Question: A 60 yo woman presented with radial fx and had a colle’s fx and supracondylar fx in the past. What investigation is required to detect her possibility of having the same prb later?
a. Dexa scan
b. MRI
c. Nuclear bone scan
d. CT
e. Bone biopsy
Answer: (a)
Question: A 43 year old woman presents with low mood, loss of libido, sleep disturbance, tiredness, palpitation, chest discomfort, irritability and recurrent worries. What is the most likely diagnosis?
a. Seasonal Affective Disorder
b. Mod depression
c. Dysthymia
d. GAD
e. Bipolar disorder
Answer: (b)
Question: Which of the following is true for tamoxifen?
a. Increased incidence of endometrial carcinoma
b. Increased risk of breast ca
c. Increased risk of osteoporosis
d. Increased risk of ovarian ca
Answer: (a)
Question: A 45 year old male complains of tremors in hands. Examination: tremors are absent at rest but present when arms are held outstretched and persist on movement. What is the most probable diagnosis?
a. Parkinsonism
b. Benign essential tremor
c. Cerebellar disease
d. Liver failure
e. Stroke
Answer: (b)
Question: Pregnant lady had her antenatal screening for HIV and Hepatitis B. What more antenatal information should she be screened for?
a. Rubella and syphilis
b. Toxoplasma and rubella
c. Syphilis toxoplasma
d. Hepatitis C & E
e. Hepatitis A & C
Answer: (a)
Question: A young man has been found in the park, drunk and brought to the ED by ambulance. He recently lost his job and got divorced. He thinks nurses are plotting against him. What is the most likely diagnosis?
a. Schizoid personality
b. Borderline personality
c. Schizophrenia
d. Psychotic depression
e. Paranoid personality
Answer: (c)
Question: An elderly man who used to work in the shipyard industry presented with cough and SOB for a few weeks to months. He was given salbutamol nebulization and antibiotics and admitted to the ward. He died 3 days later. CT: patchy infiltrates, pleural thickening and pleural effusion. Why is this a coroner’s case?
a. Patient got wrong diagnosis or management
b. Patient died soon after admission
c. Death could be due to occupational illness
Answer: (c)
Question: A 26 year old lady came with abdominal pain, vaginal discharge and low grade fever. What is the most likely diagnosis?
a. HELLP syndrome
b. Acute PID
c. Ectopic pregnancy
d. Appendicitis
Answer: (b)
Question: A new screening test has been devised to detect early stages of prostate cancer. However, the test tends to diagnose a lot of people with no cancer, although they do have cancer as diagnosed by other standard tests. What is this flaw called?
a. False +ve
b. True +ve
c. False –ve
d. True –ve
e. Poor specificity
Answer: (c)
Question: A 26 year old political refugee has sought asylum in the UK and complains of poor conc. He keeps getting thoughts of his family whom he saw killed in a political coup. He is unable to sleep and feels hopeless about his survival. Because of this he is afraid to go out. What is the most likely diagnosis?
a. Acute stress disorder
b. PTSD
c. Social phobia
d. OCD
e. GAD
Answer: (b)