Question: A HTN patient on bendroflumethiazide 2.5mg/d has come for his routine checkup. Examination: BP=145/85mmHg. Lab: K+=5.9, Na+=137. What is the most appropriate management for this patient?
a. Stop meds
b. Continue same dose
c. Increase the dose
d. Decrease the dose
e. Repeat the blood test
Answer: (e)
Question: A 65 year old man presents with significant weight loss and complains of cough, SOB and chest pain. Examination: left pupil constricted, drooping of left eyelid. What is the most likely diagnosis?
a. Pancoast tumor
b. Thoracic outlet syndrome
c. Cervical rib
d. Pneumonia
e. Bronchogenic ca
Answer: (a)
Question: A 4 year old boy presents with fever, sore throat and lymphadenopathy. The diagnosis of tonsillitis has been made. He had 3 episodes last year. What is the most appropriate management for this patient?
a. Tonsillectomy
b. Paracetamol/ibuprofen
c. Oral penicillin V
d. IV penicillin
e. None
Answer: (b)
Question: A patient had passed a 4mm stone in his urine. He has a 3mm stone in the renal pelvis found in the Ultrasound. What is management?
a. ESWL
b. None
c. Dormier basket
d. Surgery
e. PCNL
Answer: (b)
Question: A 4 year old boy presents with fever, severe ear ache, vomiting and anorexia. He also has mod tonsillitis. Examination: tympanic membrane bulging. He came to the GP a few days ago and was diagnosed with URTI. What is the most appropriate diagnosis?
a. OE
b. Acute OM
c. Serous otitis
d. Chronic suppurative OM
e. Mastoiditis
Answer: (b)
Question: A 3 year old girl presents with complaints of sudden right facial weakness and numbness and pain around her ear. There are no symptoms. What is the most appropriate diagnosis?
a. SAH
b. Bell’s palsy
c. Stroke
d. TIA
e. Subdural hemorrhage
Answer: (b)
Question: A 6 year old boy fell in the playground and has been holding his forearm complaining of pain. Examination: no sign of deformity or swelling. However, there is minimal tenderness on the exam. What is the diagnosis?
a. Fx mid radius
b. Fx mid ulnar
c. Fx neck of humerus
d. Fx shaft of humerus
e. Green stick fx of distal radius
Answer: (e)
Question: A 62 year old man has been smoking about 15 cigarettes/day for 45 years and has been working as a builder since he was 24 years old. He presents with chest pain, SOB, weight loss. CXR shows bilateral fibrosis and left side pleural effusion. What is the best investigation that will lead to diagnosis?
a. CXR
b. Pleural fluid aspiration of cytology
c. MRI
d. Pleural biopsy
e. CT
Answer: (d)
Question: During a basketball match, one of the players suddenly collapsed to the ground with coughing and SOB. What is the investigation of choice?
a. CXR
b. CT
c. MRI
d. V/Q scan
e. CTPA
Answer: (a)
Question: A 57 year old man having HTN on oral anti-HTN. However, he is finding it difficult to mobilize as he feels dizzy whenever he tries to get up. What is the most appropriate investigation for him?
a. Ambulatory BP
b. ECG
c. MRI
d. CXR
e. CT
Answer: (a)