MCQS Online Practice Questions and Answers

A study was done amongst 2 hospitals for the equal number of cancer patients. It was noted that hospital A higher of mortality than hospital B for treated cancer patients.

What is the study done here classified as?

A. Cohort

B. Observational

C. Retrospective

D. Case study

A 33 year's man has a temp-38.5C, cough and chest pain on the right side on inspiration. He also has puru.

What is the most likely organism to cause pneumonia in this patient?

A. PCP cold agglutinins

B. AFB

C. Gram -ve doplicoccic

D. Gram +ve doplococcic

E. Coagulase +ve cocci

A patient presented to you who is known case of hypothyroidism and on thyroxin, he also has increase PT normal Vitamin D, Creatinine is very high.

On examination tapping of the angle of jaw produce facial spasms, what diagnosis?

A. Pseudohypoparathyroidism

B. DiGeorge syndrome

C. Chronic renal failure

D. Uncontrolled thyroid functions

A 78 year's retired teacher was admitted for a hernioplasty procedure. After the operation he became agitate and confused.

What is the most appropriate management?

A. Diazepam

B. Clozapine

C. Chlordiazepoxide

D. Thiamine

E. Vitamin B

What is the most specific test for syphilis?

A. TPI

B. Treponema antibody absorption test FTA-ABS

C. FAAT

A 75 year's lady who had mitral valve replacement 13 years ago has developed recurrent breathlessness. There is a prominent pulsation in her neck. She complains of abdominal pain and ankle swelling.

What is the most probably diagnosis?

A. Aortic regurgitation

B. Mitral stenosis

C. Tricuspid regurgitation

D. Mitral regurgitation

E. Pulmonary stenosis

Old diabetic man with sudden unilateral visual loss. There is multiple pigmentation in retina with macular edema with hemorrhage.

What is the diagnosis?

A. Diabetic retinopathy

B. Retinal vein thrombosis

C. Retinal artery occlusion

D. Retinal detachment

A 6-year-old girl presents with her 3rd episode of pallor and mildly icteric sclera associated with symptoms of mild upper RTI. On examination, she has an easily tipped spleen.

Which one of following investigations is most likely to confirm her diagnosis?

A. Eosin-5-maleimide (E5M) staining test

B. Hb electrophoresis

C. Howell-jolly bodies in a RBC smear

D. Reticulocyte count

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 癈. Oxygen saturation 60% on room air.

What's immediate action should be taken?

A. Rapid infusion of crystalloid

B. IV 0.2 mg adrenaline

C. Intubation and 100% oxygen

D. Needle decompression

An elderly man comes to the emergency department with fever, headache, a stiff neck, and photophobia. He is HIV positive with < 50 CD4 cells and a history of pneumocystis pneumonia. His head CT is normal. CSF shows 2,500 white cells that are all neutrophils; Gram stain is normal.

What is the best initial therapy?

A. Cefoxitin and mefloquine

B. Fluconazole

C. Ceftriaxone, ampicillin, and vancomycin

A 67-year-old homeless woman presents to the ED with substernal chest pain that began shortly after vomiting. The patient has a history of alcoholism and has just finished a 3-day binge of vodka. Physical examination reveals a "snap, crackle, and pop" upon palpation around the clavicles.

What is the most likely diagnosis?

A. Volvulus

B. Boerhaave syndrome

C. Mycocardial infarction

D. Pancreatitis

E. Biliary colic

Patient with normal pressure hydrocephalus. CT brain picture distended ventricles.

What is initial treatment?

A. Lumber punctures and drains fluid

B. Shunt

C. Diuretics

24-year-old man presented with 4-month history of diarrhea with streaks of blood and mucous. Ulcerative colitis was confirmed by colonoscopy.

The initial therapy for this patient is _______________________.

A. Aminosalicylic acid

B. Aral corticosteroid

C. Azathioprine

D. Infliximab

20-year-old patient with a red lesion on her face. She said this from birth. What is your management?

A. Topical steroid

B. Laser

C. Systemic steroid

D. Antifungal

Chronic pancreatitis, investigation of choice?

A. ERCP

B. MRCP

C. MRI

D. CECT