Podcast
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?
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?
Following the administration of activated charcoal for a possible overdose, what is the most appropriate next step?
Following the administration of activated charcoal for a possible overdose, what is the most appropriate next step?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
A woman reports increasing cyclic pelvic pain that intensifies before menses. Which method is most acceptable for diagnosing endometriosis?
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?
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?
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?
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?
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?
A 65-year-old heavy smoker comes in for a general examination. Which screening test is most recommended for this patient?
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?
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?
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?
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?
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?
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?
Signup and view all the answers
Which of the following is a benign cyst that arises from a gland of the female reproductive system?
Which of the following is a benign cyst that arises from a gland of the female reproductive system?
Signup and view all the answers
A patient with Hodgkin's lymphoma undergoing chemotherapy develops tumor lysis syndrome. What is the most immediate concern?
A patient with Hodgkin's lymphoma undergoing chemotherapy develops tumor lysis syndrome. What is the most immediate concern?
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?
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?
Signup and view all the answers
A child, 9 months old, is not immunized. What is the most appropriate action regarding their vaccinations?
A child, 9 months old, is not immunized. What is the most appropriate action regarding their vaccinations?
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?
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?
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?
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?
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?
A 30-year-old G2P1A0L1 at 33 weeks of gestation presents with decreased fetal movement. Which biophysical profile score(BPS) is most reassuring?
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?
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?
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?
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?
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?
If a woman has a monochorionic monoamniotic twin pregnancy, approximately what time range after ovulation is the most likely time of cleavage?
Signup and view all the answers
Flashcards
Tumor Lysis Syndrome
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
Premature Benign Pubarche
A condition where the body produces too much of a hormone called testosterone, leading to early puberty in boys.
Tanner Staging
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
Hodgkin's Lymphoma
Signup and view all the flashcards
N-acetylcysteine
N-acetylcysteine
Signup and view all the flashcards
Kidney Ultrasound
Kidney Ultrasound
Signup and view all the flashcards
Surgical Debridement
Surgical Debridement
Signup and view all the flashcards
Powder Sweeping
Powder Sweeping
Signup and view all the flashcards
What is derealization?
What is derealization?
Signup and view all the flashcards
What is a Bartholin cyst?
What is a Bartholin cyst?
Signup and view all the flashcards
How to treat urge incontinence in menopause?
How to treat urge incontinence in menopause?
Signup and view all the flashcards
What is HUS?
What is HUS?
Signup and view all the flashcards
What is duodenal perforation?
What is duodenal perforation?
Signup and view all the flashcards
What is endometriosis?
What is endometriosis?
Signup and view all the flashcards
How to confirm endometriosis?
How to confirm endometriosis?
Signup and view all the flashcards
Why colon cancer screening for smokers?
Why colon cancer screening for smokers?
Signup and view all the flashcards
What is the most appropriate initial step in managing a hypotensive female with abdominal trauma and signs of peritonitis?
What is the most appropriate initial step in managing a hypotensive female with abdominal trauma and signs of peritonitis?
Signup and view all the flashcards
How do you manage a 9-month-old child with no prior immunizations?
How do you manage a 9-month-old child with no prior immunizations?
Signup and view all the flashcards
Which antihypertensive drug is contraindicated in pregnancy?
Which antihypertensive drug is contraindicated in pregnancy?
Signup and view all the flashcards
What is the most effective medical treatment for postpartum hemorrhage in a patient with a lax uterus and no other identifiable causes?
What is the most effective medical treatment for postpartum hemorrhage in a patient with a lax uterus and no other identifiable causes?
Signup and view all the flashcards
Which Biophysical Profile (BPS) score is considered the most reassuring in a 33-week pregnant woman with decreased fetal movement?
Which Biophysical Profile (BPS) score is considered the most reassuring in a 33-week pregnant woman with decreased fetal movement?
Signup and view all the flashcards
What is the most appropriate initial step in managing a cirrhotic patient with ascites, abdominal pain, vomiting, and elevated WBC count?
What is the most appropriate initial step in managing a cirrhotic patient with ascites, abdominal pain, vomiting, and elevated WBC count?
Signup and view all the flashcards
What is the time frame between ovulation and cleavage that results in monochorionic diamniotic twins?
What is the time frame between ovulation and cleavage that results in monochorionic diamniotic twins?
Signup and view all the flashcards
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)
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
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.