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Question. An 89 year old man has a basal cell carcinoma on his forehead which requires excision. He has dementia. ...
Question. A 19 year old woman has worsening vaginal discharge and bilateral iliac fossa pain for 3 days. Her vagin...
Question. An 84 year old woman has worsening confusion. She has visual hallucinations, disturbed sleep and urinar...
Question. A 16 year old girl was brought to Accident and Emergency with the complaint of sudden loss of consciousn...
Question. An 18 year old male washes his hands 6 times every time he uses the toilet. On his way out of the toilet, he ...
Question. A 30 year old woman comes to the clinic in tears trying to describe the constant irritability she is in when ...
Question. A 19 year old man accuses his friend of making his right arm swing out to hit a stranger at the park. The...
Question. A 64 year old man believes a female newscaster on the television is communicating directly to him when she tur...
Question. A 52 year old woman has been depressed ever since her husband died half a year ago. She was started on amitr...
Question. A 64 year old man has just suffered from a myocardial infarction. Before discharge, he seems to be in a ...
Question. A 22 year old woman was brought to the A&E by her friends. She presents with tremors. On examination...
Question. A 38 year old woman believes that a famous politician has been sending her flowers every day and is in lo...
Question. A 35 year old chronic alcoholic has been trying to stop his alcohol drinking habit. He has been going fo...
Question. A 19 year old female is brought to the hospital by her parents. They are concerned about her weight. Her...
Question. A 19 year old college student has a firm and unshakable belief that he is being followed by terrorists w...
Question. A 20 year old man complains his movements are being watched. He feels as though his actions are being c...
Question. A 29 year old woman is overly paranoid that her partner is being unfaithful to her. She checks his phone...
Question. A 55 year old man is brought to the GP surgery by his wife for a review of a growth on his forehead....
Question. A 17 year old girl who was ‘fine’ until her boyfriend ended their relationship. Out of anger, she to...
Question. A 33 year old man with alternating mood swings and episodes of mood elevation to depression underwent tr...
Question. A 21 year old man is seen in the Psychiatry clinic with the complaint of strange body movements. His mot...
Question. A 30 year old woman who suffered from depression a few years ago has recently spent a substantial amount ...
Question. A 29 year old woman diagnosed with schizophrenia is complaining that the children playing outside her g...
Question. A 60 year old man was brought to A&E by his daughter following ingestion of a large amount of medica...
Question. A 74 year old man is depressed after his wife’s death 6 months ago. He has been neglecting himself and...
Question. Baby with congenital adrenal hyperplasia, found unconscious in the ward. What would be the finding in th...
Question. A child suffering from cystic fibrosis developed pneumonia. Which organism is responsible for this pneum...
Question. A 29-year-old woman presents to her GP with a history of weight loss, heat intolerance, poor concentrati...
Question. An 18 year old girl comes with complaints of fresh painless bleeding while passing stools. No other symp...
Question. A 76 year old lady had loss of consciousness but was fine after 10 minutes. She was taking Aspirin, Bend...
Question. A 30 year old professional athlete presents with amenorrhea of 7 months duration. What is the Single most...
Question. A 45 year old lady came to a family planning clinic for contraception advice. She is not keen to be preg...
Question. A 15 year old boy fell off his bicycle and hurt his abdomen. He presents with pain in abdomen, a CT scan...
Question. A 54 year woman was found to have glycosuria at a routine medical examination. She has a body mass ...
Question. A 46 year old man is being treated for a pleural effusion. A chest drain has been sited just below the&n...
Question. Patient with widespread ovarian carcinoma had bowel obstruction and severe colic for 2 hrs and was ...
Question. A 36 years old man undergoes an elective hernia repair. 12 hours after the surgery he presents with ...
Question. A 34 year old woman complains of low mood predominantly in winter. She says she feels low every yea...
Question. Infection of which of the following areas in the face will lead to pre auricular lymph node enlarge...
Question. Lady with 10 months amenorrhea, hypokalaemia, BMI- 32. What is the most probable cause? A. PCOS ...
Question. A 15 year old boy presents with generalized oedema. His urinalysis reveals +++ proteins. His eGFR is 110....
Question. A 70 year old lady who has been treated on Carbamazepine for epilepsy, she now presents with shortness o...
Question. A woman presents with hematuria and her blood tests reveal ANA positive. What is the most likely conditi...
Question. A sick child presents with drooling of saliva and fever. What is the most probable diagnosis? A. Acu...
Question. An otherwise healthy 13-year-old boy presents with recurrent episodes of facial and tongue swelling and ...
Question. Man who took a bunch of over the counter drugs presented with jaundice. What is the most probable cause...
Question. A 28 years old man presents with a temperature of 38.7˚C and neck stiffness. There is no rash. His GP c...
Question. A man on a road trip with son was hit while on the passenger’s side of the car by another vehicle. He ...
Question. A 21 year old male patient presents with vague abdominal pain and loose stool. He has had a history one ...
Question. A 36 Weeks pregnant patient has been admitted with bleeding per vaginum and severe constant pain in abdom...
Question. A maid complains of pain in the anterior inferior part of the kneE. What is the most likely bursa...
Question. A 9 year old boy has a rash on his extensor surface with a history of itching. His aunt has similar probl...
Question. A 50 year old man presented with an acute onset of severe breathlessness and cough with pink, frothy spu...
Question. A 4 year old boy presents with bleeding from nose, bleeding time is increaseD. What is the most li...
Question. A 71 year old woman looks disheveled, unkempt and sad, with poor eye contact. She has recently lost her ...
Question. A 54 year old man presented with a sudden, unilateral, brief, stabbing, recurrent pain on the right side...
Question. A 29 year old man is found to have proteins and blood cells in urine. There is no history of any r...
Question. You are asked to see a 1 hour old baby. He is dysmorphic, with a small chin and low-set ears. He also has...
Question. A 9 year old child is diabetic and unhappy in school. What is your next step? A. Refer to soc...
Question. A 40 year old man came in with fever and Urinary complaints. Urinalysis showed blood + nitrites in the u...
Question. A 61 year old man presents with a headache. He also complains of dizziness and tinnitus. He has recently...
Question. A 60 year old man presents with mass in the groin. Exam: mass lies below the midpoint of the inguinal li...
Question. A middle aged man presents with bilateral pitting pedal edema and ascites, raised JVP. The ascitic fluid...
Question. A 24 year old college student presents with nausea, vomiting, headache, neck stiffness and a fever of 38....
Question. A 72 year old man is receiving chemotherapy for small cell lung cancer. He had his fourth treatment eigh...
Question. A 70 year old male presents with balance difficulties, vomiting and nausea. Which of the following is th...
Question. A family with a baby who has a cousin who died from cot death recently, mother asks for advice. Wha...
Question. A 40 year old gentleman with a fistula which discharging on the anal midline posterior to anus. What&nbs...
Question. A boy came presents with plenty of transparent sticky liquid coming from both the eyes. The mucosa o...
Question. A 35 year old man suffering from influenza 5 days ago now develops fever, cough and sputum. Chest X-ray ...
Question. A 30 years old female presents with severe intermittent pain in the upper outer quadrant of her left br...
Question. An 8 year old girl fell down and fainted at a school assembly. She went pale and light headed. What is ...
Question. A young girl presented in Gynae assessment Unit with lower abdominal pain and per vaginal bleeding after...
Question. A patient developed confusion, neck stiffness, photophobia and his temperature is around 38.9°C. What t...
Question. An HIV drug abuser and alcoholic was found to have markedly raised creatinine levels, proteinuria of 3.7...
Question. A 58 year old patient presents with altered bowel habits and bleeding per rectum. Exam and sigmoidoscopy...
Question. A 30 year old man with complaints of left sided abdominal pain was diagnosed with gastric ulcer. On USG ...
Question. Young female, returning from the USA to the UK developed shortness of breath and a productive cough whic...
Question. Withdrawal from which of the following drugs can result in chills, pupil dilatation? A. Cocai...
Question. A patient has been having influenza infection for the past 5 days and now presents with very painful&nbs...
Question. How will you check the function of the Ulnar nerve? A. Adduction of fingers B. Flex wrist towa...
Question. A woman presents with a butterfly rash on her face. What is the most likely diagnosis? ...
Question. A 23 year old woman presents with offensive vaginal discharge. Vaginal Ph is 4.5. What is the most likely...
Question. A 13 year old boy with umbilical pain for the last 12h presents with anorexia, nausea and has not passed...
Question. A lady came to the gynaecology assessment unit with a history of 8 weeks pregnancy and bleeding per vagi...
Question. 61. A 3 year old girl fell down while riding her bicycle. She then went pale, and then rigid. 2 minutes ...
Question. A man with ingestion of 40 tablets of paracetamol came in 10 hrs ago to the accident and emergency depa...
Question. A 55yr old man who is 1 day post total knee replacement. Presenting with fever 38.5, tachycardia 130, B...
Question. An old man presented with fever and weakness. On examination he was found to have rashes as shown in th...
Question. An 85 year old woman with Alzheimer’s dementia wants to change her will. What do you do? A....
Question. A middle aged male after a myocardial infarction is feeling unwell. The ECG has been performed and show...
Question. A 54 year old man after a CVA (cerebral vascular accident) presents with ataxia, intention tremors and sl...
Question. A 35 year old African woman presents with cyclical menorrhagia for the last 8 months. She is nulliparous...
Question. An 85 year old man was found wandering in the streets and was brought to the hospital. His daughter was ...
Question. A 54 year old woman with breast cancer which has spread to lung, liver and bone now presents with incre...
Question. An old man with gastric cancer is fit to undergo a surgery, he totally understands the doctor’s expla...
Question. A 32 years old married woman complains of feeling low and has had two episodes of drug overdose. She has...
Question. A 2 day baby started to have jaundice but is breast feeding well and gaining weight. She is passing whit...
Question. A man is admitted in a ward and develops varicella zoster after two days. Which of the following groups...
Question. A 60 year old man presents with dysphagia and pain on swallowing both solids and liquids. A barium meal ...
Question. A 57 year old man post gastrectomy developed loss of joint position and vibration. What is the most prob...
Question. A Schizophrenic patient not compliant on oral medication. What is the best long term management? &n...
Question. A 28 year old pregnant woman with poly-hydramnios and shortness of breath comes for an anomaly scan at 3...
Question. A 42 year old man presents with a stroke, he is not able to walk straight and his speech is slurred. What...
Question. A 65 year old female patient was given Tamoxifen, which of the following side effects caused by it will ...
Question. A 50 year diabetic patient is going to undergo an endoscopy. He is on oral hypoglycemic medications. Wha...
Question. A 55 year old man presented to the A and E with complaints of calf muscle tenderness. On examination the...
Question. Among the risk factors given, which one will most likely enhance a woman’s chances of getting ovarian ...
Question. A 40 year old woman requests post coital contraception. Her condom broke 36 hours ago. On the 7th day of...
Question. Patient with CA head of pancreas, what structure is directly affected? A. Common bile d...
Question. A patient has had amenorrhea for the last 6 months. Previously she was taking COCP pills. Her LH:FSH ra...
Question. An 80 year old lady was found on the floor by her daughter, brought to the A&E. She was unconscious,...
Question. A 40 years old lady complains of 10 months amenorrhoea. She presents with hot flush, mood swings, irrita...
Question. A 68 year old man presents with muscle weakness. He is not able to climb the stairs. He also complains o...
Question. A 30 year old lady taking COCP pills is on amoxicillin tablets for a week. What advice would you give to...
Question. A pregnant woman with a long-term history of osteoarthritis came to the antenatal clinic with the compla...
Question. A mother brings her 1 week old baby to the clinic because she is concerned about a large mark on his ba...
Question. A 17 year old man has a history of easy bruising. On examination he is obese. Investigation reveals pota...
Question. A 2 year old child is very naughty. His teacher complains that he is easily getting distracted. His pare...
Question. A 24 year old alcoholic patient was admitted for fracture femur surgery in an emergency. Post operative...
Question. A 25 year old female complains of intermittent pain in her fingers. She describes episodes of numbness ...
Question. A 30 year old lady was found to have inflammatory changes on routine cervical smear. What is the most ap...
Question. Young boy with one sided facial swelling associated with pain tenderness and swelling around the eye. T...
Question. A 78 years old lady has been on Tamoxifen for 3 years. Now she presents with a heavy vaginal bleeding bu...
Question. An alcoholic that was treated and is about to be discharged. Which of these would be used to make the di...
Question. Maintenance fluid in paediatric age groups. A.0.45% Saline + 5% Dextrose B. 0.9 N/S...
Question. A teacher brings in a child who she says fell down after hitting a table. On probing further, you decide...
Question. Woman presented with a blood pressure 220/110mmHg. Not on any medication. Potassium 2.2mmol/l. What is t...
Question. A 34 year old man has been diagnosed with cellulitis. Culture confirms Staph Aureus, but the patient is n...
Question. A four week old girl has been diagnosed of having breast- milk jaundice. She is otherwise well. What is ...
Question. A 16 year old girl is brought to the hospital by her parents as they are worried about her poor appetite...
Question. A 28 year old man with complaints of headaches and nosebleeds, also has pain in the lower limbs on exert...
Question. A 22 year old woman was brought to the emergency department by her friends for cutting her wrists and ov...
Question. A pregnant lady with shortness of breath and chest pain. Had a CTPA done that showed a filling defect in...
Question. A patient had a motorcycle accident. Withdraws to pain, makes incomprehensible sounds, eye opening to spe...
Question. A woman who is 20 weeks pregnant with her 2nd child. Her first child is male and has been diagnosed with...
Question: A 26 yr old woman presents for contraception. She has a history of menorrhagia and painful menses. She ...
Question: A 64yr old man present with frequency, urgency, no dysuria. Urinalysis showed +++ blood. What is the mos...
Question: There was a question on explaining to an inquisitive mother on how to wash/maintain her daughter's space...
Question: A man with a history of myocardial infarction and cardiac failure. Presented a few days later with a sw...
Question: A 24 year old man who had an orchiectomy on account of a testicular tumour. Biopsy confirmed malignancy ...
Question: A woman that had breast cancer. She has had a mastectomy with axillary clearance. She had an insect stin...
Question: A 55 year old man who was diagnosed with DM. Has been on lifestyle modification for 3 months. His BMI is...
Question: A 5 year old girl who has just been treated for a urinary tract infection 2 weeks ago. Causative organis...
Question: A 15 year old boy feels he is shorter than his peers. He does not have pubic hair. His older brothers ha...
Question: An 80 year old with Alzheimer's wants you as a witness to her change of will. What is the most appropria...
Question: A 65 year old woman with bone pain who uses thiazide diuretics. Serum E/U, parathormone was normal with...
Question: A 34 year old man with pain in the shoulder, upper thighs, hips, no tenderness over the wrists. ESR- 80...
Question: A 34 year old with sudden severe headache and loss of consciousness with no neurological deficit, no nec...
Question: A man who has a substernal chest pain. Had a similar episode 3 hours ago. PR 40 bpm, BP 120/60mmHg. What...
Question: A 65 year old man presents w/painless hematuria, IVU is normal, prostate is mildly enlarged with mild f...
Question: An 80 year old man presented with pain in his lower back and hip. He also complains of waking up in the n...
Question: A patient with an acute gout attack came to the ED. What drug should be given to relieve symptoms? &...
Question: A 45 year old man keeps having intrusive thoughts about having dirt under the bed. He can’t keep himse...
Question: A 24 year old biker has been rescued after being trapped under rocks for almost 12h. He complains of re...
Question: A 5 years old girl had earache and some yellowish foul smelling discharge, perforation at the attic and...
Question: A pt with hepatocellular ca has raised levels of ferritin. What is the most probable cause? ...
Question: A 75 year old alcoholic presents with a mass up to umbilicus, urinary dribbling, incontinence, and cloth...
Question: A 10 years old girl presents with hoarseness of the voice. She is a known case of bronchial asthma and h...
Question: A 35 years old man who has served in the army presents with lack of interest in enjoyable activities and...
Question: A 2yo boy fell off his tricycle and hurt his arm. He got up to start crying, but before there was any s...
Question: A 15 yo male has bilateral ankle edema. His BP=110/70mmHg and urinalysis shows protein++++. What is the ...
Question: An 8 years old child who is tall for his age and has a refractive error for which he wears glasses has ...
Question: A 20 years old student attends the OPD with complaints of breathlessness on and off, cough and sputum. ...
Question: A 60 years old lady who had a stroke 3 years ago now reports having increased dyspnea on exertion and at...
Question: A 6 years old boy is brought to the hospital for a 3rd episode of sore throat in 1 month. He is found bl...
Question: A 78 years old male, DM and HTN, had a fall and since then is unable to walk. He presents with deformit...
Question: A 50 years old chronic smoker came to OPD with a complaint of chronic productive cough, SOB and wheeze....
Question: A 28 years old woman at 39 weeks gestation is in labor. She develops abdominal pain and HR=125 bpm, BP=1...
Question: A 37 years old female had a fall with an outstretched hand, presented with dinner fork deformity and ten...
Question: A 29 years old teacher is involved in a tragic RTA. After that incident, he has been suffering from nigh...
Question: A 72 years old man fell while shopping and hurt his knee. His vitals are fine. He speaks in a low voice...
Question: A 47 years old ex-soldier suffers from low mood and anxiety. He can’t forget the images he faces befor...
Question: After eating a cookie at a garden party, a child began to cough and went blue. The mother also noticed t...
Question: A 22 years old woman was brought by her boyfriend with multiple superficial lacerations. There are scars...
A 7 years old is brought by his mother who says that he was well at birth but has been suffering from repeated ch...
Question: A baby born at 34 weeks with a heart murmur is kept in the incubator for almost 4 weeks. There is no murm...
Question: A 44 years old woman complains of heavy bleeding per vagina. Transvaginal US was done and normal. Which...
Question: An old man comes to the doctor complaining that a part of this body is rotten and he wants it removed. W...
Question: A 6 years old girl started wetting herself up to 6x/day. What is the most appropriate tx? ...
Question: A 27 years old presents with abdominal pain, bleeding, vomiting and diarrhea. Her LMP was 7wks ago. Exa...
Question: A 15 years old boy presents with testicular pain for 2 days. There is no hx of trauma. Exam: temp=38.5C...
Question: A 67 years old female who had undergone a radical mastectomy now comes with the complaint of swelling an...
Question: An old lady 72yo staying at a nursing home for a few years, a known HTN on reg tx presented with sudden d...
Question: A 54 years old woman has presented with episodes of abdominal ache, vomiting and postural hypotension. Sh...
Question: A 35 years old lady presents with painful ulcers on her vulva, what is the appropriate investigation whi...
Question: A 55 years old man has been admitted for elective herniorrhaphy. Which among the following can be the r...
Question: A young man who was held by the police was punched while in custody. He is now cyanosed and unresponsive...
Question: ECG of an 80 years old patient of ICH shows saw-tooth like waves, QRS complex of 80ms duration, ventricu...
Question: A 54 years old man after a CVA presents with ataxia, intention tremors and slurred speech. Which part of...
Question: A 12 year old boy presents with a painful swollen knee after a sudden fall. Which bursa is most likely t...
Question: A 19 years old boy is brought by his mother with a complaint of lack of interest and no social interacti...
Question: A 54 year old man with alcohol dependence has tremor and sweating 3 days into a hosp admission for a fx ...
Question: A 3 year old child brought to the ED with a swelling over the left arm. XR shows multiple callus format...
Question: A 16 year old teenager was brought to the ED after being stabbed on the upper right side of his back. Er...
Question: A 65 year old woman says she died 3m ago and is very distressed that nobody has buried her. When she is ...
Question: A 55 year old woman was found collapsed at home, paramedics revived her but in the ambulance she had a c...
Question: A 45 year old IV drug abuser is brought into the ED with complaints of fever, shivering, malaise, SOB a...
Question: A 30 year old man presents to the ED with difficulty breathing. He has returned from India. Examination:...
Question: A 42 year old female who is obese comes with severe upper abdominal pain with a temperature=37.8C. She h...
Question: A patient presents with purple papular lesions on his face and upper trunk measuring 1-2 cm across. They...
Question: What is the most appropriate antibiotic to treat uncomplicated chlamydial infection in a 21 year old fem...
Question: A 39 year old woman has not had her period for 10 months. She feels well but is anxious as her mother h...
Question: A 45 year old chronic smoker attends the OPD with complaints of persistent cough and copious amounts of ...
Question: A 40 year old man with a 25y hx of smoking presents with progressive hoarseness of voice, difficulty swa...
Question: A 21 year old woman has had several sudden onset episodes of palpitations, sweating, nausea and overwhe...
Question: A 10 year old girl has been referred for assessment of hearing as she is finding difficulty in hearing h...
Question: A patient presents with gradual onset of headache, neck stiffness, photophobia and fluctuating LOC. CSF ...
Question: A 65 year old woman is undergoing coronary angiography. What measure will protect her kidneys from contra...
Question: A 42 year old man has been tired and sleepy for the last few weeks in the morning. His work has started...
Question: A 60 year old diabetic patient on anti-diabetic medication developed diarrhea. What is the most likely c...
Question: Which of the following reflexes and innervating spinal nerves are correctly paired? a....
Question: A 14 year old boy with asthma suddenly developed chest pain and increased breathlessness during a game o...
Question: A teacher had a respiratory infection for which she was prescribed antibiotics. After the antibiotic co...
Question: A 32 year old man on psychiatric medications complains of inability to ejaculate. Which drug is most lik...
Question: A 55 year old woman who attends the clinic has recently been diagnosed with a depressive episode. She com...
Question: A 32 year old woman P3 of 39 weeks gestation reports having spontaneous ROM 4 days ago. She didn’t att...
Question: A 66 year old woman has been brought to the hospital on a number of occasions with a hx of loss of memor...
Question: A 5 year old girl has had an URTI for 3 days and has been treated with paracetamol by her mother. For th...
Question: A 10 year old boy presents with generalized swelling. This has been present for 4 days and included swo...
Question: A 6 year old child presented with drooling of saliva and severe stridor. He is febrile and sick looking. ...
Question: An alcoholic who has completely given up drinking hears voices. What is the most appropriate tx? &nb...
Question: A 62 year old male is brought to the ED by his daughter because of his persistent lying. He is a known a...
Question: A 64 year old male was admitted to the medical ward with complaints of diarrhea, abdominal pain and weig...
Question: A 53 year old man was admitted to the hospital for investigation of hemoptysis. 3 days after admission h...
Question: The body of a 65 year old man who was treated for TB and bronchitis was seen at autopsy. His legs were s...
Question: A 2 year old child aspirated a foreign object which was removed at the hospital. The parents are now aski...
Question: A patient with SNHL and loss of corneal reflex on the left side. What is the most definitive investigatio...
Question: Anxious parents ask you for resus technique for their 3 year old. What do you tell them? ...
Question: A 77 year old woman suffered diarrhea 4 days ago. What would be her blood gas result? ...
Question: A 36 year old male diagnosed with glioblastoma since last 5m has cerebral edema and is on dexamethasone....
Question: A 55 year old lady with swelling on the abdomen below the umbilicus on the right side. What is the s...
Question: An 8 year old child swallowed 12 tablets of paracetamol 4h ago. Serum paracetamol levels when tested...
Question: A child is not breathing and intubation failed. At what anatomical site should the incision be made?...
Question: A 12 year old boy presented with itching in his hands. Examination: skin is dry and red. His mother...
Question: A 22 year old man came to the hospital after an injury in his hand while playing basketball. Examina...
Question: A 7 year old girl is brought by her mother with bright red staining of her underpants. She also giv...
Question: A 35 year old male who recently had an appendectomy has got severe pain in his right big toe. Joint ...
Question: A 20 year old fit man suddenly developed severe lower back pain as getting up from bed. What is the ...
Question: A 45 year old man has been admitted for an elective hernia surgery. 3d later he presents with agitat...
Question: A 67 year old man presents to the ED with pain in his left groin. He suddenly collapses and is not a...
Question: A 52 year old man underwent a hemicolectomy. After a few days he complains of left ventricular pain ...
Question: A man had a soft mass on his mandible. Mass is freely mobile and has started growing progressively o...
Question: A HTN patient on bendroflumethiazide 2.5mg/d has come for his routine checkup. Examination: BP=145/8...
Question: A 33 year old female complains of diplopia on upright gaze. Examination: ptosis can be seen. There a...
Question: After surgery a patient’s left leg has become swollen and tender. The diameter of the calk has...
Question: A young child was brought by his mother to the OPD complaining that he raised the volume of the TV a...
Question: A 60 yo woman presented with radial fx and had a colle’s fx and supracondylar fx in the past. ...
Question: A 2 year old boy presented with gradual swelling of feet and poor feeding. He has gained weight and ...
Question: A 32 year old woman wants a reversible form of contraception. She has one child delivered by emergen...
Question: A 32 year old man with schizophrenia and a hx of violence and distressing auditory hallucinations wa...
Question: A 26 year old male presents with speech difficulties. Examination: nystagmus. Which anatomical site ...
Question: A couple has just finished their detox regime and wants a drug with a pharmacological action to serv...
Question: A 27 year old lady after C-section developed epigastric pain after 8h. What is the appropriate inves...
Question: A patient with flame shaped hemorrhage on long term tx with nifedipine. What is the single most like...
Question: A lady developed breast abscess after delivery. What is the most likely organism? ...
Question: A 65 year old lady presents with a 6h hx of facial droop and weakness in the left side of her body. ...
Question: A 44 year old obese patient with findings: FBS=6 mmol/l, OGTT=10 mmol/l. What is the most likely dia...
Question: Patient with pain and swelling in left leg and thigh up to the level of inguinal ligament. Where is ...
Question: A 74 year old lady who has had a stroke in the past has an indwelling catheter for 10m. She presents...
Question: A 21 year old female in her first pregnancy at 38wks was brought to the ED with generalized tonic cl...
Question: An African lady presents with heavy but regular periods. Her uterine size correlates to 14 weeks pre...
Question: A 34 year old woman who never had fits or high BP developed fits 6h after delivery of a term healthy...
Question: A 33 weeks pregnant woman presents with vaginal bleeding, low Hgb, low plt, increased bilirubin, AST...
Question: A 33 year old lady who is a drug addict wants to quit. She says she is ready to stop the drug abuse...
Question: A 7 year old presented with chronic cough and is also found to be jaundiced on exam. What is the mos...
Question: An 8 year old boy develops a seizure affecting his right arm, seizure lasts for several mins. He does...
Question: A mother presents with her 14 month child. He holds furniture and other things to help him stand and...
Question: A 57 year old man who had MI a few months ago has been in a low mood. A diagnosis of moderate depres...
Question: A 75 year old man presents with back pain. Investigation: plasma cells are found. What is the most p...
Question: A boy was admitted with partial thickness burn, what is your next step? a. Esch...
Question: A 6 week baby has a blue mark near the coccyx since birth. His mother is worried. What would you do?...
Question: A 10 year old boy presents with irritability, sudden onset of pain and discharge from the right ear. W...
Question: A 67 year old lady with an ulcer on the anal margin. Which is the single most appropriate LN involved...
Question: A 36 year old man has been diagnosed with DI. What electrolyte picture is expected to be seen? &nbs...
Question: A young man returns to his hostel and gets a headache and lethargy. Now presents with fever. There are c...
Question: A 36 year old woman came with uterine bleeding. Vaginal US reveals uterine thickness=12mm. What is the m...
Question: A 36 year old pregnant woman comes for evaluation with her husband. Her husband has been complaining of ...
Question: A 16 year old girl presents with heavy bleeding. What is the most appropriate initial investigation? ...
Question: A 2 year old girl has had a temperature=39C, poor appetite, abdominal pain and urinary frequency for 3 d...
Question: A man developed intense pain after using the end of a pencil to scratch his inner ear. He took out the ...
Question: A 24 year old male is admitted with acute severe asthma. Tx is initiated with 100% oxygen, nebulized sal...
Question: An elderly man who has anorexia, prostate symptoms and HTN. There are small kidneys on Ultrasound. What ...
Question: A 51 year old woman presents with a painful tongue and complains of tiredness. She is pale and has angul...
Question: A 34 year old man sustains a fx to shaft of femur after falling from the roof of his house. Examinat...
Question: A 56 year old lady presents with a pathological fx of T11 vertebra. There is found to be an underlying m...
Question: A 3 year old boy presents with difficulty in walking and skin lesions. What is the most likely causative...
Question: A man presented with a purplish swelling at the anal area. It is acutely painful and he complains of con...
Question: A pregnant lady at her 39 week GA present with eclampsia. Soon after her arrival in the labour suit, IV ...
Question: A 65 year old man has incurable bronchial cancer. He is unable to cough up his secretions. This is leadi...
Question: A man feels mild discomfort in the anal region and purulent discharge in underpants. What is the most li...
Question: A 68 year old man awoke to find that he is unable to close his left eye and drooling saliva from the lef...
Question: A 49 year old man comes in with hx of cough and SOB. His CD4 count is measured as 350. CXR shows lobar c...
Question: A 20 year old student came to the OPD with complaints of headache, malaise, dry cough, joint pain and vo...
Question: A 50 year old DM patient came to the OPD with a complaint of fever, muscle ache, dry cough and anorexia....
Question: The artery that runs in the ant interventricular groove. What is the single most appropriate option? ...
Question: An 11 year old boy came to the hospital with pain after falling off his bicycle. XR= fx at distal radius...
Question: A 50 year old man presents a flight of ideas which are rambling and disinhibited. He is distractible, co...
Question: A 37 year old man presents with some raised lesions on the shin. He came down with a cough and also comp...
Question: A child came to the ED with severe asthma and not responding to salbutamol nebulizer and vomiting many t...
Question: A 23 year old woman presents with offensive vaginal discharge. Vaginal pH=4.5. What is the most likely o...
Question: A girl with sickle cell anemia has painful bleeding and vaso-occlusive crisis during her periods. What is...
Question: A patient of tuberculous abscess with the hx of prv abscess drainage presented with fever and tenderness...
Question: A man brings his wife into the ED after finding her unconscious at home. He says at breakfast time she h...
Question: A 2 year old fell on an outstretched hand on the playground. He presents with pain on the base of the th...
Question: A 65 year old woman complains of a painful discharging ulcer above her ankle on the inner side of her le...
Question: Patient with low Hgb, MCV=76, angular stomatitis, red tongue, and koilonichea. What is the most probable...
Question: A 37 year old woman had an elective LSCS 1d ago. You are called to see her as she becomes SOB with left ...
Question: A 45 year old mechanic presents with a reducible swelling in the groin, impulse on coughing is present. ...
Question: A 6 year old boy presents with jaundice following treatment with sulphathiazole. Investigations suggest ...
Question: A 46 year old woman comes for a routine gynecological visit. On pelvic examination, a 1-cm red, granular...
Question: A 60 year old man is brought to the ED in an agitated state. He is lashing out violently. Which drug in ...
Question: A 6 weeks child has hx of frequent vomiting which became worse during the last weeks. He has no fever, r...
Question: An 83 year old woman admitted with a chest infection becomes confused with impaired attention and poor c...
Question: A 78 year old man has collapsed. He has had a severe headache for 12 hours and had an URTI 3d ago. He ha...
Question: A 38 year old man with long standing alcohol dependence has vertigo and a tremor every morning. What is ...
Question: A 65 year old patient who had MI 1 year ago now comes to the ED complaining that his neighbor is conspir...
Question: An elderly lady with COPD has chronic SOB. She is listed for cataract extraction. What is the anaestheti...
Question: A 20 year old prv healthy woman presents with general malaise, severe cough and breathlessness which has...
Question: A 50 year old farmer complains of pain in his left arm. Examination: he appears to have a neuropathy aff...
Question: A 30 year old caucasian man presented with a 2 weeks hx of gradually worsening vision in his left eye. T...
Question: An elderly male patient with prior hx of hematemesis is having hx of long term use of aspirin and other ...
Question: A patient has been having influenza infection for the past 5 days and now presents with very painful hem...
Question: How will you check the function of the Ulnar nerve? A. Adduction of fingers B. Fle...
Question: A woman presents with a butterfly rash on her face. What is the most likely diagnosis? ...
Question: A 20 year old woman presents with offensive vaginal discharge. Vaginal Ph is 4.5. What is the most likel...
Question: A 13 year old boy with umbilical pain for the last 12h presents with anorexia, nausea and has not passed...
Question: A 25 year old man with dizziness, headache and horizontal nystagmus. He had a history of urti a few days...
Question: A baby with a pink lump on her umbilicus, no pain, no redness, and the baby eats well and gains weight. ...
Question: An autistic boy had refused treatment, what to do? A. hold a best interest meeting ...
Question: A patient has received 15 units of blood transfusion, what is the electrolyte abnormality? ...
Question: A child with fever, mouth ulcer, rash on hands and palms A. coxakie virus B. staph...
Question. 10 year old boy, systolic murmur? A. atrial septal defect B. tof C. vsd ...
Question. A 2 day old baby whose mother is worried about hearing problems bc. Mother had deafness and on bilateral ...