Test Prep Test Prep Certifications MCQS Questions & Answers

• Question 161:

  A young man comes up with a headache, which he describes that this headache is the most severe headache in his life.

  Which of the following will be less useful?

  A. Lumbar Puncture

  B. Do MRI or CT scan

  C. Skull X ray

  D. Asking more details about headache

  Correct Answer: C

• Question 162:

  The patient passed a 4 mm stone in his urine. Does he have a 3mm stone in the renal pelvis found on an ultrasound?

  A. ESWL

  B. None

  C. Surgery

  D. Dormia basket

  E. PCNL

  Correct Answer: B

  Stones less than 5 mm in diameter pass spontaneously in up to 80% of people. -Stones between 5 mm and 10 mm in diameter pass spontaneously in about 50% of people. -Stones larger than 1 cm in diameter usually require intervention.

• Question 163:

  A 61year man was found with K+=7.5 and ECG with prolong QRS complex. What is the best possible treatment?

  A. IV calcium gluconate

  B. Dialysis

  C. Loop diuretics

  D. Salbutamol nebulizer

  E. IV insulin and dextrose

  Correct Answer: A

  In this high level of potassium, we have to shift this potassium into cells to red level and save heart from arrest or life threatening arrhythmia. For keep the heart safe option of first choice in emergency is IV calcium gluconate! However, it does not shift or reduce potassium level but protects heart from buy time for definitive measure to take place.

• Question 164:

  Which of following favor diagnosis of SLE?

  A. Raynaud syndrome

  B. Joint deformity

  C. Anti RNP+

  D. Cystoid body in retina

  E. Lung cavitations

  Correct Answer: C

• Question 165:

  A 64 year's man believes a female newscaster is communicating directly with him when she turns a page. Where is he suffering from?

  A. Delusion of Reference

  B. Nihilistic

  C. Grandeur

  D. Control

  E. Persecutory

  Correct Answer: A

  A delusion of reference is a type of delusion wherein the individual perceives unrelated events or objects in his/her surroundings to be of significance for himself/herself. For example, a person with schizophrenia might believe a billboard or a celebrity is sending a message meant for them.

• Question 166:

  45 year's female looking pale has bluish discoloration of hands whenever she goes out in the cold. She has reddish spots on her body. She has symmetrical peripheral arthroplasty for the last year.

  What is the most appropriate diagnosis?

  A. Limited systemic sclerosis

  B. Osteosarcoma

  C. Chondrosarcoms

  D. Diffuse systemic sclerosis

  E. RA

  Correct Answer: A

• Question 167:

  65years man had a bowel resection 5days ago. He is anuric and breathless. His BP=150/110mmHg.He has lung bases and sacral edema. Bloods: K+=6.8mmol/l, urea=58mmol/l, creatinine=600umol/l.

  What is the single immediate management?

  A. Bolus of 20U insulin

  B. 5% dextrose infusion

  C. Calcium resonium enema

  D. 10U insulin, 50ml of 50% dextrose infusion E. Dextrose-saline infusion

  Correct Answer: D

• Question 168:

  Patient with major depression what is the first line treatment?

  A. Tricyclic antidepressant

  B. SSRIs

  C. MAOI

  Correct Answer: B

  A SSRIs are the initial antidepressants of choice for uncomplicated depression because of their minimal anti-cholinergic effects

• Question 169:

  A patient presents with mild dyskaryosis. 1 year ago smear was normal. What is the most appropriate next test?

  A. Cone biopsy

  B. Cauterization

  C. Repeat smear

  D. Colposcopy

  E. Swab and culture

  Correct Answer: D

  For mild, moderate or severe dyskaryosis the next step is colposcopy.

• Question 170:

  What is the most specific test for syphilis?

  A. TPI

  B. Treponema antibody absorption test FTA-ABS

  C. FAAT

  Correct Answer: C

  This test is used when a screening test for syphilis is positive to confirm that there is a true infection. A negative or nonreactive result means there you do not have a current or past infection with syphilis. 52Ans- Management of dog, cat and human bite is essentially similar. They are managed with Amoxycillin/ Clavulanate and Tetanus vaccine booster if more than 5 years since last immunization/vaccine Dog and cat bite-Pasteurellamultocida Human bite-EikenellaCorrodens Humab bites are more damaging then dog bite and cat bites