi ont est .
E.Al dost erone/ reninr atio
73.10, 000womenscr eenedf oratest,1000whowher ePosi tivehadaf ur
therscreenand10
actual lyhaddi sease, whatt ermi sthe9000whodi dgof orthesecondr ounds.
A.Tr ueposi tive
B.Tr uenegat ive
C.Fal seposi ti
ve
D.falsenegat ive
E.Testposi tive
74.Cal ci nci dencepr eval encei napopul ationwi t
h500, 000peopl e,cases250, over5yearper
iodi
n
permi lli
on
A.1000
B.250
C.100
D.25
E.50
75.Apat i
entwi t
hmaj orbl eedandI NR6, hasbeengi vevitkwhatnext ?
A.Pl asmaconcent rate
B.Fr eshf r
ozenpl asma
C.Pr ot ami ne
D.Ant ifibrinol ytics
76.Bestcont racept i
onf orwomanwi thir
regular ,
bulkyuteruswi thhist
oryofDVT
A.Depotpr over a
Biucd
C.i
us
D.cocp
Epop
77.El der l
ywomanonant icoagul antbeingt reatedforuticamei nconfused
A.subdur alhemat oma
B.Epi dur al
C.subar achnoi d
D.Spaceoccupyi ng
78.Mancan’ tdr awci rclesorar it
hmet i
cet c.
Whi chl obei saf fect ed
Front al
Pariet al
Tempor al
Occi pital
..
.
79.Pat ientpr esentswi thsideef f
ectofant ipsychot icwherehepacesr oom thehouse
A.Chor ea
B.Dyst oni a
C.Tar dat ivedyski nesia
D.Akat hisia
E.Hemi bal limus
80.Ptwi thmel anoma, whatdet erminespr ognosis.
A.dept h
B.Hor izont alheight
C,col our
D, t
umoursi ze
81.Agi rlwi t
hviralinfecti
onpr i
ort oonsetofbi laterallowerlimbparalysisandi nabi
li
tytouseboth
l
owerl i
mbs
A.Ner veconduct i
ontest
B.cthead
C.Ctbr ain
D.Ful lbloodcount
82.AmanhadRTAwi thfractureoft hemi dfemor alshaft,pul
senotfeltont hefoot.Whichvessel
wasdamage
A.Popl iteal
B.Femor al
C.Ext er nali l
iac
83.Pthasmet astati
ccanceri ncont i
nenceandper inatalnumbness...whati sthemostappr opr
iate
i
nvest igat ion
Dexa
Mr i
Urinedi pst ick
Isotope
84.Pthasr ashont r
unk.Hxoft ravel5mont hsago
Chickenpox
Measl es
Shingl es
85.Apat i
ent6weekspostnat al,notfeedingbaby, thinksbabyhasevi leye.what '
sthediagnosi
s
postnat aldepr ession
postnat alpsychosi s
babybl ues
86.A6yr sol dchildwi t
henur esisfort hepast6mont hs,exam andinvestigati
onsar einnormal.
Whati st hemostappr opri
atemgt
Enur esi sal arm
Bladdert raining
Desmopr essi n
Fluidr est riction
87.A7mont holdpat i
entwi thabdomi nalpainandchestkneeposi ti
on.sausageshapedmass
palpat edi nt heabdomen.whati st hediagostictest
USS
ct
gastr ogr af fi
xrayabdomen
88.70yrol dwomanwi t
hl owerabd.pai nandl eftil
iacmass, hasfever ,
..
..
...
A)di ver ticul aabscess
B)tubo- ovar i
anabscess
C
D
89.Api ct ureofachi l
dwi thimpet i
go, tr
eatment
A)ant ibact erial
B)Ant i
fungal
90.Aquest ionaboutaki dar ranginghi scarsandcount s1-20andwoul dn’tleavehisroom without
count i
ng.
Opt ion
Lear ningdi sabi l
ity
OCD
91.Aquest iononsuddenl ossofvi sionwi thflameshapedhaemor r
hage
A.CRVO
B.CRAO
92.Aquest iononawomanscr eami ngatni ght ,sayingsomeonei sr eadingi nt
oherhouse
A.Par kinson
B.Del irium
91.Apat ientwi t
hi nt r
act abl ehiccup.
Mgt
A.Chl or promazi ne.
B.Met ocl opr ami de
C.Hyoci nebut ylbromi de
92.Amanwi thsei zur e3year sago, seendr ivi
ng.
Appr opr iatenextst ep
A.Repor ttoDVLA
B.Fi ndoutf rom cl inicifhehashadr ecentsei zures
C.Repor tt ot hepol ice
D.Repor ttosaf eguar dingaut horit
y.
E.
93.Anel der lymani nanur singhomef orpalli
ativecar e,i
nrespi
ratorydistress,withrattl
ingnoisy
breat hingwhatdoyougi ve
A)Ant i
muscar i
nic
B)Nebul izedNor malsal ine
C)Mi dazol
94.Quest ionaboutacol leaguei napr acti
cet hatpost edpersonalandconf identi
alcli
nical
i
nf ormat ionaboutapat i
entonl ine.
Whati st henextact i
ont ot ake.
A.Tel lhi m nott opostpat i
ent sinfoonl ine
B.Inf or m GMC
C.Inf or m hi sconsul tant.
D.I nfor m medi caluni on(orsomet hinglikethat )
95.Anel der lywomanonendofl if
ecar e,doesnotwantt obeuncomf ortable,sheisinrespir
atory
distress, respi ratoryr ateof30, whatdr ugswi l
lyougi ve
A)or aldi amor phine
B)ivmi dazol am
C)schyosi nebr omi de
96.Aptt hathadabor ti
on6daysago, nowpr esent swi t
hvaginalbleeding,therewasnoabdomi nal
painorswel li
ngwhat ’
st hecause
A)endomet r
iosis
B)uter ineper for ation
97.Apat ientwi thdi latedl owerabdomi nalvei ns...
A)ivcobst ruct i
on
98.Quest ionaboutacol leaguei napr acticethatpost edpersonalandconf i
dentialcli
nical
i
nformat i
onaboutachi ldundert heircar ewhi chi scausingsomecont r
oversiesonline.
Whati st henextact iont ot ake.
A.Tel lhi m nott opostpat ientsinfoonl inenextt i
me
B.Infor m GMC
C.Infor m hi sconsul t
ant .
D.Infor m medi caluni on( orsomet hingl i
ket hat)
99.apat i
ent6weekspostnat al,notfeedingbaby, thinksbabyhasevi leye.what '
sthedi agnosis
A)postnat aldepr essi on
B)post nat alpsychosi s
C)babybl ues
100.7mont hsol dpat ientwi thabdomi nalpai nandchestkneeposi tion.sausageshapedmass
palpatedi nt heabdomen.whati sthediagost i
ct est
A)USS
B)ct
C)gast rogr af fi
D)xrayabdomen
101.Aptwi thscr ot alswel li
ng, whichi swor sewhenptst ands, disappearsonl yingdown, and
scrotalswel lingi sont hel eft,what ’
st hedi agnosi s
A)var icocel e
B)epi didymoor chi tis
C)torsi on
102.Pat ientwi thAt riafibr i
ll
ation,onwar fari
n, developedi nt
racr anialbl
eed.Vi t
Khasbeengi ven.
Whatel swwi l
lyougi ve
A.PCC
BIvf luid
C.Freshf rozenpl asma
103.Pat ientwhohadhaemor rhagicst r
oke3daysago, sti
lli
nt hewar d,t
hendevel opDVT.
Howwi llyoumanage
A,hepqr in
Bwar farin
C.DOAC(t heyment ionedanamesha)
D.IVCf ilter
E,percut aneoust hrombol ectomy
104.A36yearol dl adywhowasdi agnosedwi thDM 6mont hsago.Whati nvestigati
ont ouseand
dif
ferent i
at et het ypeofDM.
A.Cpept ide
B.Ant iGADant ibodi es.
C.Glucoset ol erancet est.
D.Gr owt hhor mone
E?mono. .somet hing, Dm, can'tremember
105.A1yrchi ldwhohasbeenadmi t
tedsever all
yforcoughandwheeze.Temp36.7.Wt@ 3r d
centi
leandHtat75t hper cent il
e.
Diagnosi s
A.Ast hma
B.Cyst icf ibrosi s.
C.Bronchi tis.
D.Bronchi ol i
tis
E...
..
..
106.AmanhadRTAwi t
hf ract
ur eofthemi dfemor alshaft,pulsenotf eltonthefoot.Whichvessel
wasdamage
A.Popl i
teal
B.Femor al
C.Externali liac
107.A6yr sol dchi ldwi thenur esisforthepast6mont hs,
exam andi nvesti
gati
onsar ei
nnor mal.
Whati sthel ostappr opriatemgt
A.Enur esisal arm
B.Bladdert raining
C.Desmopr essi n
D.Fluidr estrict i
on
108.Awomanwhohadhemor rhagicdi seaseofthenewbor n,whati stheprobabili
tyofherunborn
chil
dhavi ngi t
A.0%
B.25%
C.50%
D.100%
E.75%
109.Awomanwhohasevacuat i
onat8wksGA, devel opedabdpai nandvagi nalbl
eedingafter6
days.
Diagnosi s
A.Uterineper foration
B.Endomet ri
t i
s
C.Ovar i
anr upt ure
D.Appendi citis
110.AmanhadRTAwi t
hf ract
ur eofthemi dfemor alshaft,pulsenotf eltonthefoot.Whichvessel
wasdamage
A.Popl i
teal
B.Femor al
C.Externali liac
111.Anel der lymanwi thr enalcar ci
noma.Hasoedemaupt ot hethighwi thlowerabdominaloedema.
Whati sthecauseofswel ling.
A.Obst ruct i
onofI VC
B....
.
C..
..
D...
.
E..
..
112.AchestX- r
ayofaptwi thdiffi
cultyinbreathing, r
ecentlyreturnedf r
om Gambi a,theX-r
ay
actuall
yshowedshar pstrai ghtheartbor der
A)mi tr
alst enosi s
B)Aor t
icr egur gitation
C)tri
cuspi dregur gitation
113.Apat i
entwi thf ever, coughandsput um product ion.
Hasal ef tlowerl ovecr ackl eandal l
ergictopenicill
in.
Treatment .
A.Amoxi cill
in
Bclarit
hr omyci n
C.Penicillin
D.Ciprofloxaci n
E.Doxycycl i
ne
114.Womanhassympt omsofpneumoni aandisal lergictopenicil
lin
1.Amoxi cil
li
n
2.clarithr omyci n
3.
115.Apat i
entt hathaddi arrheaandl aterdevelopedweaknessoft helowerlimb, upperl
imbno
weakness, whi cht esttodo
A)ner veconduct i
onst udies
B)br ainCT
C)evoker esponsesomet hing
116.Aptwi t
hfeat uresofAddi son’s, what’sthecommenestcausei ntheUk
A)aut oi mmune
B)infect ion
C)mal nut ri
t i
on
117.AchestX- r ayofaptwi thdiffi
cul t
yinbreat hingonmi ldexert
ion,recent
lyreturnedfr
om Gambi
a,
(t
heX- rayact uallyshowedshar pstraightlef
thear tborder.Thereisami ddiastol
icmur mur)
A)mi tralst enosi s
B)Aor t
icr egur gitati
on
C)tricuspi dregur gitat
ion
D)dilat edcar diomyopat hy
118.Apat i
entt hathaddi arrheaandl aterdevelopedweaknessoft helowerlimb, withnoupperl
imb
weakness, whati sthei nit
ialtest
A)ner veconduct i
onst udies
B)br ainCT
C)lumberpunct ure
119.Apat i
entt hathaspol ychr omasi a,spherocyt es,aneami a,andrai
sedbi l
ir
ubin,whattestt
odo
A)Di rectant igl
obul i
nt est
B)urgentHB
C)Abduss
120.Achi ldwi thpr uri
tusvesi cul ewhi chappearascr opsont hetrunk.
Whati st hemodeoft r
ansmi ssion.
A.Airdr opl et
B.Cont act
C.Bloodbor n
D.Hemat ogenous
121.Awomanwhohasanxi ety,palpitati
ons,breat hlessnessandf eel
ingofdying.
Shei sscar edofgoi ngout sideasshemaydevel opt hesympt oms.
Whati st hedi agnosi s
A.Agor aphobi a
B.Pani cat tack
C.GAD
D.OCD
E...
..

JUNE2020PLAB1RECALL( Cont'
d)
122.Apat i
entt hathasf eat
uresofmigrai
ne,headache,photophobiaandvomi t
ingi
nthe
pastonemont h,whichdr ugswil
lyougivetor educet
hefrequencyofattacks
A)sumat r
iptan
B)propanol
C)Topiramate
123.A2daysol dchil
dwhomot herhashearingimpair
ment .Sheisworri
edaboutherchi
ld
havi
ngahear i
ngpr oblem.Whati nvest
igati
ont odo.
A.Auditor
ybr ainstem test.
B.Di st ract iont est .
C.Speechdi scr imi nation
D.Pur et oneaudi omet ry.
E....
.
124.Amot herpr esent swi t
hhi ssonwhoi sasympt omaticforCMV.Shei saskingthel ong
term compl i
cat i
onofCMV.
A.Bl i
ndness
B.Deaf ness.
C.Lear ni ngdi sabi lit
ies
D.....
E...
.
125.Mal ignantmel anoma, whi chsi gnifi
esbadpr ognosis
A)dept hofi nvasi on
B)hor izont alinvasi on
126.AptonMul tivitami nsuppl ement s,Caishigh,Alphigh,PTHnor mal
Whati st hecause
A)Mul ti
pl emyel oma
B)Vi tami nDexcess
127.Apat ientwi thintract ablehi ccupofunknownor i
gin
Mgt
A.Chl or pr omazi ne.
B.Met ocl opr ami de
C.Hyoci nebut ylbr omi de
128.14yrol df emal ewi thsympt omsofmeni ngit
is.
whati stheli
kelycausativeorganism
A)nei sser iameni ngi t
idis
B)strept occocipneumoni a
129.Apat ientt hathadmast ectomyf orbr eastCA,andlaterdevelopsseverebonepai n,
whati st hemostappr opr iatetreatment
A)Radi ot her apy
B)Al endr onat e
C)IVnor malsal ine
D)cal ci um suppl ement s
130.pat ientwi thdyspl asi aofl ower1/ 3rdoftheoesophagus. presenti
ngwi thprogressive
dysphagi a.bestf eedi ngopt ion
stent
gastrot omyNGt ube
131.70yrol dpat i
entwi thwei ghtl ossandsmoki nghx.Bestdefinit
ivediagnosis
videof lour oscopy
UpperGIendoscopy
barium enema
132.AmanpostRTA, devel opedsomememor yproblem,havedi f
fi
cult
ydoi ngsomet ask
l
ikedr awi ngacl ock, doi ngar ithmet i
cet c.
Whi chl obei saf fected.
A.Fr ont al.
B.Par ietal
C.Tempor al.
D.Occi pi tal
E.Subcor tical
133.Achr onicsmokerwi th, obese, et c,hasdyspl asticchangesi nhisvocalcor d.Best
advice
A,stopsmoki ng
B,refert oal coholgr oup
C,losewei ght
134.Youngmandi agnosedwi thschi zophr eni a,startedant i
psychoticsomemont hsago
present swi t
hsi deef fectofant ipsychot icwher ehepacesr oundt hehouse
A.Chor ea
B.Dyst oni a
C.Tar dat ivedyski nesi a
D.Akat hisia
E.Hemi ballimus
135.Amanwhosuddenl ycol lapsedwhi lejoggi ng,hasahi stor
yofepi sodichypert
ension,
palpitation, mostappr opr i
at ei nvest igat ion
A)24hourur inecat hecol ami nes
B)24hrur inecor tisol
C)ur i
ne5HTT
D)dexasuppr essi ont est
E)aldost erone/ Reni nr ati
o
136.Acaseofaddi sonsdx, hyper kal emi a,browni shcol orationofskin, andsalt
craving, whatt estt odo
A)dexamet hasonesuppr essi ont est
B)shor tsynact ent est
137.Awomanwhoi nsi stst hatshehasHI VNddespi teal ltestsbeingnegat i
ve,maintai
ns
thatshei sHI Vposi t
ive
AptwhosayshehasHI Vandi nsi stsoni t,
al ltestnor mal
A)hypochondr i
asi s
B)somat izat i
on
138.Aptt hati seat i
ngexcessi vely, addi ngwei ght,l
owmoodandsui cidalthought,what’
s
thedi agnosi s
A)psychot icdepr essi on
B)schi zoaf fectivedi sor der
Therewasnoat ypi caldepr essi oni nt heopt ions
139.Apat i
entwi thDysphagi at osol idf ood, mostappr opr iateinvesti
gat i
ontodo
A)UpperGIEndoscopy
B)bar ium swal low
140.COPDptonSABAandi nhal edcor t
icoster oids,sti
llnoti mpr ovi
ng,whatdr ugstoadd
A)LABA
B)LTRB
C)incr easecor ticost eroids( 200mcg)
141.Apat i
entwi thst atusepi l
ept icuswhoi sonphenyt oin.Hewei ghs80kg.Maxi mum
doseofphenyt oini s50mg/ mi n.Hei st orecei ve20mg/ kg.Whati smaxi mum ti
mef or
phenyt oi nt obeadmi nistered.
A.25mi ns.
B.30mi ns
C.12mi ns
D.32mi ns
E.50mi ns
142.Awomanwhoi sr ehsusnegat ivegavebi r
tht oar hesusposi t
ivechi ld.
Shehasnotr eceivedanyant iDI gpr ophyl axis.Whati st hemaxi mum t imef orant iDIg
prophyl axist obegi ven.
A.12hour saf t
erdel ivery.
B.24hr s
C.72hr s.
D.36hr s.
E.1hr ?
143.Awomanpr esent swi t
hmal aise, nauseaandvomi ting.Hasj aundi ce,f
everandr i
ght
sidedabdomi nalpai n.Nohi storyofr ecentt ravel HAVI gGposi tiveandHBCant ibody
negat ive.Whati st henextappr opriatei nvest i
gat iontoest ablishdi agnosi s.
A.HBVI gG.
B.HAVI gM
C.HCVI gG
D..
E.HBVsur faceant i
gen
144.Apat i
entwi t
hl eftil
iacFossa, ver ysever e,wi t
hf everof38degr eesandpti sunwel l
,
whati st hedi agnosi s
A)Diver ticul arabscess
B)sigmoi dCA
145.Apat i
entwhopr esent edt othehospi talclaimi nghehasHI V.Thet estwasconduct ed
andi twasnegat ive.Hewast oldt her esul tanddi schar gehome.Hepr esentedagai n
compl ainingofhavi ngHI V.Hehashadoneepi sodeofunpr otectedsexuali nter
cour se
befor ehi s1stdi sease.Whati sthedi agnosi s.
A.Somat i
zat ion
B.Hypochondr iasis.
C.Mal inger ing
D.Conver siondi sorder .
E.Munchausensyndr ome
146.Apat i
entwhohasbr eastpai nandt ender nessdur inghi sper i
odandshor tl
ybef or
ehi s
periodst arts.Shei sonCOCP.Mostappr opriatemanagement .
A.Pr imr ose
B.Par acet amol
C....
D...
E...
.
147.A14yearol dwi thfever, headache, phot ophobi aandgener ali
zednonbl anchingskin
rash.Whati st hedi agnosi s
A.St aphaur eus
B.H.I nf luenza.
C.St reppneumoni a
D.N.Meni ngi ti
s
E.Kl ebsi ella?
148.A70yearol dmanwi thwei ghtlossanddysphagi a.Heal sohasa40packyear
smoki nghi story.Whati sthedef initi
vedi agnosi s.
A.Videof l
uor oscopy
B.Bronchoscopy.
C.UpperGIendoscopy
D.Bar i
um meal /swal l
ow.
149.Amanwhohashoar senessofvoi ceandsmoki nghistor yandal coholhost ory.
Heisobesed.Exami nat ionoft hevocal cor ds,i
twasswol l
enwi t
hepi t
helialdysplasia.
Mostappr opr iat
emgmt
A.Stopsmoki ng.
B.Refert oal coholgr oup
C.Advi cet oloosewei ght .
D.Chemot herapy
E.Radi otherapy
150.Apat ientwhowasonant idepr essantandt ookanover dose.Pr esent edwi thdil
ated
pupil
s, drymout h....
Whati st hedr ugi nvol ved.
A.Sert r
aline
B.Ami tri
pt yl
ine
C.Aspi ri
n
D.Par acetamol .
151.Apat ientwhodel i
ver ed6weeksagopr esenti
ngwi t
hbr eastpai n,tenderness, f
ever
andamass.Whi chor gani smsi smost l
yi mpl i
cated.
A.Stapaur eus.
B.Streppyogene.
C.Streppneumoni a
D.Pseudomonas
152.Achi ldwhopr esent edwi thabdomi nal painanddr awi ngofhi skneest owardshi s
chest.Onexami nat ionhehasasausageshapedmassont her ightsi deoft heabdomen.
Whati st hemostappr opr iateinvest igat
ion.
A.USS
B.ABdxr ay
C.Barium enema.
D.Ctabdomen
153.AmanwhohasBecker '
smuscul ardyst rophywhi chi sxl inedr ecessi ve.Howwi l
lit
aff
ecthi schi ldren.
A.Allgi r
lswi llbeaf fect edandal lboyswi llbecar r
iers.
B.Allgirlswi llbecar r
iersandal lboyswi llbeunaf fected.
C.Allgirlswi llbecar r
iersand50%oft heboyswi l
lbeunaf f
ect ed.
D.Alltheboyswi l
lbeunaf f
ectedand50%oft hegirlswi l
lbecar r
iers.
E.50%ofboyswi l
lbeaf fectedand50%ofgi r
lswillbecar ri
er s
154.Apat ientwhopr esent edwi thsuddenonsetofpai nfulreduct i
oni nvision,nauseaand
vomiting.Cor neawashazy.Fl our escintestwasnegat ive
Possibledi agnosi s
A.Anyuvei t
is
B.Acut egl aucoma.
C.Cor nealul ceration.
D.Episcler it
is/scl erit
is.
E.Conj uctiviti
s
155.Apat ientwi t
hsuddenonsentofpai nlessvi sualloss.
Fundoscopyshowedf l
ameshapedhemor rhages.Hei shypertensi
ve.BPwas170/ 100.
Possi bledi agnosi s
A.CRAO
B.CRVO.
C.retinaldet achment
D.Vitr eoushemor rhage.
E...
.
156.Apat ientwi t
hheadache.Shehadahi st or
yofbr aincancerandwast r
eated.Brainct
showedenhancedl esionswi thsurroundi ngedema.Mostappr opri
atemanagementof
sympt oms.
A.Manni t
ol .
B.Dexamet hasone.
C.Radi other apy
D.Chemot her apy.
E...
..
157.Apat ientwi t
hchestpai nwhichi swor selyingflatandr eli
evedonl ear
ningforward.
Whati sexpect edonECG.
A.Pr olongedQTi nt erval .
B.Saddl eshapedSTel evat i
on
C.Wi deSTdepr essi on
D...
E...
.
158.Apat ientwi t
hpol yur i
aandpol ydipsia.Sodi um washi gh.K+normalansgl ucosewas
5.5.Mostappr opr iateinvest igat
ion.
A.Shor tsynat hent est.
B.Growt hhor mone
C.OGTT
D.Wat erdepr ivation
E.Glucagont est.
159.A4weeksol dchi ldwi thcoughandwheezi ng, hadf everwithdecreasedSPO2, whatis
thedi agnosi s
A)Ast hma
B)brochi olitis
C)pneumoni a
160.A22yearol dmanwi thepilepti
csei zur ewhoi sonsodi um valpr
oate.Whatadvi cewil
l
giveher .
A.DoRFTever y6mont hs.
B.DoECGever ymont h.
C.
D.advi ceoncont racept i
veuse.
E...
.
161.Anel der l
ypat ientwhohasj aundice, noabdomi nalpai n.Weightl
oss.Possible
diagnosi s.
A.Chol angi ocar cinoma
B.Cancerofheadofpancr eas.
C.Chol angi ti
s
D.Bi l
iaryat resia.
E...
.
162.Apat i
entwi thpassageofbul kyst ool whichi sdiffi
culttof lush.
Alsohasj aundi ce.
Mostappr opriatei nvest igat i
on
A.Ser um chymot rypsin.
B.Ser um el ast ase.
C.USS.
D.Ser um cal pr oct ein
E.CTabdomen
163.An18yearol dboywhot ook40t absofi bupr ofen.
Heal sol eftasui cidenot est ati
nghedoesn' twantt obet reatedandwi shest odie.Shewas
subsequent lyt reat edint hehospi tal.Sheandnowwel landf itfordischarge.
Whati smostappr opr i
at est ep.
A.Di schar gehome
B.Gi veanout pxtf ollowupt opsychi atr
y.
C.Ref ert oherGP.
D.Ref ert opsychi at ryliaison
E...
.
164.Anal cohol icwhowant st ostopdr inking.Whi chmedi cationcanbegi ventohi mto
reducehi ssympt omsgr adual l
y.
A.Di sulfi
ram
B.Chl ordiazepoxi de.
C.Lor azepam.
D...
E...
165.Apat i
entwhocompl ainsofabdomi nalpainanddoesn' twantt ogot oschool .His
mot heri sbei ngmanagedf ordepr ession.
Whati st hemostappr opr iateact i
on.
A.DoabdUSS.
B.DoCTscan.
C.Admi tandt reat .
D.Col lectcol lateralinf ormat ionfrom friendsandt eacher s
E...
.
166.Anal cohol ichavi ngvi sualhal l
ucinat i
ons, agitati
on,sever et remors,mostappr opri
ate
drugt ogi ve
A)lorazepam
B)hal oper i
dol
C)
167.Apthavi ngdel usionofgui lt
,notsl eepingpr operly,suicidalintent
, what’
sthe
diagnosi s
A)depr essionwi thpsychosi s
B)del usionaldi sor der
C.Schi zophr eni a
D.Schi zoaf fect i
vedi sorder .
E.Mani a
F.Bipol ardisor der
168.Aptwi thvesicul arr ashesont het runkandf ace,hadf everforsomedays, laterrashes
hadpur ulentdi schar gewi ther ythemat ousedges, whatwi l
lyougi ve
A)Ant ifungal
B)Ant ibact erial
C)not reat ment
D)Ant iviral
E)st er
oi d
(Caseofi nf ectedchi ckenpox)
169.Aptwi thmassi veupperGIbl eed, hadaBPof70/ 50,hasbeenonNSAI DSf or
Rheumat oi dAr thri
tis,pti snothyper tensiveordi abet i
c,whati sthemostappr opr iatenext
step
A)Endoscopi cbandl igation
B)Sengsst akenBl akemor et ube
C)IVf l
uids
D)Ter li
pr esi n
E)
170.Ptwi thpol uyuria, polydi psiaandot hersympt omssodi um washi gh, pot
assi um
normal ,gl ucose5. 5, ureanor mal
Mostappr opr i
ateinvest i
gat i
on
Wat erdepr ivati
on
Shor tsynat hen
Glucagonsomet hi
ng
171.Apat ientonsodi um val proate, whatpr ecaut ionsshoul dbet aken
A)ptshoul dbeonbar riercont racept ive
B)
C)
D)doOGTT
A172.pat ientonsodi um val pr oate, whatadvi ceshoul dbegi vent ot hepatient?
A)ptshoul dbeonbar riercont racept ive
B)Tousear eli
ablecont racept ivemet hod
C)
173.Apt2weekspostMIhassever echestpai n,diffi
cult
ybr eathing,whatwi llbeseenon
ECG
A)Saddl eshapeSTel evation
B)wi deSTdepr ession
174.Amanwhot r
avel ledt oGambi a5mont hsago, presentswi t
hvesi cularrash, feverand
deli
rium, what ’sthedi agnosi s
A)Chi ckenpox
B)Pemphi goi d
C)Measl es
175.Quest ionofan80kgmanneedi ngPhenyt oint hatsis20ml /kgandyouhavet ogive
50ml /mi nut e,howmanywi llyougi veinami n?
1.100
2.200
332
4.160
176.Apat ientwhohaspai nonl oseofsensat ionont heshoul derandupperar mf oll
owing
disl
ocat ionoft hegl enohumer aljoint.Whichner vei sinvol
ved.
A.Axi llary
B.Longt hor acicner ve
C.Radi alner ve
D.Medi anner ve
E.Ulnarner ve
177.Apat i
entwhohaswr istf racture.Diagnosedwi thCole'
sfract
ure.Dexascanshowed-
2.3.Whati smostappr opriatemanagement .
A.Bisphosphonat e.
B.VitDandcal cium suppl ement s.
C.Di schar geandcheckdexai n3year s
D....
E...
..
178.Apat i
entwhohasmet astat i
cpr ostateCa.Pr esentswithbackpai n.Wasgi ven
mor phi ne.Whati st henextappr opriatemanagementt ohelpwithhersympt oms
A.Bisphosphonat e
B.Cal cui m
C.Chemot her apy
D.Radi ot her apy
E...
..
179.A28yearol dpr egnantf emal ewhopr esentedat12weeksGAwi t
hnauseaand
vomi ting.Al sohasvagi nal bleeding
Onexami nat ionGAwas16weekssi ze.USSwasnor malandOswascl osed.
Possi bledi agnosi s.
A.Ect opi cpr egnancy
B.Thr eatenedmi scar ri
age
C.Mol arpr egnancy
D.Twi ngest at i
on
E.Wr ongdat e?
180.Achi l
dwhohadchi ckenpox.Mot herisaskingwhenshecanr et
ur ntoschool.
A.Whenf eversubsi des
B.Isol atet hechi l
df rom ot herf ami l
ymember s
C.Whenr ashhascr ust ed
D.
E....
..
181.Apxtt odoanel ecti
veher niorrapphy.HasHBA1c68, BP170/90mmhg, MI6weeks
ago.
Pulmonar yembol ism 2yr sago
Whati st heabsol ut econt r
ai ndicationf orsurgery.
A.Uncont r
ol ledbl oodsugar .
B.Uncont rol ledBP.
C.RecenthxofMI .
D...
pr evioushxofP. E
E...
182.Amanwhor ecent l
yret urnedf rom cent r
alAmer i
cawher ehewor kedi nafarm.
Devel opedni ghtsweatandf ever .Hasenl argedspl een.
Diagnosi s
A.Tb
B.Lymphoma
C.Br ucel losis
D.CML.
E...
183.Apat i
enwi thanAdvanceddi rectiveofDNR.Hedoesn' twantt obemanagedi nthe
hospi tal.
Hest ar teddet eri
or atinganddaught erwant shimt obemanagedi nt hehospi tal.
Mostappr opr i
ateact ion.
A.Tel lhert hatDNRcanber evoked.
B.Tel lhert ogetacour tor der? ?
C.Expl ai nwhatDNRmeanst oher .
D.Respectt hedaught er'swi shes.
184.AptonAnt i
depr essant sdevel opser ecti
ledysf unct ion,what ’sthecause
A)ser traline
B)TCA
185.Aptonant i
depr essant sdevel opsdi l
atedpupi l,drymout h, whichant idepressantsis
thepton
A)ser traline
B)TCA
186.Aptt hatdel iveredr ecent l
y, nowdevel opsapai nf ulbr eastwi t
hpus, whichor ganism
woul dhavecausedi t
A)st aphaur eus
B)st reptpyogenes
C)st reptpneumoni a
187.Aptt hati sdiabet iconmet for mi nHbA1Ci s58t hecutof fgivenwas<53, eGFRwas
normal ,whatwi l
lyoudo
A)addsul phonyl ur ea
B)advi seonl i
fest ylemodi f i
cation
C)addGl ipt i
ns
188.Amot herwhocomest oaskaboutherdaught er'sconsul tat
ionint hehospi tal
.
Hospi talr ecor dsshowshewaspr escr i
bedcont racept i
ves.
A.Tel lm9t heraboutpat ientpr i
vacy.
B.Tel ldaught erthatmot hercamet oaskabouthervi sit
.
C.Tel lmum anddaught ert ocomebackf oraj ointsessi on.
D.Tel lmot herwhatdaught ercamef or
189.AmanhadBecker smuscul ardyst rophy, hadtwoboysandt wogi rls,chancesof
transmi tt
ingt hedi seasest ot hechi ldren
A)t heboyshave50%chanceofhavi ngt hedi sease, whi l
et hegi rl
swi l
lbecar r i
ers.
B)t hegi r
lshave50%chanceofhavi ngt hedisease, whi l
et heboyswi l
lbecar riers.
190.Awomandevel opeddevel opeduni l
ateral l
ossofvi si on,painful,withhazycor nea,
what ’st hedi agnosi s
A)gl aucoma
B)Ant rioruvei tis
C)cat ar act
191.El der lyl adywi th18mont hhxoff requencyandur gency.What ’
st henextappr opri
ate
management ?
-Abx
-refert
ourology
-observedbladdertr
aini
ng
-oxybuti
n
192.Apat i
enthadpainontheshoul
derandupperar
m,can’
tli
ftshoul
derupwar
ds,
whi
ch
nerveisdamaged
A)Acessoryner ve
B)Radialnerve

poi
nter
s
POINTERS( quest i
onst hatappeari ncompl et e)
NB: someoft hem mayhavebeenmadeupi nt heQUESTI ONSabove
#A2dayol dki dthatcoul dn’thear
Whati nvest i
gat i
on
#Aquest iononAnnuali ncidencepermi l
li
onoft hepopul ati
on
#Aquest iononst agingofmel anoma.Theyaskedwhatwoul ddeterminehowmal ignant
#Adement iaquest ionwi t
hhal lucinati
ons
#Alzheimer ’
smar ker
APOEbl abl abla
#Aquest iononbl eedingi na22yearol daf teranabor ti
on.
Cause? ?
#Quest ionon
Doseandr outeofadr enal i
ne
#Investigationofbr onchi ectasis
#Somet hingonat r
ansgenderki dthati sonest rogenandhavi ngsympt oms.Whati sthe
cause
#Aquest ionont r
eat mentofact i
venasal bleedi ng.
#ECGdescr ipti
onofSVTaski ngf oriniti
al t
reat ment .
.
#Breast feedingmot herwi t
hski npr oblems
#Suddenl ossofvi sionwi thf l
amedshapehaemor rhage
#Aquest iononbl eedingbyapat ientwhoi spr eparingforanel ect
ivesurgerywhoi son
warfarin..
whatdoyoudo?
#Quest ioni stestingdpr incipleofSur geryandWar far
in(anti
coagulantbri
dging)
#Ther e’
sanendocr i
nequest iononal adycr avingf orsaltwithbrownishdiscolourationof
herlipsandski n
#Genet icsaquest iononi nher i
tancef orCyst icfibrosisandonef orDuchennesMD
#Oneaski ngf orchancesofpassi ngHemol yt i
cdi seaseoft henewbor n
#Ther ewasader mapi cwi t
hachi ldthathadascal ylesionaroundthenasol abi
alar ea
Lookedl i
keast aphi nfectiont ome
Therewasbul l
ousi mpet i
goandoneot hernameIdon’ tr emember
#2DVLAquest i
ons
Onewi thanel derlyper son( Ithinkwi thdement i
aandanot herwi thayoungguyaf t
eran
accidentt hathadbeenwar nedt ost opdr iving
#Aquest iononi nvest i
gat i
ont odi ffer entiatewhatt ypeofdi abet es
#DVTquest iont hathadt highswel lingabout4cm, pati
entwi thpr eviousPE( notsure)
USShadbeendone
#Init
ialDKAmgti nayoungDM t ype1px
#Diagnost i
ct estinamanwi t
hpr oteinur iaandedemaupt othet high
#Ptonwar farinpr esent swi t
hbl eedi ngt hathasnotst oppedaf t
ersof tti
ssuepinch.It
’s
l
asted30mi n.What ’
st henexti ni ti
al step
Nasalt amponade
VITK
#Ptcomesi nwi thhersonwhoi sconcer nedshecan’ tmanagef inances.Mot herhas
dement i
a.Ther eisat r
ansf eroff undst oanunknownaccount .Nextappst ep
Poli
ce
Safeguar ding
Psychi atr
istt oassescapaci ty
..
.
#Ther ewasonaboutt heconcent rationandr outeofadr enaline
#Ptwi ther ectioedysf unct i
onaf terst ar t
ingant idepr essant s
Setrali
ne
..
..
#PthasaDNARi npl ace.Daught erwant st ooverr ul
e
Agreewi t
hdaught er
ReviewDNAR
Explaint othedaught erDNARpr ocedur e
..
.
#Ther ewasonecont raindicationsofdoi nganel ect i
vesur gerywi t
hMI6weeksago
#Achi ldwi tht esticularpai naf terpl ayi ngar ugbywhatt odo
Option-i mmedi at esur gicalrefer ral
#19yr sol dboypr esent edwi tht est icularpai nof3hourandhadsi mi l
arpaininthepast.He
i
ssexual l
yact i
ve.Whati smostappr opriat eact i
on
#Longt erm compl i
cationofCMV
bli
ndness
deafness
#Brucel l
osisquest i
ont het ypical oneonpl ababl e-cl assical
#Yeaht hatguyt hatwentt ofarmi nCent ral Amer i
ca
#Womanwi thdi arrhoeapr i
ort oonsetofbi lateral ascendi nglimbweakness
Sameopt i
onsasabove
#Theast hmamgtquest ionaski ngf or3r dst agehadLABAandLTRA
#Ther ewer e2GIbl eedi ngQs
Oneaskedf ori mmedi atemgtandhadI VPr otonpumpi nhibi
tor
#Ist histhepat ientthathadanemi at hatpar toft heopt ionwast ogi vebloodanddef er
surgery
#Ther e’sonewi thessent ialtremoraspar toft heopt i
ont hat’
swher etheoption
hemi balli
muscomesi n
#Bestcont r
acept i
onf orwomanwhowant sLongcont r
acept i
onbutr eversi
blemuchl ater
.
Whichonedoyougi ve?
#2OCDQs
Onewi tht heboyt hatar rangest oycar sandt heonet hatswi t
chesof ftheli
ghts
#Ther ewasaquest iononposi tiveLupusAnt icoagulantwi t
hnegativeANA, canabipANA
#Ithinkt herewasabr onchi ol
yticonewi ththebabywi thblueli
psbutIdon’ tremember
Therewasonewi thbreastf eedingandr edness.Whati sthecausativeagent
#Abegt hatphar macol ogyquest ionwithallthosephyl linephlli
nedem
AhhhIr ememberbutGodknowsidon’ tremembert heval ues
#Qaboutwar f
ari
nandI NRl esst han2orso
#Therewasaquest i
ononamanwi t
hcentral chestpaint hatisworsewhenhel i
esdown
andrelievedwhenhesi tsup
#Aptwi thSVT, mostappr opr i
atet r
eatmenttogi ve,
ptisdi abeti
candhyper t
ensive
A)giveI Vadenosi ne
B)verapami l
#Aptbl eedi ngf r
om thenosebi l
ateral
lypressur ehasbeenappl iedbutpti ssti
llbl
eeding
whatwi llyoudo
A)Nasalt amponade
B)sil
vercaut ery
C)
#Casescenar i
osinPsychi atry
Hypochondr iasis
Fict
it
iousDi sor der
#PTSD
#OCDi nachi l
d
#Psychot icDepr ession
#Tscor e- 2.
3whatdoyougi ve(landerIateorcasuppl ements)

#maxi mum ti
mei nwhichphenytoinshoul
dbeadmi ni
ster
edinst
atusepi
lept
icus
#Themol arpregnancyisthesameonei nPlababl
e
Per sonwas12weekspr egnantbutSFHwas16was
#An82yearol dwi t
hfract
uredwristhadaT-scoreof-2.3whatt
ogive
Alendronat
e
Vi
t aminDandcal ci
um supplement

#40t absi bupr of

en, boughtt ohospi t
al,sui
cidenotefound.,pati
entmedicall
yfi
tnow,r
efer
topsyl iason
#Thechi ldthatkeepsar r
angi ngtoys,therewasnoAut ism spectrum di
sorderi
nthe
opti
ons, whatwast herewasOCD
#Fever ,leftlowerabdomi nalmass. .divert
icul
arabscess?
Itwasacut e, thesympt omsoccur r
edf or3days
#Ptonemol lientshasexacer bat
edeczemanextst epsteroi
ds
#65yl adywi thincontinence
Appr opriateimmedi atet r
eatment
Bladdert ariningoroxybut in
#Mi grainewhatshoul dbegi vetoreducef requencypropr
anol ol
?Aswomenofchi l
d
bearingaget opiramat eshoul dbeavoi ded?
#Ther ewast hi
squest i
onaboutcalculatingthedoseoftheophyll
ine.Pat
ienton125mgand
needs25%i ncrease.
#Ther ewasanot heranotherdrugcalculati
on,thedoseperminute
#Aptwi t
hfeaturesofheartfail
ureandonf r
usemide,bi
soprolol
,clopi
dogrel
,whatdr
ugst
o
add
A)lisinipri
l
#Epi sodesofacut epancr
eati
tiswit
hst eatorr
hoeaandjaundice
Investigati
on? ?
#congeni t
alCMVear l
ysympt oms

#casewit
hnystagmus(i nvest
igat
ionofchoi
ce)
#Genet
icsbeckersyndr
ome

#Painfull ossofvi sion

#Painlessl ossofvi sion
#enhanci ngl esi ononCTheadwi thedemaar oundit,management ?
#acutechestpai ninyoungper sonwi t
htypical peri
cardit
ispresentat
ion,whatECGwoul d
youexpect
--
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-
1-picturewi thababy
2-Alzhei mergene
3-cont racept ivef orwomanwi t
hdistort
edut erusandDVT
4-genet icsCF
5-Genet i
csbeckersyndr ome
6-ur
inei ncont ancei n6yo
7-dement i
aDVLAaf t
eranacci dent
8-SVTmanagement
(Adenosi ne, ver aper mi l
,DCshock)
9-hiccupi nlivermat astasis
10-hiccupt hat ’si sdisturbi ngsl eep
11-CFchi l
dwi thr ecur r
enti nf ecti
ons
12-painf ullossofvi sion
13-painl essl ossofvi sion
14-Meni ngitis
15-infer i
orvenacavasyndr ome
16-enhanci ngl esiononCTheadwi t
hedemaar oundit,management ?
17-womanhadpr olongedj aundi cewhenwasbor nandwantt oknowpossi bil
it
ythather
kidwillhaveherhemol yticdi sease
18-her oinwi thdr awalsympt oms
19-acaseofAddi son( aut oimmunedi str
uction)
20-TIal ongr ear m management
21-acut echestpai ninyoungper sonwi t
htypi calperi
cardit
ispresentat
ion,
whatECGwoul d
youexpect
22maxi mum t i
mei nwhi chphenyt oi
nshoul dbeadmi nister
edinst at
usepilept
icus
23-epidemi ology:popoul t
ionwi th8292981911numberi n5year s,whatistheinci
dencein
1yearpermi l
lion
24-El der l
yl adywi th18mont hhxoff requencyandur gency.What’sthenextappropr
iat
e
management ?
-Abx
-refertour ol ogy
-obser vedbl addert raining
-oxybut in
25-cer vi
calscr eeni ngt estf or10,000women.1000wer eposit
ive,
etcetc.Oftheremaini
ng
9000, 10wer efoundt ohavepat hological changes.Whatt er
mr epr
esentsthe9000?
-Testnegat ive
-Truenegat ive
-Falsenegat i
ve
-Falseposi ti
ve
-Trueposi t
ive
26-theDAMNdr ugt hatwehavet ost opwhenper sonisil
l
27-congeni talCMVear lysympt oms
28-cycl i
calmast algia:par acet amol ?
29-babywi thGORD:Gavi scon?
30-psychot icdepr essi on
31-post partum psychosi s-babywi th‘evileyes’
32-del i
r i
um
33-Adr enal i
ndose
34-GBS
35-GBS
35-acasewi thnyst agmus(i nvest i
gat i
onofchoi ce)
35-acaseofpheochr omocyt ona
36-elder ymanwi thr ecur rentvi si
ttohospi talwithbruisesal
loverhisarm( NAI)
37-Br uicelosi s
38-chi ckenpoxwi thsuper imposedbact eri
al
39-mol arpregnancy
40-bleedi ngaf t
erabor tion(mostcommoncause)
41-DVT
42-pr eoponwar farin
43-Oesophageal cawi thlivermet s.Besti mmedi atemanagementofdysphagi a?
-Stent
-Radiot herapy
-Chemot her apy
44-bonepai n
45-axi l
laryner vei njury
46-Tscor e- 2.3whatdoyougi ve(landerIat eorcasuppl ements)
47Al soor tho. .derwasaquest ionabtapai nf ulkneewi dposti
veepleytest?Watwasdat
48-womanwi t
hmassi veGIbl eedwhati st hever yfir
stthi
ngtodo
49-nasalbl eed
50-elder ywast i
nghermoney?
51-DNRagr eedbyt hemot herandr efusedbyt hedought er
52-mum wantt obr eachconf identiali
ty( 15yeardol dkid)