An alcoholic who has completely given up drinking hears voices. What is the most appropriate tx?
a. Olanzapine
b. Diazepam
c. Acamprosate
d. Disulfiram
e. Haloperidol
A young male met with RTA and is suspected of having femur Fx, his BP is 90/60 mmhg. Next immediate action?
a CXR
b IV fluids
c splint
d send bloods
e US
A 65yo man presents with painless hematuria, IVU is normal, prostate is mildly enlarged with mild frequency. What is the most appropriate next step?
a. US Abdomen
b. Flexible cystoscopy
c. MRI
d. Nuclear imaging
e. PSA
A lady has complains of lower abdominal pain, low grade fever and vaginal discharge suggestive of pelvic inflammatory disease (PID). She is not toxic. What is the appropriate empirical treatment for Pelvic inflammatory disease?
A. Ceftriaxone
B. Metronidazole
C. Doxycycline
D. Erythromycin
E. Ciprofloxacin
A clinical picture of breast cancer originated from the mammary duct. Biopsy was done
and there were neoplastic cells found. Choose the histological picture of the cancer.
a. Neoplastic cells are arranged in small clusters occupying a space between collagen
bundles (Seirrhous carcinoma)
b. Spindle cell neoplasms with margins, which infiltrate adjacent structure, fat invaded
(Breast sarcoma)
c. Small cells with round nucleus and scant indistinct cytoplasm (Lobular carcinoma)
A 4 year old baby has generalized tonic clonic seizure and fever of 39’ C.His mother informs you that this has happened 3-4 times before.What is the most likely dx?
a.Febrile convulsion
b.Absence seizures
c.Epilepsy
d.Partial complex seizure
A 57 year old female presents with pain in right eye and proptosis in the same eye. What is the Investigation of choice in this case?
A. CT scan of head
B. CT scan of eye
C. X-ray skull
D. Carotid study
E. MRI head
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
Man who has motor neuron disease and is wheelchair bound, finds it difficult to swallow food- both liquids and solids. What would be the best option to provide nutrition?
A. Gastrostomy
B. Fine bore NG tube
C. Parenteral nutrition
D. Give steroids and continue oral nutrition
A 35 year old female attempts suicide 10 times. There is no history of psychiatric problem and all neurological examinations are normal. What will be the best treatment?
A. Problem focussed treatment
B. Cognitive behaviour therapy (CBT)
C. Antipsychotic
D. Antidepressant
E. Electro convulsive therapy (ECT)