New Samson

Question 1

Initial step for testicular torsion

Answer 1

Immediate surgical exploration

Question 2

Test for epididymoorchitis

Answer 2

MSU

Question 3

Recurrent UTI in elderly+ painless hematuria

Answer 3

Bladder cancer

Question 4

Mgt for Blood on urethral meatus

Answer 4

Pass SPC

Question 5

Overseas+ fresh blood diarrhea

Answer 5

Campylobacter

Question 6

Epigastric pain+ nocturnal cough+ water brash

Answer 6

Reflux esophagitis

Question 7

Chronic recurrent intermittent asymmetrical mono arthritis

Answer 7

Gouty arthritis

Question 8

Positive Schirmer’s test

Answer 8

Sjogren syndrome

Question 9

Chronic knee pain+ nodules on elbows+ sausage shaped fingers

Answer 9

Rheumatoid Arthritis

Question 10

Heberden’s nodes

Answer 10

Osteoarthritis

Question 11

First line in;
Osteoarthritis
Ankylosing spondylitis
Reactive arthritis

Answer 11

PCM
NSAIDS
NSAIDS

Question 12

Mgt of chronic gout

Answer 12

Allopurinol

Question 13

Delirium+ Ataxia+ Dysarthria+ Drowsy

Answer 13

CO poisoning

Question 14

Loss of vagal tone/myocardial contractility/ delayed bundle of His

Answer 14

TCA

Question 15

Little girl trips while holding mum

Answer 15

Radial head subluxation

Question 16

Most appropriate tx for acute Torticollis

Answer 16

Physiotherapy

Question 17

Direct blow to ulnar

Answer 17

Night stick fracture

Question 18

Drug for constipation in Morphine use

Answer 18

Senna

Question 19

Drug for severe anorexia in breast ca

Answer 19

Steroid

Question 20

Confusion in small cell lung ca

Answer 20

Hyponatremia

Question 21

Confusion in squamous cell ca

Answer 21

Hypercalcemia

Question 22

Mgt of Hypercalcemia

Answer 22

IVfluids
IV Pamidronate (Bisphosphonate)

Question 23

Investigation for SVCO

Answer 23

CT scan

Question 24

Mgt steps in GN from SLE

Answer 24

Corticosteroids
Immunosuppressant eg azathioprine
Dialysis
Transplant

Question 25

UTI organism after E. Coli

Answer 25

Proteus

Question 26

Most appropriate investigation in PSGN

Answer 26

ASOT

Question 27

Skin patch that develops into plaque then malignant T cell tumour

Answer 27

Mycosis fungoides

Question 28

Shawl sign + weight loss + hemoptysis

Answer 28

Dermatomyositis

Question 29

Painful shoulders/hips + purple lesions on knuckles

Answer 29

Dermatomyositis

Question 30

Thrombophlebitis migrans + weight loss/diarrhea

Answer 30

Pancreatic Ca.

Question 31

Rash/itchiness on knees/elbows almost to commit to suicide that responds to dapsone

Answer 31

Coeliac disease

Question 32

Raised lesion with rapid growth+ rolled edges+ horny plug

Answer 32

Keratoacanthoma

Question 33

Raised localised lesion with slow growth and slightly raised edges+ red scaly plaque

Answer 33

Bowen’s disease

Question 34

Rapidly growing pigmented lesion

Answer 34

Malignant Melanoma

Question 35

Papule with central fading in a farmer + arthralgia+ malaise

Answer 35

Borrelia burgdorferi

Question 36

Mgt for worsening weeping eczema

Answer 36

Oral flucloxacilin

Question 37

Seborrheic eczema on scalp not responding to hydrocortisone

Answer 37

Ketoconazole cream

Question 38

What to give when past PCI window

Answer 38

Heparin

Question 39

Fast irregular pulse 5 days after MI

Answer 39

Atrial fibrillation

Question 40

AF+tremors+weight loss+Palpitations
(Mgt)

Answer 40

Admit

Question 41

Drug in Renal impairment in DM

Answer 41

Insulin

Question 42

Most important investigation in recurrent falls

Answer 42

Plasma glucose

Question 43

Travels+night sweats+vomiting+joint pain

Answer 43

Brucellosis

Question 44

Microcytic hypochromic anemia + reticulocytosis

Answer 44

Beta thalassemia

Question 45

Blood film shows myelocytes, promyelocytes, myeloblasts

Answer 45

Myeloblastic syndrome

Question 46

Hyper segmented neutrophils+ Macrocytic anemia+ leucopenia

Answer 46

Pernicious anemia

Question 47

HbF 98%, Hb A2 2%

Answer 47

Thalassemia major

Question 48

Anemia+ jaundice+ high retics+ spherocytes

Answer 48

AIHA

Question 49

Inverted champagne bottle sign

Answer 49

Charcot Marie Tooth disease

Question 50

Penetrating trauma+ ipsilateral weakness+ contralateral loss of sensation

Answer 50

Brown Sequard

Question 51

Stroke + memory loss + cognitive decline

Answer 51

Vascular dementia

Question 52

Same person wearing different faces

Answer 52

Fregoli syndrome

Question 53

Investigation for breast cancer

Answer 53

Core biopsy

Question 54

Prophylaxis for Osteoporosis

Answer 54

Bisphosphonate

Question 55

Inability to read even with glasses

Answer 55

Cataract

Question 56

Flame hemorrhages+ optic disc edema

Answer 56

Vitreous hemorrhage

Question 57

AV nipping is seen where?

Answer 57

Hypertensive retinopathy

Question 58

Fundoscopy in background DM retinopathy

Answer 58

Hard exudates
Dots and blot hemorrhages
Micro aneurysm

Question 59

Fundoscopy in Pre proliferative DM

Answer 59

HDM + FC

Question 60

Pneumonia in people with influenza

Answer 60

Staphylococcal

Question 61

Young age, pleuritic chest pain and confused pneumonia

Answer 61

Legionella

Question 62

Deep to anterior edge of upper SCM muscle

Answer 62

Branchial cyst

Question 63

Young + ischaemic extremes

Answer 63

Buerger’s disease

Question 64

Purple tender lumps on anal verge + normal rectal mucosa

Answer 64

Perianal hematoma

Question 65

Foul smelling vaginal discharge in a child not sexually active

Answer 65

Foreign body

Question 66

Nose bleeds + blood bubble on tympanic membrane

Answer 66

Bullous meningitis

Question 67

Narrow complex tachycardia with 2:1 block

Answer 67

Atrial flutter