Usage for hash tag: oldrecallamc1

#oldrecallamc1 A 72-year-old man presents to his primary physician with complaints of fatigue, weight loss, dyspnea on exertion, abdominal pain, and dark blood in the stool. Although the patient had a negative sigmoidoscopy on routine examination 6 months ago, colon cancer is strongly...

#oldrecallamc1 A patient presents with incapacitating backache of functional origin. WOF indicates the poorest prognosis? A.Female sex B.Age over 30 C.Pending compensation case D.Agitation

#oldrecallamc1 A middle-aged man underwent abdominal surgery. He has found out from the surgeon that there was an error where his colon was perforated due to the surgeon’s mistake. Now the patient wants to sue the surgeon for negligence. What should be your advice as an intern? A.Send him to...

#oldrecallamc1 Elderly man didn’t want any treatment and he is fully competent and MMSE is 28. what should you do? A.Give morphine B.Ask wife about what to do C.Ask son about what to do D.Intubate and resuscitate him

#oldrecallamc1 A 34 year old female presents with bilateral painful breast lumps. Which of the following is your next step in management? A.Fine needle aspiration B.Ultrasound C.Mammography D.Excision

#oldrecallamc1 A 50 year old industrial worker, smoker presents to you with a history of haemoptysis. On the chest x-ray the right costo-phrenic angle is not clearly seen. Which of the following is the most likely diagnosis? A.Squamous cell carcinoma B.Small cell carcinoma C.Mesothelioma...

#oldrecallamc1 A 17 year old female is at Tanner stage 2. what is the next step in management? A.LH & FSH levels B.Estrogen levels C.Progesterone levels D.Bone age

#oldrecallamc1 A young male presents with history of hearing loss and has been treated previously for recurrent infections. On examination white debri is noted in his inner ear. Which of the following is the most likely diagnosis? A.Cholesteatoma B.Otosclerosis C.Chronic otitis externa

#oldrecallamc1 A 25 year old presented to you with irritability just before her menstrual period and has been reading on premenstrual syndrome. Which of the following measures will lead to a definitive diagnosis of premenstrual syndrome? A.Check estrogen levels B.Check progesterone levels...

#oldrecallamc1 A 26 year old female has had a nose-job done recent. She is not satisfied with the surgery and keeps looking at herself in the mirror. She hears voice that say she is ugly. She wants to have another surgery done. Which of the following reasons will make you commence her on...

#oldrecallamc1 A pregnant lady of 26 weeks gestation wearing a seatbelt was involved in a car accident. On examination bruises are visible. She is otherwise well. Foetal heart sounds are present and the CTG appears normal. What is the next step in management? A.Observe her for 6 hours and then...

#oldrecallamc1 A patient was brought in by an ambulance following a car accident. He sustained fractures to his ribs. On chest x-ray the aortic knuckle was not seen. What is the most appropriate next step in management? A.Transcutaneous echocardiogram B.Transesophageal echo C.CT angiogram...

#oldrecallamc1 A picture showing the lateral view of a male patient’s head and neck with a lump in the submandibular region. The lump is painless and is intermittent. On examination the lump is hard. To help in your diagnosis, you need to check whether it is: A.Pulsatile B.Moves with tongue...

#oldrecallamc1 A 60 year old woman was brought in by her husband as she has not been eating and drinking as she believes she believes she does not need to as she believes she does not have bowels. The patient refuses to have ECT as treatment. What is your next step in management? A.Do ECT...

#oldrecallamc1 A child is brought in to the emergency department by his father who is suspected to have having accidentally ingested carbamazepine. The child is confused and ataxic. What is the next step in management? A.Admit and observe for six hours B.Reassure and discharge C.Activated...

#oldrecallamc1 A female complains of a greyish-greenish vaginal discharge. Examination of the discharge shows a smear with squamous cells that has aggregates of micro-oganisms obscuring its border. What is the most likely diagnosis? A.Trichomonas B.Bacterial Vaginosis C.Chlamydia D.Gonorrohea

#oldrecallamc1 A 18 year old female who was at a rave party suddenly collapsed and was brought to the emergency department. On examination she is drowsy. What is the next step in management? A.Naltrexone B.Naloxone C.Serum electrolytes D.Serum glucose

#oldrecallamc1 A patient develops cor-pulmonale from chronic obstructive pulmonary disease. Which of the following would provide the greatest benefit in the long term management of this patient? A.Inhaled salbutamol B.Oxygen therapy C.Digoxin D.Diuretics

#oldrecallamc1 Which of the following is a risk factor that has the highest association with endometrial carcinoma? A.Smoking B.Hypertension C.Obesity D.Alcohol

#oldrecallamc1 A man with history of on and off abdominal pain is noted to have a 4mm stone in the urinary bladder. What is the next step in management? A.Extracorporal shock wave lithotripsy B.Percutaneous Nepho lithotomy C.Basket removal D.Wait and reassure E.Nephrectomy