Test Prep Test Prep Certifications MCQS Questions & Answers

• Question 201:

  A 6-year-old boy fell in the playground and has been holding his forearm complaining of pain. Exam: no sign swelling. However, there is minimal tenderness on exam.

  What is the diagnosis?

  A. Green stick fx of distal radius

  B. Fracture neck of humerus

  C. Fracture mid ulnar

  D. Fracture mid radius

  Correct Answer: A

• Question 202:

  33-year-old female complains of diplopia on upright gaze. Exam: ptosis can be seen. There are no other co significant Past medical history.

  What is the most appropriate test for him?

  A. Ophthalmoscopy

  B. Checking red reflex

  C. Thyroid function test

  D. Visual field test

  Correct Answer: B

  This is a wrong key. Right key should be D. CT. A case of 3rd nerve palsy. So to cause CT should be done. Red reflex is seen to diagnose cataract.

• Question 203:

  You are supposed to keep a child NPO he's 25 kgs, how much you will give:

  A. 1500

  B. 1300

  C. 1400

  D. 1600

  Correct Answer: D

  For first 10kg 100x10=1000 For next 10 kg 50x10=500 For next 5 kg 5x20= 100 So the total is 1600 ml.

• Question 204:

  A 73-year-old man who is recovering from surgery on the left carotid artery in his neck. He has slurred speech of his tongue, the tip deviated to the left.

  What is the single most appropriate option?

  A. Accessory nerve

  B. Hypoglossal nerve

  C. Glossopharyngeal nerve

  D. Facial nerve

  E. Vagus nerve

  Correct Answer: B

  Testing function of the nerve is performed by asked the subject to stick their ton out. If there is a loss of innervation to one side, the tongue will curve toward the affected side, due to unopposed the opposite genioglossus muscle. If this is the result of. A lower motor neuron lesion, the tongue will be curve damaged side, combined with the presence of fasciculations or atrophy. However, if the deficit is caused by a neuron lesion, the tongue will be curved away from the side of the cortical damage, without the presence of fa or atrophy.

• Question 205:

  Best method to maintain air way in conscious multiple injury is _______________________.

  A. Intubation

  B. Oropharyngeal device

  C. Nasopharyngeal device

  Correct Answer: C

• Question 206:

  A 25-year-old girl saw a tragic RTA in which a young boy was killed. The night of the event she couldn't sleep after she suddenly lost her vision. She was previously fine and there was no history of medical or psychologic

  What is the diagnosis?

  A. Dissociation

  B. Generalize Anxiety disorder

  C. Post-traumatic Stress disorder

  D. Somatization

  E. Conversion

  Correct Answer: E

  Conversion reaction. Conversion reaction is sometimes applied to patients who present with neurol such as numbness, blindness, paralysis, or fits, which are not consistent with a well-established organic cause significant distress. It is thought that these symptoms arise in response to stressful situations affecting mental health

• Question 207:

  A 64-year-old man complains of increasing dyspnea and cough for the past 18months. He coughs up a Table mucopurulent sputum with occasional specks of blood.

  What is the most likely underlying cause?

  A. Acute bronchitis

  B. Bronchiectasis

  C. Chronic bronchitis

  D. Lung cancer

  E. Pneumonia

  Correct Answer: C

  Chronic bronchitis. There may be specks of blood in sputum in both bronchiectasis, acute and chronic. Duration of disease is 18 months, so it is not acute bronchitis. Again only one tablespoonful sputum does not term copious sputum of bronchiectasis in which sputum will be much more in amount.

• Question 208:

  A 53-year-old lady presents with hot flash and night sweats. Her LMP was last year. She had Myocardial infarction.

  What is the most appropriate management for her?

  A. Raloxifene

  B. COCP (Combined OCP)

  C. Evening primrose

  D. Clonidine

  E. Estrogen

  Correct Answer: D

• Question 209:

  72-year-old lady is drowsy and her relatives want to take her home.

  She has been prescribed diazepam 2.5m delivery route?

  A. Per rectal

  B. Intra Muscular

  C. Subcutaneous

  D. Oral

  E. Intravenous

  Correct Answer: A

• Question 210:

  Fluoxetine half-life after acute administration is ______________________________

  A. 1-4 days

  B. 6-9 days

  Correct Answer: A

  The relatively slow elimination of fluoxetine (elimination half-life of 1 to 3 days after acute administration and 4 to 6 days after chronic administration) and its active metabolite, nor fluoxetine (elimination half-life of 4 to 16 days after acute and chronic administration), leads to significant accumulation of these active species in chronic use. After 30 days of dosing at 40 mg/day, plasma concentrations of fluoxetine in the range of 91 to 302 ng/mL and nor fluoxetine in the range of 72 to 258 ng/mL have been observed. Plasma concentrations of fluoxetine were higher than those predicted by single dose studies, presumably because fluoxetine's metabolism is not proportional to dose. Nor fluoxetine, however, appears to have linear pharmacokinetics. Its mean terminal half-life after a single dose was 8.6 days and after multiple dosing was 9.3 days.