A 23yo woman with painless vaginal bleeding at 36wks pregnancy otherwise seems to be
normal. What should be done next step?
a. Vaginal US
b. Abdominal US
c. Vaginal exam
d. Reassurance
A PT WITH HISTORY OF HYPERTENSION AND BLEEDING DISORDER PRESENTS WITH POOR SENSATION IN LIMBS ,DIFFICULTY IN HEARING AND VISION .DAMAGE TO INT CAPSULE WAS DIAGNOSED .WHICH OF THE FOLLOWING PART IS MOST EFFECTED
ANT LIMB
POST LIMB
GENU
SPLENIUEM
HEAD
A 26 year old builder had a cement burn over his trunk. What is the best management for his blisters?
A. Dressing
B. Cut the base of his blisters
C. Wash his blisters with 0.9% saline/Irrigation
D. Reassure
E. IV fluids
A 17 year old girl presents in A & E having weakness , excessive salivation , vomiting , diarrhoea and abdominal pain . There’s a raindrop pigmentation of skin . Diagnosis is made from nail clip pings . Choose the single most likely cause
A. Lead
B. Paracetamol
C. Salicylate
D. Arsenic
E. Ethanol
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)
A 73 year old man who was a smoker has quit smoking for the past 3 years. He now presents with hoarseness of voice and cough since past 3 weeks. On X-ray a mass is visible in the mediastinum. What is the best investigation to confirm the diagnosis?
A. Bronchoscopy
B. Thoracoscopy
C. USG
D. CT Thorax
E. Lymph node biopsy
A 45 year old lady came to family planning clinic for contraception advice. She is not keen to be pregnant for the next 3 years. Her recent USG report showed multiple small submucosal fibroid. What is the best method of contraception for here from the list below?
A. Etonogestrol
B. Combined OCP
C. IUS (intrauterine system)
D. Progestogen only pill
E. IUCD (intrauterine contraceptive device)
A 32yo woman presents to the ED with headache and vomiting. She was decorating her ceiling
that morning when the headache began, felt mainly occipital with neck pain. Some 2hs later she
felt nauseated, vomited and was unable to walk. She also noticed that her voice had altered. She
takes no reg meds and has no significant PMH. Exam: acuity, field and fundi are normal. She has
upbeat nystagmus in all directions of gaze with normal facial muscles and tongue movements.
Her uvulas deviated to the right and her speech is slurred. Limb exam: left arm past-pointing and
dysdiadochokinesis with reduced pin prick sensation in her right arm and leg. Although power is normal, she can’t walk as she feels too unsteady. Where is the most likely site of lesion?
a. Right medial medulla
b. Left medial pons
c. Left cerebellar hemisphere
d. Right lateral medulla
e. Left lateral medulla