A 4-year-old girl is brought to the clinic due to poor control of asthma. She currently takes a regular steroid inhaler and a salbutamol inhaler as required. What is the next step in management?

A 45-year-old male presents with mild pain in his ring finger. The finger is flexed & locked to the palm & he has to open it with the other hand. His fist closes easily without any problem. What is the most effective pharmacological treatment at this stage? What is the most effective pharmacological treatment at this stage?

A 32-year-old man has come to you complaining of a lack of confidence. He says he has difficulty talking to people, especially when he confronts a stranger. He is shy of moving around in the office because there are many women working there, and he tries to avoid them. He is now worried because he is going to get married in four months and he has no experience in talking to women. What is the single most appropriate diagnosis?

A 4-year-old boy was brought to your clinic with pain in the left arm. The pain started when his father lifted the child by one hand. On examination you noticed that the child is holding the arm pronated in extended position. what is the most appropriate treatment at this stage?

A middle-aged female is having erythema and pustules on the face for the last five months. Earliest symptom was flushing. There is erythema, telangiectasia, papules, pustules and lymphoedema affecting cheeks, nose, forehead and chin. Lesions exacerbate by sun light and topical steroids. What is most likely diagnosis?

A 40-year-old man comes after a minor road traffic accident which happened because he fell asleep during driving. He also falls asleep during meetings and social gatherings. His concentration is poor, and his sexual drive is decreased. What is the most appropriate management step?

A 72-year-old woman presents with a vesicular rash around her left eye. The left eye is red and there is a degree of photophobia. What is the most appropriate treatment?

A 55-year-old man presents to the clinic for a routine visit. He has well-controlled diabetes and hypertension from the past 10 years. Blood pressure is 120/80 and his HbA1C from 1 month back is 6.7%. He tells you that his mother died of stroke at the age of 65 and his father died of colon cancer at the age of 60. What is the single most appropriate step?

A 42-year-old man comes to you with shoulder pain. There is no history of trauma. On examination you find out that he has limited active and passive movement of the right shoulder in all directions particularly external rotation is most affected.What is the most appropriate initial investigation in a GP clinic to the associated disease with this condition?

A patient comes to your clinic with the following lab report. HBsAg: Negative HBsAb: Positive IgM anti-HBc: Negative IgG anti-HBc: Negative ALT: 35 mg/dl Which of the following terms best describes his disease status?

A 52-year-old woman presents to the clinic with the complaints of hot flashes, night sweats and sleep disturbances which are causing her a lot of distress. She has a past history of a myocardial infarction 3 years ago and history of DVT. She has been trying lifestyle modifications to relieve her complaints but they have not been useful. What is the most appropriate drug for her symptoms? What is the most appropriate drug for her symptoms?

A 30-year-old woman feels tired all the time. She feels sad and tearful and has been sleeping poorly for the past 6 months. She has lost interest in life and blames herself for all the miseries on her family. She had her second child 8 months ago. She does not take care of her children well. What is the most likely diagnosis?

A 20-year-old woman comes to the clinic. She says she has had vaginal discharge intermittently for the past few months. She is sexually inactive. Her last menstrual period was two weeks ago. On examination, there is no redness of the external genitalia. On external examination, there is scanty white, mucoid, odorless vaginal discharge. Microscopic examination shows only squamous cells. What is the most likely diagnosis?

A 75-year-old man comes to your clinic with complaints of hearing loss for the last 3 years. Patient has no other complaints and is vitally stable. You perform Rinne and Weber test to determine the cause of the hearing loss with the following results: Left side Rinne : air conduction > bone conduction Right side Rinne : air conduction > bone conduction Weber: lateralizes to right ear. What is the diagnosis for this patient?

A 25-year-old primigravid presents to your clinic for her first antenatal visit at 10 weeks gestation. She has no active complaints. Her blood pressure readings are 122/78 and 124/80 mm Hg. How often will you check her blood pressure during her antenatal period? How often will you check her blood pressure during her antenatal period?

A 21 years old woman has been brought by her family members after having ingested 20 tablets of Acetaminophen. Which of the following is the most appropriate antidote?

A 63-year-old man Ex-smoker comes to you for review with complaints of chest pain & breathlessness even when going out of the house. He is a known COPD patient & is on regular Formoterol, Tiotropium bromide & Beclomethasone therapy. You noticed some degree of cyanosis & peripheral oedema during his physical examination. Pulse oximetry shows oxygen saturation 92% & pulse 84 beats per minute. Which of the following features would you not consider for the need of oxygen therapy in this patient?

A 30-year-old man presents with a 2-days history of malaise, fever, muffled voice, severe throat pain, painful swallowing and inability to open mouth. There is a bulge in the left side of the pharynx shifting uvula to the right side. What is the most appropriate treatment option for this patient?

A 42-year-old man comes to you with shoulder pain. There is no history of trauma. On examination you find out that he has limited active and passive movement of the right shoulder in all directions particularly external rotation is most affected. What is the most appropriate initial pharmacological management step in this case?

A 42-year-old male clerk complains of difficulty in walking because of pain and swelling of right knee joint which started when he jumped out of a running bus. He cannot make his knee straight. His knee gets locked during bending. What is the most appropriate first line investigation for this condition?