Mock Exam 4
Q1. Which of the following is
treatment for Giardiasis:
a)
Prazequantil
b) Mebendazole
c) Metronidazole
d) Albendazole
Q2. Patient with epilepsy came
with left shoulder pain, on examination flattened contour of the shoulder, and
fixed adduction with internal rotation, what is the diagnosis?
a) Inferior
dislocation
b) subacromal
posterior dislocation
c) subglenoid
anterior dislocation
d) subclavicle
anterior dislocation
e) subclavicle
anterior dislocation
Q3. Drugs used for Leishmania
· There are two common therapies containing antimony (known as
pentavalent antimonials): meglumine antimoniate (Glucantime) and sodium stibogluconate (Pentostam)
Q4. A 12 years old female
brought by her mother to ER after
ingestion of unknown number of paracetamol tablets. Clinically she is stable. Blood paracetamol level suggests toxicity. The most appropriate treatment
ingestion of unknown number of paracetamol tablets. Clinically she is stable. Blood paracetamol level suggests toxicity. The most appropriate treatment
a) …………………………
Q5. All of the following are
side effects of furasomide except:
a) Hyperkalemia
b)
Hypoglycemia
c)
Bronchospasm
d) Haemolytic
anemia
e) Pre-renal
azotemia
Q6. Patient with right arm
tenderness with red streak line, the axillary lymph node is palpable :
a) Cellulitis
b) Carcinoma
c) Lymphangitis
Q7. Patient with central line
became sepsis what organisms
a) GBS
b) Neisseria
c) Pseudmomnus
d) E. coli
Q8. Best way to prevent Entameba
histolytica is
a) …………………………
Q9. Prevention of Lyme disease,
what is best advice to parents?
a) …………………………
Q10. Prevention of Lyme disease :
a) …………………………
Q11. Parents asking about Lyme
disease for there children. practitioner is mos correct to tell them (for
prevention)
a) Kill vector
b) Clothes of
natural fibers
c)
Antibacterial soap
Q12. Drug of choice for a
schistosomiasis is:
a) Praziquantel
“Single oral dose annually”
b)
Oxaminiquine
c) artemether
Q13. In flame burn , the most
common cause of immediate death :
a) hypovolemic
shock
b) septic
shock
c) anemia and
hypoalbumin
d) Smoke
inhalation
Q14. Patient present with
submandibular swelling with eating, relieved after eating , Dx :
a) …………………………
Q15. Long scenario of restless
leg syndrome (he didn’t mention Dx in scenario), 85 old male many times awake
from his sleep because leg pain, this pain relieved by just if he move his
foot, but it recur, etsetra, best management:
a) Colazpin
b) haloperidol
c) lorazepam
d) One drug
from dopamine agonist group forgot its name, it’s the right answer.
Q16. Best drug for von willebrand
disease is:
a) Fresh
frozen plasma
b)
Cryoprecipitate
c) Steroids
Q17. Which of the following is a
feature of iron defeicincy anemia?
a) …………………………
Q18. Patient just received organ
transplantation what is the sign of acute rejection?
a) Fever
b) Hypotension
Q19. Sodium amount in Normal
Saline [ 0.9% NaCl ] :
a) 75 mmol
b) 90 mmol
c) 154 mmol
d) 200 mmol
Q20. Group A Hemolytic
streptococcus, causes rheumatic fever when:
a) Invade
blood stream
b) Invade
myocardium
c) After
tonsillitis and pharyngitis
d) Skin
infection
Q21. Man came with bruising and
increase time of bleeding with factor 8 deficiency :
a) Haemophilia
A
b) Von
Willebrand disease
Q22. Anemia of chronic disease :
a) Decrease
iron and increase TIBC “in Iron Deficiency Anemia”
b) Increase
iron and increase TIBC
c) Increase
iron and decrease TIBC
Q23. Man with polycythemia vera
came with bruising what causes decrease blood flow?
a) Hypervescosity
b) Hypoxia
c)
Hypovesicosity
Q24. Patient with polycythemia
vera the cause of bleeding in this patient is
a) Increase
viscosity
b) Low
platelets
Q25. What is the major thing that
can tell you that patient have polycythemia vera rather than secondary
polycythemia:
a)
Hepatomegaly
b) Splenomegaly
c) Venous
engorgement
d)
Hypertension
==============================================================================
Here are the answers with explanation
==============================================================================
Q1. Which of the following is
treatment for Giardiasis:
a)
Prazequantil
b) Mebendazole
c) Metronidazole
d) Albendazole
· Giardiasis “Beaver fever” is a diarrheal infection of the small
intestine by a parasite : Giardia lamblia
· Fecal-Oral transmission
Q2. Patient with epilepsy came
with left shoulder pain, on examination flattened contour of the shoulder, and
fixed adduction with internal rotation, what is the diagnosis?
a) Inferior
dislocation
b) subacromal posterior dislocation
c) subglenoid
anterior dislocation
d) subclavicle
anterior dislocation
e) subclavicle
anterior dislocation
Q3. Drugs used for Leishmania
· There are two common therapies containing antimony (known as
pentavalent antimonials): meglumine antimoniate (Glucantime) and sodium stibogluconate (Pentostam)
Q4. 12 years old female brought
by her mother to ER after ingestion of unknown number of paracetamol tablets.
Clinically she is stable. Blood paracetamol level suggests toxicity. The most
appropriate treatment
a) N-acetylcestine
· IV infusion: 150mg/kg in 200ml D5% over 15mins then 50mg/kg in
500ml D5% over 4hrs then finally 200mg/kg in 1L D5% over 16hrs
Q5. All of the following are
side effects of furasomide except:
a) Hyperkalemia
b)
Hypoglycemia
c)
Bronchospasm
d) Haemolytic
anemia
e) Pre-renal
azotemia
· Side effects of furasomide are hypotension, Hypokalemia,
hyperglycemia, hemolytic anemia
Q6. Patient with right arm
tenderness with red streak line, the axillary lymph node is palpable :
a) Cellulitis
b) Carcinoma
c) Lymphangitis
· Lymphangitis is an inflammation of the lymphatic channels. Most
common cause is S. pyogenes
Q7. Patient with central line
became sepsis what organisms
a) GBS
b) Neisseria
c) Pseudmomnus
d) E. coli
· All catheters can introduce bacteria into the bloodstream, but
CVCs are known for occasionally causing Staphylococcus
aureus and Staphylococcus epidermidis
sepsis
· Also can be caused by gram-negative rods, Candida spp., and
Enterococcus spp
Q8. Best way to prevent Entameba
histolytica is
a) Boiling
· Fecal-Oral transmitted parasite, most important complication is
Liver abscess.
· Treatment รจ Metronidazole
Q9. Prevention of Lyme disease,
what is best advice to parents?
a) Insect “Tick” removal
· Lyme disease “Lyme borreliosis” is an emerging
infectious disease caused by at least three species of bacteria belonging to
the genus Borrelia
· Transmitted to humans by the bite of infected
ticks genus called Ixodes ( hard ticks )
· Symptoms. : fever, headache, fatigue,
depression and a characteristic circular skin rash called erythema migrans
· Complication : symptoms may involve the joints,
heart and CNS
· Treatment. : doxycycline (in adults),
amoxicillin (in children), erythromycin (for pregnant women)
Q10. Prevention of Lyme disease :
a) Treat early disease with doxycycline , Prevent with tick bite
avoidance
· Explanation: Light-colored clothing makes the
tick more easily visible before it attaches itself. People should use special
care in handling and allowing outdoor pets inside homes because they can bring
ticks into the house.
· A more effective, communitywide method of preventing Lyme
disease is to reduce the numbers of primary hosts on which the deer tick
depends, such as rodents, other small mammals, and deer. Reduction of the deer
population may over time help break the reproductive cycle of the deer ticks
and their ability to flourish in suburban and rural areas.
· Backyard patios, decks, and grassy areas that are mowed
regularly are unlikely to have ticks present. This may be because of the lack
of cover for mice from owls and other raptors that prey on mice. The ticks also
need moisture, which these areas do not provide. The areas around ornamental
plantings and gardens are more hospitable for mice and ticks. The highest
concentration of ticks is found in wooded areas. Individuals should try to
prevent ticks from getting onto skin and crawling to preferred areas.
· Long hair should be worn under a hat. Wearing long-sleeved
shirts and tucking long pants into socks is recommended
Q11. Parents asking about Lyme
disease for there children. practitioner is mos correct to tell them (for
prevention)
a) Kill vector
b) Clothes of
natural fibers
c)
Antibacterial soap
Q12. Drug of choice for a
schistosomiasis is:
a) Praziquantel “Single oral dose annually”
b)
Oxaminiquine
c) artemether
Q13. In flame burn , the most
common cause of immediate death :
a) hypovolemic
shock
b) septic
shock
c) anemia and
hypoalbumin
d) Smoke inhalation
Q14. Patient present with
submandibular swelling with eating, relieved after eating , Dx :
a) Submandibular gland stone
2 UQU 2012 nd Edition
119
Q15. Long scenario of restless
leg syndrome (he didn’t mention Dx in scenario), 85 old male many times awake
from his sleep because leg pain, this pain relieved by just if he move his
foot, but it recur, etsetra, best management:
a) Colazpin
b) haloperidol
c) lorazepam
d) One drug from dopamine agonist group forgot its name, it’s the right
answer.
· RLS is a neurological disorder
characterized by an irresistible urge to move one's body to stop uncomfortable
or odd sensations. It most commonly affects the legs, but can affect the arms
& torso
· Symptoms: urge to move - worsening of
symptoms by relaxation - worse in the evening and early in the night
· Treatment. : dopamine agonists “Ropinirole,
Pramipexole or gabapentin enacarbil” as first line drugs for daily restless
legs syndrome; and opioids for treatment of resistant cases
Q16. Best drug for von willebrand
disease is:
a) Fresh
frozen plasma
b)
Cryoprecipitate
c) Steroids
· Desmopressin is not mentioned here, some doctors consider it as
1st line of
treatment
Q17. Which of the following is a
feature of iron defeicincy anemia?
a) Low MCH “Mean Corpuscular Hemoglobin”
Q18. Patient just received organ
transplantation what is the sign of acute rejection?
a) Fever
b) Hypotension
Q19. Sodium amount in Normal
Saline [ 0.9% NaCl ] :
a) 75 mmol
b) 90 mmol
c) 154 mmol
d) 200 mmol
· Half NS [ 0.45% NaCl ] has 77 mmol , Quarter NS [ 0.22% NaCl ]
has 39 mmol
Q20. Group A Hemolytic
streptococcus, causes rheumatic fever when:
a) Invade
blood stream
b) Invade
myocardium
c) After tonsillitis and pharyngitis
d) Skin infection
· Acute rheumatic fever is a complication of respiratory
infections
· Post-streptococcal glomerulonephritis is a complication of
either strep throat or streptococcal skin infection
Q21. Man came with bruising and
increase time of bleeding with factor 8 deficiency :
a) Haemophilia A
b) Von
Willebrand disease
· Hemophilia A is clotting factor VIII deficiency & is the
most common form, Hemophilia B is factor IX deficiency. It is a Recessive
X-linked disorders
Q22. Anemia of chronic disease :
a) Decrease
iron and increase TIBC “in Iron Deficiency Anemia”
b) Increase
iron and increase TIBC
c) Increase iron and decrease TIBC
Q23. Man with polycythemia vera
came with bruising what causes decrease blood flow?
a) Hypervescosity
b) Hypoxia
c)
Hypovesicosity
Q24. Patient with polycythemia
vera the cause of bleeding in this patient is
a) Increase
viscosity
b) Low
platelets
· Polycythemia vera:
· Clonal proliferation of erythrocytes, leukocytes, and platelets
· Elevated erythrocyte mass is the most prominent feature
· Increased blood viscosity leads to
symptoms such as headache, dizziness,
pruritus, vertigo, or occlusive vascular lesions (eg, stroke and intermittent claudication)
· Platelet and erythrocyte abnormalities may cause symptoms such as gum
bleeding, epistaxis, gastrointestinal bleeding, and thromboembolism
· Treatment is mainly by regular phlebotomy to reduce packed cell volume
· Early diagnosis and treatment strongly influence prognosis
Q25. What is the major thing that
can tell you that patient have polycythemia vera rather than secondary
polycythemia:
a)
Hepatomegaly
b) Splenomegaly
c) Venous
engorgement
d)
Hypertension
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