Question: A 20 year old fit man suddenly developed severe lower back pain as getting up from bed. What is the single most probable diagnosis?
a. Paget’s disease
b. Multiple myeloma
c. PID
d. AS
e. Spondylosis
Answer: (c)
Question: A 60 year old man brought to the ED with fx hip, he is deaf and has bilateral pedal edema. What is the single most probable diagnosis?
a. Paget’s disease
b. Osteoporotic fx vertebra
c. Secondary
d. Multiple myeloma
e. Spondylosis
Answer: (a)
Question: An 80 year old lady presents with pain on left 6th rib for a week. It is non-tender on examination. What is your most likely diagnosis?
a. Herpes zoster
b. Costochondritis
c. Bone degeneration
d. Thoracic vertebra compression
Answer: (c)
Question: A 68 year old DM, HTN with a 45 pack/year smoking hx, has left sided chest pain increased with breathing. Examination: myosis on left side and wasting of small muscles of left hand. What is the single most appropriate diagnosis?
a. Costochondritis
b. Lung cancer
c. Good pasture’s syndrome
d. MND
e. Progressive massive fibrosis
Answer: (b)
Question: A 34 year old man had a cold 2d back. He now presents with right sided facial pain. What is the single most likely diagnosis?
a. Maxillary sinus
b. Ethmoid sinus
c. Septal hematoma
d. Septal abscess
e. Allergic rhinitis
Answer: (a)
Question: A 29 year old man with hx of asthma comes with post nasal discharge and bilateral painless nasal blockage. What is the single most likely diagnosis?
a. Nasal polyp
b. Septal hematoma
c. Septal abscess
d. Atopic rhinitis
e. Allergic rhinitis
Answer: (a)
Question: A 24 year old man has been found unconscious in an alleyway with a RR=6 bpm and HR=60 bpm. His pupils are constricted. What is the best tx?
a. Methadone
b. Naloxone
c. Naltrexone
d. Thiamine
e. Glucose
Answer: (b)
Question: A 23 year old female presents with back pain and early morning stiffness, also complaining of eye problem and her sister has a similar condition. What is the single most probable diagnosis?
a. Paget’s disease
b. PID
c. Myofascial pain
d. AS
e. Spondylosis
Answer: (d)
Question: A 63 year old female with a hx of osteoporosis suddenly falls on her outstretched hand while shopping. XR shows fx at distal radius with backward shift of the distal fragment. What is the single most probable deformity?
a. Dinner fork deformity
b. Coxavara
c. Mallet finger
d. Cubitus valgus
e. Garden spade deformity
Answer: (a)
Question: A 60 year old man presents with severe colicky pain from his right flank radiating to his groin. His urinalysis reveals trace blood cells. What is the single most discriminatory investigation?
a. US abdomen
b. XR KUB
c. Colonoscopy
d. Upper GI endoscopy
e. Laparoscopy
Answer: (a)