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MCQ Infection 22
1970-01-01 00:59:59
Your community recently experienced an outbreak of infectious diarrheal illness due to the protozoan Cryptosporidium, a chlorine-resistant organism. A reporter from the local newspaper asks you if there are other chlorine-resistant fecal organisms that could contaminate public drinking water.You would tell the reporter that such organisms include:A) Escherichia coli.B) Vibrio cholerae.C) Campylobacter jejuni.D) Giardia lamblia.E) Rotavirus.AnswerTags: MCQ, Infectious Diseases, Disinfection
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MCQ Pediatrics 23
1970-01-01 00:59:59
A 2-year-old child has had four episodes of otitis media within the last 6 months, all of which completely cleared after 10 days of appropriate antimicrobial therapy. You see him in your office following his most recent episode. A physical examination is completely normal at this time. You decide to attempt to reduce the number of recurrences.Of the following, the best INITIAL intervention is to:A) schedule myringotomy and insertion of ventilating tubes.B) schedule adenoidectomy.C) perform an allergy survey and consider allergy hyposensitization injections.D) prescribe a single daily dose of amoxicillin or sulfisoxazole, especially during winter months.E) prescribe a course of oral steroids to decrease swelling of the eustachian tube mucosa.AnswerTags: MCQ, Pediatrics , Otitis Media
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MCQ Medicine 9
1970-01-01 00:59:59
Which one of the following patients should be screened for hepatitis C virus (HCV) infection?A) A 15-year-old who received a blood transfusion in 1996 subsequent to a serious motor vehicle accident.B) An 18-year-old nurse finishing her first year of work in a dialysis unit.C) A 17-year-old day-care worker after a 1-year-old child in her room was diagnosed with hepatitis C.D) A 9-month-old born to a mother positive for HCV.E) An 18 year old presenting to an STD clinic with penile discharge.AnswerTags: MCQ, Medicine , Hepatitis C Virus
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Your office nurse reports an accidental needlestic...
1970-01-01 00:59:59
Your office nurse reports an accidental needlestick with a used venipuncture needle. She had drawn blood from a 18-year-old white male, who is a new patient undergoing evaluation for hypertension and hyperlipidemia. He has no evidence of other health problems and no risk factors for HIV. Both the nurse and the patient are found to be HIV negative.Which one of the following would be the most appropriate advice?A) No further testing for HIV is necessary.B) She should have repeat HIV testing at 6, 12, 24, and 52 weeks after the exposure.C) She should begin treatment with prophylactic antiretroviral therapy within the next 48 hours.D) She should refrain from patient contact, unless she wears gloves, until another negative test 12 weeks after the exposure.E) She should refrain from unprotected sexual contact with her husband until another negative test 6 weeks after the exposure.AnswerTags: MCQ, Medicine, HIV, Needle Prick, Post-Exposure Prophylaxis


MCQ PSM 1
1970-01-01 00:59:59
Which one of the following best describes the reason for the marked decline in the incidence of epiglottitis in the pediatric population?A) Genetic drift in strains of parainfluenza virus.B) More effective use of appropriate broad-spectrum cephalosporin antibiotics.C) Immunization with Haemophilus influenzae type b vaccine.D) Increased use of the new polyvalent pneumococcal vaccines.E) Effective education concerning hand washing.AnswerTags: MCQ, PSM, Epidemiology
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MCQ Pediatrics 22
1970-01-01 00:59:59
Which one of the following is true regarding drug-resistant Streptococcus pneumoniae as a cause of otitis media in children?A) Rates of pneumococcal resistance to the macrolides are significantly lower than rates of resistance to penicillin.B) Cefaclor (Ceclor) and loracarbef (Lorabid) have greater activity than amoxicillin against S. pneumoniae.C) Third-generation cephalosporins should be used when other beta-lactam antibiotics have failed in suspected pneumococcal otitis.D) Drug-resistant strains of S. pneumoniae are increasingly common in otitis media.AnswerTags: MCQ, Pediatrics , Streptococcus, Otitis
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MCQ Infection 21
1970-01-01 00:59:59
A worried mother calls to tell you that when she went in to check on her crying 6-month-old infant after his nap she noticed a bat in the room. She contacted animal control and an officer captured the bat. The mother wants to know what to do next.Which one of the following is the best advice?A) Arrange to have the bat tested for rabies; initiate postexposure prophylaxis for the child only if positive.B) Initiate postexposure prophylaxis for the child while testing the bat for rabies; discontinue the shots if negative.C) Initiate postexposure prophylaxis for the child and dispose of the bat.D) Examine the child for bites or scratches; reassure the mother if none is found, and dispose of the bat.E) Tell the mother not to worry because bats do not carry rabies.AnswerTags: MCQ, Infection, Rabies, Prophylaxis
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MCQ Pediatrics 20
1970-01-01 00:59:59
The incidence of institutional pediatric Staphylococcus aureus infection can be reduced most effectively by:A) treatment of all culture-positive patients with vancomycin (Vancocin).B) meticulous hand washing before and after contact with patients.C) mask and gown use with each suspected patient.D) avoidance of flowering houseplants in patient rooms.E) routine quarantine of culture positive patients.AnswerTags: MCQ, Pediatrics , Nosocomial Infections, Staphylococcus
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MCQ Pediatrics 21
1970-01-01 00:59:59
Which of the following antibiotics is relatively contraindicated for use in children under 12 years of age:A) Clindamycin (Cleocin)B) Chloramphenicol (Chloromycetin)C) Erythromycin estolate (Ilosone)D) Ciprofloxacin (Cipro)E) Tobramycin (Nebcin)AnswerTags: MCQ, Pediatrics , Drug dosage
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Survival tips for Hernia
1970-01-01 00:59:59
Hernia is defined as an abnormal protrusion of a viscus or a part of viscus through as opening , artificial or natural with a sac covering it.Common hernias : Inguinal hernia Incisional hernia Femoral hernia Umbilical hernia Causes : coughing obesity straining Intra-abominal malignancy Parts- covering sac - narrow in indirect hernia, wide in direct hernia( fundus,body , neck) content Hernia without neck- direct hernia, incisional herniaClassification : Reducible Obstructive Strangulated Irreducible Inflammed Taxisused in irreducible or partially reduced herniatrial reduction by flexing and medially rotating the hipDifferent types of hernia -Gibbon's hernia- hernia with hydrocoeleBerger's hernia - hernia in Pouch of DouglasGrynfelt/s hernia- Upper lumbar triangle herniaPetit's hernia - Lower lumbar triangle herniaCloquet's hernia- hernia through pecteineal fasciaNarath's hernia - behind femoral arteryHesselbach's hernia - lateral to femoral arterySerofini's hernia - behind femor
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MCQ Infection 20
1970-01-01 00:59:59
A 4-year-old white male has radiographically proven osteomyelitis following a cat bite to the finger. A Gram stain reveals pleomorphic gram-negative rods.The most likely diagnosis would be:A) Bartonella henselae.B) Francisella tularensis.C) Pasteurella multocida.D) Haemophilus influenzae.E) Bacteroides fragilis.AnswerTags: MCQ, Infectious Disease, Osteomyelitis
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MCQ Obstetrics 12
1970-01-01 00:59:59
A 16-year-old white female in her first trimester of pregnancy presents with low-grade fever, myalgias, headache, and a rash consistent with erythema migrans. Ten days ago she was hiking in an area where deer ticks are present. She remembers being bitten by a tick which she discovered and removed 2 days after her hike.Which one of the following is the most appropriate treatment option?A) AmoxicillinB) Azithromycin (Zithromax)C) DoxycyclineD) ErythromycjnE) AcyclovirAnswerTags: MCQ, Obstetrics , Lyme Disease
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Dermatology MCQs 3
1970-01-01 00:59:59
An otherwise healthy 18-year-old white male presents with pain on the right side of his head, increasing in severity over the past 2 days. Today he broke out in a rash consisting of grouped vesicles on an erythematous base in the distribution of the first division of the fifth cranial nerve. The right eyelid is involved, but the patient complains of no pain in the eye itself, or of any visual disturbance. There are no lesions on any part of the nose.Appropriate management at this time would include the administration of which one of the following?A) Intravenous acyclovir (Zovirax)B) Oral famciclovir (Famvir)C) Topical capsaicin (Zostrix)D) Varicella-zoster immune globulin (VZIG)E) Idoxuridine (Herplex) eye dropsAnswerTags: MCQ, Dermatology , Rash


PSM MCQs 2
1970-01-01 00:59:59
Screening for Chlamydia trachomatis infection should be performed on which one of the following asymptomatic patients who present for routine evaluation?A) A 16-year-old female who states that she is not sexually activeB) An 18-year-old female who uses birth control pills for contraception and has a new sexual Partner.C) A 16-year-old male with multiple sexual partners who uses condoms, but not consistently.D) A 19-year-old female who is married, has no history of sexually transmitted disease, and uses the rhythm method to avoid pregnancy.E) An 18-year old female with diabetes attempting to practice secondary abstinence.AnswerTags: MCQS, PSM, Screening, Sexually Transmitted disease


Gynecology MCQs 4
1970-01-01 00:59:59
You diagnose Trichomonas vaginitis in a 25-year-old white female, and treat her and her partner with metronidazole (Flagyl), 2 g in a single dose. She returns 1 week later and is still symptomatic, and a saline wet prep again shows Trichomonas.Which one of the following is the most appropriate treatment at this time?A) Metronidazole gel 0.75% (Metro Gel) intravaginally for 5 daysB) Metronidazole, 2 g orally, plus metronidazole gel 0.75 % intravaginally for 5 daysC) Metronidazole, 500 mg orally twice a day for 7 daysD) Clindamycin cream (Cleocin) 2 % intra vaginally for 7 daysE) Sulfadiazine (Microsulfon), 4 g orally in a single dose, plus pyrimethamine (Daraprim), 200 mg orally in a single doseAnswerTags: MCQ, Gynecology , Sexually Transmitted Disease


Gynecology MCQs 5
1970-01-01 00:59:59
A 19-year-old married white female complains of vaginal discharge, odor, and itching. Speculum examination reveals a homogeneous yellow discharge, vulvar and vaginal erythema, and a "strawberry" cervix.The most likely diagnosis is:A) candidal vaginitis.B) bacterial vaginosis.C) trichomonal vaginitis.D) chlamydial infection.E) herpes simplex type 2.AnswerTags: MCQ, Gynecology , Vaginitis, Sexually Transmitted Diseases


Gynecology MCQs 6
1970-01-01 00:59:59
A 16-year-old sexually active nulliparous white female complains of pelvic pain and vaginal discharge. On examination she is found to have a temperature of 39.8° C (102.0° F), pain with movement of the cervix, and tenderness and a mass in the right adnexa.According to CDC guidelines, which one of the following treatments would be appropriate?A) Outpatient treatment with penicillin G procaine (Wycillin) intramuscularly; probenecid (Benemid) orally; plus doxycycline (Vibramycin) orally for 14 days and reexamination in 3 daysB) Outpatient treatment with ceftriaxone (Rocephin) intramuscularly; probenecid orally; plus doxycycline twice a day for 14 days and reexamination in 1 weekC) Outpatient treatment with cefoxitin (Mefoxin) intramuscularly; plus doxycycline twice a day for 14 days and reexamination in 10 daysD) Hospitalization for treatment with cefoxitin intravenously and doxycycline orally or intravenously, then doxycycline orally twice a day to complete 14 days of treatmentE) Metro
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MCQ Obstetrics 14
1970-01-01 00:59:59
Which one of the following is true regarding cesarean deliveries?A) A previous cesarean delivery mandates a repeat cesarean delivery.B) Only women with a single previous cesarean delivery should undergo a trial of labor.C) Two-thirds of women with multiple cesarean deliveries can deliver vaginally.D) The likelihood of uterine rupture triples after multiple previous deliveries.E) Obstetric complications occur frequently during a trial of labor in women with two or more previous cesarean deliveries.AnswerTags: MCQ, Obstetrics , Ceasarian, Caesarean
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OBG MCQs 13
1970-01-01 00:59:59
Which one of the following intravenous agents given to the mother during labor is the drug of choice for prophylaxis of neonatal group B streptococcal disease? A) Clindamycin (Cleocin)B) Erythromycin C) Gentamicin (Garamycin) D) Metronidazole (Flagyl) E) Penicillin GAnswer Tags: MCQ, Obstetrics, Neonatal, Prophylaxis


Infectious Diseases MCQs 23
1970-01-01 00:59:59
A 25-year-old male has a dental infection associated with facial swelling and lymphadenopathy. Which one of the following is the most appropriate antibiotic?A) Cephalexin (Keflex)B) TetracyclineC) PenicillinD) Ciprofloxacin (Cipro)E) Azithromycin (Zithromax)AnswerTags: MCQ, Infectious Disease, Dental
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Dermatology MCQs 4
1970-01-01 00:59:59
Outbreaks of dermatitis and folliculitis associated with swimming pools and hot tubs are often caused by which one of the following?A) ListeriaB) PseudomonasC) StreptococcusD) ShigellaE) StaphylococcusAnswerTags: MCQ, Dermatology , Dermatitis


Surgery MCQs 1
1970-01-01 00:59:59
A 17-year-old white male comes to your office with severe pain, fluctuance, erythema, and tenderness localized over the pad of the distal long finger.The most likely diagnosis is:A) a paronychia.B) a felon (whitlow).C) an eponychial abscess.D) bacterial tenosynovitis.E) digital cellulites.AnswerTags: MCQ, Surgery , Erythema, Tenderness


Surgery MCQs 2
1970-01-01 00:59:59
A 17-year-old white male with current immunizations is seen in your office with a history of sudden painful swelling of the right parotid gland. The patient has a temperature of 38.2° C (100.8° F). The parotid gland is tender on examination.Which one of the following would be most appropriate at this point?A) Observation onlyB) Asking about pets in the householdC) Tuberculin testingD) A CT scanE) AntibioticsAnswerTags: MCQ, Surgery , Parotid Gland


Paediatric MCQS 24
1970-01-01 00:59:59
Which one of the following is the most common cause of infectious enteritis in children in temperate climates?A) Parvo-like virus (e.g., Norwalk)B) CytomegalovirusC) Campylabacter jejuniD) Pathogenic Escherichia coliE) Human rotavirusAnswerTags: MCQ, Paediatrics, Infantile Diarrhea


MCQ Obstetrics 15
1970-01-01 00:59:59
A 16-year-old G1 P2 has just delivered the head of her infant, which appears to be macrosomic. Further pushing fails to complete delivery, and you suspect shoulder dystocia. Immediate management should includeA) starting O2 at 6 L/min.B) establishing a generous episiotomy.C) acutely flexing the mother's legs against her abdomen with her feet removed from the stirrups.D)rotating the infant's posterior shoulder out of the sacrum and then delivering it below the symphysisE) having an assistant apply suprapubic pressure to the anterior shoulder.AnswerTags: MCQ, Obstetrics , Shoulder Dystocia
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MCQ Obstetrics 17
1970-01-01 00:59:59
Treating preterm labor with beta-adrenergic agonists has been shown to decrease the rate of which one of the following?A.Perinatal deathsB.Preterm deliveryC.Low birth weight infantsD.Delivery within 48 hours of treatmentAnswerTags: MCQ, Obstetrics , Preterm Labour
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MCQ Obstetrics 16
1970-01-01 00:59:59
You are called to attend the delivery of a 24-year-old primiparous female. After a prolonged 18-hour labor requiring oxytocin (Pitocin) agumentation, she delivered a 4200 gm (9lb 4 oz) male infant. A vacuum-assisted delivery was performed because of maternal exhaustion, and the mother required repair of a third degree perineal laceration. Thirty minutes after you leave the delivery room, there are no other physicians in the hospital, and the delivery nurse urgently reports to you that the mother's blood pressure is 80 mmHg systolic and her bed is soaked with blood.The most likely cause of this problem is:A.occult cervical lacerations.B.hematoma.C.uterine atony.D.uterine rupture.E.disseminated intravascular coagulopathy (DIC).AnswerTags: MCQ, Obstetrics , Post Partum Hemorrhage
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MCQ Obstetrics 18
1970-01-01 00:59:59
5. Which one of the following is the most reliable clinical symptom of uterine rupture?A) Sudden, tearing uterine painB) Vaginal bleedingC) Loss of uterine toneD) Fetal distressE) Maternal bradycardiaAnswerTags: MCQ, Obstetrics , Uterine Rupture
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MCQ Obstetrics 19
1970-01-01 00:59:59
You see an 18-year-old obstetric patient late in her third trimester for mild dysuria and urinary urgency. Microscopic examination of the urinary sediment is notable for bacteria and you make a presumptive diagnosis of cystitis.Which one of the following antibiotics would be CONTRAINDICATED?A) Nitrofurantoin (Macrodantin)B) Trimethoprim/sulfamethoxazole (Bactrim, Septra)C) Amoxicillin/clavulanate (Augmentin)D) Cephalexin (Keflex)E) Amoxicillin (Amoxil)AnswerTags: MCQ, Obstetrics , UTI, Pregnancy
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MCQ Psychiatry 9
1970-01-01 00:59:59
An adolescent reports difficulty sleeping. Which one of the following statements concerning insomnia is correct?A.Getting up at the same time every day can increase the restfulness of sleep.B.Daytime drowsiness, excessive snoring, and confusion if awakened from sleep are associated with restless legs syndrome.C.Insomnia rarely occurs in the elderly.D.There is little correlation between insomnia and depression.E.Patients must take hypnotic drugs for a prolonged period to cure insomnia.AnswerTags: MCQ, Psychiatry , Adolescent, Insomnia
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