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Multiple Choice Questions (MCQ)


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Category: Q&A Medicine--->General Medicine
Page: 6

Question 26# Print Question

A 65-year-old man presents for a routine health maintenance examination. The patient endorses moderate wheezing and shortness of breath. He has smoked 3 packs of cigarettes per day for the past 40 years and is being treated for COPD. He drinks 3 to 4 beers per day. The patient has a family history of pancreatic cancer (his brother passed away from pancreatic cancer 2 years ago). He would like to be screened today for pancreatic cancer.

Which of the following is the screening test of choice for pancreatic cancer?

A. No screening recommendations
B. Abdominal ultrasound one time between 65 and 75 years of age
C. Abdominal CT scan one time between 65 and 75 years of age
D. Annual CA 19 to 9 levels starting at age 45


Question 27# Print Question

A 29-year-old woman presents for a routine health maintenance examination. She feels well and other than some mild dyspnea with exertion has no active complaints. She reports that she is concerned about getting colon cancer since her father died at the age of 47 from advanced colon cancer (after being diagnosed at the age of 46). She wants to know when she should be screened for colon cancer.

Which of the following is the most appropriate screening for this woman? 

A. Colonoscopy now
B. Colonoscopy at age 36
C. Colonoscopy at age 40
D. Colonoscopy at age 50


Question 28# Print Question

A 59-year-old woman suffers from traumatic brain injury and is admitted to the intensive care unit. She is unresponsive to commands and a gastrostomy tube is placed for feedings.

Which of the following is the best way to prevent decubitus ulcers in this patient?

A. Prophylactic antibiotics
B. Reposition patient every 2 hours
C. Pneumatic compression devices
D. Use standard mattresses rather than air and foam


Question 29# Print Question

A 41-year-old woman with HIV presents for routine examination. She feels well and has no active complaints. Her recent CD4 count is 550/mm3 and her viral load is 3,000 copies/mL. Routine titers are drawn and show that the patient has no immunity against mumps or measles.

Which of the following is the next best step in the management of this patient?

A. Administer the measles, mumps, rubella (MMR) vaccine today
B. Administer the MMR vaccine once CD4 count reaches 600/mm3
C. Do not the administer MMR vaccine
D. Explain that MMR vaccine can only be administered in children


Question 30# Print Question

A 3-year-old boy presents to the physician and is diagnosed with Bordetella pertussis. His mother endorses that he has had several unpredictable coughing episodes. He is given azithromycin for treatment. He lives in the same house with his parents and two sisters (ages 5 and 7). All family members are current on their immunizations.

Which of the following is the recommended treatment for his family members?

A. Administer azithromycin to the sisters
B. Administer azithromycin to all family members
C. Initiate contact precautions until symptoms resolve
D. No prophylaxis needed for family members




Category: Q&A Medicine--->General Medicine
Page: 6 of 6