1) A 60 year old man presented with shortness of breath and his ABG on room air showed

pH:-7.2; Po2:-85 mm Hg; PCo2:-55 mm Hg and HCO3:-24 mmol/L. Which of the

following abnormalities is most likely?
A.
B.
C.
D.
E.
2)

Uncompensated Respiratory acidosis

Uncompensated Metabolic acidosis
Respiratory acidosis with metabolic alkalosis
Respiratory acidosis with metabolic acidosis
Metabolic acidosis with respiratory alkalosis

A 60 year old lady was admitted to ICU after surgery for fracture of pelvis. Post
operatively she developed sudden onset of dyspnoea and chest pain. Which of the
following is most the most common ECG finding in this clinical situation?
A.
B.
C.
D.
E.

S1Q3T3 pattern
Right bundle branch block
Right ventricular hypertrophy
Sinus tachycardia
P pulmonale

3) A 50 year old man presented with polydipsia, constipation, pain abdomen and vomiting.
Investigations confirmed a bronchogenic carcinoma. What is the most likely explanation
for his symptoms?
A. Inappropriate ADH secretion
B. Ectopic ACTH secretion
C. Ectopic PTH secretion
D. Diabetes insipidus
E. Carcinoid syndrome
4)

A 60 year old chronic smoker presented with cough and haemoptysis. Clinical
examination is unremarkable and his CXR is normal. What is the next most appropriate
investigation?
A. Spirometry
B. Bronchoscopy
C. Ventilation perfusion scan
D. Pulmonary angiography
E. Gallium scan