1. 1. 36 year old person with worsening visual loss. After had same issue at same age.

What to
do?

A. Routine Opthalmology referral

B. Emergency referral.

C. Steroid eyedrops
Etc.

2. Homeless man coughing+ weight loss of 1 month.

AFB: positive.

What to do?

A. Admit in isolation +contact tracing

B. DOT.

C. Emergency accomodation

D. Discharge

3. Athlete, amenorrhea for 6months, pregnancy test - negative.

Lh - low

Fsh- low

Prolactin - high

Diagnosis?

4 woman whose husband and father in law had hemochromatosis. What are the chances of
her kids having the condition
A 50%m 50% f
B 0% m 100%f
C 25%m 25%f
D 100%m 0%f

5 patient who is drooling, dyspnoea and is with the anaesthetic team. Next line of action
A. Iv antibiotics
B dexamethasone
C iv

6 a lady who is rhesus negative and due for rhogam. What's the advice for rhogam
A within 24hrs
B within 48hrs
C within 72hrs
10. An 11 YO old boy with fever 39.5,sore throat maculopapular rash on chest and neck
feeling unwell. O/e has white coating on tongue and exudate on tonsils. What is the
diagnosis?
A kawasaki
B Measles
C Scarlet fever
D Chicken pox

11 A 39 YO who has malignant hyperthermia came to genetic clinic asking for screening for
family members. What is the mode of inheritance.
A Autosomal dominant
B Autosomal recessive
C X-linked recessive
D X linked dominant

13. A 76 year old woman being managed for lymphoma .Approached for consent to be part
of a trial for a new chemotherapy drug .patient agrees but daughter declines .
What is the next line of action ?

A Asses patients mental capacity

B. Go ahead with chemo drug
C. Listen to daughter

14. A known hypertensive diabetic who presented 6 hours after with a history of painless
loss of vision which lasted 10 minutes . Observations were normal apart from elevated bp of
150 /?. Fundoscopy and neurological examinations were normal .

What is the most appropriate medication

A prednisolone
B Aspirin
C Atovastatin

15. A 60 yr male who presented for pre assessment for a knee replacement on account of
osteoarthritis . No significant medical history , observations and examination were normal

Which of these is part of the investigations for pre assessment

A fbc
bChest X-ray
C ECG
D

19. A man with dizziness and fall. Blood pressure is 138/80 on lying and 128/ 74
What investigation to do next

Ambulatory bp monitoring
ambulatory ecg
Tilt table test.

20. A girl with no menstruation for 9month

Prolactin is 3000
Other investigation seem normal
What drug

Carbagoline
Bromocriptine

22- A 71 year old woman vomits a large amount of blood

She is otherwise well, her only medication is an occasional ibruprofen for arthritis
BP- 92/52
HR-116
O2 sat- 95 on 40% oxygen

What is the most appropriate initial management

A Urgent endoscopy
B- insertion of a blakemore tube
C IV PPI
D normal saline
E am inter terlipressin

23- Old woman with advanced dementia presents to primary care with her daughter
She can’t manage her finances. Daughter wanted you to witness a letter to transfer 5000
pounds from mums account for a car. What do you do

A inform safe guarding

B inform police
C ask her to call a family member to witness
D Decline to sign
E sign the letter

24 man about to undergo surgery. Surgeon wants to administer amiodarome for pox of afib
Most important test to carry out
A Full blood count
B Serum electrolytes
C Albumin
D Capillary glucose
E Clotting factors

25. 35 yr old going for elective hernia repair preoperative investigation no co morbidity
A ecg
B LFT
C chest xray
D No investigation
E clotting profile

26. 65 yr old dx with alzehimers but has LBBB on ecg what medication to use

CT 3603
NU 0008
SS 1100

Calculations on sensitivity and NNT

Lots of genetic questions

28 A 45 year old man had an undisplaced right radial fracture and it was decided to be
managed non-operatively. He had a cast applied but returned 4 days later with complaints of
sustained pain. On examination the fingers were warm and has adequate perfusion. What is
the next appropriate action?

a. Prescribe stronger analgesics

b. X-ray of the fracture site
c. Send to physiotherapy and advice he moves the fingers and elbows regularly
d. Remove the cast and inspect
e.

29. A 52 year old man presents with recent ataxia. He consumes 50 units of alcohol every
week. He also has double vision and confusion,dehydration and dry mucous membrane.
Fasting Blood Sugar done was 4.5mmol/l What is the most appropriate intravenous
medication to administer?

a. 10% dextrose
b. Iv ns
c. Lorazepam
d. Cefotaxime
e. Thiamine

30. A 70 year old man with metastatic cancer requires oral morphine 30 mg bd to control his
pain. Which component of the prescription must be satisfied for legal reasons?
a. Electronic signature of doctor
b. Date of birth of patient
c. Manual signature of doctor
d. Quantity of medications in words and figures
e.

31) A 28 year old woman with unpleasant vaginal discharge. She just changed her sexual
partner 3 month ago. On examination there is vulvovaginitis. Cervix is normal
PH is > 4.5

What is the likely organism implicated

a Candida albican
b Chlamydia trachomatis
c Gadnerella vaginalis
d Herpes simplex

32) An 18 year old lady who has cough and productive sputum of 2 days duration.
RR is 38bpm BP 148/92
On examination, she has widespread polyphonic wheezes all over the lungs.
What is the most likely diagnosis

a Acute Asthma
b Pneumothorax
c Bronchitis
d

33) A 98 yr old woman in hospice who is not tolerating orally. She has inability to pass stool.
On rectal examination, there is impacted faeces .
What is the management

a) High fibre diet

b) Lactulose
c) Phosphate enema
d) Ispaghula husk

40. 45yr old man, diabetic and on maximum doses of Sitagliptin and metformin. Has a family
hx of cardiovascular Dx, BMI is 32, he’s a lorry driver. Had hypoglycemic episodes when he
was on sulfonylureas HBA1C is 65. What drug should be added? A. Acarbose B. empagliflozin
C.Gliclizide D. pioglitazone E. insulin

41. 57yr old man with carcinoma of bronchus. Presented with swelling of arms and face and
severe unremitting headache. What treatment?
A. Dexamethasone B.midazolam C. frusemide D. diamorphine E . Hyoscine

42. Study started in 2017. 1000 women being treated with breast cancer divided into 2
groups, one group treated with Drug A and another with drug B. Recurrence was checked in
2022. What is the study design?

49 - 19yr old haematuria. H/O URTI 12 days ago. Urine blood and protein + nitrites and
leucocytes -
Which organism? - Streptococcus

50- elderly, chest infection, dies. 1a of death certificate? - Pneumonia

51- elderly, dementia, visual hallucinations - Dementia with Lewy bodies

52. An Epidemiology question on the Formular for Sensitivity

53. Woman with sudden onset of severe eye paiin, pupil oval in shape.

Question on appropriate investigation?

A. CT
B. MRI
C. Measure intraocular pressure
D. USS

54. 21yr old man took unknown drug substance at a party, he had temperature of 39°, BP
180/120, RR 17cpm

Question what substance did he take?

A. Heroin
B.Cocaine
C. LSD
D. Cannabis

55. 14 month old diagnosed with conduction deafness. He was born at 28 weeks and spent
10 weeks in the NICU. Which of the following is the most likely cause of his deafness
A. Congenital CMV
B. Perinatal asphexia
C. Prior exposure to gentamicin
D. Severe hyperbilirunbinemi
E. Otitis media

56. A 57 yr old woman comes with weakness in her lower limbs and urinary retention of 24
hrs. She has been taking tamoxifen on account of metastatic breast cancer for the past 3 yrs.
Which of the following is the best initial imaging

A. Spinal CT
B. DXS
C. Isotop scan
D. Ultrasound of the abdomen and pelvis
E. Spinal MRI

57. 64 yr old man with CKD come to renal clinic for review. He has type 2 DM and HTN. He
takes atorvastatin, ramipril and ………
Creatinine 150
HbA1C 50
Urinalysis protein
50
Which of the following would be the appropriate added management

64. A 70yr old male with background htn, ischaemic heart disease on antihypertensives now
with depression.

Preferred medication for depression.

Setralin
Amitriptyline
Quitepine..etc

65. 80 yr old woman, with end stage dementia and excessive pulmonary secretion. Has
audible breath sounds and transmitted sounds in upper respiratory tract.

What to use for the excessive secretions.

Furosemide
Glycopyrrolate
Nebulized Salbutamol
Nebulized Adrenaline

66. A 66yr old with pacemaker or so, had hemicolectomy few days ago, now with fever,
abdominal pain, leucocytosis.
Most appropriate investigation

CT abdomen
USS abdomen
Blood culture
ECG

67. A child with 2days hx of vomiting and 8episode of diarrhea per day.. what is the fluid for
maintenance
a. 0.9nls + 5%dls
b. 10%dextrose
c. Colloids
d. 0.45% N/s
68. A 54yo man on ramipril with proteinuria ACR? With complain of cough. What is the next
immediate mgt

Reduce ramipril to 2.5

Remove ramipril
Change ramipril to valsatan
?

70. a 32 yr old woman with 2 days hx of lower abdominal pain , vagina discharge and fever.
LMP 2 weeks ago
What’s the most likely diagnosis

A . Acute PID
B. Appendicitis
C. Endometriosis
D.

71. A 33 year old pregnant woman presented with headache , normal BP, Protenuria ,
swelling of hands and feet
What’s the most appropriate next mgt?
A. 7 day referral to GP
B . Same day referral of Obstetrics
C. Referral to nephro clinic i

72. A man presented with acute exacerbation of asthma . He was given back to back
nebulized salbutamol and ipatropium bromide, amniophyline , and MGSO4
Patient is now stable , SPO2 99%, chest bilateral clear

Blood test done

Sodium Normal
Potassium Low
Every other parameters normal

ABG was done

Can remember values

What’s the cause of the hypokalemia

A Type 1 respiratory failure

B Type 2 respiratory failure
C. Salbutamol dosage
D. MGSO4 Toxicity

76. A man who has cognitive impairment presented to the memory clinic he has no empathy,
has become talkative,
What's the most appropriate cognitive tool ?
77. A man who has sudden chest pain radiating to the left arm lasted for an hour.
He had GTN , he is now pain free.
ECG below: showed widespread ST elevation.
What's the most appropriate initial management:

Intravenous thrombolysis
Fondaparinux
Primary coronary intervention

78 Elderly Patient with motor neurone disease, with history of aspirations of food.
What form of nutrition is most appropriate

total parenteral nutrition

PEG

91. A woman presenting with bone pain, dehydration, increased thirst and urination. No
neurological signs or manifestations; her neuro exam was normal. She has trace ketones.
Options:
C. Hypercalcemia
D. DKA

92.Picture of a skin lesion: A young man has a lesion about 1cm . Options;
This was the picture

C. Malignant melanoma
E. Squamous cell ca

93. Alzheimer’s with LBBB-

A. memantine
B. Donepezil
C. Rivastigmine
D. Galantamine
E. Haloperidol

94. Single painless penile ulcer causative organism

A. HSV 1
B. Treponema pallidum
C. Chlamydia Trachomatis

98: ECG showing widespread ST elevation in a patient with inferior MI with chest pain and
fever and a soft systolic murmur

Options: PE, Pericarditis, Papillary muscle rupture infective endocarditis

99: 66 yr old know HTN and DM with dots and blot hemorrhage on fundoscopy

Options: DM retinopathy, HTN retinopathy etc

100. 80 year old man had sudden dysphagia while having dinner. Was having regurgitation
and drooling. What's the next appropriate investigation?

A. Video fluoroscopy
B . Oesophageo gastro duodenoscopy
C. Barium swallow
D. CT abdomen
E. Manometry

101. 5 year old boy with painless non itchy rash (umblicated) for a month. Mother is worried
as brother now has the rash. What is the diagnosis?

A. Bullous pemphigoid
B. Varicella zoster
C. Molluscum contagiosum
D.
E.

102. 6 year old child wish nose bleeding, fatigue, weight loss, cervical lymphadenopathy
FBC - Anaemia, Low platelet and increased WBC. What is the appropriate investigation to
do?

A. Lymph node biopsy

B. CT scan
C. Bone marrow biopsy
D. Peripheral blood film
E.
103. A 34 year old woman with three previous pregnancy losses. Her anti-cardiolipin is
positive and she’s currently 8 weeks pregnant.
What’s the most appropriate management?

A. Aspirin
B. Aspirin + Heparin
C. Aspirin + Warfarin
D. Heparin
E. Warfarin

104. A 20 year old boy had pain on his right ear which suddenly subsided after discharge
came out from the ear. Now there’s no pain and Rinne’s test shows BC>AC in the right while
Weber’s lateralizes to the right.
(A picture was included of a burst Tympanic membrane)
What’s the appropriate management?

A. Olive oil ear drops

B. Reassess in 6 weeks
C. Tympanoplasty
D. Grommet insertion
E. Antibiotics

105. A 23 year old woman who is being reviewed in the ward 1 day after initiating
chemotherapy for acute lymphoblastic leukemia. Her temperature is 36.8•c, PR is 96bpm, BP
is 112/80mmHg. Her urine output is 40mls over 12 hours.
Her investigations :
Potassium - 6.2mmol/L
Urea - 9mmol/L
Creatinine - 410
What’s the single most appropriate diagnostic test?

A. Serum creatine kinase

B. Serum urate
C. Serum phosphatase
D. Serum calcium
E. Serum CRP

112. Low mood+day time fatigue+increase BMI.

Appropriate investigation to confirm diagnosis
A. Ct scan
B. MRI
C.sleep study
D. Neuro.. (study)

113. Suxamethonium apnea, autosomal recessive patter on inheritance, wife is heterozygous

for trait, husband is homozygous for trait, chances of child being affected
A.0%
B.25%
C.50%
D.75%
E. 100%
114. Inguinal injury affecting, knee extension, abduction, area overlying medial thigh, medial
leg and medial ankle skin. What affected nerve
A. Femoral nerve
B. Obturator nerve
C. Saphenous

115.
A woman on MGT for DKA, already on 0.9% NS and insulin, has severe headache with
periorbital edema, next mgt.
A. IVF NS
B. Sublingual Nigedipine
C. Infusion manitol

116.
An Asian man with ambulatory blood pressure reading of 145/95mmHg, what
antihypertensive to commence him on.
A. Amlodipine
B. Lisinopril

117.
A 16 year old boy who had head surgery a few days ago presents with excessive thirst and
excessive urination
Sodium was high
Urine osmolality was 120(50 to 1200 )
Other readings were normal
What is the likely cause of his symptoms

A. DI
B. DM
C. Psychogenic polydypsia
124. 25yr old woman @12wks GA with same partner has a child with Cystic fibrosis. She
wants to know risk of fetus affected by disease.
A. 0
B. 1:1
C. 1:2
D. 1:4
E. 2:3

125. 45yr old man for Elective shoulder surgery o/a of sports injury. He's the first on theatre
list. A known T1DM patient on Lantus insulin once daily (mornings)
Latest HbA1C- 45(20-40)
Advice on insulin dosage:
A. Omit morning dose on day of surgery
B. Reduce morning dose on day of surgery
C. Omit insulin 24hrs prior to surgery
D. Commence variable insulin regimen on morning of surgery
E. Omit insulin 48hrs prior to surgery

126. 18yr old developed generalized tonic clonic seizure lasted about 3minutes. Same thing
happened 2 months ago. She's 25wks pregnant.
What drug to recommend:
A. Lamotrigine
B. Carbamazepine
C. Phenytoin
D. Sodium valproate
E. ???

127. A man who just had pacemaker insertion 24hrs ago presented to the Emergency with
progressive breathlessness…BP: 72/52 a chest X-ray with pacemakers shown. What’s the
appropriate management
Insert chest drain
Atropine
Remove pacemaker
Reset pacemaker to 90

128. A 41wks pregnant woman in labour request epidural analgesia

What the complications of epidural in labour
Backpain
Extend time to commence breastfeeding
Prolonged labour
Headache

129. A 75yr old man presented with severe dyspnea, left sided chest pain and reduced air
entry on the left side. Tracheal is central.. vitals stable
Most likely diagnosis
Asthma
COPD
PE
Pneumothorax
Pericarditis

139. A 35 year man who presented for routine office screening. investigations were
conducted with results;

ALT 25
AST 20
bilirubin 50
GGt 70

what is the diagnosis:

a. Choledocholithiasis
b. Gilbert syndrome
c. criger niger syndrome
d. alpha 1 trypsin deficiency
e.

140. A 70 year old man had abdominal resection of the rectum. 2 hours later urine bag noted
to be empty. the next 3 hours were 57ml, 63ml and 72 ml. vitals were temperature 36.5,
SPO2 96%, respiratory rate 18 cycles per minute and BP 124/78. what is the likely cause of
of the empty urine bag?

a. Catheter kinking
b. acute kidney injury
c. post operative bladder injury
d. post operative urethral injury

141. A 35 year old young man sustained a right ankle injury while playing tennis. He takes
ciprofloxacin for 10 days for protatitis . there is no right movement when the calf muscle is
compressed while he was kneeling. what group of muscle is affected?

a. Extensor hallucis Longus

b. fibularos Longus
c. gastrocnemius
d. pollicis Longus
e. Tibialis

143. stem with two groups on Covid trial, number from treatment group was 5 out of 100,
and number from the placebo group was 15 out of 100. Calculate the number needed to
treat (NNT)

options;
0.1
10
and some other numbers

148. A 16yr old boy that didn't pass urine for 3 days, he had GI issue with vomiting 3 times.
The test results showed hyponatremia, raised urea and creatinine.
What is the most appropriate investigation to confirm the diagnosis.
Blood culture
USS of the abdomen
Urine culture
Ctscan
Liver biopsy

A man who collapsed brought to ED with bradycardia of 40bpm and there's hyperkalemia of
6.7
What's the next appropriate treatment
Atropine
Calcium gluconate
Insulin and dextrose
Permanent pacemaker
Nebulised salbutamol

154. 14yr old presented with fever, drowsiness, confusion, had a vacation to Africa 6wks ago,
had antimalarial for 2wks. There's hx of photophobia, neck stiffness however neurology
examination is otherwise normal. Which investigation should be done
A. Monospot
B. Brain CT scan
C. Lumbar puncture
D. Thick and thin film

155. 6 yr old presented with itchy skin lesion( molluscum contagiosum). What is the line of
management
A. Cryotherapy
B. Steroid
C. Reassurance

156. 2 yr old presented with barky cough, fever, noisy breathing and biphasic stridors. Initial
treatment
A. Intramuscular adrenaline
B. Nebulized adrenaline
C. Intravenous hydrocortisone
D. Intravenous cefotaxime
E. Nebulized budesonide

157. 60 YO woman getting dizzy suddenly while walking. Medically fit and well. Lying and
standing BP normal (systolics 120, 126). What is the appropriate investigation?
- 24 hour ECG
- ECHO
-CT head
24grs ambulatory monitoring

158. Woman loosing balance when getting up, lasting 40 minutes. Investigation needed.
- CT head
- MRI brain
- Dix-Hallpike maneuver

159. Above 70 yo man with confusion. Wife reports his cognitive function is deteriorating. He
has hypertension and atrial fibrillation. What is the cause of his symptoms?
- Alzheimer's disease
- Frontotemporal dementia
- Lewy body dementia
- Vascular dementia
160. A 65 with frequent falls, has Parkinson's and atrial fibrillation with difficulty in sleeping
Zpiclone
Clorazepam
Haloperidol

163. A 37yr old man is booked for an elective repair of his right inguinal hernia, and attends
the preoperative clinic for review. He has no significant medical hx, his BMI is 27kg/m²

What is the most appropriate preoperative investigation.

A. Chest Xray
B. ECG
C. LFT
D. Renal function
E. No investigation required

164. A 46 years old woman with uterine fibroids is booked for an elective laparoscopic
hysterectomy. She smokes 15 cigarettes/day and drinks 10 units of alcohol per week.
What is the best medication for Prophylaxis for Venous Thromboembolism?
A. Aspirin
B. Dabigatran
C. Low molecular weight heparin
D. Unfractionated heparin
E. Warfarin

165. A 25 year old woman calls the early pregnancy clinic with a positive home urine
pregnancy test. She was told to take the test after medical management of miscarriage 3
weeks ago. She currently has no pain or vaginal bleeding.

What is the most appropriate next management?

A. Methotrexate
B. Pelvic Ultrasound scan
C. Repeat medical management of miscarriage
D. Surgical management of miscarriage
E. Urine pregnancy test in 1 week.

166. 35 yr old man with type 1 DM presenting with burning pain in the feet making it difficult
to sleep. Has nephropathy and retinopathy.
What's the appropriate treatment
A codeine
B duloxetine
C naproxen
D sodium valproate
E topiramate

167 16 yr old boy who had surgery for perforated appendicitis 72 hrs ago. Presented with
vomiting having started light drinks and fluids
O/E dry tongue, abdomen is hyperresonant, distended and tender.
What's the diagnosis?

A. Mech intestinal obstruction

B. Abdominal abscesses
C Anagelsic side effect
D paralytic ileus
E stress induced gastritis

168. 84 yr old woman with metatatic CA on palliative care. Had her morphine dose increased
a week ago. Now presenting with constipation of 5 days. Cant swallow tablets but can take
liquids.
Appropriate laxative??

A. Bisacodyl suppository
B. Lactulose solution
C. Methylnatrexone bromide subcut injection
D. Isphagula husk granules dissolved in water
E. Senna syrup

170. A woman on many medications,has respiratory infections and is allergic to penicillin,

what is the most appropriate antibiotics

Amoxicillin
Doxycycline
Ciprofloxacin
Vancomycin
Cefalexim

171. A woman prepping for pregnancy. Ultrasound is normal. What is the most appropriate
investigation?

Beta-hcg
Lap and dye test
HSG
Hysteroscopy

A known drug addict found unconscious and has not been seen for 3 days. Urea and
Creatinine high. Which investigation to confirm diagnosis

A) LFT
B) serum creatinine phosphokinase

178 A 43-year-old man working on a ladder fell and hit his head. He obtained a 4cm
laceration on his head. On presentation at the hospital, he had penocular vision...... such
that he had to tilt his head to the left. He had exotosis double vision on looking to the right.

Which ocular muscle is affected?

A. Lateral rectus
B. Medial Rectus
C. Superior Oblique
D. Inferior Oblique
E. Super rectus

179 A 34-year-old woman observed she passes urine when she coughs. She had her 4th
vagina delivery 6 weeks ago. What is the initial step in management?

A. Oxybutynin
B. Vagina tape
C. Pelvic exercise
D
E

180 A 73-year-old man with COPD, hypertension, on Citalopram, atorvastatin, Amlodipine

has a recent serum electrolyte result.

Na+ 120 mmol/L

K+ 4.3mmol/
Urea. 5.1 mmol/L
Creatinine 93 umol/L

Which of the medications is responsible for the swollen leg abnormality above?

A. Amlodipine
B.
C. Citalopram

Man who presents with diarrhea. Had chest infection last week treated with clarythromycin
and now doesn’t cough. Which organism is most likely causing the diarrhea?

E coli
C diff
Campylobacter

A 23 y/o with signs of depression. They asked first line drug for management

A) Setraline
B) Venlafaxine
C) Clozapine

A pregnant woman had a child with congenital adrenal hyperplasia. What is the odd that her
unborn child will have the same?

A man that has a soft scrotal swelling which reduces when he lies that. Dx?
a. Hydrocele
b. Varicocele
c. ?

A 30 yr man normal bmi , coming for hernia surgery , what should you do pre operatively?
A. Chest X ray
B. Liver function test
C. Nothing
D. EcG
E renal fxn test

A 7 week old neonate delivered at term presented with jaundice. He’s breastfeeding well and
passing 3-4 stools per day. What is the cause of his jaundice
A. Biliary atresia
B. Breast milk jaundice
C. G6PD deficiency
E. Physiological jaundice

A patient with Alzheimer’s disease. Vitals are stable and ecg shows LBBB what’s the
treatment
A. Rivastigmine
B. Memantine
C. Donepezine
D. Galantamine

A pt weighing 80kg having status epilepticus. IV phenytoin will be given at 20mg/kg at a rate
of 50mg/min. Over how long per minutes will it be administered
A. 16
B. 32
C. 160?
D. 10?

Question asking about mode of inheritance of malignant hyperthermia

A. Autosomal dominant
B. Autosomal recessive
C. X linked

Heterozygous father and a homozygous mother gave birth to a child affected by cystic
fibrosis , what is the possibility of the next child being affected .. ?
- 0%
-25%
-50%
-75%
100
15year old boy kicked in the groin, presented with severe left scrotal pain. What is the most
appropriate management

Urgent exploration
Midstream urine sensitivity and culture
Scrotal ultrasound

50 year old joiner, diminished hearing in the right ear, AC>BC on the left AC <BC on the right
What is the diagnosis

Occupational noise exposure

Meniere disease
Wax impaction

66year old woman with recurrent dysuria and UTI over the past 12 months.
Examination is normal with atrophic vaginal
Gonorrhea and Urinalysis normal
Management ;

Vaginal estrogen tablet

A man who presented with confusion, fever and cough. He has background hypertension and
COPD. He was started on antibiotics but later died 2 days after. What should be written in
1(a) of his death certificate.

A 40 year old who came in for his routine GP visit, a known diabetic, who is currently on
metformin, sitagliptin,Atorvastatin, was initially on gliclizide but was stop due to
hypoglycaemia. BMI 28
HbA1C 68. What other medication should be added.

A. Insulin
B. Gliclizide
C. Pioglitazone
D. Dapagliflozin
E.

A man who has been having continuous seizures, now placed on maintenance does of
phenytoin at 20mg/kg. His wt is 80kg. Its to run at 50mg/min. How many min is the whole
dose suppose to run.

A 12
B.
C.15
D.32
E.160