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12

Free Test 1

Welcome to Our MK Medical MCQ Tests

Please notice to start your test enter your name and other info below.

Thank you and good luck!

1 / 5

A 32-year-old woman has had profuse green diarrhoea and a headache for 3 days. For the last week, she has had a nonproductive cough and has felt increasingly lethargic. She has recently returned from a 3-week tour of rural Thailand. T 39.8 ° C, HR 58bpm, BP 110/62mmHg, SaO 2 97% on air. She is tender in the right and left upper quadrants. Which is the single most likely cause of her symptoms?

2 / 5

A 55-year-old man is receiving a transfusion of packed red cells during his recovery from colorectal surgery. He has suddenly developed a fever 30min into the transfusion. T 38.3 ° C, HR 90bpm, BP 125/70mmHg, SaO 2 98% on air. The transfusion has been stopped. Which single development should make the junior doctor most wary about restarting the transfusion?

3 / 5

A 72-year-old woman is recovering from an episode of temporal arteritis. She is due to start gradually reducing her dose of prednisolone tablets and is being counselled on the risks of stopping the tablets suddenly. Which single symptom should this patient be warned to expect if she stops her tablets suddenly?

4 / 5

An 18-year-old man has recently been diagnosed with idiopathic generalized epilepsy. He lives with his parents who have not witnessed any of his three previous fits and are concerned about what to do if he has another one and ask their doctor for advice. Which single course of action should be stressed to the parents?

5 / 5

A 32-year-old woman has lost 3kg over the past 3 months. She has no loss of appetite, but has felt rather irritable and ‘stressed’. T 37.1 ° C, HR 110bpm, BP 100/65mmHg. Her thyroid function tests are returned as follows: Thyroid-stimulating hormone (TSH) 0.21mU/L, thyroxine (T4) 218nmol/L. There is a fi ne tremor of both hands. She is started on propranolol 40mg PO once daily. Which is the single most appropriate next step in management?

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3

Free Test 2

Welcome to Our MK Medical MCQ Tests

Please notice to start your test enter your name and other info below.

Thank you and good luck!

1 / 5

Which of the following is the most important first step in the diagnostic and treatment process?

2 / 5

A 68-year-old man undergoes annual retinal screening. He has type 2 diabetes and uses insulin twice daily. Following the scan, he asks his doctor what causes the presence of ‘cotton-wool’ spots in his report. Which is the single most appropriate response?

3 / 5

A 23-year-old woman has been feeling tired and lethargic for the past 18 months. She occasionally feels dizzy on standing and is generally weak. She is otherwise well. Hb 95g/L, MCV 69fL. Which is the single most appropriate further investigation to confirm the diagnosis?

4 / 5

A 72-year-old woman has been breathless and unwell for the past week. She is admitted to hospital and started on IV antibiotics for a chest infection. She has ischaemic heart disease and atrial fibrillation and is on warfarin 2mg once daily. The on-call junior doctor is asked to check her blood results after she is moved to the medical ward. Her INR is 6.6. Which is the single most appropriate management?

5 / 5

A 60-year-old woman has lost the ability to pick up small objects with her right hand. She also finds it difficult to fasten buttons. There is no other weakness. She is unable to copy one particular movement made by the doctor examining her

 

 

 

 

 

 

 

 

Which single nerve is most likely to have been compromised?

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1

Free Test 3

Welcome to Our MK Medical MCQ Tests

Please notice to start your test enter your name and other info below.

Thank you and good luck!

1 / 5

A 27-year-old woman presents with sharp chest pain that is worsened with inspiration and improved when bending forward. Pain is precipitated by breathing deeply or coughing and is relieved when the patient holds her breath. Heart examination reveals coarse, scratchy sounds heard in both systole and diastole that overlie the cardiac sounds. Electrocardiogram (ECG) reveals ST elevations diffusely and PR segment depressions. Which of the following is the most likely diagnosis?

2 / 5

A Weber test that lateralizes to the deaf ear with a Rinne test that is negative detects which kind of hearing loss?

3 / 5

A 10-year-old girl presents with multiple pigmented macules on the vermilion border of her lower lip. The dark brown lesions are 2–5 mm in size and are arranged in a cluster. The patient’s older brother has similar lesions. The patient complains of recurrent bouts of abdominal pain. Which of the following is the most likely diagnosis?

4 / 5

A 27-year-old woman presents with sharp chest pain that is worsened with inspiration and improved when bending forward. Pain is precipitated by breathing deeply or coughing and is relieved when the patient holds her breath. Heart examination reveals coarse, scratchy sounds heard in both systole and diastole that overlie the cardiac sounds. Electrocardiogram (ECG) reveals ST elevations diffusely and PR segment depressions. Which of the following is the most likely diagnosis?

5 / 5

A 59-year-old woman presents complaining of a cough productive of sputum for nearly 10 years. Her cough occurs during the day and she produces sputum daily. The woman states that as a child, she had several episodes of pneumonia requiring hospital admissions and antibiotics. Several times a year, her sputum becomes purulent and she requires antibiotic therapy. She denies smoking cigarettes and has worked as a seamstress all of her life. On physical examination, the lungs are clear without wheezes, rhonchi, or crackles. A chest radiograph reveals “tram-track” markings at the bases. Which of the following is the most likely diagnosis?