QUESTION: 5

A 26-year-old political refugee has sought asylum in the UK and complains of poor concentration. He keeps his family whom he saw killed in a political coup. He is unable to sleep and feels hopeless about his survival. But he is afraid to go out.
What is the most likely diagnosis?

PTSD
Acute stress disorder
OCD
Social phobia
GAD

Answer(s): A

Explanation:

PTSD. Keep getting thoughts of his family disaster, insomnia, to avoid similar circumstances he is out these are suggestive of PTSD.

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QUESTION: 6

Victim of RTA came with multiple injuries to abdomen, chest and limbs. BP is 80/ 50. upper limb has upper third near amputation that bleeds profusely, what is your first thing to do:

Tourniquet the limb to stop the bleeding
Check the airway and breathing
Five IV fluid
Call orthopedic

Answer(s): B

Explanation:

As rule ABC also in description near amputation so difficult to make tourniquet enough which stops bleeding.

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QUESTION: 7

lady presents with hot flashes and other symptoms of menopause. What is the treatment option?

Topical estrogen
Conbined Oral Contraceptive
Biosphosphonate
Raloxifen
Hormone Replacement Therapy

Answer(s): E

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QUESTION: 8

40-year-old manual worker presents with a swelling in the groin. Exam: mass is found to be just above and l pubic tubercle. It is reducible. On applying pressure on the internal ring there is no cough impulse seen.
What probable diagnosis?

Direct inguinal hernia
Indirect inguinal hernia
Femoral hernia
Femoral aneurysm
Strangulated hernia

Answer(s): B

Explanation:

Indirect inguinal hernia. [Swelling in the groin; mass just above and lateral to the pubic tubercle mea hernia. It is reducible. On applying pressure on the internal ring there is no cough impulse; it means the hernia through deep ring, and enters scrotum passing through the Superficial ring. That means it is indirect inguinal hernia.

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