MCQ practice Test

You are attending to a patient in your clinic. A 50 years old male patient has a rash on the hand for last 3 days which is painful.

 

What is the best management for this diabetic patient?

• Permethrin cream all over body

• Local fuscidic acid

• Oral co-amoxiclav

• Refer to nearby hospital for admission

• Incise the wound and drain pus  

A 17 yr old male presents in a medical flood relief camp with high grade fever with chills and rigors for last 2 days. On examination his temperature is 105 degrees F after taking paracetamol 1 gm an hour back. His two other siblings are also suffering from similar symptoms. Considering that lab investigations are not available, what is the best management option for this patient?

• Refer for admission

• Cold sponging, antimalarial and mosquito repellent

• IV hydration, IV paracetamol and ceftriaxone

• IV hydration, IV ceftriaxone and cold sponging

• Oral rehydration and paracetamol 4 hourly

Which of the following is most important health education advice to a patient presenting to a flood relief camp with acute gastroenteritis?

• Getting Hepatitis A vaccine

• Get Rota Vaccine                                                      

• Drink boiled water

• Avoid Milk in tetra pack

• Always heat food before eating

Mother of a 9 years old girl brings her daughter with sore throat and fever for last 2 days. She does not have any cough. On examination she has a tender anterior cervical lymph node and tonsillar exudates. What is the best next management step for this patient?

• Reassure and follow up in 48 hours

• Give antibiotic for 7 days

• Give antibiotic for 10 days

• Get throat cultures

• Check ASO titre

Mother of a 6 years old girl brings her daughter with a 2 days history of sore throat for the third time in a year. Every time the GP starts her on an antibiotic.

 

On examination the child is afebrile and the throat is hyperemic.

• Reassure and follow up in 48 hours

• Give antibiotic and then refer for tonsillectomy

• Refer to ENT immediately

• Get throat cultures

• Check ASO titre

A 28 years old female presents with nasal blockage, discharge, sneezing and post nasal dripping for last 5 years especially during winter months.

 

Which of the following investigation would be diagnostic of the disease?

• X-ray PNS

• CT PNS

• MRI PNS

• Serum IgE

• Lateral x-ray nose

An 8 year old male is brought by his mother with greenish discharge from nose, low grade fever, cough and headache for last 2 days. He is not eating well. On examination he has tenderness in bilateral frontal region.

 

What is the best management step for this patient?

• Cough syrup and antihistamine

• Nebulize with Ventolin

• IV ceftriaxone

• Oral amoxicillin

• Paracetamol and nasal decongestant

A 20 years old female presents with nasal blockage, sneezing and post nasal drip for last 1 year, intermittently.

 

What is the first line treatment for this patient?

• Xylometazoline spray

• Intra nasal steroids

• Antihistamine oral

• Oral steroid

• Monteleukast

A -60 year old female known diabetic and hypertensive came to your clinic with her son. She has biopsy and colonoscopy report showing colorectal carcinoma. Her son asks you not to tell her mother about the diagnosis and start the treatment because he thinks that she will not be able to take the stress and may have a heart attack.

 

What will be the most appropriate management in this situation?

• Heart attack could be fatal so you will agree with the son.

• You will tell the patient immediately because it is her right to know about her illness.

• You will explain her son how important it is to tell her mother before starting treatment.

• You will refer the patient to specialist.

• You will ask the son to disclose the diagnosis to patient himself.

A- 25- year old primigravida comes to your office with an ultrasound report showing 16 week old alive fetus with anencephaly. She is advised for termination of pregnancy on which she agrees but she informs you that her husband will never agree to this.

 

What would be the most appropriate response?

• You will advise her for termination of pregnancy in any case.

• You will involve her husband in discussion regarding the prognosis of the child.

• You will advise the patient to follow her husband’s advice.

• You will decide according to husband’s will.

• Husband has no right to take the decision.