Q 106 Which of the following hormones is used in the treatment of depression?
a. Progesterone
b. Cortisol
c. ACTH
d. Levothyroxine
Q 107 A college student previously in good health, develops transient bladder incontinence. Three months later, after breaking up with her boyfriend, she presents to her doctor’s office complaining of weakness of the right leg.
What medical disorder, often confused with conversion disorder, is likely to have such presentation?
a. Myasthenia gravis
b. Guillain-Barré syndrome
c. Brain tumor
d. Multiple sclerosis
Q 108 Which of the following drugs may induce a psychosis that is easily confused with, or misdiagnosed as, paranoid schizophrenia?
a. Barbiturates
b. Heroin
c. Benzodiazepines
d. Amphetamines
Q 109 A 3-year-old girl is clumsy and poorly coordinated. Her language is impaired and she wrings her hands constantly. Her head is small in comparison with the rest of her body.
The most likely diagnosis is ?
A ) Asperger’s disorder
B ) Down syndrome
C ) Rett’s disorder
D ) Childhood disintegrative disorder
Q 110 A woman’s symptoms of major depression have partially improved after four weeks of fluoxetine, 60 mg a day. Her psychiatrist decides to try augmentation.
Which medication would be appropriate for augmentation?
A ) Lithium
B ) Progesterone
C ) Sertraline
D ) MAO inhibitor
#PSM
Q 111 Which persons in your city are at highest risk of developing severe infection?
a. The elderly
b. Newborns and young children
c. Diabetics
d. HIV-infected persons
Q 112 Which of the following vac- cines is CONTRAINDICATED during pregnancy?
a. Rabies vaccine
b. Varicella vaccine
c. Influenza vaccine
d. Tetanus toxoid
Q 113 A 42-year-old woman of Italian descent presents for a pre-employment physical examination. She has no past medical problems and takes no medications. Her physical examination is normal except for pale conjunctiva. FOBT is negative. CBC is remarkable for a hemoglobin of 11.4 g/dL, a MCV of 60 fL, and a reticulocyte count of 0.6%. White blood cell count and plate-lets are normal. Peripheral smear reveals microcytosis, hypochromia, acanthocytes (cells with irregularly spaced projections), and occasional target cells.
Which of the following is the most likely diagnosis?
a. Iron-deficiency anemia
b. Sideroblastic anemia
c. Anemia of chronic disease
d. Thalassemia trait
Q 114 What is the most common complication of flu?
A) Epistaxis
B) Pneumonia
C) Gastroenteritis
D) Dehydration
Q 115 What percentage of Down’s syndrome patients also have congenital cardiovascular disease?
a. 1%
b. 5%
c. 20%
d. 50%
Q 116 All are increased in case of isometric exercise except ?
a. heart rate
b. cardiac output
c. mean arterial pressure
d. systemic vascular resistance
Q 117 A retrospective study is conducted on Gulf War veterans to determine the risk factors contributing to Gulf War syndrome.
What statistical tool would be best to determine the most significant contributor?
a. Anova-analysis
b. Normal distribution
c. Odds ratio
d. Paired sample t-test
Q 118 A research study of 100 patients shows that their calcium levels range from 8.8-15.1 milligrams/deciliter (mg/dL), with a mean of 12.1 mg/dL. The calcium levels fall in a normal distribution, with a standard deviation of 1.0 mg/dL.
Based on this study, we know that the percentage of calcium values below 10.1 is approximately ?
a. 1%
b. 2%
c. 5%
d. 8%
Q 119 A 16-year-old basketball player complains of pain in his knees. A physical examination reveals, in addition to tenderness, a swollen and prominent tibial tuberosity. Radiographs of the area are unremarkable.
The most likely diagnosis is ?
a. Osgood-Schlatter disease
b. Popliteal cyst
c. Slipped capital femoral epiphysis
d. Legg-Calvé-Perthes disease
Q 120 Meniscal tears usually result from which of the following circumstances?
A ) Hyperextension
B ) Flexion and rotation
C ) Simple hyperflexion
D ) Compression