1.

You received referral from orthopedic ward of a 4-day post op patient who developed sudden
onset of chest discomfort associated with dyspnea. The patient was afebrile, HR 120, RR 30, BP
80/50. Initial impression?
a. Pulmonary hypertension
b. Pulmonary embolism
c. Acute aortic syndrome
d. Pericarditis
2. 38F w/o history of passive smoking and with lung cancer. AdenoCA
3. Most frequent MSK manifestation in SLE? Nonerosive polyarthritis
4. Which of the following is the most common type of dementia?
a. Vascular
b. Fronto-temporal
c. Alzheimers
5. Kidney injury in hypovolemia? Pre-renal azotemia
6. Upper-lobe cavitating lesion: M. tb
7. Pneumatoceles: SAU
8. 58-year-old brought to ER because of chest pain 12 hours PTA described as chest heaviness with
shortness of breathing. Based on ECG done, which is most likely affected? LAD
9. Most common CVD manifestation in thyrotoxicosis? AFib
10. TSH, unbound T4 high. Primary thyrotoxicosis
11. Cough and wheezing past two weeks with occasional DOB. Which main factor will you check?
Atopy
12. Chest Xray is hyperinflated when __. More ribs are seen
13. In harmonizing definition for Metabolic Syndrome, HDL cholesterol for female is: Less than 50
mg/dL
14. Palpable thrill: 4
15. COVID-19 chest infection, laboratory test compatible with diagnosis: Lymphopenia
16. 26 years old infected with HBV, first virologic marker detected after 1-12 weeks: HBsAg
17. Prodromal phase for migraine lasts for? Few hours to days
18. Diabetic px non-hypertensive, chest pain, chronic non-productive cough, morning hoarseness,
sour-taste in mouth. Next step in management?
a. Request endoscopy
b. Esophageal manometry?
c. Nasal decongestants
d. Observe for any progression
e. Treat with PPI
19. A healthy non-pregnant woman with no known urinary tract abnormalities has 3 or more
episodes of Acute Uncomplicated Cystitis documented by urine culture during a 12 month
period, what is your diagnosis? Recurrent UTI
20. CHF: Crackles
21. COVID-19 which lobe: Bilateral lower lobe infiltrates
22. RBC in AKI: Glomerulonephritis
23. Anticoagulation warfarin target INR: 1
24. Preferred technique for MSK?
 a. MRI
b. CT
c. Dual-energy
d. Radionuclide
25. Which is preferred to treat tetanus to prevent exacerbation of spasms? Metronidazole
26. Medicine for angina reduce oxygen demand by inhibiting increase in HR and myocardial
contractility due to adrenergic activation? Beta blockers
27. CXR reading: Normal
28. 54 year old male patient who was admitted & treated for community acquired pneumonia. For
the past 24 hours SBP >90mmHg, Pulse Rate < 100, Temp 37C, RR 20, O2 94%, functioning GIT.
Can the px be discharged? Patient may go home
29. Chest radiographic abnormalities resolve? 4-12 weeks
30. Most common type of primary headache: Tension-type
31. A 68 year old male patient with hypertensive cardiovascular disease presented with orthopnea,
paroxysmal nocturnal dyspnea, and bipedal edema. Less than ordinary activity caused chest
discomfort, dyspnea, and fatigue. What is his New York Heart Association Functional
Classification? Class III
32. A patient complains of palpitations on and o for the past several weeks. Patient decided to seek
consultation. On the day of consultation, by history patient did not have any recent episodes for
the week. Physical examination findings were within normal including vital signs. What is your
next step?
a. Come back for ECG when symptomatic
b. Come back for ECG when symptomatic
c. Do stress test
d. Do 2D Echo
33. Cirrhosis secondary to chronic heap B admitted due to fever. PE revealed ascites. Important
procedure?
a. Blood culture
b. Paracentesis
c. Urinalysis
d. Abdominal US
34. Sputum sample adequate: >25 neutrophils and <10 squamous LPF
35. Anti-tb developed gouty arthritis: Pyrazinamide
36. Condition wherein limb is rubbery and nonpitting, often with texture and appearance of orange
peel: Lymphedema
37. A newly diagnosed 40 year old male hypertensive was started on antihypertensive medication.
Few minutes are taking the medicine, the patient developed periorbital edema and swelling of
the lower lip. What medication may have caused the patient’s condition? ACE inhibitors
38. Most common manifestation of anaphylaxis >90%: Urticaria?
39. DM 4 months ago started Metformin 500 mg OD with good compliance. Which test should be
done for follow-up? HbA1c
40. MDR? Resistance to at least 3 types of antimicrobial classes