Test Prep MCQS Online Practice Questions and Exam Preparation

Test Prep MCQS Online Questions & Answers

• Question 161:

  A 20 year's woman with no previous history of ear complains, presents with 1day history of severe pain in is extremely tender to examine. What is the single most likely diagnosis?

  A. Chondromalasia
  B. Myringitis
  C. Furuncle
  D. Otitis media
  E. Otitis Externa
  E. Otitis Externa

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  Extreme tenderness to examine indicate otitis externa.

• Question 162:

  A patient develops recurrent episodes of gonorrhea. What should he be tested for?

  A. Terminal complement deficiency
  B. Presence of a spleen
  C. HIV
  D. Steroid use
  A. Terminal complement deficiency

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  Terminal complement deficiency predisposes a patient to recurrent episodes of Neisseria infection. This includes any form, including genital and CNS infection.

• Question 163:

  lady presents with hot flashes and other symptoms of menopause. What is the treatment option?

  A. Topical estrogen
  B. Conbined Oral Contraceptive
  C. Biosphosphonate
  D. Raloxifen
  E. Hormone Replacement Therapy
  E. Hormone Replacement Therapy

• Question 164:

  Patient comes to the ER with weak rapid pulse, what is your next step?

  A. Wait until team of resuscitation group comes
  B. Give him 2 breaths
  C. Do CPR (2 breaths/30 compressions)
  A. Wait until team of resuscitation group comes

• Question 165:

  A HTN patient on bendroflumethiazide 2.5mg/d has come for his routine checkup. Exam: BP=145/85mmHg. What is the most appropriate management for this patient?

  A. Continue same dose
  B. Stop meds
  C. Repeat the blood test
  D. Increase the dose
  C. Repeat the blood test

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  Bendroflumethiazide causes hyponatremia and hypokalemia. But the findings is probably error of test. Hence blood test should be repeated to confirm the level of potassium and sodium.

• Question 166:

  A 32-year-old woman comes to the emergency department with lower abdominal pain and tenderness, fever leukocytosis, and cervical motion tenderness. What is the next best step in the management of this patient?

  A. Ceftriaxone and doxycycline
  B. Laparoscopy
  C. Pelvic sonogram
  D. Urine pregnancy test
  D. Urine pregnancy test

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  The most important thing to do in a woman with lower abdominal pain or tenderness is to exclude an ectopic pregnancy. Perform a urine pregnancy test first and then get a cervical culture and start therapy.

• Question 167:

  A 37-year-old woman presents to the office for a consultation about family planning. She is married for 11 years and she has never had any extra marital relationships. They have been tested negative for HIV infection. She hopes to become pregnant and to stop using condoms. She had normal Pap smears for the past 18 years. The last Pap smear was 1 year ago.

  When does she need to have her next Pap smear?

  A. In 2 years
  B. In 6 months
  C. In 3 years
  C. In 3 years

• Question 168:

  A 55-year-old man has epigastric discomfort. He is seropositive for Helicobacter pylori. Upper endoscopy reveals no gastritis and no ulcer disease. Biopsy of the stomach shows Helicobacter. What should you do?

  A. Breath testing
  B. PPI alone as symptomatic therapy
  C. Repeat endoscopy after 6 weeks of PPIs D-PPI, amoxocillin, and clarithromycin
  B. PPI alone as symptomatic therapy

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  You do not need to treat Helicobacter pylori unless there is gastritis or ulcer disease. This patient has epigastric pain and Helicobacter but no ulcer or gastritis. This is non-ulcer dyspepsia. Treat it symptomatically with a PPI. Enormous numbers of people are colonized with H. pylori; you do not need to eradicate it from the world without evidence of disease. H. pylori is not the cause of non-ulcer dyspepsia.

• Question 169:

  An 82-year-old man has woken up with incoherent speech and difficulty in finding the right words. Exam: good comprehension. Which anatomical site is most likely to be affected?

  A. Pons
  B. Wernicke's area
  C. Broca's area
  D. Midbrain
  E. Parietal cortex
  C. Broca's area

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  A person with expressive aphasia will exhibit halting and effortful speech. Speech m important content words. Word comprehension is preserved. The person may still be understood, but sentence grammatical. This contrasts with receptive or Wernicke's aphasia, which is distinguished by a patient's inability comprehend language or speak with appropriately meaningful words though fluency, may be preserved.

• Question 170:

  A 15-year-old boy presented with generalized edema. His urinalysis reveals protein +++, eGFR-110. What is most likely diagnosis?

  A. Membranous nephropathy
  B. A-IgA nephropathy
  C. Minimal change disease
  D. Lupus nephritis
  C. Minimal change disease