Most appropriate invest for pulmonary embolism ?
A. D dimer
B. Ventilation perfusion scan
C. Pulmonary angiogram
(no option of CTPA)
Painless vaginal bleeding at 36 wk gestation. Examination shows fetus to be in transverse lie. Pulse 90 bpm, BP 95/60. Feta heart 140 bpm. Most appropriate next action?
TVS
Abdominal US.
A 29yo woman presents with lid lag, lid retraction and diplopia. What is the most appropriate
next step?
a. TFT
b. Tensilon test
c. Fundoscopy
d. Autoantibodies
e. EMG
A or D ?? CONFUSED
dr khalid key says A.
A man feels mild discomfort in the anal region and purulent discharge on the underpants. What is the most likely diagnosis?
A faecal incontinence
B anal abscess
C fistula in ano
D anal tags
E rectal Ca
A 30 year old woman on oral contraceptives presents with dilated tortuous veins crossing her abdomen to join the tributaries of superior vena-cava. What is the single most likely cause?
A. Intra-abdominal malignancy
B. Ovarian cyst
C. Fibroids
D. Ascites
E. Deep vein thrombosis (DVT)
A 32 –year-old woman comes with intermenstrual bleeding. Her last cervical smear was
one year ago and it was negative. Which tests would you recommend her initially?
a. Colposcopy
b. cervical smear
c. endocervical swab
d. transvaginal ultrasound
e. pelvic CT
A 16 year old girl is brought to the hospital by her parents as they are worried about her poor appetite and her rigorous exercise regimen. And she does not think there is anything wrong with her eating habits. She says she is overweight which is why she follows such a strict diet and exercise regimen. What is your next line of management? The girl’s Height- 165cm. Weight- 33kg
A. Reassure parents
B. Detain under mental health Act
C. Eating disorder clinic
D. Psychodynamic Therapy
A 42 year old man presents with stroke, he is not able to walk straight and his speech is slurred. What is the initial appropriate investigation?
A. CT scan brain
B. PET scan brain
C. MRI (brain)
D. Carotid angiography
E. Monitor for 24 hours
Key is B but its wrong …
A 32 years old woman had normal vaginal delivery 10 days ago. Her uterus has involuted normally. Choose the single most likely predisposing factor for postpartum hemorrhage from the options given below?
A. Retained product
B. Disseminated intravascular coagulation (DIC)
C. Uterine infection
D. Von Willebrand’s disease
E. Primary postpartum
The given question is predisposing factor
A 17 year old secondary school girl presents with complaint of prolonged irregular menstrual periods and heavy blood losses. What is the most appropriate treatment for her?
A. Mefenamic Acid
B. Combined Oral Contraceptive Pill (COCP)
C. Progesterone only pill
D. Specific Antigen (PSA)
E. Intrauterine Contraceptive Device (IUCD)
F. . Mirena
Key is B but i ld like to go with A any suggestions…
A 40 year old man presents with vertigo, nystagmus and weakness. He also has tingling sensation in the right arm and diplopia. On examination there is loss of central vision, nystagmus and ataxia. What is the most likely diagnosis?
A. Multiple sclerosis
B. Lateral medullary syndrome
C. Carotid artery disease
D. Vertebra basilar ischemia
A 35 year old man presents with painless left testicular enlargement since past 6 months, which is increasing in size. The swelling is 3 times larger than the right testis; there is no tenderness or redness. What is the most likely diagnosis?
A. Testicular tumour
B. Hydrocele
C. Epididymal Cyst
D. Epididymo – orchitis
E. Reassure