Question: A 55 year old lady with swelling on the abdomen below the umbilicus on the right side. What is the single most appropriate lymph node?
a. External iliac LN
b. Pre-aortic LN
c. Aortic LN
d. Inguinal LN
e. Iliac LN
f. Submental LN
g. Submandibular LN
h. Deep cervical LN
Answer: (d)
Question: A 66 year old male presents with painful swallowing. What is the most likely diagnosis?
a. Nesseria meningitides
b. Cryptococcus neoformans
c. Candida albicans
d. Isospora belli
e. Mycobacterium avium
Answer: (c)
Question: A 45 year old lady complains of expressible galactorrhea, decreased libido and amenorrhea, weight gain and easy fatigue. Her serum prolactin levels are 1100 um/l. What is the likely cause of hyperprolactinemia?
a. Hypothyroidism
b. Stress
c. Pregnancy
d. Prolactin secreting pituitary tumor
e. PCOS
Answer: (d)
Question: A 42 year old female had a sudden severe headache and vomiting. She took paracetamol and then collapsed. What is the most likely diagnosis?
a. SAH
b. Viral encephalitis
c. Meningitis
d. Anaphylaxis
Answer: (a)
Question: Parents of a 3 month baby are worried about cot death. What advice would you give?
a. Lay on the back with feet towards head end
b. Lay on the back with feet towards feet end
c. Lay on side
d. Lay on stomach
Answer: (b)
Question: A child born at 36 weeks developed difficulty in breathing with intercostal recession and nasal flaring. His temp is normal but his mother had PROM 48h ago. What is the most likely investigation that will lead to tx?
a. Blood culture
b. CXR
c. Stool culture
d. Sputum culture
Answer: (b)
Question: A 68 year old man has had increasing dysphagia for solid food for 3 months and has lost 5 kgs in weight. What single investigation is most likely to lead to a def diagnosis?
a. Barium swallow
b. CXR
c. CT chest
d. Endoscopy and biopsy
e. Video-fluoroscopy
Answer: (d)
Question: A 24 year old male was trying to move his wardrobe but it fell on his thigh. It was there for a very long time before someone was able to remove it. When he was seen in ED he had casts in his urine but no RBCs. Other investigations showed hypocalcemia and high serum creatinine. What is the cause for his renal failure?
a. Acetylcholine
b. Myoglobin
c. Myotroponin
d. Acetyl acetate
Answer: (b)
Question: Anatomical structure to be pierced during surgery midline port during gallstone removal.
a. External iliac muscle
b. Cricoid cartilage
c. Linea alba
d. Rectus sheath muscle
e. Duramater
f. 1st tracheal cartilage
g. Conjoined tendon
h. Intercostal muscles
Answer: (c)
Question: A 48 year old man has continuous ant chest pain which is worse on inspiration and has temp of 37.5C since 4 weeks after a MI. His ESR=45mm/h. What is the single most likely explanation for the abnormal investigation?
a. Acute pericarditis
b. Cardiac tamponade
c. Atrial thrombus
d. Left ventricular aneurysm
e. Dressler syndrome
Answer: (e)