June 2022

Question 1

measles incubation period ?

Answer 1

10days

Question 2

kidney stone
most useful Invx ?

Answer 2

non-contrast CT
(not USG)

Question 3

Hodgkin’s lymphoma
next best invx to stage Dz ?

Answer 3

PET-CT

Question 4

ischemic CVA
in window period but High BP

Answer 4

labetalol

Question 5

diabetic foot dz, 3rd/4th metatarsal ulcer, swelling, high CRP. loss of sensation
Dx ?

Answer 5

osteomyelitis
(charcot - wrong asnwer)

Question 6

prominent mood disorder
grandeur
hypomania features

Answer 6

schizo-effective disorder

Question 7

feature of severe malaria

Answer 7

1. BSR < 2.2
2. Creat > 265
3. BUN > 20
4. BILI > 50
5. for non-immune travelers parasitemia > 5%. across all pts, parasitemia > 10%.

Question 8

microprolactinoma
Rx ?

Answer 8

cabergoline

Question 9

UTI with eGFR 29

Answer 9

Trimethoprim
Nitrofurantoin if eGFR > 45

Question 10

CD19
CD34

Answer 10

CLL
Myelofibrosis

Question 11

Roterdam Dx Criteria of PCOS ?
Dx ?

Answer 11

1. polycystic overies
   2.oligo/anovulation
2. hyper-androgenism features/labs
   …………………
   Transvaginal USG

Question 12

mixed sclerotic/lytic lesion on x-ray spine
Dx ?

Answer 12

prostate CA
MM (Only lytic lesions)

Question 13

acromegaly
most appropriate Rx ?

Answer 13

trans-sphenoidal surgery

Question 14

Adrenal insufficiency
Steroids dose ?

Answer 14

hydrocortisone 20mg morning + 10mg evening
double the dose in acute illness

Question 15

left occipital lobe tumor
eye sign ?

Answer 15

right homonymous hemianopsia

Question 16

MTX + Trimethoprim = toxicity
Rx ?

Answer 16

calcium folinate
(folic acid - neutralize the toxic effects of MTX)

Question 17

Yaws

Answer 17

endemic treponema
affects child < 15 yrs age

Question 18

legionella pneumonia
(allergic to macrolide)

Answer 18

Leflox