1...tooth extracted during fight where to put this teeth.....

cold milk
2....anaphylactic shock.....epinephrine....
3...ulcerative colitis screening...1-2 year interval
4....depression pt with hypersomnia,wt gain...drug????
5....osteosarcoma pt..biopsy or bone scan
6....breat biopsy... hemophillia
7...ppd pakistani girl....
8...air embolism pins and needle
9....cholestrol embolism...after fracture.
10....ischemic hepatitis.....after traumaaa low bp
11.tourretee disorder
12....rett syndd
13....candidiasis..fluconazoleee
14....cerebellar tumor wala....ataxia.
15.....viral gastro ki managemnt...
16....allopurinol...all pt with chemotherapy risk of ua stone which drugs will u
give.
17.....colorectal ca...sporaidic mutation.
18....recurrent bacterial pneumonia which immunity impaired...it was humeral...
19.....intrapartum bleed....antibody test postive agya tha so no use of ivig...i
guess i picked to calculate the immunoglobulin titers..
20.....ascus....lady 21 year old..what to do next....testing for high risk hpv.
21....hpv risk of vaginal ca....
22.....initial asytole in cardiac shock
23.....serious s/s of back pain....all time pain not relieved by rest...
24...hit type 2....
25....platelet factor 4 antibodies...
26....stop heparin product.
27....hemoglobinurea exercise induced...
28....nsaid induced interstitial nephritis histology...
29....eye globe melanoma ki biopsy picture.
30....biliary atresia.. congugated hyperbilirubinemia
31....pancreatic ca...
32....hoarseness heavy smoker..i did ct neck... as it seems scc of throat/neck
33....men1...hyperpth...
34....hypercalcemia....next step pth measurement...
35....hida scan...usg not showing gallstones.
36....hypothyroid....hypercholestrolemia
37.....htn not controlled by ace. which drug will u add...thiazide diuretic
38....renal stone....low sodium diet...
39....thiazide diuretics...low blood volume...
40....sickle cell trait pt...consiquences
41....penicillinn post splenectomy
42.....acne rx....oral tetracycline as was not responding to topical...
43....insulinomaa....ct p kia dekhae dega
44.....paper bag inspiration....c02...panic type s/s thay us k i guess nbme8 ka
question tha ye..
45....systemic sclerosis...wala raynaud phenomena tha
46...cardiac myxoma wala question..wt loss plus murmur the....
47...vsd tha...holosytolic murmur plus poor feeding of child...pathological
murmur..
48...endocarditis hua para tha... uti se usmain pocha tha kasay prevent kia ja skta
tha by removing urinary catheter once its need is not there.
49...question about cardiac emboli usmain pt/inr kerwana tha cz pt had
afibrillation....warfarin subtherapeutic le rhe tha i guess
50....abdominal aortic anursym wala baba 65 year ka tha....usg abdomen kerwana cz
wo smoking kerta rha tha
51....1 londi the 14 sal ki breast/pubic hair development normal the but primary
amenorrhea tha usay.....reassure kerwana tha usay k sabar kar 15 sal k bad he tera
workup hoga...
52....dvt wala londa uska spiral ct kerwana tha...
53....tof wala bacha...squatting q kerta ha....to increase svr...
54....hypovolemic shock arrow wala question...pcwp, preload, svr,mvo2
55...1 htn wala banda tha...s4 arrhe thee.....diastolic heart failure...option tha
abnormal relaxation/filling of heart...
56...constrictive pericarditis tha....urea bht high the, jvd the, distant heart
sounds...bp low...
57...tension pneumothorax tha...
58...vit b12,memory problems plus neurological mcv raised tha
59...follic acid deficiency tha....no neurological probl mcv raised, etoh leta
tha...
60...a fibbrillation ki ekg
61...another afib....a wave were absent on jvp...
62...small cell ca...chemotherapy..
63...tension pneumothorax 2 questoins ae huay thay....
64...ulnar nerve at elbow tha.....sensatin loss over ulnar side....use elbow
pad....
65...shoulder dislocation after a fall while playing football..apprehension test
positve plus sesatinos loss over deltoid..abduction weakness.
66...myocarditis ka bacha usko flue hua tha kuch days before
67....1 question about rta...lower bp cardiac tamponade ki traf ja rha tha scenerio
i did surgical thoracotomy as vital were really bad...
68...spirometry for asthma pt
69...corpulmonale in copd pt...due to hypoxic vasoconstriction chronic...
70....alzheimer walay ki ct...brain atrophy lag rhe the plus scenerion of
alzheimerr druge..neostigmine/rivastigmine...
71...tramadol le rha tha serotonin synd ka band aya tha..hyperreflexia dtr raised
thay
72....digoxin charhea ek banda tha uska ejection fraction 25% tha plus decompensate
heart k s/s...
73...myopathy the steroid induced...cardiac muscle atrophy btae hue the
74....contact dermatitis....
75...pityriasis rosea aya hua tha 1 lesoin banta wo enlarge hota then us k sath
dosre bantay christmss tree pattern
76....vaginal candidiasis ka rx...fluconazole
77....cardiac enzyme ka question ekg were normal but suspicion for coronary artery
event so ekg alone cant rule out so have to do cardiac enzymes as it may be
nstemi..
78...painter occupation asbestosis...
79...post mi mitral regurgitation complicatoin....new murmur..
80....lyme disease meningitis.
81....nph ka ct tha...i did lp
82...fibroadenoma...single mass moving increased tenderness with menses young
lady..
83...ovarian ca resembling hx of a young lady fhx of ovarian ca ka pochna tha..that
was important to ask to get dx..plus bowel s/s bhe thay us k
84....pcos wali bande..irregular menses, increased wt.plus nulliparus..
85...fibroids wali bande with anemia and heavy menses..
86...bmi>38 plus osa...i did gastric bypass surgery..
87...atrial septal defect tha..wide fixed splitting of s2.
88...fibromuscular dysplasia wali bande..htn uncontrolled plus carotid bruit..
89...many questions about preeclampsiaa atleast 3 or 4..
90....aortic dissection with increased bp...esmolol dena tha usay..
91...cystoscopy....painless hematuria wala baba
92....conn syndrome tha..hypokalemia increased bp increased na...excess mineralo
93...siadh in lung ca...
94....pyloric stenosis main lab abnormalities..
95...cecum malroation 1 bacha with projectile greenish yellowish
vomiting...increased bowel sounds.
96...sigmoid volvulus...x ray pic.
97...aortoileic syndrome...claudication, erectile dysfunction, hip pain
98....galactosemia ka bacha...poor feeding hsm...bilirubin increased...
99....recurrent infections, git s/s...sweat chloride..
100....mexico travel..diarrhea with bloating...giardia..
101....wagner granulomatosis wala upper lower resp both involved.
102...alport synd...col3-5 positive collagen in basement membrance defective..
103...urge incontinence...oxybutynin.
104...psgn....phyringits rx with penicillin dont treat it..
105....esophageal rupture after endoscopy...crepitus and mediastinal air.
106...carboxyhb levels increased in co poisoning..1 young man in garage...
107...failure of extubation due to opioid use...respiratory rate goes down and
saturation decreases.
108...haloperidol taking chronic...tardive dyskinesia
109....1 asthmatic tha usko specific jaga ja k bronchospasm hota tha i guess dog se
related allergy..i choose as needed short acting beta agonist.
110...iud...in a young girl..copper iud..
111...mentally retarded girl mother concerned about unwanted pregnancy...tubal
ligation.
112....adult protective services contact
113....child abuse suspected..option was to perform skeletal survery..
114....stasis dermatitis....wala ulcer below ankle tha
115...copd wala banda..heavy smoking, excerbations horhe thenn but wasnt taking any
meds....tiotropium dia..
116...diabetic mom....betay main risk of shoulder dsytocia wala.
117...1 dirtect scenerio of mitral stenosis...diastolic murmur.
118....1 primigravida larki slow progression of labour...but fetal and her vital
were normal...3 hours se labor main the..i did conservative mnx.
119.... inferior wall mi...artery was rca..
120.....upper gi bleed pt...endoscopy..2 stem question was this...next qst was very
easy so cant recall...
121...pre renal azotemia...voloume depeltion was the cause...
122... dka pt with abd pain have to give fluids...
123..ehtics question....interview the child separately
124...ocd...bande says i cant stop thinking...also
125..gad....6months plus many anxiety patterns like school, at home.
126...medical error...occured in a ward due to wrong dose and medicne...next step
will be to perform root cause analysis.
126...medical setting..error occurs new intern as well as new nurse failed to
communicate and pt got wrong rx...ans was inproper training of staff
127..child presents with decline in school performance and s/s of anxietyr
regression...underlying cause was unstable home ennvironment.
128..etoh craving which drugs reduces..naltraxone.
129...facticious disroder was there...she came to hospital multiple times...self
injected matter.
130..risk of osteoarthritis increased with thigh muscle atrophy...crepitation was
there...
131...labs showing increased t4 but decreased tsh in a pregnant lady.....was due to
b hcg that mimics tsh
132..question of primary hyperpth...what test to do...imaging for pth
adenoma....high ca low phosphate was there
133...nnt to treat tha..uska answer 50 tha...
134...abstract quesion in last block....first was why there is concern for
generalzibility of this study....i wrote self injection of influenza violates it
generazilibility
135..2nd qstn was to calculate relative risk answer was .15/.50
136..3rd question was about confidence interval interpretation...null value wala
137... 7 year old boy all vaccinations updated came in nov....i gave influenzaaa
138....digeorge synd wala...facial abnormalities....asks about defective cellular
immunity.
139...uc association with psc...he has pruritis...congugated bilirubinemia
140....anal fissure..military person living in middle east
recruits...constipation..blood on toilet paper..pain
141...ethics question was there not to release info son asked doc...next step was
to ask pt itself how much info u wanna know.
142...1 question was about vaginismus...lady with painful sexual experiences..
143..1 vague scenerio of appendicitis s/s for 2 days... lmp was recents so i did ct
abdomen/pelvis
144..one qst ssri using but he has sexual dysfunctns plus depression was not well
controlled....give bupropion
145...thiamine deficiency...wernick encephalo, gaze problems.
146..im...posterior lympadeno plus exudative phyrngitis...young lady...monospot
test..
147...1 pt comes for morphine refilling....scenerio was going towards abuse as was
taking more frequently also was producing pain s/s...so i didnt give morphine other
option was to come later as he has still 4 days morphine remainig
148...other tricky ethics question took my 4 mins....lady called for ocp refill she
has no insurance...std screening were normal recently... i picked refill ocps but
try to get insurance asap..that was tricky..
149... 1 case of arotic stenosis....valve replacement kerne the
150..renal artery stenosis ka scenerio....ct angiography
151...1 question about raised bp in a child...first reading was high on a usuall
checkup so i picked return office for 2nd reading of bp later..
152...diabetic person...sensory loss....monofilament test
153.... pad ka case next step was to calculate abi
154....other question about bp control was poor...exercise just 15 min ker rha tha
plus 3days a week..i picked increase exercise acitivity kray pt...
155... psychiatric case of anxiety pt want most safe intervention that dont
increase risk of wt gain and other s/e...cbt..
156...pt came with drug intoxicatoin 4 hours back...everything was normal...i
picked acetaminophem
157....pertusis young man, cough with vomitus...
158....atypical pneumonia with x ray findings rx ..azithromycineee
159....one case of pyelonephritis in a pregnant lady..fever with r/c, high grade,
costoverterbral angel tenderness
160..1qustoin about ehtics...mom presents with absent fetal movement...still
birth...what will be next step by physician....i picked manage acording to parents
wishes...otherw were to takeout the newborn out of hosp, other was let the mother
hold the baby for time being..
161...hyperthyroidism ka case have to give ptu...
162...neisseria meningitidis..lp findings skin finddings werer given too
163....sjs was there....pt was taking drugs...pain and skin findings were there...
164....arnold chiari formation...myelmeningocele, hydrocephalus
165...central cord synd..after trauma upper ext findings were more than lower.
166...wording hoffman...spinal muscular atrophy...try to trick..via myotonic
dystrophy hx in family...but in this pt tone is decreased...
167...bullet injury in abdom unstable pt....surgical lapartomy done.
168...leukoreduction....non hemolytic reactoin after blood transfusion
169...kawasaki disease
170...dm...glomerular hyperfiltration wala qstn
171...amiodarone taking pt...check tsh levels
172... thin endometrium a lady taking medroxyprogesterone with clear discharge..
173...fibroid question with constipation s/s... irregular uterus...origin from
myometrium
174...ovarian ca risk reduction....breast feeding
175...question about abruptio placenta...tender uterus, abnormal fetal heart
tracing
176....preeclampsia risk factor.....hx of htn
177....clostridium pseudomemebrance colitis...toxin in stools...was taking cipro
178...pain after amputated limb....pt feels as if he has pain on the distal toe
althought it was amputated....i picked pain not related to type of injury...
179...bronchiectasis pt cystic fibrosis...modality to dx ...high resolution ct.
180...migrain prophylxis...propranalol
181... hiv dx via clinical findings oral thrush, iv drug abuser, rash, diarrhea etc
182...dx of delirium tremens, alchohol user, seizure vital abnormal, timeline after
48h
183..athelete females, she was doing excessive exercise...but bmi was normal(18),
next step...advise her to increase caloric intake.....qstns wasnt going towards
bulemia/anorexia
184...oppositional defiant disorder
185...antisocial personality...school hx was negative,was struckout, recently
robbed, age>18, other featurs too
186....lactose intolerance... typical scenerio
187....tca toxicity....mechanism was anticholinergic effect
188....pregnant lady with microcytic anemia.....most likely iron deficiency anemia
189....another question pt taking chronic nsaid for ra....she has anemia...asked
about anemia cause..
190...there was a real easy fetal heart monitoring...showing early
decelration..dont remember the option..i guess it was head compresson
191...oxidative drug from sulf family....hemolytic anemia....check g6pd
deficiency..
192....primary amenorrhea...next step was to do usg abd/pelvis
193...celeic disease.....tissue transglutaminase wala qstn
194...lady with b/l breast tendereness and disch..... i ordered prolactin levels.
195....doxorubicin side effect heart....muscle fiber damage...
196...charcot tooth disease....diabetic person...sensory loss down
197...hiv case...seborrheic dermatitis, thrush...risk factors for hiv
198....immunocompromised man with skin picture of kaposi sarcoma....
199...atopic dermatitis chil...give topical corticosteroids...pic with scaly
lesion, hx of asthma etc
200...plantar warts.....salicylic acid...
201...bullous pemphigoid..tense lesions, old lady....
202...wiskot aldrich synd.....eczema, thrombocytopenia and immunological prob were
there...
203....a young lady working in office, hear voices, disrupping
behavior....schizophrenia..
204...1 scenerio of rheumatoid arhteritis, joint pain, stiffness....
205....easy scenerio of hemochromatosis....skin changes, diabetes, joint pain...was
asked about iron absorption form git.
206...fibromuscular dysplasia female, 2ndry htn, elevated renin and aldoo....
207...mi pt comes 3 days post mi, a new murmur,,,pulm edema,,mr
208....paget disease question....i guess rx was asked....dronates...
209...esophageal ruptur after endoscopy was asked....
210....urinary obstruction ka male kid, dilated ureter,renal pelvis and
bladder....next investiagation....cystourethrogram...usg kidneys was not there...
211....shunting...
212....hypoxic vasoconstriction..