EXAM KEY
Guys contribute in ADDING the REMAINING 18 QUESTIONS and MAKING CORRECTION in this key
So that we all can roughly calculate our scores
1- Women with hip replacement + Breathlessness = Pulmonary Embolism
2- Multiple yellow swellings on eyelid = xanthelasma
3- Baby born at 28wk, kept in ICU for month + B/L conductive hearing loss = serous otitus media
4- pan systolic murmur + basal crep diagnostic inv = ECHO
5- Hyperkalemia = Ca Chloride
6- Hyperkalemia = Ca gluconate
7- foreign body kid = Laryngoscopy
8- Hypocalcemia management = pamidronate
9- Prevention from renal contrast = 0.9% N/s
10-Fever confusion patechia initial = Blood Culture
11-red eye no pain = Reassure
12- 35 year old Floaters n flashes + family H/0 = Retinitis pigmentosa
13- headache vomiting painful eye = Acute close angle glaucoma
14-Nasal epistaxis everything normal aptt 42 (normal upto 41) = Hemophilia
15- cancer + Hiccups = Midazolam
16- Mother thinks neighbors come to home = Delusion
17- central chest pain radiating to back = Aortic Dissection
18- Dysmenorrhoea menorrhagia irregular cycle = COCP
19- painless hematuria initial = cystoscopy
20- post coital bleeding smear normal bleed on touch = endocervical swab
21 painless ulcer = treponema pallidum
22 painful ulcers = HSV
23 ALL diagnostic test = Bone marrow biopsy
24 young fever cough sputum = bacterial pneumonia
25 pregnant women UTI = cefalexin
26 warfarin drug interaction = carbamazepine
27 trigeminal neuralgia = carbamazepine
2 warfarin INR 7 nose bleed initial = vit k
29 Thyrotoxicosis = Propanalol
30 tonsillar carcinoma mets = Mandible / carotid sheath?
31 ECG atrial fib + low BP (unstable) = Cardioversion
32 Anal wart = HPV
33 trauma + hematuria = CT/ IVU ?
34 Copd = Long O2 therapy
35 NNT = one patient benefit
36 confusion CT normal = Viral encephalitis
37 epigastric pain no diarrhoa nausea n vomiting = Gastroenteritis
38 waitress diarrhea = diarrhea settled/ stool culture negative ?
39 Seizure Lorry driver = DVLA
40 while driving seizure LOC tongue bite= epileptic seizure
41 breast/prostate cancer pain over vertebrae right thigh plus loss of sensation = MRI spine
42 Multiple sclerosis = MRI brain
43 homeless person TB = isolated
44 suspected meningitis = inform when suspected?
45 person fight, put neighbour's home on fire = Local safegaurding team ?
46 X linked dominant alport (father affected) with male child = O%
47 cystic fibrosis + chances of brother affected = 25%
48 congenital adrenal insufficiency = 1:4
49 gram -ve curved rod (vibro cholera)? = antibiotic?
50 Hallucination = Lewy body dementia
51 sweating , pain rhinorrhea withrawal= Heroin
52 Gardenalla = Metronidazole
53 mother having child 2 weeks back = Peuperal psychosis
54 agitated , helping some famous personality = Delusion of grandiose
55 heinz bodies and bite cells = G6PD deficiency
56 post malarial drugs dark urine mild jaundice tender RHC = Hemolytic anemia (G6pD)
57 Ulnar nerve test = Adduction of fingers
58 Stroke with AF = Apixaban
59 Dementia ready to discharge = mental capacity
60 future stroke = ABCD2
61 RFT derranged + bloody diarrhea = Hemolytic uremic syndrome
62 pencil rubber in ear = Hook
63 women sweating tremor everything normal = Panic attack
64 Doctor takes cannabis = confront him/ supervisor
65 Asthma = respiratory acidosis
66 Gout tx = ibuprofen?
67 osteoarthritis topical NSAIDS morphine sulphate but still pain = options codeine or gabapentin amitryptyline
68 constipation, painful = anal fissure
69 Diarrhea floating stool = Transglutaminase IGA
70 Alcoholic wants to stop = Disulfiram/ chlordiazepoxide?
71 physiologic pregnancy anemia = reassure
72- 12 month can't walk development normal = reassure
73 paraesthesia numbness = V12 deficiency
74- 28 wk painful bleeding = Placental abruption
75- Lithium and ibuprofen interaction = decrease renal clearance
76- hypertension + proteinuria = ACE inhibitors
77 Time limit for Anti D = within 72 h
78 lithium level check = 12h after last dose
79 Dorsiflex loss trauma below knee = COmmon peroneal nerve
80 muffling sound low bp engorged neck veins = Cardiac tamponade
81 Febrile seizure = with fever till 6 years
82 constipation weight gain = hypothyroidism
83 score < 2.9 = Bisphosphonates
84 painless swelling = varicocele
85 urethritis complication = Epididymitis
86 testicular torsion = Surgical exploration
87 child with tender leg and hip = perthes/ septic/ dysplasia ?
88 surgery patient angry in the end thanks = adjustment disorder
89 washes hand = OCD
90- Pyloric stenosis = USG
91 Melanoma = changing color
92 acne dry mouth = isotretonion
93 Breast abscess = Staph aureus
94 peri areolar itching = Paget disease
95 what to do with insulin? = decrease dose or stop 24h ?
96 hypoglycemia = omit glicazide
97 obese fasting BS >7 but no other symptoms = repeat blood test or add metformin?
98 Hard stool = phosphate enema
99 constipation 5 days, exaggerated bowel sounds discomfort = surgical team/ lactulose?
100 tonsillectomy 4 hours ago bleeding = antibiotics ? refer?
101 barking cough = natural resolution
102 during eating dysphagia sudden drooling = endoscopy
103 pneumothorax 50% = O2 and observe / needle aspiration?
104 dementia patient wants to go out of hosp = lorazepam
105 female obese sedentary lifestyle wants to lose weight = life style modification ?
106 endometrial thickness 8mm vaginal bleeding = hysteroscopy + biopsy
107 Hoarsness = recurrent laryngeal nerve
108 Regurgitation progressive dysphagia = achlasia
109 TURP = hyponatremia
110 Lung cancer hyponatremia confusion = SIADH
111 Non accidental injury
112 pt admits nurse suspects of alcohol = psychiatry refer?/admit ?
113 bronchoconstriction = Bisoprolol
114 child = absence seizure
115 FEV1/FVC improved = Asthma
116 paracetamol poisoning refusing tx = mental capacity
117 Alopecia scaly rash = topical steroid
118 grandmother's tabs overdose pinpointed pupil = nalaxone
119 overactive bladder = antimuscuranic
120 HSP
121 mastectomy arm swelling = Lymphedema
122 jaudice palpable liver gallbladder = ca pancreas
123 hypokalemia cause = furosemide
124 end stage life care dnt want to live = ?
125 baby = stress hyperglycemia
126 old lady = stress hyperglycemia
127 LMWH + pE = increase dose n CTPA
128 pregnant women = varicella IGG
129 ovarian abscess = USG
130 Fibroadenoma
131 Torsades de pointes = iv mg sulphate
132 girl low weight dehydration = admit
133 patient dying pleural effusion = aspirate
134 TCA toxicity = fluid e bicarb??
135 smoker obese with GERD = PPI ?
136 slept while driving = Obstructive sleep apnea
137 kidney functions derranged after medication = ACEI
138 future fractures = DEXA
139 Amenorrhea short stature = Turner syndrome
140 chest drain structure damage = intercostal artery
141 peritonitis = tap
142 hot flushes = HRT
143 hypoglycemia = iv glucagon
144 retracted testes higher than the other = Testicular torsion
145 chlamydia complication = Epididymo-orchitis
146 temporal artery biopsy
147 Parkinsism agitated = lorazepam?
148 sees spiders in room = delirium tremens
150 pt with gastric ulcer need painkiller , allergic to diclofenac = codiene
151 ankle edema = Calcium channel blockers
152 ecclampsia mgsulphate given = mg sulphate
153 vaginal spotting using contraception = reassure
154 bleed on touch smear normal = colposcopy
155 amidarone test before using = electrolytes
156 Cancer pt wants to die = Hospice care
157 asthm exacerbation = nebulised salbutamol
158 ulcer on mucosa with white margin on tongue= SCC
159 Side effect of drug shaky hands = Salbutamol
160 night sweats lymphadenopathy = Lymphoma
161 third person hallucination
162 suicidal risk = hx of self harm or family hx?
2- Multiple yellow swellings on eyelid = xanthelasma
3- Baby born at 28wk, kept in ICU for month + B/L conductive hearing loss = serous otitus media
4- pan systolic murmur + basal crep diagnostic inv = ECHO
5- Hyperkalemia = Ca Chloride
6- Hyperkalemia = Ca gluconate
7- foreign body kid = Laryngoscopy
8- Hypocalcemia management = pamidronate
9- Prevention from renal contrast = 0.9% N/s
10-Fever confusion patechia initial = Blood Culture
11-red eye no pain = Reassure
12- 35 year old Floaters n flashes + family H/0 = Retinitis pigmentosa
13- headache vomiting painful eye = Acute close angle glaucoma
14-Nasal epistaxis everything normal aptt 42 (normal upto 41) = Hemophilia
15- cancer + Hiccups = Midazolam
16- Mother thinks neighbors come to home = Delusion
17- central chest pain radiating to back = Aortic Dissection
18- Dysmenorrhoea menorrhagia irregular cycle = COCP
19- painless hematuria initial = cystoscopy
20- post coital bleeding smear normal bleed on touch = endocervical swab
21 painless ulcer = treponema pallidum
22 painful ulcers = HSV
23 ALL diagnostic test = Bone marrow biopsy
24 young fever cough sputum = bacterial pneumonia
25 pregnant women UTI = cefalexin
26 warfarin drug interaction = carbamazepine
27 trigeminal neuralgia = carbamazepine
2 warfarin INR 7 nose bleed initial = vit k
29 Thyrotoxicosis = Propanalol
30 tonsillar carcinoma mets = Mandible / carotid sheath?
31 ECG atrial fib + low BP (unstable) = Cardioversion
32 Anal wart = HPV
33 trauma + hematuria = CT/ IVU ?
34 Copd = Long O2 therapy
35 NNT = one patient benefit
36 confusion CT normal = Viral encephalitis
37 epigastric pain no diarrhoa nausea n vomiting = Gastroenteritis
38 waitress diarrhea = diarrhea settled/ stool culture negative ?
39 Seizure Lorry driver = DVLA
40 while driving seizure LOC tongue bite= epileptic seizure
41 breast/prostate cancer pain over vertebrae right thigh plus loss of sensation = MRI spine
42 Multiple sclerosis = MRI brain
43 homeless person TB = isolated
44 suspected meningitis = inform when suspected?
45 person fight, put neighbour's home on fire = Local safegaurding team ?
46 X linked dominant alport (father affected) with male child = O%
47 cystic fibrosis + chances of brother affected = 25%
48 congenital adrenal insufficiency = 1:4
49 gram -ve curved rod (vibro cholera)? = antibiotic?
50 Hallucination = Lewy body dementia
51 sweating , pain rhinorrhea withrawal= Heroin
52 Gardenalla = Metronidazole
53 mother having child 2 weeks back = Peuperal psychosis
54 agitated , helping some famous personality = Delusion of grandiose
55 heinz bodies and bite cells = G6PD deficiency
56 post malarial drugs dark urine mild jaundice tender RHC = Hemolytic anemia (G6pD)
57 Ulnar nerve test = Adduction of fingers
58 Stroke with AF = Apixaban
59 Dementia ready to discharge = mental capacity
60 future stroke = ABCD2
61 RFT derranged + bloody diarrhea = Hemolytic uremic syndrome
62 pencil rubber in ear = Hook
63 women sweating tremor everything normal = Panic attack
64 Doctor takes cannabis = confront him/ supervisor
65 Asthma = respiratory acidosis
66 Gout tx = ibuprofen?
67 osteoarthritis topical NSAIDS morphine sulphate but still pain = options codeine or gabapentin amitryptyline
68 constipation, painful = anal fissure
69 Diarrhea floating stool = Transglutaminase IGA
70 Alcoholic wants to stop = Disulfiram/ chlordiazepoxide?
71 physiologic pregnancy anemia = reassure
72- 12 month can't walk development normal = reassure
73 paraesthesia numbness = V12 deficiency
74- 28 wk painful bleeding = Placental abruption
75- Lithium and ibuprofen interaction = decrease renal clearance
76- hypertension + proteinuria = ACE inhibitors
77 Time limit for Anti D = within 72 h
78 lithium level check = 12h after last dose
79 Dorsiflex loss trauma below knee = COmmon peroneal nerve
80 muffling sound low bp engorged neck veins = Cardiac tamponade
81 Febrile seizure = with fever till 6 years
82 constipation weight gain = hypothyroidism
83 score < 2.9 = Bisphosphonates
84 painless swelling = varicocele
85 urethritis complication = Epididymitis
86 testicular torsion = Surgical exploration
87 child with tender leg and hip = perthes/ septic/ dysplasia ?
88 surgery patient angry in the end thanks = adjustment disorder
89 washes hand = OCD
90- Pyloric stenosis = USG
91 Melanoma = changing color
92 acne dry mouth = isotretonion
93 Breast abscess = Staph aureus
94 peri areolar itching = Paget disease
95 what to do with insulin? = decrease dose or stop 24h ?
96 hypoglycemia = omit glicazide
97 obese fasting BS >7 but no other symptoms = repeat blood test or add metformin?
98 Hard stool = phosphate enema
99 constipation 5 days, exaggerated bowel sounds discomfort = surgical team/ lactulose?
100 tonsillectomy 4 hours ago bleeding = antibiotics ? refer?
101 barking cough = natural resolution
102 during eating dysphagia sudden drooling = endoscopy
103 pneumothorax 50% = O2 and observe / needle aspiration?
104 dementia patient wants to go out of hosp = lorazepam
105 female obese sedentary lifestyle wants to lose weight = life style modification ?
106 endometrial thickness 8mm vaginal bleeding = hysteroscopy + biopsy
107 Hoarsness = recurrent laryngeal nerve
108 Regurgitation progressive dysphagia = achlasia
109 TURP = hyponatremia
110 Lung cancer hyponatremia confusion = SIADH
111 Non accidental injury
112 pt admits nurse suspects of alcohol = psychiatry refer?/admit ?
113 bronchoconstriction = Bisoprolol
114 child = absence seizure
115 FEV1/FVC improved = Asthma
116 paracetamol poisoning refusing tx = mental capacity
117 Alopecia scaly rash = topical steroid
118 grandmother's tabs overdose pinpointed pupil = nalaxone
119 overactive bladder = antimuscuranic
120 HSP
121 mastectomy arm swelling = Lymphedema
122 jaudice palpable liver gallbladder = ca pancreas
123 hypokalemia cause = furosemide
124 end stage life care dnt want to live = ?
125 baby = stress hyperglycemia
126 old lady = stress hyperglycemia
127 LMWH + pE = increase dose n CTPA
128 pregnant women = varicella IGG
129 ovarian abscess = USG
130 Fibroadenoma
131 Torsades de pointes = iv mg sulphate
132 girl low weight dehydration = admit
133 patient dying pleural effusion = aspirate
134 TCA toxicity = fluid e bicarb??
135 smoker obese with GERD = PPI ?
136 slept while driving = Obstructive sleep apnea
137 kidney functions derranged after medication = ACEI
138 future fractures = DEXA
139 Amenorrhea short stature = Turner syndrome
140 chest drain structure damage = intercostal artery
141 peritonitis = tap
142 hot flushes = HRT
143 hypoglycemia = iv glucagon
144 retracted testes higher than the other = Testicular torsion
145 chlamydia complication = Epididymo-orchitis
146 temporal artery biopsy
147 Parkinsism agitated = lorazepam?
148 sees spiders in room = delirium tremens
150 pt with gastric ulcer need painkiller , allergic to diclofenac = codiene
151 ankle edema = Calcium channel blockers
152 ecclampsia mgsulphate given = mg sulphate
153 vaginal spotting using contraception = reassure
154 bleed on touch smear normal = colposcopy
155 amidarone test before using = electrolytes
156 Cancer pt wants to die = Hospice care
157 asthm exacerbation = nebulised salbutamol
158 ulcer on mucosa with white margin on tongue= SCC
159 Side effect of drug shaky hands = Salbutamol
160 night sweats lymphadenopathy = Lymphoma
161 third person hallucination
162 suicidal risk = hx of self harm or family hx?
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