Question: A 12 year old boy presented with itching in his hands. Examination: skin is dry and red. His mother is asthmatic and older brother has hay fever. What is the single most likely causative factor?
a. Dermatitis herpetiformis
b. Scabies
c. Eczema
d. Uremia
e. Drug induced
Answer: (c)
Question: A 45 year old man presented with pruritic purple papules on the flexor surface of his wrist and some white lacy markings on his buccal mucosa. What is the single most likely causative factor?
a. ALL
b. Lymphoma
c. Polycythemia
d. IDA
e. Lichen planus
Answer: (e)
Question: A known DM was admitted with sudden LOC. What is the initial investigation?
a. CT scan
b. RBS
c. MRI
d. ECG
e. ABG
Answer: (b)
Question: A 36 year old lady comes with hx of early morning stiffness of her small joints and with red and painful eyes. What is the single most appropriate option?
a. Iris
b. Ciliary body
c. Cornea
d. Conjunctivitis
e. Sclera
f. Lichen planus
Answer: (e)
Question: A 23 year old man comes with 2d hx of sticky greenish discharge from the eyes with redness. What is the single most appropriate option?
a. Iris
b. Ciliary body
c. Cornea
d. Conjunctivitis
e. Sclera
Answer: (d)
Question: A patient was admitted with erectile dysfunction, reduced facial hair and galactorrhea. What is the most probable diagnosis?
a. Hyperprolactinemia
b. Cushing’s syndrome
c. Pheochromocytoma
d. Hyperthyroidism
e. Hypoparathyroidism
Answer: (a)
Question: A 32 year old man has been repeatedly admitted to hospital for what was described as anxiety or panic attacks and palpitations. On occasions he is found to be tremulous and hypertensive. A persistent weight loss is noted. What is the most probable diagnosis?
a. Hyperthyroidism
b. Panic attacks
c. Pheochromocytoma
d. Cushing’s disease
e. GAD
Answer: (c)
Question: A 35 year old man with Type 1 DM is dehydrated with BP of 90/50mmHg. What is the single most appropriate initial investigation?
a. ABG
b. CBC
c. HbA1c
d. LFT
e. Serum Urea
Answer: (a)
Question: In OGTT what is the glucose venous plasma level 2h after glucose intake which indicates impaired glucose tolerance?
a. >11.1mmol/l
b. Between 7.8-11.0mmol/l
c. Between 8.0-10.9mmol/l
d. Between 10.0-11.0mmol/l
e. Between 7.1-11.0mmol/l
Answer: (b)
Question: A young man who has no PMH presented with jaundice, low Hgb, retics 8% and other indices WNL but occasional spherocytes were seen on blood film. What is the single most appropriate investigation?
a. G6PD enzyme assay
b. Direct coombs test
c. Repeat blood film
d. Indirect coombs test
e. BMA
Answer: (b)