36 y/o man with intermittent abdominal pain associated with nausea for several years. He has never sought an explanation for it but has recently started to feel faint, particularly on standing. He has areas of dark skin, most notably in the creases of his palms.
Diagnosis?
Which is the single most appropriate option below that in high circulating levels could explain these skin changes?
A Adrenocorticotrophic hormone (ACTH)
B Aldosterone
C Caeruloplasmin
D Growth hormone
E Iron
A 26 year old woman with regular menses alongwith her partner came to Gp surgery for complaining primary infertility for one year. Her progesterone level were 16nmol/l for last three ocassionaconsectively. What you wil advise her
Repeat day 21 progeaterone
Refer her to speacilist
Endometrial sampling
Basal body temp estimation
Day 2 Lh FSH
A 28 year old man presents with abdominal distension and pain . His stools have been mucoid and sometimes blood stained . What is the most appropriate investigation ?
A. Barium meal
B . Gastroscopy
C. IgA tissue transaminase
D. Jejunal Biopsy
E. Stool culture and sensitivity
A 38yr old woman presents with pruritis for 5years . What is the most appropriate investigation ?
A. FBC
B . Serum amylase
C . Anti- mitochondrial antibodies
D. Liver ultrasound scan
E. Liver function tests
A 30’year’old lady stopped OCP 18 months ago. She has
amenorrhea for the past 9months. Pregnancy test is negative. Prolactin
is 600.What is the most likely diagnosis?
a. Hypothalamic amenorrhea
b. Prolactinoma
c. PCOS
d. Endometriosis
e. PID
A 50yo man with DM suddenly develops persistent crushing central chest pain radiating to the neck. What is the single most appropriate dx?
a. Angina
b Costochondritis (tietz’s disease)
c. Dissecting aneurysm
d. MI
e. Pulmonary embolism
Ans d?..i saw they put c (sush unity questions)
A 4 year old boy presents with a sharp metal injury. He never had any vaccination as his parents were worried about the side effects. What should be the next step?
A. Tetanus toxoid + full course of DPT vaccine
B. TT Immunoglobulin
C. A + B
D. No treatment
A man who collapsed but now conscious presents with hx of palpitations and
chest pain, BP- was normal, Pulse- 100bpm (normal). What drug will you give
him?
a. Synchronous cardioversion
b. IV amiodarone
c. Iv adenosine
d. Beta blocker
e. Digoxin
78 year old man was admitted in hospital for SOB,productive cough and fever…X-ray showed left lower lobe consolidation…He gives history of Significant weight loss and 50 pack years of smoking…He has been treated with IV antibiotics during his hospital stay…What will be the most appropriate follow up investigation in this patient?
a.Bronchoscopy
b.Sputum AFB
c.Chest x-ray
d.CT chest
A 6wk child with profuse projectile vomiting. What is the first thing you will do?
a. US
b. Check serum K+ level
c. ABG
d. NG tube
e. IV fluids
A woman who had obstructed labour 3 days ago suddenly develops left leg pain
and swelling of the Lt leg up to inguinal crease.
a. Post phlebitis Syndrome
b. Aorto-iliac thrombosis
c. DVT
d. Femoral embolus
e Varicose Veins
32 year old sexually active man with recurring pain in the scrotum that suddenly
became severe. On examination, the RT testis is swollen, higher than the left,
and tender. What will you do?
a. give antibiotics
b. reassure
c. Refer to surgical unit
d. Urgent USS
e. give analgesia
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 67yr old lady presents with tingling and numbness in index and middle finger . Tunnel test is negative . What is the appropriate investigation ?
A. Blood glucose
B. CT Spine
C. Spine X-ray
D. MRI spine
E. Hormone levels
A 24yo woman presents with episodes of peri-oral tingling and carpo pedal spasms every time
she has to give a public talk. This also happens to her before interviews, exams and after arguments. What is the best management strategy for this pt?
a. Diazepam
b. Rebreathe in a paper bag
c. Desensitization
d. Buspirone
e. Propranolol
73 yr old patient has last stage cancer and is suffering from severe pain although he has reached the maximum dose of opiates . What would u prescribe to improve his symptoms ?
A. Subcutaneous morphine
B . Fentanyl patches
C. Oxycodone
D . Radiotherapy
A 27 yr old after c section develops epigastric pain 8 hrs later . What is the most appropriate investigation ?
A. ABG
B. Coagulation profile
C. Liver enzymes
D. Liver biopsy