c.

Reassure
d. Analgesics
801. A 78yo gentleman suddenly collapsed. His HR=120bpm, BP=70/40mmHg. Exam: pulsatile mass
in abdomen. What is the most appropriate dx?
a. Aortic aneurysm
b. Mesenteric cyst
c. Umbilical hernia
802. A woman prv in good health presents with sudden onset of severe occipital headache and
vomiting. Her only physical sign on exam is a stiff neck. Choose the most likely dx.
a. Subarachnoid hemorrhage
b. Subdural hematoma
c. Cerebellar hemorrhage
d. Migraine
e. Cerebral embolus
803. A 34yo housemaid presents with headaches in the back of her head for several days and pain on
flexing her neck. What is the most likely cause?
a. Subdural hemorrhage
b. Cervical spondylosis
c. Subarachnoid hemorrhage
d. Meningitis
e. Cluster headache
804. A 40yo man complains of thirst and lethargy. His BP=140/90mmHg, corrected Ca2+=3.7mmol/l.
What is the most appropriate management at this stage?
a. IV fluids
b. Prednisolone
c. IV hydrocortisone
d. Calcium prep
805. A 75yo man on digoxin develops weakness in the right upper and lower limbs which resolves
within a few hours. What is the most definitive inv for this condition?
a. Carotid Doppler
b. Angiography
c. CT head
d. Digoxin level
806. A 35yo man presents with balance problems, headache, SNHL and loss of coreneal reflex on the
left side. What is the most definitive inv?
a. CT scan of internal auditory meatus
b. Nuclear imagine of the brain
c. MRI of internal auditory meatus
d. MRI brain
807. A 52yo man has a painful, red, photophobic right eye with slightly blurred vision and watering
for 3days. He has had no such episodes in the past. On slit lamp examination there are cells and
flare in the ant chamber and pupil is sluggish to react. What is the single most appropriate
clinical dx?
a. Acute close-angle glaucoma
b. Acute conjunctivitis
c. Acute dacrocystitis
d. Acute iritis
e. Corneal foreign body
808. A 55yo lady with swelling on the abdomen below the umbilicus on the right side. What is the
single most appropriate lymph node?
a. External iliac LN e. Iliac LN
b. Pre-aortic LN f. Submental LN
c. Aortic LN g. Submandibular LN
d. Inguinal LN h. Deep cervical LN
809. A 66yo male presents with painful swallowing. What is the most likely dx?
a. Nesseria meningitides
b. Cryptococcus neoformans
c. Candida albicans
d. Isospora belli
e. Mycobacterium avium
810. A 45yo lady complains of expressable galactorrhea, decreased libido and amenorrhea, weight
gain and easy fatigue. Her serum prolactin levels are 1100um/l. what is the likely cause of
hyperprolactinemia?
a. Hypothyroidism
b. Stress
c. Pregnancy
d. Prolactin secreting pituitary tumor
e. PCOS
811. A 42yo female had sudden severe headache and vomiting. She took paracetamol and then
collapsed. What is the most likely dx?
a. SAH
b. Viral encephalitis
c. Meningitis
d. Anaphylaxis
812. Parents of a 3m baby are worried about cot death. What advice would you give?
a. Lay on the back with feet towards head end
b. Lay on the back with feet towards feet end
c. Lay on side
d. Lay on stomach
813. A child born at 36wks developed difficulty in breathing with intercoastal recession and nasal
flaring. His temp is normal but his mother had PROM 48h ago. What is the most likely inv that
will lead to tx?
a. Blood culture
b. CXR
c. Stool culture
d. Sputum culture
814. A 68yo man has had increasing dysphagia for solid food for 3m and has lost 5kgs in weight. What
single inv is most likely to lead to a def dx?
a. Barium swallow
b. CXR
c. CT chest
d. Endoscopy and biopsy
e. Video-fluoroscopy
815. A 24yo male was trying to move his wardrobe but it fell on his thigh. It was there for a very long
time before someone was able to remove it. When he was seen in ED he had casts in his urine