Doctor 2018 - Lejan JU · 2020. 3. 6. · \=< !vjadj!bt!@j7!tb::bka2g!356g;! 56037...
Transcript of Doctor 2018 - Lejan JU · 2020. 3. 6. · \=< !vjadj!bt!@j7!tb::bka2g!356g;! 56037...
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FINALPRACTICEEXAMMSSBy:YASMEENMAHMOUDMCQandTrue/False.86questionsintotal,coversMicrobiology,Histologylab,Anatomy(notmuch/withlab),
Pathology(withlab)PBL,Embryology,andPharmacology.Goodluck!1. Asurgicalpatientdevelopsanabdominalabscess.Theabscesswasdrainedandculturerevealsa
polymicrobialinfection.Thepredominantorganismidentifiedisagram-negativeanaerobicrod.Whichofthefollowingisthemostlikelycasualagent?a. Staphylococcusaureusb. Bacteroidesfragilisc. Staphylococcusepidermisd. Pseudomonasaeruginosa
2. TheterminologybestassociatedwithtypeIInecrotizingfasciitisis:
a. Myonecrosisb. Gasgangrenec. Streptococcalgangrened. Fournier’sgangrene
3. Gasgangreneismostlikelyassociatedwithinfectionwith:
a. Staphylococcusaureusb. Clostridiumperfringenesc. Streptococcuspneumoniaed. Neisseriagonorrhoeae
4. Whatisaconcave,disk-likestructurewithinvaginatedportionpointedintowardthemiddleear
space?a. Mastoidb. Stapesc. Tympanicmembraned. Scalavestibuli
5. Thismuscleattachestothemalleus.
a. Facialb. Auricularc. Stapediusd. Tensortympani
6. Theapproximatecenterofthetympanicmembranewhichisthepointofmaximumretraction:
a. Coneoflightb. Umboc. Parstensad. Parsflaccida
7. Anothertermforparsflaccida
a. Parstensa
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b. Tympanicmembranec. Shrapnel’smembraned. Mucousmembrane
8. Theliningoftympaniccavity:
a. Mucousmembraneb. Basilarmembranec. Reissnersmembraned. Noneoftheabove
9. Whichnerveisresponsibleforthecoughreflex?
a. Facialnerveb. Vagusnervec. Glossopharyngealnerved. Trigeminalnerve
10. WhichofthefollowingNSAIDsisaselectiveCOX-2inhibitor?
a. Indomethacinb. Meloxicamc. Etoricoxibd. Celecoxib
11. A16yearoldboypresentswithatumorofthelongbones.Uponhistologicallyexamination,there
appearstobesmallbluecells.Whatistheprimelocationofthetumor?a. Diaphysisb. Epiphysisc. Metaphysisd. Noneoftheabove
12. WhichsyndromeisdefinedasassociationwithOllier’sdiseaseandhemangiomatosis?
a. Maffucci’ssyndromeb. Hereditarymultipleexostosisc. Gardner’ssyndromed. Vonrecklinghausensdiseaseofbone
13.
a. Non-ossifyingfibromab. Aneurysmalbonecyst
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c. Giantcelltumord. Noneoftheabove
14. 11yearoldgirlwithmetaphyseallesion
a. Non-ossifyingfibromab. Giantcelltumorc. Chondroblastomad. Aneurysmalbonecyst
15. Theciliarymuscleissuppliedby:
a. Parasympatheticfibersfromtheoculomotornerveb. Parasympatheticfibersfromtheopticnervec. Sympatheticfibersfromtheoculomotornerved. Sympatheticfibersfromtheopticnerve
16. Whichofthefollowingarefactorsfordiabeticfootulcers?
a. Neuropathyb. Peripheralvasculardiseasec. Priorfootulcerd. Alloftheabove
17. Rheumatoidarthritis(RA)isdifferentfromsomeotherformsofarthritisbecauseit:
a. Ismorepainfulthanotherformsb. Occursbelowthewaistc. Issymmetrical,affectingtherightandleftsidesofthebodyd. Generallyoccursabovethewaist
18. Rheumatoidarthritisisarelativelycommonautoimmunedisease,withmultipletreatmentoptions.
Whichofthefollowingisanexampleofadrugclassthathasbeenshowntohaltorreversetheprogressionofthisdiseaseinmostpatients?a. Aspirinb. Azathioprinec. Everolimusd. Methotrexate
19. Whichjointdiseaseisassociatedwithmorningstiffness?
a. Osteoarthritisb. Gout
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c. Rheumatoidarthritisd. Ankylosingspondylitis
20. Whatkindofdepositsinyourbodycausegout?
a. Cholesterolb. Uricacidc. Fatd. Calcium
21. You’remorelikelytohavegoutifyouhave:
a. Lowbloodpressureb. Lowcholesterolc. Diabetesd. Lowbodyweight
22. Whatisthemostcommonsiteofagoutattack?
a. Bigtoeb. Footc. Kneed. Ankle
23. Identifythisstructure
a. Pacinaincorpusclesb. Meissnerscorpusclesc. Ruffiniendingsd. Merkel’sdisc
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24. Identifythestructureindicatedbythewhitearrow:
a. Sebaceousglandb. Sweatglandc. Arrectorpillid. Paciniancorpuscle
25. TRUEorFALSE:Cerebralperfusionpressureisthedifferencebetweenmeanarterialpressureand
intracranialpressure26. WhichofthefollowingGlascomascalescoresinapatientwouldbemostconsistentwithsevere
headinjury?a. 4b. 10c. 14d. 20
27. Concerningacutesubduralhematomas,choosethecorrectanswer:
a. Theyarecausedbytraumaticinjuryonlyb. Theyarisefromtearingofbridgingveinsc. Theyarisefromtearingofmiddlemeningealarteriesd. Theyaremostcommonlypresentatthebaseofthebrain
28. Newboneformationsurroundingasequesteredasaresultofosteomyelitisisknownas:
a. Osteophyteb. Osteosarcomac. Sequestrumd. Involucrum
29. Whatisthemostfrequenttypeofosteomyelitis?
a. Hematogenousdiseaseb. Contiguousspreaddiseasec. Chronicdiseased. Vasculardisease
30. Whatisthemostcommonorganismcausinghematogenousosteomyelitis?
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a. Pseudomonasaeruginosab. Haemophilusinfluenzaec. Staphylococcusaureusd. GroupBstreptococcus
31. Whichofthefollowingisnottrueregardingosteomyelitis?
a. Diabetesisapredisposingfactorb. Commoninfectingagentisstaphaureusc. Infectionisusuallybloodborned. Allaretrue
32. Whatisthemostcommonsiteofmetastasisforsarcomas?
a. Liverb. Brainc. Lungd. Skeleton
33. Whatismostcommonaffectedjointinpatientswithsepticarthritis?
a. Hipb. Kneec. Interphalangeald. Wrist
34. Whichofthefollowingisariskfactortodevelopsepticarthritis?
a. Weightb. Stressc. Rheumatoidarthritisd. Familyhistory
35. Whichofthefollowingisatreatmentofchronicgout?
a. Colchicineb. Reducinginflammationc. Urate-loweringtherapyd. NSAIDs
36. Whichofthefollowingdrugsshouldbeinitiatedinlowdoseswithurate-loweringdrugstoprevent
theonsetofanacutegoutattack?a. Colchicineb. NSAIDsc. Steroidsd. Probenicid
37. AllofthefollowingaretrueregardinguricosurictherapyEXCEPT:
a. Increasesriskofnephrolithiasisb. Usedinpatientswithrenaldiseasec. Increasestheexcretionofuricacidintheurined. Increasesurineuricacid
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38. Whichofthefollowingdrugsblockproductionofuricacid?a. Allopurinolb. Colchicinec. Xanthineoxidaseinhibitorsd. Botha+c
39. Whichoneofthefollowingnonpharmacologicmeasuresmaybehelpfulinprovidingpainrelieffrom
anacutegoutyattack?a. Applicationofheatb. Increasedoralintakeofwaterc. Compressionappliedtotheaffectedaread. Rest
40. Whichofthefollowingiscorrectaboutnervusintermedius?
a. Itispartofthefacialnervethatrunsbetweenthemotorpartoffacialnerveandvestibulocochlearnerve
b. Itispartofthevestibulocochlearnervethatrunsbetweenthemotorpartoffacialnerveandsensorypartoffacialnerve
c. Itispartofthefacialnervethatrunsbetweenthesensorypartoffacialnerveandvestibulocochlearnerve
d. Noneoftheabove41. Bell’spalsyisassociatedwithwhichnerve?
a. Trigeminalb. Vagusc. Accessoryd. Facial
42. Apatientisstabbedintheneck.Yoususpectdamagetotheaccessorynerveintheposterior
triangle.Youwouldtestnervefunctionbyaskingthepatientto:a. Extendtheirneckagainstresistanceb. Extendtheirneckwithoutimpairmentc. Lifttheirshouldersagainstresistanced. Lifttheirshoulderswithoutimpairment
43. A40-year-oldprofessionalgolferwasadmittedbecauseofasingleepisodeofprolongedvertigo.On
walkingthatmorninghenoticedhisbalancewasnotquiteright.Afterarrivingatworkhissymptomsgotworseandheexperiencedseverevertigo,vomiting,andataxia.Hehadnoheadache,nohearingloss.Hewastakentothehospital.Onexaminationhehasspontaneoushorizontalnystagmus.Whatisthemostlikelydiagnosis?a. Meiner’sdiseaseb. Vestibularneuritisc. Migrained. Vertebrobasilarinsufficiency
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44. A35-yearoldwomanwasadmittedafterasecondattackofvertigo.Shedescribedwaitingatthebusstop,thenexperiencingapressureana‘rushingsound’inherleftear.Shevomitedandwasunabletostandup.Shehadaspontaneousnystagmusandhadreducedhearingintheleft.a. Menier’sdiseaseb. Migrainec. Stroked. Vestibularneuritis
45. Vertigoismostcommonlyassociatedwithwhichbodypart?
a. Theheadb. Themindc. Theinnereard. Alloftheabove
46. Whatcausesvertigo?
a. Headtraumaandmigrainesb. Coldvirusesorearinfectionc. Balanceandhearingdisordersd. Alloftheabove
47. Whichofthefollowingdrugsisanantiepilepticglycine?
a. Tizanidineb. Gabapentinc. Baclofend. Diazepam
48. Whichofthefollowingdrugsinterfereswithexcitation-contractioncouplinginthemusclefibers?
a. Dantroleneb. Gabapentimc. Tizanidined. Noneoftheabove
49. AllofthefollowingistrueaboutBotulinumToxin,EXCEPT:
a. Producedbybotulinumbacteriab. Usedforcosmetictreatmentc. Stimulatesacetylcholinereleased. Itisusetherapeuticallyforophthalmicpurposes
50. Whichofthefollowingdrugsisantihypertensive(lowersbloodpressure)?
a. Gabapentinb. Diazepamc. Tizanidined. Noneoftheabove
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51. Whichofthefollowingparticipateintheformationofthehyoidbone?a. 2ndpharyngealarchb. 3rdpharyngealarchc. 2ndand3rdpharyngealarchd. 4thand6thpharyngealarch
52. Whichofthefollowingmusclesarederivedfromthefirstpharyngealarch?
a. Themusclesofmasticationb. Themusclesofmasticationandanteriorbellyofdigastricc. Themusclesofmasticationandanteriorandposteriorbelliesofdigastricd. Themusclesofmastication,anteriorandposteriorbelliesofdigastricandgeniohyoid
53. Thefollowingmusclesarecorrectlypairedwiththepharyngealarchfromwhichtheyderive:
a. Musclesoffacialexpressionarederivedfromthefirstpharyngealarchb. Stapediusmuscleisderivedfromthesecondpharyngealarchc. Pharyngealconstrictorsarederivedformthethirdpharyngealarchd. Stylopharyngeusmuscleisderivedfromthefourth/sixthpharyngealarch
54. Thefollowingareassociatedwiththethirdpharyngealarch:
a. Stylopharyngeusmuscleb. Greaterhornofthehyoidbonec. Glossopharyngealnerved. Alloftheabove
55. Thefollowingarederivedfromthefirstpharyngealarch:
a. Themalleusb. Stylohyoidligamentc. Stylohyoidmuscled. Alloftheabove
56. Skeletalstructuresderivedfromthesecondpharyngealarchinclude:
a. Stapesb. Lesserhornofthehyoidbonec. Cricoidcartilaged. AandBonly
57. WhichofthefollowingstructuresisNOTderivedpartofthesecondpharyngealarch?
a. Stapesb. Superiorportionofbodyofhyoidbonec. Sphenomandibularligamentd. Stylohyoidligament
58. Auditoryossiclesdevelopfromthecondensedmesenchymalofthe:
a. Thirdpharyngealarchb. Fourthpharyngealarchc. Bothd. Neither
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59. Themajorprotruderofthelowerjaw:a. Temporalisb. Masseterc. Lateralpterygoidd. Medialpterygoid
60. Namethemusclehighlightedingreen:
a. Temporalismuscleb. Medialpterygoidmusclec. Lateralpterygoidmuscled. Masseter
61. Whatistrueaboutthemusclehighlightedingreen?
a. Ithasdeepandsuperficialheadsb. Ithelpsintheactionofdepressionofthemandiblec. Ithelpsintheactionofretractionofthemandibled. It’sinnervatedbythefacialnerve
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62. Identifythiscondition
a. Osteonecrosisb. Osteomyelitisc. Osteoidosteomad. Osteoblastoma
63. Bonefragmentsinto2ormorepieces:
a. Closedb. Openc. Comminutedd. Greenstick
64. Incompletefracturewhereonesideofthebonebreaksandtheothersidebends;occursonlyin
children:a. Closedb. Comminutedc. Greenstickd. Spiral
65. Identifythiscondition:
a. Diabeticfootb. Gasgangrenec. StevenJohnson’sd. TEN
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66. Whichofthefollowingistrueaboutthiscondition?
a. Usuallycausedbyindigenousfloracolonizingtheskinb. C.perfingensisthepredominantcausec. Typicallyduetodeepcontaminatedwoundd. Noneoftheabove
67. Themicroorganismresponsibleformostcasesofcellulitisare:
a. StaphylococcusepidermiditisandStreptococcuspyogenesb. StaphylococcusaureusandStreptococcuspmeumoniaec. StaphylococcusepidermiditisandGroupAstreptococcid. StaphylococcusaureusandGroupAstreptococci
68. Whatcananinfectedhairfollicleleadtoifuntreated?
a. Eczemab. Leprosyc. Acned. Boil
69. Theinnersurfaceoftympanicmembraneisfixedto:
a. Stapesb. Handleofmalleusc. Incusd. Skin
70. Themiddlelayeroftympanicmembraneisdeficientwhere?
a. Superiorlyb. Inferiorlyc. Parstensad. Noneoftheabove
71. Nervesupplyoftensortympani:
a. Mandibulardivisionoftrigeminalnerveb. Mandibulardivisionoffacialnervec. Maxillarydivisionoftrigeminalnerved. Noneoftheabove
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72. TRUEorFALSE:Thesuperiorpartofthetympanicmembraneisknownastheparsflaccida73. TRUEorFALSE:Thetensortympanicistheonlymusclepresentintheinnerear74. TRUEorFALSE:The‘coneoflight’isareflectionoflightonthetympanicmembranethatpoints
superiorly75. TRUEorFALSE:TheEustachiantubeconnectstheeyetothenose76. Whatisthenameofthecochlearductcontainingtheorganofcorti?
a. Modiolusb. Scalatympanic. Helicotremad. Scalamedia
77. Whatisthemembranethatseparatesthescalamediafromthescalatympaniandsupportingthe
organofcorti?a. Basilarmembraneb. Reissnersmembranec. Vestibularmembraned. Tympanicmembrane
78. Howmanycervicalvertebraewouldyoufindinanormalvertebralcolumn?
a. 6b. 12c. 7d. 5
79. KyphosiscanbedescribedbyallofthefollowingEXCEPT:
a. Anexcessiveposteriorcurvatureb. Occursinthoracicspinec. Excessiveanteriorcurvatured. Noneoftheabove
80. Whichofthefollowingcollectivelyprovidesapassagewayforthespinalcord?
a. Intervertebralcolumnb. Vertebralforamenc. Vertebralcanald. Transverseforamen
81. Thefacialprominencesthatcontributedirectlytotheformationofthelipsare:
a. Maxillaryandlateralnasalprominencesb. Maxillaryandmedialnasalprominencesc. Medialandlateralnasalprominencesd. Lateralandmedialandpalatineprominences
82. Obliquefacialcleftsisformedby:
a. Non-fusionofmaxillaryandlateralnasalprominenceb. Fronto-nasalprominencec. Maxillaryprominenced. Lateralnasalprominence
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83. Theinter-maxillarysegmentofpalateisformedbyfusionof:a. Palatineshelvesb. Maxillaryprominencesc. Twomedialnasalprominencesd. Twolateralnasalprominences
84. ApatientpresentswithadiseaseassociatedwithHLA-B27haplotype,thatisimmunemediated,and
presentswithfibrosingankylosis.Whichofthefollowingisnotassociatedwiththisdisease?a. Rheumatoidarthritisb. Reiter’ssyndromec. Psoriaticsyndromed. Alloftheabove
85. Thebrachialplexusliesbetween:
a. Scaleneanteriorandscalenemediusb. Scalenemediusandscaleneposteriorc. Scaleneanteriorandsternocleidomastoidd. Noneoftheabove
86. Allofthefollowingmusclesdepressesthehyoidboneexcept:
a. Omohyoidb. Sternohyoidc. Thyrohyoidd. Geniohyoid
1. B2. C3. B4. C5. D6. B7. C8. A9. B10. D11. A12. A13. B14. A15. A16. D17. C18. D19. C20. B21. C22. A
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23. B24. A25. TRUE26. A27. B28. D29. A30. C31. D32. C33. D34. C35. D36. A37. B38. D39. D40. A41. D42. C43. B44. A45. C46. D47. B48. A49. C50. C51. C52. B53. B54. D55. A56. D57. C58. D59. C60. B61. C62. A63. C64. C65. B66. A67. D68. D69. B70. A
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71. A72. TRUE73. FALSE74. FALSE75. FALSE76. D77. A78. C79. C80. C81. A82. A83. C84. D85. A86. D