Question: A 44 year old obese patient with findings: FBS=6 mmol/l, OGTT=10 mmol/l. What is the most likely diagnosis?
a. Impaired glucose tolerance
b. Diabetes insipidus
c. T1DM
d. T2DM
e. MODY
Answer: (a)
Question: A child distressed with fever, stridor and unable to swallow saliva. His RR=40 bpm. What is the initial step that needs to be taken?
a. Examine throat
b. Secure airway
c. Keep him laid flat
d. IV penicillin
Answer: (b)
Question: A patient presents with hemoptysis 7 days after tonsillectomy and adenoidectomy. What is the next step of management?
a. Explore again
b. Pack it
c. Oral antibiotics and discharge
d. Admit and IV antibiotics
e. Ice cream and cold fluid
Answer: (d)
Question: A 55 year old man presents with swelling at the angle of the mandible which is progressively increasing in size and it’s mobile for 6m. What is the most probable diagnosis?
a. Benign parotid
b. Mandible tumor
c. Tonsillar carcinoma
Answer: (a)
Question: A 61 year old man, known smoker, comes to the hospital with complaints of painless hematuria, urgency and dysuria. He has been worried about his loss of weight and reduced general activity. Which investigation would be diagnostic of his condition?
a. Urine microscopy
b. IVU
c. CT
d. Cystoscopy
e. US abdomen
f. KUB
g. Cystoscopy with biopsy
h. Mid stream urine for culture
i. Trans rectal US
Answer: (g)
Question: An 8 weeks pregnant lady is brought to the ED due to severe vomiting. She was administered IV fluids and oral antiemetics. She still can’t tolerate anything orally. What is the next best tx?
a. IV feeding
b. IV antiemetics
c. Termination of pregnancy
d. PPI
e. IV steroid
Answer: (b)
Question: A 48 year old man presents with bone pain. Labs: ALP=high, phosphate=normal. What is the most likely diagnosis?
a. Osteoporosis
b. Osteomalacia
c. Paget’s disease
d. Fx
e. Myeloma
Answer: (c)
Question: A 54 year old lady presents with sudden severe pain in the left half of her skull. She also complains of pain around her jaw. What is the most likely next step?
a. CT
b. MRI
c. Fundoscopy
d. ESR
e. Temporal artery biopsy
Answer: (d)
Question: A 7 year old schoolboy has been diagnosed with meningococcal meningitis. What is the advice for schoolmates and staff?
a. Rifampicin for the whole class and family
b. Rifampicin for the whole school and family
c. Meningococcal vaccine for the family
d. Benzylpenicillin
e. IV cefotaxime
Answer: (a)
Question: A patient came with dyskaryosis to the OPD. She is a heavy smoker and alcoholic. Cervical smear shows abnormal cells. What is the best advice for her?
a. Colposcopy
b. Biopsy
c. Endocervical sample
d. Repeat after 4m
e. None
f. Cone biopsy
Answer: (a)