Q1507. A 25-year-old primigravida is in labor and is being augmented with oxytocin. On abdominal examination, the fetal head is 5/5 palpable. Artificial rupture of membranes (ARM) is performed, following which there is sudden fetal bradycardia. What is the most likely diagnosis?

Q1508. A 52-year-old postmenopausal woman presents with bleeding and is found to have a 3 cm fibroid in the uterine wall with an endometrial thickness of 8 mm. What is the next best step?

Q1509. A 28-year-old woman, 28 weeks pregnant, comes for a routine checkup. She feels well. On examination, a soft, early mid-systolic murmur is heard at the left sternal border. There are no thrills, heaves, or other abnormal findings. What is the most likely cause?

Q1510. A 7-year-old child presents with fever for 3 days followed by the appearance of a generalized skin rash. On examination, the rash is pleomorphic and centripetal in distribution. What is the most likely diagnosis?

Q1511. A 4-month-old infant is observed to have a persistent asymmetric tonic neck reflex. Which of the following developmental milestones is most likely to be delayed or not achieved if this reflex persists?

Q1512. A 7-year-old child presents with abdominal pain, palpable purpura on the lower limbs, and arthralgia. There is no history of fever or mucosal changes. What is the most likely diagnosis?

Q1513. A newborn has blue skin, heart rate <88/min, slow irregular respiration, no response on stimulation no flexion on irritability. Calculate Apgar score?

Q1514. A 10 year old girl is brought by her mother with complains of recent breast pain and development of coarse hair in pubic region. N examination, breast development is present without nipple discharge and pubic hair is sparse but pigmented. There is no history of menstrual bleed. What is the appropriate advise to the mother?

Q1515. The Ductus venosus in fetal circulation primarily functions to?

Q1516. A 6-month-old infant presents with bleeding gums, easy bruising, and recurrent diarrhea. Growth is otherwise normal. Which of the following vitamin deficiencies is most likely?

Q1517. A newborn infant presents with bulging anterior fontanelle, constipation, hypotonia, macroglossia, hoarse cry, and delayed resolution of neonatal jaundice. What is the most likely diagnosis?

Q1518. A 7-year-old child had a febrile illness 1 week ago. He now presents with petechial rashes over the lower limbs. Laboratory investigations show- Low platelet count and bone marrow biopsy revealed icreased number of megakaryocytes. What is the most likely diagnosis?

Q1519. A 4-year-old preschool boy presents with short stature, congenital heart defect, and characteristic facial features. Which of the following is the most likely diagnosis?

Q1520. A 2 year old child is brought to OPD with bluish spots on buccal mucosa. There is history of cough, red eyes and fever. What is the likely diagnosis?

Q1521. A 32-year-old woman is posted for excision of a small benign breast lump. It is planned as a day care procedure. Which intravenous induction agent would be most appropriate in this setting?

Q1524. A patient with long standing smoking history from years with COPD is planned for abdominal surgery. What is the most effective measure to reduce the risk of postoperative pulmonary complications?

Q1525. A patient undergoing surgery shows a sudden drop of end-tidal CO2 (ETCO2) to 15mmHg to 5mmHg capnography. What does this most likely indicate?

Q1526. PaCO2: 60 mmHg HCO3-: 26 mEq/L PaO2: 80 mmHg What is the most appropriate interpretation of this ABG?

Q1527. A patient under anesthesia develops respiratory depression. Which of the following capnography findings is most consistent with this condition?