Question: A boy was admitted with partial thickness burn, what is your next step?
a. Escharotomy
b. Dressing
c. Burst blisters
d. Local antibiotics
e. Refer to burn unit
Answer: (e)
Question: A 28 year old man presents with a 2h hx of rapid palpitations. He feels a little light headed but is otherwise well. Examination: pulse=170 bpm and regular, BP=100/68mmHg. He has had 2 similar episodes in the past. What is the most likely rhythm disturbance?
a. SVT
b. VF
c. VT
d. V-ectopics
e. A-fib
Answer: (a)
Question: A child has hypothyroidism. What feature is a/w it?
a. Microglossia
b. Prolonged neonatal jaundice
c. Undescended testis
d. Anal tag
e. Left soft palate
Answer: (b)
Question: A 2 week girl presents with E-coli which is confirmed by urine culture. What is the most appropriate next investigation?
a. US
b. IVU
c. CT kidney
d. BUE
e. MCUG
Answer: (a)
Question: A lady from Asia presented with a lump in her neck. FNAC has been done and revealed lesions with caseous material in the center surrounded by fibrosis. What is the most probable diagnosis?
a. Thyroid carcinoma
b. TB lymphadenitis
c. Lymphoma
d. Inf Mono
e. Mesothelioma
Answer: (b)
Question: A 32 year old woman has undergone a biopsy for a breast lump. The report says: a well circumscribed lump with clear margins and separated from the surrounding fatty tissue. What is the most appropriate interpretation of this report?
a. Fibroadenosis
b. Ca Breast
c. Mammary abscess
d. Fibroadenoma
e. Fat necrosis
Answer: (d)
Question: A young boy presented with peri-oral blisters. Some of which are weeping and others are crusted. What is the single most appropriate diagnosis?
a. Impetigo
b. Varicella zoster
c. Shingles
d. Scabies
e. Herpes simplex
Answer: (a)
Question: A 39 year old man comes with umbilicated papules on his face. His CD4 count is measured to be 35. What is the single most appropriate option?
a. Mycobacterium avium intracellulare
b. CMV
c. Streptokinase
d. Toxoplasmosis
e. Pneumocystis jiroveci
f. Moluscum contagiosum
Answer: (f)
Question: A 45 year old man is admitted to ED with excruciating pain in the right leg. Examination: limb is pale and dorsalis pedis and posterior tibial pulses are absent. Pulse=88 bpm, irregular and he has a pansystolic murmur at apex. What is the most probable diagnosis?
a. Thromboangitis Obliterans
b. Sciatica
c. DVT
d. Atherosclerosis
e. Embolus
Answer: (e)
Question: An 18 year old man has a smooth, tender swelling extending from the ear to the angle of the jaw of sudden onset. Temperature=38.5C. What is the single most likely diagnosis?
a. Dental caries
b. Mumps
c. OE
d. OM
e. Temporomandibular joint pain
Answer: (b)