Test Prep Test Prep Certifications MCQS Questions & Answers

• Question 51:

  10 years old boy presented to clinic with 3-weeks history of limping that worsen in the morning, this suggests which of the following:

  A. Legg–Calvé–Perthes disease (LCPD)

  B. Tumor

  C. Septic arthritis

  D. Slipped capital femoral epiphysis

  E. RA

  Correct Answer: D

  Slipped capital femoral epiphysis (SCFE or skiffy, slipped upper femoral epiphysis, SUFE or souffy) is a medical term referring to a fracture through the growth plate (physis), which results in slippage of the overlying end of the femur (epiphysis). Normally, the head of the femur, called the capital, should sit squarely on the femoral neck. Abnormal movement along the growth plate results in the slip. The femoral epiphysis remains in the acetabulum (hip socket), while the metaphysis (end of the femur) move in an anterior direction with external rotation. SCFE is the most common hip disorder in adolescence. SCFEs usually cause groin pain on the affected side, but sometimes cause knee or thigh pain. One in five cases involve both hips, resulting in pain on both sides of the body. SCFEs often occur in obese adolescent males, especially young Black males, although it also affects females. Symptoms include the gradual, progressive onset of thigh or knee pain with a painful limp. Hip motion will be limited, particularly internal rotation.

• Question 52:

  Patient with CHF (CONGESTIVE Heart Failure) loves to eat out door three times weekly. Your advice is:

  A. Eat 4gm salt

  B. Eat salt but do exercise

  C. Eat low fat and high protein

  D. Eat without salt

  Correct Answer: D

  Following a low-salt diet helps control high blood pressure and swelling (edema), as well as decrease breathing difficulties for people who have heart failure. If you have heart failure, you should consume no more than 2,000 mg (2 grams) of salt per day, and less than 1,500 mg if possible.

• Question 53:

  Patient with severe depression and now he showed some improvement with therapy. The risk of suicide is now:

  A. No risk

  B. Decreases

  C. No change

  D. Increases

  Correct Answer: D

  At start of the treatment there is an increased suicidal tendency so patient should be carefully monitored for suicidal thoughts.

• Question 54:

  A baby born at 34 weeks with a heart murmur is kept in the incubator for almost 4 weeks. There is no murmur at discharge.

  What is the likely cause of this murmur?

  A. Aneurysm of sinus of valsalva

  B. AVM

  C. Aorto-pulmonary septal defect

  D. PDA

  E. TOF

  Correct Answer: D

• Question 55:

  Patient with swollen ankles, rales on chest auscultation, protrusion of abdomen, dyspnea. O/E: CVS: No murmurs, JVP shows X, V and Y descent.

  What is the most likely diagnosis?

  A. Pulmonary HTN

  B. Constrictive Pericarditis

  C. Tricuspid stenosis

  D. Tricuspid regurgitation

  Correct Answer: B

• Question 56:

  Prophylactic treatment of asthma in adult?

  A. Salmeterol

  B. Salbutamol

  C. Inhaled corticosteroids

  Correct Answer: C

  Inhaled corticosteroids are the most commonly used and effective preventive therapy used in adults with asthma. Corticosteroids are not the anabolic steroids misused by some athletes to enhance their performance. Rather, they are similar to naturally occurring substances produced by the adrenal gland, and play an essential role in fighting stress, injury and disease. The anti-inflammatory action of corticosteroids makes them an effective anti-asthma treatment.

• Question 57:

  50 year's old male complained of right iliac fossa dull aching pain. Exam showed that he had right iliac fossa mass with positive cough impulse. The examining doctor found a bluish tinge on the mass surface and the percussion tab was positive.

  The most likely diagnosis is:

  A. Saphena Varix

  B. Right femoral hernia

  C. Right vaginal Hydrocele

  D. Cysts of Morgagni

  E. Right inguinal hernia

  Correct Answer: A

• Question 58:

  Patient Chronic smoker with 30 cigarettes per day, got hoarseness of voice.

  The most likely diagnosis is:

  A. Laryngeal carcinoma

  B. Squamous cell carcinoma

  C. Vocal cord polyps

  D. Reinke's edema

  Correct Answer: A

• Question 59:

  Hypothyroid patient on thyroxin had anorexia, dry cough and dyspneaand left ventricular dysfunction. She had normal TSH and T4 levels, Hyperphosphatemia and hypocalcemia.

  The diagnosis is:

  A. Hypopituitarism

  B. Primary Hypopituitarism

  C. Secondary Hypopituitarism

  D. Uncontrolled Hypopituitarism

  Correct Answer: B

  Primary hypoparathyroidism is defined by a low concentration of PTH with a concomitant low calcium level. In pseudo hypoparathyroidism, the serum PTH concentration is elevated as a result of resistance to PTH caused by mutations in the PTH receptor system. In secondary hypoparathyroidism, the serum PTH concentration is low and the serum calcium concentration is elevated.

• Question 60:

  A 32-year-old female who has had 3 previous miscarriages in the 1st trimester now comes with vaginal bleeding at 8 weeks. US reveals a viable fetus.

  What would be the most appropriate definitive management?

  A. No treatment

  B. Bed rest 2 weeks

  C. Admit

  D. Aspirin

  Correct Answer: D