Question: A 7 year old presented with chronic cough and is also found to be jaundiced on exam. What is the most likely diagnosis?
a. Congenital diaphragmatic hernia
b. Congenital cystic adenomatoid malformation
c. Bronchiolitis
d. RDS
e. Alpha 1 antitrypsin deficiency
Answer: (e)
Question: A 65 year old man had a bowel resection 5d ago. He is anuric and breathless. His BP=150/110mmHg. He has crackles at both lung bases and sacral edema. Bloods: K+=6.8mmol/l, urea=58 mmol/l, creatinine=600 umol/l. What is the single most appropriate immediate management?
a. Bolus of 20U insulin
b. Calcium resonium enema
c. Dextrose-saline infusion. 5% dextrose infusion
e. 10U insulin, 50 ml of 50% dextrose infusion
Answer: (e)
Question: A 25 year old woman presents with a painful shallow ulcer on the vulva. What investigation has to be done?
a. HSV antibodies
b. Syphilis serology
c. Swab for hemophilus ducreyi
d. Urine culture
e. Blood culture
Answer: (c)
Question: A child was admitted with fever, generalized skin lesion, some of them are weeping lesions and some of them are crusted. What is the most probable diagnosis?
a. Varicella
b. Impetigo
c. Drug reaction
d. Contact dermatitis
e. Scabies
Answer: (b)
Question: A patient comes with 6m hx of painless bilateral swelling of the face which has been progressively increasing in size. On routine CXR, he is found to have perihilar lymphadenopathy. What is the most probable diagnosis?
a. Chronic sialadenitis
b. Thyroid adenoma
c. Carcinoma of salivary gland
d. Adenoid cystic carcinoma
e. Mikulicz’s disease
Answer: (e)
Question: A woman has widespread metastasis from a carcinoma. She presented with severe back pain. Where do you expect the cancer to be?
a. Lungs
b. Cervix
c. Ovary
d. Uterus
e. Breast
Answer: (e)
Question: A 10 year old child has got progressive bilateral hearing loss. He has started to increase the TV volume. All other examinations are normal. What is the most likely diagnosis?
a. Wax
b. Foreign body
c. Bilateral OM with effusion
d. SNHL
e. Meningitis due to meningococcus
Answer: (c)
Question: A child had a patchy rash following tx for sore throat & cervical LN enlargement. Which is the most appropriate antibiotic?
a. Ampicillin
b. Erythromycin
c. Cefuroxime
d. Metronidazole
e. Tetracycline
Answer: (a)
Question: A child with a hx of asthma is brought to ED with a cut on knee and sprained on her left wrist. Which is the best analgesic for her?
a. Paracetamol
b. NSAIDs
c. Cocodemol
d. Ibuprofen
Answer: (a)
Question: A 15 month baby girl presented to the ED with difficulty in breathing. Examination: she has intercostal recessions and a wheeze. Temperature=normal. What is the most likely diagnosis?
a. URTI
b. Pneumonia
c. Bronchiolitis
d. RDS
e. Alpha 1 antitrypsin deficiency
Answer: (c)