A 14 yr old girl provides with a CBC that shows near poly and lymphocytes. Which is the
maximum possibly etiology?
A. H. Flu.
B. Leukemia
C. Viral infection
D. B. Pertussis - ANS-C. Viral contamination
A 16 12 months vintage female is observed to have redundancy of the mitral valve leaflets.
You pay attention a midsystolic click heard great the the apex and left sternal border. Which
murmur is that this?
A. Aortic Stenosis
B. Mitral Regurgitation
C. Mitral Valve Prolapse
D. Mitral Stenosis - ANS-C. Mitral Valve Prolapse
A 16 year vintage male is discovered to have Osgood Schlager disorder. Which of the
subsequent findings are feature of this? Select all that follow.
A. Erythema, warmth of the tibial tuberosity
B. Pain reproduced via extending the knee against resistance.
C. Pain happens over the patellar tendon.
D. Straight leg increase is painless. - ANS-B. And D.
A 24 year old girl has rheumatic fever with a new onset of atrial traumatic inflammation and
exercising intolerance. Which murmur might you anticipate to be heard?
A. Aortic Stenosis
B. Mitral Regurgitation
C. Mitral Valve Prolapse
D. Mitral Stenosis - ANS-D. Mitral Stenosis
A 25 year antique girl with newly diagnosed IFG, A1C 5.9% and is pregnant. Which remedy
would be a first preference to prescribe?
A. Metformin
B. Glipizide
C. Liraglutide (Victoria)
D. Sitagliptin (Januvia) - ANS-A. Metformin
A 26 year vintage girl offered with burning, frequency, urgency. A UA has the following
values. Which of the following tests might be ordered subsequent?
Blood (-)
Nitrites (-)
Leuko (+)
A. KUB x ray
, B. Urine tradition
C. STI trying out
D. Pap smear - ANS-C. STI trying out
A 26 year old woman who isn't pregnant and in any other case healthful has a urinary tract
contamination. Which is of the subsequent might be worried in evaluation and treatment of
this patient?
A. Nitrofurantoin (Macrobid) for 7-10 days
B. Sulfamethoxazole/trimethoprim (Bactrim) for 3 days
C. Inquire about antibiotic use during the last three months
D. Order a urine lifestyle
E. Nitrofurantoin (Macrobid) for three days - ANS-C. D. E.
A 27 12 months old girl has been recognized with bacterial vaginitis. Which choices listed
under are viable risk factors?
A. New sexual partner
B. Frequent condom use
C. Douching
D. Cooper IUD - ANS-A. C. D.
A 27 12 months antique pregnancy lady offers with left thumb pain. Which test or symptoms
would be positive for DeQuervain's tenosynovitis?
A. Finkelstein
B. Snuffbox tenderness
C. Pain among 10 and 60 tiers of the Straight Leg Raise
D. Painful upon wakening - ANS-A. Finkelstein
A 30 year old lady with a BMI of 31 has signs and symptoms of hypothyroidism. Her TSH is
35.6 mU/L. When calculating alternative of levothyroxine, what ought to be decided how a lot
replacement is wanted?
A. Actual weight
B. Ideal frame weight
C. BMI
D. TSH - ANS-B. Ideal frame weight
A 32 year vintage man has acute bronchitis. He is a non smoker and is otherwise healthy.
How need to he be managed?
A. Treat symptoms best
B. Prescribe a macrolide antibiotic.
C. Prescribe an an antitussive.
D. Prescribe an antibiotic and antitussive. - ANS-A. Treat signs best
A 32 12 months vintage pregnant woman is identified with Strep. Which of the subsequent
medications is to be prescribed?
A. Penicillins (Amoxicillin)
B. 2nd generation fluoroquinolone (ciprofloxacin)
C. Third generation or "respiration" fluoroquinolone (levofloxacin)
D. Nitrofurantoin (Macrobid) - ANS-C. 3rd era or "respiration" fluoroquinolone