1.A 21 year old female attends ED complaining of pain and blurred vision following trauma to her right eye. On examination , you note her right eye is looking directly upwards at rest and she is unable to look downwards. Which of the following muscles is most likely affected :

2.Whilst examining the shoulder of a 27 year old woman you note she has a weakness of certain movements. You suspect this is due to weakness of the latissimus dorsi. The latissimus dorsi muscle acts to produce which of the following movements:

3.Which of the following is NOT a typical feature of hypocalcaemia:

4.Regarding phosphate, which of the following statements is CORRECT:

5.Which of the following microbes secretes an IgA protease that degrades host immunoglobulin:

6.Which of the following is NOT a common side effect of ketamine:

7.A 21 year old man is brought to ED having been involved in a road traffic accident. He is hypotensive with muffled heart sounds and distended neck veins. Your consultant suspects cardiac tamponade and proceeds to perform emergency pericardiocentesis. Which of the following sites is the needle best placed to relieve the tamponade:

8.Regarding macrolide antibiotics, which of the following statements is CORRECT:

9.A 22YR OLD IS scheduled for tooth extraction because of first molar tooth infection.This infection will drain in which of the below lymph nodes?

10.A c/o RTA,presents with injury to left leg,o/e loss of sensation over lateral side of foot +,which nerve is likely to be damaged?

11.Which of the following enzyme is present in pancreatic juice?

12.The residual volume in healthy individual is howany mls?

13.which of the following markers in most accurate in diagnosis of post streptococcal glomerulonephritis?

14.Patient who is fully uptodate with his tetatus vaccination presents to Er with soiled open wound with fracture of tibia.According to UK protocol what will be his vaccination option?

15)The route of transmission of leptospira is

16)what is the first step in applying EBM concepts to answer a clinical question?

17.A 53 year old man presents to the ED after falling from a horse onto a fence. Imaging has shown trauma to the contents of the left femoral sheath. Which of the following structures is NOT found in the femoral sheath:

18)A 24 year old athlete presents to ED complaining of pain in his hip with a limp. He reports that he was performing the 100m sprint when he heard a pop. On
examination he has weakness of hip flexion and lateral rotation. Imaging shows
avulsion of the anterior superior iliac spine. Which of the following muscles is most likely affected:

19)A 43 year old man presents to the ED complaining of weakness at the right knee. On examination you note he is unable to extend the leg at the knee joint. Which of the following nerves is most important for extension of the leg at the knee joint:

20)A 87 year old woman presents to the ED after her carers noted she was complaining of pain in the right groin. On examination you note a tender swelling in keeping with a femoral hernia. The femoral ring is bordered medially by which of the following structures:

21)A 45 year old woman presents to the ED with a painful swelling in her right groin. She is known to use intravenous drugs and last injected a few hours ago. Imaging has shown a femoral artery pseudoaneurysm within the femoral sheath. The femoral
sheath originates from which of the following structures:

22)You are examining the lower limbs of a 54 year old man who presented after falling
from a ladder at home. During your neurological assessment you note a weakness of hip flexion. Which of the following nerves is the most important for flexion of the thigh at the hip joint:

23)You form part of the trauma team caring for a roofer who fell approximately 7 metres from a roof, landing across a beam. Imaging of the spine has revealed traumatic injuries to multiple lumbar vertebrae and the femoral nerve. Which of the following muscles is NOT innervated by the femoral nerve:

24)A 35 year old woman presents to the Emergency Department with a painful swelling in her left groin. She is an intravenous drug user who regularly injects in the groins.On examination you note a tender, discharging mass highly suspicious of anabscess. You discuss the case with the on-call vascular team who are concerned about the possibility of a pseudoaneurysm of the femoral artery. The femoral artery is a continuation of which of the following arteries:

25)A 28 year old man was involved in a road traffic accident, and subsequently complained of weakness in extending his leg at the knee joint. Following examination, he was diagnosed with a lesion of his femoral nerve. Which of the
following clinical findings would you most expect to see in this patient: