Practice MCQS

A 45-year-old female presents with sudden onset of left-sided facial pain that worsens with touch and is associated with sharp, shooting headaches that occur with coughing. Which of the following is the most likely diagnosis?

• Cluster headache

• Trigeminal neuralgia

• Postherpetic neuralgia

• Sinus headache

• Temporomandibular joint syndrome

An 8-year-old child is brought by her mother with bleeding from nose for last 15 minutes. Which of the following is the best initial management for this patient?

• Anterior nasal packing

• Compression at the tip of nose

• Ice application at the tip of nose

• Posterior nasal packing

• Silver nitrate cautery

A 31-year-old married female presents with sudden-onset, sharp lower abdominal pain on the right side. She has no fever or urinary symptoms. Her LMP is 12 days back. On physical examination, there is tenderness over the right lower quadrant but no rebound tenderness. What is the most appropriate initial investigation?

• Abdominal CT scan

• Abdominal X-ray

• Colonoscopy

• Laparoscopy

• Transvaginal ultrasound

A 70-year-old male presents to the emergency department with sudden-onset severe back pain, described as tearing, that radiates to his abdomen. He has a history of hypertension and smoking. On physical examination, his blood pressure is 80/50 mmHg, and there is a pulsatile mass noted in the abdomen. Which of the following is the most appropriate immediate management for this patient?

• Antibiotics

• Emergency surgical consultation

• Intravenous fluids and N/G

• Oral beta-blockers

• Pain management with opioids

A 20-year-old male with a known allergy to nuts has eaten a cake. He has acute shortness of breath, skin rashes and swelling of lips. After maintaining airway breathing and circulation, which of the following is the most appropriate next step in management?

• IM adrenaline

• IV antihistamine

• IV hydrocortisone

• Nebulized adrenaline

• Nebulized salbutamol

A 32-year-old man presents with fever, headache, and myalgias for 5 days after returning from an African tour. His vital signs reveal a temperature of 39°C, heart rate of 102 bpm, and blood pressure of 110/70 mmHg. On examination, there is mild jaundice and hepatosplenomegaly. Laboratory results show thrombocytopenia, elevated bilirubin, and mild transaminitis. What is the most likely diagnosis?

• Dengue fever

• Leptospirosis

• Malaria

• Typhoid fever

• Yellow fever

A 25-year-old female presents with fever with chills and rigors for 3 days. Her MPICT shows falciparum malaria. Which of the following is the most appropriate management for this patient?

• Artemether/lumefantrine

• Artemether/lumefantrine with primaquine 14 days

• Artemether/lumefantrine with single dose primaquine

• Chloroquine

• Quinine and clindamycin

A 20-year-old patient presents to the clinic with a fever, sore throat and a maculopapular rash for 2 days. The rash started on the face and spread to the trunk and extremities. Which of the following is the most likely diagnosis in this case?

• Chicken pox

• Measles

• Rosacea

• Tenia corporis

• Typhoid

A 17-year-old male presents to the clinic with low-grade fever, and general malaise for 1 week. On examination, he has tonsillar hypertrophy, bilateral cervical lymphadenopathy, and a soft, non-tender abdomen with splenomegaly. His CBC shows atypical lymphocytes. Which of the following is the gold standard test for diagnosing this patient's condition?

• Blood cultures

• Dengue antigen

• ESR

• Mono spot test

• MP ICT

A 17-year-old male presents to the clinic with nasal congestion, sneezing, itching in the nose and eyes, and a runny nose off and on for the past six months. His symptoms are interfering with his daily activities and quality of life. Which of the following is the most appropriate step in the management of this patient?

• Intranasal corticosteroids

• Intranasal decongestants

• Oral Antibiotics

• Oral antihistamines

• Oral corticosteroids