Free Medical Exam Questions

Derm & Med MCQs

Q2. Which organism has been associated with Roseola?

a. Herpes simplex

b. CMV

c. EBV

d. Human herpes 6

e. HPV

f. Group A strep

Q1. A 7 month old child develops a fever T 101.2, runny nose and irritability. As the fever subsides you note the soft pink, discrete, and slightly raised lesions rash on his face and trunk. Within 6 days, the child fully recovers and the rash disappears. What is your preliminary diagnosis?

a. Rubella

b. Measles

c. Kawasaki disease

d. Chicken pox

e. Roseola

Derm & Med MCQs

Q3. The most common reason for presentation of patients with osler weber rendu syndrome is?

a. Hemarthrosis

b. Hematuria

c. Epistaxis

d. Lower GI bleed

e. Hemoptysis

Derm & Med MCQs

Q1. A teenager with a rare genetic disorder that affects blood vessels is seen in the ED. Before you start the history, you note the lesions on his lips and instantly make a diagnosis of?

a. Childhood syphilis

b. Peutz Jeghers syndrome

c. Osler Weber rendu

d. ITP

e. TTP

Monday, March 28, 2022

Derm & Med MCQs

Q3. If the patient with these skin lesions was having diarrhea and abdominal discomfort, what is the best first test you will use to make a preliminary diagnosis?

a. Immunoglobulin A anti-tissue transglutaminase antibody

b. Duodenal biopsy

c. Small bowel series

d. Fecal stool exam

e. Genetic testing

Derm & Med MCQs

Q2. In dermatitis herpetiformis, a biopsy will most likely show IgA deposits in what layer of the skin

F. Below layer E

Derm & Med MCQs

Q1. A 28-yo presents with a long history of painful and itchy lesions on both elbows. He has tried numerous over-the-counter medications, but nothing has helped. The examination reveals numerous vesicles on the extensor surfaces of both elbows. The dermatologist believes that this is a immunobullous disorder with GI tract manifestations. Your most likely diagnosis is?

a. Herpes zoster

b. Herpes simplex

c. Psoriasis

d. Pemphigoid

e. Duhring-Brocq disease

Peds & Surg MCQs

Q10. Individuals with HSP develop the pathology shown below. In general, which of the following entities is most common in these patients?

a. ileoileal

b. colocolic

c. ileoileocolic

d. ileocolic

Sunday, March 27, 2022

Peds & Surg MCQs

Q9. The patient with suspected HSP returns from this abdominal study. What is the next step in his management?

a. Laparoscopy

b. Air reduction enema

c. Repeat barium enema

d. Nasogastric tube + IV fluids

e. Decompress with rectal tube

f. Colonoscopic detorsion

Peds & Med MCQs

Q7. Which of the following lab values goes against the diagnosis of Henoch Schonlein purpura?

a. Elevated WBC

b. Low hemoglobin

c. Platelet count

d. Elevated creatinine

e. Proteinuria

f. Elevated BUN

Peds & Med MCQs

Q4. A 13 yo presents with a 7-day history of a sore throat, headache, low-grade fever and a rash on his legs. This morning he started to have vague abdominal pain and blood in the stool, and thus decided to come to the ED. He denies any trauma or use of medications. The physical is unremarkable except for his legs (see image). Exam reveals marked tenderness and guarding in the right lower quadrant. The WBC is 11, BUN 28 and Cr 1.7. Based on this presentation, the next step is?

a. Appendectomy

b. Air contrast barium enema

c. Skin biopsy

d. Laparoscopy

e. IV antibiotics

f. Colonoscopy

g. Renal ultrasound

Saturday, March 26, 2022

Peds & Med MCQs

Q3. If you suspect that the patient has the most common leukocytoclastic vasculitis of childhood, in the majority of cases, this pathology is preceded by which infection?

a. MRSA

b. Group A beta-hemolytic Streptococcus

c. Influenza A virus

d. Respiratory syncytial virus

e. Infectious mononucleosis

f. Mycoplasma pneumoniae

Peds & Med MCQs

Q2. In children with HSP, the most common presentation of the disease is?

A. Lower extremity palpable purpura

B. Abdominal pain

C. Hematuria

D. Joint pain

Peds & Med MCQs

Q1. A 13 yo presents with a 7-day history of a sore throat, headache, low-grade fever and a rash on his legs. This morning he started to have vague abdominal pain and blood in the stool, and thus decided to come to the ED. He denies any trauma or use of medications. The physical is unremarkable except for his legs (see image). While blood work is pending, what is your preliminary diagnosis is?

a. Thrombotic thrombocytopenic purpura

b. Leukocytoclastic vasculitis

c. Child abuse

d. Endocarditis

e. Granulomatosis with polyangiitis

Friday, March 25, 2022

Med and Anat MCQs

Q1. A 45-year-old with a long history of insomnia would like something for sleep. She has used midazolam and lorazepam in the past but her physician stopped the medications after she developed tolerance and dependence. She has no allergies. She does take a few other herbs for wellness. Your prescribe her a hormone that is produced by the organ marked by the arrow ???. The precursor Amino acid for this hormone is?

A. L tryptophan

B. L-dopa

C. Glycine

D. Arachidonic acid

E. Tyrosine

Med & Surg MCQs

A 27-year-old African American female undergoes the below transplantation following renal failure due to lupus. The donor is a middle aged oriental female. Which of the following terms best describes the transplant antigenicity?

A. Allograft

B. Autograft

C. Isograft

D. Xenograft

E. Homograft

Med & Surg MCQs

A 22 yo hiker is seen in the ED, 48 hours after he was lost in a severe snowstorm. He is alert and the vital signs are stable. Exam of his feet is shown below. His pulses are not palpable. He is administered pain medications and placed in a warm tent. What is the next step in his management?

a. Bedside debridement

b. Immediate fasciotomy

c. Intravenous heparin

d. Angiogram

e. Vasodilator therapy

f. Warm IV fluids

Peds & Med MCQs

Q1. A newborn has the following CXR because he presented with frothy white bubbles of mucus from his mouth. You immediately suspect?

a. Cleft palate

b. Vascular ring

c. GERD

d. Zenker diverticulum

e. Esophageal atresia

f. Congenital diaphragmatic hernia

Med MCQs

Q2. A 28 yo had unprotected sex with a female 3 months ago and now presents with general malaise, fatigue, and a painless lesion on the penis. He undergoes a laboratory test to determine the organism -see below. If the patient now presents with difficulty with gait, loss of balance and unsteadiness, what part of the spinal cord is most likely affected?

a. Venereal warts

b. Painful and an itchy rash

c. Hypertrichosis

d. Condylomata lata

e. Condylomata acuminatum

f. Erythema multiforme

Med MCQs

Q1. A 28 yo had unprotected sex with a female 3 months ago and now presents with general malaise, fatigue, and a painless lesion on the penis. He undergoes a laboratory test to determine the organism -see below. If this patient was in the secondary stage of the disease, what skin findings would you anticipate?

a. Venereal warts

b. Painful and an itchy rash

c. Hypertrichosis

d. Condylomata lata

e. Condylomata acuminatum

f. Erythema multiforme

Pharm MCQs

The major difference between Penicillin V and Penicillin G is:

a. Penicillin V has better bacterial coverage

b. CSF penetration is better with penicillin V

c. Penicillin V is stable in acid

d. Penicillin G can also be administered subcutaneously

Monday, March 21, 2022

Med & Surg MCQs

Q10. If this was a female patient of child bearing age with a pelvic actinomycotic infection, what risk factor would you determine?

a. Use of birth control pills

b. History of endometriosis

c. Recent STD

d. Prolonged use of an IUD

e. Use of a vaginal pessary

f. Smoker

Med & Surg MCQs

Q8. What is the general treatment offered to patients with cervicofacial actinomycosis?

A. Radiation therapy

B. Left neck resection

C. Antibiotics

D. Hyperbaric oxygenation

E. CT guided drainage

Med & Surg MCQs

Q7. In patients with cervicofacial actinomycosis infection, which of the following features is usually not present?

a. Jaw pain

b. Tender nodules

c. Trismus

d. Cervical lymphadenopathy

e. Woody hard nodules

Med & Surg MCQs

Q4. When you obtain a specimen from the neck in this case and suspect the cause is actinomycosis, what is one important thing you have to do after obtaining the specimen?

A. Make sure there are both liquid and tissue samples

B. Place foil around the container

C. Wear eye protection

D. Place under anaerobic conditions

E. Send the syringe and needle to the lab as well

Sunday, March 20, 2022

Med & Infec Dis MCQs

Q2. A 34 yo has drainage from his left neck area for about a week. He says he has been ill for a few days and noticed that his face and neck are painful and swollen. He recently had some dental work done. There is no history of travel or drug use. Examination reveals a T of 101.2, and presence several nodular lesions with fluctuance and drainage. What is the next step in the workup of this patient?

A. Neck x-ray

B. Ct scan

C. Aspirate lesion

D. Start broad spectrum antibiotics

E. Blood culture

F. Consult with ID

Med & Infect Dis MCQs

Q1. A 34 yo has drainage from his left neck area for about a week. He says he has been ill for a few days and noticed that his face and neck are painful and swollen. He recently had some dental work done. There is no history of travel or drug use. Examination reveals a T of 101.2, and presence several nodular lesions with fluctuance and drainage. Your preliminary diagnosis is ?

A. Brachial cyst fistula

B. Syphilis

C. Gonorrhea

D. Hodgkin lymphoma

E. Sarcoidosis

F. Actinomycosis

Thursday, March 17, 2022

Derm & Med MCQs

Q2. What condition has been shown to protect against these lesions?

a. Alcohol

b. Smoking

c. Oral care

d. Coal tar

e. Caffeinated beverages

Derm & Med MCQs

Q1. A young patient presents with a painful lesion. you make a diagnosis of?

a. Herpes simplex

b. Aphthous ulcer

c. Herpangina

d. Erythema multiforme

e. Hand, foot and mouth disease

Derm & Pharm MCQs

Q3. You decide to treat the patient’s actinic keratosis with the drug A whose mode of action shown below. The drug is:

a. Cyclosporine

b. Imiquimod

c. Fluouracil

d. Aminolevulinic acid

e. Tirbanibulin

f. Methotrexate

Derm & Path MCQs

Q2. In a patient with actinic keratosis, the epidermal lesion has its origin from which layer of the cell?

Derm & Med MCQs

Q1. Farmer with a 6 month history of a growing lesion. Has texture like sandpaper. You make a diagnosis of?

a. Seborrhea keratosis

b. Non genital wart

c. Superficial spreading melanoma

d. Actinic keratosis

e. Keratoacanthoma

Derm & Med MCQs

Q3. As you examine the scalp closely you notice the tapering of hair (thick at the distal end and thin at the proximal end). You immediately make a diagnosis of?

a. Tinea capitis

b. Posttraumatic alopecia

c. Trichotillomania

d. Alopecia areata

e. Male pattern baldness