1
Q
Prophylaxis for Travellers Diarrhea
A
Dukoral (high risk individuals), cooked meats, bismuth salicylate
2
Q
Dysuria, Frequncy, Ugrency and Lower Abdomen Discomfort
A
UTI
3
Q
No S/S of UTI. Will u Test Urine?
A
NO. False positives.
4
Q
Painless Pearl White Small Papules, Dome Shaped
A
Molluscum Contagiosum
5
Q
Cauliflower like lesions
A
Condyloma acuminata
6
Q
Non Invasive diagnostic method and shows only calcified plaque
A
Coronary Calcium Scan
7
Q
Unilateral pain and unilateral swelling with feeling of bag of worms in testes
A
Varicocele
8
Q
Why not Calcium Channel blockers in GERD?
A
Relaxes Esophageal Sphincter
9
Q
GERD Mx?
A
PPI and Lifestyle
10
Q
Firm+Mobile+Painless breast mass in <35 Yrs old female
A
Fibroadenoma
11
Q
This Drug relaxes smooth muscles in prostate.
A
Tamsulosin
12
Q
Drug that reduces only the size of Prostate?
A
Dutasteride
13
Q
AFIB<48 Hrs. Whats the RX?
A
Cardioversion
14
Q
AFIB>48Hrs.? RX…
A
Rate Control W/Beta Blocker or CCB.
15
Q
RX for SVT?
A
Adenosine-I.V.
16
Q
Impending Feeling of Doom?
A
Adenosine IV
17
Q
Protozoal Diarrhea Rx?
A
Metronidazole
18
Q
C.Difficle Rx?
A
Vancomyxin
19
Q
Severe or Recent Travel Diarrhea Rx?
A
Ciprofloxacin
20
Q
Gastric Pain Worse Post Meals
A
Gastric UlcerG
21
Q
Gastric Pain improves post meals
A
Duodenal Ulcer
22
Q
Painless, Soft Palpable mass on DRE
A
Internal Hemorrhoids
23
Q
Pinful+Visible Mass on DRE
A
External Hemorrhoids
24
Q
MCV< 80 and Low Serum Ferritin
A
Microcytic Anemia
25
MCV High +Vit. b12 LOW
Macrocytic Anemia
26
Melena+Hypotension+Anemia. Cause?
Possible Upper GI Bleeding
27
Loss of Erection, pain, Swelling and Bruising on Penis
Penile Fracture
28
Diagnosis of Upper GI Bleed?
Endoscopy, No Barium Swallow Plz
29
Epigastric Pain radiation to Back +Pain Increased with alcohol/food
Pancreatitis
30
Bent Curve + Plaque on Penis
Peyronie Disease
31
Warfarin Reversal in ER?
Prothrombin Complex Concentrate
32
Mediastinal Shift + Poor Lung Sounds+ Anemia
Hemothorax
33
Sharp Chest pain only with Inspiration
Pulmonary Embolism
34
Metallic Tastse+ Confusion + Hypotension + Bradycardia
Local Anesthetic Systemic Toxicity
35
Which organ at risk with 12th Rib Fracture?
Kidneys
36
Rx for Angle Closure Glaucoma
Iv Manniotal to reduce IOP + Topical IOP Drugs.
37
Contrast Eversion in Intra or Extra Peritoneal Bladder Rupture?
Intraperitoneal
38
Diagnostic Tip for Pheochromocytoma.
US- Carotid
39
Daytime Sleepiness, Morning Headache, Snoring, Obesity?
Obstructive Sleep Apnea
40
Rx for Plantar Fascitis
Glucocorticoids
41
S/E of Alpa Blockers
Retrograde Ejaculation
42
Ix for breast Mass?
Long needle Biopsy then MRI
43
This vaccine Needs no booster…
HPV
44
Raised Lesion with Fever , Chills
Erysipelas
45
Flat Lesion with poor borders
Cellulitis
46
Rx for Cellulitis
Cephalexin.
47
Radical Nephretomy if renal mass...cm
>7cm
48
Dx of H Pylori
Urea Breath Test
49
Acetominophen Antidote?
N-Acetylcysteine
50
Within 1 hr of acetominophen poisoning
Gastric Lavage
51
Whipple Triad
S/S of Hypoglycemia+Low Blood Glucose+ S/S relief with glucose administration
52
Risedronate function
Reduces Osteoclast activity
53
Teriparatide
Increases osteoblast activity
54
Injured Chest with Milky White Fluid Effusion
Chyloyhorax
55
RUQ Pain causes?
Cholecystitis
56
Increased LBP with Extension and Reduced LBP w/ Flexion
Spinal Stenosis
57
>1/3 JT. involved in Hand. Surgery or Not?
Surgery
58
Increased LBP w/ Flexion and Reduced LBP W/ Extension
Herniated Disc
59
Side-Side BP Changes...
Aortic Dissection
60
3 Common Causes of Gastric Ulcer
H.Pylori, NSAID and Zollinger- Ellison Syndrome
61
Young PT W/ F.H. of CA and Lesions on Oral Mucos
Peuts-Jeghers Syndrome
62
New Arrhythmia and Increased Tronponin
Blunt Injury
63
Mediastinal Widening on Xray caused by?
Aortic Tear
64
Straw Colored & Low Glucose High Protein Pleural Fluid+ Asbestos Exposure
Malignant Pleural Effusion
65
Night Breathlessness at home + Increased IgE + Increased WBC
Allergic Asthma
66
Vaccine for Puncture Wound?
Tetanus IG and Tetanus Vaccine
67
TUIP Weight Classification for BPH?
<30g
68
TURP Weight Classification for BPH
>30g
69
This Suture has increased tension and used in ER commonly
Large Bite
70
Suture type always used in abdominal Sx.
Small Bite
71
PT must wait___ hours post inhaled cannabis for driving
six
72
PT must wait ___ hours post oral cannabis for driving
Eight
73
ABCDE Criteria for Melanoma
Assymmetry, Border Irregular, Color Variation, Diameter >6mm, Evolution.
74
+ve Pregnancy Test, NO IU pregnancy on US+ Free Fluid on US. Whats the Cause?
Ectopic Pregnancy
75
Displaced Fracture of Patella for how many __mm?
2mm
76
Flank Pain, CVA Tender+ WBC in Urine+ Gram -ve Rods
Acute Pyelonephritis
77
Chronic Diarrhea+ Mouth Ulcers + Malabsorption + Fatigue + Anemia
Celiac Disease
78
Blood In stool + Increased Inflammatory Markers in which condition+ Diarrhea + Oral Ulcers?
Crohn's Disease
79
Amenorrhea + Galactorrhea+ Prolactin increased in which condition?
Prolactinoma
80
Difficulty breathing in newborn improving with crying. Which Condition is this?
Congential Choanal Atresia.
81
Thick Mucus, Reocurring infections, Pancreatic insufficiency
Cystic Fibrosis
82
Palpable Mass in Nose, Noisy Breathing, Intermittent Cyanosis during breast feeding?
Nasal Dermoid Cyst
83
This IUD takes 7 days to be effective
IUD w/ Levonorgestrel
84
The most common cause of Post Sx fluid in tissues
Seroma
85
What can be diagnosed using adrenal vein sampling?
Aldosternosim
86
Delayed Stomach emptying is AKA?
Gastroparesis
87
Rx for Gastroparesis?
Erythromycin
88
Topical Neural Pain Medication?
Capsaicin
89
Hamman's Sign and S.C. Emphysema?
Esophageal Rupture.
90
Dementia Score of 24-30 is?
Norma
91
Dementia Score of <10 is?
Severe
92
Reduced intestinal motility after Sx + Distended abdomen. Cause?
Post Operative Paralytic Ileus
93
Rx for Hypothermia?
Warm IV Fluids and Radiant Heaters
94
Knee Joint Tender and Clicking or Locking sound on movement. Cause?
Meniscal Tear
95
Mammography is recommended ever__ years in ages__
2-3 years in ages 50-74
96
Vaccines Given at 2months
DTP, Hib, IPV, Rotavirus and Pneumococcal
97
Vaccines Given at 4 Months
DTP, Hib, IPV, Rotavirus and Pneumococcal
98
Vaccines given at 6 months
DTP, IPV and Hib
99
Vaccines given at 12 months
Pneumococcal, meningococal and MMR
100
Vaccines given at 18 months
DTP, Ipv and Hib.
101
Watery diarrhea, Fever, Chills within 6 houts of eating. Pathogen?
Staph Aureus
102
Bloody Diarrhea with severe pain. Pathogen?
Shigella
103
Hepatitis A, B, C D and E - Cause?
A: Street Food
B: Sexual Transmission+ Droplets
C: Blood Transfusion
D: Friend of B
E: Asia/African Street Food
104
Required Test for Males over 50 years in age
Serum PSA
105
Required Test for Males > 65 years in age?
Bone Mineral Density
106
Amenorrhea, Web Neck, Spaced Hairline and Edema
Turner Syndrome
107
Delayed Puberty and Anosmia
Kallman Syndrome
108
17 Alpha Hydroxylase deficiency will cuase?
Adrenal Hyperplasia. Poor Sex characters developed.
109
Itchy and Coin Shaped Lesion
Numular Dermatitis
110
Severe Pain W/ Adenaxal Mass
Ovarian Torsion
111
Rx for Alcohol Abstinence
Acamprosate
112
Areflexia + Ascending Weakness Post viral
Gullian Barre Syndome
113
Cobblestone Papilae on Upper Eylid Conjuctiva is seen in which condition?
Vernal Keratoconjunctivitis
114
Wrist Drop and Dorsal Hand Numbness can be caused due to?
Radial Nerve Damage
115
MID Shaft of humerus Fracture can cause damage to this nerve
Radial Nerve
116
Mammography guidelines for 50-74 yrs
q 2-3 years
117
Name of Fascia Connected to Scrotum
Scarpa's Fascia
118
SVT Rx?
Adenosine I.V.
119
Blisters on red base are Sign of which condition?
HSV
120
Delayed/Poor Development W/ Anosmia?
Kallman Syndrome
121
Web Neck, Increased Risk of Cardiac Septal defects+ delayed puberty+ widely spaced nipples
Turner Syndrome
122
Round Face, Muscle Weakness and Increased Osteoporosis Risk
Cushing's Disease
123
Finkelstein Test. What is it?
Make Fist deviating to ulnar side. If pain on Radial Side +ve for De Quervain Tenosynovitis
124
Who is responsible for Health & Nutrition policies in Canada?
Health Canada
125
What is the number of new Cases in a Defined population over a specific time called?
Cumulative Incidence
126
Spirometerey is Normal; Which test would be done next for Dx of Asthma?
Methacholine(Bronchoconstrictor) challenge test- Spiro repeated after inhalation.
127
Tearing Pain from abdomen-Back along w/ hypotension. Whats the Cause?
AAA
128
CT Scan or US for Diagnosis of AAA?
US
129
Erythema+ No Acne+ Burning + Talengiectasia W/ Central face involvement is caused by which condition?
Erythematotelangiectatic Rosacea.
130
Thrombocytopenia + Recurrent Infections + Anemia + WBC Increased. Whats the condition?
Lymphoblastic Leukemia
131
Lymphoblastic Leukemia Xray will show?
Mediastinal Mass (THYMUS Gland...)
132
Tropical Travel +Scaly Pathces resulting in fine Scales on Scraping are caused by??
Tinea Versicolor- Fungal in Nature
133
Increased HbS + Reduced HbF W/ Pain Crisis
Sickle Cell Anemia
134
Nocturnal Enuresis - Short-term Rx?
Desmopressin- Increases H20 Reabsorption.
135
Forceful Vomitting resulting in Mucosal lacerations. Whats it called?
Mallory Weiss Tear
136
Diagnostic method for DVT?
Doppler US
137
Severe UL Pain in Testes W/ -ve cremasteric reflex. Diagnosis?
Testicular Torsion
138
Painful Bluish Discoloration on Skin,Blistering and Edematous skin?
Necrotizing Fasciitis
139
Rx for Necrotizing Fascitis?
Sx Debridement and AB's
140
Sore Throat, Tender Lymph Nodes, Trismus and Hot Potato Voice. Diagnosis?
Peritonsillar abscess.
141
Conservative Rx for Calcium Stones?
Thiazide Diuretics
142
Upper airway Narrow; Stridor or Wheezing?
Stridor
143
Increased pain in Leg W/ Dorsiflexion. Dx?
Compartment Syndrome
144
Warm Extremeties in which type of Shock?
Neurogenic Shock
145
Cool Extremity,Hypotension and reduced capillary refill. Which type of Shock?
Hemorrhagic Shock
146
Nephrolithiasis. How will you diagnose?
Non Contrast CT
147
What is Adenomyosis?
Uterus is thickened with pain
148
What is Preelampsia?
New Onset Hypertension past 20 weeks and organ involvement in pregnant women.
149
Preventative Rx for Preeclampsia?
Low dose Aspirin
150
Rx for Active Preeclampsia?
Labetalol
151
Placenta blocking Uterus W/ Vaginal Bleeding
Placenta Previa
152
Definite Rx for Miscarriage?
Mifepristone & Misoprostol
153
Rx for Ectopic Pregnancy? Except Surgical...
IV Methotrexate
154
Papules+ Pruritis+ Dyspareunia + Wickham's Striae?
Vaginal Lichen Planus?
155
Vaginal Pain W/ No Signs and Symptoms. Dx?
Vulvodynia
156
Curd like Discharge from Vagina W/ ithcing. Dx?
Candidal Vulvovaginitis
157
Corpus Luteum cysts usually develop after ... days in Menstrual cycle?
14th Day
158
Benign Smooth Muscle Tumor of the Uterus is called...
Leiomyoma
159
US reveals- Hyperechoic Lesion in Uterine Wall W/ Bleeding and enlarged uterus. Dx?
Leiomyoma
160
Pre Menopausal Cyst of >5cm needs Follow up or No follow Up?
Needs a F-UP.
No F-UP IF <5cm.
161
Female Sexual Interest Arousal Disorder. Pharmacological Rx?
Flibanserin (Neuromodulatr).
162
Itchy, Purplish Lesions W/ Dyspareunia. Dx?
Lichen Planus
163
Cyclical Pain W/ Presence of Endometrial tissue outside Uterus.
Endometriosis.
164
Copped IUD can be left in for ___ months or years.
10 Years
165
S/E of Copper IUD?
Menstural Bleeding
166
This IUD helps with Heavy Bleeding...
Levenorgestrel IUD
167
Low Risk Rx for Breech Presentation Before Labor?
External Cephalic Version
167
Ivx to confirm dx of Gestational Diabetes.
OGTT
168
Pre-eclampsia Seizures. Rx?
Magnesium Sulfate (Block NDMA Excitatory Receptors)
169
Rx for Ruptured Ectopic Pregnancy?
Laparoscopic Salpingectomy.
170
Varicose Veins BUT in Pelvis are AKA?
Pelvic Congestion Syndrome
171
Tdap can be given in pregnancy b/w __ to___ weeks
27-36 weeks.
172
Dimple Sign W/ Small Reddish Brown in Color. Dx?
Dermatofibroma
173
What is MOHS Surgery done for?
BCC and SCC for Layer by Layer Removal
174
Multiple Myeloma is a___ cell Tumor
Plasma Cell Tumor
175
This Blood Test measures Fibrin
D-Dimer
176
CRAB Synonym for Multiple Myeloma Stands for:
Hyper Calcemia, Renal Failure, Anemia and Bone Pain
177
Stones in Upper U. Tract. Ivx?
Iv Pyelogram
178
Which Medication helps release more insuling in a diabetic?
Linagliptin
179
Child is showing in-attention only in academics but nowehre else. Whats a possible diagnosis?
Learning Disorder
180
Fetus can survive if delivered at how many weeks?
At least 24 weeks.
181
Rx for Peptic Ulcer Disease?
Antibiotics + PPi+ Bismuth( Protects Gastric Mucosa)
182
+ve HLA DQ2 or +ve HLA B27 genes are in which G.I. disease?
Celiac Disease
183
Polydipsia, Polyuria, Lethargy, Reduced Blood pH and Increased Serum Bicarbonate in which condition?
Diabetic Ketoacidosis.
184
Which Diabetes type has less heritability. Type 1 or Type 2?
Type 1
185
Factor VIII Deficiency results in which Hemophilia type?
Hemophilia A
186
Factor IX Deficiency results in which Hemophilia type?
Hemophilia B
187
Deficiency in which Vitamin increases Prothrombin time?
Vitamin K
188
Which is the most predominant ketone body in Diabetic Ketoacidosis?
Serum Beta Hydroxybutyrate
189
Role of Estrogen and Progestin for Vasomotor Menopausal Symptoms?
Estrogen: Temp. Control thru Hypothalamus & Progestin: Reduces emdometrial hyperplasia.
190
2nd line Rx for Vasomotor Menopausal Symptoms?
GabaPentin
191
Asthma Rx?
Salbutamol for short episodes
Salmeterol for long term relief.
Inhaled Corticosteroids for reducing flareups.
192
Defect in metabolism of Branched Chain Amino Acids and resulting in accumulation. Whats the condition called?
Maple Syrup Urine Disease.
193
Reduced BMI, Increased Lean Mass and is an athlete and C/o missing menses. What Condition is this female prone to?
Female Athlete Triad- due to hypothalamic amenorrhea
194
Does Rosacea has comedones?
No.
195
Retinoblastoma is which type of tumor?
Malignant
196
Rx for sudden Sensorineural hearing loss?
Intra-tympanic steroid injection.
197
This test is administered to check for driving ability?
Clock Drawing Test
198
Infant has delayed bone age and delayed puberty W/ parents having late growth spurt in life?
Constitutional Growth Delay
199
Pap Smear is recommended after what age?
25 years
200
Treatment for tricyclic antidepressant overdose?
Sodium Bi-carbonate (Reduces Na+ channel blockage caused bu TCA)
201
Pt is a biological male and has female external genitalia but no internal female genitals. Whats the condition Called?
Androgen insenstivity syndrome
202
Single chancre W/O pain & W/O Lymphadenopathy.
Primary Syphilitic chancre
203
Whats the BIAS called when an interviewer influences PT's response?
Interviewer Bias
204
Which Cell type is involved in Acute Lymphoblastic Leukemia?
T cells
205
What will you see on Chest Xray done for ALL?
Thymic Mass
206
Bronchiolitis is caused by Virus or Bacteria?
Virus.
207
Why no Bronchodilators for Bronchiolitis?
Because they only act on Smooth muscle but not on mucus and virus plugging.
208
Muffled Voice, Drooling, Stridor and PT is in Tripod Position. What bacteria is the cause?
Hemophilus Influenza B
209
Laryngotracheobronchitis presents with what 2 respiratory symptoms?
Barking Cough and Stridor
210
Why immunotherapy is not used for Rx of Asthma in Pregnancy?
Risk of anaphylaxis.
211
PT is being prescribed opioids but urine drug screen is -ve. Whats the reason?
Opioid Diversion.
212
Last line of Rx for Plantar Fascitis?
Surgal PF release
213
Why is Oxybutynin used for overactive bladder?
Relaxes bladder muslces to reduce contractions.
214
Recurring Otitis Media . Whats the Surgical Rx?
Myringotomy W/ Tympanostomy.
215
Immedaite Rx for DVT?
Rivoxaban and Heparin.
216
What is 1 benefit of hormonal Patch Contraceptives over Oral?
Increased Adherence as used weekly.
217
Rx for Female Pregnant With HIV +ve?
Anti-retrovial therapy + C section + Prophylactic Anti-retroviral i.e. Zidovidine.
218
Initial Rx for SVT?
Vagal Maneuvers.
219
Mccqe1
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