Multiple Choice Questions (MCQ)

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Category: Q&A Medicine--->General Medicine
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Question 1# Print Question

A 61-year-old man with a history of hypertension asks what measures he can take from a nonpharmacologic perspective to manage his hypertension. The patient reports that he drinks 1 to 2 beers per day and smokes a half pack of cigarettes per day.

Which of the following lifestyle modifications has been shown to result in the greatest reduction in blood pressure?

A. Dietary Approaches to Stop Hypertension (DASH) diet
B. Weight loss
C. Decreasing alcohol consumption
D. Increasing exercise
E. Smoking cessation

Question 2# Print Question

A 51-year-old man presents for a routine annual physical examination. The patient only reports constipation, but says it has been present for several years. He has an insignificant past medical history and reports smoking 2 packs of cigarettes per day for the last 15 years. He also drinks 2 to 3 beers per day. Physical examination is within normal limits. A colonoscopy is performed as part of the routine screening measures and demonstrates several diverticular outpouchings in the sigmoid colon. The patient is educated on diverticulosis.

Which of the following is the best recommendation to give to this patient for his newly diagnosed disease?

A. Increase iron intake
B. Increase fiber intake
C. Smoking cessation
D. Decrease alcohol consumption

Question 3# Print Question

Over the last 10 years, more people in the town of Nankville appear to be suffering from Hodgkin lymphoma than in the town of Gridora.

Which of the following types of studies is best for calculating the difference in incidence between Nankville and Gridora?

A. Cross-sectional
B. Case-control
C. Cohort
D. Clinical trial

Question 4# Print Question

A 22-year-old woman presents for a routine annual physical examination. She has no complaints. She smokes 2 packs of cigarettes per day and drinks 2 glasses of wine per day. She is sexually active with one male partner and two female partners. She reports using oral contraceptive pills for birth control and consistent condom use with her male partner. Her family history is significant for breast cancer on her maternal side (aunt) and colon cancer on her paternal side (father died of colon cancer at the age of 52).

What is the recommended screening measure at this patient’s visit?

A. Colonoscopy
B. Chlamydia trachomatis screening
C. Lipid panel
D. Mammogram

Question 5# Print Question

A prospective cohort study was performed to determine the relative risk of radiation exposure on squamous cell carcinoma (SCC) of the skin in elderly Caucasian men. The results showed that radiation exposure increased the risk of cutaneous SCC with a relative risk of 0.76 and p-value of 0.035.

Which of the following is a serious limitation of this study?

A. Internal validity
B. External validity
C. Reliability
D. Measurement bias

Category: Q&A Medicine--->General Medicine
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