2 lewy body demnetia 3 tilt table test for old lady with sycopies 4 shy drager syndrome vs PSP 5 Alzemer demntia?multi infarct dementia? 6 digoxin yellow vision 7 Pre eclampsia typical senario 8 Placentl abruptin 9 placental abruption 2nd scenarios 10 acute abdomen no prevs hx intial iv fliuds? 11 burn patient ssot in mouth call for assitans in intubation 12 burn patient iv fluids from time of burn 13 osteoarthitis .. naproxen 14 CF risk in next child 1:4 15 duchene dyst risk in son 1:2 16 incidence 700 17 iv adenosine in svt 18 SVt 19 infantile spasm 20 lack of secondary sex charc turner vs contituinatil delay 21 testicular torsion 22 immediate surgical exploration in testicular torsion 23 needle throcacentis in tension pneumo 24 lung cancer hormone cortisol 25 inapprpriate ADH 26 2nd also SIADH 27 aniline dyes bladder cancer 28 person shipyard worker -industrial disease 29 person e hillar lymph ademo- lymph node biopsy vs broncho 30 pencil rubber in ear canal - hook to remove 31 2year girl e forgn body in ear -GA 32 elderly man e dribbling n sweeling abdome-catherize 33 testes mass initial inv- tumor marker 34 truma patient red urine-serum molecule raised Creatine kinase 35 girl with hx of urine frequecy - urine glucose 36 patient with mulitle s/s red eyes- blood n urine culture? 37 bipolar affctic disorder in women 38 conjuctivites purulent- topical antibiotic n steroid 39 coaciane toxity 40 heroin withdrawal 41 painless hematuria inv most likely to dx - cystoscopy vs USG 42 CN 3 plsy 43 endometrail biopsy n hysteroscopy 44 incontinece after surgery for endometrioss constt wetting 45 diabetes diagnosis -random sugar 16 46 asthma patient frequent inhaler-add regular steroid inhaler 47 intercostal artey damged 48 SSri in pamic disorder 49 sertaline 50 maj depression 51 ssri IHD 52 purpral psychosis 53 common ilaic vein thrombosi -post patum leg pain n swelling 54 femropoplitel arteey bloackage 55 statin 56 statin + ACEi 57 troponin patient recurrentchest pain 58 chicken pox 59 HSV ulcer labila 60 ANti Hsv antibodeis 61 endometriosis 62 fibroids 63 diabetic boy not compliant goes to- psychlogit or paedirchian 64 pyloric stenosi - vomitng baby chloride low 65 pyloric stenosis one more mcq 66 inoperable ca lung goes to - palliative care nurse 67 Adrenal insufficsy 68 social phobia 69 seasonal affective disorder 70 hyper calcemia- lady confused 71 hypercalcemia- pamidronate infusion 72 prednisolone for giant cell arterits- bisphosphnate adjuvant 73 tongue emoticon old white man thiazide or CCB ? 74 retention of urine - trial without catheter preceded by tamsulosin? 75 pain in thoraci spine - bone scan vs mri spine 76 girl inv- urine M&C 77 adult picture of bloody diarrhea n s/s of UC-intial inv- flexible sigmoido vs stool microscopy 78 adult pic of diarrhea n malbsorption - inti inv- stool micro n culture 79 meningitis plus rash - ceftriaxone 80 inflenza -stap aureus 81 heart failure deterioration- diclofenac 82 TCA oD- ecg 83 parecml OD- n acetyl cysteine 84 adrenaline 1:1000 im 85 diarrea for 4 days- ph 7.6 pco2 low 86 hyperventilation pic- ph raised n pco2 less 87 contarst damge preventoion-0.9% saline 88 hoarsnees of voice -send to ent 89 hoarsness n dysplasia - stop smoking 90 sever pain not reilved -radiotherapy 91 neuropathic pain -amitriptyline 92 erythema nodsam 93 erythema multiforme- afer drug use 94 board spectrum antibiotib + antifungal 95 neutropenic patin- iv antibiotic 96 ondansetrine/dexa 97 hyperemsis graviderum iv fluid- normal saline vs 5% destrose 98 dengue 99 epilepsy old women recovered after 30 min 100 ascitic tap --- ?? tb? budchariy?? 101 membranous nephro 102 post infectious glomerlonephriti 103 ch glomerulnephritis 104 PCOS 105 progesterone at wrong time of cycle ??? 106 Afib bisoprolo 107 TFT female e eye prob 108 TFT befroe lithuim treamt 109 female NVD lithim level 110 menorrhagia hypothyroidism 111 patient refusing treatment- mental helath act asseemrnt 112 thoracic outlet syndroem 113 SAH 114 sah---> CT 115 LP in sus mengits 116 COPD - o2 117 COPD- long term oxygen assesmnt 118 asthma emegecy- iv steroid 119 Biopsy of iliac foosa mass- chrons disease 120 esophagea spasm pic- barium swallow?endoscopy ? 121 progressive dysphagia -esophgeal CA vs achlasia 122 peroneal nerve 123 inguinal lymph node 124 boy with foot wound - oral antibioic +tetnus vaccine 125 paraaortic lymphnodes 126 parotid swellng- FNAC 127 thyroglosal cyst- excison biopsy? 128 breast pain lump- USG? 129 Cerviacl CA protect- condom 130 trauma RUQ gurading- most pp- CT scan abd 131 women on wafarin CT 132 gout -joint aspirate 133 radial nerve injury 134 USG initla inv in menrrhagia 135 old age deafness patter- no idea tongue emoticon 136 scabies dx 137 permethrin 138 women after delivery pain RUQ- lft 139 jaundice- HBV surface antigen 140 CTPA 141fibroadenoma 142 lyphedema arm 143 recurrent miscarriage -aspirin + heparin 144 SLE?? nepropathy ?? dont remeber ecxatly 145 mgso4 bolus 146type 1 diabetes lady- retina 147 IOP measre 148 febrile convulson-will grow out of it 149 impaired glucose toleranxe test 150 bolus impetigo 151 fat necrosis 152 temporal bone fx 153 gentamicin drops 154 life style chnge 155 grand mother e baby- hsp,accidental injuryetc 156 idiopathuc thrrombocytiopenia 157 dry cough -nubulized normal saline 158 eating disorder unit 159 naloxone 160 neuropsycho analsis 161 iv thiamine 162 acaprosate 163 chlordiazpoxide 164 folic acid for diabetic lady 165 omit pill in diabetes on day of surgery 166 boy e painful hip- ?? sliped femoral disc? 167 hemophilia A- in nest child?? 168 atrophic vagintis 169 alcholic racing heart- 24 hr ecg noraml-reassure 170 old lady sever pain back- colorectal ca??? 171 thiazide plus ramipril or losartan 172 CHAD SCoring ? 173 old lady severe pain pelvis- ct shows area of low densitu srrounded by aclerotic borders- mx- bisphosphonates 174 man with smal bowel bipsy - villous atrophy? 175 nebulized adrenaline 176 iv ppi 178 adjustment disorder 179 urea breath test 180 baciilus cereus or staph aureus 181 dm1 dec morning dose 182 caecum most likely site of CA 183 a patient with stroke has tia on asirin75mg/day- add aspirin 300mg for two weeks or add clopi 300 per day n dypyridamole 200 bd? 184 HUS 185 TTG as initail test for celiac 186 local anesthetis action by adrenaline- prolonged vs augmente? 187 breast milk jaundice - 40 mmol bilirubin conjugated< 5 188 24 hr ecg for recurrent falls 189 review medication 190 young man backache neuro exam normal- ibuprofen 191 hypothroidism in chlid -prolonged jaundice 192 patient with dyspepsia after spicy food n alcohol- inv - no inv required 193 atenolol 194 gastric ca 195 flight of ideas 196 metabolic rate