Friday, July 29, 2022

Surg & Med MCQs

 Q2. You show an image of the creature to the patient and he recalls seeing such an insect at the camp site. This is the?

a. Tarantula
b. Black widow
c. Cellar spider
d. Wolf spider
e. Brown recluse


Med & Surg MCQs

 Q1. A 32 yo presents with a 2 day history of a very painful lesion on his arm. He reports that he had gone camping and while sleeping on the floor felt an insect bite. He immediately developed pruritus and mild pain. The next day, the site had developed into a large blister with redness and significant pain. Over the past 24 hours, the blister has ruptured and developed into a red painful area. Now he has developed a fever, diaphoresis and nausea. The exam reveals a 3 x 3 cm necrotic ulcer that is painful to touch. The surrounding area is inflamed. You suspect a bite from?


a. Rodent
b. Snake
c. Spider
d. Mosquito
e. Bee

Thursday, July 28, 2022

Peds & Pharm MCQs

 Q3. You select the medication with the mode of action shown below to treat the symptomatic child with the congenital heart disorder in the previous slide. How does this drug relieve the cyanosis?

a. Decreases afterload
b. Increases preload
c. Decreases infundibular
spasm
d. Vasodilates pulmonary  artery
e. Increases oxygen exchange


Peds & Cardiol MCQs

 Q2. Which medication can you use to relieve severe cyanotic episodes in these children?

a. Furosemide
b. Propranolol
c. Diltiazem
d. Aspirin
e. Prazosin
f. Prostaglandins


Peds & Cardiol MCQs

 Q1. A 2 year old with a congenital heart disorder presents with failure to thrive. While waiting for the child to undress, you note that the child has developed profound cyanosis of his lips and nail bed. The mother quickly places him in the position shown below. How does this position help the patient?


a. Decreases preload
b. Decreases afterload
c. Increases cardiac output
d. Increases peripheral vascular resistance
e. Lowers pulmonary artery resistance

Cardiol & Med MCQs

 A 67 yo is admitted with an anterior wall MI. Two hours after admission he develops the rhythm shown below. Because of hemodynamic instability, he undergoes successful defibrillation and is back in normal sinus rhythm. What will you tell the patient regarding his prognosis?


a. Arrhythmia will not recur again
b. The arrhythmia will not cause sudden death in the short term
c. The arrhythmia has no bearing on short term mortality
d. He needs an automatic internal defibrillator implanted ASAP
e. The long term prognosis is not influenced by this arrhythmia




Cardiol & Med MCQs

 Q5. What does the arrow in the figure of the carotid tracing  denote?


a. End of murmur
b. Closure of aortic valve
c. Opening of pulmonary valve
d. End of diastole