Multiple Choice Questions (MCQ)

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Category: Q&A Medicine--->General Medicine
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Question 6# Print Question

A cohort study was performed to determine the relationship between elevated LDL levels and the development of a myocardial infarction. After a 7-year follow up trial period, the following data was analyzed (Table below).

Which of the following is the 7-year risk of getting a myocardial infarction in patients with elevated LDL levels?

A. 0.2 (20%)
B. 0.3 (30%)
C. 0.4 (40%)
D. 0.6 (60%)

Question 7# Print Question

A 62-year-old man presents with a 3-month history of weakness, fatigue, and weight loss. He also reports a burning epigastric pain. The patient has an insignificant past medical history and smokes 2 packs of cigarettes per day. He drinks 4 to 5 beers per day as well. Work-up is initiated and the patient is found to have a positive fecal occult blood test. Esophagogastroduodenoscopy is performed and demonstrates a fundal ulcer. Biopsy is performed and is positive for adenocarcinoma.

Which of the following is the best next step in management of this patient?

A. H. pylori serologic testing
B. CT scan
C. Laparoscopy
D. Hospice referral

Question 8# Print Question

A 22-year-old man presents with headache, vomiting, and confusion. His girlfriend reports that he was at a local bar that was hosting a barbeque. Due to inclement weather, the barbecue was held indoors. Physical examination reveals a heart rate of 112 beats per minute, respiratory rate of 24 breaths per minute, and diffusely pink skin.

Which of the following is the most likely diagnosis in this patient?

A. Cyanide poisoning
B. Carbon monoxide poisoning
C. Methemoglobinemia
D. Arsenic poisoning

Question 9# Print Question

A 29-year-old woman is brought to the Emergency Department after falling from the balcony located on the third story of her apartment building. She reports severe abdominal pain and distention is noted on physical examination. Urgent laparotomy confirms a splenic laceration and a splenectomy is performed. The patient does well postoperatively.

Which of the following vaccines is recommended in this patient?

A. Hepatitis A
B. Pertussis
C. Salmonella typhi
D. Meningococcal

Question 10# Print Question

Several academic dermatologists are conducting a study to determine the risk factors for acral lentiginous melanoma versus superficial spreading melanoma. A hundred and twenty patients are identified with a diagnosis of acral lentiginous melanoma and 140 patients are identified with a diagnosis of superficial spreading melanoma. The researchers subsequently engage in a thorough review of the patients’ medical records, demographic characteristics, and family history. They then execute a side-by-side comparison of the differences ascertained between the two groups.

Which of the following is the study design being implemented in this example?

A. Retrospective cohort study
B. Case-control study
C. Prospective cohort study
D. Cross-sectional study

Category: Q&A Medicine--->General Medicine
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