NO.137 A 54-year-old patient wakes up with right sided weakness. His current medication is bendroflumethiazide for BP=160/90mmHg. CT shows left cerebral infarct.
What is the most appropriate treatment?

NO.138 You are seeing a 45-year-old obese diabetic woman who reports bilateral lower extremity peripheral edema. In addition to diabetes, she has arthritis, hypertension, and depression.
Which of the following medications is the likely cause of her edema?

NO.139 A 78-year-old woman presents with a two-day history of severe left earache with a burning sensation in the ear, vertigo and loss of taste. There is left-sided weakness of both the upper and the lower facial muscles. Facial sensation is normal.
What is the most likely diagnosis?

NO.140 A 42-year-old obese woman with 5 children presents with a “gnawing” pain that recently has become severe. She notes the pain right after she finishes a meal and states that it radiates to her right shoulder. Physical exam reveals a cessation of inspiration upon palpation of the right upper quadrant and rebound tenderness. Laboratory analysis shows white cell count of 15,000 and a left shift.
What is the most likely diagnosis?

NO.141 A 42-year-old man presents with a target shaped rash that has developed over the last several days. He was on a camping trip in the woods last week in Maine.
What is the next best step in management?

NO.142 A 43-years-old man is brought to the emergency department after a motor vehicle accident involving ahead He mentioned that he is having headache and dizziness. During his overnight admission for observation, his serum sodium level rises to 151 meq/L.
All of the following tests are indicated EXCEPT:

NO.143 A HTN patient on bendroflumethiazide 2.5mg/d has come for his routine checkup.
Exam: BP=145/85mmHg.
What is the most appropriate management for this patient?

NO.144 A 41-year-old woman awoke from a nap with severe pain in her index finger and found it to be flexed while all other fingers were extended. When she tried to pull it free she heard a loud popping sound and the pain subsided. The following day she comes to her doctor’s office concerned about the sound and pain.
What is the most appropriate next stop in the management of this patient?

NO.145 A 33 year’s man has a temp-38.5C, cough and chest pain on the right side on inspiration. He also has puru.
What is the most likely organism to cause pneumonia in this patient?

NO.146 The child bought by a mother having bouts of severe abdominal pain that cause child to bring his legs to fold to abdomen, settles after sometime, now again he had this attack with vomiting. On examination child is distressed with pain and there is a mass in epigastrium.
What Investigation you will do?

NO.147 The most common side effect of streptokinase (Thrombolytic) is ______________.

NO.148 A female has burning sensation in vulva, after examination there was vesicle dew drop and tender and swelling in of the vulva.
What is the appropriate diagnosis?

NO.149 Recurrent fourth time 1st trimester pregnancy loss. Likely cause?

NO.150 Best method to maintain air way in conscious multiple injury is _______________________.

NO.151 A 73-year-old woman has lymphadenopathy and splenomegaly. She feels well but has had recurrent chest infections recently.
Choose the single most likely blood film findings?

NO.152 A 6-year-old girl presents with her 3rd episode of pallor and mildly icteric sclera associated with symptoms of mild upper RTI. On examination, she has an easily tipped spleen.
Which one of following investigations is most likely to confirm her diagnosis?

NO.153 Patient with major depression what is the first line treatment?

NO.154 A 42-year-old salesman was admitted with a diagnosis of pneumonia. He is allergic to erythromycin. X-ray shows a hazy opacity in the right lower and mid-zone. Blood investigations show hyponatremia and slight rise in the level of liver aminotransferase. After starting the medication on the fifth day he became acutely jaundiced and his liver aminotransferase level became very high. He also complained of discoloration of his urine, which did not show hematuria on dipstick testing.
Which of the following drugs probably caused the jaundice?

NO.155 A 27-year-old, generally healthy woman comes to the office with burning on urination. There are 50 white cells on the urinalysis.
What is the next best step in management?

NO.156 You are supposed to keep a child NPO he’s 25 kgs, how much you will give:

NO.157 Patient with Diabetes Mellitus, treatment for proliferative diabetic retinopathy?

NO.158 12 years old girl with malaise, fatigue, sore throat and fever. On examination there were petechial rash on palate, large tonsils with follicles, cervical lymphadenopathy and hepatosplenomegaly.
All are complications except:

NO.159 Young sexually active girl has severe knee pain, swelling fever, warmth joint.
What is the diagnosis?