1) A man came with chest pain. Take history, examination findings and management Management of MI, cardiac arrest, indication of thrombolysis, contraindiations, ALS 2) A father complaining of loss of apetite and growth retardation in his 3 years old son. Child growth, use of normograms and importance of balanced diet 3) A 60 yrs old man complaining of long standing backache and new onset hip pain. Osteoarthritis and rule out PVD and Ca Prostate 4) FBC results-- microcytic and hypochromic RBCs in a 30 week pregnant vegetarian lady. Counselling of Iron deficiency anemia. Its impacts on mother and fetal health. Treatment 5) A 17 yrs old boy complaining of vision problem. Rule out serious eye condition. Examine eye and visual acuity. Counsel about myopia. 6) A girl of 17 yrs brought by her mother who is concerned about her weight. Diagnosis of anorexia nervosa. Urgent management. Refer to hospital. patient refused to go to hosp. Use mental health act. 7) 18 yrs old male complaining of swollen rt arm for 1 week. Basketball player. Axillary/subclavian vein thrombosis. referal to hospital and start heparin prophylactically without waiting for the transfer. 8) 3 yrs boy. Cousin had lymphoma. Mother noticed swelling in neck. Counselling. Lymph nodal swelling. usually benign. Rarely can be due to cancer. Basic blood tests and follow up after 1 week and reassurance. 9) Female sterilization counselling 10) Counselling for autologus blood transfusion 11) A 65 yrs old lady, smoker having long standing cough. Present with SOB for 2 months. History, examination and management. Rt pleural effusion. causes and management 12) A 60 yrs old lady complaining of constipation. All investigations normal including upper and lower GI endoscopy. Differential Diagnoses and management. IBS, low roughage in diet, hypothyroidism, and hyper calcemia etc 13) Suspected Sex abuse in a girl. Management 14) Psychotic man. Has used cannabis. Requested you not to tell family of his drug addiction. Confidentiality. Don't tell the mother. Just say I don't know when she asks. 15) Lt sided abdo pain. D/D and emergency ward management. 16) Vaginal Candidiasis in an elderly. Must rule out Diabetes mellitus.