A 43yo man with a hx of hospital admissions talk about various topics, moving from one loosely connected topic to another. What is the most likely dx?
a. Psychosis
b. Mania
c. Schizophrenia
d. Pressured speech
e. Verbal diarrhea
A 65yo lady presents with a 6h hx of facial droop and weakness in the left side of her body.
What single agent will she be prescribed for her whole life?
a. Clopidogrel
b. Altepase
c. Aspirin
d. Labetalol
All of the following statements are true for intestinal motility except:
a) doesnot depend on gastric motility
b) increased by distension
C) increased by ACh
d) increased by cholecystokinin.
A 53 year old woman presented with pain in the eye, blurry vision and clumsiness for 3 months. She had a history of difficulty in swallowing and weakness in her right upper limb 2 years ago. What is the investigation of choice?
A. CSF analysis
B. Electroencephalography (EEG)
C. Electromyography (EMG)
D. MRI of the brain
E. Visuality Evoked Response test (VER)
A 35yo man presents with balance problems, headache, SNHL and loss of coreneal reflex on the
left side. What is the most definitive inv?
a. CT scan of internal auditory meatus
b. Nuclear imagine of the brain
c. MRI of internal auditory meatus
d. MRI brain
A 32yo presents with heavy blood loss, US: uterine thickness>14mm. What is the best possible
management for her?
a. COCP
b. UAE
c. Hysteroscopy myomectomy
d. Abdominal myomectomy
e. Endometrial ablation
A 60yo man presents with severe colicky pain from his right flank radiating to his groin. His urinalysis reveals trace blood cells. What is the single most discrimatory inv?
a. US abdomen
b. XR KUB
c. Colonoscopy
d. Upper GI endoscopy
e. Laproscopy
A man presented with severe unilateral headache. After a while presented with diminished consciousness .CT scan was normal.
What is the next best step?
A. Lumbar puncture
B. No investigation
C. MRI
Pt comes with weight loss and sleep disturbances has mild depression.He has hx of MI.What is single most appropriate treatment?
A Diazepam
B ECT
C IMIPRAMINE
D LITHIUM
E ANTIPSYCHOTIC
20 y/o lady comes to the GP for advice regarding cervical cancer. Best method of contraception
A.POP
B.barrier method
C. COCP
28 yr lady very obese presents with dysmenorrhea and dyspareunia.She wants reversible contraceptive.
A Mirena
B COCP
C POP
D COPPER T
E BARRIER METHOD
A 63yo male presents after having had a seizure. Exam: alert and oriented. Exam: inattention on the left side and hyperreflexia of the arm. What is the most probable dx?
a. Cerebral tumor
b. Pituitary adenoma
c. Cerebellar abscess
d. Huntington’s chorea
e. Parkinsonism
A 68yo man on tx for an irregular heart beat comes to the ED. He has palpitations for the last 3h. Exam: pulse=regular, 154bpm. Carotid sinus massage settled his pulse down to 80bpm. What is the most likely rhythm disturbance?
a. SVT
b. V-fib
c. VT
d. V-ectopics
e. A-fib
An old woman having decreased vision can’t see properly at night. She has changed her glasses quite a few times but with no effect. She has normal pupils and cornea. What is the most likelydx?a. Cataractb. Glaucomac. Retinal detachment
d. Iritis
A nursing mother, 20 yr, with renal colic, present with angina pectoris, dyspnoea and weakness. Bp 90\70, Hbr 115/ min, SpO2 98. What is the drug of choice,
- Nifidipine
- Sorbitrate ?
A pt had a stroke. Now, there is left sided weakness and right side facial numbness. CT shows ischemic stroke. Which one would you prescribe?
a. Alteplase
b. Aspirin
c. Clopidogrel
d. Heparin
e. Warfarin