Recal

l
sFebr
uar
y2022MRCPPar
tOne

Exami
nat
ionDat
e:09.
02.
2022,
Wednesday

01.Temper
atur
eRegul
ati
onCent
re

Answer:Hy
pot
hal
amus

02.I
nfect
ioni
nTCel
lDef
ici
ency

Answer:Cr
ypt
ococcus

03.Br
eat
hlessPat
ient
,ABGShowi
ngRespi
rat
oryAl
kal
osi
swi
thHy
poxi
a

Answer:Pul
monar
yEmbol
i
sm

04.6Weekspost
-r
enal
transpl
antpat
ientwi
thder
angedLFT+Fev
er,
Inv
est
igat
ion

Answer:CMVPCR

05.Sei
zur
ewi
thHemi
sensor
yloss

Answer:
ICSOL/Sphenoi
dWi
ngMeni
nigi
oma(
★★★)

06.Compar
ingEf
fect
ivenessbet
weennew&ol
dtr
eat
ment

Answer:Pai
redTTest(
★★★)

07.50y
ear
sol
dMal
ewi
thI
DA,
Nowei
ghtl
oss,
dyspepsi
a,mel
ena;
Nexti
nvest
igat
ion

Answer:St
ool
forOBT/Col
onoscopy/Endoscopy(
★★★)

08.I
sol
atedRai
sedKet
one(
3+)wi
thr
enal
impai
rmenti
napat
ientwi
thv
omi
ti
ng&di
arr
hoea

Answer:Acut
eSev
ereMal
nut
ri
ti
on

09.Bi
opsyofMCD(
Fusi
onofPodocy
teonEl
ect
ronMi
croscopy
),Tr
eat
ment

Answer:Pr
edni
sol
one

10.Fat
igue&I
tchi
ngi
naf
emal
ewi
thRai
sedALP

Answer:PBC

11.Pr
event
ionofHy
per
cal
ciur
iai
nducedr
enal
stone

Answer:Thi
azi
de
12.BPmeasur
einacl
i
nicf
ir
stt
imeshow192/
91mmhg(
Middl
eagedf
emal
ewi
thBMI28)
,

Causesofhi
ghBP

Answer:Under
sizedCuf
f/Rapi
dReduct
ion/Nor
mal
(★★★)

13.VenousUl
ceronmedi
almal
l
eol
us,
mostappr
opr
iat
enextst
ep

Answer:Compr
essi
onBandage

14.Howmuchbenef
ici
alat
reat
ment
/dev
icesi
nascal
e

Answer:
MannWhi
tneyUTest/Wi
l
coxonSi
gnedRankedTest(
★★★)

15.Non-
it
chyTenseBl
i
ster
ingl
esi
onwi
thoutmucosal
inv
olv
ement
,Dx

Answer:Bul
l
ousPemphi
goi
d

16.Shi
ft
ingofO2-
Hbdi
ssoci
ati
oncur
ve(
Right
/Lef
t??)

Answer:ReducedpH/I
ncr
easedpH(
★★★)

17.EggAl
l
ergyi
nVacci
newi
th

Answer:
Inf
luenza(
Noopt
ionf
orYel
l
owFev
er)(
★★★)

18.Anky
losi
ngSpondy
li
ti
s,I
nvest
igat
ion

Answer:
X-r
ayS/
IJoi
nt

19.Scenar
ioofRheumat
oidDi
sease

Answer:
PMR

20.Agedpat
ientwi
thf
luct
uat
ingl
evel
ofconsci
ousness&hi
stor
yofFal
l3weeksago

Answer:
Chr
oni
cSubdur
alHaemat
oma(
★★★)

21.Ager
elat
edwetmacul
ardegener
ati
onmostr
iskf
act
or

Answer:
Smoki
ng

22.Fi
rstCMCJoi
nti
nvol
vedwi
tht
enderbaseoft
het
humbbutnor
elat
ionofpai
nwi
thspeci
al

mov
ementofar
m

Answer:
OAThumb/DeQuer
vai
n'
sSy
nov
iti
s(★★★)
23.Fi
rstMTPJoi
nti
nvol
ved

Answer:
Gout

24.GBSPat
ient
,Moni
tor
ing

Answer:
Vit
alCapaci
ty

25.Aut
oimmuneHepat
it
is

Answer:
IgG

26.At
rophi
cGast
ri
ti
swi
thB12def
ici
encyf
eat
ures,
Cel
ll
ost

Answer:
Par
iet
alCel
l

27.Gof
or2ndopi
nioni
ncar
diol
ogi
stwi
thpr
olongedQT(
530ms)
,Car
diol
ogi
stsear
chf
or

Answer:
Deaf
ness(
Jer
vel
lLangeNi
elsen,
JLNSy
ndr
ome)

28.I
nfusi
onof1Li
tr
e5%DA,
Incr
easedi
ntr
avascul
arcompar
tment

Answer:
250/
500/
750/
50/
100ml
(★★★)

29.Bi
opsyofCy
sti
cFi
brosi
spat
ient
,Cel
lfound

Answer:
Neut
rophi
l

30.Bi
opsyofAl
zhei
mer
'sdi
seasepat
ientBr
ain,
Deposi
tedsubst
ance

Answer:
Bet
aAmy
loi
d/TauPr
otei
n(★★★)

31.I
nit
ial
MxofAl
zhei
mer
'sDi
sease

Answer:
Donepzi
l

32.MxofSev
ereAl
zhei
mer
'sDi
sease

Answer:
Memant
ine

33.Scenar
ioofWeberSy
ndr
ome(
Ipsi
l
ater
alcompl
ete3r
dner
vepal
sywi
th

cont
ral
ater
alhemi
plegi
a),
Areai
nvol
ved

Answer:
MidBr
ain

34.Tempor
alLobect
omy
,Def
ici
toccuri
n

Answer:
Homony
mousQuadr
ant
anopi
a
35.Tempor
all
obei
nfar
ctl
esi
on,
Repr
esent
s

Answer:
Cont
ral
ater
alSuper
iorQuadr
ant
anopi
a

36.Ol
dpat
ientwi
thmi
dlapar
otomyscar
,wei
ghtl
oss,
lowVi
tB12wi
thhi
ghMCV

Nextst
epofi
nvest
igat
ion

Answer:
Endoscopy/CTAbdomen(
★★★)

37.Epi
l
epsypat
ientst
art
edpheny
toi
n3mont
hsbackpr
esent
edwi
th1dayhi
stor
yoft
runk

r
ash& py
rexi
a,Causeofski
nlesi
on

Answer:
Staphy
lococcal
Scal
dedSki
nSy
ndr
ome/St
evenJohnsonSy
ndr
ome(
★★★)

38.Bl
oodsuppl
yofappendi
x,t
ermi
nal
il
eum &caecum

Answer:
Ileocol
i
cbr
anchofSMA

39.Pr
edomi
nantcel
li
nAt
her
omat
ouspl
aque

Answer:
Macr
ophage

40.Def
ici
encyi
ngast
ri
cby
passsur
ger
y

Answer:
Iron/Fol
i
cAci
d/Zi
nc/Thi
ami
ne(
★★★)

41.Nextgener
ati
onsequenci
ng(
NGS)most
lyi
mpacton

Answer: ?
???
?(Noopt
ionf
ull
yremember
ed)(
★★★)

42.Genet
icswi
thScenar
ioofear
lypr
esent
ati
onofdi
seasei
naf
ami
l
y,Ter
med

Answer:
Ant
ici
pat
ion

43.Cy
sti
cFi
brosi
spat
ientwi
thcar
ri
erf
requency1/
20,
chanceofget
ti
ngdi
sease

Answer:
1/40(
Prev
iousQuest
ion)

44.Dr
ugf
oll
owi
ngf
ir
stor
derki
net
ics,
T1/
2-2hour
s&El
i
minat
ionconst
ant0.
5/hour
,Ti
met
o

el
i
minat
e1/
8oft
hedr
ug

Answer:
6hour(
★★★)

45.Youngpat
ientwi
thswol
l
enr
ightkneewi
thcr
epi
tus&mi
l
dfev
er(
Temper
atur
e37.
8),
Dx

Answer:
Bur
sit
is/Sept
icAr
thr
it
is(
★★★)
46.Par
kinson'
sDi
sease+Recur
rentFal
l
s+Ver
ti
cal
GazePal
sy,
Dx

Answer:
PSP(
Progr
essi
veSupr
anucl
earPal
sy)

47.Cl
ost
ri
dium Di
ff
ici
l
edi
arr
hoeaset
tl
edwi
th7day
sor
almet
roni
dazol
e,comeswi
thbl
oat
ing&

Cl
ost
ri
dium Di
ff
ici
l
eAnt
igenposi
ti
vei
nst
ool
,Nex
tbestst
ep

Answer:
Oral
Vancomy
cin/Donot
hing/RepeatMet
roni
dazol
e(★★★)

48.Womenwi
thSpher
ocy
tei
nPBF,
Nexti
nvest
igat
ion

Answer:
DAT

49.Al
cohol
i
cAst
hmapat
ientt
aki
ngoccasi
onal
Predni
sol
onecomeswi
thCushi
ng'
sfeat
ures

(
Hypokal
aemi
a&muscl
ecr
ampi
ng)
,Dx

Answer:
Drugi
nducedcushi
ng/Pseudocushi
ng(
★★★)

50.Funct
ionofMLH1Gene

Answer:
DNAMi
smat
chRepai
r

51.Si
tagl
i
pti
nM/
A

Answer:
DPP4I
nhi
bit
or

52.I
vabr
adi
neAct
son

Answer:
SANode

53.Pr
egabal
i
ndr
ugcl
ass

Answer:
GABAAgoni
st

54.Si
deEf
fectofCi
clospor
in

Answer:
Tremor

55.I
fosmi
det
aki
ngpat
iental
sot
aki
ngMesnat
opr
event

Answer:
Haemor
rhagi
cCy
sti
ti
s

56.Moni
tor
ingofr
esponseoft
reat
ment

Answer:
CRP/Pr
ocal
cit
oni
n/ESR(
★★★)
57.Cul
tur
eNegat
iveI
nfect
iveEndocar
dit
ispat
ientt
aki
ngant
ibi
oti
cs,
measur
etoseer
esponse

Answer:
Echocar
diogr
aphy

58.12weekspr
egnantl
adycomesf
orf
oll
owup,
foundmi
l
dlyhy
per
tensi
ve(
BP145/
92mmhg)

&Pr
otei
nur
ia0.
8g/
day(
Nor
mal
0.2g/
day
),Causeoft
hisscenar
io

Answer:
MCD/Or
thost
ati
cPr
otei
nur
ia/Pr
e-ecl
ampsi
a/Gest
ati
onal
HTN(
★★★)

59.Spi
ronol
act
oneAct
son

Answer:
DCT/Col
l
ect
ingDuct(
★★★)

60.Anky
losi
ngSpondy
li
ti
s

Answer:
Ant
eri
orUv
eit
is

61.Behchet
'sDi
seaseScenar
io,
Associ
ati
on

Answer:
HLAB51

62.Rheumat
oidAr
thr
it
is,
Associ
ati
on

Answer:
HLADR4

63.Mi
l
dlyi
ncr
easedFaecal
Cal
prot
ect
inwi
thNOf
eat
uresofI
BD,
Dx

Answer:I
BS

64.TunaFi
shpoi
soni
ng

Answer:
Scombr
otoxi
n

65.Di
abet
icRet
inopat
hyscr
eeni
ngi
napat
ientofDi
abet
icNephr
opat
hy

Answer:
HbA1C

66.Acr
omegal
y,Conf
ir
mat
oryi
nvest
igat
ion

Answer:
OGTTwi
thGHMeasur
ement

67.CKDPat
ientonMHD3t
imesweekl
y&I
nj.Epo3t
imesweekl
y&LowHb,
Cause

Answer:
IronDef
ici
ency

68.PDA,
Pul
seChar
act
er

Answer:
Col
l
apsi
ngPul
se
69.Scenar
ioofCar
diacTamponade,
Mostconsi
stentf
eat
ures

Answer:
Pul
susPar
adoxus/Muf
fl
edHear
tSound(
★★★)

70.Et
hyl
eneGl
ycol
asl
axat
ives,
M/A

Answer:
Osmot
icLaxat
ive

71.Pancy
topeni
adr
ugcause(
Sev
ereNut
ropeni
a-0.
2/mm3)

Answer:
Azat
hiopr
ine/Mesal
azi
ne(
★★★)

72.Ant
i-
epi
l
ept
ici
nOCPUser

Answer:
Lev
eti
racet
am

73.Di
abet
icwi
thObese(
BMI-34)wi
thoutf
ami
l
yhi
stor
yofDM,
Ant
ibodymaybef
ound

Answer:
Insul
i
nRecept
orAnt
ibody/Bet
aCel
lFai
l
ure(
★★★)

74.Amenor
rheawi
thhi
ghFSH&LH

Answer:
Premat
ureOv
ari
anFai
l
ure

75.Femal
ewi
thhi
stor
yofmenst
ruat
ion9mont
hsoutof12mont
hswi
thHi
ghNor
malLH(
7.5)

&LowNor
mal
FSH(
2.5)

Answer:
PCOS

76.Youngmal
erecur
rentf
aint
ingaf
terr
unni
ngf
orbus,
Fat
herdi
edsuddenl
yat35y
ear
sage,
Dx

Answer:
Car
diogeni
cSy
ncope(
HOCM)

77.HI
Vpat
ientwi
thCD4=>300,
Hepat
omegal
y,der
angedLFTs,
Dx

Answer:
CMV

78.HRCTofBr
onchi
ect
asi
s,Mostcommonf
indi
ng

Answer:
Treei
nbud(
Prev
iousQuest
ion)

79.Pat
ientwi
thAl
pha1Ant
i-
tr
ypsi
ndef
ici
encywi
thPI
MZGenot
ype,
Obst
ruct
iveSpi
romet
ry

f
indi
ngswi
thl
owl
evel
ofAl
pha1Ant
i-
tr
ypsi
n,Mosti
mpor
tantst
epf
orl
ongt
erm Mx

Answer:
Pul
monar
yRehabi
l
itat
ion/LungTr
anspl
ant/I
VAl
pha1Ant
i-
tr
ypsi
n(★★★)
80.Dur
ingHaemodi
aly
dist
hroughI
nter
nal
Jugul
arVei
n,Dev
elopeddul
lri
ghtl
ungbase&

br
eat
hlessnesssuddenl
y,CXRShowConsol
ati
onRi
ghtLowerLobe,
Dx

Answer:
Haemot
hor
ax/Ai
rEmbol
i
sm /Pneumot
hor
ax(
★★★)

81.Cer
vical
Cancercausat
iveagent

Answer:
HPV

82.Ul
cer
ati
veCol
i
tis(
UC)Pat
ientcomeswi
thpr
uri
tus&Chol
est
ati
cbl
oodpi
ctur
e(Rai
sedALP&

GGT)
,Nextst
epofi
nvest
igat
ion

Answer:
MRCP(
PSC)

83.Docet
axel
sit
eofact
ion

Answer:
Micr
otubul
e

84.Pat
ientt
aki
ngI
bupr
ofenf
orl
ast2weeks,
incr
easedl
eucocy
tei
nur
ine,
Bil
ater
alSi
ngl
ecy
st

onUSGwi
thr
enal
impai
rment
,Cause

Answer:
PCKD/AI
N(★★★)

85.Phagocy
tebi
ndi
ngsi
te

Answer:
Fc/Fab(
★★★)

86.Sev
ereChi
ckenPoxPneumoni
aTr
eat
ment

Answer:
IVAcy
clov
ir

87.X-
rayf
indi
ngofChondr
ocal
cinosi
s

Answer:
Pseudogout

88.Post
eri
orDuodenal
Capbl
eedi
ng,
Art
eryi
nvol
ved

Answer:
Gast
roduodenal
Art
ery

89.Acut
esev
ereast
hmanotr
espondi
ngt
oNebul
i
sat
ion,
Oxy
gen,
Oral
Predni
sol
one,
,Nextst
ep

Answer:
IVMg

90.Hy
pokal
aemi
a(S.K+:
2.5)ECGFi
ndi
ng

Answer:
UWav
e
91.Scenar
ioofAsci
tes,
Hepat
omegal
y,Rai
sedJVP,
Rapi
dX&YDescent
,Pr
evi
oushi
stor
yof

CABGcomeswi
thbr
eat
hlessness,
Dx

Answer:
Const
ri
cti
vePer
icar
dit
is

92.Pat
ientt
aki
ngAnt
i-
TBdr
ugs,
Tendonpai
nduet
o

Answer:
Moxi
fl
oxaci
n

93.Pat
ientonl
ongt
erm st
eroi
d(Pr
edni
sol
one12mgdai
l
y),
Mostappr
opr
iat
est
eroi
dbef
ore

sur
ger
y

Answer:
Hydr
ocor
ti
sone/Dexamet
hasone(
★★★)

94.Di
azepam abusercomeswi
tht
aki
ngDosul
epi
n,Const
ri
ctedpupi
l&QRSwi
deni
ng,
Nex
tst
ep

Answer:
IVSodi
bicar
b

95.Cont
rai
ndi
cat
ionofl
ungsur
ger
yinNonsmal
lcel
lcar
cinoma

Answer:
Hor
ner
'sSy
ndr
ome/FEV1=1.
7(★★★)

96.CVI
D,Mostcommoni
nfect
ion

Answer:
Recur
rentPneumoni
a

97.Pat
ientwi
thCCF,
EF=25%,
Angi
opl
ast
y3mont
hsback,
SOBonexer
ti
on,
QRS=130ms

Nextbestst
ep

Answer:
ICD/Vent
ri
cul
arPer
fusi
onI
magi
ng/Vent
ri
cul
arAssi
stedDev
ice/EPS

(
Noopt
ionf
orCRT/
Biv
ent
ri
cul
arPaci
ng)(
★★★)

98.Ter
minal
Hemat
uri
a,Tr
avel
hist
ory
,Dx

Answer:
Schi
stosomi
asi
s

99.Decr
easedr
eti
nal
vei
npul
sat
ion,
Dx

Answer:
Rsi
sedI
CP/Pol
ycy
themi
a(★★★)

100.Omepr
azol
einNon-
var
iceal
Bleedi
ng

Answer:
Prev
entRe-
bleedi
ng
101.I
naDKAPat
ient
,Most
lyf
oundi
nbl
ood

Answer:
Bet
aHy
droxyBut
yrat
e/Acet
one(
★★★)

102.Li
mit
edCut
aneousSy
stemi
cScl
erosi
s(LCSS)
,Ant
ibody

Answer:
Ant
iCent
romer
e

103.Sj
ogr
en'
sSy
ndr
ome,
Ant
ibody

Answer:
Ant
iRo

104.Mean=4,
SD=0.
5,Cal
cul
ateConf
idenceI
nter
val

Answer:
3.5t
o4.
5(For
mul
a:CI=Mean+/
-SD)

105.LVFwi
thPer
ipher
alEdemabutnotbr
eat
hless,
Mx

Answer:
Rami
pri
l

106.Di
l
tiaz
em i
nter
act
ionwi
thSt
ati
nthr
ough

Answer:
CYP450

107.74y
ear
sol
dpat
ienti
nAFwi
thHF(
EF=30%)
,Mx

Answer:
Digoxi
n/Met
opr
olol
(★★★)

108.Rel
ati
veRi
skReduct
ion(
CER=50%&EER=40%)

Answer:
20%

109.Ur
gentr
efer
ral
toOpht
hal
mol
ogi
sti
naDi
abet
icPat
ient

Answer:
Scat
ter
edMi
cro-
aneur
ysms/Sof
tExudat
e/Har
dExudat
e(★★★)

110.Tr
ypt
asef
oundi
not
hert
hanMastCel
l

Answer:
Basophi
l

111.Wer
nicke'
sEncephal
opat
hywi
thRBS=3.
00&BP=90/
60mg

Answer:
IVThi
ami
ne

112.Scenar
ioofWer
nicke'
sEncephal
opat
hy,
Alsosear
chf
or

Answer:
Opht
hal
mopar
esi
s
113.Pr
essur
eli
keheadache,
eachev
eni
ngf
orl
ast4mont
hs,
Dx

Answer:
TTH

114.El
der
lyPat
ientwi
thRecur
rentTI
Awi
thSl
owAF(
HR=84)
,Mx

Answer:
DOAC(
CHADSVAScScor
ing)

115.Al
cohol
i
cfemal
ewi
thbi
l
ater
alhandt
remorwor
seonout
str
etchednotr
eli
evedby

Al
cohol
& aggr
avat
edi
nsoci
algat
her
ing,
Dx

Answer:
Anxi
ety(
FineTr
emor
)

116.Mal
epat
ientf
oll
owi
ngr
eti
rement
,depr
essi
vesy
mpt
oms,
ant
i-
soci
alpr
obl
em butwi
fe

cl
aimednof
inanci
albur
den,Dx

Answer:
Depr
essi
on/Adj
ust
mentDi
sor
der/Anxi
ety(
★★★)

117.Pat
ientwi
thv
WDcomesf
ort
oot
hext
ract
ion,
BestMx

Answer:
Desmopr
essi
n

118.Hi
stor
yofDM &RAwi
thr
enal
impai
rment
,Dx

Answer:
Amy
loi
dosi
s

119.Assy
met
ri
cal
DIPJoi
ntI
nvol
ved+Noski
nlesi
on+ESR=65(
52y
ear
sFemal
ePat
ient
),Dx

Answer:
OA/Psor
iat
icAr
thr
it
is(
★★★)

120.I
nfect
iveEndocar
dit
isi
nGIdi
stur
bance,
Causat
iveor
gani
sm

Answer:
Str
ept
ococcusbov
is

121.Gast
ri
cout
letobst
ruct
ionpat
ient
,Inf
used6Li
tr
eofNor
mal
Sal
i
ne,
Bloodanal
ysi
sshow

Cl
=115,
ReducedpH&HCO3,
Mil
dlyRai
sedLact
ate,
Causesoft
hisf
indi
ng

Answer:
Met
abol
i
cAci
dosi
swi
thHy
per
chl
oremi
a

122.Al
l
opur
inol
int
eract
ionwi
th

Answer:
Azat
hiopr
ine

123.Li
thi
um i
nter
act
ionwi
th

Answer:
Indapami
de
124.Pl
asmodi
um Vi
vaxMal
ari
aTr
eat
menti
nIndi
anPat
ient

Answer:
Art
emet
her+Lumef
ant
ri
ne/Chl
oroqui
ne(
★★★)

125.Car
cinomaLungwi
thHy
ponat
raemi
a,Cause

Answer:
Smal
lCel
lLungCancer(
SIADH)

126.Gi
tel
manSy
ndr
omedef
ecti
n

Answer:
DCT

127.RAonMTXt
her
apypr
esent
edwi
thMi
xedSpi
romet
ry(
Obst
ruct
ive+Rest
ri
cti
ve)f
indi
ngs

Answer:
MTXPneumoni
ti
s/Br
onchi
oli
ti
sObl
i
ter
ans(
★★★)

128.Pat
ientwi
thr
enal
impai
rment
,anaemi
a,bonepai
n&Hy
per
cal
cemi
a

Answer:
Mul
ti
pleMy
eloma

129.Acut
emonocul
arv
isi
onl
ostwi
thpal
eopt
icdi
sc,
Dx

Answer:
GCA/Opt
icNeur
it
is/Angl
eCl
osur
eGl
ucoma(
★★★)

130.Homocy
sti
nur
iaTr
eat
ment

Answer:
Pyr
idoxi
ne

131.L5Radi
cul
opat
hyr
athert
hanCommonPer
oneal
Ner
vePasl
sy

Answer:
Impai
redAnkl
eInv
ersi
on(
RCPWebsi
teSampl
eQuest
ion)

132.DM wi
thi
ntr
act
abl
evomi
ti
ng&sev
eremal
nut
ri
ti
on(
BMI=14)
,wei
ghtl
oss,
Pref
err
edMx

Answer:
TPN/PEG/NGFeedi
ng(
★★★)

133.Par
kinson'
sdi
seasepat
ientwi
thsev
erenausea,
Mx

Answer:
Domper
idone/Cy
cli
zi
ne(
★★★)

134.HI
Vwi
thcer
ebr
alat
rophy
,Cause

Answer:
HIVI
tsel
f(HI
VEncephal
opat
hy)

135.Pacemakeri
nser
tedpat
ientcomeswi
thbackpai
n&f
ever(
Temper
atur
e=38)
,Dx

Answer:
Disci
ti
s
136.Conf
ir
mat
ionofNGTubeI
nser
ti
on

Answer:
Gast
ri
caspi
rat
epH/CXR/Ter
minal
Bubbl
i
ng/Sounds(
★★★)

137.Pat
ientwi
thpol
yur
ia,
pol
ydi
psi
afor2weeks,
Ket
one3+,
RBS=18,
RR=12,
HCO3=22,
Rx

Answer:
S/CI
nsul
i
n

138.Pr
egnantf
emal
ecar
ryi
ngsi
ngl
efemal
efet
uswi
thf
ami
l
yhi
stor
yofHaemophi
l
ia(
Brot
her&

Mat
ernal
Uncl
e),
Chanceofherbabybei
ngacar
ri
erofHaemophi
l
ia

Answer:
1/8;
1/4;
1/16(
★★★)

139.HI
Vpat
ientwi
thCD4<50,
Most
lyatr
iskof

Answer:
MACI
nfect
ion

140.CKDPat
ient
,mostr
elev
antbi
ochemi
cal
findi
ng

Answer:
Rai
sedPhosphat
e

141.Condi
ti
onf
oundi
nEchocar
diogr
aphymostl
i
kel
yhazar
dousi
npr
egnancy

Answer:
Pul
monar
yHTN

142.Aconf
usedpat
ienthadaf
all
&whatt
odopr
eventf
urt
herf
all

Answer:
Hal
oper
idol
/Subcut
aneousMi
dazol
am /Shi
ftt
oqui
etr
oom (
★★★)

143.Pal
l
iat
ivecar
epat
ientwi
thagi
tat
ion,
Bestt
odo

Answer:
Hal
oper
idol

144.Femal
epat
ienthav
ingr
ashi
ncheek&nasal
bri
dgeaf
terr
etur
ningf
rom Spai
n,Mostl
i
kel
y

f
oundi
nbl
ood

Answer:
Lymphopeni
a(SLE)

145.Pat
ientwi
thDi
abet
esI
nsi
pidus,
Inv
est
igat
iont
odobef
orewat
erdepr
ivat
iont
est

Answer:
S.Cal
cium /Shor
tSy
nact
henTest(
★★★)

146.Renal
Transpl
antpat
ienthav
ingpostaur
icul
arul
cer
,Dx

Answer:
SquamousCel
lCar
cinoma
147.Pat
ientwi
thchr
oni
cjoi
ntpai
n,t
aki
ng15uni
tal
cohol
dai
l
y,nor
mal
LFTs,
Rai
sedFer
ri
ti
n,Dx

Answer:
Inf
lammat
oryAr
thr
it
is

148.Pat
ientwi
thHy
per
nat
raemi
a(Na=148)
,Tr
eat
edwi
th5%DAt
henNa=115,
Biochemi
cal

changehappenher
e

Answer:
LossofWat
er/Gai
nofWat
er(
★★★)

149.Pat
ientwi
thf
lexur
ali
ntensel
ypr
uri
ti
cpapul
e&asy
mpt
omat
icor
all
esi
on,Dx

Answer:
LichenPl
anus(
LP)

150.Pat
ientofOAonr
egul
arP/
CButnotcont
rol
l
edpai
n&hi
stor
yofpr
evi
ousl
ytr
eat
edul
cer
,

Nextbestst
ep

Answer:
Oral
Ibupr
ofen+PPI

151.Whatchangeoccuri
nPul
monar
yHTN

Answer:
Rai
sedsy
stemi
cvascul
arr
esi
stance/Nor
mal
pul
monar
yvascul
arr
esi
stance/

Nor
mal
pul
monar
ycapi
l
lar
ywedgepr
essur
e/Reducedr
ightat
ri
alpr
essur
e/

I
ncr
easedcar
diacout
put(
★★★)

152.I
ncr
easedsat
urat
ioni
npul
seox
imet
rybutl
owi
nABG,
duet
o

Answer:
Car
boxy
hemogl
obi
n

153.Ar
m weakness,
sensor
ylossov
erupperl
ater
alar
m &shoul
derwi
thabsentbi
cepsj
erk,
Dx

Answer:
C5Lesi
on

154.Bi
ost
ati
sti
csr
egar
dingBP,
Age,
Sex,
Hei
ght
,Wei
ght
.BPcanber
epr
esent
edby

Answer:
Scat
terPl
ot(
RCPWebsi
teSampl
eQuest
ion)

155.Car
diaccat
het
ershowsdi
ff
erentsat
urat
ion&pr
essur
eindi
ff
erentchamber
s(Sat
urat
ioni
n

RV=81&RA=80)
,Dx

Answer:
VSD/ASD/Ei
senmengerSy
ndr
ome(
★★★)

156.DM wi
thNeur
opat
hicul
cerongr
eatt
oe,
noti
mpr
ovedbyant
ibi
oti
c,Nextbestst
ep

Answer:
MRIofFoot(
Ost
eomy
eli
ti
s)
157.Wast
ingofdel
toi
d&l
evat
orscapul
aebutnof
asci
cul
ati
onwi
thspaspt
icpar
esi
sofal
lfour

l
i
mb&i
ncr
easedal
lj
erksbutnosensor
ysi
gn.MRICer
vical
Spi
ne-Nor
mal
,EMG-

Dener
vat
ionofdel
toi
d&l
evat
orscapul
ae&al
lfourl
i
mbmuscl
es,
HasFami
l
yhi
stor
y.Dx

Answer:
ALS/Her
edi
tar
ySpast
icPar
apar
esi
s(★★★)

158.Pat
ientwi
thwel
lci
rcumscr
ibedl
i
nearski
nlesi
onwi
thpsy
chi
atr
ici
l
lness,
Dx

Answer:
Der
mat
it
isAr
tef
act
a

159.Mul
ti
drugabusersev
erel
yagi
tat
ed,
euphor
ic,
Cause

Answer:
Amphet
ami
ne/Ecst
asy/Cocai
ne(
★★★)

160.Chr
oni
ccough(
6mont
hs)wi
thB/
Lhi
l
arl
ymphadenopat
hy,
Dx

Answer:
Sar
coi
dosi
s

161.DM wi
thpai
nful
ski
nlesi
oni
nbot
hlowerl
i
mb&bot
hinnerar
m,Dx

Answer:
EN/EM /Necr
obi
osi
sli
poi
dica/Gr
anul
omaAnnul
are(
★★★)

162.Chr
oni
chi
stor
yofEr
ythemaNododum l
i
kel
esi
onwi
thuni
l
ater
alpl
eur
alef
fusi
on,
Dx

Answer:
TB

163.Ri
ghtl
owerl
obepneumoni
awi
thgr
eensput
um,Dx

Answer:
Haemophi
l
usI
nfl
uenzae

164.DenosumabM/
A

Answer:
RANKLI
nhi
bit
or

165.Scenar
ioofPRV,
Most
lyf
ounddef
ecti
n

Answer:
JAK2Mut
ati
on

166.Tr
eat
mentofSt
ressI
ncont
inence,
MostAppr
opr
iat
e

Answer:
Pel
vi
cFl
oorExer
cise

167.Neur
ofi
bromat
osi
sTy
pe2hav
ingbr
aint
umor
,Tumoror
igi
nat
efr
om

Answer:
SchwannCel
l(Acoust
icNeur
oma/
Vest
ibul
arSchwanoma)
168.Pat
ientwi
thOst
eosar
comapl
ushav
ingf
ami
l
yhi
stor
yofBr
ainTumor
,Def
ecti
n

Answer:
TP53(
Li-
Fraumeni
Syndr
ome)

169.Femal
ewi
thmul
ti
plebonycy
st,
mostl
i
kel
ycause

Answer:
BreastCar
cinoma

170.Scenar
ioofapat
ienthav
ingHy
pot
ensi
on(
BP=90/
60mmhg)
,Hy
ponat
raemi
a,

Hy
per
cal
caemi
a,Pot
assi
um upperl
i
mitofnor
mal
range(
4.9)
,Dx

Answer:
Addi
son'
sDi
sease

171.Post
-chemot
her
apyLeucocy
tenadi
rbackt
onor
mal
bywhi
cht
ime

Answer:
10-
13Day
s(Pr
evi
ousQuest
ion)

172.Ri
ski
nPl
atel
ett
ransf
usi
on

Answer:
Staphy
lococcal
Inf
ect
ion

173.10weekspost
-par
tum pat
ientcompl
aini
ngofherhai
rbecamet
hick&t
henst
artt
ofal
l
,

Fol
l
owi
ngst
atementcor
rectf
ort
hisf
eat
ure

Answer:
Tel
ogenEf
fl
uvi
um (
Anagen,
Cat
agen,
Tel
ogenr
elat
ionshi
p)(
★★★)

174.Ant
iTPOPosi
ti
ve,
Dx

Answer:
Hashi
mot
o'sThy
roi
dit
is

175.Hi
stor
yofAmoxi
cil
l
inuse+Rashaf
tert
her
apywi
thDATposi
ti
ve,Dx

Answer:
EBVI
nfect
ion

176.Pneumoni
awi
thRay
naud'
sphenomenon+Col
daggl
uti
ninposi
ti
ve,
Causat
iveagent

Answer:
Mycopl
asma

177.Scenar
ioofExer
ciseI
nducedMy
opat
hypl
usRedUr
ine,Dx

Answer:
Mc.Ar
dle'
sDi
sease

178.Scenar
ioofAnor
exi
aNer
vosa,
Mostl
i
kel
yfound

Answer:
Finehai
roff
ace&body(
LanugoHai
r)
179.Vancomy
cinl
i
kemechani
sm ofwhi
chdr
ug

Answer:
Tei
copl
ani
n

180.Pat
ientwi
thscl
eri
ti
s,mast
oidi
ti
s,nasal
sti
ff
ness,
C-ANCAPosi
ti
ve,
Ant
i-
PR3(
+ve)
,Dx

Answer:
Wegner
'sGr
anul
omat
osi
s(GPA)

181.Pat
ienthav
ingAst
hma,
footdr
op,
P-ANCAPosi
ti
ve,
BloodEi
osi
nophi
l
ia,
Dx

Answer:
EGPA(
Chur
gSt
raussSy
ndr
ome)

182.Rasbur
icaseM/
A

Answer:
Urat
eOxi
dase

183.Conf
ir
mat
oryi
nvest
igat
ionofRA

Answer:
Ant
iCCPAnt
ibody

184.ACEI
nhi
bit
ori
nducedagi
oedema,
Medi
ator

Answer:
Brady
kini
n

185.Unpr
ovokedDVTofFemor
alVei
nonAnt
i-
coagul
antt
her
apy
,Nextst
ep

Answer:
DoNot
hing

186.COPDPat
ientwi
thHy
poxi
a&Hy
per
capni
a,Bestst
ep

Answer:
LTOT/HomeNI
V(★★★)

187.ARDSi
nPr
egnancy
,Mechani
sm

Answer:
Incr
easedcapi
l
lar
yper
meabi
l
ity

188.Fact
orVLei
den,
Mechani
sm

Answer:
Act
ivat
edPr
otei
nCResi
stance

189.Di
abet
icNephr
opat
hyaf
fect
s

Answer:
Glomer
ularBasementMembr
ane(
GBM)

190.HI
Vwi
thwi
despr
eadt
runkr
ashes&bi
l
ater
ali
ngui
nal
,axi
l
lar
yly
mphadenopat
hy,

CD4Count>500,
Dx

Answer:
HIV
191.Youngf
emal
ewi
thuni
l
ater
alar
m weakness,
hist
oryf
atherdeat
hrecent
ly,
Exami
nat
ion

nor
mal
,Dx

Answer:
Conv
ersi
onDi
sor
der

192.Scenar
ioofapat
ientcl
aimi
nghecancont
rol
thechi
l
dren,
hasspeci
alpower
,Dx

Answer:
Mani
a

193.Pat
ientcamewi
th6weeksbl
oodydi
arr
hoea,
signi
fi
cantwei
ghtl
oss,
abdomi
nal
bloat
ing,

Tr
avel
edI
ndi
abef
oresy
mpt
omsappear
ed,
Dx

Answer:
Giar
diasi
s

194.School
boycannabi
suserpr
esent
edwi
thaudi
tor
yhal
l
uci
nat
ion,
thoughti
nser
ti
on,

suspi
ciousaboutt
eacher
s,t
racesofcannabi
sinur
ine,
Dx

Answer:
Par
anoi
dSchi
zophr
eni
a/Cannabi
sInducedPsy
chosi
s(★★★)

195.10Tr
avel
l
ersi
nNi
l
eCr
uiseShi
ppr
esent
edwi
th2dayhi
stor
yofbl
oodydi
arr
hoea,
Dx

Answer:
Shi
gel
l
aDy
sent
ery

196.Pat
ientcompl
aini
ngofgener
ali
zedbodypai
n,t
remor
,pal
pit
ati
onet
c.,
Exami
nat
ionnor
mal
,

I
nvest
igat
ionsnor
mal
,Dx

Answer:
Somat
ofor
m Pai
nDi
sor
der
/??
?(★★★)

197.El
der
lypat
ientwor
ri
edaboutsomet
hingf
orl
ast4mont
hs,
easi
l
yagi
tat
ed,
Dx

Answer:
GAD/I
ll
nessAnxi
etyDi
sor
der(
★★★)

198.Apat
ientwi
thbi
tempor
alhemi
anopi
a&mar
kedl
yrai
sedPr
olact
in(
S.Pr
olact
in=110000)
,

Mostappr
opr
iat
etr
eat
ment

Answer:
Caber
gol
i
ne

199.Onescenar
ioofI
tchyr
ashonbut
tock&ext
ensorsur
faceofbody
,maybeassoci
atedwi
th

Coel
i
acDi
sease,
Dx

Answer:
Der
mat
it
isHer
pet
if
ormi
s

200.Tr
iedMyBestToFi
ndOutThatButFai
l
ed.
Speci
alThanksToTheCandi
dat
esWhoShar
edThei
rExper
ience

Thi
sRecal
lsCol
lect
ed&Compi
ledBy

DR.TANVI
RSHAHARI
AR

(
Dhaka,
Bangl
adesh)

*
*Pl
easeFor
giv
eMyAnyMi
stake*
*

"
"HOPEFORTHEBEST"
"