Question: An 8 year old child swallowed 12 tablets of paracetamol 4h ago. Serum paracetamol levels when tested were at critical level. What would you do next?
a. Activated charcoal
b. IV N-acetylcysteine
c. Gastric lavage
d. Observation only
Answer: (b)
Question: A patient diagnosed with DVT is taking warfarin. What is his cut off INR limit?
a. <1
b. 1-2
c. 2-3
d. 3-4
Answer: (c)
Question: Inserting a drain in the mid-axillary line. What is the single most appropriate anatomical structure?
a. External iliac muscle
b. Linea alba
c. Rectus sheath muscle
d. Conjoined tendon
e. Intercostal muscles
Answer: (e)
Question: A 29 year old man presents with hx of cough, weight loss and night sweats. Examination: pansystolic murmur. What is the most appropriate dx of underlying cause?
a. Malaria
b. HSP
c. HIV
d. Dengue fever
Answer: (c)
Question: A 15 year old boy presents with recurrent breathlessness and wheeze especially after exercise. What is the most diagnostic investigation?
a. CXR
b. Lung function test
c. PEFR
d. CT scan
Answer: (b)
Question: A 34 year old man was walking along the countryside when an insect bit him. After which he started to complain of an annular rash spreading upwards.
a. Penicillin PO
b. Doxycycline PO
c. Flucloxacillin PO
d. Gentamicin PO
e. Ciprofloxacin PO
f. Antihistamine PO
g. Antihistamine IV
h. Corticosteroid IV
i. Corticosteroid IM
j. Adrenaline IM
k. Adrenaline IV
l. Atropine IV
m. Reassurance
Answer: (b)
Question: A 60 year old man was brought in by his wife complaining of ataxia, urinary incontinence and erectile dysfunction. He also complains of rigidity and slowing of movement with a pill rolling tremor of the hands. What is the likely diagnosis?
a. Parkinson’s disease
b. Idiopathic parkinson’s disease
c. Shy-drager syndrome
d. Huntington’s disease
Answer: (c)
Question: A 67 year old man being managed for a malignancy develops neutropenic fever. He has been commenced on Ticarcillin, Tazobactam and Gentamicin. He has also recently commenced on Meropenem but on the 3rd day his temp still remains >39C. 2 blood tests and urine cultures show no organism. Investigation: Hgb=104g/dl, WBC=<0.5, Platelets=15. What will you do next?
a. Continue IV antibiotics and add oral antifungals
b. Continue antibiotics and add IV antifungals
c. Stop antibiotics
d. Continue only present antibiotics
Answer: (b)
Question: A young girl who is known to have Type 1 DM presented with drowsiness and deep breathing. Her sugar level=20. Her BP=120/80mmHg and her mucous membranes are dry. What would be the next appropriate step?
a. Serum urea
b. Blood culture
c. CT
d. HbA1c
e. ABG
Answer: (e)
Question: Removal of a glioma, which single most appropriate anatomical structure will be pierced?
a. Cricoid cartilage
b. Rectus sheath muscle
c. Duramater
d. Conjoined tendon
e. Intercostal muscles
Answer: (c)