Test Prep Test Prep Certifications MCQS Questions & Answers

• Question 221:

  A 65-year-old lady who is on thiazide suffers from falls in the morning. What is the cause for her symptoms?

  A. Epilepsy

  B. Orthostatic hypotension

  C. TIA

  Correct Answer: C

  Thiazide diuretic is associated with orthostatic hypotension.

• Question 222:

  A 14-year-old girl presents with primary amenorrhea and a short stature.

  What is the most likely diagnosis?

  A. Down's syndrome

  B. Fragile X syndrome

  C. Turner's syndrome

  D. Klinefelter's syndrome

  E. Normal finding

  Correct Answer: C

  Down's syndrome and Fragile x syndrome don't have primary amenorrhea. Klinefelter's patients are tall males. So the likely diagnosis is Turner's syndrome.

• Question 223:

  A 32-year-old man with schizophrenia and a history of violence and distressing auditory hallucinations was a ward with aggressive behavior and has already smashed his room. He is refusing any oral meds.

  What is the s appropriate injection?

  A. Flupenthixol

  B. Risperidone

  C. Haloperidol

  D. Fluphenazine

  Correct Answer: B

  Protocol of treating agitated violent patient.

  1.

  Try to talk to the patient but don't touch him.

  2.

  If he agrees on oral meds, give oral atypical antipsychotics olanzapine, risp or quetiapine

  3.

  If refusing oral, give IV atypical antipsychotics preferably its Olanzapine or Risperidone

  4.

  If agitation not controlled give IM Lorazepam

  5.

  If that doesn't work, give IV Haloperidol as last resort.

  6.

  If acute sedation is required, for immediate effect give IV Diazepam.

• Question 224:

  A young woman fell and hit her knee. Exam: valgus test +ve. What ligament was most probably injured?

  A. Lateral collateral

  B. Ant cruciate

  C. Post cruciate

  D. Medial collateral

  E. Meniscus

  Correct Answer: D

  Medial collateral. The valgus stress test involves placing the leg into extension, with one hand place on the knee. With the other hand placed upon the foot applying an abducting force, an attempt is then made to at the knee into valgus. If the knee is seen to open up on the medial side, this is indicative of medial collateral damage.

• Question 225:

  After starting Antidepressant drug, if patient is not improving then when you decide to stop drugs?

  A. 3-4 weeks

  B. 1 day

  C. 1 week

  D. 2 weeks

  Correct Answer: A

  Some people notice an improvement within a few days of starting treatment. However, an antidepressant often takes 2-4 weeks to build up its effect and work fully. Some people stop treatment after a week or so thinking it is not helping. It is best to wait for 3-4 weeks before deciding if an antidepressant is helping or not. If poor sleep is a symptom of the depression, it is often helped first, within a week or so. With some types of tricyclic antidepressant, the initial dose that is started is often small and is increased gradually to a full dose. (One problem that sometimes occurs is that some people remain on the initial dose which is often too low to work fully.) If you find that the treatment is helpful after 3-4 weeks, it is usual to continue. A normal course of antidepressants lasts at least six months after symptoms have eased. If you stop the medicine too soon, your symptoms may rapidly return. Some people with recurrent depression are advised to take longer courses of treatment (up to 2 years or longer)

• Question 226:

  An 8-week baby boy is noted to be jaundiced. He is breast-feeding well and has gained 300g since birth. His s and his urine is pale straw colored.

  What is the most likely diagnosis?

  A. Breast milk jaundice

  B. G6PD deficiency

  C. Galactosemia

  D. Congenital viral infection

  E. Biliary atresia

  Correct Answer: C

  Biliary atresia causes obstructive picture where stools are pale and urine becomes da disorder like G6PD or spherocytosis causes appearance of jaundice in 1st 24 hours. In breast milk jaundice, ja develops in 2nd week. Also congenital viral infection (TORCH) occurs in 1st 24 hours. So likely cause in the p is Galactosemia.

• Question 227:

  A study was done amongst 2 hospitals for the equal number of cancer patients. It was noted that hospital A higher of mortality than hospital B for treated cancer patients.

  What is the study done here classified as?

  A. Cohort

  B. Observational

  C. Retrospective

  D. Case study

  Correct Answer: A

  A cohort is a group of people who share a common characteristic or experience within (e.g., are born, are exposed to a drug or vaccine or pollutant, or undergo a certain medical procedure].

• Question 228:

  A 2-days baby's mother is worried about the baby's hearing. Mother has a history of conductive hearing lo most appropriate test?

  A. MRI

  B. Fork test

  C. CT scan

  D. Reassure

  E. Brain stem evoked response

  Correct Answer: E

  Brain stem evoked response. A BAER (brainstem auditory evoked response) test can help to diagnose nervous system disorders, especially in newborns, young children, and others who may not be able to participate hearing test.

• Question 229:

  Which type of contraceptive is contraindicative in lactation?

  A. UID

  B. Depo-Provera

  C. Mini pills

  D. OCPs

  E. Condom

  Correct Answer: D

  Based on the available evidence, expert opinion in the United States holds that the risks of combination contraceptive products usually outweigh the benefits before 4 weeks postpartum. Between 4 weeks and 6 months postpartum, the advantages of using the method generally outweigh the theoretical or proven risks, although the evidence of lack of effect on lactation is poor and does not include preterm or ill infants. Introduction of a combined oral contraceptive containing 30 mcg of ethinyl estradiol on day 42 or beyond may not affect milk intake or infant growth. After 6 months postpartum, combination contraceptives, including oral tablets, the transdermal patch and vaginal ring, can be used, but progestin-only methods are preferred if breastfeeding will be continued.

• Question 230:

  An 8 year's boy has his tonsils and adenoids removed. On the 7th post-op day, he comes back to the hemoptysis and fever.

  What is the most appropriate management?

  A. Reassurance

  B. Packing

  C. Admit for IV antibiotics

  D. Surgery

  E. Prescribe oral antibiotics and discharge

  Correct Answer: C

  Most secondary hemorrhage occurs due to infection which erodes a vessel. S be admitted for IV antibiotics.