A 24-year-old navy officer presents with itching and skin rash in groins for 2 weeks. There is reddened moist glazed area in inguinal regions.What is single most appropriate treatment?
A 40-year-old patient has been brought to your clinic after having ingested a large amount of methylated spirit in a wedding party. The patient complains of nausea, vomiting and abdominal pain. Which one of the following agents will you use as antidote?
A 16-year-old girl presents with two days history of mild headache and facial rash. She also has mild fever, malaise and joint pains. She denies any neck stiffness, nausea or vomiting. On examination there is maculopapular rash on her chest and there are enlarged posterior cervical & suboccipital lymph nodes. Neurological exam is fine. What would be the most likely diagnosis in this case?
A 60-year-old businessman presents with 3 days history of progressive dry cough, fever, coryza & shortness of breath. He has recently returned from a business trip to China. On examination he is febrile & tachypneic. You are considering a diagnosis of covid-19 infection. What would be the test of choice to confirm the diagnosis of covid-19 at this stage in this patient?
A 30-year-old man comes to your clinic & complains of severe recurrent right sided headache mostly around the eye for the last 3 weeks. The pain disturbs his sleep & affects daily routine. Apart from smoking he has no other addictions or medical conditions. On examination you noticed that his right eye is red & watery; his eyelid appears to be lower than the other. What would be the most appropriate management of acute attack for this patient?
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 50 years old female comes with the reports showing Rheumatoid arthritis and you plan to start disease modifying drugs like methotrexate. What test will you perform before starting Methotrexate in this patient?
A 45-year-old businessman who is H.I V Positive comes to you for assessment of his TB status. On screening his tuberculosis skin test is 6 mm. His chest x-ray is normal. What is the most appropriate advice regarding his treatment?
[Obstetrics and Gynecology]
A 21-year-old woman comes to the office due to pelvic pain lasting 1-2 days every other month. The pain is unilateral, tolerable and occurs mid-cycle. Her menstrual cycles are regular, last 28 days, and have normal flow. Physical examination is normal. What is the best next step?
A 56-year-old man came to you for review. He is admitted with a non-ST elevation myocardial infarction (NSTEMI) in the emergency department. He is treated with Clopidogrel, Aspirin & Simvastatin. For how long he should take Clopidogrel?
A 48-year-old office worker presents with sudden onset of painful swollen big right toe for last 2 days. He is fond of meat and bar-B-Q foods. He is having fever of 101o F. What would be the most definite test to diagnose this condition?
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 62-year-old man with a history of recurrent lower respiratory tract infections is diagnosed as having bilateral bronchiectasis following a high-resolution CT scan. Which one of the following is most important in controlling his symptoms?
17-year-old male presents with rash on body for the last few days. There are multiple oval pink lesions having delicate collarets of scales preceded by single large oval lesion 2-5 cm diameter several days ago. What is the single most likely diagnosis?
A 20-year-old boy comes to you with complains of fever, abdominal pain, diarrhoea, dry mouth & a skin rash for the last 1 week. What investigation you would choose to confirm the diagnosis of typhoid in this patient?
[Obstetrics and Gynecology]
A 23-year-old woman comes to the clinic due to a bump on her vaginal introitus for the past three days. The bump causes discomfort when she walks. On examination, there is a 3-cm, mobile, soft, cystic mass on her vulva. What is the most likely diagnosis?
A 35-year-old male laborer in Middle East has come to you for advice after he has been deported on the basis of some blood tests done. He has not been given the reports and he is not aware of the tests. He feels well and can easily perform all his work. What would be the most appropriate screening test according to recent guidelines?
[Obstetrics and Gynecology]
A 27-year-old woman presents to the clinic complaining of vulvar pain since the past one week. She is married but reports occasional extramarital sexual contacts. On examination, there are vesicles with erythematous bases seen on her vulva. What is the most likely diagnosis?
A 59-year-old man presented with productive cough & progressive shortness of breath for the last 3 months. He is a chronic smoker & has been taking different medications for relief. You suspect him as a case of chronic obstructive pulmonary disease & ordered spirometry to confirm the diagnosis. According to NICE guidelines, which type of spirometry would you recommend in this patient?
A 55-year-old male presents with weight loss, passage of small stones in urine, weakness, joint pains and abdominal pain. His spleen is massively enlarged. WBC is 70 x 109/L, Hb is 8.5 gm/dl with few myeloid precursor cells. How will you prevent further stone formation in this patient?