Young male presentse with hemoptysis macroscopic hematuria and red cell casts and oliguria. Kidney biopsy shows linear deposits. What is the dx.
WAGNERS GRANULOMATOSIS
SARCODIOSIS
PAN
IGA NEPHROPATHY
GOOD PASTURE SYNDROME
A 20year old man presents with severe asthma . Which of the following is a criteria for severe asthma ?
A . Silent chest
B. Cyanosis
C. Not speaking in full sentences
D . RR > 27cycles/min
E. PEFR <30
A 45 year old man recently returned from Malaysia . For the past 2 days he has developed fever and Upper right quadrant pain and jaundice . What is the most appropriate investigation ?
A. CT Abdomen
B. Hepatitis screen
C. Serum amylase
D. Ultrasound scan of the abdomen
E. Liver function tests
Pt had a fight following which he developed bleeding, ringing and hearing loss from one ear.
What is the inv of choice?
a. CT
b. XR skull
c. Otoscopy
d. MRI vestibule
e. Coagulation study
A 56 yr old man who has never smoked presents with regurgitation of food when lying down . He also has hoarseness of voice for few months . Who do you refer to?
A. ENT surgeon
B. GIT Surgeon
C. General surgeon
D. Voice therapist
E. Speech therapist
A patient,who suffered from an acute myocardial infarction a day ago, suddenly developed rapid pounding and fast breathing. What is the most probable cause of this?
A. Ventricular ectopics
B. Atrial fibrillation
C. Ventricular tachycardia
D. Complete heart block
E. Acute pericarditis
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Ukvi Academic
Listening 7.5
Reading 8.5
Writing 8
Speaking 8
A 7yo child is brought to the ED with a 1 day hx of being listless. On examination, the child is drowsy
with an extensive non-blanching rash. What advice would you give the parents?
a. All family members need antibiotic therapy
b. Only the mother should be given rifampicin prophylaxis
c. All family members need isolation
d. All family members should be given rifampicin prophylaxis
A 6 year old child fell on his nose 2 days ago. His parents have now brought him with difficulty in breathing. On examination he has a fever and his nasal bones are straight. What is the single most likely diagnosis?
A. Nasal polyp
B. Septal hematoma
C. Septal abscess
D. Deviated nasal septum
E. Fractured nose
An 18yo female just received her A-Level results and she didn’t get into the university of her choice. She was brought into the ED after ingestion of 24 paracetamol tablets. Exam: confused and tired. Initial management has been done. Inv after 24h: normal CBC, ABG = pH7.1, PT=17s, Bilirubin=4umol/L, creatinine=83umol/L. What is the next step in management?
a. Observation for another 24h
b. Refer to psychologist
c. Give N-Acetylcysteine
d. Discharge with psychiatry referral
e. Liver transplantation
A pt. presents with increasing retrosternal pain and dysphagia for both solids and liquids over 18m but denies weight loss. Chest is clear. What is the most likely dx?
a. Achalasia
b. Pharyngeal carcinoma
c. Oesophageal spasm
d. Oesophageal stricture
A 74yo man who has been a smoker since he was 20 has recently been dx with SCLC. What
serum electrolyte picture will confirm the presence of SIADH?
a. High serum Na, low serum osmolarity, high urine osmolarity
b. Low serum Na, low serum osmolarity, high urine osmolarity
c. Low serum Na, high serum osmolarity, high urine osmolarity
d. High serum Na, low serum osmolarity, low urine osmolarity
e. High serum Na, high serum osmolarity, low urine osmolarity
60-year-old man presented with Swelling of the knee and pain in calf. he takes medicine for osteoarthritis. What
was it?
a. PE
b. Ruptured popliteal’s cyst
c. hemoarthrosis
d.Arthritis
plz justify with reference !!
A 55 year old men underwent internal fixation of fractured femur after a motorcar accident and massive bleeding 24 hours ago. He was stable after the surgery and his urine output was normal after he received intravenous fluids. Now he complains of substernal chest pain and shortness of breath. On examination, His temperature is 98.8 F, Pulse is 110/min, blood pressure is 160/100 mmHg and his respiratory rate is 24/min. There is no jugular vein distention. His extremities have established pulses bilaterally and good perfusion. Auscultation reveals harsh systolic murmur across the precordium and crackles on both lung bases. ECG shows sinus tachycardia with delayed precordial transition and no other changes. Laboratory tests including cardiac enzymes are all normal. What is the most likely diagnosis?
A- Acute myocardial infarction
B- Left bundle branch block
C- Septic shock
D- Hypertrophic cardiomyopathy
E- Pericardial effusion
In pyloric stenosis which should correct first?
a.Hypochloremia
b.Hypokalemia
c.Hyponatraemia.
d.Metabolic alkalosis.
A girl had diarrhoea, fever with reduced platelets, anemia and then petechial
rash about 5 days after. What is the diagnosis?
a. Hemolytic uremic syndrome
b. HSP
c. Hemophilia
d. ITP
the most common indication for removal of sub-lingual salivary gland is :
a- sialoadenosis
b- neoplasm
c-ranula
d- lymphoma
e-stones
A 31yo woman presents with 7-10days following childbirth, with loss of feeling for the child, loss of
appetite, sleep disturbance and intrusive and unpleasant thoughts of harming the baby. What
is the best tx for this pt?
a. Fluoxetine
b. Haloperidol
c. CBT
d. Reassurance
e. ECT