Oct Day 2-Evening Session-Part 2
(1) Child with features of pneumonia & CXR given (Right Middle lobe pneumonia
) & ask causal organism
A.Staph aureus B.Strep pneumoniae C.Strep Pyogene D.H infulenzae
<1 yr is RSV >1 is strep. pneumonia ,school going mycoplasma
(2) Patient with features of viscosity & Jak 2 positive & already given low dose of
Aspirin & next management
A.Hydroxyurea B.Plasampheresis
(3) Women in labour with previous history of LSCS come with constant abdominal
pain, cervix 6cm, station at ischial spine level & Pain killer was given due to pain.
After that,patient is drowsy during contraction & contraction aslo subside,Cervix is
reduced to 4cm,station -3 but No vital sign is given & no BPV
A.SE of pain killer B.Uterine rupture C.Concealed abruptio placenta
(4)Newborn baby Jaundice within 24 hours ,Mother blood gp O & Child A both
Rh negative & baby breastfeeding well.Coomb test weakly positive & asked about
cause
A.ABO incompatibility B.Rh incompatibility C.G6PD deficiency D.Breastfeeding
jaundice
(5)Young girl with features of SLE, ANA 1:160, FBC - mild leukopenia &
anaemia.Initial treatment
A.Paracetamol B.Hydroxychloroquine C.Methotrexate
(6)Dirty wound with previous tetanus vaccine 3 dose completed & booster 6 year
ago
A.dTpa B.IG + vaccine C.No need to give
(7) Open wound fracture with distal pulse ok, Analgesic & Ab given. Next step
A.Fixation B.Wound debridement C.Tetanus vaccine D.X ray
https://pch.health.wa.gov.au/For-health-professionals/Emergency-Department-
Guidelines/Fractures-Overview
(8) Photo given of Thyroglossal cyst.Management
A.Simple Excision B.Extended excision
(9) Unstable SVT management
A.IV Metorpolol B.IV Amiodarone C.DC cardioversion D.D fib
(10) Patient with recurrent infection history & Albu - 30 ( lower normal 32 )
,Globulin - 12 ( significantly reduced ) & FBC normal Ask about cause?
A.Variable immunodeficiency B.Coeliac disease C.Cystic fibrosis
(11) Features of IO ( Abdominal pain,vomiting,distension & constipation )given
with abdominal X ray & history of appendiectomy.Dx ?
A.CA sigmoid colon B.due to Adhesion
(12) Features with Pseduo colonic obstruction after postoperative Abdominal X ray
given. Management ?
A.Rectal flatus tube B.IV Fluid & NBM C.IV Antibiotics
(13) Infant with vomiting, no mass on abdomen, abd soft non tender Na 119,K
7.2,Cl low,Hco3 18 Diagnosis?
A.Congenital adrenal hyperplasia B.Pyloric stenosis C.Congenital malrotarion of
gut
(14) CA colon screening for 46 year old man His younger sister recently diagnosed
with CA colon ( Age not given but said patient younger sister ), father & aunt
diagnosed at > 60 years
A.Family cancer clinic B.Colonoscopy 2 yearly C.Colonoscopy 5 yearly D.Low
dose aspirin C.FOBT
Cat 3
(15) Pregnant lady with Abnormal nuchal translucency test at 13 weeks Chorionic
villus sampling done showing 46XY What to do?
A cont routine antenatal B arrange for amniocentesis C terminate pregnancy
(16) Patient came with Panic attack & all vital signs normal.What to do next?
A.ECG A.ABG B.CXR C.Breathing techniques
(17) Before giving chemotherapy for her mother, daughter ask about vaccine
according to her immune status
A.Mump B.Varicella C.Influenza D.Hepatitis A
(18) 13 year old complaint of heavy menstrual bleeding period on her 2nd
cycle.She doesn’t want to school due to menstruation & Hb 10.9 ( I think ) & ask
treatment
A.Avoid tampons B. Use Menstrual cup C.IM depo D.Low dose COC E. Oral Iron
supplements
https://www.rch.org.au/clinicalguide/guideline_index/
adolescent_gynaecology_menorrhagia/
(19) Child with involuntary facial movements some times accompanied by voice &
no other abnormality
A.Myoclonus B.Dystonia C.Tics D.Partial seizures
(20) Child played football match in same team with meningococcal case last 1
week & now ask for management?
(1) Vaccinate immediately (2)Dun need to worry (3) Come back if symptoms
develop (4) Test swab for meningococcal PCR (4) Test swab for meningococcal
PCR
(21) Snake bite last 2 hour ago No PBI applied & came to hospital. Patient is stable
& no vital signs is given. Next management?
A.FBC B.Venom swab kit C.Urinary analysis
(22) You are practicing in a rural area with high rates of STDs,you have concern if
screening tests can not reveal all the infected persons what is the chance to miss a
real infected positive person? Test negative Test positive Clamidya pos 2 96
Clamidya neg 170 5
A. 2/172
B. 5/101
C.2/98
