A 5-year-old boy is brought to the emergency room with inspiratory and
expiratory stridor, high fever, and drooling. Initial treatment consists of
A) Oxygen therapy
B) Airway management by trained personnel
C) Inhaled bronchodilators
D) Lying the child in the supine position
E) Administration of epinephrine
Which of the following is the standard prophylaxis treatment for
subacute bacterial endocarditis (SBE) for dental procedures in low-risk
A) Amoxicillin: 1 g given intravenously at the time of the procedure
B) Amoxicillin: 2 g given orally 1 hour before the procedure
C) Ampicillin: 2 g given intravenously plus gentamicin (1.5 mg/kg
intravenously) 30 minutes before the procedure; dose repeated 8 hours
after the procedure
D) Ampicillin: 500 mg given orally 1 hour before the procedure and 250
mg given 6 hours after the procedure
Which of the following antibiotics given alone is adequate for
prophylaxis when performing an appendectomy?
A drug is experimented at half life of 4 hours, what would be drug conc: eliminated after 20hrs
a patient present with senstivty to cold .his plasma concentration reveal high cholestrol and raised TSH he showed exagrateedd plasma rise is tsh release is response to thyrotopinre release haarmone trh stimulation,he is must likely have.....
a..primary thyroid failure
A 31-year-old is seen in the emergency room for lateral foot pain that
occurred when he fell playing basketball. X-rays of the foot confirm a
displaced fracture of the proximal fifth metatarsal. Appropriate management
A) Nonsteroidal anti-inflammatory drugs (NSAIDs) and limited weight
bearing with a gradual return to usual activities in 2 to 4 weeks
B) Crutches with no weight bearing for 4 to 6 weeks
C) Short leg walking cast for 6 to 8 weeks
D) External reduction followed by casting for 6 to 8 weeks with limited
E) Orthopedic referral
A55 yo presents to e.r with s.o.b since morning. Last month he was admitted following an ibferior wall m.i , he started on aspirin atorvastatin lisinopril and bisoprolol . An echo performed following m.i showed normal left ventricular function. He is still a smoker despite repeated attempts to give up . Examination today reveals bibasal crackles whilst the chest x ray shows upper lobe diversion and perihilar shadowing . The ecg and cardiac enxymes are normal
What is the mist likely causes of breathlessness
D.renal artery stenosis
E.anterior myocardial infarction .
A 64yo man has recently suffered from an MI and is on aspirin, atorvastatin and ramipril. He has
been having trouble sleeping and has been losing weight for the past 4 months. He doesn’t feel
like doing anything he used to enjoy and has stopped socializing. He says he gets tired easily and
can’t concentrate on anything. What is the most appropriate tx?
A 67yo man after a stroke, presents with left sided ptosis and constricted pupil. He also has loss
of pain and temp on the right side of his body and left side of his face. Which part of the brain is
most likely affected?
a. Frontal cortex
e. Parietal cortex
A 74-year-old female presents with a flat affect, poor
eye contact, and limited interaction during the inter-
view. Upon physical examination, there is no rigidity,
bradykinesia, or tremors noted and the neurologic
examination appears to be normal. During the Mini-
Mental Status Examination (MMSE) questions she re-
sponds to many of the questions with “I don’t know.”
A likely diagnosis in this patient is:
a. Parkinson disease
A 60yo man presents with dysphagia and pain on swallowing both solids and liquids. A barium
meal shows gross dilatation of the esophagus with a smooth narrowing at the lower end of the
esophagus. What is the SINGLE most likely cause of dysphagia?
b. Myasthenia gravis
c. Esophageal carcinoma
d. Esophageal web
e. Systemic sclerosis
A 59-year-old female presents with a two month history of indigestion. She is otherwise well, has not
had a similar episode before and takes no regular medication Of note there is no recent weight loss or
vomiting and abdominal examination is unremarkable. What is the most appropriate initial
© Long-term course of a H2 receptor antagonist
© Lifestyle advice with follow-up appointment in one month
© Urgent referral for endoscopy
© One month course of a full-dose proton pump inhibitor
© Urea breath testing and treat for H pylori if positive
A 47-year-old man presents with a skin lesion that has been changing in
size and shape. On examination, she is found to have a 7-mm, asymmetric,
darkly pigmented lesion with some color variegation and irregular borders.
Which one of the following skin biopsy techniques is most appropriate for
confirming the diagnosis?
A) A shave biopsy
B) Electrodesiccation and curettage
C) Elliptical excision
D) Mohs’ surgery
After hip surgery, deep vein thrombosis (DVT) prophylaxis should be
maintained for at least
A) 24 hours
B) 3 days
C) 10 days
D) 1 month
A 3-year-old girl presents with foul smelling post-nasal drip, temperature of 102 F, and perceptible swelling of the face. Which of the following is the most important reason to diagnose and treat this condition in timely fashion?
(A) It presents with a malodorous discharge
(B) To avert febrile seizure
(C) It may be caused by lactamase-producing organisms
(D) Orbital cellulitis is a feared complication
(E) Treatment must be carried out for 3 weeks
A 12-year-old female patient is diagnosed as having streptococcal pharyngitis. To prevent rheumatic fever in this child, how soon must the treatment begin to eradicate the Streptococcus ?
(A) 48 hours
(B) Five days
(C) Nine days
(D) Fifteen days
(E) Twenty days
Which of the following statements regarding cholecystectomy is false?
A) Between 5% and 26% of patients undergoing elective laparoscopic
cholecystectomy require conversion to an open procedure.
B) A common reason for conversion to an open procedure is failure to
identify the anatomy.
C) Laparoscopic cholecystectomy is safer than an open procedure.
D) Laparoscopic cholecystectomy has a lower rate of common bile duct
E) Common bile duct injuries are extremely difficult to repair.
A 24-year-old male is in the examining room to com-plain of stuffy nose in the aftermath of a viral cold of 5-day duration. He relates that he has taken a propri-etary nasal spray for self-treatment of this symptom for the past 3 days and has noted that the stuffiness has become bilateral and has now interfered seriously with his sleep. Which of the following is an accepted rational approach to the treatment of this condition?
(A) Moist warm air nasal inhalation and inhaled glucocorticoids while the topical medication is withdrawn
(B) Prescribing more potent vasoconstrictors in a topical preparation
(C) Prescription of longer acting nasal decongestants
(D) Discontinue the nose drops and skin test for desensitization to treat atopic allergies
(E) Topical application of a basophile stabilizing agent such as cromolyn