QUESTION: 81

A patient presents with mild dyskaryosis. 1 year ago smear was normal. What is the most appropriate next test?

Cone biopsy
Cauterization
Repeat smear
Colposcopy
Swab and culture

Answer(s): D

Explanation:

For mild, moderate or severe dyskaryosis the next step is colposcopy.

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QUESTION: 82

Patient with major depression what is the first line treatment?

Tricyclic antidepressant
SSRIs
MAOI

Answer(s): B

Explanation:

A SSRIs are the initial antidepressants of choice for uncomplicated depression because of their minimal anti-cholinergic effects

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65years man had a bowel resection 5days ago. He is anuric and breathless. His BP=150/110mmHg.He has lung bases and sacral edema. Bloods: K+=6.8mmol/l, urea=58mmol/l, creatinine=600umol/l.
What is the single immediate management?

Bolus of 20U insulin
5% dextrose infusion
Calcium resonium enema
10U insulin, 50ml of 50% dextrose infusion
Dextrose-saline infusion

Answer(s): D

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QUESTION: 84

45 year's female looking pale has bluish discoloration of hands whenever she goes out in the cold. She has reddish spots on her body. She has symmetrical peripheral arthroplasty for the last year.
What is the most appropriate diagnosis?

Limited systemic sclerosis
Osteosarcoma
Chondrosarcoms
Diffuse systemic sclerosis
RA

Answer(s): A

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QUESTION: 81

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QUESTION: 84