Question: A 74 year old lady who has had a stroke in the past has an indwelling catheter for 10m. She presents with bluish-purple discoloration of the catheter bag. What is the most likely explanation for this?
a. Normal change
b. Catheter degradation
c. Acidic urine
d. Alkaline urine
e. Bacterial colonization of the urinary tract
Answer: (e)
Question: A 29 year old woman presents with lid lag, lid retraction and diplopia. What is the most appropriate next step?
a. TFT
b. Tensilon test
c. Fundoscopy
d. Autoantibodies
e. EMG
Answer: (a)
Question: A 41 year old man presents with longstanding foul smelling ear discharge and progressive hearing loss. Otoscopy showed perforation of the pars flaccida and a mass in the upper part of the middle ear. What is the most likely diagnosis?
a. ASOM
b. CSOM
c. Acquired cholesteatoma
d. Congenital cholesteatoma
e. Barotrauma
Answer: (c)
Question: A 9 year old child presented with a rash on his skin which didn’t respond to antibacterial ointment. What med should be added next?
a. Corticosteroid
b. Antifungal
c. Emollient
d. Permethrin
e. Coal tar
Answer: (b)
Question: A young boy has a hx of epistaxis. CBC=normal, except APTT=47s. What is the most likely diagnosis?
a. Hemophilia
b. ITP
c. Sickle cell
d. HUS
e. Thalassaemia
Answer: (a)
Question: A 29 year old young man presents with complaints of recurrent attacks of diarrhea. He says his stools contain blood and mucus. Sometimes he has low grade fever. What is the most appropriate investigation for his condition?
a. Stool culture
b. Plain abdominal XR
c. Per rectal exam
d. Barium enema
Answer: (d)
Question: A 26 year old young man presents with chx of passing loose stools for the past 2 months. He says his stools contain blood and mucus and are a/w abdominal pain. He undergoes a colonoscopy after which he was started on tx. What is the most appropriate tx for his condition?
a. Mesalazine
b. Corticosteroids
c. Infliximab
d. Cyclosporine
Answer: (a)
Question: A 52 year old male with poorly controlled DM has now presented to his GP with pain in the ear. Examination: skin around the ear is black in color and there was a foul smelling discharge from the ear. Patient also had conductive hearing loss. What is the most probable diagnosis?
a. Carbuncle
b. Folliculitis
c. Malignant OE
d. Cholesteatoma
e. Furuncle
Answer: (c)
Question: A 55 year old male has been admitted for elective herniorrhaphy. Which among the following can be the reason to delay his surgery?
a. Controlled asthma
b. Controlled A-fib
c. DVT 2 years ago
d. DBP 90mmHg
e. MI 2m ago
Answer: (e)