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Jeyasakthy
A 3 year-old child presented with fever, poor oral intake and drooling. Bedside flexible scope revealed swollen epiglottis. What could be the most common causative organism?
A. Haemophilus influenza type A
B  Haemophillus influenza type B
C. Staphylococcus aureus
D. Proteus Mirabillis
E. Pseudomonas aeroginosa

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A 30-year-old parturient with an uneventful antenatal history, was booked  for elective caesarean section.

Which of the following changes is most likely to affect the dosing of intravenous drugs in this patient?

A.        Increased renal elimination.

B.       Increased liver metabolism.

C.       Increased volume of distribution.

D.       Increased protein binding.

E.       Increased total body clearance.

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A 50-year-old woman is seen in the Primary Care Clinic with a 3-day history of fever, myalgia and general malaise.   What would be the most common symptom to make a diagnosis of Covid-19 infection more likely than dengue fever?
| A | Abdominal pain
| B | Cough
| C | Headache
| D | Nausea and vomiting
| E | Skin rash

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A 50 year old female informs you that she can feel a lump in her breast. 

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A 50 year old female informs you that she can feel a lump in her breast. 

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What is your first course of action?
A. Reassure patient
B. send patient for biopsy
C. send patient for imaging
D. refer patient to oncology
E. refer patient to surgery

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|  A 54-year-old man with underling hypertension and dyslipidaemia, presents with central chest pain of 2 weeks duration. It is burning in sensation, with no radiation and is aggravated by food intake. He does not have palpitation, sweating or giddiness. He has no loss of appetite and loss of weight. He is on Tablet Amlodipine 5mg OD. He denies taking any steroid or traditional medications.

On examination, he is comfortable. His blood pressure is 140/92mmHg and his heart rate is 80 beats per minute. Cardiovascular and respiratory examinations are normal.
On abdominal examination, there is no tenderness and no palpable mass.

ECG- sinus rhythm with no ischaemic changes seen

Question:
What is the next most appropriate management for this patient?
| A | Exercise stress test
| B | Oesophagogastroduodenoscopy
| C | Reassurance
| D | Start Omeprazole
| E | Urea breath test

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Shani                                                   A 5-year-old girl reported with her mum to the dental clinic complaining of pain on her upper left tooth, which woke her up from sleep last night. On examination, you notice a ICDAS 05 carious lesion on tooth 65 with an abscess. The tooth was tender to percussion. She had no other symptoms. This was her first dental visit and she had a frankl score of 3. 

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Shani                                                   A 5-year-old girl reported with her mum to the dental clinic complaining of pain on her upper left tooth, which woke her up from sleep last night. On examination, you notice a ICDAS 05 carious lesion on tooth 65 with an abscess. The tooth was tender to percussion. She had no other symptoms. This was her first dental visit and she had a frankl score of 3. 

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State the best treatment for this girl on this visit.

a) Prescribe antibiotics and pain killer and review her for definitive treatment on the next visit
b) Place a zinc-oxide eugenol dressing on tooth 65 for symptoms to resolve before providing definitive treatment
c) Perform a partial pulpotomy on tooth 65 under rubber dam
d) Perform a pulpectomy on tooth 65 under rubber dam
e) Extract the tooth 65

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Anatomy - Dr Sneha

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A 28-year-old lady presented to the general practitioner’s clinic with pallor and easy
fatiguability. She has been on a vegan diet for the past 10 years. Her blood film results
showed large hypochromic red blood cells.

Which of the following factors, if deficient, may cause the symptoms and blood results as
described above?
A. Intrinsic factor
B. Erythropoeitin
C. Iron
D. Vitamin D
E. Vitamin B12

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1.       A 12 year old boy was brought in to paediatric emergency as he was a pedestrian who was struck by a vehicle nearby his school. Upon arrival, he complaint of shortness of breath and pleuritic chest pain. On examination, there was tracheal deviation to the left, reduced chest excursion on the right lung which was hyperresonance to percussion and decreased breath sounds on auscultation. His heart rate was 140bpm and blood pressure was 85/50mmHg.

What is the initial management?

A.      Chest tube placement over right lung

B.       Needle decompression

C.       Intubate the boy

D.      Provide bag-mask ventilation

E.       Give face mask oxygen immediately

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A 37 year-ols primigravida with a BMI of 38kg/m2 attends the ED with shortness of breath, oedema and tachycardia. She has no proteinuria but admits to a family history of hypertrophic cardiomyopathy. Her BP is 153/100mmHg and needs treatment prior to investigations. Which of the following antihypertensive would be most appropriate?

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A 37 year-ols primigravida with a BMI of 38kg/m2 attends the ED with shortness of breath, oedema and tachycardia. She has no proteinuria but admits to a family history of hypertrophic cardiomyopathy. Her BP is 153/100mmHg and needs treatment prior to investigations. Which of the following antihypertensive would be most appropriate?

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A. Amlodipine
B. Hydralazine
C. Labetalol
D. Methyldopa
E. Nifedipine