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General Practitioner (GP) Doctor
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Question: 191
A 6-year-old boy fell in the playground and has been holding his forearm complaining of pain. Exam: no sign swelling.
However, there is minimal tenderness on exam. What is the diagnosis?
Green stick fx of distal radius
Fracture neck of humerus
Fracture mid ulnar
Fracture mid radius
Question: 192
An 82-year-old man has woken up with incoherent speech and difficulty in finding the right words. Exam: good comprehension.
Which anatomical site is most likely to be affected?
Pons
Wernicke’s area
Broca’s area
Midbrain
Parietal cortex
A person with expressive aphasia will exhibit halting and effortful speech. Speech m important content words. Word comprehension is preserved. The person may still be understood, but sentence grammatical. This contrasts with receptive or Wernicke’s aphasia, which is distinguished by a patient’s inability comprehend language or speak with appropriately meaningful words though fluency, may be preserved.
Question: 193
A 14-year-old girl presents with primary amenorrhea and a short stature. What is the most likely diagnosis?
Down’s syndrome
Fragile X syndrome
Turner’s syndrome
Klinefelter’s syndrome
Normal finding
Down’s syndrome and Fragile x syndrome don’t have primary amenorrhea. Klinefelter’s patients are tall males. So the likely diagnosis is Turner’s syndrome.
Question: 194
A 37-year-old woman presents with heavy bleeding. Investigation shows subserosal fibroid-4cm and intramu. Which is the most appropriate treatment?
Abdominal Hysterectomy
Vaginal Hysterectomy
Abdominal Myomectomy
Hysteroscopic Myomectomy
As patient is young we should go for myomectomy. As hysteroscopic myo mainly sub mucosal fibroids we should go for abdominal myomectomy which will deal with both subserosal a fibroids.
Question: 195
A new screening test has been devised to detect early stages of prostate cancer.
However, the test tends t of people with no cancer, although they do have cancer as diagnosed by other standard tests. What is this flaw?
True Cve
False +ve
Poor specificity
True +ve
False -ve
Question: 196
A young girl presented to gynecologist for assessment with lower abdominal pain and per vaginal bleedin of hysterosalpingograph as a part of her infertility treatment. Observation: BP=90/50mmHg, pulse-120bpm, and revealed
rigid abdomen.
What is the most appropriate next investigation?
Coagulation profile
Chest X ray
Ultrasound abdomen
X-ray erect and supine
CT SCAN
Likely cause of bleeding and shock is ruptured fallopian tube for which appropriate ne is US abdomen.
Question: 197
A middle aged woman has some weakness of hand after an injury. Which vertebra will be the lowest to be x-ray to diagnosis the injury?
C7/T1
C5/C6
c8/T1
C6/C7
Question: 198
Patient with major depression what is the first line treatment?
Tricyclic antidepressant
SSRIs
MAOI
A SSRIs are the initial antidepressants of choice for uncomplicated depression because of their minimal anti- cholinergic effects
Question: 199
A 28-weeks pregnant woman presents with uterine bleeding after sexual intercourse. What is the most appropriate diagnosis?
Placental abruption
Missed abortion
Placental previa
Ectropion
Post coital bleeding can be either placenta previa or cervical ectropion. But as ectropion pregnancy so it is the option here.
Question: 200
Condition not associated with increased alpha fetoprotein:
Myelomeningocele
Down syndrome
Spina bifida
Gastroschisis
Down syndrome associated with DECREASED levels of alpha fetoprotein. Not increased. Reference: https://en.m.wikipedia.org/wiki/Triple_test
Question: 201
A 64 year’s man believes a female newscaster is communicating directly with him when she turns a page. Where is he suffering from?
Delusion of Reference
Nihilistic
Grandeur
Control
Persecutory
A delusion of reference is a type of delusion wherein the individual perceives unrelated events or objects in his/her surroundings to be of significance for himself/herself. For example, a person with schizophrenia might believe a billboard or a celebrity is sending a message meant for them.
Question: 202
A 48-year-old woman always socially withdrawn has stopped going out of the house. She is afraid to socialize fears
that people will criticize her.
What is the most probable diagnosis?
PTSD
GAD
Social anxiety
Agoraphobia
OCD
Social anxiety disorder is a type of complex phobia. This type of phobia has a disrupt disabling impact on a person’s life. It can severely affect a person’s confidence and self-esteem, interfere with relationships and impair performance at work or school.
Question: 203
Victim of RTA came with multiple injuries to abdomen, chest and limbs. BP is 80/ 50. upper limb has upper third near amputation that bleeds profusely, what is your first thing to do:
Tourniquet the limb to stop the bleeding
Check the airway and breathing
Five IV fluid
Call orthopedic
As rule ABC also in description near amputation so difficult to make tourniquet enough which stops bleeding.
Question: 204
A 72years presents with polyuria and polydipsia. The fasting blood sugar is 8 and 10mmol/l.BP=130/80mm cholesterol=5.7mmol/l. There is microalbuminuria.
What is the single most appropriate next management?
Statin and glitazone
ACEi and sulfonylurea
Statin and Biguanide
Statin and ACEi