Test Prep MCQS Multiple-choice questions (MCQS) Prometric MCQS for general practitioner (GP) Doctor Online Training
Test Prep MCQS Online Training
The questions for MCQS were last updated at Nov 26,2024.
- Exam Code: MCQS
- Exam Name: Multiple-choice questions (MCQS) Prometric MCQS for general practitioner (GP) Doctor
- Certification Provider: Test Prep
- Latest update: Nov 26,2024
Which type of contraceptive is contraindicative in lactation?
- A . UID
- B . Depo-Provera
- C . Mini pills
- D . OCPs
- E . Condom
D
Explanation:
Based on the available evidence, expert opinion in the United States holds that the risks of combination contraceptive products usually outweigh the benefits before 4 weeks postpartum. Between 4 weeks and 6 months postpartum, the advantages of using the method generally outweigh the theoretical or proven risks, although the evidence of lack of effect on lactation is poor and does not include preterm or ill infants. Introduction of a combined oral contraceptive containing 30 mcg of ethinyl estradiol on day 42 or beyond may not affect milk intake or infant growth. After 6 months postpartum, combination contraceptives, including oral tablets, the transdermal patch and vaginal ring, can be used, but progestin-only methods are preferred if breastfeeding will be continued.
A 2-days baby’s mother is worried about the baby’s hearing. Mother has a history of conductive hearing lo most appropriate test?
- A . MRI
- B . Fork test
- C . CT scan
- D . Reassure
- E . Brain stem evoked response
E
Explanation:
Brain stem evoked response. A BAER (brainstem auditory evoked response) test can help to diagnose nervous system disorders, especially in newborns, young children, and others who may not be able to participate hearing test.
A study was done amongst 2 hospitals for the equal number of cancer patients. It was noted that hospital A higher of mortality than hospital B for treated cancer patients.
What is the study done here classified as?
- A . Cohort
- B . Observational
- C . Retrospective
- D . Case study
A
Explanation:
A cohort is a group of people who share a common characteristic or experience within (e.g., are born, are
exposed to a drug or vaccine or pollutant, or undergo a certain medical procedure].
An 8-week baby boy is noted to be jaundiced. He is breast-feeding well and has gained 300g since birth. His s and his urine is pale straw colored.
What is the most likely diagnosis?
- A . Breast milk jaundice
- B . G6PD deficiency
- C . Galactosemia
- D . Congenital viral infection
- E . Biliary atresia
C
Explanation:
Biliary atresia causes obstructive picture where stools are pale and urine becomes da disorder like G6PD or spherocytosis causes appearance of jaundice in 1st 24 hours. In breast milk jaundice, ja develops in 2nd week. Also congenital viral infection (TORCH) occurs in 1st 24 hours. So likely cause in the p is Galactosemia.
After starting Antidepressant drug, if patient is not improving then when you decide to stop drugs?
- A . 3-4 weeks
- B . 1 day
- C . 1 week
- D . 2 weeks
A
Explanation:
Some people notice an improvement within a few days of starting treatment.
However, an antidepressant often takes 2-4 weeks to build up its effect and work fully. Some people stop treatment after a week or so thinking it is not helping. It is best to wait for 3-4 weeks before deciding if an antidepressant is helping or not. If poor sleep is a symptom of the depression, it is often helped first, within a week or so. With some types of tricyclic antidepressant, the initial dose that is started is often small and is increased gradually to a full dose. (One problem that sometimes occurs is that some people remain on the initial dose which is often too low to work fully.) If you find that the treatment is helpful after 3-4 weeks, it is usual to continue. A normal course of antidepressants lasts at least six months after symptoms have eased. If you stop the medicine too soon, your symptoms may rapidly return. Some people with recurrent depression are advised to take longer courses of treatment (up to 2 years or longer)
A young woman fell and hit her knee. Exam: valgus test +ve.
What ligament was most probably injured?
- A . Lateral collateral
- B . Ant cruciate
- C . Post cruciate
- D . Medial collateral
- E . Meniscus
D
Explanation:
Medial collateral. The valgus stress test involves placing the leg into extension, with one hand place on the knee. With the other hand placed upon the foot applying an abducting force, an attempt is then made to at the knee into valgus. If the knee is seen to open up on the medial side, this is indicative of medial collateral damage.
A 32-year-old man with schizophrenia and a history of violence and distressing auditory hallucinations was a ward with aggressive behavior and has already smashed his room. He is refusing any oral meds.
What is the s appropriate injection?
- A . Flupenthixol
- B . Risperidone
- C . Haloperidol
- D . Fluphenazine
B
Explanation:
Protocol of treating agitated violent patient.
Try to talk to the patient but don’t touch him.
If he agrees on oral meds, give oral atypical antipsychotics olanzapine, risp or quetiapine
If refusing oral, give IV atypical antipsychotics preferably its Olanzapine or Risperidone
If agitation not controlled give IM Lorazepam
If that doesn’t work, give IV Haloperidol as last resort.
If acute sedation is required, for immediate effect give IV Diazepam.
A 14-year-old girl presents with primary amenorrhea and a short stature.
What is the most likely diagnosis?
- A . Down’s syndrome
- B . Fragile X syndrome
- C . Turner’s syndrome
- D . Klinefelter’s syndrome
- E . Normal finding
C
Explanation:
Down’s syndrome and Fragile x syndrome don’t have primary amenorrhea. Klinefelter’s patients are tall males. So the likely diagnosis is Turner’s syndrome.
A 65-year-old lady who is on thiazide suffers from falls in the morning.
What is the cause for her symptoms?
- A . Epilepsy
- B . Orthostatic hypotension
- C . TIA
C
Explanation:
Thiazide diuretic is associated with orthostatic hypotension.
A patient with gross hematuria after blunt abdominal trauma has a normal-appearing cystogram after the int instillation of 400 ml of contrast. You should next order:
- A . A retrograde urethrogram.
- B . A voiding cystourethrogram.
- C . An intravenous pyelogram.
- D . A cystogram obtained after filling, until a detrusor response occurs.
A
Explanation:
A Urethrography refers to the radiographic study of the urethra using iodinated contrast media and is generally carried out in males. Also referred to as ascending urethrography/urethrogram (ASU) or retrograde urethrography/urethrogram (RUG). Indications • pelvic trauma in the emergency department • diminished urinary stream • urethral strictures • urethral diverticula • urethral obstruction • suspected urethral foreign bodies • urethral mucosal tumors • suspected urethral fistula
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