b.

Amoxicillin PO
c. Analgesia
d. Amoxicillin IV
343. A 6wk child is very sick-looking. Bloods: Na+=124, K+=2.8. Dehydrated. What would you choose
to resuscitate?
a. 0.18% NS + 4% dextrose + 20mmol KCl
b. 0.9% NS
c. 0.45% NS
d. 0.45% NS + 5% dextrose
e. 0.45% NS + 5% dextrose + 20 mmol KCl
344. A 68yo man gets repeated attacks of LOC and TIA. What is the most likely cause for this?
a. Atrial fib
b. Mitral stenosis
c. Aortic stenosis
d. HOCM
e. Carotid artery stenosis
345. Pt presented with hemoptysis 7d post-tonsillectomy. What is the next step?
a. Packing
b. Oral antibiotics + discharge
c. Admit + IV antibiotics
d. Return to theatre and explore
e. Ice cream and cold fluids
346. A child was admitted following a RTA with initial GCS=15. Then during the night the noticed GCS
reduced to 13. What is the management?
a. Refer to neuro-surgeon
b. IV fluids
c. Oxygen
d. CT brain
e. Skull XR
347. A 57yo woman who is suffering from HTN, presented to the hospital with complaints of
recurrent falls when trying to get out of bed or getting up from sitting. She is on some anti-HTN
therapy with no other med prbs. What is the cause of her fall?
a. CCB
b. Vestibrobasiliar insufficiency
c. Thiazide
d. Hypoglycemia
e. Infection
348. A 56yo woman with MS presents with drooping of the left side of her lips. She also has loss of
sensation over her face, hearing impairment and some in-coordination of her movements. What
is the most likely anatomical site affected?
a. Cerebellum
b. Cerebrum
c. Spinal cord
d. Brain stem
e. Optic nerve
349. A 68yo male presented with swelling in the lower pole of the parotid gland for the last 10yrs.
Exam: firm in consistency. What’s the most probable dx?
a. Pleomorphic adenoma
 b. Adenolymphoma
c. Mikulicz’s disease
d. Parotiditis
e. Frey’s syndrome
350. A 28yo shipyard worker was admitted for pain in calf while at work which has been increasing
over the last 3m. There is no hx of HTN or DM but he is a smoker. Exam: loss of posterior tibial
and dorsalis pedis pulsation along with a non-healing ulcer at the base of the right 1st MCP joint.
What is the most probably dx?
a. Thromboangitis obliterans
b. Sciatica
c. DVT
d. Baker’s cyst
e. Embolus
351. A 35yo lady presents with painful ulcers on her vulva, what is the appropriate inv which will lead
to the dx?
a. Anti-HSV antibodies
b. Dark ground microscopy of the ulcer
c. Treponema palladium antibody test
d. Rapid plasma regain test
e. VDRL
352. A 53yo man presents with a longstanding hx of a 1cm lesion on his arm. It has started bleeding
on touch. What is the most likely dx?
a. Basal cell carcinoma
b. Kaposi’s sarcoma
c. Malignant melanoma
d. Squamous cell carcinoma
e. Kerathoacanthoma
353. A 47yo man with hx of IHD complains of chest pain with SOB on exertion over the past few days.
ECG normal, Echo= increased EF and decreased septal wall thickness. What is the most likely dx?
a. Dilated CM
b. Constrictive pericarditis
c. Amyloidosis
d. Subacute endocarditis
354. An elderly pt who is known to have DM presents to the hospital with drowsiness, tremors and
confusion. What inv should be done to help in further management?
a. Blood sugar
b. ECG
c. Standing and lying BP
d. Fasting blood sugar
e. CT
355. A 28yo pregnant woman with polyhydramnios and SOB comes for an anomaly scan at 31 wks.
US= absence of gastric bubble. What is the most likely dx?
a. Duodenal atresia
b. Esophagealatresia
c. Gastrochiasis
d. Exomphalos
e. Diaphragmatic hernia