Page 1 of 2: SOME QS

NICK-DOC · Credits: 1079 My Scrapbook

1 /Concerning a physician's obligation to provide due care to a
patient,
which one of the following is correct?

1) Beneficence is a moral commitment but not a legal
obligation to the well-being of the patient

2) Respecting autonomy is both a moral commitment and a
legal
obligation to the patient

3) A physician can be found guilty of negligence even if
he/she has acted in accordance with a practice acceptable to a
responsible
body of peers

4) Unanimity of practice is expected of physicians

5) Where patient outcomes are poor, physicians may have
their
practices scrutinized by the courts but not by peer organizations

2/ A 10-year-old boy has never had corrective surgery for
congenital
dislocation of the hips. Which one of the following would best
decribe
his gait?

1) shuffling
2) circumducting
3) waddling
4) staggering
5) steppage or equine

2 / You are counselling a 64-year-old woman who is concerned
about her
husband's increasing disinterest in sexual activity. Which one of
the
following statements about sexual function is correct?

1) Age impairs sexual capacity equally in men and women.
2) Women remain clitorically responsive throughout their
lifespan.
3) Decreased sexual activity occurs as men age even though
androgen levels remain stable.
4) Most antihypertensive drugs will increase erectile
function by promoting vasodilation.
5) Thresholds for male sexual arousal are unchanged with
age.

3 / You diagnose a 40-year-old woman with depression and prescribe
an
antidepressant. Which one of the following factors would increase
the
likelihood of her compliance with treatment?

1) a positive family history
2) the patient's denial of her illness
3) marked secondary gain
4) a high level of subjective distress
5) short waiting-room time

4 / An 86-year-old generally debilitated man in an extended care
facility has a chronic Escherichia coli bacteriuria. About once
every 6
months, he develops mild fever, frequency of micturition and some
urinary
incontinence. On several of these exacerbations, his urine cultures
grow Escherichia coli with colony counts greater than 100,000/mL.
Which
one of the following would be the most appropriate management?

1) Determine the cause of the infection by cystoscopy and
intravenous pyelogram.
2) Place him on continuous low-dose antibiotic therapy.
3) Catheterize and irrigate the bladder daily.
4) Treat only the acute episodes of infection with
appropriate antibiotic.
5) Do not give specific treatment but maintain a high
fluid
intake.

5 / A 28-year-old man presents to the emergency room with a 2-
hour
history of chest tightness, coughing, and wheezing. He has had many
such
attacks in the past, generally treatable by self-medication at
home.
Physical examination reveals dyspnea, orthopnea, and cyanosis.
Wheezing
is noted on inspiration and expiration and some coarse crackles are
audible. Pulse is 130/min and regular. An emergency arterial PO2
is 65
mmHg. Pulmonary function studies are most likely to show which one
of
the following?

1) decreased FEV1
2) increased vital capacity
3) decreased residual volume
4) decreased airway resistance
5) increased arterial PO2

thank you

2Pandai · Credits: 21419 My Scrapbook

1 /Concerning a physician's obligation to provide due care to a
patient,
which one of the following is correct?

1) Beneficence is a moral commitment but not a legal
obligation to the well-being of the patient

2) Respecting autonomy is both a moral commitment and a
legal obligation to the patient

3) A physician can be found guilty of negligence even if
he/she has acted in accordance with a practice acceptable to a
responsible
body of peers

4) Unanimity of practice is expected of physicians

5) Where patient outcomes are poor, physicians may have
their
practices scrutinized by the courts but not by peer organizations

2/ A 10-year-old boy has never had corrective surgery for
congenital dislocation of the hips. Which one of the following would best
decribe his gait?

1) shuffling
2) circumducting
3) waddling
4) staggering
5) steppage or equine

3 / You are counselling a 64-year-old woman who is concerned
about her husband's increasing disinterest in sexual activity. Which one of
the following statements about sexual function is correct?

1) Age impairs sexual capacity equally in men and women.
2) Women remain clitorically responsive throughout their
lifespan.
3) Decreased sexual activity occurs as men age even though
androgen levels remain stable.
4) Most antihypertensive drugs will increase erectile
function by promoting vasodilation.
5) Thresholds for male sexual arousal are unchanged with
age.

4 / You diagnose a 40-year-old woman with depression and prescribe
an antidepressant. Which one of the following factors would increase
the likelihood of her compliance with treatment?

1) a positive family history
2) the patient's denial of her illness
3) marked secondary gain
4) a high level of subjective distress
5) short waiting-room time

5 / An 86-year-old generally debilitated man in an extended care
facility has a chronic Escherichia coli bacteriuria. About once
every 6 months, he develops mild fever, frequency of micturition and some urinary incontinence. On several of these exacerbations, his urine cultures grow Escherichia coli with colony counts greaterthan100,000/mL. Which one of the following would be the most appropriate management?

1) Determine the cause of the infection by cystoscopy and intravenous pyelogram.
2) Place him on continuous low-dose antibiotic therapy.
3) Catheterize and irrigate the bladder daily.
4) Treat only the acute episodes of infection with appropriate antibiotic.
5) Do not give specific treatment but maintain a high fluid intake.

6 / A 28-year-old man presents to the emergency room with a 2-
hour history of chest tightness, coughing, and wheezing. He has had many such attacks in the past, generally treatable by self-medication at home.Physical examination reveals dyspnea,orthopnea,and cyanosis.Wheezing is noted on inspiration and expiration and some coarse crackles are audible. Pulse is 130/min and regular. An emergency arterial PO2 is 65 mmHg. Pulmonary function studies are most likely to show which one of the following?

1) decreased FEV1
2) increased vital capacity
3) decreased residual volume
4) decreased airway resistance
5) increased arterial PO2

dr_bvv · Credits: 2040 My Scrapbook

question 3-answer is 2.

2Pandai · Credits: 21419 My Scrapbook

I am correcting my earlier error in question 3.

question 3-answer is 3.

dr_bvv · Credits: 2040 My Scrapbook

just a correction, b/c there are 2 answers marked "2"
the q with 64 years old lady-answer is 3.

2Pandai · Credits: 21419 My Scrapbook

my corrected answer is regarding the foll.Q;

3 / You are counselling a 64-year-old woman who is concerned
about her husband's increasing disinterest in sexual activity. Which one of
the following statements about sexual function is correct?

1) Age impairs sexual capacity equally in men and women.
2) Women remain clitorically responsive throughout their
lifespan.
3) Decreased sexual activity occurs as men age even though
androgen levels remain stable.
4) Most antihypertensive drugs will increase erectile
function by promoting vasodilation.
5) Thresholds for male sexual arousal are unchanged with
age.

dr_bvv;
ur answer is regarding which Q ?

dr_bvv · Credits: 2040 My Scrapbook

hi Dr2Pandai
yes-we are talking about the same question
I read before this q and the right answer was

2) Women remain clitorically responsive throughout their
lifespan.

your answer seems correct,but the standard answer was 2.

NICK-DOC · Credits: 1079 My Scrapbook

Hi guys
these qs are from self adminstration mccee (I'm sure about the options).
I believed that the correct answer is 2 before.but in this q option 3 seems correct too.finaly which one should be chosen?

NICK-DOC · Credits: 1079 My Scrapbook

And what do you think about this one ?

1. A lady is allergic to lidocaine. She is going to have a vulval biopsy. What will you give?
A. topical preparation of prilocaine and lidocaine
B. prilocaie infiltration
C. infiltration of Bupivacaine
D. NO anesthesia

dr_bvv · Credits: 2040 My Scrapbook

D ???

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