Test Prep Test Prep Certifications MCQS Questions & Answers

• Question 211:

  A 45-year-old man has developed an annular rash with a scaly edge on his thigh. The rash has been spreading. He has some general aches and pains.

  What is the single most useful investigation?

  A. ANA

  B. Skin scrap for mycology

  C. Skin swab for bacteria

  D. Biopsy lesion

  E. Lyme antibodies

  Correct Answer: E

  Spreading annular rash suggests erythema migrans of lyme disease.

• Question 212:

  Drug of choice of generalized anxiety disorder is ______________.

  A. Acetalopram

  B. Bubropion

  C. Buspirone

  D. beta blocker

  Correct Answer: A

  What is Citalopram an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Citalopram is used to treat depression. Treatment for Anxiety Disorders Many variables influence the selection of medication for individual patients. The following is general information regarding beginning treatment. Most common - sertraline (Zoloft), citalopram (Celexa), and escitalopram (Lexapro). These allow a low starting dose (12.5mg of Zoloft, 5mg of Celexa) and slow titration (anxiety patients are very vulnerable to initial activation and worsening of symptoms). Effective ranges: 50-200 mg of Zoloft, 20- 40 mg of Celexa, and 10-20 mg of Lexapro. We routinely utilize much higher doses than those previously listed to treat OCD. We rarely use benzodiazepines as first line drugs for these disorders and generally discourage as needed/rescue use. Benzodiazepines remain widely used drugs for panic and other anxiety disorders in both primary care and mental health settings. While they have clear value in some circumstances, we avoid them as first line treatments because they so powerfully reinforce the anxious patient's wish for a simple and quick way to avoid the distressing experience of his or her anxiety. Overcoming this desire to flee distressing circumstances or feelings is the bedrock of CBT and is absolutely critical to successful long-term outcomes. Benzodiazepines often make these efforts more difficult.

• Question 213:

  A 33 year's man has a temp-38.5C, cough and chest pain on the right side on inspiration. He also has puru.

  What is the most likely organism to cause pneumonia in this patient?

  A. PCP cold agglutinins

  B. AFB

  C. Gram -ve doplicoccic

  D. Gram +ve doplococcic

  E. Coagulase +ve cocci

  Correct Answer: C

  It is a case of community acquired pneumonia caused by streptococcus pneumonia.

• Question 214:

  A 54-year-old patient wakes up with right sided weakness. His current medication is bendroflumethiazide

  for

  BP=160/90mmHg. CT shows left cerebral infarct.

  What is the most appropriate treatment?

  A. Alteplase

  B. Aspirin

  C. Simvastatin

  D. Dipyridamole

  E. Clopidogrel

  Correct Answer: A

• Question 215:

  14-year-old boy has been diagnosed with nephrotic syndrome. 5days later he presents with flank pain, hem urea levels. A diagnosis of renal vein thrombosis is made.

  What is the most likely cause for renal vein thrombo?

  A. Loss of anithrombin III

  B. Stasis

  C. Protein C deficiency

  D. High estrogen levels

  E. Vasculitis

  Correct Answer: A

• Question 216:

  A 30-year-old female has chronic diarrhea, mouth ulcers and skin tags. She complains of visual problems, low morning stiffness. Inv: ESR and CRP=raised, Hgb=10mg/dl.

  What is the most probable diagnosis?

  A. SLE

  B. Seronegative arthritis

  C. Gout

  D. Reactive Arthritis

  Correct Answer: B

  Chronic diarrhea, mouth ulcers and skin tags are features of IBD. There is a w association between IBD and seronegative arthritis (particularly AS). Here low back pain, visual problem, morn raised ESR and CRP, low hemoglobin indicates the diagnosis of seronegative arthritis.

• Question 217:

  Healthy parents have 2 children, a child with Cystic fibrosis and a healthy child. They want to have another are the chances of that child being a carrier?

  A. 1:2

  B. 1:4

  C. 1:8

  D. 1:16

  E. 2:3

  Correct Answer: A

  As the parents have a child with cystic fibrosis and they are healthy both of them are carrier. autosomal recessive disease where if both parents are carrier mode of inheritance is as follows: Chance of being child 1:4, Chance of being diseased 1:4 and chance of being carrier 1:2.

• Question 218:

  A 27-year-old lady after C-section developed epigastric pain after 8h.

  What is the appropriate investigations?

  A. Liver enzyme

  B. Liver biopsy

  C. ABG

  D. Coagulation

  Correct Answer: A

  Epigastric pain is a warning sign of HELLP syndrome. So to rule out HELLP syndrome should be done.

• Question 219:

  A 10-year-old child has got progressive bilateral hearing loss. He has started to increase the TV volume. All other is normal.

  What is the most likely diagnosis?

  A. Wax

  B. Bilateral OM with effusion

  C. Foreign body

  D. Meningitis due to meningococcus

  Correct Answer: B

• Question 220:

  A patient with gross hematuria after blunt abdominal trauma has a normal-appearing cystogram after the int instillation of 400 ml of contrast. You should next order:

  A. A retrograde urethrogram.

  B. A voiding cystourethrogram.

  C. An intravenous pyelogram.

  D. A cystogram obtained after filling, until a detrusor response occurs.

  Correct Answer: A

  A Urethrography refers to the radiographic study of the urethra using iodinated contrast media and is generally carried out in males. Also referred to as ascending urethrography/urethrogram (ASU) or retrograde urethrography/urethrogram (RUG). Indications ?pelvic trauma in the emergency department ? diminished urinary stream ?urethral strictures ?urethral diverticula ?urethral obstruction ?suspected urethral foreign bodies ?urethral mucosal tumors ?suspected urethral fistula