Recalls for August 2024 Medical Questions PDF

Recalls for August 2024 Done by: Lashaun Abrams, Christal Campbell, Christy Caleb, Leticia Godknows and Roneisha Fraser 1. Pt with Extradural hematoma, about to be transferred. What fluid should be given? A. Mannitol B. RL C. NS 2. Administration route for mgso4? A. Iv B. Im butto...

Recalls for August 2024 Done by: Lashaun Abrams, Christal Campbell, Christy Caleb, Leticia Godknows and Roneisha Fraser 1. Pt with Extradural hematoma, about to be transferred. What fluid should be given? A. Mannitol B. RL C. NS 2. Administration route for mgso4? A. Iv B. Im buttocks C. Im deltoid D. Subcu 3. Pt with fracture which was casted, minutes after started feeling extreme pain. The cast was removed. What is the next step in management? A. Tibial reduction B. Fracture repair then to be seen by vascular team C. Vascular team first then fracture repair 4. Pt with enlarged thyroid and lymph node enlargement. What is the cause? A. Hashimoto's B. Graves C. Dequervian thyroiditis 5. LMW heparin is contraindicated in? A. Obesity B. Dialysis pt C. Dm D. Pregnancy 6. Which of the following is the LEAST appropriate investigation(s) for a child with nephritic syndrome? a. CBC, Hb electrophoresis b. Spot urine protein and Cr, Urine microscopy c. BUN, Cr and electrolytes, Serum Albumin d. Abdominal USG e. ASTO, C3, ANF, VDRL, HBSAg 7. Pt with symptoms of nephritic syndrome, values for bun, cr, etc given. What is the next step in diagnosis? A. Kub B. Urine microscopy C. Serum protein and albumin D. Usg 8. A patient presented with SOB, Tachycardia and hypotension after flight landed from Jamacia. She also has hemoptysis and sharp pain to the chest on breathing. How will you RX this patient? a. Streptokinase b. 4000 units of Heparin stat and remaining 4000 units later c. 80 units of Heparin stat and remaining 80 units later d. CXR e. CT angiogram 9. Smoker with ripping chest pain, cough etc. what diagnostic test should be done? A. 12 lead ecg B. Chest xray C. Ultrasound 10.. Image of a child with a papular and pustular lesions to thumb and tongue. What is the most likely causative agent? a. HSV 1 b. HSV 2 c. Coxsackie virus d. Echo virus 11. Pulseless pt. what to do? A. Synchronous cardioversion B. Asynchronous cardioversion 12. Xray with leads 2, 3 and afv should ischemia. What is the cause? A. Thrombosis in Inferior aspect B. Thrombosis in superior C. Thrombosis in lateral 13. Photo of a pt with discoid lupus. Had to identitify 14. Picture of persons with downs syndrome. What should not be done? A. Football B. Swimming 15. Picture of child with trisomy 18. To identify 16. Smoker on salbuterol PRN, with cough etc. what is the next step? A. Add oral corticosteroid B. Add nasal corticosteroid C. Long acting D. Continue RX 17.. In neonates, icterus of the sclera or skin is usually NOT apparent until serum bilirubin reaches; a. 10mg/dl b. 5mg/dl c. 8mg/dl d. 2mg/dl e. 15mg/dl 18. A 40y/o man presents to the ER 1.5hrs after the onset of severe substernal chest pain radiating to the left arm. The pain is accompanied by diaphoresis and SOB. His BP is 165/94mmHG and resp. rate is 18bpm. Which of the following tests is the most important tool in the initial evaluation of patients in whom acute MI is suspected? a. Echo b. AST c. ECG d. LDH e. CK-MB 19. 86y/o male has hernia sac with ileum + 3cm tubular diverticulum in distal ileum on anti-mesenteric border. What type of hernia is this? a. Littre b. Strangulated c. Pantaloons d. Direct/Indirect e. Maydl 20. 23 yr with painful joint lump, positive rheumatoid factor..... what is the diagnosis? A. Osteoarthritis B. Rheumatoid arthritis C. Gonorrhea arthritis 21. Which of the following conditions is the heart most likely to be muffled? a. Infective Endocarditis b. Leukemic Pericarditis c. Rheumatic heart disease d. Myocarditis e. Kawasaki Disease 22. Which of the following conditions in children causes myocarditis? a. Infective Endocarditis b. Leukemic Pericarditis c. Rheumatic heart disease d. Kawasaki Disease 23. A pt whose appointment was at 10 and was on time. But the dr was preoccupied with the previous pt. what would be your next step? A. Be furious with the pt B. Do not say anything to the pt unless he asks C. State that the previous pt was an emergency that needed my attention and took up more time 24. Pt who is sad concerning a problem and is explaining to you the dr, what is one thing you should show? A. Empathy 25. Pt whose husband is about to undergo a surgery, is concerned visited her 20 yr old fam physician for advice. What is the reason? A. She value his advise and trust him B. The about of years he has been her physician 26. Diathermy question, what would you do? A. Check to see if plate is shifted when pt move B. You shouldn't make pt touch earthed wire 27.. Which of these fractures won't show on initial Xray? a. Calcaneal \# b. Scapular \# c. Radial \# d. Fibular \# e. Scaphoid \# 28. Man with fam hx of father dx with colon ca at age 62, when should he be tested? A. 50 B. 52 C. 60 D. 70 29. Bell's palsy most likely will associate with which of the following? a. Sudden Onset b. Sparing of the Forehead c. Visual Symptoms d. Deafness 30. Pap smear reveals atypical squamous cell of undetermined significance and high risk HPV typing was negative, next step in management? a. Repeat in 6 months b. Treat infection and repeat pap smear c. Repeat in one year d. Colposcopy 31. 22y/o female with bilateral breast tenderness and fullness associated with Menstrual cycle? a. Fibroadenoma and get mammogram b. Fibroadenoma and reassurance c. Fibrocystic breast disease and get mammogram d. Fibrocystic breast disease and reassurance 32. HIV patient with cerebral infarct and hypothyroidism present as: a. Somatoform disorder b. Functional psychosis c. Factitious disorder d. Dementia 33. Patient with HIV and is positive for TB susceptible Rifampin. CD4^+^ count: 142. Which of the following treatment is indicated? a. RIPE tx followed by ARVT 2wks after initiation b. RIPE tx followed by ARTV 4wks after initiation c. RIPE tx followed by ARVT 8wks after initiation d. RIPE tx and ARVT tx should be started together 34. Baby legs are flexed at the hip and extended at the knee. What type of presentation is this? a. Frank Breech b. Incomplete Breech c. Complete Breech d. Footling 35. Baby legs are flexed at the hip and flexed at the knee. What type of presentation is this? a. Frank Breech b. Incomplete Breech c. Complete Breech d. Footling 36. A patient has a white discharge with vaginal itchiness. What is the treatment of choice? a. Metronidazole b. Clindamycin c. Clotrimazole 37. A young woman with vaginal infection, characterize by fishy odor and presence of clue cells? a. Trichomonas b. Gardnerella Vaginosis c. Chlamydia d. Gonorrhea 38. Pregnant lady has pain above vagina, worsened by walking and relieved by rest a. Pubic diaphysis b. Braxton hicks c. Pre-term labour d. Placenta previa 39. Which is used by the amsel criteria A. B, vaginosis B. Chlamydia C. Gonorrhea 40. 3 day old with purulent eye discharge, what organism cause it? A. gram neg dip B, GRAM positive 41. A 12y/o boy is brought to the clinic because of a several-month history of strange behaviour. According to his parent, the boy occasionally will start staring and not respond. He will also have tears in his eyes. These episodes last several seconds and he them returns to his baseline. He has not sustained any head trauma and is on no medications. Which of the following drugs is the most appropriate diagnosis? a. Infantile Spasms b. Absence seizures c. Epilepsy d. Partial Complex Seizure e. Febrile Convulsions 42. What is sensitivity A. Population with symptom, has a positive results B. Pop without symptom has a neg results C. Pop with symptom has a neg results D. Pop without symptom has a pos result 43. Same as above but what is specificity 44. Who you would not give thrombolytic therapy to? A. Pt with platelet of less then 50 B. ETC 45. Patient at 28wks gestation presents in a breech presentation. You inform her that; a. 25% of Breech remains breech until term b. 25% Breech babies return Cephalic at term c. 10% of Breech remain breech until term d. 10% Breech babies return cephalic at term 46. Cannot rem the question but answers were chromosomal numbers. I put the one with Philadelphia chromosome as my answer 47. Which does not cause thrombosis? A. C an s protein B. Hper**fibrinogenemia** C. **Platelet** 48.. A 4 year old child has onset of fever, running nose and mild cough 1 day ago. Parents initially gave acetaminophen, but last night the fever was high and they administered ibuprofen. This morning, he was noted to have swelling of the eyelids, lips and tongue, and had difficulty breathing associated with loud sounds. He was rushed to the hospital the next. The next best step in management would be to give **:** a. Epinephrine b. Hydrocortisone c. Diphenhydramine d. Ceftriaxone 49. An elderly man complains of retro sternal chest pain radiating to the left arm and associated with increase sweating and dyspnea. BO 140/86. ECG is shown below. What is the most likely pathology in this patient? a. Occlusion in the Circumflex artery b. Occlusion in the Right Coronary artery c. Occlusion in the Left Anterior descending artery d. Occlusion in the subclavian artery 50. What's the diagnosis in the above patient in? a. Anterior wall MI b. Posterior wall MI c. Inferior wall MI 51. \- A 46 year old male who has consumed a pint of run daily for 18 years, presents with right upper quadrant pain. The pain is of four days duration. He gives a history of taking two extra strength acetaminophen tablets every four hours for the past week to relieve headache. There is no history of jaundice or gallstones. The patient had a blood transfusion 20 years ago when he was hospitalized for a motor vehicle accident. There is no history of recent exposure to hepatitis. Physical examination revealed an enlarged tender liver with a span of 18 cm. The most likely diagnosis is: a\) alcoholic hepatitis. b\) acute cholecystitis. c\) acetaminophen hepatotoxicity. d\) acute viral hepatitis B. e\) acute viral hepatitis C. 52. An enlarged spleen is a typical feature of which one of the following: a\) adult sickle cell disease. b\) adult coeliac disease. c\) portal hypertension. d\) aplastic anaemia. e\. multiple myeloma 53. A 50 year old female has atrial fibrillation which is controlled by digoxin. On auscultation a rumbling mid-diastolic murmur is heard at the apex. What is the most likely underlying condition? a\) aortic regurgitation. b\) atrial septal defect. c\) ventricular septal defect. d\) aortic stenosis. e\) mitral stenosis. 54. child who could have previously walked now unable to. Next step in management? A. genetic test b\. muscle biopsy 55. man 2 days ago discharged for mi. now return with mi. what is the cause? A. DREsler syndrome b\. Papillary rupture 56. what should not be used in eczema? A. emollients d. Ketoconazole 57\. mother with 1 year old child wants to know when to buy a tablet for her 1 year old because she don't want her child left behind, at what age A. 12 months educational vid B. 18 months for video calls and entertainment e. 15 MONTHS for video calls and entertainment vids f. 25 MONTHS video call and educational vids 58\. how much screen time should a 6 month old have A. 2 HRS b\. NONE c\. 1 hr 59\. - A four-year boy is brought to the emergency department for an allergic reaction. He has a known allergy reaction to pea-nuts and accidentally ingested some peanuts approximately 15 minutes ago. Despite intravenous (IV) fluids, his blood pressure remains 65/30 mmHg.. Of the following, the next best step in management is: a\) diphenhydramine intravenously b\) epinephrine intravenously c\) hydrocortisone intravenously d\) dopamine intravenously e\) cimetidine intravenously 60\. - An eighteen-month old boy is admitted with a high fever and a generalized convulsion that lasted five minutes. He was a fullterm baby, has no chronic illnesses and has never been hospitalized. His developmental age was appropriate. His examination was unremarkable, except for a temperature of 40C. He has no neck stiffness. By day three of admission he becomes afebrile, and develops a generalized maculopapular rash. He otherwise looks well.Of the following, the most likely diagnosis is: a\) measles b\) rubella c\) Rocky Mountain Spotted Fever d\) roseola e\) scarlet fever 61\. what is true about Gerd? A. h. pylori is not associated B. 62\. what is true about AAA A. occurs at 45- 50 B. located on suprarenal aspect 63 63\. A patient with lack of emotions and eye contact, staying at one place for a long time. He also has a history of being aggressive with people and believes demons are chasing him. What type of schizophrenia is this? a\. Catatonic B. Disorganized c\. Paranoid d\. Undifferentiated 64\. Which oral contraceptive causes osteoporosis a\. Mirena b\. Depo Provera (medroxyprogesterone acetate) \[The correct option without the word **oral**\] c\. Implants d\. Progestins e\. Estrogen only pills 65\. When to start hiv therapy --- a\) cd 4 count less than 350 b\) cd4 count less than 200 c\) Start ARVT immediately d\) when the patient is pregnant 66\. ) A toddler presents with scald burns to the torso and abdomen following an incident of a pot of hot water spilling on him 3 hours ago. Which of the following is the best method to estimate the total body surface area of burn?\ a. Wallace rule of nines\ b. Parkland's formula\ c. Brooke's formula\ d. Lund and Browder chart\ e. Brosclow tape 67\. anion gap question ---------pso2 is 80 and pc02 is 28 ph is 7.28 and urine ph is 2...what type of acidosis is this A. Respiratory Alkalosis with compensatory acidosis b\. respiratory acidosis with metabolic alkalosis 68\. Skin eruption image of a patient who reacted to augmentin a\. Mobiliform drug eruption b\. Steven Johnson Syndrome 69\. man went to Mexico, had a sore throat of which he use augmentin. Now had watery diarrhea. What meds would be used? A. CIPRO B. VANCO B. METRONIDAZOLE 70\. Man with stones, what drug to use? Tamsulosin 71\. meds give for b.v? A. metronidazole 500 mg, clinda etc for 7 days B. METRONIDAZOLE ETC FOR 1 MONTH ETC 72\. TX FOR eczema A. GRISeosulvin 73.Which function is conserved in a patient with Schizophrenia;. Option given to select more than one a\. Calculating and balancing cheque book b\. Remember short term information C. SOCIAL BEHAVIOUR 74.obese child with a limp A. Slipped capital femoral epiphysis B. Legg--Calve--Perthes disease C. Osgood--Schlatter's disease D. Patellofemoral syndrome E. Growing pain 75\. A case of a child with SCD, what is the MOST common cause of death in SCD?\ a) Sequenstration\ b) Aplastic crises\ c) Acute chest syndrome\ d) Painful crises 76\. A 62 years old man with long time knee and ankle pain, he also complains of swelling of the wrist.....worsens with activity--- A. rheumatoid arthritis, B. osteoarthritis 77\. Mechanism of action of Progesterone Only Pills a\. increase cervical mucus b\. decrease cervical mucus 78\. A 65y/o with DM, HTN, CAD. Had stent and pacemaker placed. Presented with jaundice, CT revealed dilated gall bladder, CHD and CBD with normal pancreatic head. Abdomen is non-tender. How will u manage this pt? b. ERCP with stent c\. Medical management with antibiotics d\. Whipple procedure 79\. Pt that has TMJ pain, worsens on chewing ,headache but no fever. On exam she has crepitus at the joint.... What will be your initial intervention? a) NSAID b) ultrasound c) Steroid d\) MRI OF TMJ1 80\. A 4 y/o child appears fretful and does not want to go home after in-hospital treatment for pneumonia? Which of the following is the most significant contributing factor?\ a) The temperament of the child\ b) The absence of social supports within the community\ c) Being a teenage mother\ d) The birth weight of the child\ e) Having a personal hx of abuse itself 81\. ) Which of the following statements regarding Basic Life Support (BLS) Adult guideline is CORRECT?\ a. If the rescuer is alone with an adult in cardiopulmonary arrest, without a mobile phone, at least 2 minutes CPR should be given before going for help\ b. The compressions to breaths ratio is 30:2 in adults and children regardless of the number of rescuers\ c. The depths of compression should not exceed 2.4 inches or 6 cm\ d. The rate of compressions should be greater than 100 beats per minute\ e. Following use if the Automatic External Defibrillator (AED), the central pulse should be checked to see if output has returned 82\. Common infections diabetics are prone to is; a\. uti, b\. Gastroenteritis c\. otitis media 83 Which of the followings not cause of stridor; a\. Larngomalacia, b\. Tracheomalacia c\. Vocal cord nodules, d\. Carcinoma of the larynx 84 ) A man returns from a trip with sudden onset on rash, cough, fever, dyspnea and bloody diarrhea; a. Malaria b. Yellow fever, c. Schistosomiasis, d. Hepatitis a, 85\. A 76 year old man presents to his urologist with complaints of easy fatigability and shortness of breath on exertion. Investigations reveled iron deficiency anemia and colonoscopy confirmed an ascending colon cancer. The patient agreed to having a laparoscopic approach for his colectomy surgery. Which of the following is not an acceptable advantage for this surgery? a\. Reduced operative time, b\. better cosmetic outcome, c\. improved outcome, d\. shorter time in the hospital. e\. Reduced Cost 86\) A young lady presents with a Terrible abdominal pain that happens approximately 2weeks before period but is self limiting, diagnosis; a\. Endometriosis b Premenstrual Syndrome c\. Mittelschmerz d\. Uterine Fibroids e\. Appendicitis 87\. Indication of corticosteroid use in HIV patients a\. WBC\> 15000 b\. pao2 \ A. 5% dextrose + 0.45NS B. Dextrose with ns with kcl 115. Age to do Pap smear, she is 16 n she said she is sexually active at what age u will let her get the test? A. 21 B. 30 116. Which of the following will help u diagnose MDD in those who don't have depressed mood. A. Lack of interest in activities they once loved 117. Pt 16 weeks pregnant confused about due date, she had an ultrasound done 1 day ago. Which one will not be used A. crown rump length B. biperiatal diameter C. head circumference D. Abdomen circumference. 118. Which is not related to cardiac origin? A. chest pain on sweating B. pain left arm, C. pain right arm, D. pain on deep inspiration 119. Neonate who failed auditory exam. what next to be done? a. Play audiometry b. auditory Brainstem Response (ABR) evaluation 120. Most common cause of pancreatitis next to alcohol. Answer-Trauma 121. Asthmatic pt is being shown how to use mpi and spacer. What should not be done A. LET IT COVER THE NOSE AND MOUTH B. Let the pt count to 10 and hold their breath 122. An 8 year old is seen in casualty with 2 days history of fever, join pains and headache. Her temperature was 101 degree Fahrenheit and responsive to Acetaminophen given over 4 hours. The following day, a generalized fine popular rash was observed and associated with cervical and axillary lymphadenopathy. What is the most likely diagnosis? a. Measles b. Scarlet fever c. Rubella d. Erythema infectiosum e. Roseola infantum 123.. A patient presents with a hyperemic popular rash to the flexural creases. How would you treat this patient? a. steroid cream b. antifungal cream c. antibiotic grade d. antiviral cream 124. which of the following is the LEAST likely risk factor for chronic venous insufficiency? a. obesity b. diabetes c. occupation associated with standing long hours d. positive family history e. female gender 125. On routine examination, a patient was found incidentally with a 6.5 cm abdominal aortic aneurysm. Which of the following is the best recommendation to the patient? a. observation until symptomatic b. open repair due to 50% chance of rupture in the next year c. Open repair due to a 10% chance of rupture in the next year d. Smoking cessation and exercise e. Observation until ruptured. 126. A 72 year old woman who presented to surgery clinic with complaints of pain on walking, and progressing to the rest. Exam reveals the great toe that is hyper-pigmented and necrotic. Ankle brachial index is 0.3. What is the most appropriate course of his management? a. heparin, ct angiogram, Embolectomy b. heparin, ct Angiography, ecg Bypass surgery c. heparin, bypass, embolectomy 127. You are counseling a patient regarding contraceptive options. She is 36 year old, smokes one pack of cigarette a day, weighs 145lbs and has no medical illness. She is sexually active but not in a monogamous relationship. Which of the following is her best contraception option? a. Combined oral contraceptive pill b. An intravaginal ring system delivering estrogen and progestin c. A transdermal contraceptive patch delivering estrogen and progestin d. An injectable form of long acting progestin e. An intrauterine device 128. You are caring for a man with Asthma. He is currently taking an inhaled steroid twice daily and using his short acting B agonist inhaler as needed. Over the last three months, he has required escalating doses of his inhaled steroid. And now he is at maximum dose, still using his rescue inhaler more than he would like. Which of the following is best medication to add to his regimen? a. A burst and rapid taper of oral steroids b. Long acting B- agonist c. Cromolyn (Intal) d. Ipratropium (Atrovent) e. Theophylline 129. A 46 year old known hypertensive patient, being controlled on hydrochlorothiazide presents to you for routine evaluation. His blood pressure last visit was 118/76mmHg. Laboratory evaluation reveals a normal creatinine and a GFR greater than 90ml/min, but he does have microabuminuria. Which of the following interventions is indicated in this patient? a. Commend him on his excellent control and make no changes b. Work to achieve better blood pressure control through diet and exercise c. Increase his hydrochlorothiazide dose d. Add an angiotensin converting enzyme (ACE) inhibitor e. Check a glycosolated hemoglobin level 130. In the context of patients with hypertension, which of the following statements is least characteristic in cases of epistaxis? a. Epistaxis is more common in hypertensive patients, perhaps owing to vascular fragility from long standing disease. b. Hypertension is rarely a direct cause of epistaxis c. Patient with epistaxis commonly present with an elevated blood pressure. d. Studies have shown that the control of epistaxis is more difficult in hypertensive patients, and patient's whose systolic blood pressure is higher at presentation tend to need definitive management with packing, balloon devices or cauterization. e. Anterior epistaxis carries a worse outcome than posterior 131. Which statement is most correct in regard to wound preparation for primary closure? a. Local anesthesia should be performed following irrigation to avoid introduction of bacteria deeper into the wound b. Irrigation with normal saline to at 5-8 psi is the most effective means of decreasing wound bacteria counts. c. Hair that interferes with wound closure should be removed by shaving to prevent entrapment within the wound d. Wounds should be lightly scrubbed to remove particulate matter, followed by irrigation with povidone-iodine solution e. All wounds should be explored 132. A twelve year old boy was seen by you after falling from jungle gym at school. He is found to have tenderness to his anatomical snuff box. You put on a plaster pf paris and refer him to orthopedic surgeon for further management. What is the most likely injury that he has sustained? a. Fracture to his capitate b. Fracture to his lunate Fracture to his radial styloid d. Fracture to his scaphoid e. Fracture to his triquetrum 133. Which of the following is not a common cause of anorectal infection among sexually active patients? a. Herpes simplex virus b. Chalmydia trachomatis c. Condylomata lata d. Candidiasis e. Contact Dermatitis 134. A 48 year old cocaine user presents to the hospital with a 2 hour history of severe ripping central chest pain radiating to the mid back. He also complained of dizziness and a syncopal episode 20 minutes prior. His vital signs include Pulse -- 120/min, respiration 24/min, BP- 180/90 in right arm and 150/70 in left arm, SPO2 -- 98%. Respiratory exam normal, cardiac exam only revealed murmur in keeping with aortic regurgitation. Which of the following investigations is best for the patient? a. A 12 lead ECG b. A plain chest xray c. Urine toxicology screen to determine the presence of cocaine and marijuana d. Helical CT scan of the chest e. A stress ECG 135. Excluding cholelithiasis and alcohol use, what t is the next most common cause of acute pancreatitis? a. Drugs b. Infection c. Trauma d. Metabolic disturbances e. Scorpion bite 136.. Blood gas analysis for a pregnant patient suspected of having diabetic ketoacidosis reveals a pH of 7.5. On further assessment, serum PCO2 30 mmol/L, HCO3 16 mmol/L, base excess minus 4.0. Which of the following best describes the patient's acid base disturbance? a. Metabolic acidosis and metabolic alkalosis b. Metabolic acidosis and respiratory alkalosis c. Metabolic alkalosis and respiratory acidosis d. Physiologic compensation and no acid-base disturbance e. Respiratory acidosis only 137. Which of the following best describes a simple febrile seizure: a. A generalized tonic clonic seizure lasting \< 30 minutes associated with fever 38 C in a child between 6 months to 5 years of age, and occurring once in a 24 hour period c. A generalized tonic clonic seizure lasting 138. A 30 year old male sustained injury from a fall on the outstretched hand. Radiograph shows fracture of one of the bones in the wrist. Which of the following is a characteristic sequel in the proximal aspect of the affected bone? a. Avascular necrosis b. Infection c. Malunion d. Osteoarthritis e. Pain 139. Which of following complications is associated with Cystic fibrosis. Answer- Meconium ileus. 140. Hand foot mouth syndrome was described. So answer was coxsackie A. 141. Heliotrophe rash n that neck collar rash pictures given. Dx is dermatomyositis u will get it from pictures itself. 142. They asked what will be the antibody associated in dermatomyositis. Rx-Anti Jo-1 143. Scleroderma is described and they asked what drug u will use to help renal crisis in scleroderma? Answer - as ACEI's are renoprotective i chose it 144. When to start art even if CD is good- all pt should begin arv 145. How to diagnose BV-Amstel criteria 146. Women 20 weeks bleeding clinically okay- USG and review in a week 147. Women 32 weeks bleeding clinically okay -USG and review next day 148. GNRH agonist drug- goserelin 149. Which antidiabetic drug doesn't cause hypoglycaemia- Anser-Metformin 150. Lady brother had colon cancer at 62, when she can screen -52 151. Which parameter is most likely to access in first trimester- CRL 152. Which is not a part of the quad screen? A HCG B AFP C ESTRADIOL D PROGESTERONE E INHIBIN 153. WHICH IS A PART OF THE 4 TENET: AUTONOMY 154. WHICH NOT A CAUSE FOR HYPERBILIRUBINEMIA IN NEOANATES. I CHOSE PENICILLIN 155. PYLORIC STENOSIS WHAT ELECTROLYTE IMBLANCE WOULD THEY HAVE? HYPOCHOLERMIC HYPOKALEMIC METABOLIC ALKALOSIS 156. 4\. Pic of a 14yr boy with club finger, what\'s the cause? (a). TOF, (b)kidney dx (c)liver disease (d) familial 157.. MOA for COCP 158.. MOA for progestin pill only 159. 8\. Anchovy sauce \... Amoebic abscess 160.. Treatment for Tinea capitis 161.. Picture of koplik spots on Buccal mucosa 162.. 20yrs lady comes with lump in breast that she noticed when taking her bath ( coincides with her menstrual cycle), what\'s next best step. a) excision biopsy b) core needle biopsy c) reassurance. 163. 18\. A child consuming Paracetamol and the parents say they think he likes the taste of it, what is the next best step as physician?a) tell social worker for regular visit b) tell a strict nurse to inform the parents on safety c) 164. 19\. A 4yr old noy comes with 3days history of cough and fever, fever controlled by Acetaminophen, what will u do? a) prescribe antibiotics and send him home b) refer him c) reassure parents that antibiotics is not required 165. 20\. A lady has not seen her period for 6months and is bleeding with abdominal pain. a) miscarriage b) fibroids c) ectopic pregnancy 166. 21\. The right place to do a thoraco centesis 167. 22\. Pic of an ulcer what\'s the best care method a) debridement b) dress and cover with soaked gauze c) dress and cover it with dry gauze 168. 25\. Which of the following is associated with hodgkin\'s lymphoma a) Dermatomyositis b) Tinea c) eczema 169. 27\. Anatomical site for Parkinson disease. 170. 28\. Diagnostic criteria for type 2 diabetes. 171. 37\. A pt fell from her bed, power in upper limb 1/5 , lower limb 4/5 what syndrome is THIS? Brown Sequard syndrome, etc 172. Homosexual man with tumors on the tongue. Tested neg for hiv 8 months ago. What is the next step in management? A. TUMOR BIOPSY B. HIV RNA TESTING 173. 68 YO WOMAN WHO SMOKE 1 PK PER DAY WITH ABI OF 0.7 AND 0.4. WHAT MANAGEMENT WILL DIMINISH MORBITY. A. LOW EXTREMITY ANGIOPLASTY B. INITIATION OF TOBACCO CESSATION C. ADD PENTOXIFYLLINE D ELASTIC HOSE TO BOTH LOWER EXTREMITIES E. RIGHT TRANSMETARSAL AMPUTATION