Exam (elaborations)
MAY 2022 RECALLS - with answers
- Module
- Management
- Institution
- Management
MAY 2022 RECALLS - with answers
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93. A 57yr old man with left sided facial weakness for 2 days. He can't close his left eyeand can't raise his left eye brow. Pulse is 68 and regular, B.p is 168/88. What is the most
therapeutic treatment?
A. Varicella immunoglobulin
B. No treatment
C. Aspirin
D. Prednisone
E. Acyclovir
94. A 78 Yr old man with nausea and vomiting for 1 week. Has parkinsons, on oral co-
caredol or so and oral ( can't remember). Co-caredol dose was increased 10 days ago.
Treatment?
A. Cinnarizine
B. Cyclizine
C. Ondansetron
D. Metrochlopramide
E. Prochlorperazine
26 24yr old was moving a wardrobe and it fell on his leg
What is the best molecule to diagnose
Ans: creatinine kinase
27 49yr old with bipolar affective disorder has tremors
What text to take to diagnose
Ans. Serum lithium
120. A woman about 68 years old complaining of muscle weakness and pain of her hips
and shoulders and dif culty getting up. What’s the initial investigation:
B. ESR
32. An 82 year old woman who just had proctosigmoidectomy. She is tachycardic.
PR-120bpm, BP-92/54mmHg, RR-24cpm.
An ECG that looked like AF was shown.
What is the most appropriate next step of management?
A. IV Amiodarone
B. Oral Bisprolol
fi
,C. Oral Flecainide
D. IV Digoxin
33. A man with low mood, has lost interest in his activities. He is schizophrenic on
clozapine and has gained about 12kg.
What is the most appropriate medication to prescribe for him?
A. Amitryptilline
B. Mirtazapine
C. Citalopram
D. Duloxetine
E.
75 year old man, smoker, drinker with con rmed transitional cell carcinoma, what is the
most likely cause ?
A. Age
B. Alcohol
C. Smoking
12 year old child w/ history of eczema, had painful blistering rash that when bursts turns to
shallow ulcers. He had been feeling hot and unwell for sometime
Had picture and asked what rash was,
A. Impetigo
B. Staph scalded skin
C. Eczema herpeticum
24 year old woman with recent history of overdose, admitted to hospital for treatment. Prior
to overdose she wrote suicidal note, had lost custody of her child. Now she is saying she
wants to leave hospital …..what’s the most appropriate course of action?
A. Discharge her against medical advice
B. Hold her under mental health act
……can’t remember other options
fi
,13. Picture of 9months old with red itchy skin over the face, scalp, behind the knees and
the elbows. Not on any medication. Skin is dry
Atopic dermatitis
Candidal
Congenital icthymosis
Eryspespelas
Staphylococcal scalded skin syndrome
14. 23yr old woman, light-headedness and dizziness. On cocps with light menstrual bleed
Hb low
Tibc high
Iron low
Ferritin Normal
Platelet high
Others normal
Diagnostic investigation
CT abdomen
CEA
CA 125
TTG antibodies
Urgent endoscopy
15. A 58 year old man given clarithromycin for lower respiratory tract infection. He is
hypertensive and
diabetic, he is on furosemide 40mg daily, Metformin 500mg twice daily, simvastatin 40mg
daily, ramipril
40 mg daily.
, What changes will be needed to the medication?
A. Increase the dose of furosemide
B. Reduce the dose of metformin
C. Increase the dose of ramipril
D. No changes needed.
E.Withhold simvastatin
119. 55 year old woman with metastatic breast lesion having restlessness follow...,.
A
B
C
D
E. Midaolam.
118 . A picture of a man with who woke up with painless red eye. No other symptoms apart
from slight increase in bp
A. Reassure that it will resolve with out treatment
A patient presents with lesion on the Axilla..he has Crohns disease
A. Atopic Dermatitis
B. Lichen planus
C. Flexural psoriasis
D. Pyoderma grangerosum
E. Cutaneous lymphoma
123. An 87 year old man had a fracture and is in sever pain.
He was given 1g pcm in the last hour and 10mg I.v morphine. He is still in severe pain.
what is the most appropriate management.
A. Suppository Diclofenac
B. fascia ilia nerve block
CI.V paraxecoxib
D. Oral Morphine
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