d.

Folie a deux
e. Munchausen syndrome
1052. A 45yo woman has dull pain in her right ear which has been present for several weeks. There is
no discharge. Chewing is uncomfortable and her husband has noticed that she grinds her teeth
during sleep. The eardrum appears normal. What is the single most likely dx?
a. Dental caries
b. Mumps
c. OM
d. Temporomandibular joint pain
e. Trigeminal neuralgia
1053. A 42yo lady had corrective surgery for cyanotic congenital heart disease at the age of 3y, after a
palliative operation during infancy. There is a parasternal impulse and an early diastolic murmur.
What is the most probable dx?
a. Aortic regurgitation
b. Ischemic mitral regurgitation
c. Aortic stenosis
d. Pulmonary stenosis
e. Pulmonary regurgitation
1054. A 45yo lady presents with hx of double vision and facial numbness. Which anatomical site is
most likely to be affected?
a. Cerebral cortex
b. Trigeminal nerve
c. Oculomotor nerve
d. Brain stem
e. Basal ganglia
1055. A 30yo woman has experienced restlessness, muscle tension and sleep disturbance on most
days over the last 6m. She worries excessively about a number of everyday events and activities
and is unable to control these feelings which are impairing her ability to hold down her job.
What is the most likely dx?
a. Panic disorder
b. GAD
c. Pheochromocytoma
d. Acute stress disorder
e. Social phobia
1056. Which of the following is not a degenerative corneal disease?
a. Band keratopathy
b. Marginal dystropathy
c. Fatty/lipid degeneration
d. Mooren’s ulcer
e. Keratoconus
1057. A 30yo man presents to hosp complaining that his urine has been very dark recently, resembling
coffee at worst. He has been under the weather 2wks back and had taken a few days off work
with a sore throat and coryzal symptoms. Urine dipstick in hosp returns highly positive for blood
and protein. He is admitted for supportive management and is scheduled for a renal biopsy,
which shows mesangial proliferation with a positive immune-flurescence pattern. What is the
most probable dx?
a. Membranous glomerulonephropathy
b. SLE
 c. Wegener’s granulomatosis
d. Post – strep GN
e. IgA nephropathy
1058. A 65yo lady presents with a 6h hx of facial droop and weakness in the left sied of her body.
What single agent will she be prescribed for her whole life?
a. Clopidogrel
b. Altepase
c. Aspirin
d. Labetalol
1059. A 10yo boy is brought to the hosp with a rash over his buttocks a/w abdominal pain and
vomiting. In the ED, he is accompanied by his mother and stepfather. His mother had left him
for the weekend with the stepfather and was called to come back from holiday as he started to
have some hematuria with the rash. Social services had been notified on arrive to hospital. What
is the most probably dx?
a. NAI
b. ITP
c. HSP
d. ALL
e. HUS
1060. A man with hx of fall had confusion and laceration mark on the head. Which is the most
appropriate vessel affected?
a. Basiliary artery
b. Middle meningeal artery
c. Vertebral artery
d. Diploic vein
1061. A 72yo lady is drowsy and her relatives want to take her home. She has been prescribed
diazepam 2.5mg. What is the best delivery route?
a. Oral
b. IV
c. IM
d. Per rectal
e. SC
1062. A nonsmoker who has worked in coal mines for 20yrs presents with gradually increasing SOB,
limited exercise tolerance and a dry cough. His CXR shows round fibrotic tissue demonstrating a
mixed restrictive and obstructive ventilator defect with irreversible airflow limitation and
reduced gas transfer. What is the single most appropriate dx?
a. Churg-strauss syndrome
b. Cryptogenic organizing
c. Extrinsic allergic alveolitis
d. Good pasture’s syndrome
e. Progressive massive fibrosis
f. Molluscum
1063. A pt was complaining of pain within 6h after his appendectomy for gangrenous appendix. What
med is the best option for his pain relief?
a. IV morphine
b. Diclofenac per rectal
c. PCA
d. Tramadol