Page 1 of 1: some mcqs

asooma · Credits: 6422 My Scrapbook

A 22-year-old man sustains a blow-out fracture of his left orbit while playing squash. You expect to find

1) depression of the zygomatic arch on the left side.

2) horizontal diplopia.

3) retinal detachment.

4) left enophthalmos.

5) blood behind the left tympanic membrane.

A young woman develops rheumatoid arthritis with severe systemic symptoms and a high rheumatoid factor. Which one of the following is the most common early sign of this condition?

1) swelling of proximal interphalangeal joints

2) pleural effusions

3) a patellar bulge sign

4) subcutaneous nodules

5) splenomegaly

32-year-old woman presents to the outpatient clinic with a 7-month history of amenorrhea and hot flushes. She denies any symptoms of pregnancy and the uterus is of normal size. The most appropriate diagnostic test to support a diagnosis of premature ovarian failure is

1) karyotype.

2) serum luteinizing hormone and follicule-stimulating hormone.

3) medroxyprogesterone withdrawal test.

4) diagnostic laparoscopy.

5) serum estradiol.

bomdel · Credits: 1780 My Scrapbook

A 22-year-old man sustains a blow-out fracture of his left orbit while playing squash. You expect to find

1) depression of the zygomatic arch on the left side.
2) horizontal diplopia.

3) retinal detachment.

4) left enophthalmos.

5) blood behind the left tympanic membrane.

A young woman develops rheumatoid arthritis with severe systemic symptoms and a high rheumatoid factor. Which one of the following is the most common early sign of this condition?

1) swelling of proximal interphalangeal joints

2) pleural effusions

3) a patellar bulge sign

4) subcutaneous nodules

5) splenomegaly

32-year-old woman presents to the outpatient clinic with a 7-month history of amenorrhea and hot flushes. She denies any symptoms of pregnancy and the uterus is of normal size. The most appropriate diagnostic test to support a diagnosis of premature ovarian failure is

1) karyotype.

2) serum luteinizing hormone and follicule-stimulating hormone. 3) medroxyprogesterone withdrawal test.

4) diagnostic laparoscopy.

5) serum estradiol.

ieva · Credits: 3579 My Scrapbook

A 22-year-old man sustains a blow-out fracture of his left orbit while playing squash. You expect to find

1) depression of the zygomatic arch on the left side.

2) horizontal diplopia.

3) retinal detachment.

4) left enophthalmos.******

5) blood behind the left tympanic membrane.

A young woman develops rheumatoid arthritis with severe systemic symptoms and a high rheumatoid factor. Which one of the following is the most common early sign of this condition?

1) swelling of proximal interphalangeal joints

2) pleural effusions

3) a patellar bulge sign

4) subcutaneous nodules

5) splenomegaly*****

Explanation. RA most frequent localization in the small joint are not prox. interphalangeal, but metacarpophalangel joints.
And as in the qn is written that woman develops severe systemic RA, then (by Harrison) acute onset of RA is often accompanied by fever, lymphadenopathy, splenomegaly.

32-year-old woman presents to the outpatient clinic with a 7-month history of amenorrhea and hot flushes. She denies any symptoms of pregnancy and the uterus is of normal size. The most appropriate diagnostic test to support a diagnosis of premature ovarian failure is

1) karyotype.

2) serum luteinizing hormone and follicule-stimulating hormone.******

3) medroxyprogesterone withdrawal test.

4) diagnostic laparoscopy.

5) serum estradiol.

lenin · Credits: 1549 My Scrapbook

what about diplopia

ieva · Credits: 3579 My Scrapbook

Classic signs of blow-out fracture (TN OP46):
*Enophthalmos
*Decreased upgaze
*Cheek anesthetized (Infraorbital n. trapped)
*diplopia (restriction of extraocular muscles - i think it may be any kind of diplopia, not only horizontal)

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