1. 45 yrs old F with R knee pain xrays showed early degenerative changes,BMI 45, waist circumferance 110 cm. councelling and management. 2. 25 yrs old primi 20 week gestations. council her regarding pain relief during labour. 3. 60 yrs old lady C/O giddiness, inability to walk, loss of sensation over L side of face and numbness over R side of body. diagnosis and management. TIA in vertibrobasiler distribution. 4. 25 yrs old M comes to u for script of oxazepam. u prescribed him 25 mg serepax 30 tabs last week. diagnosis and management. benzo dependency. 5. 50 yrs old comes to u in emergency with r leg pain. history examination diagnosis. PVD 6.25 yrs old F numbness aqnd tingling R hand wakes up in the night because of this. examination, diagnosis and management. carpal tunnel syndrome. examiner asked for causes. 7. 5 months old child with screaming . intussception 8. nocturnal enuresis. 9. 25 yrs old F on ocp started 6 weeks ago C/O irregular bleeding since 4 weeks council and manage. breakthrough bleeding increase the dose of oestrogen contents. pt. asked me do i have cancer will i become pregnant. 10. 25 yrs old 20 weeks gestation . past h/o asthma now C/O cough producing yellow colour sputum unwell. diagnosis and management. examiner asked me which antibiotics u will give. basically pnumonia and asthma in pregnancy. 11. 50 yrs old with chest pain radiating to back, shoulder train driver had flu few days ago. history diagnosis management. pericarditis 12. febrile convulsion 13. 20 yrs old with severe headach. history examination D/D management. could be meningitis, subarachnoid haemorrhage, migraine. 14. harmful alcohol drinking councelling examination of pt. 15. lymph node biopsy from neck showed squamous cell carcinoma examine and investigate the pt. for primary. 16. 20 yrs old man 20 % burn dressed few hours ago. now agitated., pulled out canula, diagnosis do mental state examination and management. GOOD LUCK TO ALL.