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 vitamin has a protective effect against colon cancer?
- A . Vitamin C
- B . Vitamin D
- C . Folic acid
- D . Vitamin K
B
Explanation:
Calcium and vitamin D Calcium may protect against bowel cancer, according to the World Cancer Research Fund. A 2004meta analysis showed that people with the highest levels of calcium intake (from food and supplements) reduced their risk of bowel cancer by 22% compared to people with the lowest calcium intake.
However, 2 meta analyses in 2010 found that calcium supplements had no effect on bowel cancer risk in the general population. But they did find a link between calcium intake and a reduced risk of polyps coming back in the bowel after previous treatment. Polyps are growths in the bowel that may develop into cancer over a long period of time, if left untreated. To reduce bowel cancer risk, it may be better to take vitamin D and calcium together. We need vitamin D to be able to absorb calcium. A large randomized controlled trial in 2006 showed that only the people with high intakes of both calcium and vitamin D had a reduced risk of bowel cancer. Other studies have shown that people with the highest intakes of vitamin D have a lower risk of bowel cancer and bowel polyps. Dairy There is some evidence that drinking milk reduces the risk of bowel cancer. A review in 2011 showed that the benefit of dairy in reducing bowel cancer risk was only seen at levels over 100 grams (g) a day. Having 500 to 800g milk a day reduced bowel cancer risk by 20 to 30%. One pint, or 0.5 liters, of semi skimmed milk weighs about 550g. The effect of milk on lowering bowel cancer risk may be partly due to the calcium. But milk contains many other substances which may also play a role. There is limited evidence that eating cheese may increase the risk of bowel cancer. It is not clear how cheese may increase the risk, but it may have something to do with the saturated fatty acids.
A 32-year-old woman presents with malaise fatigue and fever. She complains about weight loss. Exam: malar nasolabial fold can be seen.
What is the most appropriate investigation?
- A . Anti-histone
- B . Anti-centromere
- C . Anti-ds DNA
- D . Anti Jo
- E . Anti Scl70
C
Explanation:
Features are suggestive of SLE. So most appropriate investigation from the given option DNA.
23-year-old man presents with severe pain in the right flank radiating to his groin. He is rolling about on the an IVU confirms a stone in the ureter which is 8mm in size.
Which transfusion modality will be most effective?
- A . ESWL (Lithotipsy)
- B . Dormier basket
- C . Fluids and alpha blockers
- D . PCNL
A 72years presents with polyuria and polydipsia. The fasting blood sugar is 8 and 10mmol/l.BP=130/80mm cholesterol=5.7mmol/l. There is microalbuminuria.
What is the single most appropriate next management?
- A . Statin and glitazone
- B . ACEi and sulfonylurea
- C . Statin and Biguanide
- D . Statin and ACEi
A middle aged woman has some weakness of hand after an injury.
Which vertebra will be the lowest to be x-ray to diagnosis the injury?
- A . C7/T1
- B . C5/C6
- C . c8/T1
- D . C6/C7
A 80 year’s man with prostatic cancer has confusion, thirst, abdominal pain and an abnormal ECG.
What is appropriate investigation?
- A . DEXA scan
- B . Redionuclide bones scan
- C . Serum calcium concentration
- D . MRI spine
A 20 year’s man presents with painful swallowing. Exam: trismus and unilateral enlargement of his tonsils Peritonsillar region is red, inflamed and swollen.
What is the most appropriate treatment?
- A . Oral antibiotics
- B . Analgesics with antipyretics
- C . I&D with antibiotics
- D . IV antibiotics and analgesics
- E . Tonsillectomy
An 18years female has periorbital blisters. Some of them are crusted, others secreting pinkish fluid.
What likely diagnosis?
- A . Rubella
- B . Shingles
- C . Measles
- D . Chicken pox
- E . Varicella
B
Explanation:
Shingles Ophthalmic division of trigeminal nerve. Typically, shingles is unilateral.
A patient presented to you who is known case of hypothyroidism and on thyroxin, he also has increase PT normal Vitamin D, Creatinine is very high.
On examination tapping of the angle of jaw produce facial spasms, what diagnosis?
- A . Pseudohypoparathyroidism
- B . DiGeorge syndrome
- C . Chronic renal failure
- D . Uncontrolled thyroid functions
C
Explanation:
Secondary hyperparathyroidism Hypocalcemia, hyperphosphatemia, inc creatinine.
An 82-year-old man has woken up with incoherent speech and difficulty in finding the right words. Exam: good comprehension.
Which anatomical site is most likely to be affected?
- A . Pons
- B . Wernicke’s area
- C . Broca’s area
- D . Midbrain
- E . Parietal cortex
C
Explanation:
A person with expressive aphasia will exhibit halting and effortful speech. Speech m important content words. Word comprehension is preserved. The person may still be understood, but sentence grammatical. This contrasts with receptive or Wernicke’s aphasia, which is distinguished by a patient’s inability comprehend language or speak with appropriately meaningful words though fluency, may be preserved.
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