Q2. If this patient wanted a medical treatment for his nose condition, what would you prescribe him?
a. Doxycycline
b. Erythromycin
c. Tretinoin
d. Benzyl peroxide
e. Salicylic acid
Friday, July 15, 2022
Derm & Med MCQs
Q1. A 44 yo male presents with a 12 month history of difficulty breathing. As you start to examine him, you notice the below deformity. Your immediate diagnosis is?
Thursday, July 14, 2022
Derm & Med MCQs
Q3. In recent years, the cause of these lesions has been linked to?
a. Epstein Barr virus
b. Herpes simplex
c. Human papilliomavirus
d. Cytomegalovirus
e. Coronavirus
f. Zika virus
Derm & Med MCQs
Q2. The lesion below has pathophysiology that is very similar to?
a. Squamous cell cancer
b. Basal cell cancer
c. Melanoma
d. Fibroid
e. Warts
Derm & Med MCQs
Q1. A 55-yo male presents with a 1 cm elevated lesion on his forehead, close to the scalp. The lesion is slightly red, has a smooth shiny surface and a central crater that appears like a horn. He mentions that the lesion developed rather quickly over 3 weeks and he denies any pain. You make a diagnosis of?
a. Basal cell cancer
b. Squamous cell cancer
c. Keratoacanthoma
d. Melanoma
e. Dystrophic lipoma
Derm & Med MCQs
Q4. If a farmer from the San Jaoquim Valley presented with this rash due to a fungus, you would suspect?
a. Erythema nodosum
b. Erythema marginatum
c. Erythema multiforme
d. Erythema migrans
e. Erythema toxicum
Derm & Med MCQs
Q3. In patients with coccidioidomycosis infection, besides the rash below, what other rash is also a common presentation?
a. Erythema annulare
b. Erythema marginatum
c. Erythema multiforme
d. Erythema migrans
e. Erythema toxicum
Derm & Peds MCQs
Q2. The most common cause of bilateral reddish, elevated tender lesions over the lower leg in children is?
a. Sarcoidosis
b. Inflammatory bowel disease
c. Streptococcal infections
d. Tuberculosis
e. Coronavirus infection
Derm & Med MCQs
Q1. A 33 yo farmer from the Midwest presents with a dry cough and vague chest discomfort. During the exam, you note the rash below. Which fungal infection is most likely to present with reddish, elevated tender lesions over the lower legs?
a. Histoplasmosis
b. Blastomycosis
c. Coccidioidomycosis
d. Candida
e. Sporothrix
Obs & Anat MCQs
Q10. In a patient with a suspected ectopic pregnancy, you have decided to perform culdocentesis and obtain fluid from the pouch of Douglas (Rectouterine pouch). From the figure, where is the pouch located?
A
B
C
D
E
Obs & Med MCQs
Q9. Which factor is associated with the least risk of ectopic pregnancy?
a. Salpingectomy
b. Use of an IUD
c. Use of birth control pills
d. Tubal ligation
e. PID
Wednesday, July 13, 2022
Obs and Med MCQs
Q7. Infection with which organism is known to have the highest risk for an ectopic?
Obs and Anat MCQs
Q6. Where is the most common site for an ectopic pregnancy in the fallopian tube?
A
B
C
D
E
Obs & ED MCQs
Q5. Of the following, what is the best test to detect an ectopic pregnancy?
a. Abdominal ultrasound
b. Vaginal ultrasound
c. Levels of serum hCG
d. Laparoscopy
e. Urine HCG
ED & Obs MCQs
Q2. A 22 yo G1P0 presents with a 2 day history of vaginal spotting. She states that her last menstrual period was 7 weeks ago. She denies any abdominal pain or nausea. She does not take any meds and has no allergies. Her family history is non contributory. She does not smoke or drink alcohol. Her vitals signs include BP 125/80, P 110, RR 16, T 98.9. Exam reveals mild abdominal tenderness. What is your preliminary diagnosis?
a. Appendicitis
b. Renal calculi
c. Pelvic inflammatory disease
d. Ectopic pregnancy
e. Uterine fibroids
Obs and ED MCQs
Q1. A 22-year-old female presents to the emergency room with abdominal pain, nausea and vaginal bleeding. Her symptoms started two hours ago and have continued to become worse. She is not sure if she is pregnant but her period is late. In the past she has been treated for pelvic inflammatory disease and urinary tract infections. She is on no medications and has no allergies. She has never had any surgery in the past and she has never used an IUD. Her vitals at triage are BP 78/56, P 140, RR 28, and T 98.5F. Which of the following features on a physical exam would not be indicative of a ruptured ectopic pregnancy?
a. Shoulder tip pain
b. Abdominal pain
c. Hypotension
d. Abdominal rigidity
e. Frank vaginal bleeding
f. Guarding
g. Rebound tenderness
Tuesday, July 12, 2022
Anat & Surg MCQs
Q11. The vessel marked B is the?
a. Superior thyroid artery
b. Inferior thyroid artery
c. Maxillary artery
d. Ophthalmic artery
e. Facial artery
Anat & Surg MCQs
Q10. The vessel B passes through the carotid canal to enter the brain. This canal is located in which segment of the temporal bone?
Surg & Anat MCQs
Q9. Another patient with a TIA undergoes an angiogram of the neck. How can the surgeon tell differentiate between the internal and external carotid arteries?
a. By the size difference
b. Stenosis is only seen in the internal carotid artery
c. The angle of the vessels
d. The presence of branches
e. The degree of tortousity
https://youtu.be/JFx_4SSu_54
Anat & Surg MCQs
Q8. During exposure of the carotid bifurcation, you come across the vein shown below. Ligating this vein will usually reveal the carotid sheath posteriorly. This is the?
a. Retromandibular vein
b. Maxillary vein
c. External jugular vein
d. Facial vein
e. Submental vein
Surg & Anat MCQs
Q7. You are assisting the surgeon with a carotid endarterectomy. As you dissect between vessels C and D you come across structure E. This nerve is usually located where in the carotid sheath?
a. Runs in between the jugular vein and carotid artery
b. Runs on top of the internal carotid artery
c. Runs posteriorly
d. Runs on top of the jugular vein
Surg & Anat MCQs
Q6. You are assisting the surgeon with a carotid endarterectomy. As you dissect between vessels C and D you come across structure E. This is the?
a. Ansa cervicalis
b. The vagus
c. Hypoglossal nerve
d. Thoracic duct
e. Phrenic nerve
Anat & Surg MCQs
Q5. The nerve marked by ???? is responsible for?
a. Tongue movements
b. Stimulation of the diaphragm
c. Modulating heart rate
d. Innervating infrahyoid muscles
e. Innervating the vocal cords
Monday, July 11, 2022
Surg & Anat MCQs
Q4. During exposure of the vessels in the neck for an endarterectomy, you note the nerve marked with ???. This is the?
Surg and Anat MCQs
Q3. During the dissection on the left neck, you accidentally injure the nerve marked with “?’. This will result in tongue deviation to the?
Surg & Anat MCQs
Q2. You are assisting the surgeon with an endarterectomy on the vessel shown below. During the dissection you come across the nerve labeled with ‘?.’ This is the?
Surg & Med MCQs
Q1. A 69 yo presents to the ED with a sudden onset of painless vision loss in his left eye. He states the episode lasted 20 seconds and he feels fine now. He had two other similar episodes a month ago. Other than diabetes and hypertension, his health has been fine. He has a 30 pack year smoking history and one bottle of beer everyday. He is on enalapril and metformin. On a physical exam of the neck you hear a bruit. The patient undergoes a CT angio of the neck (See below). Based on the patient’s history, the surgeon will most likely be concerned about which vessel?
A
B
A & B
Neither A or B
Surg & Anat MCQs
Q11. Based on the histology of esophagus, where are the myenteric plexus located?
A
B
C
D
Surg & Med MCQs
Q9. Which of the following is more suggestive of achalasia rather than esophageal cancer?
a. Pain with swallowing
b. Moderate weight loss
c. Dysphagia to solids and liquids at the same time
d. Presence of heartburn at night
Thursday, July 7, 2022
Surg & Med MCQs
Q8. On manometry, what is the most obvious feature of achalasia?
a. High pressures in the esophagus
b. Low amplitude peristalsis
c. Elevated LES pressure
d. Progressive peristalsis
Surg & Med MCQs
Q7. Which of the following is not a feature of achalasia on manometry?
a. Absent peristalsis
b. Impaired LES relaxation
c. Hypertensive LES
d. Increased tone in the esophagus
Wednesday, July 6, 2022
Surg & Med MCQs
Q6. After the study shown below, what test will you order to confirm the diagnosis of this swallowing disorder?
a. Biopsy
b. Upper endoscopy
c. 24 hour pH testing
d. Manometry
Med & Surg MCQs
Q5. The patient’s barium study is shown. What key feature is indicative of achalasia on this study?
a. Bird’s beak appearance
b. Irregular outline of the esophagus
c. Continued peristaltic waves
d. Emptying of esophageal contents in supine position
e. Shortened esophagus
Surg & Med MCQs
Q4. Following the CXR in a patient with suspected achalasia, what is the next step in her management?
a. Barium swallow
b. Barium enema
c. CT chest
d. Upper endoscopy
e. Manometry
Med & Surg MCQs
Q3. The patient’s CXR is shown. What of the following is a feature of achalasia on a plain X-ray? (multiple answers)
a. Small gastric bubble
b. Retrocardiac air fluid level
c. Convex opacity overlying the
mediastinum
d. Patchy alveolar opacities
Med & Surg MCQs
Q1. A 28 year old Hispanic female presents with a 2-month history of dysphagia. She says all off a sudden she noticed she was unable to swallow food. The dysphagia to both solid and liquid food started simultaneously and is often painful. She denies any trauma or any other history. At night, she has often developed regurgitation and coughing spells. She has lost about 20 pounds in the last 6 weeks. Physical exam is unremarkable. Based on this history, you suspect she may have?
a. Esophageal cancer
b. Diffuse esophageal spasm
c. Zenker diverticulum
d. Achalasia
e. Schatzki ring
f. GERD
Anat & Surg MCQs
Q7. The structure located by the arrow is innervated by the?
a. Vagus
b. Branch of the glossopharyngeal nerve
c. Cervical plexus
d. Phrenic nerve
e. Hypoglossal nerve
Anat & Surg MCQs
Q6. During dissection of the neck, you come across the structure marked by the arrow. It is?
a. Carotid body
b. Carotid sinus
c. Lymph node
d. Remnant of a vessel
e. Lipoma
Med & Neuro MCQs
Q4. The whitish particle seen on fundoscopy in the patient with a TIA is most likely?
a. Calcium particles
b. Bacteria
c. Fragments of vegetations from the heart
d. Cholesterol
e. Air
Med & Neuro MCQs
Q3. During fundoscopy in the patient with a TIA, you note the following. You suspect that the patient has developed?
a. Ophthalmic artery occlusion
b. Central vein occlusion
c. Central artery occlusion
d. Retinal bleeding
Surg & Med MCQs
Q1. A 69 yo presents to the ED with a sudden onset of painless vision loss in his left eye. He states the episode lasted 20 seconds and he feels fine now. He had two other similar episodes a month ago. Other than diabetes and hypertension, his health has been fine. He has a 30 pack year smoking history and one bottle of beer everyday. He is on enalapril and metformin. On a physical exam of the neck you hear the following. Considering his history, what is your preliminary diagnosis?
a. Migraine
b. Carotid artery dissection
c. Carotid artery fistula
d. Carotid artery atherosclerosis
e. Bacterial endocarditis
Surg and ED MCQs
Q11. In general, in a patient with an aortic dissection, what feature on the CXR is most sensitive for this pathology?
a. Elevated diaphragm
b. Depressed left bronchus
c. Pleural effusion
d. Left apical cap
f. Abnormal aortic knob
g. Deviation of the esophagus
Tuesday, July 5, 2022
Cardiac & Surg MCQs
Q9. If there is retrograde aortic dissection, What coronary vessel is often affected?
A
B
C
D
Cardiac & Surg MCQs
Q8. If the patient presents with the pathology at location marked by the arrow, retrograde progression would lead to what type of murmur?
a. Continuous machinery murmur
b. Loud S1 with a pandiastolic murmur
c. Diamond shaped crescendo-decrescendo mid systolic ejection murmur
d. Soft, high-pitched, early diastolic decrescendo murmur
Med & Cardiol MCQs
Q6. While in the radiology suite, you note the image of a 27 yo immigrant with no history of a collagen vascular disorder, trauma or or illness. He had recently been complaining of chest discomfort and the below study was done. What is the next step in his management?
a. Do a genetic workup
b. Rule out treponema infection
c. Obtain a CT guided biopsy
d. Order a CT scan to rule out pectus excavatum
e. Obtain an echocardiogram
Med & Cardiol MCQs
Q5. If a patient with the below deformity develops an aneurysmal dilatation of the aorta, the pathology of the aorta will show-
a. Atherosclerosis
b. Cystic medial necrosis
c. Smooth muscle proliferation
d. Aortitis
e. Lipid plaques
Cardiol & Med MCQs
Q4. The nurse measures the patient’s BP several times and has recorded it below. The next step is to obtain?
a. Echocardiogram
b. Coronary angiogram
c. Stress test
d. Dobutamine Echo
e. Ankle brachial index
Surg and Card MCQs
Q3. While starting an IV in the patient with an aortic dissection, you note the patient’s finger. See below- click on the image to see video. You immediately suspect that the patient has?
a. Congenital cyanotic heart disease
b. Iron deficiency anemia
c. Aortic insufficiency
d. Arsenic poisoning
e. AV malformation
Cardiol and Surg MCQs
Q1. A 69 yo male presents to the emergency department with severe chest pain and dyspnea. He mentions that the pain started suddenly, is tearing in nature and is radiating to the back. He has a history of hypertension and COPD. He is a smoker and is on a diuretic, albuterol and allopurinol. Exam reveals an anxious male with BP of 168/95, P 110, RR 28 and T 98.9. There is a 20 mmHg difference in BP between the 2 arms. Your preliminary diagnosis is?
a. Acute MI
b. Pericarditis
c. Aortic dissection
d. Aortic aneurysm
e. Subclavian artery occlusion
Monday, July 4, 2022
Med & ID MCQs
Q7. The starting drug of choice for this ‘fungal’ pneumonia is?
a. Ketoconazole
b. Dapsone
c. Pentamidine
d. TMP-SMX
e. Corticosteroids
Med & ID MCQs
Q6. The infectious disease consult states that this infection is classified as a fungal pneumonia. Which of the following medications will not help in the management of this patient?
Med & ID MCQs
Q5. The patient undergoes bronchoalveolar lavage. Work up of the bronchoscopic lavage reveals silver stained round to indented cysts measuring 3-5 mm in diameter. The most likely diagnosis is:
a. Tuberculosis
b. Cryptococcus
c. Syphilis
d. Pneumocystis jiroveci
e. Klebsiella
f. Lymphoma
g. Toxoplasma
Med & ID MCQs
Q4. If the sputum samples and blood work are not diagnostic in the work up of a patient with suspected Pneumocystis jirovecii pneumonia, what will be the next step that will help make the diagnosis of this disorder?
A. CT guided biopsy
B. PFTs
C. Bronchoalveolar lavage
D. Lung biopsy
Med & ID MCQs
Q3. If you suspect that this AIDs patient has the most common opportunistic infection, what one lab test will you order right away to determine prognosis?
a. Blood cultures
b. CT scan
c. CRP and ESR levels
d. LDH Levels
e. WBC count
f. CD4 count
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