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MCQS Test Engine Practice Test Questions, Exam Dumps
NEW QUESTION # 146
A patient who has recently undergone hip fracture repair develops the sudden onset of shortness of breath. His pulse is 110 per minute. The chest is clear to auscultation. Chest x-ray is normal, and the EKG shows sinus tachycardia. ABG shows pH 7.48, pCO2 28, pO2 75.
What is the next best step in management?
- A. Angiography
- B. Heparin
- C. dimers
- D. Spiral CT scan
- E. Lower extremity Doppler
Answer: B
NEW QUESTION # 147
A 78 year's retired teacher was admitted for a hernioplasty procedure. After the operation he became agitate and confused.
What is the most appropriate management?
- A. Diazepam
- B. Clozapine
- C. Chlordiazepoxide
- D. Thiamine
- E. Vitamin B
Answer: C
NEW QUESTION # 148
A person after oral sex diagnose with neisseria gonorrhoeae infection.
Which is true regarding scenario?
- A. Treat his friends
- B. Treat his family members
- C. Treat his sexual partner
Answer: C
NEW QUESTION # 149
A premature infant is born with a patent ductus arteriosus. In closure can be stimulated by administration of:
- A. Estrogen
- B. Anti-estrogen compounds
- C. Prostaglandin analogue
- D. Prostaglandin inhibitors
Answer: D
NEW QUESTION # 150
A 35-year-old car driver crashed into a concrete block without a safety belt on. Thirty minutes after and on the way by ambulance to the hospital he begins to become breathless. On administration of 100% oxygen there is not much improvement in this condition. On arrival at the Emergency Department he has lost consciousness and appears cyanosed with markedly distended jugular veins. Blood pressure 80/40 mmHg Heart rate 120 /min Respiratory rate 34 /min Temperature 36.6 °C. Oxygen saturation 60% on room air.
What's immediate action should be taken?
- A. IV 0.2 mg adrenaline
- B. Rapid infusion of crystalloid
- C. Intubation and 100% oxygen
- D. Needle decompression
Answer: D
NEW QUESTION # 151
A 31-year-old woman presents to the ED with a sudden onset of left-sided chest pain and difficulty breathing. She states her only medication is birth control pills. She has smoked 1 pack of cigarettes per day for 10 years. She is tachypneic (24 BrPM) and her heart rate is 120 beats per minute. Physical examination reveals diminished breath sounds on the left and the trachea deviated to the right.
What is the most likely diagnosis?
- A. Tension pneumothorax
- B. Pulmonary embolus
- C. Pericardial tamponade
Answer: A
NEW QUESTION # 152
Recurrent fourth time 1st trimester pregnancy loss. Likely cause?
- A. Chromosomal abnormalities
- B. Cervical incompetence
- C. Anti-phospholipid syndrome
Answer: A
NEW QUESTION # 153
Patient with severe depression and now he showed some improvement with therapy. The risk of suicide is now:
- A. Increases
- B. No change
- C. Decreases
- D. No risk
Answer: A
NEW QUESTION # 154
A baby born at 34 weeks with a heart murmur is kept in the incubator for almost 4 weeks. There is no murmur at discharge.
What is the likely cause of this murmur?
- A. Aneurysm of sinus of valsalva
- B. TOF
- C. PDA
- D. AVM
- E. Aorto-pulmonary septal defect
Answer: C
NEW QUESTION # 155
A 45-year-old man presents to the ED after acute onset of lower back pain that began after he tried to lift an engine block at his job. He says he feels like lightning bolts are shooting down his legs and he is unable to move. Physical exam reveals a positive straight leg raise test and positive anal wink.
What is the most appropriate next diagnostic step?
- A. X-ray of the cervical spine
- B. CBC
- C. ESR
- D. MRI of the spine
Answer: D
NEW QUESTION # 156
Condition not associated with increased alpha fetoprotein:
- A. Gastroschisis
- B. Spina bifida
- C. Down syndrome
- D. Myelomeningocele
Answer: C
NEW QUESTION # 157
Drug of choice of generalized anxiety disorder is ______________.
- A. beta blocker
- B. Buspirone
- C. Acetalopram
- D. Bubropion
Answer: C
NEW QUESTION # 158
A 2-month-old baby who has ambiguous genitalia presents to the Emergency room with vomiting Na+-125mmol/L, K+=6mmol/L.
What is the most likely diagnosis?
- A. Turners syndrome
- B. Fragile X syndrome
- C. Congenital adrenal hyperplasia
- D. Noonan syndrome
Answer: C
NEW QUESTION # 159
A 20 year's woman with no previous history of ear complains, presents with 1day history of severe pain in is extremely tender to examine.
What is the single most likely diagnosis?
- A. Myringitis
- B. Furuncle
- C. Otitis media
- D. Otitis Externa
- E. Chondromalasia
Answer: D
NEW QUESTION # 160
In breast cancer, all true except:
- A. Radical mastectomy is the choice of surgery
- B. 2 cm mass with free axilla is stage I
- C. Chemotherapy is must for pre-menopausal with +ve axilla
- D. Yearly mammogram for contra-lateral breast
Answer: A
NEW QUESTION # 161
A terminally ill with metastatic carcinoma presents with dysphagia and difficulty in swallowing.
What is possible treatment?
- A. Cotrimazole
- B. Nystatin suspension
- C. PO fluconazole
- D. Analgesic
- E. Amphotericin B IV
Answer: C
NEW QUESTION # 162
A 65-year-old man presents with significant weight loss and complains of cough, SOB and chest pain. Exam constricted, drooping of left eyelid.
What is the most likely diagnosis?
- A. Thoracic outlet syndrome
- B. Bronchogenic carcinoma
- C. Pancoast tumor
- D. Pneumonia
- E. Cervical rib
Answer: C
NEW QUESTION # 163
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. Five IV fluid
- B. Call orthopedic
- C. Tourniquet the limb to stop the bleeding
- D. Check the airway and breathing
Answer: D
NEW QUESTION # 164
23-year-old man presents with severe pain in the right flank radiating to his groin. He is rolling about on the an IVU confirms a stone in the ureter which is 8mm in size.
Which transfusion modality will be most effective?
- A. Dormier basket
- B. ESWL (Lithotipsy)
- C. PCNL
- D. Fluids and alpha blockers
Answer: B
NEW QUESTION # 165
Which of the following is most sensitive for detecting diabetic nephropathy?
- A. Glucose tolerance test E-Ultrasonography
- B. Urine albumin
- C. Serum creatinine level
- D. Creatinine clearance
Answer: B
NEW QUESTION # 166
A 25 year woman comes to sexual clinic and ask for advice for contraception. She is on sodium Valporate. COCP=combined oral contraceptive pills.
- A. She can use COCP with estrogen 50 microgram and progesterone higher dose
- B. She can use COCP with extra precaution
- C. She cannot use COCP
- D. She can use COCP
Answer: D
NEW QUESTION # 167
A homeless lady presents with cough and fever. She complains of night sweats and weight loss. CXR has opacity.
What is the next appropriate management?
- A. CT chest
- B. Bronchoscopy
- C. Mantoux
- D. IFN gamma testing
- E. AFB
Answer: E
NEW QUESTION # 168
Greatest benefit of thrombolysis is when given in Acute MI?
- A. less than 12 hours from onset of pain
- B. less than 24 hours from onset of pain
- C. Same benefit in A and B
Answer: A
NEW QUESTION # 169
A young woman fell and hit her knee. Exam: valgus test +ve.
What ligament was most probably injured?
- A. Medial collateral
- B. Post cruciate
- C. Lateral collateral
- D. Ant cruciate
- E. Meniscus
Answer: A
NEW QUESTION # 170
Patient with severe depression on SSRIs. When it will begin to start work?
- A. 2-3 weeks
- B. 1-2 weeks
- C. 3-4 weeks
- D. 4-5 weeks
Answer: C
NEW QUESTION # 171
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