Pretest 9 - Medicine

1
PRE-TEST 9
MEDICINE
INSTRUCTIONS: Select the correct answer for each of the following questions. Mark only one answer for
each item by shading the box corresponding to the letter of your choice on the answer sheet provided.
STRICTLY NO ERASURES ALLOWED.
MULTIPLE CHOICE
1. One of the clinical manifestations of chronic severe aortic regurgitation is a bounding and forceful
pulse which is rapidly increasing and subsequently collapsing. What is this called?
A. Corrigan’s pulse C. Quincke’s pulse
B. Traube sign D. De Musset sign
2. Principle features of Beck’s triad EXCEPT

A. Pericardial friction rub C. Hypotension
B. Soft or absent heart sounds D. Jugular venous distention
3. The following are part of BISAP score in Acute Pancreatitis EXCEPT

A. Pleural effusion C. Age > 60 years
B. BUN > 25mg/dL D. SIRS of ≥ 1 of 4 present
For numbers 4-5:
Case: A 50-year-old farmer presents to the emergency room with weight loss, abdominal enlargement
and coffee-ground vomiting. On examination, hepatosplenomegaly and lymphadenopathy was noted.
Fecalysis showed egg with small hook-like spine.
4. What is the most likely diagnosis?

A. Taeniasis C. Schistosomiasis
B. Strongyloidiasis D. Amoebiasis
5. What is the drug of choice?

A. Praziquantel C. Metronidazole
B. Albendazole D. Diethylcarbamazine
6. A 24-year-old medical student presents with pruritic rash on the face, scalp and back of the ear.
On physical examination, there is erythema and yellowish scale in the nasolabial folds and eye
brows. What is the most likely diagnosis?
A. Atopic dermatitis C. Dyshidrotic eczema
B. Psoriasis D. Seborrheic dermatitis
7. CKD is defined as having an

A. eGFR of <60 mL/min/1.73 m2 for at least 3 months
B. eGFR of <30 mL/min/1.73 m2 for at least 6 months
C. eGFR of <90 mL/min/1.73 m2 for at least 6 months
D. eGFR of <15 mL/min/1.73 m2 for at least 1 month
8. Most important risk factor of Basal Cell Carcinoma

A. Non-healing wounds C. Smoking
B. Sunlight exposure D. Auto-immune disease
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PRE-TEST 9
MEDICINE
9. This cancer is most associated with chronic exposure to benzene.

A. Non-Hodgkin lymphoma C. Acute myelocytic leukemia
B. Bladder cancer D. Lung cancer
10. A 25-year-old female was diagnosed to have bacterial vaginosis. What is the treatment of choice?
A. Metronidazole 500mg orally twice a day for 7 days
B. Metronidazole 2g orally single dose
C. Fluconazole 150mg orally single dose
D. Fluconazole 150mg once a day for 3 days
For numbers 11-13:
Case: A 60-year-old man came to ER complaining of 2-week productive cough and on-off fever. His
blood pressure is 130/90 mmHg, heart rate 100/min, respiratory rate of 24/min and T 38°C. Lung
auscultation shows coarse crackles and decreased breath sounds on right base.
11. What is most likely the causative organism?

A. Legionella pneumophilia C. P. aeruginosa
B. S. pneumoniae D. S. aureus
12. What is the best initial diagnostic test?

A. Sputum gram stain and culture C. PCR
B. CBC D. Chest X-ray
13. What is the mainstay of treatment?

A. O2 supplementation C. Antibiotics
B. Hydration D. Supportive treatment
14. Most common complication of peptic ulcer disease

A. GI bleeding C. Gastric outlet obstruction
B. Perforation D. Esophageal varices
15. Most common cause of lower GI bleeding

A. Hemorrhoids C. Peptic ulcer
B. Anal fissure D. Colon cancer
16. Which of the following is the hallmark symptom of liver disease and most reliable marker of
severity?
A. Jaundice C. RUQ pain
B. Fatigue D. Altered mental status
17. A 40-year-old man is brought to the emergency room after sustaining vehicular accident. He has
dark urine, myalgias and decreasing urine output. Serum potassium is elevated 6 mEq/L. What
ECG changes is expected?
A. ST depression C. ST elevation
B. Tall, peaked T waves D. U-waves
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PRE-TEST 9
MEDICINE
18. A 65-year-old man, heavy smoker, presents with pain on both calves after walking a few blocks,
and resolves with rest. On examination, the femoral and dorsalis pedis pulses are diminished
bilaterally. The skin on his legs is cool to touch and appears shiny with very little hair growth. What
is the Ankle Brachial Index (ABI) ratio diagnostic of this condition?
A. < 0.25 C. < 0.6
B. < 0.3 D. < 0.9
19. Anemia is defined by WHO as hemoglobin

A. <12 g/dL in men and <10 g/dL in women
B. <15 g/dL in men and <11 g/dL in women
C. <13 g/dL in men and <12 g/dL in women
D. <14 g/dl in both men and women
20. True of primary hyperaldosteronism EXCEPT

A. Decreased renin C. Has edema
B. Increased ECF volume D. No change in sodium excretion
END

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1

2. Principle features of Beck’s triad EXCEPT

3. The following are part of BISAP score in Acute Pancreatitis EXCEPT

For numbers 4-5:

4. What is the most likely diagnosis?

5. What is the drug of choice?

7. CKD is defined as having an

8. Most important risk factor of Basal Cell Carcinoma

9. This cancer is most associated with chronic exposure to benzene.

For numbers 11-13:

11. What is most likely the causative organism?

12. What is the best initial diagnostic test?

13. What is the mainstay of treatment?

14. Most common complication of peptic ulcer disease

15. Most common cause of lower GI bleeding

19. Anemia is defined by WHO as hemoglobin

20. True of primary hyperaldosteronism EXCEPT

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