SAMPLE

A newborn was born to a 33 year old woman, post term via cesarean section, no PROM, no known co-morbids. At birth the patient, the baby seemed normal. After a few hours, the pediatrician noted signs of respiratory distress. Chest xray was generally unremarkable. Which is the best course of action for this patient?

A newborn was born with blue extremities and a pinkish trunk, HR 118, grimaced upon stimulation, well active movement, and RR 21. What is the APGAR score?

A baby was born with a head disproportionately larger than the rest of the body and old looking to a mother with superimposed mild pre-eclampsia on chronic hypertension. Which is true about the child?

A 2 y/o child was brought to the ER due to seizure-like activity. The past few days the patient was febrile (T max= 40). The caregiver was able to record the seizure which showed to be jerky movement of the right arm lasting less than 15 mintues. Upon examination, no focal neurologic deficits or abnormal postures was noted. A lumbar tap was performed which was normal. During the span of 24 hours, no recurrences was noted. Which is the most likely diagnosis?

A 5/F was brought to your clinic due to loose watery stools the past 3 days. Upon examination, the patient was irritable, had sunken eyeballs, CRT<3s, and drinks eagerly. How will you manage the patient?

DE is a first time mom. She wants to know the sex of her baby. What is the earliest AOG in which the sex can be determined?

PR just delivered to a term live baby boy. She was noted to bleed profusely. Upon palpation, her uterus was well contracted. Which of the following is the most likely cause of her bleeding?

Mrs. De Guzman, 48, G5P5 (4105), consulted at the ER for severe dysmenorrhea and heavy menses. TV UTX revealed bilateral endometriotic cysts and adenomyosis. What is the best management for this patient?

A 23 year old woman came into vaginal pruritus. Upon genital examination, you noted whitish cheesy-like discharge. What is the appropriate treatment for this patient?

JN, 31, G2P1(0010), came in with results of her BPS. NST showed more than 2 accelerations of 10 bpm for 10 seconds in a 20 minute strip, more than 1 episode of rhythmic breathing lasting 30 seconds was noted, 1 discrete movement was noted, more than 1 episode of extension-flexion was noted, and adequate AFV. Which is true regarding this case?

Which of the following is the most appropriate plan for patients with suspected follicular cell carcinoma?

An 18/M presented with a bulge in the groin area. If the mass displaces the inferior epigastric artery medially, which type of hernia does the patient most likely have?

Which of the following would mandate elective intubation in a patient with a normal voice, normal oxygen saturation, and no respiratory distress?

A patient underwent an operation for intractable peptic ulcer disease. Post-operatively, the patient had diarrhea. Which procedure has the highest incidence for this complication?

LR, 18/M, was hit on the head by a baseball bat in a fight. The patient passed out for a while but regained consciousness. A few hours prior to consult, the patient’s mother noted the patient becoming drowsy and had several episodes of projectile vomiting. When he was brought to the hospital, the patient was deemed intubatable by the physician; hence subsequently was. Upon examination, eye opening was noted with painful stimulation and abnormal flexion was noted. What is the patient’s GCS?

A person infected with COVID 19 can easily transmit the virus to several more people quickly. Among those with the virus, most are asymptomatic. The disease caused by the virus is <10%. Which can be implied from this statement?

Which is the most important variable to determine the suitability of a test for screening?

This is best used to determine which factor has the greatest impact and where attention is likely to yield the greatest benefit?

Mr and Mrs Diaz are both entrepreneurs. They often ignore their son Emman and let him do what he wants so that he won’t bother them when they work. Which type of parenting is described?

Brgy Matiwasay held a feeding program for children from Brgy Matiwasay, Pinyahan and Sikatuna. The day after, most of the children who went to the feeding program started vomiting and had loose watery stools. This best describes which type of epidemic?

SK, 30/M, came in with the chief complaint of hemoptysis. PE unremarkable. Chest x-ray showed right apical infiltrates. He was previously treated under the DOTS program but was only able to comply for 3 weeks. Which is the most appropriate treatment?

A 52/M was brought to the ER due to crushing pain on the left chest, radiating to the arms. Physical examination revealed distended neck veins and bipedal edema. Upon auscultation of the chest, clear breath sounds were heard. Ancillary procedures showed elevated cardiac troponins and ST elevations on the ECG. In which leads are the ST elevations expected to be seen in?

Which is true regarding inflammatory bowel disease?

XX, 43/F, came into difficulty of breathing. 2 days PTC, the patient developed productive cough with high grade fever. Her vital signs are: BP 100/60, HR 102 RR 23, T 38.6 C, and O2 sat 95%. Patient is oriented to time, place and person. She is a known diabetic but well-controlled. Chest x-ray shows pleural effusion in the L lung. Which is the most appropriate plan of action for this patient?

Hemodialysis is recommended for which of the following patients: