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Test Prep MCQS Exam Practice Questions (P. 2)

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Question #6
Victim of RTA came with multiple injuries to abdomen, chest and limbs. BP is 80/ 50. upper limb has upper third near amputation that bleeds profusely, what is your first thing to do:
  1. A
    Tourniquet the limb to stop the bleeding
  2. B
    Check the airway and breathing
  3. C
    Five IV fluid
  4. D
    Call orthopedic

Correct Answer:
B
As rule ABC also in description near amputation so difficult to make tourniquet enough which stops bleeding.

Question #7
lady presents with hot flashes and other symptoms of menopause. What is the treatment option?
  1. A
    Topical estrogen
  2. B
    Conbined Oral Contraceptive
  3. C
    Biosphosphonate
  4. D
    Raloxifen
  5. E
    Hormone Replacement Therapy

Correct Answer:
E

Question #8
40-year-old manual worker presents with a swelling in the groin. Exam: mass is found to be just above and l pubic tubercle. It is reducible. On applying pressure on the internal ring there is no cough impulse seen.
What probable diagnosis?
  1. A
    Direct inguinal hernia
  2. B
    Indirect inguinal hernia
  3. C
    Femoral hernia
  4. D
    Femoral aneurysm
  5. E
    Strangulated hernia

Correct Answer:
B
Indirect inguinal hernia. [Swelling in the groin; mass just above and lateral to the pubic tubercle mea hernia. It is reducible. On applying pressure on the internal ring there is no cough impulse; it means the hernia through deep ring, and enters scrotum passing through the Superficial ring. That means it is indirect inguinal hernia.

Question #9
During a basketball match, one of the players suddenly collapsed to the ground with coughing and SOB. What choice?
  1. A
    V/Q
  2. B
    CTPA
  3. C
    MRI
  4. D
    CT scan
  5. E
    CXR

Correct Answer:
E
CXR. Likely diagnosis is pneumothorax. So investigation of choice is CXR

Question #10
A 27-year-old man presents with abdominal pain. He says his urine is dark.
Exam: BP=160/105mmHg.
What is investigation?
  1. A
    Urine microscopy
  2. B
    Renal biopsy
  3. C
    Urine protein
  4. D
    US
  5. E
    CT

Correct Answer:
D
US. Abdominal pain, Dark urine (hematuria and hypertension suggests ADPKD. The sensitivity of ult ADPKD1 is 99% for at-risk patients older than 20 years.

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