Test Prep MCQS Online Practice Questions and Exam Preparation

Test Prep MCQS Online Questions & Answers

• Question 151:

  You are seeing a 45-year-old obese diabetic woman who reports bilateral lower extremity peripheral edema. In addition to diabetes, she has arthritis, hypertension, and depression.

  Which of the following medications is the likely cause of her edema?

  A. Lisinopril
  B. Fluoxetine
  C. Metformin
  D. Naproxen
  D. Naproxen

• Question 152:

  25-year-old female postpartum of one week has irritable mood but she returns to normal. What is the diagnosis?

  A. Postpartum blues
  B. Postpartum psychosis
  C. Postpartum depression
  A. Postpartum blues

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  It is self-limiting condition while postpartum Psychosis is a serious condition usually requires urgent hospitalization and treatment. Postpartum depression occurs after 2 weeks to 6 months with depressed mood.

• Question 153:

  A 30 years' woman presents with acute headache. She complains of seeing halos especially at night. What is likely defect?

  A. Mono-ocular field loss
  B. Central scotoma
  C. Paracentral scotoma
  D. Cortical blindness
  E. Tunnel vision
  E. Tunnel vision

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  The diagnosis is glaucoma (headache and haloes especially at night). In glaucoma the vision.

• Question 154:

  A 2-year-old baby with atrophy of the buttocks, distended abdomen with frequent offensive smelly stool.

  What is the most likely investigation?

  A. Upper GI endoscopy
  B. Colonoscopy
  C. Stool culture
  D. Sweat test
  E. Endomysium/alpha gliadin antibody
  E. Endomysium/alpha gliadin antibody

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  Endomysium/alphagliadin antibody. Atrophy of buttock due to fat malabsorption and distended abdo (sometimes with everted umbilicus) with frequent offensive smelly stools are seen in coeliac disease. Hence gliadin antibody should be done.

• Question 155:

  Juvenile Idiopathic Arthritis treatment:

  A. Paracetomol
  B. Penicillamine
  C. Hydrocloroquin
  D. Naproxen
  E. Steroid
  E. Steroid

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  The overall treatment goal is to control symptoms, prevent joint damage and maintain function. The first line of treatment involves a non-steroidal anti-inflammatory drug or NSAID. Examples of NSAIDs, such as ibuprofen (such as Motrin or Advil) or naproxen (Naprosyn), administered in a dose appropriate for the child's weight. Younger children may be given liquid preparations or medications that require less frequent use. Because NSAIDs can cause gastrointestinal distress, such as stomachaches, they should be taken with food. Disease modifying drugs--commonly called DMARDs--are added as a second-line treatment when arthritis does not respond to NSAIDs. DMARDs include methotrexate (Rheumatrex), leflunamide (Arava) and more recently developed medications known as biologics. The biologics include anti-tumor necrosis factor agents such as etanercept (Enbrel); infliximab (Remicade); adalimumab (Humira); abatacept (Orencia); anakinra (Kineret;); canakinumab (Ilaris) and tocilizumab (Actemra). Each of these medications can cause side effects that need to be monitored and discussed with the pediatric rheumatologist treating your child. Most of these treatments are approved for use in children as well as adults. In addition, researchers are developing new treatments. When only a single joint is involved, a steroid can be injected into the joint before any additional medications are given. Oral steroids such as prednisone (Deltasone, Orasone, Prelone, Orapred) may be used in certain situations, but only for as short a time and at the lowest dose possible. The long-term use of steroids is associated with unacceptable side effects such as weight gain, poor growth, osteoporosis, cataracts, avascular necrosis, hypertension, and risk of infection.

• Question 156:

  A new screening test has been devised to detect early stages of prostate cancer. However, the test tends t of people with no cancer, although they do have cancer as diagnosed by other standard tests. What is this flaw?

  A. True -ve
  B. False +ve
  C. Poor specificity
  D. True +ve
  E. False -ve
  E. False -ve

• Question 157:

  A 33 year's man has a temp-38.5C, cough and chest pain on the right side on inspiration. He also has puru. What is the most likely organism to cause pneumonia in this patient?

  A. PCP cold agglutinins
  B. AFB
  C. Gram -ve doplicoccic
  D. Gram +ve doplococcic
  E. Coagulase +ve cocci
  C. Gram -ve doplicoccic

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  It is a case of community acquired pneumonia caused by streptococcus pneumonia.

• Question 158:

  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
  C. Turner's syndrome

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  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 159:

  A 37-year-old woman presents with heavy bleeding. Investigation shows subserosal fibroid-4cm and intramu. Which is the most appropriate treatment?

  A. Abdominal Hysterectomy
  B. Vaginal Hysterectomy
  C. Abdominal Myomectomy
  D. Hysteroscopic Myomectomy
  C. Abdominal Myomectomy

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  As patient is young we should go for myomectomy. As hysteroscopic myo mainly sub mucosal fibroids we should go for abdominal myomectomy which will deal with both subserosal a fibroids.

• Question 160:

  An old man undergoing planned brain surgery. He is on aspirin. What is most appropriate recommendation for him prior to surgery?

  A. Vitamin K Parenterally
  B. Delay surgery for 2 weeks
  C. Delay surgery for 2 days
  B. Delay surgery for 2 weeks