Pulse - 6th Year
Pulse - 6th Year
Pulse - 6th Year
5- Orchidopexy causes?
a. Increase fertility
b. Decrease cancer
c. None of the above
Answer:
9- A patient presented with a burn of 22% TBSA, which of the following you should consider?
a. Tetanus booster
b. Tetanus toxoid
c. Topical antibiotics
Answer:
10-
11- P
a
t
i
ent presented to the ER, her eyes respond when you put pressure on her forehead, she speaks
incomprehensible sounds and has flexion withdrawal from pain, her GCS is?
a. 7
b. 8
c. 9
d. 10
e. 11
Answer: B
12- A patient who sustained a head injury presents to the ED with a BP of 80/60, what is the goal
of his systolic BP?
a. 80
b. 90
c. 100
d. 110
e. 120
Answer:
13- A patient presents with LUQ pain, after a motor vehicle accident, his BP is 80/50, what is the
next step in management?
a. Laparotomy
b. CT scan
c. Abdominal X-ray
Answer: A
14- Neonates with NEC may demonstrate all of the following findings on abdominal films except:
a. Pneumatosis intestinalis.
b. Portal vein air.
c. Pneumoperitoneum.
d. Colovesical fistula.
e. Fixed and thickened bowel loops.
Answer: D
18- A newborn infant develops coughing, choking and cyanosis with his first feeding. He is noted
to have excessive drooling. What are the important associated anomalies that must be
screened for prior to surgical intervention?
a. Right-sided aortic arch
b. Hydrocephalus
c. Genitourinary obstruction
d. Congenital heart disease
Answer: C
19- There is an emerging consensus that the surgical repair for congenital diaphragmatic hernia is
best done:
a. Emergently at the bedside, eliminating the risks of transporting an unstable neonate
b. While on extracorporeal membrane oxygenation
c. When the infant is potentially extubatable
d. Within the first 48 to 72 hours of life
Answer: C
20- A 3-week old infant has a barium upper gastrointestinal series to evaluate vomiting. The
duodenojejunal flexure is found to be to the right of the midline as well as more caudal and
anterior than a normal ligament of Treitz. The child is seen to reflux barium spontaneously to
the level of the mid-thoracic esophagus. You would recommend which of the following?
a. Barium enema
b. Emergency laparotomy
c. A trial of H2, blockade and cisapride therapy
d. Upper gastrointestinal endoscopy
e. Overnight pH probe analysis
Answer: B
21- A 1500-gram, 30-week gestation neonate is fed at 2 weeks of age. He develops abdominal
distention, bilious vomiting and guaiac-positive stool. A plain film of the abdomen
demonstrates pneumatosis intestinalis. Which of the following related statements are true?
a. An emergency barium upper GI series should be done to rule out malrotation
b. The child should have a nasogastric tube placed, broad spectrum intravenous antibiotics
begun, and sequential abdominal films obtained.
c. The likelihood of intestinal perforation is more than 50%
Answer: B
22- Patients with Wilms’ tumors most frequently present with which of the following?
a. Bilateral metachronous lesions
b. Bilateral synchronous lesions
c. An extrarenal primary
d. A multicentric primary lesion
e. A unifocal, unilateral lesion
Answer: E
23- Answer: C
24-
25-
26-
A
n
s
w
e
r
:B
28- A physician is conducting a case control study on osteoporosis, which of the following is
correct about case control studies when compared to cohort?
a. Provides more information about different outcomes
b. Good for studying rare risk factors
c. Good for establishing the incidence rate
Answer: A
29- A 70-year-old male patient is evaluated for knee pain, and was found to have a 1.5 popliteal
aneurysm, what is the appropriate management?
a. Aspirin
b. Clopidogrel
c. Aspiring + Clopidogrel
d. Surgery
Answer:
30- A patient with atrial fibrillation, currently on digoxin, presented with right arm pain. On
examination there is decrease pulses, what is the next step in management?
a. Doppler U/S
b. Embolectomy
c. Heparin
Answer:
34- A patient presented with anaphylaxis, with low BP. What is the management?
a. IM epinephrine
35- All of the following criteria are used in Irie/glascow criteria for pancreatitis except?
a. Amylase
b. Albumin
c. Calcium
Answer: A
36- An increase in the volume of any one of the three components (brain, blood, CSF) must be at
the expense of the other two beyond the autoregulation. This principle is called?
a. Monro hypothesis
b. Monro Kellie doctrine
Answer: B
37- A patient was diagnosed with cecal cancer, which of the following would use to follow up?
a. CEA
b. CA19-9
c. CA125
Answer: A
39- Which of the following is not a risk factors for breast cancer?
a. Smoking
b. Low bone density
c. Family history of breast cancer
Answer: B
44- A patient presented with intestinal obstruction, there was a mass found at the ileocecal valve
which has 85% cholesterol component, which of the following is consistent with the
diagnosis?
a. Air in biliary tree (this is gallstone ileus)
45- Which of the following is more common in Crohns rather than ulcerative?
a. Gallstones
b. Erythema nodosum
Answer: A
49- A patient has lost 800 cc of blood, what classification of hemorrhagic shock is this?
a. I
b. II
c. III
d. IV
Answer: B
52- A patient presented with hemothorax, a decision was made to insert a chest tube. Where
would you insert the chest tube?
a. Anterior to mid axillary line, 5th intercostal space
57-
58- W
h
i
c
h
of the following is not a risk factor for atherosclerosis?
a. Hypertension
b. Smoking
c. HRT
Answer:
60- A 6-month-old child presented to the ED, his parents say that he fell from the chair while he
was sitting. On examination there is a boggy mass on his skull, but remainder of examination
is unremarkable. What is the best next step in management?
a. Head CT
b. Discharge and follow up in the clinic
c. Discharge and report to the police and child protective services
d. Confront the patients that you are suspecting child abuse
Answer:
66- A 30-year-old patient presented with dysphagia of 2 years duration, she also lost weight
during this period, what is the initial step for management?
a. Barium swallow
b. Endoscopy
c. PH manometry
Answer:
68- A patient on TPN, presented with acalculous cholecystitis. What is the mechanism?
a. Loss of enteral stimulation of CCK
72-
73- W
h
i
c
h
75- Which of the followings statements regarding an infant with meconium ileus are true?
a. There is a high probability that he will have cystic fibrosis
78-
79-
82- Specifically, the question was about squamous cell carcinoma of the lung.
84- Patient came to the ER following RTA, he can’t feel anything from the nipple down, the spinal
injury is at what level?
a. T4
b. T5
c. T6
d. T7
Answer: A
85- In a specific population, they found out that moldy grains induce P53 mutations, this increases
the risk of which of the following cancers?
a. Liver cancer
89- A 70-year-old patient presented with recurrent episodes of transient vision loss, his pulse is 90
and regular. What is the next step in management?
a. Doppler Ultrasound of the carotids
b. Echocardiography
c. ECG
Answer: A
91- Which of the following differentiates crohns from ulcerative colitis on sigmoidoscopy?
a. Presence of granuloma