Medical Emergency Scenarios Quiz
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Questions and Answers

A 23-year-old woman reports feeling disconnected from the world during a panic attack, as if her surroundings are strange. Which term best describes this feeling?

  • Illusion
  • Dull perception
  • Depersonalization
  • Derealization (correct)
  • Following the administration of activated charcoal for a possible overdose, what is the most appropriate next step?

  • Start D-penicillamine treatment.
  • Begin hemodialysis immediately.
  • Initiate hyperbaric oxygen therapy.
  • Administer N-acetylcysteine. (correct)
  • A 54-year-old menopausal woman experiences involuntary urine leaks with urgency, occurring at any time of day or night, with occasional association to coughing and laughing. Urodynamic study shows spontaneous bladder contractions even with small bladder filling. Which treatment is most appropriate?

  • Anterior colporrhaphy
  • Anticholinergics (correct)
  • Bladder suspension
  • Kegel exercises
  • A patient arrives at the Emergency Department with chemical burns and powdery residue on their clothing. After removing their clothes, what is the most appropriate next step?

    <p>Gently sweep away the powder. (C)</p> Signup and view all the answers

    A child presents with headache, bloody diarrhea, generalized edema, and signs of gastroenteritis. Lab results show low platelets, high creatinine, and positive ketones, protein, and blood in the urine. What is the most appropriate test to reach the diagnosis for HUS?

    <p>Stool culture (D)</p> Signup and view all the answers

    A 40-year-old man with a history of alcohol use and smoking presents with severe upper abdominal pain radiating to the back. His abdomen is distended, tense, and tender. A digital rectal exam shows a collapsed empty rectum. What is the most likely diagnosis?

    <p>Duodenal perforation (C)</p> Signup and view all the answers

    A patient with pyelonephritis has persistent fever after 5 days of appropriate antibiotic treatment, with a positive urine culture for susceptible E. coli. What is the most appropriate next step in management?

    <p>Perform a kidney ultrasound. (C)</p> Signup and view all the answers

    A woman reports increasing cyclic pelvic pain that intensifies before menses. Which method is most acceptable for diagnosing endometriosis?

    <p>Diagnostic laparoscopy (D)</p> Signup and view all the answers

    A mother reports that her child had a severe allergic reaction after the last vaccine. Which of the following is the most appropriate step before administering a 6-month vaccine?

    <p>Review details of the previous vaccine administration and the reaction. (D)</p> Signup and view all the answers

    A 6-year-old boy presents with pubic hair, a bone age of 6, testicular size of 2 cm, and slightly elevated serum DHEAS. What is the most likely cause?

    <p>Premature benign pubarche. (B)</p> Signup and view all the answers

    A 65-year-old heavy smoker comes in for a general examination. Which screening test is most recommended for this patient?

    <p>Colon cancer screening (A)</p> Signup and view all the answers

    A child is showing pubic hair with adult distribution and darkening of scrotal skin. According to Tanner staging, which stage of puberty has this child reached?

    <p>Stage IV. (B)</p> Signup and view all the answers

    A 23-year-old is brought to the hospital after a suicidal attempt with 15 paracetamol tablets 6 hours earlier. What complication should the medical staff monitor closely?

    <p>Hepatic failure (A)</p> Signup and view all the answers

    A 13-year-old girl has sparse hair covering the labia majora, breast buds, and papilla and areolar enlargement without breast and areola separation. According to Tanner staging, which stage is this?

    <p>Tanner stage II. (D)</p> Signup and view all the answers

    Which of the following is a benign cyst that arises from a gland of the female reproductive system?

    <p>Bartholin cyst (D)</p> Signup and view all the answers

    A patient with Hodgkin's lymphoma undergoing chemotherapy develops tumor lysis syndrome. What is the most immediate concern?

    <p>Electrolyte imbalances and acute kidney injury (B)</p> Signup and view all the answers

    A 44-year-old woman presents to the emergency room after being hit by a vehicle, with a blood pressure of 60/40 mmHg, abdominal guarding, and generalized tenderness. Initial resuscitation includes 2 liters of normal saline and 2 liters of blood. CXR and pelvic x-ray are normal. What is the most appropriate next step?

    <p>Surgical exploration (B)</p> Signup and view all the answers

    A child, 9 months old, is not immunized. What is the most appropriate action regarding their vaccinations?

    <p>Refer to an infectious disease consultant (A)</p> Signup and view all the answers

    A 28-year-old primigravida at 8 weeks gestation with chronic hypertension presents to the antenatal clinic. Which of the following antihypertensive medications is contraindicated in pregnancy?

    <p>Lisinopril (C)</p> Signup and view all the answers

    A pregnant woman with preeclampsia delivers and experiences a moderate postpartum hemorrhage with a lax uterus. There are no signs of laceration or retained products of conception. Which of the following is the most recommended therapy?

    <p>20 units of oxytocin in 500 mL of D5W intravenously (A)</p> Signup and view all the answers

    A 30-year-old G2P1A0L1 at 33 weeks of gestation presents with decreased fetal movement. Which biophysical profile score(BPS) is most reassuring?

    <p>BPS 8/10 (A)</p> Signup and view all the answers

    A 55-year-old man with liver cirrhosis and ascites presents with progressive abdominal pain and vomiting. Examination reveals generalized abdominal tenderness. Blood work shows a WBC count of 23.3 x 10^9/L. A CT scan shows moderate ascites and a cirrhotic liver. What is the most appropriate next step in treatment?

    <p>Antibiotics (D)</p> Signup and view all the answers

    A 30-year-old woman in her first pregnancy has an ultrasound confirming monochorionic diamniotic twins. What was the time interval between ovulation and cleavage?

    <p>4-8 days (A)</p> Signup and view all the answers

    If a woman has a monochorionic monoamniotic twin pregnancy, approximately what time range after ovulation is the most likely time of cleavage?

    <p>9-12 days (B)</p> Signup and view all the answers

    Flashcards

    Tumor Lysis Syndrome

    A medical condition that occurs when cancer cells break down quickly, releasing large amounts of waste products into the bloodstream, potentially causing kidney failure, heart problems, and other complications.

    Premature Benign Pubarche

    A condition where the body produces too much of a hormone called testosterone, leading to early puberty in boys.

    Tanner Staging

    A system used to assess and track the physical development of a child, specifically focusing on the growth of sexual characteristics during puberty.

    Hodgkin's Lymphoma

    A type of cancer that affects the lymphatic system, often starting in the lymph nodes.

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    N-acetylcysteine

    A type of antibiotic used to treat certain infections, including those caused by bacteria.

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    Kidney Ultrasound

    A type of medical test used to visualize the kidneys and surrounding structures.

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    Surgical Debridement

    A medical procedure used to remove dead or damaged tissue from a wound.

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    Powder Sweeping

    The process of removing dust or powder from the surface of a material.

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    What is derealization?

    Derealization is the feeling of being detached from one's surroundings. It's like the world feels unreal or strange, as if everything is happening in a dream.

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    What is a Bartholin cyst?

    A Bartholin cyst is a fluid-filled sac that forms in the Bartholin glands located on either side of the vaginal opening. It's usually a harmless swelling.

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    How to treat urge incontinence in menopause?

    The most appropriate treatment for urge incontinence in a menopausal woman, with spontaneous bladder contractions, is anticholinergics. They help relax the bladder muscles, reducing urge incontinence.

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    What is HUS?

    Hemolytic Uremic Syndrome (HUS) is a serious condition that affects the kidneys. It can be caused by a bacterial infection (commonly E. coli) and leads to low platelets, blood in the urine, and kidney damage.

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    What is duodenal perforation?

    Duodenal perforation is a serious condition where a hole forms in the first part of the small intestine (duodenum). It often causes severe abdominal pain radiating to the back.

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    What is endometriosis?

    Endometriosis is a condition where tissue similar to the lining of the uterus (endometrium) grows outside the uterus. This can cause pelvic pain, especially around the time of menstruation.

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    How to confirm endometriosis?

    A diagnostic laparoscopy is the gold standard for diagnosing endometriosis. In this procedure, a small telescope is inserted through a small incision in the abdomen to visually inspect the pelvic organs.

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    Why colon cancer screening for smokers?

    Colon cancer screening is recommended for heavy smokers, especially after the age of 65. Screening helps detect early cancer when it's more treatable.

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    What is the most appropriate initial step in managing a hypotensive female with abdominal trauma and signs of peritonitis?

    The most appropriate immediate step in managing a 44-year-old female with abdominal guarding, rigidity, and generalized tenderness, presenting to the emergency room with hypotension (60/40 mmHg) after a vehicular accident.

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    How do you manage a 9-month-old child with no prior immunizations?

    In a 9-month-old child who has not received any vaccinations, the recommended course of action is to consult an infectious disease specialist for personalized advice and a vaccination catch-up plan.

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    Which antihypertensive drug is contraindicated in pregnancy?

    Lisinopril, an ACE inhibitor, is contraindicated during pregnancy due to its potential for causing fetal harm, including renal anomalies and oligohydramnios.

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    What is the most effective medical treatment for postpartum hemorrhage in a patient with a lax uterus and no other identifiable causes?

    Intravenous oxytocin administered in a 500 ml solution of D5W is the most recommended medical therapy for postpartum hemorrhage in a patient with a lax uterus, ruling out other causes like lacerations or retained products of conception.

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    Which Biophysical Profile (BPS) score is considered the most reassuring in a 33-week pregnant woman with decreased fetal movement?

    A Biophysical Profile (BPS) of 8/10 is considered the most reassuring score, indicating a favorable fetal status, as opposed to lower scores like 6/10 or 9/10, or a perfect 12/10 which doesn't hold any more significance.

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    What is the most appropriate initial step in managing a cirrhotic patient with ascites, abdominal pain, vomiting, and elevated WBC count?

    Antibiotics are the most appropriate initial step in managing a 55-year-old male presenting with progressive abdominal pain, vomiting, and ascites, particularly in the context of known liver cirrhosis and elevated white blood cell count suggestive of peritonitis.

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    What is the time frame between ovulation and cleavage that results in monochorionic diamniotic twins?

    Monochorionic Diamniotic twins occur when the fertilized egg splits between 4-8 days after ovulation, resulting in a single placenta but separate amniotic sacs.

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    Study Notes

    January MCQ 2025

    • Question 1: A 20-year-old man hit by a car, presenting with distended, tense, and tender abdomen. BP 100/70, HR 120, RR 30, T 35, SpO2 90%. The most likely diagnosis is hemorrhagic shock.

    • Question 2: A 37-year-old man with a history of a chronic duodenal ulcer presented with frequent postprandial vomiting for 2 weeks. Physical examination revealed a history of dehydration and succussion splash. The most likely acid-base abnormality is metabolic alkalosis.

    • Question 3: A 75-year-old female with a fibroid measuring 6x7 cm on ultrasound. The most suitable management is hysterectomy.

    • Question 4: A newborn with clinical fractures of a syndrome requires a torch screening, metabolic screening, and chromosomal analysis.

    • Question 5: A 38-year-old man with a 10-year history of recurrent acute pancreatitis presents with a 12-hour history of vomiting fresh blood. The most appropriate management is splenectomy, which is required following the sclerotherapy.

    • Question 6: A 22-year-old woman presented with polyarthralgia, skin rash, mucosal ulcers and fatigue. Her clinical examination revealed a malar rash and active arthritis in several joints. The most appropriate test for confirmation is Anti-nuclear antibodies (ANA).

    • Question 7: A 28-year-old woman with an ovarian cyst requests contraception methods. The most appropriate method is oral contraceptive pills (OCP).

    • Question 8: A 5-year-old with viral infection on SABA twice with no improvement requires inhalation corticosteroids (ICS)

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    MCQ Questions January 2025, PDF

    Description

    Test your knowledge on various medical emergencies with this quiz. Each scenario presents a patient with specific symptoms, and you will need to determine the best course of action or diagnosis. Perfect for medical students or professionals looking to refresh their skills.

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