Question 1:
CAP antibiotic that causes VF
Answer:
Azithromycin
- The arrhythmia results from prolongation of the QT interval and is also more common in patients with a
prior cardiac history.
Question 2:
Anti-DM medications for weight loss
Answer:
GLP1 receptor agonists e.g. Exenatide SGLT-2 inhibitor e.g. Canagliflozin
Question 3:
Screening test with greatest potential for over diagnosis
Answer:
PSA
Question 4:
Clinical manifestation of amyotrophic lateral sclerosis
Answer:
Asymmetric leg weakness
Question 5:
Opioid to avoid in palliative patient with severe hepatic dysfunction
Answer:
Methadone
- It is metabolized and cleared by the liver, and should therefore not be used in patients with severe
hepatic impairment. It is, however, a reasonable option for patients with severe renal impairment.
Question 6:
Lung cancer screening with low dose CT Chest annually
Answer:
Adults 55-80yo with 30 pack year history and currently smoking or quit within last 15 years
Question 7:
NOAC with reversal agent
Answer:
Dabigatran
,Question 8:
Reduces alcoholism but creating an acute ethanol sensitivity
Answer:
Disulfiram
Question 9:
Antidepressant to be avoided in the elderly
Answer:
Paroxetine (associated with more anticholinergic effects)
SSRIs > SNRIs, atypical antipsychotics may be added for resistant depression
Question 10:
Age group between which American Academy of Pediatrics recommends administration of an
autism-specific screening tool
Answer:
18-24 months old
Most common neurological complication of Paget's disease of the bone
Question 11:
Most common cardiac complication of Lyme disease
Answer:
Heart blocks
Question 12:
Examination finding of those with bacterial vaginosis
Answer:
Vaginal pH >4.5 (normal vaginal pH should be acidic)
Question 13:
Most common cause of medication-related adverse events across health care settings in the United
States
Answer:
Antibiotics
Question 14:
Screening for asymptomatic carotid artery stenosis
Answer:
Not recommended
,Question 15:
In anaphylaxis, which drug is most likely helpful in preventing the need for intubation?
Barrett's oesophagus with no dysplasia
Positive family history of colorectal cancer
Answer:
Individuals who have a first-degree relative with colorectal cancer or advanced adenoma diagnosed
before 60 years of age or two first-degree relatives diagnosed at any age should be advised to start
screening colonoscopy at 40 years of age or 10 years younger than the earliest diagnosis in their family,
whichever comes first.
Question 16:
Most common cause of hearing loss in newborns
Answer:
Genetic inheritance
Lab findings in Von Willebrand disease
U.S. federal labor law requires companies with >50 employees to provide which benefits for employees
who are nursing mothers
Question 17:
Influenza vaccination in those with potential egg allergy
Answer:
All currently available influenza vaccines, with the exceptions of recombinant and cell-culture-based
inactivated influenza vaccines, are prepared using embryonated egg culture and can potentially provoke
allergic and anaphylactic reactions.
For those who report that they can eat lightly cooked scrambled eggs, vaccination can proceed without
precaution or observation. Those who have experienced only hives can also receive any influenza vaccine
appropriate for their age and health status.
People who have experienced symptoms such as hypotension, wheezing, nausea, or vomiting, or
reactions requiring emergency attention or epinephrine after eating eggs or egg-containing foods can also
receive any influenza vaccine appropriate for their age and health status and also do not need to be
observed. However, the vaccine should be administered by a provider who can recognize and manage
severe allergic reactions.
Question 18:
How is the Timed Up and Go test useful in GRM patients?
Answer:
Helps to assess the risk of falling
Question 19:
Antidepressant that can prolong QT interval to be avoided in those on concomitant atypical
antipsychotics
Answer:
Citalopram, Escitalopram
Other SSRIs, as well as bupropion, venlafaxine, and mirtazapine, do not have this effect. Both tricyclic
, Answer:
antidepressants and antipsychotics, commonly used in patients also taking SSRIs, can cause QT
prolongation, making their combined use problematic.
Question 20:
Antibiotic for traveller's diarrhoea
Answer:
Azithromycin
Prevented by washing hands frequently
Question 21:
Most effective medication for treating fibromyalgia
Answer:
TCAs > SSRIs (helps with some pain reduction)
Question 22:
In a healthy full-term infant who is exclusively breastfed, iron supplementation should begin at what age
in order to prevent iron deficiency anaemia?
Answer:
4 months
- In preterm babies (before 37w), elemental iron supplementation (2mg/kg per day) should begin at 1
month of age and should continue until 12 months of age, unless the infant had multiple blood
transfusions.
Question 23:
In primary nephrotic syndrome, other than proteinuria and low albumin, what else is commonly
observed?
Answer:
Coagulopathy
Question 24:
Chronic medication that can cause B12 deficiency
Answer:
Metformin
Question 25:
Strongest risk factor for primary hypertension in children and adolescents
Answer:
Elevated BMI