Medical q&a

A 12 years old boy , brought to the office because he has recurrent episodes of epistaxsis during the past two months . The patient has no history of bruising or bleeding , on P/E anterior bleeding is visible within the kiesselbach plexus . Which of the following is the most appropriate initial step in management

• Administration of clotting factors

• Anterior nasal packing

• Application of direct pressure

• Cautery of the bleeding area

• Referral to ENT

How often does the epidermis, the outer layer of skin replace itself ?

• Once a week

• Once in a lifetime

• Once a year

• Once every four weeks

A male neonate is delivered vaginally at term , diagnosed as sickle cell disease . What is the most appropriate initial step to administer?

• Erythromycin

• Hydroxyurea

• oxygen

• Pencillin

• Pneumococcal and meningococcal vaccines

Alcohol makes which drugs less effective?

• Pain killers

• Anti-anxiety

• Contraceptive pills

• Antibiotics

Advantage of Sulbutamol over other bronchodilator?

• Long acting

• More potent

• Less side effects

• Fast acting

5 day old neonate , his mother has hypothyroidism controlled with levothyroxine , she is worried that her child might have congenital hypothyroidism, which of the following findings is most likely to be noted on physical examination ?

• Bradycardia

• Enlarged frontanelle

• Hypothermia

• Umbilical hernia

• No abnormalities

How many bones are there in the human foot ?

• 38

• 64

• 17

• 26

How long is the esophagus in adults ?

• 20-25 cm

• 10-15 cm

• 30-35 cm

• 40-45 cm

Heparin is a

• Anti-platelets

• Anti-coagulant

• Fibrinolytic

• Analgesics

A 3 year old brought to office by his parents as a new patient for well -child examination. Height in the third percentile and weight is in the first percentile. During the interview, parents say that the patient has been treated multiple times since infancy because of sinus infections and pneumonia and his stool generally loose, greasy and mucousy . During physical examination, the patient coughs frequently. No other abnormalities. Which of the following studies is the most effective to determine the diagnosis in this patient?

• Bronchoscopy

• CT scan of sinus

• Culture of aspirate from the trachea

• Measurements of immunoglobulin

• Sweat chloride test