Test Prep Test Prep Certifications MCQS Questions & Answers

• Question 71:

  A 6-weeks postpartum presents with palpitations, tremors, insomnia. Diagnosis?

  A. Hashimoto Thyroiditis

  B. Dysmorphogenesis

  C. Postpartum Thyroiditis

  Correct Answer: C

  During postpartum thyroiditis, you might experience two phases. T release of thyroid hormone might first cause mild signs and symptoms similar to those of an (hyperthyroidism), including: Anxiety Irritability Rapid heartbeat or palpitations Unexplained weight loss Increased sensitivity to heat Fatigue Tremor Insomnia These signs and symptoms typically occur one to four months after delivery and last one to the Later, as thyroid cells become impaired, mild signs and symptoms of underactive thyroid (hypot develop, including: Lack of energy Increased sensitivity to cold Constipation Dry skin Difficulty concentrating Aches and pains These signs and symptoms typically occur four to eight months after delivery and can last from months. Keep in mind, however, that some women who have postpartum thyroiditis develop symptoms o or only hypothyroidism, but not both.

• Question 72:

  A 45-year-old male, known case of Hypertension and type 2 diabetes on oral metformin 1000mg B FBS 110, and RBS 140, his HBAIC is more than 8%, what should be his HBA1C by American Diabetic guideline:

  A. Less than 7.5

  B. Less than 7.0

  C. Less than 5.5

  D. Less than 6.0

  Correct Answer: D

• Question 73:

  A 45-year-old man presents to the ED after acute onset of lower back pain that began after he tried to lift an engine block at his job. He says he feels like lightning bolts are shooting down his legs and he is unable to move. Physical exam reveals a positive straight leg raise test and positive anal wink.

  What is the most appropriate next diagnostic step?

  A. ESR

  B. MRI of the spine

  C. X-ray of the cervical spine

  D. CBC

  Correct Answer: B

  A patient who presents with acute onset of back pain and is under the age of 50 should have an MRI to rule out spinal cord compression due to a slipped disc or lumbar disc herniation. If asked for the most appropriate next step in management, answer anti-inflammatory agents. The most common sites of lumbar disc herniation are L4-L5 and L5-S1.

• Question 74:

  All statements are correct for papillary thyroid carcinoma except:

  A. Recurs very late

  B. May present first with lymph node swelling

  C. Mainly spread by blood

  D. Has very favorable diagnosis

  E. Mainly spread by lyphatic

  Correct Answer: D

• Question 75:

  A 50-year-old patient presents with muscle weakness of the girdle with an increased CPK and aldolase. Her anti-Jo-1 antibody is positive.

  Which of the following is most likely to happen to her?

  A. Stroke

  B. Interstitial lung disease

  C. DVT

  D. Septic arthritis

  E. Myocardial infarction

  Correct Answer: B

  PM/DM presents with weakness and increased markers of muscle inflammation. The presence of anti-Jo-1 indicates a markedly increased risk of interstitial lung disease.

• Question 76:

  Which of the following is not a sign or symptom of central retinal artery occlusion?

  A. Painless loss of vision

  B. Previous transient loss of vision

  C. Painful loss of vision

  D. Dilated pupil with sluggish reaction to light

  Correct Answer: C

  In 1859, Van Graefe first described central retinal artery occlusion (CRAO) as an embolic event to the central retinal artery in a patient with endocarditis. In 1868, Mauthner suggested that spasmodic contractions could lead to retinal artery occlusion. There is a multitude of causes of CRAO, but patients typically present with sudden, severe, and painless loss of vision.

• Question 77:

  A 45-year-old woman was texting while driving when she lost control of her car and ran into a tree. She is complaining of chest pain; physical examination reveals pallor, and cool extremities, a heart rate of 120 bpm, and JVD. Blood pressure is 80/40. Chest x-ray reveals 3 broken ribs over the left side of the chest.

  Which of the following is the most likely type of shock?

  A. Hypovolemic shock

  B. Cardiogenic shock

  C. Septic shock

  D. Neurogenic shock

  Correct Answer: B

  Cardiogenic shock is most likely secondary to pericardial tamponade. The patient's car injury caused blood to collect in the pericardial sac, leading to right ventricular diastolic collapse and impaired filling. The broken ribs are the source of injury to the pericardium. Hypovolemic shock is unlikely, as the patient cannot lose that much volume into her pericardium. Neurogenic shock would have hyperreflexia and up going toes. Septic shock is unlikely as there is no fever and chills.

• Question 78:

  Patient with Diabetes Mellitus, treatment for proliferative diabetic retinopathy?

  A. Photocoagulation of macular area

  B. Pan retinal coagulation

  Correct Answer: B

• Question 79:

  Patient with history of 5 years Hypertension on thiazide, came to Emergency Room at midnight holding his Left foot, on examination patient afebrile, left foot tender erythema, swollen big toe is tender and painful, no other joint involvement.

  A. Septic arthritis

  B. Cellulitis

  C. Gouty arthritis

  Correct Answer: C

  Thiazide diuretic in chronic use can cause hyperuracemia, which presents as a gouty pa as deposit of urate crystal in joint mainly lower limb

• Question 80:

  A 65-year-old man with longstanding diabetes comes to the office with a "pins and needles" sensation in both his feet. He is also chronically bloated and constipated. On review of systems, you find he cannot maintain erection sufficiently to complete intercourse. Urinalysis shows microalbuminuria. His LDL is 147.

  What is the best management for this patient?

  A. hydralazine and sildenafil

  B. Nerve conduction studies

  C. Ramipril, erythromycin, atorvastatin, and pregabalin

  D. Gastric-emptying study and penile tumescence studies

  Correct Answer: C

  Prescribe ACE inhibitors for the proteinuria, erythromycin for the diabetic gastroparesis and to increase GI motility, atorvastatin to decrease the LDL level to < 100 for a patient, and pregabalin for diabetic neuropathy. No further specific diagnostic tests are required when you see this collection of abnormalities