1- A Young female diagnosed to have Hashimoto Thyroidytis already on

thyroid, now pregnant. What s the next step to do? Increase the

dose of thyroxin and follow up

2- 6ys old boy with ottits media, which antibiotic would you start

Amoxicillin

3- 10 years old boy with h/o recurrent attacks of ottits media. What to do?

Ref to ENT Clinic

4- 10ys old boy with parotid swelling, presented with intermittent

testicular pain, what to do next? NSAID .

5- 5-A boy with h/o upper respiratory tract infection presented with

purpura spots, PL 45000, what is the Diagnosis?

Idiopathic thrombocytopenic purpura

6-12 ys old boy h/o sore throat looking puffy BP 140/80, what would you

look in the urine? RBCS CAST

7- 10Ys old boy with peri orbital puffiness what test would you do? 24

hrs Urine Protein.

8-12YS old boy h/o VonWillibrand Disease develops profuse epistaxis,

what would you give? DDVAP

9-22ys old male photophobia, altered state of conscious level, neck rigidity

what test would you like to do? LP

10- Picture of skin eruption Mollscum Contagiousum

11- ECG of Atrial Fibrillation, how would you manage?

Warfferin

12- ECG Ventricular tachycardia due to old MI

13- ECG of Acute Anterior lateral wall MI, WITH H/O intracranial

bleeding, now what to do? Urgent PTCA.(percutaneos transluminal

coronary angioplasty)

14- Picture of SLE, What would be the lab findings? Increase Total protein

with low Low Albumin levels

15- Picture of Pelvis with fracture of femur, what would be the

management? Hemiartroplasty

16- Slide of Sickle cell Anemia

17- Picture of bones showing Rickets, what would be the lab findings?

Low or Normal Ca, Low or Normal phos, High Alkaline phosphatase levels
18-60ys old male increase bone pains, high alkaline phosphatase levels,

what is diagnosis? Paget Disease

19- What would be the eye findings in the Ankylosing Spondylitis?

Anterior uveitis

20- A 50YS old male h/o eruptions along the thoracic dermatomes, now

presented with itching in the eyes blurring of vision, what to do? Viral

conjunctivitis (HSV) Fluorescing Dye

21- Causes of recurrent abortions, most likely to look for?

Chromosomal abnormality

22- Features of strangulated hernia from obstructed hernia?

Distended abdomen.

23-A young male with sudden and severe testicular pain, testis swollen and

edematous, what to do? Urgent Surgical Referral

24- A Young male with RTA injured by steel rod penetrated from buttocks

to abdomen, tachycardiac.BP 90/60.What to do? Urgent Laprotomy

25- A male with 80% carotid artery stenosis, what to do? Carotid

Endarterectomy
26-A Young male presented with sudden onset of pale, cold, lower limb

with absent pulses, what is the likely cause? Arterial Embolism

27- 8ys old child h/o upper Respiratory tract infection, develops 2/5 systolic

murmur that disappears by lying down, what is this murmur? Innocent

murmur

28-CXR, of an elderly male with a lower lobe infiltrates, febrile,

tachycardiac BP 90/60 WHAT to do next? Hospital admission, ivf,

antibiotics

29- Elderly male sudden and severe epigastric pain after a meal, what is

likely Diagnosis? Mesenteric Ischemia

30-Elderly female with progressive Dementia, deterioration of functions,

what is diagnosis? ALZ Dementia

31-Elderly male sudden, severe generalized abdominal pain a pulsatile 5.5

cm abdominal mass, what to do? Urgent Surgical

32-Elderly male with left lower abdominal pain sudden, severe, frank P/R

bleeding, what is diagnosis? Ruptured Diverticulla

33-8ys old boy upper respiratory tract infection following labs

 HB 5.0gm, wbc 5000, plt 20,000.what is diagnosis? Aplastic Anemia

34-10ys old boy, looking pale and lethargic labs,HB 9.0gm, wbc 7000, mcv

72,plt115,000, RDWcurve 16 what is diagnosis? Iron Deficiency Anemia

35-A young African immigrant female HB 12gm, low MCV, WBC 9000,

otherwise asymptomatic, what is diagnosis? B-Thalasemmia Trait

36-55ys old female with intermittent vaginal bleeding, what to do?

Endometrial Biopsy

37-A young female multiple sex partners, suspicious of Gonorrhea from

which site culture swab should be taken? Cervix or End cervix

38- A female with cervical biopsy showing dysplastic changes, what is the

next step? Calposcopy, cone Biopsy.

39- 4 ys old female brought by her mother with c/o vaginal discharge, most

likely cause? Foreign body

40-A young male repeated being tested for HIV, tests are negative still

insisting for suffering from HIV, What is diagnosis? Hypochondriasis

41-A female encountered an RTA 2 months back in which casualties

occurred, still she recalls and weeps on the event, Diagnosis? Post

traumatic stress disorder

42- A female with h/o numbness in hand, during night radial three digits

wastig of thenar eminence what to do next? Nerve Conduction Studies

43-A 7Ys child cheerful and plays with his brother and sisters, but doesn’t

play with his school fellows or doesn’t talk what is diagnosis? Selective

Autism

44-A female post partum foul smelling vaginal discharge, what is the

causative uterine organism? GBS group b sterptococcus

45-A 12 Ys old male with h/o travel presented with non bloody Diarrhea,

on smelly and painful knees, most likely diagnosis?

46- Elderly male acute painful knee, warm, erythmatous, what to do?

Aspiration of the joint

47-A male 15ys Diabetes, with nocturnal Diarrhoea, postural dizzy what is

the cause? Diabetic autoimmune neuropathy

48- A case of Panhypopiturism and Erectile Dysfunction which hormone to

replace first? Cortical

49- Pleural Fluid Analysis (Protein 1.8gm, PH 7.43 glucose) likely

Diagnosis?

Hepatic Hydrothorax

50-A 39 wks pregnant comes with lower abdominal discomfort along with

pouring of water, what to do next? Admit and induce labor

51- Treatment of mild Endometrioses, OCPills

2-A lady in lab with hx of mitral stenosis develops severe breathing

difficulty cough with sputum production what to do?

Cesarean Section

53- A young female with amenorrhea, hirsutsim, and wt gain the findings

will be? Increased DHEA, Increased LH/FSH Ratio

54- A young female heavy menstrual bleeding, what to give? Oral

contraceptives
55- A male with burn over the chest and abdomen, 60kg wt what is 24hr

fluid requirement? 4.3litres

56- A young male h/o RTA, increased jvp, muffled heart sounds; good air

sounds B/L What to do? Echocardiogram

57-8Ys old male conjunctivitis, rash, fissuring of the tongue, recovering

what test should be done? ECHO

58-A female recurrent genital herpes, last eruption previous year, now

pregnant what to do in future? C-S

59-A 15 month baby brought by mother, loose motions no foul smell, no wt

loss, no family h/o any disease what is Diagnosis? Toddler s Diarrhea

60- A male with h/o recurrent UTIs with 5into 5 cm stag horn stone in Lt

Kidney, what to do? Surgery

61-A child with mild intermittent asthma, already on short acting b-

Agonist, what to do? Short acting Steroid

62-A young female h/o amenorrhea, what to do next? B-HCG

63- Commonest cause of diarrhea in infants? Rotavirus

=[Diagnosis? Carcinoma of Pancreas

69- A female with lump in upper outer quadrant of the breast, Initial

biopsy shows micro calcifications, no auxiliary lymph nodes, how to reach

definitive diagnosis? U/S Guided FNA OR Excision Biop58sy

70- A Young boy RTA severe head injury, Non responsive, Eye opening

max painful stimulus, Extensor response, what is GCS? 5

71- Double Bubble appearance in abdominal X-ray Diagnosis?

Duodenal Atresia

72- A Young male with jaundice, abnormal movements what will you find

in Labs? Low Ceruloplasmin Levels

73-Stomach tumor involving the Ovaries? Krukenberg Tumor

74-A 55Ys old male, mild urinary obstructive symptoms presents with PSA

8.9, P/R Prostate firm, no mass, what to do? Fenisteride, follow the PSA,

CHECK plz

75-A 55ys old female with h/o of dribbling of the urine, when she coughs or

sneezes, what is Diagnosis? Stress Incontinence

76-A young boy with h/o RTA, bleeding from the multiple sites, prolonged

PT,APTT,low Plts counts, what would you Transfuse? Cryoprecipitate