Question: A 32 year old man with schizophrenia and a hx of violence and distressing auditory hallucinations was admitted to the ward with aggressive behavior and has already smashed his room. He is refusing any oral meds. What is the single most appropriate injection?
a. Flupenthixol
b. Fluphenazine
c. Haloperidol
d. Paraldehyde
e. Risperidone
Answer: (c)
Question: A 65 year old man complains of hematuria, frequency, hesitancy and nocturia. He reports that on certain occasions he finds it difficult to control the urge to pass urine. Urine microscopy confirms the presence of blood but no other features. What is the most probable diagnosis?
a. BPH
b. Bladder ca
c. Prostatic ca
d. Pyelonephritis
e. Prostatitis
Answer: (b) & (c)
Question: A 60 year old man presents with mass in the groin. Examination: mass lies below the midpoint of the inguinal ligament and is pulsatile. What is the most probable diagnosis?
a. Direct inguinal hernia
b. Saphena Varix
c. Femoral hernia
d. Irreducible hernia
e. Femoral aneurysm
Answer: (e)
Question: An 82 year old man has woken up with incoherent speech and difficulty in finding the right words. Examination: otherwise normal, good comprehension. Which anatomical site is most likely to be affected?
a. Broca’s area
b. Wernicke’s area
c. Midbrain
d. Parietal cortex
e. Pons
Answer: (a)
Question: A 25 year old woman has a recent cough, hoarseness and swelling in the neck. There are several non-tender swellings on both sides of her neck. She has lost 13kgs. She takes recreational drugs. What is the most probable diagnosis?
a. Thyrotoxicosis
b. Hyperthyroidism
c. Vocal cord nodules
d. Carcinoma bronchus
e. TB
Answer: (e)
Question: A 30 year old woman presents with an acute headache. She complains of seeing halos especially at night. What is the single most likely defect?
a. Paracentral scotoma
b. Mono-ocular field loss
c. Tunnel vision
d. Central scotoma
e. Cortical blindness
Answer: (c)
Question: A 35 year old man presents with a headache that worsens on bending his head forward. What is the most likely diagnosis?
a. Chronic sinusitis
b. SAH
c. Migraine
d. Cluster headache
e. Tension headache
Answer: (a)
Question: A 20 year old man presents with painful swallowing. Examination: trismus and unilateral enlargement of his tonsils. The peritonsillar region is red, inflamed and swollen. What is the most appropriate tx?
a. Oral antibiotics
b. IV antibiotics and analgesics
c. I&D with antibiotics
d. Analgesics with antipyretics
e. Tonsillectomy
Answer: (c)
Question: A 40 year old manual worker presents with a swelling in the groin. Exam: mass is found to be just above and lateral to the pubic tubercle. It is reducible. On applying pressure on the internal ring there is no cough impulse seen. What is the most probable diagnosis?
a. Direct inguinal hernia
b. Indirect inguinal hernia
c. Femoral hernia
d. Strangulated hernia
e. Femoral aneurysm
Answer: (b)
Question: A 34 year old male presents with headache and vomiting. Examination: temperature=38.5C, neck stiffness, discharge from left ear and right sided hyper-reflexia with an extensor plantar response. What is the most likely diagnosis?
a. Cerebral tumor
b. Meningitis
c. Cerebellar tumor
d. Cerebral abscess
e. Normal pressure hydrocephalus
Answer: (d)