Monday 18 February 2013

Examination questions for Medical Professionals



ANATOMY
Question 1 : The fundus of gall-bladder is in the angle between lateral border of right recius abdominis and which costal cartilage?
Stem 1 : 6th True False
Stem 2 : 7th True False
Stem 3 : 8th True False
Stem 4 : 9th True False
Stem 5 : True False


MEDICINE
Question 1 : A 68-year-old-man with atrial fibrillation (AF) is admitted electively for DC cardioversion, to be performed as a day-case procedure. However, the procedure is postponed to a later date. Which one of the following reasons could be responsible for the delay?
He had discontinued digoxin for the last 2 days
He was taking amiodarone
His INR 3 weeks ago was 1.6
His serum potassium level was 4.2 mEq/l
He had an episode of angina 2 days ago

NURSING
Question 1 : ____________ is a nursing theory based on the General Systems framework.
Fay Abdellah- Topology of 21 Nursing Problems
Virginia Henderson -The Nature of Nursing
Hildegard Peplau -Interpersonal Relations Model
Imogene King's Theory of Nursing

SURGERY
Question 1 : A 28-year-old man presents with a 2.5-cm mass in the anterior triangle of the left neck. The mass moves with swallowing and has slowly enlarged over the past 1–2 years. The patient’s past medical history is notable for high-dose irradiation to the chest and abdomen for Hodgkin’s lymphoma 8 years prior to presentation. Thyroid scan shows a “cold” lesion. Fine-needle aspiration cytology is “suspicious.” Core-needle biopsy shows features suggestive of a follicular neoplasm. True statements regarding this patient’s condition include
Thyroid nodules in men are rarely malignant
Prior radiation to the chest, if anything, would diminish the risk of subsequent thyroid cancer
In the setting of abnormal cytology, an initial course of TSH suppression by thyroid hormone is recommended
In the setting of a possible follicular neoplasm, radioactive iodine (131I) ablation is recommended
Total thyroidectomy is an acceptable treatment for this patient

PATHOLOGY
Question 1 : A 35-year-old male presents with a 0.3-cm flat light brown lesion on his left forearm. The lesion is excised, and microscopy reveals nests of round nevus cells within the lower epidermis at the dermal-epidermal junction. There is no “fusion” present of adjacent nests of nevus cells. Cytologic atypia is not present, nor are nevus cells seen in the superficial or deep dermis. What is the correct diagnosis for this lesion?
Compound nevus
Dysplastic nevus
Halo nevus
Junctional nevus
Spitz nevus


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