Diagnosis dominates the paper, recall sits second, and decision-making plus explanation tasks stay minor. "All of the above" and pure negation are near-absent.
01. Evidence
Measured, not guessed.
Diagnosis dominates
Half the bank is a stem that already contains the picture — your only job is to name it.
Recall is second
A quarter of the bank rewards one-line facts you either know cold or have no path to.
Rare
Negation and "all of the above" barely appear — treat them as noise, not as a strategy.
Flat
Option keys run close to even across A to D, with E practically unused, so no positional shortcut survives. A slice of the bank carries no recorded key — one sitting in full, plus strays from the others.
02. Anatomy
Read last line first. Find pivots. Predict.
›Rule
If no task sentence → read options first (diagnosis-implied). Else read last line → pivots → predict → options.
03. Families
Click family → click type → click question.
›01 Recognition — Name It
Pattern recognition from a clinical vignette. Most are diagnosis tasks.
›Diagnosis — stated
What
The stem hands you a complete clinical picture and asks for the disease name outright.
Stem
[Age/sex] + [presenting complaint] + [2–4 discriminating findings] + "most likely diagnosis?"
Where
The discriminator is almost always a modifier inside the stem — the word that flips the answer: sudden vs gradual, painless vs tender, site (DIP vs MCP), timing (weeks after sore throat vs during URTI).
Trap
Options are sibling diseases in the same system. You lose by picking the sibling that matches half the stem. Name all four options first, then find the one line that separates them.
Steps
- Read only the last sentence — confirm the task is "name the disease".
- Write the 3 findings that matter most; ignore age and background noise.
- For each option, ask: does it explain all three? One will. That is the answer.
Examples
Dec25 Q11
A patient with hemoptysis, crepitations in lower chest, and hematuria. Diagnosis?
Correct: Goodpasture syndrome
Dec25 Q4
Tracheal deviation to the left and dullness on the right side. Most likely diagnosis?
Correct: Pleural effusion
Dec24 Q86
Lower limb amputation is followed by complications with crepitations. What is the diagnosis?
Correct: Gas gangrene
Questions
Jun24 Q1A 65-year-old patient presents with progressive memory loss, visual deficit, and cerebral cortex atrophy on CT, along with behavioral changes. Most li…›
- A) Alzheimer disease
- B) Korsakoff psychosis
- C) Pick disease
- D) Creutzfeldt-Jakob disease
Correct: A Alzheimer disease
Jun24 Q7A young patient at 10 weeks gestation with blue-greenish, malodorous vaginal discharge; microscopy shows a motile pear-shaped organism. Diagnosis?›
- A) Candida albicans
- B) Neisseria gonorrhoeae
- C) Trichomonas
- D) Giardia
Correct: C Trichomonas
Jun24 Q8An anemic old man with generalized weakness, pancytopenia, petechial rash, pallor, easy bruising, hypocellular bone marrow, and a history of hepatitis…›
- A) Aplastic anemia
- B) Myelofibrosis
- C) Thalassemia
- D) Megaloblastic anemia
Correct: A Aplastic anemia
Jun24 Q12A burn healed into an irregular, enlarged, fibrous, nodular scar extending beyond the wound margins; biopsy shows high collagen and fibroblasts. Diagn…›
- A) Hypertrophic scar
- B) Prominent flesh
- C) Keloid
- D) BCC
Correct: C Keloid
Jun24 Q15A patient arrives 8 hours after an RTA with blood at the external urethral meatus, inability to pass urine, and a palpable bladder. Probable diagnosis…›
- A) Urethral injury
- B) Ruptured bladder
- C) Urethral injury with extravasation of urine in the retroperitoneum
- D) Anuria due to hypovolemia
Correct: A Urethral injury
Jun24 Q20What is the most likely diagnosis for a 38-year-old male who was in a road traffic accident, has multiple rib fractures on the right side, reduced bre…›
- A) Flail chest
- B) Hemothorax
- C) Open pneumothorax
- D) Tension pneumothorax
Correct: D Tension pneumothorax
Jun24 Q21A 24-year-old Gravida 3 Para 2+0, previous 1 C-Section at 29 weeks gestation came with complaint of painless PV spotting. Patient complained of having…›
- A) Chorioamnionitis
- B) Placenta previa
- C) Placental abruption
- D) Vasa Previa
Correct: B Placenta previa
Jun24 Q24A 20-year-old male presents to the emergency department with a 12-hour history of anorexia, vomiting, and central abdominal pain that has since locali…›
- A) Acute appendicitis
- B) Colitis
- C) Gastroenteritis
- D) Ureteric Colic
Correct: A Acute appendicitis
Jun24 Q26A 25-year-old man presents with a mass in the groin after heavy lifting. Exam: mass is found just above and medial to the pubic tubercle. It is reduci…›
- A) Direct inguinal hernia
- B) Indirect inguinal hernia
- C) Femoral hernia
- D) Strangulated hernia
Correct: A Direct inguinal hernia
Jun24 Q28A 5-year-old child, who arrived from Ghana six weeks ago, started to have a fever, vomiting, and neck stiffness two days ago. The child had been on ma…›
- A) Cerebral abscess
- B) Cerebral malaria
- C) Meningococcal meningitis
- D) SAH
Correct: C Meningococcal meningitis
Jun24 Q32An 18-year-old girl experiences vaginal bleeding 14 weeks after her last period and shows signs of early pregnancy. After using tablets to induce an a…›
- A) Spontaneous abortion
- B) Complete abortion
- C) Incomplete abortion
- D) Missed abortion
Correct: C Incomplete abortion
Jun24 Q40What is the likely diagnosis for a 10-year-old boy with fever, inability to open his mouth, seizures, and a history of a road traffic accident 6 days …›
- A) Meningitis
- B) Sepsis
- C) Tetanus
- D) Botulism
Correct: C Tetanus
Jun24 Q48A patient with sweat chloride test positive for developing recurrent chest infection, otitis media and diarrhea and there is bronchial wall thickening…›
- A) Pulmonary fibrosis
- B) Bronchiectasis
- C) Emphysema
- D) ARDS
Correct: B Bronchiectasis
Jun24 Q89A 20-year-old obese girl presented in gynae clinic with complain of irregular menstrual cycle for one year followed by amenorrhoea of 3 months. Given …›
- A) Polycystic ovarian syndrome
- B) Metabolic syndrome
- C) Cushing syndrome
- D) Addison disease
Correct: A Polycystic ovarian syndrome
Jun24 Q90A 4-year-old boy with dark Coca-Cola colored urine, who saw a doctor 10 days ago for a sore throat. What is the most likely diagnosis?›
- A) Alport's syndrome
- B) Goodpasture's syndrome
- C) Henoch-Schonlein purpura
- D) Minimal change disease
No answer key recorded for this question.
Jun24 Q98A 2-year-old child is brought to the emergency department with a 1-hour history of noisy breathing and foul smelling discharge from nose following mil…›
- A) Anaphylaxis
- B) Croup
- C) Foreign body aspiration
- D) Epiglottitis
Correct: C Foreign body aspiration
Jun24 Q107A patient presents with wound discoloration and loss of sensation at the site following a cesarean section. What is the most likely diagnosis?›
- A) Wound infection
- B) Endometriosis
- C) Necrotising fasciitis
- D) Not hematoma was there
Correct: C Necrotising fasciitis
Jun24 Q132A 65-year-old female presented with history of progressive solid and liquid dysphagia for 9 months. Associated with vague epigastric abdominal pain af…›
- A) Achalasia
- B) Esophageal web
- C) Esophageal squamous cell carcinoma
- D) PUD
Correct: C Esophageal squamous cell carcinoma
Jun24 Q147A 50-year-old woman with pain, redness and visual loss on second postoperative day. Diagnosis?›
- A) Acute postoperative glaucoma
- B) Endophthalmitis
- C) Retinal detachment
- D) Anterior uveitis
Correct: B Endophthalmitis
Dec24 Q3A young child is evaluated for a heart murmur. Physical examination reveals elevated blood pressure in the upper limbs, decreased blood pressure in th…›
- A) Pre ductal coarctation of aorta
- B) V.S.D
- C) Patent ductus arteriosus
- D) Post ductal coarctation of aorta
Correct: D Post ductal coarctation of aorta
Dec24 Q5A 14-year-old girl presents with primary amenorrhea and recurrent, cyclic lower abdominal pain. On examination, she has normal breast development, spa…›
- A) Congenital adrenal hyperplasia
- B) Chromosomal defect
- C) Failure of development of genital tubercle
- D) Defect of paramesonephric duct (Mullerian obstruction)
Correct: D Defect of paramesonephric duct (Mullerian obstruction)
Dec24 Q7A newborn infant is examined in the neonatal unit and found to have hydrocephalus. Examination of the back reveals a swelling in the lumbosacral regio…›
- A) Spina bifida
- B) Meningomyelocele
- C) Meningoencephalocele
- D) Meningohydroencephalocele
Correct: B Meningomyelocele
Dec24 Q25A 35-year-old man presents with episodic headaches, palpitations, and excessive sweating. On examination, his blood pressure is 180/110 mmHg. A 24-hou…›
- A) Pheochromocytoma
- B) Pituitary tumor
- C) Osteoma
- D) None of above
Correct: A Pheochromocytoma
Dec24 Q28A 30-year-old woman presents 3 days after an obstructed labor at 39 weeks of gestation with severe pain and marked swelling of her left leg. On physic…›
- A) Embolus
- B) Post phlebitis syndrome
- C) DVT
- D) Varicose vein
Correct: A Embolus
Dec24 Q33A 60-year-old woman presents to the emergency department with a 1-week history of fever, chills, rigors, burning micturition, and hematuria. On examin…›
- A) Neurogenic shock
- B) Vasovagal shock
- C) Hypovolemic shock
- D) Cardiogenic shock
Correct: A Neurogenic shock
Dec24 Q34A 50-year-old man presents to the emergency department after falling on the sidewalk. He exhibits tachycardia, tachypnea, and severe dyspnea. Physical…›
- A) Bronchopleural fistula
- B) Left Pneumothorax
- C) Pulmonary effusion
- D) Emphysema
Correct: B Left Pneumothorax
Dec24 Q43A 40-year-old woman presents with a 12-hour history of right upper quadrant abdominal pain radiating to the tip of her right shoulder, associated with…›
- A) Acute Cholecystitis
- B) Gastritis
- C) Hepatitis
- D) Pancreatitis
Correct: A Acute Cholecystitis
Dec24 Q44A 50-year-old woman presents with a 1-month history of a painful abdominal mass. Examination reveals a 6x6 cm, tender, partially reducible swelling lo…›
- A) Abdominal wall lipoma
- B) Epigastric hernia
- C) Paraumbilical hernia
- D) Tumor of the stomach
Correct: B Epigastric hernia
Dec24 Q47A 54-year-old male smoker presents with dyspnea and a 3-year history of chronic cough productive of white sputum. Physical examination reveals cyanosi…›
- A) Bronchial asthma
- B) Chronic bronchitis
- C) Acute bronchitis
- D) Interstitial lung disease
Correct: B Chronic bronchitis
Dec24 Q48A 17-year-old girl complains of bilateral nasal obstruction, epistaxis, and cough off & on. On examination, the nasal cavity is roomy with foul smelli…›
- A) Allergic rhinitis
- B) Rhinolith
- C) Atrophic rhinitis
- D) Rhinosinusitis
Correct: C Atrophic rhinitis
Dec24 Q51A 45 year old man has severe episodes of dizziness with associated vomiting and pain in the right ear. This occurs once or twice a week. During these …›
- A) Acoustic neuroma
- B) Meniere's disease
- C) Otosclerosis
- D) Endolymphatic hydrops
Correct: B Meniere's disease
Dec24 Q52A 28-year-old man presents to the emergency department with an acute onset of left-sided pleuritic chest pain and shortness of breath that began while…›
- A) Left-sided pneumothorax
- B) Left-sided pneumonia
- C) Left-sided pleural effusion
- D) Lung fibrosis
Correct: A Left-sided pneumothorax
Dec24 Q53A 47-year-old man presents to the clinic with a 3-month history of dull epigastric abdominal pain. The pain is worse in the mornings and is relieved a…›
- A) Gastric ulcer
- B) GERD
- C) Duodenal ulcer
- D) Gastric carcinoma
Correct: C Duodenal ulcer
Dec24 Q54A 73-year-old woman presents with a progressively worsening expressionless face, a resting pill-rolling tremor in her right hand, and cogwheel rigidit…›
- A) Malignancy
- B) Normal pressure hydrocephalus
- C) Parkinson's disease
- D) Progressive supranuclear palsy
Correct: C Parkinson's disease
Dec24 Q61A 6-week-old acyanotic baby is brought to the clinic due to poor feeding and poor weight gain. On examination, a pansystolic murmur is heard at the st…›
- A) Tetralogy of Fallot
- B) Atrial septal defect
- C) Ventricular septal defect
- D) Patent ductus arteriosus
Correct: C Ventricular septal defect
Dec24 Q63A 45 year old man has been having a productive cough for the past 3 weeks. He has been having a fever since then. He has not gone to work for the past…›
- A) Bruton's agammaglobulinemia
- B) Common variable immunodeficiency (CVID)
- C) HIV
- D) Cystic fibrosis
No answer key recorded for this question.
Dec24 Q64A 4-year-old girl is brought to the clinic due to a painful right ear, irritability, and a cough. She has a temperature of 38.8°C and right ear discha…›
- A) Acute otitis media
- B) Herpetic infection of the ear
- C) Furuncle
- D) Perforation of the eardrum
Correct: A Acute otitis media
Dec24 Q76An 8-year-old girl presents to the outpatient clinic with a 2-day history of facial puffiness and cola-colored urine. On examination, she has periorbi…›
- A) Alport's syndrome
- B) Goodpasture's syndrome
- C) Henoch-Schonlein purpura
- D) Post-streptococcal glomerulonephritis
Correct: D Post-streptococcal glomerulonephritis
Dec24 Q77A 30-year-old patient presents with passing 4 to 5 loose stools per day containing mucus, associated with lower abdominal pain and disturbed sleep. Th…›
- A) UC
- B) Crohn's disease
- C) IBS
Correct: C IBS
Dec24 Q81A 35-year-old patient presents with recurrent, painful oral and genital aphthous ulcers. He also reports painful red eyes, which are diagnosed as ante…›
- A) Reiter's syndrome
- B) Behcet's disease
- C) SLE
- D) Crohn's disease
Correct: B Behcet's disease
Dec24 Q82A young man is brought to the emergency department following a stab wound to his left hypochondrium. On presentation, he is hypotensive and tachycardi…›
- A) Cardiac tamponade
- B) Diaphragmatic rupture
- C) Fractured ribs
- D) Tension pneumothorax
Correct: A Cardiac tamponade
Dec24 Q84A 28-year-old woman at 39 weeks gestation in active labor develops severe, sudden-onset abdominal pain. Her pulse rate is 125 beats/min, blood pressur…›
- A) Endometritis
- B) UTI
- C) Urinary tract injury
- D) Pleurisy
No answer key recorded for this question.
Dec24 Q85A mother brings her 2-year-old son to the emergency department with a 1-hour history of sudden noisy breathing. He had mild coryza during the previous…›
- A) Anaphylaxis
- B) Foreign body aspiration
- C) Croup
- D) Epiglottitis
Correct: B Foreign body aspiration
Dec24 Q86Lower limb amputation is followed by complications with crepitations. What is the diagnosis?›
- A) Gas gangrene
- B) Secondary hemorrhage
- C) Pseudomonas Infection
- D) Chlamydia Infection
Correct: A Gas gangrene
Dec24 Q99A 30-year-old man presents to the outpatient clinic with a 2-week history of worsening bilateral lower limb swelling. He has no significant past medic…›
- A) Interstitial nephritis
- B) Nephritic syndrome
- C) Nephrotic syndrome
Correct: C Nephrotic syndrome
Dec24 Q105An elderly male patient complains of bilateral knee pain with mild joint stiffness in the morning. The pain increases with movement and decreases with…›
- A) Osteoarthritis
- B) Rheumatoid arthritis
- C) Gout
- D) Osteoporosis
Correct: A Osteoarthritis
Dec24 Q132A 45-year-old male patient presents with a yellowish discharge from a soft tissue lesion on his lower leg. He reports progressive pain over the past f…›
- A) Kaposi Sarcoma
- B) Osteosarcoma
- C) Ewing Sarcoma
- D) Chondrosarcoma
Correct: A Kaposi Sarcoma
Dec24 Q133A 25-year-old male is brought to the emergency department by his friends after attending a local festival. He exhibits confusion, dry mouth, and dilat…›
- A) Organophosphate Poisoning
- B) Dhatura Poisoning
- C) Atropine Overdose
- D) Cocaine Intoxication
Correct: B Dhatura Poisoning
Dec24 Q14450 y/o patient present with complaint of hesitancy and poor stream for 3 months. Patient was treated for gonococcal infection some time ago. Diagnosis…›
- A) BPH
- B) Strictures
- C) Urethral Stone
Correct: B Strictures
Dec24 Q145A 36-year-old woman presents with a 3-month history of spontaneous bloody discharge from her right nipple. Examination reveals a small retroareolar no…›
- A) Intraductal papilloma
- B) Breast cyst
- C) Intraductal carcinoma
- D) Carcinoma in situ
Correct: A Intraductal papilloma
Dec24 Q153A 65-year-old woman presents with a painful groin swelling and a long-standing history of chronic constipation. On physical examination, a mass is pal…›
- A) Indirect inguinal hernia
- B) Direct inguinal hernia
- C) Femoral hernia
- D) Obturator hernia
Correct: C Femoral hernia
Dec24 Q154A 22-year-old man with a history of tonic-clonic seizures managed with phenytoin presents for a routine dental check-up. Examination reveals marked fi…›
- A) Gingival hyperplasia
- B) Gingival recession
- C) Aphthous stomatitis
- D) Epulis
Correct: A Gingival hyperplasia
Dec24 Q158A 60-year-old man with a 40-pack-year smoking history presents with a persistent cough, progressive weight loss, and chest pain. Chest radiograph demo…›
- A) Tuberculosis
- B) Bronchogenic carcinoma
- C) Pulmonary embolism
- D) Pneumonia
Correct: B Bronchogenic carcinoma
Dec24 Q161A 16-year-old girl presents with a smooth, round, painless lump in the front of her neck. On physical examination, the mass is firm, non-tender, trans…›
- A) Papillary carcinoma of the thyroid
- B) Thyroglossal cyst
- C) Lingual thyroid
- D) Sebaceous cyst
Correct: B Thyroglossal cyst
Dec24 Q162A 6-year-old child presents with a 3-month history of foul-smelling unilateral nasal discharge and nasal obstruction. What is the most likely diagnosi…›
- A) Foreign body nose
- B) Antrochoanal polyp
- C) Mucous plug
- D) Nasal myiasis
Correct: A Foreign body nose
Dec24 Q166A 38-year-old woman presents to her general practitioner accompanied by her husband with a history of weight gain, depressed mood, loss of appetite, d…›
- A) Hypoparathyroidism
- B) Hypothyroidism
- C) Hyperthyroidism
- D) Simple obesity
Correct: B Hypothyroidism
Dec24 Q169A 42-year-old man presents with pain and swelling in the distal interphalangeal joints of both hands. Physical examination reveals well-demarcated sca…›
- A) Psoriatic arthritis
- B) Rheumatoid arthritis
- C) SLE
- D) lbd arthritis
Correct: A Psoriatic arthritis
Jun25 Q7A 5-year-old boy presents with a 5-day history of fever and cough. Two weeks ago, he visited his grandmother, who recently died of a chronic respirato…›
- A) Small cell carcinoma of lung
- B) Aspergillus
- C) Pneumonia
- D) T.B
No answer key recorded for this question.
Jun25 Q8An elderly man being treated for arthritis presents with generalized weakness, pallor, a petechial rash, and easy bruising. Laboratory findings show a…›
- A) Myelofibrosis
- B) Thalessemia
- C) Aplastic anemia
- D) Megaloblastic anemia
No answer key recorded for this question.
Jun25 Q12A 28-year-old woman presents with persistent pain and swelling in her left leg just below the knee joint. An X-ray of the proximal tibia demonstrates …›
- A) Ewings
- B) Osteoblastoma
- C) Osteosarcoma
- D) Giant cell tumor
No answer key recorded for this question.
Jun25 Q21A 2-year-old unvaccinated boy presents with sudden-onset unilateral left lower limb paralysis and absent superficial reflexes. Cerebrospinal fluid ana…›
- A) Polyradiculopathy
- B) Guillain-barre syndrome
- C) Poliomyelitis
No answer key recorded for this question.
Jun25 Q23A 16-year-old girl with a history of type 1 diabetes mellitus is brought to the emergency department due to confusion and drowsiness for 2 hours. Her …›
- A) Lactic acidosis
- B) Diabetic ketoacidosis & Metabolic acidosis
- C) Hypoglycemia
No answer key recorded for this question.
Jun25 Q28A 65-year-old man presents with persistent back pain, fatigue, and confusion. Laboratory findings reveal hypercalcemia and Rouleaux formation on perip…›
- A) Leukemia
- B) Multiple myeloma
- C) Lymphoma
- D) Osteoporosis
No answer key recorded for this question.
Jun25 Q32A 2-year-old girl is brought to the clinic due to excessive crying and bleeding gums for 2 weeks. On physical examination, she is irritable with tende…›
- A) Aplastic Anemia
- B) Scurvy
- C) Septic arthritis
- D) Iron Deficiency Anemia
No answer key recorded for this question.
Jun25 Q33A young man presents with 3 days history of red watering eyes, conjunctival follicles and foreign body sensation. On examination, there is preauricula…›
- A) Uveitis
- B) Pterygium
- C) Viral conjunctivitis
- D) Keratitis
No answer key recorded for this question.
Jun25 Q34A 50-year-old man presents after being awakened from sleep by an intense, episodic, right-sided periorbital throbbing headache accompanied by conjunct…›
- A) Brain tumor
- B) Migraine
- C) Cluster headache
- D) Intracranial hemorrhage
No answer key recorded for this question.
Jun25 Q36A 15 year old boy complains of swelling and severe pain in the left testis on the 8th day of a febrile illness. Fever shoots up to 41 degree C and the…›
- A) Pyogenic epididymo-orchitis
- B) Mumps orchitis
- C) Torsion testis
- D) Epididymovasitis
No answer key recorded for this question.
Jun25 Q44A 73-year-old woman presents with a progressively worsening expressionless face, a resting pill-rolling tremor in her right hand, and cogwheel rigidit…›
- A) Huntington's disease
- B) Malignancy
- C) Progressive supranuclear palsy
- D) Normal pressure hydrocephalus
- E) Parkinson's disease
No answer key recorded for this question.
Jun25 Q52A 4-year-old boy presents with a 5-day history of a high fever reaching 103 F, cough, and a runny nose. Physical examination reveals posterior cervica…›
- A) Measles
- B) Rubella
- C) Drug rash
- D) Scarlet fever
No answer key recorded for this question.
Jun25 Q63A 37-year-old man presents with sharp substernal chest pain that has progressively worsened over the past few days following an upper respiratory trac…›
- A) Pericardial effusion
- B) Viral pericarditis
- C) Ventricular aneurysm
- D) Acute MI
- E) Tuberculosis
No answer key recorded for this question.
Jun25 Q66A 30-year-old man is brought to the emergency department following a motor vehicle collision. He sustained a head injury and experienced a brief lucid…›
- A) Epidural
- B) Subarachnoid
- C) Subdural
No answer key recorded for this question.
Jun25 Q72A 12 year old child was brought by her mother because of pain in right hip during walking. There is also pain in right knee joint. On examination his …›
- A) Posterior Hip dislocation
- B) Legg-Calve-Perthes' disease
- C) Extra-capsular femur fracture
- D) Slipped capital femoral epiphysis
- E) Fractured pelvis
No answer key recorded for this question.
Jun25 Q75A 30 year old woman has been feeling low and having difficulty in concentrating since her mother passed away 2 months ago. She feels lethargic and ten…›
- A) Adjustment disorder
- B) Bereavement
- C) GAD
- D) PTSD
- E) Panic disorder
No answer key recorded for this question.
Jun25 Q77A pregnant woman at 37 weeks of gestation presents with rapid weight gain, bilateral lower extremity edema, and shortness of breath. Her blood pressur…›
- A) Chronic Hypertension
- B) Pre Eclampsia
- C) Gestational Hypertension
- D) HELLP Syndrome
No answer key recorded for this question.
Jun25 Q80A 12-year-old boy presents with fever, unilateral parotitis, and orchitis. What is the most likely diagnosis?›
- A) Mumps
- B) Rubella
- C) Measles
- D) Diphtheria
No answer key recorded for this question.
Jun25 Q82A 45-year-old man presents with severe acid reflux and persistent diarrhea. Upper gastrointestinal endoscopy reveals severe esophagitis and multiple d…›
- A) Acid peptic disease
- B) None of the above
- C) Diphyllobothrium latum infection
- D) Zollinger Ellison syndrome
- E) Acute gastritis
No answer key recorded for this question.
Jun25 Q91A 28-year-old woman at 8 weeks gestation presents with a 12-hour history of vaginal bleeding and severe lower abdominal pain. She reports passing tiss…›
- A) Complete abortion
- B) Threatened abortion
- C) Incomplete abortion
- D) Missed abortion
No answer key recorded for this question.
Jun25 Q96A 30-year-old woman presents with a painless lump in her left breast. She has a history of a similar breast lump in the past. Her grandmother was diag…›
- A) Breast cyst
- B) Breast carcinoma
- C) Fibroadenoma
- D) Sebaceous cyst
- E) Breast abscess
No answer key recorded for this question.
Jun25 Q98A 36-year-old woman presents with a 3-month history of spontaneous bloody discharge from her right nipple. Examination reveals a small retroareolar no…›
- A) Intraductal carcinoma
- B) Breast cyst
- C) Carcinoma in situ
- D) Fat necrosis
- E) Intraductal papilloma
No answer key recorded for this question.
Jun25 Q138A 45-year-old woman presents with progressive fatigue and generalized pruritus. Laboratory investigation reveals significantly elevated serum alkaline…›
- A) Alcoholic hepatitis
- B) Autoimmune hepatitis
- C) Primary sclerosing cholangitis
- D) Primary biliary cholangitis
No answer key recorded for this question.
Dec25 Q2A 30-year-old female with symmetrical joint pain, shoulder pain lasting >1 hour in the morning. MCP joints swollen and painful. Most likely diagnosis?›
- A) Osteoarthritis
- B) Rheumatoid arthritis
- C) Ankylosing spondylitis
- D) Reactive arthritis
Correct: B Rheumatoid arthritis
Dec25 Q4Tracheal deviation to the left and dullness on the right side. Most likely diagnosis?›
- A) Pleural effusion
- B) Pneumonia
- C) Atelectasis
- D) Pneumothorax
Correct: A Pleural effusion
Dec25 Q7A 35-year-old woman with 5-year history of recurrent diffuse abdominal pain improving with defecation, no weight loss, worsens with stress, all invest…›
- A) Crohn's disease
- B) Irritable bowel syndrome
- C) Tropical sprue
- D) Ulcerative colitis
Correct: B Irritable bowel syndrome
Dec25 Q10A girl with 5-day fever, URTI, 1-day diarrhea, used tampons as sterility pads, skin lesions. Diagnosis?›
- A) S. aureus toxic shock syndrome (TSS)
- B) E. coli toxic shock syndrome
- C) Scarlet fever
Correct: A S. aureus toxic shock syndrome (TSS)
Dec25 Q11A patient with hemoptysis, crepitations in lower chest, and hematuria. Diagnosis?›
- A) Goodpasture syndrome
- B) Wegener's granulomatosis
- C) Alport syndrome
Correct: A Goodpasture syndrome
Dec25 Q13A 43-year-old woman repeatedly washing hands, very anxious if stopped, admits she cannot control her actions. Diagnosis?›
- A) Schizophrenia
- B) Obsessive compulsive disorder
- C) Generalised anxiety disorder
- D) Panic disorder
Correct: B Obsessive compulsive disorder
Dec25 Q148-year-old girl with facial puffiness, cola-colored urine, sore throat 10 days ago. Urine: protein+, few RBCs, granular cast. Most likely diagnosis?›
- A) Alport's syndrome
- B) Goodpasture's syndrome
- C) Henoch-Schonlein purpura
- D) Post-streptococcal glomerulonephritis
Correct: D Post-streptococcal glomerulonephritis
Dec25 Q16Tracheal deviation to the left and dullness on the right side. Most likely diagnosis? [Repeat]›
- A) Pleural effusion
- B) Pneumonia
- C) Atelectasis
- D) Pneumothorax
Correct: A Pleural effusion
Dec25 Q17A 45-year-old male with sudden severe retrosternal chest pain radiating to the back. Significant blood pressure difference between arms. Most likely d…›
- A) Coarctation of the aorta
- B) Pulmonary embolism
- C) Myocardial infarction
- D) Aortic dissection
Correct: D Aortic dissection
Dec25 Q18A 45-year-old patient with weight loss, hemoptysis, and diffuse small patchy infiltrates on chest X-ray. Most likely diagnosis?›
- A) Miliary tuberculosis
- B) Pneumocystis pneumonia
- C) Bronchogenic carcinoma
- D) Pulmonary metastases
Correct: A Miliary tuberculosis
Dec25 Q22A 23-year-old female with discoid rash, painful joints, photosensitivity, oral ulcers. Most likely diagnosis?›
- A) Goodpasture's syndrome
- B) Behcet's disease
- C) Psoriasis
- D) Rheumatoid arthritis
Answer key recorded as E, but only four options were parsed.
Dec25 Q3173-year-old woman with masked face, resting pill-rolling tremor, cogwheel rigidity, shuffling gait, bradykinesia, postural instability, mild cognitive…›
- A) Malignancy
- B) Normal pressure hydrocephalus
- C) Parkinson's disease
- D) Progressive supranuclear palsy
Correct: C Parkinson's disease
Dec25 Q3318-year-old man with recurrent visible haematuria within 1–2 days of URTI. Urine: albumin and blood. Most likely diagnosis?›
- A) IgA nephropathy
- B) Henoch-Schönlein purpura
- C) Minimal change nephropathy
- D) Wilson's disease
Correct: A IgA nephropathy
Dec25 Q4230-year-old woman with 6-month history of swelling and pain in PIP joints of hands, morning stiffness. ESR 65 mm/hr. Most likely diagnosis?›
- A) Generalised osteoarthritis
- B) Gout
- C) Psoriatic arthritis
- D) Rheumatoid arthritis
Correct: D Rheumatoid arthritis
Dec25 Q4645-year-old female with headaches and seizures. Imaging reveals a tumour irritating the meninges. Histology shows psammoma bodies. Most likely diagnos…›
- A) Meningioma
- B) Metastatic carcinoma
- C) Schwannoma
- D) Glioblastoma
Correct: A Meningioma
Dec25 Q49A patient presents with a disorder involving the rectum. History of long-standing failure of the Meissner and Auerbach plexuses. Diagnosis?›
- A) Hirschsprung disease
- B) Crohn's disease
- C) Irritable bowel syndrome
- D) Ulcerative colitis
Correct: A Hirschsprung disease
Dec25 Q57Old lady with post-gastrectomy history, central abdominal pain 3 days, vomiting 1 day. Distended abdomen, exaggerated bowel sounds. Likely diagnosis?›
- A) Incisional hernia
- B) Internal hernia
- C) Intussusception
- D) Adhesion
Correct: D Adhesion
Dec25 Q5820-year-old male with pain and swelling in face region that increases with eating, decreases 2–3 hours after eating. Most likely diagnosis?›
- A) Submandibular abscess
- B) Stone in Wharton's duct
- C) Tumour in Wharton's duct
- D) Tumour of parotid gland
Correct: B Stone in Wharton's duct
Dec25 Q61A 50-year-old man with sudden severe generalised abdominal pain, rigid abdomen, lies motionless. Free air under diaphragm on X-ray. Most likely diagno…›
- A) Ischaemic colon
- B) Pancreatic necrosis
- C) Pulmonary embolism
- D) Perforated peptic ulcer
Correct: D Perforated peptic ulcer
Dec25 Q65A man with mild anal discomfort, recurrent purulent perianal discharge that pumps out and then builds again. Was febrile. Diagnosis?›
- A) Faecal incontinence
- B) Anal abscess
- C) Fistula-in-ano
- D) Anal tags
Correct: C Fistula-in-ano
Dec25 Q6760-year-old man with IHD and atherosclerosis. Day 4: severe abdominal pain, BP 90/60, soft abdomen, sluggish bowel sounds, maroon stool. Most likely d…›
- A) Acute intestinal obstruction
- B) Acute mesenteric ischaemia
- C) Peritonitis
- D) Appendicitis
Correct: B Acute mesenteric ischaemia
Dec25 Q7040-year-old lady with 6×7 cm breast lump in left upper quadrant, no axillary lymphadenopathy. Most likely diagnosis?›
- A) Cystosarcoma phyllodes
- B) Duct ectasia
- C) Fibrocystic disease
- D) Paget's disease
Correct: A Cystosarcoma phyllodes
Dec25 Q7445-year-old male with dysphagia for liquids more than solids, chest pain, GERD. Barium: dilated oesophagus + bird-beak narrowing at lower end. Diagnos…›
- A) Achalasia cardia
- B) Carcinoma of oesophagus
- C) Oesophageal atresia
- D) Sliding hiatal hernia
Correct: A Achalasia cardia
Dec25 Q78A patient presents with redness, pruritus, and abnormal prominence of the wound site four months after excision of a lipoma. Most likely diagnosis?›
- A) Contact dermatitis
- B) Keloid
- C) Malignant change
- D) Wound infection
Correct: B Keloid
Dec25 Q7960-year-old man with IHD and atherosclerosis. Day 4: severe abdominal pain, BP 90/60, soft abdomen, sluggish bowel sounds, maroon stool. Most likely d…›
- A) Acute intestinal obstruction
- B) Acute mesenteric ischaemia
- C) Peritonitis
- D) Appendicitis
Correct: B Acute mesenteric ischaemia
Dec25 Q85A young female with bilateral ovarian mass on histopathology; mass consists of hair, teeth, epithelial cells, cartilage and gut cells. Diagnosis?›
- A) Sex cord tumour
- B) Cystic teratoma
- C) Endodermal sinus tumour
- D) Choriocarcinoma
Correct: B Cystic teratoma
Dec25 Q8738-year-old nulliparous lady with menorrhagia, severe dysmenorrhoea, dyspareunia. On P/V: uterus 8 weeks, firm and uniformly enlarged. Most likely dia…›
- A) Endometriosis
- B) Dysfunctional uterine bleeding
- C) Adenomyosis
- D) Fibroids
Correct: C Adenomyosis
Dec25 Q92Female with primary amenorrhoea, HTN, webbed neck, low posterior hairline, streak ovaries on USG, small breasts, short stature. Diagnosis?›
- A) Down syndrome
- B) Klinefelter syndrome XXY
- C) Turner syndrome 45X0
- D) Patau syndrome
Correct: C Turner syndrome 45X0
Dec25 Q978-month-old infant with holosystolic murmur at lower left sternal border, tachypnea, feeding poorly, not gaining weight. Most likely diagnosis?›
- A) ASD
- B) VSD
- C) PDA
- D) TOF
Correct: B VSD
Dec25 Q100A 4-year-old boy with 1-day fever, severe sore throat, drooling, difficulty swallowing. Appears anxious, sitting in tripod position. Most likely diagn…›
- A) Tonsillitis
- B) Quinsy
- C) Epiglottitis
- D) Laryngitis
Correct: C Epiglottitis
Dec25 Q1024-month-old baby boy with pain in upper abdomen and vomiting. Olive-shaped mass palpable in epigastrium. Most likely diagnosis?›
- A) Duodenal atresia
- B) Volvulus neonatorum
- C) Hypertrophic pyloric stenosis
- D) Epigastric hernia
Correct: C Hypertrophic pyloric stenosis
Dec25 Q1034-year-old male with fever, cough, blocked runny nose for 5 days, maculopapular rash from ears spreading down, white spots on oral mucosa, temperature…›
- A) Rubella
- B) Scarlet fever
- C) Drug rash
- D) Measles
Correct: D Measles
Dec25 Q1127-year-old boy with extreme activity, difficulty following instructions, interrupting others, since age 4. Most likely diagnosis?›
- A) Attention deficit hyperactivity disorder
- B) Conduct disorder
- C) Autism spectrum disorder
- D) Oppositional defiant disorder
Correct: A Attention deficit hyperactivity disorder
Dec25 Q120Patient with regular episodes of SNHL, nystagmus, ataxia, vertigo and tinnitus lasting >30 min. Dix-Hallpike negative. Neurological examination normal…›
- A) Meniere's disease
- B) Acoustic neuroma
- C) Otosclerosis
- D) Benign positional vertigo
Correct: A Meniere's disease
Dec25 Q121A male patient reports ear pain and sensation of fullness after airplane travel. Otoscopy: retracted and congested tympanic membrane. Most likely diag…›
- A) Otitic barotrauma
- B) Cholesteatoma
- C) Tympanic membrane perforation
- D) Acute otitis media
Correct: A Otitic barotrauma
Dec25 Q125A child complains of right ear pain and tenderness on pulling ear with no fever. Examination shows inflamed, oedematous right ear canal with yellow di…›
- A) Otitis media
- B) Otitis externa
- C) Cholesteatoma
- D) Auricular abscess
Correct: B Otitis externa
Dec25 Q128A 4-year-old girl with painful right ear, irritable, crying, coughing, temperature 38.8°C. Otoscopy: red tympanic membrane, no light reflex. Most like…›
- A) Acute otitis media
- B) Herpetic infection of the ear
- C) Furuncle
- D) Perforation of the eardrum
Correct: A Acute otitis media
Dec25 Q13461-year-old female with low-grade fever, anaemia, gum hyperplasia, blast cells with Auer bodies, positive myeloperoxidase, WBC 42,000. Probable diagno…›
- A) CLL
- B) ALL
- C) CML
- D) AML
Correct: D AML
Dec25 Q15145-year-old woman with severe diarrhoea. ABG: pH 7.25, pCO₂ 24, HCO₃ 10. Decreased K+, normal anion gap. Diagnosis?›
- A) Metabolic acidosis
- B) Metabolic alkalosis
- C) Respiratory acidosis
- D) Respiratory alkalosis
Correct: A Metabolic acidosis
May26 Q6A 16-month-old child presented with history of sudden onset of noisy breathing a cough while playing in his play room. On examination he is in respira…›
- A) Acute laryngotracheobronchitis
- B) Acute severe asthma
- C) Foreign body inhalation
- D) Acute epiglottis
Correct: C Foreign body inhalation
May26 Q9A patient presents with hip fracture and externally rotated shortened limb. What is the likely diagnosis?›
- A) Femoral shaft fracture
- B) Intertrochanteric fracture
- C) Pelvic fracture
- D) Acetabular fracture
Correct: B Intertrochanteric fracture
May26 Q14A 28-year-old man presents with ascending weakness starting from the lower limbs and progressing upwards over a few days. He had a recent history of r…›
- A) Multiple sclerosis
- B) Myasthenia gravis
- C) Guillain-Barré syndrome
- D) Muscular dystrophy
Correct: C Guillain-Barré syndrome
May26 Q26A 55-year-old man with a history of long-term smoking presents with c productive cough for 3 months each year for the last 2 years. He also dyspnea on…›
- A) Chronic bronchitis
- B) Emphysema
- C) Asthma
- D) Tuberculosis
Correct: A Chronic bronchitis
May26 Q31A 60-year-old man presents with exertional chest pain relieved by rest. ECG is normal. Exercise stress test shows ST-segment depression in multiple le…›
- A) Stable angina
- B) Unstable angina
- C) Prinzmetal angina
- D) Myocardial infarction
Correct: A Stable angina
May26 Q45A 10-year-old girl presents with frothy urine and periorbital swelling. Laboratory tests show proteinuria >3.5 g/day, hypoalbuminemia, and hyperlipide…›
- A) Minimal change disease
- B) IgA nephropathy
- C) Acute glomerulonephritis
- D) Acute tubular necrosis
Correct: A Minimal change disease
May26 Q49A 2-year-old unvaccinated child presents with unilateral left limb paralysis and an inability to elicit superficial reflexes. CSF analysis shows 15,00…›
- A) Poliomyelitis
- B) Guillain-Barré syndrome
- C) Polyradiculoneuropathy
Correct: A Poliomyelitis
May26 Q526-year-old child known case of acute otitis media. After three days of illness he developed severe headache, nausea, photophobia, high grade fever. On…›
- A) Cerebellar abscess
- B) Extradural abscess
- C) Meningitis
- D) Sigmoid sinus thrombosis
Correct: C Meningitis
May26 Q53A 25-year-old man presents with confusion, high fever, and generalized tonic-clonic seizures. His blood pressure is low, and heart rate is elevated. L…›
- A) Septic shock
- B) Hypovolemic shock
- C) Cardiogenic shock
- D) Neurogenic shock
Correct: A Septic shock
May26 Q63A 35-year-old man presented with 3 years' history of recurrent diffuse abdominal pain especially after breakfast which improves with defecation. He de…›
- A) Crohn's disease
- B) Irritable bowel syndrome
- C) Tropical sprue
- D) Ulcerative colitis
Correct: B Irritable bowel syndrome
May26 Q65A 23-year-old man presents with painful genital ulcers. On examination multiple small Vesicles that rupture to form shallow ulcers,associated with ing…›
- A) Herpes genitalis
- B) Primary syphilis
- C) Lymphogranuloma venereum
- D) Gonococcal urethritis
Correct: A Herpes genitalis
May26 Q69A 30 year old lady presented with pain, photophobia, and blurred vision in her right eye. On examination, intraocular pressure was raised in the affec…›
- A) Angle-closure glaucoma
- B) Open-angle glaucoma
- C) Allergic conjunctivitis
- D) Uveitis
Correct: D Uveitis
May26 Q75A 28-year-old man presents with fever, rash, and joint pain after taking antibiotics for a urinary tract infection. Laboratory tests show eosinophilia…›
- A) Acute interstitial nephritis
- B) Acute tubular necrosis
- C) IgA nephropathy
- D) Minimal change disease
Correct: A Acute interstitial nephritis
May26 Q81A 45-year-old man presents to the emergency department with sudden severe shortness of breath, hypotension, and distended neck veins. ECG shows sinus …›
- A) Tension pneumothorax
- B) Pulmonary embolism
- C) Acute myocardial infarction
- D) Cardiac tamponade
Correct: D Cardiac tamponade
May26 Q82A 35-year-old man presents with fever, malaise, and a maculopapular rash that started on his face and spread to the trunk. whitish spots are seen on t…›
- A) Measles
- B) Rubella
- C) Varicella
- D) Scarlet fever
Correct: A Measles
May26 Q84A man presents with fever, night sweats, weight loss, and a persistent cough producing blood-streaked sputum for 2 months. Chest X-ray reveals cavitar…›
- A) Bronchiectasis
- B) Lung abscess
- C) Pulmonary embolism
- D) Tuberculosis
Correct: D Tuberculosis
May26 Q86A 60-year-old man presents with painless, firm, non-tender cervical lymphadenopathy. He also reports night sweats, weight loss, and fever. Excisional …›
- A) Hodgkin lymphoma
- B) Non-Hodgkin lymphoma
- C) Chronic lymphocytic leukemia
- D) Tuberculosis
Correct: A Hodgkin lymphoma
May26 Q91A 55-year-old woman presents with fatigue and recurrent infections. Laboratory tests reveal pancytopenia. Bone marrow biopsy shows hypercellularity wi…›
- A) Acute myeloid leukemia
- B) Chronic myeloid leukemia
- C) Myelodysplastic syndrome
- D) Aplastic anemia
Correct: A Acute myeloid leukemia
May26 Q98A 25-year-old woman has had several sudden-onset episodes of palpitations, sweating, and fear. Her hands shake when they occur. These episodes occur a…›
- A) Phaeochromocytoma
- B) Panic disorder
- C) Generalized anxiety disorder
- D) Agoraphobia
- E) Acute stress disorder
Correct: B Panic disorder
May26 Q99A 32-year-old multigravida at 32 weeks' gestation wakes up in the middle of the night with a pool of blood. Bleeding has now stopped. She has no pain …›
- A) Placental abruption
- B) Placenta accreta
- C) Placenta praevia
- D) Preterm labor
Correct: C Placenta praevia
May26 Q100A 29-year-old woman presents with palpitations, weight loss, and heat intolerance. she is having fine tremor . Examination shows tachycardia, warm moi…›
- A) Toxic multinodular goitre
- B) Hashimoto's thyroiditis
- C) T3-secreting adenoma
- D) De Quervain's thyroiditis
- E) Graves' disease
Correct: E Graves' disease
May26 Q1056-year-old child presents with foul smelling nasal discharge and unilateral nasal obstruction for the last 3 months. Which of the following is most li…›
- A) Foreign body nose
- B) Antrochoanal polyp
- C) Mucous plug
- D) Nasal myiasis
Correct: A Foreign body nose
May26 Q12610year-old child presents with circular, scaly lesions with central clearing on the trunk. The lesions are mildly itchy. On examination, the margins a…›
- A) Eczema
- B) Tinea corporis
- C) Impetigo
- D) Urticaria
Correct: B Tinea corporis
May26 Q131A 39-year-old man comes to your office with the complaint that he has notice mucus-like discharge on his underwear. He denies any pain associated with…›
- A) Crohn's disease
- B) Chronic perirectal abscess
- C) Anal fissure
- D) Fistula-in-Ano
Correct: D Fistula-in-Ano
May26 Q142A 30-year-old man presents with well-demarcated, erythematous plaques covered with silvery scales on the extensor surfaces of his elbows. Which of the…›
- A) Lichen planus
- B) Tinea corporis
- C) Psoriasis
- D) Vitiligo
Correct: C Psoriasis
May26 Q147A 22-year-old female presents with itchy, erythematous lesions in the flexural areas of her elbows and knees. She reports a history of similar episode…›
- A) Psoriasis
- B) Atopic dermatitis
- C) Contact dermatitis
- D) Seborrheic dermatitis
Correct: B Atopic dermatitis
May26 Q148A 6-year-old boy presents with pallor, fatigue, and easy bruising. Laboratory reveal pancytopenia and bone marrow shows hypercellularity with ab lymph…›
- A) Aplastic anemia
- B) Acute lymphoblastic leukemia
- C) Chronic myelogenous leukemia
- D) Hemolytic anemia
Correct: B Acute lymphoblastic leukemia
May26 Q154A 50-year-old man presents with sudden onset of severe pain, redness, swelling of the first metatarsophalangeal joint. He has a history of similar epi…›
- A) Rheumatoid arthritis
- B) Osteoarthritis
- C) Gout
- D) Psoriatic arthritis
Correct: C Gout
May26 Q159A neonate was delivered after a difficult and prolonged labor. The mother noticed that the child is not moving the left arm. On examination the left a…›
- A) Klumpke's paralysis
- B) Fracture of humerus
- C) Erb's Palsy
- D) Shoulder dislocation
Correct: C Erb's Palsy
May26 Q167A 40-year-old man presents with auditory hallucinations, disorganized speech, paranoia ,a social withdrawal for the past 6 months. Which of the follow…›
- A) Schizophrenia
- B) Major depressive disorder
- C) Bipolar disorder
- D) Generalized anxiety disorder
Correct: A Schizophrenia
May26 Q172A 45-year-old woman presents with weight gain, moon face, purple striae, proximal muscle weakness, and hypertension. Laboratory tests show elevated co…›
- A) Addison disease
- B) Cushing syndrome
- C) Hypothyroidism
- D) Acromegaly
- E) Pheochromocytoma
Correct: B Cushing syndrome
May26 Q175A 60-year-old man presents with resting tremors, bradykinesia, and rigidity. His facial expression mask-like, and his gait is shuffling. What is the m…›
- A) Alzheimer disease
- B) Parkinson disease
- C) Huntington disease
- D) Multiple sclerosis
Correct: B Parkinson disease
›Diagnosis — implied
What
No question sentence at all. The stem is a bare vignette and the options are four disease names. The task is still diagnosis.
Stem
[Age/sex] + [finding] + [finding] + [finding] — then straight into options.
Where
No explicit ask means the option set defines the task. Read the options before the stem if the stem has no question mark — that is the whole trick to this type.
Trap
These feel ambiguous and slow you down. They are not harder than stated diagnosis; they are just missing the instruction line.
Steps
- If there is no question sentence, read the four options first — they tell you what is being asked.
- Identify what the vignette is pointing at (organ system, then process).
- Apply the same discriminator test as any diagnosis question.
Examples
Dec25 Q48
A patient has severe chest trauma. In which condition is thoracotomy done?
Correct: Hemothorax
May26 Q140
Which one of the following radiological finding is present in Cardiac Achalasia?
Correct: Bird's beak appearance
Jun24 Q109
What primarily contributes to a low ventilation/perfusion (V/Q) ratio in a patient?
Correct: Alveolar hypoventilation
Questions
Jun24 Q10A 26-year-old man with hepatitis, jaundice, and dark urine. Which enzyme rise indicates hepatocellular damage/necrosis?›
- A) ALP
- B) AST
- C) Cholinesterase
- D) ALT
Correct: D ALT
Jun24 Q14A 7-year-old boy develops generalized edema, hypertension, and hematuria after a sore throat treated with antibiotics. Possible cause?›
- A) ARF
- B) Renal failure
- C) UTI
- D) PSGN
Correct: D PSGN
Jun24 Q31A 40-year-old woman develops deep vein thrombosis in her right limb on the 5th post-operative day. What should be the main focus of her management?›
- A) Reassurance and crystalloid infusions
- B) Complete bed rest and non-steroidal anti-inflammatory drugs
- C) Compression bandage
- D) Anticoagulant therapy by heparin and warfarin combination
Correct: D Anticoagulant therapy by heparin and warfarin combination
Jun24 Q35A 32-year-old male patient presented to surgical emergency after fall from bike. He had a brief loss of consciousness following an accident and recove…›
- A) Subdural hematoma
- B) Subarachnoid hemorrhage
- C) Extradural hematoma
- D) Meningitis
Correct: C Extradural hematoma
Jun24 Q36A 6-month-old girl has been experiencing distress, crying, abdominal distension, and passing redcurrant jelly stool for 24 hours. The girl also shows …›
- A) Anal fissure
- B) Meckles diverticulum
- C) Intussusceptions
- D) Colonic carcinoma
Correct: C Intussusceptions
Jun24 Q37A 22-year-old male presents following a motor vehicle accident. He localizes pain, opens his eyes only to pain, and uses inappropriate words. What is …›
- A) 7
- B) 8
- C) 9
- D) 10
Correct: D 10
Jun24 Q38Upon arriving at the emergency department, a young male is presenting with a stab wound located in his left hypochondrium. He exhibits significant ble…›
- A) Ruptured lung
- B) Rupture spleen
- C) Pericardial tamponade
- D) Plural rupture
Correct: C Pericardial tamponade
Jun24 Q39A 1-year-old female baby with pallor and poor growth, who is not breastfeeding properly and is mainly on goat milk, presents with tachycardia and MCV …›
- A) Goat milk causes vit B12 deficiency
- B) Goat milk causes Folate deficiency anemia
- C) Goat milk causes Iron deficiency
- D) Anemia due to improper weaning
Correct: A Goat milk causes vit B12 deficiency
Jun24 Q42A child with 10 instances of diarrhea within 24 hours displays signs like dried and sunken eyes, a prolonged skin pinch, and an absence of tears. What…›
- A) ORS solution
- B) Normal Saline
- C) Start 10% dextrose
- D) Start Ringer's lactate
Correct: D Start Ringer's lactate
Jun24 Q44In a 59-year-old woman with chronic back pain, X-rays of the spine are normal, but bone scans indicate multiple lesions consistent with metastatic dis…›
- A) Lungs
- B) Cervix
- C) Ovary
- D) Uterus
No answer key recorded for this question.
Jun24 Q45What is the SINGLE most appropriate advice to give to the mother of a 3-year-old boy diagnosed with febrile seizures regarding the prognosis and the l…›
- A) Patient has more than 50% chance of further episode of seizure before 6 years of age.
- B) Patient has more than 50% chance of further episode of seizure after 6 years of age.
- C) Patient likely to develop epilepsy in future.
- D) Patient has a 30 to 40% chance of developing another febrile seizure as a child.
Correct: D Patient has a 30 to 40% chance of developing another febrile seizure as a child.
Jun24 Q46In a 53-year-old male patient who has recently undergone a thyroidectomy, what is the most appropriate immediate action to take given the symptoms of …›
- A) Cut the subcutaneous sutures
- B) Adrenaline
- C) Low molecular weight heparin
- D) Oxygen 15 L via non-rebreather mask
Correct: A Cut the subcutaneous sutures
Jun24 Q50A 50-year-old female presented in OPD with positive history of breast carcinoma. USG shows lump in breast. Further investigation?›
- A) FNAC
- B) Excision
- C) Biopsy
- D) Surgery
Correct: C Biopsy
Jun24 Q52Child for Leukemia diseases admitted for chemotherapy, developed chicken pox. Preferred treatment of complicated chickenpox is?›
- A) Interrupt chemo for 2 weeks
- B) Start acyclovir
- C) Acyclovir reduces duration and severity of chickenpox in normal children when therapy is initiated during the first 24 hours of rash.
Correct: B Start acyclovir
Jun24 Q58A mother presents her 3-year-old son to the pediatrician due to concerns about his heart as she senses it's not normal.›
- A) DiGeorge syndrome
- B) Epstein anomaly
- C) Ectopia cordis
- D) Tetralogy of Fallot
Correct: D Tetralogy of Fallot
Jun24 Q63Mrs. XY, a 59-year-old woman, is admitted to the hospital with severe chest pain, a sense of heaviness, radiating to her lower jaw and left shoulder. …›
- A) Prominent U wave
- B) P. Pulmonale
- C) Convex upward ST elevation
- D) Elevation of PR segment
Correct: C Convex upward ST elevation
Jun24 Q64What is the preferred treatment for a patient who presents with shortness of breath and chest pain due to dislocated fractures of the fifth and sixth …›
- A) 100% oxygen
- B) Intubation
- C) Analgesics
- D) Both a and b
Correct: C Analgesics
Jun24 Q71A girl of six years experiences moments of gazing and non-communication, with her EEG revealing 3/sec, synchronized spike-wave discharges. Which anti-…›
- A) Phenytoin
- B) Gabapentin
- C) Primidone
- D) Ethosuximide
Correct: D Ethosuximide
Jun24 Q75A patient succumbed to a sudden embolic event. Post-death, his family reported a history of compound hip bone fracture. His likely cause of death is?›
- A) Fat embolism
- B) Pulmonary embolism
- C) Atheros embolism
Correct: A Fat embolism
Jun24 Q76A patient arrives in the burn unit, having burns on both front upper extremities, the upper chest, and the front and back of the head. Compute the bur…›
- A) 36%
- B) 37%
- C) 38%
- D) 40%
Correct: A 36%
Jun24 Q77In a 40-year-old patient with diabetes mellitus (DM) who has a filtration load of glucose of 240 mg and blood glucose of 2mg/ml, what is the clearance…›
- A) 120ml/min
- B) 135ml/min
- C) 125ml/min
- D) 140 ml/min
Correct: A 120ml/min
Jun24 Q80A 40-year-old woman who has given birth multiple times reports unintended urine leakage when she coughs, laughs, lifts objects, or stands up. What con…›
- A) Fistula
- B) Stress incontinence
- C) Urge incontinence
- D) Urethral diverticulum
Correct: B Stress incontinence
Jun24 Q81Man was in an accident, hand injured, no sound heard on left lung, on thoracocentesis air gushed out of left lung due to?›
- A) Paraseptal emphysema
- B) Foreign body
- C) Fistula bronchoesophageal
- D) Pneumothorax
Correct: D Pneumothorax
Jun24 Q82Patient presented in ER, hyperventilating and carpopedal spasms in both hands, injection calcium gluconate given and asked to breathe in bag, conditio…›
- A) Respiratory alkalosis
- B) Renal failure
- C) Failure of absorption of Ca in gut
Correct: A Respiratory alkalosis
Jun24 Q85Patient RTA leads to fracture tibia + open femur fracture, BP 60/40, RR-30, PR-120, first-line management?›
- A) Electrolytes
- B) I/V inotropic
- C) Surgical intervention
No answer key recorded for this question.
Jun24 Q886 months pregnant lady with generalized weakness and lethargy present with Hb 9.8, MCV 58, MCHC 15, TIBC increase. How to diagnose the type of anemia?›
- A) Serum iron
- B) Serum ferritin
- C) TIBC
- D) Ferritin and TIBC
Correct: B Serum ferritin
Jun24 Q94What is the first medication to be used to manage supraventricular tachycardia (SVT) in a 28-year-old man who is conscious and has a rapid pounding in…›
- A) Amiodarone
- B) Adenosine
- C) Metoprolol
- D) Lidocaine
Correct: B Adenosine
Jun24 Q96A girl after her father passed away now experiencing low mood and anxiety, as well as intrusive memories and flashbacks of past events. She avoids soc…›
- A) Depression
- B) PTSD (post-traumatic stress disorder)
- C) Panic attack
- D) Agoraphobia
Correct: B PTSD (post-traumatic stress disorder)
Jun24 Q97A nursing home resident is experiencing rashes between the fingers and on his abdomen, along with severe itching that intensifies during the night. He…›
- A) 0.5% permethrin
- B) Doxycycline
- C) 5% permethrin
- D) Reassure
Correct: C 5% permethrin
Jun24 Q101Active labor has been ongoing for 2 hours, and the fetus is in a brow presentation. How should this situation be managed?›
- A) Wait for cephalic conversion
- B) Cord prophylaxis
- C) Perform a cesarean section
- D) Physically rotate the face
Correct: C Perform a cesarean section
Jun24 Q103A patient comes to you with pain, redness, and photophobia in the right eye. Examination shows circum-corneal congestion. Which condition is most like…›
- A) Blepharitis
- B) Uveitis
- C) Bacterial conjunctivitis
- D) Orbital cellulitis
Correct: B Uveitis
Jun24 Q104A 30-year-old man experiences indigestion, flatulence, and bloating after consuming milk. Avoiding these products relieves his symptoms. This conditio…›
- A) Fructose
- B) Lactose
- C) Maltose
- D) Mannose
Correct: B Lactose
Jun24 Q106What is the ideal weight gain during pregnancy for a patient with a height of 154 cm and a pre-pregnancy weight of 78 kg?›
- A) 10 kg
- B) 6-8 kg
- C) 10-12 kg
Correct: B 6-8 kg
Jun24 Q108For a 41-year-old man with a unilateral cataract and a history of foreign body injuries from his job as an auto mechanic, what is the most suitable di…›
- A) Test for serum copper level
- B) Perform a CT scan
- C) Perform glare testing
- D) Proceed with phacoemulsification and intraocular lens
Correct: B Perform a CT scan
Jun24 Q109What primarily contributes to a low ventilation/perfusion (V/Q) ratio in a patient?›
- A) Increased respiratory rate
- B) Impaired gas diffusion
- C) Alveolar hypoventilation
- D) Elevated pulmonary blood flow
Correct: C Alveolar hypoventilation
Jun24 Q111An individual presented in the outpatient department suffering from intense epigastric discomfort that extends to the back, accompanied by vomiting a …›
- A) Acute appendicitis
- B) Acute Pancreatitis
- C) Gastritis
- D) Renal colic
Correct: B Acute Pancreatitis
Jun24 Q112After prolonged active hepatitis C, a 50-year-old patient developed ascites and esophageal varices. These complications are secondary to?›
- A) Cholangitis
- B) Hepatocellular carcinoma
- C) Pancreatitis
- D) Cirrhosis
Correct: D Cirrhosis
Jun24 Q114A CKD patient presents to the ER with palpitations. ECG shows ST depression, diminished P wave, widened QRS, and a tall tented sine wave pattern. Most…›
- A) Hyponatremia
- B) Hyperglycemia
- C) Hyperkalemia
- D) Hyperphosphatemia
Correct: C Hyperkalemia
Jun24 Q122One of the following oral hypoglycemic agents helps the diabetic patient by promoting the release of endogenous insulin?›
- A) Acarbose
- B) Metformin
- C) Glipizide
- D) Pioglitazone
Correct: C Glipizide
Jun24 Q124The diet of a child suffering from Maple Syrup Urine Disease should be low in which amino acid content?›
- A) Branched-chain amino acids
- B) Phenylalanine
- C) Methionine
- D) Tryptophan
Correct: A Branched-chain amino acids
Jun24 Q125A patient with pulmonary TB was put on ATT (Rifampicin, INH, Ethambutol, Pyrazinamide). He should be advised to take a supplement for the deficiency o…›
- A) Niacin
- B) Pyridoxine
- C) Riboflavin
- D) Thiamine
Correct: B Pyridoxine
Jun24 Q130A young male was admitted and diagnosed with acute pancreatitis. Conservative treatment was started. On the 10th day he has a pulsatile epigastric mas…›
- A) Pancreatic abscess
- B) Pseudopancreatic cyst
- C) Abdominal aneurysm
- D) Cholecystitis
Correct: B Pseudopancreatic cyst
Jun24 Q138...of both white blood cells and larvae. What is the most likely causative agent of this patient's symptoms?›
- A) Entamoeba histolytica
- B) Giardia lamblia
- C) Strongyloides stercoralis
- D) Schistosoma mansoni
Correct: C Strongyloides stercoralis
Jun24 Q142A 9-month-old unimmunized child presented to ER with complaint of cough and... Management?›
- A) Home care
- B) Oral antibiotics
- C) Oxygen therapy
- D) Intravenous antibiotics
No answer key recorded for this question.
Jun24 Q144A woman presents in active labour for the last 2 hours. Vaginal examination... Management?›
- A) Assisted breech delivery
- B) Caesarean section
- C) External cephalic version
- D) Maintain partogram
Correct: B Caesarean section
Dec24 Q4A newborn infant is evaluated for hypotonia and dysmorphic features. Physical examination reveals a flat nasal bridge, upslanting palpebral fissures, …›
- A) Trisomy 21 (Down's)
- B) Trisomy 22
- C) Trisomy 13
- D) Fragile X syndrome
Correct: A Trisomy 21 (Down's)
Dec24 Q12A 45-year-old man presents with a 2-month history of horizontal diplopia that worsens on lateral gaze. On ocular examination, he is noted to have a me…›
- A) Abducent
- B) Oculomotor
- C) Optic
- D) Trigeminal
Correct: A Abducent
Dec24 Q14A 55-year-old man presents with pallor, fatigue, and shortness of breath. Chest imaging reveals bilateral pulmonary masses. Laboratory investigations …›
- A) Bronchogenic carcinoma
- B) CLD
- C) HepC
- D) HCC
Correct: D HCC
Dec24 Q15A 20-year-old man presents with acute anxiety, hyperventilation, tachycardia, and profuse sweating. He is asked to rebreathe into a plastic bag, which…›
- A) Inc. pH & dec CO2
- B) Dec. pH
- C) Dec. pH & inc CO2
- D) Inc. HCO3
Correct: A Inc. pH & dec CO2
Dec24 Q19A 45-year-old man presents with progressive enlargement of his hands, feet, and jaw over the past 3 years. Physical examination reveals coarse facial …›
- A) Adenoma of adenohypophysis
- B) Adenoma of chromophobic cells
- C) Adenoma of Basophilic cells
- D) Adenoma of Acidophilic cells
Correct: D Adenoma of Acidophilic cells
Dec24 Q20A 9-year-old child is brought to the clinic because he struggles to see writing on the classroom blackboard, but he can read a textbook up close witho…›
- A) Hyperopia
- B) Axial hypermetropia
- C) Myopic astigmatism
- D) NONE
Correct: C Myopic astigmatism
Dec24 Q22A 24-year-old female presents with a 3-week history of loin pain, dysuria, urinary frequency, urgency, and lower abdominal pain. She is admitted to th…›
- A) Urine culture
- B) Urine and blood culture
- C) Blood culture
- D) Serum ESR
Correct: B Urine and blood culture
Dec24 Q24A 62-year-old man receiving treatment following a myocardial infarction presents with active bleeding due to an overdose of intravenous warfarin. Whic…›
- A) Vit K
- B) Vit A
- C) Vit B
- D) Vit E
Correct: A Vit K
Dec24 Q26You are the house officer on call in ophthalmology department and a patient comes to you with some unknown chemical (ELFY, glue or any acidic/basic ch…›
- A) Copious irrigation of eye with normal saline
- B) Wash with IL sodium bicarbonate
- C) Slip lamp examination with fluorescein dye
- D) Patch eye after instilling with steroid eye drops
Correct: A Copious irrigation of eye with normal saline
Dec24 Q29A 1-year-old girl is brought to the outpatient clinic with a history of recurrent epistaxis and ecchymosis since birth. Laboratory investigations reve…›
- A) RBC formation
- B) Platelet aggregation
- C) Platelet adhesion
- D) WBC lysis
Correct: C Platelet adhesion
Dec24 Q30A 45-year-old male develops sudden dyspnea, hypoxemia, and non-cardiogenic pulmonary edema during a red blood cell transfusion, leading to a diagnosis…›
- A) Almost Immediately
- B) Within 6 hrs
- C) Within 24 hrs
- D) Within 48 hrs
Correct: B Within 6 hrs
Dec24 Q32A patient presents with prolonged, foul-smelling diarrhea with floating stools after drinking untreated spring water. An esophagogastroduodenoscopy wi…›
- A) Entamoeba histolytica
- B) E. coli
- C) Giardia lamblia
- D) Naegleria fowleri
Correct: C Giardia lamblia
Dec24 Q35A 28-year-old man presents with facial swelling following a traumatic extraction of a maxillary incisor three days ago. Infection from the facial vein…›
- A) Superior Ophthalmic vein
- B) Inferior ophthalmic vein
- C) Supratrochlear vein
- D) Supraorbital vein
Correct: A Superior Ophthalmic vein
Dec24 Q36A 56-year-old hypertensive and diabetic woman presents with a 7-month history of postmenopausal vaginal bleeding. Her last menstrual period was 6 year…›
- A) Endometrial Adenocarcinoma
- B) Adenomyosis
- C) Endometriosis
- D) Cervical CA
Correct: A Endometrial Adenocarcinoma
Dec24 Q38A 25-year-old man is brought to the emergency department following a head injury. On assessment, he opens his eyes to a painful stimulus on his arm, w…›
- A) 14
- B) 12
- C) 3
- D) 10
Correct: D 10
Dec24 Q45A 40-year-old male complains of epigastric pain for one week and black colored stool for three days. He had a knee injury three months back and was ta…›
- A) Barium meal follow-through
- B) CT Scan abdomen
- C) Upper G.I. endoscopy
- D) Ultrasound abdomen
Correct: C Upper G.I. endoscopy
Dec24 Q46A 72-year-old woman presents to the outpatient clinic with a 2-month history of fatigue, lethargy, and palpitations. Physical examination reveals pall…›
- A) Bone marrow suppression
- B) Iron deficiency
- C) Thalassemia
- D) Vitamin B12 deficiency
Correct: D Vitamin B12 deficiency
Dec24 Q49A 58-year-old man with acute renal failure is found to have a serum potassium level of 6.2 mEq/L and a bicarbonate level of 20 mEq/L. An ECG shows wid…›
- A) Hemodialysis
- B) I/V calcium gluconate
- C) I/V frusemide
- D) I/V sodium bicarbonate
Correct: B I/V calcium gluconate
Dec24 Q57An 18-month-old girl is brought to the clinic for evaluation of short stature and failure to thrive. Her parents report chronic abdominal distension a…›
- A) Celiac disease
- B) Crohns disease
- C) Tropical sprue
- D) Autoimmune enteropathy
Correct: A Celiac disease
Dec24 Q59A 30-year-old man is brought to the emergency department following a road traffic accident. Physical examination reveals a complete loss of motor func…›
- A) Hypovolemic shock
- B) Neurogenic shock
- C) Anaphylactic shock
- D) Cardiogenic shock
Correct: B Neurogenic shock
Dec24 Q66A 5 year old boy presents with drooling of saliva and severe stridor. He has a temperature of 39.0 C and is sick looking. He has difficulty speaking a…›
- A) Croup
- B) Recurrent aspiration
- C) Diphtheria
- D) Acute epiglottitis
Correct: D Acute epiglottitis
Dec24 Q67A 55 year old male presents with longstanding gastric reflux, dysphagia and chest pain. He says it comes on gradually and initially only noticed it wi…›
- A) Oesophageal carcinoma
- B) Oesophageal spasm
- C) Barrett's oesophagus
- D) Achalasia
Correct: A Oesophageal carcinoma
Dec24 Q68A 53 year old man has become increasingly short of breath in the 3 hours since returning to the ward after a thyroidectomy. He has a temperature of 37…›
- A) Salbutamol Nebulizer
- B) Adrenaline
- C) Low molecular weight heparin
- D) Oxygen 15 L via non-rebreather mask
Correct: D Oxygen 15 L via non-rebreather mask
Dec24 Q70A 25-year-old woman is brought to the emergency department following a severe road traffic accident with multiple fractures and massive hemorrhage. He…›
- A) A+
- B) B+
- C) AB+
- D) AB-
No answer key recorded for this question.
Dec24 Q71A 28-year-old female is brought to the emergency department following an intentional overdose of six alprazolam tablets. On examination, she is drowsy…›
- A) Flumazenil
- B) Naloxone
- C) Furazolidone
- D) Dapsone
Correct: A Flumazenil
Dec24 Q78A 24-year-old woman presents to the emergency department with acute onset of severe breathlessness, stridor, widespread urticarial rash, and a blood p…›
- A) Adrenaline
- B) Atropine
- C) Hydrocortisone
- D) Chlorpheniramine
Correct: A Adrenaline
Dec24 Q79A 16 year old boy while playing cricket had a hit of ball on face. He complains of double vision. On physical examination, there is enophthalmos with …›
- A) Anterior aspect of frontal bone
- B) Medial maxillary prominence
- C) Temporal bone
- D) Nasal bone
Correct: B Medial maxillary prominence
Dec24 Q80A 35 year old male patient presented with lower abdominal swelling that increases in size on coughing. Which of the following tests is preferably used…›
- A) Ultrasound
- B) CT scan
- C) MRI
- D) Laparoscopy
Correct: A Ultrasound
Dec24 Q83An 18-year-old woman at 30 weeks of gestation is brought to the emergency department with altered sensorium. Physical examination reveals slow, shallo…›
- A) HONK
- B) DKA
- C) HELLP syndrome
- D) PIH
Correct: B DKA
Dec24 Q88A 45-year-old taxi driver presents to the clinic with a runny nose, watery eyes, fever, and malaise. He requires treatment for his allergic symptoms b…›
- A) Chlorphenamine
- B) Fexofenadine
- C) Diphenhydramine
- D) Meclizine
Correct: B Fexofenadine
Dec24 Q95Small child per rectal occasional bleed mother says something comes out during defecation. There is no associated complaints of pain. What can be the …›
- A) Rectal prolapse
- B) Rectal polyp
- C) Hemorrhoids
- D) Anal fissure
Correct: A Rectal prolapse
Dec24 Q97A 30-year-old woman visits your clinic with a 2-month history of pain in both her hands. Which characteristic symptom in her clinical history would yo…›
- A) Inability to knit because of pain in her fingers
- B) Feels tired and unwell
- C) Swelling of the finger joints
- D) Marked stiffness for more than an hour in the mornings
Correct: D Marked stiffness for more than an hour in the mornings
Dec24 Q108A mother brings her child to the clinic, reporting episodes where the child stares blankly at objects for a few seconds, seemingly unresponsive. These…›
- A) Valproic acid
- B) Phenytoin
- C) Carbamazepine
- D) Oxcarbazepine
Correct: A Valproic acid
Dec24 Q111Patient presents with a non-healing ulcer for 10 years on foot after burn injury. Diagnosis of Marjolin ulcer was made. Treatment:›
- A) Debridement
- B) Daily dressing
- C) Skin grafting
- D) Wide excision and radiotherapy
Correct: D Wide excision and radiotherapy
Dec24 Q115A 26-year-old primigravida with a normal BMI presents at her booking visit. What is the appropriate weight gain to be achieved by this patient through…›
- A) 5-9 kg
- B) 7-11 kg
- C) 11-16 kg
- D) 16-20 kg
Correct: C 11-16 kg
Dec24 Q116A 64-year-old Asian man was diagnosed with hyperlipidemia. With medications and dietary changes like replacement of saturated fats with polyunsaturate…›
- A) Linolenic acid
- B) Oleic acid
- C) Palmitic acid
- D) Vaccenic acid
Correct: A Linolenic acid
Dec24 Q117A patient presented with a burn involving head, neck, chest front, and abdominal front. What is the % of surface area?›
- A) 30
- B) 32
- C) 27
Correct: C 27
Dec24 Q119According to the Parkland formula, when giving fluid to a burn patient, which parameter should be measured during fluid intake?›
- A) Heart rate
- B) Blood pressure
- C) Urine output
Correct: C Urine output
Dec24 Q121A female patient has right upper quadrant pain that increases when she consumes fatty food. She is suspected of having stones. What's the nature of th…›
- A) Protein
- B) Cholesterol
Correct: B Cholesterol
Dec24 Q122Following the transfusion of one unit of fresh whole blood or packed red blood cells in an adult patient, by how much is the hemoglobin concentration …›
- A) 0.1%
- B) 1.9%
- C) 2.9%
- D) 2.2%
Correct: C 2.9%
Dec24 Q124An 18-month-old child presented to the ER with a history of watery diarrhea for 5 days and drowsiness since morning. His oral intake is reduced. On ex…›
- A) Normal saline bolus 20 ml/kg IV in 30 min
- B) ORS by mouth
- C) Rehydration by N/G tube
- D) 5% Dextrose 20 ml/kg IV in 30 min
Correct: A Normal saline bolus 20 ml/kg IV in 30 min
Dec24 Q126A 6-year-old boy presents with red eyes and purulent discharge. He had a history of otitis media treated a week ago but now complains of eye discomfor…›
- A) Viral conjunctivitis
- B) Bacterial conjunctivitis
- C) Allergic conjunctivitis
- D) Chlamydial conjunctivitis
Correct: B Bacterial conjunctivitis
Dec24 Q127A 28-year-old man arrives at a quarantine facility after traveling from Brazil, a region known for diseases such as yellow fever and dengue. Health of…›
- A) 4 days
- B) 8 days
- C) 20 days
- D) 30 days
Correct: B 8 days
Dec24 Q128A 16-year-old girl is brought to the emergency department unconscious. Beside her, there is an open bottle of "naphthalene balls," commonly used as cl…›
- A) Organophosphate poisoning
- B) Benzodiazepine overdose
- C) Naphthalene poisoning
- D) Methanol poisoning
Correct: C Naphthalene poisoning
Dec24 Q129During the examination and procedure of a female patient, whose presence is mandatory to ensure proper protocol and patient comfort?›
- A) Only the examining doctor
- B) A female assistant
- C) A direct consultant only
- D) No one else is required
Correct: B A female assistant
Dec24 Q131A patient with a history of cardiac failure now develops renal failure. Which of the following is the most likely cause of his renal failure?›
- A) Pre-renal failure
- B) Acute glomerulonephritis
- C) Intrinsic renal failure
- D) Post-renal failure
Correct: A Pre-renal failure
Dec24 Q136A 5-year-old child presents with a limping gait, seizures, abnormal muscle tone, hyperreflexia, and weakness in both lower limbs. On examination, spas…›
- A) Monoplegia
- B) Diplegia
- C) Hemiplegia
- D) Quadriplegia
Correct: B Diplegia
Dec24 Q140A patient underwent cholecystectomy for gallstones. Post-surgery, the removed stones were observed to be black in color. What type of stones are these…›
- A) Cholesterol stones
- B) Pigmented stones
- C) Mixed stones
- D) Uric acid stones
Correct: B Pigmented stones
Dec24 Q141A 35-year-old woman presents with weight loss, palpitations, heat intolerance, and tremors over the past two months. Examination reveals exophthalmos,…›
- A) Vitamin D deficiency
- B) Chronic blood loss anemia
- C) Iron deficiency anemia
No answer key recorded for this question.
Dec24 Q142A 62-year-old man with severe urosepsis is admitted to the intensive care unit with fever, confusion, and a blood pressure of 80/40 mmHg. His extremit…›
- A) Vasodilation
- B) Vasoconstriction
- C) Increase cardiac Contractility
Correct: A Vasodilation
Dec24 Q143A 35 Year Old Female patient presents with pulsatile mass in abdomen. Other examination was normal. What is most lethal risk complication?›
- A) Thromboembolism
- B) Acute Rupture
- C) Hematemesis
Correct: B Acute Rupture
Dec24 Q147A 60-year-old woman presents to the emergency department with a 1-week history of fever, chills, rigors, burning micturition, and hematuria. Physical …›
- A) Septic shock with DIC
- B) Cardiogenic shock
- C) Massive Pulmonary embolism
- D) Uncomplicated urinary tract infection
Correct: A Septic shock with DIC
Dec24 Q151A 14-year-old boy presents to the emergency department following a straddle injury sustained while riding a bicycle. Examination reveals scrotal swell…›
- A) Scrotum
- B) Ischiorectal fossa
- C) Deep perineal pouch
- D) Rectovesical pouch
Correct: A Scrotum
Dec24 Q152A 25-year-old male is brought to the emergency department after a road traffic accident with BP 80/60 mmHg, heart rate 125/min, and urine output 10 mL…›
- A) Ringer's lactate and 250 mL O-negative blood transfusion
- B) 0.9% normal saline rapid bolus and cross-match blood
- C) Begin norepinephrine infusion immediately
- D) Administer 1 g tranexamic acid IV and observe
Correct: A Ringer's lactate and 250 mL O-negative blood transfusion
Dec24 Q156A 48-year-old man presents with severe colicky flank pain and hematuria. Urinalysis demonstrates acidic urine. A plain abdominal radiograph (KUB) reve…›
- A) Calcium oxalate
- B) Struvite
- C) Uric acid
- D) Cystine
Correct: C Uric acid
Dec24 Q163Serum alpha-fetoprotein (AFP) levels are significantly elevated in patients with which of the following conditions?›
- A) Prostatic cancer
- B) Renal cell carcinoma
- C) Hepatocellular carcinoma
- D) Colonic carcinoma
Correct: C Hepatocellular carcinoma
Dec24 Q170A 35-year-old man is brought to the emergency department following a motor vehicle collision. CT imaging demonstrates a fracture of the occipital cond…›
- A) Rupture of ligament nuchae
- B) Atlantoaxial joint dislocation
- C) Atlantooccipital Joint pathology
- D) Whiplash injury
Correct: C Atlantooccipital Joint pathology
Dec24 Q171A 31-year-old man presents with persistent cervical lymphadenopathy, low-grade fever, night sweats, and unintentional weight loss. A lymph node biopsy…›
- A) Tuberculosis
- B) Syphilis
- C) Acute pancreatitis
- D) Myocardial infarction
Correct: A Tuberculosis
Jun25 Q2A 48-year-old woman with a known history of rheumatic mitral stenosis presents to the emergency department with sudden-onset palpitations and shortnes…›
- A) P mitrale
- B) QRS absent
- C) Irregular R-R interval
- D) Regular P waves
No answer key recorded for this question.
Jun25 Q3A 4-year-old boy is diagnosed with hemophilia A following severe bleeding after a minor cut. During genetic counseling, the parents are reassured that…›
- A) Autosomal dominant
- B) Autosomal recessive
- C) X linked recessive
- D) X linked dominant
No answer key recorded for this question.
Jun25 Q4A 22-year-old female at 13 weeks of gestation is involved in a road traffic accident, sustaining a crush fracture of her right femur. A few days later…›
- A) Fat embolism
- B) Air embolism
- C) GAS embolism
- D) Amniotic fluid embolism
- E) Fat necrosis
No answer key recorded for this question.
Jun25 Q9A 25-year-old patient undergoes a chest X-ray, which reveals a soft tissue mass located in the anterior mediastinum. The lung fields are clear, and th…›
- A) Marrow
- B) Liver
- C) Thymus
- D) Inguinal LNs
No answer key recorded for this question.
Jun25 Q17A 35-year-old man is brought to the emergency department following a trauma with a high cervical spinal cord injury and develops neurogenic shock. Whi…›
- A) Loss of reflex
- B) More tone
- C) Dec. TPR
- D) Inc. TPR
No answer key recorded for this question.
Jun25 Q20You are the house officer on call in ophthalmology department and a patient comes to you with some unknown chemical (ELFY, glue or any acidic/basic ch…›
- A) Slit lamp examination with fluorescein dye
- B) Wash with 1L sodium bicarbonate
- C) Patch eye after instilling with steroid eye drops
- D) Copious irrigation of eye with normal saline
No answer key recorded for this question.
Jun25 Q22A 65-year-old man is brought to the emergency department following a stroke. He demonstrates intact language comprehension but has severe difficulty p…›
- A) Superior temporal
- B) Inferior gyrus of frontal
- C) Superior frontal
- D) Inferior occipital lobe
- E) Parietal lobe
No answer key recorded for this question.
Jun25 Q25A 42-year-old woman presents with episodic palpitations, severe headaches, anxiety, and diaphoresis. During an episode, her blood pressure is 190/140 …›
- A) Hyperthyroidism
- B) Ca breast
- C) Bronchogenic Ca
- D) Pheochromocytoma
No answer key recorded for this question.
Jun25 Q27A 7-year-old boy presents with a 2-week history of repetitive sneezing, clear nasal discharge, and itchy eyes during the spring season. Physical exami…›
- A) IgD
- B) IgM
- C) IgE
- D) IgA
- E) IgG
No answer key recorded for this question.
Jun25 Q35A 12-year-old boy presents with a painful, swollen scrotum and burning urination. He finds slight relief by supporting his affected testes. His urine …›
- A) Epididymo-orchitis
- B) Hydrocele
- C) Torsion of testes
- D) Testicular tumor
No answer key recorded for this question.
Jun25 Q40A 32-year-old pregnant woman at 34 weeks of gestation presents with sudden-onset heavy vaginal bleeding accompanied by a systemic coagulation disorder…›
- A) Evacuation of the uterus
- B) Streptokinase
- C) Platelet transfusion
- D) Blood transfusion
- E) Heparin therapy
No answer key recorded for this question.
Jun25 Q41A 7 years child got admission in a class but his height is shorter than other class students although other body measurements are appropriate and bala…›
- A) Hypoparathyroidism
- B) Hypothyroidism
- C) Down's syndrome
- D) Growth hormone Deficiency
No answer key recorded for this question.
Jun25 Q42In triage categorization after a disaster, which color is designated for patients with minor injuries who are not urgently in need of care?›
- A) Yellow
- B) Orange
- C) Red
- D) Black
- E) Green
No answer key recorded for this question.
Jun25 Q47A 65-year-old male farmer with a history of alcohol consumption presents with right hypochondrial pain radiating to the right shoulder and progressive…›
- A) Sclerosing cholangitis
- B) GB carcinoma
- C) Pancreatic carcinoma
- D) HCC
No answer key recorded for this question.
Jun25 Q48A 45-year-old male came into the ER with a complaint of haematemesis for the last 2 hours. He is a diagnosed case of H.pylori PUD but didn't take any …›
- A) Angiography
- B) Endoscopy
- C) Propranolol
- D) Sclerotherapy
No answer key recorded for this question.
Jun25 Q54A 45-year-old woman presents with fatigue and a photosensitive rash across her face. Over the past year, she has experienced intermittent joint pain i…›
- A) Drug induced vasculitides
- B) Systemic lupus erythematosus
- C) Churg-Strauss syndrome
- D) Rheumatoid arthritis
- E) Wegener's granulomatosis
No answer key recorded for this question.
Jun25 Q57A 28-year-old female is brought to the emergency department following an intentional overdose of six alprazolam tablets. On examination, she is drowsy…›
- A) Flumazenil
- B) Dapsone
- C) Naloxone
- D) Furazolidone
No answer key recorded for this question.
Jun25 Q59A 28-year-old man presents to the emergency department with acute respiratory distress, lip swelling, and widespread urticaria shortly after a bee sti…›
- A) Epinephrine
- B) Atropine
- C) Diphenhydramine
- D) Hydrocortisone
No answer key recorded for this question.
Jun25 Q64The ECG below shows a regular, narrow complex tachycardia in a patient presenting with sudden-onset, rapid palpitation. Which of the following should …›
- A) Direct current cardioversion
- B) Vagal maneuvers
- C) Oral beta blocker
- D) Intravenous adenosine
- E) Intravenous beta blocker
No answer key recorded for this question.
Jun25 Q68A 34-year-old man presents with a 1-week history of fatigue, malaise, and mild jaundice. Serological testing demonstrates positive hepatitis B surface…›
- A) Resolved infection
- B) Acute hepatitis B
- C) Window period
- D) Persistent hepatitis B
No answer key recorded for this question.
Jun25 Q69A young patient while playing cricket developed pain in the right testes, presented to surgical emergency with complain of sudden onset of severe pain…›
- A) Testicular torsion
- B) Hematocele
- C) Undescended testis
- D) Idiopathic scrotal edema
No answer key recorded for this question.
Jun25 Q70A diabetic patient with valvular heart disease is planned for mesh hernioplasty for left sided inguinal hernia. The best time for antibiotic administr…›
- A) At the time of surgical incision
- B) One day before surgery
- C) 1 hour before surgery
- D) 4 hours before surgery
- E) 2 hours before surgery
No answer key recorded for this question.
Jun25 Q74A 34 year old female presented with vomiting preceded by an occipital headache of acute onset. Examination: conscious and alert with photophobia but n…›
- A) CSF exam
- B) Repeat CT brain in 24h
- C) Cerebral angio
- D) CT brain with contrast
- E) MRI brain
No answer key recorded for this question.
Jun25 Q76A 25 year old male with a history of frequent binge drinking presents 4 hour after having had a takeaway meal following a night's heavy drinking. He c…›
- A) Esophageal varices
- B) Gastric carcinoma
- C) Peptic ulceration
- D) Esophageal carcinoma
No answer key recorded for this question.
Jun25 Q83A 68-year-old man with advanced chronic renal failure and type-2 diabetes, currently receiving peritoneal dialysis, is seen in the Cardiovascular Risk…›
- A) Isolated increased LDL levels
- B) Isolated hypertriglyceridaemia
- C) Mixed hyperlipidaemia with increased LDL and triglyceride levels
- D) A combination of hypertriglyceridaemia, raised LDL and decreased HDL levels
- E) The predominant abnormality is low HDL cholesterol
No answer key recorded for this question.
Jun25 Q85A child with epilepsy fell after an attack of tonic-clonic seizure and came with his shoulder flat and fixed adduction and internal rotation. Which ty…›
- A) Posterior dislocation
- B) Lateral dislocation
- C) Anterior dislocation
- D) Medical dislocation
No answer key recorded for this question.
Jun25 Q90Which of the following statements if patient should go immediately to surgery in Crohn's disease?›
- A) Abdominal mass
- B) Intestinal obstruction
- C) Intestinal bacterial overgrowth
- D) Fistula formation
No answer key recorded for this question.
Jun25 Q92Female with amenorrhea for 6 weeks, pregnancy test positive, presented with abdominal pain, (can't recall if there was bleeding or not), US showed no …›
- A) Salpingostomy
- B) Salpingectomy
- C) Methotrexate
No answer key recorded for this question.
Jun25 Q97A 47-year-old man presents to the accident and emergency department with full-thickness burns calculating up to 10% of his lower limbs from steam pipe…›
- A) Discharge home with analgesia and follow up in clinic
- B) Escharotomy
- C) Admit to general ward
- D) Intravenous fluids
- E) Refer to burns unit
No answer key recorded for this question.
Jun25 Q99A 2-year-old child drinks kerosene that had been left in a glass. After the first swallow, she cries and drops the glass. She is most likely to develo…›
- A) Hepatitis
- B) Aplastic anemia
- C) Peripheral neuritis
- D) Coma and/or convulsions
- E) Chemical pneumonitis
No answer key recorded for this question.
Jun25 Q101An adult psychiatric inpatient refuses to take a prescribed essential medication. Believing the treatment is necessary for the patient's wellbeing, th…›
- A) Beneficence
- B) Non-maleficence
- C) Autonomy
- D) Justice
No answer key recorded for this question.
Jun25 Q102A 30-year-old man presents to the clinic following a deep laceration to his anterior wrist. Physical examination reveals weakness in thumb opposition …›
- A) Footdrop
- B) Claw hand
- C) Ape hand
- D) Wrist drop
No answer key recorded for this question.
Jun25 Q103A 50-year-old man is found dead in his home with a single, self-inflicted gunshot wound to the head. When first responders arrive, the revolver is sti…›
- A) Rigor mortis
- B) Secondary relaxation
- C) Instantaneous rigor
- D) Primary rigidity
No answer key recorded for this question.
Jun25 Q104A 65-year-old man with long-standing osteoarthritis managed on daily NSAIDs presents with progressive fatigue and dyspnea on exertion. On examination …›
- A) Upper gastrointestinal bleeding
- B) Nutritional deficiency
- C) Hemolysis
- D) Bone marrow suppression
No answer key recorded for this question.
Jun25 Q108A 65-year-old diabetic patient underwent foot surgery. One month later, the surgical wound has still not healed. What is the most likely cause?›
- A) Poor hygiene
- B) Old age
- C) Decreased venous supply
- D) Delayed wound healing due to diabetes
No answer key recorded for this question.
Jun25 Q109A patient presents with shifting abdominal pain, nausea, vomiting, raised temperature, tenderness in the right iliac fossa, and a WBC count of 13,000/…›
- A) 7
- B) 3
- C) 6
- D) 5
No answer key recorded for this question.
Jun25 Q110A 5-year-old child accidentally ingested his grandmother's diazepam tablets. He is brought to the emergency department for gastric lavage. What is the…›
- A) Left lateral decubitus
- B) Supine position
- C) Right lateral decubitus
- D) Prone position
No answer key recorded for this question.
Jun25 Q123A 1-year-old child presents with a history of diarrhea. On examination, the child is alert, has dry mucous membranes, and the skin pinch goes back slo…›
- A) Plan C
- B) Plan B
- C) Reassurance
- D) Plan A
No answer key recorded for this question.
Jun25 Q124A patient undergoing thyroidectomy suddenly develops a drop in end-tidal CO2 (ETCO2) to 20 mmHg and a concurrent drop in oxygen saturation. What is th…›
- A) Pneumothorax
- B) Bronchospasm
- C) Atelectasis
- D) Endotracheal tube (ETT) displacement
No answer key recorded for this question.
Jun25 Q125A patient with a known history of Chronic Myeloid Leukemia (CML) has died. What is the most likely cause of death in patients with CML?›
- A) Repeated blood transfusion complications
- B) Blast crisis (progression to acute leukemia)
- C) Hemorrhage
- D) Infection
No answer key recorded for this question.
Jun25 Q126A patient with a known case of prostate cancer presents for follow-up. On digital rectal examination (DRE), what is the most likely finding?›
- A) Firm, nodular, asymmetrical prostate
- B) Smooth, tender prostate
- C) Fluctuant, boggy prostate
- D) Soft, enlarged, symmetrical prostate
No answer key recorded for this question.
Jun25 Q127A patient presents with recurrent vomiting and signs of dehydration. Arterial blood gas shows metabolic alkalosis. Which electrolyte is most likely lo…›
- A) Sodium
- B) Potassium
- C) Calcium
- D) Bicarbonate
No answer key recorded for this question.
Jun25 Q130A 34-year-old woman with a history of chronic alcohol consumption presents with progressive fatigue and pallor. Complete blood count shows macrocytic …›
- A) Folate
- B) Vitamin B2
- C) Vitamin B12
No answer key recorded for this question.
Jun25 Q131A 55 year old man presents to the emergency department with severe chest pain radiating to his right arm. ECG shows ST segment elevation in leads II, …›
- A) Anterior wall
- B) Posterior wall
- C) Inferior wall
- D) Lateral wall
No answer key recorded for this question.
Jun25 Q133A 62-year-old man presents to the emergency department with a sudden severe headache, vomiting, and transient loss of consciousness. A non-contrast he…›
- A) Give mannitol
- B) Start aspirin
- C) Increase blood pressure to maintain cerebral perfusion
- D) Restrict oxygen
- E) Give thrombolysis (tPA)
No answer key recorded for this question.
Jun25 Q137A 55-year-old woman presents with progressive jaundice, dark urine, pale stools, and generalized itching. Laboratory investigations reveal predominant…›
- A) Gilbert syndrome
- B) Hemolytic anemia
- C) Obstruction of the common bile duct
- D) Viral hepatitis
No answer key recorded for this question.
Jun25 Q140A 31-year-old man presents with persistent cervical lymphadenopathy, low-grade fever, night sweats, and unintentional weight loss. A lymph node biopsy…›
- A) Tuberculosis
- B) Fat necrosis
- C) Myocardial infarction
- D) Syphilis
- E) Acute pancreatitis
No answer key recorded for this question.
Dec25 Q6A 70-year-old man with stiff, painful right hand and bilateral knee pain. Heberden's nodes at DIP joints. Most probable diagnosis?›
- A) Rheumatoid arthritis
- B) Osteoarthritis
- C) Reiter's syndrome
- D) Psoriatic arthritis
Correct: B Osteoarthritis
Dec25 Q8Solitary, darkly pigmented plaques evolving into nodular, bluish, submucosal, painful skin changes. Patient has AIDS. Most likely diagnosis?›
- A) Melanoma
- B) Kaposi sarcoma
- C) Bacillary angiomatosis
- D) Cutaneous lymphoma
Correct: B Kaposi sarcoma
Dec25 Q9Middle-aged patient with epigastric mass, resonant percussion note, 6 weeks post acute pancreatitis. Clinical diagnosis?›
- A) Pancreatic adenocarcinoma
- B) Peri-pancreatic fistula
- C) Pancreatic abscess
- D) Pancreatic pseudocyst
Correct: D Pancreatic pseudocyst
Dec25 Q12A 55-year-old man with 25 pack-year smoking history, productive cough with mucoid sputum for 2 years, scattered rhonchi and wheezing. Likeliest diagno…›
- A) Bronchial asthma
- B) Bronchiectasis
- C) Chronic bronchitis
- D) Pneumonitis
Correct: C Chronic bronchitis
Dec25 Q19A 55-year-old male with chronic liver disease presents for routine care. Which supplement is most appropriate?›
- A) Vitamin K
- B) Folic acid
- C) Vitamin B12
- D) Vitamin C
Correct: A Vitamin K
Dec25 Q2135-year-old female with paroxysmal headache, tremor, tachycardia, BP >160/120 mmHg. Diagnosed with pheochromocytoma. Which will be diagnostic?›
- A) Adrenaline
- B) Noradrenaline
- C) Vanillylmandelic acid (VMA)
- D) Metanephrines
Correct: D Metanephrines
Dec25 Q2432-year-old male with dry cough, SOB for 3 months, wheezing, crackles, joint swelling, bilateral hilar lymphadenopathy. Disease associated with hilar …›
- A) Bronchitis
- B) Bronchopneumonia
- C) Sarcoidosis
- D) Lung cancer
Correct: C Sarcoidosis
Dec25 Q29A 14-year-old girl with fatigue, pallor, SOB. Hb 9 g/dL, MCV 70 fL, ferritin 8 ng/mL, TIBC 450 µg/dL. Most likely diagnosis?›
- A) Iron deficiency
- B) Thalassaemia minor
- C) Sickle cell anaemia
- D) Vitamin B12 deficiency
Correct: A Iron deficiency
Dec25 Q3230-year-old man returned from Indonesia 6 days ago. Fever, joint and muscle ache, headache behind the eye for 2 days. Most probable diagnosis?›
- A) Malaria
- B) Chicken pox
- C) TB
- D) Lyme's disease
Answer key recorded as E, but only four options were parsed.
Dec25 Q3645-year-old male with echocardiography showing dead area in inferior wall of left ventricle after episode of chest pain 1 year ago. ECG changes?›
- A) Q wave in lead I & AVL
- B) Q wave in lead II & III
- C) R wave in lead V1
- D) Q wave in lead V5, V6
Correct: B Q wave in lead II & III
Dec25 Q3760-year-old female with DM for 10 years, recently shifted to insulin, missed doses for last day. Palpitations, breathlessness, nausea. Which condition…›
- A) Hypokalaemia
- B) Hyperkalaemia
- C) Hypernatraemia
- D) Hyponatraemia
Correct: B Hyperkalaemia
Dec25 Q38A patient with long-term use of cardiology medications presents with SOB, raised JVP and basal crackles. Cause?›
- A) Asthma
- B) Pulmonary embolism
- C) Fat embolism
- D) Pulmonary oedema
Correct: D Pulmonary oedema
Dec25 Q39Child with mediastinum deviated to opposite side, reduced chest movements, no vocal fremitus, resonant percussion, no breath sounds, black shadow on C…›
- A) Consolidation
- B) Bronchospasm
- C) Atelectasis
- D) Tension pneumothorax
Correct: D Tension pneumothorax
Dec25 Q414-year-old girl with periorbital puffiness, oedema, ascites. Urine: protein +++. Most likely diagnosis?›
- A) Acute post-streptococcal GN
- B) Nephrotic syndrome
- C) Systemic lupus erythematosus
- D) Urinary tract infection
Correct: B Nephrotic syndrome
Dec25 Q43A 60-year-old female with DM for 10 years, recently shifted to insulin, missed doses for the last day. Palpitations, breathlessness, and nausea. Which…›
- A) Hypokalaemia
- B) Hyperkalaemia
- C) Hypernatraemia
- D) Hyponatraemia
Correct: B Hyperkalaemia
Dec25 Q44A 23-year-old female with back pain and morning stiffness, eye issues (iritis), symptoms improve with activity, limited lumbar flexion, diarrhoea, fam…›
- A) Paget's disease
- B) PID
- C) Myofascial pain
- D) Ankylosing spondylitis
Correct: D Ankylosing spondylitis
Dec25 Q4545-year-old woman with history of breast cancer treated with chemotherapy and radiotherapy presents with fatigue and anaemia. Most likely cause?›
- A) Anaemia of chronic disease
- B) Vitamin B12 deficiency
- C) Haemolytic anaemia
- D) Iron deficiency anaemia
Correct: A Anaemia of chronic disease
Dec25 Q47A 50-year-old female with a bulge on her thigh. Femoral hernia suspected. What is the location of a femoral hernia?›
- A) Below and medial to pubic tubercle
- B) Below and lateral to pubic tubercle
- C) Medial inguinal
- D) Lateral inguinal
Correct: A Below and medial to pubic tubercle
Dec25 Q48A patient has severe chest trauma. In which condition is thoracotomy done?›
- A) Flail chest
- B) Hemothorax
Correct: B Hemothorax
Dec25 Q51A 22-year-old man presents with acute appendicitis. What is the primary cause of his pain?›
- A) Irritation of the parietal peritoneum
- B) Inflammatory cytokine release
- C) Obstruction of the appendiceal lumen
- D) Visceral nerve irritation
Correct: A Irritation of the parietal peritoneum
Dec25 Q53A woman has bloody discharge from the breast, no lump on examination. What structure is most likely involved?›
- A) Breast carcinoma
- B) Intraductal papilloma
- C) Ductal carcinoma
- D) Ductal ectasia
Correct: B Intraductal papilloma
Dec25 Q54Elderly female with a 2 cm reducible abdominal hernia. Most likely contents of the hernial sac?›
- A) Omental fat
- B) Urinary bladder
- C) Large intestine
- D) Small intestine
Correct: A Omental fat
Dec25 Q55A 35-year-old male, receiving blood transfusion, suddenly develops fever, chills, rigors, shortness of breath. Transfusion stopped. Most appropriate n…›
- A) Steroid + paracetamol
- B) Steroid + antihistamine
- C) Steroid + antibiotics
- D) Antihistamine + paracetamol
Correct: C Steroid + antibiotics
Dec25 Q56A 50-year-old male with cirrhosis presents with hematemesis. What surgical emergency caused by portal hypertension must be urgently addressed?›
- A) Esophageal varices
- B) Peptic strictures
- C) Mallory-Weiss tear
- D) Gastric ulcers
Correct: A Esophageal varices
Dec25 Q60A 35-year-old woman with MEN 2A develops a thyroid lump and diarrhea. Undergoes total thyroidectomy. What type of thyroid cancer?›
- A) Follicular carcinoma
- B) Papillary carcinoma
- C) Sarcoma
- D) Medullary carcinoma
Correct: D Medullary carcinoma
Dec25 Q62A 70-year-old male with fall 4 weeks back and progressive decline in consciousness. Most likely cause?›
- A) Cerebral oedema
- B) Expanding chronic subdural haematoma
- C) Intracerebral haematoma
- D) Recurrent extradural haematoma
Correct: B Expanding chronic subdural haematoma
Dec25 Q6345-year-old patient with sudden epigastric pain radiating to the back worsening when lying supine. Most sensitive and specific test for acute pancreat…›
- A) Serum amylase
- B) Serum alanine transaminase
- C) Serum lipase
- D) C-reactive protein
Correct: C Serum lipase
Dec25 Q6425-year-old female with forceful inversion injury to right ankle, suspected fracture. X- ray done in AP and lateral views. Which additional view to sh…›
- A) Dorsoplantar
- B) Mortise
- C) Postero-anterior
- D) Oblique
Correct: B Mortise
Dec25 Q6635-year-old man with burn on right hand. Burn area: tender, swollen, red and blistered. Degree of burn?›
- A) First degree
- B) Second degree
- C) Third degree
- D) Fourth degree
Correct: B Second degree
Dec25 Q7360-year-old patient undergoing surgery suddenly develops hypotension without signs of haemorrhage or hypovolaemia. Most appropriate initial management…›
- A) Vasopressor
- B) Immediate intubation
- C) Inotropic support
- D) Fluid bolus
Correct: D Fluid bolus
Dec25 Q82A 2-day-old newborn girl with a bulging mass protruding from the vaginal introitus. Approximate incidence of congenital uterine prolapse in female new…›
- A) ~1%
- B) ~0.1%
- C) ~10%
- D) ~5%
Correct: B ~0.1%
Dec25 Q8828-year-old pregnant woman, 8th month, BP 150/90 mmHg. Which category A drug is safe to treat her blood pressure?›
- A) Amlodipine
- B) Captopril
- C) Enalapril
- D) Labetalol
Correct: D Labetalol
Dec25 Q9025-year-old woman with vaginal bleeding and positive pregnancy test. TVS: absent cardiac activity. Closed cervical os, dark brown vaginal bleeding. Ty…›
- A) Missed abortion
- B) Threatened abortion
- C) Incomplete abortion
- D) None of above
Correct: A Missed abortion
Dec25 Q9826-year-old thalassemia major patient, multiple transfusions, now has leg edema and exertional dyspnea. Which condition is responsible?›
- A) Chronic renal failure
- B) Dilated cardiomyopathy
- C) Liver cirrhosis
- D) Pulmonary hypertension
Correct: B Dilated cardiomyopathy
Dec25 Q99A mother brings her child who keeps staring at objects for a few seconds. Most suitable drug?›
- A) Carbamazepine
- B) Valproic acid
- C) Phenytoin
- D) Ethosuximide
Correct: D Ethosuximide
Dec25 Q1019-month-old boy, fed on goat's milk since birth. Hb 6 g/dL, MCV 106 fL, MCHC 39. Most likely dietary cause?›
- A) Iron
- B) Folic acid
- C) Vitamin B12
- D) Vitamin C
Correct: B Folic acid
Dec25 Q104A 3-year-old child with developmental delay, irritability, abdominal pain, constipation. History of pica. First investigation?›
- A) Serum calcium level
- B) Serum magnesium level
- C) Serum iron level
- D) Serum lead level
Correct: D Serum lead level
Dec25 Q1064-year-old child in ER: high fever, severe sore throat, difficulty swallowing, drooling, muffled hot-potato voice, inspiratory stridor, tripod positio…›
- A) Administer IV antibiotics
- B) Obtain a throat culture
- C) Perform a chest X-ray
- D) Secure airway
Correct: D Secure airway
Dec25 Q1097-year-old boy with walking difficulty and repeated chest infections. Calf muscle hypertrophy and positive Gower sign. Inheritance pattern?›
- A) Autosomal dominant
- B) Autosomal recessive
- C) X-linked dominant
- D) X-linked recessive
Correct: D X-linked recessive
Dec25 Q111A 2-year-old child is brought to the well-child clinic. The mother asks how many teeth her child should have at this age.›
- A) 20
- B) 12
- C) 36
- D) 8
Correct: A 20
Dec25 Q114A 10-year-old boy with severe bilateral eye itching, redness, watery discharge worsening in summer. Cobblestone papillae on upper tarsal conjunctiva, …›
- A) Bacterial keratitis
- B) Bacterial conjunctivitis
- C) Viral conjunctivitis
- D) Vernal keratoconjunctivitis (Spring catarrh)
Correct: D Vernal keratoconjunctivitis (Spring catarrh)
Dec25 Q115Female presents to ER with severe ocular pain, redness, and hypopyon one day post-cataract surgery. Lens is opaque.›
- A) Reaction to the lens
- B) Endophthalmitis
Correct: B Endophthalmitis
Dec25 Q116A patient with inward deviation of the eye and diplopia. Which cranial nerve is damaged?›
- A) CN III
- B) CN VI
- C) CN VII
- D) CN IX
Correct: A CN III
Dec25 Q119A young patient with advanced keratoconus has difficulty during reading. Which refractive error is expected at this stage?›
- A) Myopia
- B) Hypermetropia
- C) Presbyopia
- D) Astigmatism
Correct: D Astigmatism
Dec25 Q122A young boy in emergency with persistent foul-smelling, blood-stained discharge from the right nostril. Most probable diagnosis?›
- A) Acute purulent rhinitis
- B) Acute rhinosinusitis
- C) Antrochoanal polyp
- D) Foreign body (right nostril)
Correct: D Foreign body (right nostril)
Dec25 Q123A 7-year-old child with fever, sore throat, neck stiffness, pharyngeal abscess, and cervical lymphadenopathy. Most likely location of the abscess?›
- A) Anterior retropharyngeal space
- B) Submandibular space
- C) Parapharyngeal space
- D) Posterior retropharyngeal space
Correct: D Posterior retropharyngeal space
Dec25 Q124A young boy in ENT OPD with foul-smelling discharge and pain from both nostrils for 6 weeks. Most probable diagnosis?›
- A) Acute purulent rhinitis
- B) Chronic rhinosinusitis
- C) Antrochoanal polyp
- D) Foreign body (right nostril)
Correct: B Chronic rhinosinusitis
Dec25 Q132A 30-year-old man with femur fracture after car accident, prolonged bed rest. Calf muscles are atrophied. Cause?›
- A) Aplastic
- B) Metaplasia
- C) Immobilization
- D) Dystrophy
Correct: C Immobilization
Dec25 Q141A 62-year-old patient with pericardial effusion underwent pericardiocentesis. The needle is inserted through which intercostal space adjacent to stern…›
- A) Right 4th space
- B) Left 4th space
- C) Right 5th space
- D) Left 5th space
Correct: D Left 5th space
Dec25 Q148A 25-year-old male soldier brought to emergency unconscious. Dark-coloured urine. Potassium 6.5, pH 8. What is most likely responsible?›
- A) Potassium
- B) pH 8
- C) Myoglobin
- D) Magnesium
Correct: C Myoglobin
Dec25 Q152A 17-year-old boy received rapid infusion of normal saline. Which changes expected after osmotic equilibrium?›
- A) Increased ECF, increased ICF, decreased Na+
- B) Increased ECF, unchanged ICF, increased Na+
- C) Increased ECF, unchanged ICF, unchanged Na+
- D) Unchanged ECF, increased ICF, increased Na+
Correct: C Increased ECF, unchanged ICF, unchanged Na+
Dec25 Q153A 50-year-old man with weakness of left upper and lower limb. Exaggerated knee jerk, left big toe moves upward. Which tract is responsible?›
- A) Corticospinal tract
- B) Rubrospinal tract
- C) Vestibulospinal tract
- D) Cerebellospinal tract
Correct: A Corticospinal tract
Dec25 Q155A 10-year-old boy cuts his finger and applies pressure, partially alleviating pain. Inhibition of pain signals by tactile stimulation is mediated by w…›
- A) Alpha-type A
- B) Beta-type A
- C) Delta-type A
- D) Type C
Correct: B Beta-type A
Dec25 Q171A 55-year-old male with cirrhosis, confusion and asterixis. Hyperammonaemia due to hepatic encephalopathy. Ammonia is metabolised in the liver by bind…›
- A) Glutamate
- B) Aspartate
- C) Alanine
- D) Pyruvate
Correct: A Glutamate
Dec25 Q175A pregnant female infected with Hepatitis B virus wants her child free from Hepatitis B. What instructions after giving immunoglobulins to avoid trans…›
- A) Vertical delivery
- B) First dose of Hepatitis B vaccine within 12–24 hours of birth
Correct: B First dose of Hepatitis B vaccine within 12–24 hours of birth
Dec25 Q186Dead body of a young male recovered from city outskirts in July. Pupils dilated, body cold. Post-mortem staining fixed. Rigor mortis in face, trunk an…›
- A) 1–3
- B) 8–10
- C) 16–18
- D) 20–24
Correct: C 16–18
May26 Q1A 25-year-old man enters a dimly lit room after being in bright sunlight. Initially, he is unable to see clearly but his vision improves over 20 minut…›
- A) Increased breakdown of rhodopsin in rods
- B) Regeneration of rhodopsin in rods
- C) Increased activity of cone photoreceptors
- D) Decreased retinal sensitivity to light
Correct: B Regeneration of rhodopsin in rods
May26 Q2A burn patient has erythema and blistering involving the epidermis and part of the dermis. Burn type?›
- A) First-degree
- B) Superficial partial thickness
- C) Full thickness
- D) Fourth-degree
Correct: B Superficial partial thickness
May26 Q5A 10-month-old child is brought to the primary health care center with a history of cough for 3 days. On examination, the child has fast breathing (RR…›
- A) Severe pneumonia - refer urgently and give first dose of injectable antibiotics
- B) Pneumonia - treat with oral antibiotics at home
- C) No pneumonia - give only symptomatic treatment
- D) Very severe disease - admit and give IV fluid
Correct: B Pneumonia - treat with oral antibiotics at home
May26 Q7A 27 year, married woman came with complaint of recurrent thick white vaginal discharge associated with severe vulval itching. On examination, there i…›
- A) Bacterial vaginosis
- B) Candidiasis
- C) Gonorrhea
- D) Trichomoniasis
Correct: B Candidiasis
May26 Q8A 16-year-old girl presents with a smooth, round, painless lump in the midline of the neck. On examination, it is firm, transilluminates, is painless,…›
- A) Papillary carcinoma of the thyroid
- B) Thyroglossal cyst
- C) Lingual thyroid
- D) Sebaceous cyst
Correct: B Thyroglossal cyst
May26 Q11A male baby has presented with prolonged bleeding after circumcision. His two elder brothers had similar complaints. Which of the following is deficie…›
- A) Calcium
- B) Factor VIII
- C) Factor X
- D) Iron
Correct: B Factor VIII
May26 Q17A 58-year-old male in surgical ward is diagnosed to be having Plummer disease, which is:›
- A) Simple diffuse goitre
- B) Simple multinodular goiter
- C) Solitary thyroid nodule
- D) Toxic multinodular goitre
Correct: D Toxic multinodular goitre
May26 Q22A 60-year-old diabetic patient presents with a postoperative wound infection. Which factor most significantly impairs wound healing?›
- A) Increased collagen synthesis
- B) Enhanced angiogenesis
- C) Poor tissue perfusion
- D) Increased fibroblast activity
Correct: C Poor tissue perfusion
May26 Q23CT scan of a 62-year-old male shows damage to Broca area of the motor cortex. Which of the following conditions best describes the deficit resulting f…›
- A) Spastic paralysis of the contralateral hand
- B) Inability to speak whole words correctly
- C) Paralysis of the muscles of the larynx and pharynx
- D) Inability to use the two hands to grasp an object
Correct: B Inability to speak whole words correctly
May26 Q28A 72-year-old man has had a sensation of retrosternal burning that is worse at night and after meals for the last 4 months. It partially responds to a…›
- A) Barium meal
- B) CT scan thorax
- C) Upper GI Endoscopy
- D) 24h pH studies
Correct: C Upper GI Endoscopy
May26 Q33A mother brings her 5-week-old son to the paediatric outpatient clinic. She is concerned because he has been having episodes of forceful vomiting afte…›
- A) Hyperchloraemic respiratory alkalosis
- B) Hypochloraemic, hyperkalaemic metabolic alkalosis
- C) Hypochloraemic, hypokalaemic metabolic alkalosis
- D) Hyponatraemic metabolic acidosis
Correct: C Hypochloraemic, hypokalaemic metabolic alkalosis
May26 Q36A 30-year-old male patient suffered a gunshot injury to the abdomen. On examination, the abdomen is generalized tender, and fecal matter is coming out…›
- A) Clean
- B) Clean contaminated
- C) Contaminated
- D) Dirty
Correct: D Dirty
May26 Q39A 47-year-old man is having recurrent renal stones and nephrolithiasis. On investigations, he is found to be having pepper and salt type of lytic lesi…›
- A) Paget disease of the bone
- B) Hyperthyroidism
- C) Hyper-parathyroidism
- D) Osteogenesis imperfecta
Correct: C Hyper-parathyroidism
May26 Q43An 8-year-old girl presents in OPD with facial puffiness for two days. She has cola colored urine. She has some periorbital swelling and edema feet. U…›
- A) Hemolytic uremic syndrome
- B) Acute post-streptococcal glomerulonephritis
- C) IgA nephropathy
- D) Nephrotic syndrome
Correct: B Acute post-streptococcal glomerulonephritis
May26 Q47A 16-year-old boy was hit by a cricket ball on his left ear. Bleeding started from the ear after injury. He was taken to the hospital emergency depart…›
- A) Clean the blood and advise water precautions and follow-up.
- B) Clean the blood clot from the external auditory canal with suction.
- C) Do not clean the blood clot and prescribe antibiotic ear drops.
- D) Do not clean the blood clot and advise follow-up.
Correct: A Clean the blood and advise water precautions and follow-up.
May26 Q50You are the house officer on call in the ophthalmology department and a patient comes to you with an unknown chemical, such as glue or an acidic/basic…›
- A) Copious irrigation of the eye with normal saline
- B) Wash with 1 L sodium bicarbonate
- C) Slit-lamp examination with fluorescein dye
- D) Patch the eye after instilling steroid eye drops
Correct: A Copious irrigation of the eye with normal saline
May26 Q51A 20-year-old male presents with a soft, cystic, rubbery swelling at the lateral side of the right eyebrow since birth. What is the probable clinical …›
- A) Sebaceous cyst
- B) Lipoma
- C) Dermoid cyst
- D) Papilloma
- E) Sebaceous horn
Correct: C Dermoid cyst
May26 Q54A 60-year-old man with a 40-pack-year smoking history presents with persistent cough, two episodes of hemoptysis, hoarseness of voice, and weight loss…›
- A) Bronchoscopy with biopsy
Correct: A Bronchoscopy with biopsy
May26 Q55A 65-year-old man with chronic stable angina is started on a new medication to prevent anginal attacks. He reports fatigue and mild bradycardia on fol…›
- A) Beta-blockers
- B) Nitrates
- C) ACE inhibitors
- D) Ranolazine
Correct: A Beta-blockers
May26 Q58A 55-year-old man suffers from cirrhosis of the liver. Toxins such as ammonia are not properly metabolized by the liver and can damage the brain. Whic…›
- A) Alpha-ketoglutarate
- B) Glutamate
- C) Glutamine
- D) Asparagine
Correct: C Glutamine
May26 Q59A patient with epilepsy on long-term treatment has developed gingival hyperplasia/gum hypertrophy, one episode of bleeding from the mouth, hypertricho…›
- A) Phenytoin
- B) Diazepam
- C) Sodium valproic acid
- D) Phenobarbitone
Correct: A Phenytoin
May26 Q61A 44 year old man presents to surgical emergency with open fracture of right tibia following car accident on high way (high energy injury). Gustilo an…›
- A) Intramedullary nailing
- B) External fixator
- C) Plate and screws
- D) Bone graft
Correct: A Intramedullary nailing
May26 Q64Year-old man is brought to the emergency department after a road trafficaccident. He is unconscious, has unequal pupils, and develops decerebrate post…›
- A) Mannitol administration only
- B) Immediate surgical evacuation
- C) Lumbar puncture
- D) Conservative management
Correct: B Immediate surgical evacuation
May26 Q66A 45-year-old man presents with progressive shortness of breath on exertion, orthopnea, and bilateral leg swelling for the past 3 months. He has histo…›
- A) Dilated cardiomyopathy
- B) Hypertrophic cardiomyopathy
- C) Constrictive pericarditis
- D) Restrictive cardiomyopathy
Correct: A Dilated cardiomyopathy
May26 Q67A patient presents with difficulty seeing distant objects, such as a blackboard. His visual problem is corrected with a concave lens. The most likely …›
- A) Astigmatism
- B) Axial hyperopia
- C) Myopia
- D) Presbyopia
Correct: C Myopia
May26 Q68You see a 47-year-old man in clinic with a three-monthe history of epigastric dull abdominal pain. He states that the pain is worse in the mornings an…›
- A) Gastric ulcer
- B) GERD
- C) Duodenal ulcer
- D) Gastric carcinoma
- E) Gastritis
Correct: C Duodenal ulcer
May26 Q70A 28-year-old female presents to the emergency department following a suicidal attempt with an overdose of 6 tablets of alprazolam which is a benzodia…›
- A) Flumazenil
- B) Naloxone
- C) Furazolidone
- D) Dapsone
Correct: A Flumazenil
May26 Q72A 22-year-old student presents with high grade fever, headache and vomiting c three days duration. Neck stiffness is positive. Which of the following …›
- A) CT scan brain
- B) CRP Q
- C) Lumbar puncture
- D) MRI brain
Correct: C Lumbar puncture
May26 Q73A 22-year-old woman presents to the emergency department with breathlessness, chest tightness, and wheezing for the last 3 hours. She has a history of…›
- A) Continuous nebulized bronchodilators
- B) IV glucose with insulin
- C) Systemic corticosteroids with oxygen and inhaled bronchodilator therapy
- D) Non-invasive ventilation
Correct: C Systemic corticosteroids with oxygen and inhaled bronchodilator therapy
May26 Q77A patient has come in with intense pain in his left eye and a swift decline in vision over the past two days. An examination reveals significantly ele…›
- A) Brinzolamide
- B) Furosemide
- C) Mannitol
- D) Timolo
Correct: C Mannitol
May26 Q78A 1.5 year old girl presents with short stature, Failure to thrive. She had complaint of abdominal distension and loose bulky stools since weaning sta…›
- A) Celiac disease
- B) Crohns disease
- C) Tropical sprue
- D) Autoimmune enteropathy
Correct: A Celiac disease
May26 Q80A 13-year-old female comes to you with fatigue and shortness of breath on exertion. She menstruates regularly but uses more than 5-4 pads a day. Exami…›
- A) Serum iron
- B) TIBC
- C) Ferritin
- D) BM aspiration with biopsy
Correct: C Ferritin
May26 Q83A 20-year-old man was stabbed on the upper arm. He received emergency tre and his wound healed. He developed a raised hypertrophic scar with bou beyon…›
- A) Cicatrix
- B) Keloid
- C) Callus
- D) Granulation tissue
Correct: B Keloid
May26 Q88A 52 year old man is on antihypertensive medication. He comes to cardiovascular Out Patient Clinic and complains about dry cough. Lab report shows Na:…›
- A) Ramipril
- B) Losartan
- C) Bendroflumethiazide
- D) Atenolol
- E) Verapamil
Correct: A Ramipril
May26 Q89A lady comes 6 weeks after her normal vaginal delivery for contraceptive advice. She is breastfeeding her child and requests reversible contraception.…›
- A) COCP
- B) Cu-IUCD (intrauterine contraceptive device)
- C) Mirena coil
- D) POP
- E) Transdermal patch
Correct: D POP
May26 Q90What is the recommended age threshold for endometrial biopsy in a woman with abnormal menstrual bleeding?›
- A) >45 years
- B) >50 years
Correct: A >45 years
May26 Q9430-year-old female has a history of frequent nosebleeds and increased menstrual flow. On physical examination, petechiae and purpura are present on th…›
- A) Platelet adhesion
- B) Platelet aggregation
- C) Prothrombin inhibition
- D) Vasoconstriction
Correct: A Platelet adhesion
May26 Q96An old man presents with slowly progressive dysphagia, vomiting without blood, abdominal pain associated with heartburn on eating, and a normal abdomi…›
- A) Peptic ulcer disease
- B) Carcinoma esophagus
- C) Carcinoma rectum
Correct: B Carcinoma esophagus
May26 Q101Patient with Rt upper quadrant pain.fever.jaundice.hx of stone O/E generalised abdominal tenderness and sluggish bowel sounds, High TWECs, High amylas…›
- A) Pancreatitis
- B) Cholangitis
- C) Appendicitis
- D) Cholecystitis
- E) Hepatitis
Correct: B Cholangitis
May26 Q104A 04 years old child has coarse facial features, protruding tongue and umbilical hernia. Profound mental retardation is also becoming apparent. A defi…›
- A) Cortisol
- B) Insulin
- C) Somatostatin
- D) Thyroxine
Correct: D Thyroxine
May26 Q106A 40-year-old female presented to surgical emergency with sudden onset of severe epigastric pain. She is a known case of osteoarthritis and has been t…›
- A) Intestinal volvulus
- B) Acute intestinal obstruction
- C) Perforated peptic ulcer
- D) Toxic megacolon
Correct: C Perforated peptic ulcer
May26 Q108A 37 week pregnant female presents with significant weight gain, bilateral leg swelling (edema), and shortness of breath. Her blood pressure is signif…›
- A) Gestational Hypertension
- B) Chronic Hypertension
- C) Pre Eclampsia
- D) HELLP Syndrome
Correct: C Pre Eclampsia
May26 Q114A 70-year-old patient presented with easy fatigability, exertional dysp difficulty in walking. His CBC showed Hb 8g/dL, TLC 2.7 and platelets 10 proba…›
- A) B12 deficiency anemia
- B) Sideroblastic anemia
- C) Hemolytic anemia
- D) Anemia of chronic disease
Correct: A B12 deficiency anemia
May26 Q11870 YO man, 2months history of vague lower abdominal pain, alternating diarrhea, constipation, 4kg weight loss, he passed a small amount of dark red bl…›
- A) A.crohn's diseae
- B) B.ulcerative colitis.
- C) Colorectal cancer
- D) D.Diverticular disease.
Correct: C Colorectal cancer
May26 Q119A patient with pulmonary tuberculosis was put on ATT with rifampicin, INH, ethambutol, and pyrazinamide. He should be advised to take a supplement to …›
- A) Niacin
- B) Pyridoxine
- C) Riboflavin
- D) Thiamine
- E) Pantothenic acid
Correct: B Pyridoxine
May26 Q12114-year-old boy presents with left sided scanty purulent ear discharge over the past few years. He is now experiencing severe postural imbalance, asso…›
- A) Acute Petrositis
- B) Acute Labyrinthitis
- C) Acute Mastoiditis
- D) Otogenic Meningitis
Correct: B Acute Labyrinthitis
May26 Q122When a new treatment is developed that delays death but does not produce recovery from a chronic disease, which of the following will occur?›
- A) Prevalence of the disease will decrease
- B) Incidence of the disease will increase
- C) Prevalence of the disease will increase
- D) Incidence of the disease will decrease
Correct: C Prevalence of the disease will increase
May26 Q123A man ts rushed to casualty after a road traffic accident with massive blood | needing emergency transfusion. There is no time for cross-match. Patien…›
- A) AB negative
- B) AB positive
- C) O negative
- D) O positive
Correct: B AB positive
May26 Q124After amputation, a 46-year-old man complains of severe pain at the end of the limb. Physician explained that at the distal end of the injured periphe…›
- A) Astrocytoma
- B) Glioma
- C) Myeloma
- D) Neuroma
Correct: D Neuroma
May26 Q127A 45-year-old man presents with sudden-onset severe chest pain radiating t back. Blood pressure is significantly different in both arms. What is the a…›
- A) Troponins
- B) Echocardiography
- C) CT angiography
- D) D-Dimer
Correct: C CT angiography
May26 Q128A 28 years old woman presents with fatigue, pallor, and spoonshaped nails. She reports heavy menstrual bleeding for 6 months. Labs: Hb 8 g/ dL, MCV 70…›
- A) Vitamin B12 deficiency
- B) Folate deficiency
- C) lron deficiency
- D) Anemia of chronic disease
Correct: C lron deficiency
May26 Q132A child with Down syndrome was brought in OPD for a routine examination. He pink and active, however cardiac auscultation revealed a pansystolic murmu…›
- A) Atrial septal defect
- B) Mitral regurgitation
- C) Ventricular septal defect
- D) Patent ductus arteriosus
Correct: C Ventricular septal defect
May26 Q133A 36-year-old man presents with right-sided facial numbness, ptosis, miosis, and flushing, along with medial deviation of the right eye. Which of the …›
- A) and oculomotor nerve
- B) Trigeminal nerve root at pons
- C) Abducens nerve in cavernous sinus
- D) Facial nerve at internal acoustic meatus
- E) Trochlear nerve in midbrain
Correct: C Abducens nerve in cavernous sinus
May26 Q134A 55-year-old woman presents shows a prolonged PR interval What is the most likely diagnosis?›
- A) First-degree AV block
- B) Second-degree AV block
- C) Third-degree AV block
- D) Sinus bradycardia
Correct: A First-degree AV block
May26 Q135A 30-year-old man presents with diarrhea, dermatitis around the neck and mild cognitive disturbances. His diet mainly consists of maize. Deficiency of…›
- A) Riboflavin
- B) Niacin
- C) Thiamine
- D) Pyridoxine
Correct: B Niacin
May26 Q140Which one of the following radiological finding is present in Cardiac Achalasia?›
- A) Apple core appearance
- B) Bird's beak appearance
- C) Double bubble sign
- D) Ogilvie sign
Correct: B Bird's beak appearance
May26 Q141A 25-year-old man presents with hematuria and flank pain. Peripheral smear shows sickle-shaped red blood cells. He reports episodes of painful crises …›
- A) Autosomal recessive mutation in the beta-globin gene
- B) Autosomal dominant mutation in the alpha-globin gene
- C) Acquired hemoglobin mutation
- D) Vitamin B12 deficiency
Correct: A Autosomal recessive mutation in the beta-globin gene
May26 Q144A 7-year-old boy is brought by parents with walking difficulty and repeated chest infections. On examination, an active, alert child has calf muscle h…›
- A) Autosomal dominant
- B) Autosomal recessive
- C) X-linked dominant
- D) X-linked recessive
Correct: D X-linked recessive
May26 Q146A 48-year-old man is due for an open abdominal incisional hernia repair. The anaesthetist tells you that a high-dependency unit bed has been booked be…›
- A) A moribund patient who is not expected to survive without an operation
- B) A patient with mild systemic disease
- C) A patient with severe systemic disease that is a constant threat to life
- D) A patient with severe systemic disease
Correct: D A patient with severe systemic disease
May26 Q1562-year boy presented with acute watery diarrhea and profuse vomiting for the last 2 days. He is drowsy and unable to drink. Optimal treatment option i…›
- A) Oral rehydration therapy
- B) IV Ringer Lactate
- C) IV antibiotics
- D) Reassurance and follow-up
Correct: B IV Ringer Lactate
May26 Q160A 5-year-old boy presents with intellectual disability, upward slanting eyes, and a single palmar crease. Which chromosomal abnormality is most likely…›
- A) Trisomy 13
- B) Trisomy 18
- C) Trisomy 21
- D) Monosomy X
Correct: C Trisomy 21
May26 Q162A patient with pontine hemorrhage presents with pinpoint pupils. Which one of the following arteries is most likely to be damaged?›
- A) Anterior cerebral
- B) Basilar
- C) Middle cerebral
- D) Posterior inferior cerebellar
Correct: B Basilar
May26 Q164A young boy had a fracture of left shoulder after which he had loss of sensation on the upper lateral side of arm, the nerve involved is:›
- A) Axillary
- B) Median
- C) Radial
- D) Musculocutaneous
Correct: A Axillary
May26 Q170A 2-year-old child is brought with delayed walking and bowing of legs. On examination, there is widening of wrists and a rachitic rosary. Laboratory i…›
- A) Primary hyperparathyroidism
- B) Vitamin D deficiency
- C) Chronic renal failure causing hypercalcemi
- D) Excess dietary calcium intake
Correct: B Vitamin D deficiency
May26 Q171A 3-year-old child with cerebral palsy has increased tone in the right upper and lower limbs. How would you classify his illness?›
- A) Diplegic CP
- B) Hemiplegic CP
- C) Monoplegic CP
- D) Quadriplegic CP
Correct: B Hemiplegic CP
May26 Q174A patient presents with tetany and positive Chvostek's sign. Deficiency of which electrolyte is most likely responsible?›
- A) Sodium
- B) Potassium
- C) Calcium
- D) Magnesium
Correct: C Calcium
May26 Q176A 30-year-old man presents with complaints of repeated episodes of indigestion flatulence and bloating after consuming milk products while avoiding th…›
- A) Fructose
- B) Lactose
- C) Maltose
- D) Mannose
Correct: B Lactose
›02 Facts — State It
Pure recall with minimal reasoning. Fast to fix, high return.
›One-line recall
What
Short factual stems with no vignette. Pure retrieval: highest-yield facts, one per question.
Stem
"Most common site of X?" / "X is caused by?" / "Normal value of Y?"
Where
The only discriminator is whether you know the fact. No clinical reasoning available.
Trap
Distractors are neighbouring facts — other sites, other causes, other values. You either own the fact or you do not.
Steps
- Recognise instantly that there is nothing to reason through — it is memory or nothing.
- Attach the fact to a hook (a rule, a mnemonic, a comparison) so it survives.
- If you did not know it, mark it in the error log — this is the cheapest kind of mark to recover.
Examples
Jun24 Q47
Thrush?
Correct: Responds to nystatin
Jun24 Q53
Insulin in DKA?
Correct: Regular
Jun24 Q51
Sacroiliitis seen in?
Correct: Ankylosing spondylitis
Questions
Jun24 Q9Growth hormone maximum secretion occurs during?›
- A) Strenuous exercise
- B) At noon
- C) In morning
- D) NREM sleep
Correct: D NREM sleep
Jun24 Q13A person ate a burger and fries; centrifuged lipid profile shows milky white color after absorption from enterocytes. In what form are lipids transpor…›
- A) LDL
- B) VLDL
- C) Chylomicron
- D) HDL
Correct: C Chylomicron
Jun24 Q17Warfarin-induced gum bleeding. Which test is important before starting oral anticoagulant (warfarin) and for its monitoring?›
- A) APTT
- B) PT
- C) Platelet count
- D) ESR
Correct: B PT
Jun24 Q23A miscarriage occurs before which week of pregnancy?›
- A) 6 week
- B) 15 week
- C) 24 week
- D) 30 week
Correct: C 24 week
Jun24 Q27Wheezing, nasal congestion, runny nose, fever every April; symptoms worsen during winter. On physical examination he is afebrile. There is swelling of…›
- A) Mast cells
- B) Basophils
- C) Eosinophilia
- D) Monocytes
Correct: A Mast cells
Jun24 Q30What sign indicates gas gangrene, a disease caused by Clostridium perfringens that leads to widespread necrosis?›
- A) Muscle twitch
- B) Bad odour
- C) Crepitus
- D) Pus formation
Correct: C Crepitus
Jun24 Q33At what stage of pregnancy is an ultrasound primarily utilized to detect potential fetal abnormalities during prenatal visits?›
- A) 12-14 weeks
- B) 30 weeks
- C) 16 weeks
- D) 18-22 weeks
Correct: D 18-22 weeks
Jun24 Q34What is a fundamental characteristic of Conversion Disorder?›
- A) Gait disturbance
- B) Aphonia
- C) Sensory loss
- D) Blindness
Correct: A Gait disturbance
Jun24 Q41Fluid of choice in child with burn <24 hours is?›
- A) Fresh frozen plasma
- B) Isolye-P
- C) Ringer lactate
- D) Platelet transfusion
Correct: C Ringer lactate
Jun24 Q47Thrush?›
- A) Occurs only in elderly
- B) Is caused by a gram -ve bacteria
- C) Is seen clinically as a proliferative lesion
- D) Responds to nystatin
Correct: D Responds to nystatin
Jun24 Q51Sacroiliitis seen in?›
- A) Ankylosing spondylitis
Correct: A Ankylosing spondylitis
Jun24 Q53Insulin in DKA?›
- A) Regular
- B) Regular and glulisine insulin are equally effective during the acute treatment of DKA.
Correct: A Regular
Jun24 Q54Test for Thalassemia?›
- A) Hb electrophoresis
- B) CBC
- C) BM biopsy
Correct: A Hb electrophoresis
Jun24 Q56The cyst that moves by protruding the tongue is?›
- A) Thyroglossal cyst
- B) Median rhomboid cyst
- C) Ranula
- D) Tracheal cyst
Correct: A Thyroglossal cyst
Jun24 Q57What is the most frequent cause of CSF leakage in the middle third of the facial skeleton?›
- A) Sphenoidal sinus
- B) Cribriform plate
- C) Tegmen tympani
- D) Frontal sinus
Correct: B Cribriform plate
Jun24 Q59When esophageal sphincter doesn't relax, this condition is known as?›
- A) Barret esophagus
- B) Achalasia
- C) Deglutition
- D) Carcinoma
Correct: B Achalasia
Jun24 Q62Failure of rapid alternative movement term?›
- A) Dysdiadochokinesia
- B) Static tremor
- C) Hypertonia
- D) Rolling tremors
Correct: A Dysdiadochokinesia
Jun24 Q65What is a complication associated with hookworms?›
- A) Hyperglycemia
- B) Iron deficiency anemia
- C) Shock
- D) None
Correct: B Iron deficiency anemia
Jun24 Q68Which of the following is not a synonym for E. coli?›
- A) Salmonella
- B) Vibrio cholera
- C) None
No answer key recorded for this question.
Jun24 Q70The plasma concentration of certain medications might elevate when combined with which of the following antiepileptic drugs?›
- A) Phenobarbital
- B) Valproic acid
- C) Phenytoin
- D) Carbamazepine
Correct: B Valproic acid
Jun24 Q73The exemplary disease, characterized by granulomas resulting from infection that must always be ruled out when granulomas are identified, is?›
- A) Malaria
- B) Enteric
- C) Tuberculosis
Correct: C Tuberculosis
Jun24 Q78Which statement about prolactin is true?›
- A) Is not secreted till the baby is delivered
- B) Cause milk ejection
- C) Level remains persistently higher after the birth of baby
- D) Cause amenorrhea in many lactating mothers
Correct: D Cause amenorrhea in many lactating mothers
Jun24 Q79Which of the following complications is more frequent in type I DM?›
- A) Diabetic nephropathy
- B) Diabetic keto acidosis
- C) Polyneuropathy
- D) Cardiovascular diseases
Correct: B Diabetic keto acidosis
Jun24 Q84Biopsy of specimen CA showed Papilla, fibrovascular septa, and lamellated, scattered calcifications giving like sand grain appearance. Which tissue mo…›
- A) Carcinoma in situ
- B) Carcinoma Breast
- C) Lung carcinoma
- D) Colon carcinoma
No answer key recorded for this question.
Jun24 Q86What is the compression rate for neonate resuscitation?›
- A) 3:1
- B) 6:1
- C) 9:1
Correct: A 3:1
Jun24 Q87A girl presented with non-resting tremors (intention tremors), lesions present in?›
- A) Cerebellum
- B) Cerebrum
- C) Substantia nigra
- D) Pons
Correct: A Cerebellum
Jun24 Q92What is the first-line treatment for a patient experiencing anaphylactic shock?›
- A) Atropine
- B) Adrenaline
- C) Hydrocortisone
- D) Chlorpheniramine
Correct: B Adrenaline
Jun24 Q93What condition is indicated by the Antral (Holman-Miller) sign?›
- A) Acoustic neuroma
- B) Glomus tumour
- C) Nasopharyngeal fibroma
- D) Coalescent mastoiditis
Correct: C Nasopharyngeal fibroma
Jun24 Q95The ECG of a 65-year-old individual shows the absence of P waves, a narrow QRS complex, a ventricular rate above 100 bpm. This is highly suggestive of…›
- A) A-fib
- B) A-flutter
- C) SVT
- D) Mobitz type 1 2nd degree heart block
Correct: A A-fib
Jun24 Q102How should hypovolemic shock be managed?›
- A) Oral antibiotics
- B) High-dose steroids
- C) Nebulized bronchodilators
- D) Intravenous fluids
Correct: D Intravenous fluids
Jun24 Q105Lower limb amputation is followed by complications with crepitations. The reason is?›
- A) Gas gangrene
- B) Secondary hemorrhage
- C) Pseudomonas Infection
- D) Chlamydia Infection
Correct: A Gas gangrene
Jun24 Q115A malformation of the hand or foot resulting in fusion of two or more digits?›
- A) Polydactyly
- B) Syndactyly
- C) Polysyndactyly
Correct: B Syndactyly
Jun24 Q116Antisnake venom administration route?›
- A) IV
- B) IM
- C) SC
Correct: A IV
Jun24 Q117Contraception of choice for a married woman with 1 child?›
- A) Norplant
- B) IUCD
- C) Condom
- D) Diaphragm
Correct: B IUCD
Jun24 Q118The fetal period extends from?›
- A) 12th week to term
- B) 3rd week to 8th week
- C) 4th week to term
- D) 5th week to term
Correct: A 12th week to term
Jun24 Q121In the data 15, 2, 9, 10, 18, 14, and 72, the median is?›
- A) 10
- B) 14
- C) 72
- D) 15
Correct: B 14
Jun24 Q127Screening of disease is a part of?›
- A) Primary prevention
- B) Secondary prevention
- C) Tertiary prevention
- D) All of the above
Correct: B Secondary prevention
Jun24 Q129What is affected in Horner syndrome?›
- A) Loss of motor supply
- B) Excessive sympathetic stimulation
- C) Excessive parasympathetic stimulation
- D) Loss of parasympathetic supply
Correct: C Excessive parasympathetic stimulation
Jun24 Q136Fluid of choice in gastric lavage?›
- A) Normal Saline
- B) Ringer lactate
- C) NaCl infusion
- D) Distilled water
Correct: A Normal Saline
Jun24 Q139Which of the following is tricyclic antidepressant (TCA)?›
- A) Amitriptyline
- B) Mirtazapine
- C) Trazodone
- D) Bupropion
Correct: A Amitriptyline
Jun24 Q143At what age Rotavirus vaccine is administered to all infants according to EPI?›
- A) 6 weeks
- B) 10 weeks
- C) 14 weeks
- D) 18 weeks
Correct: A 6 weeks
Jun24 Q146A young patient presents with advanced keratoconus. Which of the following?›
- A) Contact lenses
- B) Hard contact lenses
- C) Penetrating keratoplasty
- D) Astigmatic glasses
Correct: C Penetrating keratoplasty
Dec24 Q10During strenuous physical exercise, blood flow is redistributed to meet increased metabolic demands. To which of the following areas is the blood supp…›
- A) Brain
- B) Skin
- C) Kidney
- D) Liver and GIT
Correct: D Liver and GIT
Dec24 Q11Which of the following hormonal alterations is characteristic of central diabetes insipidus?›
- A) Inc. ADH
- B) Dec. ADH
- C) Inc. Aldosterone
- D) Decreased serum Osmolarity
Correct: B Dec. ADH
Dec24 Q27The substantia gelatinosa in the dorsal horn of the spinal cord is primarily involved in mediating which sensory modality?›
- A) Temperature
- B) Pressure
- C) Pain
- D) A & C
Correct: D A & C
Dec24 Q31Which of the following physiological states or substances acts as a primary stimulus for growth hormone secretion?›
- A) Somatomedin
- B) Somatostatin
- C) Hypoglycemia, Fasting
- D) REM
Correct: C Hypoglycemia, Fasting
Dec24 Q37Which component of blood plasma is the primary determinant of intravascular colloid osmotic (oncotic) pressure?›
- A) Increase H+
- B) Albumin
- C) Increase PO4
- D) Increase Water
Correct: B Albumin
Dec24 Q58Which classic triad of clinical features characterizes Horner syndrome?›
- A) Mydriasis & proptosis
- B) Miosis, ptosis & anhidrosis
- C) Miosis & proptosis
- D) Mydriasis & ptosis
Correct: B Miosis, ptosis & anhidrosis
Dec24 Q69A 24-year-old marathon runner completes a strenuous 4-hour high-intensity exercise session. Which of the following substances will be significantly el…›
- A) Lactate
- B) Glycogen
- C) Pyruvate
- D) Myoglobin
Correct: A Lactate
Dec24 Q72Which amino acids are associated with Maple syrup urine disease?›
- A) Phenylalanine
- B) Methionine
- C) Valine
- D) All of the above
Correct: C Valine
Dec24 Q73In the record of informed consent, whose signatures and thumb impression are crucial when dealing with a minor?›
- A) Father
- B) Mother
- C) Guardian
- D) Care giver
Correct: C Guardian
Dec24 Q75What is the confirmed diagnostic method for deep vein thrombosis (DVT) that occurs on the fourth post-delivery day?›
- A) Doppler usg
- B) Loft leg venography
- C) CT scan
- D) MRI
Correct: A Doppler usg
Dec24 Q89Shortly after a barbeque, medical students of a medical college came back to their rooms and most of them (62 out of 74 students) experienced acute vo…›
- A) Common source
- B) Propagative
- C) Point source
- D) Serial direct
Correct: C Point source
Dec24 Q92After criminal abortion:›
- A) Hemorrhagic shock
- B) Septic shock
- C) Neurogenic shock
Correct: B Septic shock
Dec24 Q93The snake venom of viper usually kills victims if he is not given the anti-venom. Major effect is:›
- A) Neurotoxic
- B) Ototoxic
- C) Hepatotoxic
- D) Nephro-toxic
Correct: D Nephro-toxic
Dec24 Q104H. Pylori on clarithro and azithro for 10 days. Symptoms are the same what to do?›
- A) Give the same for 14 days
- B) Give doxycycline and metronidazole
- C) Give tetracycline and metronidazole then change to bismuth
Correct: C Give tetracycline and metronidazole then change to bismuth
Dec24 Q106Pt hx of dm and htn on acei and insulin wants to get pregnant. High HbA1c in investigations. What's the best advice to give regarding her dm and decre…›
- A) Delay pregnancy until her HbA1c is normalized
- B) Give ARBs instead of ACEi
- C) Other unrelated
Correct: A Delay pregnancy until her HbA1c is normalized
Dec24 Q107Following a delivery complicated by shoulder dystocia, a newborn baby is found to have an asymmetric Moro reflex. The affected upper limb hangs limp i…›
- A) C3 and C4
- B) C5 and C6 (Erb Duchene palsy)
- C) C8 and T1
- D) T2 and T3
Correct: B C5 and C6 (Erb Duchene palsy)
Dec24 Q109Blood transfusion will increase what?›
- A) End systolic volume
- B) Venous resistance
- C) Systemic filling pressure
Correct: C Systemic filling pressure
Dec24 Q112Most important part of examination in the patient of bone fracture:›
- A) Neurovascular
- B) Blood pressure
- C) Pulse rate
- D) Wound
Correct: A Neurovascular
Dec24 Q113Most characteristic feature of sebaceous cyst:›
- A) Punctum
- B) Swelling
- C) Pain
- D) Discharge
Correct: A Punctum
Dec24 Q114Common cause of acute hepatitis in children exhibits gastro symptoms only after eating at vendor living in a poor country with poor hygiene will have …›
- A) Hep A
- B) Hep B
- C) Hep C
- D) Hep D
Correct: A Hep A
Dec24 Q120In an RTA patient, which of the following shows dehydration?›
- A) Bradycardia
- B) Hypotension
- C) Urine output
Correct: B Hypotension
Dec24 Q149A rhesus-negative primigravida has delivered a baby 2 hours ago. Her husband and the baby are rhesus-positive. When should she ideally receive anti-D …›
- A) Within 24 hours
- B) Within 48 hours
- C) Within 72 hours
- D) Within 96 hours
Correct: C Within 72 hours
Jun25 Q1In which segment of the renal nephron does the majority of filtered sodium and water reabsorption take place?›
- A) Ascending loop
- B) Proximal convoluted tubule
- C) Descending loop
- D) Distal convoluted tubules
No answer key recorded for this question.
Jun25 Q13During an emergency laparotomy for a perforated duodenal ulcer, significant hemorrhage occurs near the epiploic foramen (foramen of Winslow). Which of…›
- A) IVC
- B) Colic gutter
- C) Hepatoduodenal ligament
- D) Aorta
- E) Portal vein
No answer key recorded for this question.
Jun25 Q19At which anatomical level is the sternal angle (Angle of Louis) located relative to the vertebral column?›
- A) S2,3
- B) Dorsal medulla
- C) T8
- D) T7
- E) Body of 4,5 thoracic vertebra
No answer key recorded for this question.
Jun25 Q24Which of the following is a recognized risk factor for the development of malignant melanoma?›
- A) Xeroderma Pigmentosum
- B) Actinic Keratosis
- C) Prolonged Sunlight exposure
- D) SCC
No answer key recorded for this question.
Jun25 Q30A lady traveling in a bus had a bump on the forehead just below the hairline. She consulted a general practitioner who told her that there is no cut b…›
- A) Nasal septum
- B) Anterior cranial fossa
- C) Cribriform plate of the ethmoid
- D) Middle cranial fossa
No answer key recorded for this question.
Jun25 Q45What characterizes acute nephritic syndrome?›
- A) Proteinuria
- B) Hypoproteinaemia
- C) Haematuria and Hypertension
- D) Oedema
No answer key recorded for this question.
Jun25 Q53Paradoxical (reverse) splitting of the second heart sound is seen in which condition?›
- A) RBBB
- B) VSD
- C) ASD
- D) LBBB
No answer key recorded for this question.
Jun25 Q58A 28-year-old healthy individual undergoes a routine electroencephalogram (EEG). During the recording, the individual is relaxed, awake, and resting c…›
- A) Delta wave
- B) Alpha wave
- C) Theta wave
- D) Beta wave
No answer key recorded for this question.
Jun25 Q61What is the most prevalent fingerprint pattern?›
- A) Loop
- B) Whorl
- C) Arch
- D) Composite
No answer key recorded for this question.
Jun25 Q79Inguinal injury affecting knee extension, abduction, area overlying medial thigh, medial leg and medial ankle skin. What affected nerve?›
- A) Saphenous
- B) Obturator nerve
- C) Femoral nerve
No answer key recorded for this question.
Jun25 Q81Essential fatty acids deficiency in TPN leads to:›
- A) Rashes + facial hairs fall
- B) Loss of vision
- C) Hairs fall
- D) Dry skin + rashes
- E) Dry mouth
No answer key recorded for this question.
Jun25 Q87What is the inheritance pattern of sickle cell anemia?›
- A) X linked
- B) Dominant
- C) Autosomal dominant
- D) Autosomal Recessive
No answer key recorded for this question.
Jun25 Q89Pt with history of gastroenteritis took medication. Now came with dystonia and akathisia. Cause?›
- A) Metoclopramide
No answer key recorded for this question.
Jun25 Q94Most specific test for rheumatoid arthritis?›
- A) Rheumatoid Factor
- B) HLA 27
- C) CRP
- D) AntiKDNAse
No answer key recorded for this question.
Jun25 Q95First line treatment of tenia pedis (athletes foot):›
- A) Systemic ketoconazole
- B) Topical antifungal
- C) Topical terbinafine
No answer key recorded for this question.
Jun25 Q105To prescribe dextromethorphan, which of the following best describes its primary therapeutic indication?›
- A) Antihistaminic
- B) Antitussive
- C) Analgesic
- D) Expectorant
No answer key recorded for this question.
Jun25 Q106What is the best position for performing gastric lavage in a dead person?›
- A) Prone position
- B) Left lateral decubitus
- C) Supine position
- D) Right lateral decubitus
No answer key recorded for this question.
Jun25 Q111Which of the following is the most accurate investigation for TNM staging of esophageal carcinoma?›
- A) CT scan of the chest
- B) Upper GI endoscopy
- C) Endoscopy
- D) Intraluminal (endoscopic) ultrasonography (EUS)
No answer key recorded for this question.
Jun25 Q112After a skin graft is taken, in how many weeks does the donor site typically heal?›
- A) 3 weeks
- B) 2 weeks
- C) 4 weeks
- D) 1 week
No answer key recorded for this question.
Jun25 Q113Ferrous sulfate exhibits pharmacological antagonism with which of the following?›
- A) Folic acid
- B) Vitamin C
- C) Cyanocobalamin
- D) Tetracycline
No answer key recorded for this question.
Jun25 Q114A Double J (DJ) stent is commonly used in which of the following surgical specialties?›
- A) Cardiology
- B) Neurology
- C) Gastroenterology
- D) Ureteroscopy
No answer key recorded for this question.
Jun25 Q115Pericardiocentesis is used to treat which of the following conditions?›
- A) Pericarditis
- B) Tension pneumothorax
- C) Myocardial infarction
- D) Cardiac tamponade
No answer key recorded for this question.
Jun25 Q118Which of the following is a known complication associated with intrauterine contraceptive device (IUCD) use?›
- A) Oligomenorrhea
- B) Pelvic infection
- C) Nulliparity
- D) Amenorrhea
No answer key recorded for this question.
Jun25 Q120Linoleic acid is an essential fatty acid important for growth and development. Deficiency of essential fatty acids can lead to which of the following?›
- A) Marasmus
- B) Anemia
- C) Stunted growth
- D) Dermatitis
No answer key recorded for this question.
Jun25 Q121Damage to the hypothalamus primarily affects which of the following functions?›
- A) NREM sleep
- B) REM sleep
- C) Short-term memory
- D) Body temperature
No answer key recorded for this question.
Jun25 Q128Which one of the following types of angina is excluded when beta-blockers are administered to counteract the symptoms of ischemia?›
- A) Chronic exertional angina
- B) Stable angina
- C) Unstable angina
- D) Prinzmetal angina
No answer key recorded for this question.
Dec25 Q3A 36-year-old lady diagnosed with peptic ulcer disease and treated with triple therapy. What is the follow-up non-invasive test to confirm H. pylori e…›
- A) Urea breath test
- B) Endoscopy
- C) Ambulatory pH monitoring
- D) Barium meal
Correct: A Urea breath test
Dec25 Q5The most reliable urine specimen is collected by which method?›
- A) Early morning urine
- B) Mid-stream voiding
- C) End-stream urine
- D) Urethral catheterization
Correct: D Urethral catheterization
Dec25 Q15A 50-year-old male with hyperparathyroidism. Earliest biochemical abnormality?›
- A) Hypophosphatemia
- B) Reduced bone density
- C) Elevated PTH levels
- D) Hypercalcemia
Correct: A Hypophosphatemia
Dec25 Q20A 60-year-old lady with fever, chills, rigors, burning micturition, hematuria. BP 80/40, pulse 110, temperature 40°C, WBC 2100, PT/INR prolonged. Most…›
- A) Septic shock with DIC
- B) Cardiogenic shock
- C) Massive pulmonary embolism
- D) Uncomplicated UTI
Correct: A Septic shock with DIC
Dec25 Q23Nursing-home resident, generalised oropharyngeal inflammation, difficulty eating, uses steroid inhaler for COPD. White plaques and curd-like material …›
- A) Oropharyngeal candidiasis
- B) HIV infection
- C) Hairy leucoplakia
- D) Darier's disease
Correct: A Oropharyngeal candidiasis
Dec25 Q26Secondary hyperparathyroidism due to Vitamin D deficiency. Which of the following is expected?›
- A) Hyponatraemia
- B) Hypercalcaemia
- C) Hyperphosphataemia
- D) Hypophosphataemia
Correct: D Hypophosphataemia
Dec25 Q27A person presented with mediastinal deviation to the right side on chest X-ray. Most likely cause?›
- A) Consolidation right side
- B) Fibrosis right side
- C) Pneumothorax right side
- D) Pleural effusion right side
Correct: B Fibrosis right side
Dec25 Q28A 65-year-old individual with recent onset unsteadiness while walking, difficulty maintaining balance and coordination. Which area is most likely affe…›
- A) Cerebellum
- B) Wernicke's area
- C) Occipital lobe
- D) Frontal lobe
Correct: A Cerebellum
Dec25 Q3515-year-old brought by parents. He shouts in class saying teacher will kill him, and repeats at home that teacher is trying to attack him. What do you…›
- A) Delirium
- B) Mood disorder
- C) Depression
- D) Obsessive compulsive disorder
Answer key recorded as E, but only four options were parsed.
Dec25 Q50A singer is scheduled for thyroid surgery. Which key risk should be included in the written consent due to its potential impact on career?›
- A) Hoarseness of voice
- B) Infection
- C) Bleeding
- D) Hypocalcemia
Correct: A Hoarseness of voice
Dec25 Q59What is the protocol for neoadjuvant therapy?›
- A) Given 6 months after surgery
- B) Given before surgery
- C) Given during surgery
- D) Given 3 months after surgery
Correct: B Given before surgery
Dec25 Q72What is the underlying pathophysiology of Mondor's disease of breast?›
- A) Actinomycosis of breast
- B) Duct ectasia
- C) Lymphangitis of breast
- D) Thrombophlebitis of superficial veins
Correct: D Thrombophlebitis of superficial veins
Dec25 Q80A rhesus-negative primigravida has delivered a baby 2 hours ago. Husband and baby are rhesus-positive. When should she ideally receive anti-D gamma gl…›
- A) Within 24 hours
- B) Within 48 hours
- C) Within 72 hours
- D) Within 96 hours
Correct: C Within 72 hours
Dec25 Q81A 26-year-old primigravida with normal BMI at booking visit. Appropriate total weight gain throughout pregnancy?›
- A) 5–9 kg
- B) 7–11 kg
- C) 11–16 kg
- D) 16–20 kg
Correct: C 11–16 kg
Dec25 Q83A 28-year-old primigravida at 15 weeks, asking about anomaly scan. Most appropriate gestational age?›
- A) 22–24 weeks
- B) 16–17 weeks
- C) 18–22 weeks
- D) 24–28 weeks
Correct: C 18–22 weeks
Dec25 Q84Most important risk factor for placental abruption?›
- A) Short umbilical cord
- B) Hypertension
- C) Fibroid
Correct: B Hypertension
Dec25 Q86Blood glucose targets in pregnancy for diabetic females:›
- A) >44 mmol/L
- B) Fasting <90 mg/dL
Correct: B Fasting <90 mg/dL
Dec25 Q91Safest treatment of hyperthyroidism in pregnant women is?›
- A) Radioactive iodine
- B) Methimazole
- C) Carbimazole
- D) Propylthiouracil
Correct: D Propylthiouracil
Dec25 Q95Which of the following is indicative of hemolysis as a cause for neonatal hyperbilirubinemia?›
- A) Low reticulocyte count
- B) Negative direct Coombs test
- C) Increased conjugated bilirubin
- D) Increased unconjugated bilirubin
Correct: D Increased unconjugated bilirubin
Dec25 Q110Newborn baby with VSD, overriding aorta, pulmonary stenosis, right ventricular hypertrophy. Which birth defect is consistent?›
- A) Atrial septal defect
- B) Di-George syndrome
- C) Down's syndrome
- D) Tetralogy of Fallot
Correct: D Tetralogy of Fallot
Dec25 Q118A 3-week-old newborn with persistent tearing, mucopurulent discharge on eyelashes, and reflux of tears. Most appropriate initial management?›
- A) Lacrimal duct massage first
- B) Oral antibiotics
- C) Topical antibiotic drops
- D) Immediate surgical probing
Correct: A Lacrimal duct massage first
Dec25 Q127Ludwig's angina commonly involves which of the following areas?›
- A) Face
- B) Tongue
- C) Nose
- D) Submandibular / sublingual area
Correct: D Submandibular / sublingual area
Dec25 Q131The transformation from squamous to columnar epithelium in Barrett's esophagus is an example of?›
- A) Hypertrophy
- B) Hyperplasia
- C) Atrophy
- D) Metaplasia
Correct: D Metaplasia
Dec25 Q135Which of the following types of polyp is most likely to harbour malignancy?›
- A) Hamartomatous
- B) Inflammatory
- C) Tubular adenomatous
- D) Villous adenomatous
Correct: D Villous adenomatous
Dec25 Q138Patient with lesions at C6 spinal level. Expected neurological findings:›
- A) Brisk biceps reflexes
- B) Diminished or absent biceps and brachioradialis reflexes
Correct: B Diminished or absent biceps and brachioradialis reflexes
Dec25 Q139Left-sided ptosis, ophthalmoplegia and right body paralysis. Lesion location?›
- A) Brainstem
- B) Cerebral cortex
- C) Basal ganglia
- D) Internal capsule
Correct: A Brainstem
Dec25 Q142In which location is a thoracostomy tube typically inserted?›
- A) 1st intercostal space
- B) 4th and 5th intercostal space
- C) 6th and 7th intercostal space
- D) 8th intercostal space
Correct: B 4th and 5th intercostal space
Dec25 Q144Left testicular and ovarian veins drain into?›
- A) Inferior mesenteric vein
- B) Inferior vena cava
- C) Left renal vein
- D) Common iliac vein
Correct: C Left renal vein
Dec25 Q145Which kidney stone is radiolucent?›
- A) Oxalate stone
- B) Uric acid stone
- C) Cystine stone
- D) Magnesium phosphate stone
Correct: B Uric acid stone
Dec25 Q147Which of the following causes normal anion gap metabolic acidosis?›
- A) Methanol poisoning
- B) Diarrhea
- C) DKA
- D) Uremia
Correct: B Diarrhea
Dec25 Q150Parietal cells of the stomach release which of the following?›
- A) Intrinsic factor and HCl
- B) Intrinsic factor and Pepsinogen
- C) Only Intrinsic Factor
- D) Only HCl
Correct: A Intrinsic factor and HCl
Dec25 Q162Antiprostaglandins (aspirin and NSAIDs) act by inhibiting which of the following?›
- A) Arachidonic acid
- B) Cyclooxygenase
- C) Prostaglandin
- D) Lipoxygenase
Correct: B Cyclooxygenase
Dec25 Q164A taxi driver with runny nose, effused eyes, fever, malaise wants to continue driving. Which antihistamine with least sedation?›
- A) Chlorphenamine
- B) Fexofenadine
- C) Diphenhydramine
- D) Meclizine
Correct: B Fexofenadine
Dec25 Q165Preferred corticosteroid for asthma management:›
- A) Prednisolone (oral)
- B) Fluticasone / Budesonide (inhaled)
Correct: B Fluticasone / Budesonide (inhaled)
Dec25 Q166Migraine prophylaxis:›
- A) Sodium valproate
- B) NSAIDs
- C) Sumatriptan
Correct: A Sodium valproate
Dec25 Q168During a biochemistry lecture about ketone body synthesis. Which enzyme catalyzes the conversion of Acetyl-CoA to HMG-CoA?›
- A) HMG synthase
- B) Acetyl-CoA carboxylase
- C) Citrate synthase
- D) Thiolase
Correct: A HMG synthase
Dec25 Q169No or defective LDL receptor in which disease?›
- A) Type 1 hyperlipidaemia
- B) Type 2 hyperlipidaemia / Familial hypercholesterolaemia
- C) Type 3 hyperlipidaemia
- D) Type 4 hyperlipidaemia
Correct: B Type 2 hyperlipidaemia / Familial hypercholesterolaemia
Dec25 Q170Which amino acids are associated with Maple syrup urine disease?›
- A) Phenylalanine
- B) Methionine
- C) Valine
- D) All of the above
Correct: D All of the above
Dec25 Q172A town's population grows at 2% annually. What is the approximate doubling time?›
- A) ~35 years
- B) ~70 years
- C) ~20 years
- D) ~50 years
Correct: A ~35 years
Dec25 Q177Unvaccinated hunter with multiple transdermal dog bites with oozing blood. What should be administered to prevent rabies?›
- A) Antibiotics and vaccine
- B) Five doses of vaccine
- C) Rabies immunoglobulin and antibiotics
- D) Vaccine and rabies immunoglobulin
Correct: D Vaccine and rabies immunoglobulin
Dec25 Q178A student who received the hepatitis B vaccine series. Which of the following would be detectable in their serum?›
- A) Anti-HBcAg-IgM
- B) Anti-HBsAg
- C) HBcAg
- D) Anti-HBeAg
Correct: B Anti-HBsAg
Dec25 Q179Baby born to HBsAg positive, HBeAg positive mother. Most appropriate strategy to reduce vertical transmission?›
- A) Newborn: Hep B vaccine + Hep B immunoglobulin
- B) Newborn: Hep B vaccine only
- C) Newborn: Hep B immunoglobulin only
- D) Mother: IV zidovudine during labour
Correct: A Newborn: Hep B vaccine + Hep B immunoglobulin
Dec25 Q181What is the appropriate protocol for performing surgery on a woman?›
- A) Perform in the presence of assistance
- B) Only be performed by female doctor
- C) Perform without consent
- D) Obtain valid informed consent before surgery
Correct: D Obtain valid informed consent before surgery
Dec25 Q182Child minor consent is taken by?›
- A) Friend
- B) Family
- C) Parents
- D) Siblings
Correct: C Parents
Dec25 Q183Surgeon performing surgery under alcohol influence, disoriented and confused. What type of unethical practice?›
- A) Criminal medical negligence
- B) Civil medical negligence
- C) Ignorance
Correct: A Criminal medical negligence
Dec25 Q187Which of the following factors influences the extent of tissue damage caused by a bullet?›
- A) Shape
- B) Size
- C) Velocity
- D) Weight
Correct: C Velocity
May26 Q4Which of the following diagnostic modalities, along with clinical history, are considered most optimal for the diagnosis of ectopic pregnancy?›
- A) Transabdominal scan + complete blood picture
- B) Urine pregnancy test + serum beta-hCG levels
- C) Transabdominal scan + serum beta-hCG levels
- D) Transabdominal scan + urine pregnancy test
Correct: C Transabdominal scan + serum beta-hCG levels
May26 Q10The secretion of Growth hormone is increased by:›
- A) Hyperglycemia
- B) Exercise
- C) Somatostatin
- D) Hypothermia
Correct: B Exercise
May26 Q12Mean arterial pressure equals:›
- A) Arterial compliance times stroke volume
- B) Heart rate times stroke volume
- C) Cardiac output times total peripheral resistance
- D) Heart rate times total peripheral resistance
Correct: C Cardiac output times total peripheral resistance
May26 Q16Littre hernia, the hernia sac contains:›
- A) Appendix
- B) Meckel's diverticulum
- C) Testis
- D) Ovary
Correct: B Meckel's diverticulum
May26 Q21A medical student begins hyperventilating in anxiety of examination and faints. recovers when he is made to breathe into a paper bag. Which one of the…›
- A) Decreased pH, decreased PCO2
- B) Decreased pH, increased PCO2
- C) Elevated pH, decreased PCO2
- D) Elevated pH, elevated PCO2
Correct: C Elevated pH, decreased PCO2
May26 Q25A marathon runner experiences muscle fatigue toward the end of a race despite adequate oxygen supply. Which of the following is the most likely physio…›
- A) Depletion of ATP stores
- B) Glycogen depletion
- C) Failure of neuromuscular transmission
- D) Increased calcium release from the sarcoplasmic reticulum
Correct: B Glycogen depletion
May26 Q27A rhesus-negative primigravida has delivered a baby 2 hours ago. Her husband and the baby are rhesus positive. When should she ideally receive anti-D …›
- A) Within 72 hours after delivery
Correct: A Within 72 hours after delivery
May26 Q29Which statement is specific for Meckel diverticulum?›
- A) Is present in 2 per cent of the population
- B) Arises from the mesenteric border of the jejunum
- C) May contain heterotopic gastric mucosa
- D) Is present only in boys
Correct: C May contain heterotopic gastric mucosa
May26 Q30A 30 years primigravida at 32 weeks of gestation is diagnosed to have acute UTI. The first line antibiotic is:›
- A) Ampicillin
- B) Erythromycin
- C) Metronidazole
- D) Cephalosporins
Correct: D Cephalosporins
May26 Q32A patient with flail chest will most likely present with:›
- A) Increased chest expansion
- B) Paradoxical chest movement
- C) Bradycardia
- D) Hyper-resonance
Correct: B Paradoxical chest movement
May26 Q34A gentleman was going to market when he suddenly stepped on a sharp stone. Which of the following reflexes will be resultantly initiated?›
- A) Crossed extensor reflex in affected limb and withdrawal reflex in opposite limb
- B) Withdrawal reflex in affected limb and crossed extensor reflex in opposite limb
- C) Stretch reflex in affected limb and withdrawal reflex in opposite limb
- D) Stretch reflex in affected limb and crossed extensor reflex in opposite limb
Correct: B Withdrawal reflex in affected limb and crossed extensor reflex in opposite limb
May26 Q35Which of the following techniques does not provide a definitive airway?›
- A) Cricothyroidotomy
- B) Nasotracheal tube
- C) Laryngeal mask airway
- D) Endotracheal tube
Correct: C Laryngeal mask airway
May26 Q79Which vaccine(s) are given at birth according to the Expanded Programme on Immunization (EPI) schedule?›
- A) Hep B
- B) Measles
- C) BCG & OPV
- D) OPV & Rota virus
Correct: C BCG & OPV
May26 Q87Premenstrual cycle pain and lower abdominal discomfort, along with mood changes, are commonly associated with the:›
- A) Follicular phase
- B) Mid-ovulatory phase
- C) Luteal phase
- D) Menstruation
Correct: C Luteal phase
May26 Q93A 30-year-old housewife visited a gynecologist for her prenatal checkup. Her mother died of breast cancer and she is worried about inheriting the dise…›
- A) Annual Mammography
- B) Regular breast self-examination
- C) Fine needle aspiration
- D) Thermography
Correct: A Annual Mammography
May26 Q102In order to prevent congenital rubella syndrome, which one of the following is the first priority group for rubella vaccination?›
- A) Vaccinating all children aged 1 to 14 years
- B) Non-pregnant women 15 to 34 years of age
- C) All children at one year of age
- D) Children up to 5 years of age
Correct: A Vaccinating all children aged 1 to 14 years
May26 Q107A transudate is edema fluid that is:›
- A) Rich in proteins
- B) Rich in neutrophils
- C) Rich in albumin
- D) Low in proteins
- E) Rich in fibrinogen
Correct: D Low in proteins
May26 Q111This condition affects middle-aged women more than men and is characterized by low mood, early morning waking, loss of libido, tiredness, and suicidal…›
- A) Bipolar affective disorder
- B) Dysthymia
- C) Major depressive disorder
- D) Schizoaffective disorder
- E) Recurrent brief depression
Correct: C Major depressive disorder
May26 Q112Digital X-ray of soft tissue neck lateral view shows positive thumb sign. Which of the aoe is the most likely diagnosis?›
- A) Acute epiglottitis
- B) Acute laryngotracheobronchitis
- C) Syphilis of larynx
- D) Laryngeal tuberculosis
Correct: A Acute epiglottitis
May26 Q113Which of the following tumors is spread by hematogenous route?›
- A) Carcinoma lung
- B) Sarcoma
- C) Fibroma
- D) Carcinoma ovary
Correct: B Sarcoma
May26 Q115In the data 15, 2, 9, 10, 18, 14, and 72, the median is:›
- A) 10
- B) 14
- C) 15
- D) 18
Correct: B 14
May26 Q116An individual with chronic hepatitis C viral infection has a chemistry profile performed. Which test amongst the following is most likely to be decrea…›
- A) Gamma globulin
- B) Alanine aminotransferase
- C) Albumin
- D) Lactate dehydrogenase
Correct: C Albumin
May26 Q120A taxi driver comes to the clinic with runny nose, watery eyes, fever, and malaise. He wishes to continue working while taking treatment. Which antihi…›
- A) Chlorphenamine
- B) Fexofenadine
- C) Diphenhydramine
- D) Meclizine
Correct: B Fexofenadine
May26 Q125During exercise, which one of the following regional circulations will show a decrease in blood flow?›
- A) Cerebral
- B) Coronary
- C) Hepatic
- D) Pulmonary
Correct: C Hepatic
May26 Q143Which one of the following is called a SURGICAL airway?›
- A) Endotracheal tube
- B) Guedel airway
- C) Laryngeal Mask Airway
- D) Tracheostomy
Correct: D Tracheostomy
May26 Q145Which of the following changes will result in an increase in the glomerular filtration rate (GFR)?›
- A) Decrease in plasma oncotic pressure
- B) Increase in Bowman's capsule hydrostatic pressure
- C) Constriction of the afferent arteriole
- D) Dilation of the efferent arteriole
Correct: A Decrease in plasma oncotic pressure
May26 Q149Which one of the following imaging studies shows “apple core appearance” in a case of colonic carcinoma?›
- A) Barium enema
- B) Barium follow-through
- C) Barium meal
- D) Barium swallow
Correct: A Barium enema
May26 Q151A new born starts to bleed from the umbilical cord and nostrils two delivery. This condition is due to deficiency of which of the following?›
- A) Vitamin A
- B) Vitamin C
- C) Vitamin D
- D) Vitamin K
Correct: D Vitamin K
May26 Q163An autopsy is conducted ina suspected case of a criminal abortion which sho cyanosis, distension with bright red frothy blood on right side of the hea…›
- A) Air embolism
- B) Fat embolism
- C) Hemorrhage
- D) Sepsis
Correct: A Air embolism
May26 Q165Which of the following metabolic fuel is utilized for generating glucose in severe starvation?›
- A) Amino acids
- B) Fats
- C) Glycogen
- D) Lipoproteins
Correct: A Amino acids
May26 Q173Which one of the following serum levels is most appropriate for determining ovulation?›
- A) Estrogen
- B) LH
- C) Progesterone
- D) Prolactin
Correct: C Progesterone
›Recall — worded as a fact question
What
Same retrieval demand, phrased as "cause of", "which of the following is true", "most widely used".
Stem
"Cause of X?" / "All of the following are true about X except" / "Drug of choice for X?"
Where
The discriminator is the specificity of the fact. Broad true statements lose to narrow precise ones.
Trap
When several options are technically true, the setter wants the most specific / most characteristic one. Rank them, do not scan them.
Steps
- Accept that multiple options may feel true.
- Pick the one that is most characteristically true — the one you would quote in clinic.
- Convert to a flashcard immediately; this type is pure accumulation.
Examples
May26 Q40
Most common type of renal stone
Correct: Calcium oxalate
Jun24 Q4
Most common site of osteogenic sarcoma?
Correct: Femur lower end
May26 Q74
The most common site of Osteosarcoma is:
Correct: Knee
Questions
Jun24 Q4Most common site of osteogenic sarcoma?›
- A) Femur upper end
- B) Femur lower end
- C) Tibia upper end
- D) Tibia lower end
Correct: B Femur lower end
Jun24 Q5Most common site of diverticular disease in older people?›
- A) Caecum
- B) Sigmoid colon
- C) Rectum
- D) Descending colon
Correct: B Sigmoid colon
Jun24 Q11Cause of splitting of the 2nd heart sound during inspiration?›
- A) Early closure of aortic valve
- B) Late closure of pulmonary valve
- C) Early closure of mitral valve
Correct: B Late closure of pulmonary valve
Jun24 Q29A 70-year-old man presented with epigastric pain, hematemesis and tarry black stools (melena) for one day. Past history of episodic epigastric pain th…›
- A) Mallory-Weiss tear
- B) Peptic ulcers
- C) Oesophageal varices
- D) Drug induced
Correct: B Peptic ulcers
Jun24 Q55Which of the following is the most common site for the occurrence of a basal cell carcinoma?›
- A) Buccal mucosa
- B) Hard palate
- C) Skin of the lower lip
- D) Dorsum of the tongue
Correct: C Skin of the lower lip
Jun24 Q74Woman patient bed ridden having dyspnea now developed pulmonary embolism. What is the most common site of origin of thrombotic pulmonary emboli?›
- A) Lumen of the left ventricle
- B) Deep leg veins
- C) Mesenteric
- D) Superficial leg veins
Correct: B Deep leg veins
Dec24 Q2A 45-year-old man presents with facial pain and swelling, particularly during meals, along with difficulty opening his mouth due to a salivary calculu…›
- A) Stensen's duct
- B) Wharton's duct
- C) Bartholian's doct
- D) Ducts of rivinus
Correct: B Wharton's duct
Dec24 Q16A 25-year-old woman presents with a 2-day history of fever and dysuria. Laboratory analysis reveals a Gram-negative, motile, rod-shaped organism that …›
- A) Proteus
- B) Pseudomonas
- C) Ecoli
- D) Compylobector
Correct: C Ecoli
Dec24 Q17A 35-year-old HIV-positive man presents with multiple painless, dark purplish-black violaceous skin lesions on his trunk and arms. He reports that one…›
- A) Lymphoma
- B) Kaposi sarcoma
- C) Lymphogranuloma venarum
- D) Warts
Correct: B Kaposi sarcoma
Dec24 Q110A coal miner presents with a complaint of cough and SOB. On X-ray, hilar lymph nodes are enlarged and are jet black. Cause of jet black color is:›
- A) Melanin deposit
- B) Lipochrome deposition
- C) Inflammation
- D) None of the above
Correct: D None of the above
Dec24 Q135Which of the following is the most common complication following an appendectomy?›
- A) Wound infection
- B) Wound abscess
- C) Pelvic abscess
- D) Adhesion
Correct: A Wound infection
Jun25 Q5A 45-year-old gardener is brought to the emergency department after collapsing while spraying insecticides. On examination, he is unconscious, diaphor…›
- A) Atropine
- B) Epinephrine
- C) Pralidoxime
- D) All of above
No answer key recorded for this question.
Jun25 Q6A 65-year-old man presents to the emergency department in severe respiratory distress due to acute pulmonary edema. He is administered a medication th…›
- A) Hydrochlorothiazide
- B) Spironolactone
- C) Acetazolamide
- D) Furosemide
No answer key recorded for this question.
Jun25 Q37A 2 year old boy presents with watery stools for 1 day. He also has vomiting and is irritable. He is drinking eagerly, has sunken eyes and skin pinch …›
- A) Some dehydration
- B) No dehydration
- C) Simple Dehydration
- D) Severe dehydration
No answer key recorded for this question.
Jun25 Q39At which age can a child copy a circle first?›
- A) 36 months
- B) 24 months
- C) 08 months
- D) 15 months
No answer key recorded for this question.
Jun25 Q50A 75-year-old man presents with lower urinary tract symptoms. Digital rectal examination reveals a hard prostatic mass, and biopsy shows prominent mal…›
- A) Anterior zone
- B) Posterior zone
- C) Central zone
- D) Transitional zone
- E) Peripheral zone
No answer key recorded for this question.
Jun25 Q56A 52-year-old man is evaluated for signs of liver failure and hepatic cirrhosis. What is the most common viral cause of hepatitis leading to chronic l…›
- A) Hep C
- B) Hep A
- C) Hep B
- D) Hep E
No answer key recorded for this question.
Jun25 Q71A 38-year-old man presents with a 5-day history of worsening fever and spreading redness over his left hand following a road traffic accident. On exam…›
- A) Staphylococcus aureus
- B) Group A beta hemolytic Streptococcus
- C) Pseudomonas aeruginosa
- D) Clostridium Welchii
No answer key recorded for this question.
Jun25 Q73A 31 year old male presented to surgical emergency with history of fall from bike. On examination, the right shoulder joint is tender and patient is u…›
- A) Medial
- B) Anterior
- C) Lateral
- D) Posterior
- E) Superior
No answer key recorded for this question.
Jun25 Q84In Down's syndrome (Trisomy 21), which is the most common congenital heart defect?›
- A) Atrial septal defect
- B) Ventricular septal defect
- C) Tetralogy of Fallot
- D) Atrioventricular septal defect
- E) Patent ductus arteriosus
No answer key recorded for this question.
Jun25 Q119Which of the following drugs is used in the treatment of gout by increasing uric acid excretion (uricosuric effect)?›
- A) Probenecid
- B) Febuxostat
- C) Colchicine
- D) Allopurinol
No answer key recorded for this question.
Jun25 Q132A 28-year-old woman presents with high fever, chills, right-sided flank pain, and dysuria. Physical examination reveals marked costovertebral angle te…›
- A) Proteus mirabilis
- B) Escherichia coli
- C) Pseudomonas aeruginosa
- D) Staphylococcus aureus
No answer key recorded for this question.
Jun25 Q139A 55-year-old man with a known history of rheumatic heart disease presents with a 2-week history of persistent fever, fatigue, splinter hemorrhages, a…›
- A) Enterococcus faecalis
- B) Staphylococcus aureus
- C) Pseudomonas aeruginosa
- D) Streptococcus viridans
No answer key recorded for this question.
Dec25 Q1A 45-year-old patient presents with weight gain, muscle weakness, purple striae and new-onset hypertension. Labs show eosinopenia and lymphocytopenia.…›
- A) Cushing disease
- B) Addison's disease
- C) Hypothyroidism
- D) Diabetes mellitus
Correct: A Cushing disease
Dec25 Q9324-year-old woman after unprotected intercourse. Does not wish to conceive, took morning-after pill. Which component is most commonly found?›
- A) Levonorgestrel
- B) Medroxyprogesterone
- C) Ethinyl estradiol
- D) Mifepristone
Correct: A Levonorgestrel
Dec25 Q96Most common cause of death in thrombotic thrombocytopenic purpura (TTP):›
- A) Intracranial hemorrhage
- B) Cardiovascular complications
- C) DIC
Correct: A Intracranial hemorrhage
Dec25 Q107Most common intra-abdominal solid organ tumour in a child?›
- A) Neuroblastoma
- B) Rhabdomyosarcoma
- C) Wilms' tumour
- D) Hypernephroma
Correct: C Wilms' tumour
Dec25 Q137During emergency appendectomy in a 25-year-old male, which artery is most commonly ligated?›
- A) Ileocolic artery
- B) Superior mesenteric artery
- C) Right colic artery
- D) Middle colic artery
Correct: A Ileocolic artery
Dec25 Q146Patient has high anion gap and ketoacids with no acidosis and no uremic products. Most commonly associated with?›
- A) DKA
- B) Metabolic acidosis
- C) CKD
- D) Starvation ketosis
Correct: D Starvation ketosis
Dec25 Q173Which of the following is the most common cause of community acquired pneumonia?›
- A) Haemophilus influenzae
- B) Pneumocystis pneumonia
- C) Streptococcus pneumoniae
- D) Streptococcus pyogenes
Correct: C Streptococcus pneumoniae
Dec25 Q180Which of the following acute hepatitis is most common in children?›
- A) Hepatitis C
- B) Hepatitis B
- C) Hepatitis D
- D) Hepatitis A
Correct: D Hepatitis A
May26 Q3Most common benign breast tumor in young females:›
- A) Fibroadenoma
- B) Lipoma
- C) Carcinoma
- D) Cyst
Correct: A Fibroadenoma
May26 Q24Most common congenital abdominal wall defect is:›
- A) Gastroschisis
- B) Omphalocele
- C) Umbilical hernia
- D) Diaphragmatic hernia
Correct: C Umbilical hernia
May26 Q38A 42-year-old woman, a known case of gallstones, attends the emergency department with severe pain in the right upper quadrant after eating a fatty me…›
- A) Acute cholecystitis
- B) Biliary colic
- C) Cholangitis
- D) Pancreatitis
Correct: B Biliary colic
May26 Q40Most common type of renal stone›
- A) Uric acid
- B) Calcium oxalate
- C) Cystine
- D) Struvite
Correct: B Calcium oxalate
May26 Q60Which of the following agents is useful in the treatment of malignant hyperthermia?›
- A) Baclofen
- B) Diazepam
- C) Cyclobenzaprine
- D) Dantrolene
- E) Halothane
Correct: D Dantrolene
May26 Q74The most common site of Osteosarcoma is:›
- A) Skull
- B) Spine
- C) Knee
- D) Hip bone
Correct: C Knee
May26 Q95Commonest cause of blindness in Pre-school children is:›
- A) Maternal Rubella
- B) Vit A deficiency
- C) Accidental injury
- D) Congenital cataract
Correct: B Vit A deficiency
May26 Q130The most common cause of massive lower gastrointestinal bleeding (LGIB) is:›
- A) Angiodysplasia
- B) Diverticulosis
- C) Ischemic colitis
- D) Colon cancer
Correct: B Diverticulosis
May26 Q157Decreased near vision after the age of 40 years is most commonly caused by:›
- A) Myopia
- B) Macular Degeneration
- C) Presbyopia
- D) Keratoconus
Correct: C Presbyopia
May26 Q158A 40-year-old lady suffering from duodenal ulcer has been prescribed a drug once daily that effectively reduces acid secretion for 24 hours. Which of …›
- A) Pirenzepine
- B) Cimetidine
- C) Esomeprazole
- D) Sucralfate
Correct: C Esomeprazole
›Site / location recall
What
"Most common site of X", "which organ/nerve root/level is affected" — the location is the answer.
Stem
Condition given → location asked, or vice versa.
Where
You either hold the canonical site (osteosarcoma lower femur, diverticulae sigmoid) or you do not.
Trap
Options are usually four anatomical sites in the same region — plausibility does not help, only the memorized fact does.
Steps
- Name the canonical site before reading options.
- Match; if two options feel close, it is a sub-site distinction you must know cold.
- Log it as a fact gap, not a reasoning gap.
Examples
Dec25 Q184
A 70-year-old male brought to the morgue. Which organ undergoes putrefaction last?
Correct: Prostate
May26 Q137
A 35-year-old male presents with complaints of early baldness and is diagnosed as having a testicular tumor. Which one of the following is the most likely site of origin for this tumor?
Correct: Leydig Cells
Dec24 Q65
A 59 year old woman is being investigated for chronic back pain. X-ray of her spine was reported to be affected. Bone scans revealed multiple lesions in the skeleton suggestive of metastatic disease. What is the SINGLE most likely site of the primary?
Correct: Breast
Questions
Dec24 Q65A 59 year old woman is being investigated for chronic back pain. X-ray of her spine was reported to be affected. Bone scans revealed multiple lesions …›
- A) Breast
- B) Lungs
- C) Ovary
- D) Uterus
Correct: A Breast
Dec24 Q100A 70-year-old man with no significant past medical history presents to the emergency department 4 hours after the onset of severe, crushing substernal…›
- A) Anterior
- B) Inferior
- C) Lateral
- D) Posterior
Correct: C Lateral
Dec25 Q184A 70-year-old male brought to the morgue. Which organ undergoes putrefaction last?›
- A) Prostate
- B) Kidneys
- C) Liver
- D) Ovaries
Correct: A Prostate
May26 Q137A 35-year-old male presents with complaints of early baldness and is diagnosed as having a testicular tumor. Which one of the following is the most li…›
- A) Spermatogonia
- B) Sertoli Cells
- C) Leydig Cells
- D) Myoid Cells
Correct: C Leydig Cells
›03 Decision — Do Something
Management, investigations, next steps and contraindications.
›Test / investigation selection
What
Given the patient, pick the investigation. The qualifier in the stem decides whether you want the cheap screen or the gold standard.
Stem
[Vignette] + "best initial test / investigation of choice / test that confirms?"
Where
In the qualifier. "Initial" means cheapest and least invasive; "confirms" means the reference standard. Same patient, different correct answer.
Trap
Answering with the confirmatory test when the stem said "initial" (or vice versa). Read the qualifier before the medicine.
Steps
- Underline the qualifier: initial / confirm / gold standard / next.
- Ask what the exam wants — a screen or a proof.
- Eliminate any test that is right but answers a different question than the one asked.
Examples
Dec25 Q77
What is the investigation of choice for upper GI bleeding?
Correct: Upper GI endoscopy
Jun24 Q137
Which of the following is investigation of choice for intestinal perforation?
Correct: CT Scan
Dec25 Q76
Young male with bullet injury to abdomen. Pulse 100/min, BP 130/80 mmHg. First investigation of choice?
Correct: Focused abdominal sonography for trauma (FAST)
Questions
Jun24 Q137Which of the following is investigation of choice for intestinal perforation?›
- A) XRAY
- B) MRI
- C) CT Scan
- D) Barium Enema
Correct: C CT Scan
Dec24 Q41A 43-year-old woman presents with a 12-hour history of right upper quadrant abdominal pain accompanied by nausea and vomiting. On examination, she is …›
- A) Barium meal
- B) CT scan abdomen
- C) Ultrasound abdomen
- D) Upper G. I. Endoscopy
Correct: C Ultrasound abdomen
Dec24 Q50A 29-year-old female presented in OPD with fever, body aches, diarrhea and cough for 3 days, loss of smell and taste for 2 days, difficulty in breathi…›
- A) Blood culture
- B) Complete blood picture
- C) PCR for covid-19
- D) Throat swab culture
Correct: C PCR for covid-19
Dec24 Q56A 58-year-old man presents with a 3-month history of weight loss, intermittent abdominal pain, and occasional rectal bleeding. Physical examination is…›
- A) Colonoscopy & Biopsy
- B) CT
- C) USG
- D) Flexible sigmoidoscopy
Correct: A Colonoscopy & Biopsy
Dec24 Q94A 30-week pregnant woman presents with weakness and dizziness. She was prescribed iron and calcium supplements during her first trimester when her hem…›
- A) Serum Ferritin
- B) Hb electrophoresis
- C) Platelet count
- D) CBC
Correct: B Hb electrophoresis
Dec24 Q96A 60-year-old man with a history of alcohol misuse presents to the emergency department with severe, constant epigastric pain radiating to the back, a…›
- A) Ultrasound abdomen
- B) MRCP
- C) Serum lipase levels
Correct: C Serum lipase levels
Dec24 Q168A 28-year-old woman and her partner present to the clinic for an initial evaluation of primary infertility after trying to conceive for two years. She…›
- A) D21 LH
- B) D14 LH
- C) D21 progesterone
- D) D14 progesterone
Correct: C D21 progesterone
Jun25 Q31A 35-year-old woman, gravida 3, presents to the antenatal clinic with a history of two previous stillbirths at term involving macrosomic infants. A 50…›
- A) Urine analysis
- B) Blood sugar profile
- C) HbA1c
- D) Oral Glucose Tolerance Test (OGTT)
- E) Random blood sugar
No answer key recorded for this question.
Jun25 Q49A 30-year-old female with hypovolemic shock after blunt trauma of the abdomen and a bruise in the left hypochondrium. What is the investigation of cho…›
- A) MRI
- B) CT-scan
- C) FAST
- D) X-ray
No answer key recorded for this question.
Jun25 Q55A 65 year old man with a three-year history of prostate cancer presents to the GP surgery with worsening thoracic backache over the past few weeks. He…›
- A) Urgent magnetic resonance imaging (MRI) of the whole spine
- B) Urgent computed tomography scan
- C) Dual Energy X-ray Absorptiometry (DEXA) scan
No answer key recorded for this question.
Dec25 Q76Young male with bullet injury to abdomen. Pulse 100/min, BP 130/80 mmHg. First investigation of choice?›
- A) CT scan
- B) Diagnostic peritoneal lavage
- C) Magnetic resonance imaging
- D) Focused abdominal sonography for trauma (FAST)
Correct: D Focused abdominal sonography for trauma (FAST)
Dec25 Q77What is the investigation of choice for upper GI bleeding?›
- A) CT scan
- B) Barium swallow
- C) Upper GI endoscopy
- D) Complete blood count
Correct: C Upper GI endoscopy
Dec25 Q8925-year-old woman in first pregnancy at 22 weeks. Urine glucose positive, family history of DM. Gold standard test for diabetes?›
- A) OGTT
- B) Blood sugar random
- C) Random urine glucose test
Correct: A OGTT
Dec25 Q105A 2-year-old male child with repeated diarrhoea, failure to thrive, malnourished, protuberant abdomen. Weaning started at one year. Which test confirm…›
- A) Tissue transglutaminase antibodies
- B) Anti-endomysial antibodies
- C) Anti-gliadin antibodies
- D) Duodenal biopsy
Correct: D Duodenal biopsy
Dec25 Q113A 2-year-old male child with repeated diarrhoea, failure to thrive, malnourished, protuberant abdomen, weaning started at one year. Which test confirm…›
- A) Tissue transglutaminase antibodies
- B) Anti-endomysial antibodies
- C) Anti-gliadin antibodies
- D) Duodenal biopsy
Correct: D Duodenal biopsy
May26 Q15A primigravida presents in outpatient department at 34 weeks of gestation with hemoglobin level of 8 gm/dl. Which one of the following is the most app…›
- A) Hb electrophoresis
- B) Serum ferritin
- C) Stool examination
- D) Urine routine examination
Correct: B Serum ferritin
May26 Q18A 38-year-old G2P1 at 16 weeks of pregnancy with previous history of birth of a child affected with Down's syndrome presents in the antenatal clinic. …›
- A) Chorionic villus sampling
- B) Amniocentesis
- C) Cordocentesis
- D) Quad test
Correct: B Amniocentesis
May26 Q19A 45-year-old woman presents with symmetrical pain and stiffness in the small joints of both hands, especially in the morning lasting more than 1 hour…›
- A) X-Ray hands
- B) ESR
- C) Anti CCP.
- D) ANA
Correct: C Anti CCP.
May26 Q97A 6-month-old child was brought by his mother to the ER with the first episode of generalized seizures and fever for the last 2 days. On examination, …›
- A) Blood CP (Complete Blood Count)
- B) Blood culture
- C) Blood sugar random
- D) Lumbar puncture
Correct: D Lumbar puncture
›Management / first-line treatment
What
Given the diagnosis (stated or implied), pick what you do next. Includes drug of choice, antidote, regimen, surgical versus medical.
Stem
[Vignette] + "most appropriate treatment / management / drug of choice / antidote?"
Where
The severity line. Stable versus unstable, mild versus severe, obstructed versus not — that word picks the answer.
Trap
Options split into "definitive" and "supportive" treatments. The exam usually wants the definitive one unless the patient is unstable, in which case it wants resuscitation.
Steps
- Find the severity word first (unstable, severe, acute, shocked).
- If unstable, the answer is almost always the resuscitation option, not the definitive one.
- Then pick the definitive treatment for that severity.
Examples
Jun24 Q110
Management of DVT in a woman with leg pain and swelling?
Correct: Warfarin
Dec25 Q117
Diabetic patient presenting with retinal detachment. Management?
Correct: Vitrectomy
Jun24 Q83
Test necessary for Anti HCV positive patient before starting treatment?
Correct: PCR HCV RNA
Questions
Jun24 Q6A patient with backache, diarrhea, and fatigue; stool shows pear-shaped binucleated structures with 4 pairs of flagella. Drug of choice?›
- A) Stibogluconate
- B) Metronidazole
- C) Sulphadoxine
- D) Quanidine
Correct: B Metronidazole
Jun24 Q19An unknown chemical is splashed in the eye, presenting with diffuse conjunctival perfusion and pain. Initial management?›
- A) Copious irrigation of eye with normal saline
- B) Wash with 1L sodium bicarbonate
- C) Slit lamp examination with fluorescein dye
- D) Patch eye after instilling steroid eye drops
Correct: A Copious irrigation of eye with normal saline
Jun24 Q83Test necessary for Anti HCV positive patient before starting treatment?›
- A) PCR HCV RNA
- B) USG abdomen
- C) RFT
- D) LFT
Correct: A PCR HCV RNA
Jun24 Q99A 44-year-old man is diagnosed with a duodenal ulcer. CLO testing performed during the gastroscopy is positive for Helicobacter pylori. What is the mo…›
- A) Lansoprazole + clindamycin + metronidazole
- B) Lansoprazole + amoxicillin + clindamycin
- C) Lansoprazole + amoxicillin + clarithromycin
- D) Omeprazole + amoxicillin + clindamycin
Correct: C Lansoprazole + amoxicillin + clarithromycin
Jun24 Q100A 53-year-old man presents as his wife has noticed a change in his appearance. He has also noticed his hands seem larger. On examination blood pressur…›
- A) Pegvisomant
- B) Trans-sphenoidal surgery
- C) Bromocriptine
- D) Octreotide
Correct: B Trans-sphenoidal surgery
Jun24 Q110Management of DVT in a woman with leg pain and swelling?›
- A) Loprin + warfarin
- B) Warfarin
- C) Aspirin
- D) Clopidogrel
Correct: B Warfarin
Jun24 Q119A 28-year-old comatose man presents to the ER with pinpoint pupils, depressed respiration, and no sign of physical trauma. Labs are awaited. He was gi…›
- A) Atropine
- B) Physostigmine
- C) Naloxone
- D) Diazepam
Correct: C Naloxone
Jun24 Q131A 19-year-old student presents with a 15-week history of diarrhoea. He has lost 2 kg in weight, and has no recent travel abroad. A smear of a duodenal…›
- A) Ciprofloxacin
- B) Gluten free diet
- C) Metronidazole
- D) Prednisolone
Correct: C Metronidazole
Jun24 Q134COPD patient with postherpetic neuralgia for 3 months. Had herpes zoster involving the right posterior thorax in a T7 distribution, treated with antiv…›
- A) Gabapentin
- B) Oxycodone
- C) Prednisone
- D) Duloxetine
Correct: A Gabapentin
Jun24 Q141An 18-month-old child presented to ER with history of watery diarrhea for 5 days. Management?›
- A) Reassure the mother
- B) Oral rehydration solution
- C) Intravenous fluids
Correct: B Oral rehydration solution
Jun24 Q145A young patient presents in ER with history of fall and syncope. Initial management?›
- A) Airway maintenance
- B) Cervical spine immobilization
- C) Control of bleeding
- D) (option cut off in source)
Correct: A Airway maintenance
Dec24 Q23A patient with chronic renal failure presents with pallor, fatigue, lethargy, and pedal edema. Laboratory investigations demonstrate a serum creatinin…›
- A) Erythropoietin with I/V iron
- B) IV iron
- C) Folate supplementation
- D) B12 replacement
Correct: A Erythropoietin with I/V iron
Dec24 Q39A 35-year-old primigravida receives epidural analgesia for pain relief during labor. During the procedure, she sustains an accidental dural puncture a…›
- A) Epidural Blood patch
- B) Dextrose 40% via epidural catheter
- C) Normal saline in an epidural catheter
- D) Plenty of I/V fluids
Correct: A Epidural Blood patch
Dec24 Q40A 35-year-old man has been having repeated episodes of palpitation associated with vertigo. He has presented to the ER with a heart rate of 180/min, r…›
- A) Amiodarone
- B) DC Cardioversion
- C) Disopyramide
- D) Procainamde
Correct: B DC Cardioversion
Dec24 Q42A 30-year-old male presents with a complaint of bleeding per rectum. He says the bleeding is mostly associated with straining at the stool painful def…›
- A) Banding
- B) Hemorrhoidectomy
- C) Laxative
- D) Sclerotherapy
Correct: B Hemorrhoidectomy
Dec24 Q60A 31-year-old woman presents with fatigue 4 weeks following an uncomplicated delivery. Her full blood count shows a hemoglobin level of 9.3 g/dL and a…›
- A) Ferrous sulphate
- B) Folate supplement
- C) Iron dextran
- D) Iron infusion
Correct: A Ferrous sulphate
Dec24 Q87A 12-year-old girl with a history of asthma is brought to the emergency department by her parents due to acute dyspnoea, cough, and wheezing that bega…›
- A) Inhaled fluticasone
- B) Inhaled Beclomethasone
- C) Intravenous propranolol
- D) Inhaled albuterol
Correct: D Inhaled albuterol
Dec24 Q103Female has rheumatoid arthritis and she takes NSAID for long time, came to ER with severe epigastric pain, tenderness all over the abdominal, abdomina…›
- A) CT
- B) Exploratory laparotomy
Correct: B Exploratory laparotomy
Dec24 Q118A 28 years old G3P2+0 comes for booking at 24 weeks of gestation. Her first child was born 2 years ago while 2nd child 1 year ago. CBC shows HB 8gm/dl…›
- A) Blood transfusion
- B) Iron sucrose
- C) Dietary Advice
- D) Ferrous sulfate
Correct: D Ferrous sulfate
Dec24 Q130A 4-year-old girl accidentally ingests her mother's iron supplements and is brought to the emergency department with symptoms of nausea, vomiting, abd…›
- A) Activated charcoal
- B) N-acetylcysteine
- C) Desferrioxamine
- D) Sodium bicarbonate
Correct: C Desferrioxamine
Dec24 Q134A 30-year-old patient presents with a circumferential burn on the arm. Examination reveals weak pulses distal to the burn, indicating compromised circ…›
- A) Eschrotomy
- B) IV fluids
- C) Antibiotics
- D) Grafting
Correct: A Eschrotomy
Dec24 Q148A 20-year-old man is brought to the emergency department by his family after being found unresponsive at home. He has a history of opioid use. On exam…›
- A) Flumazenil
- B) Naloxone
- C) Atropine
- D) Activated charcoal
Correct: B Naloxone
Dec24 Q155A 32-year-old pregnant woman at 28 weeks of gestation is diagnosed with pre-eclampsia. Methyldopa is contraindicated in her case due to underlying act…›
- A) Labetalol
- B) Enalapril
- C) Losartan
- D) Hydrochlorothiazide
Correct: A Labetalol
Jun25 Q18A patient with chronic renal failure presents with pallor, fatigue, lethargy, and pedal edema. Laboratory investigations demonstrate a serum creatinin…›
- A) B12 replacement
- B) Erythropoietin with I/V iron
- C) Folate supplementation
- D) IV iron
No answer key recorded for this question.
Jun25 Q43A 39-year-old woman (P3+0) presents with heavy menstrual bleeding. She has regular 7-day cycles occurring every 30 days. Her BMI is 32 kg/m2 and her h…›
- A) Hysterectomy
- B) Combined oral contraceptive pill
- C) GnRH analogue
- D) Danazol
- E) Antiprostaglandins & antifibrinolytics
No answer key recorded for this question.
Jun25 Q67A 15-year-old boy develops weakness in the lower limbs followed by the upper limbs. NCVs show acute axonal motor neuropathy. What is the best treatmen…›
- A) IV immunoglobulins
- B) Interferon beta
- C) Observe
- D) IV methylprednisolone
- E) Thymectomy
No answer key recorded for this question.
Jun25 Q88Pregnant c/o hand itching increased at night. Burrow-like lesions in the finger webs and wrists. Which of the following is most appropriate treatment?›
- A) 5% Permethrin cream
- B) Oral Ivermectin
- C) 1% Lindane lotion
- D) Calamine lotion
No answer key recorded for this question.
Jun25 Q107A 52-year-old woman underwent a hysterectomy through a midline abdominal incision. A few months later, she presents with a bulge at the incision site,…›
- A) Conservative management
- B) Laparoscopic hernia repair
- C) Herniorrhaphy (non-mesh repair)
- D) Open mesh repair
No answer key recorded for this question.
Jun25 Q117A 3-year-old child presents after accidental ingestion of kerosene oil. He is coughing and tachypneic but has stable vital signs. What is the most app…›
- A) Supportive care plus antibiotics
- B) Gastric lavage
- C) Steroids plus antibiotics
- D) Beta nebulization
No answer key recorded for this question.
Dec25 Q52Patient had burns on the foot. Ulcers heal and recur. Best treatment of a Marjolin ulcer?›
- A) Wide excision
- B) Antibiotics
- C) Debridement
- D) Grafting
Correct: A Wide excision
Dec25 Q6944-year-old man with duodenal ulcer. CLO test positive for H. pylori. Most appropriate management to eradicate H. pylori?›
- A) Lansoprazole + clindamycin + metronidazole
- B) Lansoprazole + amoxicillin + clindamycin
- C) Lansoprazole + amoxicillin + clarithromycin
- D) Omeprazole + amoxicillin + clindamycin
Correct: C Lansoprazole + amoxicillin + clarithromycin
Dec25 Q71Elderly diabetic female with 2.5 cm carbuncle on her nape. Uncontrolled blood sugar. Best treatment?›
- A) Antibiotics
- B) Debridement
- C) Excision
- D) Incision and drainage
Correct: D Incision and drainage
Dec25 Q7526-year-old laborer with right hypochondrium pain, intermittent fever, and 5×7 cm liver abscess. Most appropriate treatment?›
- A) Laparotomy and drainage
- B) Antibiotics alone
- C) Laparoscopy
- D) Ultrasound-guided aspiration
Correct: D Ultrasound-guided aspiration
Dec25 Q1081.2 kg baby, breathing difficulty and grunting at 28 weeks gestation. CXR: ground- glass appearance. Specific treatment?›
- A) Antibiotics
- B) Chest intubation
- C) Intravenous immunoglobulin
- D) Surfactant
Correct: D Surfactant
Dec25 Q117Diabetic patient presenting with retinal detachment. Management?›
- A) Photocoagulation
- B) Vitrectomy
- C) Anti-VEGF
Correct: B Vitrectomy
Dec25 Q126Female patient presents with saddle nose deformity after trauma. Management?›
- A) Augmented septoplasty
- B) Reconstructive rhinoplasty
Correct: B Reconstructive rhinoplasty
Dec25 Q160A 20-year-old boy with opioid overdose: unconscious, RR 8/min, pinpoint pupils, SpO2 88%. Most appropriate initial treatment?›
- A) Flumazenil
- B) Naloxone
- C) Atropine
- D) Activated charcoal
Correct: B Naloxone
May26 Q41A 40-year-old man presents with a recurrent bulge in the left groin 2 years after open left inguinal hernia repair without mesh. He has discomfort in …›
- A) Obtain a CT scan to rule out a femoral hernia, followed by elective repair.
- B) Schedule the patient for left groin exploration and hernia repair with mesh placement.
- C) Advise the patient to limit physical activities and reevaluate in 6 months.
- D) Schedule the patient for bilateral inguinal exploration.
Correct: B Schedule the patient for left groin exploration and hernia repair with mesh placement.
May26 Q62A 52-year-old man on regular hemodialysis presents with sudden loss of thrill over his AV fistula. The limb is not red or tender. What is the most app…›
- A) Immediate surgical thrombectomy
- B) Doppler ultrasound evaluation
- C) Switch to peritoneal dialysis
- D) Start anticoagulation
Correct: B Doppler ultrasound evaluation
May26 Q71A 4-year-old girl accidentally ingests her mother's iron supplements and is brought to the emergency department with symptoms of nausea, vomiting, abd…›
- A) Activated charcoal
- B) N-acetylcysteine
- C) Desferrioxamine
- D) Sodium bicarbonate
Correct: C Desferrioxamine
May26 Q76A 65-year-old man presents with bone pain, recurrent infections, and easy bruising. Laboratory tests show normocytic anemia, hypercalcemia, and monocl…›
- A) Bortezomib
- B) Rituximab
- C) Imatinib
- D) Cyclophosphamide
Correct: A Bortezomib
May26 Q109A 12-year-old girl with a childhood history of asthma complained of cough, dyspnea, and wheezing after visiting a riding stable. Her symptoms became s…›
- A) Inhaled fluticasone
- B) Inhaled beclomethasone
- C) Intravenous propranolol
- D) Inhaled albuterol
- E) Oral theophylline
Correct: D Inhaled albuterol
›Next step in management
What
Not "what is the diagnosis" and not "what is the treatment" — what do you do next, in sequence.
Stem
[Vignette] + "next step in management / most appropriate next step?"
Where
The chronology. Where are we in the algorithm — before or after the confirmatory test?
Trap
Jumping to the final treatment when the algorithm demands an intermediate step (test before treating, stabilise before imaging).
Steps
- Write the algorithm for the condition in three steps.
- Locate the patient on it — what has been done, what has not.
- Pick the next node, not the destination.
Examples
Dec25 Q174
A dog bite wound is cleaned with povidone iodine. What is the next step?
Correct: Rabies immunoglobulin + rabies vaccine
Dec25 Q25
A patient with severe asthma attack not responding to bronchodilators and corticosteroids. What is the next best step?
Correct: Intravenous magnesium sulfate
Dec25 Q94
Paediatric patient, large paracetamol ingestion, no signs of toxicity for 4 hours. Mother then says drug was spilled on clothes and floor. Next step?
Correct: Reassure
Questions
Jun24 Q22A 4-year-old boy is brought in an emergency; he has been bitten by a stray dog on his left arm. The dog ran away after biting. Examination shows an op…›
- A) Rabies immunoglobulin
- B) Rabies vaccine
- C) Rabies vaccine and immunoglobulin
- D) Tetanus toxoid
Correct: C Rabies vaccine and immunoglobulin
Jun24 Q91What is the next step in investigating / tumor marker in a 49-year-old female who has developed chronic liver disease due to a Hepatitis B infection, …›
- A) ALP
- B) SGPT
- C) Alpha Fetoprotein
- D) Hepatitis B PCR
Correct: C Alpha Fetoprotein
Dec24 Q123A 70-year-old man is admitted with pallor and light-headedness. A day prior to admission, he had two episodes of loose, blackish stools. On examinatio…›
- A) Barium meal
- B) Blood transfusion
- C) CT Scan Abdomen
- D) Parenteral iron infusion
Correct: B Blood transfusion
Dec24 Q13730 YO presents post operative with acute retention of urine after prostate surgery with absolute NIL urine output. Attempts to pass a urinary catheter…›
- A) Suprapubic catheter
- B) Needle decompression
- C) Cystoscopy
Correct: C Cystoscopy
Dec24 Q138A 25-year-old G2P1 pregnant woman presents with severe persistent vomiting, fever, sore throat, difficulty swallowing, and a grayish-white membrane co…›
- A) Antibiotics
- B) Diphtheria antitoxin
- C) Surgical treatment
- D) Tracheostomy
Correct: B Diphtheria antitoxin
Jun25 Q93Sudden right lower limb pain. Diminished sensation + altered motor. Pt on anticoagulant for afib. Best next step:›
- A) CTA
- B) US
- C) Embolectomy
No answer key recorded for this question.
Jun25 Q100A female patient presents with a swelling on the right side of her neck that moves with deglutition but does not move on tongue protrusion. She is asy…›
- A) CT scan of the neck
- B) PET scan
- C) Neck ultrasound
- D) Thyroid scintigraphy
- E) Fine needle aspiration cytology (FNAC)
No answer key recorded for this question.
Jun25 Q116A patient has recently undergone thyroidectomy and now presents with dyspnea, hoarseness of voice, and pain radiating to the tip of the right shoulder…›
- A) Start corticosteroids
- B) Perform tracheostomy
- C) Wait for spontaneous recovery
- D) Reopen surgical wound immediately
No answer key recorded for this question.
Jun25 Q134A 35-year-old woman presents with ptosis and diplopia that worsen towards the end of the day. Her symptoms characteristically improve after periods of…›
- A) Plasma exchange
- B) Diaminopyridine
- C) Cyclophosphamide
- D) Pyridostigmine
No answer key recorded for this question.
Dec25 Q25A patient with severe asthma attack not responding to bronchodilators and corticosteroids. What is the next best step?›
- A) Intravenous magnesium sulfate
- B) Nebulised ipratropium bromide
- C) Subcutaneous epinephrine
- D) High-flow oxygen therapy
Correct: A Intravenous magnesium sulfate
Dec25 Q94Paediatric patient, large paracetamol ingestion, no signs of toxicity for 4 hours. Mother then says drug was spilled on clothes and floor. Next step?›
- A) Reassure
- B) Watch for another 4 hours
- C) N-Acetylcysteine
Correct: A Reassure
Dec25 Q174A dog bite wound is cleaned with povidone iodine. What is the next step?›
- A) Observation only
- B) Rabies immunoglobulin + rabies vaccine
- C) Tetanus vaccine only
- D) Antibiotics only
Correct: B Rabies immunoglobulin + rabies vaccine
May26 Q56A 40-year-old renal transplant recipient presents 1-year post- transplant with gradually rising creatinine. He is asymptomatic and compliant. Ultrasou…›
- A) Increase immunosuppressive drugs
- B) Start high-dose steroids
- C) Renal allograft biopsy
- D) Start antibiotics
Correct: C Renal allograft biopsy
May26 Q166A 35-year-old woman presents with ptosis and diplopia that worsen towards end of the day. Symptoms improve with rest. Which of the following is the mo…›
- A) Pyridostigmine
- B) Diaminopyridine
- C) Plasma exchange
- D) Cyclophosphamide
Correct: A Pyridostigmine
›Contraindication / safety
What
Given a condition, procedure or drug, pick what must not be done.
Stem
"Which is a contraindication for X?" / "which should be avoided in Y?"
Where
The intersection of two facts — the condition and the intervention.
Trap
Options are other true statements about the intervention, just not contraindications.
Steps
- List what the intervention is contraindicated in.
- Match against the vignette; ignore options that are otherwise true but unrelated.
Examples
Jun24 Q135
Which of the following is a contraindication for CT Scan?
Correct: Early Pregnancy
Dec24 Q102
Which of the following is a contraindication for CT Scan?
Correct: Early Pregnancy
Questions
Jun24 Q135Which of the following is a contraindication for CT Scan?›
- A) Early Pregnancy
- B) Anemia
- C) Metal foreign body
- D) Pacemaker
Correct: A Early Pregnancy
Dec24 Q102Which of the following is a contraindication for CT Scan?›
- A) Metal foreign body
- B) Anemia
- C) Early Pregnancy
- D) Pacemaker
Correct: C Early Pregnancy
›04 Explanation — Why It Happens
Mechanisms, microbiology, drugs and complications.
›Mechanism / pathophysiology
What
Asks why something happens: which pathway, which vessel, which substance, which tract.
Stem
[Finding] + "mechanism / responsible for / which area is affected / where do fibres end?"
Where
The link between the finding in the stem and the underlying process. You must know the mechanism, not the label.
Trap
Distractors are real structures and real processes from neighbouring systems — plausible to anyone without the mechanism.
Steps
- Translate the clinical finding into its physiological consequence.
- Trace that consequence forward: which structure, which pathway, which tract.
- Pick the option that the chain actually reaches.
Examples
Jun24 Q61
Where do the fibers responsible for visceral pain end?
Correct: Substantia gelatinosa
Dec25 Q149
Which of the following is an example of positive feedback mechanism?
Correct: Opening up of sodium channels during AP
Dec25 Q176
Identify the organism most frequently responsible for pyelonephritis/UTI.
Correct: E. coli
Questions
Jun24 Q61Where do the fibers responsible for visceral pain end?›
- A) Substantia nigra
- B) Substantia gelatinosa
- C) Substantia innominata
- D) Substantia pars compacta
Correct: B Substantia gelatinosa
Jun24 Q67A male individual, aged 50 years, has been experiencing epigastric pain for several months, alleviated by antacid consumption. Following a thorough cl…›
- A) Helicobacter pylori
- B) Proteus mirabilis
- C) Salmonella typhi
- D) Serratia marcescens
Correct: A Helicobacter pylori
Jun24 Q72A schoolboy diagnosed with a parasitic worm infection is prescribed medication by his doctor that targets nicotinic acetylcholine receptors in the wor…›
- A) Taenia solium
- B) Ascaris lumbricoides
- C) Schistosoma mansoni
- D) None
Correct: B Ascaris lumbricoides
Jun24 Q128Which of the following organisms is responsible for causing infective endocarditis after skin infection?›
- A) S. aureus
- B) Strep. viridans
- C) Haemophilus
- D) Eikenella
Correct: A S. aureus
Dec24 Q1Pharmacological agents that increase the glomerular filtration rate (GFR) primarily act through which of the following mechanisms?›
- A) Altering filtration coefficient
- B) Increasing glomerular capillary hydrostatic pressure
- C) Decrease capillary hydrostatic pressure
- D) Increase capillary oncotic pressure
Correct: B Increasing glomerular capillary hydrostatic pressure
Dec24 Q9A 42-year-old man with gastroesophageal reflux disease is prescribed medication to inhibit gastric acid secretion by blocking the gastric mucosal H+/K…›
- A) Ranitidine
- B) Histamine
- C) Mg(OH)2
- D) Omeprazole
Correct: D Omeprazole
Dec24 Q13A 45-year-old man is evaluated following a head injury. On examination, he speaks fluently and excessively, but his speech is senseless, meaningless, …›
- A) Broca's area
- B) Wernicke's Area (Temporal)
- C) Motor sensory
- D) Cerebellum
Correct: B Wernicke's Area (Temporal)
Dec24 Q18A 65-year-old right-handed man presents with a stroke involving the superior division of the left middle cerebral artery. Physical examination reveals…›
- A) Superior Frontal gyrus of Dominant Hemisphere
- B) Superior Occipital lobe
- C) Inferior Temporal lobe
- D) Inferior Frontal gyrus of Dominant Hemisphere
Correct: D Inferior Frontal gyrus of Dominant Hemisphere
Dec24 Q90A 32-year-old patient experiences a severe type I hypersensitivity reaction resulting in anaphylactic shock shortly after the administration of penici…›
- A) IgE
- B) IgG
- C) IgA
- D) IgM
Correct: A IgE
Dec24 Q98A newborn is evaluated due to a history of a maternal viral infection during the first trimester of pregnancy. Physical examination of the infant reve…›
- A) Rubella (German Measles)
- B) CMV
- C) Toxoplasmosis
- D) RSV
Correct: A Rubella (German Measles)
Dec24 Q125A 26-year-old boy is a diagnosed case of thalassemia major. He received multiple blood transfusions throughout his life. He now presented with leg ede…›
- A) Chronic renal failure
- B) Dilated cardiomyopathy
- C) Liver cirrhosis
- D) Pulmonary hypertension
Correct: B Dilated cardiomyopathy
Dec24 Q139A 25-year-old G2P1 pregnant woman presents with severe persistent vomiting and weight loss. What hormone is most likely responsible for her condition?›
- A) Beta HCG
- B) Progesterone
- C) Estrogen
- D) Prolactin
Correct: A Beta HCG
Dec24 Q146A neonate is diagnosed with a congenital heart defect resulting in a left-to-right shunt. Clinical examination reveals a soft systolic murmur. Which o…›
- A) PDA
- B) Endocardial cushions defect
- C) Tricuspid atresia
- D) VSD
Correct: D VSD
Dec24 Q159A 40-year-old man presents with peripheral neuropathy, heightened irritability, and a recent new-onset seizure. He is currently undergoing treatment f…›
- A) Vitamin B1 (Thiamine)
- B) Vitamin B2 (Riboflavin)
- C) Vitamin B6 (Pyridoxine)
- D) Vitamin B9 (Folate)
Correct: C Vitamin B6 (Pyridoxine)
Dec24 Q165Which of the following metabolic pathways is primarily responsible for maintaining normal blood glucose concentration during the early hours of fastin…›
- A) Glycolysis
- B) Hepatic glycogenolysis
- C) Gluconeogenesis
- D) Lipolysis
Correct: B Hepatic glycogenolysis
Dec24 Q167A 26-year-old healthcare worker undergoes a tuberculin skin test Mantoux test (PPD derivative) during routine employment screening. Forty-eight hours …›
- A) Type I (Immediate, IgE-mediated)
- B) Type II (Antibody-mediated cytotoxic)
- C) Type III (Immune complex-mediated)
- D) Type IV (Delayed-type, T-cell mediated)
Correct: D Type IV (Delayed-type, T-cell mediated)
Jun25 Q11A patient undergoing cardiac surgery receives a high dose of intravenous heparin. At the end of the procedure, the surgeon administers protamine sulfa…›
- A) Reversible antagonism
- B) Chemical Antagonism
- C) Irreversible antagonism
- D) Physical antagonism
No answer key recorded for this question.
Jun25 Q14A 65-year-old right-handed man presents with a stroke involving the superior division of the left middle cerebral artery. Physical examination reveals…›
- A) Inferior Frontal gyrus of Dominant Hemisphere
- B) Superior Frontal gyrus of Dominant Hemisphere
- C) Superior Temporal gyrus
- D) Inferior Temporal lobe
- E) Superior Occipital lobe
No answer key recorded for this question.
Jun25 Q15Echocardiography performed on a patient following a myocardial infarction demonstrates necrosis involving the anterior two-thirds of the interventricu…›
- A) LAD
- B) RCA
- C) LA
- D) Posterior branch
No answer key recorded for this question.
Jun25 Q38Which receptor in the respiratory tract is primarily responsible for mediating the relaxation of airway smooth muscle, resulting in bronchodilation an…›
- A) D1 receptors
- B) Alpha adrenergic receptors
- C) MU receptors
- D) Beta 2 adrenergic receptors
No answer key recorded for this question.
Jun25 Q51What is the most common pathogen responsible for acute osteomyelitis in a two-year-old child?›
- A) S. aureus
- B) Pseudomonas
- C) E.Coli
- D) Salmonella
- E) S.pneumoniae
No answer key recorded for this question.
Jun25 Q62A 65-year-old man presents with a history of resting tremor, shuffling gait, stooped posture, and a mask-like expressionless face. Physical examinatio…›
- A) Substantia nigra pars compacta (SNpc)
- B) Caudate and putamen
- C) Substantia nigra Pars Reticulata (SNpr)
- D) Globus pallidus
No answer key recorded for this question.
Jun25 Q78What is the most common mechanism of action of combined oral contraceptive pills (COCPs)?›
- A) Tubal blockage
- B) Increase in estrogen
- C) Anti FSH/LH
- D) Decrease progesterone
No answer key recorded for this question.
Jun25 Q122Which joint is primarily responsible for the eversion and inversion movements of the foot?›
- A) Distal tibiofibular joint
- B) Subtalar joint
- C) Calcaneocuboid joint
- D) Ankle joint
No answer key recorded for this question.
Jun25 Q129A 5-day-old neonate presents with poor feeding, vomiting, and progressive lethargy. On examination, the infant is hypotonic, and the parents report th…›
- A) Methylmalonyl-CoA mutase
- B) Phenylalanine hydroxylase
- C) Pyruvate carboxylase
- D) Homogentisate oxidase
- E) Branched-chain alpha-ketoacid dehydrogenase (BCKDH) complex
No answer key recorded for this question.
Jun25 Q136A 32-year-old woman presents with a 3-month history of fatigable muscle weakness, bilateral ptosis, and diplopia that worsens toward the end of the da…›
- A) Autoantibodies against postsynaptic acetylcholine receptors
- B) Acetylcholinesterase deficiency
- C) Destruction of motor neurons
- D) Presynaptic calcium channel antibodies
No answer key recorded for this question.
Dec25 Q6867-year-old male with alcohol abuse, severe pancreatitis, epigastric pain, hypotension, abdominal distension, steatorrhoea. Decrease in which pancreat…›
- A) Amylase
- B) Trypsin
- C) Lipase
- D) Chymotrypsin
Correct: C Lipase
Dec25 Q149Which of the following is an example of positive feedback mechanism?›
- A) Opening up of sodium channels during AP
- B) Opening up of calcium channels during AP
- C) Closure of sodium channels during AP
- D) Opening up of potassium channels during AP
Correct: A Opening up of sodium channels during AP
Dec25 Q15418-year-old emaciated female on strict diet, marathon training, presents with amenorrhoea. Decrease in which hormone is responsible for anovulatory cy…›
- A) LH
- B) FSH
- C) Oestrogen
- D) Progesterone
Correct: A LH
Dec25 Q167A 45-year-old female with Cushing's syndrome. Which enzyme is responsible for interconverting mineralocorticoids and glucocorticoids?›
- A) 11-beta-hydroxysteroid dehydrogenase (11β-HSD)
- B) Aromatase
- C) 17-alpha-hydroxylase
- D) 21-hydroxylase
Correct: A 11-beta-hydroxysteroid dehydrogenase (11β-HSD)
Dec25 Q176Identify the organism most frequently responsible for pyelonephritis/UTI.›
- A) E. coli
- B) Proteus
- C) Pseudomonas
- D) Enterobacter
Correct: A E. coli
May26 Q13Activated charcoal is frequently used in the management of poisoning cases. Its mechanism of action is:›
- A) Hydrolysis of poison
- B) Dilution of poison
- C) Adsorption of poison
- D) Neutralization of poison
Correct: C Adsorption of poison
May26 Q20What is the doctrine under which surgeon is also held responsible for leaving swab in the patient abdomen by the nurse?›
- A) Civil negligence
- B) Contributory negligence
- C) Novus-actus-Interveniens
- D) Vicarious liability
Correct: D Vicarious liability
May26 Q85A young female complains of episodic breathlessness, cough, wheezing and chest tightness, worse during spring season. Which pathological mechanism is …›
- A) Permanent enlargement of distal air-space
- B) Mast cell activation
- C) Excessive lysis of elastin
- D) Alpha 1-antiprotease deficiency
Correct: B Mast cell activation
May26 Q117A 65-year-old man presents with a history of pancreatic cancer which is noted to have spread to adjacent structures. Which anatomical structure is mos…›
- A) Common Bile Duct
- B) Lymphatic channels
- C) Blood vessels
- D) Mesenteric tissues
Correct: B Lymphatic channels
May26 Q138Which of the following lipoprotein particles are most likely responsible for the appearance of the patient plasma after a fatty meal?›
- A) Chylomicron
- B) HDL
- C) LDL
- D) VLDL
Correct: A Chylomicron
May26 Q15043-year-old female has been treated in the hospital for pneumonia and Is bed ridden for the past three weeks. She is examined on a morning round and i…›
- A) Edema
- B) Deep vein thrombus
- C) Cellulitis
- D) Septic embolization
Correct: B Deep vein thrombus
May26 Q169A patient on anti-tubercular therapy develops hyperuricemia and joint pain suggestive of gout. Which of the following drugs is most likely responsible…›
- A) Isoniazid
- B) Rifampicin
- C) Ethambutol
- D) Pyrazinamide
- E) Streptomycin
Correct: D Pyrazinamide
›Organism identification
What
Given a presentation, culture, stain or serology, name the organism.
Stem
[Presentation/stain/culture] + "most likely causative organism?"
Where
The specific clue — the Gram stain shape, the culture medium, the vector, the immune status.
Trap
The common organisms of the same syndrome. The answer is the one matching the clue, not the one matching the syndrome.
Steps
- Isolate the discriminating clue first (stain, culture, geography, host status).
- Match it to an organism; ignore the rest of the vignette if needed.
- Confirm the others fail the clue.
Examples
Dec25 Q40
29-year-old man with 9-day watery diarrhoea after 2 months in India. Apyrexial, abdomen soft. Most likely causative organism?
Correct: Giardiasis
May26 Q103
Stool examination of a six-year-old boy revealed pear-shaped flagellate organisms with two nuclei. What is the most likely organism?
Correct: Giardia lamblia
Dec25 Q133
35-year-old patient with painful vesicular rash in dermatomal distribution on trunk. Which virus lies dormant in dorsal root ganglia?
Correct: Varicella zoster virus
Questions
Dec24 Q8A 19-year-old university student presents with fever, severe headache, and neck stiffness. Physical examination reveals positive Kernig and Brudzinski…›
- A) Streptococcus pneumonia
- B) Streptococcus Pyogenes
- C) Neisseria meningitides
- D) Staphylococcus Aureus
Correct: C Neisseria meningitides
Dec24 Q21A 32-year-old male with a history of intravenous drug abuse presents with fever, splinter hemorrhages, and painful erythematous nodules on his fingers…›
- A) Streptococcus
- B) H. influenza
- C) Staph aureus
- D) Pneumococcus
Correct: C Staph aureus
Dec24 Q164A 68-year-old man with an indwelling central venous catheter develops a low-grade fever. Blood cultures reveal catalase-positive, Gram-positive cocci …›
- A) Staphylococcus saprophyticus
- B) Staphylococcus epidermidis
- C) Staphylococcus aureus
- D) Streptococcus pneumoniae
Correct: B Staphylococcus epidermidis
Jun25 Q16A 52-year-old man with a history of alcohol dependence presents with a fever, cough producing yellow jelly-like sputum, and general malaise. A chest X…›
- A) Staph aureus
- B) Mycoplasma
- C) H. influenza
- D) Klebsiella
No answer key recorded for this question.
Jun25 Q60What is the primary microorganism implicated in urinary tract infections (UTIs)?›
- A) Enterococcus
- B) Actinomyces
- C) All of them
- D) Clostridium difficile
No answer key recorded for this question.
Dec25 Q3070-year-old woman post-splenectomy with high-grade fever, cough with rusty sputum, bronchial breathing, consolidation. Organism: lancet-shaped, catala…›
- A) Legionella
- B) Staph aureus
- C) E. coli
- D) Strep pneumoniae
Correct: D Strep pneumoniae
Dec25 Q4029-year-old man with 9-day watery diarrhoea after 2 months in India. Apyrexial, abdomen soft. Most likely causative organism?›
- A) Amoebiasis
- B) Giardiasis
- C) Campylobacter
- D) Shigella
Correct: B Giardiasis
Dec25 Q13335-year-old patient with painful vesicular rash in dermatomal distribution on trunk. Which virus lies dormant in dorsal root ganglia?›
- A) Varicella zoster virus
- B) Epstein-Barr virus
- C) Cytomegalovirus
- D) Human herpesvirus 6
Correct: A Varicella zoster virus
May26 Q103Stool examination of a six-year-old boy revealed pear-shaped flagellate organisms with two nuclei. What is the most likely organism?›
- A) Entamoeba histolytica
- B) Giardia lamblia
- C) Cryptosporidium
- D) Entamoeba coli
Correct: B Giardia lamblia
May26 Q139A 65-year-old female underwent extensive gynecologic surgery for squamous carcinoma of the cervix. She was taking broad-spectrum antibiotics and had a…›
- A) Enterococcus faecalis
- B) Candida albicans
- C) Staphylococcus aureus
- D) Staphylococcus epidermidis
Correct: B Candida albicans
›Drug fact / antidote / adverse effect
What
Which drug, which antidote, which adverse effect. Pharmacology tested as one-liners wired to a clinical hook.
Stem
"[Drug] causes X due to which adverse effect?" / "antidote for X?" / "drug of choice for X?"
Where
The single drug-to-effect pair. There is no reasoning path — only recall.
Trap
Options are the real adverse effects of the same drug class or the same drug. Only the specific pair counts.
Steps
- Name the class effect list in your head.
- Pick the pair the stem actually describes.
- If the antidote is asked, recall mechanism — the antidote always blocks the mechanism.
Examples
Dec25 Q157
The most common side effect of insulin?
Correct: Hypoglycemia
Jun24 Q16
Extra-pyramidal side effect of antipsychotics?
Correct: Dystonia
Jun24 Q126
Thiazide diuretics caused pain in the big toe due to one of the adverse effects?
Correct: Hyperuricemia
Questions
Jun24 Q2A child with seizures shows 3 cps spike-and-wave on EEG. Most likely drug for absence seizures?›
- A) Ethosuximide
- B) Phenytoin
- C) Carbamazepine
- D) Phenobarbitone
Correct: A Ethosuximide
Jun24 Q16Extra-pyramidal side effect of antipsychotics?›
- A) Epilepsy
- B) Parkinson disease
- C) Atonia
- D) Dystonia
Correct: D Dystonia
Jun24 Q69A 35-year-old with diagnosed G6PD deficiency received chloroquine treatment for P. vivax infection. Following this, he took a two-week course of a tis…›
- A) Chloroquine
- B) Mefloquine
- C) Primaquine
- D) Doxycycline
Correct: C Primaquine
Jun24 Q126Thiazide diuretics caused pain in the big toe due to one of the adverse effects?›
- A) Hypoglycemia
- B) Hypernatremia
- C) Hyperkalemia
- D) Hyperuricemia
Correct: D Hyperuricemia
Dec24 Q91A 60-year-old man with type 1 diabetes mellitus who is treated with insulin therapy presents to the emergency department with diaphoresis, confusion, …›
- A) Hypoglycemia
- B) Hyperglycemia
- C) Weight gain
- D) Nausea
Correct: A Hypoglycemia
Dec25 Q156Patient is on warfarin and has a history of recurrent nosebleeds. What is the best antidote for warfarin?›
- A) Protamine sulfate
- B) Fresh frozen plasma
- C) Vitamin K
- D) IV fluids
Correct: C Vitamin K
Dec25 Q157The most common side effect of insulin?›
- A) Weight loss
- B) GI upset
- C) Metallic taste
- D) Hypoglycemia
Correct: D Hypoglycemia
Dec25 Q159Middle-aged male, intentional diazepam overdose: drowsy, ataxic, slurred speech, RR slightly reduced, GCS 14. Which antidote?›
- A) Naloxone
- B) Flumazenil
- C) Activated charcoal
- D) Vitamin K
Correct: B Flumazenil
Dec25 Q161A 24-year-old female presented with hirsutism, facial hair on face and lips, along with gingival hyperplasia. Which drug is she most likely taking?›
- A) Phenytoin
- B) Valproic acid
- C) Carbamazepine
- D) Ethosuximide
Correct: A Phenytoin
Dec25 Q163Which drug should be given to a patient on treatment for hyperthyroidism presenting with tachycardia, SOB and chest pain (thyroid storm)?›
- A) Triiodothyronine
- B) Betamethasone
- C) Propranolol
- D) Radioactive iodine
Correct: C Propranolol
May26 Q46A 55-year-old man with newly diagnosed hypertension and type 2 diabetes presents for management. He has microalbuminuria. Which drug is the most appro…›
- A) Lisinopril
- B) Hydrochlorothiazide
- C) Amlodipine
- D) Metoprolol
Correct: A Lisinopril
May26 Q110A 60-year-old diabetic patient on insulin therapy presents with sweating, confusion, and palpitations. What is a potential side effect causing these s…›
- A) Hypoglycemia
- B) Hyperglycemia
- C) Weight gain
- D) Nausea
Correct: A Hypoglycemia
May26 Q155A 50-year-old man with a history of chronic alcoholism presents with confusion, ataxia, and ophthalmoplegia. Deficiency of which vitamin is responsibl…›
- A) Vitamin B1 (thiamine)
- B) Vitamin B6 (pyridoxine)
- C) Vitamin B12 (cobalamin)
- D) Vitamin D
Correct: A Vitamin B1 (thiamine)
›Complication / sequel
What
Given a disease or procedure, name the commonest or most important complication.
Stem
"[Condition/procedure] — most common complication?"
Where
The known natural history of the condition.
Trap
Distractors are dramatic but rare complications; the answer is the boring common one.
Steps
- Recall natural history, not possibility.
- Pick the commonest unless the stem says "most important" (then pick the lethal one).
Examples
May26 Q42
Frey's syndrome is a complication of:
Correct: Parotidectomy
Dec25 Q34
Which of the following is a potential complication of severe hyperkalaemia?
Correct: Cardiac arrest
Dec25 Q185
Which of the following is the most likely complication of kerosene oil ingestion?
Correct: Bronchial pneumonia
Questions
Dec24 Q62A 20 year old man with a known diagnosis of otitis media presents with a severe headache, and sensitivity to light. He is shivering, sweating and has …›
- A) Giant cell arteritis
- B) Meningitis
- C) Myringitis
- D) Trigeminal neuralgia
Correct: B Meningitis
Jun25 Q135A 17-year-old girl was brought to the emergency after ingestion of kerosene oil. Which is the most important common complication of this poisoning?›
- A) Acute Renal failure
- B) Acute hepatic failure
- C) Encephalopathy
- D) Bronchopneumonia
No answer key recorded for this question.
Dec25 Q34Which of the following is a potential complication of severe hyperkalaemia?›
- A) Cardiac arrest
- B) Metabolic alkalosis
- C) Peripheral oedema
- D) Respiratory depression
Correct: A Cardiac arrest
Dec25 Q185Which of the following is the most likely complication of kerosene oil ingestion?›
- A) Bronchial pneumonia
- B) Lobar pneumonia
- C) Kidney injury
- D) Pulmonary tuberculosis
Correct: A Bronchial pneumonia
May26 Q42Frey's syndrome is a complication of:›
- A) Mandibulectomy
- B) Parotidectomy
- C) SMR
- D) Thyroidectomy
Correct: B Parotidectomy
May26 Q152A 17-year-old girl was brought to the emergency ingestion of kerosene oil. Which is the most important common complication of this poisoning?›
- A) Acute hepatic failure
- B) Bronchopneumonia
- C) Encephalopathy
- D) Acute Renal failure
Correct: B Bronchopneumonia
May26 Q168A 35-year-old huqqa smoker is reluctant to quit smoking in pregnancy. What is the most likely complication she is at risk for?›
- A) Increased incidence of pre-eclampsia
- B) Increased risk of premature rupture of membranes
- C) Increased risk of sudden infant death syndrome
- D) Reduction in birth weight
Correct: D Reduction in birth weight
›05 Readers — Locate & Interpret
Data interpretation: anatomy, numbers, negations and comparisons.
›Anatomy localisation
What
Which nerve, muscle, foramen, tract, level. Given a deficit or a lesion, find the structure.
Stem
[Lesion/injury] + "which nerve is injured / what exits this foramen?"
Where
The deficit described. Translate the deficit into a root, nerve, or level, then match.
Trap
Options are adjacent nerves from the same plexus or limb — the discriminator is the specific motor or sensory pattern.
Steps
- List what the structure does: motor, sensory, reflex, territory.
- Match the deficit pattern in the stem against those functions.
- Choose the nerve whose territory matches completely — partial match is a trap.
Examples
Jun24 Q49
Abducent nerve innervates?
Correct: Lateral rectus
Jun24 Q113
What exits from the stylomastoid foramen?
Correct: Facial nerve
May26 Q153
What exits from the stylomastoid foramen?
Correct: Facial Nerve
Questions
Jun24 Q3A man has right shoulder pain after trauma. Which nerve is injured in anterior shoulder dislocation causing loss of sensation over the shoulder?›
- A) Musculocutaneous
- B) Axillary
- C) Median
- D) Radial
Correct: B Axillary
Jun24 Q18Injury at the neck of the radius causes loss of thumb abduction and opposition, laterally rotated thumb, reduced grip, inability to hold a cup, thenar…›
- A) Radial nerve
- B) Ulnar nerve
- C) Median nerve
- D) Musculocutaneous nerve
Correct: C Median nerve
Jun24 Q25Fracture midshaft of humerus (diaphysis fracture), which nerve is at risk of damage?›
- A) Radial nerve damage
- B) Axillary nerve damage
- C) Ulnar nerve damage
- D) Musculocutaneous damage
Correct: A Radial nerve damage
Jun24 Q49Abducent nerve innervates?›
- A) Lateral rectus
- B) Superior oblique
- C) Orbicularis oris
Correct: A Lateral rectus
Jun24 Q60Which nerve is susceptible to damage during a Parotidectomy?›
- A) Facial nerve
- B) Mandibular nerve
- C) Lingual nerve
- D) Sub-lingual nerve
Correct: A Facial nerve
Jun24 Q113What exits from the stylomastoid foramen?›
- A) Chorda tympani nerve
- B) Accessory nerve
- C) Facial nerve
- D) Glossopharyngeal nerve
Correct: C Facial nerve
Dec24 Q150A 2-year-old child is brought to the hospital by their parents for an injection. The healthcare provider inadvertently administers the injection into …›
- A) Obturator nerve
- B) Femoral nerve
- C) Inferior gluteal nerve
- D) Sciatic nerve
Correct: D Sciatic nerve
Dec24 Q157A 25-year-old man is brought to the emergency department following a road traffic accident. Imaging confirms a fracture of the neck of the fibula. Phy…›
- A) Tibial nerve
- B) Common peroneal nerve
- C) Femoral nerve
- D) Obturator nerve
Correct: B Common peroneal nerve
Jun25 Q26Which artery provides the primary arterial blood supply to the lateral wall of the nasal cavity?›
- A) Sphenopalatine Artery
- B) Posterior Ethmoidal Artery
- C) Maxillary Artery
- D) Anterior Ethmoidal Artery
No answer key recorded for this question.
Dec25 Q136A 2-year-old child: house officer injected in the inferior gluteal region. Which nerve is most likely to be damaged?›
- A) Obturator nerve
- B) Femoral nerve
- C) Inferior gluteal nerve
- D) Sciatic nerve
Correct: D Sciatic nerve
Dec25 Q140Patient with fracture of surgical neck of humerus. Unable to abduct arm. Loss of sensation over lateral proximal upper arm. Which nerve injured?›
- A) Radial nerve
- B) Ulnar nerve
- C) Axillary nerve
- D) Median nerve
Correct: C Axillary nerve
Dec25 Q143Uncinate process of pancreas — what passes anteriorly?›
- A) Superior mesenteric artery
- B) Inferior mesenteric artery
- C) Aorta
- D) Coeliac artery
Correct: A Superior mesenteric artery
May26 Q37A 45-year-old woman teacher is diagnosed with a submandibular calculus, h presented with a tender lump below the jaw on eating. Which structure is lik…›
- A) Warthin's duct
- B) Stensen's duct
- C) Lingual nerve
- D) Facial nerve
Correct: A Warthin's duct
May26 Q57A middle-aged patient presented to surgical emergency following gunshot injury to the right thigh. On examination, there is a large hematoma in the ri…›
- A) Obturator nerve
- B) Femoral nerve
- C) Sciatic nerve
- D) Peroneal nerve
- E) Tibial nerve
Correct: B Femoral nerve
May26 Q153What exits from the stylomastoid foramen?›
- A) Accessory Nerve
- B) Facial Nerve
- C) Glossopharyngeal Nerve
- D) Hypoglossal Nerve
Correct: B Facial Nerve
May26 Q177A patient presents after an ankle injury. He is unable to plantarflex the foot and has loss of sensation over the sole. Which nerve is most likely aff…›
- A) Common peroneal nerve
- B) Deep peroneal nerve
- C) Tibial nerve
- D) Sural nerve
Correct: C Tibial nerve
›Data interpretation / calculation
What
Labs, gradients, ratios, percentages. The stem hands you the numbers and asks you to interpret them.
Stem
[Values given] + "what does this indicate / which diagnosis / calculate X?"
Where
The arithmetic or the threshold. SAAG, anion gap, sensitivity, odds, BMI.
Trap
You do not need to be slow — you need to know which formula applies and apply it once.
Steps
- Identify the quantity being asked for.
- Recall the single formula or threshold for it.
- Apply it; the diagnosis then follows from the interpretation.
Examples
Jun24 Q120
BMI is calculated with the help of?
Correct: Height and weight
Dec25 Q130
Which type of hypersensitivity is common in tuberculosis (TB)?
Correct: Type IV
May26 Q92
What is the type of Hypersensitivity reaction in tuberculosis?
Correct: Type IV hypersensitivity
Questions
Jun24 Q43A 77-year-old elderly man has symptoms of poor and intermittent urinary flow. It takes him a few minutes to generate a pressure high enough to start t…›
- A) Prostate cancer
- B) Multiple myeloma
- C) Chronic glomerulonephritis
- D) Hypertensive nephropathy
No answer key recorded for this question.
Jun24 Q120BMI is calculated with the help of?›
- A) Age and weight
- B) Height and age
- C) Height and weight
- D) Mid-upper arm circumference and height
Correct: C Height and weight
Jun24 Q123Immunoglobulin which takes part in hypersensitivity reaction, i.e., anaphylactic shock?›
- A) IgG
- B) IgE
- C) IgA
- D) IgM
Correct: B IgE
Jun24 Q133A 50-year-old patient with DM came with progressive ascites, fever and weight loss for 3 months, SAAG < 1.1. What is the cause?›
- A) Restrictive cardiomyopathy
- B) Liver Cirrhosis
- C) Peritoneal Tuberculosis
- D) Veno-occlusive
Correct: C Peritoneal Tuberculosis
Dec24 Q6A 42-year-old woman presents with recurrent chest infections and a long history of diarrhea. Stool examination demonstrates cysts of Giardia lamblia. …›
- A) Bruton's agammaglobulinemia
- B) Common variable immunodeficiency
- C) HIV infection
- D) Cystic fibrosis
Correct: B Common variable immunodeficiency
Dec24 Q55An overweight man with a BMI of 33 kg/m² presents to the clinic for treatment of type 2 diabetes mellitus. Which of the following is the most appropri…›
- A) Gliclazide
- B) Glucocorticoids
- C) Metformin (Biguanides)
- D) Glucagon
Correct: C Metformin (Biguanides)
Dec24 Q74A 42-year-old morbidly obese man presents with polyuria, nocturia, and fatigue. His fasting blood glucose level is 8.2 mmol/L. Which of the following …›
- A) Pioglitazone
- B) Rosiglitazone
- C) Gliclazide
- D) Basal bolus insulin
No answer key recorded for this question.
Dec24 Q101A 50-year-old man with a history of diabetes mellitus presents with progressive ascites, fever, and weight loss over the past 3 months. Diagnostic par…›
- A) Restrictive cardiomyopathy
- B) Peritoneal lining Tuberculosis
- C) Hepatic lymphatics
- D) Veno-occlusive Hepatic vein
Correct: B Peritoneal lining Tuberculosis
Dec24 Q160What is the ratio of chest compressions to breath during the resuscitation of a newborn?›
- A) 5 compressions to 1 breath
- B) 3 compressions to 1 breath
- C) 7 compressions to 1 breath
- D) 9 compressions to 1 breath
Correct: B 3 compressions to 1 breath
Jun25 Q10A 35-year-old patient presents with jaundice. Laboratory investigations reveal a hemoglobin level of 7 g/dL, a reticulocyte count of 10%, serum biliru…›
- A) Pernicious anemia
- B) Anemia of chronic disease
- C) Macrocytic anemia
- D) Hemolytic anemia
No answer key recorded for this question.
Jun25 Q29A 45-year-old woman with a long-standing history of rheumatoid arthritis presents with progressive fatigue, lethargy, dyspnea, and chest pain that sta…›
- A) Thalassemia
- B) Folate deficiency
- C) Iron deficiency anemia
- D) Anemia of chronic disease
No answer key recorded for this question.
Jun25 Q46An overweight man with a BMI of 33 kg/m2 presents to the clinic for treatment of type 2 diabetes mellitus. Which of the following is the most appropri…›
- A) Glucagon
- B) Gliclazide
- C) Metformin (Biguanides)
- D) Glucocorticoids
No answer key recorded for this question.
Jun25 Q65A 42-year-old morbidly obese man presents with polyuria, nocturia, and fatigue. His fasting blood glucose level is 8.2 mmol/L. Which of the following …›
- A) Metformin
- B) Pioglitazone
- C) Basal bolus insulin
- D) Rosiglitazone
- E) Gliclazide
No answer key recorded for this question.
Jun25 Q86A 50-year-old man with a history of diabetes mellitus presents with progressive ascites, fever, and weight loss over the past 3 months. Diagnostic par…›
- A) Peritoneal lining Tuberculosis
- B) Hepatic lymphatics
- C) Nephrotic syndrome
- D) Restrictive cardiomyopathy
- E) Veno-occlusive Hepatic vein
No answer key recorded for this question.
Dec25 Q129A 45-year-old male with autoimmune hemolytic anemia, fatigue and jaundice. Positive Coombs test. Best classified under which type of hypersensitivity?›
- A) Antibody-mediated (Type II)
- B) Delayed-type hypersensitivity (Type IV)
- C) Immune complex-mediated (Type III)
- D) Cell-mediated
Correct: A Antibody-mediated (Type II)
Dec25 Q130Which type of hypersensitivity is common in tuberculosis (TB)?›
- A) Type I
- B) Type II
- C) Type III
- D) Type IV
Correct: D Type IV
Dec25 Q15850-year-old obese female, T2DM, weight 95 kg, RBG 170 mg/dL. Most appropriate initial drug?›
- A) Glimepiride
- B) Metformin
- C) Sitagliptin
- D) Insulin NPH
Correct: B Metformin
May26 Q44A 25-year-old cook is brought into the emergency department following an accident in the kitchen. A pan of hot cooking oil spilled over half of his ba…›
- A) 250 mL
- B) 3,150 mL
- C) 6,300 mL
- D) 12,600 mL
Correct: C 6,300 mL
May26 Q92What is the type of Hypersensitivity reaction in tuberculosis?›
- A) Type | hypersensitivity
- B) Type Il hypersensitivity
- C) Type Ill hypersensitivity
- D) Type IV hypersensitivity
Correct: D Type IV hypersensitivity
May26 Q129What is the ratio of chest compressions to breath during the resuscitation newborn?›
- A) 5 compressions to 1 breath
- B) 3 compressions to 1 breath
- C) 7 compressions to 1 breath
- D) 9 compressions to 1 breath
Correct: B 3 compressions to 1 breath
May26 Q136A 15-year-old diagnosed case of type 1 diabetes mellitus presents with increased thirst, hunger, urination, and weight loss. His fasting blood glucose…›
- A) Abnormal response to glucagon
- B) Decreased glucagon-to-insulin ratio
- C) Decreased glucose output by the liver
- D) Decreased uptake of glucose by peripheral cells
Correct: D Decreased uptake of glucose by peripheral cells
May26 Q161A 50-year-old man presents with polyuria, polydipsia, and fatigue. Laboratory results show fasting blood glucose of 180 mg/dL. What is the most approp…›
- A) Insulin therapy immediately
- B) Lifestyle modification and metformin
- D) Dietary restriction
Correct: B Lifestyle modification and metformin
›Negation — EXCEPT / NOT
What
Ask for the false statement, the least likely, the one that is incorrect.
Stem
"All of the following are true about X EXCEPT?"
Where
You must know the truth of four separate claims — the hardest type, and deliberately rare here.
Trap
Reading it as a normal question and answering the most-true-looking option, which is the trap.
Steps
- Stop. Rewrite the task as "find the false one".
- Verify each option independently — this type is slow by design.
- Only then answer.
Examples
Jun24 Q140
A psoas muscle injury is least likely to involve damage to which of the following nerves?
Correct: Sciatic Nerve
Questions
Jun24 Q140A psoas muscle injury is least likely to involve damage to which of the following nerves?›
- A) Iliohypogastric Nerve
- B) Femoral Nerve
- C) Obturator Nerve
- D) Sciatic Nerve
Correct: D Sciatic Nerve
May26 Q48A 66-year-old woman presented to surgical emergency with sudden onset of severe pain in the left leg. On examination, the left leg is cold, pale, and …›
- A) Deep venous thrombosis
- B) Acute arterial embolic occlusion
- C) Lymphedema
- D) Cellulitis
- E) Buerger disease
Correct: B Acute arterial embolic occlusion
›Direct comparison
What
Ask you to distinguish two conditions on one discriminating feature.
Stem
"Distinguish A from B on the basis of…"
Where
The single differentiator between the two — CSF, histology, distribution, timing.
Trap
Options are real differences but not the asked one (e.g. aetiology asked, given a symptom difference).
Steps
- Write the classic differentiator table for A vs B.
- Match the question to the row of the table it asks about.
- Answer with that row only.
Examples
Jun24 Q66
In distinguishing viral meningitis from bacterial meningitis after two days of experiencing neck stiffness, which combination of symptoms is more indicative of the former?
Correct: Lymphocytosis, normal/slightly elevated glucose
Questions
Jun24 Q66In distinguishing viral meningitis from bacterial meningitis after two days of experiencing neck stiffness, which combination of symptoms is more indi…›
- A) Lymphocytosis, normal/slightly elevated glucose
- B) Lymphocytosis, markedly elevated glucose concentration
- C) Lymphocytosis, low glucose
- D) Polymorphonuclear leukocytosis, normal/elevated glucose
Correct: A Lymphocytosis, normal/slightly elevated glucose
04. Option Patterns
Sharp, minimal.
›Seven patterns
- Sibling → find pivot
- Category → check task
- Modality → initial vs confirmatory
- Lookalike → own difference
- Severity → match word
- Supportive/Definitive → unstable→resuscitate
- True-but-irrelevant → answer asked task
05. Solve
Six steps.
›1. Task
Read the last line first and name the task in three words — diagnosis, test, management, next step, mechanism, recall. The task decides which memory you search. If there is no task line, read the options first.
›2. Pivots
Find the two or three findings that separate the options, not the whole story. Ignore age, sex and background unless one of them is the discriminator.
›3. Predict
Say the answer in words before you read the options. Four seconds. It stops you accepting the first plausible option.
›4. Match
Look for your prediction in the option set. If it is absent you have misread the task or do not know the fact — go back to step one before eliminating.
›5. Eliminate
Remove options answering a different task, then wrong-category options, then the sibling that fails one pivot. Three usually fall at once.
›6. Commit
No negative marking. Never leave a blank. If two survive, take the more specific and move on.
06. Question Bank
Click a type below to jump and expand its list.