MCQ Medicine 2 Exam with Accurate
Solutions
"regarding unstable angina pectoris, which of the following statements is true?
A. A normal ECG and normal serial troponins makes the diagnosis very unlikely
B. The absence of cardiac risk factors excludes the disease
C. Pain commonly radiates to the back
D. It is treated with thrombolysis or percutaneous coronary intervention
E. beta blockers have been shown to reduce mortality" - correct answer-D
"Charlie Springer is a 25 year old man who has had a motor bike accident. On arrival at
the Emergency Department, his vital signs are heart rate is 130/minute, blood pressure
of 90/60 mmHg, respiratory rate of 32/minute, temperature is 36°C. His peripheral
oxygen saturation is 97 percent on room air. What would be your initial order for IV
fluids?
A. Two packs of O negative blood over half an hour
B. A litre of normal saline over 2 hours
C. A litre of 4 percent dextrose and 0. 18 percent saline over an hour
D. A litre of normal saline over half an hour
E. A litre of Hartmans solution over 2 hours" - correct answer-D
"Cholinesterase inhibitors have NOT been associated with which of the following
potential adverse effects?
A. Tachycardia
B. Diarrhoea
C. Muscle cramps
D. Vivid dreams
E. Pancreatitis" - correct answer-E
"Which of the following statements about septic arthritis is correct?
A. The infection is most commonly due to Escherichia coli
B. The clinical features can be similar to gout
C. It rarely presents as a monoarthritis
D. It usually presents as a pyrexia of unknown origin
E. The ankle is the most commonly involved joint" - correct answer-C
"A 24 year old man presents with a six month history of low back and buttock pain. His
pain is worse in the morning and improves during the day. He has restriction of
movement of his lumbar spine. His symptoms are helped by non-steroidal
antiinflammatory drugs. Which of the following clinical features is he most likely to
develop?
,A. Arthritis involving the small joints of the hands and feet
B. Pulmonary fibrosis involving the lower lobes
C. Aortic valve incompetence
D. Acute iritis
E. Ulcerative colitis" - correct answer-D
"A 75 year old man presents a year after sustaining a stroke. He complains of
worsening urinary frequency, urgency and nocturnal enuresis. Which of the following
statements is true?
A. The most likely cause is benign prostatic hypertrophy
B. The appropriate imaging investigation is computed tomography (CT) scan of the
urinary tract
C. Cystoscopy is mandatory
D. The most likely cause is neurogenic overactive bladder
E. A trial of antibiotic therapy is indicated" - correct answer-D
"Profound hypothyroidism in the elderly is likely to cause which of the following
electrolyte disturbances?
A. Hyponatraemia
B. Hypernatraemia
C. Hypokalaemia
D. Hyperkalaemia
E. Hypercalcaemia" - correct answer-A
"A 50 year old woman presents with painless rectal bleeding on defaecation. There is
no family history of bowel cancer, no weight loss and no change in bowel habits. What
is the recommended investigation?
A. Haemoccult testing
B. Colonoscopy
C. Flexible sigmoidoscopy
D. Proctoscopy and haemoccult test
E. Small bowel series" - correct answer-B
"What is the significance of the finding of localised tenderness and guarding on
abdominal examination?
A. The patient's pain is severe
B. There is an inflammatory process involving the parietal peritoneum
C. There is intraperitoneal free fluid
D. There is haemorrhage within a hollow viscus
E. There is infarction of a hollow viscus" - correct answer-B
"A regarding analgesic doses of ketamine, which of the following statements is correct?
A. It should be given carefully to asthmatics as it may worsen bronchospasm
B. It is likely to cause nausea and vomiting
C. It antagonises the effects of opiates
D. It is unlikely to cause respiratory depression
, E. It may worsen neuropathic pain" - correct answer-B
"A 56 year old man is brought into the Emergency Department following a car accident.
When you assess his respiratory system you find that he has reduced chest expansion
on the right with a midline trachea. The percussion note is dull on the right posteriorly
and laterally but resonant on the left. He is very tender in the right axilla. Breath sounds
are absent at the right base and generally vesicular with occasional crackles elsewhere.
What is the most likely diagnosis based on these findings?
A. Haemothorax on the right
B. Simple pneumothorax on the right
C. Right lower lobe aspiration pneumonitis
D. Acute severe asthma
E. Generalised lung contusions" - correct answer-A
"In an emergency setting for a patient with an unknown blood group, which is the most
appropriate type of fresh frozen plasma (FFP) to administer?
A. O negative
B. O positive
C. AB negative
D. AB positive
E. A negative" - correct answer-C
"Aminoglycosides (e. g. gentamycin) cause deafness by damaging which of the
following?
A. Basilar membrane
B. vestibular nerve
C. Cochlear hair cells
D. Cochlear duct
E. vestibular aqueduct" - correct answer-B
"With regard to the use of antibiotics in cholera, which of the following statements is
correct?
A. They prevent the spread of infection in the community
B. They reduce the risk of bacteraemia
C. They reduce the production of the toxin
D. They can shorten the duration of diarrhoea
E. They reduce the likelihood of prolonged faecal sheddi" - correct answer-A
"Which oral condition has the least association with Type 1 and Type 2 diabetes?
A. Candidiasis
B. Periodontitis
C. Oral cancer
D. Lichenoid reactions
E. Implant failure" - correct answer-C
Solutions
"regarding unstable angina pectoris, which of the following statements is true?
A. A normal ECG and normal serial troponins makes the diagnosis very unlikely
B. The absence of cardiac risk factors excludes the disease
C. Pain commonly radiates to the back
D. It is treated with thrombolysis or percutaneous coronary intervention
E. beta blockers have been shown to reduce mortality" - correct answer-D
"Charlie Springer is a 25 year old man who has had a motor bike accident. On arrival at
the Emergency Department, his vital signs are heart rate is 130/minute, blood pressure
of 90/60 mmHg, respiratory rate of 32/minute, temperature is 36°C. His peripheral
oxygen saturation is 97 percent on room air. What would be your initial order for IV
fluids?
A. Two packs of O negative blood over half an hour
B. A litre of normal saline over 2 hours
C. A litre of 4 percent dextrose and 0. 18 percent saline over an hour
D. A litre of normal saline over half an hour
E. A litre of Hartmans solution over 2 hours" - correct answer-D
"Cholinesterase inhibitors have NOT been associated with which of the following
potential adverse effects?
A. Tachycardia
B. Diarrhoea
C. Muscle cramps
D. Vivid dreams
E. Pancreatitis" - correct answer-E
"Which of the following statements about septic arthritis is correct?
A. The infection is most commonly due to Escherichia coli
B. The clinical features can be similar to gout
C. It rarely presents as a monoarthritis
D. It usually presents as a pyrexia of unknown origin
E. The ankle is the most commonly involved joint" - correct answer-C
"A 24 year old man presents with a six month history of low back and buttock pain. His
pain is worse in the morning and improves during the day. He has restriction of
movement of his lumbar spine. His symptoms are helped by non-steroidal
antiinflammatory drugs. Which of the following clinical features is he most likely to
develop?
,A. Arthritis involving the small joints of the hands and feet
B. Pulmonary fibrosis involving the lower lobes
C. Aortic valve incompetence
D. Acute iritis
E. Ulcerative colitis" - correct answer-D
"A 75 year old man presents a year after sustaining a stroke. He complains of
worsening urinary frequency, urgency and nocturnal enuresis. Which of the following
statements is true?
A. The most likely cause is benign prostatic hypertrophy
B. The appropriate imaging investigation is computed tomography (CT) scan of the
urinary tract
C. Cystoscopy is mandatory
D. The most likely cause is neurogenic overactive bladder
E. A trial of antibiotic therapy is indicated" - correct answer-D
"Profound hypothyroidism in the elderly is likely to cause which of the following
electrolyte disturbances?
A. Hyponatraemia
B. Hypernatraemia
C. Hypokalaemia
D. Hyperkalaemia
E. Hypercalcaemia" - correct answer-A
"A 50 year old woman presents with painless rectal bleeding on defaecation. There is
no family history of bowel cancer, no weight loss and no change in bowel habits. What
is the recommended investigation?
A. Haemoccult testing
B. Colonoscopy
C. Flexible sigmoidoscopy
D. Proctoscopy and haemoccult test
E. Small bowel series" - correct answer-B
"What is the significance of the finding of localised tenderness and guarding on
abdominal examination?
A. The patient's pain is severe
B. There is an inflammatory process involving the parietal peritoneum
C. There is intraperitoneal free fluid
D. There is haemorrhage within a hollow viscus
E. There is infarction of a hollow viscus" - correct answer-B
"A regarding analgesic doses of ketamine, which of the following statements is correct?
A. It should be given carefully to asthmatics as it may worsen bronchospasm
B. It is likely to cause nausea and vomiting
C. It antagonises the effects of opiates
D. It is unlikely to cause respiratory depression
, E. It may worsen neuropathic pain" - correct answer-B
"A 56 year old man is brought into the Emergency Department following a car accident.
When you assess his respiratory system you find that he has reduced chest expansion
on the right with a midline trachea. The percussion note is dull on the right posteriorly
and laterally but resonant on the left. He is very tender in the right axilla. Breath sounds
are absent at the right base and generally vesicular with occasional crackles elsewhere.
What is the most likely diagnosis based on these findings?
A. Haemothorax on the right
B. Simple pneumothorax on the right
C. Right lower lobe aspiration pneumonitis
D. Acute severe asthma
E. Generalised lung contusions" - correct answer-A
"In an emergency setting for a patient with an unknown blood group, which is the most
appropriate type of fresh frozen plasma (FFP) to administer?
A. O negative
B. O positive
C. AB negative
D. AB positive
E. A negative" - correct answer-C
"Aminoglycosides (e. g. gentamycin) cause deafness by damaging which of the
following?
A. Basilar membrane
B. vestibular nerve
C. Cochlear hair cells
D. Cochlear duct
E. vestibular aqueduct" - correct answer-B
"With regard to the use of antibiotics in cholera, which of the following statements is
correct?
A. They prevent the spread of infection in the community
B. They reduce the risk of bacteraemia
C. They reduce the production of the toxin
D. They can shorten the duration of diarrhoea
E. They reduce the likelihood of prolonged faecal sheddi" - correct answer-A
"Which oral condition has the least association with Type 1 and Type 2 diabetes?
A. Candidiasis
B. Periodontitis
C. Oral cancer
D. Lichenoid reactions
E. Implant failure" - correct answer-C
