Test Prep Test Prep Certifications MCQS Questions & Answers

• Question 191:

  A patient presented to you who is known case of hypothyroidism and on thyroxin, he also has increase PT normal Vitamin D, Creatinine is very high.

  On examination tapping of the angle of jaw produce facial spasms, what diagnosis?

  A. Pseudohypoparathyroidism

  B. DiGeorge syndrome

  C. Chronic renal failure

  D. Uncontrolled thyroid functions

  Correct Answer: C

  Secondary hyperparathyroidism Hypocalcemia, hyperphosphatemia, inc creatinine.

• Question 192:

  A 20 year's man presents with painful swallowing. Exam: trismus and unilateral enlargement of his tonsils Peritonsillar region is red, inflamed and swollen.

  What is the most appropriate treatment?

  A. Oral antibiotics

  B. Analgesics with antipyretics

  C. IandD with antibiotics

  D. IV antibiotics and analgesics

  E. Tonsillectomy

  Correct Answer: C

• Question 193:

  An 18years female has periorbital blisters. Some of them are crusted, others secreting pinkish fluid.

  What likely diagnosis?

  A. Rubella

  B. Shingles

  C. Measles

  D. Chicken pox

  E. Varicella

  Correct Answer: B

  Shingles Ophthalmic division of trigeminal nerve. Typically, shingles is unilateral.

• Question 194:

  A middle aged woman has some weakness of hand after an injury. Which vertebra will be the lowest to be x-ray to diagnosis the injury?

  A. C7/T1

  B. C5/C6

  C. c8/T1

  D. C6/C7

  Correct Answer: A

• Question 195:

  A 80 year's man with prostatic cancer has confusion, thirst, abdominal pain and an abnormal ECG.

  What is appropriate investigation?

  A. DEXA scan

  B. Redionuclide bones scan

  C. Serum calcium concentration

  D. MRI spine

  Correct Answer: C

• Question 196:

  A 72years presents with polyuria and polydipsia. The fasting blood sugar is 8 and 10mmol/l.BP=130/80mm cholesterol=5.7mmol/l. There is microalbuminuria.

  What is the single most appropriate next management?

  A. Statin and glitazone

  B. ACEi and sulfonylurea

  C. Statin and Biguanide

  D. Statin and ACEi

  Correct Answer: D

• Question 197:

  23-year-old man presents with severe pain in the right flank radiating to his groin. He is rolling about on the an IVU confirms a stone in the ureter which is 8mm in size.

  Which transfusion modality will be most effective?

  A. ESWL (Lithotipsy)

  B. Dormier basket

  C. Fluids and alpha blockers

  D. PCNL

  Correct Answer: A

• Question 198:

  A 32-year-old woman presents with malaise fatigue and fever. She complains about weight loss. Exam: malar nasolabial fold can be seen.

  What is the most appropriate investigation?

  A. Anti-histone

  B. Anti-centromere

  C. Anti-ds DNA

  D. Anti Jo

  E. Anti Scl70

  Correct Answer: C

  Features are suggestive of SLE. So most appropriate investigation from the given option DNA.

• Question 199:

  Which vitamin has a protective effect against colon cancer?

  A. Vitamin C

  B. Vitamin D

  C. Folic acid

  D. Vitamin K

  Correct Answer: B

  Calcium and vitamin D Calcium may protect against bowel cancer, according to the World Cancer Research Fund. A 2004meta analysis showed that people with the highest levels of calcium intake (from food and supplements) reduced their risk of bowel cancer by 22% compared to people with the lowest calcium intake. However, 2 meta analyses in 2010 found that calcium supplements had no effect on bowel cancer risk in the general population. But they did find a link between calcium intake and a reduced risk of polyps coming back in the bowel after previous treatment. Polyps are growths in the bowel that may develop into cancer over a long period of time, if left untreated. To reduce bowel cancer risk, it may be better to take vitamin D and calcium together. We need vitamin D to be able to absorb calcium. A large randomized controlled trial in 2006 showed that only the people with high intakes of both calcium and vitamin D had a reduced risk of bowel cancer. Other studies have shown that people with the highest intakes of vitamin D have a lower risk of bowel cancer and bowel polyps. Dairy There is some evidence that drinking milk reduces the risk of bowel cancer. A review in 2011 showed that the benefit of dairy in reducing bowel cancer risk was only seen at levels over 100 grams (g) a day. Having 500 to 800g milk a day reduced bowel cancer risk by 20 to 30%. One pint, or 0.5 liters, of semi skimmed milk weighs about 550g. The effect of milk on lowering bowel cancer risk may be partly due to the calcium. But milk contains many other substances which may also play a role. There is limited evidence that eating cheese may increase the risk of bowel cancer. It is not clear how cheese may increase the risk, but it may have something to do with the saturated fatty acids.

• Question 200:

  A 37-year-old woman presents with heavy bleeding. Investigation shows subserosal fibroid-4cm and intramu.

  Which is the most appropriate treatment?

  A. Abdominal Hysterectomy

  B. Vaginal Hysterectomy

  C. Abdominal Myomectomy

  D. Hysteroscopic Myomectomy

  Correct Answer: C

  As patient is young we should go for myomectomy. As hysteroscopic myo mainly sub mucosal fibroids we should go for abdominal myomectomy which will deal with both subserosal a fibroids.