MED2200 Principles of Medicine 2 Past Paper PDF

21/10/2024, 16:36 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 2 of 11) | Formative     ...

21/10/2024, 16:36 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 2 of 11) | Formative      1 Mark From the options listed, select the answer that CORRECTLY completes the final sentence below. A 34-year-old female with the blood group O positive has a baby with blood group A negative. The baby develops jaundice and is diagnosed as having haemolytic disease of the foetus and newborn (HDFN). This is due to haemolysis of the baby’s red blood cells by: 1 of 50 Select one: a. maternal anti-A antibodies  b. foetal anti-A antibodies c. maternal anti-B antibodies d. foetal anti-D antibodies Report question issue Notes The correct answer is: maternal anti-A antibodies Unsure      1 Mark Whilst performing an oophorectomy (removal of an ovary), ligation of ovarian vessels is necessary. Select, from the options listed, the fold of peritoneum they are found within. Select one: 2 of 50 a. Suspensory ligament  b. Mesometrium c. Round ligament d. Ovarian ligament Report question issue Notes The correct answer is: Suspensory ligament Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192078&cmid=3131&page=1 1/3 21/10/2024, 16:36 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 2 of 11) | Formative      1 Mark A 37-year-old housewife, presented to her General Practitioner with shortness of breath and fatigue for the past three months. Select which of the following investigation findings supports the diagnosis of iron deficiency anemia. 3 of 50 Select one: a. Low serum ferritin  b. Increased macrocytes on blood film c. Low total iron binding capacity d. Elevated haemoglobin concentration Report question issue Notes The correct answer is: Low serum ferritin Unsure      1 Mark Select, from the options listed, the CORRECTLY paired microorganisms and route of CNS infection. Select one: 4 a. Cryptococcus neoformans: via the olfactory tract of 50 b. Naegleria fowleri: via the peripheral nerves c. Herpes simplex: via the olfactory tract d. Rabies virus: via the peripheral nerves  Report question issue Notes The correct answer is: Rabies virus: via the peripheral nerves Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192078&cmid=3131&page=1 2/3 21/10/2024, 16:36 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 2 of 11) | Formative      1 Mark Select, from the options below, the texts that, when sequentially inserted, ACCURATELY complete the sentence below. 5 of 50 A 43-year-old builder falls from scaffolding and is admitted to the hospital with a head injury. He sinks quickly into a coma. A CT scan (see image above) indicates __________ haemorrhage because extravasated blood can be detected between the ____________. Select one: a. subdural; pia mater and arachnoid b. extradural; skull bone and dura mater  c. extradural; inner and outer table of skull bone d. subarachnoid; dura mater and arachnoid Report question issue Notes The correct answer is: extradural; skull bone and dura mater Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192078&cmid=3131&page=1 3/3 21/10/2024, 16:40 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 3 of 11) | Formative      1 Mark A 53-year-old male, presented to his General Practitioner (GP) with tiredness for the past 4 months. As part of his examination, the GP noted enlarged cervical lymph nodes and so proceeded to check for bony tenderness. From the following options, select the BEST area to assess for the bony tenderness in a general haematological system examination. 6 of 50 Select one: a. Hips b. Fingers c. Elbows d. Sternum  Report question issue Notes The correct answer is: Sternum Unsure      1 Mark A woman, diagnosed with a fibroid uterus, has been booked for a hysterectomy (removal of the uterus). To remove the uterus, a blood vessel that is closely related to the supravaginal part of the uterus and lies anterior to the ureter, has to be ligated. Select, from the following options, which vessel this is. 7 of 50 Select one: a. Superior vesicular artery b. Middle rectal artery c. Uterine artery  d. Vaginal artery Report question issue Notes The correct answer is: Uterine artery Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=2# 1/3 21/10/2024, 16:40 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 3 of 11) | Formative      1 Mark From the following list of options, select the answer that CORRECTLY completes the following text. The following effects of antipsychotic drugs are related to actions on dopamine receptor EXCEPT: 8 of 50 Select one: a. hyperprolactinaemia b. antiemetic effect c. dry mouth  d. extrapyramidal effects Report question issue Notes The correct answer is: dry mouth Unsure      1 Mark Select, from the following answers, the CORRECT location of Leydig cells within the testis. Select one: 9 a. Seminiferous tubules of 50 b. Rete testis c. Epididymis d. Interstitial space  Report question issue Notes The correct answer is: Interstitial space Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=2# 2/3 21/10/2024, 16:40 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 3 of 11) | Formative      1 Mark An 18-year-old woman talks very quickly and is at times difficult to understand but her thoughts progress logically. She can be interrupted to seek clarification of what she means. Choose the correct option, from the list below, that BEST DESCRIBES the main mental state phenomenon discussed. 10 of 50 Select one: a. Psychomotor retardation b. Rapid stream of thought  c. Psychomotor agitation d. Slowed stream of thought Report question issue Notes The correct answer is: Rapid stream of thought Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=2# 3/3 21/10/2024, 16:41 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 4 of 11) | Formative      1 Mark A 46-year-old patient presents with a midline neck mass just below the hyoid which is mobile when the patient sticks out their tongue. Select, from the options listed, the CORRECT origin of this mass. Select one: 11 of 50 a. The hyoid bone b. The epiglottis c. The frenulum d. The foramen cecum  Report question issue Notes The correct answer is: The foramen cecum Unsure      1 Mark From the options listed, select the answer that CORRECTLY completes the final sentence below. A 20-year-old student was stabbed in the neck in the posterior triangle injuring the accessory nerve. The function of the accessory nerve would be tested by asking her to: 12 of 50 Select one: a. lift her shoulders against resistance  b. extend her neck without impairment c. extend her neck against resistance d. lift her shoulders without impairment Report question issue Notes The correct answer is: lift her shoulders against resistance Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=3# 1/3 21/10/2024, 16:41 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 4 of 11) | Formative      1 Mark A 28-year-old man believes that his neighbours talk about him. The way they park their cars on the street and the way newsreaders dress on the television only serves to reinforce this belief. Choose the correct option, from the list below, that BEST DESCRIBES the main mental state phenomenon discussed. 13 of 50 Select one: a. Auditory hallucination b. Delusional thought content  c. Expressive dysphasia d. Dysarthria Report question issue Notes The correct answer is: Delusional thought content Unsure      1 Mark Muscle relaxants are used routinely during anaesthesia which result in closure of the vocal folds. Laryngeal intubation by the anaesthesiologist is necessary because which of the following muscles is unable to keep the glottis open? Select one: 14 of 50 a. Posterior cricoarytenoid muscle  b. Thyroarytenoid muscle c. Cricothyroid muscle d. Lateral cricoarytenoid muscle Report question issue Notes The correct answer is: Posterior cricoarytenoid muscle Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=3# 2/3 21/10/2024, 16:41 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 4 of 11) | Formative      1 Mark From the options listed, select the answer that CORRECTLY completes the final sentence below. An 84-year-old female is being assessed in the Emergency Room for a suspected stroke. The medical officer is testing her cranial nerves and tries to elicit a gag reflex by pressing an orange stick on her oropharynx. The gag reflex is mediated on its afferent and efferent limbs through the: 15 of 50 Select one: a. glossopharyngeal nerve/hypoglossal nerve b. hypoglossal nerve/glossopharyngeal nerve c. facial nerve/vagus nerve d. glossopharyngeal nerve/vagus nerve  Report question issue Notes The correct answer is: glossopharyngeal nerve/vagus nerve Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=3# 3/3 21/10/2024, 16:40 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 5 of 11) | Formative      1 Mark A 22-year-old female with systemic lupus erythematosus is seen in a clinic for pallor and shortness of breath. Haemoglobin level was 86 g/L (NR: 130-180). An urgent PBF showed the presence of many spherocytes and polychromatic cells. Select which of the following options is the MOST LIKELY cause of her symptoms. 16 of 50 Select one: a. Microangiopathic haemolytic anaemia b. Acute blood loss c. Autoimmune haemolytic anaemia  d. Vitamin B12 deficiency Report question issue Notes The correct answer is: Autoimmune haemolytic anaemia Unsure      1 Mark A 50-year-old woman presents complaining of hot flushes and insomnia. Serum levels of follicle stimulating hormone (FSH), luteinising hormone (LH), oestrogen and progesterone are measured. Select which of the following findings would indicate that she has entered menopause. 17 of 50 Select one: a. An increased FSH and LH, decreased progesterone and oestrogen  b. A decreased FSH, LH, progesterone, and oestrogen c. A decreased FSH and LH, increased progesterone and oestrogen d. An increased FSH, decreased LH, progesterone and oestrogen Report question issue Notes The correct answer is: An increased FSH and LH, decreased progesterone and oestrogen Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=4#question-203931-29 1/3 21/10/2024, 16:40 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 5 of 11) | Formative      1 Mark A high-impact back injury has resulted in a lesion on the spinal cord at C5/C6. The large lesion is on the dorsal margin of the cord, just to the right of the midline, but does not cross the midline and is confined to the white matter. Select, from the options listed, the symptoms this patient is MOST LIKELY to have. 18 of 50 Select one: a. Paralysis of both lower limbs b. Paralysis of right upper limb  c. Fine touch diminished in right upper limb and right lower limb d. Phantom pain in left upper limb and left lower limb Report question issue Notes The correct answer is: Fine touch diminished in right upper limb and right lower limb Unsure      1 Mark Choose, from the following options, the one that BEST DESCRIBES the changes in the Cerebrospinal Fluid (CSF) in aseptic meningitis. Select one: 19 a. An increased lymphocyte count and normal to slight increase in glucose levels  of 50 b. An increased lymphocyte count and very low glucose levels c. An increased neutrophil count and very low glucose levels d. An increased neutrophil count and high protein concentration Report question issue Notes The correct answer is: An increased lymphocyte count and normal to slight increase in glucose levels Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=4#question-203931-29 2/3 21/10/2024, 16:40 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 5 of 11) | Formative      1 Mark A 50-year-old female is scheduled for an elective hysterectomy. She has a preoperative prothrombin time (PT) and activated partial thromboplastin time (aPTT) performed. The PT is 12 seconds (normal 10-13 seconds) and the aPTT is 72 seconds (normal 28- 35 seconds). Select, from the options listed, the MOST LIKELY cause of her coagulation result. 20 of 50 Select one: a. Protein C deficiency b. Factor VIII deficiency  c. Factor II deficiency d. Factor VII deficiency Report question issue Notes The correct answer is: Factor VIII deficiency Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=4#question-203931-29 3/3 21/10/2024, 16:41 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 6 of 11) | Formative      1 Mark From the list below, select the option that MOST APPROPRIATELY completes the following sentence. Following damage to axons in the lateral corticospinal tract, motor reflexes: Select one: 21 of 50 a. are immediately lost and do not return due to the death of lower motor neurons b. are initially lost, but then return at an exaggerated level due to the loss of descending inhibition  c. are initially unaffected, but are eventually lost due to muscle atrophy d. are decreased due to increased descending inhibition (the Jendrassik phenomenon) Report question issue Notes The correct answer is: are initially lost, but then return at an exaggerated level due to the loss of descending inhibition Unsure      1 Mark Select, from the options listed, the TRUE statement about syphilis. Select one: a. Syphilitic chancre is painless and highly infectious.  22 of 50 b. Azithromycin is the antibiotic most commonly used to treat syphilis. c. Aortic aneurysm is a feature of secondary syphilis. d. Syphilis is caused by a Gram-negative rod. Report question issue Notes The correct answer is: Syphilitic chancre is painless and highly infectious. Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=5# 1/3 21/10/2024, 16:41 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 6 of 11) | Formative      1 Mark From the options listed, select the answer that CORRECTLY completes the final sentence below. A 34-year-old pregnant lady is recommended to have a pudendal nerve block during childbirth. The resident prepares to locate the best landmark to palpate to direct the needle close to the nerve. This landmark is the: 23 of 50 Select one: a. coccyx b. pubic symphysis c. ischial tuberosity d. ischial spine  Report question issue Notes The correct answer is: ischial spine Unsure      1 Mark From the options listed, select the answer that CORRECTLY completes the following sentence. A patient diagnosed with pernicious anaemia is likely to have low levels of: Select one: 24 of 50 a. iron b. folic acid c. intrinsic factor  d. haemoglobin Report question issue Notes The correct answer is: intrinsic factor Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=5# 2/3 21/10/2024, 16:41 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 6 of 11) | Formative      1 Mark From the options listed, select the answer that CORRECTLY completes the following sentence. In blocking the inferior alveolar nerve for dental work, the other branch of the mandibular nerve that is MOST LIKELY to be blocked is the: 25 of 50 Select one: a. auriculotemporal nerve b. lingual nerve  c. deep temporal nerves d. buccal nerve Report question issue Notes The correct answer is: lingual nerve Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=5# 3/3 21/10/2024, 16:41 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 7 of 11) | Formative      1 Mark Select, from the options listed, the statement regarding the public health impacts of climate change that is NOT TRUE. Select one: a. Climate change can create water shortages and affect quality of water supplies. 26 of 50 b. There have been changes in the epidemiology of Dengue fever in part due to climate change. c. There is insufficient evidence that climate change has an impact on mental health in any  communities. d. Food security is a global problem that is being negatively impacted by climate change. Report question issue Notes The correct answer is: There is insufficient evidence that climate change has an impact on mental health in any communities. Unsure      1 Mark An aneurysm of the anterior inferior cerebellar artery close to its branching point from the basilar artery will MOST LIKELY result in which of the following changes in eye function when an individual attempts to look straight ahead? Select one: 27 of 50 a. Depression of the eye b. Abduction of the eye c. Constricted pupil d. Adduction of the eye  Report question issue Notes The correct answer is: Adduction of the eye Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=6# 1/3 21/10/2024, 16:41 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 7 of 11) | Formative      1 Mark A chronic alcoholic is noted to have increased postural sway despite being sober at the time of the examination. Select, from the options listed, the part of the brain MOST LIKELY to be damaged in this scenario. 28 of 50 Select one: a. Cerebellar vermis  b. Cerebellar hemispheres c. Primary somatosensory cortex d. Olivary nucleus of the medulla Report question issue Notes The correct answer is: Cerebellar vermis Unsure      1 Mark A patient has an aneurysm in the posterior communicating artery, which is compressing his left 3rd cranial nerve (oculomotor). Select, from the options listed, the sign MOST LIKELY to be seen. Select one: a. A left constricted pupil that is directed downwards and outwards when compared to the right and a left 29 sided visual loss of 50 b. A left dilated pupil that is directed downwards and outwards when compared to the right and  unreactive to accommodation c. A left sided ptosis and a constricted left pupil that is directed upwards and outwards when compared to the right d. A left sided ptosis and a dilated left pupil that is directed upwards and outwards when compared to the right Report question issue Notes The correct answer is: A left dilated pupil that is directed downwards and outwards when compared to the right and unreactive to accommodation Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=6# 2/3 21/10/2024, 16:41 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 7 of 11) | Formative      1 Mark Select which of the following structures is intimately related to the left recurrent laryngeal nerve. Select one: 30 a. Ligamentum arteriosum  of 50 b. Thymus c. Thoracic duct d. Left bronchial artery Report question issue Notes The correct answer is: Ligamentum arteriosum Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=6# 3/3 21/10/2024, 16:41 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 8 of 11) | Formative      1 Mark A 61-year-old man consults with his doctor over concerns that he is not able to achieve an erection. Select, from the options listed, which statement is TRUE in his case. Select one: 31 of 50 a. His problem could be due to dysfunction of the parasympathetic nervous system.  b. There is an excess of nitric oxide release in his penile circulation. c. His testosterone levels will certainly be low. d. His corpora cavernosa are able to fill with blood normally. Report question issue Notes The correct answer is: His problem could be due to dysfunction of the parasympathetic nervous system. Unsure      1 Mark Potential first line drugs to treat and control generalised/tonic clonic seizures include valproate OR carbamazepine. Select, from the options listed, the CORRECT statement about such therapies. Select one: 32 of 50 a. Carbamazepine does not result in sedation as a side effect. b. Carbamazepine is a potent activator of the GABAA receptor. c. Valproate would specifically result in gum hyperplasia as a side effect. d. Valproate targets and inhibits the enzyme GABA transaminase.  Report question issue Notes The correct answer is: Valproate targets and inhibits the enzyme GABA transaminase. Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=7# 1/3 21/10/2024, 16:41 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 8 of 11) | Formative      1 Mark From the following list of options, select the one that ACCURATELY completes the final sentence below. A 20-year-old man seen in the Emergency Department has sustained a stab injury to the neck during a pub brawl. The stab wound is located above the right clavicle, just lateral to the sternocleidomastoid and could be life-threatening due to possible injury to the: 33 of 50 Select one: a. subclavian artery  b. brachial plexus c. axillary artery d. internal jugular vein Report question issue Notes The correct answer is: subclavian artery Unsure      1 Mark You hear a loud bang and reflexively move your head to look towards the source of the noise. You moved without consciously thinking about it. Select, from the following options, the tract MOST LIKELY responsible for making this happen. 34 of 50 Select one: a. Reticulospinal tract b. Rubrospinal tract c. Tectospinal tract  d. Pyramidal tract Report question issue Notes The correct answer is: Tectospinal tract Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=7# 2/3 21/10/2024, 16:41 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 8 of 11) | Formative      1 Mark A 58-year-old man presents with a sudden onset of loss of speech and right sided weakness. His examination showed global aphasia, right facial weakness, right hemiparesis (arm > leg) and a right homonymous hemianopia. Select which of the following vessels is MOST LIKELY to have been occluded. 35 of 50 Select one: a. Left middle cerebral artery  b. Left anterior cerebral artery c. Left lenticulostriate artery d. Left posterior cerebral artery Report question issue Notes The correct answer is: Left middle cerebral artery Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=7# 3/3 21/10/2024, 16:40 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 9 of 11) | Formative      1 Mark From the options listed, select the answer that CORRECTLY completes the following sentence. Increasing national immunization rates through the national immunization program (NIP) is most likely to be achieved by: 36 Select one: of 50 a. providing up to date information to GPs on travel vaccines b. funding free vaccine programs and administering the Australian Childhood Immunization Register  c. listing all vaccines available in Australia and advising health professionals about their use d. providing GPs with the most up to date evidence on the efficacy of vaccines Report question issue Notes The correct answer is: funding free vaccine programs and administering the Australian Childhood Immunization Register Unsure  https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=8#question-203931-52 1/3 21/10/2024, 16:40 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 9 of 11) | Formative      1 Mark From the options listed, please select the answer that CORRECTLY completes the following sentence. The active structure (as indicated by the arrow below) will degenerate into what is known as a: 37 of 50 Select one: a. Corpus luteum b. Secondary follicle c. Graafian follicle d. Corpus albicans  Report question issue Notes The correct answer is: Corpus albicans Unsure      1 Mark Select which of the following statements is TRUE about examining the trigeminal nerve. Select one: a. Clenching the teeth tests the pterygoid, masseter and buccinator muscles, that are supplied by the 38 trigeminal nerve. of 50 b. Testing for the corneal reflex is a test of both the trigeminal and facial nerves.  c. A lesion in the right trigeminal nerve will result in deviation to the left side upon opening the mouth. d. An upper motor nerve lesion will lead to an absent jaw jerk. Report question issue Notes The correct answer is: Testing for the corneal reflex is a test of both the trigeminal and facial nerves. Unsure  https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=8#question-203931-52 2/3 21/10/2024, 16:40 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 9 of 11) | Formative      1 Mark A 24-year-old heterosexual male presents to his General Practitioner with a three-day history of urethral discharge and dysuria. Gram stain of the urethral discharge showed ≥ 5 WBC per oil-immersion field, without any Gram-negative diplococci. Select, from the options listed, the MOST LIKELY organism to be responsible for these symptoms. 39 of 50 Select one: a. Neisseria gonorrhoeae b. Human papillomavirus c. Haemophilus ducreyi d. Chlamydia trachomatis  Report question issue Notes The correct answer is: Chlamydia trachomatis Unsure      1 Mark A 36-year-old woman had brain imaging recently that revealed a large anterior pituitary tumour. Select which of the following symptoms she is MOST LIKELY to have. Select one: 40 of 50 a. Hypotension b. Galactorrhea c. Bi-nasal hemianopia d. Menorrhagia  Report question issue Notes The correct answer is: Galactorrhea Unsure  https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=8#question-203931-52 3/3 21/10/2024, 16:41 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 10 of 11) | Formative      1 Mark A 66-year-old woman is diagnosed with Parkinson’s disease. Select, from the options listed, the BEST drug to combine with Levo-dopa. Select one: 41 of 50 a. Cholinergic antagonist b. MAO-B inhibitor c. COMT inhibitor d. Decarboxylase inhibitor  Report question issue Notes The correct answer is: Decarboxylase inhibitor Unsure      1 Mark From the options listed, select the answer that CORRECTLY completes the following sentence. Mechanical regulation of lactation involves: Select one: 42 of 50 a. progesterone levels to be elevated b. suckling associated with spikes in prolactin and oxytocin  c. the sound of a crying baby only d. suckling and the release of progesterone Report question issue Notes The correct answer is: suckling associated with spikes in prolactin and oxytocin Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=9# 1/3 21/10/2024, 16:41 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 10 of 11) | Formative      1 Mark A 39-year-old man visits his General Practitioner for a routine pre-employment medical examination. The full blood count revealed a white cell count of 74 x 109/L (NR: 4-11). The peripheral blood film showed “peak of neutrophils and myelocytes with eosinophilia and occasional blast cells”. Select which of the following options is the MOST LIKELY diagnosis. 43 of 50 Select one: a. Chronic lymphocytic leukaemia b. Acute lymphoblastic leukaemia c. Chronic myeloid leukaemia  d. Acute myeloid leukaemia Report question issue Notes The correct answer is: Chronic myeloid leukaemia Unsure      1 Mark A 25-year-old female presents with a four-month history of amenorrhoea. She has been stressing over exams but is otherwise well. She describes normal menarche at age 13 years and is on no medications currently. Select which of the following blood tests should be performed first. 44 of 50 Select one: a. LH b. Prolactin c. TSH d. β-HCG  Report question issue Notes The correct answer is: β-HCG Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=9# 2/3 21/10/2024, 16:41 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 10 of 11) | Formative      1 Mark A 72-year-old man presenting with a three-year history of progressive cognitive decline cannot recall your name after being introduced at the beginning of the clinical interview. Choose the option, from the list, that BEST DESCRIBES the main mental state phenomenon or area of cognitive deficit in the scenario. 45 of 50 Select one: a. Short term recall  b. Registration c. Receptive language d. Orientation to time Report question issue Notes The correct answer is: Short term recall Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=9# 3/3 21/10/2024, 16:41 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 11 of 11) | Formative      1 Mark A 65-year-old man is brought to the Emergency Department (ED) 30 minutes after the onset of right-sided weakness and aphasia (difficulty speaking). Imaging studies ruled out cerebral haemorrhage as the cause of his acute symptoms of stroke. Select, from the options listed, the drug MOST LIKELY to improve this patient’s clinical outcome when administered expeditiously. 46 of 50 Select one: a. Aspirin b. Antiplasmin c. Factor VIII d. Alteplase  Report question issue Notes The correct answer is: Alteplase Unsure      1 Mark A 13-year-old girl is brought to the doctor by her mother as she is concerned that she has not attained menarche and does not show any signs of breast development. On examination, she is noted to be Tanner Stage 1 for both pubic hair and breast development. A pelvic ultrasound shows the presence of a normal uterus and ovaries. Select, from the options listed, which of the following statements is TRUE about her. 47 of 50 Select one: a. Her LH and FSH levels are likely to be low.  b. Her pubertal development is normal. c. She is likely to have very high levels of GnRH. d. Adrenarche has begun normally in her case. Report question issue Notes The correct answer is: Her LH and FSH levels are likely to be low. Unsure https://formative.eassessment.monash.edu/mod/quiz/review.php?attempt=192084&cmid=3131&page=10# 1/2 21/10/2024, 16:41 MED2200 PRINCIPLES OF MEDICINE 2: Attempt review (page 11 of 11) | Formative      1 Mark A 36-year-old woman who presents to her GP with a six-month history of amenorrhoea. Select which of the following investigation findings would be MOST indicative of polycystic ovary syndrome (PCOS) as the cause for this presentation. Select one: 48 of 50 a. A bone density test that revealed she had osteopenia b. Her serum testosterone level was elevated  c. Her serum FSH/LH were elevated, and progesterone/oestrogen were low d. Her urinary βHCG level was elevated Report question issue Notes The correct answer is: Her serum testosterone level was elevated Unsure      1 Mark From the options listed, select the answer that CORRECTLY completes the following sentence. The implanting blastocyst consists of: Select one: 49 of 50 a. blastomeres, trophoblast cells, inner cell mass b. trophoblast cells, inner cell mass, zona pellucida c. inner cell mass, zona pellucida d. trophoblast cells, inner cell mass, blastocyst cavity  Report question issue Notes The correct answer is: trophoblast cells, inner cell mass, blastocyst cavity Unsure      1 Mark Select which of the following statements is TRUE of the etonogestrel implant (Implanon NXT®) contraceptive device. Select one: 50 a. With perfect use, Implanon NXT® is >99% effective.  of 50 b. The majority of women using the Implanon NXT® device will have no period. c. Implanon NXT® can take up to 18 months to return to “normal” fertility once removed. d. One Implanon NXT® device can be effective for up to five years. Report question issue Notes The correct answer is: With perfect use, Implanon NXT® is >99% effective. 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