Question: A 32 year old woman wants a reversible form of contraception. She has one child delivered by emergency C-section. She also suffers from migraine and heavy periods. What is the most suitable form of contraception for this lady?
a. COCP
b. Mini pill
c. IUCD
d. Barrier method
e. Abstinence
Answer: (c)
Question: A 45 year old known hypertensive man presents with hematuria, proteinuria and edema. What is the definitive diagnosis test for him?
a. Urine protein
b. Renal biopsy
c. Renal function test
d. Urine microscopy
e. Serum protein
Answer: (b)
Question: A 47 year old man presents with proteinuria+, BP=160/95mmHg, small kidneys that have smooth renal pelvis. What is the most probable diagnosis?
a. GN
b. Chronic pyelonephritis
c. Unilateral renal artery stenosis
d. Multiple myeloma
e. ARF
Answer: (a)
Question: You are the HO in the hospital and the lab report of a patient shows glucose=4 mmol/l, K+=5.2mmol/l, Na+129 mmol/l. What is the most appropriate management?
a. NS 0.9%
b. NS 0.45%
c. NS 0.9% and insulin
d. Insulin
e. Dextrose
Answer: (a)
Question: A 27 year old man presents with abdominal pain. He says his urine is dark. Examination: BP=160/105mmHg. What is the most appropriate investigation?
a. US
b. Renal biopsy
c. CT
d. Urine protein
e. Urine microscopy
Answer: (a)
Question: A 12 month child with AIDS is due for his MMR vaccination. What is the single most appropriate action?
a. Defer immunization for 2 weeks
b. Don’t give vaccine
c. Give half dose of vaccine
d. Give paracetamol with future doses of the same vaccine
e. Proceed with standard immunization schedule
Answer: (b)
Question: A young man presents with sudden, severe pain and swelling in the scrotum. Examination: one testis seems higher than the other. What is the most probable diagnosis?
a. Varicocele
b. Hematocele
c. Testicular tumor
d. Epididymo-orchitis
e. Testicular torsion
Answer: (e)
Question: A 24 year old male involved in RTA with XR: fx neck of humerus. What is the single most associated nerve injury?
a. Axillary nerve
b. Radial nerve
c. Median nerve
d. Ulnar nerve
Answer: (a)
Question: A 64 year old man complains of increasing SOB and cough for the past 18m. He coughs up a Tbsp of mucopurulent sputum with occasional specks of blood. What is the most likely underlying cause?
a. Acute bronchitis
b. Bronchiectasis
c. Chronic bronchitis
d. Lung cancer
e. Pneumonia
Answer: (b) & (c)
Question: A 55 year old man who is hypertensive suddenly lost his vision. The retina is pale and the fovea appears as a bright cherry red spot. What is the single most appropriate tx?
a. Pan retinal photocoagulation
b. Corticosteroids
c. Scleral buckling
d. Surgical extraction of lens
e. Pressure over eyeball
Answer: (e)