Page 1 of 1: "A" MCQ'S.

2Pandai · Credits: 21419 My Scrapbook

1. A 34-year-old labourer presents to you with severe back and right leg pain after lifting some heavy pieces of wood. The pain radiates from his low back down the posterior lateral aspect of the leg into the lateral foot. The pain is associated with a sensation of swelling in the lateral aspect of his right foot. Straight leg raising is limited to 40 degrees. Lasegue Sign is positive but the Bowstring Sign is negative.
What additional signs would you expect to find in this patient?

A.Hyper-reflexia with clonus on both legs but more so on the right
B.A suspended disassociated sensory loss from T12 to S 1
C.Wasting of the right quadriceps muscle with an absent right knee reflex
D. An absent right ankle reflex
E.Weakness of ankle dorsiflexion and reduced sensation over the right hallux

2. Which of the following findings is most consistent with a diagnosis of learning disability?

A.Normal score on intelligence test
B.Normal score on Connors Rating Scales for rating hyperactivity
C.Abnormal findings on audiometry
D.Abnormal findings on electroencephalogram
E.Abnormal findings on neurologic examination

3. A male patient is recovering from an episode of major depression. Five years ago he had a similar episode which resolved spontaneously after 8 months. For this patient, which of the following statements is correct?

A.He will likely have episodes less frequently in the future
B.There is a 40% chance he will develop bipolar mood disorder in the future
C.There is a 15% chance he will eventually kill himself
D.He is at an increased risk for developing Alzheimer's Disease
E.His antidepressant medication should be discontinued shortly after his symptoms remit to prevent a switch into mania

4. The subendothelium is the most vulnerable segment of the heart from an ischaemic standpoint. The major reason for this is:

A.The highest oxygen utilization is in the endocardium
B. Coronary flow to the subendocardium occurs almost completely during diastole whereas other regions receive some flow during systole as well
C.The subendocardium has a diminished aerobic capacity
D.There is less potential for collateralization to the subendocardium
E.The ratio of capillary to myocyte is less in the subendocardium than in other regions

5. Which of the following maneuvers has the highest sensitivity and specificity for the diagnosis of a testicular torsion?

A.Physical examination
B.Doppler
C.Ultrasound
D.Testicular scan
E.Incision of scrotum and open exploration

2Pandai · Credits: 21419 My Scrapbook

any1

2Pandai · Credits: 21419 My Scrapbook

1. A 34-year-old labourer presents to you with severe back and right leg pain after lifting some heavy pieces of wood. The pain radiates from his low back down the posterior lateral aspect of the leg into the lateral foot. The pain is associated with a sensation of swelling in the lateral aspect of his right foot. Straight leg raising is limited to 40 degrees. Lasegue Sign is positive but the Bowstring Sign is negative.
What additional signs would you expect to find in this patient?

A.Hyper-reflexia with clonus on both legs but more so on the right
B.A suspended disassociated sensory loss from T12 to S 1
C.Wasting of the right quadriceps muscle with an absent right knee reflex
D. An absent right ankle reflex
E.Weakness of ankle dorsiflexion and reduced sensation over the right hallux

2. Which of the following findings is most consistent with a diagnosis of learning disability?

A.Normal score on intelligence test
B.Normal score on Connors Rating Scales for rating hyperactivity
C.Abnormal findings on audiometry
D.Abnormal findings on electroencephalogram
E.Abnormal findings on neurologic examination

3. A male patient is recovering from an episode of major depression. Five years ago he had a similar episode which resolved spontaneously after 8 months. For this patient, which of the following statements is correct?

A.He will likely have episodes less frequently in the future
B.There is a 40% chance he will develop bipolar mood disorder in the future
C.There is a 15% chance he will eventually kill himself
D.He is at an increased risk for developing Alzheimer's Disease
E.His antidepressant medication should be discontinued shortly after his symptoms remit to prevent a switch into mania

4. The subendothelium is the most vulnerable segment of the heart from an ischaemic standpoint. The major reason for this is:

A.The highest oxygen utilization is in the endocardium
B. Coronary flow to the subendocardium occurs almost completely during diastole whereas other regions receive some flow during systole as well C.The subendocardium has a diminished aerobic capacity
D.There is less potential for collateralization to the subendocardium
E.The ratio of capillary to myocyte is less in the subendocardium than in other regions

5. Which of the following maneuvers has the highest sensitivity and specificity for the diagnosis of a testicular torsion?

A.Physical examination
B.Doppler
C.Ultrasound
D.Testicular scan
[u]E.Incision of scrotum and open exploration [/

zaheer_s · Credits: 1573 My Scrapbook

Thanks for the answer Dr.2Pandai

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