Test Prep Test Prep Certifications MCQS Questions & Answers

• Question 101:

  A female presented with swelling over the neck that moves with swallowing with lymphadenopathy at external jugular vein. Swallowing diagnosed as thyroid carcinoma.

  She has most likely which type?

  A. Papillary carcinoma

  B. Medullary carcinoma

  C. Follicular carcinoma

  Correct Answer: A

• Question 102:

  Young sexually active girl has severe knee pain, swelling fever, warmth joint. What is the diagnosis?

  A. Osteoarthritis

  B. Rhumatoid Arthritis

  C. Septic arthritis

  Correct Answer: B

• Question 103:

  The child bought by a mother having bouts of severe abdominal pain that cause child to bring his legs to fold to abdomen, settles after sometime, now again he had this attack with vomiting. On examination child is distressed with pain and there is a mass in epigastrium.

  What Investigation you will do?

  A. Ultrasound

  B. Chest x-ray

  C. Ct abdomen

  D. Air enema

  Correct Answer: D

  This investigation is both diagnostic and therapeutic and is the initial investigation of choice if strong clinical suspicion of intussusception (e.g. palpable mass and bowel obstruction) There is a small risk of bowel perforation and bacteremia during the gas enema (the surgical registrar as well as a suitably trained nurse should attend with appropriate resuscitation equipment) Ultrasound scan Diagnostic investigation of choice (unnecessary if high level of suspicion) Useful if there is a suggestive history but no mass palpable or signs on plain AXR and may identify other pathology.

• Question 104:

  What is the best initial investigation in a postmenopausal woman with a breast lump?

  A. Mammography

  B. Ultrasound

  C. MRI

  D. fine needle aspiration biopsy

  Correct Answer: B

• Question 105:

  A man comes to the clinic having had a painless, firm genital lesion for the last several days. The inguinal adenopathy is painless.

  What is the most accurate diagnostic test?

  A. VDRL

  B. RPR

  C. Darkfield microscopic exam

  Correct Answer: C

  The VDRL and RPR are only 75 percent sensitive in primary syphilis. There is a false negative rate of 25 percent. The most accurate test in primary syphilis is dark field microscopy.

• Question 106:

  A 26 year's woman had amenorrhea for 10wks and is pregnant. She experiences hyperemesis. Now she presents with vaginal bleed. Exam: uterus=16wks, closed os.

  What is the most probable diagnosis?

  A. Hyperemesis gravidarum

  B. Thyrotoxicosis

  C. Molar pregnancy

  D. Wrong dates

  E. Twins

  Correct Answer: B

• Question 107:

  A 37-year-old woman presents to the office for a consultation about family planning. She is married for 11 years and she has never had any extra marital relationships. They have been tested negative for HIV infection. She hopes to become pregnant and to stop using condoms. She had normal Pap smears for the past 18 years. The last Pap smear was 1 year ago.

  When does she need to have her next Pap smear?

  A. In 2 years

  B. In 6 months

  C. In 3 years

  Correct Answer: C

• Question 108:

  Patient had seasonal runny nose, itching and nasal obstruction, treated many times with broad-spectrum antibiotics.

  The most effective therapy is:

  A. Antihistamines

  B. Nasal decongestant

  C. Topical corticosteroids

  Correct Answer: C

• Question 109:

  Most common nerve injured in supracondylar fracture humerus?

  A. Radial

  B. Anterior interosseous nerve

  C. Median

  D. Ulnar

  Correct Answer: B

  In order studies, the radial nerve was found to be the one most commonly injured. But recent studies have median nerve, particularly the anterior interosseous branch is the most commonly damaged in supracond humerus.

• Question 110:

  A third-year medical student is examining a patient who has acute onset of abdominal pain. The patient is a 65-year-old smoker with HTN and DM who has had dull abdominal pain gradually building for the last 12 hours. It is not related to food nor relieved by taking famotidine. On physical examination, auscultation reveals a bruit. Palpation shows a pulsatile mass. While lightly palpating the epigastrium, the patient suddenly becomes hypotensive and passes out.

  What is the most likely diagnosis?

  A. Hemorrhagic gastritis

  B. Narcolepsy

  C. Ruptured abdominal aortic aneurysm

  D. Ruptured peptic ulcer

  Correct Answer: C

  A bruit and pulsatile abdominal mass are hallmark signs of an abdominal aortic aneurysm (AAA). The fact that the medical student was palpating the area and the patient passed out was a coincidence; however, syncope in the setting of the AAA is rupture until proven otherwise. Ruptured peptic ulcer would have more severe and sharp abdominal pain. Hemorrhagic gastritis could cause syncope, but the bleeding would cause emesis, and the patient is supine, so orthostasis is not of concern. Narcolepsy would not have hypotension. This patient's abdominal pain was from the AAA beginning to rupture and was dull and gradual in onset.