A 64yo man presents with a hx of left sided hemiparesis and slurred speech. He was absolutely fine 6h after the episode. What is the most appropriate prophylactic regimen?
a. Aspirin 300mg for 2 weeks followed by aspirin 75mg
b. Aspirin 300mg for 2 weeks followed by aspirin 75mg and dipyridamole 200mg
c. Clopidogrel 75mg
d. Dipyridamole 200mg
e. Aspirin 300mg for 2 weeks
23 years old girl presents with shortness of breath and ight headedness.she has vitiligo and raised MCV.what is the most likely daignosis??
a. Hypothyroidism
b. Pernicious anemia
c. Phenytoin side effects
d. Iron deficiency anaemia
e. Folate deficiency
A 32yo woman comes with intermenstrual bleeding. Her last cervical smear was 1y ago and was negative. What test would you recommend for her initially?
a. Colposcopy
b. Cervical smear
c. Endocervical swab
d. Transvaginal US
e. Pelvic CT
An 11m baby had an apnea event. The parents are worried that if something like this happens in the future, how they are to deal. Advise them about infant CPR.
a. Index and middle finger compression
b. Compression with palm of one hand
c. Compression with palm of two hands
d. Compression with rescue breaths 30:2
e. Compression with rescue breaths 15:2
A man fell from 4 m height.he was stable and answering questions. suddenly he became unconscious. on auscultation there was decreased air entry on the right side of the chest. what is the most appropritate investigation?
a. CT scan
b. IV fluids
c. Thoracocentesis
d. Chest X ray
e. MRI brain
A 34yo woman who never had fits or high BP developed fits 6h after delivery of a term healthy child. What is the most likely dx?
a. Eclampsia
b. Preeclampsia
c. Epilepsy
d. Pulmonary embolism
e. Pregnancy induced HTN
Some say A and others say c.
What’s your opinion?
20 year old girl presents with palpitaions.on examintion there is no abnormality and pulse is regular.most likely diagnosis?
a. Sinus tachycardia
b. VT
c. SVT
d. AF
e. Atrial flutter
23 year old girl pregnant lady presents with hypertension.she has history of repeated UTI in her childhood.what is the cause of her hypertension??
a. Pregnancy induced hypertension
b. Kidney damage
c. Essential hypertension
d. Pre eclampsia
e. Diabetes
45 year old man has been withdrawn recently and feels that he is responsible for fllod in Thailand.what is the most likely diagnosis?
a. Schizophrenia
b. Depression
c. Schophrenia
d. Anxiety
e. Mania
A 24 year man suffering from panis disorder present to hospi with tingling numbness. ABG PH=7.52
PCO2=2.2kpa
Bicarb20. What is the most likely dx?
Acute metabolic acidosis
Acutte respiratory alklosis
Compensated meatbolic acidosis
Compensated respiratory alklosis
A 64 year old teacher reach casualty with the paramedics after experiencing 15mints of central crushing chest pain.
ECG show 0.5mm ST elevation in lead v1 and v2.which of the following is most appropriate treatment??
A.Accelerated tpA+ Aspirin.
B.aspirin and repeat ECG in 15 mints.
C.Aspirin+heparin.
D.no tx and repeat ECG in 15 mints.
E.streptokinase+ Aspirin.
Patient in the CCU with history of MI followed by cardiac failure. Now he develops sudden onset of pain, redness and swelling of the right knee joint. How will you confirm the diagnosis?
A. Send joint aspirate for culture
B. Send joint aspirate for microscopy
C. Send serum Uric acid level
D.blood culture
E. ESR
A 73 year old man is brought to the emergency room for dizziness and nystagmus. Examination reveals loss of sensation on the left side of his face and the right side of his body. He has hoarseness of voice and drooping of his right eyelid. The right side of the face is drier than the left side. He is referred for CT scan on his head.
What is the site of lesion responsible for hoarseness of this patient?
A- Inferior cerebellar peduncle
B- Spinal nucleus of fifth cranial nerve
C- Nucleus Ambiguus
D- Lateral spinothalamic tract
A 50yo woman returned by air to the UK from Australia. 3days later she presented with sharp chest pain and breathlessness. Her CXR and ECG are normal.
What is the single most
appropriate inv?
a. Bronchoscopy
b. Cardiac enzymes
c. Pulse oximetry
d. V/Q scan
e. CTPA