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1. What is the scoring range of the Glasgow Coma Scale (GCS)?
A. 0–10
B. 1–12
C. 3–15
D. 5–20
Correct Answer: C
Explanation:
The Glasgow Coma Scale evaluates eye opening, verbal response, and motor
response. Scores range from 3 (deep coma) to 15 (fully alert).
2. A Glasgow Coma Scale score of 3–8 indicates:
A. Mild traumatic brain injury
B. Moderate traumatic brain injury
C. Severe traumatic brain injury
D. Vegetative state
Correct Answer: C
Explanation:
A GCS score of 3–8 defines severe TBI, often requiring airway protection and
intensive monitoring.
,3. Obsessions are best described as:
A. Voluntary repetitive behaviors
B. Recurrent thoughts, impulses, or images causing distress
C. Fixed false beliefs
D. Disorganized speech patterns
Correct Answer: B
Explanation:
Obsessions are intrusive, unwanted thoughts or urges that cause anxiety or
distress and are characteristic of OCD.
4. Which is a major characteristic of generalized anxiety disorder (GAD)?
A. Auditory hallucinations
B. Impaired concentration and irritability
C. Delusions of persecution
D. Emotional blunting
Correct Answer: B
Explanation:
GAD presents with persistent worry, impaired concentration, irritability, muscle
tension, and sleep disturbance.
5. Which symptoms are commonly associated with schizophrenia?
A. Mood swings and impulsivity
B. Paranoia, delusions, hallucinations, and disorganized behavior
C. Panic attacks and phobias
D. Obsessions and compulsions
Correct Answer: B
,Explanation:
Schizophrenia is marked by positive symptoms (hallucinations, delusions) and
disorganized thinking and behavior.
6. The classic presentation of acute otitis media includes:
A. Vertigo and tinnitus
B. Otalgia, muffled hearing, popping sensation, recent URI
C. Hearing loss without pain
D. Facial paralysis
Correct Answer: B
Explanation:
Acute otitis media often follows a viral upper respiratory infection and presents
with ear pain, pressure, and decreased hearing.
7. Peritonsillar abscess is characterized by:
A. Mild sore throat and hoarseness
B. Severe sore throat, dysphagia, jaw muscle spasms, hot-potato voice
C. Nasal congestion and cough
D. Bilateral ear pain
Correct Answer: B
Explanation:
Peritonsillar abscess causes localized infection, resulting in trismus, muffled voice,
and difficulty swallowing.
8. Graves’ disease is best described as:
A. A cause of hypothyroidism
B. An autoimmune disorder causing hyperthyroidism
, C. A pituitary disorder
D. A congenital thyroid defect
Correct Answer: B
Explanation:
Graves’ disease is an autoimmune condition where antibodies stimulate the
thyroid, causing excess thyroid hormone production.
9. Which laboratory finding is associated with increasing insulin resistance?
A. HDL < 40 mg/dL
B. LDL > 100 mg/dL
C. Triglycerides > 150 mg/dL
D. Fasting glucose < 70 mg/dL
Correct Answer: C
Explanation:
Elevated triglycerides are part of metabolic syndrome and correlate with
worsening insulin resistance.
10. Which macronutrient has the greatest impact on postprandial glucose
levels?
A. Protein
B. Fat
C. Carbohydrates
D. Fiber
Correct Answer: C
Explanation:
Carbohydrates are broken down into glucose, producing the largest rise in blood
sugar after meals.