2011 Nov Recalls With Ans

NOVEMBER 2011 RECALLS 1.A middle aged woman with calf pain from yesterday came to hospital; you did investigations and diagnosed deep vein thrombosis. Now she doesn’t have any problem. What is next step in Mx? a. Inpatient management with compression socking and LMWH b. Inpatient management with leg elevation and LMWH c. Outpatient management with compression and LMWH d. Outpatient management with lag elevation and LMWH

2.A 55 year old worker of insulating factory for 30 years, came with breathlessness from several months ago and now with haemoptysis, (CXR was given; unilateral pleural effusion was obvious!) he has smoked from 20 years ago. What’s the diagnosis? a. Squamous cell Ca b. Small cell Ca c. Mesothelioma 3.A girl who visited SE Asia 6 months ago now has c/o diarrhoea, 3 kg wt loss, loss of appetite. Stool results: Blastocystis hominis and Giardia lamblia positive. What could be the cause for her presentation? (Feb 2011-Q 44) a) Blastocystis hominis b) Giardia lambliac c) Coeliac disease d) Rotavirus

4. A young lady with history of central chest pain and sweating for half an hour. In Ph/E everythings was NL, EKG, troponin, CXR and CTPA were NL. what’s the next step? a. Check troponin in 8 hours b. Discharge the patient

5. 60y man comes with severe sudden chest pain, vomiting and sweating. ECG and Troponin level are normal. What’s the next management? a) Check troponin again in 8 h b) Admit patient to CCU c) Discharge pt with B Blocker and Aspirin.

d) Discharge pt without any drug

6. Patient with cluster headache. Treatment? a. Steroid b. Somatriptan c. Vigabatrin d. Na- valproate 7. z-score in bone densitometry for femoral neck was :-2.5 and for hip was:-1.5 what do you do? a. Reassre and do nothing b. Start immediately on biphosphonates c. Advise regular intake of calcium nd

8. In 2 day after operation, patient suddenly became very agitated and anxious, apart from O2 which is very important to do? a. Starting anticoagulant therapy b. Brain CT c. hallopridole 9. Old patient felt pain in the buttock and thigh yesterday while walking, today he felt it again when he wanted to come to see you. In the examination there is slight tenderness in arm muscles. he is on treatment of HTN, hyperlipidemia and gout. He uses ACEi, atrovastatin… Which one is the important next step to do? a. check creatinin and electrolytes b.EMG c. nerve conduction studies

10. Old lady stretches her back to open the window pf her house then suffered from back pain, MCV < 98, microcytic hypochromic anemia blood picture(huge presentation of full blood count) urea, creatinin and electrolytes). What is the most likely diagnosis?. a. Osteoporosis b. Multiple myeloma 11. Old lady case, presents with back pain. MCV talk to teacher

a post menopausal women started on HRT-- shez at risk of which cancer__> Both breast n endometrial cancers