Test Prep MCQS Online Practice Questions and Exam Preparation

Test Prep MCQS Online Questions & Answers

• Question 11:

  A 65-year-old man with longstanding diabetes comes to the office with a "pins and needles" sensation in both his feet. He is also chronically bloated and constipated. On review of systems, you find he cannot maintain erection sufficiently to complete intercourse. Urinalysis shows microalbuminuria. His LDL is 147.

  What is the best management for this patient?

  A. hydralazine and sildenafil
  B. Nerve conduction studies
  C. Ramipril, erythromycin, atorvastatin, and pregabalin
  D. Gastric-emptying study and penile tumescence studies
  C. Ramipril, erythromycin, atorvastatin, and pregabalin

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  Prescribe ACE inhibitors for the proteinuria, erythromycin for the diabetic gastroparesis and to increase GI motility, atorvastatin to decrease the LDL level to < 100 for a patient, and pregabalin for diabetic neuropathy. No further specific diagnostic tests are required when you see this collection of abnormalities

• Question 12:

  A young man comes up with a headache, which he describes that this headache is the most severe headache in his life. Which of the following will be less useful?

  A. Lumbar Puncture
  B. Do MRI or CT scan
  C. Skull X ray
  D. Asking more details about headache
  C. Skull X ray

• Question 13:

  3000 gm full term baby, when should you screen for congenital hypothyroidism?

  A. One year after delivery
  B. One day after delivery
  C. One week after delivery
  D. One month after delivery
  C. One week after delivery

• Question 14:

  20-year-old patient with a red lesion on her face. She said this from birth. What is your management?

  A. Topical steroid
  B. Laser
  C. Systemic steroid
  D. Antifungal
  B. Laser

• Question 15:

  Prophylactic treatment of asthma in adult?

  A. Salmeterol
  B. Salbutamol
  C. Inhaled corticosteroids
  C. Inhaled corticosteroids

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  Inhaled corticosteroids are the most commonly used and effective preventive therapy used in adults with asthma. Corticosteroids are not the anabolic steroids misused by some athletes to enhance their performance. Rather, they are similar to naturally occurring substances produced by the adrenal gland, and play an essential role in fighting stress, injury and disease. The anti-inflammatory action of corticosteroids makes them an effective anti-asthma treatment.

• Question 16:

  A 65-year-old man presents with significant weight loss and complains of cough, SOB and chest pain. Exam constricted, drooping of left eyelid.

  What is the most likely diagnosis?

  A. Pancoast tumor
  B. Cervical rib
  C. Thoracic outlet syndrome
  D. Pneumonia
  D. Pneumonia

• Question 17:

  The drug of choice in the treatment of Oxyrus worm is?

  A. Levamisol
  B. Metronidazole
  C. Tenidazol
  D. Pyrantel pomoate
  D. Pyrantel pomoate

• Question 18:

  A baby born at 34 weeks with a heart murmur is kept in the incubator for almost 4 weeks. There is no murmur at discharge. What is the likely cause of this murmur?

  A. Aneurysm of sinus of valsalva
  B. AVM
  C. Aorto-pulmonary septal defect
  D. PDA
  E. TOF
  D. PDA

• Question 19:

  A patient's wife comes to take her husband home after a Myocardial Infarction and asks how long they should wait before they have sex. What do you tell her?

  A. No waiting necessary
  B. After echocardiography
  C. 2-6 weeks
  D. They should wait for a normal angiography
  C. 2-6 weeks

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  Some waiting is necessary to have sex after an infarction. Sex minimally increases the risk of infarction. The duration and the intensity of exertion are sufficient to provoke ischemia in some cases

• Question 20:

  In breast cancer, all true except:

  A. Chemotherapy is must for pre-menopausal with +ve axilla
  B. Yearly mammogram for contra-lateral breast
  C. Radical mastectomy is the choice of surgery
  D. 2 cm mass with free axilla is stage I
  C. Radical mastectomy is the choice of surgery