some answers are still missing !
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patient with multiple fibroids: mirena (IUS)
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Tingling in pregnant pt:median nerve at wrist
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Hemophilia :1:2 chances of male child
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CF: 1:2 chances
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Study in which patients were given a drug:Clinical trials
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Rhabdomyolysis: measure CK
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No gastric bubble:esophageal atresia
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Raised ALP:Pagets disease
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Metoclopramide side effect
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AKI after diarrhea
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Staph aureus:breast abscess
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Testicular torsion: surgical intervention
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irregular pupil :iridocyclitis
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Biguanides for diabetic
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metformin
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Phosphate enema
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Resp alkalosis abgs
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Candida albicans
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Impetigo
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chest infection: delirium
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lewy body: visual hallucination
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COCP contraindication: migraine with aura
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hypercalcemia treatment: IV fluids
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60mg subcut morphine continuously for 24 hours
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Prostate cancer
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placental abruption
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crohns disease
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sertraline after MI
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serum gastrin level
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0.9% Normal saline to prevent contrast induced renal damage
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iv fluid in high glucose (DKA)
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cerebral malaria: thick and thin film
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complete DNR form
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urgent referral to eye: hypertensive retinopathy
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Abr: newborn child audiogram
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dexamethasone test for cushing
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IUS: fibroid, menorrhagia, dysmenuria
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prochlorperazine: vertigo
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Neuroleptic malignant syndrome
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Woman, confused and had urine incontinence: seizure
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bipolar disorder: episode of mood changes
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Aortic stenosis
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lymphedema
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MRI spine: bone mets
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eye symptoms after change from fluoxetine to some other drug: urgent referral to ophthalmologist
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itching after bath: scabies
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indapamide : stop in diarrhea
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Ask your friend to go to GP
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Cushing syndrome
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Single toxic adenoma
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Fluconazole suspension
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Posterior semicircular canal
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teratoma
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ductal papilloma
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barium swallow
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lymph node biopsy
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ascending cholangitis
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LMWH for DVT in pregnancy
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MCA infarct
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Amniocentesis
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Temporal bone fracture
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ESWL for stone
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Prednisolone for nephrotic syndrome
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Stop driving both car and lorry
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Confront the staff
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Admit for IV antibiotics
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Pelvic floor exercises
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Psychotherapy for PTSD
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TOF with 70% sats
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Consult consultant for colleague discussion
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High BMI man: diabetic
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Stop simvastatin if giving erythromycin
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DC cardioversion
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Schizophrenia scenario: sinner because of traffic ticket
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GCS 9
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ITP in a preg lady
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Hemorrhoids: bright red blood, painless
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Lifestyle modification
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Strep pneumonia:meningitis
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Rejecting ECT: discuss alternate treatment
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5% dextrose
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Carbimazole for hyperthyroidism
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Unequal bp in both arms:CT aorta
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Occupational death:coroner
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Drowsy infant:secure airway
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Hydrocortisone 1% for eczema
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Spinal cord compression
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Constitutional delay
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Chlordiazepoxide
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thiamine
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Repeat cervical smear in 6months
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SAH: worst headache
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Colorectal carcinoma
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Somatization
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Achalasia
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Duloxetine: neuropathic pain
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Alzheimer, signing will:assess mental capacity
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Prophylactic antibiotics in meningitis
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Hypothyroidism
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Woman with headaches and progressive weakness in hand: MS
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Old lady with Alzheimer still driving? Inform DVLA
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Varicocele
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Joint aspirate microscopy
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Paresthesia in ring and little finger:ulnar nerve
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morphine overdose : low respiratory rate
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Adhere to advanced directive
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best marker to diagnose asthma/COPD: fev1/fvc
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chest x ray after some respiratory issue
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Panic disorder: sertraline
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Epididymorchitis
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Hemophilia
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SLE:ANA
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stress glycosuria
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obstructive sleep apnea
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Immediate investigation in a patient with 2hrs of chest pain: ECG
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iv ceftriaxone meningitis
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Hematuria+HTN: Renal US
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Patient had prostrate ca but presented now with features of UTI: Urine c/s
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Drowsy patient after surgery: Anesthesia reaction
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Systemic vasculitis
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Ds dna: SLE
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Breast lump: core biopsy or reassure?
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anorexia nervosa reluctant to admission: Urgent follow up with dietician or compulsory admission
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vomiting after every feed and otherwise normal child: pyloric stenosis or GERD?
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pt with symptoms of hypothyroidism but low MCV: Thyroid function test or Ferritin?
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esophagal cancer/ achalasia?
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Atrophic vaginitis or endometrial Ca?
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Family Hx of depression or female?
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Asymptomatic bactiuria in aged patient: change catheter
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Hot flushes:cocp. Cyclical cocp
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genetic counselling
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Dyskinesia? Side effect of antiparkinson
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Antibodies to syphilis or PCR?
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svt adenosine
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stop gliclazide on day of surgery
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iv hydrocortisone asthma acute exacerbation
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Sleep hygiene or sleep clinic?
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Painkiller for lithium taking lady?
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Blood Culture after mechanical valve and surgery
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Ptosis, progressive eye swelling?
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Pulmonary contusion
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Patient with recurrent glioblastoma developing polyuria, Reason? SIADH
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fracture after falling outstretched hand: distal radial or buckle fracture?
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behavioral therapy: child over 5 for day night incontinence
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papers to admit the patient? Or sedate the patient.
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Thiazide induced hypercalciuria?
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Agoraphobia or social anxiety?
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Xray: bronchopleural fistula
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Spina bifida: intermittent catheterization
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6wks preg with PV bleed : Repeat US in a week
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Hyponatremia: Cerebral edema
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Vit d deficiency
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influenza vaccine in splenectomy
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nifedipine
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Child had 3 epi of tonsillitis:No treatment required
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Femoropopliteal occlusion
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thiamine
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wash all the parts in clean warm water with liquid dishwashing detergent; Allow the parts to air dry
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Infentile spasm
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Oral chloraphemine
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ulnar nerve or axillary nerve?
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Repeat abgs in one hr
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oral amoxicilin: lymes rash
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adenoma of parathyroid?
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pelvic xray in a lady with hip pain
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Child with severe diarrhoea 5-6 times/day, vomiting and dehydrated. Most initial step. Electrolytes and urea
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no treatment for uti kid
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change to other antipsychotic:3 months taking ssri but no relief?
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prednisone for polymyalgia rheumitica
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staph aureus pneumonia: bilateral cavitation , young person
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True positive
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24 hrs pH monitoring or barium swallow?
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chorioamnionitis (i am not sure whether or not it was in the exam)
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bronchiectasis
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Isosorbide nitrate - postural hypotension
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Chlamydia cervicitis