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NEW QUESTION 90
A man develops erectile dysfunction after an infarction.
What is the most common cause?
- A. ACE inhibitors
- B. Aspirin
- C. Anxiety
- D. Nitrates
Answer: C
NEW QUESTION 91
A 3-month-old female infant is brought in because her parents say she will not eat anymore. Upon physical examination, a loud pansystolic murmur is appreciated. The child also appears small for her age, but her records show no maternal or delivery complications.
Which of the following is the most likely finding on EKG?
- A. Right bundle branch block
- B. QT interval elongation
- C. Right ventricular hypertrophy
- D. ST segment elevation
Answer: C
NEW QUESTION 92
Pneumothorax is a complication of which of the following blocks?
- A. High spinal
- B. Epidural
- C. Brachial
Answer: C
NEW QUESTION 93
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. Tamoxifen and adjuvant chemotherapy
- B. Tamoxifen for 5 years
- C. Anastrozole (aromatase inhibitor) for 5 years
- D. Oophorectomy and chemotherapy
Answer: A
NEW QUESTION 94
A 30 years' woman presents with acute headache. She complains of seeing halos especially at night.
What is likely defect?
- A. Tunnel vision
- B. Cortical blindness
- C. Paracentral scotoma
- D. Central scotoma
- E. Mono-ocular field loss
Answer: A
NEW QUESTION 95
A 64 year's man believes a female newscaster is communicating directly with him when she turns a page.
Where is he suffering from?
- A. Persecutory
- B. Grandeur
- C. Nihilistic
- D. Control
- E. Delusion of Reference
Answer: E
NEW QUESTION 96
The drug of choice in the treatment of Oxyrus worm is?
- A. Pyrantel pomoate
- B. Levamisol
- C. Metronidazole
- D. Tenidazol
Answer: A
NEW QUESTION 97
Hypogammaglobulinemia is often present at the time of the diagnosis.
Which one of the following clinical findings is NOT characteristic of chronic lymphatic leukaemia?
- A. Coombs test is positive in 10-20% of cases
- B. It converts to lymphoma
- C. B-lymphocytes are the leukaemia cell line in the majority of cases
- D. Bone marrow examination is essential to confirm the diagnosis
Answer: A
NEW QUESTION 98
What is the most common serious complication of PM/DM?
- A. Metabolic acidosis
- B. Hyperkalemia
- C. Phabdomyolysis
- D. Malignancy
Answer: D
NEW QUESTION 99
Which of the following is not a degenerative corneal disease?
- A. Band keratopathy
- B. Fatty/lipid degeneration
- C. Moorens's ulcer
- D. Keratokonus
- E. Marginal dystropathy
Answer: C
NEW QUESTION 100
Condition not associated with increased alpha fetoprotein:
- A. Myelomeningocele
- B. Gastroschisis
- C. Down syndrome
- D. Spina bifida
Answer: C
NEW QUESTION 101
A 2-year-old baby with atrophy of the buttocks, distended abdomen with frequent offensive smelly stool.
What is the most likely investigation?
- A. Upper GI endoscopy
- B. Colonoscopy
- C. Stool culture
- D. Endomysium/alpha gliadin antibody
- E. Sweat test
Answer: D
NEW QUESTION 102
Most appropriate initial therapy for Postpartum Endometritis is:
- A. Ceftriaxone&azithromycin
- B. Vancomycin&gentamycin
- C. Clindamycin&metronidazole
- D. Clindamycin&gentamycin
Answer: D
NEW QUESTION 103
10 years old boy presented to clinic with 3-weeks history of limping that worsen in the morning, this suggests which of the following:
- A. RA
- B. Tumor
- C. Septic arthritis
- D. Slipped capital femoral epiphysis
- E. Legg-Calve-Perthes disease (LCPD)
Answer: D
NEW QUESTION 104
Young sexually active girl has severe knee pain, swelling fever, warmth joint.
What is the diagnosis?
- A. Osteoarthritis
- B. Rhumatoid Arthritis
- C. Septic arthritis
Answer: B
NEW QUESTION 105
A 42-year-old salesman was admitted with a diagnosis of pneumonia. He is allergic to erythromycin. X-ray shows a hazy opacity in the right lower and mid-zone. Blood investigations show hyponatremia and slight rise in the level of liver aminotransferase. After starting the medication on the fifth day he became acutely jaundiced and his liver aminotransferase level became very high. He also complained of discoloration of his urine, which did not show hematuria on dipstick testing.
Which of the following drugs probably caused the jaundice?
- A. Flucloxacillin
- B. Rifampicin
- C. Clarithromycin
- D. Ciprofloxacin
- E. Amoxicillin
Answer: B
NEW QUESTION 106
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. Needle decompression
- B. IV 0.2 mg adrenaline
- C. Intubation and 100% oxygen
- D. Rapid infusion of crystalloid
Answer: A
NEW QUESTION 107
A 38-year-old man presents with acute infection of skin in the leg. Diagnosis of cellulitis has been made.
What should be prescribed?
- A. Penicillin + Flucloxacillin
- B. Vancomycin + Metronidazole
- C. Ceftriaxone + Flucloxacillin
- D. Ceftriaxone + Terbinafine
- E. Metronidazole + Erythromycin
Answer: A
NEW QUESTION 108
Best method to maintain air way in conscious multiple injury is _______________________.
- A. Oropharyngeal device
- B. Intubation
- C. Nasopharyngeal device
Answer: C
NEW QUESTION 109
A young boy presented with pain, swelling and redness of right side testes and scrotum. Sudden onset pain relieved on uplifting the scrotum.
What would be the diagnosis?
- A. Hydrocele
- B. Epididymo-orchitis
- C. Torsion testes
- D. Inguinal hernia
Answer: B
NEW QUESTION 110
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. dimers
- B. Lower extremity Doppler
- C. Spiral CT scan
- D. Angiography
- E. Heparin
Answer: E
NEW QUESTION 111
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