101-pyloric stenois scenoria
Answer Metabolic alkalosis
102-Old woman previously normal had suuden dysphagia after having a meal
Answer endoscopy
103- child with diarrha bloating and loose skin at hips
Answer celiac disease
104-child with recurrent chest infections
Answer sweat test
105-pregant woman worried for chromosomal abnormality at 16 weeks
Most definitive test
Answer amniocentesis
106-Patient’s arm was trapped under a trie and afterwards loss of pulse and paretheia
and swelling
Answer compartment syndrome
107-A pateint with bloody diarrhea and renal failure
Answer HUS
108-ITP scenario
Platelets decreased and bruises
109-Old man with bruises on face and neck
All labs normal
Answer NAI
110-Melanoma worst prognosis indicator
Answer tumor depth
111-CT scan in patient with drop in gcs
112-Woman with mastectomy and axillary
Lymph node removal presents with severe edema of her arm
Answer lymphedema
113-Previously normal elder women
114-woman with stress incontinence
Answer pelvic floor exercise
115-Previously normal old lady present with confusion and incontinence
Answer urinalysis
116- Elderly patient on morphine requests doctors to given him a lethal dose of morphine
Answer refer to psychiatrist for for suicidal risk
117-scenario of prospective cohort study
118-woman with pain and ultrasound showning gallstone
Answer lap cholecystectomy
119- a girl with short stature,breasts not developed and has primary amenorrhea
External genitalia are normal,no family history of chromosomal abnormality
Answer panhypituarism or tuner syndrome?
120-A women with hiatl hernia and horsenes of voice
To whom will you refer her
Ent specalist or gatroenterologist?
I chose ent specialist
121-a child with fever and swollen testis
Answer antibiotics
122-child with sudden onset of testicular pain,one testis higher than other
Answer surgical exploration
123-child with scrotal swelling which transilluminates and testis not palpable
Answer-hydrocoele
124-person undergoing elective surgery
Which factor should delay surgery
Answer MI 2 months ago
125-patient with depression
126-women age 64 with high bp
On three occasions
Answer ca channel blocker
127-breast feeding mother asks for contraception but wants another baby in 6months
Answer cocp or pop ?
I chose cocp
128-Patient wtih copius amount of sputum
Investigation of choice
Answer ct abdomen
129-cushing syndrome scenario
130-Young man with bp
Of 140/90,hematuria and family history of kidney problem,what should be the investigation of choice
Answer ultrasound abdomen (APKD)
131-A child with tonic clonic seizure
Airway maintanied iv access gained
Next step
Answer Iv lorazepam
132-thoracic dissection scenario with radio femoral delay and absent pulses
133-Old woman with a fall and cannot move her leg
Answer fracture neck of femur
134-person with single
Episode of vomting that was mixed with some blood, patient is stable
And well now
Next step
Endoscopy or discharge with advive?
I chose endoscopy
135-thalasemia minor scenario patient was stable had low mcv and low slightly low hb
136-Rheumatoid arthritis patient not taking any meds had low hb and low mcv of 70
Options were
Iron deff,anemia of chronic,hi bleed
Since she was not taking any meds so
I chose anemia of chronic disease but not sure.
137-A patient with recurrent TIA and hypertension who does not get any visits to his gp had some neurological signs
Options were
Mutli infarct or multi hemorrhage
I chose multi infarct
138- a patient had fecal discharge thru vagina what part of intestine is invloved
Answer sigmoid colon
139-a patient with 4mm stone previously and now 3mm stone
Answer no treatment
140-PROSTATE symptoms back pain
Psa 14
Answer prostate carcinoma
141-A child with sepsis
Answer admit blood screening and start iv antibiotics
142-post op patient develop fever and abdominal pain
Aswer abscess?
143-Loss of senstation from middle of chin and below lip
Nerve involved
Lingual,submental
Or submandibular
144.Scenario of oral and esophageal candidiasis patient stopped eating but he was taking his medicines orally
Options
Fluconozole orally or fluconazole suspension
I chose orally
145-Woman with sacral bone fracture
S1 nerve damage options were
Loss of ankle jerk
Loss of anal senstion
Bladder incontinence
146-patient on morphine has vomiting, was given metoclopramide and now has neck stiffnes
Answer metoclopramide side effect
147-Anemia with spherocytes
Answer direct combs test
148-Diverticulitis scenario
Investigatin CT abdomen
149-Post traumatic stress disorder
150-Adnexal mass with ground glass appearence
Option were dermoid cyst,benign cystic adenoma or ovarian endometrioma
151-Child with Blue spot near coccyx
Next step
Answer Reassurance(mangolian spot)
