Test Prep MCQS Online Practice Questions and Exam Preparation

Test Prep MCQS Online Questions & Answers

• Question 191:

  A 20 year's man presents with painful swallowing. Exam: trismus and unilateral enlargement of his tonsils Peritonsillar region is red, inflamed and swollen. What is the most appropriate treatment?

  A. Oral antibiotics
  B. Analgesics with antipyretics
  C. IandD with antibiotics
  D. IV antibiotics and analgesics
  E. Tonsillectomy
  C. IandD with antibiotics

• Question 192:

  A 64 year's man believes a female newscaster is communicating directly with him when she turns a page.

  Where is he suffering from?

  A. Delusion of Reference
  B. Nihilistic
  C. Grandeur
  D. Control
  E. Persecutory
  A. Delusion of Reference

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  A delusion of reference is a type of delusion wherein the individual perceives unrelated events or objects in his/her surroundings to be of significance for himself/herself. For example, a person with schizophrenia might believe a billboard or a celebrity is sending a message meant for them.

• Question 193:

  A 45-year-old man on lithium for a bipolar disorder developed congestive heart failure 2 weeks ago. He now presents with drowsiness, nausea, vomiting, blurred vision and coarse tremors. Which of the following concurrent medications, if taken in combination with lithium, would be most likely to cause these symptoms?

  A. Acetazolamide
  B. Furosemide
  C. Hydrochlorothiazide
  D. Spironolactone
  C. Hydrochlorothiazide

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  Hydrochlorothiazide Approximately 95% of a single dose of lithium is eliminated in the urine. The drug is handled by the kidneys in the same manner as sodium, ie most of the filtered lithium is reabsorbed in the proximal tubule. Hence loading with sodium will increase lithium excretion, while sodium depletion will promote the retention of lithium. All diuretics decrease renal lithium clearance. However, thiazide diuretics cause the greatest retention of lithium amongst all diuretics.

• Question 194:

  A 48-year-old woman always socially withdrawn has stopped going out of the house. She is afraid to socialize fears that people will criticize her. What is the most probable diagnosis?

  A. PTSD
  B. GAD
  C. Social anxiety
  D. Agoraphobia
  E. OCD
  C. Social anxiety

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  Social anxiety disorder is a type of complex phobia. This type of phobia has a disrupt disabling impact on a person's life. It can severely affect a person's confidence and self-esteem, interfere with relationships and impair performance at work or school.

• Question 195:

  A 26 year's woman had amenorrhea for 10wks and is pregnant. She experiences hyperemesis. Now she presents with vaginal bleed. Exam: uterus=16wks, closed os. What is the most probable diagnosis?

  A. Hyperemesis gravidarum
  B. Thyrotoxicosis
  C. Molar pregnancy
  D. Wrong dates
  E. Twins
  B. Thyrotoxicosis

• Question 196:

  40-year-old manual worker presents with a swelling in the groin. Exam: mass is found to be just above and l pubic tubercle. It is reducible. On applying pressure on the internal ring there is no cough impulse seen. What probable diagnosis?

  A. Direct inguinal hernia
  B. Indirect inguinal hernia
  C. Femoral hernia
  D. Femoral aneurysm
  E. Strangulated hernia
  B. Indirect inguinal hernia

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  Indirect inguinal hernia. [Swelling in the groin; mass just above and lateral to the pubic tubercle mea hernia. It is reducible. On applying pressure on the internal ring there is no cough impulse; it means the hernia through deep ring, and enters scrotum passing through the Superficial ring. That means it is indirect inguinal hernia.

• Question 197:

  Best method to maintain air way in conscious multiple injury is _______________________.

  A. Intubation
  B. Oropharyngeal device
  C. Nasopharyngeal device
  C. Nasopharyngeal device

• Question 198:

  Which of the following is not a sign or symptom of central retinal artery occlusion?

  A. Painless loss of vision
  B. Previous transient loss of vision
  C. Painful loss of vision
  D. Dilated pupil with sluggish reaction to light
  C. Painful loss of vision

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  In 1859, Van Graefe first described central retinal artery occlusion (CRAO) as an embolic event to the central retinal artery in a patient with endocarditis. In 1868, Mauthner suggested that spasmodic contractions could lead to retinal artery occlusion. There is a multitude of causes of CRAO, but patients typically present with sudden, severe, and painless loss of vision.

• Question 199:

  Female patient with hirsutism, obesity, infertility. Ultrasound shows multiple ovarian follicles. What is the diagnosis?

  A. Klinefelter syndrome
  B. Asherman's syndrome
  C. Stein-leventhal syndrome
  D. Kallmann syndrome
  C. Stein-leventhal syndrome

• Question 200:

  A 72years presents with polyuria and polydipsia. The fasting blood sugar is 8 and 10mmol/l.BP=130/80mm cholesterol=5.7mmol/l. There is microalbuminuria. What is the single most appropriate next management?

  A. Statin and glitazone
  B. ACEi and sulfonylurea
  C. Statin and Biguanide
  D. Statin and ACEi
  D. Statin and ACEi