:My Exam

Patient using Bupropion for Smoking Cessation,

:hell most likely to have

Cardiac Arrythmia (A
Headache (B
Seizures (C

:Carvedilol will have drug interaction with

Digoxin (A
Warfarin (B
Hydrochlorothiazide (C
Diltiazem (D
Rifampin (E

Disease will increase maternal mortality if

:happened during pregnancy

Syphilis (A
Toxoplasmosis (B

Patient seeking for Breast-feeding advice, you

:should tell her, its contraindicated in

Syphilis (A
Pulmonary TB 3 month in treatment (B
Asymptomatic HIV (C
Active HCV infection (D
Neonate, HbsAg is positive, received at birth BCG
vaccine only, at first neonatal clinic visit youll
:give

DTP, MMR, OPV, HBV, Hib (A

dT, MMR, OPV, HBV, Hib (B
dT, MMR, OPV, HBV (C

:year old Milestone he should 4

Copy Squares & Triangles (A

Tie Shoe (B
Speak Clear Sentence (C
Prefer Solitary or Parallel games (D

Lactating, Recently Diagnosed with Seizure

Disorder on Phenobarbital, regarding breast-
:feeding you must advice

Stop Breast Feeding (A

Breast Feed after 8 hours of medication intake (B
Continue anyhow as long as the mother and (C
child want
Wean after 3 weeks (D

:Regarding Allopurinol one is TRUE

useful in acute phase (A

urocosuric (B
decrease incidence of renal uric acid stones (C

:Crohn's disease associated with

Fistula Formation (A
Involvement of superficial layer (B
Involvement of anus mucosal (C
Crohn's disease patient, c/o Left hip & Back Pain,
Abdomen Exam normal, occult stool >> heme
positive, brown in color, Febrile & WBC 16000,
.next invest

Renal US (A
CT Abdomen (B
CT Left Hip (C

Patient Known Cardiac, For Dental Procedure,

:youll give prophylactic

gm amoxicillin 1 hour before procedure 2 (A

gm amoxicillin immediately after procedure 1 (B
gm ampicillin 1 hour before procedure 2 (C
gm ampicillin immediately after procedure 1 (D

year old, fever, arthralgia, myalgia & pink 6

:maculopapular rash, DDx

Stills Disease (A
Kawasaki Disease (B

:Mitral Regurge in RF is due to enlargement of

Left Ventricle (A
Left Atrium (B
Right Ventricle (C
Right Atrium (D

:year with schezophrenia, youll give 20

Lithium (A
 Flavoxine (B
Oxcarbazepine (C

Pre-menstrual Syndrome affecting Patients Life,

a Drug that Proved to be effective (Class A
Evidence) is

SSRI (A
Combined Oral Contraceptive Pills (B

Mild Pre-eclampsia, BP 150/95, with lower limbs

:and hands edema

Diuretics (A
Low Salt Diet (B
Oral Labetalol (C
Immediate Delivery (D
Monitoring & Frequent Hospitalization (E

A Case of (Herpes Zoster Ophthalmicus)

:management

Antiviral with follow up in 7-10 days (A

Antiviral and follow up after 3-6 months (B
Antiviral & Ophthalmology referral (C
Antibiotic (D
Reassurance it will resolve spontaneously (E

:Unresponsive adult with agonal gasps

Open Airway & give 2 breaths (A

Open airway & look for Foreign Body (B
Breaths & chest Compression 2 (C
Check Pulse (D
Wait for Trauma team (E
 Meningitis outbreak in College Dorms, Organism
:is

Staph. Aures (A
Staph. Epidermis (B
Strept. Pneumoniae (C
Nisseria Meningitidis (D

Placenta anterolateral, cant be reached by

:examiner fingers

Low Lying Placenta (A

Normal Lying Placenta (B
Marginal Placenta Previa (C
Partial Placenta Previa (D
Total Placenta Previa (E

:TB outbreak, Negative skin Test, Prophylaxis is

BCG Vaccine (A
Rifampin 6 months (B

G2P2, 40 year old, with irregular Periods 3 months

ago it was regular & intermenstraul bleeding, no
:intercourse in years, DDx

Chronic Endometritis (A
Anovulatory cycles (B
Endometrial Ca (C
Uterine Leiomyoma (D
 RF treated early with no cardiac disease,
:prophylaxix penicillin for

months 6 (A
years 3 (B
years 6 (C
years 15 (D

year presented with well-circumscribed wheal 24

lesion with erythematous base, Hepato-
:Splenomegaly & Supraclavicular lymph nodes

Cholinergic Urticaria (A
Angioedema (B
Lymphoma (C
Syphilis (D

:Ca Colon Protection

Beta Carotene (A
Vit. D (B
Vit. E (C
Folic Acid (D

Female, Fast Food, Young, youll give

:Supplement

Calcium + Folic Acid (A

Calcium + Vit. C (B
Central Chest Pain, Worse by Lying Down, Better
:by Leaning Forward, one is TRUE

O2, NTG, ASA is treatment (A

ECG will show convex ST Elevation in all (B
Precordial Leads
Elevated Cardiac Enzymes (C
Leads ECG is a must 15 (D

Case (Scabies) about elderly in nursing home

care, on many medications came with itching in
:all body & theres linear marks, DDX

Anaphylactic reaction (A
Scabies (B

Male has an Urge to count things, words in

sentences & if he tried to stop it he becomes
:anxious

Obsession (A
Delusion (B
Compulsion (C
Hallucinations (D

Patient woke up of Ear Pain & had dropping of

mouth angle ipsilateral side (Facial Palsy),
:management

oral steroids (A
antibiotics & anti-inflammatory drugs (B

:Cholesteatoma

Topical Steroids (A
Oral Steroids (B
 T Tube insertion (C
Surgery (D

:RA on DMARDS, best advice

Complete Bed Rest of inflamed joint (A

Exercise (B
Cold compression (C

:Peritoneal Lavage is indicated in

awake patient with severe abdominal (A

tenderness
Comatose patient (B
Awake, Hypotensive patient with distended (C
abdomen
Pelvic Fracture (D

:Carpel Tunnel Syndrome Splint in which position

Dorsiflextion (A

:Median Nerve Injury

Sensory Loss (A
Claw Hand (B
Wrist drop (C
Opposing the Thumb (D

Person playing Squatch c/o elbow pain with

:paraesthesia of the lateral aspect of forearm

Olecarnon Brusitis (A
 Female, through history you find out theres
alcohol consuming, whats a CAGE question to
:assess Drinking more

?how many drinks you have per day (A

?Do you feel guilty for drinking (B
C) Do you find difficulty waking up in the (C
?morning

:All are causes of High Alpha Fetoprotein except

Spina Bifida (A
Gastrochiasis (B
Breech Presentation (C
Meningeomylocele (D
Anencephaly (E

:Attributable Risk

attributable risk is the difference in rate of a (A

condition between an exposed population and
an unexposed population

:Ca Colon Stage B2 means

No lymph nodes (A
One lymph nodes (B
lymph nodes 2-4 (C
lymph nodes + one more site (D

:Elderly with Hgb of 7 mg/dl, next investigation

Endoscopic Studies (A
Serum Ferritin Level (B
 :Asymptomatic Trichomonas Vaginalis

Treat even if asymptomatic (A

Treat only if symptomatic (B

Child with hx of using milk bottles at night, on examination:

:Chalk like discoloration of both sides of teeth

Nursing Bottle Dental Caries (A

Gingivitis (B

Hyperpigmentation, Scalling on Feets, Soles, Hands & Trunk with

:Fever

Secondary Syphilis (A
Zooster (B

Mechanism of action of SSRI Depression the first line

:medication youll give act as

Decrease Production of Serotonin (A

Decrease Availability of Serotonin (B
Block Production of Serotonin (C

Young, previously Healthy c/o left sided chest pain, O/E:

:Hypotensive, Decrease Breath Sounds Lf. Side, & Hyper-resonant

MI (A
Pneumonia & Pleural Effusion (B
Spontaneous Pneumothorax (C
Cardiac Tamponade (D
 :Case of PCOS, youll find

Androgen excess (A
FSH excess (B

:Abruptio Placenta commonly will present with

Vaginal Bleeding (A
Uterine Tenderness & back pain (B
Abnormal Uterine Contraction (C

Clear Nipple Discharge, no hx of Head Trauma, CT showed

:Pituitary Mass, this mass will secrete

Prolactin (A
FSH (B
ACTH (C

Patient Fell Down the Stairs, became Dyspnic, altered mental

status, on exam you find: Diminshed Breath Sounds Right Side, &
:Hyper-resonant, next step

Needle Thoracotomy (A
Chest X-ray Stat (B
Intubation (C