Posted by Jason on March 22, 2002 at 12:19:19:
MARCH 12th 2003 recalls (BY OSA & others )
This the bit put together for now more shall be out soon so look out
Theme Opthamology.
optios
A intraocular steroids
B IV steroids
C oral steroids
E laser therapy
F no treatment
G B blocker
H eye surgery
I local antibiotics
J sys antibiotics
E.t.c
1. 75yo has difficulty wathcing television complaining of a peripheral constriction of vision. O/e there is cupping of discs
2. 50yo with SLE complains of loss of vision.O/w he is found to have multiple opacities in the lens of his eye
3. 80yo has markedly decreased visual acuity.on fundoscopy, shes found to have bilateral macular pigmentation
Theme TRUMA
Options
A head CT
B skull X ray
C discharge home with head injury instructions
D admit overnight for observation
4. following an alcoholic binge, a 36yo male falls and comes to casualty with a cut in his temporal region,his GCS is normal and his neck cleared by the ortho.
5. 8yo falls off a swing at his chool, brought to casualty with noted bruise over rt eye but exam is otherwise normal.hes full conscious with no history of blackout since the accident. Skull X
ray is normal.
THEME
Diagonsis of renal condtion.
A ca level
B plasma urat level
C alk phos level ,ca level,phosphate level
D dietry condtions
D u/e
E usg
F ivu
G Renal scan (DMSA)
6 A 25 y male presented with recurrent lion pain and stone in ureter.
7 A 35 y m presented with lion pain ,all causes of primary are excluded.
8. A 45 y male presented stone in ureter .he also has no constipation.
THEME
Syncope
A. vasovagal syncope
B. heart block
C. orthostatic syncope
D. drug induced syncope
E. subclavian steal syndrome
F. long QT syndrome
G. brugada syndrome
H inform the surgeon
F Epilepsy
9. A 14 yrs old girl had recurrent episode of collapsing in the assembly ground, while waitng
… a bus each episode lasting approximately 2 min. she looked pale just before each attack.
10 A child was brought to the clinic by the mother infomed the doctor
That the teacher said she noticed he gets sudden brief onset of silence lasting a few minutes he seems to be a hard working student but has not been doing well in class.
11 40 yo man who have the family history of sudden cardiac death got a drop attack. the most …likely disease is
Theme
Pneumonia
A bronchiectasis
B h.influenza
C strep.pn
D mycoplasma
E staph.aureus
F Viral Infection
12. a 14yr old boy has recently sufferred from a bout of influenza, now develops a purulent ….cough.
THEME
Psychiatry
A fluoxetine
B TCA
C amitryptiline
D psychoanalysis
E desensitization
13 a young woman recently delivered of a baby lost 1st pregnancy currently belives the husband is going to harm her son
14 . a student approaching her secondary level exam is becoming anxious a few days ahead of her exam
THEME
Investigation of chest dx
A CT
B MRI
C laryngoscopy
D sputum culture
E sputum cytology
15 . elderly man has a lower lobe consolidqation and fever, he ws treated with antibiotic which resolved the fever but the consolidation presisted after 4 weeks.
THEME
side affects of drugs
A liver failure
B. bronchoconstrition.
C. rash.
D liver failure
E. erosion/bleeding
F. dry mouth
G. dilated pupil
16.asprin
17. pracetamol
18. carbamazipine
19. a pt hving pain in knee take ibubrofen
20. tricylic ant depressant
NEUROLOGY
Option
A cranal nerve I OLfactory
B cranal nerve II optic
C cranal nerve III OLfactory
D cranal nerve 1V Trochlear
E cranal nerve V trigeminal
F cranal nerve VI abducence
G cranal nerve VII Facial,
H cranal nerve VIII auditory
I cranal nerve IX glossopharyngeal
J cranal nerve X vagus
K cranal nerve XI accesory
L cranal nerve Hypoglossal
21 Patient was involved in a read accident MRI showed he has sustained a longitudinal fracture to temporal perosal bone of the skull and has was unable to persive smell(Anosmia)
22 patient 19 years old sustained a transvere fracture to the base of the skull seen on MRI Presents a few days later with ptosis, pupillary reflex lost with associated lateral nystagmus.
23 Patient had a trauma to the back of the skull and could not shrug his shouder
24 patient suffers ..........could not move the Left lower part of his face but the fore head was speared.
25 patient 56 years had a stroke and has lost the ability to fell taste in the Anterior 2/3rd of his tongue
Theme Haematology,
OPTION
A clotting time
B platelet defect
C Vwf Von willibrand dx
etc
26 A 16 years old girl is pale, weak present with menorragia and epistaxis, mother had similar problem.
Theme Rheumatology
Option
A chondromalacia patellar
B Rheumatiod Arthritis
C Gout
D psoriatic arthritis
E entheropatic arthropathy
F ankylosing spondylitis
G septic arthritis
H Reactive athritis
I pseudogout
J gonococcal athhritis
Etc
27 A 65yrs old has a swollen left knee joint for 10 yr with associated swelling but no skin change he has had no other problem.
28 A 35 years old woman left knee pain and associated raises, pitting and discoloured thumb nail.
30 A 45 years old man on antihypertensive presents with left knee pain swollen and hot to touch ther is also metaphalangeal joint pain.
31 Px returned from thailand few days latter developed painful swollen and warm Right knee.
THEME
Meningitis
A Sreptococcal Meningitis
B Meningiococcal meningitis
C viral meningitis
D tuberculous meningitis
E tc
32 A 3yrs old boy developed upper respiratory tract infection also had recent hx of ear discharge presents neck stiffness
33 child with meningitis with 10 blood cells with 1-2 lymphocyte with glc.not too reduced
THEME
Thyriod dx
Options;
a. Propranolol
b.Carbimazole
c.Radio iodine
d. Tyroidectomy
e. Observation
f. Tyroxine
g. FNAC
h. Autoantibody
34. A female patient presents with wt loss; palpitations and diarrhea.
35. A female patient having a previous history of asthma is now complaining of wt loss and diarrehoea
36. A female patient has got a diffuse goiter but she is asymptomatic
37. A patient presents with a solitary thyroid nodule about 3cm in size.
38. A woman presents with features of hypothyroidism and a tender thyroid
Theme
Mgt of trauma in a child
Options
A intraosseous infusion
B cv line
C iv morphine
D endotracheal intubation
F oropharyngeal airway
G nasopharyngeal airway
H dobutamide
40. 4 yr old child with 10% scalds on chest
41. 6yr old,intubated after RTA ,bp low pulse high
42. 2yr old with hypovolemic shock
43. 5 yr old with soot in nostril
44. 13 yr old in shock unable to get iv acess.
THEME
Immunology
Options
A oral Acyclovir
B I/V Acyclovir
C no treatment
D V Ig
E barriar nursing
F quarantine
G check immune status
etc
45 A pregnant woman who gets infected with varicella
46 A boy who is taking steroids for asthma gets chicken poz
47 A child having leukemia his father has shingles
48 A boys whose sister has just had renal transplant and is returning from the hospital.
THEME Investigation of haematuria
Options
A. ultrasound
B. microscopy and sedimentation
C. anti-strep. trite
D. creatinine
E. IVU
F. urine osmolarity
50. man came with haematuria, he says it runs in the family
51. boy has fever, oliguria and oedema
52. 56yrs old woman had operation on her uterine cancer years ago now comes with haematuria
THEME Rx of incontinence of urine
options:
A. intermittent self cathetarization
B. incontinence pants
C. vaginal oestrogens
D. pelvic floor exercises
E. bladder neck surgery
F atropic vaginitis
53. 3 yr old boy was brought by his mother, the child is occasionally urinary and faecally incontinent
54. A 75 yr woman started sex few months ago after 10 yrs presents with slight bleeding
THEME Acid base balance
Option
A.Metabolic acidosis
B.Metabolic alkalosis
C.Respiratory acidosis
D.Respiratory alkalosis
E.Hypokalemia
F.Renal failure
G. Dehydration
55. A man having projectile vomiting due to pyloric stenosis with hypokalemia and
base excess.
56. A man with villous adenoma of rectum with diarrhoea
57. A man with pulmonary embolism with tacycardia and hypotension and
breathlessness
58. A man with pallor,dryskin and anuria.
Theme Rheumatology
Option
A chondromalacia patellar
B Rheumatiod Arthritis
C Gout
D psoriatic arthritis
E entheropatic arthropathy
F ankylosing spondylitis
G septic arthritis
H Reactive athritis
I pseudogout
J gonococcal athhritis
Etc
Question 1
A 65yrs old has a swollen left knee joint for 10 yr with associated swelling but no skin change he has had no other problem.
(c)
Question 2
A 35 years old woman left knee pain and associated raises, pitting and discoloured thumb nail.
(d)
Question 3
A 45 years old man on antihypertensive presents with left knee pain swollen and hot to touch ther is also metaphalangeal joint pain.
(g)
Question 4
Px returned from thailand few days latter developed painful swollen and warm Right knee
(j)
correct me pls if wrong
NEUROLOGY
Option
A cranal nerve I OLfactory
B cranal nerve II optic
C cranal nerve III
D cranal nerve 1V Trochlear
E cranal nerve V trigeminal
F cranal nerve VI abducence
G cranal nerve VII Facial,
H cranal nerve VIII auditory
I cranal nerve IX glossopharyngeal
J cranal nerve X vagus
K cranal nerve XI accesory
L cranal nerve Hypoglossal
Question I
Patient was involved in a read accident MRI showed he has sustained a longitudinal fracture to temporal perosal bone of the skull and has was unable to persive smell(Anosmia)
(A)
Question 2
patient 19 years old sustained a transvere fracture to the base of the skull seen on MRI Presents a few days later with ptosis, pupillary reflex lost with associated lateral nystagmus.
(C)
Question 3
Patient had a truma to the back of the skull and could not shrug his shouder
Question 4
patient suffers ..........could not move the Left lower part of his face but the fore head was speared.
(E)--MANDIBULAR DIVISION
Question 5
patient 56 years had a stroke and has lost the ability to fell taste in the Anterior 2/3rd of his tongue
(G)
Theme Haematology,
OPTION
A clottinh time
B platelet defect
C Vwf Von willibrand dx
etc
Question 1
A 16 years old girl is pale, weak present with menorragia and epistaxis, mother had similar problem.
(C)
THEME ABOUT PSYCHIATRY:
a chlorpromazine
b clozapine
c ect
d benzhexol
e continue the the same drug orally
f stop the treatment.
g hyoscine
1. after the treatment with antipsychotics, a man has developed hypersalivation.
2. after a treatment with haloparidol, a man has developed stiffness of limbs.
3. a pt was treated for psychosis. after one yr.( i think so), he is symptomfree now.
diagonsis of renal condtion.
ca level
plasma urat level
alk phos level ,ca level,phosphate level
dietry condtions
u/e
usg???
1 a 25 y male presented with recurrent lion pain and stone in urter.
2 a 35 y m presented with lion pain ,all causes of primary are
Theme Haematology,
OPTION
A clottinh time
B platelet defect
C Vwf Von willibrand dx
etc
Question 1
A 16 years old girl is pale, weak present with menorragia
and epistaxis, mother had similar problem.
1...theme
rx of eye conditions
options
oral steriods
intraocular steriods
surgery
b blocker eye drops
no treatment
laser
4.an old diabetic preseted u with decreased vision.SURGERY
5. an 65 y old lady presented with decrease vision,on exam she has macular pigmention LASER PHOTOCOAGULATION (THIS WAS ALSO ONE OF THE CHOICES IN THE EXAM)
1..a 35 y woman wiith history of recurrent headch presented u with sudden on set of blindness. ORAL STEROIDS
2.a 45 y old male presented u with headach and loss of vision of peripheral field ,on fundscopy ther is opticdisc cuping BETA BLOCKER EYE DROPS
3.a yong lady having sle presented u with decrease vision .on exami ther r multiple opicies on lens.SURGERY
no, that was a case of recurrent nilateral headache over 5 months with a sudden onset of blindness, hence i think it should be a case of TIA/migraine, with occlusion of central retinal artery by an emboli.
so the treatment for that is
1) firm pressure over the eye first, which can dislodge the emboli.
2) immediate thrombolysis (which was in the options given)
hence i think the answer is thrombolysis.
correct me if i am wrong.
latter developed painful swollen and warm Right knee.
THEME
Meningitis
A Sreptococcal Meningitis
B Meningiococcal meningitis
C viral meningitis
D tuberculous meningitis
E tc
32 A 3yrs old boy developed upper respiratory tract infection also had recent hx of ear discharge presents neck stiffness
33 child with meningitis with 10 blood cells with 1-2 lymphocyte with glc.not too reduced
THEME
Thyriod dx
Options;
a. Propranolol
b.Carbimazole
c.Radio iodine
d. Tyroidectomy
e. Observation
f. Tyroxine
g. FNAC
h. Autoantibody
34. A female patient presents with wt loss; palpitations and diarrhea.
35. A female patient having a previous history of asthma is now complaining of wt loss and diarrehoea
36. A female patient has got a diffuse goiter but she is asymptomatic
37. A patient presents with a solitary thyroid nodule about 3cm in size.
38. A woman presents with features of hypothyroidism and a tender thyroid
Theme
Mgt of trauma in a child
Options
A intraosseous infusion
B cv line
C iv morphine
D endotracheal intubation
F oropharyngeal airway
G nasopharyngeal airway
H dobutamide
40. 4 yr old child with 10% scalds on chest
41. 6yr old,intubated after RTA ,bp low pulse high
42. 2yr old with hypovolemic shock
43. 5 yr old with soot in nostril
44. 13 yr old in shock unable to get iv acess.
THEME
Immunology
Options
A oral Acyclovir
B I/V Acyclovir
C no treatment
D V Ig
E barriar nursing
F quarantine
G check immune status
etc
45 A pregnant woman who gets infected with varicella
46 A boy who is taking steroids for asthma gets chicken poz
47 A child having leukemia his father has shingles
48 A boys whose sister has just had renal transplant and is returning from the hospital.
THEME Investigation of haematuria
Options
A. ultrasound
B. microscopy and sedimentation
C. anti-strep. trite
D. creatinine
E. IVU
F. urine osmolarity
50. man came with haematuria, he says it runs in the family
51. boy has fever, oliguria and oedema
52. 56yrs old woman had operation on her uterine cancer years ago now comes with haematuria
THEME Rx of incontinence of urine
options:
A. intermittent self cathetarization
B. incontinence pants
C. vaginal oestrogens
D. pelvic floor exercises
E. bladder neck surgery
F atropic vaginitis
53. 3 yr old boy was brought by his mother, the child is occasionally urinary and faecally incontinent
54. A 75 yr woman started sex few months ago after 10 yrs presents with slight bleeding
THEME Acid base balance
Option
A.Metabolic acidosis
B.Metabolic alkalosis
C.Respiratory acidosis
D.Respiratory alkalosis
E.Hypokalemia
F.Renal failure
G. Dehydration
55. A man having projectile vomiting due to pyloric stenosis with hypokalemia and
base excess.
56. A man with villous adenoma of rectum with diarrhoea
57. A man with pulmonary embolism with tacycardia and hypotension and
breathlessness
58. A man with pallor,dryskin and anuria.
options
cv line
iv morphine
endotracheal intubation
oropharyngeal airway
nasopharyngeal airway
dobutamide
1. 4 yr old child with 10% scalds on chest
2. 6yr old,intubated after RTA ,bp low pulse high
3. 2yr old with hypovolemic shock
4. 5 yr old with soot in nostril
5. 13 yr old in shock unable to get iv acess.
1..theme dia of pt
rbs
fbs
2 hr ogt
insuline level
.....
1.a 25 y old male is conscious and want to know wheater he is diabetic.
2..a65 y old man with history of polyurea want to know abt his diabetes.
3..an 20 y old girl presented tou with history that she has history of attacks of hypoglicemia when ever she missed her meal.
theme MG of ectopic
laprotomy
diagon laproscopy
usg
24 hr b hcg
1 a 25 y bold girl with 8 week his of ammanorreahea presented with 70/50 bp and pulse 140/mint.
2,,a n 35 y woman with his of 7 week amonrreahea ,with bleeding per vagina .usg show empty utres.
3,,an 28old woman presented with 6 week amonreahea and have ho of vaginal bleedin. her bhcg is 5000
what is the investigation of choice for a minor stab wound of the upper abdomen with the patient having tachycardia and upper abdominal tenderness?
......USG abd
what is the role of family history of osteoporosis in a patient consulting for the management of menopause?
......HRT
What was wrong with the child in a vehicle accident with upper abdominal tenderness?
......Splenic #
The middle aged man with hearing impairment whose dad also had the same in middle age?
......Otosclerosis
child with frontal headache and fever, with diffuse macular rash with CSF showing 100 lymphocytes?
.......Meningococcal meningitis
pregnant women with svt for whom adenosine is not functioning...
.......Verapamil
CFAlveolitis patient on cyclophosphamide treatment developing anemia and leucopenia and thrombocytopenia... cause of anemia?
.......Bone Marrow Depression
investigation of choice in upper respiratory obstruction bcuz of missing artificial dentures after an accident?
.......Xray Neck AP, Lat
investigation in asbestos affected lung...
.......CT followed by Biopsy
Ethics and statistics were conspicously absent in the March Plab themes.
'Cranial nerve injuries' was a theme... like which nerve is involved if injury to jugular foramen, cavernous sinus, inability to lift shoulder, loss of taste in anterior 3rd of tongue with drooping of left corner of mouth?
pulled elbow was there...
root of the thumb pain after a fall with xray negative...
both bone fracture leg with absent distal pulse...
gangrenous cellulitis in leg with h/o of past gangrene of a toe...
nail pitting arthritis....
obesity +/- smoking +/- hyperlipidemia +/- family h/o of CVS diseases +/- alcoholism... the best management?
Varicella Zoster was a full theme... like if the wife of a steroid user got shingles? pregnancy and zoster? chicken pox in family of an asthmatic on inhaler...
brownish vaginal discharge after 1 month LMP... investigation of choice...
ectopic was a theme...
terminal care was a theme...
psychiatric pharmacology was robust... a patient on antipsychotics developing hypersalivation...a patient who stabbed his dad in an acute psychotic phase, who later was treated with anti psychotics and believes himself to have recovered from the illness, and knows his illness too... wot next?
Dementia was asked in plenty... neurofibrillary tangle...
stool streaked with blood in a young female with blood at the end of defecation...tenesmus...
Cervical bleeding... 60 year old having post coital bleeding after having sex after 10 long years... a doc refers a patient who developed cervical bleeding on touch during a routine smear taking...
endometrium shows thickening on ultrasound...
trauma in children...
THERE WAS A THEME RELATING TO ALL THE INVESTIGATION IN UTI .
THERE WAS A CHILD WITH RED,SORE VULVA.SHE HAS IRRITATION IN THE VULVA IN NIGHT DUE TO WHICH SHE DOESNOT SLEEP WELL.
2.CAUSE OF THE DISEASE
INFECTION,ALLERGY ,ALPHA -1- DEFICIENCY.....
BROCHOLITIS
EMPHYSEMA WITH NEONATAL JAUNDICE
ASTHMA
3.THERE WAS A PT WITH COPD,COMING WITH CENTRAL CYANOSIS.PEFR,ARTERIAL BLOOD GASES,WAS IN CHOICE, PULSE OXIMETRY WAS NOT IN CHOICE.
options:
prokinetic
antiacid
h2 blocker
A pregnant woman with indigestion.
options:
bed rest
analgesics
splint
A 10 year old boy with pain in the hip fpr 3 daysafter playing football.
1..theme dia of pt
rbs
fbs
2 hr ogt
insuline level
.....
1.a 25 y old male is conscious and want to know wheater he is diabetic.
2..a65 y old man with history of polyurea want to know abt his diabetes.
3..an 20 y old girl presented tou with history that she has history of attacks of hypoglicemia when ever she missed her meal.
theme MG of ectopic
laprotomy
diagon laproscopy
usg
24 hr b hcg
1 a 25 y bold girl with 8 week his of ammanorreahea presented with 70/50 bp and pulse 140/mint.
2,,a n 35 y woman with his of 7 week amonrreahea ,with bleeding per vagina .usg show empty utres.
3,,an 28old woman presented with 6 week amonreahea and have ho of vaginal bleedin. her bhcg is 5000
There was q in march 03 plab exam.......regarding investigation.......pt is dyspnoeic.....his DENTURES R MISSING........
WHAT INVESTIGATION DO U PREFER
Theme: Management of Shingles.
Options:
a)Topical aciclovir
b)Oral aciclovir
c)IV aciclovir
d)ZIG
1) 80 year old man develops vesicles on a very small part on the face
2) A woman presented with vesicles on a very small part on the chest
3) A child who is a lymphoma patient came in to contact with a patient suffering from chicken pox.
4)A Pregnant woman came in to contact with a relative who is suffering from Varicella
5)A child who had a Kidney transplantation recently has got his sister recovering from Chicken pox.
6)A boy who has developed vesicles all over the body and high fever.
There were 6 question in this theme. The accuracy of the last question is slightly lower than others. But the list of the answers are the same.
Thanks.
dear plabby never bother abt it it was quite easy q ur first statment is not true it was like
a 80 y man hve opthalmic shingles...rx TOPICAL ACYCLOVER.
2 ...ORAL ACYCLOVER.
3..IF PT IS IMMUNO COMPROMISED COME IN CONTACT WIH PT OF SHINGLES RX IS I/V ACYCLOVER BUT DIF BOOKS HAVE DIFFRENT EXPLANATION KUMAR GAVE THIS.
4...ALWAYS REMEMBER IN PREGNACY ALWAYS IGg to pt ,but in some books it has been written that check antbody for vericella but it is not available in every hospital and too expensive .so in uk hospital ig are given to pt .
6..always give 7day couirse of oral acylover to pt of zoster infection.
for q 5 ans is as 3
theme 1:rX of loss of vision
oral steroids
iv steroids
do nothing
eye surgery
steroid eye drops
cyclopentolate
betalol drops
1.50 yr old lady complains of 3 months of rt sided headache comes to a&e with sudden onset of loss of vision.
2.60 yr old lady with gradual loss of vision and fundus shows white spots....probably mac degen?
3.40 yr old with h/o diabetes comes and shows loss of vision and fundus shows proliferative retinopathy
4.12 yr old with loss of vision ...probably cong cataract?
5.30 yr old man with sudden loss of vision and h/o hazy lights and something...chronic open angle glaucoma..
theme 2:control of htn
b blockers
ace inhibitors
diet control
stop smoking
exercise
i.v anti hypertensivs]
fish oil
1.30 yr lady 160/100 rec on 3 times consecutively bmi 27 and drinks 7 units /week alcohol and smokes 1 pac cigarretes.
2.35 yr lady with bmi 33 and drinks 3 units /week of alcohol and bp rec 160/100 3 times in a row.
3.50 yr old with h/o htn not relieved by diuretics ...not sure.
theme 3; next step in rx of psy patients
oral anti psy drugs
i.v anti psy
stop rx
continue same rx
review after 3 months
regular visits to doctor ..something like that
1.39 yr old with sudden paranoid schizophrenia ,recovered in hospital ,knows abt his illness and ll not repeat .
2.30 yr old with psy h/o on regular oral drugs.
3.40 yr old with i think an acute episode of schizophrenia
4.pt doing well on anti psy on his regular visit to g.p after 3 months.
theme 4:vaginal rash in child\
i ll enter later as i remember
So here are the questions that really maters.
Theme:Vulval conditions in a child.
Options:
Enterobius vermicularis
examination under anasthesia
Nystatin cream
Local hygeine
1) A child presented with iching in the vulva mostly during the night.
2) A child with redness exsoriation and ulceration noted in the vulval region
3) A rash is noted in a diabetic patient when the nappy was removed
4) A rash is noted in a normal child when the nappy was removed
Theme:Cervical Pathology
Cervical intraepithelial neoplasia
Cervical ectropion
Endometrial carcinoma
Cervical cancer
1) A woman with contact bleeding on speculam exaexamination has got multiple partners
2) A woman with contact bleeding on speculum examination consumes oral contraceptive pills
3) A Woman with post menopausal bleeding
4) A woman who has got unpleasant vaginal discharge
Theme: Respiratory Pathology
Chloride ion channel defect
surfactant deficiency
Alpha antitripsin deficiancy
Ashama
1) A baby who has recurrant pneumonitis
2) A baby with respiratory distress syndrome
3) A woman who has the hystory of recurrent jaundice as a child develops emphysema
4) A child who develops couph and difficulty in breething during winter
have written 13 tests inmy notebook..actually it takes time to type and send them on web those of you who want to have discussion about them ,we could possibly have a talk on phone.in that case first please email me to reza909@yahoo.com
thank you
here are some of them that i want you to discuss and let me know the true answer
thank you
1-an eledrly comes with sudden blindness and past histor of temporal headache and and tenderness and other thins suggesting temporal arterities what would you ?ora prenisolon or \iv ???
2-pulled elbow treatment ?
is it manipulation or sling?
3-a child with acute torticollis what would you do ?
further investigation physiotherapy or bed rest?
4-a cardiac hear failure that has not responede with fursemide ?
next drug you offer?
is it digoxin or else?
5-a young lady with hyperthyroidism what test you oreder?
it is thyroif function test of anti tsh antibody?
6-a young woman with multiple sexual partners preseting with post coital bleeding ?
is it ectropion or intraepithelia neoplasia?
7-how do you treat a patient with peptic stricture of esophagug?
is it dilatation?
8-a patient with fever in the first 24 hours after surgery do you order physiotherapy?
1. MGMT. OF CATARACT.
2. MGMT. OF GALUCOMA.
3. MGMT. OF TEMPORAL ARTERITIS.
4. MGMT. OF SMD.
5. MGMT. OF DIABETIC RETINOPATHY.
6. QUESTION ON CHRONIC LEUKEMIA.
7. COELIAC DISEASE..AS THE CAUSE OF ANEMIA..MALABSORPTION.
8. PERNICIOUS ANEMIA..DIAGNOSIS.
9. FOLATE DEFICINCY..IN A VEG...MALNUTRITION.
10.E. VERMICULARIS..INA FEMALE CHILD.
11.FEMALE CHILD WITH BLEEDING ...EXAMINATION UNDER
ANAESTHESIA.
12. QUESTION ON LOCAL HYGIENE.
13.DIABETIC FEMALE CHILD... CANDIDA.
14.TWO QUESTIONS ON DELIRIUM.
15. QUESTION ON EXTRADURAL HAEMATOMA.
16. SUBDURAL HAEMATOMA.
17. HYPERLIPIDEMIA..MANAGEMENT.
18. CIGRETTE SMOKING...PREVENTION AS A CAUSE OF HEART DISEASE.
19. INVESTIGATION OF FIBROCYSTIC DISEASE.
20. INVESTIGATION OF BREAST DISEASE IN A FEMALE WHO HAS MORBID FEAR OF NEEDLES.
21. SCHIZOPHRENIA.
22. 2 QUESTIONS ON ALZHEIMER'S DISEASE.
23. MULTI INFARCT DEMENTIA.
24. LEWY BODY..PARKINSONISM ?
25. DIAGNOSIS OF HEARING LOSS.... WAX IMPACTION.
26. OTOSCLEROSIS
27. MENIER'S DISEASE.
28. ACOUSTIC NEUROMA.
29. PRESBYCAUSIS.
30. RH.ARTHRITIS...DIAGNOSIS.
31. GOUT.. DIAGNOSIS.
32. SEPTIC ARTHRITS.. DIAGNOSIS.
33. PSORIATIC ARTHRITS...DIAGNOSIS.
34. CRANIAL NERVE LESIONS... 2 QUESTIONS ON FACIAL NERVE, ONE ON SPINAL ACCESORY..THEN ON OLFACTORY NERVE..AND ON OCULUMOTOR NERVE.
35. DIAGNOSIS OF ULCERSATIVE COLITIS.
36. PSEUDOMEMBRABOUS COLITIS...DIAGNOSIS.
37. HAEMORRHOIDS....DIAGNOSIS.
38. MECHANISM OF DISEASE.. ASTHMA, CYSTIC FIBROSIS, ALPHA-1 ANTI TRYPSIN DEFICICY.
39. BRONCHIOLITIS..DIAGNOSIS.
40. OBSTRUCTIVE SLEEP APNOEA.. INVESTIGATION.
41. vW DISEASE..I THINK 2 QUESTIONS ON THIS.
42. COMPATEMENT SYNDROME...MANAGEMENT.
43. GANGRENOUS FOOT..MANAGEMENT.
44. ATRIAL FIBRILLTAION..NOW PRESENTING WITH PULASELESS LEG.. EMBOLECTOMY.
45. BARRET'S OESOPHAGUS...MANAGEMENET.
46. CHRONIC DYSPEPSIA.
47. SPLEEN RUPTURE..MANAGEMENT.
48. PNEUMOTHORAX..IN A COPD PATIENT....MANAGEMENT.
49. DISSECTING AORTIC ANEURYSM..MANAGEMENT.
50. 10% SCALDA IN A CHILD.... MGMT.
51. BURN ..INJURY...SOOT IN NOSTRILS..MGMT.
52. HYPOVOLAEMIC SHOCK... MGMT.
53. CHILD IN WHOM PERIPHERAL ACCESS..NOT POSSIBLE.. MGMT.
54. ATROPHIC VAGINITIS.
55. ENDOMETRIAL CARCINOMA.
56. CERVICAL ECTROPION.
57. RECURRENT UTI..INVESTIGATION.
58.BLADDER OUTFLOW OBSTRUCTION.
59. CLOT RETENTION IN BLADDER CARCINOMA.
60. M.I...INVESTIGATION.
61. FAMILY HISTORY OF SUDDEN DEATH...NOW PRESENTING WITH SHOCK....CAUSE.
62. PNEUMONIA...INVESTIGATION.
63. FRONTAL LOBE DEMENTIA.
64. DIFFUSE THYROID SWELLING..IN A NORMAL PERSON.. MGMT.
65. PIANFUL THYROIDITIS....INVEST/MGMT.
66. SOLITARY THYROID NODULE..INVST/MGMT.
67. THYROTOXICOSIS..MGMT.
68. VILLOUS DIARRHOEA...AS A CAUSE OF HYPOKALEMIA.
69. PYLORIC STENOSIS.. METABOLIC ALKALOSIS.
70. PULMONARY EMBOLISM...RESPIRATORY ACIDOSIS.
71. RENAL FAILURE....METABOLIC DISTURBACES.
72. MGMT..OF MENOAUSAL FEMALE..WITH FAMILY HISTORY OF OSTEOPOROSIS.
73. OSTEOPOROSIS..MENOPAUSAL..FEMALE..WITH INCREASED BMI....MGMT.
74. CHICKEN POX MANAGEMENT IN A PERSON TAKING STEROIDS.
75. PREGNANT FMEALE ..CHICKEN POX..MGMT.
76. ZOSTER IN RENAL TX PATIENT... MGMT.
77. ZOSTER IN LEUKEMIA PATIENT....MGMT.
78. GYCOSURIA FOLLOWING AN ACCIDENT IN A CHILD...WHICH IS NORMAL NOW... INVST.
79. DIABETIC KETOACIDOSIS..INVST/MGMT.
80. CLINICALLY INPORTANT SIDE EFFECT OF DRUGS.....ASPIRIN, PARACETAMOL, CPZ, TCA, IBUPROFEN.
81. ACUTE TORTICOLLIS..MGMT.
82. PULLED ELBOW.. MGMT.
83. WHIPLASH IN JURY..MGMT.
84. PAIN ROOT OF THUMB..X RAY NORMAL... MGMT.
85. MENINGITIS.... MENINGOCCAL, STREPTOCOCCAL, VIRAL, LEUKAEMIC INFILTRATION...
86. URINARY STONES..HYPERCALCEMIA..
87. URATE SONES.
88. STONES IN A PERSON WHOSE PRELIMINARY INST. ARE NORMAL.
89. CA LUCNG..INVST.
90. ASBESTOS..EXPOSURE..MGMT.
91.HEAD..INJURY...... MILD, MODEARTE AS WELL AS FRACTURE BASE OF SKULL...ALL THREE WERE THERE.
92. DRUG ABUSE....OPIATE ABUSE, OPIATE WITHDRAWL.
93. OCP...AS RISK FACTOR FOR THROMBOEMBOLISM.
94. PREGNATNT FEMALE..WITH SVT.. ADENOSISNE NOT WORKING.
95. PERICARDITIS.. DIAGNOSIS.
96.RHEUMATIC FEVER...DRUG OF CHOICE.
97. REFRACTORY PULMONARY OEDEMA.....FRUSEMIDE NOT WORKING...MGMT.
98. ALCOHOLIC WITH PIN POINT PUPILS..MGMT..IV NALOXONE.
99. PANIC ATTACK..
100. ACE INHIBITOR AS THE DRUG OF CHOICE IN A DIABETIC WITH HYPERTENSION/
101. SCURVY.
102. STROKE PATIENT...DYSPHEGIA....OR WHAT..CAN'T RECALL.
103. PATIENT CONTROLLED ANALGESIA.
104. ECTOPIC PREGNANCY.... MGMT...LAPAROTOMY.
105. ACUTE APPENDICITIS..MGMT..LAPAROSCOPY.
106. PELVIC INFLAMMATORY DISEASE.
107. QUESTION ON DEPRESSION AS SUCH.
108. EPILEPSY..3 QUESTIONS WHERE... EEG GRAPH READINGS WERE GIVEN.
109. PATIENT WHO CAN'T FIND HIS DENTURES..AND COMPLAINING WITH THROAT PAIN..AND ..CAN'T RECALL.. INVST.
110. ELDERLY PATIENT..FEACAL IMPACTION...UTI.
11. HEPATIC ENCEPHALOPATHY..MGMT.
112. MULTIPLE SCLEROSIS PATIENT...COMPLAINING OF DIFFICULT MICTURITION..... MGMT... INTERMITTENT SELF CATHETERSIATION..????
113. SPINAL CORD COMPRESSION... MGMT....
THEMES
1.MGMT OF VISUAL IMPAIRMENT
2.DIAGNIOSIS OF ANEMIA
3.IVST OF VAGINAL DISCHARGE IN CHILD
4.INVST OF CONFUSION
5.PREVENTION OF HEART DISEASES
6.INVST OF BREAST DISEASES
7.DIAG OF PSYCHIATRIC ILLNESS
8.DIAGNOSSI OF HEARING IMPAIRMENT
9.DIAG OF JOINT DISEASES
10.CRANIAL NERVE LESIONS
11.DIAG OF LOWER GI BLEEDING
12.INVST OF URETRIC STONE
13.MECHANISM OF DISEASE
14.CAUSES OF EPISTAXIS
15.TREATMENT OF LIMB ISCHEMIA
16.INVEST OF DYSPEPSIA
17.MANAGEMENT AFTER RTA
18.MGMT OF BURNS
19.MGMT OF POST OPERATIVE COMPLICATIONS
20.DIAG OF ABDOMINAL CONDITIONS
21.DIAG OF POST COITAL BLEEDING
22.DIAG OF RETENTION OF URINE
23.MGMT OF UTI
24.DIAG OF CHEST PAIN
25.INVEST OF NEUROLOGICAL CONDITIONS
26.PREOPERATIVE INVESTIGATIONS
27.INVEST OF ENDOCRINE DISEASES
28.DIAG OF METABOLIOC CONDITIONS
29.DIAG OF UNCONCIOUSNESS
30.INVEST OF ARRYTHMIAS
31.MGMT OF MEOPAUSAL CONDITIONS
32.DIAGNOSIS OF DEMENTIA.