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c

c c cc

c
c
Oc Patient underwent colectomy When to do follow- up colonoscopy?
ac
months
bc  months
cc  months
dc O months (not sure about answer)

 c -year old female patient of Cushing͛s syndrome, had hip fracture falling off stool, what will
you screen for while also treating her fracture:
Hyperparathyroidism
Osteomyelitis
Osteoporosis
Osteomalacia

c rug table given each with
- drugs, question which group causes hyperuricemia
A
B
C


(I choose the group which had anti-neoplastics )

 c Old female patient has pain in hip increased on walking, hip is stiff in morning and throughout
the day:
Osteomyelitis
Osteoporosis
Rheumatoid (wrong answer)

5 c ery long scenario about middle age man (50 years) with family history of heart disease, active
lifestyle, on self induced diet with 50% fat,
5% protein and O5 % carbohydrates, table showing
labs, elevated LL, low HL, elevated triglycerides and cholesterol, normal RFTs and all other
labs
No risk of heart disease
Heart disease risk can be avoided by taking statins
 Heart disease can be prevented by decreasing calorie intake

 c  year old child presented with rapidly developing rash that went into vesicle, pustule, etc phase
aricella (chicken pox)

 c Woman receives aricella vaccine asks you about getting pregnant

Wait for O-
months after getting vaccine to get pregnant

8 c O8 month old patient, parents were treating baby for flu-like illness with fever with increased
water intake at home, patient developed generalized tonic-clonic convulsions, presented to you
after O hour with (description of post-ictal stage) Now baby becomes fully conscious
What is the next most appropriate step?

Tepid sponging to reduce fever

Give acetaminophen and antipyretics

Treat fever, Get MRI done and treat after result (I choose this suspecting Meningococcal Meningitis)

 c Middle aged female patient with history of Stage  breast cancer treated successfully, now
presents with moderate to severe pain in left leg, not relieved by lying down, pain on extension
of leg and walking, O/E Tender region in L
-L lower back No Physical sign of cancer recurrence
Last saw oncologist  years back What is most appropriate scenario:

Refer to oncologist

o EXA Scan

o MRI

Hospitalize and do neurology and oncology consultations

O0 cMaintenance fluid in  kg child awaiting surgery:

I choose 5 ml/min
 OO cBaby present with weeping, shiny and crusting lesions around mouth

Impetigo

O cMale patient was advised to undergo Arterial Graft Bypass surgery at other clinic after having
episode of pain in leg, now is asymptomatic Came to you, Non-smoker, elevated cholesterol
and early atherosclerotic plaques on some descending aortal branches What will you advise:

Undergo Bypass Grafting

Take medication to prevent formation of Arterial plaques

To undergo frequent arterial scans to see extent of disease

O
cOst line class of drugs against Post partum hemorrhage:

Uterine Contractile (right answer)

Uterine Relaxant

O cPatient recovering from iral Gastroenteritis, vomiting and diarrhea abated but still having
Anorexia What will you advise:

Bananas, Rice cereal and apple juice

Chopped pears, yougurt and ͙

Granola, ͙

O5 cPatient with idiopathic anovulation What drug to give:

Clomiphene
Progesteron
LH
FSH

O cescription of PCOS Mechanism of PCOS:

Androgen Excess
O cProstitute with multiple sex partners presents with history of painless vaginal sore which healed
and did not leave scar O/E has generalized lymphadenopathy What is your diagnosis:
Syphilis (my answer)

O8 cMiddle age patient alcoholic with H/O fullness in epigastric region and mild pain, History of
nausea and vomiting Labs: Increased Serum Amylase, iagnosis:

Pancreatic Pseudocyst

Pancreatic Cystadenoma

Choledochal Cyst

Liver Cirrhosis

O cFemale patient with wide-open eyes, tremors in hands that do not diminish with intention,
What investigation will you do:
a c Pituitary Scan
b c T Levels

0 cWhich one of these patients with pneumonia will you treat as outdoor patient:
a c 80 Year old with O0 F temperature, BR /min PR O/min, BP O80/OO0
b c 0 year old with O0 F temperature BR /min PR O/min, BP O0/OO0
c c 50 year old with 8 F temperature, BR 0/min HR OO0/min, BP O80/OO0
d c 80 year old with  F temperature, BR O8/min, HR 0/min, BP OO0/80

O cChild comes from low-socioeconomic neighborhood with c/o Jaundice, you suspect Hepatitis,
which one is likely in this child:
ac A
bc B
cc C
dc 

 cO5 year old patient comes with history of acute onset nausea, vomiting, yellowish discoloration
of skin, What is the most likely diagnosis:
a c Hepatitis E
b c Other options͙(no option of hep A)

cLong scenario of 8 year old male patient with symptoms of Ulcerative Colitis+ anemia related
to UC Sigmoidoscopy revelaed multiple polyps, Biopsy of polyps Carcinoma in situ What is the
most definitive therapy that will be effective in the long-term:
a c Correct Anemia
b c Left hemicolectomy and Colostomy
c c Total Colectomy and Ilectomy
d c Removal of all polyps by Colonoscopy

 cPatient came in in coma Blood sugar levels only 0 What drug has she been using?
a c Sulfonylureas (my answer)
b c Biguanides
cc

5 cFemale patient came with hypertension, azootemia and GFR of  What is her condition due to:
a c Pheochromocytoma
b c Renal artery stenosis
c c Renal Parenchymal isease
dc

 cPatient comes with attack of Strep Throat, had history of previous attack, what is his chance of
getting RH now?
a c Nothing, he is immune due to previous infection
b c O00%
c c Needs Immunoglobulin to prevent re-infection
d c 50% chance of re-infection

 cOld scenario for Complete Hydatiform Mole in pregnant patient

8 ciabetic patient with c/o vaginal secretion, grey- white in color, no smell, adherent to vaginal
mucosa, O/E under microscope: Spores What is the offending organism:
a c Candida albicans (my answer)
b c Trichomonas aginalis
c c Syphilis
d c Pediculosis pubis

 cPediatric patient from developing country presented with muscle wasting, weight loss and
absent edema What is the diagnosis:
a c Marasmus
b c washiorkor
c c Muscle wasting syndrome
dc

0 cOld case of Patient whose wife died  months back, having signs and symptoms of grief
a c ysthymic disorder
b c epressive illness
c c Bereavement ( my answer)
d c Bipolar disorder

O cPatient with decreased vision, also peripheral vision decreased, using tonometer pressure in
right eye  mm and left eye  m What is the mechanism:
a c Obstruction in trabecular meshwork and ciliary muscle leads to pupillary blockage and drainage
of aqueous humor
b c Obstruction at ciliary muscle leads to blockage in drainage of Aqueous Humor
cc

 cPatient with  hour history of chest pain ECG showing patient in - fib What is next best step:
a c Intravenous Lignocaine
b c Intravenous Adenosine
c c Implantation of Intracardiac Pacemaker
d c Cardioversion


cPatient with M and HTN, gradually decreasing vision, Eye Exam shows maculopathy What is
the treatment:
a c Pan-retinal photocoagulation
b c Photocoagulation of macular area

 Picture of optic disc (Looks like this:

http://www revophth com/content/d/cover_focus/i/O
O5/c/5
O/)

What does it show?

a Normal disc

b Cupping of optic disc

 cPicture of Patients legs (calves) showing maculopapular rash H/O red rah appearing on extensor
surfaces Rash is tender to palpate but does not blanch on pressure What is the diagnosis:
a c Henoch-Schnolein Purpura
b c Polyarteritis nodusa
cc

5 cFemale patient comes with history of periorbital swelling, itching all over body, O/E there is
lymphadenopathy Liver and spleen are enlarged What is the diagnosis?
a c Urticarial
b c Angioedema
c c Lymphoma (my answer)

 cPicture of base of mouth showing a white patch with sharply-demarcated edges Patient is male,
long- term smoker and chews tobacco, presents with painless lesion in mouth What is the next
most important step:
a c Topical Fluconazole
b c Biopsy (my answer)
c c Wide surgical excision

 cWhat drug is likely to cause heat-stroke as it inhibits sweating :
a c Orphanedrine
b c Hyoscamine Sulfate (my answer)

8 cCT of Brain picture Scenario: Patient with sudden severe occipital headache came to
emergency
a c Subarachnoid Hemorrhage (my answer)
b c Intracerberal Hemorrhage
c c Meningitis

 cPatient with severe pain in forehead, over nose and sides of face, also present are shiny blisters
on surface of forehead, face and nose What is the diagnosis:
a c Post-herpetic neuralgia
b c aricella
c c Herpes Simplex
d c Herpes Zoster (my answer)

0 cPatient had fly in his eye On removal of the foreign object what will he need:

ac Topical corticosteroids
bc Topical Antibiotics
cc Oral corticosteroids
dc Oral Antibiotics

O cPatient complains of discomfort in the eye There is no discharge O/E with dye, a dendritic
shaped ulcer is seen on the surface of the cornea What is the diagnosis:

a c eratitis (my answer)

b c Uveitis
 cA patient complains of  ʹ day history of stuck together lashes on waking up There is muco-
purulent discharge Anterior Chamber, uvea and iris are clear What is the diagnosis?
a c Bacterial Infection
b c iral Infection
c c Allergy


cPatient diagnosed with Gestational iabetes Blood sugar levels not controlled by medication,
shifted to insulin What condition is she likely to develop later on in life?
a c Hypoglycemic episodes
b c iabetes Type O
c c iabetes Type 
d c Impaired Fasting glucose levels

 cPatient presents with red, peeling rash at back of ears, on limbs and over body What is the first
line treatment?
A c Topical steroid
B c Oral Steroid
C c Oral Antibiotic

5 c Patient diagnosed with depressive disorder You prescribe SSRIs, What will you tell patient
about them?
a c They will take
- weeks to become effective

 cBeri-beri disease deficiency due to : itamin BO

 cPatient with rheumatic fever after untreated strep infection after many years presented with
Mitral regurgitation, the cause of massive regurgitation is dilatation of:
a Rt atrium
b Rt ventricle
 c Lt atrium (my answer)
d Lt ventricle

8 c50-year old accountant, sedentary lifestyle, BMI
0, takes irregular meals; arteries show signs of
early atherosclerotic changes What will you advise?

a c No meds necessary
b c Prescribe diet of 00 kcal/day and reevaluate in  months
c c Prescribe over weight diet and reevaluate in  months

 c Best intervention for Osteoarthritis:

a c Weight training

50 cMechanism of Action of drugs that inhibit Conversion of estriol to estrogen (I forgot the exact
question but it mentioned about ovulation and who inhibits conversion of esterone to
estrogen?) Options were:
a c Aromatase inhibitors

5O cPatient presents with decreasing visual acuity What is the best test for distance vision?
a c Newspaper
b c Snellen͛s Chart (my answer)
c c Refractometer

5 cWhat drug reverses the effect of Benzodiazepines:

a c Flumazanil (my answer)