1..a man copd ptpresents wid dyspneao2 saturation is 85%...on his way to hosp he was given 8lit o2.

wt is most app next step a.abgs b.cxr c.intubate 2. x ray LBOit was not sidmoid volvulusmay be cecal volvul.pt 70 yrs presents wid abd pain,constipation n abd distentionwt will u do next a.gastro follo thru b.contrast enema c.ct scan d.colonoscopy 3..a female presents to u wid burning pain on face on face for 24 hoursthr is sum redness associated wid it..wt will u give her a.carbamezapine b.acyclovir c.pcm n codein 4. a mother of 4 children comes to u with a patch of hair loss 5*6 cm on her parietal area,her scalp is smooth n shiny.wt will u do next a.1% hydrocortisone b.intra lesional methyl prednisolone

5..a lady comes to you who has CIN 2on colposcopy lesion is seen extending beyond vision in endocervical canalwts ur most app next step a.hystrectomy b.LEEP c.cone biopsy d.sx

6..a boy was cycling thru bushes wen he felt a sting on his legparents suspected snake bitehe was takes to hosp,wound site started oozing n became discloured.from where u will collect sample a.blood b.urine c.wound site d.skin scrapping 7. a stem saying all features of osteoporosis in a lady of 52 yrs..n asking wt feature can cause it the most a.smoking b.alcohol c.no child before 40 d.menopause at 48 yrs

8. girl. i think 14-15yr old. underwent surgery for craniophayngioma wch ws removed. she was taking thyroxine/gh/1more i think gonadotrpn inj. since 2months. now she presented with her mother who is bothered abt her vomiting d/t hvng had gemanagement? a. oral ondanseteron b. oral glucose + electrolyte c. stop all drugs until vomiting stops d. 0.9% ns i.v e. i.m some steroid acetae/acetane

9. a pt wid osteoarthritis of rt knee n has coxa vera deformityadvise abt holding Stick Ans is a.stick in left handrt foot on ground at the same time wen stick is on the Ground

18.best screening method which prevents disease a.BPP b.antenatal chekup c.papsmear

10..a 2 yrs child with irratabilty lethargy ,dehydrated,sunken eyes,capillary refill > 3secswt will u give the child a..9% nacl b.nacl wid .45% dextrose c.ORS

11.. 2 yr old girl presented with fever, neck stiffness n lethargy n clear rhinnrohea, kernings sign positive, H/O Meningococcal vaccination. What the most probable Dx? a. Bacterial meningitis b. Viral meningitis--c. SAH

12..2 wk old baby with fever n lethergy n poor feeding. LP findings:colur, opaque glucose 1.2 (lower then normal) ,cell count 26 (<15), no growth on gram stain. Dx?? A. human simplex virus B. GBS C. E.Coli--D.chlamydia

13. a typical qs whr 48 yrs ladys father had ca colon at 78..mother ca breast at 65 n bro has DMat 60wt screening u wud do for her

14..a pregnant women comes to askin abt food she shud avoid in pregnancy..ur advise not toEat a.soft cheese b.iodised c.tinned salmon d.liver also given in options 15..lady was asked abt his mental conditionshe replied ahh well! U know I luv whalesmy dad came in this country as whaler..gr8 country it iswe r all sane herenobody is insaneright!!!i dnt thnk I have any mental prob..wt is it called a.derailment b.thot block c.circumstantiality d.telengectelity 16. 28.another qs on colon screeninga man 48 yrswhere father was dx at 57 n maternal aunt at 62(I thnk)wt wud u recommend for him a.colonoscopy annually b.sigmoido 2 yearly c.fobt 2 yearly d.CEA 17..qs on moon is cheese,ill travel by eggs. a.thought block b.disorganized behaviour c.dissociation d.no option of derailment e.circumstantiality 18. one pt fall down from bicycle and his helmet splits in two parts, he didnt lose consciousness and remember the event , now complaining of headache, only mild

bruise under the left eye Dx? a) SDH b) EDH c)SAH d) cerebral haemorrhage

19..a taxi drive 37 yrs old complaints of feeling low n depressed for many years told u he wanted to complete degree from uni but cudnt do so..n has to take taxi drivers license to earn his livinghe recently got divorced from 18 yrs relationship n has a son toohe has been poor in mantaing relationshipswts ur dx a.shizoid PD b.MDD c.prodormal shizo d.cyclothymic disorder

20..a scenario of ac glaucoma.long term mx asked a.acetazolamide b.periphral irodotomy c.trabeculectomy d.pilocarpine

21..a female wid no h/o parkinsonism,tremors r present wen at rest n stops wen she looks at her hands,n r present wen watching tv(was too confusing)she has mild rigidity a.propanolol b.benzhexol c.levodop

22.a man on many drugs,throxine,carbamezapinelot of labs of labs givenNa was 120 or

112(dnt rem)wt wud u do a.stop thyroxine n give nacl b.stop carba n restrict water c.stop carba n give hypertonic saline d.stop thyroxine n give hypertonic saline

23. a 60-year old man presents with 3 days vomiting and loss of weight (3 kg.). few years ago he was treated with cimetidine. over the last6 months he has had epigastric pain intermittently, for which he takes aspirin. vomitus is clear in colour with identifiable food particles. the likely diagnosis is? a) drug induced gastritis b) chronic duodenal ulcer disease c) ca pancreas d) cancer of the cardia of the stomach

24.. A 10 weeks pregnant lady comes for antenatal checkup. Everything was found to be normal. Which of the following will affect the management of this patient at this time? a. HIV test b. Parvovirus infec c. Varicella infec d. gbs infecte.rubella infec 25.. A 23 yr old male with IQ 60 was brought to the ED when he broke his wrist in the shelter home over a trivial issue turning into a brawl. Now he is non cooperative and agitated,doesnt allow to be examined by the x-rays. What will you do? A- Call the care taker to calm him down B- call the security C- IM olanzepine D- Send him back

E- treat when calms down on his own

26. A man with renal failure and need to have haemodialysis. He has no problem during dialysis, pre dialysis bp is 150/90but after that his BP decreases to 80/60 at the end of dialysis, hes anemia of 8gm/dl What could be the reason? a. allergic reaction to the dialysate fluid b. over dialysis c.anemia

27.. Patient with known polycystic kidney disease, also with multiple liver cyst. Associtaed features can b all except a.abnormal liver functions or liver toxicity b. kidney sepsis of one kidney c.Brother and sister with PCKD d.SAH or berry aneurysms

28.. a women who was on warfarin presented wid LIF painher INR is 3.5 or 6.5(sorry forgot)..she was started on amoxyxillin for sum reason by her gp.ct scan givenas usual no RSH seen..dx a.RSH b.abscess c.pseudocysts

29..25 year old female patient c/o weakness , lethargy fatigue since 2 months. she had no complaints before this. lab tests are conducted. microcytic hypochromic anaemia , calcium is low and INR 3.5... which of the following investigations would

help in diagnosing the condition. a.liver function test b.TFTs c.FBC d.transgluatminase antibodies e.no liver biopsy

30..same qs apperad again wid different options a.liver function test b.TFTs c.FBC d.antigliadin antibodies e.no liver biopsy 31. A lady in her 20s is newly diagnosed with lateral epicondylitis. Shes I guess a computer programmer..What is the first step in management? a.) Lateral epicondylectomy b. Brace band below the elbow c.) Splint for the fingers of the affected arm d.) Brace immobilizing the affected elbow 32. a man 85 yrs old resident of nursing home has mmse of 12/30,he cudnt eat,has urinary n feacal incontinencewt wud u do to improve his apetite a.arrange a family meeting n discuss b.nasogastric tube c.TPN d.dab his lips with wet cotton

33. .Qs on DM type 2. Has been taking metformin 500 mg od. On routine check Blood sugar 7.5 (normal range given was upto 7.9 ) and Hb1Ac was 6.9 (normal given was upto 6.6) ..

Further management ? a.Increase the dose of metformin b.Continue same c.add gliclazide d.give insulin 34..x ray of sigmoid volvulus..dx was askedrectum empty 35.a 25 yrs old comes to u wid palpitaionshe has hx of wpwecgg shown of vttx a.amiadarone b.adenosine c.lignocain 36.ct infarct( big irregular on left side)female on warfarin.dx asked a.sdh b.edh c.sah d.cerebral hmg e.cerebral infarct 37.. a middle-aged man who was previously diagnosed with wegeners granulomatosis and has been on azathioprine and prednisolone comes complaining of cough for 2 days with blood-streaked sputum. he also has some mild exertional dyspnea. physical examination was unremarkable. what is the diagnosis? a. azathioprine-induced interstitial pneumonia b. bronchopneumonia c. reactivation of wegeners granulomatosis d. atypical pneumonia e. pneumocystitis infection 38..inferior left quadrantanopiawhere is lesion

39. 60. Which of the following r features of hyperthyroidism ? A. Course tremors B. Pain in shoulders C. Narrow pulse pressure D. Delayed reflex E. Wt gain 40..a Turkish women was brought to u after MVAshe has bruise of rt lower ribs..condition of women.vitals n all were not described.. may b just pain in hypochondrium CT scan was given n showing a big circular black mass in liver with white ring aroud it, what is next step in her management? a.No tx n medicines required at this time b. drainage c. no options for percutaneous biopsy D.laprotomy e. fnac

41`. A 7 day old infant brought by parents with rash on her body she is having good feed, thriving well, n had papulo pustular lesions on bodywhat is the most likely diagnosis? A. congenital Varicella B. Rubella C. toxic erythema D. Measles 42.. Postmenopausal lady with hysterectomy n history of DVT presented with hot flushes. You ask her for non-hormonal recommendations before n she came with no

improvements on non-hormonal treatment. What will be next step in her management? A. Low dose Oestradiol valerate B. Low dose combine oestrogen n progesterone C. Low dose Oestriol D. Oestradiol dermal patch E. Depo provera

43.. 34 year old lady presented to u n requested for ovarian cancer screening as her friend is just diagnosed with ovarian cancer.examination is normal. What will u advise her? A. pelvic Ultrasound B. CA125 C. CA125 n U/S D. Laparoscopy E. Come back in 6 weeks times

44.. A young man presents with vertex headache, diffuse, increases on moment and cough, has history of trauma one week back. The intensity of trauma was of extent that his helmet breaks into 2 pieces, neurological examination and all other examinations are normal what most likely diagnosis is? A. Subdural hematoma B. Epidural hematoma C. Subarachnoid haemorrhage D. Cerebral oedema

45.. A 62 year old had thyroidectomy 3 hours ago n suddenly developed stridor and respiratory distress in immediately postoperative period, what is most important next step in his management? A. Open skin sutures B. Open all layers in ward

C. open under anesthesia D. Intubation 46.. 28 year old lady university student with finger pain n discomfort, on exam fingers are tender to palpation and she has rash on nose n cheekswt will u do come to a dx a.ds dna b.ana c.anti ccp d.RF

47.. Known HTN pt presented with muscle weakness. K 6.5. What could be the cause? A. Enalapril B. Amiloride C. Simvastatin D. indepamide E. Amlodipine

48.. A pt. with IQ 60 brought as he injured his arm n has swollen hand and while taking x rays he was very agitated and not cooperating.,abusive n shouting,,he had fite over tv remote control with sumone who lives wid him in special home for such people What will you do? A. Call his care taker B. Restrain him C. Defer X-ray D. IM Olanzapine

49.. A young female sex worker present for normal check-up and on lab test you

found she has Chlamydia infection. Besides treating her, what next will you do? a.. Ash her to avoid sex b. Trace contacts of her for past 6 months and treat them c. Inform health department d.practice safe sex

50.. 8 weeks pregnant lady has severe vomiting and cannot take any solids but can take only small amounts of liquids. Invest ketones 3+ . her partner has recently been diagnosed with gastroenteritis. What investigation to do ? a.pelvic usg b.urine stool n culture c.Stool routine and culture d..note please .. no options for .quantitative HCG e.abdominal usg

51.. 39. A Lady ame with sudden sever pain in LLQ started after bout of coughing, shes pacing around the room. What is the most probable Diagnosis? A. Small bowel obstruction B. Rupture of ovarian cyst C. Fibroid D. Acute diverticulitis

52..a female who is 10 weeks prego but uterus is enlarged upto 14 weeks.n is large for dateswt will u do next app a.bhcg b.pelvic usg c.laproscopy

53.. A 10 year old boy football player present with pain n lump at right knee. What advice will u give to this patient?

A. It will resolve in 1-2 Year B. Starch quadriceps n massage lump upward C. Complete bed rest D. X-ray may be needed if no improvement E. Steroid Injection

53.. 7 yr old child with irritability n low urine output, BP 150/90, protein ++, RBC ++. Next step in Mx?? a. anti HTN B. i/v methyprednisolone c. low protein, low salt n inc water intake d. low protein, high carbohydrate ,low salt n fluid restriction e. high protein, low salt, low carbohydrate n dec water intake

54.. 75 yr old man present in ER with upper abdominal pain which radiates to back and syncope. Cxr shows widened medistinum n loss of aortic knuckle.What will be next best appropriate investigation? A. Ultrasound FAST B. Ct aortogram C. X-ray abdomen d.ct scan 55. 80.a long stem telling a lady in labour meconium stainedctg normaln thn fetal heart rate dropped to 70 bpm for 1 min(I guess)wt will u do a.c/s b.fetal scalp ph c.continous ctg

56. A 45 yr old male present with joint pains, impotence ,decrease libido ,tiredness

n small testis His ggt n alt is mildly elevated.he has no h/o of CLD.Which of the following investigation will help to make diagnosis? A. CT head B. testesterone C. Prolactin levels D. Iron studiesE. Fasting blood sugar

57. sciatic N injury 58 ..pt invites doc to dinner wid romantic intentionsdoc is also interested..wt will u Do a.discontinue relation ship n decline her request b.accept her invitation c.accept her invi n refer to other doc d.decline invi n continue to tx her

59..14yr old aboriginal boy presented with staring blankly, visual n auditory hallucinations ,was a good football player in past ,lives with his grandma coz of sum dispute in family. Dx?? Petrol sniffing Alcohol abuse Marijuana

60..a woman in labour, cervix fully dilated, head at 2cm from ischial spine.. after 2 hrs.. head is at 3cm from ischial spine & mild caput & moulding.. what to do? a.oxytocin b.vaccum c.non rotational forcep d.rotational forcep e.CS

61. a foot ball player who has red painful dusky odematous. left armhe has LAP which is non tender,his pet cat is also unwellwts ur dx a.cat scratch dis b.cellulitis c.venous thrombosis d.cervical rib

62.ols lady takin morphine for sum pain from her neighbour now comes to u for prescribption of morphine a.report abt her drug seeking behaviour to pharmacy b.inc pcm c.refer to rhemo 63. 95.a qs on temporal lobe epilepsya female who often feels detached from worldmumbles sumthngfor few secsn thn become normalwts most app step in reaching dx a.ask relatives abt her hx b.eeg videotelemetry c.ct or mri

64..a female who is on ocps comes to u wid complaints of feeling dizziness on n off n detached from her surroundings(only this much hx was given).ur dx a. migraine b.temporal lobe epilepsy c.TIA 65. 98.a 45 yrs old female comes to u for routine chekupher bp is 150/100.similar to it was in previous 2 visitsher father had Mi at 55n her mum had hypercholesteremiaher blood suger is 4.5 mmoln her cholesterol is 5.2 (may

b)wt will u do for hernext app a.commnce on anti htn b.commence statins c.advise low salt diet 66. an old man neighbours saw him wandering in his garden in soiled pajamas..he ws well 2 weeks ago..his kitchen is full of dirty dishes..dx a.dementia b.delerium c.psychosis d.alzeimers

67..a man collapsed at home n was brought to ER..he drinks 2 bottles of beer dailyon exam he has fine tremorshes agitated n bp is 180/110wts most app next tx a.propnalol b.diazepam c.thiamine 68..a lady wid bilateral axilary LNfever night sweats,wt loss ..on cbc hb is low..lymphocytes inc,platelets decreaselot of ixat the end it says blast cells 66%(o.001)ur dx a.cll b.hodgkin c.ac.leukemia d.leukemoid reaction

69...a lady calls her doc n told him tht her hubby drinks a lot n beats her uhes in great debtwt shud u do a.arrange social work n urgent accommodation b.advise her to call police

c.do nothing 70. .a man whos a smoker presents to u wid pain in thigh n calfhe experience it on walking 100 meters on straight road n 2o meters on inclined surface.his peripheral pulses r goodwts the most app next step a.doppler usg b.mri back c.arteriography 71..a man hires a pvt detective whos doubtful abt his wifethey hav been married for 8 yearsshes sincere to her.wt is this called a.obsession b.mania c.overvalued idea 72..a man on risperidone presents wid nipple discharge,loss of libidowt ix will u do Next a.ct head b.prolactin c.?

73..a women wanst to suppress breast feeding a.high dose estrogen b.ocps c.bromocriptine d.wear tight bra n limit fluid intake 74. a female with abd pain,tenderness,rigidity,lmp 4 weeks agowt will u do next a.bhcg b.usg c.fbc

d.laproscopy 75...a gal presents wid sever abd painon usg thr is a cyst arising from rt ovary 5cm n its complexwt wud u do next a.exploratory laprotomy b.laproscopy c.tumour markers d.observe 76...a man wants to go to new guinea his all vaccinations r upto datehe asks abt advise to prevent malaria as he will be staying in malaria endemic areaur advise a.mefloquin b.chloroquin c.proguanil d.doxycycline 77. 20.a prego wid hep cwt advise will u give her a.avoid breast feeding b.check hep c antibodies at 12 months of age c.avoid c/s d.donot apply fetal scalp clips for ph 78. 122.a man comes with hemetemsis bp is 100/7o n pulse is 120wts amount of blood loss A 20% B 15% C 25% D 35% D 40%

79. A 5 year old boy with c/c hematuria, edema, hypertension. What will be seen: a. IgA deficience b. decrease C3 level c. decrese platlets d.also given low serum albumin level ..as same as annotated questions.

80. 34 yr old man with a stent in aorto-femoral arteries for episodes of embolism now presents with deteriotating renal functions with +3 proteins, nitrites ++ , hematuria (slight) with decreased urinary output. Lab values given but nothing abnormal specifically. What could be the cause? A activation of Renin-angiotensin system B- decrease in Renin- sympathetic system C- increase in Renin- sympathetic system D- renal atherosclerosis

81.patients is on paroxetine and now c/o of muscular weakness and lethargy, fatigue ..which of following cause ? A.HYponatremia b.hypokalemia c.hypocalemia d.hypercalemia.

82. a case of endometritis as same as before questions which is resistant to penicillin asked for which drug u will give ? a..ceftriaxone+ gentamycin b..clindamycin+ gentamycin c..metronidazole+ amoxicillin

83.one case of new born baby and given apgar socre at 1 minutes- 6 ..and now breathing difficulties asked for treatment?( only this information given ) a.bag and mask ventilation b..o2 c..intubation

84.posteriror column injury leads to what . a..upperlimb weakness b..lowerlimb weakness c..ataxia. d..other two options I forgot ..sorry 85.a child come for mmr vaccination and h/o of family eczema and when last time given vaccination something wrong happened with this child may be swelling or urti .now what to do? a..mmr given as per immunization sechdule b..mmr is contraindicated c..mmr given after 18 month.

86..48 years old lady with DYSFUNTIONAL UTERINE BLEEDING SINARIO GIVEN and wants HRT ? A.medroxyprogesterone b.estrogen dermal patch c..reassurance

87.same questions as find 2 uterus and 2 vagina diagnosis? a..renal usg b..pelvic usg c..ct abdomen d..no options for ct abdomen and pelvis together . 88.a lady admitted in hospital type 2 dm and taking regular food and insulin still c/o dizziness and hyperglycemia symptoms ? a..insulin antibody b..nurse not given regularly c..no options for insulin resistance and insulin deficiency.

89.same itp sinario given h/o of urti 3 weeks ago and all test normal including platelets also what test helps u to diagnosis? a.full blood examination b..

90. A 5 years old child who was a case of nephritic syndrome and initially responding with steroid now he has stopped responding to steroids and developed microscopic haematuria and hypertension , what is the diagnosis? ( this questions repeated twice in exam ) A. Focal glomerulosclerosis B. Superimposed PSGN C. IgA Nephropathy D. Membranous glomerulonephritis E. Post-Streptococcal glomerulonephritis 92. You have been called to solve a dispute between a patient and a nurse, when u arrived there , patient was fighting with nurses that she needs a private room with TV and should have a glass of wine with every meal, and when you go he says you are Dr you will understand because you have private insurance like me, what is this condition called? A. Narcissistic B. Histrionic C. Splitting D. Mania

93. Developmental mile stone in 2 years old baby? A. Tower of 8 blocks B. Name and surname C. Use pronouns D. Hop on 1 foot E. Can sing a nursery rhyme 94.same questions with paleness of fingers when going to bed .??? a..polycythemia vera b..dm c..atherosclerosis 95.one questions new born baby develop jaundice in 6 hours cause ?

a..hemolysis b..breast feed jaundice c..breast milk jaundice d..thalasemia e..hereditary sperocytosis 96.5th post operative day c/o of breathlessness and respiratory difficulty investigation asked ? A..ctpa b..chest x ray c..ct abdomen 97.one question is pt is in hospital and k/c/o of pneumonia and taking treatment after some day suddenly develops respiratory difficulties and bp ,,,pulse all normal and c/o of breathlessness..cause ?? a..hospital acquired pneumonia b..pulmonary embolism 98.-Elderly 2 yrs bed bound multiple bed sores. Bright red bleeding per anus - 500ml. Relatives are keen to do everything. Vital signs were stable. What u do? 1-prescribe iron, etc 2-Arrange ambulance and urgent hospital admission 3-Arrange conference with family 99.chronic limb ischemia same questions asked ? a..rubor b..pain c..paralysis d..colour improved on hanging limbs 100. 24 year old patient presents to the GP Practice following trauma to the eye and hypaema in anterior chamber is noted. What is the next most appropriate management? A Apply a pad and refer the patient B Refer to an ophthalmologist immediately

C Analgesics and review after a week 101.ca of cecum, and asked -------tiredness and fatigue.bleeding per rectum..mass 102. A 10 yr old child is on treatment with thyroxine, and his family develops an episode of gastroenteritis , this child develops diarrhoea. What ll be ur next step. a. stool culture b. loperamide c.stop thyroxine d. give ORS also given in options . 103.60 years old man k/c/o of dm and htn for regular check up and found that irregular pulse what will u give? a..atenolol b..aspirin c..warfarin d..no options for metoprolol 104. GBS-------------fvc 105..HOCM lady collapsed and somebody did cpr and and history of father died and now comes to emergency ..investigation asked? a..echo b..ecg c..holter 106.a child with grade 4 vur and treatment asked ? a..do nothing b..reassurance c..ureterosomething name of surgery .given 107. A 35 year-old male had splenectomy a year ago. He now presents with reducible epigastric

swelling. There is no pain. Which of the following is the best position to examine him? A Standing erect and asking him to cough B Standing erect C Lying down and asking him to cough D Lying down and asking him to raise his head E Lying down and asking him to raise his legs

108.. A man presented with the painful defecation and blood on stools. Pain persist for almost 30 min after he opens bowls. What the MX? A DRE B colonoscopy C glyceraltrinitrate ointment D Steroid ointment E Observe for a few days 109.. pregnant lady complains of calf tenderness, besides investigations she has to do, whats the next most appropriate treatment for her? A Warfarin B heparin 110.. Jehovah witness Pt needs blood transfusion for Ph incompatibility. Relatives say , What do you do? A Transfuse the Pt B Do not transfuse the Pt C Discuss the situation with relatives D Ask the Pt to sign No transfusion form 111. 55 year old man comes for advice about prostate cancer. His father diagnosed at 80 y.o and neighbor also diagnosed with it recently. Whats the most appropriate advice for him? A DRE

B Reassurance C PSA 112.. . X-ray of bilateral opacities post op dx is atelectasis in addition to physiotherapy what is the next step patient was hypoxic irritable?? a.antibiotics, b. iv fluid, c. lung lavage , d.intubation and oxygen therapy 113. a women primipara c/o of at 33 weeks bp 160/90 and protenuria -1+ given and after some time rest blood pressure and protenuria ----normal what is diagnosis ? a..gestestional hypertension b..normal pregnancy c..precelampsia. 114. An infected bartholin cyst A Antibiotics will resolve it B Caused by gonorrhea C Caused by staphylococcus aureus D Surgery E It is usually asymptomatic 115. FSGN SINARIO ----- twice in exam. 117. One baby gets strider when he sleeps and relive when he stands. Diagnosis? a) Larynx causes obstruction b) tongue causes obstruction 118.. diabetic woman with BMI=30 complains of infertility for last 2 years in spite of unprotected and regular intercourses. Her periods are irregular. Lab investigations show increased FSH, slightly increased

LH, decreased oestradiol, her prolactin & thyroid hormones levels are normal. Ultrasound shows normal ovaries with 4-5 cysts in the right ovary. What will you do to treat her infertility? a. Clomiphen citrate b. Advice to decrease weight c. Oestradiol therapy d. IVF with donor ovum e. Metphormin

119..38 year lod lady asked chances of getting downsyndrome in baby? a.200 b.100 c..300 120.. 35 yr old lady presented to u for breast ca screening as one of her paternal aunt is dx with BRCA gene n breast ca. What will u advice her? a. 2 yarely mammography b. 2 yarely ultrasound c. Genetic risk screening d. BRCA gene screening e. 6 monthly self breast examinations

121.. mother has called the emergency services and told them, that her son has accidentally spilled boiling hot water over his chest and neck.What will you advice ? a) Ask her to apply ice on the burnt area. b)Ask her to put him under cold water shower. c)Ask her to apply some lotion 122-patients taking already omeprazole for gerd and which feature

suggest to immediate action to evaluate ? a. dysphagia b. weight loss

c. abdominal pain 123.now similar question with October that one volantair bited by hbv+ carrier and apart from debidement ,antibitocs ,and immunization what will u do ? a. check voluntair blood hbv+ antigen b. check voluntair blood bhv+ antibody
c. hbv and immunization. Thats all I could remember ..if anything recalls new then surely post it ..and again thank u so much for everything /tarik