MCQS Online Practice Questions and Answers

Correct Answer: A

Radionuclide bone scan. MRI is good for soft tissue but not for bone. If it was radiculopathy, spina compression or prolapsed disc creating pressure on nerve MRI would be fine but not for bony metastasis. Her choice is radionuclide bone scan.

Correct Answer: C

Down's syndrome and Fragile x syndrome don't have primary amenorrhea. Klinefelter's patients are tall males. So the likely diagnosis is Turner's syndrome.

Correct Answer: A

Correct Answer: D

Post coital bleeding can be either placenta previa or cervical ectropion. But as ectropion pregnancy so it is the option here.

Correct Answer: B

Correct Answer: B

A patient who presents with acute onset of back pain and is under the age of 50 should have an MRI to rule out spinal cord compression due to a slipped disc or lumbar disc herniation. If asked for the most appropriate next step in management, answer anti-inflammatory agents. The most common sites of lumbar disc herniation are L4-L5 and L5-S1.

Correct Answer: D

Slipped capital femoral epiphysis (SCFE or skiffy, slipped upper femoral epiphysis, SUFE or souffy) is a medical term referring to a fracture through the growth plate (physis), which results in slippage of the overlying end of the femur (epiphysis). Normally, the head of the femur, called the capital, should sit squarely on the femoral neck. Abnormal movement along the growth plate results in the slip. The femoral epiphysis remains in the acetabulum (hip socket), while the metaphysis (end of the femur) move in an anterior direction with external rotation. SCFE is the most common hip disorder in adolescence. SCFEs usually cause groin pain on the affected side, but sometimes cause knee or thigh pain. One in five cases involve both hips, resulting in pain on both sides of the body. SCFEs often occur in obese adolescent males, especially young Black males, although it also affects females. Symptoms include the gradual, progressive onset of thigh or knee pain with a painful limp. Hip motion will be limited, particularly internal rotation.

Correct Answer: D

Adenomyosis is a non-cancerous condition of the uterus that can mimic many of the signs and symptoms of fibroids. This condition results from the lining cells of the uterus growing directly into the muscle wall of the uterus. When the lining cells of the uterus bleed at the time of the menstrual period, these misplaced cells in the muscle bleed as well. And bleeding directly into the muscle causes pain. As the blood accumulates, the surrounding muscle swells and forms fibrous tissue in response to the irritation. This swollen area within the uterine muscle wall, called an adenomyoma, feels very much like a fibroid on examination and is often confused with a fibroid on a sonogram. Adenomyosis may be mild and cause no symptoms at all, or, in more severe forms, it may lead to heavy bleeding and severe cramping during menstrual periods. Adenomyosis is present in about 10 percent of women and, therefore, is less common than fibroids. However, now that women with adenomyosis can be diagnosed by MRI, careful examination of the cellular changes of the uterus suggests that there are many reasons why adenomyosis could cause infertility. These new studies will also be very important in helping scientists figure out what type of treatments might cure adenomyosis, or better yet, prevent it from developing at all.

Correct Answer: B

Management Surgery Surgical CSF shunting remains the main treatment modality for NPH (NORMAL PRESSURE HYDROCEPHALUS)). Prior to embarking upon surgical therapy, knowing which patients may benefit from surgery is necessary. Detailed testing is performed before and after CSF drainage (e.g.,

baseline neuropsychological evaluation, timed walking test, large-volume lumbar puncture, external lumbar drainage, CSF infusion testing).

Correct Answer: E

The most common cause of sexual dysfunction is psychological disease. Dysthymic disorder is one of mood disorders, has similar symptoms of major depressive disorder, but less in severity, present at least for 2 years. Symptoms free period are possible but may not exceed 2 months in 2 years time frame.