Medicine Multiple Choise Questions


Medicine Multiple Choise Questions

240 multiple choice questions

1. A 60-year-old woman presented with a small right pupil, right ptosis and impaired sweating over the ipsilateral forehead. Sweating on the rest of the face was unaffected. Where is the most likely site of this lesion?
A) Cervical spinal cord
B) Common carotid artery
C) Hypothalamus
D) Internal carotid artery
E) Lateral medulla

2. A 53-year-old man presented with hypertension of 150/110 mmHg. He is generally asymptomatic and has no previous medical history of note. He is a smoker of 5 cigarettes daily and drinks modest quantities of alcohol. He takes no prescribed medications. Examination reveals a BMI of 33.5 kg/cm2 but nil else. Investigations:
Serum sodium 146 mmol/l (NR 133-145); Serum potassium 3.2 mmol/l (NR 3.5 – 5); Urinary potassium excretion 42 mmol/l (NR less than 30)
What is the likely diagnosis?
A) adrenocortical adenoma
B) Bartter’s syndrome
C) Liddle’s syndrome
D) liquorice ingestion
E) pheochromocytoma

3. A previously healthy 54-year-old man presents to the emergency department complaining of chest pain. His ECG shows an acute inferior wall myocardial infarction. His blood pressure is 90/60 mm Hg. On physical examination, he has jugular vein distention and clear lungs. You should treat him immediately with which of the following:
A) Intravenous fluids.
B) Norepinephrine.
C) Dopamine.
D) Nesiritide.
E) Nitroprusside.

4. While caring for a patient with suspected pericardial tamponade, you would expect to ?nd:
A) Equalization of right and left ventricular pressures.
B) Isolated systolic hypertension.
C) A hyperdynamic precordium.
D) Poor R wave progression on the 12-lead electrocardiogram.
E) Mitral regurgitation.
5. A female patient aged 30 has a 5 years history of difficulty getting upstairs and out of a low chair and mild upper limb weakness but no pain. There is no family history. She presented with severe type 2 respiratory failure. EMG showed evidence of myopathy.
The most likely diagnosis is:
A) Polymyositis
B) Inclusion body myositis
C) Acid maltase deficiency
D) Miller-Fisher Syndrome
E) Lambert-Eaton Myasthenic syndrome



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