Test Prep MCQS Online Practice Questions and Exam Preparation

Test Prep MCQS Online Questions & Answers

• Question 21:

  A 73-year-old man who is recovering from surgery on the left carotid artery in his neck. He has slurred speech of his tongue, the tip deviated to the left.

  What is the single most appropriate option?

  A. Accessory nerve
  B. Hypoglossal nerve
  C. Glossopharyngeal nerve
  D. Facial nerve
  E. Vagus nerve
  B. Hypoglossal nerve

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  Testing function of the nerve is performed by asked the subject to stick their ton out. If there is a loss of innervation to one side, the tongue will curve toward the affected side, due to unopposed the opposite genioglossus muscle. If this is the result of. A lower motor neuron lesion, the tongue will be curve damaged side, combined with the presence of fasciculations or atrophy. However, if the deficit is caused by a neuron lesion, the tongue will be curved away from the side of the cortical damage, without the presence of fa or atrophy.

• Question 22:

  A healthy male misses his work for 3 days, he has many times a bowel movement, and it is difficult to wrest it, laboratory tests have shown very high levels of calcium.

  What is parenteral treatment?

  A. Hydration
  B. Calcitonin
  C. Furosemide
  D. Phosphate
  A. Hydration

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  First hydration to prevent renal injury secondary to hypercalcemia then diuretics and then calcitonin.

• Question 23:

  An 8-week baby boy is noted to be jaundiced. He is breast-feeding well and has gained 300g since birth. His s and his urine is pale straw colored.

  What is the most likely diagnosis?

  A. Breast milk jaundice
  B. G6PD deficiency
  C. Galactosemia
  D. Congenital viral infection
  E. Biliary atresia
  C. Galactosemia

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  Biliary atresia causes obstructive picture where stools are pale and urine becomes da disorder like G6PD or spherocytosis causes appearance of jaundice in 1st 24 hours. In breast milk jaundice, ja develops in 2nd week. Also congenital viral infection (TORCH) occurs in 1st 24 hours. So likely cause in the p is Galactosemia.

• Question 24:

  19-year-old sexually active lady came for her annual check-up, she is otherwise healthy using no contraceptive, her pap smear and all investigations are normal. What will you suggest regarding her next check-up?

  A. After 6 months
  B. After 5 years
  C. After 1 year
  D. After 3 years
  D. After 3 years

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  Usually pap smear should be started after 21 years of age regardless of sexual activeness but if a female is sexually active and u suspect any abnormality then u can do pap smear before 21 years of age as in this case. Pap Smear = Negative, then should be followed for screening after 3 years. Pap smear + HPV Testing = Negative, then should be followed after 5 years

• Question 25:

  A 43-years-old man is brought to the emergency department after a motor vehicle accident involving ahead He mentioned that he is having headache and dizziness. During his overnight admission for observation, his serum sodium level rises to 151 meq/L.

  All of the following tests are indicated EXCEPT:

  A. Measurement of morning cortisol level E-Measurement of plasma and urine osmolality
  B. Measurement of response to desmopressin
  C. MRI scan of the head
  D. Overnight dehydration test
  A. Measurement of morning cortisol level E-Measurement of plasma and urine osmolality

• Question 26:

  A 6-weeks postpartum presents with palpitations, tremors, insomnia. Diagnosis?

  A. Hashimoto Thyroiditis
  B. Dysmorphogenesis
  C. Postpartum Thyroiditis
  C. Postpartum Thyroiditis

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  During postpartum thyroiditis, you might experience two phases. T release of thyroid hormone might first cause mild signs and symptoms similar to those of an (hyperthyroidism), including: Anxiety Irritability Rapid heartbeat or palpitations Unexplained weight loss Increased sensitivity to heat Fatigue Tremor Insomnia These signs and symptoms typically occur one to four months after delivery and last one to the Later, as thyroid cells become impaired, mild signs and symptoms of underactive thyroid (hypot develop, including: Lack of energy Increased sensitivity to cold Constipation Dry skin Difficulty concentrating Aches and pains These signs and symptoms typically occur four to eight months after delivery and can last from months. Keep in mind, however, that some women who have postpartum thyroiditis develop symptoms o or only hypothyroidism, but not both.

• Question 27:

  A 32-year-old female who has had 3 previous miscarriages in the 1st trimester now comes with vaginal bleeding at 8 weeks. US reveals a viable fetus. What would be the most appropriate definitive management?

  A. No treatment
  B. Bed rest 2 weeks
  C. Admit
  D. Aspirin
  D. Aspirin

• Question 28:

  Victim of RTA came with multiple injuries to abdomen, chest and limbs. BP is 80/ 50. upper limb has upper third near amputation that bleeds profusely, what is your first thing to do:

  A. Tourniquet the limb to stop the bleeding
  B. Check the airway and breathing
  C. Five IV fluid
  D. Call orthopedic
  B. Check the airway and breathing

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  As rule ABC also in description near amputation so difficult to make tourniquet enough which stops bleeding.

• Question 29:

  Pneumothorax is a complication of which of the following blocks?

  A. Brachial
  B. Epidural
  C. High spinal
  A. Brachial

• Question 30:

  A male presented with headache, tinnitus and nausea thinking that he has a brain tumor. He had just secured a job in a prestigious company and he thinks that he might not meet its standards. CNS exam, CT, all within normal. What is the diagnosis?

  A. Conversion reaction
  B. Generalized Anxiety disoreder
  C. Panic attack
  D. Hypochondriasis
  D. Hypochondriasis

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  Diagnostic criteria for hypochondriasis include the following: The patient has a preoccupying fear of having a serious disease. The preoccupation persists despite appropriate medical evaluation and reassurance. The belief is not of delusional intensity (as in delusional disorder, somatic type) and is not Restricted to a concern about appearance (as in persons with BDD). The preoccupation causes clinically significant distress or impairment.