Free MCQS Exam Braindumps (page: 24)

Page 24 of 63

A 75 year's lady who had mitral valve replacement 13 years ago has developed recurrent breathlessness. There is a prominent pulsation in her neck. She complains of abdominal pain and ankle swelling.
What is the most probably diagnosis?

  1. Aortic regurgitation
  2. Mitral stenosis
  3. Tricuspid regurgitation
  4. Mitral regurgitation
  5. Pulmonary stenosis

Answer(s): C



A homeless lady presents with cough and fever. She complains of night sweats and weight loss. CXR has opacity.
What is the next appropriate management?

  1. IFN gamma testing
  2. Mantoux
  3. Bronchoscopy
  4. AFB
  5. CT chest

Answer(s): D

Explanation:

Cough and fever and night sweat and weight loss are very suggestive of TB. She should do AF investigation.



A 78-year-old woman is admitted to the intensive care unit for acute pulmonary edema. She has rales to the apices and Jugular vein distention. Her EKG shows ventricular tachycardia.
Which of the following is the best therapy?

  1. Synchronized cardioversion
  2. Amiodarone
  3. Lidocaine
  4. Unsynchronized cardioversion
  5. Procainamide

Answer(s): A

Explanation:

Synchronized cardioversion is used when ventricular tachycardia is associated with acute pulmonary edema. Unsynchronized cardioversion is used for ventricular fibrillation or ventricular tachycardia without a pulse. Medical therapy, such as lidocaine, amiodarone, or procainamide, can be used for sustained ventricular tachycardia that is hemodynamically stable.



A child with a small head, minor anomalies of the face including a thin upper lip, growth delay, and developmental disability can have all of the following, except:

  1. A polygenic syndrome
  2. Teratogenic syndrome
  3. A mendelian syndrome

Answer(s): A

Explanation:

The features given can occur as a part of a chromosomal / teratogenic / mendelian syndrome. Polygenic in answer of exclusion. In a polygenic inheritance, multiple genes are involved in the phenotypic expression. of polygenic inheritance are hypertension and diabetes.



Page 24 of 63



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