A lady comes with a missing IUCD thread. Her LMP was 2wks ago. What is the single most
appropriate next step in management?
a. Abdominal US
b. Prescribe contraceptives
c. CT
d. Serum BHCG
e. Vaginal exam
A 21yo female in her first pregnancy at 38wks was brought to the ED with generalized tonic
clonic seizure. IV MgSO4 was given but fits was not controlled. She is having fits again. What is
the single most imp immediate management of this pt?
a. IV MgSO4
b. IV diazepam
c. Immediate C-section
d. IV phenytoin
e. MgSO4 bolus
f. IV lorezepam
A 65yo lady presents with a 6h hx of facial droop and weakness in the left side of her body. What single agent will she be prescribed for her whole life?
a. Clopidogrel
b. Altepase
c. Aspirin
d. Labetalol
A 40 year old man has sustained a full and partial thickness burn over his forearm and upper arm along with pain and swelling. What is the most appropriate initial treatment?
A. Escharotomy
B. Fasciotomy
C. Oral analgesia
D. Resuscitation with IV Fluids
E. Referral to Burns Unit
A 60 year pld man was brought by his wife complaining of ataxia, urinary inconsistence and erectile dysfunction. He also complains of rigidity and slowing of movement with a pill rolling tremor of the hands. What is the most likely diagnosis?
A- parkinson’s disease
B- idiopathic parkinson disease
C- shy drager syndrome
D- huntington’s disease
A four years old boy with a febrile convulsion lasting eight minutes has been given intravenous (IV) Lorazepam to control the convulsion. What is the SINGLE most likely serious side-effect?
A. Amnesia
B. Anaphylactic shock
C. Diabetes
D. Bronchospasm
E. Cardiac arrhythmia
A 16yo boy came home from boarding school with a cough. His CXR showed bilateral
consolidations. What is the most likely organism which would have caused his symptoms?
a. Legionella pneumophilia
b. Mycoplasma pneumonia
c. Mycobacterium TB
d. Pneumocystis jiroveci
e. Pseudomonas aeruginosa
A young woman on combined oral contraceptive pills has been prescribed Amoxicillin for sinusitis. What should be the advice given to her?
A. Increase dose of OCPS
B. Reduce dose of Amoxicillin
C. Use barrier methods for 2 weeks
D. No extra precautions needed
E. Barrier methods only if patient develops diarrhea
A pt came to the hosp with a complaint of severe chest pain lasting for >1h. Following ECG test, pt revealed to have ST depression. He was already on aspirin. What is the most specific tx for this pt?
a. GTN
b. Simvastatin
c. Clopidogrel
d. BB
e. LMWH
A pt came to the hosp with a complaint of severe chest pain lasting for >1h. Following ECG test, pt revealed to have ST depression. He was already on aspirin. What is the most specific tx for this pt?
a. GTN
b. Simvastatin
c. Clopidogrel
d. BB
e. LMWH
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
A young boy presents with recurrent tender swollen joint pain in knees and elbows. Cant take part in sports. What is the investigation if choice to diagnose it.
A. RA factor/ASO titre
B. Clotting factor
C. ESR
A 46yo male presents with confusion and drowsiness. What is the most likely dx?
a. Cryptococcus neoformans
b. Toxoplasma gondii
c. HSV
d. CMV
e. Candida albicans
A young man brought to hospital after being hit by a metal rod. His GCS is 7. Next best step?
A. CT scan
B. MRI c
C. PET scan
D. Call to anesthetist
E. Refer to neurosurgeon
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
A pt is at term and in labor, the membranes have ruptured, the liquor contains meconium but
the CTG is normal. The cervix is 3cm dilated. What is the single most appropriate action?
a. BP monitoring
b. CTG
c. C-section
d. Fetal scalp blood sample
e. Internal rotation
76 yrs old lady had LOC n recovered after 10 min. She is on aspirin. Bendroflumethiazide n simvastatin. Examination normal. CT Scan is done. Most appropriate management?
A. Add Aspirin 300 mg
B. Clopidogral
C. Dipyramidol
D. Pipyramidol + clopidogral
All the following drugs do not cause bronchoconstriction except:
A. Atenolol
B. Salbutamol
C. Salmeterol
D. Ipratropium bromide
E. Cocaine
32 yes old lady had progressive decrease of vision in three yrs now is almost blind. What is the mechnism of blindness.
A. Cataract
B. Glaucoma
C. Retinopathy
D. Uveitis
E. Keratitis
A 45-year-old lady presents with back pain to accident and emergency department. She had a lumbosacral X-ray done which is normal. On examination she is found to have loss of sensation of the lower legs on pin prick. What is the most appropriate investigation?
a. Bone nuclear scan
b. MRI scan
c. Skeletal survey
d. CT scan spine
e. No investigation
A patient with severe pre eclampsia has just delivered a baby at 37 weeks gestation. 20min after delivery she has her first fit. Her blood pressure is 160/90 mmHg. An IV line is established. What will you administer?
A. MgSO4 drip
B. Hydralazine
C. Methyldopa
D. MgSO4 bolus dose
E. Calcium Gluconate
A 32 years old female has been on long term steroids due to Crohn’s disease. What will be your next step in management respect to osteoporosis?
A. Give Bisphosphonate
B. Calcium and Vitamin supplements
C. Refer her for DEXA scan
D. Weight bearing exercises
A young man met with head injury with dripping of clear fluids from ear and nose. Presence of what confirms the fluid to be CSF?
A-Glucose
B- Lactose
C-Proteins
D-Cholesterol
E- Amino acids
A woman comes to the ED complaining of pain in the right side of the abdomen, she has 7wks
amenorrhea. Her pregnancy test is +ve and US scan shows an empty uterus. What is the next
step?
a. Laparoscopy
b. HCG measurements
c. US
d. Laparotomy
e. Culdo-centhesis