Q2. If you suspect that this patient has rheumatic fever, after the throat culture, what is the next step in his management?
a. Blood cultures
b. Acute phase reactants
c. Coagulation profile
d. Urinalysis
e. Joint aspiration
Saturday, July 23, 2022
Med & Surg MCQs
Q1. A 35-yo Asian male presents with 5-month history of progressive dyspnea, cough and right knee pain. For the past week, he has been severely dyspneic and has no exercise endurance. He was born in Cambodia and denies use of alcohol, tobacco or illicit drugs. He did not see a doctor because of lack of insurance and he has been self medicating himself with over the counter meds to no avail. He is afebrile and hemodynamically stable. As you start to examine him, you note his elbow. The lesions appear to firm, painless and located below the skin in the dermis-see below. At this point, what is your preliminary diagnosis?
a. Gout
b. Lyme disease
c. Rheumatoid arthritis
d. Sarcoidosis
e. Rheumatic fever
f. Lupus
Friday, July 22, 2022
Cardiol & Surg MCQs
During auscultation in a 6 year old, you note the following. You are most likely to find which of the following in this patient?
a. Right to left shunt
b. Left to right shunt
c. Cyanosis
d. Rib notching
e. Radial femoral pulse delay
Surg & Cardiol MCQs
A 14-year-old girl with hypertension had the CXR shown below. Which of the following features is most likely to be present in this patient?
a. Trisomy 21
b. Absent thumb
c. Precocious puberty
d. Pectus excavatum
e. Tall stature
f. Web neck
PEds & Cardiol MCQs
A 2 week old infant with cyanosis is being investigated. He undergoes an Echo- it is depicted here as a drawing. Which congenital heart disorder will present with such anatomical features?
a. Tetralogy of Fallot
b. Tricuspid atresia
c. Transposition of the great vessels
d. Hypoplastic left heart
e. VSD
Med & Surg MCQs
Four weeks after a CABG, a 67 yo presents with vague chest pain, fever and malaise of 2 days duration. His ECG is shown below. Which laboratory parameter is consistently elevated in these patients?
a. WBC
b. ESR
c. CRP
d. LDH
e. Troponin
Cardiac & Med MCQs
An oriental patient with dyspnea, fever and weight loss undergoes the test below. X-ray reveals an enlarged cardiac silhouette and It is suspected that the patient may have an infection that has caused the fluid accumulation. The test that can help make the diagnosis of the organism in the pericardial cavity is
A. Pericardial fluid color
B. Adenosine deaminase
C. Pericardial fluid culture
D. Lateral chest x-ray
E. Mycolic acid levels
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