Sept 2020 Recall
1. a baby with a pink lump on her umbilicus, no pain, no redness, baby eats well and gains
weight. The appropriate topical mngt:
A. Fusidic avod
B. Silver nitrate
C. Hydrocortisone
D. Anti fungal
E. Table salt
2. A child with ADHD , ON methylphenidate with insomnia, best mngt
A. Increase dose
B. Reassure
C. Change dose to lixme something
3. A man playing football when he felt a snap, and could not plantar flex his foot
A. Achillis tendon rupture
B. Dvt
C
4. 54 year old woman with thick creamy discharge from one duct on her left breast. Diagnosis?
A. Duct papilloma
B. Ca breast
C. Duct fistula
D. Mastitis
5. 4 weeks old baby with non billous vomiting, eating well and not gaining weight, most
appropriate invex
A. Abd uss
B.
6. A 25yr old man with dizziness, headache and horizontal nystagmus. He had history of urti
few days ago
,A. Acoustic neuroma
B. Vestibular neuritis
C. Menniers dz
7. A baby presented to A&E after he that fell from his bike, hit his head and loss consciousness.
He xould not remember what happened. Appropriate invex
A. Reassure
B. Urgent ct scan
C. Xray of the head
8. A man that had surgical procedure and was being discharged. His fasting blood sugar has
consistently been high for the past 2days, his glycated haemoglobin is 60. His BMI is 32.
What medication do you prescribe
A. Metformin
B. Sulphonylureas
C. Reassure
D. Repeat FBS
9. A woman with 4days hx of blurry vision and red eye, her anti depressant was recently
changed from fluoxetin. What to do
A. Refer urgently to optician
B. Refer urgently to ophthalmologist
C. Prednisone
10. A woman who presents with tiredness and lethargy for 3weeks. She was diagnosed with RA
12 years ago and has been on methotrexate and naproxen twice daily. Her hb is low, MCH id
low, others are normal. Cause of her lo hb
A. Anaemia of chronic dz
B. Side effect of methotrexate
C. Chronic bleeding
11. A woman that has shoulder and hip pain. Limited range of movt in her shoulder, but no mzle
tenderness. Xray of her wrist shows thicked calus. What medication to give
A. Nsaid
, B. Prednisone
C. Pcm
12. A woman with metastasis to the vertebra, codeine medication is not helping anymore, reacted
to ibuprofen some time. Most appropriate next step
A. Naproxen
B. Diclofenac
C radiotherapy
13. Medidation to give a woman with osteoporosis to prevent further bone fracture
A. Alendronate
B. Steroid
14. Ecg question on a 25yr old man with light headed headedness and PR of 190, carotid
massage is not helping, what to do next
A. Iv adenosine
B. iv amiodarone
C. Dc
15. And eye picture of a woman with high BP, the diagnosis
1. a baby with a pink lump on her umbilicus, no pain, no redness, baby eats well and gains
weight. The appropriate topical mngt:
A. Fusidic avod
B. Silver nitrate
C. Hydrocortisone
D. Anti fungal
E. Table salt
2. A child with ADHD , ON methylphenidate with insomnia, best mngt
A. Increase dose
B. Reassure
C. Change dose to lixme something
3. A man playing football when he felt a snap, and could not plantar flex his foot
A. Achillis tendon rupture
B. Dvt
C
4. 54 year old woman with thick creamy discharge from one duct on her left breast. Diagnosis?
A. Duct papilloma
B. Ca breast
C. Duct fistula
D. Mastitis
5. 4 weeks old baby with non billous vomiting, eating well and not gaining weight, most
appropriate invex
A. Abd uss
B.
6. A 25yr old man with dizziness, headache and horizontal nystagmus. He had history of urti
few days ago
,A. Acoustic neuroma
B. Vestibular neuritis
C. Menniers dz
7. A baby presented to A&E after he that fell from his bike, hit his head and loss consciousness.
He xould not remember what happened. Appropriate invex
A. Reassure
B. Urgent ct scan
C. Xray of the head
8. A man that had surgical procedure and was being discharged. His fasting blood sugar has
consistently been high for the past 2days, his glycated haemoglobin is 60. His BMI is 32.
What medication do you prescribe
A. Metformin
B. Sulphonylureas
C. Reassure
D. Repeat FBS
9. A woman with 4days hx of blurry vision and red eye, her anti depressant was recently
changed from fluoxetin. What to do
A. Refer urgently to optician
B. Refer urgently to ophthalmologist
C. Prednisone
10. A woman who presents with tiredness and lethargy for 3weeks. She was diagnosed with RA
12 years ago and has been on methotrexate and naproxen twice daily. Her hb is low, MCH id
low, others are normal. Cause of her lo hb
A. Anaemia of chronic dz
B. Side effect of methotrexate
C. Chronic bleeding
11. A woman that has shoulder and hip pain. Limited range of movt in her shoulder, but no mzle
tenderness. Xray of her wrist shows thicked calus. What medication to give
A. Nsaid
, B. Prednisone
C. Pcm
12. A woman with metastasis to the vertebra, codeine medication is not helping anymore, reacted
to ibuprofen some time. Most appropriate next step
A. Naproxen
B. Diclofenac
C radiotherapy
13. Medidation to give a woman with osteoporosis to prevent further bone fracture
A. Alendronate
B. Steroid
14. Ecg question on a 25yr old man with light headed headedness and PR of 190, carotid
massage is not helping, what to do next
A. Iv adenosine
B. iv amiodarone
C. Dc
15. And eye picture of a woman with high BP, the diagnosis
