DHA 16.10.

17
1 scenario abt iron deficiency anemia
Best test
Iron, tibc, ferritin, transferrin
2 scenario abt thrombosed external hemorrhoid not relieved by pain killer, stool
softeners, what to do
Sitz bath, remove the hemorrhoid
3 incidence calculation
4 typical scenario abt preterm infant on formula feed provided with X-ray of pneumatosis
intestinalis what will be in bowel wall
Air, fluid
5 55 male t score of -3.5 dx
Osteoporosis
6 another scenario of child hb low plt count high rdw high dx of typical
Ida
7 scenario abt indirect inguinal hernia
Pathophysio asked
8 child sits with W position what will he b at risk of developing medial
Femoral torsion
9 an X-ray abt hirschsprung megacolon asked abt dx
10 euthyroid nodule management (fine needle then cytology)
11 60 female with palpitations tsh low ft3 hi ft4 hi
Diagnosis thyrotoxicosis, hypothyroidism, hashimoto
12 an old male developed glare on exposure to lights at road at night on exam haziness
on corneal what to do
Asked abt cataract management (remove the cataract and place intraocular lens)
13 picture of psoriasis with keratinisation what to avoid sun, trauma
14 picture of ganglion asked abt diagnosis
15 picture of colonoscopy with skip lesions and histo slide given asked abt diagnosis
Crohn’s disease
16 an X-ray of slipped capital epiphysis it’s management
Nailing in situ
17 breast self exam when is best to do
At menses 3to 5 days after menses
18 a scenario abt arrest of effacement and dilation what to do
19 a scenario abt a female with breast tenderness nausea vomiting in morning plus
bluish hue of cervix
Early sign of pregnancy
20 22 years female came no history of breast cancer in family no sexual activity started
yet with breast tenderness occurring before menses every cycle on exam normal breast
what to offer to her
Pap smear
21 in a postmenopausal woman with breast ca what will block peripheral production of
estrogen
Aromatase inhibitor
22 in pph management methylergonovine contraindicated reason
Maternal htn
23 a scenario of pt with lbbb going for dental procedure what to give keeping endocarditis
in view echo normal
No need of prophylactic Ab
24 painless penile ulcer after sexual intercourse with painless adenopathy
Syphilis
25 scenario abt a pt with urethral discharge due to niesseria gonorrhoea what to do
Treat sexual partners
26 scenario abt female having dyspnea on exertion plus coughing blood chest X-ray
showed dilated la enlarged cardiac silhouette dx
MS
27 PPD positive patient before proceeding to treatment what to do
CXR
28 scenario abt cellulitis features
Asked abt dx
29 pt on glyburide asked abt mechanism of action
Insulin secretagogue
30 scenario abt carpopedal spasm and hypocalcemia high phosphorus creatinine high
hyperpth cause
Renal failure pseudohypopth
31 cause of diarrhoea in children
Rotavirus adenovirus
32 scenario abt a male smoker his mother and brother had CA colon what to do to
minimise the risk
No age or colonoscopy was given
I marked stop smoking only relevant answer I found
33 scenario abt raised pt aptt in a 5 day newborn mother has history of seizure on
phenobarbital presented with bleeding treatment
Vit k steroids ffp
34 mother has engorged breasts she is nursing her child what to do
Warm compression and continue breast feed
35 bilateral red eye with watery discharge adenopathy causative agent
Viral conjunctivitis
36 scenario abt tension pneumothorax with deviated trachea absent breath sounds what
to do
Needle decompression
37 parents brought fraternal twins a boy and a girl to dr saying girl is achieving sexual
maturity boy isn’t what to say to them
Girls mature 1 year earlier than boys
Girls mature 2 to 3 years earlier than boys
38 scenario abt ankylosing spondylitis what to do
X-ray Mri of spine
39 a 5.2 cm Abd aortic aneurysm found in 60 years htn smoker male whAt is next step
Refer for surgical repair
40 20 primary teeth at what age ?
2 to 3 yrs
4 to 5 yrs
41 2nd trimester screen results showed inc nuchal translucency
What will b the result
Inc Bhcg Dec MSAFP Estriol
42 scenario of a female with intense anxiety when enters meeting ass with sweating
palpitations dizziness avoids it diagnosis
Panic disorder
43 scenario abt post partum psychosis diagnosis
44 what is the cutoff LDL in a diabetic pt
Options in mmol
45 pt with chronic hep B (I think influenza, hep A and pneumococcal)
Which vaccine to offer
2 to 3 scenarios abt depressive disorder and management
2 question abt alzheimer
Most topics were repeated in exam but vignettes were not exactly the same as in past
papers
Pictorial questions can b picked up if U have a good background knowledge
of topics

Some more questions I just recalled

45 who is the best candidate for bariatric surgery
All options included 33 year old male with a BMI of 35
Only one option said dm2 so I opted it
As for bariatric surgery the best candidate is with a BMI of 40
Or a candidate with co morbids but BMI of 35