Rash on 4th day after fever in childrens?

A 30 years old lady was blaming the medical staff that they did not give her adequate pain killer post-operation, however after some time the pain subsided and she calmed down and she thanked the team for treating her pain appropriately. What is the most appropriate cause for her behaviour? A. Adjustment disorder B. Post trauma C. Personality disorder D. Depression

Pt of rheumatoid arthritis, on methoetrexate , nsaids
Labs: hb low , mch low
A. Folate def
Bvit b 12
C hemolytic anemia
D aplastic anemia
E. cheonic gi bleeding

Swelling on anterior neck triangle . Increase in size recently , transilluminating
branchial cyst or cystic hygroma
Why is the key cystic hygroma?

26 yr old male presented with pain in scrotum, left side for 4 hours. He has h/o similar
pains over past 2 months but never took treatment. He is sexually active with multiple partners.
What will be the management for this patient?
A. Send home with antibiotic cover
B. Ultrasound of scrotum
C. Urgent surgical exploration

80 yr lady found in floor by daughter, brought to ED. Was unconscious, inability to walk unaided, horizontal nystagmus. She was being treated for depression, osteoprorsis and epilepsy. Daughter doesnot know medication. Which test will help to diagnose the condition? Alcohol, aspirin, carbamazepin, digoxin.

A 12 yo boy had got big ears. His mother wants to take him to private centre for
pinnoplasty. The kid thinks that his ears are just okay. what will u do?
options included :
a. refer the child to private for procedure
b. referreal isnt possible without the childs consent
c, take the child to be counselled

A 55 year old man is brought into A&E unconscious. He has a distended abdomen with caput meduase and spider navi. He has a previous history of bleeding oesophageal varices. His Hb is 10 g/dL, MCV is 100 fL. His skin is pale and clammy. What is the reason for his loss of consciousness?
A. Alcoholic hypoglycaemia
B. Diabetic hypoglycaemia
C. Hepatic encephalopathy
D. Subdural haematoma

A man has a habit of checking the locks of his house again and again. He tries to resist but he has palpitations. What is the most appropriate treatment?
A. CBT + fluoxetine
B. CBT only
C. Fluoxetine only
D. ECT

Rash on 4th day after fever in children???
Measles
Rubella
Parvo
Mumps

A 30-year-old man presents with frank haematuria and haemoptysis. A blood test shows microcytic hypochromic anaemia. Chest X-ray reveals bilateral infiltrates in the lower zones. What is the most likely diagnosis?
1- Renal cell carcinoma
2- Renal calculus
3- Bronchial carcinoma
4- Renal tuberculosis
5- Goodpasture’s syndrome

A 5­‐year­‐old girl who suffered from extensive burns has returned to the general ward after 2 weeks in the intensive care unit (ICU). She
has a large haematemesis. Full blood count and coagulation screen are normal.
a. Coagulation screening
b. Computed tomography scan (CT) scan
c. Barium study of upper GI tract
d. Discriminate between fetal and maternal blood cells (APT test)
e. Endoscopy