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Test Prep MCQS Exam Questions & Answers
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Test Prep MCQS Exam Questions & Answers


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  • Vendor: Test Prep

    Exam Code: MCQS

    Exam Name: Multiple-choice questions for general practitioner (GP) Doctor

    Certification Provider: Test Prep

    Total Questions: 249 Q&A ( View Details)

    Updated on: Mar 30, 2025

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MCQS Online Practice Questions and Answers

Questions 1

Fluoxetine half-life after acute administration is ______________________________

A. 1-4 days

B. 6-9 days

Show Answer

Correct Answer: A

The relatively slow elimination of fluoxetine (elimination half-life of 1 to 3 days after acute administration and 4 to 6 days after chronic administration) and its active metabolite, nor fluoxetine (elimination half-life of 4 to 16 days after acute and chronic administration), leads to significant accumulation of these active species in chronic use. After 30 days of dosing at 40 mg/day, plasma concentrations of fluoxetine in the range of 91 to 302 ng/mL and nor fluoxetine in the range of 72 to 258 ng/mL have been observed. Plasma concentrations of fluoxetine were higher than those predicted by single dose studies, presumably because fluoxetine's metabolism is not proportional to dose. Nor fluoxetine, however, appears to have linear pharmacokinetics. Its mean terminal half-life after a single dose was 8.6 days and after multiple dosing was 9.3 days.

Questions 2

A 32-year-old woman presents with malaise fatigue and fever. She complains about weight loss. Exam: malar nasolabial fold can be seen.

What is the most appropriate investigation?

A. Anti-histone

B. Anti-centromere

C. Anti-ds DNA

D. Anti Jo

E. Anti Scl70

Show Answer

Correct Answer: C

Features are suggestive of SLE. So most appropriate investigation from the given option DNA.

Questions 3

A third-year medical student is examining a patient who has acute onset of abdominal pain. The patient is a 65-year-old smoker with HTN and DM who has had dull abdominal pain gradually building for the last 12 hours. It is not related to food nor relieved by taking famotidine. On physical examination, auscultation reveals a bruit. Palpation shows a pulsatile mass. While lightly palpating the epigastrium, the patient suddenly becomes hypotensive and passes out.

What is the most likely diagnosis?

A. Hemorrhagic gastritis

B. Narcolepsy

C. Ruptured abdominal aortic aneurysm

D. Ruptured peptic ulcer

Show Answer More Questions

Correct Answer: C

A bruit and pulsatile abdominal mass are hallmark signs of an abdominal aortic aneurysm (AAA). The fact that the medical student was palpating the area and the patient passed out was a coincidence; however, syncope in the setting of the AAA is rupture until proven otherwise. Ruptured peptic ulcer would have more severe and sharp abdominal pain. Hemorrhagic gastritis could cause syncope, but the bleeding would cause emesis, and the patient is supine, so orthostasis is not of concern. Narcolepsy would not have hypotension. This patient's abdominal pain was from the AAA beginning to rupture and was dull and gradual in onset.

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