some themes/SBA (randomly)

1 Brachial plexus related nerv injuries diagnosis

2 Blood supply related -HNF
3 Psychiatry diagnisis-hypomania ,paranoid schizophrenia
4 Thyroid related 2-3 Qs-anemia in hyporthyroidism,diagnosis hyperthyroidism
5 prostate cancer investigations
6 tetanus prophylaxis
8 ECG+ cxr diagnisis-pnumothorax,MI,pul embolism,pnumonia
9 pnumonia t/t theme
10 ca cell origin theme-multiple myeloma, glioblastoma multiforme,AML
11 child vomitting diarrhoea t/t

12 cns-Dementia diagnisis theme

13 rash.ecxema in child t/t
14 acid -base balance-electrolye imbalance theme t/t
15 child with projectile vomitting-metabolic alkalosis -sba
16 ectopic pregnancy-DD diagnosis
17 management of labour theme
18 ca cervix investigations
19 urinary incontinence t/e in woman-sba
20 child failure to thrive..in coma..paracetamol poisoning?

21 supraspinatus tendinitis-sba
22 chest injury-2 themes related to it
23 scrotal swelling/pain management
24 varicocele-sba
25 girl querrel with boyfriend-taken paracetamol-what to do next
26 hypertension+DM +renal problems t/t
27 diet /wt loss management theme-in parkinsonism, low pretein diet in liver disease etc
28 ascitis type-cause
29 bleeding disorders diagnosis
30 erythema nodosum-sarcoidosis
31renal investigations(UTI?hematuria investigations?can't remember..)
32 alchohol dependancy t/t theme
33 cocain/canabis/LSD drug intoxication related..2 sbas
34 t/t supraventricular tachycardis
35 tongue- nerve injury+recurrent laryngeal n injury
35 trapezius-winging scapula n onjury
36 burn ulcers stomach t/t
37 staph/strepto infections of skin-cellulitis,abscess in axila..
38 depression t/t sba
39 DVT diagnisis sba
40 man -moving furniture-muscle sprain..

41 orthopaedics fractures-complication like

somthing..
42 gradual loss of visison diagnosis-macular degeneration,hypertensive and diabetic retionopathy etc
43 conjunctivitis diagnisis sba
44 eclampsis t/t sba
45 breast milk jaundice as above..
46 panic attack-hyperventilation.. t/t sba
47 diagnisis/investigations..?(cant rembember)
of dizziness theme
48 raised icp-focal signs-head trauma..investigations?cant remember..
49 agrresive behaviour theme-hypomania..
50 child faul smelling discharge from nose diagnisis-sba
51 ulcerative colitis not too complications,t/t
52 acute dysnea inv theme like in pulm embolism-woman returned from america etc..
53 old woman+warfarin+hyprtension/heart disease+fall so dioriented..what is initial diagnisis .sba
54 dyspepsia, gastric ulcer management/INV
theme
55 non accidental injury what to do next..?admit in peads ward etc..-sba
56 submandibular gland-salivery stones-sba
57 high ferritin,bronze DM -liver ca..
58 management of labour theme-shoulder dystocia etc
59 when to measure progesterone level in woman of 32 days cycle-repeat sba
60 lithium to start which inv..haloperodol..hyperprolactinemia etc..

61 diabetes malitus complications-DKA,hypoglycemia etc-t/t theme?

62 lang ca-which electrolyte abnormality occurs..?
63 LUNg function test related 1 sba
64 child-epilepsy theme?
65 polymyositis diagnisis sba
66 neuropathy theme-facial palsy?cant't remember
67 diagnisis of intracranial lesions?/head injury /raised icp.. something like that
68 nocturnal enuresis in child t/t sba
69 diagnisis of anemia theme-thalessemia..etc?
70 SLE -SBa?
71 antibiotic prophylaxis in woman with mitral valve disease for operation for overian torsion ..sba
72femure neck fracture diagnisis
73 vaginal bleeding theme?
74 t/t menopause symptoms
75 pelvic infamatory disease sba
76 bulimia-sba
77 basal cell/sq cell ca-diagnosis
78 hemoptysis?

Scientific basis of the disease

1. a person got stabbed on the right side of the neck. Later when asked to protrude the tongue it was
deviated to right......hypoglosal nerve injury
2. a person was not able to close the eye and some difficulty with mouth movement....facial nerve
injury....
3. a persin with left sided upper and lower limb weakness and left sided facial weakness.
4. a patient comes after a week after thyroidectomy complains of difficulty with the
speech......recurrent laryngial...
5. a patient gets up in the morning and finds difficulty in speaking. He has an incoherent speech but
comprehension was normal.,....broca supresion
6. lady with 32 days cycle, she wants to check if she is ovulating, on which day wud she do her
progesterone test:........25 day test.....
7. man with wound due to sharp object in garden .........
tetanus vaccine+antibiotic
8. Multiple myeloma - plasma cells
9. AML - neutrophil precursor
10. Rhabdomyosarcoma - skeletal muscle cell
11. Glioblastoma multiforme – astrocyte
12. A woman with flushing....premenopausal symptoms what is best treatment of her
symptoms.....Ans. clonidine
theme about what is vessel invloved in each condition of following :
13- lip injury then followed by proptosis .......... cavernous sinus thrombosis
14- fracture to temple bone then confusion ..........middle meningeal artery
15 trauma to mandible infront of masseter with bleeding ........ facial artery
16. SBA:
A patient is having local anesthesia with xylocaine 1% + adrenaline
what`s the effects of adrenaline :
...........prolonge effect of Anaesthesia
17. commonest ca due to high ferritin level picture of haemochromatosis
adrenal
liver
pancrease
testis
18. child with projectile vommittin feeding and eating well –pyloric stenosis .......
met alkalosis
19. sba testicular swelling which disappears on lying down...varicocele
20.a child with in school is anarousable with tachaycardia and dilated pupils follwing a seizure.
morning he was normal when he met his granmother??.......... POISONING?
21. Sba about submandibular calculus
22. a woman who is 37 weeks pregnant had an episode of fits and now she comes to hospital. On
examination BP is normal. Which drug will you give to prevent further attacks of fits ........ magnesium
sulphate..........
23. Eating disorder ------bulimia nervosa
24. Ulcerative lesion on the helix: basa cell Carcinoma.......
25. boy who had some fracture n bruises was splinted further follow up in should b followed by trauma
center or pediatrician confused........
26. sba....man bmi34....heavy smoker....heavy drinker....hiatus hernia...hoarseness for 8
weeks......who to refer to?? I chose ENT
27. sba about woman 35 paracetamol tablet overdoses..... admit in medical unit
28. sba about 20year old sexually active recurrent uti....what advise......Hygiene n double
voiding.......
29. One was about swelling in calf of 55 yr old fit man......Dvt
30. Large folds in mucosa with acini into columnar epith. Of lamina propria......????
Gastritis
Adenoma
Adenocarcinoma
31. Post mortem....man w/ bilateral lower leg oedema.....900ml peritoneal cavity fluis....yellow.....300
ml pleural sac fluid.....cause of death......maybe there was something about alcohol
history......cardiomyopathy/cardiac failure.......
32. a man while working in the garden had an episode of syncope. By the time the GP reaches the
patient about half an hour later , he is fine. Investigation?
options;-
a. 24 hrs ECG
b. 24hr video ECG monitoring
c. echocardiography
33. a woman with a diagnosis of mild ulcerative coliti is not on any treatment . She develops diahrrea
and mucus in stool in the last 3 months. all other examinations are normal. her HB is 9.8g/dl ......no
idea.....
34. a person comes with sweating, palpitations, hyperventilation and perioral tingling. Thinks he is
having a heart attack.
what is the best appropriate management......breath into a bag
35. a woman? with diabetes and hypertension presents with proteinuria........ ACE inhibitors
36. a young man presents with nausea and vomittingn weight loss/ or gain..investigation show...... n
saline plus steroids....
NA 129
K 5.2
UREA 12
GLUCOSE 4
37. young man with weight loss,thirst and urinary frequency..... n saline with insuline
NA 148
K 5.2
UREA 12
GLUCOSE 30
38. 20 yr old man involved in RTA suffers multiple fractures and crush injuries.4 days laster he is
anuric with pulmonary oedema......dialisis
NA 150
K 7.7
UREA 60
39. 50 year man has had admitted for investigation breathlessness and weight loss.he has been taking
a thiazide diurectic for raised blood pressure for 2 years.His blood pressure is 150/100......potasium
orally....
NA 138
K 2.9
UREA 5.8
40. an 8 YR OLD boy with gastroeneritis gave a 2 day hostory of profuse diarrhoea and vomitiing......n
saline plus potassium....
NA 148
K 2.2
UREA 20
41. squamous cell lung cancer.....what electrolyte abnormality.........hypercalcemia.....
diagnosis of gout
42. old lady with atrial fibrillation on warfarin falls and hurts her head with haematoma around
orbit.....
What investigation?......ct scan.....
43. one sba about woman who is anaemic with Hb 6.4. macrocytic anaemia w/ MCV of 103 and
chronic constipation and features of hypothyroidism .........B12 def.......
44. woman had had a fall and a colles fracture some months back.....what test to be done to assess
her bone status
Dexa scan.......

The Theme was on Alcohol detoxification,Question was Man is on abstinence n craving for
alcohol,answer is Acamprosate,another was man is detrrent regarding Alcohol n answer is
Dislfiram,another was man started having seizures n answer is Carbamazepine, again man started
having symptoms of Delirium Tremens n answer is Chlordizepoxide.
Another was man is on some medication n he started having Impotence,i think answer was due to
medication side effects.
Theme was on Hematology, the answers were ITP,VONWILLEBRAND,HSP ETC.

1.repeat themes about ANATOMY OF BILE DUCT

2.ANEMIA,( PERNICIOUS,APLASTIC,VITB12 DIFFICIENCY)
3.INVESTIGATIONS OF RED EYE
4.SHINGLES MANAGEMENT( TOPICAL ACYCLOVIR,ORAL ACI,7 DAYS ETC)
5.INVESTIGATIONS OF SYNCOPE
6.HEART FAILURE MANAGEMNT(AORTIC VALVE SURGERY,IV DIGOXIN,PROPRANOLOL)
7.DIAGNOSING VAGINAL DISCHARGE(ACTINO,NISSERIA,CHLAMIDIA,TRICHOMONA)
8.MANAGENT OF INCONTINENCE
9.STAPH ,STRP PYOGENES,( REPEAT
10.IMMOBILISATION( TIBIA FIBULA FRACTURE IN A CHLD, CRYING WTH PAIN)
11.DISTRACTION( CATHERISATION IN A CHILD 6 YRS)
12.TERMINAL PAIN RELIEF(HYOSCINE,HALOPERIDOL,METRONDAZIL,ORAL DEXAMETHASONE)
13.inv of vaginal bleed
14.sba about
multiple myeloma inv(?)- BENCE JONE PROTEIN?
SBA- 20 yr girl,fought wth BF,took paracetamol not exceeding limits,concious,agrees that it was
incorrect, what is ur next managemnt
1.discharge home
2.referal 2 psychtry opd
3.cognitive behavioral therpy
4.admision in psychiatry(? dnt rember exactly)ward
5...?

few more after a break...

time managemnt, recollection of past papers would help, i bliv,

for me i was very short of time, not able 2 read through the whole qustions...

all the best 2 all.

1. a lady afraid to fly has to go to her daughter's wedding in NZ. Treatment

2. complications of breast Ca (diagnosis)
a. lady with a swollen arm
b. lady with headache and papilloedema
c. lady unable to pass urine, back pain and weakness in legs
3. Terminal care (treatment)
a. lady with malodourous breast ca
b. man dying of bronchial ca has cough
4. a 3 yo with crust and lesions 10-20 mm peribuccal. with yellowish secretion (diagnosis)
5. 8 yo fell and complains of severe pain in middle tibia. there is no abnormality at exploration.
6. 14 yo boy unable to swallow, fever, pain in lower end of right jaw, faetor oris and swelling gum.
7. a man thinks there is a metal foreign body in his eye (investigation)
b. a man complains of eye pain while gardening
c. a woman complains of blurred vision, eye pain and vomiting. she has history of migraine
8. A man on warfarin complains of painless haematuria, INR 2.1(diagnosis)
a woman on warfarin has painless haematuria INR 5.1
9. 28 yo girls complains of infertility, laparoscopy shows perhepatic adhesions
10. main cause of dementia in IK
investigation for curable dementia
it responds to tryciclics.
a dementia with personality changes and minimal intelectual deterioration
a dementia with neurofibrilary tangles in cortex

1. Anemia in vegetarians - B12 defeciency

2.Antibody to intrinsic factor-Pernicious anemia
3. Management of tension pneumothorax -needle thoracocentesis
4.Man working in a metal factory/foreign body in eye
investigation-Xray orbit
5 s/s of meningitis/inv
6. man with hypoglycemia blood sugar-2.0 mmole
tt-50%dextrose
7.A ?6 month Baby with lethargy .constipation inv- TSH
8.A presents with c/o urge incontinence when she plays tennis
? detrusor
9.Bloody diarrhoea after tt cyclosporine- Clostridium
10 A child presents wihh vomiting /Pyloric stenosis
metabolic alkalosis
11.villous adenoma - metabolic acidosis
12.Inv for cystic fibrosis .sweat test
13. COPD ACUTE exacerbation -24% oxygen
14.18 yr old boy presents with 4 hrs h/o red swollen testes

2. 1. about shingles

options
av acyclovir
oral acyclovir for 2 days
oral acyclovir for 7 days
immunoglobulin
steroids(high dose)
reassure n advise
1.30 wks pregnant women
with shingles..oral acyclovir for 7 days
2.an elderly man in institution. steroids
3. a child with leukemia has shingles. immunoglobulins

4. a man with shingles on chest n trunk. ...oral acyclovir for 7 days

5. a man whose shingles has resolved only scratch marks left. ...reassure n advise.

1. man using crutches , loss of sensation over dorsum of middle n index finger.which nerve
injures.
1. median
2. radial............i marked this but am not sure.

2. a man treating himself for dyspeptic symptoms.no h/o wt loss. on endoscopy. narrowing of
lowes end of oesophagus n inflammation.he is alcoholic n smoker n BMI is 34.
a. barrets oesophagus
b. oesophageal stricture....i think this is correct??due to alcoholism??
c. ca oesophagus
d. hiatus hernia. rolling type

3. a boy with vesicles around mouth which have bursted n discharge coming out from them.
a. bullous impetigo..i marked this...donno but it was in my mind
b. shingles
c. chicken pox

4. management of pain.

1.a boy had accident came to a n e with fractured tibia n fibula n crying with pain...........i
marked it paracetamol instead of immobilization coz it was management of pain n OHCM says
that paracetamol is first choice to relieve pain n it was a child also. coments pls?
4.Ear infection..
a. a boy with fever n earache but tympanic membrane was normal. otitis media
b. a boy with earache n disharge. Otitis externa

5.a women 48 yrs with irregular vaginal bleeding, hot flushes..etc. cyclical hormones

6. a women post menopausal with hot flushes..continous hormonal therapy.

7.what causes liver cancer in 3-4 years.......alcohol drinking

8.nasal bleeding-
30yr old lady with h/o nasal septal bleeding2-3 times in two days with rash. mother also had
this problem.......vonwillibrand
lady with nasal bleeding,her father had h/o repeated blood trasfusion.
bleedig disorder.
9. there was also question abt disease inheritance.
like..haemophilia...x linked recessive..dont rem others but it was easy.

10 treatment of svt....amidarone
11..poisoning question.
digoxin , amytryptaline etc

8.acid base...
pyloric stenosis..met alkalosis
villous adenoma.hypokalemia
women breathless after hysterectomy..fluid overload
9 .A women presents with c/o urge incontinence only when she plays tennis
? detrusor ...i dont think its detrusor coz she has it only when she plays tennis.......i think
there was an option of anxiety also.
10. SBA 57 yr old male tierd and pale urine 2 plus protein and 2 plus blood, haemoglobin 9.5,
serum creatinine 350, which urgent investigation u do
-MSU
-urine for bence jones
-u/s abdomen
24 hr urinary proteins...this was also amongst options
 .11. a lady afraid to fly has to go to her daughter's wedding in NZ after 2 weeks.Treatment
...desensitization..as its phobia
a lawer cant speak infront of ppl...cognitive behavioural therapy
a girl collapsed in assembly also collapses in dentist's clinic.
a man collapsed after donating blood. vasovagal syncope
12.vaginal discharge,,,,,,green coloured..trichomonas
iucd related..actinomuces israeli

13. a pt with heart failure..medical treatment failed.........heart transplant

14. a diabetic with haemochromatosis has risk of cancer of which organ...........pancreas

pls give comments to find the correct answers.best of luck.

3.
4. Q:-1) management of labour:
a:- patient at term,has passed meconium, cervix is 3 cm dilated.
b:- patient at term,head had been delivered, but baby has shoulder distocia.
c) patient at term,membranes ruptured,meconium passed. cervix 3 cm dilated.
4) patiend with previos h/o of HT,membrane ruptures,meconium passed. cervix is 3cm
dilated.

Q2: 19 yr old boy has exercise induced asthma,taking inhaled solbutamol,now has to use
more than a twice to reliev syptoms:
Ans:-Na cromoglcate..........?

Q3:- Diagnosis of Poisoning.

opoid, digoxin,aspirin,parecetemol,organophosphorous,paraquat.

Q:4:- paitent has delieved a baby 2 days back,she is having bilateral deafness,worried about
weather her baby has too?
Ans:- reassure...........................?

Q:-5) paitent with bilateral deafness,sensioneual,now chances in baby to develop?

Q:-6) management of arrythmias:-

Q:-7) paient has cervial smear 6 months ago. which appeared to be normal.Next
managment?

Q: sexual active women with depovera,has dismenorrhea and break-through bleeding?

5.
6. Diagnosis of Acute abdomen young women

a.acute appendicitis
b.cholecystitis
c.constipation
 d.gastroenteritis
e.pancreatitis
f.perforated peptic ulcer
g.pneumonia
h.pyelonephritis
i.ruptured ectopic pregnancy
j.salpingitis
k.ureteric colic
l.urinary tract infection

A 17 year old girl presents with a 12-hour history of lower abdominal pain with urinary
frequency.She is pale and has temperature of 37.8 C.She has tenderness with rebound
pain in right iliac fossa.

I answered-salpingitis(not sure)

A 40 year old woman presents with a 6-hour history of severe upper abdominal pain and
vomiting.She is sitting forward and restless.She is shocked with diffuse abdominal pain.

I answered pancreatitis (not sure)

A 28 year old woman, who smokes heavily and takes antacids regularly for
indigestion, presents with sudden onset abdominal pain.She is lying very still and
shocked.She has diffuse abdominal rigidity.She had normal menstrual period 2 wks
ago.

I answered perforated peptic ulcer disease(not sure)

A 22 year old woman presents with a sudden onset of severe abdominal pain She complained
of dizzines when she sits up.Her last menstrual period was 8 wks ago.On
examination of the abdomen she has rebound and guarding.

I answered ruptured ectopic pregnancy(not sure)

A 32 year old woman presents with severe right sided abdominal pain of 3 hours duration.She
is rolling around because of pain.She has no abdominal signs.The pain radiates to the groin.

I answered ureteric colic(not sure)

Comments/corrections please.Ty
7.
8. Next management in the following conditions

A- USG abdomen
B- Catheterisation
C- Ascending urethrogram
D- Splenectomy
 E- Laparoscopy
F- Observation
G. Abdominal tapping
H. Laparotomy
I. Blood transfusion
J. Get an expert opinion
K. IVU
L- MRI
A rugby player was hit in the back & come with loin pain & haematuria. management
Young man with one episode of frank haematuria & he was stable but presented with anuria.
A male with anuria brought to A&E after injury with brusing on perineum, the digital rectal
exam was normal next step
A pt with h/o RTA have FRACTURE of Left lower ribs. Pt is having left sided abdominal pain &
progressive guarding of Left hypochondrium. O/E, PR=110/min & BP 90/60. What is the next
step?

q 120 i was thinking at usg to see if there is any damage,but why not ivu?

121. catheterization or ascending urethrogram. i don't know which one is more indicated here
as is it a case of trauma. it could be a urethra rupture. one episode of frank hematuria and
after this anuria.so? could it be urethra rupture?

122. c

123. well...as PR=110/min & BP 90/60, left sided abdominal pain & progressive guarding of
Left hypochondrium i was thinking at a hypovolemic shock so....blood transfusion,am i right?
9.
10. A couple had a child with cystic fibrosis,what is the chances for the next child to be affected

A- 1;1
B- 1;2

C- 1;4
d)1:8
11. Theme 5 Investigation of Unconsciousness

Options

a. CT scan
b. MRI scan
c. Blood Glucose
d. Toxicology Screen
e. Xray Skull
f. U&E
g. Blood Alcohol

Questions

19. 21 year old Female found unconsciousness next to her 22 year old husband, who was
found dead. Her ECG shows evidence of Acute MI

20. 42 year old Female, previously normal, was suddenly found unconscious. Brought to the
 A&E shows respiratory depression, dilated fxed pupils and extensor plantar
response

21. 21 year old rugby player, had suffered from an episode of brief unconsciousness. Comes to
the A&E the next day with paresthesias of the left arm.

my answers

19. toxicology screen

20. toxicology screen
21. CT scan
12. Management of Ear complaints

Options
A. Admit & IV antibiotics.
B. Oral Amoxacillin
C. Oral Amoxacillin + Metronidazole.
D. Syringing.
E. Pack the ear.
F. Surgical intervention
G. Out patient review.

16. Girl with fever, earache not able to swallow

17. A 24-year-old man newly joins swimming classes and presents with earache and
diminished hearing. On exam he is found to be normal except for some wax in the
ear 18. A 24-year-old Rugby player has ear discharge and loss of hearing in right ear,
on exam there is small ragged perforation in the tympanic membrane 19. A 34-year-
old woman presents with high fever, vomiting, headache and rigors. She has already been
having earache along with ear discharge, tenderness over mastoid antrum20. A 33-year-
old female undergoes root canal treatment at a dentist. 5 days afterwards she has
tenderness over the maxillary sinus associated with earache. 21. A 32-year-old boxer
has bleeding in the ear after an injury sustained in a boxing match.
13. In question posted above:
An elederly showing signs of pneumonia....
Most likely cause of condition?

a)Haemophilus influenzae
b)Staphylococcus ..
c)Klebsiella pneumoniae
d)Streptococcus pneumoniae..
e).....

It is also said in the question that pneumonia came as a complication of influenza virus
infection and that o/e bilateral crepitations can be heard. Therefore I think the answer
is: Staphylococcus aureus (I checked OHCM, but I may be wrong).

In the question with 17 year old girl having tenderness and rebound pain in the right illiac
fossa I agree it is ACUTE APPENDICITIS.

My general impression was that there were many questions most of us felt quite familiar with,
but it was rather difficult to find the right answer. I think there were many tricky questions,
and that is what worries me most.
14.
 15. Q: 7 y old boy had 3 episodes of tonsilitis during 1 year. TTT
Due to OHCS tonsiloectomy in children is >5 attacks for the last 2 years.
Can we choose tonsiloectomy for this boy?
**Ans Patients with 3 or more infections of tonsils and/or adenoids per year despite adequate
medical therapy = adenotonsillectomy**

Options
A. Admit & IV antibiotics.
B. Oral Amoxacillin
C. Oral Amoxacillin + Metronidazole.
D. Syringing.
E. Pack the ear.
F. Surgical intervention
G. Out patient review.

16. Girl with fever, earache not able to swallow

Ans: A

17. A 24-year-old man newly joins swimming classes and presents with earache and diminished
hearing. On exam he is found to be normal except for some wax in the ear
Ans: D

18. A 24-year-old Rugby player has ear discharge and loss of hearing in right ear, on exam there is
small ragged perforation in the tympanic membrane
Ans: G

19. A 34-year-old woman presents with high fever, vomiting, headache and rigors. She has already
been having earache along with ear discharge, tenderness over mastoid antrum
Ans: A

20. A 33-year-old female undergoes root canal treatment at a dentist. 5 days afterwards she has
tenderness over the maxillary sinus associated with earache.
Ans:C

21. A 32-year-old boxer has bleeding in the ear after an injury sustained in a boxing match.
Ans: G

Q: 7 y old boy had 3 episodes of tonsilitis during 1 year. TTT

Due to OHCS tonsiloectomy in children is >5 attacks for the last 2 years.
Can we choose tonsiloectomy for this boy?
Ans adenotonsillectomy. Patients with 3 or more infections of tonsils and/or adenoids per year despite
adequate medical therapy.

1. A lady presents for follow up six months after cervical smear was done (showing mild
dyskariosis/CIN 1).
2. A lady presents for follow up after cervical smear was done (CIN 2 on the previous smear).
3. A lady comes for examination. On examination, ulcerated cervix found.
 A. Cervical smear
B. Colposcopy
C. Biopsy
Trimetroprim was ordered for some paediatric condition in a child (weight 10 kg) in a dose 4 mg/kg
twice daily. Pharmacological preparation contains 50 mg/5 ml. What is the appropriate prescription for
the drug:
A. 0.4 ml twice daily
B. 4 ml twice daily
C. 0.8 ml twice daily
1. 20 yrs old primigravida, 32 weeks gestation, presents with profuse vaginal bleeding with pain in the
abdomen and tender abdomen on examination.
2. 30 (or something) yrs old pregnant lady 36 weeks gestation (or something like that) presents with
fresh bright red vaginal bleeding. Fetus in transverse lie.
3. Over 30 yrs old multipara presents with blood tinged watery discharge for 3 weeks. On
examination, cervix with multiple scars and ulcerated.
4. Something something old lady, second pregnancy (first one finished with Caesarean section
because of failure to progress or some other reason) presents with pain in the scar area and blood
tinged amniotic fluid.

A. Abruptio placentae
B. Placenta praevia
C. Marginal sinus bleed
D. Vaginitis
E. Cervical carcinoma
F. Uterus rupture

A lady (more than 40 yrs, don't remember age exactly) with several repeated episodes of amaurosis
fugax, with complete recovery after attacks. What is the single most appropriate investigation that
would diagnose the condition:
A. CT scan
B. Carotid doppler echosonography
C. Echocardiography
D............

A pt presents with pain in the back radiating to the left leg. Sensation over lateral aspect of calf and
sole decreased.
Most probable level of pathological process:
A. L3-L4
B. L4-L5
C. L5-S1 answer.
D. S1-S2