@2027// Q&A | 100% Verified Start your exams prepared! solutions.
By Billy Way
NOTE: An Asterix * at the end of a question means the answer is doubtful and should be taken as such.
January 2021
1. You are reviewing results and find the following serology results:
HBsAg - Negative, HBeAg – Negative, Anti-HBs – Positive,
Anti-HBc – Negative, Anti-HBc – Negative.
Which of the following has caused this pattern of results?
a. Acute liver failure caused by hepatitis.
b. Hepatitis B carrier status.
c. Incubation of infection with hepatitis B.
d. Recovery from infection with hepatitis B.
e. Vaccination against hepatitis B.
2. Withdrawal of artificial feeding through a feeding tube, from a patient dying of
end-stage heart disease, who is comatose with death expected within a few
days, is an example of:
a. Acceptable medical practice.
b. Assisted suicide.
c. Euthanasia.
d. Murder.
e. Unprofessional practice.
3. In which of the following patients with pleural effusion would you observe the
patient instead of doing a diagnostic thoracocentesis?
a. Patients with a large parapneumonic effusion.
b. Patients with a tuberculous effusion.
c. Patients with heart failure and bilateral pleural effusion.
d. Patient with suspected malignant effusion.
e. Patient with chylothorax.
4. A tall, thin smoking 35-year-old male presents to the emergency department
with severe shortness of breath and chest pain. Shortly after admission, the
dyspnea becomes worse and the lung exam reveals diminished breath sounds,
diminished tactile vocal fremitus and decreased chest movement on the right
side. In addition, he has marked tachycardia, hypotension, and mediastinal and
tracheal shift on chest x-ray. What is the most likely diagnosis?
A. Severe pneumonia.
B. Myocardial infarction.
C. Pulmonary embolism.
1 09/01/2026
,@2027// Q&A | 100% Verified Start your exams prepared! solutions.
By Billy Way
NOTE: An Asterix * at the end of a question means the answer is doubtful and should be taken as such.
D. Pulmonary hypertension.
E. Pneumothorax.
5. Clinical use of echocardiography includes diagnosis of the following conditions
except:
a. Valve stenosis.
b. Motion all abnormalities.
c. Conduction abnormalities.
d. Aortic aneurisms and dissections.
e. None of the above.
6. A 25-year-old newly diagnosed HIV positive male presents with non-pitting
edema of the entire left lower limb. On examination, multiple brown and
purple papules and plaques are also seen on the thighs. If you perform a skin
biopsy of the purplish lesions, what characteristic histopathology findings will
help you confirm your diagnosis in this patient?
a. Neutrophilic perivascular infiltrates.
b. Lymphocytic perivascular infiltrate.
c. Spindle cells with increased vascular spaces.
d. Subepidermal blister with eosinophil infiltration.
e. Epidermotropism.
7. A 35-year-old female presents to clinic 5 with a 4-week history of fever, chills,
weight loss, myalgias, and arthralgias. Her physical examination is significant
for diastolic murmur in the second intercostal space. Which of the following is
not a complication of the above condition?
a. Intercranial hemorrhage.
b. Glomerulonephritis.
c. Heart failure.
d. Meningitis.
e. All of the above.
8. The following are malignancies associated with HIV except?
a. Lung cancer especially in smokers.
b. KS.
c. Cervical cancer.
d. Lymphomas.
e. All of the above.
2 09/01/2026
, @2027// Q&A | 100% Verified Start your exams prepared! solutions.
By Billy Way
NOTE: An Asterix * at the end of a question means the answer is doubtful and should be taken as such.
9. An 80-year-old diabetic patient presents to the hospital with fever for 14 hours.
She has neck pain and appears very ill and is febrile to touch. Which of the
following correctly describes Brudzinski’s sign?
a. Neck flexion causes pain and brief flexion at the hips.
b. Flexion of the hip and extending the knee elicits resistance.
c. Pain with dorsiflexion of the foot.
d. Inspiratory arrest with upper quadrant palpation.
e. None of the above.
10. A 23-year-old man was admitted to hospital with a 3-day history of fever and
breathlessness. On examination, his temperature was 38.9°C, his pulse was 110
bbm, his blood pressure was 105/70 mmHg and his respiratory rate was 18
bbm. Investigations showed: Hb 10.5g/dl, WBC 18.5 × 109/L, Na+
128mmol/L, Urea 9.5mmol/L, CXR – consolidation on the left lower lobe
with a pleural effusion on the same side. Which finding is most indicative of
severe pneumonia?
A. Blood pressure of 105/70 mmHg.
B. Pleural effusion on CXR.
C. Respiratory rate of 18 bbm.
D. Serum urea concentration of 9.5 mmol/L.
E. WBC of 18.5 × 109/L.
11. Renal biopsy is contraindicated in:
a. Solitary kidney.
b. Thrombocytopenia.
c. Uncontrolled hypertension.
d. CKD.
e. All of the above.
12. A 48-year-old male is bitten by the neighbor’s dog on the left leg during a
provoked attack. The dog is up to date on all vaccinations including the rabies
vaccine. The patient has history of alcoholism and works as a civil servant. He
has never sought medical care for anything in the last 20 years. His physical
3 09/01/2026
By Billy Way
NOTE: An Asterix * at the end of a question means the answer is doubtful and should be taken as such.
January 2021
1. You are reviewing results and find the following serology results:
HBsAg - Negative, HBeAg – Negative, Anti-HBs – Positive,
Anti-HBc – Negative, Anti-HBc – Negative.
Which of the following has caused this pattern of results?
a. Acute liver failure caused by hepatitis.
b. Hepatitis B carrier status.
c. Incubation of infection with hepatitis B.
d. Recovery from infection with hepatitis B.
e. Vaccination against hepatitis B.
2. Withdrawal of artificial feeding through a feeding tube, from a patient dying of
end-stage heart disease, who is comatose with death expected within a few
days, is an example of:
a. Acceptable medical practice.
b. Assisted suicide.
c. Euthanasia.
d. Murder.
e. Unprofessional practice.
3. In which of the following patients with pleural effusion would you observe the
patient instead of doing a diagnostic thoracocentesis?
a. Patients with a large parapneumonic effusion.
b. Patients with a tuberculous effusion.
c. Patients with heart failure and bilateral pleural effusion.
d. Patient with suspected malignant effusion.
e. Patient with chylothorax.
4. A tall, thin smoking 35-year-old male presents to the emergency department
with severe shortness of breath and chest pain. Shortly after admission, the
dyspnea becomes worse and the lung exam reveals diminished breath sounds,
diminished tactile vocal fremitus and decreased chest movement on the right
side. In addition, he has marked tachycardia, hypotension, and mediastinal and
tracheal shift on chest x-ray. What is the most likely diagnosis?
A. Severe pneumonia.
B. Myocardial infarction.
C. Pulmonary embolism.
1 09/01/2026
,@2027// Q&A | 100% Verified Start your exams prepared! solutions.
By Billy Way
NOTE: An Asterix * at the end of a question means the answer is doubtful and should be taken as such.
D. Pulmonary hypertension.
E. Pneumothorax.
5. Clinical use of echocardiography includes diagnosis of the following conditions
except:
a. Valve stenosis.
b. Motion all abnormalities.
c. Conduction abnormalities.
d. Aortic aneurisms and dissections.
e. None of the above.
6. A 25-year-old newly diagnosed HIV positive male presents with non-pitting
edema of the entire left lower limb. On examination, multiple brown and
purple papules and plaques are also seen on the thighs. If you perform a skin
biopsy of the purplish lesions, what characteristic histopathology findings will
help you confirm your diagnosis in this patient?
a. Neutrophilic perivascular infiltrates.
b. Lymphocytic perivascular infiltrate.
c. Spindle cells with increased vascular spaces.
d. Subepidermal blister with eosinophil infiltration.
e. Epidermotropism.
7. A 35-year-old female presents to clinic 5 with a 4-week history of fever, chills,
weight loss, myalgias, and arthralgias. Her physical examination is significant
for diastolic murmur in the second intercostal space. Which of the following is
not a complication of the above condition?
a. Intercranial hemorrhage.
b. Glomerulonephritis.
c. Heart failure.
d. Meningitis.
e. All of the above.
8. The following are malignancies associated with HIV except?
a. Lung cancer especially in smokers.
b. KS.
c. Cervical cancer.
d. Lymphomas.
e. All of the above.
2 09/01/2026
, @2027// Q&A | 100% Verified Start your exams prepared! solutions.
By Billy Way
NOTE: An Asterix * at the end of a question means the answer is doubtful and should be taken as such.
9. An 80-year-old diabetic patient presents to the hospital with fever for 14 hours.
She has neck pain and appears very ill and is febrile to touch. Which of the
following correctly describes Brudzinski’s sign?
a. Neck flexion causes pain and brief flexion at the hips.
b. Flexion of the hip and extending the knee elicits resistance.
c. Pain with dorsiflexion of the foot.
d. Inspiratory arrest with upper quadrant palpation.
e. None of the above.
10. A 23-year-old man was admitted to hospital with a 3-day history of fever and
breathlessness. On examination, his temperature was 38.9°C, his pulse was 110
bbm, his blood pressure was 105/70 mmHg and his respiratory rate was 18
bbm. Investigations showed: Hb 10.5g/dl, WBC 18.5 × 109/L, Na+
128mmol/L, Urea 9.5mmol/L, CXR – consolidation on the left lower lobe
with a pleural effusion on the same side. Which finding is most indicative of
severe pneumonia?
A. Blood pressure of 105/70 mmHg.
B. Pleural effusion on CXR.
C. Respiratory rate of 18 bbm.
D. Serum urea concentration of 9.5 mmol/L.
E. WBC of 18.5 × 109/L.
11. Renal biopsy is contraindicated in:
a. Solitary kidney.
b. Thrombocytopenia.
c. Uncontrolled hypertension.
d. CKD.
e. All of the above.
12. A 48-year-old male is bitten by the neighbor’s dog on the left leg during a
provoked attack. The dog is up to date on all vaccinations including the rabies
vaccine. The patient has history of alcoholism and works as a civil servant. He
has never sought medical care for anything in the last 20 years. His physical
3 09/01/2026
