MCQ 9

A 90 year old male complains of hip and back pain. He has also developed headache, hearing loss, and tinnitus. On physical examination the skull appears enlarged, with prominent superficial veins. There is a marked kyphosis , and the bones of the leg appear deformed. Plasma alkaline phosphatase is elevated. A skull X-ray shows sharply demarcated lucencies in the frontal, parietal, and occipital bones. X-rays of the hip show thickening of the pelvic brim. The most likely diagnosis is

a. Multiple myeloma
b. Paget's disease
c. Hypercalcemia
d. Metastatic bone disease

MCQ 8

A 25 year old woman presents with vaginal spotting and right lower quadrant abdominal pain.There is minimal dark blood in the vaginal vault,and her cervix is closed and thick.Quantitative serum hCG is 4000 mIU/ml. A transvaginal ultrasound (TVUS) shows no evidence of pregnancy inside the uterus. What is the most likely diagnosis?
a. Hydatidiform mole
b. Ectopic pregnancy
c. Appendicitis
d. Endometriosis
Answer and explanation

Q7

Q7.The most useful and predictive tool in evaluating the condition of a patient with an acute asthmatic attack and in          assessing response to therapy is
  A. Chest radiography
  B. Arterial blood gas measurement
  C. Measurement of pulsus paradoxus
  D. Observation of accessory muscles use
  E.  Measurement of peak expiratory flow or FEV1


answer and explanation will be posted here tommorrow

Q6

Q6. what skin condition is known for its herald patch and "pine tree" distribution of its lesions

• a. Lichen planus
• b. Guttate psoriasis
• c. Seborrheic dermatitis
• d. Pityriasis roses

anser to Q6 :

Q5

Q5.  A 16 year old girl is brought by her mother to her physician. Her mother complains that her daughter has a poor sexual physical development, has primary ammenhorrhea and is too short. On inspection the girl appears withdrawn and abrupt. She appears rather pale and thin and has fine coat of hair all over her body. Her parotid glands appear to be enlarged. On investigation the levels of plasma FSH and LH are low. The most likely diagnosis is 

a) constitutional delay
b) hypothyroidism
c) anorexia nervosa
d) Kallmann's syndrome
e) ovarian dysgenesis

answer and explanation:

Todays question: Q4

Question 4:

A 25-year-old female presents with vaginal spotting and right lower quadrantpain. She denies passage of tissue. Her abdomen is tender to mild palpation in the right lower quadrant. There is minimal dark blood in the vaginal vault, and her cervix is closed and thick. Quantitative serum hCG is 4000 mIU/mL. A transvaginal ultrasound(TVUS) shows no evidence of pregnancy inside the uterus. What is the most likely diagnosis?

answer

Question 3

anwer to question 2 :
auscultatory finding : diastolic rumbling murmur 
condition :                    mitral stenosis


Question 3 : 

Neisseria meningitides is a gram negative organism which causes meningitis in young adults. The bacteria are most likely to gain entry into the meninges via:

a) the blood stream
b) the lymphatic drainage of the meninges
c) the perineural sheath of the olfactory nerve
d) the neural tracts of the spinal cord
e) the optic nerve and tract

answer and explanation