Q1384. 52-year-old diabetic patient with poorly controlled blood glucose presents with facial pain, nasal blockage, and a black necrotic lesion over the nasal turbinate (black sinus) along with fever. Imaging shows involvement of the maxillary sinus. What is the most appropriate management?

Q1386. 40-year-old patient presents with chronic nasal crusting, epistaxis, nasal obstruction, and saddle-nose deformity. There is a history of recurrent sinusitis. The most likely underlying diagnosis is:

Q1387. 40 year old female presents with change in voice and hoarseness. On laryngeal examination soft tissue mass lesion is seen involving one vocal cord, the vocal cord is limited mobility. What is the treatment of choice?

Q1388. for 6 months. On examination: Rinne test is positive in both ears (AC > BC) Weber test lateralizes to the left ear What is the most likely diagnosis?

Q1394. An audiogram demonstrates air–bone gaps in both ears, with bone-conduction thresholds around 30 dB and air-conduction thresholds around 41 dB across tested frequencies. What is the most likely type of hearing loss?

Q1396. A hearing assessment chart displays air-conduction and bone-conduction thresholds plotted across different frequencies (Hz) on the X-axis and hearing level in decibels (dB) on the Y-axis. Which of the following investigations is being depicted?

Q1400. A 13-year-old girl presents to the eye clinic with her mother requesting LASIK urgery. Which of the following is a contraindication for LASIK?

Q1421. In a study, 500 women used a contraceptive method for 6 months each. During this period, 4 accidental pregnancies occurred. What is the Pearl Index for this contraceptive method?

Q1423. A researcher conducts a survey by calling people, asking about their physical activity levels and whether they have any heart disease at that point in time. Which type of study is this?

Q1430. A person is seen walking barefoot near a stepwell. He later develops painful blisters on his foot, which ruptures, and a worm emerges from the skin. Which of the ollowing worm infestations is most likely?

Q1435. A 42-year-old man presents with 3 days of fever, headache, confusion, and altered behavior. CSF analysis shows WBC 150/µL (lymphocytic), protein 80 mg/dL, glucose normal. MRI brain: hyperintensities in the temporal lobes. What is the most likely diagnosis?

Q1439. You are asked to assess the pulse tracing of the patient. Demonstrates two ystolic peaks per cardiac cycle. The following pulse corresponds to involvement of which of the following heart valves?

Q1440. A patient presents with complaints of shortness of breath and effort intolerance. On auscultation, a loud opening snap with a mid-diastolic murmur is heard. Echocardiography shows an EF of 38%. What is the likely diagnosis?

Q1445. mouth, requiring frequent use of artificial tears and water while swallowing food. There is no history of skin tightening, Raynaud phenomenon, oral ulcers, or photosensitive rash. Based on this clinical presentation, what is the most likely diagnosis?

Q1446. alcohol intake or gallstone disease. MRI abdomen reveals a diffusely enlarged pancreas with a characteristic “sausage-shaped” appearance. Laboratory evaluation shows markedly elevated serum IgG4 levels. Which of the following is the best treatment for this patient?

Q1447. 30 pack-years. There is no history of atopy. Pulmonary function testing shows a post-bronchodilator FEV1/FVC ratio of < 0.7 with an 18% improvement in FEV1 after bronchodilator administration Increased to >220 Fev1. CXR is shown below? What is your diagnosis ?

Q1448. involving the proximal muscles of the lower limbs. He has difficulty climbing stairs and getting up from a squatting position. There is a significant family history, and his elder brother had similar complaints and died around the age of 40 years. What is the most likely diagnosis?

Q1453. A 35-year-old man presents with headache and neck stiffness for 5 days. Lumbar puncture reveals the following CSF findings: 90% lymphocytes and 10% neutrophils, with CSF glucose: 40 mg/dL (plasma glucose: 100 mg/dL); protein is 1 gm/dL. What is the most likely diagnosis?

Q1464. gradually progressive swelling at the base of the tongue for the past 6 months. On oral examination, a smooth, bluish, cystic swelling is seen arising from the floor of the mouth and extending posteriorly toward the base of the tongue. What is the most likely diagnosis?