최신 MCQS 무료덤프 - Test Prep Multiple-choice questions (MCQS) Prometric MCQS for general practitioner (GP) Doctor

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?

정답: C
Hypogammaglobulinemia is often present at the time of the diagnosis.
Which one of the following clinical findings is NOT characteristic of chronic lymphatic leukaemia?

정답: A
Which of the following is an absolute contraindication to the use of beta blockers?

정답: B
A 65-year woman is found on routine CBC to have a hematocrit of 32 percent (normal 37-42) and an MCV of 70 (normal 80-100). Her stool is heme-negative.
What should you do next?

정답: C
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?

정답: C
24-year-old man presented with 4-month history of diarrhea with streaks of blood & mucous. Ulcerative colitis was confirmed by colonoscopy.
The initial therapy for this patient is _______________________.

정답: D
A 45-year-old woman has a 2-cm breast cancer tumor removed by lumpectomy, and the breast is irradiated. The cancer is negative for estrogen receptors and positive for progesterone receptors. Three of 14 nodes removed from the axilla are positive for cancer.
What is the next best step in management?

정답: C
A 37-year-old lady strongly believes that a famous politician has been sending her flowers every day and is in love with her.
However, this is not the case.
What is the most likely diagnosis?

정답: B
A 47-year old man comes to the emergency department with fever, headache, photophobia, and a stiff neck.
What is the next best step in the management of this patient?

정답: A
Old diabetic man with sudden unilateral visual loss. There is multiple pigmentation in retina with macular edema with hemorrhage.
What is the diagnosis?

정답: A
60-year-old male complains of decreased libido, decreased ejaculation, FBS= 6.5 mmol, increased prolactin, normal FSH and LH.
What is the next step?

정답: B
A 24-year-old male with a history of gang violence presents to the emergency room with 3 stab wounds to the abdomen. He was intubated in the field for airway protection and is barely conscious. Blood pressure is 70/30 mm Hg and pulse is 140/min. On exam, 3 penetrating wounds covered by abdominal pressure pads are noted.
Which of the following is the best next step in management of this patient?

정답: C
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?

정답: C
Patient with normal pressure hydrocephalus. CT brain picture distended ventricles.
What is initial treatment?

정답: A
A 73-year-old woman has lymphadenopathy and splenomegaly. She feels well but has had recurrent chest infections recently.
Choose the single most likely blood film findings?

정답: D
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?

정답: E
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?

정답: C
A HTN patient on bendroflumethiazide 2.5mg/d has come for his routine checkup.
Exam: BP=145/85mmHg.
What is the most appropriate management for this patient?

정답: B
29 year's Old female has a breast lump in the upper outer quadrant of the left breast, firm, 2 cm. in size, no Lymphnodes enlargement diagnosed as fibroadenoma.
What is the management for the above patient?

정답: C

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