MCQS

A 10-year-old child has got progressive bilateral hearing loss. He has started to increase the TV volume. All other is normal. What is the most likely diagnosis?A . WaxB . Bilateral OM with effusionC . Foreign bodyD . Meningitis due to meningococcusView AnswerAnswer: B

A 75-yearold man has been attending the clinic for lower urinary tract symptoms. His mood is very low and he is unhappy, anxious and unable to sleep. He has been diagnosed with moderate depression. What treatment would you use for this patient?A . AmitryptalineB . CBTC . CitalopramD . DosulepinE...

A homeless lady presents with cough and fever. She complains of night sweats and weight loss. CXR has opacity. What is the next appropriate management?A . IFN gamma testingB . MantouxC . BronchoscopyD . AFBE . CT chestView AnswerAnswer: D Explanation: Cough and fever and night sweat and weight loss...

A 28-weeks pregnant woman presents with uterine bleeding after sexual intercourse. What is the most appropriate diagnosis?A . Placental abruptionB . Missed abortionC . Placental previaD . EctropionView AnswerAnswer: D Explanation: Post coital bleeding can be either placenta previa or cervical ectropion. But as ectropion pregnancy so it is the...

14-year-old boy has been diagnosed with nephrotic syndrome. 5days later he presents with flank pain, hem urea levels. A diagnosis of renal vein thrombosis is made. What is the most likely cause for renal vein thrombo?A . Loss of anithrombin IIIB . StasisC . Protein C deficiencyD . High estrogen...

A 55 year’s man who is hypertensive suddenly lost his vision. The retina is pale and fovea appears as a spot. What is the single most appropriate treatment?A . CorticosteroidsB . Pan retinal photocoagulationC . Press over eyeballD . Scleral bucklingView AnswerAnswer: C Explanation: In central retinal artery occlusion (CRAO)...

A 20 year’s woman with no previous history of ear complains, presents with 1day history of severe pain in is extremely tender to examine. What is the single most likely diagnosis?A . ChondromalasiaB . MyringitisC . FuruncleD . Otitis mediaE . Otitis ExternaView AnswerAnswer: E Explanation: Extreme tenderness to examine...

33-year-old lady who is a drug addict wants to quit. She says she is ready to stop the drug abuse. What drug treatment would you give her?A . BenzodiazepinesB . MethadoneC . DisulfiramD . LithiumE . DiazipoxideView AnswerAnswer: A

A 54-year-old patient wakes up with right sided weakness. His current medication is bendroflumethiazide for BP=160/90mmHg. CT shows left cerebral infarct. What is the most appropriate treatment?A . AlteplaseB . AspirinC . SimvastatinD . DipyridamoleE . ClopidogrelView AnswerAnswer: A

A 55 year’s man who is hypertensive suddenly lost his vision. The retina is pale and fovea appears as a spot. What is the single most appropriate treatment?A . CorticosteroidsB . Pan retinal photocoagulationC . Press over eyeballD . Scleral bucklingView AnswerAnswer: C Explanation: In central retinal artery occlusion (CRAO)...