Question: A 34 year old man sustains a fx to shaft of femur after falling from the roof of his house. Examination: distal pulses are not palpable. Which vessel is damaged?
a. Femoral artery
b. Circumflex femoral artery
c. Profunda Femoris artery
d. Popliteal artery
e. Obturator artery
f. Dorsalis Pedis artery
Answer: (a)
Question: A 9 year old child doesn’t play with his peers and has collected 200 cars. He doesn’t respond to any criticism. What is the diagnosis?
a. Autism
b. Personality disorder
c. Schizophrenia
d. Rett syndrome
e. Social anxiety
Answer: (a)
Question: A 63 year old man with vague but persistent pain. On endoscopy: columnar epithelium was found to be pouched into muscularis. What is the diagnosis?
a. Adenocarcinoma
b. Adenoma
c. Peptic ulcer
d. H. pylori infection
Answer: (a)
Question: A 24 year old man after a head injury presents with difficulty dressing himself, difficulty in writing and inability to differentiate the fingers of his hand. Which part of the brain is most likely to be affected?
a. Frontal lobe
b. Parietal lobe
c. Temporal lobe
d. Occipital lobe
e. Brainstem
Answer: (b)
Question: A 16 year old boy in boarding school feels unwell. He developed a cough and rash. His CXR showed bilateral consolidations. What is the cause of his symptoms?
a. Staph aureus
b. Legionella
c. Mycoplasma
d. Streptococcus
Answer: (c)
Question: A 10 year old boy is brought to the ED 10h after injuring his foot. It was punctured with a metal spike that passed through his shoe. What is the next best step?
a. Ig
b. Ig and vaccine
c. Vaccine only
d. Clean the wound
e. Antibiotics
Answer: (d)
Question: A 56 year old male presents with persistent watery diarrhea. What is the most likely diagnosis?
a. Treponema pallidum
b. Nesseria meningitidis
c. Cryptosporidium
d. Staph aureus
e. Pseudomonas aeruginosa
Answer: (c)
Question: A 2 year old girl has frequency, urgency and burning micturition. She has some supra pubic tenderness. Which one of the following is the most appropriate initial investigation?
a. Supra pubic aspiration of urine for C&S
b. Clean catch of urine for C&S
c. USG
d. IVU
e. MCUG
Answer: (b)
Question: An 89 year old man presents with carcinoma of posterior oropharynx. Which is the single most appropriate LN involved?
a. Pre-aortic LN
b. Aortic LN
c. Submental LN
d. Submandibular LN
e. Deep cervical LN
Answer: (e)
Question: A young boy presented to the OPD 12 weeks after renal transplantation with fever and pain in lower abdomen. Renal functions were deranged. Renal biopsy showed immune cell infiltrate and tubular damage. What is the most probable diagnosis?
a. Pyelonephritis
b. Chronic graft rejection
c. Acute rejection
d. Drug toxicity
e. Graft vs host disease
Answer: (c)