7th August file ….

Solved in zoom session

1) A 11-week pregnant lady’s CVS karyotyping report became as 46XY, what to do?

a. Reassure

b. Terminate

c. USS

d. Amniocentesis

e. Repeat CVS

2) Neonate, systolic murmur at 3rd Left intercostal, fixed split, no cyanosis. Likely diagnosis?

a) TOF

b) ASD

c) VSD

d) PDA

3) 16 years girl living with boyfriend, requesting contraception, said she knew about the contraception
through internet?

a) Give OCP

b) Advice to bring the parents.

c) Inform child protection.

d) Decline the request.

4) Neonate jaundice after birth, mother O positive. Cause?

a) Rh isoimmunization

b) ABO incompatibility

c) Immature liver

d) Hepatitis e) Breast milk jaundice

5) Irregular cycles, LMP 3 months ago, came with severe vomiting to ED, after initial resuscitation, next
step?

a) Antibiotics

b) USS

c) Beta HCG

6) PV spotting, POA 6 weeks, abdominal pain, vomiting, came to ED. What is the feature if present
indicating escalation of management?

a) Abdominal tenderness

b) Shoulder tip pain

c) Guarding

7) 16 yrs, 4 months duration of recurrent headache, vomiting, mother diagnosed with brain tumor at 60
yrs, uncle had aneurysm rupture, what is the appropriate management?

a) Follow up and observe.

b) MRI brain

c) CT brain

d) Reassure

8) JMO, had a needle stick injury, patient is an IV drug user, JMO not sure about the vaccination?

a) Check hepatitis serology in 4 weeks.

b) HHIG

c) HHIG + Vaccine

d) Vaccine
9) Medical student had needle stick injury, vaccinated for Hep B, patient refusing to check status?

a) Apply to medical tribunal to check patient’s status

b) Discuss the benefits and risk of PEP

c) Check the serology later.

d) Give PEP

10) History of MI, on aspirin, came for routine check-up, Examination normal, cholesterol 5.5, what is
the appropriate action?

a) Start ACE

b) Add Clopidogrel

c) Add Simvastatin

11) Return from 6 days trip Thailand, fever, abdominal pain, headache. Likely diagnosis?

a) Malaria

b) Dengue

c) Hepatitis

12) Patient with dyspnoea, Hb 6, platelets 80, WCC normal MCV 110 (100) LFT normal, blood film tear
drop cells. Which one will give the diagnosis?

a) Direct coombs

b) CT abdomen

c) Serum electrophoresis

d) USS

e) Bone marrow biopsy mylofibrosis

13) Two Statistics questions, gave data, asked to calculate the prevalence and likelihood.
14) Motor vehicle accident,6 cm fracture and laceration in the leg, at ED after initial management, next
important step?

a) X-ray -----3

b) Antibiotics …1

c) Wound debridement ---4

d) Tetanus toxoid----2

15) Patient with abdominal pain, vomiting, BP normal, PR 102/min, X-ray of SBO features, after some
hours of initial management, pain increased, PR 120/min, what next?

a) CT abdomen

b) USS

c) Surgical exploration

d) Nasogastric tube

16) Young patient, CVA left side, rashes, arthritis, (features of some autoimmune disease), CT brain
infarction. Appropriate management

a) Immunosuppression

b) Anticoagulation lifelong

c) Anticoagulation lifelong + immunosuppression

17) 14-year-old, knee pain, difficult to walk, x-ray left slipped epiphysis. Appropriate management ?

a) Bed rest

b) Some kind of stabilization (forgot the name)

c) Pin
18) 37 years, Amenorrhea, no other symptoms, Exam normal, had NVD last year, secondary PPH of
900ml due to retain cotyledon and had D&C. Reason for amenorrhea?

a) Pituitary necrosis

b) Intrauterine adhesions

c) Premature menopause

19) Patient with palpitation, ECG- absent p-wave, narrow QRS, irregular R-R interval.

a) VT

b) AVNRT

c) Atrial flutter with 2:1 block

d) AF

20) Term pregnancy, regular contractions, meconium-stained liquor, CTG BHR 110, BV 8, no
deceleration, acceleration present, cervical dilatation 3 cm. What next?

a) Augment the labour

b) Em/CS

c) Continue CTG

21) 47 years, acute back pain, radiating to legs, no numbness or focal neurological weakness. Apart from
analgesics what other management?

a) X-ray

b) Bed rest and immobilization

c) Advise to mobilise
22) Middle-aged man brought by wife due to not talking to her or listening her, not eating and poor
working and socialization with colleagues, staying alone in the room. What in the history help for
diagnosis?

a) Childhood abuse

b) Substance use history

c) Frequently waking up from sleep

23) After covid vaccine, recurrent global headache which is only partially responding to paracetamol.
What investigation?

a) CT brain

b) Anti Platlet-4 antibodies

24) Xray of a child who swallowed the coin, coin is in the upper oesophagus, child has minimal
symptoms.

a) Observation …. 24 hours,,, RACGP

b) Endoscopy … for batteries

c) Serial x-rays

25) Pregnant lady with abdominal pain, breech presentation and placenta previa, CTG normal, vitals
normal.

a) Induction of labour

b) Observation

c) Em/CS
26) Patient presented with pain and swelling in the mandibular area, increase after meals. Investigation?
a) USS

b) Intraoral plain x-ray

c) ? some blood Ix

27) Patient with pain and swelling in the parotid area, all Examination, vital normal. Mx?

a) Mouth hygiene

b) Incision and drainage

c) Sialagogue

d) Antibiotics

28) Patient tried diet management for one year but no use. BMI 32. No other issues.

a) Refer to dietician.

b) Graduated exercise program

c) Metformin

d) Bariatric surgery

29) Mother with 12-year-old child requesting screening for familial hypercholesterolemia as her father
recently diagnosed to have that and there are many other family members with premature heart
diseases. Your action,

a) Lipid profile

b) Screen the whole family

c) Screen the daughter

d) Say that daughter is not eligible now

30) 50 years old found out that she was adopted and her biological mother had Huntington disease and
requesting for screening.

a) Tell her disease is unlikely at this age

b) Refer to genetic counselling

31) Patient with abdominal pain after taking brufen for 4 weeks. Smoker, drink 2 class of wine per day.
Fever, abdominal rigidity and guarding, PR 110/min. Diagnosis?

a) Acute pancreatitis

b) Acute cholecystitis

c) Peptic ulcer perforation

32) Patient with history of alcoholism and smoking, acute abdomen, pain radiate to back, epigastric
tenderness. What will likely to give the diagnosis?

a) CT abdomen

b) Serum lipase

c) USS

33) Patient with history of alcohol, smoking, abdominal pain, USS showed Gall stones, CBD dilated to
10mm but no stones, LFTs back to normal. Management?

a) ERCP

b) Cholecystectomy and intraoperative cholangiogram now.

c) Cholecystectomy later

34) Patient with hematuria, proteinuria, cough, hemoptysis, purpuric rashes, and diplopia. Diagnosis?

a) Wegener’s granulomatosis

b) Goodpasture syndrome

c) IGA nephropathy
d) Renal cell carcinoma

35) Patient with painful left axillary lump of 1 cm. Recently had covid vaccine and having mild swelling
and erythema on left arm. Had a history of breast cancer on right side 10 years ago. (Otherwise, normal
findings). What is the diagnosis?

a) Hidradenitis suppurativa

b) Reactive lymphadenitis

c) Metastatic deposit

d) Lymphoma

36) A child with bleeding gum, epistaxis and multiple petechial lesions in leg and trunk. Recently had
URTI. Platelets 1, other parameters normal.

a) Corticosteroid

b) Platelet transfusion

c) Observation and follow up.

37) Mother came with child for vaccination, complains she has sleep disturbance due to frequent crying
of baby and husband is not supportive at all. Despite this she is able to do work and interact with
colleagues as usual.

a) Send a nurse to home for assessment.

b) Refer to marital relationship counsel

c) Sleep hygiene

38) Adult patient with features of meningitis, gram stain showed diplococci. What is the organism?

a) Neisseria meningitidis

b) Streptococcal pneumoniae

c) Haemophilus influenza
d) E coli

39) A 2-year-old child with fever, rashes, neck stiffness and had an episode of tonic-clonic fit. What is the
cause for fit?

a) Meningitis

b) Febrile convulsion

c) Enteroviral encephalitis

d) Brain tumor

40) Patient with fever, headache, mild neck stiffness, (clinical findings within the range), LP and CSF
findings – pressure – normal, protein normal, glucose normal, red cell +, WCC 100, culture negative.
Management?

a) Cefotaxime IV

b) Penicillin IV

c) Gentamycin IV

d) Supportive/symptomatic management

41) Patient with pain in the elbow and more when do extend against flexed wrist. Tenderness in the
lateral epicondyle. (No comments about occupation). What is the appropriate management?

a) Antibiotics

b) Steroids

c) Immobilization
42) A patient with pain and swelling in the calf. Leg is tender, warm, and CVS and RS findings are
normal. Investigation?

a) Duplex USS

b) X-ray

43) A patient had suction D&C for H mole and her beta HCG was dropping back normal on monitoring.
Few weeks later it again rising. Reason?

a) Invasive mole

b) Choriocarcinoma

c) Pregnancy

44) A patient is planned for elective major surgery. He is smoker and alcoholic. His BMI 33. Otherwise,
healthy. Which of the advice help to reduce the post complications?

a) Stop smoking

b) Stop drinking

c) Reduce weight

45) A schoolgirl came with her mother for abdominal pain. Girl said that the GP’s daughter is her close
friend. What should do?

a) Ask her if she is comfortable for the consultation

b) Ask her whether her mother needs to leave the room

c) Advise to see another GP

46) Pregnant lady with GBS positive on urine culture. She has been treated with antibiotics. What
further action?

a) Antibiotic for the neonate

b) Antibiotics during labour

c) Perform vaginal swab for GBS

47) Patient with difficulty in breathing, severe central chest pain, vomiting, BP 90/60, PR- 110/min,
febrile. Has a history of smoking. X-ray left sided pleural effusion.

a) MI

b) Acute pancreatitis

c) Oesophageal rupture

48) Patient with abdominal and passed brown stool two times 12 hours apart. Endoscopy done found
an ulcer in the posterior wall of the stomach and bleeding from the edges. What is the initial
management?

a) Capsule endoscopy

b) Laparotomy and over sewing of the ulcer.

c) Endoscopic injection of adrenaline

d) Colonoscopy

49) Immigrant from India complains of abdominal pain, dysuria. Urine analysis – red cells, nil nitrate or
WCC. Investigation?

a) USS KUB

b) Cystoscopy

c) IVU

d) Urodynamic study

50) Patient with haematuria, difficulty in passing urine, DRE normal. Urine analysis- macroscopic
haematuria. He is heavy smoker. Investigation?

a) X-ray b) Cystoscopy c) CT d) USS

51) 19- year-old patient on OCP started 3 months, complains intermenstrual bleeding. She has recently
become sexually active. Appropriate action?

a) PAP smear

b) Screen for STI

c) Prescribe 50microgram ethenyl oestradiol OCP

52) A diabetic patient with a brown color skin lesion in the heel (not an ulcer but? gangrene or callusnot
sure). There is reduce pain sensation below the knees. HbA1c 10. Appropriated action?

a) Biopsy of the lesion

b) Send swab for culture

c) USS doppler of the legs

53) On reviewing a pregnant lady with 14 weeks, she said she had pertussis vaccine 8 yrs ago.

a) Give vaccine now

b) After delivery

c) No need for vaccine

d) Give at 21 weeks.

54) Infant brought by the mother because of flat occiput and enlarged frontal region. He has no issues
during delivery and normal developmental signs. Cause?

a) Due to sleeping position

b) Premature fusion of cranial sutures

c) Arnold Chiari malformation

55) Patient with dysphagia, no history of regurgitation, dysphagia first to liquid then solid.

a) Achalasia

b) Oesophageal stricture

c) Oesophageal carcinoma

d) Oesophageal spasm

e) Pseudobulbar palsy

56) Patient with features of panic attack. Reference: PH 7.31-7.38, PaO2 90- 100, PCO2 30- 40. What is
the expected finding in the ABG,

a) PH 7.01, PO2 90, PCO2 40

b) PH 7.21, PO2 101, PCO2 36

c) PH 7.32, PO2 99, PCO2 31

d) PH 7.43, PO2 103, PCO2 27

57) 83 yrs, living independently, multiple medical diseases, IHD, osteoporosis, BP and on treatment. No
postural BP drop, had treatment for Colles’s fracture after a fall, appropriate action on discharge?

a) Reduce amlodipine dose

b) Involve Age care team

c) Vit D

58) Patient with DM, on metformin 2 g XR, poor control, HbA1C 9.3, appropriate action?

a) Stop metformin start her on long acting insulin

b) Add long-acting insulin bd

c) Add short acting after each meals

d) Add short acting after meals and long acting nocte

59) A child with tonic-clonic fits, neurological, CVS, RS findings normal. (Forget the setting probably ED).
Appropriate investigation?

a) EEG

b) CT brain

c) MRI brain

d) Serum electrolytes/ Ca/ Mg

60) A 6 yrs old child brought by the parents as the class teacher compliant that he has difficulty in
reading, telling the words repeatedly, play in isolation, playing a same game and became aggressive
when disturbed. Motor milestones normal. Bullied by the peers as “slow reader”.

a) Developmental delay

b) Autistic disorder

c) Child abuse

61) A pregnant patient again conceived at 6 months while breast feeding. No other symptoms. Blood Hb
90, MCH 72, MCV low, Platelets 150. Cause?

a) Folic acid deficiency

b) Iron deficiency

c) B12 deficiency

62) You are dealing with recruitment of new doctors. Your colleague viewed the records. What is the
next action?

a) Talk to your colleague

b) Report to hospital manager

c) Report to medical board

d) Inform the applicants that the confidentiality is breached

63) Patient had melanoma excision. With 4mm, depth 1.2 mm. Cancer seen in the resection margin. LNs
negative, CT, USS all negative. Appropriate action?

a) Review in 3 months

b) Wide excision and sentinel node biopsy

c) Radiation

64) A middle-aged patient with breast lesion and core biopsy came as atypical ductal hyperplasia.

a) Follow up in 6 months.

b) Repeat mammogram in 1 year

c) Repeat USS in 3 months

d) ? Hook wire excision

65) In a medical centre, you noticed that another GP smoking marijuana between the patient’s visits.
What is your action?

a) Report to medical board

b) Inform manager of the medical centre

c) Ask you colleague to not do again otherwise he will be reported

66) CXR upper lobe mass, cough, Hx of smoking, wt loss, hand muscle wasting. Appropriate investigation

a) Lung biopsy

b) Bronchoscope

c) Sputum stain and culture

d) CT
67) A patient had received Rubella vaccine 2 weeks ago, missed period 1 week ago and pregnancy
positive, appropriate management?

a) Termination

b) Reassuring

c) USS

d) Amniocentesis

e) Serology

68) 27yrs, family history of sister and mother, recently fact V laiden positive, Contraception?

a) Ethinyl oestradiol 30 micro + Levonorgestrel

b) Ethinyl oestradiol 50 micro + Levonorgestrel

c) Levonorgestrel only

69) Child, severe respiratory symptoms, exam bilateral basal crept, hepatomegaly, with poor growth.
CXR bilateral infiltrate. Cause?

a) Bronchiolitis

b) Congestive cardiac failure

c) Pneumonia

70) 17 yrs, aggressive, poor school attendance, fights, threatening parents with knife, leaving home.
Diagnosis?

a) Opposition deviant disorder

b) Anti-social personality

c) Conduct disorder

d) Substance use
71) A patient complained to GP that she is a receptionist of a specialist medical centre and was
disturbed due to over working insisted by the specialist of the centre. Specialist known to GP. What the
appropriate action?

a) Talk to specialists on behalf of patients

b) Advice some non-directive problems solving options to explore

c) Send to another GP for Second opinion

72) Elderly patient getting management for vomiting and abdominal pain, abdomen mild distention,
vitals slightly elevated. Which one in this patient indicates intestinal ischemia?

a) Distention

b) Change of pain from colicky to constant

c) Severe vomiting

74) A patient with joint pain, swelling. Joint is warm and tender. Mild fever otherwise vitals stable. Joint
aspirations WCC 20000, birefringent crystal positive. Culture gram stain negative, knee joint.
Appropriate action

a) Flucloxacillin

b) NSAID’s

c) Allopurinol

d) Steroids

75) A 2yrs old child breathlessness at ED with the picture of acute epiglottis, there is swelling next to
right tonsils. Next step?

a) Endotracheal intubation

b) Incision and drainage

c) Antibiotics d) Nasopharyngeal intubation

76) A Picture of laparoscopic tubal patency given. No dye spillage, distended tube – bluish color. Best
management for this sub fertile patient?

a) Ovulation induction

b) IVF with tubal resection

c) Intracytoplasmic sperm injection

d) Tubal cannulation

77) A middle-aged male patient with fever,splenomegaly, cervical lymphadenopathy and rashes. What
is the appropriated advice?

a) No restrictions

b) Avoid contact with children for 3 weeks

78) Patient smoker and alcoholic present with legs pain while walking, relieve by rest. Distal pulse feebly
present, ABI 0.25. Next appropriate action?

a) CT angiography

b) Duplex USS

c) Smoking cessation

79) A 50-year-old patient requesting for prostate screening as his relative found to have prostate CA.
what will you do?

a) Transrectal USS

b) USS abdomen

c) PSA

d) Cystoscopy
80) An elderly patient being managed for some condition in the ward- (couldn’t remember?
CA/dementia). She has some medical co-morbid and taking medications for them. While on ward she
became agitated, scolding nurse. She also has vomiting and constipation. Appropriate action?

a) CT brain

b) Serum calcium

c) Treatment for constipation

Q1---What to check before giving alendronate

Dental checkup

Esophaghoscopy

Q2--Young girl,[Link] asthma [Link] crepts mild wheeze,S3heart [Link]?

Salbutamol

Furosemide

Steroids

Q3---12 yr old girl presents with sudden history of loss of sensation on the lower limbs associated with
decreased reflexes and progressive ataxia. Which of the following is most likely cause of her condition?

1. B12 Deficiency

2. Friedrich ataxia

3. Chariot marie tooth diseases

4. Dermatomyositis

Q4--: A pt has taken lots of tablets of Venlafaxine. Was on depression treatment. 1 year back she was
given psychotherapy as she had problem at work( shout at her coworkers, she doesn't feel fresh in the
morning). She can't relax at home after work. After stabilization of the patient, what would be added?
A)Lorazepam

B)Risperidone

C)Mirtazepine

D)Haloperidol

E)Sodium valproate

Q5-- Chest xray of a child, seemed to have right lower lobe opacity and also had some intestinal
shadows as well presenting symptoms fever abdominal pain irritability, lungs clear abdomen soft,

Organism responsible

1. Strep pneumonia

2. Staph aureus

3. Myco pneumonia

4. Hemo influenza

5. Strep pyogens

Q6-- Someone with bleeding from rectum not diagnosed gastroscopy normal pt resucistated,
sigmoidoscopy not clear as it was fillled with blood bleeding contnous after resustation . . What next? to
identify bleeding

[Link] cam endoscopy

B. CT angio with cauterisation

C. rigid sigmo

Q7-- Patient refugee from Africa . Came for early checkup. Eiosinophil 5. Took albendazole 3 days befor
leaving Africa and that time malarial text negative . Now what to check in refugee initial assessment?

Malarial rapid antigen

Stool for ova and trophozoit

Q8-- Old age Patient .no urine output . Confuse. B/L hydroureter . B/L hydonphrosis. Stenting done .
Urine passed. Normal saline given . On 6th day urine output decreased and Bp decreased to 90/60.
Sodium . 145 Potassium. 3.2(decreased) Urea. Creatinine . Increase Cause ?

1- dehydration

2-stent closed

3- uremic encaph

Q9--Chest xray of a child, seemed to have right lower lobe opacity and also had some intestinal shadows
as well presenting symptoms fever abdominal pain irritability, lungs clear abdomen soft,

Organism responsible

1. Strep pneumonia

2. Staph aureus

3. Myco pneumonia

4. Hemo influenza

5. Strep pyogens

Q10 …Someone with bleeding from rectum not diagnosed gastroscopy normal pt resucistated,
sigmoidoscopy not clear as it was fillled with blood bleeding contnous after resustation . . What next? to
identify bleeding

[Link] cam endoscopy

B. CT angio with cauterisation

C. rigid sigmo

Q11--patient came to the doctor to receive an injection of testosterone. You sow that the syringe on
shelf with the medicine is damaged. You have another patient 's medicine . What's your next step?

Report to the hospital manager.

Call another patient and ask permission to use his medicine.

Order a new medicine for the patient and make a new appointment .

Use another patient's medicine and don't ask.

Use this medicine on shelf

Q12…Young girl . Fever . Confusion . Purpuric rash .

VwB

Itp

TTp

Q13--- Hemophilia patient. Knee hemarthrisia. What to do first?

1-aspiration

2-factor 8

3- vasopressin

Q14--Old age Patient .no urine output . Confuse. B/L hydroureter . B/L hydonphrosis. Stenting done .
Urine passed. Normal saline given . On 6th day urine output decreased and Bp decreased to 90/60.

Sodium . 145 Potassium. 3.2(decreased) Urea. Creatinine . Increase Cause ?

1- dehydration

2-stent closed

3- uremic encaph

Q15--- Post DNC . Pain lower abdomen . Discharge at cervix . What organism responsible?

Chlamydia

Gonorrhea

Ecoli

Gardranella

Q16--Middle age female . Urine frequency increase . Nocturia. Abdominal pain . Constipation. What to
check?

Q20--Immigrant man comes and tells you that in his country, secret police are after him and they want
to kill him as they are worried that I would leak the name of another person who was involved in killing
of a person. What will you check in his collateral history?

a) Immigration visa status

b) Child hood psychiatric disorder

c) School performance

d) the truth of his saying

E)family hx of mood disorder

Q22--An 18 yr old man has had abdominal pain for the past 24hr. He has been unwell for the last few
weeks. He has lost 10kg and has been taking a large bottle of water to bed every night. Vitals: T=37.5,
HR=115bpm, BP 110/70, RR:30/min
He is clammy, aggressive, and confused. Which is the single most likely diagnosis?

A. Addison's crisis

B. Diabetes insipidus

C DKA

D. Hyperaldosteronism

E SIADH

Q23--- Anxiety resp alkalosis abg value

Ph

Pao2

Paco2

Q24-- Copd long term oxygen indiction

Pao2

Sao2

Fev

Q25--: Male . Infertile . Cryptotorchidism treated at 12 months . Now semen low sperm low motility

First test

1-Fsh and LH

2-Ultrasound
[Link] Child delay walk . Mother same problem and flat foot. Best test

CK

EMG

Biopsy

[Link] age. Smoker . Painless Hemturia What to [Link]?

1-CT abdomen

2-urodyanmic study

2-USG

Q28---Aspergilloma CT post renal transplant

. Sputum fungal culture

Percutaneous lung biopsy

Q29--- URTI. Dyspnea crepts mild wheeze S3 heart sound . Treatment

Salbutamol

Furosemide

Steroids

Q31---Post glucoma surgery . Blurry vision

Eye pic ( hypopion tha or Iris Thora irregular)

Ma na acute iritis lgaya

Q32---Male . Infertile . Cryptotorchidism treated at 12 months . Now semen low sperm low motility

First test

1-Fsh and LH

2-Ultrasound

Q33--: Male Child delay walk . Mother same problem and flat foot . Best test

CK

EMG

Biopsy

Q34-- Old age . Smoker . Painless Hemturia

1-CT abdomen

2-urodyanmic study

2-USG

Q35-- 10week child . Cannot hold neck . All four limbs decrease power . Lower limbs no reflexes .
Mother told in pregnancy less movement of child

. Spinal muscular atrophy

Q36---: Incidence rate of Diarhea in a population who drink public supply water instead of filtered one
Q37---Young man . Threaten to kill parents . Isolated in room . School dropped. What in hx imp

Chronic cannabis use

Estasy use 2 week back

Q38---Old lady .65 years . Irritation . Mild redness . No discharge no bleed .Dysperunia (vaginal atrophy
pic)

-Topical lubricants .

Q39---Young girl . 3cm swelling lateral to forchett. No pain no symptoms. First time .

-Reassure

-incision drainage

-Antibiotic

Q40--50 old female . Breast cyst 2cm . Not painfull. What to do

-FNAC

-USG

-surgery

Q41---Young girl . EColli UTI . Drug sensitivity. Treatment . Recover

Again after 1 month UTI . Same EColi. Drug sensitivity still present . What to do?

-Usg

- urine culture and sensitivity

-DMSA
- micturating cystourethrogram

Q42--Upper GIT bleed . Hpylori positive . First step?

Endoscope with adrenaline inj

Ppi

Triple antibiotic

Q43---Child tonic clonic seizure . Irritable . Agitated. Crying

Sugar level. 3.2

-intranasal midazolam

-Iv dextrose

[Link] Child delay walk . Mother same problem and flat foot. Best test

CK

EMG

Biopsy

Q45--- People who have exam in August . There were about 10 CT scan of abdomen with different
presentation. Kindly revise them all

One was sigmoid volvulus

Q46 [Link] age. Smoker . Painless Hemturia What to [Link]?

1-CT abdomen

2-urodyanmic study

2-USG

Q47--4.10week child . Cannot hold neck. All four limbs decrease power . Lower limbs no reflexes .
Mother told in pregnancy less movement of child

Spinal muscular atrophy

Q48--: [Link] man. Threaten to kill parents.

Isolated in room. School dropped.

What in hx imp

Chronic cannabis use

Estasy use 2 week back

Q49-- [Link] age. Smoker . Painless Hemturia What to [Link]?

1-CT abdomen

2-urodyanmic study

2-USG

Q50=- [Link] man. Threaten to kill parents.

Isolated in room. School dropped.

What in hx imp

Chronic cannabis use

Estasy use 2 week back

[Link] lady .65 years . Irritation.

Mild redness . No discharge no bleed .Dysperunia (vaginai atrophy pic)

-Topical lubricants.

Q52-- Young girl . 3cm swelling lateral to forchett. No pain no symptoms. First time .

-Reassure

-incision drainage

-Antibiotic

Q53-- 50 old female . Breast cyst 2cm . Not painfull. What to do

-FNAC

-USG

-surgery

Q54-- Young girl . EColli UTI . Drug sensitivity. Treatment . Recover

Again after 1 month UTI . Same EColi. Drug sensitivity still present . What to do?

-Usg

- urine culture and sensitivity

-DMSA

- micturating cystourethrogram
Q55-- Upper GIT bleed . Hpylori positive . First step?

Endoscope with adrenaline inj

Ppi

Triple antibiotic

Q56--: Child tonic clonic seizure . Irritable . Agitated. Crying

Sugar level. 3.2

-intranasal midazolam

-Iv dextrose

Q57---: [Link] CaBG . Dyspnea . This ECG

Q58-- Child tonic clonic seizure . Irritable . Agitated. Crying

Sugar level. 3.2

-intranasal midazolam

-Iv dextrose

Q59--- Child tonic clonic seizure . Irritable . Agitated. Crying

Sugar level. 3.2

-intranasal midazolam

-Iv dextrose
Q60 50 old female . Breast cyst 2cm . Not painfull. What to do

-FNAC

-USG

-surgery

Q60--Young girl . 3cm swelling lateral to forchett. No pain no symptoms. First time .

-Reassure

-incision drainage

-Antibiotic

Q61--- 50 old female . Breast cyst 2cm . Not painfull. What to do

-FNAC

-USG -surgery