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Medical Quiz

Total questions: 40

Worksheet time: 39mins

Name
Class
Date
1.

Identify the most appropriate feature in a lateral chest x-ray that suggest COPD.

a)

Retrocardiac shadow

b)

Retrosternal opacification

c)

Consolidation

d)

Lobar collapse

e)

Increased anteroposterior (AP) diameter

2.

The most important purpose served by inter-professional communication is

a)

personal identity

b)

effective team building

c)

self-understanding

d)

a sense of security

e)

collaboration

3.

The management for ST segment elevation myocardial infarction includes the following except:

a)

Administration of antiplatelet

b)

Activation of percutaneous coronary intervention (PCI) team

c)

Administration of anticoagulant before PCI procedure

d)

Initiate intensive lipid lowering therapy with statin

e)

Stat ECG & cardiac enzymes

4.

Which of the following condition is least likely to be diagnosed with a chest x-ray?

a)

Pulmonary embolism

b)

Pneumothorax

c)

Atelectasis

d)

Pleural effusion

e)

Pneumonia

5.

The following conditions result in the trachea being 'pulled' toward pathological site except______.

a)

Lobectomy

b)

Consolidation

c)

Pneumothorax

d)

Pneonectomy

e)

Lung lesion

6.

The followings are the common causes of macrocytic anaemia EXCEPT:

a)

Iron deficiency

b)

B12 deficiency

c)

Folate deficiency

d)

chronic excessive alcohol intake

e)

Liver cirrhosis

7.

A 60-year-old male presented to the emergency department for sudden onset of chest pain. His blood pressure was 80/60 mmHg, respiratory rate 22 bpm, heart rate 110 bpm, ECG showed sinus tachycardia, SPO2 95% on room air. What will be your approach for this patient?

a)

Establish airway, breathing and circulation

b)

Take a focused history and physical examination

c)

Establish intravenous access

d)

Check for life-threatening conditions

e)

All the above

8.

Which of the following is a cause of pyuria?

a)

Urinary tract infection

b)

Nephrotic syndrome

c)

Renal tubular disease

d)

Minimal change disease

e)

Kidney stones

9.

What is the culprit artery involved?

a)

Inferior myocardial infarction - Right coronary artery occlusion

b)

Lateral wall myocardial infarction - Right coronary artery occlusion

c)

Anterolateral myocardial infarction - Left circumflex artery occlusion

d)

Anterior myocardial infarction - Left anterior descending artery occlusion

e)

Anterior septal myocardial infraction - Left anterior descending artery

10.

Which of the following lesions will produce upper motor neuron features?

a)

Nerve root

b)

Brachial plexus

c)

Muscle

d)

Spinal cord

e)

Neuromuscular junction

11.

Bilateral affection of spinal cord at the cervical level may produce the following syndrome

a)

Hemiplegia

b)

Paraplegia

c)

Tetraplegia

d)

Monoplegia

e)

Parasthesia

12.

One of the most common drugs associated with bilateral lower limb swelling is

a)

Hydrochlorothiazide (Diuretic)

b)

Losartan (ARB)

c)

Amlodipine

d)

Enalapril (ACE-i)

13.

The abdomen can be divided into four quadrants and __regions?

a)

3

b)

5

c)

7

d)

9

e)

2

14.

A 30-year-old female came to the multidisciplinary clinic complaining of palpitations and unable to sleep well. She has intentional weight loss of 6kg over the past 2 months. On examination, her pulse rate is approximately 120/min and irregularly irregular. Her blood pressure is 140/90. There are no murmurs heard upon auscultation. The ECG confirms the diagnosis of atrial fibrillation. What would you suggest as the most useful next investigation?

a)

Echocardiography

b)

Chest x-ray

c)

Fasting blood glucose

d)

Thyroid function tests

e)

Sleep study

15.

Which of the following statement is false?

a)

Osmotic diarrhea is caused excessive glucose in the gut

b)

A diagnosis of osmotic diarrhoea is made if serum osmotic gap is 80mOsm

c)

A diagnosis of Secretory diarrhea is made if osmotic gap <50mOsm

d)

Stool osmolality gap formula =290 - ( Stool sodium + stool potassium).

e)

A normal osmotic gap is above 100 mOsm

16.

Which of following is not the unique working diagnosis of bilateral lower limb swelling for females of reproductive age:

a)

Pregnancy

b)

Pre-eclampsia

c)

Premenstrual edema

d)

Deep vein thrombosis

17.

Which of the following blood tests is most indicative of cardiac damage?

a)

Lactate dehydrogenase

b)

Aspartate aminotransferase

c)

Troponin T

d)

Creatine kinase

e)

D-dimer test

18.

48 years Chinese Lady came with progressive and intermittent giddiness since yesterday. Each attack lasted less than 5 seconds. She felt her giddiness was spinning type and made her feel nausea, but no vomiting, It was worse on turning her head. She had similar episodes of giddiness last year. She had no hearing loss, no discharge from ears. HINS test revealed impaired vestibular-ocular reflex, unidirectional horizontal nystagmus was noted and it was fatigable. Her vitals: T:36.6 degree celsius. BP: Sitting: 130/ 70 mmhg, Standing 127/68 mmhg. HR: 76 beat/ mins , 70 beats/ mins. SPO2: 99% on room air. What is the possible diagnosis?

a)

Posterior circulation stroke

b)

Meniere's syndrome

c)

Benign Paroxysmal Positional Vertigo (BPPV)

d)

Orthostatic hypotension

e)

Alcohol induce

19.

What is the ratio of the normal heart side in a posterior-anterior CXR?

a)

< 0.5 of the cardiothoracic ratio

b)

¾ of cardiothoracic ratio

c)

> 0.5 of the cardiothoracic ratio

d)

1/4 of cardiothoracic ratio

e)

0.5 of the cardiothoracic ratio

20.

Which of these is NOT to the benefit of inter-professional collaboration?

a)

Increase in positive outcomes and decrease risk of negative outcomes

b)

Increase HCP retention and job satisfaction

c)

Promote safe quality care, decrease errors

d)

Increase fragmentation and duplication of care

e)

Improve patient outcomes

21.

Mr A, 75-year-old male walks into the emergency department for worsening of breathlessness for 4 days. He also has a productive cough with chest tightness and fever. His past medical history includes hypertension, hyperlipidaemia, diabetes and ischemic heart disease. What is your next immediate action for Mr A?

a)

Obtain his vital signs

b)

Obtain a thorough history from patient

c)

Isolate patient and put on personal protective equipment

d)

Provide oxygen supplement

e)

Isolate patient

22.

Which of the following best defines sarcopenia?

a)

↓muscle mass, ↔ muscle strength, ↓physical performance

b)

↓muscle mass, ↑muscle strength, ↑physical performance

c)

↓muscle mass, ↓muscle strength, ↑physical performance

d)

↔muscle mass, ↔muscle strength, ↓physical performance

e)

↓muscle mass, ↓muscle strength, ↔physical performance

23.

What is the normal upper limit of the mediastinum width?

a)

< 8cm

b)

< 9cm

c)

< 10 cm

d)

< 11cm

e)

< 12cm

24.

A patient complaint of bilateral lower limb swelling for more than a year. It was noted the patient is a poorly controlled diabetes with worsening proteinuria. The most likely cause of lower limb swelling for this patient is

a)

Heart failure

b)

Renal disease

c)

Liver disease

d)

Thyroid disease

25.

Which statement is least appropriate in explaining medication-induced weight loss?

a)

Anticholinergics causes dry mouth

b)

Metformin cases nausea and/or vomiting

c)

Alendronate causes esophagitis

d)

Steroids causes anorexia

e)

Chemotherapy agents causes dysgeusia

26.

What is the most likely cause of acute weakness?

a)

B12 deficiency

b)

Diabetic neuropathy

c)

Brain tumor

d)

Stroke

e)

Spinal cord disease

27.

The following conditions are associated with a widened mediastinum except _______.

a)

Aortic dissection

b)

Mediastinal lymphadenopathy

c)

Pleural effusion

d)

Ruptured aorta

e)

Cardiomegaly

28.

The following conditions result in the trachea being 'pushed' to the non pathological site except______.

a)

Tension pneumothorax

b)

Aortic aneurysm

c)

Pleural effusion

d)

Pulmonary fibrosis

e)

Mediastinal mass

29.

Interpret the following rhythm strip:

a)

First degree heart block

b)

Second degree atrioventricular block (Mobitz type I)

c)

Second degree atrioventricular block (Mobitz type II)

d)

Third degree atrioventricular block

e)

Wolff -Parkinson-White Syndrome

30.

Which patient with asymptomatic bacteriuria no need treatment?

a)

50 years old male with presence of struvite stones

b)

60 years old MALE, prior to genitourinary tract procedures: TURP, cystoscopy

c)

20 years old female prior to renal biopsy

d)

30 years old female trying to conceive

e)

Neonates and preschool children

31.

Which is the first step when interpreting a chest x-ray?

a)

Exposure

b)

Projection

c)

Rotation

d)

Patient identification

e)

Trachea position

32.

Chest x-ray shows a large opacification in the left lung with obscured heart margins. There are also air bronchograms within the opacification. The trachea appears to be in the midline. What is the most likely diagnosis?

a)

Malignancy

b)

Tuberculosis

c)

Pneumonia

d)

Massive pleural effusion

e)

Atelectasis

33.

Kris your colleague had severe diarrhoea since yesterday. Today he is complaining feeling light headed. His eyes look sunken and sallow. Upon checking his blood pressure is 80/60 mmHg with heart rate 120/min. He says he has seen a doctor yesterday. Today his diarrhea is better as he has been fasting but feels sleepy. He has blamed it on the 'antibiotics'. He also tells you he has lost 5kgs overnight . He asks for time off to sleep and recover. Which of the following is the most appropriate action you would take?

a)

Send him home to rest

b)

Order to drink 1 liter of water with oral Rehydraton salts

c)

Prepare to set IV line and hydrate him first while waiting for Dr to review and prepare him for admission.

d)

Book a Grab taxi to send him home.

e)

Arrange for him to sleep in the office so staff can monitor him

34.

The followings are the common symptoms of anaemia EXCEPT:

a)

Chest pain

b)

Right side of body weakness

c)

Postural giddiness

d)

Exertional shortness of breath

e)

Palpitation

35.

History of alcohol consumption is the important history to obtain to rule out the possibility of liver disease and pancreatitis.

a)

True

b)

False

36.

Which of the following statements is CORRECT about the medications for the treatment of hyperkalaemia with potassium level of 5.6mmol/L?

a)

IV Calcium gluconate can be used to reduce the total body potassium level

b)

IV Insulin is administered to reduce the total body potassium level

c)

IV insulin can shift the potassium from the cell to the blood stream

d)

Sodium polystyrene sulfonate (Resonium) can be used to reduce the total body potassium level

e)

IV Calcium gluconate, IV insulin and Resonium should be administered to all patients with hyperkalaemia

37.

Which of the following is NOT a cause of glucose in urine?

a)

Diabetes mellitus

b)

Fanconi syndrome

c)

Empagliflozin

d)

Nephrotic syndrome

e)

Renal calculus

38.

Where does the heart's electrical stimulus originate from?

a)

Right bundle branch

b)

Purkinje fibres

c)

Sino-atrial node

d)

Bundle of His

39.

Mr Tan H. L, an 85-year-old man, who was found sitting on the fl oor during night shift. He was admitted 4 days ago with fever and agitation, who was diagnosed as community acquired pneumonia. The team has started on antibiotic, his fever subsided, and he was calm. Mr Tan has known dementia with behavioural and psychological symptoms of dementia (BPSD), atrial fi brillation on warfarin and poorly controlled diabetes. Family requested no retainer on admission. After fall, patient vitals are stable except having fever again, no obvious injury observed. Medical team reviewed him and physical examination is normal. But patient is confused and was placed on hourly conscious level monitoring while waiting for CT scan head to be done. Night shift nurses attempted to call patient’s son, but unable get through. You are the morning nurse in charge, you are required to call and inform patient’s son Alfred about last night incident. During the conversation, the son requested for the name of the staff who was involved in the incident, you should:

a)

Acknowledge and agree with the son that the staff who was involved in the incident has work performance issue.

b)

Use phrases such as ‘I’m so sorry that this incident had happened’ and reassure that the team is investigating the incident. More update will be given later.

c)

Reveal the name of the staff to the son.

d)

Discuss his request with your supervisor.

e)

Argue with the son and refuse to reveal the name of the staff.

40.

Inter-professional teams that establish collaborative relationships among Doctors, nurses and pharmacists focus on which one of the following?

a)

Family-centred care

b)

Cost-effective care

c)

Professional-organized care

d)

Patient-Centred care

e)

Decentralised care