Professional Documents
Culture Documents
b. esophageal spasm
e. an esophageal stricture
c. a benzodiazepine
d. an antacid
b. Crohn's disease
c. ulcerative colitis
d. bacterial dysentery
e. amebiasis
b. colonoscopy
c. barium enema
b. sulfasalazine
c. metronidazole
d. 6-mercaptopurine
e. azathioprine
b. hypertension
c. hyperlipidemia
d. diabetes mellitus
e. angina pectoris
c. hepatic failure
d. renal failure
e. septicemia
b. lipoprotein-lipase theory
c. atrial flutter
d. atrial fibrillation
b. completely benign
a. synchronized cardioversion
b. DC countershock
c. IV adenosine *
d. IV verapamil
e. IV digoxin
18. Based on the information provided, what is the most likely diagnosis
in this patient?
a. fat embolus
a. no perfusion defects
c. clinical examination is of some value but has low sensitivity and low
specificity *
22. What is the most common cause of morbidity and mortality among
hospitalized immobile patients?
a. myocardial infarction
b. cerebrovascular accident
d. nosocomial infection
23. What is (are) the drug(s) of choice for patients with a documented
pulmonary embolus?
b. intermittent IV heparin
25. What is the diagnostic procedure of choice for a patient who comes
to the Emergency Department with "a swollen leg" and has one or more
of the following risk factors: prolong immobilization, long leg fracture,
pregnancy and malignancy?
a. pulmonary angiography
c. impedance plethysmography
d. V IQ scan *
e. MRI scan
26. Which of the following is the prophylactic agent of choice for the
treatment of asthma in these circumstances?
a. inhaled β2-agonists *
b. oral aminophylline
c. inhaled anticholinergics
e. oral corticosteroids
On examination, her sclerae are icteric and her liver edge is tender. She
looks acutely ill.
a. hepatitis A*
b. hepatitis B
c. hepatitis C
28. Which of the following tests is the most sensitive in confirming the
diagnosis suspected in this patient?
b. anti-HAV-irnrnunoglobulin M (IgM)*
c. HA V core antigen
b. high-dose hydromorphone
e. acetaminophen-hydrocodone
b. IV radioactive strontium
c. morphine sulfate
d. hydromorphone
a. morphine sulfate
b. hydromorphone
c. fentanyl
e. carbamazepine
a. prochlorperazine
b. ondansetron *
c. dimenhydrinate
d. metoclopramide
e. dexamethasone
A 17-year-old female comes to your office with her mother. Her mother
tells you that her daughter has lost 20 pounds in the last 6 months. In
addition, she has been increasingly thirsty and has been experiencing a
significantly increased frequency of urination. The patient has been
feeling generally well, but she complains that her breath smells "funny."
On examination, the patient is well below the fifth percentile for weight.
She looks thin and pale. Her blood pressure is 100/70 mm Hg. She has a
few anterior cervical and axillary nodes measuring 1.0 cm. Her abdomen
is slightly tender. No other abnormalities are found.
34. If you could order only one test, which would it be?
c. serum electrolytes
d. blood gases
a. hypercholesterolemia
b. hypothyroidism
c. hypertriglyceridemia *
d. obesity
e. cholelithiasis
c. hemoglobin AlC *
d. hemoglobin F
a.3.5%
b.5.0%
c. 7.2% *
d.9.0%
e. 10.0%
A 27-year-old type 1 diabetic comes to your office for her regular 3-
month checkup. Your urine dipstick shows proteinuria. A 24-hour urine
measurement produces a protein reading of 150 mg.
40. Which one of the following statements regarding diet and diabetes is
false?
b. new evidence suggests that diabetics do not have to avoid foods that
contain simple carbohydrates *
c. the diabetic on insulin therapy must have three meals plus a bedtime
snack at fixed times each day
41. What is the average starting insulin dose for a newly diagnosed
diabetic?
a. 2 to 4 units
b. 6 to 8 units
c. 10 to 12 units
d. 15 to 20 units *
e. 20 to 30 units
a. Conn's syndrome
b. Cushing's syndrome
c. Addison's syndrome *
d. primary hyperparathyroidism
43. What is the most likely cause for this patient's symptoms?
b. an adrenal adenoma
e. a pituitary adenoma
44. What is the acute treatment of choice for this patient?
a. prednisone orally
b. dexamethasone orally
d. IV ACTH
A. high Gn RL
B. Anorexia nervosa
C. Hypoprolactinaemia.
D. Sheehan disease.
E. *Congenitally absent uterus.
A. U.S
B. Hysteroscopy.
C. *Semen analysis.
D. Hysterosalpingraphy.
E. Endometrial biopsy for histopathology.
A. Infertility.
B. Metrorrhagia.
C. *Amenorrhea.
D. Galactorrhoea.
E. Loss of body hair.
A. E. coli.
B. Cervical stenosis.
C. Hypersecretion of LH.
D. Hyperoestrogenaemia.
E. *Plasmodium falciparum.
A. High levels of h C G.
B. An enlarged uterus.
C. A normal gestation sac.
D. *Absent foetal heart on ultrasound.
E. A brownish vaginal discharge.
Ectopic pregnancy:
A. Tetracycline.
B. 17 hydroxyprogesterone.
C. *Methotrexate.
D. Folic acid.
E. Testosterone.
Antepartum haemorrhage:
A. *is any bleeding from the genital tract after 28 weeks of
gestation?
B. is a leading cause of maternal mortality in Europe.
C. does not affect foetal morbidity & mortality.
D. is not associated with a rise of blood pressure.
E. is not affected by blood dyscrasias.
The following are documented risk factors for placenta praevia except:
A. Transabdominal ultrasonography.
B. Clinical obstetric examination.
C. *Vaginal examination in the theatre under anesthesia.
Placental abruption:
A. is associated with malpresentation.
B. *is the premature separation of a normally sited placenta.
C. can not be diagnosed on clinical evidence.
D. inevitably needs confirmation by ultrasonography.
E. does not lead to hypofibrinoginaemia.
A. Placenta praevia.
B. Hypofibrinogaemia.
C. *Vasa praevia.
D. Ruptured ectopic pregnancy.
E. Placenta increta.
A. Eclampsia.
B. *Pulmonary embolism.
C. Abortion.
D. Placental abruption.
E. Puerperal psychosis
The following is not a risk factor associated with small for dates:
A. Renal failure.
B. Intracranial hemorrhage.
C. *Ketoacidosis.
D. Maternal asphyxia.
E. Heart failure.
A. Ferrous fumarate.
B. Syntometrin.
C. *General anaesthesia.
D. Magnesium sulphate.
E. Folic acid.
Preterm labour:
A. Soft.
B. Central in position.
C. Well applied to the presenting part.
D. *Thin.
E. Tightly closed.
labour:
a) abruptio placenta
c) degenerating fibroid
d) placental insufficiency
c) adequate anaesthesia
e) ruptured membranes
a) intact membranes
b) live fetus
*d) no dilatation
increased
a) CVA
b) cervical myelopathy
e) frozen shoulder
You examine a 78 year old right handed man who is dysphasic and has
suffered from a stroke. Which one of the following clinical signs would
you expect to find?
a) hypothermia
b) hypothyroidism
d) subdural haematoma
e) shock
b) omeprazole
c) cimetidine
d) misoprostol
a) subdural haematoma
c) gynaecomastia
d) myopathy
b) 2-6 hours
c) 8-22 hours
e) 3-5 days
A 42-year-old man with acute renal failure is confused. His serum
potassium is 8.1 mEq/L . The most likely abnormal ECG finding is
a) T wave inversion
b) PR interval of 300ms
c) QT interval of 0.4s
d) U wave
a) barium swallow
*b) Electromyography
a) Nitroglycerin
b) Propranolol
c) Nifedipine
d) Verapamil
A 18 year old intravenous drug user has the sudden onset of fever and
chills. He has pain in his right knee. Movement of his knee causes pain.
He denies any trauma to his knee. On physical examination, his knee is
red and warm. Laboratory investigations are done. His white blood
count is 15,000 cu/mm, rheumatoid factor is negative, uric acid is within
normal limits. An aspiration of his knee joint is planned to be done.
What is the likely diagnosis?
a) rheumatoid arthritis
b) osteoarthritis
*c) suppurative arthritis
d) gout
e) ankylosing spondylitis
d) Thrombin time
e) Plasma fibrinogen
b) carditis
c) erythema marginatum
d) sydenham's chorea
a) hypothyroidism
b) anorexia nervosa
c) haemochromatosis
therapy:
following complications:
a) scarlet fever
b) necrotizing faciitis
c) impetigo
e) glomerulonephritis
bacterial infection?
a) Salmonella infection
e) Giardiasis
NOT consistent:
heart failure?
a) hypertension
b) thyrotoxicosis
c) alcohol
*d) inactivity
e) arrhythmia
A child aged 4 years has had fever, malaise, vomiting and right-sided
abdominal pain for 48 hours. The following are likely diagnoses except :
a) acute pyelonephritis
b) shigella dysentry
e) lobar pneumonia
a) inguinal hernia
b) epididymo-orchitis
c) breech delivery
d) torsion of testis
*e) teratoma
a) crawls
b) smiles socially
c) in cystic fibrosis
e) in renal failure
d) feelings of depersonalisation
c) "Ma" and "Dada" are the only words which are clearly recognizable.
a) Chlamydia pneumoniae
b) Mycoplasma pneumoniae
c) Streptococcus pneumoniae
d) Haemophilus influenzae
per day.
level of consciousness
d) serum electrolytes
per day.
The patient has lost 0.6 kg. She is moderately lethargic and has
creatinine 0.6 mg/dL. The best strategy for managing this child
is to:
*a) hospitalize for administration of IV fluid therapy
c) chest x-ray
fortified formulae
a) need strapping
shows air in the proximal small bowel, but a paucity of air in the
distal digestive tract. The most likely cause for this infant's vomiting
a) antral web
b) choledochal cyst
c) Hirschsprung disease
d) tracheoesophageal fistula
*e) volvulus
d) methemoglobinemia
e) hypoglycemia
Which of the following is the most significant risk factor for the
d) parental smoking
genotype
*b) sickle cell disease causes a severe chronic anemia that is not
nonencapsulated organisms
month of age
a) hematomas
b) hemarthrosis
*c) petechiae
therapy of choice
d) therapy is given for one week following the extraction
d) allergies