Page 1 of 2: mcq need help

gazra · Credits: 1257 My Scrapbook

1.Inhalation of 20% CO causes
a.Nausea
b.Headache
c.Narcosis
d.Coma
e.Vomiting

2-.In a 8 year old child, intussusception within a meter of ileocecal junction is caused most commonly by
a.Polyp
b.Meckel’s Diverticulum
c.Lymph node (Peyer’s patches)
d.Crohn’s disease
e.Tuberculosis

3-.A 9 year old girl is brought to for backache for the last one week. She has a history of congenital sclerosis to the left side in the thoracic region. This pain can be due to
a.Trauma
b.Osteoporosis
c.Muscle dystrophy
d.Congenital scoliosis
e.Vertebral necrosis

8.Coryza in a 3-week-old infant may lead to upper airway obstruction when the baby sleeps, but not when awake and crying because
.1) there is inflammation and edema of the larynx and trachea.
2) the extrathoracic trachea is floppy and collapses easily on quiet inspiration.
h 3) an infant is an obligate nose-breather.
i 4) the tongue falls back into the posterior oropharynx.
j 5) the tonsils become enlarged and obstruct the airflow in and out of the larynx

16. A 54-year-old woman sustained an anterior wall myocardial infarction complicated by pulmonary edema. She is symptomless at discharge from hospital 7 days later. Which one of the following treatments is INAPPROPRIATE?
1) propranolol
2) captopril
3) acetylsalicylic acid
4) diltiazem
5) isosorbide dinitrate

doctormoony · Credits: 9948 My Scrapbook

ieva · Credits: 3579 My Scrapbook

Q1 I think that qn is incomplete, because it depends not only on CO concentration in the air but also time of exposure and following concentration of carboxyHb in blood.

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as in this web-page:
Coma - if carboxyHb >70%
Headache - if carboxyHb 10-40%
CO does not have narcotic action

Q2: b Meckel`s diverticulum

Q3: again weird qn - might be trauma, if history is positive. But may be also Congenital sclerosis, as she has it.
So, if qn looks like this, i would choose
d.Congenital scoliosis

Q8: 3) an infant is an obligate nose-breather.

Q16:1) propranolol - B-adrenoblockers - routine use for 2 yrs after MI
2) captopril - ACEI's - decrease mortality, also in asymptomatic patients
3) acetylsalicylic acid - yes, reduces risk of recurrent MI, can be used also alternative antiplatelet agents (clopidogrel)
4) diltiazem - are not recommended for routine secondary prevention of MI
5)ISDN - nitrates - alleviate ischemia
(from Harrison's, 2005, and TN)
SO correct answer would be:
5) isosorbide dinitrate

doctormoony · Credits: 9948 My Scrapbook

oops #2 is mickel's diverticulum

2Pandai · Credits: 21419 My Scrapbook

1.Inhalation of 20% CO causes
a.Nausea
b.Headache ***Headache and nausea can begin when levels
of carboxyhemoglobin are 10 to 20%.
c.Narcosis
d.Coma
e.Vomiting

2-.In a 8 year old child, intussusception within a meter of ileocecal junction is caused most commonly by
a.Polyp
b.Meckel’s Diverticulum
c.Lymph node (Peyer’s patches)
d.Crohn’s disease
e.Tuberculosis

3-.A 9 year old girl is brought to for backache for the last one week. She has a history of congenital sclerosis to the left side in the thoracic region. This pain can be due to
a.Trauma
b.Osteoporosis >>ankylosis>>Pain.
c.Muscle dystrophy
d.Congenital scoliosis
e.Vertebral necrosis

8.Coryza in a 3-week-old infant may lead to upper airway obstruction when the baby sleeps, but not when awake and crying because
.1) there is inflammation and edema of the larynx and trachea.
2) the extrathoracic trachea is floppy and collapses easily on quiet inspiration.
h 3) an infant is an obligate nose-breather.
i 4) the tongue falls back into the posterior oropharynx.
j 5) the tonsils become enlarged and obstruct the airflow in and out of the larynx

16. A 54-year-old woman sustained an anterior wall myocardial infarction complicated by pulmonary edema. She is symptomless at discharge from hospital 7 days later. Which one of the following treatments is INAPPROPRIATE?
1) propranolol
2) captopril
3) acetylsalicylic acid
4) diltiazem
5) isosorbide dinitrate

mikejonathan20055 · Credits: 3355 My Scrapbook

1.Inhalation of 20% CO causes
a.Nausea
b.Headache ***Headache and nausea can begin when levels
of carboxyhemoglobin are 10 to 20%.
c.Narcosis
d.Coma
e.Vomiting

2-.In a 8 year old child, intussusception within a meter of ileocecal junction is caused most commonly by
a.Polyp
b.Meckel’s Diverticulum---one meter from the Ilioceacal Junction ...if that not mentioned the answer would be Lymph node (Peyer’s patches)
c.Lymph node (Peyer’s patches)
d.Crohn’s disease
e.Tuberculosis

3-.A 9 year old girl is brought to for backache for the last one week. She has a history of congenital sclerosis to the left side in the thoracic region. This pain can be due to
a.Trauma
b.Osteoporosis .........Misuse Osteoporosis
c.Muscle dystrophy
d.Congenital scoliosis
e.Vertebral necrosis

8.Coryza in a 3-week-old infant may lead to upper airway obstruction when the baby sleeps, but not when awake and crying because
.1) there is inflammation and edema of the larynx and trachea.
2) the extrathoracic trachea is floppy and collapses easily on quiet inspiration.
h 3) an infant is an obligate nose-breather.----------
i 4) the tongue falls back into the posterior oropharynx.
j 5) the tonsils become enlarged and obstruct the airflow in and out of the larynx

16. A 54-year-old woman sustained an anterior wall myocardial infarction complicated by pulmonary edema. She is symptomless at discharge from hospital 7 days later. Which one of the following treatments is INAPPROPRIATE?
1) propranolol
2) captopril
3) acetylsalicylic acid
4) diltiazem
5) isosorbide dinitrate---------------

for those who chose the Diltiazem could you explain why Please

squall-leonhart · Credits: 2258 My Scrapbook

This infarct was complicated by pulmonary oedema what mean's cardiac insufficiency. Is it reasonnable to give propranolol to this patient?

ayesha225 · Credits: 1219 My Scrapbook

1.Inhalation of 20% CO causes
a.Nausea
b.Headache------
c.Narcosis
d.Coma
e.Vomiting

2-.In a 8 year old child, intussusception within a meter of ileocecal junction is caused most commonly by
a.Polyp
b.Meckel’s Diverticulum-----------------
c.Lymph node (Peyer’s patches)
d.Crohn’s disease
e.Tuberculosis

3-.A 9 year old girl is brought to for backache for the last one week. She has a history of congenital sclerosis to the left side in the thoracic region. This pain can be due to
a.Trauma---------------------h/o 1 week
b.Osteoporosis
c.Muscle dystrophy
d.Congenital scoliosis
e.Vertebral necrosis

8.Coryza in a 3-week-old infant may lead to upper airway obstruction when the baby sleeps, but not when awake and crying because
.1) there is inflammation and edema of the larynx and trachea.
2) the extrathoracic trachea is floppy and collapses easily on quiet inspiration.
h 3) an infant is an obligate nose-breather.----------
i 4) the tongue falls back into the posterior oropharynx.
j 5) the tonsils become enlarged and obstruct the airflow in and out of the larynx

16. A 54-year-old woman sustained an anterior wall myocardial infarction complicated by pulmonary edema. She is symptomless at discharge from hospital 7 days later. Which one of the following treatments is INAPPROPRIATE?
1) propranolol
2) captopril
3) acetylsalicylic acid
4) diltiazem------------------
5) isosorbide dinitrate

OBAMA · Credits: 1833 My Scrapbook

1.HEADACHE
2.MD
3.CONG SCOLIOSIS
4.OBLIGATE NOSE BREATHER
5.ISOSORBIDE DINITRATE

maryana · Credits: 15526 My Scrapbook

1.Inhalation of 20% CO causes
a.Nausea
b.Headache////////
c.Narcosis
d.Coma
e.Vomiting

2-.In a 8 year old child, intussusception within a meter of ileocecal junction is caused most commonly by
a.Polyp
b.Meckel’s Diverticulum( 2 feet)
c.Lymph node (Peyer’s patches)
d.Crohn’s disease
e.Tuberculosis

3-.A 9 year old girl is brought to for backache for the last one week. She has a history of congenital sclerosis to the left side in the thoracic region. This pain can be due to
a.Trauma
b.Osteoporosis /////////////
c.Muscle dystrophy
d.Congenital scoliosis
e.Vertebral necrosis

8.Coryza in a 3-week-old infant may lead to upper airway obstruction when the baby sleeps, but not when awake and crying because
.1) there is inflammation and edema of the larynx and trachea.
2) the extrathoracic trachea is floppy and collapses easily on quiet inspiration.
h 3) an infant is an obligate nose-breather.////////////
i 4) the tongue falls back into the posterior oropharynx.
j 5) the tonsils become enlarged and obstruct the airflow in and out of the larynx

16. A 54-year-old woman sustained an anterior wall myocardial infarction complicated by pulmonary edema. She is symptomless at discharge from hospital 7 days later. Which one of the following treatments is INAPPROPRIATE?
1) propranolol
2) captopril
3) acetylsalicylic acid
4) diltiazem///////
5) isosorbide dinitrate

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