Guys I tried to compile all the recalls from the recent thread in this group

Guys I tried to compile all the recalls from the recent thread in this group but the total questions exceeded 180 :confused: . Addition to the stems and correction of the answers is encouraged.

  1. the inheritance of Alzheimer… the answer is : APOE ε4 gene…

  2. Tricyclic antidepressant overdose …asking about dose of bicarbonate… 8.4%?

  3. refeed syndrome… the answer was low phosphate

  4. bulimia nervosa asking abt Dx

  5. sudden high temp followed by non itchy pink/red pots on chest or legs and spreads to the rest of the body… Dx Roseola

  6. Question about heamolytic uremic syndrom

  7. Question about IgA nephropathy

  8. supraventricular tachycardia treatment. Adenosine

  9. Mode of inheritance of BRCA… Autosomal Dominant

  10. an expected question about an old man cannot take oral pain killers

  11. Terminal patient and her daughter is concerned about her feeding (NG or Oral feed plu sips of water???)

  12. Alzheimer’s Gene… APOE ε4 gene.

  13. All forms of congenital adrenal hyperplasia (CAH) are inherited in an autosomal recessive manner.

  14. 2 questions on croup…One was Dexamethason i think

And the other nebulized adrinaline

  1. 2 questions on epididymo orchitis

  2. That woman post car accident. Dx Breast fat necrosis

  3. q about inguinal hernia location…

  4. ANATOMY QUESTION ABOUT LANDMARK OF SURGERY IN ABDOMEN

  5. 2 questions on TCA (amitriptyin) OD, acidosis,tachy, widened qrs… Rx Hco3, dose of Hco3??

  6. What was the Q about spider naevi and gynecomastia? markedly raised ggt, association with pernicious anemia and cholestasis… dx??? alcoholic liver disease or illary cirrhosis??

  7. Q about heamochromatosis

22)lactate dehydrogenase…TESTS CANCER

  1. Lumber vertebrae at the level of iliac crest… L4

  2. risk of ectopic pregnancy…PID

  3. A HORRIBLE QUESTION IN STATICS …ONE DIED OF 41 MEN TREATED AGAINST MI

  4. swelling posterior left knee…Dx popliteal/bakers cyst

27)Sternum fracture bp 80/40 . Most appropriate initial management…Iv fluid or pericardiocentesis? Cardiac temponadr 0.5 cm but bp was 90/60 best INITIAL treatment …so i chose iv fluids, some chose pericardiocentesis…??

  1. One CT brain = cerebral HG=nimodipine?

  2. A pt with rt sided lateral gaze diplopia. Rt abducens

  3. question about x linked inheritance… ans 0% bcx father dnt transfer to their sons and 50% for girls…??

  4. wat sodium valprote n cocp efficacy? reduce…

  5. someone can’t touch his thumb with his smallest finger with loss of sensation 2 fingers and half…yes: median nerve injury

  6. An ECG represents Afib and unstable pt : cardioversion with dc shock

  7. postpartum psychosis related Q

  8. a question about lithium toxicity,pt on different types of meds along with lithium, comes with tremor. Wht is the cause.

  9. a question about post MI most suitable SSRI : sertaline

  10. Q abt OCD

  11. A question about his house has been repossessed and alcohol consumption

  12. biphosphonate question answer is new onset or worsening heart burn

  13. Taking Sodium valporate advice pt … contraception here as valporic acid is teratogenic

  14. SVT Rx Adenosine

  15. q about mirena intrauterine system

  16. How to confirm Ryle Tube placement is correct

  17. HIV patient does not want to tell his wife Management? inform wife breach confidentiality

  18. Painless swelling under lower eyelid Rx? Picture given … rx warm compress

  19. After TIA no drive for how long? ans. one month

  20. q about syphillis

  21. q about rubella

  22. two qs about copd

  23. Patient with RA with a painless swelling behind the knee…ans

  24. MANAGEMENT OF SMALL STONE IN KIDNEY.

52)PROGRESSIVE VISION LOSS…CATARACT

  1. Lung cancer** cavitation** fever**bad breath Answer?

  2. Post op sob Bi basalar crepitation dx atelactasis rx…??

  3. influenza infection of the lungs comolicated by cavitations , rx : answered fluoxacillin as s.aurus causes super infection post influenza and cavitations in lung

  4. constipated,he was taking opioid had no fecal impaction… Rx senna (stimulant laxative)

  5. a question about anal insertive homosexuals, hiv hep b screen was done, nest step :urethral swab

  6. There was a question a kid with rash on cheeks sparing the nose,her friend got it first then she developed it later… what to do… urgent cbc ??

  7. Copd question : i think long term o2 therapy

  8. One old man with anaemia, low platelet, had diarrhoea for 10 days. Seemed like HUS

  9. eczema rx : topical emiollints

  10. One pregnant couple asked whats the chance of unborn child getting CAH.

  11. One was, copd pt getting worse sob, on inhaled slbutamol and steroid, what to give next…

  12. Another copd was on exacerbation, given iv hydrocortisone what to give next…?

  13. One old lady had learning difficulty, was advixed to be on a trial but daughter disagreed? What to do next?

refer to psychiatrist to assess capacity

Assess capacity to get in trial

Disagree with daughter

Agree with daughter

  1. a question about ulcerative colitis acute relapse : i answered iv methylpred??

  2. Child with pea on ear canal also some wax, what to do next?

Urgent referral

Refferal after 2 weeks

Reassure

Antibiotic drop

Some other drop

  1. Osteoarthritis plus red eye … red cracked lip … bullea on abdomen

  2. Man delusion of guilt, also low mood, anhedonia.

major depressive disorder

Depressivr personality disorder

Psychotic depression

Mixed anxiety and depression

  1. a question about kawasaki and its complication : coronory artery aneurysm

  2. WHAT TO ADD WITH MITFORMIN FOR TYPE 2 DIABETIC. BMI 32… ans. review life style

72)AN EASY Q ABOUT Scabies

  1. Man on rta, was on passenger side, got hit on left side. There is a rash? What organ git damaged, has sever pain… ans spleen

  2. Pt had chest pain for 20 min while playing tennis/squash. Presented 8 hoir later. No abnormalities found. Ecg showed sinus ryrhm, no q wave or abnormalities. What to do next. Troponin was 0.0008 or something.

Discharge

Admit for 12 hour troponin level

Next week cardilogy review or something?

75)acid base balance question : respiratory alkalosis

  1. the question about man having hypoxia and receive opioid… I chose to stop opioid

  2. metoclopromide extra pyramidal effects… neuroleptic malignant syndrom??

  3. Lady with PKD, has severe headache, brother died of intracranial insult. Cause of brothers death? SAH…PKD = often cause of death SAH due to rupture Berry’s aneurism :writing_hand:

:file_folder:Additional , PKD = MR / cyst in other organs / Autosomal dominant

:file_folder: Clinical dx = 2ndary HTN + mass .

High yield points for plab exam .

  1. one boy fell from chair, has ankle swelling, doesnot move leg,tenderness on mid shaft of tibia no deformity,what type of fracture?

1 angular

2 epiphyseal

3 spiral (correct as spiral fracture of tibia is called toddler fracture, it can be missed by xray)

4 no fracture

  1. Old pt had some surgery, now agitated, sees insect crwling in hand.

1 delerium

2 demnetia

81)Woman with breast cancer and widespread mets, has increased thirst,

Constipation, confusion, some pain. Cause?

Hyoercalcaemia

82)Man with clamydia infection, worried about complication.

Epididymo-orchitis

  1. Woman 12 weeks pg, fever,vomiting, rt iliac fossa pain.

1 appendicitis

2 ectopic pg

3 uti

  1. Woman, 6 weeks amenorrhoea, left side ab pain,.

1 ectopic pg (correct)

2 appendicitis

3 Ovarian torsion (very severe symptoms so not correct)

  1. herniabelow inguinal ligament with cough impulse positive, type of hernia…?

direct inguinal/indirct inguinal??

  1. 36 yr old woman, smokes, with heavy mens bleeding, wants contraception

Cocp

Iud

Ius

Depo

  1. Woman on OHA, uncontrolled DM, BMI 30, on metformin.

Lifestyle review

Add some other OHAs

Insulin

  1. Child with barking cough, fever, looks ill, cant sleep, breathing difficulty.

Waht to do.

Nebulisation with adrenaline

Nebu with saline

Some other option

  1. Baby with fever, breating difficulty, sp02 95 or low?, came with drooling. What to do?

Nebu with adrenaline

Nebu with brochodilators

Inhaled steroid some other options but

There was no option with intubation

  1. Old man with signs of uti with haematuria, treated other sypmtoms resolved but haematuria still present. What to do next?

Cystoscpe

Xray KUB

Other option

  1. 74 year old man with history of smoking, alcoholism, develops bladder cancer. Whats the risk factor?

Old age

Smoking

Alcohol

  1. greatest risk factor of ectopic pregnancy: PID

93)lower abdominal pain with vaginal discharge: its either PID or endometriosis

  1. Ct scan image: A man with history of surgery for undescended testis, develops severe sob. What is the tumor marker?

hcg

CA 19-9

CEA

LDH

CA 15-3

95)a pregnant lady with RLQ pain and tenderness: appendicitis

  1. Young man outisde pub, unconcious, there were some findings. Whats the next inv? Serum glucose

  2. Woman postpartum develops hyperthyroidism, what’s the doc/initial managment?

Propylthiouracil (doc)

Carbimazole

propranolol (initial managment)

  1. a man of OSA , what shall he do regarding driving issue

encourage to involve DVLA

  1. breast abcess : s.aureus

  2. a case of MM : def dx bone marrow biopsy

  3. old man with high lymphocytes percentage…CLL

  4. a case od cauda equina syndrome : do an MRI

103)a case of visid respiratory secretions in an old man

glycopyronium

hyoscine

neb saline??

  1. a case of man who takes codiene for pain , his pain is well managed but he can’t take oral medications anymore and he has marked liver enzymes elevation : i answerd buprenorphine patch but im not sure …??

  2. a question about generalised edema : answer was look for protein in urine

  3. another question asked about the DEFENITIVE dx for nephrotic syndrome type : renal biopsy

  4. q about follow up of osteoporosis patient…ans…annual DEXA or check for heart burn symptoms?

  5. a patient who is on high dose steroid for polymyalgia rheumatica , what medication you have to add to protect the bone : biphosphonates

  6. a man who is on CCB and ACEI , and developed dry cough, wt drug you have to add instead of ACEI? ans arb(losartan/valsartan)

  7. post TIA : clopedogril and statin

  8. a case of bloody diarreha and stool culture revealed gram negative curved rods( C.juejni) i think , rx ? cipro

112)A QUESTION ABOUT MILESTONES… 24 MONTHS CANNOT WALK,He was abble to walk with support but not doing laters…regression of milestowns.

Request for CK

Refer to peads neauro

CP case?

  1. Target INR 2-3

  2. ANATOMY LANDMARKS…was asking about site of piercing for hernial repair I guess

  3. a question about pe : CTPA best test

  4. a question about pe alos : prevention dose of LMWH

  5. pt on warfarin and has surgery: stop it and start him on LMWH

  6. coiled NG tube on Xray one? dx diaphragmatic rupture

119)hypochondriasis

  1. A pt with painful eye, fixed semi dilated pupil, redness, light. Acute glaucoma

  2. patient with Hodgkin lymphoma on chemotherapy pn broad spectrum antibiotics already… C. deficile

  3. Retrobulbar neuritis…pain on eye mov with normal fundus?? Rx prednisolone

  4. A pt with decreased vision, specially at night while driving. Light reflex pt says dull light. O/e fundus cant be seen. Forgot the options

  5. Diabetic foot abscess drain and back pain? Mri?

  6. kid with tonsillitis sypmtoms but tonsil is displaced and uvula also displaced. its peritonsillar abcess … urgent admission

  7. Palliative radiotherapy still having pain? morphine or bisphophonates?

  8. Pt with some cancer, having chemo, pain is not controlled with pcm, codeine. Wha to do. Morphine

  9. A lady with chrons comes with faeceal material in vagina, where os the fistula?

Caecum

Sigmoid colom

Ileum

  1. A lady with urgency and frequency. Gets incontinence. Sudden urge to pee. Cause?

Fistula

Detrusor overactivity

Other options

  1. Cancer with peritoneal Mets colicky severe pain abd distension by gas. Ng tube

  2. a question about heroin overdoee

  3. carpal tannel syndrome in pregnant woman

  4. an old man with a picture of bowel obstruction and empty rectum and high pitched bowel sounds : referral to a surgeon??

  5. A pt brought in by friends from party, seen taking some substance. RR 6, hypotnsion, pupil comstricted.

LSD

Heroin

Cocaine

  1. Boy with electrolyte abnormalities hyperpigmentation to confirm diagnosis? Aldosterone? 17 alpha hydroxy ? cortisol?

  2. a case of broncholitis rx and good o2 sat : i answerd paracetamol

  3. one with alport syndrome Answer is- 0%

  4. PDA related quetion

139)the genetics question- congenital adrenal hyperplasia? Autosomal recessive 1:4

  1. A question about x-linked recessive BMD I think no sons and 2 daughters as it was father who was affected

  2. Needle thoracosromy after chest drain removal

  3. Thrombocytosis cuase (pt had leukoytosis) ams… prednisolone?

  4. someone who is due for a surgery and his hb is 8 : postpone the surgery and investigate?

  5. A.fib … rivoroxaban

  6. bleeding rectum with many ulcers…also, post MI as far i can remember. ans Post MI splenic flexure ischemia

  7. schizophrenia hormonal abnormlity : dopamine ?

  8. Picture of a child with rash on the body for 1 month? molluscum contagiosum??

  9. TIA withine one hour. alteplase?

  10. One question about Old man with dementia Multiple bruises

ans…Non accidental injury?

150)an elderly with bruises and disoriented and confused, also taking heparin? Then it must be SDH.

  1. post alochol ingestion… feeling of ants crawling up his legs…rx chlordiazepoxide. olanzapine?

  2. alcohol intoxication, agitated, agressive rx lorazepam, chlordiazepoxide??

  3. vegetarian with megaloblastic anemia… vit b12?

  4. deterring lacohol… disulfiram

  5. Pregnant lady high bp edema need urinalysis to confirm diagnosis?

  6. Child with fever after 5 days rash -?rosela

  7. regurge of stale food, halitosis, dx pharyngeal pouc, managment…?

158)gold standard to diagnose esophageal cancer : UGI endoscopy

  1. A person with multiple lacerations in arm, wants to commit suicide.Compulsory admission?

160)Ultrasound urinary tract ? Answer for one uti unresolved after amox… C&S urine?

  1. Hypoglycemic drug of choice in obese with heart failure??

162)A child 1-2 month age, temp 38C with seemingly chicken pox with clear to pink fluid from the vesiciles. If a treatment has to be given, what should it be?

Oral steroid

Oral antibiotic

Oral antihistamine

Paracetamol

163)progresive Disphagia with resp problems both for solids and liguids. Only occasional regurgitation.

Achalasia (correct)

Oesophageal stricture

164)A pt with painful nodes on shin with other symptoms. Sarcoidosis

165)A pt with glandular fever. Wjay organ would it affect? spleen

  1. qs regarding anal fissure as well

  2. A pt wit wt loss despite eating well, fine tremor, no neck swelling. Whhat to give Carbimazole.

  3. One qs was for gastric carcinoma with supra clavicular node

  4. Painful rash on vulva…hepes genitalis

  5. Painless papules on genitals… HPV

171)Crush injusry…rhabdomylosis than derranged rfts…culprti myoglobin

  1. test fordeafness in neonates … ABR (auditory brainstem response)

173)Investigation for lump in s crotum…usg

  1. Monitoring investigation for use of Amiodarone? electryolytes?

  2. A child with swollen lynph nodes. Which is the best diagnostic tool.Lymph node biopsy Or Bome marrow?

  3. Amitryptalline overdose…give iv fluid bolus as pt had v low bp systolic 70…abc protocol

  4. bulimia nervosa

178)3 day bleed with focal areas of bleed on septum, pt not bleeding currently.ans reassure, silver nitrate cautry, packing?

  1. Yellow frothy discharge with dysuria , and vulval soreness , treatment? Acyclovir ,metronidazole , doxycycline ,fluconozole? ans metro (T.vaginalis)

180)A lady takes depot injection and complains that she doesnt have menstruation?

Reassure (because it is supposed to cause amenorrhea)

  1. A postmenopausal woman with 3 days history of Pervaginal bleeding (note: history of dyspareunia)

My answer: Endometrial carcinoma

Or is it atrophic vaginitis?

182)A person had infection, during hospital stay glucose 9.8, after discharge the hba1c <5

Diagnosis?

  1. Stress hyperglycemia

  2. Impaired glucose tolerance

My answer: stress hyperglycemia

  1. a question with hyperprolactinemia? ans prolactin

184)Diagnosis of suspected pyloric stenosis. ULtrasound