Q136. A patient is brought to the hospital by a social worker with a bizarre presentation. After a recent earthquake, he was found 110 km away from home and does not remember his identity or how he got there. There is no history of substance abuse. What is the likely diagnosis?

Q137. A young male presents to the psychiatry OPD stating that when he sees birds flapping their wings or flying, he believes the movement is a signal from God directing him to move in a certain direction for safety. He acts on this belief. What is the likely phenomenon?

Q138. A person has hurt or killed his colleague. Upon evaluation, he states that he was receiving instructions from voices telling him that the colleague was going to kill him. He appears disheveled. What is the next appropriate legal step?

Q140. A male presents with chronic back pain and anterior uveitis for several months. O/E there is tenderness in SIJ. What is the investigation of choice to make the diagnosis at the earliest?

Q142. Young male sustained mid shaft tibia fracture and was treated surgically. In the postop period he developed severe pain in the leg. O/E there was swelling in the leg and diminished sensations. However, the dorsalis pedis pulse was intact. What is the next line of management?

Q143. Young male had sustained fracture shaft of femur after RTA. He was treated with surgical fixation. After 6 days, he developed acute onset shortness of breath and rashes on the upper chest. What is the diagnosis?

Q144. 60 year old man presents with generalized body ache and increasing hat size. O/E the bones are warm to touch. Biochemical Investigations Show Normal Serum Calcium, Phosphate, And Parathyroid Hormone (PTH) Levels, But Markedly Elevated Alkaline Phosphatase (ALP). X ray shows lytic areas in long bones. What is the diagnosis?

Q145. An athlete presents with hyperextension injury of shoulder. The doctor suspects avulsion of long head of biceps. What is the origin of long head of triceps?

Q146. 20 year old man sustains eversion injury to his foot while playing football. Which ligament is injured?

Q147. An elderly patient presents with knee pain x ray show change of arthritis. Synovial fluid analysis shows rhomboid crystals which were positively birefringent. What is the diagnosis?

Q149. A 7 month old child is on katori feeding on top of breastfeeding. According to infant and young child feeding guidelines. how many times he has to feed a day?

Q150. A 10-month-old boy presents with Fever, recurrent oral ulcers and recurrent infections. Laboratory investigations reveal reduced B cell, T cell, and NK cell counts along with reduced adenosine deaminase levels. Which of the following is the most likely diagnosis?

Q151. A 2-year-old unresponsive boy was brought to E.R. with a history of choking due to peanut aspiration, what is the preferred management?

Q152. A child presented with high-grade fever and seizures. What is DOC for emergency management?

Q153. A pregnant woman is diagnosed with HIV infection at 34 weeks of gestation. Her viral load was 1200 copies/mL, and she was then started on ART. She delivers a 2.5 kg term baby at 38 weeks. What is the most appropriate postnatal prophylaxis for the newborn?

Q155. Represents the normal number of vessels in the umbilical cord?

Q156. A 52-year-old female presents with progressive unilateral hearing loss, tinnitus, and imbalance. MRI brain shows a mass located in the cerebellopontine angle (CPA) extending into the internal acoustic meatus. Biopsy show verocay and Antoni bodies A and B. Based on location and imaging features, what is the most likely diagnosis?

Q157. A 21-year-old male presents to the emergency department after blunt trauma to the nose during a football match. He has continuous anterior nasal bleeding despite compression. On anterior rhinoscopy, blood is seen actively oozing from the antero-inferior nasal septum. Which artery is most likely responsible and needs to be cauterized to stop the bleeding?