Medicine Exam Solution Questions With Answers
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1. A 49 years old woman suffers of chronic diarrhea and weight loss.
Malabsorption is suspected. Which of the following investigations is
most likely to make a definitive diagnosis?
(A) presence of fecal osmotic gap
(B) D-xylose test
(C) stool fat measurements
(D) Schilling test
(E) mucosal biopsy
2. A 45 years old male reported that, since one year, he occasionally has
regurgitated particles from food eaten several days earlier. In addition,
his breath has been foul smelling and he has had occasional dysphagia for
solid foods.
The most likely diagnosis is:
(A). gastric outlet obstruction
(B). scleroderma
(C). achalasia
(D). Zenker’s
diverticulum (E). diabetic
gastroparesis
3. Inflammatory bowel disease (IBD) may be caused by exogenous
factors. Gastrointestinal flora may promote an inflammatory response
or may inhibit inflammation. Probiotics have been used to treat IBD.
Which of the following organisms has been used in the treatment of
IBD?
(A). Campylobacter spp.
(B). Clostridium difficile
(C). Escherichia spp.
(D). Lactobacillus spp.
(E). Shigella spp.
4. Which of the following statements about cardiac cirrhosis is not true?
(A) Elevated alkaline phosphatase and an enlarged liver.
(B) May develop with long standing right-sided congestive heart failure.
(C) Most patients will develop variceal hemorrhage or encephalopathy.
(D) Aminotransferases may be normal or slightly increased with AST usually
higher than ALT.
(E) Treatment is based on management of the underlying cardiac disease
Medicine Exam Solution Questions With Answers
Download For A Plus Results Latest update 2022/2023
, Medicine Exam Solution Questions With Answers
Download For A Plus Results Latest update 2022/2023
5. A 53 years old man presents with diarrhea. He also complains of facial
flushing lasting minutes at a time. Physical examination reveals facial
telangiectasias and a heart murmur not present 2 years before. This
murmur is accentuated by deep breathing. Which of the following is the
most appropriate initial diagnostic test?
(A) urinary vanillylmandelic acid (VMA)
(B) serum noradrenaline levels
(C) barium enema
(D) serum serotonin levels
(E) urinary 5-hydroxyindolacetic acid(5-HIAA)
6. A 73 years old woman presents to the emergency room with black
tarry stools and symptoms of presyncope when standing up. She has
also Melena .She recently started using ibuprofen for hip discomfort.
Gastroscopy confirms the diagnosis of a gastric ulcer. Which of the
following is the most likely explanation for the gastric ulcer?
(A) increasing acid production
(B) causing direct epithelial cell death
(C) promoting replication of Helicobacter pylori
(D) an antiplatelet effect
(E) inhibiting mucosal repair
7. A 43 years old man feels vaguely unwell. Physical examination is
unremarkable except for evidence of scleral icterus. The skin
appears normal. Which of the following is the most likely explanation
for why early jaundice is visible in the eyes but not the skin?
(A) the high type II collagen content of scleral tissue
(B) the high elastin content of scleral tissue
(C) the high blood flow to the head with consequent increased bilirubin delivery
(D) secretion via the lacrimal glands
(E) the lighter color of the sclera
8. A 56 years old previously well woman presents with pruritus for 5 months.
There is no history of prior alcohol use, blood transfusions, or illicit drug
use. Her physical examination is entirely normal with no signs of chronic
liver disease or jaundice. An abdominal ultrasound confirms the suspicion
Medicine Exam Solution Questions With Answers
Download For A Plus Results Latest update 2022/2023
, Medicine Exam Solution Questions With Answers
Download For A Plus Results Latest update 2022/2023
of cirrhosis. Laboratory evaluation reveals an alkaline phosphatase level
of three times normal. Which of the following is the most appropriate
next step in diagnosis?
(A) Hepatitis B serologies
(B) antinuclear antibodies
(C) Serum ferritin
(D) 24-h urine copper
(E) antimitochondrial antibodies
9. A 16 years old woman had suffered 1 month ago from jaundice,
vomiting, malaise, and anorexia. A diagnosis of hepatitis A was made.
The patient
was treated conservatively, and she had a full recovery. After two weeks she
had returned complaining of the same symptoms she had 1 month ago.
She is jaundiced, and an initial panel of laboratory tests returns elevated
transaminases. Which of the following offers the best explanation of what
has occurred in this patient?
(A). Co-infection with hepatitis C
(B). Hepatitis A recurrence
(C). Inappropriate treatment of initial infection
(D). Incorrect initial diagnosis; this patient likely has hepatitis
B (E). Relapsing hepatitis
10.A patient is found to have a holosystolic murmur on physical examination.
With deep inspiration, the intensity of the murmur increases. This is
consistent with which of the following?
A. Atrial-septal defect
B. Austin Flint murmur
C. Carvallo’s sign
D. Chronic mitral regurgitation
E. Gallavardin effect
11. All the following disorders may be associated with thoracic
aortic aneurysm except
A. osteogenesis imperfecta
B. Takayasu’s arteritis
C. Ehlers-Danlos syndrome
D. ankylosing spondylitis
E. Klinefelter’s syndrome
Medicine Exam Solution Questions With Answers
Download For A Plus Results Latest update 2022/2023
Download For A Plus Results Latest update 2022/2023
1. A 49 years old woman suffers of chronic diarrhea and weight loss.
Malabsorption is suspected. Which of the following investigations is
most likely to make a definitive diagnosis?
(A) presence of fecal osmotic gap
(B) D-xylose test
(C) stool fat measurements
(D) Schilling test
(E) mucosal biopsy
2. A 45 years old male reported that, since one year, he occasionally has
regurgitated particles from food eaten several days earlier. In addition,
his breath has been foul smelling and he has had occasional dysphagia for
solid foods.
The most likely diagnosis is:
(A). gastric outlet obstruction
(B). scleroderma
(C). achalasia
(D). Zenker’s
diverticulum (E). diabetic
gastroparesis
3. Inflammatory bowel disease (IBD) may be caused by exogenous
factors. Gastrointestinal flora may promote an inflammatory response
or may inhibit inflammation. Probiotics have been used to treat IBD.
Which of the following organisms has been used in the treatment of
IBD?
(A). Campylobacter spp.
(B). Clostridium difficile
(C). Escherichia spp.
(D). Lactobacillus spp.
(E). Shigella spp.
4. Which of the following statements about cardiac cirrhosis is not true?
(A) Elevated alkaline phosphatase and an enlarged liver.
(B) May develop with long standing right-sided congestive heart failure.
(C) Most patients will develop variceal hemorrhage or encephalopathy.
(D) Aminotransferases may be normal or slightly increased with AST usually
higher than ALT.
(E) Treatment is based on management of the underlying cardiac disease
Medicine Exam Solution Questions With Answers
Download For A Plus Results Latest update 2022/2023
, Medicine Exam Solution Questions With Answers
Download For A Plus Results Latest update 2022/2023
5. A 53 years old man presents with diarrhea. He also complains of facial
flushing lasting minutes at a time. Physical examination reveals facial
telangiectasias and a heart murmur not present 2 years before. This
murmur is accentuated by deep breathing. Which of the following is the
most appropriate initial diagnostic test?
(A) urinary vanillylmandelic acid (VMA)
(B) serum noradrenaline levels
(C) barium enema
(D) serum serotonin levels
(E) urinary 5-hydroxyindolacetic acid(5-HIAA)
6. A 73 years old woman presents to the emergency room with black
tarry stools and symptoms of presyncope when standing up. She has
also Melena .She recently started using ibuprofen for hip discomfort.
Gastroscopy confirms the diagnosis of a gastric ulcer. Which of the
following is the most likely explanation for the gastric ulcer?
(A) increasing acid production
(B) causing direct epithelial cell death
(C) promoting replication of Helicobacter pylori
(D) an antiplatelet effect
(E) inhibiting mucosal repair
7. A 43 years old man feels vaguely unwell. Physical examination is
unremarkable except for evidence of scleral icterus. The skin
appears normal. Which of the following is the most likely explanation
for why early jaundice is visible in the eyes but not the skin?
(A) the high type II collagen content of scleral tissue
(B) the high elastin content of scleral tissue
(C) the high blood flow to the head with consequent increased bilirubin delivery
(D) secretion via the lacrimal glands
(E) the lighter color of the sclera
8. A 56 years old previously well woman presents with pruritus for 5 months.
There is no history of prior alcohol use, blood transfusions, or illicit drug
use. Her physical examination is entirely normal with no signs of chronic
liver disease or jaundice. An abdominal ultrasound confirms the suspicion
Medicine Exam Solution Questions With Answers
Download For A Plus Results Latest update 2022/2023
, Medicine Exam Solution Questions With Answers
Download For A Plus Results Latest update 2022/2023
of cirrhosis. Laboratory evaluation reveals an alkaline phosphatase level
of three times normal. Which of the following is the most appropriate
next step in diagnosis?
(A) Hepatitis B serologies
(B) antinuclear antibodies
(C) Serum ferritin
(D) 24-h urine copper
(E) antimitochondrial antibodies
9. A 16 years old woman had suffered 1 month ago from jaundice,
vomiting, malaise, and anorexia. A diagnosis of hepatitis A was made.
The patient
was treated conservatively, and she had a full recovery. After two weeks she
had returned complaining of the same symptoms she had 1 month ago.
She is jaundiced, and an initial panel of laboratory tests returns elevated
transaminases. Which of the following offers the best explanation of what
has occurred in this patient?
(A). Co-infection with hepatitis C
(B). Hepatitis A recurrence
(C). Inappropriate treatment of initial infection
(D). Incorrect initial diagnosis; this patient likely has hepatitis
B (E). Relapsing hepatitis
10.A patient is found to have a holosystolic murmur on physical examination.
With deep inspiration, the intensity of the murmur increases. This is
consistent with which of the following?
A. Atrial-septal defect
B. Austin Flint murmur
C. Carvallo’s sign
D. Chronic mitral regurgitation
E. Gallavardin effect
11. All the following disorders may be associated with thoracic
aortic aneurysm except
A. osteogenesis imperfecta
B. Takayasu’s arteritis
C. Ehlers-Danlos syndrome
D. ankylosing spondylitis
E. Klinefelter’s syndrome
Medicine Exam Solution Questions With Answers
Download For A Plus Results Latest update 2022/2023
