Test Prep Test Prep Certifications MCQS Questions & Answers

• Question 141:

  A premature infant is born with a patent ductus arteriosus. In closure can be stimulated by administration of:

  A. Prostaglandin inhibitors

  B. Anti-estrogen compounds

  C. Estrogen

  D. Prostaglandin analogue

  Correct Answer: A

  Prostaglandin inhibitors Normally ductus arteriosus closes soon after birth. Vasodilatory effect of prostaglandin is what maintains to ductus arteriosus in intrauterine life. Hence in cases of delayed closure of ductus arteriosus, we can use p inhibitors to induce its closure.

• Question 142:

  Pneumothorax is a complication of which of the following blocks?

  A. Brachial

  B. Epidural

  C. High spinal

  Correct Answer: A

• Question 143:

  A 6-year-old girl presents with her 3rd episode of pallor and mildly icteric sclera associated with symptoms of mild upper RTI. On examination, she has an easily tipped spleen.

  Which one of following investigations is most likely to confirm her diagnosis?

  A. Eosin-5-maleimide (E5M) staining test

  B. Hb electrophoresis

  C. Howell-jolly bodies in a RBC smear

  D. Reticulocyte count

  Correct Answer: B

• Question 144:

  In breast cancer, all true except:

  A. Chemotherapy is must for pre-menopausal with +ve axilla

  B. Yearly mammogram for contra-lateral breast

  C. Radical mastectomy is the choice of surgery

  D. 2 cm mass with free axilla is stage I

  Correct Answer: C

• Question 145:

  A 41-year-old woman awoke from a nap with severe pain in her index finger and found it to be flexed while all other fingers were extended. When she tried to pull it free she heard a loud popping sound and the pain subsided. The following day she comes to her doctor's office concerned about the sound and pain.

  What is the most appropriate next stop in the management of this patient?

  A. Steroid injection

  B. Admit to the hospital.

  C. NSAID therapy

  D. Amputate the finger

  E. Rehabilitate the finger

  Correct Answer: A

  Trigger finger is an acutely flexed and painful finger. Steroid injections have been shown to decrease pain and recurrence of trigger finger. It is the most cost-effective treatment, and studies have shown a trial of steroids should be attempted prior to surgery. Trigger finger is caused by a stenosis of the tendon sheath leading to the finger in question. If steroids fail, surgery to cut the sheath that is restricting the tendon is the definitive treatment.

• Question 146:

  Old diabetic man with sudden unilateral visual loss. There is multiple pigmentation in retina with macular edema with hemorrhage.

  What is the diagnosis?

  A. Diabetic retinopathy

  B. Retinal vein thrombosis

  C. Retinal artery occlusion

  D. Retinal detachment

  Correct Answer: C

• Question 147:

  Female with recently inserted IUCD coming with watery brownish vaginal discharge and abdominal pain what is the most likely diagnosis?

  A. Bacterial vaginosis

  B. D-ectopic pregnancy

  C. Uterine rupture

  D. Ovarian torsion

  Correct Answer: A

• Question 148:

  A 62-year-old male comes to the GP complaining of double vision while climbing downstairs.

  Which of the following nerve is most likely involved?

  A. Oculomotor nerve

  B. Optic nerve

  C. Trochlear nerve

  D. Trigeminal nerve

  Correct Answer: C

• Question 149:

  A 45-year-old woman has a 2-cm breast cancer tumor removed by lumpectomy, and the breast is irradiated. The cancer is negative for estrogen receptors and positive for progesterone receptors. Three of 14 nodes removed from the axilla are positive for cancer.

  What is the next best step in management?

  A. Tamoxifen and adjuvant chemotherapy

  B. Oophorectomy and chemotherapy

  C. Anastrozole (aromatase inhibitor) for 5 years

  D. Tamoxifen for 5 years

  Correct Answer: A

  Tamoxifen is used whenever there are either estrogen receptors or progesterone receptors positive. If both receptors are positive, tamoxifen will be of greater benefit. Adjuvant chemotherapy is used whenever the axillary nodes are positive or the cancer is > 1 cm in size.

• Question 150:

  Condition not associated with increased alpha fetoprotein:

  A. Myelomeningocele

  B. Down syndrome

  C. Spina bifida

  D. Gastroschisis

  Correct Answer: B

  Down syndrome associated with DECREASED levels of alpha fetoprotein. Not increased.

  Reference: https://en.m.wikipedia.org/wiki/Triple_test