Pain relief in a young asthmatic child (1496/1700)

A 4yo child comes with a sprain in his foot. Hx reveals that the child has had recurrent admissions to the hosp due to severe asthma. What is the most appropriate analgesic?

a. Diclofenac sodium
b. Ibuprofen
c. Paracetamol
d. Codeine

Lithium and Pregnancy (511/1700)

A 26yo woman had bipolar disorder for 10yrs and is on Lithium for it. She is symptom free for
the past 4 years. She is now planning her pregnancy and wants to know whether she should
continue taking lithium. What is the single most appropriate advice?
a. Continue lithium at the same dose and stop when pregnancy is confirmed
b. Continue lithium during pregnancy and stop when breast feeding
c. Reduce lithium dosage but continue throughout pregnancy
d. Reduce lithium gradually and stop when pregnancy is confirmed
e. Switch to sodium valproate

Drug abuse (501/1700)

A 20yo boy is brought by his parents suspecting that he has taken some drug. He is agitated,
irritated and can’t sleep. Exam: perforated nasal septum. Which of the following is the most
likely to be responsible for his symptoms?
a. Heroine
b. Cocaine
c. Ecstasy/MDMA/amphetamine
d. Alcohol
e. Opioids

Malar rash, photosensitivity, TB patient (647/1700)

A 35yo woman undergoing tx for TB presents with malar rash, photosensitivity and hematuria.
What is the single most likely positive antibody?
a. Anti Ds DNA
b. Anti Sm
c. Anti Histone
d. Anti La
e. Anti centromere

Post penicillin rash (388/1700)

A 7yo girl has been treated with penicillin after sore throat, fever and cough. Then she develops
skin rash and itching. What is the most probable dx?

a. Erythema nodosum
b. Erythema multiforme
c. SJS
d. Erythema marginatum
e. Erythema gangernosum

Side effects of tamoxifen (385/1700)

A 65yo female pt was given tamoxifen, which of the following side effect caused by it will
concern you?
a. Fluid retention
b. Vaginal bleeding
c. Loss of apetite
d. Headache and dizziness
e. Anorgasm

Surgery in a warfarinized patient (365/1700)

A man on warfarin posted for hemicolectomy. As the pt is about to undergo surgery. What
option is the best for him?
a. Continue with warfarin
b. Continue with warfarin and add heparin
c. Stop warfarin and add aspirin
d. Stop warfarin and add heparin
e. Stop warfarin

Complication of warfarin (360/1700)

A 72 yo man has been on warfarin for 2yrs because of past TIA and stroke. What is the most
important complication that we should be careful with?
a. Headache
b. Osteoporosis
c. Ear infection
d. Limb ischemia
e. Diarrhea

HTN patient, recurrent falls (347/1700)

A 57yo woman who is suffering from HTN, presented to the hospital with complaints of
recurrent falls when trying to get out of bed or getting up from sitting. She is on some anti-HTN
therapy with no other med prbs. What is the cause of her fall?
a. CCB
b. Vestibrobasiliar insufficiency
c. Thiazide
d. Hypoglycemia
e. Infection

Decreasing vision (335/1700)

A 48yo woman who has been taking medications for asthma for a long time has now presented
with decreasing vision. What is the most probable cause for her decrease in vision?

a. Inhaled salbutamol
b. Inhaled steroids
c. Aminophylline
d. Beta-blockers
e. Oral steroids

Drugs causing bronchospasm (315/1700)

All the following drugs do not cause bronchoconstriction except?
a. Atenolol
b. Salbutamol
c. Salmetrol
d. Ipratropium bromide
e. Cocaine

COCP and Na Valproate (296/1700)

A 24yo girl comes to the woman sexual clinic and seeks advice for contraception. She is on
sodium valproate.
a. She can’t use COCP
b. She can use COCP with extra precaution
c. She can use COCP if anticonvulsant is changed to carbamezapin.
d. She can use COCP with estrogen 50ug and progesterone higher dose
e. She can use COCP

Dose of adrenaline (270/1700)

A 24yo pt presented with anaphylactic shock. What would be the dose of adrenaline?
a. 0.5ml of 1:1000
b. 0.5ml of 1:10000
c. 1ml of 1:500
d. 5ml of 1:1000
e. 0.05ml of 1:100

Increased lithium levels and hypokalemia (247/1700)

A 40 yo manic depressive is noted to have high serum levels of lithium and profound
hypokalemia. His GP had started him on anti-HTNs. Choose the single most likely cause?

a. Verapamil
b. Amiodarone
c. Ranitidine
d. Lithium
e. Thiazide

Drug Abuse (229/1700)

A young woman was brought to the hospital. On exam she has low temperature and tremor.
She says when she closes her eyes, she can see colors. What drug has been used?
a. Amphetamines
b. LSD
c. Cocaine
d. Heroine
e. Ecstasy

Drug induced tremor (215/1700)

A 71 yo man presents with coarse tremor. He is on some meds. Which one can be the reason for
the tremor?
a. Lithium
b. Diazepam
c. Fluoxetine
d. Imipramine
e. Haloperidol

S/E of lorazepam (115/1700)

A 4yo boy with a febrile convulsion lasting eight minutes has been given IV lorazepam to control
them. What is the single most likely serious side effect?
a. Amnesia
b. Anaphylactic shock
c. Apnea
d. Bronchospasm
e. Cardiac arrhythmia

Side effects of antiHTN meds (108/1700)

A 76yo is treated with HTN. He suffers from pain and redness at the MTP joint of his right big toe.
Which of the following anti-HTN cause this symptoms?
a. Losartan
b. Bendroflumethiazide
c. Ramipril
d. Bisoprolol
e. Verapamil

Anitbiotics and contaception (89/1700) (adapted)

A 23yo lady was prescribed rifampicin and she has recently started contraception to avoid
conception. Which of the following contraception method will be affected by rifampicin?

a. Barrier
b. IUCD
c. Progestogen injection
d. COCP

Antidepressant post MI (84/1700)

A 54yo man has recently been dx with moderate depression. He has hx of MI and is suffering
from insomnia. What is the drug of choice for him?
a. Citalopram
b. Lofepramine
c. ECT
d. Haloperidol
e. Diazepam