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Approach to common symptoms

Total questions: 20

Worksheet time: 11mins

Name
Class
Date
1.

All these regarding cough are true EXCEPT

a)

Cough is a protective reflex

b)

Forceful expulsion maneuvre against the glotis

c)

Hoarseness of voice is normal

d)

Post nasal drip is a common cause of prolonged cough

2.

Below are the main aetiology of fever

a)

Infection

b)

Drugs

c)

Cancer

d)

All of the above

3.

33 y/o woman presents with severe intermittent RUQ pain for 1 day associated with vomitting. She has no diarrhoea or dysuria. She has no travel history. Her urine is dark. On examination, she is in pain. BMI 33, T: 38.5, BP: 130/80, PR: 100.There is tenderness over RUQ region. What is the most likely diagnosis for her?

a)

Acute gastritis

b)

Acute pancreatitis

c)

Acute cholecystitis

d)

Peptic ulcer disease

4.

These are the red flags in patient with headache EXCEPT

a)

Sudden abnormal behaviour

b)

Watery eyes

c)

Worsening with cough or straining

d)

Altered vision

5.

Types of fever are EXCEPT

a)

Remittent

b)

Intermittent

c)

On & off

d)

Continuous

6.

Which of these statements is true?

a)

"Smoker cough" is normal

b)

Normal CXR finding excluded pneumonia

c)

PTB cannot occur without cough

d)

SpO2 assessment is a must nowadays

7.

A 30 y/o m,an comes with burning sensation rising from his stomach up to his neck for the past 1 month. He has no dysphagia, odynophagia, LOW or haematemesis. On examination he appears well with no pallor nor jaundice. His BMI is 30, T: 37.2, BP & PR are normal and abdominal finding is unremarkable. What is the most appropriate next course of action for this patient?

a)

Advise to avoid spicy food

b)

Arrange for Urea breath test for H. pylori

c)

Commence a proton-pump inhibitor

d)

Refer for endoscopy

8.

These are the commonest cause of headache

a)

Migraine & Meningitis

b)

Tension headache & migraine

c)

Space occupying lesion and ICB

d)

Depression and Encephalitis

9.

Which of these are the red flags of fever?

a)

Immunocompromised patient

b)

Sudden abnormal behaviour

c)

Dengue warning signs

d)

All of the above

10.

What is the symptom that points against the diagnosis of migraine?

a)

Throbbing or pulsating in nature

b)

Unilateral

c)

Associated of neck stiffness

d)

Triggered by caffeine

11.

What component of diagnosis that must not be missed?

a)

Vascular

b)

Infection

c)

Malignancy

d)

All of the above

12.

What diagnosis that is/are included in "Masquerades" component in Murtagh's strategy?

a)

Thyroid disorder & Anaemia

b)

DM & Cancer

c)

Inflammation & Spinal dysfunction

d)

All of the above

13.

The causes of acute cough are all these, EXCEPT

a)

Pharyngitis

b)

ACE-inhibitors induced

c)

Bronchiolitis

d)

Pulmonary embolism

14.

Indication for chest xray in pneumonia are all these, EXCEPT

a)

Temperature > 37.8

b)

Ronchi

c)

Crepitation

d)

Desaturation

15.

These are the cause of chronic cough, EXCEPT

a)

Gastroesophageal reflux

b)

Pulmonary tuberculosis

c)

Laryngitis

d)

Habitual cough

16.

Causes of right lower quadrant pain include

a)

Acute cholecystitis

b)

Crohn's disease

c)

Duodenal ulcer

d)

None of the above

17.

Abdominal pain is not one of the manifestation of DKA

a)

True

b)

False

c)

Not sure

d)

Don't know

18.

25% of attendance to clinic is due to abdominal pain

a)

Too low

b)

Too high

c)

Maybe

d)

Give up

19.

Below are the FBC finding in Covid-19 case EXCEPT

a)

TWC: Normal

b)

Lymphocytes count: Normal

c)

Hb: Normal

d)

Platelet: Low

20.

Dengue infection may mimicking...

a)

Acute gastroenteritis

b)

Leptospirosis

c)

Covid-19

d)

All of the above