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A 27yo lady has had an uncomplicated pregnancy so far. She came to the hospital 2h ago after her water broke. The midwife is looking at her now. She has regular contractions. P.V exam revealed 2cm dilated cervix. Vital signs are normal. What stage of labour is she in?

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A 28yo woman has delivered with rotational forceps after an 8h labor and 3h second stage. Choose the single most likely predisposing factor for PPH for this pt?

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A 50yo man has had anterior resection of the rectum for carcinoma. He expressed concerns about control of post-op pain in discussions with the anaesthetist before surgery. What is the best management strategy?

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A 5m baby present with recurrent vomiting. Mother noticed some of the vomitus is blood stained. Choose the single most likely inv?

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A 33yo male involved in a street fight presents with bruises and deformity in the upper part of his leg. XR shows fx of the neck of fibula. What is the single most associated nerve injury?

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A 72yo man has been advised to have antibiotic prophylaxis for some years now before dental tx. He has never experienced chest pain. Three weeks ago, he noticed breathlessness on exertion and for one week he had orthopnea. His pulse is normal. What is the most probable dx?

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A 4yo boy with a febrile convulsion lasting eight minutes has been given IV lorazepam to control them. What is the single most likely serious side effect?

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A 12yo girl when playing in the garden accidentally stepped on a hive and was bitten several times. She has numerous wheals on her body and complains of severe itching. What is the single most appropriate management?

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A term baby born to a 30yo woman of blood group A-ve develops severe jaundice within the first 24h of birth. What is the most likely dx?

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A 4yo girl is found to have bounding pulse and continuous machinery murmur. What is the most probable dx?

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