GP-Doctor : General Practitioner (GP) Doctor Exam

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Question: 191
A 6-year-old boy fell in the playground and has been holding his forearm complaining of pain. Exam: no sign swelling.
However, there is minimal tenderness on exam. What is the diagnosis?
1. Green stick fx of distal radius
2. Fracture neck of humerus
3. Fracture mid ulnar
4. Fracture mid radius
Answer: A
Question: 192
An 82-year-old man has woken up with incoherent speech and difficulty in finding the right words. Exam: good comprehension.
Which anatomical site is most likely to be affected?
1. Pons
2. Wernicke’s area
3. Broca’s area
4. Midbrain
5. Parietal cortex
Answer: C Explanation:
A person with expressive aphasia will exhibit halting and effortful speech. Speech m important content words. Word comprehension is preserved. The person may still be understood, but sentence grammatical. This contrasts with receptive or Wernicke’s aphasia, which is distinguished by a patient’s inability comprehend language or speak with appropriately meaningful words though fluency, may be preserved.
Question: 193
A 14-year-old girl presents with primary amenorrhea and a short stature. What is the most likely diagnosis?
1. Down’s syndrome
2. Fragile X syndrome
3. Turner’s syndrome
4. Klinefelter’s syndrome
5. Normal finding
Answer: C Explanation:
Down’s syndrome and Fragile x syndrome don’t have primary amenorrhea. Klinefelter’s patients are tall males. So the likely diagnosis is Turner’s syndrome.
Question: 194
A 37-year-old woman presents with heavy bleeding. Investigation shows subserosal fibroid-4cm and intramu. Which is the most appropriate treatment?
1. Abdominal Hysterectomy
2. Vaginal Hysterectomy
3. Abdominal Myomectomy
4. Hysteroscopic Myomectomy
Answer: C Explanation:
As patient is young we should go for myomectomy. As hysteroscopic myo mainly sub mucosal fibroids we should go for abdominal myomectomy which will deal with both subserosal a fibroids.
Question: 195
A new screening test has been devised to detect early stages of prostate cancer.
However, the test tends t of people with no cancer, although they do have cancer as diagnosed by other standard tests. What is this flaw?
1. True Cve
2. False +ve
3. Poor specificity
4. True +ve
5. False -ve
Answer: E
Question: 196
A young girl presented to gynecologist for assessment with lower abdominal pain and per vaginal bleedin of hysterosalpingograph as a part of her infertility treatment. Observation: BP=90/50mmHg, pulse-120bpm, and revealed
rigid abdomen.
What is the most appropriate next investigation?
1. Coagulation profile
2. Chest X ray
3. Ultrasound abdomen
4. X-ray erect and supine
5. CT SCAN
Answer: C Explanation:
Likely cause of bleeding and shock is ruptured fallopian tube for which appropriate ne is US abdomen.
Question: 197
A middle aged woman has some weakness of hand after an injury. Which vertebra will be the lowest to be x-ray to diagnosis the injury?
1. C7/T1
2. C5/C6
3. c8/T1
4. C6/C7
Answer: A
Question: 198
Patient with major depression what is the first line treatment?
1. Tricyclic antidepressant
2. SSRIs
3. MAOI
Answer: B Explanation:
A SSRIs are the initial antidepressants of choice for uncomplicated depression because of their minimal anti- cholinergic effects
Question: 199
A 28-weeks pregnant woman presents with uterine bleeding after sexual intercourse. What is the most appropriate diagnosis?
1. Placental abruption
2. Missed abortion
3. Placental previa
4. Ectropion
Answer: D Explanation:
Post coital bleeding can be either placenta previa or cervical ectropion. But as ectropion pregnancy so it is the option here.
Question: 200
Condition not associated with increased alpha fetoprotein:
1. Myelomeningocele
2. Down syndrome
3. Spina bifida
4. Gastroschisis
Answer: B Explanation:
Down syndrome associated with DECREASED levels of alpha fetoprotein. Not increased. Reference: https://en.m.wikipedia.org/wiki/Triple_test
Question: 201
A 64 year’s man believes a female newscaster is communicating directly with him when she turns a page. Where is he suffering from?
1. Delusion of Reference
2. Nihilistic
3. Grandeur
4. Control
5. Persecutory
Answer: A Explanation:
A delusion of reference is a type of delusion wherein the individual perceives unrelated events or objects in his/her surroundings to be of significance for himself/herself. For example, a person with schizophrenia might believe a billboard or a celebrity is sending a message meant for them.
Question: 202
A 48-year-old woman always socially withdrawn has stopped going out of the house. She is afraid to socialize fears
that people will criticize her.
What is the most probable diagnosis?
1. PTSD
2. GAD
3. Social anxiety
4. Agoraphobia
5. OCD
Answer: C Explanation:
Social anxiety disorder is a type of complex phobia. This type of phobia has a disrupt disabling impact on a person’s life. It can severely affect a person’s confidence and self-esteem, interfere with relationships and impair performance at work or school.
Question: 203
Victim of RTA came with multiple injuries to abdomen, chest and limbs. BP is 80/ 50. upper limb has upper third near amputation that bleeds profusely, what is your first thing to do:
1. Tourniquet the limb to stop the bleeding
2. Check the airway and breathing
3. Five IV fluid
4. Call orthopedic
Answer: B Explanation:
As rule ABC also in description near amputation so difficult to make tourniquet enough which stops bleeding.
Question: 204
A 72years presents with polyuria and polydipsia. The fasting blood sugar is 8 and 10mmol/l.BP=130/80mm cholesterol=5.7mmol/l. There is microalbuminuria.
What is the single most appropriate next management?
1. Statin and glitazone
2. ACEi and sulfonylurea
3. Statin and Biguanide
4. Statin and ACEi
Answer: D

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