November 22, 2025

Month: March 2024

A 64 YEAR OLD WOMAN WITH PREVIOUS EPISODES OF DEPRESSION HAS A SEVERE RELAPSE WITH PSYCHOMOTOR RETARDATION, INSOMNIA AND WEIGHT LOSS. AFTER TWO MONTHS SHE HAS FAILED TO RESPOND TO ANTIDEPRESSANTS AND SHE IS NOW CONVINCED THAT SHE IS BEYOND HELP. WHICH IS THE SINGLE MOST APPROPRIATE TREATMENT A 64 YEAR OLD WOMAN WITH PREVIOUS EPISODES OF DEPRESSION HAS A SEVERE RELAPSE WITH PSYCHOMOTOR RETARDATION, INSOMNIA AND WEIGHT LOSS. AFTER TWO MONTHS SHE HAS FAILED TO RESPOND TO ANTIDEPRESSANTS AND SHE IS NOW CONVINCED THAT SHE IS BEYOND HELP. WHICH IS THE SINGLE MOST APPROPRIATE TREATMENT
2 min read

A 64 YEAR OLD WOMAN WITH PREVIOUS EPISODES OF DEPRESSION HAS A SEVERE RELAPSE WITH PSYCHOMOTOR RETARDATION, INSOMNIA AND WEIGHT LOSS. AFTER TWO MONTHS SHE HAS FAILED TO RESPOND TO ANTIDEPRESSANTS AND SHE IS NOW CONVINCED THAT SHE IS BEYOND HELP. WHICH IS THE SINGLE MOST APPROPRIATE TREATMENT

Don Steve March 31, 2024
A. Antipsychotic depot injection B. CBT C. ECT ✓ D. Hypnotherapy E. Supportive psychotherapy   In the...
Read More Read more about A 64 YEAR OLD WOMAN WITH PREVIOUS EPISODES OF DEPRESSION HAS A SEVERE RELAPSE WITH PSYCHOMOTOR RETARDATION, INSOMNIA AND WEIGHT LOSS. AFTER TWO MONTHS SHE HAS FAILED TO RESPOND TO ANTIDEPRESSANTS AND SHE IS NOW CONVINCED THAT SHE IS BEYOND HELP. WHICH IS THE SINGLE MOST APPROPRIATE TREATMENT
A 72 YEAR OLD MAN IN ICU HAD AN ABDOMINAL AORTIC ANEURYSM REPAIR EIGHT HOURS AGO. IN THE LAST HOUR, HE HAS PASSED 10ML OF URINE VIA A CATHETER. HIS PULSE RATE IS 125 BPM AND BP 70/50MMHG. WHICH IS THE SINGLE MOST LIKELY DIAGNOSIS A 72 YEAR OLD MAN IN ICU HAD AN ABDOMINAL AORTIC ANEURYSM REPAIR EIGHT HOURS AGO. IN THE LAST HOUR, HE HAS PASSED 10ML OF URINE VIA A CATHETER. HIS PULSE RATE IS 125 BPM AND BP 70/50MMHG. WHICH IS THE SINGLE MOST LIKELY DIAGNOSIS
2 min read

A 72 YEAR OLD MAN IN ICU HAD AN ABDOMINAL AORTIC ANEURYSM REPAIR EIGHT HOURS AGO. IN THE LAST HOUR, HE HAS PASSED 10ML OF URINE VIA A CATHETER. HIS PULSE RATE IS 125 BPM AND BP 70/50MMHG. WHICH IS THE SINGLE MOST LIKELY DIAGNOSIS

Don Steve March 31, 2024
A. Acute renal failure B. Blocked catheter C. Cardiogenic shock D. Hypovolaemia ✓ E. Sepsis   Given...
Read More Read more about A 72 YEAR OLD MAN IN ICU HAD AN ABDOMINAL AORTIC ANEURYSM REPAIR EIGHT HOURS AGO. IN THE LAST HOUR, HE HAS PASSED 10ML OF URINE VIA A CATHETER. HIS PULSE RATE IS 125 BPM AND BP 70/50MMHG. WHICH IS THE SINGLE MOST LIKELY DIAGNOSIS
AN 18 YEAR OLD MAN WITH ASTHMA HAS GRADUALLY INCREASING BREATHLESSNESS AND WHEEZE DESPITE REGULAR USE OF HIS SALBUTAMOL AND CORTICOSTEROID INHALERS. WHICH IS THE MOST APPROPRIATE NEXT THERAPEUTIC STEP AN 18 YEAR OLD MAN WITH ASTHMA HAS GRADUALLY INCREASING BREATHLESSNESS AND WHEEZE DESPITE REGULAR USE OF HIS SALBUTAMOL AND CORTICOSTEROID INHALERS. WHICH IS THE MOST APPROPRIATE NEXT THERAPEUTIC STEP
1 min read

AN 18 YEAR OLD MAN WITH ASTHMA HAS GRADUALLY INCREASING BREATHLESSNESS AND WHEEZE DESPITE REGULAR USE OF HIS SALBUTAMOL AND CORTICOSTEROID INHALERS. WHICH IS THE MOST APPROPRIATE NEXT THERAPEUTIC STEP

Don Steve March 31, 2024
A. Add leukotriene antagonist B. Add long acting inhaled beta 2 agonist ✓ C. Add oral theophylline...
Read More Read more about AN 18 YEAR OLD MAN WITH ASTHMA HAS GRADUALLY INCREASING BREATHLESSNESS AND WHEEZE DESPITE REGULAR USE OF HIS SALBUTAMOL AND CORTICOSTEROID INHALERS. WHICH IS THE MOST APPROPRIATE NEXT THERAPEUTIC STEP
WHICH OF THE FOLLOWING TYPES OF MALARIA CAN CAUSE RELAPSING ILLNESS AT INTERVALS OVER MONTHS AND YEARS WITHOUT THE PATIENT BEING REINFECTED WHICH OF THE FOLLOWING TYPES OF MALARIA CAN CAUSE RELAPSING ILLNESS AT INTERVALS OVER MONTHS AND YEARS WITHOUT THE PATIENT BEING REINFECTED
2 min read

WHICH OF THE FOLLOWING TYPES OF MALARIA CAN CAUSE RELAPSING ILLNESS AT INTERVALS OVER MONTHS AND YEARS WITHOUT THE PATIENT BEING REINFECTED

Don Steve March 30, 2024
A. Plasmodium vivax ✓ B. Plasmodium knowlesi C. Plasmodium malariae D. Plasmodium falciparum   Plasmodium vivax is the...
Read More Read more about WHICH OF THE FOLLOWING TYPES OF MALARIA CAN CAUSE RELAPSING ILLNESS AT INTERVALS OVER MONTHS AND YEARS WITHOUT THE PATIENT BEING REINFECTED
A 78-YEAR-OLD MAN WITH KNOWN HYPERTENSION AND DIABETES PRESENTS WITH A HISTORY OF FIVE ATTACKS OF PALPITATIONS OCCURRING OVER THE PAST 6 MONTHS; THE PALPITATIONS OCCUR RANDOMLY, START SUDDENLY AND LAST 2–10 HOURS. DURING THE ATTACK HE FEELS FAST, IRREGULAR PALPITATIONS BUT NO OTHER SYMPTOMS. THE ATTACKS TERMINATE SUDDENLY. WHICH OF THE FOLLOWING STATEMENTS IS TRUE A 78-YEAR-OLD MAN WITH KNOWN HYPERTENSION AND DIABETES PRESENTS WITH A HISTORY OF FIVE ATTACKS OF PALPITATIONS OCCURRING OVER THE PAST 6 MONTHS; THE PALPITATIONS OCCUR RANDOMLY, START SUDDENLY AND LAST 2–10 HOURS. DURING THE ATTACK HE FEELS FAST, IRREGULAR PALPITATIONS BUT NO OTHER SYMPTOMS. THE ATTACKS TERMINATE SUDDENLY. WHICH OF THE FOLLOWING STATEMENTS IS TRUE
2 min read

A 78-YEAR-OLD MAN WITH KNOWN HYPERTENSION AND DIABETES PRESENTS WITH A HISTORY OF FIVE ATTACKS OF PALPITATIONS OCCURRING OVER THE PAST 6 MONTHS; THE PALPITATIONS OCCUR RANDOMLY, START SUDDENLY AND LAST 2–10 HOURS. DURING THE ATTACK HE FEELS FAST, IRREGULAR PALPITATIONS BUT NO OTHER SYMPTOMS. THE ATTACKS TERMINATE SUDDENLY. WHICH OF THE FOLLOWING STATEMENTS IS TRUE

Don Steve March 30, 2024
A. The likely diagnosis is atrial fibrillation ✓ B. Supraventricular tachycardia is the most likely diagnosis. C....
Read More Read more about A 78-YEAR-OLD MAN WITH KNOWN HYPERTENSION AND DIABETES PRESENTS WITH A HISTORY OF FIVE ATTACKS OF PALPITATIONS OCCURRING OVER THE PAST 6 MONTHS; THE PALPITATIONS OCCUR RANDOMLY, START SUDDENLY AND LAST 2–10 HOURS. DURING THE ATTACK HE FEELS FAST, IRREGULAR PALPITATIONS BUT NO OTHER SYMPTOMS. THE ATTACKS TERMINATE SUDDENLY. WHICH OF THE FOLLOWING STATEMENTS IS TRUE
A PATIENT AGED 33 YEARS WITH AN UNEXPLAINED SWELLING OF ONE LEG FOR THE LAST 2 MONTHS PRESENTS WITH 14 DAYS OF EFFORT INTOLERANCE DUE TO BREATHLESSNESS AND HAEMOPTYSIS. EXAMINATION SHOWS BREATHLESSNESS, A HEART RATE OF 110 BPM, BP 125/65, OXYGEN SATURATIONS ON AIR OF 90%, AND AN ECG SHOWING SINUS TACHYCARDIA AND RIGHT AXIS DEVIATION. WHICH OF THE FOLLOWING IS TRUE A PATIENT AGED 33 YEARS WITH AN UNEXPLAINED SWELLING OF ONE LEG FOR THE LAST 2 MONTHS PRESENTS WITH 14 DAYS OF EFFORT INTOLERANCE DUE TO BREATHLESSNESS AND HAEMOPTYSIS. EXAMINATION SHOWS BREATHLESSNESS, A HEART RATE OF 110 BPM, BP 125/65, OXYGEN SATURATIONS ON AIR OF 90%, AND AN ECG SHOWING SINUS TACHYCARDIA AND RIGHT AXIS DEVIATION. WHICH OF THE FOLLOWING IS TRUE
2 min read

A PATIENT AGED 33 YEARS WITH AN UNEXPLAINED SWELLING OF ONE LEG FOR THE LAST 2 MONTHS PRESENTS WITH 14 DAYS OF EFFORT INTOLERANCE DUE TO BREATHLESSNESS AND HAEMOPTYSIS. EXAMINATION SHOWS BREATHLESSNESS, A HEART RATE OF 110 BPM, BP 125/65, OXYGEN SATURATIONS ON AIR OF 90%, AND AN ECG SHOWING SINUS TACHYCARDIA AND RIGHT AXIS DEVIATION. WHICH OF THE FOLLOWING IS TRUE

Don Steve March 30, 2024
A. A D-dimer should be performed B. Immediate thrombolysis should be given C. A CT pulmonary angiogram...
Read More Read more about A PATIENT AGED 33 YEARS WITH AN UNEXPLAINED SWELLING OF ONE LEG FOR THE LAST 2 MONTHS PRESENTS WITH 14 DAYS OF EFFORT INTOLERANCE DUE TO BREATHLESSNESS AND HAEMOPTYSIS. EXAMINATION SHOWS BREATHLESSNESS, A HEART RATE OF 110 BPM, BP 125/65, OXYGEN SATURATIONS ON AIR OF 90%, AND AN ECG SHOWING SINUS TACHYCARDIA AND RIGHT AXIS DEVIATION. WHICH OF THE FOLLOWING IS TRUE
THE PREGNANT WOMAN COMPLAINS OF NUMBNESS AND “PINS AND NEEDLES” IN HER FINGERS AND HANDS. THE CONDITION IS CALLED AS THE PREGNANT WOMAN COMPLAINS OF NUMBNESS AND “PINS AND NEEDLES” IN HER FINGERS AND HANDS. THE CONDITION IS CALLED AS
1 min read

THE PREGNANT WOMAN COMPLAINS OF NUMBNESS AND “PINS AND NEEDLES” IN HER FINGERS AND HANDS. THE CONDITION IS CALLED AS

Don Steve March 28, 2024
A. Carpal tunnel syndrome ✓ B. Vericosites C. Pica D. Heart burn   Carpal tunnel syndrome is...
Read More Read more about THE PREGNANT WOMAN COMPLAINS OF NUMBNESS AND “PINS AND NEEDLES” IN HER FINGERS AND HANDS. THE CONDITION IS CALLED AS
RITUXIMAB IS A MONOCLONAL ANTIBODY USED IN THE TREATMENT OF CERTAIN TYPES OF HAEMATOLOGICAL MALIGNANCIES. WHICH ANTIGEN DOES IT TARGET RITUXIMAB IS A MONOCLONAL ANTIBODY USED IN THE TREATMENT OF CERTAIN TYPES OF HAEMATOLOGICAL MALIGNANCIES. WHICH ANTIGEN DOES IT TARGET
1 min read

RITUXIMAB IS A MONOCLONAL ANTIBODY USED IN THE TREATMENT OF CERTAIN TYPES OF HAEMATOLOGICAL MALIGNANCIES. WHICH ANTIGEN DOES IT TARGET

Don Steve March 28, 2024
A. CD56 B. CD20 ✓ C. CD4 D. CD8   Rituximab targets CD20, which is a specific B-cell...
Read More Read more about RITUXIMAB IS A MONOCLONAL ANTIBODY USED IN THE TREATMENT OF CERTAIN TYPES OF HAEMATOLOGICAL MALIGNANCIES. WHICH ANTIGEN DOES IT TARGET
AN OVERWEIGHT 40-YEAR-OLD WOMAN PRESENTS WITH SEVERAL WEEKS’ HISTORY OF TIREDNESS, INCREASING JAUNDICE AND COLICKY RIGHT UPPER QUADRANT PAIN. ON THE DAY OF ADMISSION SHE HAS DEVELOPED ATTACKS OF PROFOUND SHIVERING WITH SHAKING, HIGH TEMPERATURES AND MALAISE. THE MOST LIKELY DIAGNOSIS IS WHICH OF THE FOLLOWING AN OVERWEIGHT 40-YEAR-OLD WOMAN PRESENTS WITH SEVERAL WEEKS’ HISTORY OF TIREDNESS, INCREASING JAUNDICE AND COLICKY RIGHT UPPER QUADRANT PAIN. ON THE DAY OF ADMISSION SHE HAS DEVELOPED ATTACKS OF PROFOUND SHIVERING WITH SHAKING, HIGH TEMPERATURES AND MALAISE. THE MOST LIKELY DIAGNOSIS IS WHICH OF THE FOLLOWING
2 min read

AN OVERWEIGHT 40-YEAR-OLD WOMAN PRESENTS WITH SEVERAL WEEKS’ HISTORY OF TIREDNESS, INCREASING JAUNDICE AND COLICKY RIGHT UPPER QUADRANT PAIN. ON THE DAY OF ADMISSION SHE HAS DEVELOPED ATTACKS OF PROFOUND SHIVERING WITH SHAKING, HIGH TEMPERATURES AND MALAISE. THE MOST LIKELY DIAGNOSIS IS WHICH OF THE FOLLOWING

Don Steve March 28, 2024
A. Viral hepatitis B. Alcoholic hepatitis C. Biliary obstruction due to gallstones with superadded biliary sepsis ✓...
Read More Read more about AN OVERWEIGHT 40-YEAR-OLD WOMAN PRESENTS WITH SEVERAL WEEKS’ HISTORY OF TIREDNESS, INCREASING JAUNDICE AND COLICKY RIGHT UPPER QUADRANT PAIN. ON THE DAY OF ADMISSION SHE HAS DEVELOPED ATTACKS OF PROFOUND SHIVERING WITH SHAKING, HIGH TEMPERATURES AND MALAISE. THE MOST LIKELY DIAGNOSIS IS WHICH OF THE FOLLOWING
A TALL THIN WOMAN AGED 26 PRESENTS WITH SUDDEN-ONSET LEFT-SIDED PLEURITIC CHEST PAIN AND BREATHLESSNESS. EXAMINATION SHOWS HER TO BE TALL AND THIN, WITH A STRAIGHT BACK, OXYGEN SATURATION 99% ON AIR, HEART RATE 70 BPM, BP 110/75 AND DECREASED BREATH SOUNDS TO THE LEFT HEMITHORAX. THE LIKELY DIAGNOSIS IS WHICH OF THE FOLLOWING A TALL THIN WOMAN AGED 26 PRESENTS WITH SUDDEN-ONSET LEFT-SIDED PLEURITIC CHEST PAIN AND BREATHLESSNESS. EXAMINATION SHOWS HER TO BE TALL AND THIN, WITH A STRAIGHT BACK, OXYGEN SATURATION 99% ON AIR, HEART RATE 70 BPM, BP 110/75 AND DECREASED BREATH SOUNDS TO THE LEFT HEMITHORAX. THE LIKELY DIAGNOSIS IS WHICH OF THE FOLLOWING
1 min read

A TALL THIN WOMAN AGED 26 PRESENTS WITH SUDDEN-ONSET LEFT-SIDED PLEURITIC CHEST PAIN AND BREATHLESSNESS. EXAMINATION SHOWS HER TO BE TALL AND THIN, WITH A STRAIGHT BACK, OXYGEN SATURATION 99% ON AIR, HEART RATE 70 BPM, BP 110/75 AND DECREASED BREATH SOUNDS TO THE LEFT HEMITHORAX. THE LIKELY DIAGNOSIS IS WHICH OF THE FOLLOWING

Don Steve March 28, 2024
A. Acute coronary syndrome B. Aortic dissection C. Pneumonia D. Pneumothorax ✓ E. Pulmonary embolus   A...
Read More Read more about A TALL THIN WOMAN AGED 26 PRESENTS WITH SUDDEN-ONSET LEFT-SIDED PLEURITIC CHEST PAIN AND BREATHLESSNESS. EXAMINATION SHOWS HER TO BE TALL AND THIN, WITH A STRAIGHT BACK, OXYGEN SATURATION 99% ON AIR, HEART RATE 70 BPM, BP 110/75 AND DECREASED BREATH SOUNDS TO THE LEFT HEMITHORAX. THE LIKELY DIAGNOSIS IS WHICH OF THE FOLLOWING
IN THE PREPARATION OF FINANCIAL STATEMENTS, FULL DISCLOSURE OF MINOR EVENTS ARE IGNORED IN LINE WITH IN THE PREPARATION OF FINANCIAL STATEMENTS, FULL DISCLOSURE OF MINOR EVENTS ARE IGNORED IN LINE WITH
1 min read

IN THE PREPARATION OF FINANCIAL STATEMENTS, FULL DISCLOSURE OF MINOR EVENTS ARE IGNORED IN LINE WITH

Don Steve March 27, 2024
A. accrual concept B. money measurement concept C. business entity concept D. materiality concept ✓   The materiality concept in...
Read More Read more about IN THE PREPARATION OF FINANCIAL STATEMENTS, FULL DISCLOSURE OF MINOR EVENTS ARE IGNORED IN LINE WITH
A PATIENT PRESENTS WITH A TESTICULAR MASS. YOU CARRY OUT A FULL CLINICAL EXAMINATION, CARRY OUT SOME BLOOD TESTS AND ARRANGE FOR FURTHER INVESTIGATIONS. WHICH BLOOD TESTS WOULD BE PARTICULARLY USEFUL IN HELPING YOU MAKE THE DIAGNOSIS A PATIENT PRESENTS WITH A TESTICULAR MASS. YOU CARRY OUT A FULL CLINICAL EXAMINATION, CARRY OUT SOME BLOOD TESTS AND ARRANGE FOR FURTHER INVESTIGATIONS. WHICH BLOOD TESTS WOULD BE PARTICULARLY USEFUL IN HELPING YOU MAKE THE DIAGNOSIS
2 min read

A PATIENT PRESENTS WITH A TESTICULAR MASS. YOU CARRY OUT A FULL CLINICAL EXAMINATION, CARRY OUT SOME BLOOD TESTS AND ARRANGE FOR FURTHER INVESTIGATIONS. WHICH BLOOD TESTS WOULD BE PARTICULARLY USEFUL IN HELPING YOU MAKE THE DIAGNOSIS

Don Steve March 26, 2024
A. CA-125 B. Cytogenetics C. Lactate dehydrogenase, α-fetoprotein and β-human chorionic gonadotrophin ✓ D. Carcinoembryonic antigen  ...
Read More Read more about A PATIENT PRESENTS WITH A TESTICULAR MASS. YOU CARRY OUT A FULL CLINICAL EXAMINATION, CARRY OUT SOME BLOOD TESTS AND ARRANGE FOR FURTHER INVESTIGATIONS. WHICH BLOOD TESTS WOULD BE PARTICULARLY USEFUL IN HELPING YOU MAKE THE DIAGNOSIS
A 38-YEAR-OLD MAN PRESENTS WITH A BLOOD PRESSURE OF 170/100 IN THE RIGHT ARM, AND WEAK LEG PULSES, BUT NO RADIOFEMORAL DELAY. WHICH OF THE FOLLOWING IS TRUE A 38-YEAR-OLD MAN PRESENTS WITH A BLOOD PRESSURE OF 170/100 IN THE RIGHT ARM, AND WEAK LEG PULSES, BUT NO RADIOFEMORAL DELAY. WHICH OF THE FOLLOWING IS TRUE
1 min read

A 38-YEAR-OLD MAN PRESENTS WITH A BLOOD PRESSURE OF 170/100 IN THE RIGHT ARM, AND WEAK LEG PULSES, BUT NO RADIOFEMORAL DELAY. WHICH OF THE FOLLOWING IS TRUE

Don Steve March 26, 2024
A. Aortic coarctation is excluded by the absence of radiofemoral delay. B. Aortic coarctation remains highly likely...
Read More Read more about A 38-YEAR-OLD MAN PRESENTS WITH A BLOOD PRESSURE OF 170/100 IN THE RIGHT ARM, AND WEAK LEG PULSES, BUT NO RADIOFEMORAL DELAY. WHICH OF THE FOLLOWING IS TRUE
THE RETINOBLASTOMA GENE IS A TUMOUR SUPPRESSOR GENE. WHAT CELLULAR PATHWAY IS THE RETINOBLASTOMA PROTEIN INVOLVED IN THE RETINOBLASTOMA GENE IS A TUMOUR SUPPRESSOR GENE. WHAT CELLULAR PATHWAY IS THE RETINOBLASTOMA PROTEIN INVOLVED IN
2 min read

THE RETINOBLASTOMA GENE IS A TUMOUR SUPPRESSOR GENE. WHAT CELLULAR PATHWAY IS THE RETINOBLASTOMA PROTEIN INVOLVED IN

Don Steve March 26, 2024
A. Apoptosis B. Controlling the cell cycle ✓ C. Angiogenesis D. Immunity   The retinoblastoma gene, also...
Read More Read more about THE RETINOBLASTOMA GENE IS A TUMOUR SUPPRESSOR GENE. WHAT CELLULAR PATHWAY IS THE RETINOBLASTOMA PROTEIN INVOLVED IN
AS CARTILAGE DETERIORATES IN OSTEOARTHRITIS, BONE SPURS CAN DEVELOP AND GROW NEAR THE END OF THE BONE IN THE AFFECTED JOINT. BONE SPURS ARE ALSO CALLED AS CARTILAGE DETERIORATES IN OSTEOARTHRITIS, BONE SPURS CAN DEVELOP AND GROW NEAR THE END OF THE BONE IN THE AFFECTED JOINT. BONE SPURS ARE ALSO CALLED
1 min read

AS CARTILAGE DETERIORATES IN OSTEOARTHRITIS, BONE SPURS CAN DEVELOP AND GROW NEAR THE END OF THE BONE IN THE AFFECTED JOINT. BONE SPURS ARE ALSO CALLED

Don Steve March 25, 2024
A. Osteomyelitis B. Osteopenia C. Osteoporosis D. Osteophytes ✓   Osteophytes, commonly known as bone spurs, are...
Read More Read more about AS CARTILAGE DETERIORATES IN OSTEOARTHRITIS, BONE SPURS CAN DEVELOP AND GROW NEAR THE END OF THE BONE IN THE AFFECTED JOINT. BONE SPURS ARE ALSO CALLED

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