hua Taylor 6.

A 64 years old man who is on metformin for diabetes since 5 years and thiazide diuretics, enalapril, metoprolol for hypertension for past 6 years, is also on digoxin. Now he comes with muscle weakness. What would you do? a) stop digoxin b) stop diuretic c) Give potassium d) Treat hyponatremia 7. There was a question with similar picture as above where they asked what the cause of this presentation is? a) Hypokalemia b) Hyponatremia c) Thiazide diuretic d) ACE inhibitor 8. Abdominal CT picture. The patient comes with history of lower abdominal pain for the past few days. No other relevant history. What could be the cause? a) Adhesions b) Crohn's disease c) Diverticulitis 9. A 52 years old lady comes with history of pain in the knee joint for the past few days. She also complains of pain in the small joints of the hands. On examination knee joint is hot and tender. What is the initial management? a) X-ray knee b) ANA titre c) Aspiration of the joint d) MRI e) Blood tests

10.There was a similar question as above. Here they asked about the most appropriate diagnosis? a) Rheumatoid arthritis b) Osteoarthritis c) Gout d) SLE e) Septic arthritis 11.A patient who is taking some drugs has become unconscious and un responsive. His breath sounds are reduced but chest is clear. His blood gas analysis done at the hospital shows a picture of [can't remember exact, but giving a picture of respiaratory acidosis) a) Ph 7.15,pac02 65, pao 2 62 b) Ph 7.2, pac02 48, pa02, 102 c) Ph 7.5, pac02 58, pa02 50 d) Ph 7.54, pac02 61, pa02 65 12. In a patient with 5 years history of grand mal seizures, progressive right hemiparasis, two months of headache and papilloedema, the most likely diagnosis is a) Left frontal meningioma b) Left frontal glioblastoma c) Right frontal meningioma d) Right cerebellar astrocytoma e) An epindymoma in the left frontal horn 13. Primary loactose in tolerance in usually associated with each of the following EXCEPT: a) Normal histology of intestinal mucosa b) Steatorrhea c) An increase prevelance in Asians d) Normal galactose absorption

e) An increase in blood glucose of lessthan 1mmol after 50gms of lactose orally 14.A 70 years old man presentswith palpatations and vomiting of 2 days duration. He isfound to have irregularly irregular pulse rate of 12Gb/min,abdominal distension. 2 weeks earlier he had pulse rate of 90b/min, regular, ECGshowed myocardial ischemia. At that time he was prescribed digoxin and thiazide diuretic. The most probable cause of this clinical picture. a) Digitalis intoxication b) Hypokalemia c) Mesenteric ischemia d) Hepatic conjestion e) Ascitis 15.A mother with hypertrophic obstructive cardionyopathy comes to you with her child. Sheisconcerned about her child having the disease and asksyou about the chances of her chils getting the disease. There isno relevant findings on examination of the child and ECGshows0 abnormalities. What do you tell her. a) There is50%chance of her child getting the disease b) There is no chance of her child having the disease 17.On examination of the patient you have found firm right supra-clavicular node? What is likely the cause? a) Stomach Cancer b) BreastCancer c) Pancreatic Cancer d) Ovarian Cancer a) Disruption of great vessels,hypoperfussion and shock b) Cardiac tamponade c) Pulmonary Emboli

d) Fat emboli 19.A girl collapsed in the toilet of the night club. Blood test isgiven. Which of the following isthe most likely? a) MDMA b) Beta Blocker c) Marijuana 20.A guy admitted in hospital. On examination needle tracks in the cubital fossa are seen. On auscultation disystolic murmur and lung fields are clear. Temperature 38.9 c. What could be the most likely cause? a) Septic Endocarditis b) Septic Mitral Stenosis o o RECALL 1. A 64 years old lady comes with a history of tiredness and bone pain for the past four months. I~O history of fever. On examination there is cervical and axillary lymphadenopathy. What is the diagnosis? a) Myelofibrosis b) Chronic lymphocytic leukemia c) Acute lymphocytic leukemia d) Hodgkin's lymphoma e) Anemia 2. A middle aged man comes with complaints of pain in eye with photophobia and redness. He gives a history of upper respiratory chest infection few days ago. The preauricular lymph nodes are enlarged. What is the most probable diagnosis~ a) Acute iritis b) Acute conjunctivitis c) Glaucoma d) Acute keratitis

3. A 46 years old man apparently in good health consults you because his father was diagnosed with colon cancer when he was 52. His uncle was diagnosed with colon cancer when he was 36 years and later died. What is the probability that this patient will get colon cancer over and above the average risk? a) 0.2 b) 0.5 c) 0.1 d) 0.01 e) 1 4. A middle aged man comes with a history of low grade fever for the past few days. He also complains of cough early in the mornings, which is productive. The sputum is yellow in color. X-ray is given. What do you think is the diagnosis? a) Bronchitis b) Bronchiolitis c) TB d) Pneumonia 5. X-ray chest (left lower lobe is completely white). History says the patient who has worked in a mining industry comes with history of cough with haemoptysis and low grade fever. The patient also complains of tiredness for the past 1 month. What is the most appropriate diagnosis? a) Bronchial carcinoma b) Mesothelioma c) TB d) Puuemonia e) Puemoconiosis
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Najah Jaafar Aug. One 48 year old lady is asking for advice about cancer screening . Her mother got breast ca at the age of 65 , father got carcinoma colon at the age of 70, maternal aunt has DM and few other relatives with other diseases. What is the best advice you can give her? A) colonoscopy B) Memography c) DM screening
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o o 68 year women with sigmoid colectomy and endocolostomy with input chart 2100 and output chart 3600 ml.probable cause? a.Wrong fluid chart filled b.Dehydration c.Excess IV fluids d.Resolved Paralytic Ileus
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Najah Jaafar A 47-year-old man presented to ER with palpitations and is found to be in AF with rapid ventricular rate. He cardioverts spontaneously but this is his third such episode in the last 2 years. He is otherwise well and drinks no alcohol. BP 152/88. Blood test and Echo are normal. WOF medications would be the most appropriate first line therapy to prevent further episodes? A. Bisoprolol B. Verapamil C. Ramipril D. Digoxin E. Amiodarone
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Faiza Mehfooz why not D ? for long term prevention of AF? 13 hours ago Like

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Najah Jaafar A women with asthma. She is now pregnant and she takes salbutamol inhalers for her asthma. What should be advised regarding the outcome of her pregnancy? A. She is at risk of preterm labour B. Her asthama will have no impact on her pregnancy C. She should undergo a c secton D. Her asthama will have a bad impact on her pregnancy
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Vijitaran Asaithamby wt d different between MD(MEDICAL DOCTOR) and MBBS?

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Sonam Kelzang MD is not medical doctor...... its a post-graduate..... you do MD after MBBS.....another 3 or 4 years.... 19 hours ago Like

Adrian-Dylan Asinas MD is Doctor of Medicine based on US system. MBBS is Bachelor of Medicine Bachelor of Surgery derived in British System. 17 hours ago Like 2

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Fa Iqbal How can u diagnose brain death ? a. CT b. EEG c.two practioners should examine the patient d. coma for long time e. no automatic breathing or heart rate
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Dinesh Chandresekhar Hope all are studying hard, here is another good ANMED question:

A 57-year old man presents to his general practitioner for a check-up. He feels well within himself, but does note that he has been a bit off his food recently and somewhat more fatigued than usual. He puts this down to nothing more than getting older, Doc. Physical examination is notable for splenomegaly (4x normal size) and pallor of the mucous membranes and palmar creases. Full blood examination shows the following: Hb 75 mg/dL ...See More
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Najah Jaafar Aug.2012 45 year-old lady presented to you and requested for ovarien cancer screening as her friend is just diagnosed with ovarian cancer. Her pelvic u/s report is normal. What will u advise her? a. genetic testing

b. Ultrasound c. CA125 d. CA125 n U/S e. Laparoscopy

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Najah Jaafar Aug.2012 16 year-old girl with history of fatigue and irritability. she doesn't like to go out with her family but she goes out with friends .what can be most likly cause ? A. prodrome of schizophrenia B. hypothyroidism C. anemia D. major depression
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Fa Iqbal a? Yesterday at 9:42am Like

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Najah Jaafar Aug.2012 Young lady newly married she is trying to get pregnant. she has multiple fibroids. It is palpable upto the umbilicus. Her Hb is 6gm/dl. What to do? a. Open myomectomy after correcting her anemia with blood transfusion b. Gnrh analogue for 3 months followed by myomectomy c. OCP for 3 months followed by myomectomy d. hysterectomy e. immediate myomectomy
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Najah Jaafar Aug.2012 A 2-month-old baby had a 24-hour history of vomiting and diarrhea. Mother says she is concerned the baby might be dehydrated. On examination, she is lethargic and pale. Which of the following findings would indicate severe dehydration? A. Central capillary refill >3 secs B. Dry tongue and mucous membranes C. Skin pinch goes back slowly
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Rumana Ali A patient can't move finger and wrist, which nerve is affected? A. Median B. Radial C. Ulnar D. Posterior Introsseous Nerve E. Anterior Introsseous Nerve
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Umme Hamza ek side ka to paralysis ho ga na loss of extension ...otherwise to puray brachial plexus ko hi damage kerna peray ga complete paralysis k liay :p Yesterday at 9:04am Like 1

Farah Farhan yah he to i think options r nt correct Yesterday at 9:05am Like