A 25-‐year-‐old lady with 8 weeks amenorrhoea presents with 3 days history of right iliac fossa pain and a heavy dark vaginal discharge. On vaginal examination, the uterus is bulky and non-‐tender. She is acutely tender in the right adnexus. What is the single most likely diagnosis?
a. Ruptured ovarian cyst
b. Ectopic pregnancy
c. Spontaneous abortion
d. Torsion of ovarian cyst
e. Appendicitis
A 48yo woman is admitted to ED with a productive cough and moderate fever. She has often
central chest pain and regurgitation of undigested food most times but doesn’t suffer from acid
reflux. These symptoms have been present for the last 3.5 months which affects both food and
drink. A CXR shows an air-fluid level behind a normal sized heart. What is the most likely dx?
a. Pharyngeal pouch
b. Hiatus hernia
c. Bulbar palsy
d. Achalasia
e. TB
A 72 yo man has been on warfarin for 2yrs because of past TIA and stroke. What is the most
important complication that we should be careful with?
a. Headache
b. Osteoporosis
c. Ear infection
d. Limb ischemia
e. Diarrhea
A child suffered dron febrile convulsions.what reassurance u will give to his parents??
A.occur after head injury
B.occur after 7 yrs of age
C.can lead to epilepsy
D.family history of febrile convulsions
E.its cause is benign
A Middle aged hypertensive man presents with bleeding from the nose for half an hour. Bleeding is not controlled with pressure. What is the most appropriate next step in management?
A. Refer to ENT surgeon
B. Anterior packing
C. Silver nitrate cautery
D. Posterior packing
E. Give antihypertensive
A patient of frequent falls wth ecg showing long QT syndrome. Cause of the fall
A. Asystole
B. Heart block
C. VT
A 55yo woman was found collapsed at home, paramedics revived her but in the ambulance she had a cardiac arrest and couldn’t be saved. The paramedic’s report tells that the woman was immobile lately due to hip pain and that they found ulcers on the medial side of ankle. She had DM and was on anti-diabetics. What is the cause of her death?
a. Acute MI
b. DKA
c. Pulmonary embolism
d. Acute pericarditis
e. Cardiac tamponade
A man has been on treatment for 20 years for type I diabetes mellitus and now complains of blurring of vision and frequent change of his reading glasses. Where could be the location of his eye lesion?
A. Retina
B. Choroid
C. Lens
D. Iris
E. Cornea
A 28 year old woman presents with foul smelling discharge with pH < 4.5. What is the single most likely diagnosis?
A. Trichomoniasis
B. Candidiasis
C. Bacterial vaginosis
D. Chlamydia
A 22yo says she has taken about 40 tabs of paracetamol 3h ago. Her HR=110bpm, BP=110/80mmHg and RR=22bpm. What’s the initial management?
a. Activated charcoal
b. N-acetyl cysteine
c. Gastric lavage
d. Wait for 4h paracetamol level