Acute med 1) Cardiac arrest can be caused a) ventricular fibrillation b) atrial fibrillation c) Supraventricular tachycardia d) Asystole e) ventricular Tachycardia

2) Drugs used in Cardiopulmonary Resuscitation a) Adrenaline b) Digoxin c) Atropine d) IV Morphine e) beta-blockade 3) Mx of cardiac arrest a) Iv adrenalin to be given with CPR b) Defibrillation in VT/VF c) Adrenalin can be given through ET tube d) Amioderon can use in SVT/VT e) Reversible cause to be treat after stabilizing 4) In SVT a) Broad complex with tall p waves b) DC shock in unconscious Pt in initial phase c) Carotir massage help to convert VT to sinus rhyhem d) Adinosin use as medical cardiovertion e) Iv Verapamil use in Pre-existing WPW pt withSVT 5) Hypotension seen a) Acute pancreatitis b) Arrhythmias c) Pul embolism d) Tension pneumothorax e) Adisonioen crisis 6) Severe headache in a young Pt a) Neck stiffness can exclude underline CNS infections b) Reduced level of consciousness in CVA c) Pain increase while on cough in Glucoma d) CSF leak in malignant hypertension e) Focal signs is cerebral abscess 7) 50 y old lady with SOB a) Clear lungs seen in pul.embolism b) Acidosis breathing in DKa c) Rhonchi+ hypotension in Anaphylaxis d) Pneumothorax in COPD e) Strider in LVF 8) 80y old female admitted with acute confusional state. what investigations are appropriate in acute state for find out the cause a) RBS b) UFR

c) Na d) ECG e) Ca 9) 50 y old unconscious pt admitted to ETU .O/E he is heamodyenamicaly stable. Lungs Clear. a) NO need of O2 for this Pt b) 5% dextros to be started after taking blood for investigations c) Unequal pupils suggestive of CT Scan brain Urgently d) No papilliedema can exclude increase ICP e) Pin point pupils in pontine lesion 10)Hypovolaemic shock a) Peripheries cold and clammy b) IV dopamine should be start immediately c) 5% dextrose is better than N/saline d) Drops SBP as a early sign e) Colloids is better than crystalloids 11) Septic shock a) cold and clammy peripheries b) NO pyrexia can exclude the diagnosis c) Anti histamine to be given d) Needs IV fluids at initial phase e) SIRS has temp<36 and WBC <4000 12)Septic shock a) Antibiotics should not be given before take blood culture b) Anaemia to be corrected >7g/dl c) High dose steroids has a main role d) Need to control RBS tightly e) DIC is a common complication in G(-)ve septicaemia 13) Anaphylaxis shock a) Hydrocortisone to be given as a first drug b) Nebulisation has no value c) IM adrenaline is more effective than IV given in a peripheral line d) Adrenalin should not repeat >2 times e) May come with fever and rigors 14) In acute severe asthma a) Avoid 100% o2 b) IV hydrocortisone better than prednisolone c) CXR is done if not responding d) Nebulisation can repeat over 20 mins e) S/C adrinalin if not responce to initialTx 15)IN BA a) MgSO4 is 2nd line DX b) IV aminophilin bolus to be given to the Pt who is on oral thiophillin c) IV aminophillin to be continue> 3 days d) Must discharge on oral steroids e) Cpap is better than IPPV 16) Hepatic encephalopathy

a) b) c) d) e)

flapping tremor is the early sing lasix ,spirenolactone to be given when associates with acetic more saseptible to get hyperglysemaia N-acetilecystine is given in NON paracitamol poisoned liver failure Spontaneous bacterial peritonitis can worse the outcome

17)DKA a) common with DM II b) Dsed when asidosis +RBS>250mg/dl c) Acidosis to be corrected withHCO3 early d) Rehydration can improve hyperglycaemic state e) Antibiotic to be start in all Pts 18) DKA a) Iv insulin to be stopped when CBS>=250 b) High WBC suggested acidosis precipitate by underline infection c) Hyponatriamia to be treat promptly d) High s/Amilase is due to under line acute pancreatitis e) Cerebral oedema is an common complication 19) ARF a) May due to sepsis b) Dehydration without ARF can show high S/Creatinine and BU c) Fluid challenge to be given to the dehydrated pts d) Tall T wave is normal e) Need haemodialysis when BU>5 times 20) ARF a) Restrict fluids and proteins b) Lasix better in anuric PT to improve the outcome c) Calcium resoniums to reduce calcium absorption d) PPI reduces GI bleeding e) Strat ACEI 21) Poisoning a) Opiats dilated pupils b) Opiast treat with Nalaxon c) OP poisoning- salivation, small pupils d) OP poisoning- atropine repeates until PR>70 e) Op symptoms can get even after 48 hrs 22)PCM a) Asymptomatic in initial phase b) Anti dote to be given in all pts c) Antidote should stopped when the rash is occers d) INR peeks at 48-72 hrs after injesion e) Should not induce vomiting 23)Complicationsof PCM poisoning a) Fits b) Acidosis c) Bradycardia d) Renal falure e) Gi bleeding