November recall by PS

*One child with red eye, pain, fever and ophthalmoplegia presented in the emergency.
What is the best next investigation to do?

a. Eye swab
b. CT scan
c. Blood culture
d. USG

Ans: CT scan

*A man presented with loss of reflex in the lower limbs and weakness, being admitted in the
intensive care unit for GBS. What is the appropriate investigation to look for respiratory
function?

a. FEV1
b. FVC
c. Pulse oxymetry
d. Intraarterial O2 monitorinf

Ans: FVC

A lady presented with burning pain in the region of chest and paraperesis in the both the
lower limbs. What is the diagnosis?

a. MS
b. Syringomyelia
c. HJ Virus
d. Motor neurone Disease

Ans: Syringomyelia

A lady 6 months post purtum presented with depressed mood and tearfulness. She said
that, she is having a feeling to through her baby in to the wall and fear that she will do so.
For that reason she always asks her husband to be around and never leave her and baby
alone. What is the condition?

a. Delusions
b. Obsession
c.

Ans: Obsession

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 November recall by PS

*A boy of 8 years of age came with severe breathlessness and wheezing. He was given
sulbutamol inhalers. When he presented in the emergency ABG done,

PaO2: 65

PaCO2: 40

pH: 7.30

HCO3: 21

What is the immediate treatment?

a. Intubate and give O2

b. Give inhaled Sulbutamol, IV prednisolone and O2
c. Give IV predinisole, O2 and NaHCO3

Ans: …………………………..

A couple came to your surgery. Father is a carrier; mother is not having any effect. What is
the chance of getting a cystic fibrosis baby?

a. 0
b. 25%
c. 12.5%
d. 100%

Ans: 0

A 16 years girl presented with an endometrioma of ovary, size 7cm. what is the
management?

a. Laparoscopy and removal

b. Follow up after 6 weeks
c. Reassurance

Ans: Laparoscopy and removal

A elderly man presented with diabetes, RBS high and 2hrs BS is also high. HBA1c is elevated
>8. He is having Metformin 2gm, Glibenclamide 120 mane, what is the next best step?

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 November recall by PS

a. Increase metformin
b. Increase glibenclamide
c. Add rosiglitazone

Ans: Increase metformin

A one man on CT scan found to have an incidentaloma of 1.5cm. what is the management?

a. Follow up CT after 6 Months

b. Removal
c. Reassure

Ans: Follow up CT after 6 months.

A lady presented with a child with a small lateral tumor of the neck, on examination it was
clear that the girls head was tilted towards the swelling. What is the diagnosis?

a. Branchial cyst
b. Cystic hygroma
c. Carotid body tumor
d. Sternomastoid tumor

Ans: Sternomastoid tumor

A 60 year old man, with previous history of peptic ulcer disease, presented with vomiting
which was containing food particles in it. He was suffering from stomach ache and was
taking indomethacin for that for last 15 days. What is the diagnosis?

a. Gastric carcinoma
b. Complication of duodenal ulcer
c. Pyloric stenosis

Ans: Complication of duodenal ulcer.

A small child of 8 years of age was playing in the laundry and suddenly started crying.
Far=ther saw washing powder in his mouth. What is the most serious complication?

a. Esophageal stricture
b. Respiratory failure
c. Gastric perforation

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 November recall by PS

Ans: Esophageal stricture

What do you mean by prevalence?

a. Old and new cases in a point of time

b. All new cases in a point of time
c. All death for a certain disease in a pont of time?

Ans: old and new cases in a point of time.

A man was admitted in the hospital for cocaine abuse and was prescribed methadone. One
day he was presented in the surgery with a history of consuming a lot of methadone tablets.
What is the initial step?

a. Naloxone
b. Naltraxone
c. Activated charcoal

Ans: Naloxone

A woman with a history of marital dispute presented with inability to sleep at night. Doctor
has tried sleeping hygiene but was of no help. What is the next appropriate medication?

a. Temazepam
b. Fluoxetin
c. Olanzapine

Ans: Temazepam

A woman of 30 years of age was presented with tearfulness because his husband left him as
wanted to try that as a change. She was quite upset about that and was not able to sleep
properly at night (there were some more information but I don’t remember exactly, but the
case was made like depression). What is appropriate drug?

a. Temazepam
b. Fluoxetin
c. Olanzapine

Ans: fluoxetin

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 November recall by PS

A man was caught by the police in the train station as he was damaging goods and swearing
to everyone overthere. He was agitated and furious. What is the first step of management?

a. Olanzapine
b. Quitiapine
c. Clozapine
d. Benzodiazepine

Ans: Olanzapine (Acute psychosis: haloperidol should be the ans, but option was not there.
Symptoms suggest Phencyclidine abuse. According to Murtagh: hallucinogen abuse
treatment: Haloperidol or Benzodiazepine.)

A cook aftera party was seeing shrubs growing out his hand and yellow fluid coming out of
it. On asking he said that these are the vegetables he cooks every day. What is the drug to
be given?

a. Haloperidol
b. Benzodiazepine
c. Olanzapine

Ans: Haloperidol (It matches the hallucinogen poisoning. See Murtagh for the ans. Any
correction cordially invited).

A one year old boy presented with fever, wheezing, retreaction of ICS. What is the
diagnosis?

a. Parainfluenza
b. RSV
c. RDS

Ans: RSV

A one year old boy presented with fever, wheezing, retreaction of ICS. What is the
management?

a. Nebulised sulbutamol
b. Nebulised corticosteroids
c. Nebulised adrenaline

Ans: Nebulised Adrenaline

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 November recall by PS

A girl presented to your surgery with history of amenorrhoea. The mother is concerned
about her periods. She is only 20 BMI and is a dedicated bellet dancer. Which of the
question is the best to diagnose the condition?

a. Asking food habits

b. What do you think about your body
c. Do you boy friend

Ans: What do you think about your body.

A lady presented with amenorrhea of few months with galactorrhoea, no symptoms of

virilisation (I don’t remember the prolactin level but it was above 250) what is the
diagnosis?

a. Prolactinoma

Ans: Prolactinoma

A girl of 16 years of age comes to you with her boy friend who is only 15 years of age. She
was asking for OCPs. What should be you action?

a. Refuse to give
b. Counsel and give OCPs
c. Telephone her mother

Ans: Counsel and give OCP

One similar question was there, but I am unable to remember the difference.

A patient who was quadriplegic after an accident which of the following will be most helpful
in improving his quality of life in following years?

a. Maintaining bladder hygiene

b. Having monitory support
c. Support from the family

Ans: Maintaining bladder hygiene.

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 November recall by PS

A child presented with cervical lymph node enlargement, red toungue, red lips and rash
over the body. Temperature was high. What is management?

(It was Kawasaki disease. I diagnosed right but did mistake in management. Don’t remember
the options given)

A lady presented with severe pain in the joints of hands and feet. They are swollen and red.
What is management?

a. Naproxen
b. Alopurinol
c. Cholchicine

Ans: Naproxen

A man presented with head ache whose ESR is 32 (N 30). History of transient visual loss.
What is the treatment of choice?

a. Corticosteroids
b. Aspirin
c.
d.

Ans: ……………………

A man presented with diplopia, dysphagia, hoarseness of voice and vertigo, sensory loss of
opposite side of the body. What is the diagnosis?

a. Vertebra basilar artery insufficiency

b. Infratentorial tumor

Ans: VB insufficiency

A man presented with deafness and acute vertigo with no vomiting and nausea. What is the
diagnosis?

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 November recall by PS

a. Mainers disease
b. Acute labyrinthitis

Ans: Acute labyrinthitis

A child presented with red tympanic membrane, no bulging and pain in the ear. What is the
management?

a. Amox
b. Cipro
c. Difluclox

Ans: amox

A child presented with deafness. He has a history of AOM and antibiotics were given at 12
months of age. He is now 19. What is the diagnosis?

a. Drug reaction
b. Serous OM

Ans: In children OM is most of the time bilateral. Gentamycin is rarely given to children for
AOM. So I went for Serous OM. Any correction invited.

Pictures:

A man who had suffered from MI recently was on enoxaparin. He presented with pain and
swelling in the abdomen. Ct scan was done. In the picture a clear cut hematoma was seen
jus below rectus abdominis. What is the next most appropriate step?

a. Stop enoxaparin
b. Evaquate hematoma
c. Give vitamin K

Ans: Stop enoxaparin

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 November recall by PS

A man presented with chest pain and when ECG was taken it was similar to the ECG given
below. What is the Diagnosis?

Ans: Acute anterior MI with Flutter/fibrillation.

An elderly man age 60 history of heavy smoking and alcohol consumption 30mg per day
presented with right upper quadrant pain. A ct scan given showing two round mass in the
liver. What is the
diagnoisis ( picture was
similar to that)?

a. HCC
b. Hepatic adenoma
c. Cavernous hemangioma
d. Simple hepatic cyst
e. Hydatid cyst

Ans: …………………………….

A lady presented with history of right upper quadrant pain. On CT scan round mass was seen
in the liver. What is the diagnosis?

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 November recall by PS

a. HCC
b. Hepatic adenoma
c. Cavernous hemangioma
d. Simple hepatic cyst
e. Hydatid cyst

Ans: …………………………..

A boy presented with pain in the wrist. X ray given. What is the management?

a. Plaster cast below elbow to thumb

b. Reduction and plaster
c. Plaster from above elbow to thumb

Ans: reduction and plaster.

(Fracture was seemed to be impacted, so glass holding plaster should be done after
reduction. That is why I choose B.)

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 November recall by PS

An elderly lady presented with pain in the wrist. X ray was taken. What is the management?

a. Open reduction and pinning

b. Plaster cast 10 weeks
c. Closed reduction and plaster cast

Ans: open reduction and pinning.

(Murtagh says for elderly lady it is better to do percutaneous pinning before complication
like stiffness becomes evident. So I went for a).

A boy with hand adducted and rotated was born 3800gm. What was the cause of his
comdition?

a. Shoulder dystocia
b. Forcep delivery

Ans: ……………………..

An elderly lady living in a group home presented with red swelling over the parotid region.
What is the diagnosis?

a. Paramyxovirus
b. Salivary duct calculi
c. Salivary gland infection

Ans: ………………………………..

An ulcer on the hand of a man who works in a cattle farm. What is the diagnosis?

There were several chest X rays.

Others:

There were so many questions which we discussed during doing recalls.

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 November recall by PS

In this exam psychiatry questions were plenty.

There were ethical questions but I don’t remember much.

There were questions on mal-absorption, colon carcinoma.

I cannot remember more than these friends. Any other questions if I remember I will let you
all know.

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