February 2021 Recalls
1. A 7year old boy with weight gain and bilateral pedal oedema for 3wks . He is otherwise normal on
examination. What is the most appropriate diagnostic blood test.
A Albumin
B.CRP
C. Hb.
D. Urea
E. Creatine kinase
2. A child with rashes appeared? Days ago a classical picture of molluscum contagiosum was presented(has
vesicles with central umbilication). He had full vacinnation and is completely otherwise normal
What treatment will you give.
A. No treatment required
B. Oral acyclovir
C. Oral flucloxacillin
D. iv steroids
3. A 3 year old boy with duchenne muscular dystrophy whose mother is pregnant for the second child will want to
know of the second baby been affected with same condition.
A. Nil
B.25%
C.50%
D.100%
4. Healthy 36 yr old with 1+ of protein in Urinalysis what to do?
A. Start ACEI
B. Refer
C.Advise on Protein Diet
DRepeat
5. 70yr old with Diplopia on lateral view.
Affected Nerve?
A. Left 3rd
B. Left 6th
C.Right 3rd
D. Right 6th
6. 4 year old boy with an anterior neck swelling of 6 months duration, it is smooth and not tender, temperature
36.8, swelling moves with swallowing and tongue protrusion. Diagnosis
A. Branchial cyst
Ɓ. Lymphadenopathy
C. Thyroglossal cyst
7. A 72 year old man with HF started ramipril 2 weeks ago what blood test to perform
A. BNP
B. FBC
C.LFT
D.KFT
8. A man had lung Ca and underwent lobectomy. Chest drain was inserted and removed 2 days ago. He started
feeling breathless
What’s the most appropriate action?
A.Insert Chest drain
B.IV Abs
Some other tx I don’t remember
9. On inserting chest drain in the 4th ICS what structure are we likely to damage?
A. ICS arterty
10. 22 year old woman presented with severe left sided headache and right sided body weakness. Headache
was preceded by nausea and photophobia. She is on COCP.
Body weakness has resolved. CT scan normal.
,What is the most appropriate next management plan?
A. No need for further management
B. Start aspirin
C. Stop COCP
D. Start propranolol
E. Start topiramate
11. Q1. An old man on palliative care. CXR showing pleural effusion on right lower lung zone.
Treatment? Pleural aspiration
12.42 y/o man poorly malnourished with alcohol dependence. He has confusion ,ataxia and nystagmus. What is
the most appropriate immediate management
A. 10% glucose infusion
B. Iv vitamin B complex
13. 56year old man who cut himself on the wrist. Wound has been sutured. He has poor eye contact. He’s not
sure if he won’t attempt to take his life again. What to do next?
D. Refer to community health mental team
E. Refer to on call psychiatrist
14. 76y/o man being managed for multiple myeloma
Na- normal
K- normal
Urea- high
Creatinine-high
Ca-3.3
He has been given IVF. What to give next
A.Ivpamidronate
15 . An 80 year old had fluctuating confusion and disorientation for 3 days . Visited at home by his GP with his
sleep cycle disturbed. He was recently catherize for urinary incontinence few weeks back .
What is the diagnosis?
a. Alcohol withdrawal
b. Delirium
c. Lewy body dementia
16. . A 45 year old man presented with expanding rash of three we eks duration and aches and weakness. A
picture of erythema migrans . What is the most useful investigation?
a. Skin scrap
b. Lyme disease serology
17. An 18yr old man who was treated for a sorethroat last week managed as glandular fever, now presenting
with abdominal pain after playing football. Which organ is affected?
A Pancreas
B Spleen
C kidney
D Urinary bladder
E Liver
18. A man found unconscious
Glucose 2.1
Mgt?
A. Oral glucose gel
B. IM Glucagon
C. Iv 20% Glucose
D. 0.9% Normal saline
19. A pt with bipolar. Hav creps
Drugs responsible
A.Lithium
B.Thyroxine
20. A 96yr old patient who developed presured speech, flight of ideas, auditory Hallucination and bizzare
delusion. Was treated for infective excerbation about a few days ago.
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, Medication implicated
A.Amoxicillin
B.Doxycycline
C.Salbutamol
D.Prednisone
E.Tritopium
21.A 6yr old boy with fever for 6 days, with fissuring of the lips, non purulent conjunctivitis, cervical
lymphadenopathy
What is the Rx?
A. Antibiotics
B immunoglobulin
C Steroids
D Anagelsics
22. A girl presented to the Emergency department with severe headache. Headache was initially preceded by
nausea and vomiting. What is the most INITIAL management. She takes cocp
A) no treatment
B) start aspirin
C) stop cocp
D) start topiramate
E) start propranolol
23. A man in the post surgical ward presents with 6hrs of vomiting. He had a colorectal surgery 6 days ago.
Temperature was 37.8, respiratory rate was 8. Abdomen was distended and mildly tender. They were no bowel
sounds.
Hb - 13mg/dl
WBC- 9 (4-11)
What is responsible for his symptoms
a) anastomotic leak
b) paralytic ileus
c) opioid toxicity
d) ulcerative colitis
24. 83 year old presents with gradually worsening vision. He is unable to read clearly or see at night
Cornea and conjunctiva appeared normal
a) age related macular degeneration
b) dementia associated eye disease
c) acute angle closure glaucoma
d) anterior uveitis
25.: A patient presents with 2day hx of epigastric pain. She was diagnosed with duodenal ulcer 6months ago and
received H. Pylori eradication therapy. How will H. Pylori eradication be confirmed?
a) C-13 urea breath test
B) Feacal H. Pylori
C) H. Pylori serology
26. A 28yr old woman with that is having palpitations and is anxious, unable to sleep for the last one month
Investigation
Tsh..elevated, free T3 normal, free T4 normal. Rx
A. Levothyroxin
B USS of thyroid scan
C Reassure
D Propanolol
27. A 7yr old boy with weight gain and bilateral pedal oedema for 3wks . He is otherwise normal on examination
What is the most appropriate diagnostic blood test.
A Albumin
B.CRP
C. Hb.
D. Urea
E. Creatine kinase
1. A 7year old boy with weight gain and bilateral pedal oedema for 3wks . He is otherwise normal on
examination. What is the most appropriate diagnostic blood test.
A Albumin
B.CRP
C. Hb.
D. Urea
E. Creatine kinase
2. A child with rashes appeared? Days ago a classical picture of molluscum contagiosum was presented(has
vesicles with central umbilication). He had full vacinnation and is completely otherwise normal
What treatment will you give.
A. No treatment required
B. Oral acyclovir
C. Oral flucloxacillin
D. iv steroids
3. A 3 year old boy with duchenne muscular dystrophy whose mother is pregnant for the second child will want to
know of the second baby been affected with same condition.
A. Nil
B.25%
C.50%
D.100%
4. Healthy 36 yr old with 1+ of protein in Urinalysis what to do?
A. Start ACEI
B. Refer
C.Advise on Protein Diet
DRepeat
5. 70yr old with Diplopia on lateral view.
Affected Nerve?
A. Left 3rd
B. Left 6th
C.Right 3rd
D. Right 6th
6. 4 year old boy with an anterior neck swelling of 6 months duration, it is smooth and not tender, temperature
36.8, swelling moves with swallowing and tongue protrusion. Diagnosis
A. Branchial cyst
Ɓ. Lymphadenopathy
C. Thyroglossal cyst
7. A 72 year old man with HF started ramipril 2 weeks ago what blood test to perform
A. BNP
B. FBC
C.LFT
D.KFT
8. A man had lung Ca and underwent lobectomy. Chest drain was inserted and removed 2 days ago. He started
feeling breathless
What’s the most appropriate action?
A.Insert Chest drain
B.IV Abs
Some other tx I don’t remember
9. On inserting chest drain in the 4th ICS what structure are we likely to damage?
A. ICS arterty
10. 22 year old woman presented with severe left sided headache and right sided body weakness. Headache
was preceded by nausea and photophobia. She is on COCP.
Body weakness has resolved. CT scan normal.
,What is the most appropriate next management plan?
A. No need for further management
B. Start aspirin
C. Stop COCP
D. Start propranolol
E. Start topiramate
11. Q1. An old man on palliative care. CXR showing pleural effusion on right lower lung zone.
Treatment? Pleural aspiration
12.42 y/o man poorly malnourished with alcohol dependence. He has confusion ,ataxia and nystagmus. What is
the most appropriate immediate management
A. 10% glucose infusion
B. Iv vitamin B complex
13. 56year old man who cut himself on the wrist. Wound has been sutured. He has poor eye contact. He’s not
sure if he won’t attempt to take his life again. What to do next?
D. Refer to community health mental team
E. Refer to on call psychiatrist
14. 76y/o man being managed for multiple myeloma
Na- normal
K- normal
Urea- high
Creatinine-high
Ca-3.3
He has been given IVF. What to give next
A.Ivpamidronate
15 . An 80 year old had fluctuating confusion and disorientation for 3 days . Visited at home by his GP with his
sleep cycle disturbed. He was recently catherize for urinary incontinence few weeks back .
What is the diagnosis?
a. Alcohol withdrawal
b. Delirium
c. Lewy body dementia
16. . A 45 year old man presented with expanding rash of three we eks duration and aches and weakness. A
picture of erythema migrans . What is the most useful investigation?
a. Skin scrap
b. Lyme disease serology
17. An 18yr old man who was treated for a sorethroat last week managed as glandular fever, now presenting
with abdominal pain after playing football. Which organ is affected?
A Pancreas
B Spleen
C kidney
D Urinary bladder
E Liver
18. A man found unconscious
Glucose 2.1
Mgt?
A. Oral glucose gel
B. IM Glucagon
C. Iv 20% Glucose
D. 0.9% Normal saline
19. A pt with bipolar. Hav creps
Drugs responsible
A.Lithium
B.Thyroxine
20. A 96yr old patient who developed presured speech, flight of ideas, auditory Hallucination and bizzare
delusion. Was treated for infective excerbation about a few days ago.
Uploaded by MEDBOOKSVN.ORG
, Medication implicated
A.Amoxicillin
B.Doxycycline
C.Salbutamol
D.Prednisone
E.Tritopium
21.A 6yr old boy with fever for 6 days, with fissuring of the lips, non purulent conjunctivitis, cervical
lymphadenopathy
What is the Rx?
A. Antibiotics
B immunoglobulin
C Steroids
D Anagelsics
22. A girl presented to the Emergency department with severe headache. Headache was initially preceded by
nausea and vomiting. What is the most INITIAL management. She takes cocp
A) no treatment
B) start aspirin
C) stop cocp
D) start topiramate
E) start propranolol
23. A man in the post surgical ward presents with 6hrs of vomiting. He had a colorectal surgery 6 days ago.
Temperature was 37.8, respiratory rate was 8. Abdomen was distended and mildly tender. They were no bowel
sounds.
Hb - 13mg/dl
WBC- 9 (4-11)
What is responsible for his symptoms
a) anastomotic leak
b) paralytic ileus
c) opioid toxicity
d) ulcerative colitis
24. 83 year old presents with gradually worsening vision. He is unable to read clearly or see at night
Cornea and conjunctiva appeared normal
a) age related macular degeneration
b) dementia associated eye disease
c) acute angle closure glaucoma
d) anterior uveitis
25.: A patient presents with 2day hx of epigastric pain. She was diagnosed with duodenal ulcer 6months ago and
received H. Pylori eradication therapy. How will H. Pylori eradication be confirmed?
a) C-13 urea breath test
B) Feacal H. Pylori
C) H. Pylori serology
26. A 28yr old woman with that is having palpitations and is anxious, unable to sleep for the last one month
Investigation
Tsh..elevated, free T3 normal, free T4 normal. Rx
A. Levothyroxin
B USS of thyroid scan
C Reassure
D Propanolol
27. A 7yr old boy with weight gain and bilateral pedal oedema for 3wks . He is otherwise normal on examination
What is the most appropriate diagnostic blood test.
A Albumin
B.CRP
C. Hb.
D. Urea
E. Creatine kinase
