EXTRA QUESTIONS FOR 9TH MARCH

1. A 32 year old man presented with dizziness, vertigo and some balance problem. He also complained of
hearing loss along with loss of sensation on the face and loss of corneal reflex. What is the investigation
of choice?
A. MR angiography of brain
B. MRI acoustic meatus
C. CT brain
D. CT of internal acoustic meatus
E. E. Xray

2. A young man has trauma to his ear. He came in to A&E complaining of pain at the site of trauma. On
examination the pinna was red, tympanic membranes were intact. What is the best method of treatment
for him?
A. Analgesia
B. Antibiotic drop
C. Steroid drop
D. Reassure
E. Ice compress
3. A 24 year old girl came into the GP clinic with complains of itchiness on her eyes. She also
complained of crusting around her eyes in the morning. On examination her conjunctiva were red and
inflamed. What is the most appropriate treatment?
A. Topical Antibiotic
B. Topical antiviral
C. Dexamethasone
D. IV antibiotic
E. CMC

4. A 40 year old woman presented with back pain. She says she has noted her height to have
decreased. What is the investigation of choice to prevent future possible fracture?
A. DEXA
B. Bone scan
C. X-ray
D. CT
E. Serum Calcium
5. 18 months child is social smile but there is no eye contact, he can walk but cannot run, cannot speak
more than 2 meaningless words, cannot kick a ball, he doesn’t have dominant hand and he can scribble
with pen. What is the most concerning symptoms in this child?
A. Cannot make eye contact
B. He speaks only 2 meaningless words
C. Cannot run
D. Don’t have dominant hand

6. A 6 year old boy had fever for 4 days and erythema and red eye and hand and foot was swollen and
red and then the start pealing of hand and foot afterwards. ?
A. Kawasaki
B. Measles
C. Hand mouth foot disease
D. Chickenpox
7. A girl started severely crying after her brother took her toy suddenly. She went blue and made jerk like
movements for 10 seconds and then she recovered fully after 20 mins. What is the investigation of
choice?
A. Reassure
B. EEG
C. EMG
8. Which test you will do to a child after recovering from meningitis?
A. Audiometry test
B. X-ray
C. CT
D. MRI
9. A child is having crusted lesions on her eyes nose and lips after two days he had fissures around his
eyes and also flexor surfaces of his elbows is erythematous. What is the diagnosis?
A. Impetigo
B. Staphilococcus scalded fever
C. Eczema herpeticum
D. Kawasaki
10. A child has diarrhoea and having dehydration symptoms
Na: 128 ( 135-145)
K: 2.8 ( 3.3-5.3)
Cl: low
What is the most appropriate treatment for him ?
A. 0.18 saline with 4% dextrose
B. 0.18 saline with 4% dextrose with additional KCL 20 ml
C. 0.45 saline with 5% dextrose
D. 0,45 saline with 5% dextrose with additional KCL
E. KCL IV infusion
11. A children comes with periorbital swelling and fever. What is the treatment of choice?
A.IV Ceftriaxone ?
B. IM Paracetamol
C. Oral Paracetamol
D. Antifungal
E. Steroid

12. A 3 year old child was brought by his grandmother to the A and E. He has been crying for the last 8
hours constantly. On examination he was noted to have multiple bruises yellow and brown in colour on
his trunk and buttocks. No proper history was obtained from the grandmother. What is the most likely
reason of the child’s bruises?
A. Accidental injury
B. ITP
C. HSP
D. Non accidental injury
E. Other blood dyscariasis

13. A 4 year old child has been vomiting and having diarrhoea for a couple of days. She was bought into
the emergency as the child now presents with dizziness and increased thirsty. She was also profusely
sweating. What is the most important initial investigation?
A. Blood glucose
B. Urea and Electrolytes
C. Urine culture
D. Blood Culture
E. Xray chest

14. A 15 year old girl comes in to the GP clinic asking for the best contraception. When asked
her the reason she said she was in a relationship with a 23 year old man. What is the best thing to
do in the girl’s interest?
A. Tell her to come with her boyfriend
B. Call the police
C. Inform safe guarding
D. Tell their parents
E. Give contraception

15. A 28 year old sexually active girl had come in to the OBGY department requesting for
contraception. After discussing the options Mirena was inserted 6 weeks ago. She now presented
to the emergency department complaining of vaginal spotting since then. She complains of very
mild abdominal discomfort but no fever. What is the next best management?
A. Reassure
B. Take a swap
C. Smear
D. Remove the coil
E. Blood investigations