A 6m baby had LOC after which he had jerky movement of hands and feet. What is the most
a. Infantile spasm
c. Partial simple seizure
d. Atonic seizure
e. Partial complex
A 70 to man presents with weight loss. On examination, there is abdominal pain and masses palpable. Per rectal examination is normal with no blood. But occult blood is positive. Where is lesion most likely placed?
B. Transverse colon
C. Descending colon
E. Sigmoid colon
A 50 year old woman presented with dyspareunia and post coital bleeding. She has attained menopause. What is the most likely diagnosis?
a. Endometrial Ca
b. Ovarian Ca
c. Vaginal CA
d. Breast Ca
e. Cervical Ca
A 27yo woman who takes the COCP has had painless vaginal spotting and discharge for 3 days.
Her last menstrual period, which lasted four days, finished 10 days ago. Her last cervical smear
two years ago was normal. Abdominal and vaginal examinations are normal apart from a mild
ectropion with contact bleeding. What is the SINGLE most appropriate initial inv?
a. Cervical smear
c. Endocervical swab d. Endometrial biopsy e. Pelvic US
A 29yo presents with recurrent attacks of diarrhea.he says his stools contain blood and mucus.sometimes he has low grade fever.what is the most appropriate investigation?
B.plain abdominal XR
C.per rectal exam
A or D????
An ECG of an elderly lady who collapsed in the ED shows rapid ventricular rate of 220bpm,
QRS=140ms. What is the most probable dx?
a. Atrial fibrillation
d. Mobitz type1 2nd degree heart block
e. Sinus tachycardia
A 32yo presents with heavy blood loss, US: uterine thickness>14mm. What is the best possible
management for her?
c. Hysteroscopy myomectomy
d. Abdominal myomectomy
e. Endometrial ablation
Ans. B. UAE. [COCP will not resolve the case. There is no fibroid so no myomectomy. Endometrial ablation may render the young lady non fertile. So UAE is the only suitable option here].
what does uae stands for here??
A 6wk baby has been dx as HIV+ve. Which immunization plan will you opt for him?
a. Don’t give any vaccine
b. Give all vaccines except live attenuated vaccines
c. Give only BCG vaccine
d. Give all vaccines except BCG vaccine
25-year-old pregnant woman presents with paraesthesia in her right hand and Tinel's sign is positive.Which is the most appropriate management for this patient?
A young lady with primary amenorrhea has normal LH, FSH, estradiol and
prolactin. Choose the single most likely dx?
b. Primary Ovarian Failure
c. Absent uterus
d. Absent ovaries
e. Turner’s syndrome
A 32yo woman presents with complaints of having low back pain. She is taking analgesics for it.
All inv are normal. What will you advice her?
a. Bed rest
c. Advice to be more active
Ans. C. Advice to be more active.
can it not be b?
A 63yo man continues to experience chest pain and has a temp of 37.8C 2 days after an acute
MI. His ECG shows widespread ST elevation with upward concavity. What is the single most
likely explanation for the abnormal inv?
a. Acute pericarditis
b. Cardiac tamponade
c. Atrial thrombus
d. Left ventricular aneurysm
e. Dressler syndrome
A 25yo woman presents with a painful shallow ulcer on the vulva. What inv has to be done?
a. HSV antibodies
b. Syphilis serology
c. Swab for hemophilus ducreyi
d. Urine culture
e. Blood culture
Ans. The key is C. Swab for hemophilus ducreyi. [Herpes simplex virus causes multiple painful vesicles and syphilis ulcer is painless. As here single painful ulcer probable dx is Chancroid caused by Hemophilus ducreyi].
A 65yo woman says she died 3m ago and is very distressed that nobody has buried her. When
she is outdoors, she hears people say that she is evil and needs to be punished. What is the
most likely explanation for her symptoms?
c. Psychotic depression
e. Toxic confusional state
A 72yo man being investigated for anaemia is booked for a colonoscopy in 24
hours. What is the
SINGLE most appropriate management the night before the procedure?
a. Bisacodyl tablets
b. Glycerine suppository
c. Lactulose syrup
d. Magnesium citrate (orally)
e. Senna tablets
40-year-old male presented with recurrent fistula-in-ano. On examination External opening was found at 5 o clock position and internal opening is not palpable. For assessment he needs?
C-CT scan pelvis
A 73yo male presents with enlarged cervical nodes. He has had recurrent infections over the last
year. His conjunctiva is pale. Choose the single cell type you will find on the blood film.
a. Granulocyte without blast cells
c. Plasma cells
d. Mature lymphocytes
A 28 yo woman at 34 was GA for her first pregnancy attends antenatal clinic. Her blood results Hgb =10.6 , MCV = 95 , MCHC = 350 , what do u do for her ?
A pt is at term and in labor, the membranes have ruptured, the liquor contains meconium but
the CTG is normal. The cervix is 3cm dilated. What is the single most appropriate action?
a. BP monitoring
d. Fetal scalp blood sample
e. Internal rotation
A 40 year old has had intermittent tension, dizziness and anxiety for 4 months. Each episode usually resolves after a few hours. She said she takes alcohol to make her calm. She is in loving relationship and has no problem at her work or home. What is the next step for management?
A. Collateral information
B. CT brain
The pills mostly used for birth control contains
A 30 year old pedestrian was involved in an RTA and presents with loss
of consciousness in the A&E department. He regains consciousness and complains
of headache. He also has a stiff neck on examination with a deep laceration to
his right temple. What is the likely diagnosis?
a. Basal skull fracture
b Cerebral haemorrhage
c Extradural haemorrhage
d. Subarachnoid haemorrhage
e. Subdural hematoma
A 16yo girl who is normally fit and well attends her GP complaining of heavy and painful periods.
She is requesting tx for these complaints. She denies being sexually active. Select the most
appropriate management for her menorrhagia?
a. Antifibrinolytics (tranexamic acid)
c. Endometrial ablation
d. IUS progestrogens (mirena)
e. NSAIDS (mefenamic acid)
A man suffers from Herpes Zoster affecting his face. Which of the following mucos membrane is
to be affected?
c. Conjunctiva d. Oropharynx e. Palate
Which of the following is most likely to benefit the patient?
a. Colonoscopy every 10 years after age 40
b. Colonoscopy every 10 years after age 50
c. Sigmoidoscopy every 3 to 5 years after 50
d. Barium enema after 50
e. Fecal occult blood testing
f. Virtual colonoscopy with CT scanning
g. Capsule endoscopy
h. Digital rectal examination after 50
A 43-year-old woman was texting while driving when she lost control of her car and ran into a tree. She is complaining of chest pain; physical examination reveals pallor, cool extremities, a heart rate of 120 bpm, and JVD. Blood pressure is 80/40. Chest x-ray reveals 3 broken ribs over the left side of the chest. Which of the following is the most likely type of shock?
a. Hypovolemic shock
b. Cardiogenic shock
c. Neurogenic shock
d. Septic shock
A 34yo female presents with a foul smelling discharge. What set of organisms
are we looking for to be treated here?
a. Chlamydia, gonorrhea
b. Chlamydia, gardenella
c. Chlamydia, gonorrhea, gardenella
d. Gonorrhea, gardenella
e. Gardenella only
Key is E
Can someone explain pls?
A 35yo is agitated and euphoric. He claims to be helping the prime minister with economic
policy, although this is not true when checked. What is the most likely dx?
d. Drug induced personality disorder
e. Delusion of grandeur
A 34yo woman who never had fits or high BP developed fits 6h after
delivery of a term healthy child. What is the most likely dx?
d. Pulmonary embolism
e. Pregnancy induced HTN
A 20yo man complains that all his movements are being watched. Sometimes he feels as though his actions are being controlled by his radio. At other times he is aware of voices describing what he is doing. What is the most probable dx?
b. Drug induced psychosis
c. Delusion of control
e. Korsakoff psychosis
A 65 yo known case of liver ca and metastasis presents with gastric reflux and bloatedness.there is osteoporosis.he also has basal consolidation in left lung.what is the next appropriate step?
A 51yo man has become increasingly fatigued for the past 10m. PE: no abnormal findings. Labs:
Hgb=9.2, Hct=27.9%, MCV=132fl, plt=242, WBC=7.59. Which of the following morphologic
findings is most likely to be present on examination of his peripheral blood smear?
a. Hypersegmented neutrophils
b. Nucleated RBC
d. Hypochromic, microcytic RBC