Test Prep MCQS Online Practice Questions and Exam Preparation

Test Prep MCQS Online Questions & Answers

• Question 221:

  24-year-old man presented with 4-month history of diarrhea with streaks of blood and mucous. Ulcerative colitis was confirmed by colonoscopy. The initial therapy for this patient is _______________________.

  A. Aminosalicylic acid
  B. Aral corticosteroid
  C. Azathioprine
  D. Infliximab
  B. Aral corticosteroid

• Question 222:

  12 years old girl with malaise, fatigue, sore throat and fever. On examination there were petechial rash on palate, large tonsils with follicles, cervical lymphadenopathy and hepatosplenomegaly. All are complications except:

  A. Chronic active hepatitis
  B. Splenic rupture
  C. Transverse myelitis
  D. Encephalitis
  E. Aplastic anemia
  A. Chronic active hepatitis

• Question 223:

  A 65-year woman is found on routine CBC to have a hematocrit of 32 percent (normal 37?2) and an MCV of 70 (normal 80?00). Her stool is heme-negative. What should you do next?

  A. Upper endoscopy
  B. Two more stool tests now
  C. Barium enema
  D. Colonoscopy
  D. Colonoscopy

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  Colonoscopy is indicated in all patients > 50 simply as routine screening. Hence, in this case, the patient needs colonoscopy anyway, regardless of what the stool tests show. Another reason to go straight to colonoscopy is the presence of microcytic anemia. Unexplained microcytic anemia in a patient above 50 is most likely caused by colon cancer. Sigmoidoscopy will do nothing to evaluate the right side of the colon and would miss nearly 40 percent of cancers. No matter what a sigmoidoscopy showed, you would need to inspect the right side of the colon. Capsule endoscopy is done to evaluate bleeding when the upper and lower endoscopy are normal and the source of bleeding is likely to be in the small bowel.

• Question 224:

  After starting Antidepressant drug, if patient is not improving then when you decide to stop drugs?

  A. 3-4 weeks
  B. 1 day
  C. 1 week
  D. 2 weeks
  A. 3-4 weeks

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  Some people notice an improvement within a few days of starting treatment. However, an antidepressant often takes 2-4 weeks to build up its effect and work fully. Some people stop treatment after a week or so thinking it is not helping. It is best to wait for 3-4 weeks before deciding if an antidepressant is helping or not. If poor sleep is a symptom of the depression, it is often helped first, within a week or so. With some types of tricyclic antidepressant, the initial dose that is started is often small and is increased gradually to a full dose. (One problem that sometimes occurs is that some people remain on the initial dose which is often too low to work fully.) If you find that the treatment is helpful after 3-4 weeks, it is usual to continue. A normal course of antidepressants lasts at least six months after symptoms have eased. If you stop the medicine too soon, your symptoms may rapidly return. Some people with recurrent depression are advised to take longer courses of treatment (up to 2 years or longer)

• Question 225:

  A patient with gross hematuria after blunt abdominal trauma has a normal-appearing cystogram after the int instillation of 400 ml of contrast. You should next order:

  A. A retrograde urethrogram.
  B. A voiding cystourethrogram.
  C. An intravenous pyelogram.
  D. A cystogram obtained after filling, until a detrusor response occurs.
  A. A retrograde urethrogram.

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  A Urethrography refers to the radiographic study of the urethra using iodinated contrast media and is generally carried out in males. Also referred to as ascending urethrography/urethrogram (ASU) or retrograde urethrography/urethrogram (RUG). Indications ?pelvic trauma in the emergency department ?diminished urinary stream ?urethral strictures ?urethral diverticula ?urethral obstruction ?suspected urethral foreign bodies ?urethral mucosal tumors ?suspected urethral fistula

• Question 226:

  1-month-boy has brought to emergency room, he is conscious with cool peripheries and He a of -230/min. He has been irritable and feeding poorly for last 24 hours. CXR showed borderline card enlargement with clear lung fields. ECG-showed narrow complex tachycardia, with difficult finding what is the single most appropriate treatment?

  A. Synchronized DC cardioversion
  B. Administer IV fluid
  C. Oral Beta blocker
  D. Administer oxygen
  A. Synchronized DC cardioversion

• Question 227:

  All of the following anti-retroviral drugs produce dyslipidemia except?

  A. Saquinavir
  B. Nelfinavir
  C. Atazanavir
  D. Amprinavir
  C. Atazanavir

  ---

  It has a neutral act on lipid profile so is suitable for those in whom hyperlipidemia

• Question 228:

  Patient came with pitting edema grade 1, where fluid is will accumulate.

  A. Veniole
  B. Arteriole
  C. Interstitial
  D. Capillary
  C. Interstitial

• Question 229:

  All can cause secondary hyperlipidemia except:

  A. Nephrotic
  B. Hypertension
  C. Estrogen therapy
  B. Hypertension

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  Secondary hyperlipidemia causes: Diabetes mellitus, use of drugs such as diuretics, beta blocker hypothyroidism, renal failure, Nephrotic syndrome, alcohol usage, and some rare endocrine and metabolic.

• Question 230:

  14-year-old boy has been diagnosed with nephrotic syndrome. 5days later he presents with flank pain, hem urea levels. A diagnosis of renal vein thrombosis is made. What is the most likely cause for renal vein thrombo?

  A. Loss of anithrombin III
  B. Stasis
  C. Protein C deficiency
  D. High estrogen levels
  E. Vasculitis
  A. Loss of anithrombin III