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1. woman is concerned about breast cancer because her mother was diagnosed with
breast cancer at the age of 48 years. examination of the breast is normal.
appropriate advice for her?
a) mammography every year from the age of 40
b) refer to a surgeon
2. She was found walking in the front yard in her night gown and speaking to herself.
She is 68 years old and she looks con fused. investigations the cause of her?
a) ABG
b) chest X-ray
3. 20 years old, her periods were regular and occurred every 28-30 days. complain
irregular periods for the past 4 months. which assessments is more important?
a) estrogen
b) prolactin
4. old woman in psychiatric ward due to major depression with psychotic features.
refuse to take anything by mouth including her medications. what’s next step?
a) obtain consent from the hospital administrator
b) take consent from the Mental Health Tribunal
5. a smoker complain of coughing up blood after he wakes up. important condition to
exclude?
a) bronchiectasis
b) leukemia
6. boy with fever and malaise has a temperature of 38°C. no white blood cells. urine
is negative for nitrates. what’s next step?
a) renal ultrasonography
b) repeat UA after fever settles
7. old man with hemodialysis session. blood pressure reading is 80/60 mmHg. pre-
dialysis blood pressure was 150/90 mmHg. cause of this drop in blood pressure?
a) anemia
b) hypokalemia
8. woman with dizziness after gym. ECG is obtained. what’s next step?
a) reassurance
b) intravenous atropine

**The above are Recalls submitted by our March candidates. A huge thank you to
Ahmed, Sofia, Ni Win, Arshad & others for providing us with the recalls.

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9. man in your clinic with swelling below his eye. what’s the next step?
a) incision and drainage
b) cold compression
10. woman with history of primary pulmonary hypertension planning to become
pregnant . the most appropriate advice?
a) pulmonary hypertension becomes better during pregnancy
b) if she becomes pregnant, termination of pregnancy is not required
11. which does not increase the risk of postpartum depression?
a) adverse life events
b) lack of social support
12. woman diagnosed with deep vein thrombosis at 18 weeks gestation. what’s next
step?
a) prophylactic dose of low molecular weight heparin for six months
b) termination of the pregnancy
13. old woman with facial weakness, right ptosis and drooling from the right corner of
her mouth since this morning. rash is noted in the right ear canal. what’s the next
step?
a) oral acyclovir
b) oral prednisone
14. young pregnant woman comes for her first antenatal visit at 10 weeks
pregnancy. investigations at this gestational age?
a) HIV screening
b) glucose challenge test
15. woman is a known case of schizophrenia. raised prolactin level at 7845 mU/L.
the most likely diagnosis?
a) hyperprolactinemia due to risperidone
b) hypothyroidism
16. woman complains of grey vaginal discharge. reveals bacteria attached to vaginal
epithelial cells. which organisms could be the pathogen?
a) chlamydia
b) trichomonas

**The above are Recalls submitted by our March candidates. A huge thank you to
Ahmed, Sofia, Ni Win, Arshad & others for providing us with the recalls.

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17. old man shortness of breath. does not smoke. found a systolic murmur over the
left sternal border. the most likely diagnosis?
a) mitraI valve stenosis
b) mitral valve regurgitation
18. most common finding in a patient with pleural effusion?
a) cough
b) chest tightness
19. man underwent gastric bypass surgery due to obesity. now complaint of light
headedness, palpitation and diarrhea after he takes milk. what’s the next step?
a) addition of vitamin B12
b) endoscopy
20. old man sudden pain in left leg. the distal pulses of the left lower limb are absent
and the limb is cold and painful. what’s the next step?
a) aspirin and warfarin for 6 months
b) lifelong aspirin

1/ lady in her late sixties got an eye patching done following a FB removal in the right
eye,now c/o blurring of vision in the L eye,irregular red reflex on eye examination,cause?

• optic atrophy
• vitreous heamorrhage
• macular degenenration
• retinal detachment
• cataract

2/ husband brings his wife to the psychiatrist c/o recent change in behaviour,repeatedly
cleaning the house,flirtatious with his friend,she start the conversation in a flirtatious manner
with you but later becomes very rude and aggressive,Dx?

• hypomania
• histrionic

3/ 14year old girl with typical fx of meningitis,CSF show normal glucose with raised proteins
and lymphocytossi,Mx?

• antibiotica
• analgesics and observe

**The above are Recalls submitted by our March candidates. A huge thank you to
Ahmed, Sofia, Ni Win, Arshad & others for providing us with the recalls.

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4/ 17yr old addicted to vdeo gaming and skips family meals and avoid meeting
friends,stopped going to school,feels guity for lying to his parents,gets edgy when he cannot
play videogames,Dx?

• video game disorder(exact words)

• cant remember the other options

5/ ECG of heart block morbitz type2,patient on digoxin and cant remember the other
drugs,feeling dizzy,asking for Rx?

• pace naker
• stop digoxin

6/ patient present following overseas trip with flue like symptoms ,lymphadenopathy and
hepatosplenomegaly,HIV done is negative ,asking what next?

• repeat HIV
• check oir EBV

7/ patient with deranged lipid profile with high total cholesterol and low HDL,normal
HBA1C,next best?

• apolipoprotein
• glucose challege test
• TSH

8/ registrar confesses to an intern that the consultant doesnt treat him well and he is having a
difficult time in the ward and with work,later the intern finds out that the registrar is taking
diazepam from the ward,what should the intern do?

• cant remember the options but there was an option forsenior incharge of interns

9/ patient in his mid forties ,known patient with ulcerative colitis,on azathioprin(cant exactly
remember) and sulphasalalzine,was on good remission,presents with a flair up with
diarrhea,Labs give;normocromic anemia,with normal white count and raised ESR,PLT=700,
asking for the cause

• drug reaction
• occult malignancy
• infection

10/ scenario of a 2yr old boy with R-lower lobar pneumonia(xray given with right lower
lobar haziness,which investigation next ?

• pneumococcal pcr
• blood culture
• FBC

**The above are Recalls submitted by our March candidates. A huge thank you to
Ahmed, Sofia, Ni Win, Arshad & others for providing us with the recalls.

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11/ 14 yr old with a limp and c/o leg pain (BMI=90,xray given),asking for treatment?

• traction
• hip spica
• B/L screw fixation

12/ 40yr old lady with primary intertility for >10years,also has a history of clamydia which
was treated and endometriosis,what will best predict the future fertility?

• clamydia infection
• endometriosis
• age

13/ 2weeks old baby with persistent jaundice,otherwise well with good weight gain,total
bilirubin=240,direct<10%,asking whats next best

• phototherapy
• repeat bilirubin in one week
• stop breatfeeding

14/ same scenario as above asking for DX?

• breat milk jaundice

15/ patient got hit onthe head with a ball while playin cricket,but he keeps playin and later
c/O increasing headache and becomes drowzyand taken off the field,,doesnt loose
conciousness,BP=100/80 and PR=110,asking for Dx?

• EDH
• SDH
• concussion
• cerebral contusion

16/ repeat recall of a 65 yr old lady who drinks few cups of coffee and beer in the evening
who wakes up wetting the bed,no symptoms i the day time,Dx?

• alcohol intox
• stress incont
• infection

17/ history of L sided throbbing headache present with sudden deterioration of vision,most
appropriate next?

• ESR
• Temporal artery biopsy

18/ patient started on vancomycin,develops red pruiritic rash,subsides after the infusion was
stopped,what does this indicate?

**The above are Recalls submitted by our March candidates. A huge thank you to
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• can never use vancomycin for him again

• infusion at a slower rate with the same dosage
• lesser dose of vancomycin

19/ 69 yr old demented patient in nursing home,with urine and fecal incontinence,passes
500ml of dark blood rectalyhe is pale but not clammy,bp not low but mild,PR=90,family
insisting that maximum medical care should be given,what is the next best?

• urgent transfer to hospital in ambulance

• arrange blood transfusion in the nursing home

20/ young male presents to the ER following an overseas trip with flue like symptoms
lymphadenopathy and hepatosplenomegaly,HIV testin comes negative,whats next best?

• repear HIV
• check for EBV

21/ lady with multiple small joint pain,ANA +,ENA +,anti CCP= neg,anti dsDNA= positive
and anti RO= positive,Dx?

• RA
• SLE
• Sjogrens
• mixed connective tissue disorder

22/ 42yr old lady present with a painfull 2cm round firm mass in her R breat which was
confirmed after examination,most likely DX?

• fibroadenoma
• CA
• lipoma
• sebaceous cyst

23/ Lesbian ask regarding risk of breast ca. No family hx of breast ca.

• Breast cancer rates do not differ between lesbians and heterosexual women
• Breast cancer rates are higher among lesbians because of nonparity

24/ Vaginal discharge, unusual fishy odor, KOH done. Treatment?

• Metronidazole
• Clotrimazole

25/ Patient suffer small left frontal embolic stroke during cardiac catheterization. AFter that
develop poor naming ability and is nonfluent. Comprehension and repetition are relatively
preserved.

• Broca aphasia

**The above are Recalls submitted by our March candidates. A huge thank you to
Ahmed, Sofia, Ni Win, Arshad & others for providing us with the recalls.

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• Wernicke aphasia
• Transcortical motor aphasia

26/ Middle age man with DM and HPT has inability to achieve erection. Mx?

• Therapeutic trial of sildenafil

• Nocturnal penile tumescence testing

27/ A screening urinalysis in a female patient reveals asymptomatic bacteriuria. Which

indicated for treatment?

• sexually active lady

• pregnant lady
• menopause lady

28/ A pregnant lady with no previous antenatal checkup came to you. Noted she has placenta
previa and from scan fetus is at term. Refusal for cesarean. Mx?

• A hospital ethics committee to evaluate the situation

29/ Given photo of eczema ask for management

• Moisturizers and topical steroids

• Coal-tar soaps and shampoo
• Ultraviolet light therapy

30/ Recurrent staring movement in young child. Ask for diagnostic study

• EEG

31/ Woman with imited memory of her childhood years but knows that she was removed
from her parents because of their abuse and neglect. She hears voices that simply comment
on what she is doing. Dx?

• Dissociative identity disorder

• Schizophrenia
• Depersonalization disorder

32/ 6 year old child fall down develop unconsciousness then had unilateral pupillary
dilatation, focal seizures, recurrence of depressed consciousness, and hemiplegia. Ix?

• CT brain

33/ Blood splash over eye. Subsequently develop difference in eye colour Left eye blue
affected eye brown. Etiology?

• Congenital

**The above are Recalls submitted by our March candidates. A huge thank you to
Ahmed, Sofia, Ni Win, Arshad & others for providing us with the recalls.

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Rectus hematoma ct scan...pt had MI was on enoxaparin...next step?

A. Cease enoxaparin
B. Reassure no Tx needed will resolve

Ct abdomen...pt had roux en operation 2 weeks ago...now pain in

epigastrium...near wound...cause?
A. Ac pancreatitis

B. Ruptured stomach
C. Wound infection

Another CT abdomen...old woman with obstruction...twisted scenario but on ct

sigmoid volvolus was the Dx i felt...

Woman raped 4 weeks back...now has nightmares and stuff

A. Acute stress

B. Ptsd

Appendectomy done...histopathology shows 2 mm adenocarcinoma...next step?

A. Rt hemicolectmy

B. No further need for any step

Past Melanoma pt...now developed fracture...ct showed liver mets too...next

step?
A. Full body mri

B. Pet scan

Myeloma pt...biochemistry was given...urea creat po4 ca riased...some other

electrolytes were deranged too...next step?

**The above are Recalls submitted by our March candidates. A huge thank you to
Ahmed, Sofia, Ni Win, Arshad & others for providing us with the recalls.

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A. Hemodialysis

Child with “childhood renal disease” travelled now lab picture given...alot of
deranged electrolytes.next step?

A. Hemodialysis

Transient proteinuria scenario. Labs were given for different days...man was
having med check up for job. What to tell him?
A. Reassure it’s normal

B. Refer to occupational specialist

Man with schizophrenia and mild dementia is taken care of by public community
group...brought over by social worker...was on risperidone wasn’t compliant now
developed aggression and some other features. Next step?

A. Change to risperidone depot

B. Consult Mx plan with community group

C. Discuss with social worker

Pt on risperidone now shakes...restless

A. Akathisia
B. Dystonia
C. Dyskinesia

Preg woman...systolic murmur... mid diastolic murmur...Pulmonary arteries

markings visible on cxr they said...
A. Pulmoary stenosis
B. Vsd

C. Asd

**The above are Recalls submitted by our March candidates. A huge thank you to
Ahmed, Sofia, Ni Win, Arshad & others for providing us with the recalls.

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D. Tricuspid stenosis

Non pitting edema developed all of a sudden in both legs...Ix to make dx?
A. Echo
B. Duplex of both legs

C. Ct abdomen pelvis
D. X ray abdomen pelvis

13yr kid 2 weeks developed pain in leg...now cant do internal rotation or

abduction....37.9 fever mildly distressed unwell. ix?
A. Blood culture

B. X ray hip

Meningitis scenario in 29 year girl....next Ix?

A. Blood culture
B. LP

A 17 year caucasian girl came back from China lymphadenopathy fever

sorethroat...dx?

A. EBV

Looked like cholangitis pt...fluids given usg shows stones in gb and ducts. Nect
step in immediate Mx?

A. Endoscopic decompression of bile ducts

**The above are Recalls submitted by our March candidates. A huge thank you to
Ahmed, Sofia, Ni Win, Arshad & others for providing us with the recalls.

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B. Transhepatic drainage of common bile duct

C. Lap Cholecystectomy
D. Laprotomy and bile duct exploration

A cxr...yellow sputum cough...not getting better on antibiotics...dx?

A. Aspiration pneumonia
B. Pneumonia

C. Empyema

15% pneumothorax in a young person with asthma. Just uses salbutamol when
has urti. What to do?
A. Aspirate
B. Cxr after 24 hrs

C. Chest tube

Neck trauma...soft tissue injury...o2 given by hudson mask.what to do?

A. Give thiopentone and suxa and intubate
B. Take to ot and give Anesthesia induction
C. Circothyroidotomy

D. Neck lateral xray

3 days back man developed swelling in neck moves with protruding neck. Ix to
make dx?

A. Usg
B. ct
C. Xray

**The above are Recalls submitted by our March candidates. A huge thank you to
Ahmed, Sofia, Ni Win, Arshad & others for providing us with the recalls.

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On ct superficial parotid involvement facial nerve spared. Next step?

A. Core biopsy
B. Superficial parotidectomy

Woman with primary infertility low bmi partner all good. Anorexia like presentation
of woman.Advice?

A. Increase body fat and reduce exercise intensity

B. Clomiphene
C. Ivf

Woman wants sterilisation. Your first initial response..?

A. Ask partner to get vasectomy
B. It’s irreversible
C. Accept the request

D. Refer to gynaecologist

Young engineer has given up all activities for long time due to weakness after an
attack of urti. What to ask in Hx to give you clue?
A. How do you perceive your symptoms?

B. Does this condition affect your mood?

C. Do you feel better after rest?

Lady had abortion before 5 days came with fever now : what u will treat her :
A. azithromycin
B. ampicillin

C. doxycycline

**The above are Recalls submitted by our March candidates. A huge thank you to
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D. metronidazole
E. amoxycillin

Nurse with needle prick injury and patient has hepatitis B. What to do?
A. Give vaccine
B. Give immunoglobulin and vaccine
C. Check nurse HbsAg

D. Check nurse HbsAb

Mid 20s male present with alopecia and rash over palm. He was in Darwin for 3
months but previously was on a trip around Asia. Initial investigation
A. EBV serology

B. HIV

7 year old boy with multiple history of URTI. Now present with bilateral knee
pain/swelling and well demarcated macular rash over abdomen. What
examination to do?
A. dsDNA

B. ASOT

8 week pregnant wants to assess if baby may have Down syndrome and request
for non-invasive testing

A. Nuchal translucency at 12 weeks

B. Maternal screening at first trimester and USG at 18 weeks
C. Choriovillous biopsy something…

Post MI on enoxaparin develop left abdominal pain (CT scan given: looks like
hematoma?) Management?

**The above are Recalls submitted by our March candidates. A huge thank you to
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A. Laparotomy
B. Platelet transfusion

50yr old man visits to Bali & after he got back, developed fever with chills, mild
jaundice, diarrhea. On examination, hepatosplenomegaly present. What will be
the fact least indicate malaria?
A. Diarrhoea

B. Daily fever
C. Absence of splenomegaly
D. Jaundice

Elderly lady with recent fall over right shoulder. Currently have difficult to dress, lift
up her hands. On examination no tenderness over bilaterally shoulder but pain on
passive and active movement of bilateral shoulders. Why?

A. Adhesive capsulitis
B. Fracture of humerus
C. Osteoarthritis

How would calculi in gb look on usg?

A. Single Filling defect

B. Thick gb wall and pericholecytsic fluid

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1. Airbag injury: no pv bleeding: pregnancy at 3rd trimester

2. Uti sx+ tender prostrate : choice of antibiotic
3. Recurs sheath hematoma: inr 4.5 next step: Stop enaoxaparin
4. Severe hyponatremia (125) & hypokalemia(2.5)
5. Patient post Mva;was well; after a couple of hours;drop in GCS DX: Subdural
hematoma (epidural was not there)
6. Patient is 32 week pregnant, known case of placenta praevia; defaulted follow up
since 18week,presented with antepartum hemorrhage of 1000ml ;how to confirm
diagnosis? Investigations : abdominal ultrasound
7. Ureteric calculi with hydronepjrosis : eswl

Patient bit a volunteer. Patient hep b carrier. The wound is a laceration wound,2cm,
blood oozing. What next?
A. hiv for the patient who hit the volunteer

B. hepB immunology

Ortho: 3 different scenarios on fracture

1 question on polyhydramnios

Patient is a veterinary student; dealing with small animals: developed axillary lump;
not healing with abx, nw getting bigger with pus:
Next step: pus culture or biopsy (can’t really remember)
Diagnosis:
Diagnosis is made on history and clinical symptoms as well as by blood test.
PCR blood test to see if the B. henselae bacteria are present in your body
Sometimes the doctor will take a sample of a swollen lymph gland. Testing of the removed
lymph gland sample may confirm cat-scratch disease.

Treatment:
Cat-scratch disease is a mild disease that tends to get better by itself over several months.
Specific antibiotic treatment is usually not necessary.

Azithromycin (Zithromax) is used to decrease lymph node volume quickly. It’s typically
prescribed for five days. Other antibiotics sometimes used to treat cat scratch fever
infections include:
• ciprofloxacin (Cipro)
• rifampin (Rifadin)

**The above are Recalls submitted by our March candidates. A huge thank you to
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• tetracycline (Sumycin)
• trimethoprim-sulfamethoxazole (Bactrim, Septra)

Stating usage; CK 8000 : what’s the cause ?

Prolactin adenoma in usage of olanzapine ; prolactin:5500 Cause: prolactin

adenoma

Sarcoidosis

Constantly having yellow sputum; non healing; Lung empyema

Elevated right hemidiaphrragm; with shortness of breath in a smoker : possible

diagnosis ?? (Can’t remember the options-I chose lung ca)

Patient feeling tired ; on frusemide and perindopril drug reaction question

**The above are Recalls submitted by our March candidates. A huge thank you to
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**The above are Recalls submitted by our March candidates. A huge thank you to
Ahmed, Sofia, Ni Win, Arshad & others for providing us with the recalls.

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**The above are Recalls submitted by our March candidates. A huge thank you to
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An 18 yo boy with pelvic fruitier after a motor accident wants to pass urine, but can’t
and there is also bleeding from urethra, what to do:
1- suprapubic catheter
2- cyctoscopy
3- intra urethral catheter
4- U/S

**The above are Recalls submitted by our March candidates. A huge thank you to
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pt with red eye+conjuctival injection given+ normal visual acuity + upper lid multile
node like lesion.dx?
A. acute gucoma

B. conjuctivitis
C. corneal errotin

obstructed jaundice ! Raised ggt, asT alt, hb etc

Hydrochloquine and methoxetrate on exclusive breastfeeding! Can’t remember how

it was phrased

12 months on carbimazole but still symptomatic ! What to do next?

A. Add ptu
B. iodine supplements

C. radiactive iodine
D. throdectomy

Overdose of midaz , pt resuscitate ! What’s next! A

fumazenil
naloxone!! Can’t remember other options

2 y old with tonsillitis on augmentin presenting with severe rash ! What to do

a) stop meds

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b) Continue

84 yrs H/o basal cell ca now with trivial fall and tenderness over thoracic vertebral
spine.most important indicator for imaging

a) h/o ca
b) tenderness over spine
c) age

Prostate ca with t3a n0 m0 and invasion to seminal vesicle, Gleason score 7

management

ebrt
radical prostatectomy
prostatectomy

Skin lesion h/o mosquito bite now red modular well defined swelling increasing in
size painless no signs of inflammation no itching diagnosis
a) implantation dermoid
b) dermoid cyst
c) keratoacanthoma

d) dermatofibroma
e) sebaceous cyst

H/o mva with cervical vertebral fracture and having strider. X-ray shows narrowing of
airway with cervical vertebrae fracture.immediate management

a) endotracheal intubation
b) tracheostomy
c) cricothyroidectomy
d) continue o2

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Middle age male with h/o travel to Cambodia returned 5 days back..now h/o fever
headache malaise.three days back jaundice of sclera .o/e mild hepatomegaly with
icterus.inv mild anemia lymphocytosis thrombocytopenia and elevated bilirubin, liver
enzymes (in range of 200-300) raised alp and ggt and raised urea. Diagnosis.
A) hep a
B) malaria
C) dengue

4 yr old child with h/o reccurent urti occurring every 6-8 wks.otherwise growth normal
and everything else well. Probable cause

a) recurrent infection from preschool

b) chronic infection of adenoid and tonsil
c) immunodeficiency

Young female took unknown white tablets of her aunt and brought unconscious ecg
showing mobitz type 2 heart block.which is the probable drug

a) digoxin
b) verapamil

Male patient brought with ingestion of several tablets of dothepin. Most common
adverse effect
a) respiratory depression
b) b) seizures
c) c) cardiac arrhythmia

58 yr old lady with h/o chronic diarrhoea abd pain and weight loss.no blood in
stools.recent h/o proximal muscle weakness of lower limbs.Diagnosis
a) celiac disease
b) ibd

c) campylobacter jejuni
d) ca colon

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Middle age female with sharp left lower chest pain no sob and pain in both thighs.
O/e vitals stable afebrile inspiratory wheeze on left lower area and tenderness over
both thighs X-ray shown with left lower zone haziness most appropriate inv (i don’t
remember other details)

a) ct chest
b) bronchoscopy
c) EMG
d) ncs

6 month baby with fever cough, rr-40, spo2;90,,silent chest..6puffs salbutamol 4hrly,
no relief, what next:
A. salb 2 hrly
B. inh ipra

C. iv steroid
D. oral steroid

Preg lady, antenatal check, ogtt, 2hr rbs > 8.5 at 28 wks, what to do next?
A. usg

B. dietary advise
C. do nothing

25yr ,11wks ammenorhea, h/o irregular menstrual periods, uterus, normal

what to do next?

girls 14yrs unprotected sex with 15 yr, came for contraception, what immediate step?

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inform parents,
inform protection services

give emergency pills

do Bhcg

6 month fall from cot, xray # humerus displaced, pulses felt, after intial pain relief
what is the most immediate step?
A. morphine
B. tt inj

C. reduce #
D. splint slab
E. internal fixation.

8yr aboriginal, painful ankle knee jnt pains-6mnths..repeated urti-12mnths, 2weeks

of painful joints ?fever..what investigation;

ASO
Anti dsdna
ross river igM

old pt Copd, with breathlessness, wants dnr, but family want full treatment.what to
do?
legal advice
listen to family

refer to neuropsychologist?
no option of listen to pt.

edm at apex& decrescendo murmur at left sternal border?

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Hocm

AR
PS
AsD

2ecgs-1CT abd dont know,1ctg

peads
read all murmurs
pead pneumonia treatment,croup treatment.

Pt on party drug, now agitated, sweaty, pupil dilatation?

A. cocaine
B. cannabis

C. methamp
D. lsd

pt treated with resperidone for pyschiatic treatment. what is initial side effect?
night sleep
gynaecomastia

Should be weight gain

palm red after gardening?

infective tenosynovitis
osteoarthritis
gout

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case of seratonin syndrome

mesentric adenitis
bowel obstruction
thats all i remember for now

75 yr old lady c/o blurred vision of left eye after right eye was patched following a
penetrating injury. O/e irregular red reflex of left eye. no other findings.. diagnosis
a) glaucoma
b) cataract

c) retinal artery occlusion

10 month old infant brought by parents with complaints of no head control till now.
otherwise asymptomatic and growing well. o/e baby is alert and responding to call.
hypotonia of bilateral limbs with diminished reflexes bilaterally. probable diagnosis
a) hypoxic cp

b) spino muscular atrophy

60 yr old frame presents with complains of spot in front of her eyes and vertical lines
appear bend.fundoscopy (pic given)shows hemorrhage in the region of macula (I
interpreted so..not sure) most appropriate inv

A) amsler grid
B) goniometry
C) slit lamp
D) visual field analysis (not sure)

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Young adult hit his lt eye with squash ball apart from headache which resolved with
paracetamol. In second day developed slightly decrease in visual acuity in the
affected eye. Anterior chamber is clear all other examination are normal. What is dx
A) vitreous he
B) retinal detachment
C) retinal artery thrombosis
D) hyphema
E) cerebral hge

young man HIT by a squash ball while playing, apart from headache which resolved
by analgesic he complained of decreased in vision. On examination, his visual acuity
was 6/12 in the left eye; right eye was 6/6 asking the most likely cause?
A-vitreous hemorrhage
B-retinal detachment
C-zygomatic fracture
D-orbital floor fracture

Past Melanoma pt...now developed fracture...ct showed liver mets too...next step?
Full body mri

Pet scan
Or refer to oncologist

#march2020
Appendectomy done...histopathology shows 2 mm adenocarcinoma...next step?
Rt hemicolectmy

No further need for any step

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#March2020 On ct superficial parotid involvement facial nerve spared. Next step

Core biopsy

Superficial parotidectomy

#Marche2020
Meningitis scenario in 29 year girl....next Ix?

Blood culture

15% pneumothorax in a young person with asthma. Just uses salbutamol when has
urti. What to do?
A. Aspirate
B. Cxr after 24 hrs

C. Chest drain

Mid 20s male present with alopecia and rash over palm. He was in Darwin for 3
months but previously was on a trip around Asia. Initial investigation
A-EBV serology
B-HIV
Syphilis

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Preg woman...systolic murmur... mid diastolic murmur...Pulmonary arteries markings

visible on cxr they said...
A. Pulmoary stenosis
B. Vsd

C. Asd
D. Tricuspid stenosis

Young engineer has given up all activities for long time due to weakness after an
attack of urti. What to ask in Hx to give you clue?
How do you perceive your symptoms?

Does this condition affect your mood?

Do you feel better after rest?

7 year old boy with multiple history of URTI. Now present with bilateral knee
pain/swelling and well demarcated macular rash over abdomen. What examination
to do?
A-dsDNA
B-ASOT

Neck trauma...soft tissue injury...o2 given by hudson mask.what to do?

A. Give thiopentone and suxa amd intubate
B. Take to ot and give Anesthesia induction
C. Circothyroidotomy

D. Neck lateral xray

Woman raped 4 weeks back...now has nightmares and stuff

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Upper kidney 1cm stone accedentaly discovered

Remove
Ieave it

Mother bring her daughter 8yrs ask when give hovers vaccine
now

Fever, malaise All liver enzymes elevated alkaline phosphated slight jaundice with
hypokalemia hyponatremia bali trip
A-hepatitis a

B-hepatitis b
C-cholangitis
D-malaria

2 elders in aged care facility, developed fever with cough..2days back another
person & staff had same symptom..they received annual flu vac. what could be the
cause?

A. influenza
B. Strep.pnuemo
C. legionella pnemophilia
one more i dont remember

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Ur colleague is a bit down and depressed for the last few months after she treated a
massive MVA. What do u do?
A. Arrange a meeting to express ur concern
B. Encourage her to take break
C. Report to head something
D. Do nothing

70 yo lady, came after noticing blurred vision left eye, started to notice after her right
eye was patched following a foreign object removal. On exam, there is a red
reflection on left side of left eye. what would it be the most likely dx
A. Macular degeneration
B. Left eye vitreous haemorrhage
Cant remember the rest option

22wks pregnancy with pain & rapid distention of abd, fibroid in antr wall of uterus on
usg, with twins. fundal ht 32 cm.what is cause for the distention?

A. red deg of fibroid

B. discordant amniotic sac fluid
C. polyhydromnias
D. macrosomia

27 yo man visited India had hepatitis A vaccine and other prophylaxis medications
and he came back 4weeks ago, he come to your clinic complaining of juindice, liver
is palpable and nausea and unwell. Investigations:
1- Hepatitis A serology
2- Hepatitis B C serology
3- Full blood count
4- Typhoid serology

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5- ?

1. Recurrent Calcium oxalate stone..what will you do to prevent further stone?

a. Thiazides
b. Spironolactone
c. Low ca diet
d. High ca diet
e. Allopurinol

2. Pts with multiple myeloma lots of investigation like high urea, creatinine , ca,
po4….what is the next step?

a. Hemodialysis
b. Normal saline

3. Pts with rt eye plus right frontal pain with lacrimation. Left side is ok. After
appropriate analgesics what will you do next?

a. Sumatriptan

4. Pts after resuscitation his urine output is 50ml/hr. What will you do next?

a. No kcl
b. 25 ml Kcl
c. 50 ml Kcl

5. Pregnant woman found to be HCV ab +ve. What next?

a. HCV pcr

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6. Pts with DM with c/o blurring of vision after removal of superficial foreign body.
What is the cause?

a. Retinal detachment

b. Vitreous hemorrhage
c. Macular degeneration

7. Aboriginal grandmother brought grand child who is very impulsive, argumentative.

His mother do alcohol 3 to 4 SD every evening. He is small for his age. What is the
diagnosis?
a. ADHD
b. ODD

c. Fetal alcohol syndrome

d. Solvent abuse

8. Pts with epigastric pain, abdominal tenderness, rebound tenderness , no bowel

sound. He did binge drinking last night. What is the cause?
a. Acute pancreatitis

b. Duodenal perforation
c. Gastric perforaiton

9.ECG of pericarditis

10. scenario of OCD. Which of his following features indicate ocd?

a. his concerned about his obsessive behaviour

b. his behaviour cause him to reach his office late

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11. pregnant lady with scenario of physical abuse. what next?

a. take photo for later proof
b. police report
c. confront husband
d. marriage counseling

12. mass in the posterior neck…no any respiratory sx but cxr given seems like hillar
lymphadenopathy. what next?

a. do FNAC
b. excisional biopsy
c. incisional biopsy
d. bronchoscopy
e. ct scan of neck

13.girl wants contraception who had thrombophilia. best contraception?

14. best advice for pt with AEDs for GTCS and need contraception.

a. use condom and pills both

b. POP

15. pts returned from fizi tour of 2 months duration c/o nausea , diarrhoea lots of lab
ix with high ALT, AST, direct bilirubin, lipase, others are normal. dx?
a. hep A
b. Alcoholic liver disease

c. A. pancreatitis
d. A. cholecystitis

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16. pts taking med acei , statin, warfarin. He was added amiodarone. comes with
swollen tender warmth right thigh which is 4cm larger than the left thigh gradually
increasing in size. his temp is 37. dx?
a. cellulitis

b. hematoma

17. woman on depot resperidone comes on routin f/u. GP found the suspicious
melanoma in her cheek and advice for excisional biopsy . but she denied and said i
will cure it myself. what is the appropriate action by GP?

a. provide her information about MM and its importance of excision

b. psychiatrist referral
c. do check her competence

18. child with croup admitted in hospital and was ready for discharge but during
discharge child becomes toxic, subcostal recession, cough temp 39. dx?
a. Pneumonia

b. RSV superinfection

19. child not improving after 2 dose of salbutamol puff 20 min apart. whats next ?
a. 3 doses of salbutamol 20 mins apart

b. neb ipratropium bromide

c. adrenaline neb
d. Mag sul

20. child with c/o touching face inconsistently, raising shoulder, bending. he refuse to
go school as others kid make fun of him. he can resist his movement for sometime
but happened eventually. dx?

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a. complex tic disorder

b. tourette syndrome

21. child 8 yrs with knee joint pain, ana 1:180 titre, -ve RF, -ena. what is the child is
in risk of developing in future?
a. pulmonary fibrosis
b. uveitis

c. cardiac problems
22. sarcoidosis, Tb dx
23. sigmoid volvulus , SBO mx
24. pt with Lt. homonymous hemianopia. when can he drive?
a. never drive

N.B plz dont struggle for given options because i might missed the correct option so
go through the topics.

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