Der was a question abt a woman wt a strong family hx of DM and bp of

145/somtin..her fasting was elevated... Wat to do... Repeat in

4weeks,commence met for mine, commence amlodipine.

Cancer patient on metformine and longacting insulin came in wt severe

hypoglycemia..plan...reduce insulin dose or change to OHA

DIZZINESS ..hypoglycemia got better wt biscuits and tea and on metformine

and gliclazide... Wat to do.. I think..

Boy wt painful hip joint and mild pyrexia options.. Slipped epiphysis, septic
arthritis, perches dx.the

Child wt vomiting nd mass abdominal.. Options US abdomen..

Man wt constipation, abdominal distention and vomiting.. Wat to do. Options

call surgeons, send fr ct scan...

Another person wt epigastric pain mild and diarrhea.. No dyspepsia in options

but gastroenteritis

A woman wt abruptio placenta.

A woman wt eclipsing already on hydrallazin and mgso4 drip wat to do next...

Mgso4 bolus

A woman wt breast lump 1*1cm..smooth, we'll demarcated, grandmother had

cancer... Options cancer, fibroadenoma...

A family tree fr duchenne dystrophy. Wats d possibility of d second son having

it...

A question abt a girl wt short stature an amenorrhea.

Depot Provera woman wt bleeding six wks after wat to do.. Reassure.

65yrs old wt brown discharge and 8mm endometrium... Wat to do..

Hysyeroscopy and biopsy

Another patient angry wt doctors fr surgery and later thankful... Adjustment

disorder in options

Red itchy periareolar rash... Options pages, contact dermatitis..

Jaundice, dark urine, mild anemia. continuous taking antimalarial after

returning from Thailand.. Options had

Another diagnosis of meningitis when to alert authorities.. On suspicion, or on

confirmation
A tb homeless guy.. Options to isolate and arrange fr contact tracing, get
alternative accommodation via social service.

A foundation doctor suspected of cannabis abuse having poor work and

hallucinations.. Way to do?.. Report to educational supervisor, report to GMC,
advice to stay off..

A lady wt cramps and diarrhea. Wen shd she go bak to work.. Wen diarrhea
settles and she feels better, 48hrs after, 24hours after..

A woman wt frothy poo... Wat test?

. AntiTransglutaminase.. For coeliac dx...

A patient who was found outside d Queens house saying prince Charles sent fr
him... Grandiose delusion...

A nurse or lady wt OCD..

Treatment for gardnerrela.. Metronidazole, doxycyclin as option.

Pleural effusion wat to do to relieve symptoms as woman had a few weeks to

Liv... Aspiration, commence frusemide..

A man wt oneside pain worse in eating.. Wat to do..temporal artery biopsy

Someone wt decreasing acuity and hx of myopia... Glaucoma, cataract..

Hoarseness after surgery from recurrent laryngeal nerve trauma..

LTB in child wtout treatment wat is d outcome

risk fr repeat stroke.. ABCDE..

SOMEONE WT LUNG CANCER AND SOIUM 119..CAUSE..OPTION HAD ADRENAL I

SUFFICIENCY, HYPONATRAEMIA

TRANS URETHRAL PROSTATECTOMY WHAT DO U SEE.. HYPONATRAEMIA..

Question on cardiac tamponade.. Muffled heart sound, engorged neck vein.

QUESTION on pneumothorax wat to do immediately.. Physiotherapy,

therapeutic tboracocentesis..

One chest pain not known wt bp or any meds but normal troponin and normal
x-ray and ecg.. Options had costochondritis, MI, PE... Father had BP and MI

Patient who buys otc non prescription meds wt dilated pupils, rhinorrhoea,
laceration.. Option had cocaine, cannabis, heroine.
A child came in unconscious but amongst other findings constricted pupils..
Wat to do.. Methadone..

Someone unconscious wt amtriptylin pack empty in pocket..

Someone to stop alcohol, wat drugs to giv slowly frst..

Hyperreflexia in a patient taking levothyroxine.. Wat vitamin caused it..

Trauma to common peroneal nerve wt foot drop and d rest.

1. A lady who had hip surgery 2 days ago, presents acutely with shortness of
breath. Diagnosis.
a. Cardiac Tamponade
b. M.I
c. Pleural effusion
d. Pulmonary embolism

2. Male presents with yellowish plaque on eyelids over 2 years varying in size
from 0.3cm-0.5cm. Diagnosis
a. Apical carcinoma
b. Basal cell carcinoma
c. Meiboian cysts
d. Xanthelmasta

3. Boy who was riding a bike, fell off & hit his leg laterally below the knee.
Dorsiflexion present, which nerve is involved?
a. Femoral nerve
b. Common peroneal nerve
c. Sural nerve
d. Obturator nerve

4. Middle aged female presents with diarrhoea for 2 days, on Sertraline, ?other
meds. BP is normal , bloods are normal except for increased creatinine & urea.
Next management.
a. Stop Sertraline
b&c. Stop other meds
d. Start loperamide
e. Start metronidazole

5. Elderly male, 5 days without passage of stool or flatus, hyperactive bowel

sounds. Rectal exam is empty. Next course of action.
a. Prescribe normal lactulose
b. CT abdomen
c. Urgent referral to Surgical unit
d. Manual evacuation

:
11. A 50yr old woman who had fracture and asked for how to prevent future
fractures
A. DEXA
B. CT
C. X Ray

12. Something about a woman with previous PE. Had epigastric pain, nausea
and diarrhea but no vomiting. What is diagnosis?
A. Dysentery
B. Gastroenteritis
C. Irritable bowel syndrome
D. IBD

13. 25 yr old with greenish vaginal discharge. No abdominal pain. Only green
discharge in vagina. Had unprotected sex with a new partner. How to
investigate
A. Cervical cytology
B. Cervical swab
C. Self collected vaginal swab

16. A 34 year old man overdosed on 100 paracetamol and has multiple
sclerosis. He's refusing treatment
A. Voluntary admission to pysch ward
B. Assessment of mental capacity to refuse treatment
C. Start N acetyl cysteine immediately

17. A 78yr old woman with feeling tired with cough and sputum for 2days.
Temp. 39 degrees. Na, K, Urea within normal range except creatinine.
A. Bacteria pneumonia
B. Influenza virus infection
C. Left ventricular failure
D. Pulm embolism

18. A young girl found collapsed in the pack. Has not eaten in 48hrs because
she's targeting weight of 30kg. On exam she has postural drop, glucose low.
She's angry that she should be allowed to go home. Appropriate action
A. Referral for assessment for compulsory admission
B. Refer to dietician
C. Refer to eating disorder clinic

19. A woman on 2 regular asthma inhalers and 1 that she takes when needed.
She then begins to experience twitching of her hands when she takes one of
them
A. Beclomethasone inhaler
B. Salbutamol inhaler
C. Salmeterol inhaler
D. Ipatrobium inhaler
E. Iotopium inhaler

21.A question about clumsiness, a case of Multiple sclerosis......what's the most

diagnostic investigation
Electroencephalogram
Mri of the spine
Ct

22.A 3year old with hip joint pain, withfever 38°c

Perthes
SUFE
Septic arthritis
Transient synovitis

23.A case of rt sided pain, tenderness, upper arm weakness, headache...what's

the most diagnostic investigation....
Temporal artery biopsy
Mri
Ct
Eeg
Electromyography

24.An elderly presented with osteoporotic features

Dexa scan -2.6
What can be used for treatment
Calcium carbonate
Aldronate

25.A study question on lowering cholesterol about NNT was 98.....What does it
mean?

26. An elderly patient Who has Alzheimer's and wants to keep on driving. Her
son is concerned for her safety. What is d appropriate thing to do?
A. Inform safety ppl or sth
B. Inform driving association
C. Inform police
27. D 3yr old boy who was brought to d hospital with purple skin and some
areas brownish or yellow. He had been staying with his grand mother. Dx?
A. HSP
B. ITP
C.NAI

28. Somebody who's taking lithium n you're worried about lithium toxicity.
When will you check for lithium level?
A. 8hrs after d last dose
B. Just be4 u take d next dose
C. 6hrs after last dose
D. 2hrs be4 next dose
E. 12hrs after last dose

29. Can't remember

30. A woman who came to d ED with complains of chest pain n breathlessness.

Pulse-110bpm, RR is 30cpm, BP?. On auscultation: pansystolic murmur with
bibasal crackles. What's d investigation to obtain d Dx?
A. CT
B. Coronary angiography
C.ECHO
D. Blood culture or so…

34. A 35 year old man has acute severe central chest pain. On chest x-ray,
there's widened mediastinum

A. Pulmonary embolism
B. Aortic dissection
C. MI

35. A 65 year old woman with peri-areolar rash for 3 months, which is red,
itchy. Mammography done 2 years ago was normal.
1. Bowen's disease
2. Breast carcinoma
3. Pagets disease

36) family made inquiry about the risk of their 2nd male child having cystisc
fibrosis
A)0%
B)25%
C)50%
D)100%

37) Patient with a history of gastrectomy 15yrs, presents with deterioration in

cognitive function, loss of proprioception, loss of vibration sense. High mcv
What is responsible?
A)
B)folate def
C)vit b12 def
D)
38)Patient brought to emergency room, empty packets of amitriptylline found
in her pocket, vomiting
Gcs:11/15
Ecg: ventricular tachycardia
Metabolic Acidosis
What is d most appropriate initial mgt
A) IVF 0.45% NS
B)ivf  0.9% NS 500mls
C)ivf 0.9%NS 250mls bolus
D)ivf 0.9% NS 1L + 40mmolK
E)ivf 0.18% NS 1L

No 41 A woman has clarithromycin prescribed for her chest infection. She had
a metallic mitral valve replacement 20yrs ago and takes warfarin. She is on
amlodipine,atorvastatin,bisoprolol and sodium resipronate. Her INR was 1.3
(target 2-3) which of the drugs interacted with warfarin to give this picture
Amlidipine
Atorvastatin
Bisoprolol
Clarithromycin

No 43, a woman with a picture of depression hears voices when she wakes up
talking about her that she's a dirty person. What kind of hallucination is this
Hypnagogic hallucinations
Delusion
First person auditory hallucination
Third person auditory hallucination

[5:13:08 PM]
Glory
:
44 A grandmother that came with her grandson, She continued to drive despite
being told not to.
A. Inform safe guarding
B. Inform Local police
C. Inform DVL
D. Send her for driving test
E.Request she must not drive

45 A lady who recently changed her sexual patner, she presented with
greenish discharge and pain on urination, what investigation to likely lead to
diagnosis
A. Colposcopy
B. Cervical smear
C. Cervical swab
D. Mid stream urine
E. First pass urine

46 A woman on Aspirin, setraline, was unstable, BP was 100/70. IVF was

commenced, what adjustment to be made to her medications
A. Stop setraline
B. Stop Aspirin
C.
D.
E. With hold Ramipril

46. 25yo, 12wk GA, 2nd pregnancy, same partner, 1st child has CAH, what's
the risk in the unborn child
A. 0
B. 1:1
C 1:2
D 1:4
E 2:3

47. 60yo F, going for coronary angiography, as an elective procedure, has

t2dm, IHD, ON metformin and aspirin, how to prevent contrast induced kidney
injury.
A 5% dex
B furosemide
C mannitol
D 0.45% n/s
E 0.9% n/s

48. M 63yo, to go 4 hrt surg for mitral valve dz, has asthma, his cardiologist
wants to decrease the risk of post op AF, and started amiodarone, what impt
test should be done b4 starting treatment
A albumin
B clotting profile
C fbc
D random blood glucose
E e/u/cr

49.child wt fever 39.9, gen ton-clonic seizures, what's the prognosis for further
seizures
A. Sz may occur wt fever until age 6
B. Sz may occur wtout fever until age 6.

50. M 50yo, SOB, left side cxt pain, copd, on ipratropium. Cxr shows 50%
pneumothorax on d left, what's most appropriate initial mgt
A. Admit 4 24hrs nd in patient observation
B. High flow O2, and Cxr in 6hrs
C. Chest drain
D. Nebulized bronchodilator, and x-ray in 2 hrs
E. Therapeutic pleural needle aspiration
51. Patient with cancer n metastasis to the lung /liver,what is the drug choice
for hiccups
52. Patient that had urti past week presents with red eye no discharge no pain,
next appropriate step
They was oral antibiotics,topical antibiotics,reassure.
53.insertion of chest drain,most likely structure to get damaged
54. Truck driver sleeps off while driving,has early morning headaches,BMI is
high,snores at night. Options narcolepsy,obstructive sleep apnea.
55. Patient with thyrotoxicosis,t4 n t3 high ,already on propranolol. What other
medication to add
Carbimazole,propioth,prednisolone,iodine

57: A 33 yr old man with headache, temp 37c,no organism was cultured on Csf.
A)toxoplasmosis
B) cerebral abscess
C) Tuberculous meningitis
D) viral encephalitis

58) middle aged woman with flares and floaters, also myopic. No associated
pain
A)Iritis
B) Acute angle closure glaucoma

59)Young man, dysnea on exertion, polyphonic wheeze. Initial treatment?

A) iv salbutamol
BIv corticosteroids
C) Nebulised salbutamol

78. A woman who gave birth 10/7 ago presenting with fever, breast pain and
tenderness. The nipple is cracked and scaly and there is a hard lump on the
affected breast.

What organism is likely to cause these symptoms?

A. E. Coli
B. Group B strep
C
D Staphylococcus aureus
E Staph

79. A young boy presenting with purpura on the buttocks extending to the
thigh. Also having swollen knees.
Blood work normal except for mild anaemia.

What is the likely Dx?

A. TTP
B. ITP
C
D
E. RA

81)9 yr old girl presents with "trance like" state reported by the mother.. she is
said to be unresponsive but has flickering eye movement... She says she's
aware of events happening during the episodes but can't remember them...
1) absence seizure
2) fugue state
3)frontal lobe epilepsy

82) man presents with muffled heart sound, distended neck vein and
bp(90/60)...
1) cardiac tamponade
2) pneumothorax

83) a child presented to the ER was having haematemesis after a

surgery( tonsillectomy) as a day case 8hrs ago.
What to give
IV Vit. K
IV antibiotics
PPC
Call the ENT surgeon

84) woman sustained low impact fracture of the lower arm... What to give to
prevent further fractures
BISPHOSPHONATE

85) pregnant woman at 28wks ga with hb 110g/l....

1) give ferous sulphate
2) explain it's a normal finding
3) blood transfusion

96- elderly man with copd on maximal inhaled medical therapy that is
deteriorating at rest....additional management.
Options- Amitryptiline, ACEI, LTOT, oral antibiotics and oral steroids

97- A young lady recently treated with oral antibiotics for suspected PID comes
back worse after a few days, what's the appropriate initial management?
Options : CT scan, urinalysis, USS of abdomen and pelvis,

98 Elderly man with acute onset of complete dysphagia with no prior history of
difficulty in swallowing....what is the most appropriate investigation
Options : CT neck, video fluoroscopy, esophageal manometer, esophageal
endoscopy, esophagraffin swallow

99. 18 year old boy with pain for 4hrs in the scrotal region on examination :
scrotum is tender, reddish, retracted and patient has temp. 36.5 and urinalysis
- leukocyte and nitrites positive...
Dx: A. testicular torsion B. testicular tumor C. epididymitis D. Renal tumor
E. Cystitis

100. A young lady who had deposit povera for the first time has been spotting
for 6weeks...next line of management :
A. Endometrial biosy
B. Pelvic USS
C. Reassurance
D. Cervical smear
E. Vaginal swab
106. 34 yr old man with progressive loss of vision for about 4 months. He can't
see while driving at night. Grandfather had similar symptoms at the same age.
No other medical history. He has bilateral visual loss. What's the diagnosis

A. Cataract
B. Glaucoma
C. Reginal pigmentosa
D.
E.

107. 66 yr old man presents with nasal bleeding for 1hour. PR_120bpm, BP_?
86/58mmHg. INR_7 (target 2-3). He's on warfarin for atrial fibrillation. What will
you next?

A. Protrombin
B. Vitamin k
C. IV fluids
D

108. 68 year old woman presents with brownish vaginal discharge for about 4
weeks. Transvaginal USS done reveal normal uterine size with endometrial
thickness of 8mm. What's the best diagnostic investigation.

A. CT abdomen
B. MRI abdomen
C. Cervical smear
D. Colposcopy
E. Hysteroscopy and biopsy

109. An 88 year old woman was admitted for chest infection. She has advanced
dementia and unco-orperative with treatment. Made some attempts to
abscond. What will you do?
A. Allow her to go home
B. Obtain legal paperwork to keep her on admission.
C. Restrain her using physical means
D. Sedate her with benzodiazepines.
E.

110. A man presents with history of unwitnessed fall. He has hypertension and
some other medical conditions on apocimab, ramipril, ibuprofen etc

Na.. normal

116.
80yr old man with lung ca and metastasis to the liver, in pains, live alone, has
6 months life expectancy, depressed and want to end his life, asking for
medication to end his life.
What to do...
A. Prescribe midazolam
B. Give morphine with syringe
C. Refer to hospice care
D. Refer to psychiatric assessment
E. Refer to social services.

117...
36yr old lady with 2 months history of constipation , weight gain and lethargy.
Pelvic and rectal exam normal. Diagnosis
A. Ca colon
B. Cushing syndrome
C. Hyperparathytoidism
D. Hypothyroidism
E....
118.
14 months old baby, mother complains he doesn't respond to loud noise, calls
mama n dada, was delivered at 28weeks and stayed 10 days in Neonatal ICU,
hearing test done revealed conductive hearing loss.
Diagnosis
A. Congenital Cytomegalovirus
B. Perinatal asphyxia
C. Side effects of gentamicin
D. Serous otitis media
E....
119.
22yr old with menorrhagia with weakness and lethargy. Vitals stable.
Hb..9.7 g/do
MCV 75fl (80-96)
Other lab values given normal
Most appropriate action
A. Blood transfusion
B. Folic acid
C. Ferrous sulfate
D. Vit. B12
E. Vit. D

120...
80yr old woman post menopause, hypertensive
With ostheoporotic disease, has urinary incontinence, noctutia and frequency
on Amlodipine 10mg.
Oxybutynin 2.5
All lab values within limit except
Creatinine 98u/l
GFR 68 (>90)
What to add to medications
A....
B....
C....
D. Ramipril 2.5 mg
E. Spirinolactone 25mg

121. 29 year old man who presented with history of convulsion,and tongue
biting . No history of Fever. RBS at presentation: 6.0mmol/L CT head: Not
remarkable.
A. Meningitis
B. Epileptic Seizure

122. 52 year old woman with past history of breast CA, complains of Rt
Thoracic spine tenderness and paraesthesiae to the Lt foot.what's the best
initial management
A. CT head
B.MRI Spine
C. Radionuclide Scan
D. Thoracic Xray
123. 57 year old man presenting with Cough, Shortness of Breath .Temp:
39.0 ,B.P: 120/88 . developed purpuric rashes (there is an image ). What is the
best investigation
A. Blood Culture
B. CXR
C. Urine MCS
124. 18 year old girl Jaundice after taking an antibiotics for an Upper RTI
sometime ago. Blood film shows Heinz bodies. What is the underlying diagnosis
A. Alpha Thalassemia
B. B Thalasemia
C. G6PD deficiency
125. 25 year old man with painless penile ulcer with crusted edges . No other
symptoms and seemingly well. What is the most likely causative organism
A. Herpes Simplex
B. Haemophilus decry
C. Treponema Pallidum

126.
Young man fell from ladder with visible hematuria. Pulse 76bpm ,BP
120/76mmhg. Most appropriate initial diagnostic
Options a) CT abdomen
b) Cystoscopy
c) Intravenous urography
d) Renal arteriography
e) Laparoscopy

127. A woman presents to her GP with previous breast carcinoma which she
had surgery for. After being bitten by an insect, she develops swelling of the
upper limb. What is the most likely mechanism?
a) ascending lymphangitis
b) hypoalbumanaemia
c) lymphedema

128. An elderly man, known hypertensive on Tab Ramipril and atorvastatin

presents to the emergency....
ECG shows prolonged QRS complexes, Tented T waves
Most appropriate initial mgt
a)Ca gluconate
b) Ca resonium
c)Insulin/dextrose
d)Nebulized salbutamol

141) A 57 yr old, 10 days after MI Wass discharged on artovastatin, aspirin,

bisoprolol n morphine
Chest exam- polyphonic wheeze
What drug is prolly the cause?
Morphine
Aspirin
Bisoprolol
Artovastatin

142) A 22 year old with left sided scrotal swelling and discomfort worse on
standing and was noted to be relieved on lying down
Diagnosis
Spermatocele
Varicocelectomy
Hydrocele
Seminoma

143) A 37 year old came to A n E after using a pencil inside his ear as it was
itchy he then noticed on removal the eraser was missing. Most appropriate way
to remove
Removal by hook
Suction
Under GA
Oil

144) A 56 yr old with fever, rigors, vomiting and right costovertebral angle
tenderness with the following lab values
Hb decreased
Na, k, hco3 normal
Crp increased
Urinalysis +ve for blood and nitrite
After investigation Started on iv antibiotics and ivf
Most appropriate next investigation
Ivu
Ct kub
Urine culture
Renal angiography

145) An 8yr old boy who had fever and chest pain was noted to have FBS
6.0mmol/l
Post admission
RBS < 7.1mmol/l
Diagnosis
Type 1dm
Stress hyperglycaemia
Type 2 dm
Test error

March 2019 Recall

146: A patient who had a Transient ischaemic attacks, investigation shows AF,
scoring for risk of future stroke
a. ABCD 2 score
b. NEWS
c. Wells
d. CHAD 2 SCORE

147) A 60 year old lady present to the hospital with her daughter that say is
that her mother has been suffering from hearing voices inside her room for the
past 3 days and her neighbours say that she is talking and shouting to
someone in her room however there was no one there.
A)Delirium
B)Dementia
C)Visual hallucination
D)Schizophrenia

148: Question about an old man who collapsed, RBS hypo, Has CKD stage 3, on
Ramipril, Atovastatin, Metformin and Glipizide. What’s appropriate
management
A. Stop Glipizide
B. Stop Metformin
C. Stop Atovastatin

161.A man has a mole on the upper arm. Which of the following would suggest
malignant transformation?
Change of colour and edge

162. A 75 years old man presented with an ulcer on the tonsils. Which of the
following are probable sites for metastasis?

Carotid sheath
Parotid glands
Mandible

163. A man develops claw hand and loss of sensation on the dorsal and plantar
surfaces of the lunar side of the right hand following an injury. Which of the
following movement against resistance will confirm an injury to the affected
nerve?

Abduction of the fingers

Adduction of the fingers
Extension of the fingers
Extension of the thumb
Flexion of the fingers

164. An elderly woman was managed for a medical condition. She was fit for
discharge but the daughter didn't want her discharged yet. What will be your
next line of action?

Assess patient's fitness/capacity for discharge

Refer patient for assessment of fitness for discharge
Discharge patient to social service

165. An elderly man with dizziness, confusion, and... He is alert and responsive
however has occasional episodes of dizziness and confusion. B/P lying down
130/90mmHg B.P. standing 116/70mmHg
What is the most likely diagnosis

Normal pressure hydrocephalus

Alzheimer dementia
Lewy body dementia
Frontotemporal dementia

167.A man found on the hopsital hallway with a diabetic band. Upper airway
patent. Blood sugar was 1.8mmol/l. What to give
75ml of 20%glucose
4gluc tablets
60ml of 15mg of oral glucose Sol
4g of glucose gel
171) a 75 year old man developed sudden aggressive behavior. He punched a
colleague and has refused any treatment. The only medical history is
Parkinson.

How will you treat the agression

A. Haloperidol
B. Levodopa
C.
D.
E. Procycline

172. A 45year old woman developed sweating, tremors, weight loss. No neck
swelling

TSH 1.0 (0.3-3.5)

fT4 28.4 ( - 30)

Radio isotope scan showed decreased uptake.

How will you treat

A. Carbimazole
B. Prednisolone
C. Propiothiouracil
D. Thyroxine
E. Radioiodine

173. A 53 year old man

174. A 6 weeks old girl with projectile vomiting. Palpable epigastric mass and
visible peristalsis from left to right.

What's the investigation to make a definite diagnosis

A. Barium meal
B.
C. CT abdomen
D. MRI of the abdomen
E. Ultrasound of the abdomen

175. A 67 year old man with o esophageal CA and liver metastasis. He has
increasing right hypochondrial pain. He is on paracetamol and morphine
sulfate.

What else can be added to the management

A. Amitriptyline
B. Codeine
C. Gabapentin
D.
E. Ibuprofen
176. Elderly man in a nursing home, delirious with urinary frequency,
dementia and prostate cancer. Investigations to do for diagnosis.... CT scan,
urine m /c/s

177. Male with warty lesion On anal verge, histology showed mild dyskaryosis,
and viral replication. What is the causative organism. ...A.Hiv B.herpes, CH.
Ducreyi D.human papilloma virus

178. Hypercalcaemia ... palendronate infusion

179 liver metatastasis .... dexamethasone cant remember much again pls help
chidiogo I’m fagged out

180. 3 year old boy, with history of persistent nasal bleeding. Bleeding time
normal. PT 0.8, Aptt 42. Options. Haemophilia protein C def, protein S, von
williebrand dx