MCQS無料問題集「Test Prep Multiple-choice questions (MCQS) Prometric MCQS for general practitioner (GP) Doctor」

質問 1

A 58-year-old man comes to the office a few days after an episode of chest pain. This was his first episode of pain, and he has no risk factors. In the emergency department, he had a normal EKG and normal CK-MB and was released the next day.
Which of the following is most appropriate in his further management?

（A）LDL level

（B）Statin

（C）Stress (exercise tolerance) testing

（D）Repeat CK-MB

正解：C 解答を投票する

質問 2

A young man comes up with a headache, which he describes that this headache is the most severe headache in his life.
Which of the following will be less useful?

（A）Skull X ray

（B）Asking more details about headache

（C）Do MRI or CT scan

（D）Lumbar Puncture

正解：A 解答を投票する

質問 3

A 45-year-old IV drug abuser is brought into the Emergency room with complaint of fever, shivering, malaise, dyspnea and productive cough. Exam: temp=39C, pulse=110bpm, BP=100/70mmHg. Inv: CXR= bilateral cavitating bronchopneumonia.
What is the single most likely causative organism?

（A）Pseudomonas

（B）Chlamydia

（C）Staphylococcus

（D）PCP

正解：C 解答を投票する

質問 4

Most common nerve injured in supracondylar fracture humerus?

（A）Anterior interosseous nerve

（B）Median

（C）Radial

（D）Ulnar

正解：A 解答を投票する

質問 5

A 53-year-old lady presents with hot flash and night sweats. Her LMP was last year. She had Myocardial infarction.
What is the most appropriate management for her?

（A）Estrogen

（B）COCP (Combined OCP)

（C）Evening primrose

（D）Clonidine

（E）Raloxifene

正解：D 解答を投票する

質問 6

A new screening test has been devised to detect early stages of prostate cancer.
However, the test tends t of people with no cancer, although they do have cancer as diagnosed by other standard tests.
What is this flaw?

（A）False -ve

（B）True +ve

（C）True -ve

（D）Poor specificity

（E）False +ve

正解：A 解答を投票する

質問 7

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）IV 0.2 mg adrenaline

（B）Rapid infusion of crystalloid

（C）Needle decompression

（D）Intubation and 100% oxygen

正解：C 解答を投票する

質問 8

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）Biliary colic

（B）Mycocardial infarction

（C）Pancreatitis

（D）Boerhaave syndrome

（E）Volvulus

正解：D 解答を投票する

質問 9

14-year-old boy has been diagnosed with nephrotic syndrome. 5days later he presents with flank pain, hem urea levels. A diagnosis of renal vein thrombosis is made.
What is the most likely cause for renal vein thrombo?

（A）Loss of anithrombin III

（B）Protein C deficiency

（C）High estrogen levels

（D）Vasculitis

（E）Stasis

正解：A 解答を投票する

質問 10

A 32-year-old woman comes to the emergency department with lower abdominal pain and tenderness, fever leukocytosis, and cervical motion tenderness.
What is the next best step in the management of this patient?

（A）Laparoscopy

（B）Pelvic sonogram

（C）Ceftriaxone and doxycycline

（D）Urine pregnancy test

正解：D 解答を投票する

質問 11

A man develops erectile dysfunction after an infarction.
What is the most common cause?

（A）Nitrates

（B）ACE inhibitors

（C）Aspirin

（D）Anxiety

正解：D 解答を投票する

質問 12

A 30 years' woman presents with acute headache. She complains of seeing halos especially at night.
What is likely defect?

（A）Paracentral scotoma

（B）Central scotoma

（C）Mono-ocular field loss

（D）Cortical blindness

（E）Tunnel vision

正解：E 解答を投票する

質問 13

A patient with gross hematuria after blunt abdominal trauma has a normal appearing cystogram after the intravesical instillation of 400 ml of contrast. You should next order:

（A）A voiding cystourethrogram.

（B）An intravenous pyelogram.

（C）A retrograde urethrogram.

（D）A cystogram obtained after filling, until a detrusor response occurs

正解：C 解答を投票する

MCQS 無料問題集「Test Prep Multiple-choice questions (MCQS) Prometric MCQS for general practitioner (GP) Doctor」

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