Test Prep MCQS Online Practice Questions and Exam Preparation

Test Prep MCQS Online Questions & Answers

• Question 121:

  A 35-year-old car driver crashed into a concrete block without a safety belt on. Thirty minutes after and on the way by ambulance to the hospital he begins to become breathless. On administration of 100% oxygen there is not much improvement in this condition. On arrival at the Emergency Department he has lost consciousness and appears cyanosed with markedly distended jugular veins. Blood pressure 80/40 mmHg Heart rate 120 /min Respiratory rate 34 /min Temperature 36.6 A. Rapid infusion of crystalloid
  B. IV 0.2 mg adrenaline
  C. Intubation and 100% oxygen
  D. Needle decompression

  D. Needle decompression

• Question 122:

  On a routine urinalysis, a 30-year-old man was found to have hematuria. His urinalysis is negative for casts and protein, but is positive for moderate blood. His urine culture is negative. IV pyelogram and serum creatinine are both normal and you send urine cytology just to be safe It is also normal.

  Which of the following is most appropriate in this case?

  A. Renal ultrasound
  B. Reassurance and periodic monitoring
  C. Cystoscopy
  B. Reassurance and periodic monitoring

• Question 123:

  Patient had seasonal runny nose, itching and nasal obstruction, treated many times with broad-spectrum antibiotics. The most effective therapy is:

  A. Antihistamines
  B. Nasal decongestant
  C. Topical corticosteroids
  C. Topical corticosteroids

• Question 124:

  Recurrent fourth time 1st trimester pregnancy loss. Likely cause?

  A. Cervical incompetence
  B. Anti-phospholipid syndrome
  C. Chromosomal abnormalities
  C. Chromosomal abnormalities

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  Embryonic chromosomal abnormalities In couples with recurrent miscarriage, chromosomal abnormalities of the embryo account for 30?7% of further miscarriages.

• Question 125:

  A 11-year-old boy comes with decreased appetite and abdominal pain around his umbilicus. His parents think he doesn't want to go to school, and while in math class he begins to have sharp pain in his right lower abdomen. He is rushed to the ED and laboratory analysis shows a WBC of 12,500.

  What is the most likely diagnosis?

  A. Acute appendicitis
  B. Acute pancreatitis
  C. Cholecystitis
  D. Acute diverticulitis
  A. Acute appendicitis

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  Acute appendicitis presents with pain that originates in the umbilical region and later begins to localize to the right lower quadrant. The patient will then develop signs of peritonitis. This patient is too young for diverticulitis. Diverticultitis also gives pain in the left lower quadrant. Cholecystitis would present with right upper quadrant pain. Pancreatitis would have midepigastric pain that radiates to the back with high amylase and lipase levels. The number one consideration is the location of the pain. It gives away 95% of the diagnosis.

• Question 126:

  An asymptomatic 56years man who has never consumed alcohol came for a routine checkup. Exam: increase spider angioma, Cardiomegaly, S3 gallop, liver firm with 8cm span, no ascites. He is in the risk of which condition?

  A. Werniecke's encephalopathy
  B. Hepatoma
  C. Renal failure
  D. cerebellar degeneration
  E. Hepatic vein thrombosis
  B. Hepatoma

• Question 127:

  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
  A. Laryngeal carcinoma

• Question 128:

  A female presented with swelling over the neck that moves with swallowing with lymphadenopathy at external jugular vein. Swallowing diagnosed as thyroid carcinoma. She has most likely which type?

  A. Papillary carcinoma
  B. Medullary carcinoma
  C. Follicular carcinoma
  A. Papillary carcinoma

• Question 129:

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

  A. A retrograde urethrogram.
  B. A voiding cystourethrogram.
  C. A cystogram obtained after filling, until a detrusor response occurs
  D. An intravenous pyelogram.
  A. A retrograde urethrogram.

• Question 130:

  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
  C. Gouty arthritis

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