Patient with GCS 6 and only responds to painful stimulus. What is the
condition?
a. minimally conscious state
b. coma
c. vegetative state
d. locked-in syndrome
A man suffers from Herpes Zoster affecting his face. Which of the following mucos membrane is
to be affected?
a. Cheek
b. Cornea
c. Conjunctiva
d. Oropharynx
e. Palate
A 30-year-old female has right wrist numbness, tingling, and atrophy of the thenar eminence. Which one of the following nerves would you suspect to be an issue based on her symptoms?
A. Axillary
B. Brachial
C. Median
D. Radial
E. Post. Interosseous nerve
A 5 year child presents at the ED having sustained 6% burn following hot fluid
which poured on her chest. What will you do?
a. refer to burn unit
b. give iv fluid
c. give analgesia
d. Give no fluid
A 46 year old woman complains of abdominal discomfort and lower abdominal distension. She has regular menstrual cycles with no menorrhagia or dysmenorrhoea. She is mother of 3 children. Abdominal examination reveals a large cystic mass arising from the pelvis. USS reveals a 14 cm*16cm multilocular cyst arising from the right ovary with thin septa. There are no solid areas. There is no evidence of free fluid or metastatic lesions.CA 125 is 12.What is the most appropriate management?
a. Ultrasound guided aspiration and cytological examination of the fluid
b. Right salpingo oophorectomy
c. Total abdominal hysterectomy with right salpingo-oophorectomy
d. Total abdominal hysterectomy and BSO
e. Laparascopic cystectomy
54y. Male . stage 4 CKD. Tremors muscle twitching. Physical examination .reveals the presence of trousseus sign .
Whixhnof the following investigation finding would be most likely to be present in this pt
a) decreased serum phosphate .
b) increased serum albimi.
c) reduced plasma parathyroid hormone concentration.
d)decreased serum calcium .
e) reduced serum potassium.
A 24 year old man asks his GP for sick note from work. He says that he feels down, is lethargic and has stopped enjoying playing the piccolo (his main hobby). He was admitted to a psychiatric hospital last year following an episode of overspending, promiscuity and distractibility. What is the most probable diagnosis for this patient?
A. Psychosis
B. Cyclothymia
C. Bipolar Affective Disorder
D.Depression
E. Seasonal Affective Disorder
After road traffic accident patient presented to casualty with vitals showing BP of 90/60 mm Hg with heart of 56Bpm. Which kind of shock occurs?
A) Cardiogenic
B) Neurogenic
C) Distributive
D) Hypovolemic Shock
A patient presents with acute severe asthma attack. He is unable to speak complete sentences, RR is 30/min, and pulse is 115 bpm. He is unresponsive to oxygen, nebulised salbutamol and oral hydrocortisone. What is the next management for him?
A. Ipratropium bromide
B. Intubation & ventilation
C. Magnesium sulphate
D. Doxapram
E. Aminophylline
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A 65yo man had closure of colostomy performed 5d ago. He is not systemically unwell. There is a tender, localised fluctuant swelling 4 cm in diameter in the wound. What is the SINGLE most appropriate management?
a. Abdominal support
b. Antibiotics
c. Laparotomy and re-suture wound
d. Local exploration of wound.
e.Observation -
A lady with post ileo-colectomy closure of stoma has a small 4cm swelling around the stoma. What is the most appropriate management of the swelling?
a. Local exploration of swelling
b. Exploratory laparotomy.
c.Open laparotomy and re-closure
d. Abdominal binder.
e.Truss.
f.Laparotomy with mesh repair
Common to both acute and chronic malnutrition is
A-Weight for age
B-Weight for height
C-Height for age
D-BMI
A term infant at 3rd day of his birth develops Jaundice,On investigation indirect billirubin is 14.5 ,Hb 13,General physical Ex is unremarkable!Mother finding difficulty in feeding baby as its his first child.what is the most likely cause of jaundice ?
A-Breast milk jaundice
B-Criglet Nijar syndrom
C-Inadequate calorie
D-Hemolytic jaundice