Test Prep Test Prep Certifications MCQS Questions & Answers

• Question 181:

  33-year-old lady who is a drug addict wants to quit. She says she is ready to stop the drug abuse. What drug treatment would you give her?

  A. Benzodiazepines

  B. Methadone

  C. Disulfiram

  D. Lithium

  E. Diazipoxide

  Correct Answer: A

• Question 182:

  A 48-year-old woman always socially withdrawn has stopped going out of the house. She is afraid to socialize fears that people will criticize her.

  What is the most probable diagnosis?

  A. PTSD

  B. GAD

  C. Social anxiety

  D. Agoraphobia

  E. OCD

  Correct Answer: C

  Social anxiety disorder is a type of complex phobia. This type of phobia has a disrupt disabling impact on a person's life. It can severely affect a person's confidence and self-esteem, interfere with relationships and impair performance at work or school.

• Question 183:

  A 28-weeks pregnant woman presents with uterine bleeding after sexual intercourse. What is the most appropriate diagnosis?

  A. Placental abruption

  B. Missed abortion

  C. Placental previa

  D. Ectropion

  Correct Answer: D

  Post coital bleeding can be either placenta previa or cervical ectropion. But as ectropion pregnancy so it is the option here.

• Question 184:

  A mother presents with her 14months child. He holds furniture and other things to help him stand and says `mama' and `papa'. He makes eye contact and smiles. He can transfer objects from one hand to another. What do you interpret from his development?

  A. Normal development

  B. Delayed social development

  C. Delayed fine motor development

  D. Delayed gross motor development

  E. delayed verbal development

  Correct Answer: A

• Question 185:

  A lady developed breast abscess after delivery. What is the most likely organism?

  A. GBS

  B. Staph albus

  C. Strep pyogenes

  D. Staph aureus

  Correct Answer: D

• Question 186:

  A 55 year's man who is hypertensive suddenly lost his vision. The retina is pale and fovea appears as a spot.

  What is the single most appropriate treatment?

  A. Corticosteroids

  B. Pan retinal photocoagulation

  C. Press over eyeball

  D. Scleral buckling

  Correct Answer: C

  In central retinal artery occlusion (CRAO) retina becomes pale and fovea. Hypertension is a major cause of CRAO. Apply direct pressure for 5-15 seconds, then release. Repeat several massage can dislodge the embolus to a point further down the arterial circulation and improve retinal perfusion.

• Question 187:

  A terminally ill with metastatic carcinoma presents with dysphagia and difficulty in swallowing.

  What is possible treatment?

  A. Analgesic

  B. Cotrimazole

  C. PO fluconazole

  D. Nystatin suspension

  E. Amphotericin B IV

  Correct Answer: C

  PO fluconazole. Treatment of carcinoma can predispose to development of esophageal candidiasis as follows: Oral fluconazole (200 ?400mg) daily for 14 to 21 days (if needed IV fluconazole can also be given).

• Question 188:

  Which of the following is not a degenerative corneal disease?

  A. Keratokonus

  B. Marginal dystropathy

  C. Fatty/lipid degeneration

  D. Moorens's ulcer

  E. Band keratopathy

  Correct Answer: D

  All other options are degenerative disease of cornea except Mooren's ulcer which is ulcerative keratitis.

• Question 189:

  A HTN patient on bendroflumethiazide 2.5mg/d has come for his routine checkup. Exam: BP=145/85mmHg.

  What is the most appropriate management for this patient?

  A. Continue same dose

  B. Stop meds

  C. Repeat the blood test

  D. Increase the dose

  Correct Answer: C

  Bendroflumethiazide causes hyponatremia and hypokalemia. But the findings is probably error of test. Hence blood test should be repeated to confirm the level of potassium and sodium.

• Question 190:

  An 82-year-old man has woken up with incoherent speech and difficulty in finding the right words. Exam: good comprehension.

  Which anatomical site is most likely to be affected?

  A. Pons

  B. Wernicke's area

  C. Broca's area

  D. Midbrain

  E. Parietal cortex

  Correct Answer: C

  A person with expressive aphasia will exhibit halting and effortful speech. Speech m important content words. Word comprehension is preserved. The person may still be understood, but sentence grammatical. This contrasts with receptive or Wernicke's aphasia, which is distinguished by a patient's inability comprehend language or speak with appropriately meaningful words though fluency, may be preserved.