1.
Confirmation bias: someone came to er, septic, despite treatment remained septic and did not
improve. not anchoring because they followed protocol
2. Male patient flirting with female physician, what to do? stop examination and let him know it is
innapropriate. another option saying this will affect the relationship and continue with exam
but this is wrong
3. NNT: 1/AR
4. Beneficence, this was the ans, Nonmaleficence and justice was in the options so read them
5. Mania episode, dx: bipolar
6. delusional disorder, 67yo female, believes people are spying on her
7. anorexia case, admit her BMI<17
8. woman in 70s complaining of hypoarousal, low libido, in a relationship, no signs of
depression, what to do next? only that made sense is depression screening or reassurance,
reassurance made more sense
9. slide with owl eyes, CMV rx? gancyclovir
10. kawasaki case very easy to know, what are you afraid of? arteritis
11. a lot of COPD qs, in ethics too
12. mastoiditis case, ear going down and out, he did not continue amoxicillin after otitis media
13. a case of selective igA def (they tell u he has it) and took blood transfusion and had
anaphylaxis before, how would you prevent it from happening again? one of the options says
something like to clean blood/remove cytokines but not sure so check
14. Murmur old patient AS from the stem SAD
15. continuous crescendo decrescendo murmur in infant? PDA
16. hypercalcemia>14 give fluids
17. hypotension not working with fluids what to do next? norepinephrine
18. Chagas but different from other pool, asx but he tested positive before and they called him
back what to do next, the options had ecg, treat, no echo in questions
19. gyne: 20s f prolonged lower abd pain, us showed a large hemorrhagic ovarian cyst, what to
do next? cystectomy
20. case pt for 2 years on strict diet and trying to exercise and not losing weight, no other sx of
hypothyroid, thyroid, TSH normal range but high-normal, T3 and T4 normal, TPO titer was
high, what do you want to do? levothyroxine
21. MVP no abx prophylaxis
22. KBUS before VUG, young pt with UTI
23. pertussis, give azithromycin, another case his roomate asx give him prophylaxis azithro
24. up and down arrows for SIAH, serum and urine osmolarity, urine sodium
25. stroke with right upper and lower flacid paralysis and did not have dysarthria, where is the
location? right vertebral left lacunostriate / penetrating
26. osteoarthritis BMI 57, medial knee pain, taking naproxen not working, next step? intra articular
steroid (but with a weird name ends with -one)
27. UC case, did colonoscopy 8 years ago, was normal. do colposcopy again now
28. treatment for hep B drug name cant remember
29. glaucoma presentation with loss of peripheral vision asking for dx
30. PE hospitalised pt with sudden onset of chest pain and sob low o2 tachycardia, no pic, what
to give? heparin or tpa/thrombolytic
31. placenta previa
32. placenta abruption
33. Potter sequence, whats the cause? bilateral renal agenesis
34. Pic edematous penis with black eschar, maybe fornier gangrene
35. pic of genital warts in woman
36. screening for all cancers
37. tinea capitis pic, with scaling, what do you give? the only oral treatment
38. restless leg, ferritin was normal what to give? Nopinirole not iron supplement bc iron was
normal
39. CAH whats increased 17 hydroxyprogesterone
40. cholecystitis management
41. Child abuse case with rash sparing flexor regions like burn, ans is call child protective services
42. case with pleural plques, working in a factory risk factor? asbestos (causes malignant pleural
mesothelioma)
43. latent TB give izoniasid, asx pt ppd>15
44. ASCVD score 12.5 give statin
45. Migraine headache dx
46. HIT whats the cause of bleeding, antibodies against platelet factor 4
47. MEN know them all they will ask what you need to screen for
48. Chrons disease removed the ileum what do you need to supply? vit b12
49. overflow incontinence asking dx
50. viral otitis media, started as runny nose, then ear what to do? supportive treatment
51. bronchiolitis, might have been ethics
52. Wilms tumor, ans nephroblastoma
53. again beckwith wiedman with aniridia what to do next? abd us
54. transient synovitis
55. IIH with papiledema cant remember options
56. TTP how to dx ADAM 13
57. volvulus with coffee bean sign asking for dx
58. Salmonela case dont give antibiotics
59. infant lost consciousness and turned blue while feeding or smth what do you want to do?
echo
60. GVHD
61. Osteogenesis imperfecta with blue sclera, do audiometry
62. milestones, maybe fine motor was decreased because he was 3 and cant do pencil grasp
63. pt 20 years ago he fell, he has pain in his shoulder, he has all range of motion active and
passive. when abducts and the doctor presses on his shoulder from behind the pain
subsides. whats this? no idea. options were adhesive capsulitis, pectoralis major smth, rotator
cuff impingement (probab this), cant remember any others
64. contraception, she has estrogen contraindication, maybe migraine with aura, give
levonogestrel
65. ROC ans was top left
66. Root cause analysis
67. surrogate decision maker in ethics qs