究極のガイド準備で無料Test Prep MCQS試験問題と解答
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質問 133
A terminally ill with metastatic carcinoma presents with dysphagia and difficulty in swallowing.
What is possible treatment?
- A. Cotrimazole
- B. Nystatin suspension
- C. Analgesic
- D. Amphotericin B IV
- E. PO fluconazole
正解: E
質問 134
60 year's old patient has only HTN best drug to start with:
- A. Alpha blocker
- B. Diuretics
- C. ARB
- D. Beta blocker
- E. ACEI
正解: B
質問 135
A 10-month-old boy weighing 3 kg has polyuria, polydipsia and delayed motor milestones. His blood pressure is normal. Blood tests reveal: creatinine 80 mmol/l, sodium 128 mmol/l, chloride 90 mmol/l, potassium 3.0 mmol/l, calcium 2.7 mmol/l, bicarbonate 26 mmol/l and pH 7.46. Ultrasonography shows medullary nephrocalcinosis.
What is the most likely diagnosis?
- A. Renal tubular acidosis
- B. Bartter's syndrome
- C. Diabetes insipidus
- D. Pseudohypoaldosteronism
正解: B
質問 136
All of the following anti-retroviral drugs produce dyslipidemia except?
- A. Atazanavir
- B. Saquinavir
- C. Amprinavir
- D. Nelfinavir
正解: A
質問 137
A 45-year-old woman has a 2-cm breast cancer tumor removed by lumpectomy, and the breast is irradiated. The cancer is negative for estrogen receptors and positive for progesterone receptors. Three of 14 nodes removed from the axilla are positive for cancer.
What is the next best step in management?
- A. Oophorectomy and chemotherapy
- B. Anastrozole (aromatase inhibitor) for 5 years
- C. Tamoxifen for 5 years
- D. Tamoxifen and adjuvant chemotherapy
正解: D
質問 138
Hypothyroid patient on thyroxin had anorexia, dry cough and dyspnea& left ventricular dysfunction. She had normal TSH & T4 levels, Hyperphosphatemia & hypocalcemia.
The diagnosis is:
- A. Uncontrolled Hypopituitarism
- B. Primary Hypopituitarism
- C. Secondary Hypopituitarism
- D. Hypopituitarism
正解: B
質問 139
In breast cancer, all true except:
- A. 2 cm mass with free axilla is stage I
- B. Radical mastectomy is the choice of surgery
- C. Yearly mammogram for contra-lateral breast
- D. Chemotherapy is must for pre-menopausal with +ve axilla
正解: B
質問 140
Ophthalmoplegic migraine is best characterised as?
- A. Recurrent headache with transient palsy of 3, 4 and / or 6th cranial nerves
- B. Headache with optic neuritis
- C. Headache associated with irreversible palsy of 3rd nerve
正解: A
質問 141
20-year-old patient with a red lesion on her face. She said this from birth.
What is your management?
- A. Topical steroid
- B. Systemic steroid
- C. Antifungal
- D. Laser
正解: D
質問 142
All can cause secondary hyperlipidemia except:
- A. Hypertension
- B. Estrogen therapy
- C. Nephrotic
正解: A
質問 143
A 6-weeks postpartum presents with palpitations, tremors, insomnia. Diagnosis?
- A. Hashimoto Thyroiditis
- B. Dysmorphogenesis
- C. Postpartum Thyroiditis
正解: C
質問 144
72-year-old lady is drowsy and her relatives want to take her home.
She has been prescribed diazepam 2.5m delivery route?
- A. Oral
- B. Per rectal
- C. Subcutaneous
- D. Intravenous
- E. Intra Muscular
正解: B
質問 145
A 55-year-old man has epigastric discomfort. He is seropositive for Helicobacter pylori. Upper endoscopy reveals no gastritis and no ulcer disease. Biopsy of the stomach shows Helicobacter.
What should you do?
- A. Repeat endoscopy after 6 weeks of PPIs D-PPI, amoxocillin, and clarithromycin
- B. PPI alone as symptomatic therapy
- C. Breath testing
正解: B
質問 146
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 response to desmopressin
- B. Measurement of morning cortisol level E-Measurement of plasma and urine osmolality
- C. MRI scan of the head
- D. Overnight dehydration test
正解: B
質問 147
A 42-year-old man presents with a target shaped rash that has developed over the last several days. He was on a camping trip in the woods last week in Maine.
What is the next best step in management?
- A. Serology for IgM
- B. Western blot
- C. Doxycycline E-Ceftriaxone
- D. ELISA
正解: C
質問 148
Bitemporal hemianopia is a characteristic feature of?
- A. Pituitary tumour
- B. Glaucoma
- C. Retinitis pigmentosa
- D. Optic neuritis
正解: A
質問 149
A 10-year-old child has got progressive bilateral hearing loss. He has started to increase the TV volume. All other is normal.
What is the most likely diagnosis?
- A. Wax
- B. Bilateral OM with effusion
- C. Meningitis due to meningococcus
- D. Foreign body
正解: B
質問 150
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