6.

37 years old woman with secondary amenorrhoea, normal BMI ,FSH : 55, LH : 54, oestradiol :
77 , prolactin – normal in USG – 3-4 cysts , she is sexually inactive & doesn’t want to conceive,
What is the best Treatment?
A. POP
B. Menopausal hormone therapy
C. OCP
D. Metformin
Ans: C regular bleeding Dx- premature ovarian failure

119.28 yrs. old woman with secondary amenorrhea, normal BMI, FSH: 55, LH: 54, oestradiol:
77, Prolactin: normal, in USG of ovaries: 3-4 cyst, do not want to conceive, what is the best
treatment?
A. POP
B. menopause hormone therapy
C. clomiphene
D.OCP
E.Metformin
Ans: B

10. A patient who has Factor V Laiden deficiency and a family history of DVT, comes for
contraception. What will you give beside condom?

a. Combined oral contraceptive pills

b. Progesterone only pills
c. Spermicidal gel
d. Transdermal estrogen patch
Ans: B mirena ??

39. Pt 32 wks preg, USG show fetal head 50th percentile; length 50th percentile; abdomen 5th
percentile. What is the cause?
• PROM
• Fetal aneuploidy (chromosomal abn>> symmetric IUGR more unlikely to be answer)
Ans: ?? A FOG-242

1. Very long stem, Pregnant lady with hepatosplenomgaly, pattern seems to be hemolysis, what
do we concern in fetus?
IUGR
Hydrops fetalis
Acidosis of fetus blood
 A man with paranoid delusion after joining work, found by police walking agitated & abusive in
road and feeling “god will flush these torments like feature”. which less effective?
A. Risperidone
B. Clozapine
C. Olanzapine
D. quetiapine
Ans:

45. Teenage Girl, lost interest in school. She remains aloof & does not make any eye contact.
Asking any questions is answered by "I don't Know: Most important history to ask her mother
(depression???, but not major depression)
A. Drop in school grades
B. Her mood (know patient herself)
C. appetite
D. sleep
Ans: A

55. Young girl making no eye contact and irritable, poor attention at school, what investigation
from mom can help u diagnose
A. Recent study reports from school
B. Parental relationship
C. Appetite, mood and sleep
Ans: C

56. Child in the school: his teachers complain from not listening to the lessons and increased
activity – cannot wait his turn and not sit on the chair, the parents say he is calm at home apart
from being bored ( anxious )from changing his routine activity and he likes changing washing his
hands, no decrease school performance, his development is normal in exam. What lead to the
Dx?
A. Asking him about washing his hands
B. Aggressive behavior with his friends
Ans: asking him

22.a mentaly disabled man 40yr anger,irritated developed in special school,what h/o reaches to
diagnosis
-his talk to imaginery friend in childhood
-sexual abuse
Ans:
53. 86 years old man who is brought to ER due to his recent aggression to his roommate, he is
on diuretics and OHA and some drugs, and he complaint of seeing soldier in his room.
Which in the history will help you for diagnosis?
A. His pre existing visual impaitement
B. Drugs taking history
C. His pre existing cognitive impairement
Ans: B drugs taking history

138. A lady with geriatric scale 6/27...normal less than 5 ... comes with features of low mood
lack of sleep tearful. Sensitivity of geriatric scales is 90 specificity 80 Ppv is 50 npv is 90 What is
the Dx on this basis 
a) Mild depression
b) Moderate depression
c) no depression
d) refer for further assessment
Ans: D