A patient has been having influenza infection for the past 5 days and now presents with very painful hemorrhagic blisters on the deep meatal skin


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  1. A woman has numerous painful ulcers on her vulva. What is the cause?

A. Chlamydia

B. Trichomonas

C. Gardenella

D. Herpes Simplex Virus (HSV)

E. Epstein–Barr virus (EBV)

  1. A 32 years old man presented with slow progressive onset of dysphagia, there is a past history of retro-sternal discomfort and he has been treated with prokinetics and H2 blockers. What is the most probable diagnosis?

A. Foreign Body

B. Plummer Vinson Syndrome

C. Pharyngeal pouch

D. Peptic Stricture

E. Oesophageal Carcinoma

  1. A 6 year old patient comes with easy bruising in different places when she falls. Her FBC results are: WBC 25 * 10 9, Hb: 10.9, platelet 45* 10 9. Her Paul Bunnel test is positive. What is the single most likely diagnosis?

A. Glandular fever

B. Idiopathic thrombocytopenia purpura (ITP)

C. Trauma

D. Non accidental injury (NAI)

E. Septicaemia

  1. A 9 year old boy presented with complains of nocturnal cough and shortness of breath, chest tightness plus wheeze after playing football. His father has eczema. What is the most appropriate investigation?

A. CXR D. Sweat test

B. Pulmonary function tests

C. High-Resolution Chest Tomography (HRCT)

  1. A patient has been having influenza infection for the past 5 days and now presents with very painful hemorrhagic blisters on the deep meatal skin. What is the most appropriate treatment?

A. Oral acyclovir

B. IV Acyclovir

C. Supportive treatment only

D. Gentamicin

E. Flucloxacillin