JUNE 17th 2011

Hi all
collected question from the forum discussed so far.

1- Anatomical snuff box inury ,scaphoid

Ans: immobilize and review

2- Angular fracture of femur and artery involved

Circumflex femoral artery I think the right answer is Femoral artery as they said there were no pulses felt in the leg and foot.
Circumflex femoral ends in the quadriceps muscles only the Femoral carries on down to the leg and foot.

3. The hand foot and mouth disease

Ans: Coxackie virus

4. A child 5 years with febrile convulsions.........what reassurance you will give to mother?
A-occur after head injury
B- occur after 7 years age
C- Family history of febrile convusions
D- can develop to epilepsy
Ans:B/C
Reassurance which will put mothers mind to rest so I wrote its relatively less after 7 years

5. The man who travelled to japan and other parts of Asia, did not take malaria prophylaxis but developed fever, petechiae,
rashes etc…
Ans: dengue fever. Malaria does not causes petechia,low platelets and lymphopenia but dengue does.

6. The patientt have cervical lymphadenopathy, spleenomagaly and sorethroat rash ,man who travel to thailand it was eb
virus cause of glandular fever
Ans: Infectious mononucleosis

Theme: Psychiatry
7.A young patien thinks his intestine got obstruction . ….Nihilstic
8.A pt think he is responsible for world wide famine ….. Guilt
9.Young guys claims when he reads newspaper he can communicate with the author …….delusion of reference
10.A patient thinks he has got some sort of cancer…… Hypocondrial
11. A man blames his from to swang his hand to stranger…control
12. a wife is convinced that her neighour was using her shower when nobody at home, her husband believed this and called
the police....... faute de fait

13. pt with LBP and sciatica after lifting....Disc prolapse

14. Artery that causes blindness

1.Anterior meningeal artery
2.middle
3,posterior
4.posterior circumflex
Ans:

15.Fits after 6hrs of pregnancy

eclampsia
preeclampsia
epilepsy
Ans: Eclampsia

16.cystic fibrosis in 10 month old baby mom worried

sweat test
heel prick test
breath test
Ans; Sweat test

Theme: Fluid resuscitation in children (repeated)

17. An infant with s/s of mild dehydration only....dry mucous membranes but good skin turgor …
Ans:ORS 90 Na mEq/L
18. An infant with dry membranes, drowsiness, decreased skin turgor...( its more then 10% dehydration) ….
Ans: IV fluid bolus over 20 minutes
19. A baby girl has got diarrhoea 10 days ago, now presents with his mother who is concerned about his status...baby has
moist mucous membranes ….
Ans:Reassure
20. another question An infant with s/s of mild dehydration only....dry mucous membranes but good skin turgor and non
blanching rash…
Ans: ORS 90 Na mEq/L/ antibiotic

21.PID treatment-ofloxacin and metronidazole

22.ultrasound scan pregnant woman 16wks semi solid semi cystic-

Ans: fibroid????

two questions mass mobility is restricted

23. ??
24.??

post operation of tumour

25.Stage 3 3 out of 10 lymph node secondaries already operated the main tumour.
Ans: I marked radiotherapy next step

26.FNAC done in a patient no malignancy

Ans:reassurance

27.cerviacal smear year back On OCP intermenstrual bleeding

Ans: Cervical smear

28.Lady migraine wants reversible contraception ireegular bleeding history

1.mirena
2.ocp
3.pro only pil
4.implanon
Ans:Mirena

Theme: non-accidental injury

29. A child with fracture parents said he fell …..skeletal survey
30. A child irritable with fits …..CT
31. A child with bruises in different shape and ages…..coagulation screen

32.teeth wobblie test:

dexa
nuclear medicine
skeletal survey
Ans: dexa scan

Arrythmia
33.
34.
35.

lymph node drainage

36.anus
37.scrotum
38.umbilicus
39.lower leg
Ans:
36.
37.
38.
39.

40. tonsil is inflammed and discharge

Ans: Surgical exploration so immediate referral to ent

ear question
41.otitis media
42.otitis externa
43.parotitis
44.acoustic neuroma
45.I answered increase the aspirin dose for a question

46.anal fissure
47.haemorrhoids
48.carcinoma colon
49.colon polyp

50.tensilon test

51. A lady who was infertile and they were asking about the best test to prove ovulation ....
Ans: mid lutheal cycle progesterone (repeated

52. A pregnant lady with h/o seizures. nspite of mgso4..... continue MgSO4

53.bleed on touch
ANS: SQUAMOUS CELL CARCINOMA

54.schizophrenia treatment-olanzapine

55.A man with history of prostatectomy and post MI man presents with symptoms of depression. What is the SINGLE most
appropriate treatment >
Ans: Citalopram

56. Theme was Alcohol Withdrawal or so.

Options:
A. Acamprosate
B. Chlordiazepoxide
C. Disulfiram
D. Diazepam
E. Thiamine
...all sorts of other things too...

56. A man has undergone detoxification and now wants a drug to stop drinking – Ans:Acamprosate.

57. A couple have just finished their detoxification regime and want a drug with pharmacological action to serve as deterrent
when they take alcohol –
Ans:Disulfiram.

58. Someone wants something for alcohol detoxification. What best treatment to give? –
Ans: Chlordiazepoxide.

59.A child attending nursery a child with sore throat, fever is dribbling saliva. What is the SINGLE investigation most
appropriate treatment….
Ans: Call anaesthetist

60.walking in the country side insect bite-

Ans:penicillin was in the choice

61. girl lots of insect bite-

Ans:oral anti histamine

62. anaphylactic after insect bite-

Ans:im adrenaline

63.itching after bite-

oral /topical

64.sudan man-malaria

65.bipsy of liver or spleen for malaria

Ans: Biopsy of liver

66. A patient with DVT is taking anticoagulants( e.g. Warfarin)........

what is his cut off INR limit?
a- <1
b- 1-2.........
c- 2-3
d- 3-4
Ans: c

67.Child with recurrent abdominal pains, occassional headaches but she maintains a good appetite , no abnormal signs ,
FBC,U&E etc normal...
Ans:.Reassure

68.Child with right sided abdominal pain,symptoms of UTI, abdominal US shows rignt sised Hydronephrosis and excretory
isotope scan showed PUJ obstruction .....
Ans: pyeloplasty (+/- percutaneous nephrostomy)

69.14 yr old boy trecurrent abdominal pains, malaise ,wt loss over 6 months ,vague mass in right iliac fossa, colonoscopy
and biopsy show transmural inflaMMATION AND GRANULOMATA.....
Ans: sulphasalazine

70.A child had recurrent abdominal pain , appetite reduced, faecal soiling ,masses through out the abdome, dilated loaded
rectum ....
Ans:enema and laxatives
71.12 yr old recurrent abdominal pain,relieved by food ,tender in epigastrium,test revealed H. Pylori infection .....
Ans:triple therapy .
Investigation theme
72. Elderly man with bone pain,anaemia ,wt loss,renal failure ,hypercalcemia....
Ans:Bone marrow aspirate

73.a patient with leg swelling , ++++protienuria, serum creatinine elevated....

Ans.Renal biopsy

74.Elderly man with frequency of micturation,poor stream, incompetence, serum creatinine elevated...
Ans: renal biopsy

75.A woman with urinary frequency,wt loss, hematuria,blood clots,abdominal US inconclusive..

Ans: Cystoscopy

76.Treatment overdose paracetamol....

Ans:n-acetycystine

77.A Child presented after fracture with cast applied with pain and swelloing to limb but pulses were present and limb warm
and perfuse............
Ans: remove cast

78.a lady confirmed hypothyroidism what else autoimmune as she has breathlessness
Ans: perinicious anemia was in the choice

79.lady worried she has family history of cancer

Ans:ca125

80.RTA glasco coma scale 12 and falls to 8 in 3hrs CT scan

Ans: iv mannitol

81.A diabetic patient with BP 128/85, presents with micralbuminuria......what is the treatment?
a- Atenolol
b- ACE-inhibitors
c- Ca- channel blockers
d- Diuretics
Ans: b

82.meningitis patient screening before discharge

audiometry

83.A patient with DVT is taking anticoagulants( e.g. Warfarin)........

what is his cut off INR limit?
a- <1
b- 1-2.........
c- 2-3 (the answer ...)...
d- 3-4
84.basketball plater chest pain trachea not deviated reduced air entry at the base
ecg
xray
Ans: xray/ simple pneumothorax

85. another q trachea slightly deviated

Ans: Thoracocentesis

86.what treatment for dysphagia in carcinoma of stomach

Ans:stent?????

87.A 3 month old baby needs to be ressuscitated CPR. (SBA)

Ans: with 2 fingers
88- A woman with symptoms of polidypsia, constipation and confusion after the diagnosis of carcinoma of the breast.(SBA)
Answer: Hypercalceamia

89.Definitive tests wht u do to reach a diagnosis..?

1--FBC
2--TFTs
3--Endomysial Antibodies
Ans: Endomysial

90.sarcoidosis symoptoms
Ans: hilar lymphadenopathy

91.man washes hand several times a day, o/e hands are red claims he has been contaminated because he did not wear a
green tie on national remembrance day his self care has deteriorated of recent
Ans :schizophrenia NB not OCD

92.painless spontaneoues bleeding from pages

-duct ectasia
-duct papilloma ??
Ans: Duct papilloma

93.breast abcess
causative agent, Staph aureus??

94. Initial management in DKA

-0.9% N/S
Insulin
Ans:9% N/S
95.40 yo man with thirst, lethargy his bp is 140/90, his ca is corrected which is 3.7 now. It was asking the most app
management at this stage. Iv fluid, furosemide, prednisolone, hydrocortison iv and a calcium prep. i have no idea about this,
i was hesitant to give him fluid coz thought that his bp raised while they were trying to correct the ca levels. so i gave
furosemide. dont think im right about this.
96. a patient with reduced end-diastolic marks with lessen septal wall
Ans: dilatated cardiomyopathy

97. lady with halucinations hearing others saying she is an evil person>
Ans:third person halucinations

[snip].lady with intermens bleeding her smear was negative a year ago. initial diagnostic test
Ans: Cervical smear

99.initial diagnostic test> guy with MI who had MI 26 hours ago

Ans: ECG

100.guy heroin addict, had a car crash now paraplegic and cries forgot his accident and 1st week of his hospital stay
Ans: post traumatic stress

101.the guy who can't attend to his new job and started drinking >
Ans: social phobia

102.lady 80 years old, tenderness 6-7 rib >

Ans:Herpes Zoster
103.A Child presented after fracture with cast applied with pain and swelloing to limb but pulses were present and limb
warm and perfuse.>
Ans: Give analgesic

104. An old man, living alone, with S/S of Major Depression, brought to A&E by his son,
-Voluntary admission under Mental Health Act
-Forced admission
Ans: Voluntary Admission

105. Dizziness turning the head around/moving side to side on the bed
Ans:Table tilt test

106. Pt with AMl on chemo, had fever, given 3 days ampicillin+.....,then teicoplanin+ meropenam for... days. has still fever.
two blood cultures sterile.values given were- Hb is low,neutropenia,leucopenia. next step?
a) continue antibiotics and add iv antifungal
b) continue antibiotics and add oral antifungal
c) stop antibiotics and repeat blood culture
d) continue antibiotics and repeat blood culture
Ans:

107. theme.postopertaive management (pls fill in the ques those who remmeber) most appropriate investigations:
* 15 blood transfusions during surgery(cholesystectomy?). one hr later, one litre collected in drain
Ans:

108.loop diuretics effect_

a) low sodium, low pot
b) low sod. normal pot
c) normal sod, normal pot
d) high sod,low pot
e) high sod ,high pot
Ans: a

109.rta,pt had foot stuck under motorcycle. now in A n E, has swelling of leg. Dorsalis pedis not felt, tenderness in space
between 2nd metatarsal n big toe.
a) compartment synd
b)arterial rupture
c) arterial embolus
d)
Ans: compartment syndrome
110..Pt on amlodipine,ccb,thiazide for htn. now has bp - 140/80 or so , pr- 38/min
a) ambulatory ecg
b) ambulatory bp
c)echo?
Ans:

111)pt had swelling of ankles after starting new antihtnsive.

a)amlodipine
b)Diuretic
c) b-blocker
d) ace i
e)alpha blocker ?
Ans:

112)after cholecystectomy,bp 60/40, urinary output 20ml/hr

a) iv fluids
b)blood transfusion
c) diuretic ?
Ans:

113)pt has right sided weaknesss n left sided visual loss.where is the block?
a) ant cerebral art
c) ant communicating art
d) pica
e)post cerebral art
f) mca?
Ans:
114) haemoptysis, CXR - cavitations, bibasal creps, bronchial breathing in mid zones(?), pyrexial, wt loss
a) ct
b)alcohol acid fast bacilli
c) blood cultures
Ans: b

115) could anyone fill in the renal ques ...

options- chronic pyelonephritis,
reflux nephropathy,
polycystic kidney disease,
amyloidosis(?)
minimal change
membranous
IgA

* IHD,hypercholesterolaemia(?),bp160/90, proteinuria, blood ++, gfr 40

116)patient with shortness of breath over few days, echo - thin septal and ventricular walls (?)

a) amyloidosis
b) myocarditis
c) hocm
d)dilated cardiomyopathy
Ans: d

117)Patent foramen ovale,Diagnostic investigation-

a)bubble echo
b)TOE
c)TTecho
d)ecg?
Ans:

118)child needing analgesia,has recurrent admissions for asthma.most appropraiate analgesisc?

a)diclo
b)ibuprofen
c)pct
d) codeine
Ans:paracetamol

Theme was Alcohol Withdrawal or so.

Options:
A. Acamprosate
B. Chlordiazepoxide
C. Disulfiram
D. Diazepam
E. Thiamine
...all sorts of other things too...

119. A man has undergone detoxification and now wants a drug to stop drinking - Acamprosate.

120. A couple have just finished their detoxification regime and want a drug with pharmacological action to serve as
deterrent when they take alcohol - Disulfiram.

121. Someone wants something for alcohol detoxification. What best treatment to give? - Chlordiazepoxide.

122.Clinical picture of CROUP and asked for natural history.

Answer: complete resolution.

123.Someone who fell with outstrectched arms and diagnosis of Scaphoid Fracture was made. What next appropriate thing
to do?
A. Scaphiod Xray and review
B. Immobilize
C. Plain Xray
D. CT Scan
E.
Ans: A

124.A pregnant lady having seizures desspite treatment with MgSo4. What next to do?
A. IV Hydrallazine
B. Give MgSO4 bolus...
C. Diazepam
D.
E.
Ans: mgso4 more

125.Woman with spontaneous painless bleeding from single duct in breast.

A. Duct ectasia
B. Duct papilloma
C. Paget's disease
D.
E.
Ans: duct papilloma

126.A child attending nursery a child with sore throat, fever and unable to swallow his saliva. What is the SINGLE
appropriate thing to do next?
A. Seek help from an aneasthesist (Correct)
B. Examine mouth with tongue depressor
C.
D.
E.
Ans: A

127.What important investigation to do for a child who is about to be discharged after being admitte for meningitis.
A. Audiometry
B. CT Scan of the brain
C. Blood Culture
D. EEG
E. Lumber Puncture
Ans: A

128.A man fell 4m from a ladder with all sorts of injuries including haemopneumothorax cos trachea was slightly deviated.
A. Blood Transfusion
B. Thoracocentesis
C. Xray
Ans: x ray129.

Questions about Poisoning. (repeat)

Appropriate investigations to be done:

A. Serum salisylate
B. No investigation
C. Serum folate/iron
D. ECG
E. Capillary glucose
f.oestrodiol

129. Child playing with Aspirin tablets

130.Child took her mother's OCP pills
131.Child swallowed some of her mother's red tablets; mother not sure how many
Ans:
129.
130.
131.

Theme: Anal bleed

132-anal fissure/anal fistula
133-hemmoroids...with histroy of constipation and some thing rubbery felt.
134-ulcerative colitis

135.man histroy of travel....stool culture for ova cyst???

136.one sba ws alzihimers

137.one sba ws uretheral catheterization
138.bone mets was asking the possible first site of the tumor
Ans: Breast

139.Placental abruption

140.sba ws a 17 yr old girl with out secondary sexual characteristics.

downs syndrome
hypothalmous....
Ans: Hypothalamic

141.multiple injuries to patient and fracture femor..bp 90/50....breath rate 32 then rises to 38 breaths /minute
options
fluids....
blood
oxygen/airways
Ans: iv fluid/oxygen

142. patient with ischemic heart disease and diabetes,presents with hypertension...wht is da renal cause...
Ans: renal artery stenosis.

143.side effect of drug neck stiffness i think metoclopramide

32 minutes ago · Like · · Unsubscribe

Doc Saeed Riaz

hese are some different answers guys

60.walking in the country side insect bite-

Ans:penicillin was in the choice >> This is lyme so give doxt

77.A Child presented after fracture with cast applied with pain and swelloing to limb but pulses were present and limb warm
and perfuse............
Ans: remove cast >> Give analgesic because there is no perfussion problem

100.guy heroin addict, had a car crash now paraplegic and cries forgot his accident and 1st week of his hospital stay
Ans: post traumatic stress >> This is not PTSD because in the question it was mentioned that he does not remember the
incident and cannot recall what happened. so it is organic brain problem i guess.

104. An old man, living alone, with S/S of Major Depression, brought to A&E by his son,
-Voluntary admission under Mental Health Act
-Forced admission
Ans: Voluntary Admission >> This is definitely forced admission, i checked the mental health act, since his son does not care
and does not have any objection and the guy has severe depression with a high risk of suicide you have to admit this patient
immediately. .
30 minutes ago · Like
Doc Saeed Riaz some more questions
27 minutes ago · Like
Doc Saeed Riaz
Hi guys got all these qs from another site.... hope it helps you all. cheers!!

Theme was Alcohol Withdrawal or so.

Options:
A. Acamprosate
B. Chlordiazepoxide
C. Disulfiram
D. Diazepam
E. Thiamine
...all sorts of other things too...

152. A man has undergone detoxification and now wants a drug to stop drinking - Acamprosate.

153. A couple have just finished their detoxification regime and want a drug with pharmacological action to serve as
deterrent when they take alcohol - Disulfiram.

154. Someone wants something for alcohol detoxification. What best treatment to give? - Chlordiazepoxide.
Theme: Psychiatry
** A young patient thinks his intestine is rotten . ….Nihilstic
** A patient thinks he is responsible for world wide famine ….. Guilt
** Young guys claims when he reads newspaper he can communicate with the author …….Delusion of reference
** A`patient thinks he has got some sort of cancer and no one seems to believe him…… Hypocondrial
** A man swings his hand to stranger…Control
** A woman is convinced that her neighour was using her shower when nobody was at home. Her husband believed this
and called the police.... Folie a deux

. ** Patient with sudden severe blow back pain after lifting a heavy object. Answer I chose (Disc prolapse)

A woman has seizures 6hrs post partum.

A. Eclampsia
B. Preeclampsia
C. Epilepsy
D.
E.

Cystic fibrosis in 10 month old baby mom worried

A. sweat test
B. heel prick test
C. breath test

Theme: Fluid resuscitation in children

A. ORS 90 Na mEq/L
B. IV fluid bolus over 20 minutes
C. IV fluid to replace deficit
D. IV fluid for maintenance only
E. IV fluid maintenance and deficit
F. Reassure

** An infant with s/s of mild dehydration only, dry mucous membranes but good skin turgor …
** An infant with dry membranes, drowsiness, decreased skin turgor...( its more then 10% dehydration) ….
** A baby girl has got diarrhoea 10 days ago, now presents with his mother who is concerned about his status...baby has
moist mucous membranes ….

Theme: non-accidental injury

A. Xray
B. CT Scan
C. Radioisotope Bone Scan
D. FBC
..many confusing options related to bone scan/skeletal survey

** A child with fracture parents said he fell.

** A child irritable with retinal haemorrhage.
** A child with bruises in different shapes and sizes.
** Child with bruises, lymphopathy, splemegaly, brought in by step father and mother.

** Ultrasound scan pregnant woman at 16 weeks shows semi solid semi cystic masses.
Another one about restricted mobility.

A. Ovarian torsion
B. Uterine fibroids
C. Ovarian Abscess
D. Appendicitis
E.

**Question about post operation of tumour. Next step in management.

Stage 4 out of 10 lymph nodes secondaries already operated the main tumour.
A. Radiotherapy
B. Surgery
C.
D.
E.

** Lady on OCP has intermenstrual bleeding. Cervical smear a year ago was normal. What next thing to do?
A. Cervical Smear
B. Endocervical Swab
C. Colposcopy
D. Pelvic CT
E.

** Man who lost his wife and has now lost interest in everything, low mood, etc. Cannot get along with his son or so. What
to do for him?
A. Detain under Mental Health Act
B. Voluntary admission in Psychiatry ward (correct I hope)
C. ECT
D.
E.

** One other confusing one about someone who swallowed 12 tablets of 500mg Paracetamol tablets. Presented within 4 hrs
of ingestion and blood test said PCM levels were high. What to do next?
I chose Activated charcoal cos it wasnt up to 12g (24 tablets) but some say its N Acetylcystein so Im confused.

** Mother with cracked painful pages and breastfeeding baby; breast is inflammed and...
What organism responsible for this?
A. Staph epidermidis
B. Staph aureus (Correct)
C. Strept pyogenes
D.
E.

** Clinical picture of CROUP and asked for natural history.

Answer should be complete resolution. Dont remember the other options.

** tensilon test

**Lady with history of severe headache and photophobia presents with heavy painful irregular periods and wants reversible
contraception to correct this.
Cant really recall all the options.

1.mirena coil
2. OCP
3. Progesterone only pil
4. Implanon

** Someone who fell with outstrectched arms and diagnosis of Scaphoid Fracture was made. What next appropriate thing to
do?
A. Scaphiod Xray and review
B. Immobilize
C. Plain Xray
D. CT Scan
E.

**A lady who was infertile and they were asking about the best test to prove ovulation ....
A. Mid cycle Progesterone
B.
C.
D. Mid lutheal cycle progesterone (Correct I think)

** A pregnant lady having seizures desspite treatment with MgSo4. What next to do?
A. IV Hydrallazine
B. Give MgSO4 bolus...
C. Diazepam
D.
E.

** Man with 1cm ... on hand which bleeds on touch.

A. Basal Cell Carcinoma
B. Squamous cell carcinoma. (answer)
C. Eczema
D.
E.
** A man with history of prostatectomy and post MI man presents with symptoms of depression. What is the SINGLE most
appropriate treatment?

** Lady with some symptoms of Benign Positional Vertigo I think. Had to do with symptoms when she rolled over in bed.
Best investigation to confirm diagnosis?
A. Dix–Hallpike test
B. Tilt test
C. Weber test
D. Rinne test
E.

** Woman with spontaneous painless bleeding from single duct in breast.

A. Duct ectasia
B. Duct papilloma (this was the answer but I cant remember all other options)
C. Paget's disease
D.
E.

**A child attending nursery a child with sore throat, fever and unable to swallow his saliva. What is the SINGLE appropriate
thing to do next?
A. Seek help from an aneasthesist (Correct)
B. Examine mouth with tongue depressor
C.
D.
E.

Initial Management:
A. IM adrenaline
B. IV adrenaline
C. Oral Anti histamine
D. Local Anti histamine
E. Penicillin

** A girl walking in the country side and bitten by insects bite

** Anaphylactic shock after insect bite. -
** Itching after bite-
**

GIT
A. Reassure
B. Pyeloplasty
C. Sulphasalazine
D. nema&laxative
E. Triple therapy

** Child with recurrent abdominal pains, occassional headaches but she maintains a good appetite , no abnormal signs on
examination. FBC,U&E etc normal.
Answer I chose was 'Reassure'.

** 14 year old boy with recurrent abdominal pains, malaise, weight loss over 6 months, vague mass on right iliac fossa.
Colonoscopy shows transmural inflammation and granulomata. Management?

A. Sulfasalazine (correct answer)

B. Paracetamol
C. Metronidazole
D. Ibuprofen

** A child had recurrent abdominal pain , appetite reduced, faecal soiling ,palpable masses par abdomen, dilated loaded
rectum.
A. Enema and laxatives
B.
C.
D.

** 12 yr old recurrent abdominal pain, relieved by food ,tender in epigastrium, test revealed H. Pylori infection.
Answer was Triple therapy although they used Co-Amoxiclav.
** Another one who had received Omeprazole and stil no improvement. H.pylory test was negative.
Answer was Gastroscopy I think.

Theme: Appropriate Investigation:

** Elderly man with bone pain,anaemia ,wt loss,renal failure ,hypercalcemia....Bone marrow aspirate

** A patient with leg swelling , ++++protienuria, serum creatinine elevated.....Renal biopsy

** Elderly man with frequency of micturation,poor stream, incompetence, serum creatinine elevated...renal biopsy
A woman with urinary frequency,wt loss, hematuria,blood clots,abdominal US inconclusive...Cystoscopy

** A Child presented after fracture with cast applied with pain and swelling to limb but pulses were present and limb warm
and perfuse. I dont really remember all the sentence but it sounded so serious that I chose Remove cast. Another option
was replace with more padding, etc

** A lady confirmed hypothyroidism; features of aneamia were given (breathlessnes, etc) with low Hb and high MCV.
A. Iron Deficiency Aneamia
B. Leukaemia
C. Perinicious anemia (answer...)
D.
E.

Lady worried she has family history of ovarian cancer. What initial investigation will assure her?
A. Colposcopy
B. CA 125
C.
D.
E.

** Someone had RTA. Glasgow Coma Scale on admission is 12 and later falls to 8 in 3hrs.
Initial investigation?
A. CT scan
B. IV mannitol
C. MRI Brain
D.
E.

** A diabetic patient with BP 128/85, presents with micralbuminuria......what is the best treatment to offer him?
A. Atenolol
B. ACE-inhibitors................ (the answer)
C. Ca- channel blockers
D. Diuretics

** What important investigation to do for a child who is about to be discharged after being admitte for meningitis.
A. Audiometry (right answer I hope)
B. CT Scan of the brain
C. Blood Culture
D. EEG
E. Lumber Puncture

** A patient with DVT is taking anticoagulants( e.g. Warfarin)........

what is his cut off INR limit?
a- <1
b- 1-2.........
c- 2-3 (the answer ...)...
d- 3-4

Tall, basketball player with chest pain. Trachea not deviated; Reduced air entry at the base of the lungs.
A. ECG
B. Xray
C.

** A man fell 4m from a ladder with all sorts of injuries including haemopneumothorax cos trachea was slightly deviated.
A. Blood Transfusion
B. Thoracocentesis
C. Xray
D.

What treatment for dysphagia in carcinoma of stomach?

** A couple who earlier lost their son to an unknown cause want to be reassured of a good way to ressuscitate their 3-
month old child in case it happens again.
I dont really remember all the options but I choose the answer: With index and middle fingers of one hand.

** Child with right sided abdominal pain,symptoms of UTI, abdominal US shows rignt sised Hydronephrosis and excretory
isotope scan showed PUJ obstruction. I chose Pyeloplasty (+/- percutaneous nephrostomy)

** A woman with symptoms of polidypsia, constipation and confusion after the diagnosis of carcinoma of the breast.(SBA)
Answer: Hypercalceamia

** I think there was another similar question with muscle twitching and I think it was repeated and answer accoring to the
corrections we did was Hypocalcaemia. Cant remember it now. Hope someone else does.

**A 64 yr old lady presents with Floating stools, lethargy.... What definitive tests will help you reach a diagnosis..?

1--FBC
2--TFTs
3--Endomysial Antibodies

Questions about Poisoning. (repeat)

Appropriate investigations to be done:

A. Serum salisylate
B. No investigation
C. Serum folate/iron
D. ECG
E. Capillary glucose

** Child playing with Aspirin tablets

** Child took her mother's OCP pills
** Child swallowed some of her mother's red tablets; mother not sure how many.

** Some very confusing questions on cases of SVT, VT and AF. All of them unstable I think.
A. Adenosine
B. Amiodarone
C. DC Shock
D. Verapamil
E. Atenolol icon_lol.gif icon_lol.gif
27 minutes ago · Like
Doc Saeed Riaz
199. A 73 year old man who was a smoker has now quit smoking for the past 3 years. He presents with hoarseness of voice
and cough since 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

200. A 45 year old man was involved in a RTA. He has a suspected fracture of the mid shaft of the femur. Which artery
would be injured at this level?
a.Femoral Artery
b.Profunda femoris artery
c.Popliteal artery
d.Obturator artery

ct thorax...most probably..could be bronchoscopy