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Assorted BOFs from Binymin

1. A 19-yr-old car mechanic was brought to A&E with h/o rec. GTCS for 2 hrs.
immediate treatment should be:
a) iv phenytoin
b) iv lorazepam
c) iv Phenobarbital
d) iv valproate
e) anaesthesia with thiopentone and ventilation
2. A 33-yr-old homosexual man presents with fever, cough, and rapidly progressive
shortness of breath. He tested positive for HIV. Identify the lung infection in this case:
a) TB
b) Encapsulated bacteria
c) Histoplasmosis
d) Toxoplasmosis
e) Pneumocystis carinii
3. Least likely cause of an ascitic fluid protein level of 45g/L from a 42-yr-old woman is:
a) TB peritonitis
b) Meigs syndrome
c) Budd Chiari syndrome
d) Peritoneal metastasis
e) Constrictive pericarditis
4. A 24-yr-old man with progressive shortness of breath due to long-standing emphysema
was admitted for further assessment. If an ABG was performed on the patient while
breathing room air, which of the following results would be most likely?
a) pH 7.45, PaCO2 = 6.0 kPa, Bicarb 15 mmol/L
b) pH 7.34, PaCO2 = 10.0 kPa, Bicarb 36 mmol/L
c) pH 7.60, PaCO2 = 3.0 kPa, Bicarb 17 mmol/L
d) pH 7.20, PaCO2 = 3.0 kPa, Bicarb 8 mmol/L
e) pH 7.30, PaCO2 = 8.0 kPa, Bicarb 26 mmol/L
5. A 34-yr old woman with hyperprolactinemia presents with amenorhoea. Which clinical
manifestation is most likely expected in her?
a) acanthosis nigricans
b) osteopenia
c) hyperpigmentation
d) excessive perspiration
e) arthritis of small joints of hands
ANSWERS: 3 e

4e

1b

5b

2b

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