MCQS Online Practice Questions and Answers

lady presents with hot flashes and other symptoms of menopause. What is the treatment option?

A. Topical estrogen

B. Conbined Oral Contraceptive

C. Biosphosphonate

D. Raloxifen

E. Hormone Replacement Therapy

A 24-year-old woman known to be suffering from panic disorder presents to the hospital with tingling and nu fingers. ABG: pH=7.52, PCO2=2.2kPa, PO2=11kPa, Bicarbonate-20.

What is the most likely condition?

A. Acute respiratory alkalosis

B. Compensated metabolic acidosis

C. Compensated respiratory alkalosis

D. Acute metabolic alkalosis

A 20 year's woman with no previous history of ear complains, presents with 1day history of severe pain in is extremely tender to examine.

What is the single most likely diagnosis?

A. Chondromalasia

B. Myringitis

C. Furuncle

D. Otitis media

E. Otitis Externa

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 74-year-old woman is referred to osteoporosis clinic for advice on management of osteoporosis. She has a history of hiatus hernia, hypertension, hypercholesterolemia, chronic kidney disease stage 4 and COPD. She has recently been found to have osteoporosis after a Colles' fracture. She is taking calcitriol, and other medication for her comorbidities.

Based on the information above, which would be the most appropriate agent for treatment of her osteoporosis?

A. Denosumab

B. Intravenous zoledronate

C. Strontium ranelate D. Calcium and Vitamin D supplements

At what CD4 count should anti-retroviral treatment commence in asymptomatic HIV patients?

A. Below 500/mm3

B. Below 100/mm3

C. Below 50/mm3

D. Below 200/mm3

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. Spiral CT scan

B. dimers

C. Heparin

D. Angiography

E. Lower extremity Doppler

A 10-month-old boy weighing 3 kg has polyuria, polydipsia and delayed motor milestones. His blood pressure is normal. Blood tests reveal: creatinine 80 mmol/l, sodium 128 mmol/l, chloride 90 mmol/l, potassium 3.0 mmol/l, calcium 2.7 mmol/l, bicarbonate 26 mmol/l and pH 7.46. Ultrasonography shows medullary nephrocalcinosis.

What is the most likely diagnosis?

A. Renal tubular acidosis

B. Bartter's syndrome

C. Pseudohypoaldosteronism

D. Diabetes insipidus