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10th Oct Recalls

The document outlines various medical cases and scenarios, including patient presentations, diagnoses, and management options. It covers a range of topics such as dermatological issues, respiratory conditions, mental health disorders, and complications in pregnancy. Each case presents a clinical question with multiple-choice answers related to appropriate medical interventions or diagnoses.

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lnarayananfreelancer
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3 views

10th Oct Recalls

The document outlines various medical cases and scenarios, including patient presentations, diagnoses, and management options. It covers a range of topics such as dermatological issues, respiratory conditions, mental health disorders, and complications in pregnancy. Each case presents a clinical question with multiple-choice answers related to appropriate medical interventions or diagnoses.

Uploaded by

lnarayananfreelancer
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 5

10/10/24 – morning session

Q1.Mother brought child with itchy rash on face. Rash on face looked like
well-defined margin, clear border. Centre normal. Pic given, similar

What is the mx

1. 1% hydrocortisone
2. Topical cotriamoxazole
3. Reassurance
4. Oral antifungal

2. 10month old with 10 days of coughing and SOB. Vitals with high RR and
pulse. Examination with bilateral creps and wheeze with systolic murmur
at lt sternal edge. Live palpable. C Xray given. Diagnosis

1. pneumonia

2. heart failure

3. bilateral pleural effusion

3. prevalene of HIV decreased by 50% in rural area. Incidence rate is


stable. What can be the reason;

1. people from rural have moved to city

2. better pre-exposure prophylaxis

5. AV fistula, same scenario as recall, also mentions that bruit can be


heard over the fistula
6. Risk of schizophrenia in for child. Only grandmother has schizo
15% risk of his child having the disease
No significant risk for the child
25% risk to the child

7. Pt with hydroneprosis and dialter ureter, had stent put in, results
should cr and u raised with electrolyte disturbance. Improved after
hydration. Few days after urine out low, results given, urea was in
20s while creatinine was mildly elevated.
Asked for cause
Dehydration
Urosepsis
Stent onstruction
8. Domestic violence case. Husband waiting outside, wife fear her
safety
Call police
Admit wife so she is in a safe place
9. 18yr old with general ill health, fatigue and tiredness. Examination
normal expect BMI of 19. Result showed alb of 30 and globulin 12.
Likely diagnosis
Immunocompromised
CF
Celiac disease
10. Patient presented with 3 month history of abdominal pain,
nausea and vomiting. Smoker and drinks alcohol 3 to4 cans per day.
Examination revealed mild jaundice. Results showed increased TB
and conjugated bilirubin, ggt, alp elevated ad ast and alp were
normal. Uss dilated intrahepatic ducts, others normal. Appropriate
next investigation:
ERCP
MRCP
CT abdomen
11. Pregnant lady,o negative, has hx of PV bleeding had anti d
given, 2 weeks later, test should antibodies present (titre not given),
next in management
Given another shot
Give prophylactic at 34wks

12. Farmer with pain and tingling sensation in thumb and index
finger, loss of thenar muscles, brisk radiobrachialis relex, pain worse
with shaving and shearing
Carpal tunnel
Thoracic outlet obstruction
Something neuropathy
13. Ed junior reg saw a unique case. Pt went to ward. Junior reg
messaged requesting his colleague to take a photo for his personal
records. What should the colleague do:
Take photo and sent
Ask the senior reg for the request
Get permission from patient that we will use photo for teaching
purpose
Dont accept request.
14. Junior surgeon operating, lap cholec, first incision made into
the liver, massive bleeding, consult came and had to do open
labprotomy. Post op healed well without complication. What
information to be given
Theater nurse to inform the patient
Register to tell the pt that there was error
Pat advocate to inform pt
Surgical head to inform pt in prescence of pt advocate

15. 12yr old girl with on/off abdominal pain. No dysuria or


frequency. Msu e.coli. next step in management
Septrin
Nitro
Norfloxin
Another med
Rpt msu
16. Male in 50 with back pain. Coming for regular followups. Was
put on indocid which improved pain , currently 5/10. Examination
tenderness with restricted or pain on flection and extension of back.
Xray on initial visit showed spondylosis what is next management
Continue follow up clinic
Add gabapentin
Wear a back brase
17. Pregnant mother with headache, photophopia, worsening
gradually, on examination BP 150/90, what to do next
Fundoscopy
24hr BP monitoring
Urine protein
CT
18. Patient came for insurane medical. All examination normal,
protein dipstick was +1. What for next
Renal function’
Renal scan
24hr urine
Urine ACR
19. Neck mass for some year, slowly increasing in size, now, small
are is bleeding, difficulty in swallowing at times, some noise after
she swallows, hoarseness of voice. Asking which sign is supportive
need for surgery
Bleeding
Dysphgia
Hoarness
20. Patient on warfarin presented with left thigh bruising and
swelling. Investigation should CK 10000 and ecg with t inversion.
Asking for diagnosis
Hematoma
Rhadomylosis
21. Husband came with wife. Says that his neighbours are spying
on them, telling others about his personal life and wants them to
move away from his neighborhood. Asking for diagnosis
Schizophrenia
Delusional disorder
22. Wife comes for anc clinic, tells that she feels tired as cant rest
well as looks after baby. But no loss of interest or signs of
depression. Says that hushand doesn’t help us, goes out with
friends, what to do
Sleep hygiene techniques
Call husband in next visit
Advice or arrange meeting for both with relationship counseller

Other recalls:

1. Farmer scenario with fever, coughing – brucellosis, hydatid disease


2. Stroke pt with hemianopia
3. Agitated pt in hospital
4. Derailment question
5. RA patient going for surgery, what investigation to do
6. Post appendectomy fever, basal crips, erythema and swelling over
incision side
7. Pt on prednisone with couging, ct lung shown ? asperliosis. Asking
for investigation. Peripheral lung lesion - option was percutaneous
lung biosy
8. Recurrent chest abscess, gingivitis and enlarged tosils - what can
the issue- defect in neutrophil
9. 13yr old with mennorhagia
10. Molluscu contagious pic, asked treatment
11. SVT, unstable pt
12. 3yr old with pneumonia, asking for organism, pic something
like below
13. Elderly women with urge incontinency
14. Excersie induced hematuria
15. Polio vaccine catch up
16. Scenario of pregnant lady with GBS in urine in 2 nd trimester
17. Xray for bowel obstruction cases
18. Post op patient also with non-tender ado distension, with some
vomiting and no BO
19. Scenario on which fluid to give post 1 hydration, bloods should
mild hyponartermia and boerdline potassium
20. Post partum psychosis, husband taking care of baby, mother
admitted, what treatment initial
Quetiapine
Emergency ECT
21. Scenario of alchohol withdrawal post op patient
22. Schizo pt, agitated, agrresive, what to give
23. Child with lump just above umbilicus

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