Question: A 33 year old female complains of diplopia on upright gaze. Examination: ptosis can be seen. There are no other complaints or any significant PMH. What is the most appropriate investigation for him?
a. Ophthalmoscopy
b. Visual field test
c. TFT
d. CT
e. Checking red reflex
Answer: (e)
Question: A tall rugby player was hit in the chest by a player of the opponent team. He developed breathlessness and his face went blue and purple. You have been called to look at him, how will you manage him?
a. Insert a needle in the 2nd ICS in the midclavicular line
b. Insert a needle in the 5th ICS in the mid-axillary line
c. Intubate the patient
d. Start CPR
e. Give oxygen
Answer: (e)
Question: A young woman fell and hit her knee. Examination: valgus test +ve. What ligament was most probably injured?
a. Ant cruciate
b. Medial collateral
c. Lateral collateral
d. Post cruciate
e. Meniscus
Answer: (b)
Question: A 75 year old man comes in complaining of difficulty in passing urine, poor stream and dribbling at the end of voiding and anorexia. Ultrasound shows bilateral hydronephrosis. What is the cause of these findings?
a. BPH
b. Renal stones
c. Bladder stones
d. Prostatic ca
e. UTI
Answer: (d)
Question: 2h after an appendectomy, a patient complains of a rapid HR and fever. He says there is also abdominal pain and pain in the shoulder area. What is happening to this patient?
a. Intra-abdominal bleeding
b. Anastomotic leak
c. Sepsis
d. Intestinal obstruction
Answer: (a)
Question: A 50 year old man presents with the complaints of recurrent UTI and occasional blood in the urine. Some unusual cells have been seen in urine on routine exams. Which of the following investigations would you like to carry out now?
a. Cystoscopy
b. Urine C&S
c. XR KUB
d. US
e. CBC
Answer: (d)
Question: A 28 year old drug user presents to ED collapsed and anuria. His serum K+=7.5mmol/l. CXR shows early pulmonary edema. What is the next appropriate management for this patient?
a. Urgent hemodialysis
b. IV calcium gluconate
c. IV insulin + dextrose
d. Furosemide
e. IV 0.9% NS
Answer: (b)
Question: DM man feels a hot, painful lump near the anal region. What is the most probable diagnosis?
a. Anal fissure
b. Abscess
c. Hematoma
d. Wart
e. External hemorrhoids
Answer: (b)
Question: A 65 year old lady with Type 1 DM for the last 20 years comes with a tender lump near the anal opening. She says she also has a fever. What tx should she get?
a. I&D + antibiotics
b. IV antibiotics
c. C&S of aspirate from swelling
d. Painkillers
e. Cautery of swelling
Answer: (a)
Question: An 80 year old DM lady presents with redness and swelling over her right foot. It is tender to touch, warm and glossy. What are the complications this patient might develop?
a. Meningitis
b. Sepsis
c. Ulcer
d. Gangrene
Answer: (d)