Hi everyone. I tried my best to recall all the possible questions I could.

These have
been counter checked by my friend. Just remember these are just recalls. So the
statements might not be complete with full info. Its just to give you an idea how the
exam is structured. So don’t try answering each and every question because the
stems might not be complete. GMC mixes all sort of questions. From easy to tough.
Wish all future Plabbers best of luck. Need prayers for my result.

Regards..Abeera

(P.S. Thanks to Salil)

1. 24 year old female with 6 weeks of amenorrhea presented with severe pain in
left iliac fossa and bleeding. Most probable diagnosis.
 Ectopic pregnancy
 Acute appendicitis
 Ovarian torsion
 Ruptured ovarian cyst
1. Young female presented with severe pain in lower abdomen pelvis/iliac fossa
(don’t remember). She had 8 weeks amenorrhea. BP 80/40. Blood transfusion
done.( I think they mentioned Hb which was quite low) What is the most
appropriate step you will do.
 Beta HCG measurement
 Laparascopy ( Laparatomy wasn’t in the options)
 Pelvic Ultrasound
2. 27 yr old female in 30th week of pregnancy has BP 140/90 with proteinuria+++.
Whats the most probable diagnosis
 Pre-eclampsia
 Gestational hypertension
 Eclampsia
3. Young female at 24 weeks with BP 150/100 and proteinuria 0.2g/24 hrs.
Diagnosis
 Gestational HTN
 Pre-eclampsia
 Eclampsia
 Nephrotic syndrome
4. 65 yr old male with cough shortness of breath and mucopurulent sputum which is
around tablespoon associated with flecks of blood everytime he coughs. Most
likely diagnosis
 COPD
 Bronchiectasis
 Pneumonia
5. Which is the sign of life threatening asthma
 Deteriorating level of consciousness
 Respiratory rate more than 25
 Heart rate more than 100
 Bilateral wheeze
 Peak expiratory flow rate 50%
6. Typical Scenario of DKA ( Young child dehydrated, breathing heavily). What will
you do next?
 IV Fluids ( Option of fluids and Insulin wasn’t together)
 Insulin
 Oxygen
7. Scenario of burns. What will you do?
 Calculating Fluids from the time patient comes in ER
 Calculating Fluids from the time of burn
8. Child with fever and sitting in mother’s lap and saliva is drooling. What is the
most appropriate next step
 Call anesthetist for intubation/help
 Examine throat/ larynx
 Analgesia
9. A guy had a fight while waiting in Emergency room. He was punched in the face,
lying down unresponsive and is cyanosed. Most appropriate next step.
 Clear airway
 Give oxygen
 Put in recovery position
 CPR
 Intubation
10. 32 year old Afro Carribean woman with heavy menses but regular cycle. On
examination uterus is enlarged and non tender. Most probable diagnosis.
 Fibroid uterus
 Adenomyosis
 Endometriosis
11. Female with dysmenorrhea and dyspareunia but menstrual flow is not heavy. Also
had urinary frequency or urgency. Pelvic examination was uncomfortable.
Diagnosis
 Endometriosis
 Fibroid uterus
12. Patient has amenorrhea for last 6 months. Previously she was taking Combined
contraceptive pills. Her LH is 5 and FSH is 5. Whats the most probable
diagnosis.
  Hypothalamic amenorrhea
 Polycystic ovaries
 Post pill amenorrhea
13. 16 year old came into ER screaming that there is an insect in her ear. How will
you remove it?
 Under GA
 70% alcohol
 Remove with forceps
 Sryinging with warm water
14. 25 year old man was scratching his ear canal with the lead pencil. When he took
the pencil out, he saw that the rubber part was missing. How will you remove it?
 By hook
 By forceps
 Under GA
 Syringing with warm water
15. Young female with bleeding from nose and with bruises on her arms. Had low
platelets and spleen was not palpable. Hb and WCC values given. And were
normal. Most likely diagnosis
 Immune thrombocytopenic purpura
 Aplastic anemia
 Thrombotic thrombocytopenic purpura
16. Typical case of neutropenic sepsis. Man post chemo had fever 38 degrees
Celsius and low WCC count. Asked for the management.
 Start Broad spectrum IV antibiotics
 Start broad spectrum oral antibiotics
 Take blood cultures
17. Another question on Neutropenic sepsis. Pt was given Piperacillin and
Tazobactam and then Vanc/Meropenem but fever not settling on 5 th day. What
to do next?
 Add antifungal along with the IV Antiobiotics
 Change to other antibiotic
18. (SLE scenario) Young female with rash on face and joint pains and maybe
neurological/immunological complaints too. They asked which test is most
specific for diagnosing this condition.
 Anti-DNA antibodies ( ds-DNA wasn’t mentioned)
 ESR
 Anti-nuclear antibodies
 Complement levels
 Rheumatoid factor
19. Man with chest pain. Given analgesia and GTN. ECG showed ST depression in
leads II, III and avF. Single most appropriate drug regimen for this patient?
 Aspirin and nitrates
 Aspirin and LMWH
 Aspirin and statin
20. Ecg.. ( Quite a confusion between A fib and flutter) But rhythm was pure
irregular in the ECG Strip.
21. Another ECG.. Patient is 6 weeks post MI, had breathlessness, ST elevation in
leads V1 to V4. (No fever, anemia or increased ESR.These things were not
mentioned in the scenario) Sorry don’t remember complete scenario.
 Dressler syndrome
 Left ventricular aneurysm
22. Xray Picture. Only right lung was affected according to me. Left lung was ok.
Scenario was patient with breathlessness and other respiratory complaints. He
is plumber by profession for many years. Asked for diagnosis
 Mesothelioma
 Tuberculosis
 CCF
 Pleural effusion
 Heart failure
23. Statistics question.. 900,000 cases of MI out of 250 million. 225,000 died, with
122,000 had symptoms in the first hours. Asked for the incidence
900,000/250 million
225000/250 million
250 million/ 900,000
24. Another statistics question. It was a long stem based. Don’t remember
completely. 91 people had MI and were treated with something X. 95%
confidence interval is from 31 to 62. Gave 5 options/stems and asked Which of
the following statement is correct.
25. Drainage of which part goes into the pre-auricular Lymph nodes.
 Pinna
 Cheek
 Eye lid
 Vertex of scalp
26. 2 year old child can run and walk upstairs with two feet at a single step. He can
join two words and make small phrases. Asked about milestones
 Normal development
 Delayed speech
 Delayed gross motor milestones
27. Man with no pulsation in tibial and dorsalis pedis arteries. Where is the
blockage?
 Femoropopliteal
 Tibial
 Ilio-femoral
 Aorto iliac
28. Child/Man presented after RTA. Has small subcapsular hematoma of spleen on
CT. Clinically stable patient. what will you do next?
 Refer to surgery for observation
 Take him to OT
 Discharge with outpatient follow up
29. Alcoholic patient with breathlessness and slowly increasing abdominal distention.
Cause
 Decompensated cirrhosis
 HCC
30. Pathologist report says ‘ Fresh bleeding seen from first part of duodenum’.
What is the cause?
 Peptic ulceration
31. Autopsy report ‘ Nodules seen in liver with cells producing large amounts of
A1AT ‘ Cause
 Alpha 1 antitrypsin deficiency
 HCC
 Secondary malignancy
32. 50+ yr old Woman with hard nodule (size don’t remember whether they
mentioned or not) in upper outer quadrant of breast with lymph nodes in axilla.
 Carcinoma
 Ductal carcinoma in situ
 Intraductal papilloma
33. Young woman (35+) smoker with bilateral greenish discharge from breast. No
mass.
 Duct ectasia
 Duct papilloma
 Ductal carcinoma in situ
34. 25 yr old with soft small mobile mass is breast. No pain or lymph nodes. Most
probable diagnosis.
 Fibroadenoma
 Papilloma
 DCIS
35. Woman with a history of breast pain for a few weeks presenting with creamy
discharge from one of the ducts. No mass/LN/fever.
 Duct ectasia
 Duct papilloma
 Fistula
 Abscess
36. Woman with inflammatory skin of the breast. And underneath it is a mass. On
the biopsy it turns out to be ‘neoplasia’. What is the most likely statement
describing it?
 Malignant lesion in the breast extending up and involving the overlying
skin
 Inflammatory skin lesion extending into the breast
 Involvement of lymphatics
37. Woman with delusions and past history of low mood and anhedonia. Diagnosis
 Bipolar disorder
 Mania
 Depression
38. Man with symptoms of euphoria, elated mood etc etc, History of bereavement
for a 2 week period after death of his wife 12 years ago which did not require
treatment. Diagnosis
 Major depression
 Acute stress disorder
 Adjustment disorder
 Schizoaffective disorder
 Bipolar affective disorder
39. A man believes that he has HIV. Has been to hospital numerous times for the
same complaint. All tests were done twice and were negative but he still believes
that he has HIV. Whats the most likely diagnosis
 Hypochondriasis
 Somatization disorder
 Malingering
 Conversion disorder
40. Scenario of bipolar disorder in female. What is the treatment she is most likely
to benefit from in long term.
 Mood stabilizers
 Antipsychotics
 Anxiolytics
41. A child has come after overdosing on his grandmas’s pills. He has dilated pupils
and extrasystoles. What is the most likely drug he has taken
  Digoxin
 Amitriptyline
 SSRI
42. Patient presented with muscle pains, tachycardia and has altered colour
perception. Which drug has he taken
 Heroin
 Ecstasy
 Cocaine
43. Young agitated guy with dilated pupils, tachycardia and inflamed nasal mucosa
(not perforated septum) and watering nose. What is the cause of these
symptoms?
 Cocaine
 Ecstasy
 Heroin
 Opioid
44. 60+ year old male with tenesmus and change in bowel habits. Occasionaly he
noticed some blood on the stool. PR exam was done which revealed a hard mass.
Most probable diagnosis.
 Ca rectum
 Ca cecum
 Ca sigmoid colon
 Hemorrhoids
45. 60+ yr old male. On per rectal examination a hard mass is felt anteriorly. Which
test will be helpful in making the diagnosis.
 Carcinoembryonic antigen
 PSA
 Alkaline phosphatase
 CA125
 Alpha fetoprotein
46. 54 year old male presented with dyspepsia and loss of weight in last few months.
What is the most appropriate test you will do next?
 Gastroscopy
 H. pylori test
 Barium meal
 Urea breath test
47. 8 year old kid is eating the same meals as the other family members but is below
the normal height and weight percentile. Has flaccid skin over the buttocks.
Diagnosis
 Coeliac disease
  Cystic fibrosis
48. Another question..42 yr old male with GI complaints ( abdominal pain,
diarrhoea). Which test will you do next that will be helpful for diagnosis? (To me
I think it was Coeliac)
 Tissue transglutaminase antibodies
49. Young man with diarrhoea. Had a recent trip outside. Presented with iron and
folic acid deficiency. Which of the following is most consistent with the possible
diagnosis.
 Villous atrophy
50. You are prescribing lithium to a patient. Patient’s Renal function tests are fine.
What other test you will do before starting lithium?
 Thyroid function tests
51. Patient is started on an antihypertensive drug. He develops dry cough. Which
drug is responsible for this?
 Lisinopril
 Amlodipine
 Propranolol
 Bendroflumethiazide
52. Patient’s fasting blood sugar level is 7mmol/L. He is asymptomatic. What is the
most appropriate next step?
 Repeat fasting blood sugar
 Start oral hypoglycemics
 Advise lifestyle modifications
 Start Insulin
53. Patient has been an alcohol addict for quite a long time and has tried quitting
many times but in vain. But this time he is really determined. He is on detox but
wants something to refrain from alcohol but doesn’t want the bad taste.
Unpleasant effects. What will you give to the patient?
 Acamprosate
 Disulfiram
 Chlordiazepoxide
54. Old lady living in Nursing home presented with confusion. She has bruises on
her body and is on warfarin. Her INR is 7.3. what is the cause of confusion?#
 Subdural hematoma
 Acute infection
 Subarachnoid hemorrhage
 Drug overdose
55. Patient presented to ER after trauma. After the accident he had loss of
consciousness for a while but later he regained consciousness. Had GCS 13 on
 admission. After a while his GCS dropped to 8. Which investigation you will do
next?
 CT Scan brain
 MRI Brain
 Lumbar puncture
56. 6 month old baby with flexion and jerking of arms and legs. Diagnosis
 Infantile spasms
 Partial complex seizures
57. Which is the correct statement regarding febrile seizures
 Most cases will resolve by the age of 6 years
 All cases will progress to epilepsy
58. 2 year old male child with repeated urinary tract infections. What is the reason
of recurrent UTI?
 Vesicourethral reflux
 Urethral valves
59. 2 year old child started crying when her 7 year old brother took a toy from her
hand. Mother tells you that she turned blue and lost consciousness for a minute
but recovered by herself. What will you do next?
 Reassure parents
 EEG
 CT Scan brain
 Full blood count
60. 18 year old male with high fever and non blanching rash. What is the most
appropriate antibiotic you will give?
 Ceftriaxone
 Amoxicillin
 Cefotaxime
61. Child with flexural eczema not improving with emollients. What will you
prescribe?
 Clobetasone
 Hydrocortisone
 Topical antibiotic
62. An old woman living in nursing home has intense itching and linear furrows and
scratch marks inbetween the fingers and toes. What will you prescribe?
 Permethrin
 Topical Steroids
63. Patient complaining of loss of sensation at the medial side of foot after
saphenous vein stripping surgery for varicose veins. Which nerve is affected?
 Saphenous nerve
  Sural nerve
 Tibial nerve
 Medial plantar nerve
64. Patient with numbness and loss of vibratory sense in lower limbs. What is the
cause? ( Don’t remember whole scenario..Was clearly B12 deficiency)
 Vit B12 deficiency
 Folic acid deficiency
65. Patient (maybe 50+..sorry don’t remember age) with back pain and tenderness at
L8 vertebrae. No neurological complaints ( No sensory motor loss). Which is the
most definitive investigation you will do?
 CT scan spine
 MR Spine
 X-ray thoracic spine
66. Child with vomiting and diarrhoea. What is the indication of starting IV fluids in
this patient?
 Capillary refill time more than 4 seconds
 Heart rate more than 90bpm
 Increased Respiratory rate
 More than 10 stools per day
67. 50+ yr old man with pain in the right leg and bowing of tibia. Alkaline
phosphatase is 1000u/L. Calcium levels are normal. Imaging showed trabecular
pattern of the bone. What is the most likely diagnosis?
 Paget’s disease of bone
 Osteosarcoma
 Metastatic disease
68. Young man treated for H. pylori with triple regimen. What test will you do to see
if eradication has occurred?
 Urea breath test
 H.pylori
 Endoscopy
69. 55 year old female is on warfarin for Atrial fibrillation. She presented with
second episode of TIA. What is the most appropriate initial investigation you
will do next?
 Echo
 24 hour Echo
 MRI brain
 Carotid Angiography
 CT brain (Not sure whether CT option was there or not..sure about the
rest options though)
 (Carotid Doppler wasn’t in the options)
70. Patient with 50% burns on his body. On endoscopy, has superficial ulcers in the
esophagus. What will you give to the patient?
 IV Proton pump inhibitors
 Oral PPI
 H2 receptor blockers
71. Immunocompromised patient with oral and pharyngeal candidiasis. What will you
give?
 Fluconazole oral/?suspension
 Chlorhexidine mouthwash
 IV amphotericin
72. Typical case of Multiple Myeloma. 60 year old male with anemia, fatigue,
hypercalcemia, bone pains and deranged renal functions.
73. Patient with sign symptoms of SVC obstruction. Rx?
 Oral dexamethasone
 Furosemide
74. Which hormone you will check (most diagnostic) for Conns syndrome?
 Aldosterone
 Cortisol
 Renin
75. Which hormone you will test for Addison’s disease?
 Aldosterone
 Cortisol
76. Patient with Ca prostate and back pain. Radiotherapy given. Paracetamol and
codeine started but no relief. Which drug you will add/give?
 Morphine
 Amitryptiline
 Gabapentin
 Tramadol
77. Patient (65+) on steroids. Has loosening of teeth and bone pains. What is the
most diagnostic investigation you will do?
 DEXA scan
 MRI
 Bone scan
78. Dose of anaphylaxis in adults
 0.5 ml 1:1000 IM
 0.5 ml 1:1000 SC
 0.5 ml 1:10000 IM
79. Child with hay fever and is irritable and not attending school. What is the best
form of management for this child
 Oral chlorpheniramine
 Nothing
 Desensitisation
80. Young female with lower pelvic pain, cervical motion tenderness and discharge.
Treatment. (PID)
 Oflaxacin and metronidazole
 Amoxicillin and metronidazole
(Don’t remember all options)
81. 25 yr old female with malodorous colourless discharge with pH>4.5. No itching.
 Bacterial vaginosis
 Trichomonas vaginalis
 Candidiasis
82. Patient with right hemiparesis. CT scan shows cortical infarct. What is the most
appropriate treatment you will give? (Don’t remember if window period was
mentioned or not)
 Tissue plasminogen activator
 Aspirin 75mg
 Clopidogrel
83. Old lady woke up from sleep. Cortical infarct on CT. Asked for initial
treatment?
 Aspirin 300 mg
 Aspirin 75 mg
 Statin
 Clopidogrel
84. Patient with celiac disease diagnosed earlier presents with anorexia, loss of
weight and fatigue. Most likely diagnosis?
 Lymphoma
85. 25 yr old female with history of recurrent headache associate with nausea and
vomiting. She suffers sudden onset severe headache with loss of vision but
after 4 hours, vision returns to normal. What is the most likely diagnosis?
 Subarachnoid haemorrhage
 Migraine
 Temporal arteritis
 Cluster headache
86. Patient presented with lost threads of IUCD. Not found on Ultrasound. Which
investigation will you do next?
 X ray Abdomen
  CT Scan
87. Typical scenario of Post traumatic stress disorder. Taxi driver with flashbacks
of an accident he had few months back.
88. Patient with severe unilateral electrical shock like pain in jaw extending up to
scalp. What treatment will you give?
 Carbamazepine
 Gabapentin
 Amitryptiline
89. Patient was given Morphine for palliative care. He had severe vomiting and was
then replaced on fentanyl patches and given metoclopramide. He developed
stiffness of neck (Torticollis). What is the cause of this?
 Metoclopramide
 Morphine
 Fentanyl patch
90. Patient on antidepressants and antipsychotics develops sexual dysfunction
(Impotence). What is the cause?
 SSRI
 Antipsychotics
(Don’t remember other options)
92 Patient is post RTA, He has fractured femur, posted for an ORIF, intubated. A
few minutes after intubation, sats fall. Diagnosis.
 Fat embolism
 Pulmonary embolism
 Pneumothorax
93 Child with severe pain in testis. On examination, one testis is higher than the
other. What is the most appropriate step you will do next?
 Refer to surgery for exploration
 Antibiotics
 Observation
 Analgesia
94 Scenario of child with Duchenne Muscular Dystrophy. 6 year old boy with motor
delay having difficulty climbing up stairs. Mother of that child is pregnant again
with a boy. What is the chance of this child getting the disease?
 50%
 25%
 100%
 0%
95 Another scenario of Neurofibromatosis ( Patient had café au lait spots with
vestibular shwannomas). Asked for percentage of transmission.
  50%
 25%
 75%
 0%
 100%
96 Scenario of Stoke Adams syndrome. Asked for Investigation of choice.
97 50 + yr old woman with breathlessness and pleural effusion proteins were
42g/dl). Most likely diagnosis
 Benign ovarian tumor
 CHF
 Nephrotic syndrome
98 70 year old with memory and cognitive impairment. Patient has A fib and had two
strokes in the past.
 Vascular dementia
 Alzheimers dementia
 NPH
 Pseudodementia
99 Child has peri-oral lesions. Some are crusted, some are weeping fluid. Diagnosis
 Bullous impetigo
 Chicken pox
 Shingles
 Eczema
100 25 year old female presents in 30TH week of gestation with severe pain
in lower abdomen and bleeding. On examination uterus is hard and tender.
Diagnosis
 Placental abruption
 Placenta previa
101 . 50 year old male is unable to close his left eye. He has vesicles on the left ear.
Likely diagnosis?
 Ramsay hunt syndrome
102 Boy admitted for surgery. During admission he had glycosuria. After
discharge, glucose is normal. Diagnosis?
 Stress response
 Diabetes mellitus
103 Patient came to ER after overdosing on 45 paracetamol tablets 10 hours
ago. What will you do next?
 Start N-acetylcysteine
 Do 4 hours NAC levels
 Give activated charcoal
104 2 year old child with clean wound. Has never been immunized before.
What will you give?
 Full course of Diphtheria, pertussis and tetanus
 Give diphtheria and tetanus
 Give only immunoglobulin
 Don’t give anything
105 Pregnant female exposed to a child 8 days ago who has now been
diagnosed with Chicken pox one day back. Woman was tested for Varicella
Antibodies and is negative for IgG/IgM. What will you give to the woman?
 Varicella zoster Immunoglobulin
 VZIG and vaccine
 Don’t give anything
 Start acyclovir
106 5 year old child with cropped clustered vesicles on face, trunk, limbs and
arms. What to give?
 Oral flucloxacillin
 Topical acyclovir
 Oral acyclovir
 Reassure
107 Young pregnant female with seizures. She was given MgSO4. Has another
seizure after that. What will you give?
 MgSO4 bolus
 Lorazepam
 Phenytoin
108 Scenario of ureteric colic. Asked for Analgesia.
Diclofenac (PR)
Don’t remember other options
109 35 yr old female with history of depression and limited social contact
She tried commiting suicide once before. She has family history of depression.
Presented to ER with second episode of suicide. What is likely to increase the
risk of suicide in this patient?
 Past history of suicide
 Family history of depression
 Social cut off
110 . 50+ year old male with fatigue and urinary complaints. BP 160/100. Enlarged
prostate and bilateral shrunken kidneys. Calcium was normal.
 Ca prostate
 Hypertensive nephropathy
 BPH
111 Child with nephrotic syndrome. Most important test you will do next?
 Albumin
 Urine R/E
112 . Patient has intense itching after insect bite on the arm. What will you give?
 Oral antihistamine (Chlorpheniramine)
113 . Young man while playing basketball had severe sudden chest pain. Trachea is
central, Breath sounds are reduced on the left with increased percussion note
on the left side. What investigation will you do next?
 CXR
 ABG
 CT scan chest
114 . Cardiac tamponade. Beck’s triad. Gave options of heart sounds with JVP. Had to
pick the right one.
 Muffled/faint heart sounds and increased JVP
115 . Patient with right sided ptosis and dilated pupil. There is limitation of medial
and superior movement of eye.
 Occulomotor palsy
 Trochlear palsy
 Abducent palsy
116 . 50 Year old male with increased BMI. Has muscle wasting, difficulty climbing
upstairs. Has polyuria, polydipsia. What is the cause of muscle wasting and
difficulty walking upstairs?
 Amyotrophy
 Peripheral neuropathy
 Polyneuropathy
117 . Pregnant mother is carrier of Hep B. What will you give to baby after delivery?
 Vaccine
 Immunoglobulin
 Vaccine and immunologulin both
 Nothing
118 . Schizophrenic patient not compliant on oral medication. What is the best long
term management?
 Depot ( Risperidone)
 Depot ( Haloperidol)
Don’t remember other options
119 . Young female with epilepsy. She is on Sodium valproate. Seizures ae not
controlled on valproate. What is the next investigation you will do?
 Check drug levels
 CT brain
  MR Brain
 EEG
120 Female with hernia/swelling below the inguinal ligament.
 Femoral hernia
 Direct inguinal hernia
 Varicocele
121 . Electrolyte picture of SIADH
 Low serum Na, Low serum osmolarity, high urine osmolarity
122 Scenario of Patient getting panic attacks. He has to appear in an
interview. What will you prescribe before the interview?
 Propranolol
 Lorazepam
 SSRI
123 Scenario of Crohn’s . Biopsy finding was given showing transmural non
caseating granulomas.
124 Scenario of intestinal obstruction ( Abdominal distension and vomiting).
What will you do next?
 Pass NG tube
 Take him to OT
 Start IV Fluids
125 65+ year old female with pain in left iliac fossa, fever, diarrohea. ( Don’t
remember complete scenario but it was diverticilitis to me). Question they
asked was, what is the outcome of this episode/disease?
 Likely to resolve
 95% will develop abscess/ peritonitis
126 Another scenario in which patient had hypercalcemia and hyperkalemia.
Lab values were given. Potassium was probably around 5.2. Patient had thirst and
confusion. They asked what will you give to relieve patient’s symptoms. ( I think
they asked for Management of hypercalcemia)
 IV Fluids
 Bisphophonates
 Ca gluconate
 Insulin and glucose
127 Child with meningitis. Was treated. What investigation you will do upon
discharge?
 Audiometry
 MRI Brain
 Lumbar puncture
128 Typical scenario of Meniere’s disease ( Unilateral deafness, tinnitus and
fullness in ears) Other options were Acoustic neuroma, Labyrinthitis.
129 HIV patient with chest complaints ( was PCP Pneumonia). Asked for Rx
 Co trimoxazole
 Clarithromycin
 Fluroquinolones
130 Post menopausal woman with bleeding per vaginum. On TVS, has
endometrial thickening. What investigation you will do next?
 Hysteroscopy and biopsy
 MR Pelvis
131 . 54 year old female had her last menstrual period 2 years ago. She has PV
bleeding/spotting and dyspareunia. Diagnosis
 Atrophic vaginitis
132 Post menopausal woman with hot flushes and other vasomotor symptoms.
What will you prescribe?
 Estrogen/progestogens
 Raloxifene
 Evening primrose oil
133 Man with Urinary complaints. Had blood + and nitrites + in urine. No
discharge but groin is red, swollen. Cause
 E. Coli
 Chlamydia
 Neisseria gonorrhoea
134 Mass with hoarseness of voice and small mass on the anterior triangle of
neck. (They didn’t mention nature of mass, any pulsatility or anything)
 Sternomastoid tumor
 Lymph nodes
 Carotid body tumor
 Branchial cyst
 ( Don’t remember other options)
135 Scenario of BPH. On palpation of abdomen, there was an enlarged mass
upto umbilicus. What will you do next?
 Cathetrise patient
 Ultrasound
 Urine R/E
136 Patient had fracture of radius and plaster cast was applied. He returns
with severe pain in the arm. Arm is warm. But radial and brachial pulses are
palpable. What will you do ?
 Give stronger analgesia
  Remove plaster cast
 Reassure
 Re-Xray the limb
137 SVT scenario. BP is ok but patient has chest pain. Valsalva and carotid
sinus massage did not work. What will you do?
 Adenosine
 Cardioversion
 Amiodraone/? Other drugs