Test Prep MCQS Online Practice Questions and Exam Preparation

Test Prep MCQS Online Questions & Answers

• Question 171:

  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
  B. Interstitial lung disease

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  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 172:

  Pregnant woman with UTI which is the best antibiotics to be given if she has no allergy?

  A. Tetracycline
  B. Aminoglycoside
  C. Sulfa Trimethoprim
  D. Ampicillin
  E. Nitrofurantoin
  E. Nitrofurantoin

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  Urinary tract infections are common during pregnancy, and the most common causative organism is Escherichia coli. Asymptomatic bacteriuria can lead to the development of cystitis or pyelonephritis. All pregnant women should be screened for bacteriuria and subsequently treated with antibiotics such as nitrofurantoin, sulfisoxazole or cephalexin. Ampicillin should no longer be used in the treatment of asymptomatic bacteriuria because of high rates of resistance. Pyelonephritis can be a life-threatening illness, with increased risk of perinatal and neonatal morbidity. Recurrent infections are common during pregnancy and require prophylactic treatment. Pregnant women with urinary group B streptococcal infection should be treated and should receive intrapartum prophylactic therapy.

• Question 173:

  23-year-old man presents with severe pain in the right flank radiating to his groin. He is rolling about on the an IVU confirms a stone in the ureter which is 8mm in size. Which transfusion modality will be most effective?

  A. ESWL (Lithotipsy)
  B. Dormier basket
  C. Fluids and alpha blockers
  D. PCNL
  A. ESWL (Lithotipsy)

• Question 174:

  45 year's female looking pale has bluish discoloration of hands whenever she goes out in the cold. She has reddish spots on her body. She has symmetrical peripheral arthroplasty for the last year.

  What is the most appropriate diagnosis?

  A. Limited systemic sclerosis
  B. Osteosarcoma
  C. Chondrosarcoms
  D. Diffuse systemic sclerosis
  E. RA
  A. Limited systemic sclerosis

• Question 175:

  To prevent tetanus in neonate:

  A. Give penicillin to child to kill tetanus bacilli
  B. Give immunoglobulin to mother
  C. Give tetanus toxoid to mother
  D. Give antibiotics to mother
  C. Give tetanus toxoid to mother

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  Antitetanus vaccination in multiple doses (2?) is up to 98% effective in preventing neonatal tetanus and neonatal tetanus deaths in under-resourced settings. Single doses of the tetanus vaccine are not enough to prevent neonatal tetanus deaths. In addition to administration of antitetanus vaccines, efforts should be made to ensure that women receive obstetric care to ensure clean deliveries.

• Question 176:

  A 30-year-old female has chronic diarrhea, mouth ulcers and skin tags. She complains of visual problems, low morning stiffness. Inv: ESR and CRP=raised, Hgb=10mg/dl. What is the most probable diagnosis?

  A. SLE
  B. Seronegative arthritis
  C. Gout
  D. Reactive Arthritis
  B. Seronegative arthritis

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  Chronic diarrhea, mouth ulcers and skin tags are features of IBD. There is a w association between IBD and seronegative arthritis (particularly AS). Here low back pain, visual problem, morn raised ESR and CRP, low hemoglobin indicates the diagnosis of seronegative arthritis.

• Question 177:

  A 32-year-old man with schizophrenia and a history of violence and distressing auditory hallucinations was a ward with aggressive behavior and has already smashed his room. He is refusing any oral meds.

  What is the s appropriate injection?

  A. Flupenthixol
  B. Risperidone
  C. Haloperidol
  D. Fluphenazine
  B. Risperidone

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  Protocol of treating agitated violent patient.

  1.

  Try to talk to the patient but don't touch him.

  2.

  If he agrees on oral meds, give oral atypical antipsychotics olanzapine, risp or quetiapine

  3.

  If refusing oral, give IV atypical antipsychotics preferably its Olanzapine or Risperidone

  4.

  If agitation not controlled give IM Lorazepam

  5.

  If that doesn't work, give IV Haloperidol as last resort.

  6.

  If acute sedation is required, for immediate effect give IV Diazepam.

• Question 178:

  The patient is pregnant for 40 weeks. High blood pressure, irritable exaggerated deep tendon reflexes. He was prescribed treatment with methyldopa, a beta blocker, hydralazine and MgSo4. Now she has shortness of breath and chest pain. Its acc. speed 10 / min.

  What is the treatment?

  A. IV Soda bicarbonate
  B. IV Soda bicarbonate
  C. Calcium Gluconate
  D. Diuretics
  E. 25% D/water
  D. Diuretics

• Question 179:

  A 26-year-old male has been operated for abdominal trauma and splenectomy was done. On the 3rd post-op day the developed acute abdominal pain and distention in the upper abdominal area with hypotension. On insertion of ryle's tubes, 2L of coffee ground fluid was aspirated.

  What is the most probable diagnosis?

  A. Reactionary hemorrhage
  B. DVT
  C. Acute gastric dilatation
  D. Left lower lode atelectasis
  E. Subphrenic abscess
  D. Left lower lode atelectasis

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  Patients with blood pressures (BP) > 180/120 mm Hg need immediate aggressive treatment if they have impending or progressive end-organ damage. Those without end-organ damage need to adjust or reinstate their regimens, but do not need immediate aggressive treatment.

• Question 180:

  The causes of systemic secondary insult to injured brain include all of the following except:

  A. Hypoxaemia
  B. Hypothermia
  C. Hypercapnia
  B. Hypothermia