AND CORRECT ANSWERS. VERIFIED 2025
LATEST UPDATE.
AAA Screening - CORRECT ANS-One-time abdominal US for men 65-75 who have
smoked at least 100 cigarettes
abdominal compartment syndrome - CORRECT ANS-suspect in patients with oliguria or
increasing serum Cr who have had abdominal surgery received massive fluid
transfusion, have a tense abdomen with liver or pancreas disease
diagnose with bladder pressure
acromioclavicular join degeneration presentation - CORRECT ANS-pain on superior
aspect of shoulder, tenderness on palpation of A-C joint, pain with shoulder adduction
and abduction >120 degrees
Additional doses of Pneumococcal polysaccharide caccine (PPSV23) - CORRECT
ANS-If age <65, 5 years after first dose, then again at age 65 (provided at least 5 years
have passed since last administration)
adjunctive therapy to bacterial meningitis, suspected to be secondary to streptococcus -
CORRECT ANS-Dexamethasone, improves outcome. Give 15 mins prior to initiation of
antimicrobials
Adverse effect of ethambutol - CORRECT ANS-Retrobulbar neuritis, manifesting as red-
green color discrimination or decreased visual acuity
Age for live attenuated infleunza vaccine - CORRECT ANS-2 to 49 years
Anaplasmosis - CORRECT ANS-Fever, leucopenia, thrombocytopenia , elevated LFTs
Best treated with Doxycycline (amoxicillin not effective)
ANCA associated vasculitides - CORRECT ANS-1. Granulomatosis with polyangiitis
(Wegener's)
2. Microscopic polyangiitis
3. Eosinophilic granulomatosis with polyangiitis (churg-strauss)
, ankylosing spondylitis symptoms not responding to NSAIDs - CORRECT ANS- Trial of
TNF-alpha inhibitors, e.g adalimumab
anorexia BMI - CORRECT ANS-generally underweight, or less than 18.5
anti -u1-ribonucleoprotein antibody - CORRECT ANS-mixed connective tissue disease
Anti Glomerular basement membrane antibody disease (good pasture’s syndrome) -
CORRECT ANS--autoimmune disease, antibodies directed against type 4 collagen that
binds to GBM
- linear deposition of IgG along GBM
- Rx cyclophosphamide, steroids, plasmapheresis
anticoagulation option in breastfeeding women - CORRECT ANS-warfarin
aPTT in hemophilia A and B - CORRECT ANS-Prolonged, corrects on mixing study
b-thalassemia - CORRECT ANS-slightly increased hg A2, residual hg F
Barrter syndrome - CORRECT ANS-Mimics loop diuretics
Biologic DMARDS - CORRECT ANS-Anakinra,Anti-TNF: Etanercept, Infliximab,
Adalimumab
Non-Anti-TNF: Rituximab, Abatacept
biphosphonates must be used in all newly diagnosed MM patients requiring therapy -
CORRECT ANS-e.g zoledronic acid
breast cancer prophylaxis post-menopausal women - CORRECT ANS- exemestane
breast cancer screening modality for women with high breast density - CORRECT
ANS-digital mamography (MRI Breast and US breast have low validity)
Can pyrazinamide be used in active gout? - CORRECT ANS-No. Also caution in chronic
gout, as can exacerbate symptoms
Cancer associated with cyclophosphamide - CORRECT ANS-Bladder cancer, may
present with hematuria
causes of oral iron malabsorption - CORRECT ANS-achlorydia h.pylori
celiac disease