Beruflich Dokumente
Kultur Dokumente
Q4-A patient presented with H/O people whispering about him all the time which no
one else here even when he wants not to here, most likely diagnosis.
abcd-
Schizophrenia.
Mania.
Depression.
Dementia.
Q5- A patient presented with H/O depression and statement that his ideas can be
read by others and even others can put there thinking in his mind denotes to.
abcd-
Schizophrenia.
Obsessive compulsive disorder.
Simple depression.
Generalized anxiety disorder.
Clozapine.
Risperidone.
Haloperidol.
Chlorpromazine.
Weight gain.
Nausea.
Vomiting
Hypertension.
Q8-A known case of HIV on treatment stable presented with PPD of 12mm
induration started on ATT of all 4 major drugs regimen. What you will advise after 1
month followup visit.
a- Continue with 4 drugs for 1 more month then INH & Rifampicin for another 4
months.
b- Continue with 4 drugs for another 1 month then continue INH for 9months
more.
c- Continue with 4 drugs for 1 month then INH & Rifampicin for 1 year,
d- Continue with 4 drugs for 1 month then INH+Rifampicin for 2 years
INH 9 months rifampicin 4 months is right answer
Q9-Patient presented with orbital cellulites,fever, supraclavicular
lymphadenopathy,hepatomegaly & spleenomegaly. Diagnosis.
abcd-
Lymphoma.
Hyperthyroidism.
Rheumatic fever.
Sarcoidosis.
A and d both right . For a reed sternberg cell for d hillir
lymphdenopathy
c- NSAIDS.
d- Joint replacement
Q12-3 year old child got burn injury affecting whole right upper extremity with
whole right arm swollen erythematous with blanching on pressure. Have got
blisters & some open vesicles too. Whats the grading regarding BSA(body surface
area)
abcd-
Grade
Grade
Grade
Grade
Q13-A patient presented with history of burn injuring from boiling oil spillage.
He got swollen left arm erythematous and with blanching on pressure, got single
blister on left hand.
Management
abcd-
Q14-In a population study there are 117 new cases of lower respirator tract infection
among 1000 subjects. Mean days of disability is 4.6days and mean off job days is
1.7 days. Calculate the disability incidence in above scenario.
Q15- 25 years old female with 6wks of newborn child presented with increasing
palpitations,SOB,Suffocation,sweating. Diagnosis.
abcd-
Q17-Picture of normal lung xray, and that of patients xray showing pneumothorax
left sided large and one ECG of patient showing ST segment elevation in only
inferior leads. Question patient suddenly developed shortness of breath and left
sided pain that improves on leaning forward and on expiratrion.
Propranolol.
Propylthiouracil.
Amlodipine.
Lisinopril.
Q19- 3 month old baby presented with/O bloody diarrhea which is steeled now
lethargy weakness with sunken eyes and signs of dehydration. TLC count 48000
raised what to be given.
a- ORS.
b- Antibiotics.
c- Nothing.
Iv fluids is answer
Q20-One complete question regarding pseudohypoparathyrodism.
Q21-Patient presented after having lunch with sudden nausea,vomiting increasing
weakness and nerve paralysis,
Diagnosis.
abcd-
Botulisim.
Tetnus.
GB syndrome.
Stroke.
Q21-Mother presented with her 9months old baby saying he is following EPI
schedule for vaccination on regular basis and his baby is going to have next
injection which is due.
Whats the vaccine could be.
abcde-
BCG.
Measles with oral polio.
OPV + Hep B.
DPT.
MMR.
Q22-A lady G4P3 presented with 8wks gestation who got 2 of her babys normal and
1 with downs syndrome wants to have screening regarding current pregnancy of
chances of downs syndrome. And given appointment of 2wks later for procedure.
Which risk has to be explained in informed consent for procedure to her.
a- Unplanned miscarriage.
Colposcopy.
Endometrial biopsy.
Cone biopsy.
Hystrectomy.
Q24-A 65yrs old female with regular followup and have always PAP smear negative
what advise should be given to her.
a- No need of PAP smear exam
Q25-A known case of SLE presented with wheels like lesions with erythematosis and
dark coloured pigmented and resolve in 24hrs with new lesions forming. Diagnosis.
abcd-
discoid lupus.
Urticaria cicatrical.
Eczema.
Scabies
Q26-. Patient with history of contact lens use for last 5 years presented with watery
eyes when ever he goes in bright light what to recommend him.
abcd-
Q27-Patient with history of flu presented with dark greenish to blackish discharge
from the nose. On examination dark black secretions with crusts on turbinates found
in nasal cavity. Diagnosis.
abcd-
Aspergiloma.
Mycosis funcgoids.
Influenza.
Intra cerebral abcess.
Q31-A person has to visit an area endemic for onchocericosis and have to stay there
for 7 days what are the chances for him to acquire the disease.
abcd-
None
Small risk
Medium risk
High risk
Q32-A patient with diagnosis of HTN & diabetes ,which medication is beneficial for
him to stop progression of diabetic nephropathy.
abcd-
Lisinopril
Amlodipine.
Atenolol.
Hydralazine.
Q33-A patient with pale tympanic membrane with progressively decreased hearing
from that ear associated vertigo and unsteadiness in walk . diagnosis.
Q34- A patient presented with recurrent otitis media and discharge from ruptured
tympanic membrane whats the treatment of choice . answer myringoplasty.
Q35-A patient diagnosed to be a case of binge eating disorder, Bulemia nervosa
whats the treatment that can be effective in her case.
abcd-
It decreases HDL.
It increases CRP levels.
Sustained exercise increases BMR.
Exercise does not effect truncal obesity.
Q40- A known epileptic female got pregnancy ,what to tell her regarding anti
epileptic treatment.
abcd-
Q41- An adult who got 1 dose of varecela vaccine about an year back and missed
his second dose. What to advise him.
a- Get second dose of vaccine.
b- Start the course with repeat 1st dose.
c- Not needed 2nd dose.
Q42-one question about a patient having conjuctivitus with later rash with severe
pain on same eyelid .
a- HSV conjuctivitus.
b- HZ opthalmicus.
Q43- A patient with untreated UTI of 14 days duration. Chances of ascending
infection.
abcd-
0.5%.
5%.
75%.
90%.
Q44-An adoptive child with diagnosed sickle cell disease recently got treated for
UTI with antibiotics presented with Temp 37.7F, Pulse 100/min & BP 95/50
.Otherwise non ill looking stable feeling just mild white nasal discharge is there
,what to prescribe.
a- Prophylactic penicillin.
b- Antihistamine.
c- Multivitamin.
Urgent tracheostomy.
Elective ventilation.
Endotracheal intubation.
Discharge on oral treatment.
Q47-A female presented with history of calus fracture which is now healed which
test to detect bone density.
abcd-
Serum calcium.
Vitamin D.
Dexa scan.
Xray pelvis.
Congenital torticolis.
erbs paly.
Throrasic outlet syndrome.
Cervical spondolytis.
Gastric lavage.
Activated charcoal.
Hemodialysis.
Force alkaline dieresis.
N acetyl cystine.
Q50- A patient of pre-eclampsia got treated with MgSO4 presented with decreased
respiratory effort and drowsiness decreased reflexes toxicity suspected what to
give.
abcd-
calcium gluconate
i/v saline.
Atropine.
Hydrocortisone.
Q51-A patient presented with H/O asprin ingestion 50 tablets and presented after
6 hrs of ingestion with associated nausea,vomiting,abdominal pain,SOB &
tachycardia whats the best immediate treatment.
abcd-
Gastric lavage.
Activated charcoal.
Hemodialysis.
Force alkaline dieresis.
Hypoglycemia.
Hyperglycemia.
Lactic acidosis,
Metabolic acidosis.
Q54-A female presented with B/L clear nipple discharge with normal periods & no
use of contraception. What to check?
abcd-
ACTH
Prolactin
Thyroid hormone.
GNRH.
Q56-Patient with fever ,drycough & SOB , on xray upper lobe nodular lesions with
fibrosis & congestion & decreased lung volume. What to give to clear
asymptomatic contacts.
abcd-
BCG
Influenza vaccine.
Meningococcal vaccine.
Hepatitis B vaccine.
Q57-A patient pregnant female 35 years of age with swollen pale lower left leg
confirmed to have DVT. What to give her,
abcd-
LMWH.
Unfractionated heparin.
Warfarin,
Asprin.
Agoraphobia.
Specific phobia.
GAD.
Depression.
Q60-A Young female presented with H/O gutring sensation abdominal discomfort
sweating and then collapse to groud. Nearby persons got her to nearby facility
where her BP,ECG and vitals seems normal. What could be explanation.
abcd-
Vasovagal fainting
Stroke
Myocardial infarction.
Hypovolemic shock.
Pharmacotherapy.
More detailed investigations for his mental satisfaction.
Referral to medical specialist.
Cognitive behavioral therapy.
Q62-Patient with H/O lower back pain, why to ask patient about duration of pain why
its important for treatment.
abcd-
Q63-Patient with H/O CA colon got surgical resection and remains symptom &
screening free from CA for about 8years. Now found single lung metastasis .If
resection of that metastatic lesion done successfully what will his 5year CA free
survival rate would be.
abcd-
1%
5%
75%
90%