B © > ne Gr ieee oo Mock MEDICAL BOARD REVIEW JOCK BOARD EXAMINATION-MEDICINE, MAME: mm con My Choose the best answer: ay a3 A‘S0 year old maie 10 pack ack year smoker and hypertensive consulted due to dyspnea. History revealed mutiple episodic aacks of dyspnea and cougring ove he Pasta, Yyeara, He said that he has had sings wit smiar coughing episodes 2s well He Tas ‘erbalzed tnt he dyspnea and coughing woul fequenly accompany ls and an ae ced flu would last a few weeks and would eventually resolve only to return after a few months. intial PE revealed symmetsical chesl expansion, whneezes on both lng bases, no other remarkable findings, most ah Con A. SOPD - emphysema 6. congestive heart failure, bronchial asthma . anginal equivalent o> regurgitation presented with new onset fever aver the past § faligability, 20 echo revealed vegetations on the mitral valve, h@wever blood cultures hich ofthe folowing eptibitics wouldyndttikely be used for (ns 30 year old female patient diagnosed case of rheumatic heart gens mitral x iyspnea, 33 returned negative patient? Droed spetmm far uegttehens Mek ore A vancomycin Cool B.ampicilin D. gagietticin Dilated cardiomyopathy is most commonly. St ‘about by which of the following? A. infectious etiology hypertensive heart disease B. genetic factors $20 autoimmune destruction Which of the following hepatitis vigSopbuses the most cases of chronic liver disease in humans? AA BB cc DD enna cin Spectr tnt ‘A. vancomycin ©. furosemide B imine gg cyclophosphamide stoaregn bl given orelere cheat packing acute ang wack, which lowing is its predominant mechanism of action? Aa a venodilator C negative chronotropic B. inotropic D decreases peripheral vascular resistance £ BBQ 22 yom ‘old female patient was noted to have cheumatic heart disease. Patient ne was referred back by her cardiologist to her “ in for follow up check up since sh primary care physician, efter routine vital signs checking,BP-130/60 heart rate of 96 RR physician that she was told by her cardiologist Of 20, the patient told her primary care that zhe had a valvular problem developed 2s complication of her condition, the primary care physician most likely thinks this is? A. mitral stenosis C. aortic stenosis D. aortic regurgitation - ide pulse prewsure B. mitral regurgitation 32 year old female patient treated for SLE went into remission a few weeks ago and Se vontinued her medications when she got wel, § days prior, she started having Gough and colds and body malaise, she reported recent episodes light headedness, cove weakness, weight oss. BP was 120/60 at siting but on standing dropped to. 0/60, there was some noted hyperpigmentation of the skin on the dorsum ofthe. stm, which of the folowing conditions is most ikel/? ; A SLE flare C. medication side effects B. dehydration D. adrenal insufficiency i hsbagn @\ akin. ays Z orth athor symptoms noted on fatigabiiy, no oer ayo © <9 eo year oid male patent ame die 2a, no orl WSOne, To PS ROE Gr examination, caer 2" Capra PE MANOS Wee tied nab BSL revealed smooth rectal vault (-) blood on wing MNP" 7 ‘which ofthe folowing is the most ily PAIMOICRY™ 0) maignancy 8 mete 0. Pavone 72 A. _A__10 40 yoarcld female patent come iw Worked up and evaluated to be euthyroid, urasou Which of the following treatments is most applicable? supplementation A. Subtotal thyroidectomy —C._ thyroid hormone levothyroxine B. radioactive iodine 1131. PTU antithyroid medication @ bn 1.88 yer ld al patent cnt or svar preumoia wentino sap tt rich of the flowing i a possible effect on he patent's kidney? A increase GFR decrease sodium and water retention > 5. decrease GFR increase sodium and water retention g@ C. no change in GFR decrease in sodium and water retention O racargein Gem nzeco i sam na waeataton ¢~ é '8 ©. 12.440 year old tomale patient came into the clinic complainpatePepigastric pain 2-3 hours after eating, this was accompanied by burning n going upward into the “GUN Aoge pp) eReSL which ofthe following treatments is most this patient? ‘A AIMGOH take 1 tablet as needed B. omeprazole 20mgftablet 1 tablet OD & C. omeprazole 40mg/tablet 1 tablet OD “ 1D. prednisone 1Omg/tab 1 tab OD ‘ v D_ 13.50 year old female patient known 5,2 yertnsiva fr 10 ae idiy Compiained of episodes of exert ;pnea, bipedal edema, noctumal cough and 2 “TRO- conteanicael Pillow orthopnea, which of the followitg oral hypoglycemic medications are 1“ contrainidcated for this pati © 18 & metformin C. sitagliptin B glimepiride gq D. pioglitazone ? it residing with his platoon developed high fever, nuchal rapid onset of purpuric rashes over the trunk and the drug of choice for this condition is? ©. ampicilin sulbactam D. azithromycin Bisa ‘old male 20 pack year smoking history presents with a history of increasing weight loss, occasional intermittent coughing. Chest xray was requested by ‘primary physician which revealed a hilar mass on the right hemithorax causing llapse of the right upper lung lobe, which of the following was the most likely PE findings in this patient? Q A bilateral crackles over lung bases occasional wheezing bilateral lung bases B, decreased breath sounds over right upper lung field, occasional wheezing right hemithorax. C. dullness on right lung base, increased tactile and vocal fremiti D. tracheal shifted to the left, decreased breath sounds over the right hemithorax slp 16. In relation to the question above, which of the following diagnostic procedures is most appropriate for patient's condition? ’ A (CT guided sspiealion binpay C. resection biopsy via thoracotomy incision ~Wor waas!_D. VATS guided lung biopsy B. transbronchial biopsy » pb Which if the folowing isthe test of choice to document H. Pylori eradication fol A tapid test C. gastric biopsy urease B. urea breath test - fo {ole-op D. Hpylori: test Acampo to erntren| ,o D1. As vearoig female locemplommenen i referred because of bacteria present in a routine urinalysis done me sca ee Darpones he denies any fever dysucia, requency urgency or hypogastric pan i se of management for this patient? S13 clindamycin intravaginal cream CMa aRitP'SMEX then request fora urine culture and await results Naraturantoin 100mg/tab 1 tablet BID for 7 days 10 antimicrobial necessary C © 2. Aurological procedure wh E wereby in situ fragmentation of stones in the kidney, renal pebis. Sree drab ens cn enn tamomit A Ureteroscopy A 8. Percutaneous nephrolithotomy Oo © Extracorporeal lithotripsy S +B. Retrograde prelography e © A, 621. What spicometry parameter dents the SEVERITY of sirway oat mage A Fey, Cian B. FEV/evC eve x A X22. What parameter in the GOLD guidelines should make tt Emphysema? ‘A. Frequent exacerbation =r | cecmmaine B. Severity of airway obstruction ian prescribe an ICS to’a patient with, foms score saturation B C23. tec tdg ita pms one 2 itary edn ‘A. Increased AP diameter of the cl CIVP acm at 30" angle —felaniny HP B. Lef parastemal heave S: D Bipedai edema A patient had an arterial blood gas. le on 02 inhatation at 2 LPM. pH 7.33 Paco26s Pa02 1, 3 29 O2sat 98% . Tak VD 24. What is the acio by > * ‘A. Partial sated metabolic akalosis_C. Uncompensated metabolic acidosis B.Uncomaigsated respiratory alkalosis 0. Partially compensated respiratory , 8 B25. wn sane NF ratio? 2 'a0./Fi0 on < fens cos 375 0.398, oO peer was diagnosed to have “Community Acquired Preumonia RML, | ike * © What is the most probable organisim involved? ~ esses resem = ‘A. Gram (-)coccobacil © Gram (+) cocel inusters B. Gram (4) diplococei ©. Gram (-)bacili +, 27. What 1S NOT included as initial empiric therapy for this patient? = ‘A. Doxycycline © tevotlos B, Sultamicillin D., The patient was started on different antibiotics, but seemed to worsenafter 2 Pleural effusion on the right. © 2B Whatisthe importance of entiyng complicated parapneumonic We need to give high doses of antibiotics . We need to drain the fluid The patient is high risk of having bacteremia) 29 eP