Test Prep Test Prep Certifications MCQS Questions & Answers

• Question 41:

  Old patient complaining of bone and joint pain, bleeding, recurrent infections. Labs show: lymphocytosis, myelocytes 3%, and myeloblast 2%.

  What is the diagnosis?

  A. AML

  B. Thalassaemia

  C. Sickle cell anemia

  D. CML

  Correct Answer: D

  Most common in Old and with usually increased WBC count and massive splenomegaly and characterized by Philadelphia (Ph) chromosome in bone marrow cells. ALL is most common in children. AML has more than 20% blasts on Bone marrow. Tip: The above patient is presented with acute Blasts crisis.

• Question 42:

  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

  Correct Answer: B

• Question 43:

  25-year-old female postpartum of one week has irritable mood but she returns to normal.

  What is the diagnosis?

  A. Postpartum blues

  B. Postpartum psychosis

  C. Postpartum depression

  Correct Answer: A

  It is self-limiting condition while postpartum Psychosis is a serious condition usually requires urgent hospitalization and treatment. Postpartum depression occurs after 2 weeks to 6 months with depressed mood.

• Question 44:

  All these are anticoagulant except?

  A. Warfarine

  B. Dipyridamole

  C. Ancord

  D. Heparin

  E. Dalteparin

  Correct Answer: B

• Question 45:

  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

  Correct Answer: C

• Question 46:

  Patient works in a dusty environment had red eyes itching no trauma no mucopurulent discharge. What to give to relieve his symptoms?

  A. Tobramycin eye drop

  B. Acyclovir eye drop

  C. Olopatadine eye drop

  D. Trifluridine eye drop

  Correct Answer: C

  Olopatadine hydrochloride is an antihistamine (as well as anticholinergic and mast cell stabilizer), sold as a prescription eye drop (0.2% solution, Pataday (or Patanol S in some countries), manufactured by Alcon). It is used to treat itching associated with allergic conjunctivitis (eye allergies). Olopatadine hydrochloride 0.1% is sold as Patanol (or Opatanol in some countries). A decongestant nasal spray formulation is sold as Patanase, which was approved by the FDA on April 15, 2008. It is also available as an oral tablet in Japan under the tradename Allelock, manufactured by Kyowa Hakko Kogyo. It should not be used to treat irritation caused by contact lenses. The usual dose for Patanol is 1 drop in each affected eye 2 times per day, with 6 to 8 hours between doses. There is potential for Olopatadine as a treatment modality for steroid rebound (red skin syndrome.)

• Question 47:

  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

  Correct Answer: D

• Question 48:

  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

  Correct Answer: D

  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 49:

  Patient with normal pressure hydrocephalus. CT brain picture distended ventricles.

  What is initial treatment?

  A. Lumber punctures and drains fluid

  B. Shunt

  C. Diuretics

  Correct Answer: B

  Management Surgery Surgical CSF shunting remains the main treatment modality for NPH (NORMAL PRESSURE HYDROCEPHALUS)). Prior to embarking upon surgical therapy, knowing which patients may benefit from surgery is necessary. Detailed testing is performed before and after CSF drainage (e.g.,

  baseline neuropsychological evaluation, timed walking test, large-volume lumbar puncture, external lumbar drainage, CSF infusion testing).

• Question 50:

  The best test for diagnosis of adenomyosis:

  A. Ultrasound

  B. Laproscopy

  C. Hystroscopy

  D. MRI

  Correct Answer: D

  Adenomyosis is a non-cancerous condition of the uterus that can mimic many of the signs and symptoms of fibroids. This condition results from the lining cells of the uterus growing directly into the muscle wall of the uterus. When the lining cells of the uterus bleed at the time of the menstrual period, these misplaced cells in the muscle bleed as well. And bleeding directly into the muscle causes pain. As the blood accumulates, the surrounding muscle swells and forms fibrous tissue in response to the irritation. This swollen area within the uterine muscle wall, called an adenomyoma, feels very much like a fibroid on examination and is often confused with a fibroid on a sonogram. Adenomyosis may be mild and cause no symptoms at all, or, in more severe forms, it may lead to heavy bleeding and severe cramping during menstrual periods. Adenomyosis is present in about 10 percent of women and, therefore, is less common than fibroids. However, now that women with adenomyosis can be diagnosed by MRI, careful examination of the cellular changes of the uterus suggests that there are many reasons why adenomyosis could cause infertility. These new studies will also be very important in helping scientists figure out what type of treatments might cure adenomyosis, or better yet, prevent it from developing at all.