Here today we are going to start Mock Exam Series for preparation of SLE..
Questions will be posted and answers will be posted in the end of paper in a link...
Key to solve these questions are as follows:
Do questions before going through answers. Best of luck for your exam
============================================================
Mock Exam 1
Q1 - 502) 59 y/o presented with new onset supraventicular tachycardia with palpitation,no Hx of SO Or chest pain ,chest examination normal , oxygen sat in room air = 98% no peripheral edemaOthers normal, the best initial investigation:
a. ECG stress test
b. Pulmonary arteriography
c. CT scan
d. Thyroid stimulating hormone
Q2 -Lactating women presented with breast engorgment and tendress Your managements:
a. Warm compressor and continoue breast feeding
b. Dicloxacillin and continoue breast feeding
c. Dicloxacillin and milk expression
d. Discontinoue breast feeding and cold compressor
Q3 -The Fastest route of antipsychotic is:
a. IM
b. IV
c. Oral
d. Sublingual
Q4 -While you are in the clinic you find that many patients presents with red follicular conjactivitis (Chlamydia ) your management is:
a. Improve water supply and sanitation
b. Improve sanitation and destroying of the vector
c. Eradication of the reservoir and destroying the vector
d. Destroy the vector and improve the sanitation
Q5 - The most important exogenous risk factor for osteoporosis is:
a. Alcohol intake
b. Age
c. Smoking
d. Lack of exercise
Q6 -Patient with family history of coronary artery disease his BMI= 28 came to you asking for the advice:
a. Start 800 calorie intake daily
b. Decrease carbohydrate daytime
c. Increase fat and decrease protein
d. Start with decrease ……. K calorie per kg per week
Q7 -Lactating mother newly diagnosed with epilepsy , taking for it phenobarbital you advice is:
a. Discontinue breastfeeding immediately
b. Breastfeed baby after 8 hours of the medication
c . Continoue breastfeeding as tolerated
Q8 - Pregnant women has fibroid with of the following is True:
a. Presented with severe anemia
b. Likely to regress after Pregnancy
c. Surgery immediately
d. Presented with Antepartum He
Q9 - 510) A known case of chronic atrial fibrillation on the warfarin 5 mg came for follow up you find INR 7 but no signs of bleeding you advice is:
a. Decrease dose to 2.5 mg
b. Stop the dose and repeat INR next day
c. Stop warfarin
d. Continoue same and repeat INR
Q10 - Patient is a known case of CAD the best exercise:
a. Isotonic exercise
b. Isometric exercise
c. Anerobic exe
d. Yogha
Q11 - The mechanism of action of Aspirin:
a. Inhibit cycloxgenase
b. Inhibit phospholipase A2
c. Inhibit phospholipid D
Q12 - 513) The absolute contraindication of breastfeeding is :
a. Asymptomatic HIV patient
b. Active hepatitis C
c. Pulmonary TB on treatment 3 months
Q13 - A boy felt down on his elbow , the lateral x-ray shows:
a. Anterior Pad sign
b. Posterior pad sign
c. Anterior line of humerous intersecting the cubilium
d. Radial line forming 90 degree with cubilium
Q14 - A known case of treated hodgkin lymphoma(mediastinal mass) with radiotherapy Not on regular follow up presented with gradual painless difficulty in swallowing and SOB , There is facial swelling and redness : DX
a. SVC obstruction
b. IVC obstruction
c. Thoracic aortic aneurysm
d. Abdominal aortic aneursm
Q15 - Patient is presented with hand cellulitis and red streaks in the hand and tender axillary lymphadenopathy. This condition is more likely to be associated with:
a. Malignancy
b. Pyoderma
c. Neuropathy
d. Lymphangitis
Q16 -Young aged male presented to ER after blunt trauma to Abdomen, CT scan shows intramural hematoma: your management is
a. Lapratomy with evacuation of the hematoma
b. Dissection of duodenum
c. Observation
Q17 -Patient presented with sore throat, anorexia, loss of appetite , on throat exam showed enlarged tonsils with petechi on palate and uvula , mild tenderness of spleen and liver :DX
a. Group A strep b. EBV
Q18 -Patient with GERD has barret esophagus , this metaplasia increase risk of :
a. Adenocarcinoma b. Squmaou cell carcinoma
Q19 -Which of the following medication can be used as prophylaxis in appendectomy:
a. Cephalexin
b. Ceftriaxone
c. Metronidazole
d. Vancomycin
e. Ampicillin
Q20 -Which of the following prognostic factor for SLE:
a. ANA levels
b. Sex
c. Age
d. Renal involvement
Q21 -The most common site for osteomyelitis is:
a. Epiphysis
b. Diaphysis
c. Metaphysis
d. Blood flow
Q22 - In “holding breath holding” which of the following True:
a. Mostly occurs between age of 5 and 10
b. Increase Risk of epilepsy
c. A known precipitant cause of generalized convulsion d. Diazepam may decrease the attack
Q23 - Infant presented with hemangioma on the back . your management is:
a. Intralesional injection of corticosteroids
b. Topical corticosteroids
c. Excise of the lesion
Q24 - Pregnant lady , 34 wk GA , presented with vaginal bleeding more than her menstruation. On examination , cervix is dilated 3 cm with bulging of the membrane, fetal heart rate = 170 bpm . The fetus lies transverse with back facing down . us done and shows that placenta is attached to posterior fundus and sonotranulence behind placenta. Your management is :
a. C/S b. Oxytocin c.Tocolytics
d.Amniotomy
Q25 - Infant with congenital hip dislocation:
a. +ve click in flexion ,abduction
b. The only treatment is surgery
c. Not reduced with flexion and abduction of the hip
----------------------------------------------------------------------------------------
Here are answers with explanation
Questions will be posted and answers will be posted in the end of paper in a link...
Key to solve these questions are as follows:
Do questions before going through answers. Best of luck for your exam
============================================================
Mock Exam 1
Q1 - 502) 59 y/o presented with new onset supraventicular tachycardia with palpitation,no Hx of SO Or chest pain ,chest examination normal , oxygen sat in room air = 98% no peripheral edemaOthers normal, the best initial investigation:
a. ECG stress test
b. Pulmonary arteriography
c. CT scan
d. Thyroid stimulating hormone
Q2 -Lactating women presented with breast engorgment and tendress Your managements:
a. Warm compressor and continoue breast feeding
b. Dicloxacillin and continoue breast feeding
c. Dicloxacillin and milk expression
d. Discontinoue breast feeding and cold compressor
Q3 -The Fastest route of antipsychotic is:
a. IM
b. IV
c. Oral
d. Sublingual
Q4 -While you are in the clinic you find that many patients presents with red follicular conjactivitis (Chlamydia ) your management is:
a. Improve water supply and sanitation
b. Improve sanitation and destroying of the vector
c. Eradication of the reservoir and destroying the vector
d. Destroy the vector and improve the sanitation
Q5 - The most important exogenous risk factor for osteoporosis is:
a. Alcohol intake
b. Age
c. Smoking
d. Lack of exercise
Q6 -Patient with family history of coronary artery disease his BMI= 28 came to you asking for the advice:
a. Start 800 calorie intake daily
b. Decrease carbohydrate daytime
c. Increase fat and decrease protein
d. Start with decrease ……. K calorie per kg per week
Q7 -Lactating mother newly diagnosed with epilepsy , taking for it phenobarbital you advice is:
a. Discontinue breastfeeding immediately
b. Breastfeed baby after 8 hours of the medication
c . Continoue breastfeeding as tolerated
Q8 - Pregnant women has fibroid with of the following is True:
a. Presented with severe anemia
b. Likely to regress after Pregnancy
c. Surgery immediately
d. Presented with Antepartum He
Q9 - 510) A known case of chronic atrial fibrillation on the warfarin 5 mg came for follow up you find INR 7 but no signs of bleeding you advice is:
a. Decrease dose to 2.5 mg
b. Stop the dose and repeat INR next day
c. Stop warfarin
d. Continoue same and repeat INR
Q10 - Patient is a known case of CAD the best exercise:
a. Isotonic exercise
b. Isometric exercise
c. Anerobic exe
d. Yogha
Q11 - The mechanism of action of Aspirin:
a. Inhibit cycloxgenase
b. Inhibit phospholipase A2
c. Inhibit phospholipid D
Q12 - 513) The absolute contraindication of breastfeeding is :
a. Asymptomatic HIV patient
b. Active hepatitis C
c. Pulmonary TB on treatment 3 months
Q13 - A boy felt down on his elbow , the lateral x-ray shows:
a. Anterior Pad sign
b. Posterior pad sign
c. Anterior line of humerous intersecting the cubilium
d. Radial line forming 90 degree with cubilium
Q14 - A known case of treated hodgkin lymphoma(mediastinal mass) with radiotherapy Not on regular follow up presented with gradual painless difficulty in swallowing and SOB , There is facial swelling and redness : DX
a. SVC obstruction
b. IVC obstruction
c. Thoracic aortic aneurysm
d. Abdominal aortic aneursm
Q15 - Patient is presented with hand cellulitis and red streaks in the hand and tender axillary lymphadenopathy. This condition is more likely to be associated with:
a. Malignancy
b. Pyoderma
c. Neuropathy
d. Lymphangitis
Q16 -Young aged male presented to ER after blunt trauma to Abdomen, CT scan shows intramural hematoma: your management is
a. Lapratomy with evacuation of the hematoma
b. Dissection of duodenum
c. Observation
Q17 -Patient presented with sore throat, anorexia, loss of appetite , on throat exam showed enlarged tonsils with petechi on palate and uvula , mild tenderness of spleen and liver :DX
a. Group A strep b. EBV
Q18 -Patient with GERD has barret esophagus , this metaplasia increase risk of :
a. Adenocarcinoma b. Squmaou cell carcinoma
Q19 -Which of the following medication can be used as prophylaxis in appendectomy:
a. Cephalexin
b. Ceftriaxone
c. Metronidazole
d. Vancomycin
e. Ampicillin
Q20 -Which of the following prognostic factor for SLE:
a. ANA levels
b. Sex
c. Age
d. Renal involvement
Q21 -The most common site for osteomyelitis is:
a. Epiphysis
b. Diaphysis
c. Metaphysis
d. Blood flow
Q22 - In “holding breath holding” which of the following True:
a. Mostly occurs between age of 5 and 10
b. Increase Risk of epilepsy
c. A known precipitant cause of generalized convulsion d. Diazepam may decrease the attack
Q23 - Infant presented with hemangioma on the back . your management is:
a. Intralesional injection of corticosteroids
b. Topical corticosteroids
c. Excise of the lesion
Q24 - Pregnant lady , 34 wk GA , presented with vaginal bleeding more than her menstruation. On examination , cervix is dilated 3 cm with bulging of the membrane, fetal heart rate = 170 bpm . The fetus lies transverse with back facing down . us done and shows that placenta is attached to posterior fundus and sonotranulence behind placenta. Your management is :
a. C/S b. Oxytocin c.Tocolytics
d.Amniotomy
Q25 - Infant with congenital hip dislocation:
a. +ve click in flexion ,abduction
b. The only treatment is surgery
c. Not reduced with flexion and abduction of the hip
----------------------------------------------------------------------------------------
Here are answers with explanation
Q1 - 59 y/o presented with new onset
supraventicular tachycardia with palpitation,no Hx of SO Or chest pain ,chest
examination normal , oxygen sat in room air = 98% no peripheral edemaOthers
normal, the best initial investigation:
a. ECG
stress test b. Pulmonary arteriography
c. CT scan
d. Thyroid
stimulating hormone
the correct answer is d
Q2 - Lactating women presented with breast
engorgment and tendress Your managements:
a. Warm compressor and continoue breast feeding
b. Dicloxacillin and continoue breast
feeding
c. Dicloxacillin and milk expression
d. Discontinoue breast feeding and cold compressor
the
correct answer is a . tis case is ( engorgement of breast ) . but if there are
redness , swelling , fever this case is
( mastitis ) and choose b
Q3 - The Fastest
route of antipsychotic is:
a. IM
b. IV
c. Oral
d. Sublingual
the correct answer is b
Q4 - While you
are in the clinic you find that many patients presents with red follicular
conjactivitis (Chlamydia ) your management is:
a. Improve water supply and
sanitation
b. Improve sanitation and destroying of the vector
c. Eradication of the reservoir and
destroying the vector
d. Destroy the vector and improve the
sanitation
the correct answer is a
Q5 - The most
important exogenous risk factor for osteoporosis is:
a. Alcohol intake
b. Age
c. Smoking
d. Lack of exercise
the
correct answer is c
Q6 - Patient
with family history of coronary artery disease his BMI= 28 came to you asking for
the advice:
a. Start
800 calorie intake daily
b. Decrease
carbohydrate daytime
c. Increase fat and decrease protein
d. Start with
decrease ……. K calorie per kg per week
the correct answer is d
Q7 - Lactating
mother newly diagnosed with epilepsy , taking for it phenobarbital you advice
is:
a. Discontinue
breastfeeding immediately
b. Breastfeed baby after 8 hours of the medication
c . Continoue
breastfeeding as tolerated
the correct answer is c
-very vague question , some books avoid Phenobarbital during breast feeding if
possible. And in American academy of pediatric classified Phenobarbital as
adrug that cause major advers effect in some nursing infant, and should be given
to nursing women with cation .
Q8 - Pregnant
women has fibroid with of the following is True:
a. Presented with severe anemia
b. Likely to regress after
Pregnancy
c. Surgery immediately
d. Presented with
Antepartum He
the
correct answer is b
Fibroids may also be the
result of hormones. Reproductive hormones like estrogen and progesterone can
stimulate cell growth, causing fibroids to form. During pregnancy, your influx
of hormones may cause your fibroids to grow in size. After pregnancy and
during menopause most fibroids begin to shrink, due
to a lack of hormones.
Q9 - A known
case of chronic atrial fibrillation on the warfarin 5 mg came for follow up you
find INR 7 but no signs of bleeding you advice is:
a. Decrease dose to 2.5 mg
b. Stop the dose
and repeat INR next day
c. Stop warfarin
d. Continoue same and repeat INR
the
correct answer is b
INR
|
ACTION
|
>10
|
Stop warfarin. Contact patient
for examination. MONITOR INR
|
7-10
|
Stop warfarin for 2 days;
decrease weekly dosage by 25% or by 1 mg/d for next week (7 mg total);
monitor INR
|
4.5-7
|
Decrease weekly dosage by 15%
or by 1 mg/d for 5 days of next week (5 mg total); repeat monitor INR
|
3-4.5
|
Decrease weekly dosage by 10%
or by 1 mg/d for 3 days of next week (3 mg total); repeat monitor INR.
|
2-3
|
No change.
|
1.5-2
|
Increase weekly dosage by 10%
or by 1 mg/d for 3 days of next week (3 mg total);
|
<1.5
|
Increase weekly dose by 15% or
by 1 mg/d for 5 days of next week (5 mg total);
|
Q10 - Patient
is a known case of CAD the best exercise:
a. Isotonic exercise
b. Isometric
exercise
c. Anerobic exe
d. Yogha
the
correct answer is c
1-anerobic
exercise ( endurance ) : for improve cardiac function 2-
weight bearing excercise ( isometric ) : for build muscle strength , bone
density
3- stretching excercise : for prevent cramp , stiffness and back pain
Q11 - The
mechanism of action of Aspirin:
a. Inhibit cycloxgenase
b. Inhibit
phospholipase A2
c. Inhibit
phospholipid D
the
correct answer is a
Q12 - The
absolute contraindication of
breastfeeding is :
a. Asymptomatic
HIV patient
b.
Active hepatitis C
c. Pulmonary TB on
treatment 3 months
The
correct answer is a
Absolute
contraindication of breastfeeding :
1-Infants
with galactosemia.
2-Mothers
who use illegal drugs.
3-Mothers
infected with HIV, human T-cell lymphotropic virus type I or type II, or who
have an active herpes lesion on the breast.
4-Mothers
taking any of the following medications: radioactive isotopes, cancer
chemotherapy agents, such as antimetabolites .
Q13 - A boy
felt down on his elbow , the lateral x-ray shows:
a.
Anterior Pad sign
b. Posterior pad sign
c. Anterior line of humerous
intersecting the cubilium
d. Radial line forming 90 degree
with cubilium
the correct answer is A
Q14 - A known
case of treated hodgkin lymphoma(mediastinal mass) with radiotherapy Not on
regular follow up presented with gradual painless difficulty in swallowing and SOB
, There is facial swelling and redness : DX
a.
SVC obstruction
b. IVC obstruction
c. Thoracic aortic aneurysm
d. Abdominal aortic aneursm
The
correct answer is a
________________________________________________________________________
Q15 - Patient
is presented with hand cellulitis and red streaks in the hand and tender
axillary lymphadenopathy. This condition is more likely to be associated with:
a.
Malignancy
b. Pyoderma
c.
Neuropathy
d. Lymphangitis the correct answer is b (I'm not sure )
Q16 - Young
aged male presented to ER after blunt trauma to Abdomen, CT scan shows
intramural hematoma: your management is
a. Lapratomy with evacuation of the hematoma
b. Dissection of duodenum
c. Observation
the correct answer is c
Q17 - Patient
presented with sore throat, anorexia, loss of appetite , on throat exam showed
enlarged tonsils with petechi on palate and uvula , mild tenderness of spleen
and liver :DX
a. Group A strep
. b. EBV
The correct answer is b
Q18 - Patient
with GERD has barret esophagus , this metaplasia increase risk of :
a. Adenocarcinoma
b. Squmaou cell carcinoma
the
correct answer is a
Q19 - Which of
the following medication can be used as prophylaxis in appendectomy:
a. Cephalexin
b. Ceftriaxone
c. Metronidazole
d. Vancomycin
e. Ampicillin
The
correct answer is c
1st
line of antibiotic : 1- cefoxitin 2-
cefotetan
2nd
line of treatment : 1- metradinazole 2-
ampicikkin-sulbactam
Q20 - Which of
the following prognostic factor for SLE:
a. ANA levels
b. Sex
c. Age
d.
Renal involvement
The
correct answer is d
Q21 - The most
common site for osteomyelitis is:
a. Epiphysis
b. Diaphysis
c. Metaphysis
d. Blood flow
The
correct answer is c
Q22 - In
“holding breath holding” which of the following True:
a. Mostly occurs between age
of 5 and 10
b. Increase Risk of epilepsy
c. A known precipitant cause of generalized convulsion
d. Diazepam may decrease the attack
b. Increase Risk of epilepsy
c. A known precipitant cause of generalized convulsion
d. Diazepam may decrease the attack
Breath holding spells are the occurrence of episodic apnea in
children, possibly associated with loss of consciousness, and changes in
postural tone. They are most common in children between 6 and 18 months and
usually not present after 5 years of age. They are unusual before 6 months
of age. A positive family history can be elicited in 25% of cases. It may be
confused with a seizure disorder.
There are four types of breath
holding spells.
1-The most common is termed simple breath holding
spell, in which the manifestation is the holding of breath in end
expiration. There is no major alteration of circulation or oxygenation and the
recovery is spontaneous.
2-The second type are the Cyanotic
breath-holding spells. They are usually precipitated by anger or
frustration although they may occur after a painful experience. The child cries
and has forced expiration sometimes leading to cyanosis
(blue in color), loss of muscle tone, and loss of consciousness. The
majority of children will regain consciousness. The child usually recovers
within a minute or two, but some fall asleep for an hour or so.
Physiologically, there is often hypocapnea (low levels of carbon dioxide) and
usually hypoxia (low levels of oxygen. There is no "post ictal" phase
(as is seen with seizures), no incontinence, and the child is fine in between
spells. EEGs
are normal in these children. There is no relationship to the subsequent
development of seizures or cerebral injury as a consequence of breath holding
spells.
3-In the third type, known as Pallid breath-holding
spells, the most common stimulus is a painful event. The child turns
pale (as opposed to blue) and loses consciousness with little if any crying.
The EEG is also normal, and again there is no post ictal phase, nor incontinence. The child is usually alert within
a minute or so. There may be some relationship with adulthood syncope in children with this type of spell.
4- A fourth type,
known as Complicated breath-holding spells, may simply be a more
severe form of the two most common types. This type generally begins as either
a cyanotic or pallid spell that then is associated with seizure
like activity. An EEG taken while the child is not having a spell is still
generally normal.
DX: clinical , good history include sequence of event ,
lack of incontinence and no post ictal phase.
Treatment : reassurance and iron.
Q23 - Infant presented with hemangioma on the back . your management is:
a. Intralesional injection of corticosteroids
b. Topical corticosteroids
c. Excise of the lesion
Q24 - Pregnant
lady , 34 wk GA , presented with vaginal bleeding more than her menstruation. On
examination , cervix is dilated 3 cm with bulging of the membrane, fetal heart
rate = 170 bpm . The fetus lies transverse with back facing down . us done and
shows that placenta is attached to posterior fundus and sonotranulence behind
placenta. Your management is :
a. C/S b.Oxytocin
c.Tocolytics
d.Amniotomy a the correct answer is
Q25 - Infant
with congenital hip dislocation:
a. +ve click in flexion ,abduction
b. The only treatment is surgery
c. Not reduced with flexion and abduction
of the hip
the
correct answer is a . this is ortolani test
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