b.

Erythema multiforme
c. SJS
d. Erythema marginatum
e. Erythema gangernosum
389. A 60yo man presented with a lump in the left supraclavicular region. His appetite is decreased
and he has lost 5kg recently. What is the most probably dx?
a. Thyroid carcinoma
b. Stomach carcinoma
c. Bronchial carcinoma
d. Mesothelioma
e. Laryngeal carcinoma
390. A 64yo man has presented to the ED with a stroke. CT shows no hemorrhage. ECG shows atrial
fib. He has been thrombolysed and he’s awaiting discharge. What prophylactic regimen is best
for him?
a. Warfarin
b. Heparin
c. Aspirin
d. Statins
e. Beta blockers
391. A 54yo man after a CVA presents with ataxia, intention tremors and slurred speech. Which part
of the brain has been affected by the stroke?
a. Inner ear
b. Brain stem
c. Diencephalon
d. Cerebrum
e. Cerebellum
392. A 57yo man with blood group A complains of symptoms of vomiting, tiredness, weight loss and
palpitations. Exam: hepatomegaly, ascites, palpable left supraclavicular mass. What is the most
likely dx?
a. Gastric carcinoma
b. Colorectal carcinoma
c. Peptic ulcer disease
d. Atrophic gastritic
e. Krukenburg tumor
393. A 21yo girl looking unkempt, agitated, malnourished and nervous came to the hospital asking
for painkillers for her abdominal pain. She is sweating, shivering and complains of joint pain.
What can be the substance misuse here?
a. Alcohol
b. Heroin
c. Cocaine
d. LSD
e. Ecstasy
394. A child presents with increasing jaundice and pale stools. Choose the most appropriate test?
a. US abdomen
b. Sweat test
c. TFT
d. LFT
e. Endomyseal antibodies
395. A 32yo man presents with hearing loss. AC>BC in the right ear after Rhine test. He also
complains of tinnitus, vertigo and numbness on same half of his face. What is the most
appropriate inv for his condition?
a. Audiometry
b. CT
c. MRI
d. Tympanometry
e. Weber’s test
396. A 56 yo lady with lung cancer presents with urinary retention, postural hypotension, diminished
reflexes and sluggish papillary reaction. What is the most likely explanation for her symptoms?
a. Paraneoplastic syndrome
b. Progression of lung cancer
c. Brain metastasis
d. Hyponatremia
e. Spinal cord compression
397. An old woman having decreased vision can’t see properly at night. She has changed her glasses
quite a few times but to no effect. She has normal pupil and cornea. What is the most likely dx?
a. Cataract
b. Glaucoma
c. Retinal detachment
d. Iritis
e. GCA
398. A pt comes with sudden loss of vision. On fundoscopy the optic disc is normal. What is the
underlying pathology?
a. Iritis
b. Glaucoma
c. Vitreous chamber
d. Retinal detachment
399. A child was woken up from sleep with severe pain in the testis. Exam: tenderness on palpation
and only one testis was normal in size and position. What would be your next step?
a. Analgesia
b. Antibiotics
c. Refer urgently to a surgeon
d. Reassurance
e. Discharge with analgesics
400. A child suffering from asthma presents with Temp 39C, drooling saliva on to the mother’s lap,
and taking oxygen by mask. What sign will indicate that he is deteriorating?
a. Intercostal recession
b. Diffuse wheeze
c. Drowsiness
401. A 12yo boy presents with painful swollen knew after a sudden fall. Which bursa is most likely to
be affected?
a. Semimembranous bursa
b. Prepatellar bursa
c. Pretibial bursa
d. Suprapatetaller bursa