April #2017 Dr HAFEEZ YAQOOB

Post transplant leukopenia is caused by which of the following drugs ?

A. Methotrexate

B. Azathioprin

C. Steroid

D. Cyclophosphamide

E. Valganciclovire

ANS KEY# B

A young lady in 2nd trimester of pregnancy presented with polyurea , polydepsia , fasting blood sugar
116 , the most appropriate test for diagnosis is ?

A.Fasting blood glucose

B. Random blood glucose

C. Glucose tolerance test

ANS KEY#C

A Preg Pt with HBsAg +, HBeAg +, what will you do next?

a) Both active n passive immunisation to newborn

b) Termination of preg

c )Interferon

d) Active immunization to mother

e) Passive immunization to mother

ANS KEY# A

A pt who is Known case of gout was prescribed ACE INHIBITORS and ccb few months ago...patient
developed acute gouty arthritis soon after a binge of alcohol at a party.. cause of this attack was ?

A. ACE INHIBITORS

B. CCB

C. Alcohol

ANS KEY# C

A Ship yard worker presented e Shortness of breath, dry cough, lower lobe basal crepts what is most
likely Dx ?

A. ABPA
B. ASBESTOSIS

C. COPD

D. Asthma

ANS KEY # B

A 59 year old male came with Hb 18.0 g/dl on three occasions. Which investigation shd be done to
differeniate primary with secondary Polycythemia.?

A) Hematocrit

B) Total leucocyte count

C) Red cell mass

Dr HAFEEZ YAQOOB
D) Reticulocyte count

E) Erythropoietin levels

ANS KEY # E

A 70 yrs Old female with incindental finding of hpyercalcemia. she is Asymptomatic. What is most likely
Cause?

A. Multipe myeloma

B. Parathyroid adenoma

C. Hyperthyroidism

ANS KEY# B

A pt is suspected to have Pulmonary hypertension , which one of the following is the single most
important test to confirm the diagnosis?

A. Echo

B. High resolution CT throax

C. Cardiac catheterization

D. Pulmonary angiography

E. Ventilation perfusion scanning

ANS KEY # C

Liver abscess, when will U/S features disappear?

A. 1 month

B. 2 month

C. 6 month
ANS KEY# C

An RA patient on steriod,develops suddens diffuse pain in abdomen and vommiting along with shoulder
tip pain,test to perform.

A.USG

B.USG KUB

C.ENDOSCOPY

D.CXR. Dr HAFEEZ YAQOOB

ANS KEY# D

Best treatment of malaria in psoriasis

A. Mefloquine

B. Artimether

C. Chloroquine

ANS KEY#B

Pt in icu dec urinary output.dry mouth .urine plasma cr ratio >45 cause

A.pre renal azotemia

B renal azotemia

ANS KEY#A

Platelte releasevwhich factor

A serotonin

B plasminogen.

C Bradikinin

ANS KEY# A

April 2017 #

An epileptic pt on phenytoin treatment , but still presenting with fits what to do next ?

A. Increase the dosage of phenytoin

B. Add another drug

C. Do the drug phenytoin level

D. None of the above

ANS KEY #C
April 2017 #

An old man presented with dizziness and fear of fall what could be the most treatable cause in this Pt?

A. Sedative

B. Diuretics

C. Vertibrobasilar insufficiency

D. All of the above DrHafeezyaqoob@gmail

ANS KEY# B

April 2017 #

A lady after consuming some health benefit pills for purpose to stay young , now developed malaise ,
agitation , arthralgia , blurring of vision , dryness of skin and few more symptoms what was she taking ?

A. Vit A

B. Tocopherol

C. Calcium

D. Fluoride

ANS KEY # A

April 2017 #

A house officer gets prick from a Pt who is HBsAg +ve , anti HCV +ve but HIV -ve , he does his lab
screening and lab shows

HBsAg -ve , Anti HBS +v , Anti HBC -ve . What is the status of his liver serology ?

A. Active hepatitis

B. Previous Vaccination

C. Past HBV infection , now cleared

D. Active Hep C infection

ANS KEY # B

April 2017 # Gastro ( paper B )

Known case of Crohn's disease now presenting with hematuria and pain in his lumbar region , what
could be the cause of his pain and hematuria ?

A. Hypoglycemia

B. Hyperoxaluria

C. Hypo oxaluria
D. Hypochorhydia

ANS KEY # B

April 2017#

Pt presented to ER with deep coma and shallow breathing which of the following drugs he has taken ?

A. Paracetamol

B. Diazepam

C. Morphine
Dr HAFEEZ YAQOOB
D. NSAIDS

ANS KEY # C

April 2017#

An old age female was prescribed ciprofloxacin what are the adverse effects of Ciprofloxacin in this Pt?

A. Nausea and vomiting

B. Constipation

C. Tendon and cartilage reputure

D. Diarrhea

ANS KEY # C

April ,2017 #

A 45 yrs old pt who was given a drug for treatment of muccormycosis now he is having increased Cr .
What is the name of drug given ?

A. Gentamycin

B. Clindamycin

C. Amphoterocin

D. Tetracycline

ANS KEY # C

April 2017#

A nurse had needle prick injury from a Pt who is HBV positive what will you advise her ?

A. Vaccinate as soon as possible

B. Wash hands

C. Vaccination + Immunoglobulin
D. Do nothing
Dr HAFEEZ YAQOOB
ANS KEY # C

April 2017 #

A diabetic male taking insulin , having excessive day time sleep . He had an accident recently dou to
excessive day time sleep . What is the cause?

A. Narcolepsy

B. OSA

C. Hypoglycemia

D. Hyperglycemia

ANS KEY # A

A 49-year-old man is diagnosed with small cell lung cancer + progressive truncal ataxia + Normal
brain MRI what is most likely Dx?

A. Paraneoplastic syndromes

B. Addison's disease

C. Cushing's syndrome

D. Lambert Eaten syndrome

ANS KEY # A

A pt presented with cough , fever and cystic swelling in front of chest moving with breathing diagnosis
would be ?

A. Empyema Neccessitans

B. Pneumonia

C. Lung abscess

ANS KEY # A

April 17

A pt with decompensated liver disease presented with abdominal pain , fever and ascites best diagnostic
test would be ?

A. Alpha feto protein

B. Ascitic fluid examination

C. Ultrasound abdomen

D. CT SCAN abdomen
ANS KEY# B

A pt presented with chest pain ECG shows IWMI heart rate is 40/min Wht is best initial Rx ?

A. Inj Atropine

B. Inj adrenaline

C. Pace maker

Treatment of malaria in psoriasis ?

Dr HAFEEZ YAQOOB
A. Mefloquine

B. Artemetar

C. Chloroquine

ANS KEY # B.

Pt known case of Gout treated after having acute attack of Gout what prophylaxis is given to prevent
further attacks ?

A. Clochicine

B. Allopurinol

C. Prevent hyperurecimia

D. Low dose aspirin

ANS KEY# B

Pt diagnosed as a case of low grade dysplasia surveillance ENDOSCOPY will be done ?

A. Every 2/3 yrs

B. 3/6 months

C. 6/12 months

D. 1/2 yrs

ANS KEY # B

Pt on Dialysis now developed carpel tunnel syndrome what could be the cause?

A. Damage to ulnar nerve

B. Amylodosis

C. Damage caused to median nerve during dialysis

ANS KEY # B

Which of the following set of lab results indicate active hepatitis B infection ?
A. HBsAg - ve , HBsAb +ve , HBeAg -ve

B. HBsAg +ve , HBsAb -ve , HBeAg + ve

C. HBsAg -ve , HBsAb -ve , HBeAg -ve

D. All of the above

E. None of the above

ANS KEY # B

April 2017

A pregnant lady of 6 months of pregnancy presented with shortness of breath , tachycardia , tachypnea
with low grade fever pulmonary embolism is suspected which investigation should be done?

A. V/Q scan

B. Contrast CTPA

C. D Dimer

D. CBC
Dr HAFEEZ YAQOOB
ANS KEY # A

April 2017#

During CPR to maintain CNS flow what should be done?

A. Lie pt on hard board

B. Continued chest compression

C. Intubation

D. Start I/ V fluid

April 2017 ( Gastroenterology) paper B

A known case of Ulcerative colitis now presenting with jaundice , pruritis , LFTs deranged , ERCP was
done which shows strictures in intra and extra hepatic ducts . Which of the following is most likely Dx?

A. PSC

B. PBC

C. acute hepatitis

D. Acute PANCREATITIS

ANS KEY # A

In a Pt with suspected insulinoma , which one of the following is considered the best investigation ?
A. Oral glucose tolerance test

B. Insulin tolerance test

C. Early morning C peptide level

D. Glucagon stimulation test

E. Supervised fasting

ANS KEY# EE

A 71 yrs old female has hx of Type 2 diabetes presents with lathergy and polyuria . A diagnosis of
hyperosmolar hyperglycemic state is considered . Which one of the following findings would be least
consistent with this diagnosis ?

A. PH of 7.38

B. Ketone 1 + in urine

C. Sr Osmolality of 310 mosmol / kg

D. Sr Bicarb of 19 mmol / l
Dr HAFEEZ YAQOOB
E. Glucose of 45 mmol / l

ANS KEY # C

A 45 yrs old female presented with tender neck swelling . lab shows Low TSH , t4 188 n mol / l , ESR 65 ,
technetium thyroid scan shows decreased uptake globally , what is most likely Dx?

A. Sick thyroid syndrome

B. A cut bacterial thyroiditis

C. Hashimoto 's thyroiditis

D. Subacute thyroiditis

E. Toxic multinodular goitre

ANS KEY# D

A 56 yrs old known Diabetic and HTN Pt taking oral hypoglycemic medications , he complains that he has
put on 5 kg weight in the past 6 months . Which of his medications may be contributing to his weight
gain ?

A. Metformin

B. Losartan
C. Clopidogrel

D. Gliclazide

E. Simvastatin

ANS KEY # D

A Pt presented with lethargy he is having normal BP , blood tests reveal Na 140 mmol /l , K = 2.6 mmol/l
, Bicarb 33mmol/l ,

Which of the following conditions is most likely to be responsible ?

A. Cushing's syndrome

B. Conn's syndrome

C. 11-beta hydroxylase deficiency

D. Bartter's syndrome Dr HAFEEZ YAQOOB

E. Liddle's syndrome

ANS KEY# D

Which one of the following is least likely to cause a warm autoimmune haemolytic anemia ?

A. Mycoplasma infection

B. Methyldopa

C. CLL

D. lymphoma

E. SLE

ANS KEY # A

A 65 ,yr old female with a 30 yrs hx of RA is noted to hv proteinuria on annual review . Which one of the
following drugs is most associated with the development of proteinuria ?

A. Ciclosporin

B. Sodium aurothiomalate

C. MTX

D. Infliximab

E. Azathioprine

ANS KEY #B

A 4 yr old girl with sickle cell anemia presents with abdominal pain. She is having spleenomegly and
clinically anaemic . What is the most likely Dx?
A. Liver disease

B. Parvovirus infection

C. Sequestration crisis
Dr HAFEEZ YAQOOB
D. Salmonella infection

E. Thrombotic crisis

ANS KEY# C

A 34 yr old man is known case of VwD asks for advice. He is going to hv tooth extraction next week .
Which of the following Is most appropriate management to reduce the risk of bleeding ?

A. Mefanamic acid

B. Vit K

C. Desmopressin

D. Factor VIII concentrate

ANS KEY #C

A 54 yr old woman who had hysterectomy presents for advice about hormone replacement therapy.
Which one of the following would result from the use of a combined oestrogen progesterone
preparation compared to an oestrogen only preparation ?

A. Decreased risk of venous thromboembolism

B. Increased risk of a stroke

C. Increased risk of breast cancer

D. Increased risk of endometrial cancer

ANS KEY #C

A 18 yr old man who is known to hv hereditary spherocytosis is admitted to hospital with lethargy .
Blood tests show HB 4.7 g/dl , Retics 0.3% , what is most likely explanation for these findings ?

A. Haemolytic crisis

B. Recent Ciprofloxacin therapy

C. Parvovirus infection

D. Sequestration crisis

E. Angiodysplastic bowel lesion

ANS KEY #C
 Dr HAFEEZ
A 34 yrs old female is 34 weeks pregnant , DVT is confirmed on Doppler scan . What is the preferred
anticoagulant ?

A. Clopidogrel

B. Aspirin

C. IV heparin

D. Warfarin

E. Subcutaneous LMWH

ANS KEY# Ee

Which of the following features is least recognised in TTP ?

A. Fever

B. MAHA

C. Renal failure

D. Thrombocytopenia

E. Livedo reticularis

ANS KEY # E

A 67 yrs old man is diagnosed with myelofibrosis . What is the most common presenting symptom of
myelofibrosis ?

A. Lethargy

B. Anorexia

C. Night sweats

D. Easy bruising

E. Spleenomegly

ANS KEY # A

Which of the following is most associated with thymomas ?

A. Myelodysplasia

B. Thrombocytopenia

C. AML

D. ALL

E. Red Cell aplasia

 Dr HAFEEZ YAQOOB
ANS KEY #E

A pt presents with DK . He has a GCS of 12 and his airway is not compromised but have a respiratory
rate of 32 , you commence oxygen therapy . What is the most important next step ?

A. Subcutaneous insulin

B. Fluid and electrolytes

C. Intravenous insulin

D. Intubation

ANS KEY # B

April 2017 #

A 12 yrs old girl has taken a beef burger at school , now presenting with diarrhea and rash on body with
abdominal pain and oligurea is most likely Dx?

A. Enteric fever

B. HUS

C. Vit D deficiency

D. Hepatitis A

ANS KEY# B

April 2017 #

A 62 yrs old male Pt presented with complain of shoulder pain and stiffness generalized aches and pains
ESR is 85 , what is most likely Dx?

A. Ankylosing spondylitis

B. PMR

C. Giant Cell arthritis

D. SLE

ANS KEY # B

April 2017 #

A known CKD pt who is on dialysis now developed carpel tunnel syndrome , what is most likely cause?

A. Median nerve rupture

B. Compression of median nerve

C. Amylodiosis

D. Erythropoitin
ANS KEY # # C

April 2017#

A pt of CKD who is on erythropoitin treatment now having HTN , which of the following is responsible ?

A. ACE inhibitors

B. Erythropoitin

C. Thyrocin

D. Methyldopa

ANS KEY ## B

April 2017

A pt with h/o cough and fever which is associated with hemoptysis and frank haemeturia what is most
likely Dx?

A. IGA nephropathy

B. Good pasture syndrome

C. Wegener's granulomatosis Dr HAFEEZ YAQOOB

ANS KEY ## B

April 2017

A 23 yrs old male on inhaled steroid and beta agonist presented with hoarsness of voice what is most
likely Dx?

A. Hyperthyroidism

B. Hypothyroidism

C. Steroid myopathy

D. Hypoparathyroidism

ANS KEY ## C

April 2017#

Which of the following favours transodative pleural effusion ?

A. Large effusion

B. 3 lymphocyte per micro liter

C. Increase fibrin

D. None of the above

ANS KEY## B

April 2017#

A pt presented with shortness of breath and there is high output cardiac failure , it is due to what ?

A. Beri Beri

B. COPD

C. HCOM

D. TOF

ANS KEY## A

April 2017 #

A pt presented to ophthalmologist with exposure keratitis what is the most likely cause ?

A. Cataract

B. Grave's disease

C. Vitamin A deficiency

D. 3rd nerve palsy

Dr HAFEEZ YAQOOB
ANS KEY## B

April 2017#

A pt came for lipid profile , what you will check ?

A. TAG + total cholesterol + LDL+ HDL

B. Total cholesterol + LDL + HDL

C. VLDL + LDL + HDL

ANS KEY## A

April 2017#

A pt under went for ERCP now he has developed ascending Colangitis , which of the following organism
has caused it ?

A. E.Coli

B. Campylobaccter

C. Klabsellia

D. Vibro cholera

ANS KEY## A
April 2017#

Which of the following factors secreted by platelets to help in clotting ?

A. Serotonin

B. Calcium

C. Bradykinin

D. Histamine

ANS KEY ## ?

A 42 yrs old male suffers from morbid obesity ( BMI 34 ) having fasting Blood glucose of 8.2 mmol , smx
of frequent nocturia and lethargy . Which of the following would be the most appropriate medication
for him ?

A. Pioglitazone

B. Rosiglitazone

C. Gliclazide

D. Basal bolus insulin Dr HAFEEZ YAQOOB

E. Metformin

ANS KEY## E

April 2017 #

A 40 yrs old Pt previously diagnosed as TBM taken ATT , now developed confusion and decreased
cognition what could be the cause?

A. Drug effect

B. Brain abcess

C. Hydrocephalous

ANS KEY## C

April 2017 #

In severe dehydration which of the following is fluid of choice?

A. N/ S

B. R/L

C. D/ S

D. 5% dextrose

ANS KEY ## A
April 2017 #

An old man presented with dizziness and fear of fall what could be the most treatable cause in this Pt?

A. Sedative

B. Diuretics

C. Vertibrobasilar insufficiency

D. All of the above Dr HAFEEZ YAQOOB

ANS KEY## B

April 2017 #

A house officer gets prick from a Pt who is HBsAg +ve , anti HCV +ve but HIV -ve , he does his lab
screening and lab shows

HBsAg -ve , Anti HBS +v , Anti HBC -ve . What is the status of his liver serology ?

A. Active hepatitis

B. Previous Vaccination

C. Past HBV infection , now cleared

D. Active Hep C infection

ANS KEY ## B

April 2017 # Gastro ( paper B )

Known case of Crohn's disease now presenting with hematuria and pain in his lumbar region , what
could be the cause of his pain and hematuria ?

A. Hypoglycemia

B. Hyperoxaluria

C. Hypo oxaluria

D. Hypochorhydia

ANS KEY## B

April 2017#

Pt presented to ER with deep coma and shallow breathing which of the following drugs he has taken ?

A. Paracetamol

B. Diazepam

C. Morphine
 Dr HAFEEZ YAQOOB

D. NSAIDS

ANS KEY## C

April 2017#

An old age female was prescribed ciprofloxacin what are the adverse effects of Ciprofloxacin in this Pt?

A. Nausea and vomiting

B. Constipation

C. Tendon and cartilage reputure

D. Diarrhea

ANS KEY## C

April ,2017 #

A 45 yrs old pt who was given a drug for treatment of muccormycosis now he is having increased Cr .
What is the name of drug given ?

A. Gentamycin

B. Clindamycin

C. Amphoterocin

D. Tetracycline

ANS KEY ## C

April 2017#

A nurse had needle prick injury from a Pt who is HBV positive what will you advise her ?

A. Vaccinate as soon as possible

B. Wash hands

C. Vaccination + Immunoglobulin

D. Do nothing

ANS KEY##C

April 2017 #

A diabetic male taking insulin , having excessive day time sleep . He had an accident recently dou to
excessive day time sleep . What is the cause?

A. Narcolepsy

B. OSA
C. Hypoglycemia

D. Hyperglycemia

ANS KEY## A

Pt with headache, HTN, bilateral adrenal glands removed , Pt is having pigmentation what is Dx?

A. Addison's disease

B. Nelson 's disease

C. Pheocromocytoma

ANS KEY## B

A young 20 yrs old Pt presented with cough , rusty color sputum what is Dx ?

A. Strep pneumonia

B. Kliebsella

C. Mycoplasma

ANS KEY #A

Pt with Hb = 6 , appT & Pt increased , plts 10,000 she is diagnosed as a case of DIC , what is the most
accurate Management ?

A. Platelets & FFP

b. Vit K

C. Antibiotics

ANS KEY #A

A boy had progressive dyspnea on standing in assembly for more than longer duration his chest had b/L
crepts, what investigation you will do ?

A. CXR PA view

B. ECHO

C. ETT

D. PFT

ANS KEY #B
Dr HAFEEZ YAQOOB
April 2017#

Psudo gout findings ?

A. Positive bifringrent
B. Neg bifringrent

C. chondrocalcinosis

ANS KEY #C

April 2017#

Known COPD Pt not controlled on medications what will you give for long term control ?

A. LTOT

B. Steroid

C. Salbutamol

D. Antibiotics

ANS KEY # A

April 2017##

Gout pt who is well control on drug what will you give for prophylaxis to prevent further attack ?

A. Alchole

B. Aspirin

C. Colchicine

D. Reduce hyperurecemia
Dr HAFEEZ YAQOOB
ANS KEY # D

April 2017##

a known case of SLE taking frequently Steroids and feeling pain in the epigastrium after meal and same
feeling pain in abdominal and lumbar region , what is the cause ?

A. Peptic ulcer

B. Mesentric Ischemia

C. Diverticulitosis.

D. mesentric vasculitis

ANS KEY # D

Paper A ## 2017

A pt who is having Inferior wall MI , developed heart failure , HR 38 , B/P 80/60 mmHg, how will you
manage this Pt ?

A. I/V Atropine
B. IV Fluid

C. Heparin

D. Antibiotics

ANS KEY # A

April ## 2017

A pt with gram neg diplocci in urine treated with ceftriaxone represented after one week with similar
complains what is cause?

A. Chlamydia infection

B. Re infection

C. E. Coli

ANS KEY # A

April ##2017

A pt previously has TBM took ATT for that now fever has subsided but he has developed confusion after
3 weeks what could be cause ?

A. Drug effect

B. Hydrocephalus Dr HAFEEZ YAQOOB

C. Cavernous sinous thrombosis

D. ATT Resistance

ANS KEY # B

April 2017##

A Pt on ATT for pulmonary TB now developed joint pain and swelling of joints which drug shd be
stopped ?

A. INH

B. PZA

C. Rifampicin

D. ETH

ANS KEY #B

April 2017##

A young 20 yrs old Pt presented with cough , rusty color sputum what is Dx ?
A. Strep pneumoniae

B. Kliebsella pneumoniae

C. Mycoplasma

D. Legionella

ANS KEY #A

19 October 2016 ##

A 13 years old pt was given anti epileptic now she has developed hypertrichosis , what was the drug ?

A. Carbamezepine

B. Phenytoin

C. Valporate

D. None of the above Dr HAFEEZ YAQOOB

ANS KEY #B

April 2017##

Pt with nephrotic syndrome having normal microscopic findings what is most likely Dx?

A. FSGN

B. MCD

C. membranous glomerulonephritis

D. Diffuse glomerlonephritis

ANS KEY #B

April 2017##

A Pt was prescribed steroid by a Quack ,now presenting with renal failure , which of the following is
cause of his renal failure ?

A. ATN

B. CTN

C. AIN

ANS KEY #A

April 2017##

Gynecomastia is caused by which of the following drugs ?

A. Aspirin
B. Digoxin

C. Paracetamol

D.

ANS KEY #B

April ,2017 #

Pt presented with brown color urine for the last 1 year ,especially early morning . What is the most likely
cause ?

A. G6pd

B. PNH

C. Nephrotic syndrome

D. CA bladder
Dr HAFEEZ YAQOOB
ANS KEY #B

April 2017 #

An asthmatic pt presented with acute exacerbation in ER how will you manage ?

A. I/V corticosteroids

B. Neublize with salbutamol

C. Neublize with corticosteroids

D. Oral corticosteroids

ANS KEY #B

April 2017#

An asthmatic pt controlled on salbutamol but now again presented with SOB what will you add now ?

A. Corticosteroids ( inhaler )

B. I/V corticosteroids

C. Oral corticosteroids

D. No change in his medications

ANS KEY #A

April 2017#

A Pt with cataract referred from psychiatric department having low Sr Ca++ , what is most likely Dx?

A. Hyperthyroidism
B. Hypothyroidism

C. Hypoparathyroidism

D. Hyperparathyroidism

ANS KEY # C

April 2017#

RTA I and RTA 4 is differentiated by ?

A. Na level

B. Ca ++ level

C. K level

ANS KEY # C
Dr HAFEEZ YAQOOB
April 2017#

Treatment of malaria in psoriasis ?

A. Artemether

B. Chloroquine

C. Pramiquine

D. Quinine

ANS KEY #A

April 2017##

True regarding prophylaxis for DVT ?

A. LMWH

B. warfarin

C. UF Heparin

D. Clopedogril

ANS KEY #A

April 2017##

A Pt who was treated for Gram negative diplococcus with IM ceftriaxone , after 1 week of treatment his
symptoms have not been resolved. What is the most likely explanation ?

A. Gonorrhea resistant to ceftriaxone

B. Co existent candida infection

C. HIV infection

D. Co existent syphilis infection

E. Co existent chlamydia infection

ANS KEY # E

April 2017 #

A 50 yrs old male pt had angiography , now he is having hemorrhagic lesions on his body , which
investigation should be done?

A. D Dimer

B. BT

C. RFT Dr HAFEEZ YAQOOB

D. APTT

ANS KEY # C

In case of penicillin allergy what to give before tooth extraction in case of MR.

Clindamycin

Tetracycline

ANS KEY #A

April 2017 ##

A middle aged man who is known diabetic has complain of pain in lumbar region and hematuria with
rigors and chills .the most appropriate Dx ?

A. Acute pyleonephritis

B. Renal vein thrombosis

C. Renal cell CA.

D. Acute papillary necrosis

ANS KEY #A

April #2017

A Pt presented to ER with generalized weakness , he is a diagnosed case of Bipolar disorder and was on
medications for that , which of the following electrolyte you will check ?

A. Sr Na

B. Sr K

C. Sr Ca
D. Sr PO4

ANS KEY #A

April # 2017

A Pt is brought to ER in deeply comatose state . He has pinpoint pupils and shallow breathing Drug
responsible for it is ?

A. Benzodiazepines

B. Atropine

C. Morphine

D. Salicylates

ANS KEY # C

April # 2017

Which of the following should be done to avoid neurological damage during CPR ?

A. Mouth to mouth breathing

B. Lye the Pt on a hard board.

C. Continuous chest compression

D. ETT
Dr HAFEEZ YAQOOB
ANS KEY # B

April # 2017

Sodium content in normal saline ?

A. 135meq/L

B. 77 meq / L

C. 154 meq/ L

D. 320 meq / L

ANS KEY # C

April #17

Which of the following parasite has primary site of localization in lymphatics ?

A. LOA LOA

B. Leishmaniasis

C. Filariasis
D. Malaria

ANS KEY #A

April #17

A boy presented to ER after dog bite , he was given HRIG and single dose of Rabies vaccine , what
vaccination schedule should be followed further ?

A. 0, 7, 14, 24

B. 3,7,14,28 Dr HAFEEZ YAQOOB

C. 5,7,15, 23 .

D. 5, 7, 14, 27

ANS KEY # B

April ##2017

A known case of RA with progressive disease ,complains of inability to climb and comb his hair , what
investigation you will perform?

A. Serial CRPs

B. Anti CCP antibodies

C. MRI Spine

ANS KEY #A

April. # 2017

A diagnosed case of RA on steroid , developed sudden diffuse pain in abdomen with vomiting along
with shoulder tip pain , which of the following test you will perform ?

A. USG abdomen

B. USG abdomen and KUB

C. Endoscopy

D. CXR

ANS KEY # D ….

April # 2017

A Pt presented with TIA , carotid Doppler shows 30% stenosis , which of the following is the treatment
for this Pt?

A. Aspirin alone

B. Surgery
C. Endartectomy

D. Heparin

ANS KEY #A

April #2017

Rapid developing ascites in a Pt with Polycythemia with tender liver is due to which of the following ?

A. Hepatic vein thrombosis

B. Portal vein thrombosis

C. Spleenomegly

D. HUS

April #2017
Dr HAFEEZ YAQOOB
Indication for mechanical ventilation ?

A. < 60 mmHg

B. < 55 mmHg

C < 70 mmHg

D. < 80 mmHg

ANS KEY #B

April 2017

45 yrs old male with sudden shortness of breath and chest pain , ECG shows sinus tachycardia what is
most likely Dx?

A. Pulmonary hypertension

B. Pulmonary embolism

C. Acute PANCREATITIS

D. Acute MI

ANS KEY #B

April 2017 #

A 12 yrs old girl has taken Beef Burger , now presenting with diarrhea , abdominal pain , rash . What is
most likely Dx?

A. HSP

B. HUS
C. Peptic ulcer

D. Acute pyleonephritis

ANS KEY #B

April #2017

A Pt given drug for the treatment of muccormycosis , now having raised Cr , what was the drug given ?

A. Tetracycline

B. Beta blocker

C. Amphoterine

ANS KEY #C

April 2017#

A Pt presented to Pulmonology Opd with hx of cough , fever and cystic swelling infront of his chest
moving with breathing , what is most likely Dx?

A. Emphysema Necessitans

B. COPD

C. Asthma

D. Lung abscess Dr HAFEEZ YAQOOB

ANS KEY #A

April 2017# Pulmonology

A female Pt presented with inspiratory crackles which is progressive for last 1 yr she is having dyspnea .
She gives no exposure to Birds , Dust what is most likely Dx?

A. Pulmonary pneumonatis

B. Asthma

C. COPD

D. IPF

ANS KEY D .

April 2017# Gastroenterology

Most common presentation of non cirrhotic portal HTN is ?

A. Ascites

B. SBP
C. Upper GI bleeding

ANS KEY #C

April 2017# Gastroenterology

An old age male presented with weight loss and CBC shows decreased HB . What will you do next?

A. Colonoscopy

B. LFT

C. ULTRASOUND abdomen

D. Urea/ Cr

ANS KEY #A

April #2017

A young boy has dark colored urine after exercise , he experienced same episodes when ever he came
back from game , which test you will perform to reveal Dx ?

A. Muscle enzyme

B. Muscle Biopsy

C. Urine D/R

D. Ultrasound abdomen

ANS KEY #A

April #2017 ( Gastroenterology )

A HCV positive pt has taken antiviral for treatment of HCV infection , now which test you will advise?

A. HCV RNA by PCR

B. Liver Biopsy

C. Sr albumin
DR HAFEEZ YAQOOB
D. Ultrasound abdomen

ANS KEY #A

April #2017 ( Gastroenterology

A nurse has got needle prick injury from a HCV positive 1 month back , now which investigation you will
do to check infection ?

A. ALT with Anti HCV

B. HCV PCR
C. HCV PCR with ALT

D. Ultrasound abdomen

ANS KEY #A

April # 2017

A Pt presented to ER with altered consciousness , examination shows dilated pupils and garlic smell
coming from his mouth , which of the following is true regarding this Pt?

A. OP poisoning

B. Wheat pills

C. Benzodiazepines poisoning

ANS KEY #B

April 2017#

A medical student was brought to ER , who is agitated and talkative with speedy speech 2 days before
his exam , what is true regarding this case ?

A. You will send urine drug level

B. It's Amphetamine toxicity

C. It's Op poisoning

ANS KEY #B

April 2017# Gastroenterology

What is the best Treatment for Hepatopulmonary syndrome ?

A. Liver transplant

B. Pulmonary artery embolisation

C. Peritoneal dialysis

D. Ascetic fluid aspiration Dr HAFEEZ YAQOOB

ANS KEY #A

April 2017#

A Pt of Pulmonology TB who is resistant to INH and RIF which type of TB he is having ?

A. Latent TB

B. XDR TB
C. MDR TB

ANS KEY #B

April #2017

A diagnosed case of ITP, CBC shows platelets count of 45,000 and asymptomatic , what you will do
next?

A. Observe

B. Give Steroid

C. Do splenectomy

D. Platelets transfusion

April # 2017

A young Pt with hx of multiple blood transfusion , spleenomegly and hepatomegaly . What is the
investigation of choice?

A. CBC

B. HB ELECTROPHORESIS

C. TIBC

D. Sr Ferritin

ANS KEY #B

April#2017

A Pt with ABG values of PH= 7.66 , HCO3 = 34 , PCO 2 = 34 , what is the explanation for his ABGs ?

A. Respiratory alkalosis

B. Metabolic acidosis

C. Respiratory acidosis

D. Mixed respiratory + metabolic alkalosis

ANS KEY #D

April # 2017

A Pt presented with status epilepticus in ER what will you do first ?

A. I/V insulin

B. I/V Diazepam

C. Airway Patency
Dr HAFEEZ
D. I/V phenytoin

ANS KEY #C

April #2017

Which investigation is done in a pregnant female who is suspected to have toxoplasmosis ?

A. Amiontic fluid D/R

B. PCR of Amiontic fluid

C. Antibodies IGM

ANS KEY …… ?

April 2017#

A 27 yrs old tall male going to upstairs suddenly develops shortness of breath and chest pain , what is
most likely Dx?

A. Aortic dissection

B. Pneumonia

C. Pneumothorax

D. Myocardial infarction

ANS KEY #C

April 2017# Gastroenterology

A Pt 30 yrs old male presented with difficulty in swallowing , he feels there is something in his throat ,
otherwise he has no problem with swallowing liquids and solids . What is the most likely Dx ?

A. Psudobulbar palsy

B. Achalasia

C. Globus hystericus

D. CA Esophagus

ANS KEY #C

April #2017

A Pt diagnosed as a case of Medullary Carcinoma , which of the following neoplasm he will hv in future ?

A. Renal CA

B. Pheochromocytoma

C. CA esophagus
D. BPH

ANS KEY #B

April #2017

A 45 yrs old male Pt who is on feeding tube what complications can occur by tube feeding ?

A. Diarrhea

B. Electrolyte imbalance

C. Clogging of tube

ANS KEY #C

April 2017#

Which of the following is not altered in both restrictive and obstructive lung disease ?

A. TV

B. RV

C. TLC

D. VC

ANS KEY #A

April #2017

A Pt with diffuse painless goiter with antimicrosomal and antithyroglobulin antibodies positive , swelling
subsided after 1 month . Which complication he will develop later ?

A. Amyloidosis

B. Papillary CA

C. Hypothyroidism

ANS KEY #C

April # 2017

Young male presented with swelling in his groin which was initially painful now having rash over it which
test should be done to confirm the underlying Dx ?

A. FTA Ab

B. VDRL

C. Gramstain CS

ANS KEY #A
April # 2017

A 34 yrs old Pt with diagnosis of tropical sprue , which test should be normal ?

A. D XYLOSE

B. jejenal Bx

C. Barrium swallow follow through

D. Terminal ileum Bx

ANS KEY #C

April #2017 ( Gastroenterology )

An alcoholic Pt presented to ER with upper GI bleeding , initial resuscitation was done by IV fluids , what
further intervention should be done to prevent bleeding ?

A. EGD

B. Sengstaken tube insertion

C. PPI

D. Surgery

ANS KEY #B

April 2017#

Which of the following is non skeletal manifestation of Osteomalacia ?

A. Hyperphosphatemia

B. Decreased Vit D

C. Hypercalcaemia

D. Low alkaline phosphatase

ANS KEY #B .

April 2017#

A 44 yrs old male Pt presented with high grade fever for last 2 days with chest pain which relieves with
bending forward , on examination he is having SOB , JVP is raised with muffle heart sounds , B/P is 80/60
what is most likely Dx?

A. Pericarditis

B. Cardiac tamponade

C. MI

D. COPD
ANS KEY #B

April #2017

An elderly female complains of frequency of micturation . She says she has to rush to wash room when
she has to urinate . What is most likely cause?

A. Stress incontinence

B. Urge incontinence

C. UTI

D. PID

ANS KEY B