Вы находитесь на странице: 1из 21

CLINICAL YEAR

QUESTION COLLECTION
PRABHAT KC
2019
MCQ MEGA COLLECTIO
1. A CHILD IS DROLLING, SWEATING EXCESSIVE FEAR AND PARENTS SUSPCE………… OP POISONINNG
2. A MAN AFTER ACCIDENT AND CALUCATE THE GCS
3. CORRECT TECHNIWUE FOR THE CHEST COMPRRESSOIN………. ADULT 1/3 AND CHILD 1/2
4. OP POISOIING COMES TO ER AND WHAT TO DO NEXT…………. TAKE OFF HIS CLOTHES TO
DECONTAMINATE
5. DIABETIC PATINET SENT FOR THE URINE EXAMINATION WHAT THIGS WHILL YOU CHECK………
UREA CREATITNINE AND SPECIFIC GRAVITY
6. WHAT DO YOU SEE FOR THE CELLULARTY IN THE BONE MARROW………..MARROW/FAT CELLS
7. WT LOSS FATITUGE SOB …………..MALENA
8. DRUG CAUSING FATIGUE…..BETA BLOCKER
9. WROST HEADACHE OF MY LIFE………….SAH
10. QUESTION OF AURA WITH HEADCHE SEVERAL HOURS A DAY………..MIGRAINE
11. IRON DEFICINCY ANEMIA…….. HOOKWORKM INFESTATION
12. RED FLAG SIGN……… BLACK COLOR STOOL
13. SCRERNIG FOR THE PROSTATE CANCER SURGEYR DONE BU DIED AFTER 3 YEARS…………….LEAD
TIME BIAS
14. ALHOHLIC PATIENT DOSENT KNOW ITS ADVERSE EFFECT……..PRECONTEMPELATEIVE
15. ALCOHLIC LFET THE ALCOHOL AND STARTED AGAIN………..ASK ABOUT WHY HE STARTED AGIN
16. CORRECTED RETICULOCYTE COUNT FORMULA…………….. RETIX*PT HCT/NORMAL HCT
17. PRESENTATIO FOR THE APPENDENCTOMY SAMPLE…….. 10% FORMALIN
18. CUBITUS VALGUS DEFORMITY DUE TO LATERAL CONDYLAR FRACTURE LIEKLY NERVE DAMAGED
IS … ULNAR NERVE
19. ECCNETRIC EXPANSILE AND ON EPIPHYSIS ……………. GCT
20. CARPENTER SEWLLING AND PAIN IN THE OUTSIDE ELBOW…………… GOLFER ELBOW
21. SPONDYLOLISTHEISS……….PARTS INTERTUBCULARIS
22. COMPONETS OF CTEV…………CAVE
23. TISSUE DESTRUCTION AND THE HEMATOMA FORMATION……..<7 DAYS
24. CALLUS FORMATION 4- 12 WEEKS AND SEEN IN 3 WEEKS TIME AT MOST
25. ALTERED 3 POING BONY RELATION……..ELBBOW DISLOCATION
26. ONE CORTREX IS FREACTURED AND OTHER IS INTACT……….GREEENSTICK FRACTURE
27. THENAR MUSCLE WASTING…………MEDIAN NERVE
28. CUBITUS VARUS AND MALUION…………SUPRACONDYLAR FRACTURE
29. NIGHT PAIN IS RELIVED BY THE PARACETAMOAL WTH THE RADIOLUCENT AREA AND
SCLROSIS………….OSTEOID OSTEOMA
30. ELBOW EXTENDED AND PARARELL TO THE BODY ……….PULLED ELBOW
31. FALL INJURY ON LOWER BACK, LOSS OF SENSATAOIN AND MOTOR FUNCTION OF THE LOWERE BUT
BULBOCAVERNOUS IS INTACT………NEUROGENIC SHOCK
32. MANGMENT OF THE CUDA EQUNIA SYDNROME…….. PROMPT DECOMPENSATION
33. BASKET BALL PLAYER NOT ABLE TO EXPAND HIS DISTAL IPJ AFETER THE INJURY AND WHAT IS
THIS CALLED…………MALLET FINGER
34. PATIENT COMPLAING OF THE PAIN THE VERTBERAL REGION SINCE 6 MONTHS WHAT DO YOU
EXPECT TO SEE IN THE INVESTIGATIONS………….. ESR CRP RF AND HLA 27
35. KNEE JOINT INJURY , FLUCUTATIIION TEST POSTIVE TAPPING POSITIVE DRWAR TEST
POSTIVE…………. ACL
36. 40/F INJURED HER WRIST SHE HAD GARDEN SHAPE DEFROMITY………… SMITH FRACTURE
37. SWAN NECK DFORMITY PRESESNTAITON….. PIP EXTENSION AND DIP FELXION
38. NERVE ROOT SUPPLYING THE TOE…….. L5
39. A PATIENT HAD PIVD OF L4 AND L5………….L5 IS COMPRESSED
40. CHILD WITH NO FERVER ON OFF LEG PAIN………………..
41. ERBS PALSY AND KLUMPKES PALSY DIAGNOSIS
42. CONGENITAL DISLOCATION OF HIP AND THE TEST IS DONE………….ORTOLANI AND BAARLOW
43. PATELLAR FRACTURE WHICH IS DISPLACE TREATMENT……………….ORIF WITH TBW
44. KOCHER TEST WHAT IS STHE LAST STEP TO BE DONE………..MEDIAL ROTATION
45. COMPONENTS OF THE GALEZI AND THE MONTEGIA FRACTURE VERY IMPORTANT AND THE NERVES
INVOLVED IN THIS
46. 35 YEAR OLD PAIN IN THE MORINIG AND IMPROVE WITH THE EXERCIESE SOBER TEST IS POSTIVE
AND WHAT NEXT TEST WILL YOU DO……….WALL TEST FOR THE AS
47. A PATIENT WITH THE FRACTURE LEG WAS PUT ON THE SKLETAL TRACTION AND THE PATIENT
WAS KEPT ON THE TTRACTION FROM THE LATERLA SIDE WHAT IS THE
COMPICATION…………..COMMON PERONEAL NERVE INJURY
48. GUSTILO ANDERSON CLASSIFICATION MUST KNOW ALL THE STEPS
49. 55 YEAR OLD MAN WITH THE CHRONIC ALCHOL PRESTED WITH THE COMPLAIN OF THE HIP PAIN
WITH THE XRAY SHOWING THE FLATTTEING OF THE FEMOR HEAD WITH THE CRESENT
SIGN…………OSTEONECROSIS
50. 10 YEAR OLD SUDDEN PAIN FEVER AND JOINT EFFUSIION WITH THE RESTRICTED
MOVEMENT…………SEPTIC ARTHITIS
51. CUBITUS VARUS TREATEMENT………… WEDGEE OSTEOTOMY OF THE FRENCH OSTEOTOMY
52. PROBALILITY QUESTION OF BEING THE SMOKER AND THE ANSER IS ½
53. P VALUE NEING LESS THE 0.005 WHICH SAYS THAT THERE IS STROING EVIDNECE FOR THE NEGLEVT
OF THE NULL HYOPTHEIS
54. CONFIDENCE INTERVAL FORMULA………. X+-ZALPHA
55. P VALUE FORUMAL AAND INTERPRETATAION
56. NON PARAMERTIC TEST ANALOUGE OF ANOVA……..KRUSKAL WALLS
57. IF VARIANCE IS DIFFERENT WHICH TEST IS USED……. WELCH ANOVA
58. TEST OF NORMALITY……SAPIRO WILKS TEST
59. TEACHER OREDER CHILD TO DO THINGS BUT DONIT ALLOW TO QUEESTON………… AUTHORITIAN
60. BCCC….DESINGING KNOWLEDGE GATHERING IS CALLED…………. IMPLEMENTATION
61. FAMILY PLANNING MDG GOAL IS ------------5
62. LASSIZE LAINZE LEADERSHIP MODEL
63. MAKE INVOLVMENT IN DESIGN MAKING BUT TAKES THE RESOPONSIBILIY BY
HIMSELF……….DELGATAION
64. BOTTOM FLOOR LEVER EMPLOYER…………STRUCTURING
65. INFLUNNZA VIRUS INCUBATION PERIIOD………1 2 DAYS BEFORE TO 5 6 DAYS LATER
66. DEFINE R0
67. DISEEASE PROGRESSION……….INFECTIONS
68. RELATIVE RISK FORMULA AND CALCUATION
69. TOTAL STDNT …… SMOKER 30 ALCHOL 40 BOTH 10 PROBALILITY TO GET SMOKER IF RANDOMLY
DONE……..IS 1/3
70. TOTAL SURGERY 120 SUCCESS 30 PROBALIRY …27/64
71. A HOSPITAL DIRECTOR IS A CLINICIAN AND WHAT KNOWLEDGE HE NEEDS TO HAVE………………
KNOWLEDGE,MNAGNT AND SCINCES
72. HEALTH SERVICE TO NEEDY……………………..EQUITY
73. WHAT FAMILY PLANNIG ADVICE A FCHV GIVE………….OCP
74. FAMILY CYCLE………………MUST KNOW EVERYTHING
75. REFERENCE RANGE = MEU+Z *X
76. CALCULAION……….Z2 *P2/E2
77. TB TEST IS DONE IS LOW RESOURCE SETIING………………..HIGH SPE HIGH SEN, HIGH SPEC LOW SEN
78. WHICH RATIO OR RATE SHOWS THE HAZARD RATE
79. DEATH AND STROKE ARE RELATED TO THE OUTCOME
80. P >0.05………STRONG EVIDENCE TO ACCEPT NULL…………………. 0.05>P>0.01 MOD EVIDENCE TO
REJECT NULL……………0.01>P>0.001….STRONG EVIDENCE TO REJECT THE NULL
HYPOTHESIS…….0.001<P VERY STRONG EVIDENCE
81. ALPHA IS GIIVEN AND WHAT IS THE CONFIDENCE INTERVAL
82. STUMPPED AT NIGHT IS XN
83. MOST COMMON ROUTE OF HIV TRANSMISSION IN NEPAL……………..HETEROSEXUAL
84. PASTERUIZATION OF MILK AT 72 DEGREE FOR HOW LONG…………….15 SECS
85. TILL WHAT AGE THE NEONATE DOSNOT SECRETS THE GASSTRIC JUICE……………6 MONTHS
86. A PATINET COMES FROM THE ENDEMIC MALIRAL AREAA AND THE THICK AND THIN SMEAR WAS
DONE AND AGIN THE PATINET WAS ASKED TO FOR THE TEST………………WHAT DOSE THIS
INDICATE
87. TERAI INSTITUINAL DELIVERY WHAT IS THE PRICE GIVEN…………………. 1500
88. LEADER WANTS TO CHANGE THE NEW
IDEAS……………………TRANSFORMATINAL,CHARISMATIC,TRANSLATIONAL,DEMOCRATIC
89. BRITAION HAS GOT GOV SECTORS AND THE FEW PRIVATE SECTORS ARE ALSO SUPPORTED BY THE
GOV…………..WHAT IS THIS
90.
91. REJECTION OF THE NULL HYPOTHESIS WHEN IT IS TRUE… ALPHA ERROR
92. P=0.85 ……… THERE IS NO STRONGE EVIDENE TO REJCT THE NULL HYPOTHEIS
93. COMPLICATIO OF THE MALE STERIZATION……….HEMATOMA OR THE URTHERA INJURY
94. COMPLICATIO OF THE FEMALE STERIZATOIN………. URETER AND BLADDER INJURY
95. HYPERTENSION LADY ,FORGET TO TAKE PILL DOSENT VISIT THE CLINIC MUCH . FAMILY
COMPLETE. HISBAND OUTSIDE NEPAL DOSNET WANT THE PERMANTENT CONTRACEPS WHICH
METHOD…………… IUCD
96. 43 LADY 6 MONTHS HISTORY OF THE IRREGULAR BLEEDING VERY LIGHT PERIIOD AND 2 MONTHS
BACK HEAVY BLEED NEX INVSTITATION IS ……………USG
97. A 25 years old lady came in the ER with per vaginal bleeding since 1 day
with passage of fleshy mass. She gives history of 2 months’ amenorrhea. on
examination vitals were stable, mild pallor, per abdomen soft non tender,
cervix healthy bleeding, per vaginal uterus is 6 weeks size open fornix clear
non tender what is you most likely diagnosis incomplete miscarriage
98. A 24 years old P1 L1 came to ER with complain of bleeding and passage of
vesicular tissue per vagium and amenorrhea for 3 months. On examination
vitals were stable, per abdomen uterus 16-week size per speculum minimal
bleeding, PV- OS closed, beta HCG was 90,000, HCT was 98%. How will
you manage suction evacuation
99. 25 years old lady P1 L1 came to ER came with the complain of bleeding for
more than 1 year. On examination uterus 16 weeks’ size non tender and
mobile USG showed mass of the 8*6.5*5 width. The uterus is fibroid. How
would you manage this case hysterectomy
100. A 28 years primigravida was seen at the opd at 30 weeks of gestation. Her
BP, pulse was normal. Abdominal examination showed uterine height of
34weeks of gestation with normal fetal heart sound. Her dating scan done at
10 weeks of gestation corresponded with date. Her 75 gm OGTT report
showed high values.What might be the likely cause of her large for date
uterus? (k=a) a) polyhydramnios
101. A 28 years primigravida at 8 weeks of gestation came to the ER with
bleeding PV. On examination vitals were stable, pallor absent. Systemic
examination was normal. Pelvic examination revealed mild bleeding, os
closed, uterus 8 weeks size. Her blood group was B negative and her
husband was A positive. VDRL of both was non reactive. Her HCT was –
35%, RBS – 100mg/dl. Before discharging her what would you advice?
(k=b) b) Inj. Anti-D
102. A 26 years primigravida came to antenatal clinic at 40weeks and 5days of
gestation. On examination, pallor absent, vitals stable, chest and CVS
normal, fundal height was 32 weeks, cephalic, 5/5th palpable and FHS was
140beats/min. Her previous antenatal visits were uneventful. Her previous
USG reports corresponds with dates. what might be the likely cause of her
small for dates?(k=a) a) Oligohyramnios
103. A 42years old lady came to gynae OPD with complaints of hotflushes,
sweating and dyspareunia for last six months. she underwent total abdominal
hysterectomy with bilateral salpingo-oophorectomy for fibroid uterus with
menorrhagia at patan hospital eight months back. On examination,G.C- fair,
pallor absent, vitals stable, chest and CVS normal, per abdominal
examination revealed scar mark over hypogastrium. What would you like to
advice her?(k=d) d) hormone replacement therapy
104. A 16 years old girl brought to gynae OPD by her mother with complaints of
no menstruation till date and cyclical lower abdominal pain. On
examination, G.C- fair, pallor absent, vitals stable,BMI-23,Chest and CVS
normal, her secondary sexual characteristics well developed,Per abdomen
examination revealed soft,cystic mass of 16weeks size occupying
hypogastrium, mobile and nontender. Examination of external genitalia
revealed a bluish discoloration and bulging hymen. What is your most likely
clinical diagnosis?(k=a) a) Imperforate hymen
105. A 16 years old girl brought to gynae OPD by her mother with complaints of
no menstruation till date and cyclical lower abdominal pain. On
examination, G.C- fair, pallor absent, vitals stable,BMI-23,Chest and CVS
normal, her secondary sexual characteristics well developed,Per abdomen
examination revealed soft,cystic mass of 16weeks size occupying
hypogastrium, mobile and nontender. Examination of external genitalia
revealed a bluish discoloration and bulging hymen. How would you manage
her?(k=c) c) incision and drainage
106. A 18 years old unmarried lady came with complaints of irregular menstrual
cycle occuring every 2 to 3 months interval since last six months. on
examintion, her BMI-30 pallor absent, vitals stable, secondary sexual
characteristics well developed, systemic and pelvic examination
normal.USG revealed multiple follicles measuring 2-9mm in diameter in
both ovaries. what further investigation would you do?(k=c)c) FSH/LH
ratio
107. A 24years old lady, para-1, living-1, abortion-1, came to gynae OPD with
complaints of absence of menstruation for last 2years. She had regular
menstrual cycle previously. she had one spontaneous vaginal delivery 3years
back in patan hospital. After 8months of vaginal delivery, she conceived
again and underwent dilatation and curettage at private clinic at 6weeks
gestation. she didn't take any contraceptions after the procedure. On
examination, pallor absent, vitals stable, systemic and examination normal,
secondary sexual characteristics well developed. what is your most likely
diagnosis?(k=b) b) Asherman's syndrome
108. .A25 year old lady came to emergency room with per vaginal bleeding since one
day.She gives history of 2 months amenorrhea.On examination,vitals were stable,pallor-
mild,P/A-soft,nontender.P/s-cervix healthy,bleeding +.P/V- uterus 6 weeks size,Os
open,bilateral fornices clear nontender.What is the possible diagnosis?(K-c)
c.Incomplete miscarriage
109. A35 year old,G3P2L2 delivered a fullterm baby with birth weight of 4kg.The doctor
was called in the labor room after 15mins of delivery for heavy PV bleeding with passage
of blood clots.On examination,BP 90/60mmHg,Pulse-100/min,pallor ++,P/A -soft,uterus
relaxed,P/V- os patulous,uterus relaxed,bleeding ++.What could be the possible cause of
vaginal bleeding?(K-a) a.Atony uterus
110. A lady came to E/R with complain of heavy PV bleeding since morning.She had
normal vaginal delivery 5days back.USG showed an echogenic mass measuring 4x3cm
in the uterine cavity with impression of retained product of conception,D/D blood
clots.How will you manage…Curettage
111. A 45 year old woman,P2L2 came to OPD with excessive vaginal bleeding during
menstruation for 1 year.On examination,Pallor -,P/A soft,nontender. P/S Cx healthy,no
discharge,no bleeding. P/V uterus 10 wks size,bilateral fornices free.Ultrasound showed
uterus 11.4x6.8x7cm,endometrial cavity normal,ovaries normal.What is the likely
diagnosis?(K-b) b.DUB
112. A 44 year old woman,P4L4 came with vaginal bleeding for more than 1 year .On
examination, Pallor - P/A uterus enlarged to 14wks size, nontender mobile and
ultrasound showed a mass of 8x 6.5x5cm within the uterus(fibroid uterus).How will you
manage this case?(K-b b.Hysterectomy
113. A 24 year old unmarried girl came with incidental finding of simple ovarian cyst
measuring 5x5cm, in the ultrasound.She had irregular menstrual cycle for 3months.What
will you do?(K-d d.OCP
114. A primigravida,34 weeks of gestation came to maternity ward with profuse
vaginal bleeding since 1 hour.On examination,BP 130/90mmHg,pulse 120/min.P/A
uterus 36wks ,tense,tender,cephalic presentation,FHS 140bpm,no contraction.P/S
bleeding ++.What is the clinical diagnosis? b.Abruptio placenta
115. A G2P1L1,36 weeks of gestation came to maternity ward with profuse vaginal
bleeding since 1 hour.On examination,BP 110/60mmHg,pulse 80/min.P/A uterus term
size,breech presentation,FHS 140bpm,mild contraction.P/S bleeding ++.Ultrasound done
at 34 weeks gestation showed low lying placenta.How will you manage?(K-c) c.Cesarean
sectiond.
116. A 25 year old unmarried girl came with severe dysmenorrhea for few days .She
gives history of similar episode since 6months.This time the pain was not relieved even
with medication.What will you advise her?(K-b) b.OCP
117. A primigravida 36 weeks of gestation came with leaking per vaginum for
6hrs.G.C fair,P/A uterus term size,FHS 140/min,no contraction.P/S frank leaking +,P/V
Os 1.5cm,Cx 50% effaced,memb-,head at st -2.How will you manage?(K-c)
c.Augmentation of labor
118. A 24 year old ,P1L1 came to ER with complain of bleeding and passage of
vesicular tissues per vaginum,and amenorrhea of 3 months.On examination vitals
stable,P/A uterus 16wks size.P/S minimal bleeding.P/V os closed,uterus 16wks size.B –
hCG was 90,000,Hct – 28%.How will you manage?(k-a) a.Suction evacuation
119. A 52 year old postmenopausal lady came with complain of abdominal distension
of 3months.Ultrasound showed unilateral complex ovarian mass of 6x7cm on the right
side,moderate ascites.How would you proceed?(K- c) c.Tumor markers
120. A 48 year old perimenopausal ,diabetic lady came to the OPD with foul smelling
and postcoital bleeding.On examination P/S unhealthy looking cervix.P/V Cx
irregular,firm,bleeds on touch,uterus normal size, no adnexal mass felt.How will you
manage?(K-d) d.Colposcopy guided biopsy
121. A 20 year old ,G1P0 with amenorrhea for 1 and ½ month came with intermittent
abdominal pain and per vaginal spotting.Pregnancy test was positive and ultrasound
showed empty uterine cavity,a complex mass of 3x2cm in the right adnexal area.Further
investigation was done and planned for medical management.What is the
contraindication for medical management ?(K-a) a.B hCG > 1,000,00.
122. A 55 year old,P2L2A1,obese,diabetic,hypertensive lady came with complain of
irregular and heavy vaginal bleeding.Ultrasound showed bulky uterus with irregular,
thickened endometrium,ovaries normal.Endometrial biopsy revealed adenocarcinoma
endometrium.What c.late menopause
123. Tara, 20 years old was brought to the emergency with seizure. She was 34 weeks
of gestation. She was a diagnosed case of gestational hypertension. On arrival her BP was
150/90, pulse – 80/min, RR 12/min. On examination: - P/A:- Uterus size was 30 weeks,
FHS – 140/min. contraction – absent. P/V:- os - closed, cervix – uneffaced, head – high
up. After initial general management what is the immediate next step? (k=c)inj.
magnesium sulphate
124. Gita delivered a baby boy of 3.7kg . She had been on injection insulin from 32
weeks of gestation after being diagnosed as gestation diabetes. After delivery what does
she need to do with the insulin that she is taking? ( k=d) stop the insulin
125. A 29 year old woman had an emergency Caesarian section under epidural
anaesthetic and then later developed endometritis, for which she as been successfully
treated. You are about to discharge her home when you notice that she is limping. She
tells you that her left leg is swollen, and she finds it difficult to put her left foot flat on the
floor. When you examine her leg you find her calf to be tender and warmer on the left
than the other side. What do you now suspect? (K=b) Deep Vein Thrombosis
126. A 19 years old woman is brought to her 6 week post-partum check. The family
are worried when she seems not to interact at all with her baby, complains of insomnia, is
very withdrawn and burst into tears very readily saying she feels unable to cope with the
pressures of motherhood. She has felt like this for the last four weeks. What condition
could be causing her symptoms? (K=b) Post partum depression
127. An autosomal dominant characteristic in only the male partner is found in what
percentage of offspring? 5%
128. Implantation of blastocyst occurs how many days after fertilization? 6-8
129. Fertilization of ovum by the sperm usually occurs ….In the distal two thirds of
the fallopian tube
130. Trial of labor is contraindicated in all the following exceptd) Multigravida
131. All the following can be used in preterm labor exceptd) Chlorpromazine
132. The commonest cause of breech presentation is … Prematurity
133. Forceps are applied in all the following excep d) Brow presentation
134. Involution of the uterus is completed by a) 6 weeks
135. Which of the following anti-tuberculous drugs is contraindicated in pregnancyc)
Streptomycin
136. Progesterone is produced by ………..Granulosa luteal cell
137. Genetic disorders are diagnosed at 11 weeks of pregnancy by a) Chorionic
villous biopsy
138. Weight of the placenta at term is a) 500gm
139. Polyhydramnios is seen in all the following except b) Renal agenesis
140. A 40 year old P4L2A2 female has been diagnosed to have H.Mole.The treatment
would c) Total hysterectomy
141. Most common site of spread of choriocarcinoma I a) Lung
142. Chronic hypertension: all true except a) It always presents before 20 weeks’
gestation.
143. PRE-ECLAMPSIA all true exceptd) Use of low-dose aspirin does not reduce
pre-eclampsia.
144. A 35 years old female who has completed her family ten years back has a huge
fibroid uterus. The choice of surgery for her would be ….Total abdominal
hysterectomy
145. The following require antibiotic prophylaxis for endocarditis during delivery
except: (d) WPW syndrome
146. In patient who is 10 years menopausal ….Vaginal bleeding in indicative of
endometrial cancer
147. TREATMENT OPTIONS FOR DIABETES IN PREGNANCY all true except (a)
Gliclazide is teratogenic.
148. WOMEN WITH OVERT DIABETES ALL TRUE EXCEPT (a) There is an
increased risk of aneuploidy in the offspring of diabetic women.
149. GESTATIONAL DIABETES ALL TRUE EXCEPT c.Shoulder dystocia can be
predicted by antenatal ultrasound measurements
150. The following conditions are indications for treatment with folic acid (5 mg/day)
in pregnancy, all true except (c) Vegetarian diet
151. Treatment for 32years multipara with DUB ….Progestogens
152. Engaging diameter of brow presentation is c. Mentovertical
153. Cardiac activity of fetus by transabdominal usg is seen earliest at c. 7weeks
154. Cardinal movements of labour are a. Engagement-descent-flexion-internal
rotation-extension-restitution-external rotation-expulsion
155. Which cardiovascular event is abnormal in pregnancy? c. Early diastolic
murmur
156. Risk of endometrial ca are: a. Obesity
157. A patient with CIN ii on pap smear next step is b. Colposcopic directed biopsy
158. All are causes of postmenopausal bleeding except: a. Carcinoma in situ of
cervix
159. Contraindication to IUCD are all except: d.Liver disease
160. True about indications for prevention of Rh isoimmunization: b. Required when
baby is rh+ and mother is rhz
161. All are usg finding suggestive of fetal death except d. Hegar sign
162. Regarding Idiopathic cholestasis of pregnancy is all except:a. Deep jaundice is
present
163. Drug treatment for ectopic pregnancy is a. Methotrexate
164. 28 YAR OLD FEMALE AMEMROHHEEA FOR 3 MONTHS……………UPT
165. HUSBAND IS ABORAD, NO REUALAR COMPIANCE FOR MEDICINE RALRY VISIT THE HOSPITAL , 4
CHILDEREN BSET OPITON IS THE …….HORMAL INJECTION
166. INTERMESUARAL BLEED AND PAINLESS POSTCOITAL BLEED……………..CERVIAL POYP
167. TWINS WITH IST SVD AND SECOND BREECH WHAT IS THE MODE OF DELIVERY…………..ECV
168. 15 YEAR OLD MALE PATTERN HAIR WHAT IS THE MOST COMMON CAUSE…………………..PCOD,CAH
AND OVARIAN tumor
169. MUMPS WITH THE INFERTILIRY WHAT IS THE CAUSE……………..TESTICULAR
170. HYPERTROPHIED CERVIX WITH THE KOILOCYTES………….HPV
171. DELIVERD RECNLTY WHEN SHE CAN USE THE MINIPIL…………….2-3 DAYS AFTER THE DELIVERY
172.
173. 10 YEARS OLD GIRL NO PV BLEEDING AND NO EYE CONTEACT………….. SEXUAL ABUSE
174. HAPPYILY PLAYING CHIILD WITH THE VAGINAL DISCHARE………….FOREING BODY
175. 65 YEAR OLD MENAOUS 20 YEARS BACK NOW HAS GOT HE PAINLESS VAIGINAL BELEEDDING
…………ENDOMETRAIL BLEEDING
176. DEFINITVE DIAGNOISS FOR THE OVARIAN CANCER IS ………….HISTOPATHOLOGICAL
EVAULUATION
177. A MULIGRAVIDA ASKS FOR THE IMMEDIATE POSTPARTUM VONTRACEPPTION………… IUCD POST
PARTUM
178. MOST IMPROTANT THING IN THE PARTOGRAPH FOR THE INDICATTION OF LABOR PROGREESION IS
THE…………………….CERVICAL DIALTION
179. POSTION OF THE OCCIPUR DURING DESENT OF THE NORMAL LABOR IS…………………………….
OCCIPUT LATERAL OR ANTERIIOR
180. 3 DAY AFTTER THE NORMAL DELIVERY PASSING OF HEAVY CLOTS LOWER ABDMONIAL PAIN AND
BLEDDING INCREASING WHAT IS THE MANAGEMENT…………… ANTIBIOTICS AND CUREETAGE
181. EMERGENCY LSCS IS DONE AND COME WITH THE COMPLAING OF THE FEVER FOUL SMELLING
DISCHAGE LOCHIA ……………ENDOMETIRITS
182. 19 YEAR OLD GIRL WITH PRIMARY AMENORRHE A WHAT WILL YOU FIND IN POGESETERONE
CHALLGENGE TEST……….BLEEDING AFTER 2 7 DAYS OF THE WITHDRWAL
183. 49 YEAR OLD FEMALE COMES WITH LOSS OF LIBIDO MOOD CHANGES HOT FLUSHES
…………….NORMAL MENOPAUS
184. 18 YEAS OLD FEMALE WORKS HARD EAT LESSS AND PHYSICAL EXMAINATION SHOWS THE
NORAML SECONDARY SEXUAL CHARACTERS……………… HYPOTHAMLIC AMERNORRHEA AND
SECOND THIS YOU DO IS STHE USG OF THE PELVIS
185. A YOUNG BOY WIH THE HEPERTENSION HYOKALMEI AND THE ELVEVATED OH
PROGESTERONE…………CONGENITAL HYPERPLASIA
186. PRETERM WITH 28 WEEKS OF GESTATION WHAT IS CHOICE OF FFEDING …………..IV FLUIDS NOT
BRESAT MILK AS NO SUCKILING REFLX ARE PRESENT
187. 8 MONTHS OLD CHIILD WITH MILD FEVER AND WEEZE SMILIAR EPISODES ARE PRESENT IN THE
PAST ALSO……..ASTHEMA
188. A DIABETIC MOTHER GAVE BIRTH TO THE 2700 GM BAAY AFTER FEW HOURS BABY IS LETHARGIC
WHAT IS THE LIKELY DIANOGIS….. HYPOGLYCEMIA
189. A MOTHER BEFORE 24 HOURS OF DELIVERY TOOK MORPHINE AND THE BABY AFER BIRTH WAS
FLAT NOT BREATING PROPPERYLY WHAT IS THE DRUG OF CHOICE……………. NALOXNE
190. BABY WITH FEVER ON 11 HOURS OF LIFE HE DEVELOPED SEIZURE ON ASKING MOTHER HAD
PROLONGE RUPURE OF MEMBRANCE…………..NEONATL SEPISS.(MENINGITIS)
191. BABY SOON AFTER BIRTH COME WITH FEVER RESPIRARTY DISTRESS AND GRUNITNG MOTHER HAD
PROLONGED RUPTURE OF MEMBRANE WHAT IS ORGGNIS………….GBS
192. 5TH DAY OF LIFE EXCESIVLEY CRYING BAY WITH BRESASTFEEED AND ICTTURE BABY BLOOD
GORUP 0 NEGATIVE AND MOTHE POSITVE WHAT IS THE DIGNOSIS ……….PHYSIOLOGICAL
JAUNDIEC OR THE ABO LESS LIKELY
193. ISOLATED PTT INCREASE WITH THE PT NORMAL ……………VWF
194. 10 MONTH OLD BOY WITH THE PETECHIE AND THE EXMAINATION SHOWS THE GIANT
PLATELTS…………BERNA SOULIERS DISESE
195. A 4 YEAR OLD BOY WITHT THE COMPLAIN OF SOB WITH THE EXMAINATION SHOWING THE
CARDIOMEGLAY ……….SELENIUM DEFICINEY
196. CALCUATION OF THE MAINTAINCE FULUID IN 24 HOURS VERY IMPORTANT
197. DIAGNOSIS OF THE MENEKS DISSASES……..CU DEFICEINCY
198. 8 day disease= tetaus
199. 100 day disease= whooping cough
200. If <5 year- ampicillin
201. If >5 year penicillin
202. If less than 2 month you need to sepsis workup. To cover listeria give
ampicillin+ amikacin
203. H infulezae ampicillin
204. PenicillIn G vs v difference narrow spectrum antibiotics
205. For atyprcals give azithromycin for 5 days
206. 8 year old boy strep pneumonie give penicillin
207. For staph aures- cloxacillin
208. Strep pneumoniea for 7- 10 days
209. We never need to do radiological confirmation but after 3 months we can do
210. Basically Hib inectiion occure in less tha 5 years old child
211. Child of 60 days cannot localize the infection GBS penicillin, E colli
gentamycin, LISTERIA ampicillin, GRAM +rods
212. 2-3 months hib, pneumoniiae, staphylococcus aures
213. >5 years pneumonia, staphyloccus aures, salmonella
214. For fever do a complete septic workup
215. Frequency of micturition and the weight gain helps in determination of the
adequate feeding
216. In fever always think of head to toe
217. Perinatal 28weeks to 1 week after birth
218. Children less than 1 year there is always the hidden agenda
219. If there is significant fever and not getting the focal place for the fever 
always send for the urinary microscopy
220. Think of the perinatal events sucha as PROM, cry after birth, labor any
prolonged, pani futeko thiyo ke thiyena you need to ask all about that
221. For older ones if <1 week do nothing(meningococcemia)
222. WBC count>150000/mm3 is suggestive of pneumococcal infection
223. A low total WBC <6000 for neonate and <4000 child
224. Penumonia treatment for 4 days don’t get better then its PNE
225. In bag if more than 100000 then only its suggestive
226. Upto 60 days full sepis workup, <2 years  urinalysis and urine culture,
LP <18 months and for older ones if sings of the meniingism is there
227. High fever,seek looking, lymphadenopathy, organomeagaly  think of
malignancy
228. Rahses CVD
229. Chronic osteomyelitis excruciating pain
rd
230. 3 day fever goes away and rash appears roseola
th
231. Mild cough, coryza and fever on the third day and on the 5 day very high
and the rash apperrs
232. Measles leaves behind a brownish discoloration
233. Vitamin A is given after measles because if latent TB is there then it
becomes activated
234. Chicken pox crop like appearance
235. Rubella is milder measles. Rash is red in measles and pinkish in
rubella(german measle
236. While treating JRA it takes at least 2 weeks for the drug to work so
cunselling is very important,very bad disease
237. Complications of ENTERIC FEVER includes:
238. 3 YEAR OLD HAS GOT DIFFICULY WALKING AT NIGHT WHAT IS THE DOSE OF THE VITAMIN TO BE
GIVEN TO THE KID……..2 LAKH IU
239. APAGAR SOCRE OF 2 AND 3 AT 5 AND 10 MIN HYPOTIONIC LEHTEGIC DEVELOPED SEIUZRE LATER
ON WHAT GRAGE OF HIE--------3
240. SEVERE VOMIITNIG SOON AFTER FEDING FOR 5 DAYS……………..HYPOCHLOREMIC HYOKALEMIC
METAOBLLIC AKALSOSIS WITH PARADOXCIAL ACIDURIA
241. CHILD PRESESTED WITH FEVER OF 99 ASSOCITAED WTHT THE HASRSH COUGH NEXT DAY HE
DEVLOPED SRIDOR WHAT IS THE MOST LIKELY DIAGNOSIS………. CROUP
242. CHILD WITH CORYZA AND NOISY BREATING FOR 2 DAYS HE HAD EXZEAM AND DAYS BFEORE HE
WAS FINE. IN LAST 6 MONTHS HE ND SEVEREL EPIOSDES OF WHEEZE AND XARY SHOWS BIBASALR
EXUDATE…………….LILEY HE HAS CROUP AND HYPERINFLATION OF LINGS IN XARY
243. MOST COMMON ORAGSNIMS CAUSING PNUEMONIA……………STREPTOCOCUS
244. 2 MONTH OLD CHILD WITH COUGH SOB AND CYANOSED WHILE EATING ON EXMAINATION BASAL
CREPITS PREENT WITHT THE HEPATOMAGLY………..CHF
245. RESTRCTION OF FREE WATER…..SIADH
246. 7 MONNTH OLD PNEUMONIA THEN…………..STREPTOCCUS ELSE IMMUNOCOPRMONISED THEN E
COLI
247. RESPIRATORY DISTRESS SYNDROME BABY………………….INTUBATION
248. LARYGOMALECIA………………WORSE ON PUTTING IN SUPINE POSTION
249. 4 DAY JAUNDICE PHOTOPHERAPY………..STRUCTURAL ISOMERISIOM
250. HIGH GRADE FEVER…………..TRANSIENT PROTEIURIA WAIT FOR FEVER TO SUBSIDE THEN DO THE
REPEAT URINE PROEITN
251. COW MILK HAS MORE CAESIN
252. NEONATE NS………10 ML/KG AND HYPOGLYCEMIA………..10% DEXTROSE 2 ML/KG
253. 5 YEAR OLD MENINGITIS………….GRAM POSTIVE THEN 10-14 DAYS AND GRAM NEGATIVE……….21
DAYS
254. 10 YEAR OLD WITH NAUSE VOMITITNG JAUDICCE AND ABDOMINAL PAIN…………. HEPATIIS
255. A CHILD HAS GOT THE SODIUM OF 160 ……………..MANAGMENT IN 48 HOURS
256. SHRUNKEN EYES,DRINKS SLOWLY, SKIN COMES BACK SLOWLY……………MILD DEHYDRATION
257. A CHILD HAS IQ OF 20-30………SEVERE MR
258. DIAARHEA AND THE PERINEAL ITCHING………………ENTEROBIOUS VERMICULARIS
259. DRUG OF CHOICE IN CHILDREN FOR TYPHOID FVER IN OPD……………..GATIFLOXACIN
260. 1 GM.DAY PROTEIURIA BUT THE DIPSTICK IS NEGATIVE…………….TUBULAR PROTEINURIA
261. 40 WEEKS GESTATION WITHT BABY BUT HAS NO BREATING ………INTUBATION BUT NO
SUCTUAITON
262. 3 YEAR OLD WITH THE DIARRHEA FOR 3 DAYS NO LOOD OR MUCUS …………..ROTA VIRUS
263. 8 % dehydration 10 kg wt, tot. fluid in 24 hours: 1800 ml
264. Measles vaccine, sick anaphylaxis: Adrenaline
265. Hyperkalemia Treatment: Ca gluconate
266. Hypokalemia, ECG feature: U wave
267. Repeated seizure in neonate, otherwise normal do what: Give treat for
seizure
268. Infant of diabetic mother, has seizure: hypocalcemia
269. Fever 2 DOL, buldged frontanelle: septic workup
270. Diaphragmatic hernia, cyanosed what to do : intubate and ventilation
271. 10 days earlier sore throat, now edema, hematuria, what to do: ?Steriods ?
treat HTN, edema and renal insufficiency
272. Fever 102F, 1+ protein in urine, what to do: examine for UTI
273. Relapse of nephritic syndrome, what to do: prednisolone until no proteinuria
then alternate day Prednisolone for 6 weeks\
274. Inspiratory Stridor aggravated on supine position: ? weakness of pharynx
muscle ? vocal cord paralysis ? Croup
275. MISSED VACCANATION WHAT TO DO VERY IMPORTANT
QUESTION
276. New born, hemolytic diz of new born, exchange transfusion, but bilirubin
still 19 mg/dl, after some months present with seizure, what condition:
Kernicterus
277. Phototherapy main MOA: structural isomerization
278. Na 127, K 4.3 what to do: ?restrict free water ? give isotonic NS ? give
hypertonic NS
279. Dehydration what to do first: 20 ml/kg fast NS bolus over 10-15 min
280. Doughy abdomen, abd pain, mesenteric lyphadenitis, what diz: TB abdomen
281. New born with respi distress (birth asphyxia) called to see in nursery, what
test do: Hyperoxia test
282. Preterm, lethargic what to do: Bedside glucostrix
283. Pt with UTI antibiotics for 10 days, : urine culture only if symptomatic
284. Bony tenderness, generalized lyphadenopathy, hepatosplenomegaly, Dx:
Lukemia
285. DIC: decreased clotting factor and increased D-Dimer products
286. Fever, crackles, not responding to antibiotics and child playfull, causative
org: Mycoplasma
287. New born, mother ask for vaccine, EPI schedule: BCG at birth, DPT-Hib-
Hep B and oral polio at 6, 10 and 14 wk and measles at 9 month
288. Mothers tell that cow milk equally effective as breast milk, how do defend
on basis of protein: Cow milk contains casein
289. LARGE BULKY EXPLOSIVE STOOLS AND THE PERINEAL EXCORIATION AND ACIDIC TYPE OF
SSTOOL………CARBOHYDRATE INTOLERACE
290. 18 MONTHE CHID WITH THE CHIEF COMOLAIN OF THE TERMIAL DRIBLLING FOR PAST 6 MONTHS
HAD FREQUENT EPISODE OF UTI WHAT IS THE MOST APPROPRIATE INVESTIATION AT THIS
POINT……………MCUG
291. ON/OFF FEVER WITH THE CERVICAL LN WITH PALE ON EXMINATION………..LYPHOMA
292. FEVER.,PANCYOTPENIA,HEPATOSPLENOMEGALY NAD FRONTAL BOSSING…………….THALESEMIA
293. 3 YEAR OLD BOY WITH THE PETEICIAL HEMORRAGE……………..DECREAED PLATELET COUNT
294. HOW TO KNOW THE SECONDARY CAUSE OF THE HYPERTENSION………. HYOKALEMIA
295. ANAPHYLXSIS WHAT TO GIVE…………..EPINEPHRINE PENE
296. 13 YEAR OLD WITH POLYURINA, POLYPHAISA ………….SCREEN FOR DM
297. CONJUGATED HYPERBILLIRUBNEMAI WITH THE ALP VERY HIGH……………..OBSTRUCTIVE
JAUNDIVE
298. BILALTERAL JOINT PAIN MORING STIFNESS AND SUBCUTANEOUS NODULE ……………RA
299. A MAN WITH 1 HOUR HISTORY OF THE RETROSTERAAL PANI……………….ECG AND HIGH DOSE
ASPIRIN TO CHEW
300. DVT WITH THE CAD IN 65 YEAD OLD FEMMALE DIAGNOSIS………………APLA
301. 40 FEMALE WITH THE MASTECTOMY HAS GOT SWELLING……………LYPHMEDEMA
302. TREATMENT OF THE GBS………….IVIG
303. A 30 years old male came to emergency department following road traffic accident. He
was breathless and had pain over his right chest. On examination trachea was central and
right chest was hyper resonanant. What is the possible diagnosis……..PNUMOTHORX
304. A 30 year male sputum negative pulmonary tuberculosis was started on ATT category 1.
The patient’s sputum AFB was repeated finishing intensive phase of treatment. His
sputum AFB was positive. Which of the following is true for this patient? Treat as
treatment failure
305. A 48 years old male came to OPD with complain of cough, evening pyrexia and weight
loss. On examination he has crepitation over his supraclavicular region. His X ray shows
opacity over his upper zone. What is the diagnostic test that you would send next?
Sputum for AFB
306. A 32 years old male on ATT depeloped joint pain. On examination his first MTP joint
was swollen, his uric acid was 7.1mg/dl. What is the possible drug causing joint pain?
Pyrazinamide
307. Acid fastness in Acid fast bacilli is mainly due to ……..High content of mycolic acid
308. A 21 years old female came to emergency with complain of chest pain, fever with chills
and rigor. She also complains of chest pain during inspiration. Her total count is
21000/mm3 and chest x ray shows consolidation over right mid zone. What is the
possible organism involved? Streptococcus
309. A 19 years old female presented with complain of shortness of breath. On
examination she had bounding pulse. On auscultation early diastolic murmur
was heard over right second intercoastal space. What is the most likely
diagnosis? Aortic stenosis
310. A 30 years old male with fever for 4 days presents with right hemiparesis.
On examination he has weight loss, Petechiae and splinter hemorrhage.
Chest examination reveals regurgitant murmur over mitral area.
Echocardiography shows vegetation over mitral valve. What is the most
appropriate diagnosis? Acute endocarditis
311. A 27 years old male with rheumatic heart disease complains of early fatigue
and shortness of breath. He also complains of shortness of breath and
coughing that generally occur at night than awakes him from sleep, usually
1–3 h after going to bed. What is the possible mechanism of this
symptom?Interstitial pulmonary edema leading to increased airway
resistance
312. A 16 years old afebrile female presented with shortness of breath to
emergency department. She gives previous history of sore throat. On
examination she had pansystolic murmur over mitral area, S3 gallop and
bilateral basal crepitation. What is the most likely diagnosis? Left
ventricular failure
313. A 51 years old male with history of COPD presents with generalized
swelling. On examination right ventricular heave was palpable. What is the
appropriate site for palpation of right ventricular heave ?Left sternal border
nd
314. A 30 years female developed shortness of breath with pedal oedema on 2
day of post partum. Her chest x ray shows enlarged cardiac shadow. What is
the possible diagnosis? Dilated cardiomyopathy
315. A 58 years old male, smoker was incidentally found to be hypertensive. The
examining general practitioner advised him ECG, creatinine and lipid
profile. His lipid profile showed elevated HDL, LDL and total cholesterol.
His triglyceride was normal. What is the pathological change that will
contribute to ACS? Invasion of LDL into tunica intima forming foam
cells
316. A 59 years old female presenting to emergency department with chest pain
has ST segment elevation in lead II, III and aVF. What is the most likely
diagnosis? Inferior wall MI
317. A 46 years old female presented to emergency with shortness of breath,
chest pain, palpitation and syncopal attack. On examination her pulse was
48bpm and BP was 100/70 mmHg. Her ECG showed prolong PR interval.
What is the likely diagnosis?First degree heart block
318. A 48 years old female presented with palpitation since last 24 hours. Her
ECG shows narrow complex tachycardia. What is important in terms of
management …Rate control
319. A 34 years old male came to OPD with complain of pain over upper
abdomen, burning in nature which is usually severe at night after going to
bed. He also gives history of black tarry stool few days back. What is the
most likely diagnosis? DUODNAL ULCER
320. A 58 years old female came to emergency with abdominal distention. On
examination she was cachetic, dehydrated and had palpable mass over upper
abdomen with gross ascities. UGI endoscopy revealed gastric carcinoma and
USG was suggestive of metastatic nodule over ovary. What is the diagnosis
on the basis of USG finding? Krukenberg's tumor
321. A 30 years old male presented with loose stool since last 24 hours. The stool was watery
and was associated with vomiting. He gave no history of fever. What is the most common
organism involved? Rota virus
322. A 23 years old male presented with loose stool mixed with mucous and few streaks of
blood. He also complained of fever and cramping abdominal pain intermittently. His
stool culture showed Colon
323. A 37 years old male came to emergency department with complain of severe pain
abdomen and vomiting since last 6 hours. On examination his vitals were stable. There
was tenderness over epigastric region and murphy’s sign was negative. His previous USG
revealed multiple gall stone. What is the choice of investigation for this patient?
AMYLASE
324. A 46 years old male presented with severe pain abdomen and vomiting. On examination
his abdomen tender with rebound tenderness. Echymosis was found over his flank. What
is this sign known as? Grey turner sign
325. A 18 years old male was brought to emergency with the in stupurous condition following
6 hours of paracetamol overdose.What is the most important investigation indicating liver
failure? PT/INR
326. A 32 years high risk female came with jaundice and pain abdomen. On examination she
was icteric and had tender hepatomegaly. Lab investigation was positive for HBsAg.
What is the investigation of choice to detect replicating stage? HBeAg
327. A 58 year old alcoholic male presented with difficulty in breathing. On examination he
had gross ascities, decrease axillary hair, testicular atrophy. His AST/ALT ratio was more
than 2 and discriminant function was more than 32. What is the drug that could improve
survival in this patient? Glucocorticoid
328. A 24 years old male with complain of uneasiness over abdomen and bloating sensation.
On examination he was anaemic and stool examination revealed eggs of Trichuris
Trichuria. What is the drug of choice?Albendazole
329. A 20 years old non smoker male presented with blood mixed oose stool 4-6 episode since
last few months. Colonoscopic findings was suggestive of hemorrhagic, edematous,
mucosa involving rectum and extendending proximally to involve all or part of the colon.
What is the diagnosis? Ulcerative colitis
330. A 30 year old male was brought to emergency following a physical assault.
He had injury over his right arm with right wrist drop. X ray revealed
fracture of shaft of right humerus.What is the possible cause of wrist
drop?Radial nerve injury
331. A 24 years cricket player injured his right shoulder while bowling. On
examination his Duga’s test was positive. What is the possible
diagnosis?Dislocation of shoulder
332. A 19 year old male diagnosed as rheumatic heart disease on Benzyl
penicillin came for his regular dose. After injecting the patient collapsed, BP
was not palpable and pulse was feable. What is the drug of choice for this
patient? Adrenaline
333. A 25 years old female came to emergency with complain of pain abdomen
and PV bleeding. She also complains of syncopal attack. Her BP was 80/60
mmHg, pulse 100bpm and her pregnancy test was positive. What is the
diagnosis that needs to be confirmed first? Ectopic pregnancy
334. A 28 weeks primi came for her regular ANC visit. On examination her BP
was found to be 140/80 mmHg and her urine protein was 2+ What is the
best management for this lady? Methyldopa
335. A 30 years old male came with the history of road traffic accident. He gives
history of brief loss of consciousness following trauma. On examination he
had injury over temporal region other examination was normal. The patient
came back unconscious following 6 hours of discharge What is the possible
diagnosis? Extradural hemorrhage
336. A 42 years old male was brought to ER following RTA. The findings noted
showed Hypertension, bradycardia and abnormal respiratory pattern. What
is the possible pathology?Increase in infratentorial pressure
337. A parent complains that their 2 years old son is having fever and noisy
breathing since 2 days. On examination he was oriented, conscious but
febrile, respiratory rate was 60 per minutes with subcoastal in drawing.
According to WHO classification on ARI for under 5 the possible diagnosis
is:Severe Pneumonia
338. A 6 months old child is brought to ER with the complain of frequent loose
stool, no vomiting and tolerating feed. The child looks lethargic and on
enquiry the mother gives the history that her child has not passed urine since
12 hours. What is your priority of management? Bolus IV fluid
339. A 12 years male child presents to ER with severe abdomen pain. On
examination he has slight swelling over his right knee which is tender. There
are non palpable purpuric rashes over buttock and lower limbs. His
hematological investigations are normal. Urine shows proteinuria 2+ and
USG abdomen and x ray right knee is normal. Which of the following
statement is false? Swelling of knee is usually septic
340. A 35 years old male presents with complain of repeated vomiting and not
passing stool and flatus since 3 days. He has a history of laparotomy in past
for perforated ileum. On examination his bowel sound was hyper dynamic
and abdomen was tender. The most likely cause for this condition is;
Adhesive band
341. A 34 years old lady came to OPD with easy fatigue, muscle cramps and
constipation. Her pulse was 56bpm, other clinical findings were normal. Her
investigations reports were as follows; TSH 20uIU/l, serum calcium 9mg/dl.
What is the possible diagnosis? Hypothyroidism
342. A 40 years old male presented to emergency with Blood pressure of
190/100mmHg. His fundus examination, ECG and renal function are
normal. His neurological examination is also normal. What is the most
possible diagnosis? Hypertensive Urgency
343. A 3 years old child presents to emergency department with stridor since last
4 hours. She has slight cough, is unable to drink. The child was looked toxic
and was sitting with neck extended. Examination revealed s drooling of
saliva, febrile and chest examination was unremarkable. What is your
possible diagnosis? Epiglottis
344. A young male is brought to emergency following road traffic accident. The
patient is dyspnoeic, trachea is shifted to right side, tachycardic, raised JVP
and left chest is hyper resonant with decrease air entry on same side. What is
the important next step?Needle decompression
345. A 25 years male presents with severe abdominal pain. He gives history of
black stool since last few days. On examination the patient was tachycardic,
abdomen was rigid and bowel sound was absent. On duty staff orders x ray
abdomen erect with both dome of diaphragm. Why was this x ray ordered?
Gas under diagraph can be identified
346. A 20 years old male is brought to emergency department following road
traffic accident. On presentation the patient was very pale and bruising over
left subcoastal region. Abdominal examination showed signs of peritonitis.
What is the organ most likely to be injured? Spleen
347. A 65 years old male presents weakness of right half of the body. He is a
known hypertensive on medicine. At present his blood pressure is
170/100mmHg with pulse 72bpm. Which is the most appropriate statement?
CT head should be sent
348. Most common gall bladder stone is Mixed stone
349. A 28 years old female came to OPD with complain of headache since last 6
months. She also complains of loss of interest and low mood since last 6
month. What is the possible diagnosis?Depression
350. A 35 years old male presents with fever since last three weeks. He also gives
history of loss of appetite and pain abdomen. On examination the patient has
hepatospleenomegaly. Lab reports shows; HCT 27%, WBC 3.7 with
myelocytes and metamyelocytes, platelets 100,000.What is the possible
diagnosis? CML
351. A 33 years old female presented with a episode of seizure. She gives history
of frequent vomiting since last 24 hours and has not passed urine since the
morning. On examination her pulse was 120 bpm with blood pressure 90/60
mmHg. Her Lab investigation shows serum sodium to be 98mEq/l. Which
of the following statement is true?Rapid correction does not causes ODs
352. A 60 years old male came to emergency with sudden onset of shortness of
breath. On examination his pulse is 130 bpm, low volume, blood pressure is
90/40mmHg and has cold periphery. On auscultation of chest he has S3
gallope with bilateral basal fine crepitation. Which of the following
statement is more appropriate for this patient? Dobutamine decreases
causes pulmonary vasodilatation so it is a good choice
353. ANEMIA SINE CILDHOOD AND NOW HAS GOT PAIN IN THE EXTREMITIES …………HB
ELECTROPHEREIS
354. FEATURES OF THE ENDOCARDITIS AND MURMUR WHICH VALVE IS INVOLVED………..MITRAL
VALVE
355. DM PATINET WITH THE HYPOGLYCEMIA INITIAL MANGMENT IS 100 ML OF 50% DEXTROSE
356. TYPHOID PATIENT DEVELOED THE VETRICULAR FIBRILLATION ………………MYOCARDITIS
357. CKD STAGE 3 AND DID A CONTRST STUDY AND CAUSE OF THE ACUTE ON CHORNIC
DISESE………….CONTRAST INDUCED
358. CHORNIC LVIER DIASESE WITH THE GI BLEED TX……….IV CEFTRIXONE AND NOT CEFOTAXIME
359. FILARIASIAS FEATURES AND THE ORAGNISM…………….WHUCHERIA BANCROFTI
360. PREGNANY LADY WITH THE HIGH BP AND PROTEIURIA………..PREECMPLISA
361. HOW TO KNOW THAT IT IS NOT POISONOUS SNAKE…………TWO ROWS OF CAUDAL TAIL
362. POST OPERATIVE SUDDEN LOSS OF CONCIUOUSNESS CHES PAIN…………..PE AND TEST IN
PREGNANCY IS VQ SCAN
363. DIZZINESS BUT NO SENSE OF ILLUSION OF MOVEMENT WITH THE DILL HALPIX IS
NEGATIVE………..OLD AGE DYSEQULL
364. 15 YEAR OLD WITH THE NEPHROTIC RANGE PROTEIURIA ……………GIVE PREDNISOLONE
365. 43 YEAR OLD GENTLEMEN PRESENTED WITH LUMP IN THE CHEST BELOW THE RIGHT EAR THE
LUMP IS LARGE AAND WHAT IS NEXT STEP IN MANGMENT…………FNAX
366. 45 MALE TENDER MASS INN RIGHT THIGH.. THE MASS IS ATTACHED TO MUSCLE BUT THE
OVERLYING SKIN IS FREE WHAT IS THE NEXT BEST STEP IN MANAGEMENT……..INCUSIOINAL
BIOPSY
367. A SYMPTOMATIC USG DIAGOSED LIVER CYST……..ALBENDAZOLNE
368. BLOODY DISCHARGE FORM THE SINGLE DUCT…………..INTRADUCTAL PAPILOOMA
369. ENDOSCOPY SHOWIING 3CM ULCER IN THE LESSER CURVATUE AND WAS TREATED WITH THE 6
WEES OF THE ANTIPYLORIC MEDICATIONS……………BILORITH 1 OPERATAION TO BE DONE
370.
371. HERNIA INFERIOR AND LATERAL TO THE PUBIC TUBECLE…………FEMORAL HERNIA
372. A MASS IS OBSTRUCTED IN THE TRANSVERS PALNE DEEOP DOWN………………………OPEING MADE
BY THE EOM
373. MANHOLE DEFORMITY WITHT THE BLOOD IN THE MEATUS……………..BULBAR UTRETHRA
374. PREGNANCY AND 6MM OF STONE ………….RASSURACE AND PLENTY OF WATER
375. GALLSTONE IELLLUS DEFINITIVE MANGMANET…………..ILEOTOMY AND EXTRACTION
376. COMMON ANATMONICAL POSTION OF THE HEMORROHOIDS……………3 .7 AND 11
377.
378. 7 YEAR OLD WITH THE BLEEDING PR AND THE BIOPSY SHOWED………………..HAMRAMATOUS
POLYO
379. 34 YEAR OLD FEMALE WITH THE BREAST PAIN AND HAS NOT SUBSIDED WITH THE
NSAIDS…………EVENING PRIME ROSE OIL
380.
381. MOTOR VEHNICLE ACCIDENT CLINICAL EXMINATION SHOWS TENSIO PNUEMOTHORAX
……….NEEDLE THORACOTOMY
382. >250 PMN IN THE ASICITC FLUID…………..SBP
383. FEVER,COUGH WITH CLUBBING AND XRAY SHOWING HYPERINFALATION…………BRONCEICTASIS
384. SOB ACUTE ONSET WITH THE PINK FORATY SPUTUM, PALPITAION………..ACUTE PULMONARY
EDEMA
385. PAINTER, EPISODIC VERIGO, SNOSARY HEARING LOSS AND HEADACHE………………ACUOSTIC
NEUROMA
386. HEMATOXIC SNAKE…………VIPER
387. HORNET BITE…………….INCREASED CK
388. CHORIC GERD ENSOCPOY FINDING WITH BIOPSY……………METAPLISA INTESTINAL
389. FENA <1 WITH NA<10 ………….PRERENAL CAUSE
390. PHEOCHROMOCYTOMA DIAGNOSIS………………URINE METANEPHRINES
391. OPERATION OF THE CRANIOPHRNGIOMA AND PATIENT DEVELOPS THE POLYURA………….DRUG TO
BE GIVEN IS THE DESMOPRSSION
392. DYSURIA AND FEVER WITH THE DIAGNOSIS OF THE EPIDIYMOROCHITIS……………..OFLOXCIN
393. BURN WITH BILSETERS SENSATIO INTACT AND BLANCHING……………..SUPREFICIAL PARITAL
394. BURIN IN CLOSED ROOM WITH THE INHALATION INJURY………………INTUBATE THE PATIENT
395. BREAST CANCER PRESTING WITHT THE PREVIOUS SURGREY AND RADIOTHERAPY AND NOW HAS
METS TO THEVERTEBREA WHAT WILL YOU DO…………….RADIOTHEPRY
396. PROGRESIVE PAILESS JAUNDIVE WEIGHT LOSS AND MASS IN THE RT
HYPOCHONDRIUM……………… CA PANCREASE
397. CONFIRAMATORY DIAGNOSIS FO THE INTUSSCEPTION………….USG
398. APPENICULAR LUM DIAGNOSIS……….USG AND THE INTERVETION WITHT THE OSCER SEREN
REGIIMEN
399. ABDMOINAL PAIN WITH THE RED STOOL WITH THE PULSE OF THE IREREULAR IRREGULAR
………….MESETERIC ISCHEMIA
400. LUMP WITH THE PUNCTURE PRESNET NON TENDER AND NO SKIN CAN BE PICHED
OVERLYING………SEBACEOUS CYST
401. LUMP ON THE OUTER ORBITAL EDGE FIXED ON THE INTERNAL TISSUE AND SKIN IS MOVBALE
OUTSIDE DERMOID CYST MECHANISM IS……….IMPLANTAITON OF THE EPIDERMIS IN DERMIS
402. 14 YEAR OLD GIRL MASTECTOJMY DONE AND IT SHOWED WHORL PATTERN ,GIANT MASS NO NO LN
DIAGNOSIS IS………
403. DUCHHEN MUSCULAR DYSTROPY …………X LIKINED RESSIVE
404. TRANSUDATIVE ASCITIES…………CIRRHOSIS
405. EDEMA ,BLOOD PRESSUR HIGH HEMATURIA ASO POSITIVE………..PSGN
406. HISTORY OF STROKE AND NOW HYPERDENSE LESION ON THE CT………..SUBARACHNOID
HEMORRAGE