[1] Case of Rhabdomyolysis (Na+ 150, K+ 7.2, Urea 60), most appropriate management:
A) Dialysis
B) Fluid Challenge
[2] A 5 year old child has VUR, what is true about this condition?
A) Requires prophylactic antibiotics
B) Most will require surgery
[3] A 40 y/o man presents with a leg swelling, Urine examination shows protein: +++. Most appropriate inv.?
A) U/S of kidneys
B) Renal biopsy
[4] A 7 y/o child is suspected to have foramen ovale. Most appropriate inv.?
A) Bubble echocardiogram
B) Transesophageal echocardiogram
[5] A 40 y/o lady lost her husband and is disinterested in everything; she has low mood and can’t get along with her son. Most appropriate management?
A) Detain under Mental Health Act
B) Voluntary admission in psychiatry ward
[6] An 80 y/o lady had a stroke and was put on aspirin 75mg OD. She presents with another TIA. She is now ok after successful treatment. Single most appropriate next action?
A) Aspirin and dipyrimadole
B) Clopidogrel
A 65-year-old man collapsed while working in the garden. U was seen by the GP he was fine.
What is the single most appropriate investigation?
a. ECG
b. 24-hour tape ECG monitoring
c. echo
d. blood glucose
e. chest x-ray
A 4 year old child was diagnosed with epilepsy. His epilepsy is uncontrolled with sodium valproate despite compliance to the medication. What should be the next best investigation?
A. MRI
B. EEG
C. ECG
D. Blood and urine biochemistry
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.
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A Young female with epilepsy. She is on Sodium valproate. Seizures are not controlled onvalproate. What is the next investigation you will do?
A. Check drug levels
B. CT brain
C. MR Brain
D. EEG
45-year-old man who returned from holiday in Spain presents with dry cough and shortness of breath. What is the most appropriate treatment?
A. Clarithromycin
B. Erythromycin
C. Amoxicillin
D. Benzylpenicillin
E. Tetracycline
A pt who works in a pet shop has temp=37.5C, dyspnea, chest pain and cough. CXR: patchy consolidation. What is the most suitable tx?
a. Amoxicillin
b. Tetracycline
c. Erythromycin
d. Clarithromycin
e. Penicillin
A 32yo woman presents to the ED with headache and vomiting. She was decorating her ceiling that morning when the headache began, felt mainly occipital with neck pain. Some 2hs later she felt nauseated, vomited and was unable to walk. She also noticed that her voice had altered. She takes no reg meds and has no significant PMH. Exam: acuity, field and fundi are normal. She has upbeat nystagmus in all directions of gaze with normal facial muscles and tongue movements. Her uvulas deviated to the right and her speech is slurred. Limb exam: left arm past-pointing and dysdiadochokinesis with reduced pin prick sensation in her right arm and leg. Although power is normal, she can’t walk as she feels too unsteady. Where is the most likely site of lesion?
a. Right medial medulla
b. Left medial pons
c. Left cerebellar hemisphere
d. Right lateral medulla
e. Left lateral medulla