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Worksheets

House officers

Total questions: 15

Worksheet time: 6mins

Name
Class
Date
1.

A right handed gentleman of 76 years age develops sudden onset vertigo and dizziness with vomiting. He also has right hand weakness of 3/5 with past pointing. Where is his speech centre?

a)

Left Cerebrum

b)

Right Cerebrum

c)

Left Cerebellum

d)

Right cerebellum

2.

A 53 year old gentleman with central crushing chest pain has left bundle branch block on his ECG. He collapses in front of you and the tracing on the monitor is showing sinus rhythm. You could not feel his pulse and have started CPR. Which of the following is the most likely to help him?

a)

Direct current cardioversion

b)

Adrenaline Injection

c)

Temporary pacemaker

d)

Defibrillation

3.

This ECG shows?

a)

Left axis deviation

b)

Hypokalaemia

c)

Atrial fibrillation

d)

Normal ECG

4.

Which of the following is the least important in the management of acute infective exacerbation of Asthma?

a)

Oxygen

b)

Steroids

c)

Montelukast

d)

Antibiotics

e)

Salbutamol

5.

33 year old female presents to OPD with right sided sharp stabbing chest pain worse on inspiration and associated with shortness of breath. What is the best next step in management?

a)

Prescribe oral antibiotics and analgesia and send home

b)

Send for a chest Xray

c)

Perform CTPA

d)

Examine the chest

6.

Four patients have been referred to you in ER with following Xrays. Which patient will you attend first?

a)
b)
c)
d)
7.

pH 7.23

pCO2 20 (low)

HCO3 10 (low)

In which disease is this ABG least likely to show up?

a)

DKA

b)

COPD

c)

Sepsis

d)

Renal failure

8.

Which if the following is a likely side effect of amlodipine?

a)

Thrombocytopaenia

b)

Hepatitis

c)

Pedal oedema

d)

Optic neuritis

9.

Which of the following is not a complication of atrial fibrillation?

a)

Pericarditis

b)

Stroke

c)

Heart Failure

10.

Which of the following is commonly used to treat tuberculosis?

a)

Etrapenem

b)

Ethambutol

c)

Fosfomycin

d)

Augmentin

11.

A 56 year old lady presents to the emergency department with central crushing chest pain. The ECG shows ST elevation in leeds II, III and AVF. What is the diagnosis?

a)

Lateral wall myocardial infarction

b)

Inferior wall myocardial infarction

c)

Anterior wall myocardial infarction

d)

Posterior wall myocardial infarction

12.

A 33 year old gentleman has developed right sided pneumothorax. What are you most likely to find on chest examination?

a)

Absent breath sounds on the Left

b)

Stony dull percussion note on the right

c)

Decreased Chest Expansion on the Right

d)

Hyper-resonant percussion note on the left

13.

A 67 year old gentleman in ITC is collapsed. You cannot feel a pulse. You and your fellow house officer start CPR. How many chest compressions should you give for every 2 breaths?

a)

15

b)

30

c)

20

d)

40

14.

A 27 year old lady has developed Graves' disease. What are the likely findings on a thyroid uptake scan.?

a)

Diffuse increased tracer uptake

b)

Hot areas with surrounding cold areas

c)

A single hot area with surrounding cold area

d)

Decreased tracer uptake all over the thyroid

15.

A patient with DKA in ITC is most likely to die if you do not give them...

a)

Insulin

b)

Pottassium

c)

Antibiotics

d)

Steroids