1. 2 questions on xray in elderly lady wd constipation, one was to diagnose and one was investigation.

Options were barium enema , ba meal follow through. I answered ba enema and diagnosed as sigmoid volvulus . there wasnt coffee bean sign bt empty rectum was mentioned

Gastrogaffin enema then colonoscopic decompression

2. Image of pilonidal sign. Option were radical excision and marsupialisation.

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3. Strawberry naevus diagnosis on chest

4.

One ecg of MI: asked best thing to do next: angiography vs fibrinolysis.

Pt present with in 90 min then pci other wise fibrinolytics

5. One child found wandering at home at 5 am. Was drowsy and nt recognizing parents: on investigations: urine ketone 3+, rest normal. Child otherwise well: options were: drug intake, diabetic ketoacidosis, meningitis, ketotic hypoglycemia

dddddddddddddddd 6. One child with typical history of febrile seizure . diagnosis was asked

7. One child at 11 months not siting wd out support. He was 8 weeks preterm. Apgar was normal. wats d cause of developmental delay: cz of prematurity, cerebral palsy, spinal muscle atrophy, Duchene muscle dystrophy

aaaaaaaaaaaaaaaaaaaaaa 8. female in pregnancy with measles. What shd u tell her: baby will have congenital abnormality, vaccinate her, give her immunoglobulin, find out what patients and doctors have come in contact with her.

dddddddddddddddd 9. Round ligament strain typical question. 10. Female in labour with 2 cm dilated cervix , station -2cm. after 4 hrs what finding wl make u opt for cesarian. I answered same status.ie 2 cm dilated and -2 station. Rest options had lil bit dilation and progression of labour aaaaaaaaaaaaaaaa 11. Pregnant female with flexed breach in second preg. First child was well. Whats optimum for her, cs at 37 weeks, cs at 39 weeks, breech delivery dddddddddddddd 12. Obese Female wd family hisoty of GDM with type 2 dm. what will u do: ogtt at 20 weeks, glucose challenge at 28 week, OGTT at 28 weeks. Aaaaaaaaaaaaaaaa 13. Dependant rubor question .

14. Trauma wd fracture wd absent pulses. I answered take to OT cz rest options were plaster of paris and closed reduction .

15. Patient with ureteric colic, whats the indication for further operative intervention: pain persisting for 48hours, patient having fever with chills and loin pain, size of stone 5mm, gross hematuria . Bbbbbbbbbbbbbbbb 16. Patient on venlafaxine now confused and sleeping in day and wandering in night and asking foor breakfast at night: what inv will u do: KFT, LFT, TFT, CT .

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17. Patient with multiple myeloma investigations .

18. Aboriginal child with ear discharge and hearing loss. Wat next: aural toilet, oral antibiotics, aural antibiotics .

Aaaaaaaaaaaaaaaaaa. 19. CT hepatic cyst . 20. CT EDH . 21. Treatment of lung abscess: I answered transthoracic aspiration. Other options were bronchoscopy, inttercostal tube, lobectomy aaaaaaaaaaaaaaaaaaaaaaaa 22. One question on a man who renovated his hous and later on became worried cz his hous had asbestos sheets, what should you tell him: he ia at low risk of exposure, he shd visit chest physician, he is likely to develop asbestos related disease, cxray now and in 5 years. ccccccccccccccccccccccccccccccccc 23. Child having couging spells from last 2 weeks. Rest all normall. Wat will u do: CXRAy, Nasopharyngeal aspirates, montoux, serology ddddddddddddddddddddddddd 24. Lady45 yrs normal periods and has 3 kids in past. marries a guy 50 yrs age. Guy doesnt has children. Not conceiving nw: reason: I answered oligospermia in guy cz lady already had 3 kids, was menstruation normally.

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25. Lady with premenstrual syndrome with increased vaginal bleeding. What will you give her: OCP continuous without pill free week, SSRI

aaaaaaaaaaaaaaaaaaaaaaaaa 26. Adolescent with depressive symptoms; tt CBT or SSRI aaaaaaaaaaaaaaaaaaaaaaaaaaaaa 27. Best study to diagnose association between number of naevi and melanoma: cohort, case control, RCT aaaaaaaaaaaaaaaaaaaaaaa 28. Female with normal regular periods bt dyspareunia nt conceiving, guy sperm count 15million/ml, rest sperm normal. Reason for nt conceiving? Endometriosis, abnormal sperm, abnormal ovulation. aaaaaaaaaaaaaaaaaaaaaaaaa

29. Support for uterus: broad ligament, transverse cervical, pubocervical, uterosacral ligament Ddddddddddddddd but best is pubocervical fascia 30. Metabolic syndrome scenario 31. Irregular pulse in a male . what will you find on examination: S4, Mitral regurgitation, Normla physical examination, increased 1 wave in JVP ccccccccccccccccccccc 32. Parotid tumour; whats appropriate now: FNAc or CT. bbbbbbbbbbbbbbbbbbbb 33. Lady with breast CA treated and now subclavian line removed. She develops facial swelling along with hoarseness. Hw will u diagnos: upper limb venography, CT chest with contrast, CT neck and head bbbbbbbbbbbbbbbbbbbbb 34. Testicular tumor USG. Treatemnet: orchidectomy.

35. One 30 yr male with swelling at upper pole testis, non tender: what will u do: tumor marker, inguinal orchidectomy, FNAC, waitfull watch

aaaaaaaaaaaaaaaaaaaaaa 36. MI scenario on clopdogrek for elective surgery: postpone surgery

37. Pancytopneia with macrocytic anemia with hypersegmental neutrophil: BM biopsy, vit B12level bbbbbbbbbbbbbbbbbbbbb 38. Child with thrombocytopenia with anemia with gum bleed after eating pizza. Also has deranged KFT. How will u investigate: ANA, Stool culture, urine culture bbbbbbbbbbbbbbbbbbbbbbbbb 39. ITP scenario 40. Risperidone akatheia: refer to psychoiatrist 41. Air under diaphragm

42. Dermatofibroma picture 43. Confusion after surgery, abg showed hypoxia: what to do next. I answered oxygen with mask 44. 45. Confused after surgey, wat to do: pulse oximetry 45. 46. Recent HIV result negativein a patient with sore throat, hepatosplenomegaly with rash.next:repeat HIV serology or EBV serology ebv 46. 47. Cyclic HRT in perimenopausal 47. 48. What is not relieved with HRT: depression or insomnia. Rest option were hot flashes, urethritis aaaaaaaaaaaaaaaaaaaa 48. 49. Post parathyroid adenoma surgery tingling present; iv calium was in options.