Medical Diagnostic Cases: Identifying Causes and Treatments, Exams of Health sciences

Download Medical Diagnostic Cases: Identifying Causes and Treatments and more Exams Health sciences in PDF only on Docsity! FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+.  young female 7 weeks amenorrhoea, how to confirm?- b hcg  pt was going to stent operation. After 4/5 days got a swelling in the right groin 6 cm painfil,pulsatile,what to do?-antithrombin inj to the mass – Compress by prob, ultrasound  boy wearing girlfriend’s underwear. What is this?- female entrapted in a man’s body - Transvestism  ECG of RBBB, pt was on antihypertensive,diabetes and now had drowsinees for last 5/6 days,..what to do next? A) atropine b)pacemaker c)cease antihypertensive (first Atropine, if no response, them pacemaker) M pattern in V1V2  pt was on warfarin and other medication as well. Gave a Ct.. what was it?a) cerbral hematoma b) cerebral infarct  pt had surgery,after 12 hours got chest pain. What to do? A)chest physiotherapy b) echo c) ecg (pulmonary atelectasis – first 12 hours) FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+.  2 ECG 1st one atrial fibrillation that was when pt came to u, after a while did another ecg,that shows ventricullar fibrillation ecg..what to do? A) defribrillator B)cardioversion (if hemodynamically stable. Beta blocker)  pt had injury to tibia, 5 cm clean, what to do next? A)clean the wound b) give tetanus toxoid(no thing mentioned about tetanus history or anything)  pt had injury to tibia,6 cm lacerated wound,what tod o next? A)wound debribement a) give tetanus toxoid (nothing mention about tetanus history)  pt has muscle weakness,both upper limb and lower limb,hand small muslce weakness as well..what tod o next? A)EMG b) MRI  an 80 years old man killes his wife she was 70 years old they married for almost 50 years, you found multiple bruises in her body.what was the cause of her death? The man accepted his action and surrendered to police. A) she has metastatic cancer b) the old man had over valued idea c) she had extra marritial affair. d) He was worried about her whereabouts 17.a man had anti parkinson drug for 9 years. Recently prescribed for FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. b)mass is above the testis and negative tranillumination test c) the mass is soft and can get above the swelling  old man had back pain, sometimes it wakes him up from sleep. No injury history.what is the cause. A)mechanical back pain b)lumber disc prolapse .40 years man had unilateral pain in ankle joint and swelling. Looks dark in colour. What u be associated with his condition. A) gout b) haemochromatosis b) arthritis Pigmented villonodular synovitis A 35 year old man acutely complained of Right knee pain and swelling right after playing golf. Arthrocentesis done revealing 25 mL of brown pigmented fluid aspirated. What is the diagnosis? A. Rheumatoid arthritis B. Gout C. Osteoarthritis D. Pigmented villonodular synovitis E. Hemochromatosis Achondrosis . 60 years old lady had ankle swelling and pain, what will find aftr aspiration of fluid from the swelling. A) clear crystal fluid b) hazzy fluid .65 years old lady has DM got an ulcer in the 3 rd metatarsal 1 cm yellow colour fluid coming out. What to do? A) give antibiotic b)immobilisation of the limb c)amputation of the finger .  an old pt came with abdominal pain. He got peritonitis,the condition was he needs urgent laparotomy otherwise he will die.He doesnt want to do any operation, his wife wants to do that. What to do next? A)access his competency to make wish b) listen to his wife c) do surgery  you found one intern is giving wrong dose of treatment in ward,it’s FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. happening for last couple of weeks. What you will do. A)tell to the intern to concern about that b) report to the intern supervisor or someone like that c) tell nurse to help the intern  an Uni student come to the psychiatry registrer about his friend telling his friend has some suicidal thought. What the registrer will do?a) tell the intern to take his friend to GP b) tell him to contact with university social welfare people(someone like that) c)access his friend  lady has active herpes lession in gentalia. What to do toprotect his husband. A) treat his husband b) use condom c) treat only herself d)avoid sexual activity whe active lesions  lady with retroverted uterus, on examintaion the uterus is floating. Want to concieve . what to suggest?a) do surgery for uterus b)ICSI c) wait for 12 months. (floating uterus means she is already pregnant, look for the related option in exam)  women has 4 days history of constipation progressing, no history of any surgery before,xray findings written, ask cause.. a)ca colon b)adhesion c)stool impaction no sigmoid in option  xray given of ceacal volvulas. FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+.  lady on carbimazole for thyroid, now going to be pregnant.what to do? A) continue carbimazole b) stop carbimazole c)decrease the dose FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. 4. Old age woman on multiple drugs digoxin ACEI BB ,she stopped all drugs 3 weeks ago as she was in a trip and ran out of drugs ,she is complaining of confusion ,and occasional postural dizziness (the exact words ) ..lab results show : C reatinine 118 (normal up to 90 ) N on fasting blood glucose : 4 B l p. sitting 168/70 ,standing 130 /60 W hat is the cause : a.dehydration . b.renal impairment c.hypoglycemi a 5. old man stopped taking drugs ,now he has edema up to knee , HR 106 HTN with clear lungs what next ? a.fursmide FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. b.spironolact one c.digoxin d.BB E.recommence ACE ,BB,other drugs but not diuretics 6 . A policeman is coming for his collegue that bea ten his friend during an argument ,he is intoxicated for alchol what in history will be important to say personality sdisorder H istory of fight with colleague two weeks ago FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. H istory of animal crulity during childhood Alchol and drug abuse (borderline personality) 7 weeks child with high fever ,vomiting increased Until it is now after every meal ,no other sighns, urine exam revealed 5*10*9 cells what next : Oral cipro Oral amoxi IV gentamycin IV cephalospori n 8. Scanrio of temporal lobe epilepsy ,treatment a.valproate b.ethoxsu mide c.lamotrigi ne 9. same scenario of progressive constipation through 3 weeks in old age (3 questions ) one with empty rectum and no gases in x ray just distention of ascendind FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. again if lump appears 14. Young female came with fatigue and tiredness ,Hb decreased from 11 to 9 Ca 1,9 INR 1.6 Na 130 K 5.5 Next best a.blood transfusion b.IV Ca c. vit. K d.Na e.k 15. old lady says that when she goes to sleep ,before falling asleep she feels crowling insects and this annoys her otherwise she doesn't feel anything like this during the day ,,only when go to sleep next Ech o Slee p FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. studies irrelev ant (incomplete stem, looks like fibromyalgia) Pregnant 32 ws as part of program of flue vaccine what option u choose a. Defer to after pregnancy b. wait until u have the infection and use I forget something like passive immunity. c. take the vaccine now d. defer to after a month Q2. woman 45 or 50 ys present with dysuria, freguency and eneuresis, urine analysis show leucocytes and nitrite positive. what treatment options a.trimethoprim b.penicillin c. tetracyclin d.I forgot others Q3. Kid has swelling behind his ear that is tender, fever. O/E tender and red. What could be the cause: a. staph b. h influenza c. streptococcus pneumonia d. strep pyogen Q4. Patient male depressed wife left him, drink alcohol, smoker, he has chronic lower back pain for which he is taking paracetamol, morphine tab, others I forget today he ate all medication in his bathroom feel FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. drowsy nausea depressed respiration. EMT gave him naloxone. When arrived ER he still have same symptoms with depressed respiration. asking options: a.give him more naloxone b.check his paracetamol level c.give him NAC d.I forget others Q5. Patient I forget the cenario but he has loss of planti flexion, and inversion, also loss of unkle jerk; But he has intact dorsiflexion and eversion. Knee jerk normal. Which nerve injury: a. sciatic b. tibial c. common peroneal d. forget others. Q6. Patient complaining of loss of sensation over lateral arm, lateral forearm, loss of triceps jerk, asking about the site of injury FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. b.meningioma c.astrocytoma Q15. What is the U/S benefit used as abdominal diagnostic measure a. injury to solid organs b. to Dx fluid filled cyst c. To Dx ruptured viscus Q16. 35ys old man brought by wife, presented with confusion, ataxia, right upper abdominal pain, changed behavior, memory loss, weakness, pt drink alcohol and smoke some per day, T 37.5, vitals normal. He has his father and paternal aunt has same history when at his age. Asked what investigation to reach Dx a.CT brain b.CT abdomen c.MRI brain d.Check serum ceruloplasmin (Wilson’s disease) Q17. Woman married to a man known to have hepatis C positive, she came to know what increase risk of transmission of hep C the most to her a.unprotected sex b.use his tooth brush and his razor blades c.eat together Q18. 32 weeks pregnant not immunized come want advice, her son 8 years old diagnosed having chicken pox, options a.give her IG b.give her vaccine FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. c.check her IgG status d.reassure her e.ask her to come in a week for U/S Q19. Patient came want advice about his cardiovascular disease risk you did exercise challenge test was positive, PPV 55%, NPV 90%, what is his risk a. 10% b. 45% c. 55% d. 90% e. 100% Gbs stem.how to monitor respiration. FEV FVC Monitor chest expansion Post op incarcerated hernia 1st day aggitation stem fever sob O2 sat 88% xray given after o2 what initial step.xray had patches! What initial IV antibiotics FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. Heparin Thromboly sis Droperidol Looks like atelectasis, treatment should be physiotherapy Chest pain 12 hrs pain reduced 4/10 on ecg st depression o2 given nxt Morphine GTN Heparin Thromboly sis Wpw hr 280 nxt Verapamil Amiodarone Cardiovert Central chest pain incresing on inspiration..has fever ecg given cudnt make it out exactly what it was! What next aft O2 Heparin Nsaid Cath lab Thrombolysis Old lady fever agitation admitted uti given trimethoprium.was taking carbamazapin 4wks..PTU since yrs n antihtnives developed seizures, .labs now shows Na 120 what next Stop carbamazapine give FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. d.clozapin e Soiling in pants by a 7yrs girl, telling lies about accidents in school, hiding her soiled underwear, fighting with brother when he call her smelly Normal developmnt Delayed developmnt ODD Regressi on Depressi on l Stem of copd xray was totaly not of copd :( options Copd Asthma Heart failure FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. Pic of sle rash face im supposing.arthritis mouth ulcers trmnt Methotrexate Hydroxychloroq uine Cyclosporin Man with tirdness lethargy cough dyspnea Labs shows Hb 104 Tlc 40 Plt 90 Blast cells 60% Diagnosis Acute leukemia Bone marrow infiltration by CA lung CML CLL Psoriasis rash on whole legs since 6 mons trtmnt Uv therapy Calcipotri ol Predsinolo ne Postop cataract 5th day got up with pain n blurring of vision red eye pic laterly i cudnt apreciate exactly ant eye had pus or not :( Hypopy FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. on Glauco ma Scleritis MR pt going fo colonscopy what prophylaxis need Diffrnt antibiotics in 4 options No prophylaxis required Pt allergic to penicilline staph aureus on culture Ceftriaxone Cefazolin e Cefalaxin e vancomy cin Xray given plumber resp symptoms n signs mix.fev n fvc values given frgot what read the topic.asked next CT Pleural biopsy Trial of steroids (mesothelio ma) FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. 12 restless leg syndrome- iron studies 13. Hutchinson's freckle- local excision 14. Mitral stenosis_ pulm htn x-ray 15. 1.Arab woman who doesn’t speak English with 16. weeks pregnancy, was referred by the mid-wife for which she suspects her mental condition. The woman seems irritable, worried(or anxious) about the people around and she’s uncomfortable when her husband is not around. She is also irritated with her 2 children. What condition in her history will be present to lead you to diagnose this patient? (looks like prodromal symptoms) 1.Panic attacks 2.Paranoid personality disorder 3.Family member with schizophrenia 4.History of trauma 17. Lateral epicondylitis- brace below elbow 18. Methotrexate induced hepatitis 19. Uremic encephalopathy- reason for confusion 20. Osteoporosis - zolendroic acid 21 osteoporosis with menopausal symptoms_ her 22. Menopausal symptoms - dvt with hysterectomy history in the past- transdermal estrogen 23. Bag and mask ventilation with light meconium stained liquor - INTUBATION 24. Ankylosing spondylitis managed with physiotherapy failed what's next step- naproxen (INFLIXIMAB select if given in option) 2. 25. 35. Female 42 years of age presents with mild hypertension for which she was started on ramipril. After 2 months she presents with B.P 170/100 , nocturia and Blood chemistry showing increase in urea and creatinine well above baseline. Which of the following will point FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. towards her disease? There was Presence of 3 cysts in left kidney and 2 cysts in the right- pkd 3. 26. Chronic purulent ear discharge - Cipro ear drops 27. Glaucoma - long term management- iridotomy 28. Acute Gout with ckd - Prednisone 29. Abdominal pain with af -Serum lactate 30. Sigmoid carcinoma - one with CT and one without Multiple sclerosis with optic neuritis asking for progression of neurological symptoms in next 10 years 10% 20% 50 % 70 % Ap # flial chest Trauma to chest by MVA and flail chest and open chest wound ,important step to be done at scene(accident site) A-Morphine IV B_pressure by gauze to close the wound C_chest tube D_chest strapping lady with 4 cm dilatatation of cervix came to hospital.on examination cervix was 5 cm dilated, fetal head at ischial spine,LOT position and ctg was of early deceleration.what to do now a.immediate delivery b.fetal scalp sampling FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. c.continuous ctg d.tocolytics 92) Pregnant women 28 th weeks, oral glucose tolerace test 8.9(SURE) what to do? a) dietician b) start metformin c) start insulin d) do hba1c A 60 years old man presents with acalculia, agraphia, dysarthria, and weakness on the left side of the body. WOF is likely the cause of the presentation? A. Medulloblastoma in Rt. parietal lobe B. Medulloblastoma in Lt. parietal lobe C. Cerebellar tumor D. lacunar infarct E. temporal lobe tumor A 50-year-old male comes for routine check-up. He does not have any significant medical history. His BP is high. On examination his BP are fluctuating between 130 and 175mmHg systolic. What is the best recommendation for this patient? a.Holter monitoring b.24 hr ambulatory BP monitoring c.Stress ECHO d.Tread mill testing e.Exercises and review after 3 months FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. d.quit medication Q23. A child brought by parents has been diagnosed as ADHD on medication amphetamine was well controlled first but recently the nurse complained that his grades got bad, not listen well, forget things and some days he skip his noon medication that should be given by the school nurse for some reason I forget. Now parents ask the GP for advice a. increase his morning dose b. give him long act formula c. talk to the school people to cooperate and take better care of the kid d. change his medication to another brand Q24. Patient returned from travel to overseas was taking tetracyclin proohylaxis for malaria regularly; 2-3 days after her return she had bloody diarrhea for 2 days. O/E she has slight tenderness in the left lower abdomen T 37.5 other than that all normal. Blood culture, stool exam normal. Ask about the cause a.pseudomembranous colitis b.giardia c.E H d.Sigella (if option of crohns disease or ulcerative colitis given, go for that…because above drugs rarely will cause pseudomembranous colitis) FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. Q25. Previous recall Q about a man returned from travel to Africa presented with hematuria, dysuria. He was doing everything right sleep under a tent, anti malaria prophylaxis, wash fruits and vegetables before eat but he sometimes like to swim in a lake. How to reach a Dx a. stool exam b. blood culture c. …….. Q26. There is Q pa has repetitive previous Hx of coliky abdominal pain description fits with renal stones, he came with SOB and cough. CXR given lots of haziness bilateral no mass , no cardiomegaly, investigation asked to reach to a Dx. a.Ca level b.CT chest c.CT abdomen d.echo e. forget…. (sarcoidosis causes increase calcium levels, causing renal stones, also reason for shortness of breath) Q27. A kid has DM type one he keep forgetting to bring his kit to measure his afternoon blood sugar level with the nurse…my brain is really foggy cant remember the stem well, but the idea is to read about adjusting insulin dose, they asked about what to do a. increase his morning dose b. or give long act at night c. reassure and do nothing d. ??? Q28. 4ys old child brought by mom has stridor, cough T 37.5, no other complaint, chest exam was normal, no wheezes. His younger brother 2 ys FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. old has Hx of asthma What to give a. salbutamol by face mask with spacer b. oral prednisolone c. inhaler salbutamol d. Na cromoglicate (mild croup) Q29. A woman had delivered normally was primi her labour last 16 hrs placenta delivered normally and fully, given methergin after delivery of the placenta. 2 hrs later she had vaginal bleeding lost 1500 my of blood, O/E abdomen soft no tenderness, what is the cause a.uterine atony b.rupture uterus c.uterine inversion Q30. A picture of a man with enlarged breast bilat, alcoholic has bilat swelling of parotid glands, Hx of rheumatoid taking medication on, long Hx of gastroesophageal reflex taking ranitidine for, heavy smoker, HT well controlled by medication. Asking whats the cause a.ranitidine b.liver cirrhosis c.anti HT medication d.smoking FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. sometimes got wet his bed at night.What it this?- a)tell mom this is normal b)autism c)aspergus 6. African circumcission lady antenatal checkup..a)c/s b)basic antenatal care c)surgery for repair the circumcission 7.4 years old boy come to chamber doesnot want to go to school. When asked his name he says tt.....tt..... tom , when asked do u have any friend, he says, i... d....dddd....do. he smiles and waves hand when he left your room..what is this condition? A)autism b) stuttering c)aspergus d) tourette 40 yr fit n healthy woman came to OPD with incrasing jaundice, itchy skin n dark color urine for a week otherwise no symptoms. On exam: she is obviously jaundice and scratch marks present. 4 weeks ago, she has URTI and treated with Amoxil-calvulonic acid, no other history of hospitalization and no medication hisrory. Lab value ALP 410 BIL 80 AST 150 ALT 180 GGT increased USG: biliary USG IS NORMAL. what is your management for the patient? Activated charcoal Observation N acetyl cystein Prednisolone Ursodeoxycholic acid (UDCA) pt was on antihypertensive,diabetes and now had drowsinees for last 5/6 days,..what to do next? A) atropine b)pacemaker c)cease FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. antihypertensive M pattern in V1V2 FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. 10) pt was on warfarin and other medication as well. Gave a Ct.. what was it?a) cerbral hematoma b) cerebral infarct 11)pt had surgery,after 12 hours got chest pain and fever What to do? A)chest physiotherapy b) echo c) ecg 12)2 ECG 1st one atrial fibrillation that was when pt came to u, after a while did another ecg,that shows ventricullar fibrillation ecg..what to do? A) defribrillatorB)cardioversion 13)pt had injury to tibia, 5 cm clean, what to do next? A)clean the wound b) give tetanus toxoid(no thing mentioned about tetanus history or anything) 14)pt had injury to tibia,6 cm lacerated wound,whattod o next? A)wounddebribement a) give tetanus toxoid (nothing mention about tetanus history) 15.pt has muscle weakness,both upper limb and lower limb,hand small muslce weakness as well..whattod o next? A)EMG b) MRI 16.an 80 years old man killes his wife she was 70 years old. they were married for almost 50 years, you found multiple bruises in her body.He smashed her head with a rock, and later surrendered himself to the police. what was the cause of her death? A) she has advanced metastatic cancer b) FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. postivetransillumintaion test b)mass is above the testis and negative tranillumination test c) the mass is soft and can get above the swelling 28.old man had back pain, sometimes it wakes him up from sleep. No injury history.what is the cause. A)mechanical back pain b)lumber disc prolapse Pigmented synovitis FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. A 35 year old man acutely complained of Right knee pain and swelling right after playing golf. Arthrocentesis done revealing 25 mL of brown pigmented fluid aspirated. What is the diagnosis? A. Rheumatoid arthritis B. Gout C. Osteoarthritis D. Pigmented villonodular synovitis E. Hemochromatosis Achondrosis . 60 years old lady had ankle swelling and pain, what will find aftr aspiration of fluid from the swelling. A) clear crystal fluid b) hazzy fluid  .65 years old lady has DM got an ulcer in the 3 rd metatarsal 1 cm yellow colour fluid coming out. What to do? A) give antibioticb)immobilisation of the limb c)amputation of the finger.  an old pt came with abdominal pain. He got peritonitis,the condition was he needs urgent laparotomy otherwise he will die.Hedoesnt want to do any operation, his wife wants to do that. What to do next? A)access his competency to make wish b) listen to his wife c) do surgery  you found one intern is giving wrong dose of treatment in ward,it’s happening for last couple of weeks. What you will do. A)tell to the intern to concern about that b) report to the intern supervisor or someone like that c) tell nurse to help the intern 35.lady has active herpes lession in gentalia. What to do toprotect his husband. A) treat his husband b) use condom c) treat only herself d)avoid sexual activity 36.lady on carbimazole for thyroid, now going to be pregnant.what to do? A) continue carbimazole b) stop carbimazolec)decrease the dose 20 April Sydney ( Saida) I can remember this much now. Please keep me in your prayers. Good luck to all.  . A student after the exam felt strong headache.. FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. He presented to the doctor with belive that he has a tumor in his brain.. Ct scan done everything was normal. What is thr type of disorder?! A. Somatization disorder B. Somatic disorder C. Hypochond riosis D. Forgot 6. Pregnant lady with 16 weeks come to you for Down syndrome test. Which test to do? Amniocentesis 7. Hutchison frecke pic.local excision 8. Pic of hand with polyarthritis scenario asking treatment 9. Picture of SLE face rash asking for long term treatment 10. Scenario of ADHD boy asking for diagnosis. 11. Scenario of cluster headache asking investigation-trial of 100% oxygen 13.ecg WPW asking treatment--AMIDARONE 14. Old women with alzheimer accusing people of stealing her things- worsening of alzheimer 15. Old man with MMSE 26/30. He still drives. What to do next- Cease driving at night Encourage to do more physical and social activity 16. 42 years old lady come to you. Mother has hTN from age FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+.  Alcoholic patient present with foul smelling cough, high fever with rigor. X-ray was given and it showed opacity in middle zone with air fluid level, scenario said staph aureus and after giving appropriate antibiotic, what next? (no option of aspiration in my question) a)transpleural drainage b) underwater sealed chest tube with pleural drainage c)CT chest  The same red eye pic but this time scenario said Redness of eye with oral and genital ulcer: A.topical chloramphenicol B.oral chlorampenicol C.topical steroid D. oral prednisolon e  16 years old Girl came to clinic, Father diagnosed Huntington disease. She wants to test without parents wish. What should you do? a) Arrange Genetic counselling her alone b) arrange counselling whole family c) order genetic test for her d) tell her to come back 18 years of age FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. e) tell her to get permission from parents  Lady with 24 hours of muscle weakness and tingling sensation +, weakness more in lower limbs, no other sensory loss, no other symptoms mentioned a)acute inflammatory polymyopathy b) multiple myeloma c)myastinia gravis  Baby 6 weeks age, persistant vomiting (non bilious) since 2 weeks and constipation, abdominal examination can’t be done perfect as baby was crying, but seems normal. what to do? a)add food thickener b) USG abdomen c)oral rehydration therapy d) reassure it is normal in this age  Woman known with polymyalgia rheumatica and has prednisone 10 mg daily, antihypertensive medication for HTN and metformin for DM, she feels dizzy and unwell as she went overseas and didn’t take medication at all. Labs- Glu 4.0, Na 125, K 5.0 diagnosis?? a)Adrenal insufficiency b) indapamide FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. c)metformin d) lisinopril FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+.  75 years old man present with severe retrosternal chest pain. pain is preceded by vomiting. with BP 100/70 mmHg, dull on percussion and reduced breath sound at base of the lung. he has HTN DM asking most diagnostic test? 1.non-contrast CT 2.electrocardiogram 3.chest X-ray 4.Gastrograffinswallow  Diarrhoea for 1mth. what will u do for initial treatment? (I didn’t remember the scenario more and confused this one. The question is asked initial treatment and the options are same in exam.) A. Octreotide B. Prednisolone C. Loperamide D. Cholestyramine  Hand x-ray showing RA features. Diagnostic investigation asked. a. anti CCP b. ANA c. Anti Ds DNA d. RF  farmer present with depressive symptoms and angry due to drought. Spend money recklessly in FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. women and accusing government for the loss due to drought. He said he is just exhausted and not depressed. Which kind of mechanism is he demonstrating? (exact option) I confused this one. a)Denial b) Reaction formation c) Projection d) Displacement e)Rationalisation  Concern women come to you asking for antibiotic for her son who has fever, her son visited child clinic which was visited by a girl documented to be meningococcal meningitis, the girl visited the clinic from Monday to Wednesday, but her son visited on Friday. Hospital gave all the contacts of girl rifampicin as prophylaxis, what to do? a) treat her son b) giver her son rifampicin c) ask her to get her son ER for review d) provide information about symptoms to mother e) nothing need to give like reassure  Middle aged man who is hypertensive and just treated for his helicobacter pylori with triple therapy. Now comes with urine protein and hematuria with 3 cysts in right and 2 cysts in left renal cysts seen on USG. Diagnosis? FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. a) Polycystic kidney disease b) IgA Nephropathy c) acute tubulonephritis d) Acute tubular necrosis e) Acute glomerulonephritis  Patient after pacemaker insertion presents with difficulty in breathing and chest pain. faint heart sounds +, spo2 96%, bp-90/60mmhg, JVP-6 with no ECG given. Investigation of choice needed. A. Chest X-ray B. CTPA C. ECG D. ECHOCARDIOGRAM E. SERUM TROPONIN  Diabetic patient well controlled with mild renal impairment (given Creatinine level but I forgot). Which of the following risk will have in baby? A. IUGR B. Macrosomia C. Renal agenesis D. Intrauterine fetal demise E. Low Birth weight  Old age, History of appendicetomy& cholecystectomy presented with 3 weeks history of abdominal distension on ascending colon, transverse colon, descending colon, rectum is FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. is the most appropriate next step. A. give oxygen to mother via face mask B. stop syntocinon C.C section D.fetal scalp sampling E.Titrate to increase dose of syntocinon  Lady full term with adequate contraction was monitored on CTG. Everything was progessing normally. Suddenly there was a deceleration of FHR dropping to 70bpm for 4 mins. O2 isgiven to mother, what is the next most appropriate step? a. Stop syntocinon b. Continue synto at an increased dose c. Immediatecesarean d. Ventouse delivery  Pregnant women came as her friends told her take precautions in her usual diet. what she should not eat?? a. tinned salmon b. coffee c. soft cheese d. fresh veg e. Iodine  patient has acute gout with h/o chronic renal failure and previous h/0 gout. what should be FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. given- FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. a. allopurinol b. NSAID c. colchicine d. ibuprofen e. prednisolone  Gout scenario with chronic renal failure and ccf, now presents with acute symptoms, what to give? (no prednisolone in option) a)paracetamol b) codeine c)naproxen d) allo purinol e) colchici nes  An 18 year old girl presents with epistaxis, malaise and tiredness for months. no other symptoms . Hb is 8.5, microcytic hypochromic picture. INR is 1.5. Calcium is 1.9. What is nex most appropriate to reach diagnosis a. Hb electrophoresis b. serum electrolytes c. Iron studies d. anti glidianantibods e. stool culture FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. A. Left leg B. Anus C. Rectum D. testis E. penis  A mother come with her 8 months old child complaint of continuous bleeding after fall from coffee table. On examination there is bleeding frenulum and some old bruise in forehead and leg. There was no petechiae, lymphadenopathy, hepatomegaly. What is the cause? A.ITP B. Non accidental injury C.VWD D.Hemophilia A E.Hemophilia B  child come to your clinic. he play for a few min with each toy. Hyperactive, can concentrate only a few minutes. What is dx? A. ADHD B. Autism C. Asperger D. Oppositional deficient disorder  Study on Aspirin effects on preventing MI on 100 people. If those who took aspirin of the 100 ppl only 1 person had a MI. Of those who didn't take FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. aspirin 2 ppl had MI. What is the increase in relative risk in people not taking aspirin? a. 1% b. 10% c. 100% d. 200%  scenario with female patient always angry, and can’t control herself, unstable relationships. Self-harm was there, treatment was asked a. anger management b. dialectal behavioral therapy c. Psychoanalytical therapy d. Interpersonal therapy  Rural doctor wants to make study about the relationship between admission to hospital with rota virus infection and birth weight, what’s appropriate? a)RCT b)Case control c) Cross sectional d)Cohort e)Case series FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+.  40 years old lady with back pain at L4 level with severe shooting pain to leg to toe next, no neurological deficit A. Observation B. X-ray lumbosacral C. CT lumbosacral D. MRI lumbosacral  An old man with acute onset pain in the lower back with urinary symptoms. significant weight loss. On DRE, irregular prostate +. What is your appropriate investigation to lead you to diagnosis? a. chest x-ray b. CT spine c. TRUS d. bladder scan e. PSA (no option for MRI)  A child 6 years old with history of asthma presented with upper respiratory tract infection, urine examination showed very high serum glucose and ketone body of 2+. What is the most appropriate test to follow up this child? A. HbA1C *** B.Serum creatinine and electrolyte C.FBS FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. What is the most appropriate test leading you to the diagnosis? a. Arteriography b. Ct angiography c. compression Doppler ultrasound d. MR angiogram e. X-ray  old patient who drinks about 10-12 standard drinks per day and also smoker, underwent some surgery. on 3rd post op day he developed agitation ,O2 saturation 88%.no fever. what next ? a) blood alcohol b) blood glucose c) CTPA d) XRAY CHEST e) urine culture  72 year old man living alone is brought to ED by daughter. He’s so confused and gave incomprehensible answers to questions and couldn’t follow any commands. FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. There’s no other abnormality on examination. CT was given large dark area is in left temporo- occipital region with shifting of left lateral ventricles plus surrounding oedema. Asked diagnosis a. Cerebral tumour b. Cerebral infarction c. Cerebral haemorrhage d. Cerebral tuberculosis e. Subarachnoid haemorrhage  A 42yo woman who smokes 20 cigarettes/d presents with complains of heavy bleeding and prolonged menstrual period. What is the most appropriate treatment for her? a. Tranexemic acid b. COCP c. Mefenemic acid d. IUCD e. Norethisterone  young girl Came with menorrhagia. Absent from work because of menses pain & heavy flow. From history & exam, cannot find cause. You ordered several lab investigations but she insists to give medication. Her cycles were regular A- OCP B- Oestrogen patches C- Mefenamic acid during period FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. D- tranexamic acid during period  45 yr old lady smoker and htn uses ocps for many years now comes re prescription ,she says doesn't want to come off because it has controlled her menorrhagia and also says doesn't want to concieve. What to do now A.Tell her stop smoking then can give ocps B.Use implanon C.Use copper iud D.Use progestogen only pill E.mirena  Woman with a history of hysterectomy and DVT. Now complaining of hot flushes and insomnia. What will you give her? A.Oral low dose estradiol B.Transdermal estradiol C.Progesterone only pills D.HRT E.Clonidine FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. Asking what to do next? a. IV glucose b. Cease Ramipril c. Iv Calcium gluconate FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. d. Resonium  7 days old infant presented to you complained with poor feeding and bile stain vomiting. His birth was at 38 weeks gestation and weight 2600g.He is breastfeeding with no immediate post natal complications. The child has a history of passing meconium on day 4 of birth. Now, he had mild jaundice and abdominal distension present. What is the appropriate diagnosis? A.Meconium Ileus B.Hirschsprung's Disease C.Duodenal Atresia D.Necrotizing Enterocolitis E.Volvulus  Lady comes on 10th post-partum day with pain in perineum tear. History of perineum laceration during delivery which was sutured. Now on examination there is a perineum wound 2 cm long 1 cm wide and 1 mm deep. Clean with no discharge. What is next? A.Apply local antibiotics B.Put on oral antibiotics C.Simply keep the wound clean D.Suture the wound under LA E.Suture the wound after cutting the edges  3yr old boy with ear discharge for 6 weeks no fever. Asking treatment after ear toilet is done. FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. a. Po Amoxil b. Ciprofloxacin ear drop c. Other antibiotics  Woman around 30-35 years of age attends for Pap smear, Her previous smears are all normal. She doesn’t have sexual activity in last two years. What’s the reason of testing chlamydia in her? A.chlamydia is asymptomatic B.chlamydia can cause infertility C.Both partners could be asymptomatic D. No need for screening  A 6 month old child came with recurrent upper respiratory infection. The immunization history reveals that the child has received his hepatitis B vaccination at his birth and no further immunization history at 2 and 4 month of age due to recurrent upper respiratory infection. Now the child has fever 37.8 and clear nasal discharge. What is your management regarding immunization? A.Give hepatitis B immunization and institute catch up schedule B.Give hepatitis B immunization and recommence standard schedule C. Investigate underlying cause of URTI D.Give hepatitis B immunization after fever subside E.Give hepatitis B immunization at now FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. D. Hypsrhythmias E. Rolandic seizures  Old lady 58yrs with urinary incontinence, when she makes some stress such as cough, laughing, urine flow out. On examination she has only rectocele, no other cystocele. told to do pelvic floor exercise and a little improved but still incontinence and embarrassed. She is not satisfied. She had DM and well controlled with diet. What is the next most appropriate treatment in this patient? FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. A.Weighted vaginal cone B.Bladder neck suspension C. Imipramine D.Oxybutyline E.Surgery for rectocele  Colles fracture recall but with different options xray at 6 week followup was normal and now pt having mild pain and tingling sensations what to do a. Xray again b. splint for few days more c. occupational therapy to check on him D. MRI  16 years old opportunistic screening a. b. Skin cancer c. Scoliosis d. Depressi on  patient with 10 minutes weakness in the body. no vision FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. loss. lacunar infarct, carotid stenosis,  Stop syntocin 2minutes and 4 minutes recall 5. Groin lymphnode. Primary lesion? Left leg FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. c) antifungal  15 years old girl, came with (fever, sore throat, swollen neck glands) Otherwise no medical illness, not on any medications, no travel history. Asking (something like) what symptom will actually tell you the definite diagnosis? (exact option) a. Diffuse pharyngitis b. Temperature 38.5 c. Swelling of ankle d. generalized maculopapura rush e. splenomegaly  Forearm pic of child showing just two small skin lesions given – Impedigo?? Asking school exclusion?? a. Immediately b. After lesions dry c. After lesions resolve d. After 2 day antibiotics e. After 7 day home  X-ray showing distended bowel I think small bowel obstruction? patient vomiting, abdominal distension present for 3 days??? (no acute presentation and no pain mention in my exam FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. question) Rectal exam normal. Patient had AF. Next step? A. Endoscopy or colonoscopy (forgot) B. microlax enema C. ct scan D. air enema E. nasogastric tube insertion FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+.  an infant who was delivered prematurely at 28 weeks with birthweight of 1100 grams. After delivery he was given surfactant and intubated and kept in a ventilator for 3 days, now the baby present with spastic paresis in his lower limbs. Cause? a. prematurity b. respiratory distress syndrome c. intrapartum hypoxia d. low birth weight e. intrapartum infection  Testicular swelling likely hydrocele??? scenario, testes is soft and asking what investigation to do? a. Ultrasound b. AFP and beta HCG  Confused question with lab results – Urea and creatinine increased others normal range. Patient come with dizziness or confused?  I choose haemodialysis (other options contain oral supplement like iron, folate)  Patient come with sudden painless vision loss. Fundoscopy describe as CRAO??? Scenario said vision loss in right eye improved after some time. FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+.  Female worried about baby. How to prevent SIDS? a. Sleep with baby b. Keep baby in supine position  A student thinks that he has brain tumor. The final exam is near and he gets more tired, headache and stressed due to tumor. All neuro exam and CT are normal. After CBT, he still think he has brain tumor. What is the diagnosis? a. Hypochondriasis b. Somatisation disorder FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. c. Conversion disorder d. Factitious disorder  A young man brought to ED after brawl in bar in which he hit someone. He is alcoholic, take multiple drugs and aggressive. What in history will you to know if he has personality disorder? a. Childhood sexual abuse b. H/o cruelty to animals in adolescence c. Drug and alcohol dependence d. H/o of hitting partner one week back e. H/o depression in mother  a man works whole day in a kitchen cabinet, he complains of pain in elbow. Tenderness in lateral side of elbow. what the cause of this pain. a. bursa inflammation b. tendon rupture c. fracture d. lateral epicondylitis  Patient complaining of soreness on lateral epicondyle at the end of work,the patient attributes it due to computer mouse clicking. On examination , tenderness on lateral epicondyle .Asking treatment? A-lateral epicondylectomy B-finger immobilization splint C-lateral epicondyle FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. immobilization splint D- bracing under lateral epicondyle  Patient is taking methotrexate, prednisolone and celecoxib for RA. Lab results show pancytopenia with high esr (67). Management? a. Increased prednisolone b. HCQ c. Folic acid d. Folinic acid e. Cease celecoxib  Picture showing rashes on hands of a man. Patient on amiodarone and many drugs. Developed maculopapular skin rash on hands and face after 2- 3 days of started on amiodarone. Asking cause? a. Fixed drug eruption b. pseudoporphy rin c. phototoxicity d. pemphigus  3.2 kg baby was delivered vaginally with no complication except for slight meconium stained liquor, normal fetal heart rate at birth, after one minute, become limp, cyanosis, decreased HR, FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+.  65 years old lady took handful of antidepressant, on 3rd day of hospitalisation she became agitated, confused then later nurse found her staring at ceiling. a. Acute psychosis b. Delirium c. Dementia d. Catatonic  Young man after a quarrel had a fracture of floor of eye what is the most consistent symptom with that? a-Conjunctivalhaemorrhage b-loss of visual activity c- anaesthesia around the cheek d-Cant open the mouth completely e-Epistaxis  Lady with drag left foot, reflexes on left lower limb are increased, planter flexion & dorsiflexion are 4/5, weak ankle movements, equivocal plantar reflex, upper limb and face are normal. a. Cerebral cortex b. C spine c. L5, S1 nerve root d. Common perineal nerve FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+. e. Brain Stem FM 291 Test Questions and Answers correct /verified guaranteed success latest update 2024 Rated A+.  Aboriginal woman, needs hospitalization but refuses to get admitted, wanted to show her condition to a traditional healer. What do you do – a. inform the police b. admit her without her consent c. involve an indigenous officer d. arrange a meeting with the healer  pregnant woman at 12 weeks gestation presents with heavy bleeding had an ultrasound Nuchal translucency at 11 weeks Abdomen rigidity, tenderness. Maternal hypotension and tachycardia. Asking diagnosis a. incomplete abortion b. threatened Abortion c. Ectopic pregnancy d. Placenta previa e. molar pregnancy  The woman who is working as baby sitter is 7 wk pregnant, the child is confirmed to get rubella. She is concerned. What to advice? A.Check rubella IgG B.Vaginal USG C.Chorionic villous sampling for rubella PCR D.Vaccination for rubella