- Pic of a Lesion at the back of an old man that bleeds everytime he changes clothes. Management?
Cautery
Excision
Nitrogen
Antibiotic
- Neonate with jaundice after few hours of birth. Cause?
Hemolytic anemia
Physiologic
Thalessemia
- Ecg given for a 4 year old girl who had her vsd repair surgery done recently. Her pulses could not be felt. Management?
Immerse face in cold water
Cardioversion
Amiodarone
Saline
- Ct given (no abnormality could be seen) for a 45 year old woman who presented with severe headache and vomiting for 24 hours, mild neck stiffness. Previously well. Diagnosis?
Meningeal meningitis
Cryptococcus meningitis
Subarachnoid hemorrhage
Tumor
- A young man treated with urethral discharge found to have neiserria on culture and treated with antibiotic but discharge persists even after antibiotic course. Gram stain done which shows polymorphocytes but no organism. Cause?
Reinfection with neisseria
Chlamydia
E. Coli
- Radiation exposure of a ct is equal to how many xrays?
10
20
50
100
200
- Old man had pain after few minutes of walking, releived at rest. Pain travels down right thigh. Cause?
L4-L5 disc prolapse
Right common iliac artery stenosis
Right femoral artery stenosis
- A diabetic woman presents for routine checkup. Her bp is 150/something. Fundoscopy done and pic shown. It had flame hemorrhage, papilloedema, av nicking, asking for cause of these findings
Renal disease
Diabetic retinopathy
Hypertensive retinopathy
- New screening test for chlamydia in 50 year old patients. It has prevalence of 1% test has sensitivity and specificity of 95% what is the reason it cannot be implemented as screening test for mass population?
It has low sensitivity
Low specificity
Disease is not prevalent in this age group
- 50 yr old obese man with high blood sugar, high cholsterol 6.5, spider nivae, diagnosis
Cushing syndrome
Pheochromocytoma
- Lady started on carbimazole for hyperthyroidism. Presents with fever and sore throat agter 2 weeks. Cause?
Thyroiditis
Low leukocytes
Low complement level
- Nurse asked to given patient opiate but instead gives him panadol, you notice that. After giving the patient opiate, what to do next?
Talk to nurse and tell not to do again
Raise issue at board meeting
Report incidence
Report medicial board
Do nothing
- 25 yr old man presented after mva, he remembers the accident clearly, is vitally stable. Only complain is tenderness of left upper quadrant. Ct given (looked like splenic laceration) what to do next
Laparotomy
Pneumococcal vaccine
Observe
- There is salmonella outbreak. You want to study.
Case control
Cohort
Rct
Case report
- Patient with hazy cornea, headache, other signs of glaucoma. Immediate management
Atropine
Timolol
Prednisolone
Chloramphenicol
- Infant presented with a pit like lesion in front of ear. No discharge of any other symptoms. What to do
Surgery
Do nothing
Refer to specialist
- Patient admitted with delirium but in hospital fell down and got his femur fractured. Upon discharge u tell him he needs some changes at house or stay at nursing home. He gets angry and starts blaming hosp. What to do
Add risperidone
Add olanzapine
Insist to stay at nursing home
Make him understand such things happen at hosp
- 75 yr old nursing home resident presents with vaginal discharge with blood. On examination ulcer seen in vagina. Cause
Lichen scelosis
Sexual abuse
Vulval cancer
- Infant presents with funny turns. Parents tell since one week the child raises abdomen, stretches arms. No cyanosis. Diagnosis?
Infantile spasm
Epilepsy
- 34 wks primigravida presents for routine check up. Fundal height 32cm, fetal parts palpable, previous scans normal. Baby movements normal, cause?
Renal agenesis
Intrauterine growth restriction
Normal Constitutional size
Dating error
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