A woman with RA for 30 years presents with tiredness, fatigue, and FBC shows
HB (low), MCV (low) microcytic red cells. She has not being on any
medications of recent. No other hx of note. What is the likely cause of her
anemia?
a. Anemia of chronic disease
b. dietary deficiency of iron
c. GI bleeding
d. NSAID
plz justify with reference
A 17 year old boy who went playing football, suddenly develops unilateral
swelling of the RT hemiscrotum, non-tender on raising it. What is the next
appropriate management?
A. Reassure
B. Urgent surgical exploration
C. IV antibiotics
D.prehn’s test
NB:
Prehn’s test : +ve if elevation relieves the pain >>>> Orchitis
-ve if not relieving the pain>>>>> Torsion
A patient operated for gastric CA is on oral morphine for pain relief . He has adequate pain relief but is experiencing side effects due to high dose of morphine required . What is the most appropriate next step in his pain management ?
A. PCA
B. Oral oxycodone
C. IV morphine
D. Fentanyl patches
- A 56 year old patient whose pain was relieved by oral morphine now presents with progressively worsening pain relieved by increasing the dose of oral morphine . However the patient complains that the increased morphine makes him drowsy and he is unable to carry out his daily activities . What is the next step to manage this patient ?
A. Oral oxycodone
B. Oral Tramadol
C. PCA
D. IV fentanyl
E. Diamorphine
A patient of HTN (Hypertension) present with hypokalemia. Aldosterone levels and renin levels are both elevated. The most likely diagnosis is
A- Renal artery stenosis
B -Conn syndrome
C -Addison’s disease
D -Cushing’s syndrome
A 15 year old presents with fever, and bilateral facial swelling then develops
orchitis. What will you do?
a. Give acyclovir
b. Give analgesia
c. Reassure/do nothing
d. Give antibiotics
A 4yo has earache and fever. Has taken paracetamol several times. Now it’s noticed that he
increases the TV volume. His preschool hearing test shows symmetric loss of 40db. What is the
most likely dx?
a. OM with effusion
b. Otitis externa
c. Cholesteatoma
d. CSOM
e. Tonsillitis
A patient with thought disorder washes hands 6 times each time he uses the toilet. What is the best management?
A-Psychodynamic therapy
B-CBT (Cognitive behavior Therapy)
C-Antipsychotics
D-Refer to dermatology
E-Reassure
A man ingested 50 tablets of aspirin came after 6 hours with vomiting, respiratory distress and some more symptoms. Blood salicylate level at highest point.What is best to do next?
A-Gastric lavage
B-Urine alkalinization
C-Hemodialysis
A 16year girl is admitted after taking a paracetamol 4 hour ago. She has consumed large amounts of alcohol. Her plasma paracetamol concentration is just below the concentration. What should be the best appropriate management for her?
A-Refer to psychiatry ward
B-Refer to medical ward
C-N-acetylcystine
D-Serum plasma paracetamol
E-No further investigation
A pt came to the hosp with a complaint of severe chest pain lasting for >1h. Following ECG test, pt
revealed to have ST depression. He was already on aspirin. What is the most specific tx for this pt?
a. GTN
b. Simvastatin
c. Clopidogrel
d. BB
e. LMWH
A 2 month child with diarrhea and vomiting for 6 days is brought in looking lethargic. What is the
appropriate initial inv?
a. BUE
b. Random blood sugar
c. CBC
d. CXR
e. AXR
Mycoplasma pneumonia, what is the most likely skin pathology?
A livedo
B bazins disease
C pagets
D erythema multiforme
E mycosis fungoides
A 26 year woman has been feeling very anxious and nervous for last few months. She also complains of palpitations and tremors. Her symptoms last for a few minutes and very hard to control. She tells you that taking alcohol initially helped her symptoms but now this effect is wearing off and she has her symptoms even after taking alcohol. What is the diagnosis?
A-Panic disorder
B-Depression
C-Obsessive compulsive disorder
D-Alcohol intoxication
E-Generalised Anxiety disorder
A patient presents with Hb = 60g/L, what is the next step in management?
a. Blood transfusion
b. IV fluids
c. Iron tablets
d. Folic acid
A woman who returned from abroad after 3 weeks of holiday complains of severe diarrhea of 3 weeks. She also developed IDA and folic acid def. What condition best describes her situation?
a. Jejunal villous atrophy
b. Chronic diarrhea secretions
c. Malabsorption
d. Increased catabolism
e. Increased secretions of acid
Q. 1. What is the key?