Test Prep MCQS Online Practice Questions and Exam Preparation

Test Prep MCQS Online Questions & Answers

• Question 81:

  A patient presents with mild dyskaryosis. 1 year ago smear was normal. What is the most appropriate next test?

  A. Cone biopsy
  B. Cauterization
  C. Repeat smear
  D. Colposcopy
  E. Swab and culture
  D. Colposcopy

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  For mild, moderate or severe dyskaryosis the next step is colposcopy.

• Question 82:

  An infant boy is born at 39 weeks' gestation by way of spontaneous vaginal delivery to a healthy, 32-year-old primigravid women. Prenatal care was appropriate and there were no problems at the time of delivery. Physical examination by the staff pediatrician is normal, with the exception of the genital examination. She observes that the urethral meatus is located on the ventral aspect of the penile shaft.

  Which of the following is the most correct statement about this condition?

  A. The infant may have a circumcision now
  B. Voiding cystourethrogram should be ordered
  C. A-Circumcision should be delayed
  D. The infant may never have a circumcision
  C. A-Circumcision should be delayed

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  This infant has hypospadias. This condition occurs when there is incomplete invagination of ectoderm that is located at the glans penis where the normally located urethral meatus should be. When this occurs, the urethral opening is located on the ventral side of the penis, somewhere between the tip and the base of the shaft. Circumcision should never be performed directly after an infant is born with this condition (choice B). Rather, it should be delayed until approximately 6 months of age when the infant can better tolerate anesthesia. The reason to delay circumcision is because the prepuce will be needed for the plastic reconstruction that will need to be done. At the time of reconstruction, the infant will also undergo a circumcision (choice C). These patients do not have an increased risk for urinary tract infections. Therefore, a urine culture is not necessary (choice D). A voiding cystourethrogram (VCUG) allows for evaluation of the bladder, urinary reflux, and the presence or absence of posterior urethral valves. None of these conditions are associated with hypospadias

• Question 83:

  You are supposed to keep a child NPO he's 25 kgs, how much you will give:

  A. 1500
  B. 1300
  C. 1400
  D. 1600
  D. 1600

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  For first 10kg 100x10=1000 For next 10 kg 50x10=500 For next 5 kg 5x20= 100 So the total is 1600 ml.

• Question 84:

  17 year's female with lump in the breast, freely mobile, not attached to the skin. What is the next investigation?

  A. Ultrasound
  B. Mammogram
  C. FNA
  D. Biopsy
  B. Mammogram

• Question 85:

  Patient with Diabetes Mellitus, treatment for proliferative diabetic retinopathy?

  A. Photocoagulation of macular area
  B. Pan retinal coagulation
  B. Pan retinal coagulation

• Question 86:

  7-year-old boy with red color urine. Which initial test is necessary?

  A. culture
  B. microscopy
  C. dipstick
  C. dipstick

• Question 87:

  Patient smoker and alcoholic come with difficulty in swallowing and neck mas.

  What is an investigation?

  A. Biopsy
  B. Neck CT
  C. Indirect laryngoscopy
  D. Head CT
  E. Aspiration
  B. Neck CT

• Question 88:

  A 62-year-old man diagnosed with T2DM with BMI=33. Lifestyle modifications have failed to control blood. Labs: urea=3.6mmol/l, creatinine=89mmol/l.

  What is the next appropriate management?

  A. Sulfonylurea receptor binder
  B. Glitazone
  C. Biguanide
  D. Sulfonylurea
  C. Biguanide

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  Patient is obese type 2 diabetic. So biguanide is the treatment of choice

• Question 89:

  Bitemporal hemianopia is a characteristic feature of?

  A. Retinitis pigmentosa
  B. Glaucoma
  C. Optic neuritis
  D. Pituitary tumour
  D. Pituitary tumour

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  Pituitary tumours compress the optic chiasma and cause bitemporal hemianopia.

• Question 90:

  An 8 year's boy has his tonsils and adenoids removed. On the 7th post-op day, he comes back to the hemoptysis and fever. What is the most appropriate management?

  A. Reassurance
  B. Packing
  C. Admit for IV antibiotics
  D. Surgery
  E. Prescribe oral antibiotics and discharge
  C. Admit for IV antibiotics

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  Most secondary hemorrhage occurs due to infection which erodes a vessel. S be admitted for IV antibiotics.