HAAD EXAM DEC 2011

1.CHILD WITH CONTACT WITH PATIENT WITH OPEN TB,CHILD MANTOUX POSITIVENEXT STEP---CHEST X
RAY,SPUTUM AAFB,GASTRIC ASPIRATE AAFB
2.65YRS WITH # NECK OF FEMUR ---BEST TTT---ORIF,HEMIARTHROPLASTY,TOTAL HIP
REPLACEMENT,TRACTION
3.MOLLUSCUM CONTAGIOSUM---PHOTO SHOWN FOR A RASH IN ACHILD WHOSE TEACHER COMPLAIN THAT
HE IS INFECIOUS TO OTHER CHILDREN AT SCHOOL
4.ECG AND TYPICAL HISTORY OF ANT.MI----OXYGEN &MORPHINE AND WAIT FOR BLOOD RESULTS
INCLUDING CARDIAC MARKERS,URGENT PCI
5.ECG OF ATRIAL FIBRILLATION PT IS SYMPTOMATIC& HEMODYNAMICALLY STABLE---EMERGENCY
REFERRAL ,OPD CARDIOLLOGY CONSULT
6.STAGHORN CALCULUS,DEFINITIVE TTTESWL,PERCUTANEOUS LITHOTOMY,URETEROSCOPIC
EXTRACTION,OPEN NEPHROLITHOTOMY
7.CHILD WITH GROWTH CHART MOTHER C/O FTT AND THE CENTILE WITHIN NORMAL---IT IS A FALSE ONE,
NOT THE RIGHT PATIENT,REASSURANCE,ADMIT FOR FTT INVEST,ADMIT FOR MULTIDICIPLINARY CONSULT
8.PHOTO OF 17 YRS GIRL WITH SLE&SCENARIO TYPICAL--- WHAT POINT THAT IT IS AUTO IMMUNE
NORMAL CRP,HIGH ESR AND LOW HB,HIGH TOTAL PROTEIN AND NORMAL ALBUMIN
9.X RAY BOTH LEGS TYPICAL OF RICKETS---HIGH ALK PHOSPHATASE LOW TO NORMAL Ca LOW TO
NORMAL Ph
10. PAGETS DISEASE TYPICAL SCENARIO
11.HITORY OF ATRIAL FIB PRESENT WITH ACUTE LL ISCHEMIAARTERIAL EMBOLISM, ARTERIAL
THROMBOSIS
12.HANDS PHOTO 7 TYPICAL KAWASAKI---INVEST BEFORE DISCHARGEECG , ECHO
13.GCS IN PT WIH NO EYE OPENING TO PAIN,EXTENSOR RESPONSE AND INCOMPREHENSIBLE SPEECH
14. PT POST RTA WITH BRAIN CONTUSION,SEVERE BRAIN OEDEMA ,AREESTED AND DIED---CAUSE OF
DEATH IN DEATH CERTIFICATE?
15.PERFORATED PEPTIC ULCER IN PT WITH OA AND NSAIDS
16. PT FALL ON BUTTOCK WITH PERFORATED VISCUS---URGENT LAPARATOMY, ENDOSCOPIC REPAIR
17.PREGNANT WITH SEXUAL INTERCOURSE WITH A MAN WITH SUSPECTED GONORRHEA250MG
CEFTRIAXONE IM,CERVICAL SWAB AND TREAT ACCORDINGLY,REASSURE
18.PREGNANT WITH RECURREENT GENITAL HERPES---DELIVER VAGINALLY,ELECTIVE C/S,SWAB AND TREAT
ACCORDINGLY
19.ABRUBTIO PLACENTAE WITH DIC---FFP AND CRYOPRECIPITATE BEFORE DELIVERY
20.DUODENAL ATRESIA
21.MALROTATION
22.PERFORATED DIVERTICULAR DISEASE WITH PERITONITIS---URGENT SURGERY
23.CROHNS DISEASE
24.SEVERE PNEMONIA---ADMIT AND IV FLUID AND ANTIBIOTIC THERAPY
25.ASTHMA WITH TENSION PNEUMOTHORAX----NEEDLE THORACOCENTESIS
26.C.DIFFICILE FOLOWING AMOXCILLIN

27.CDIFICILLE FOLLOWING AUGMENTIN

HAAD EXAM DEC 2011

28.PR BLEEDING IN ELDERLY--- DIVERTICULAR DISEASE

29.RETROCOLIC ABSCESS----LAPAROTOMY AND DRAINAGE
30.PERICARDIAL EFFUSION WITH TAMPONADE---- BEST INVEST---TT ECHO
31.FOLLICULAR THYROID CANCER FOLLOWING LOBECTOMY---- COMPLETION OF TOTAL THYROIDECTOMY
PLUS RADIO THERAPY,PLUS RADIOIODINE,PLUSCHEMOTHERAPY
32.CUSHING SYND---INITIAL INVEST---24 HRS URINARY FREE CORISOL,8 AM CORTISOL
33.CUSHING SYND,HIGH CORTISOL---CONFIRMATION---HIGH DOSE DEXAMETHASONE SUPPRESION TEST
34.AMENORRHEA ,GALACTORRHEA ANDHIRSUTISM---INVEST--- PROLACTIN, TESTOSTERONE,
35.OSTEOPOROSIS# PREVENTION Z SCOR+2POSTMENOPAUSAL---DIETARY Ca& VIT D,
BISPHOSPHONATE,HRT
36.PT WITH FEATURES OF PCOS WITH 2 YRS INFERTLITY & 5MOTH AMENORRHEA--- SEMINAL
ANALYSIS,DHEAS&FSH/LH&ESTRADIOL,MID CYCLIC PROGESTERONE
37.ENDOMETRIOSIS---DANAZOL
38. ECTOPIC PREGNANCY---SALPINGECTOMY,SALPINGOSTOMY,SALPINGECTOMY +METHOTEXATE TTT,
39.PT WITH PEURPERAL SEPSIS---BACTEROID FRAGILIS,GROUP B STREPTOCOCCUS
40.PT WITH HERPES ZOSTER ,DAYS LATER RED EYEACYCLOVIR +ANTIBITIC OINTMENT
41.PT WITH HERPES ZOSTER---PARACETAMOL, ACYCLOVIR
42.PT WITH SIADH FOLLOWING CARBAMAZEPINE--- FLUID RESTRICTION, SODIUM RESTRICTION,FLUID AND
SODIUM RESTRICTION,LASIX
43.PT ASTHMATIC HEAVY SMOKER 56YRS WITH HEMOPTYSIS--- CXR,
44.PHOTOGRAPHER WITH WHITISH ECZEMATOUS PATCHES ---IRRITANT CONTACT DERMATITIS,ALLERGIC
CONTACT DERMATITIS,ENDOGENOUS ASTHMA
45.PAINLESS PROGRESSIVE JAUNDICE WITH PALPABLE RUQ MASS MOVE WITH RESPIRATION---CA HEAD OF
PANCREAS
46.PAINLESS JAUNDICE WHAT CAUSE A PALPABLE GB---ADENOCARCINOMA OF PANCREAS
47.NEONATE JAUNDICE AT DAY 2 WHAT COULDNOT CAUSE---BREAST MILK J. ,PHYSIOLOGIC J.,G6PD
DEFICIENCY
48.8 YRS PURULENT VAGINAL DISCHARGE WITH SOME BLOOD NO ABUSE OR TRAUMA--- FOREGIN BODY
49.OA SOWLLEN TENDER KNEE JOINT--- ARTHROCENTESIS
50.SELECTIVE MUTISM
51.65 KG, BURN ANTERIOR CHEST AND ABDOMEN,FLUID FOR24HRS--52.ALL---BONE MARROW ASPIRATION FOR CONFIRMATION
53.#PELVIS WITH POSTERIOR URETHRAL INJURY----ASCENDING URETHROGRAM
54.VT---CAUSE---MYOCARDIAL SCAR
55.ACUTE PYELONEPHRITIS IN PREGNANCY

HAAD EXAM DEC 2011

56ANKYLOSING SPONDYLITISVISUAL PROBLEM---ANT. UVEITIS

57.RHEUMATOID ARTHRITIS ,DECREASED VISION---IRIDO CYCLITIS, KERATOCONJUNCTIVITIS SICCA

58. HYPOCHODRIASIS
59.TRAUMA WITH # VERTEBRA AND CORD COMPRESSION AND LOSS OF POSTERIOR TIBIAL REFLEX AND
SENSATION OVER DORSAL OF 1ST METATARSAL AND LATERAL OF LEG---L3,L4,L5,S1
60.LADY WITH FORGETFULLNESS AND SUSPECTED DEMENTIA---- MENTAL TEST EXAMINATION
61.STUDY OF SERUM CHOLESTROL IN 1200 OBESE CHILD RANDOMLY SELECTED---COHORT,CASE
CONTROL,EXPERIMENTAL,CROSS SECTIONAL
62.GENITAL PROLAPSE IN PARA 8 WITH STRESS INCONTINENCE---VAGINAL
HYSTERECTOMY+REPAIR,TAH,VAGINAL HYSTERECTOMY
63.NEONATE WITH MAINLY CONJ.HYPERBILIRUBINAEMIA----BILIARY ATRESIA
64.CYSTITIS
65.PREGNANT ,TRAUMA ,X-RAY PELVIS SHOW TEETH ON LATERAL RIGHT AND +VE PREGNANCY TEST--ECTOPIC,MATURE TERATOMA,
66.DIABETIC WITH ABSCENT DORSALIS PEDIS AND ABPI 0.8 --- ANTI COAGULANT,ANTI PLATELET,
67.IDA
68.B.THALASSEMIA TRAIT
69.HAND AND FOOT SYNDROME +BLOOD FILM SHOWN----SICKLE CELL ANAEMIA
70.BPH ,MILD OBSTRUCTIVE SYMPTOMS---TAMSULUSIN,TURP,TR BIOPSY
71. BPH ,MILD OBSTRUCTIVE SYMPTOMS---ALPHA BLOCKERS
72.HYDATIFORM MOLE EVACUATED,20 DAYS LATER BLEEDING,U/S NO RETAINED PRODUCTS--D&C,METHTREXATE,MEDROXYPROGESTERONE
73.GIRL WITH CORRECTED SCOLIOSIS PARENTS C/O LOW STATURE---BLOT HERWT AND HT IN THE CHART,X
RAYS
74.PT WITH MITRAL STENOSIS,39 WK IN LABOUR,RUPTURED MEMBRANES,SUDDENLY DEVELOPED SEVERE
DYSPNEA AND FROTHY SPUTUMURGENT C/S,IV LASIX,HEPARIN FOR PE
75.AMUROSIS FUGAX AND 80% STENOSIS---CAROTID ENDARTERECTOMY,ASPIRIN,
76.39 WKS NOT IN LABOUR BUT RUPTURED MEMBRANES---INDUCE LABOUR AFTER 24 HRS,C/S AFTER
24HRS,
77.FOLLOWING TRANS SPHENOIDAL SURGERY PANHYPOPITUITARISM,WHICH HORMONE TO REPLACE
FIRSTTHYROXINE,CORTISOL
78.CHILD WITH MURMUR THAT DISAPPEAR ON LYING DOWN----INNOCENT MURMUR
79.CHILD WITH DIARRHEA &VOMITING,GIVEN FLUID FOR REHYDRATION---2%GLUCOSE AND 75MMOL NaCl
80.PT KNOWN AORTIC ANEURISM(AAA)PRESENT WITH SEVERE ABD PAIN&HYPOTENSION THAT SLIGHTLY
IMPROVED AFTER 1L LR ---URGENT SURGERY ,CT ANGIOGRAPHY
81.PLEURAL EFFUSION RT SIDE PROTEIN 1.3 LDH NORMAL,S.ALBUMIN 2.7---HEPATIC
EFFUSION,EMPYEMA,SPLENIC EFFUSION
82.OTITIS M RECURRENT--- IMMUNODEFICENCY SCREEN,ABx ttt,

83 OTITIS M ACUTE---ABx ttt,

HAAD EXAM DEC 2011

84.NOCTURNAL DIARRHEA &HYPOGLYCEMIA UNAWARENESS---COMPLICATION OF DIABETES

85.RECURRENT GOUTY ARTHRITIS AND RENAL IMPAIREMENT ON CHOLCHICINE OD,GFR 86
SULPHINPYRAZONE,ALLOPURINOL 300 MG OD
86.TETICULAR TORSION WITH HORIZONTAL TETES---URGENT EXPLORATION
87.15YRS OLD PRESENT AT 11PM TO ER WITH SUDDEN ONSET SCROTAL PAIN AND TENDERNESS AND
REDNESSARRANGE FOR SCROTAL U/S AS OUT PT,URGENT SURGERY,IG M FOR MUMPS,Abx,PARACETAMOL
88.RECURRENT (4 TIMES) 1ST TRIMESTER PREGNANCY LOSS---ANTI PHOSPHOLIPID HUGHS
,CHROMOSOMAL ABNORMALITIES
89.POST STREPTOCOCCAL GN---RED CELL CAST IN URINE,HAEMATURIA,PROTEINURIA
90.PULM.EMBOLISM---CT CHEST ANGIOGRAPHY,D DIMER
91.