Get 2023 Free Test Prep MCQS Exam Practice Materials Collection [Q129-Q149]

NO.129 Patient with history of 5 years Hypertension on thiazide, came to Emergency Room at midnight holding his Left foot, on examination patient afebrile, left foot tender erythema, swollen big toe is tender and painful, no other joint involvement.

NO.130 Patient with normal pressure hydrocephalus. CT brain picture distended ventricles.
What is initial treatment?

NO.131 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?

NO.132 A female presented with swelling over the neck that moves with swallowing with lymphadenopathy at external jugular vein. Swallowing diagnosed as thyroid carcinoma.
She has most likely which type?

NO.133 An asymptomatic 56years man who has never consumed alcohol came for a routine checkup. Exam: increase spider angioma, Cardiomegaly, S3 gallop, liver firm with 8cm span, no ascites.
He is in the risk of which condition?

NO.134 All are effective in Rx of hereditary angioedema except?

NO.135 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?

NO.136 A 42-year-old salesman was admitted with a diagnosis of pneumonia. He is allergic to erythromycin. X-ray shows a hazy opacity in the right lower and mid-zone. Blood investigations show hyponatremia and slight rise in the level of liver aminotransferase. After starting the medication on the fifth day he became acutely jaundiced and his liver aminotransferase level became very high. He also complained of discoloration of his urine, which did not show hematuria on dipstick testing.
Which of the following drugs probably caused the jaundice?

NO.137 Which of the following is the main difference between saphenous vein grafts and internal mammary artery grafts?

NO.138 Patient smoker and alcoholic come with difficulty in swallowing and neck mas.
What is an investigation?

NO.139 A 74-year-old woman, who has been followed for the past 25 years for chronic obstructive pulmonary disease (COPD) comes to the emergency department complaining of 48 hours of temperatures to 38.6 C (101.4 F) and worsening shortness of breath. She has a chronic productive cough, which has become more copious. On physical examination, she has rhonchi and increased fremitus in the posterior mid-lung field. A Gram’s stain reveals many epithelial cells and multiple gram-positive and gram-negative organisms; no neutrophils are seen.
Which of the following is the most likely organism causing the symptoms?

NO.140 Pregnant woman with UTI which is the best antibiotics to be given if she has no allergy?

NO.141 Chronic pancreatitis, investigation of choice?

NO.142 Old diabetic man with sudden unilateral visual loss. There is multiple pigmentation in retina with macular edema with hemorrhage.
What is the diagnosis?

NO.143 A 62-year-old man diagnosed with T2DM with BMI=33. Lifestyle modifications have failed to control blood. Labs: urea=3.6mmol/l, creatinine=89mmol/l.
What is the next appropriate management?

NO.144 7-year-old boy with red color urine.
Which initial test is necessary?

NO.145 A 45-year-old male, known case of Hypertension and type 2 diabetes on oral metformin 1000mg B FBS 110, and RBS 140, his HBAIC is more than 8%, what should be his HBA1C by American Diabetic guideline:

NO.146 A 64 year’s man believes a female newscaster is communicating directly with him when she turns a page.
Where is he suffering from?

NO.147 70 year’s woman is admitted with diarrhea, vomiting and dehydration. Exam: yellow visual halos in her e ECG=bradycardia. She has a history of chronic Atrial-fib.
Which drug causes the above mentioned side effects?

NO.148 A 2-month-old baby who has ambiguous genitalia presents to the Emergency room with vomiting Na+-125mmol/L, K+=6mmol/L.
What is the most likely diagnosis?

NO.149 A 77-years-old male presents with history of enuresis and change in behavior. Exam: waddling gait.
What is the most likely diagnosis?