c.

Keratocanthoma
d. Actinic keratosis
e. Bowens disease
953. A 68yo pt wakes up with slurred speech and right sided weakness. CT shows cerebral infarct.
What is the most appropriate tx?
a. Aspirin
b. Alteplase
c. Warfarin
d. Clopidogrel
e. Dipyridamole
954. A 73yo man who is recovering from surgery on the left carotid artery in his neck. He has slurred
speech. On protusion of his tongue, the tip deviated to the left. What is the single most
appropriate option?
a. Accessory nerve
b. Facial nerve
c. Glossopharyngeal nerve
d. Hypoglossal nerve
e. Vagus nerve
955. A 24yo woman known to be suffering from panic disorder presents to the hospital with tingling
and numbness in her fingers. ABG: pH=7.52, PCO2=2.2kPa, PO2=11kPa, Bicarb=20. What is the
most likely condition?
a. Acute metabolic alkalosis
b. Acute resp alkalosis
c. Compensated resp alkalosis
d. Compensated metabolic acidosis
e. Acute metabolic acidosis
956. A 65yo man on dexamethasone underwent surgery. During and after the surgery, his blood
glucose was around 17-19mmol/l. What will you give the pt?
a. Insulin
b. Oral hypoglycemic
c. Remove dexamethasone
d. IV Saline
e. IX dextrose
957. A 61yo man who had stroke 2y ago is on aspirin. He has RA but suffers from pain and can’t
tolerate it. He is taking senna for constipation. What is the best med to relieve his pain?
a. DMARDs
b. Ibuprofen
c. Co-codamol
d. Paracetamol
958. A young child was brought by his mother to the OPD complaining that he raised the vol of the TV
and didn’t respond to her when she called him. Exam: tympanic membrane was dull greyish and
no shadow of handle of malleus. What is the most probable dx?
a. Chronic OM
b. Acute OM
c. Secretory OM
d. Otitis externa
e. Cholesteatoma
959. A 48yo woman always socially withdrawn has stopped going out of the house. She is afraid to
socialize because she fears that people will criticize her. What is the most probable dx?
a. Agoraphobia
b. PTSD
c. Social anxiety
d. OCD
e. GAD
960. Post gastric ulcer got perforated leading to bleeding involving the gastro-duodenal artery.
Where would fluid accumulate in the cavity?
a. Left paracolic gutter
b. Pelvic cavity
c. First part of duodenum
d. Under the diaphragm
e. Retroperitoneal
961. A 4yo boy presents with recurrent episodes of self limiting spontaneous bleeding. Coag test: PT
normal, bleeding time normal, APTT prolonged, Factor VIII decreased. His father and uncle
suffer from a similar illness. What is the most likely dx?
a. Hemophilia A
b. Hemophilia B
c. Von willebrand’s disease
d. ITP
e. TTP
962. A 53yo lady presents with hot flash and night sweats. Her LMP was last year. She had MI
recently. What is the most appropriate management for her?
a. Reloxifene
b. Estrogen
c. COCP
d. Evening primrose
e. Clonidine
963. A 73yo man who was a smoker has quit smoking for the past 3yrs. He now presents with
hoarseness of voice and cough since past 3wks. XR: mass is visible in the mediastinum. What is
the best inv to confirm the dx?
a. Bronchoscopy
b. Thoracoscopy
c. US
d. CT thorax
e. LN biopsy
964. A 52yo man known DM presents to ED with sudden onset of pain in the left loin and hematuria.
Inv: 8mm stone in left lower ureter. Nifedipine with steroids was prescribed as initial tx with
supportive therapy. He returned complaining of worsening pain, vomiting with passing of 2
stones. Renal function tests indicate impending ARF. How will you manage this pt?
a. Continue same tx
b. Start alpha blocker
c. ESWL
d. Percutaneous nephrolithotomy
e. Percutaneous nephrostomy
f. Open surgery