MCQ 12

A 30-year-old male patient complains of fever and sore throat for several days. The patient
presents to you today with additional complaints of hoarseness, difficulty breathing, and
drooling. On examination, the patient is febrile and has inspiratory stridor. Which of the
following is the best course of action?

a. Begin outpatient treatment with ampicillin
b. Culture throat for β-hemolytic streptococci
c. Admit to intensive care unit and obtain otolaryngology consultation
d. Schedule for chest x-ray

Answer and explanation

MCQ 11

True statements concerning vaccines include

a. Inactivated vaccines are hazardous to the mother
b. Cases of congenital rubella syndrome have been reported in fetuses born to mothers
    who were immunized   early in pregnancy
c. Inactivated vaccines are hazardous to the fetus
d. The polio virus has the ability to spread from the vaccine to susceptible persons in the
    immediate environment
e. Nonimmune pregnant women who are exposed to children who recently received the
    measles-mumps-rubella (MMR) vaccine are at high risk of delivery of an infected fetus

Answer and explanation

MCQ 10

You are called to a delivery of a term infant, about to be born via cesarean section to a mother with multiple medical problems including a 1-month history of a seizure disorder, for which she takes phenytoin; rheumatic heart disease, for which she must take penicillin daily for life; hypertension, for which she takes propanolol; acid reflux, for which she takes aluminum hydroxide; and a deep venous thrombosis in her left calf diagnosed two days ago, for which she was started on a heparin infusion.The obstetrician is concerned about the possible effects of the mother’s multiple medications on the newborn infant. You correctly note that the one medication most likely to cause harm in this newborn infant at delivery is
a. Propanolol
b. Penicillin
c. Aluminum hydroxide
d. Phenytoin
e. Heparin

MCQ 9

A 35-year-old alcoholic male is admitted for nausea, vomiting, and abdominal pain that radiates to the back. The laboratory value that suggests a poor prognosis in this patient is
a. Elevated serum lipase
b. Elevated serum amylase
c. Leukocytosis of 20,000/μm
d. Diastolic blood pressure greater than 90 mmHg

Answer and explanation :

MCQ 8

Which one of the following is not a precipitating factor for chronic pancreatitis?

a)chronic smoking
b)malnutrition
c)viral infections
d)alcoholism

Answer and explanation

MCQ 7

Which of the following cannot be assessed by an ultrasound?
a) placental age
b) fetal kidney function
c) fetal breathing
d) oesophageal atresia.

 Answer and explanation

MCQ 6

A 25 year old woman presents with vaginal spotting and right lower quadrant abdominal pain.There is minimal dark blood in the vaginal vault,and her cervix is closed and thick.Quantitative serum hCG is 4000 mIU/ml. A transvaginal ultrasound (TVUS) shows no evidence of pregnancy inside the uterus. What is the most likely diagnosis?
a. Hydatidiform mole
b. Ectopic pregnancy
c. Appendicitis
d. Endometriosis

Answer and explanation :