Q131. Patient with facial pain and vesicles around mouth. Tzanck smear reveals multinucleate giant cells with intra-nuclear inclusions. What is the most likely causative agent?

Q132. A patient presents with pustular lesions on the hand. Gram stain of the smear reveals gram-positive organisms, and the culture shows MacFadyen's positive reaction. Which of the following is the most likely causative pathogen?

Q133. A patient with schizophrenia has been responding well to Haloperidol for the past 2 years. He now presents with orofacial dyskinesia, choreiform, tic-like movements, and possible dystonia. What is the likely diagnosis and treatment of this condition?

Q134. A 21-year-old female presents to the emergency department with complaints of amnesia for events over the past 2 weeks, following the death of her father in a road traffic accident. She experiences flashbacks of the event. What is the likely diagnosis?

Q135. A friend of Mr. K reports that he is overly obsessed with his schedule. Mr. K is rigid about perfection and manages everything systematically. These behaviors have been present since adolescence. Mr. K does not agree with his friend and refuses to seek therapy. What is the probable diagnosis?

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?