Test Prep MCQS Online Practice Questions and Exam Preparation

Test Prep MCQS Online Questions & Answers

• Question 131:

  33-year-old female complains of diplopia on upright gaze. Exam: ptosis can be seen. There are no other co significant Past medical history. What is the most appropriate test for him?

  A. Ophthalmoscopy
  B. Checking red reflex
  C. Thyroid function test
  D. Visual field test
  B. Checking red reflex

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  This is a wrong key. Right key should be D. CT. A case of 3rd nerve palsy. So to cause CT should be done. Red reflex is seen to diagnose cataract.

• Question 132:

  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
  A. Saphena Varix

• Question 133:

  A premature infant is born with a patent ductus arteriosus. In closure can be stimulated by administration of:

  A. Prostaglandin inhibitors
  B. Anti-estrogen compounds
  C. Estrogen
  D. Prostaglandin analogue
  A. Prostaglandin inhibitors

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  Prostaglandin inhibitors Normally ductus arteriosus closes soon after birth. Vasodilatory effect of prostaglandin is what maintains to ductus arteriosus in intrauterine life. Hence in cases of delayed closure of ductus arteriosus, we can use p inhibitors to induce its closure.

• Question 134:

  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
  A. 1:2

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  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 135:

  A 25 year woman comes to sexual clinic and ask for advice for contraception.She is on sodium Valporate. COCP=combined oral contraceptive pills.

  A. She can use COCP with extra precaution
  B. She can use COCP
  C. She can use COCP with estrogen 50 microgram and progesterone higher dose
  D. She cannot use COCP
  B. She can use COCP

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  Mammography above age 50 lowers mortality the most. Although screening should start at the age of 50, the mortality benefit is also greatest above the age of 50, because the number of cases of cancer detected will be greater above the age of 50. The age cutoff for mammography is somewhat controversial. Step 3 will likely avoid the issue.

• Question 136:

  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
  A. Cohort

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  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 137:

  A 74-year-old woman is referred to osteoporosis clinic for advice on management of osteoporosis. She has a history of hiatus hernia, hypertension, hypercholesterolemia, chronic kidney disease stage 4 and COPD. She has recently been found to have osteoporosis after a Colles' fracture. She is taking calcitriol, and other medication for her comorbidities.

  Based on the information above, which would be the most appropriate agent for treatment of her osteoporosis?

  A. Denosumab
  B. Intravenous zoledronate
  C. Strontium ranelate
  D. Calcium and Vitamin D supplements
  A. Denosumab

• Question 138:

  A young girl presented to gynecologist for assessment with lower abdominal pain and per vaginal bleedin of hysterosalpingograph as a part of her infertility treatment. Observation: BP=90/50mmHg, pulse-120bpm, and revealed rigid abdomen.

  What is the most appropriate next investigation?

  A. Coagulation profile
  B. Chest X ray
  C. Ultrasound abdomen
  D. X-ray erect and supine
  E. CT SCAN
  C. Ultrasound abdomen

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  Likely cause of bleeding and shock is ruptured fallopian tube for which appropriate ne is US abdomen.

• Question 139:

  The most common cause of SAH (subarachnoid hemorrhage) is ________________________.

  A. Trauma
  B. Congenital arteriovenous malformation
  C. Berry Aneurysms
  D. HTN
  C. Berry Aneurysms

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  Subarachnoid hemorrhage is sudden bleeding into the subarachnoid space. The most common cause of spontaneous bleeding is a ruptured aneurysm. Symptoms include sudden, severe headache, usually with loss or impairment of consciousness.

• Question 140:

  A 78-year-old woman presents with a two-day history of severe left earache with a burning sensation in the ear, vertigo and loss of taste. There is left-sided weakness of both the upper and the lower facial muscles. Facial sensation is normal. What is the most likely diagnosis?

  A. Ramsay Hunt syndrome
  B. Bell's palsy
  C. Acoustic neuroma
  A. Ramsay Hunt syndrome

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  Ramsay Hunt syndrome is caused by infection of the geniculate ganglion of the facial nerve, together with invasion of the eighth nerve ganglia, by the herpes zoster virus. This produces ear pain, hearing loss, vertigo and facial nerve paralysis. A vesicular rash is usually present in in the outer ear, and sometimes also the soft palate or anterior two thirds of the tongue. Other cranial nerves apart from the VII nerve also be involved. Lymphocytes in the cerebrospinal fluid (CSF) and a mildly elevated CSF protein are recognized.