Miscellaneous Topics On Prev Med And Public Health

Question 1

Symptoms not seen in acute cystitis?

Answer 1

Fever

Question 2

Not partof the Tetralogy of Fallot?

Answer 2

Left ventricular hypertrophy

Question 3

A determinant factor of a more-long term malnutrition?

Answer 3

Height

Question 4

Not a part of the criteria dor metabolic syndrome?

Answer 4

Total cholesterol

Question 5

Positive Murphys sign?

Answer 5

Acute cholecystitis

Performed by palpating the subcostal area during inspiration. Positive if pain is elicited and the patient suddenly stops their inspiratory effort.

Question 6

Sign of meningeal irritation, when there is pain on leg extension while on supine and with hips and knees flexed?

Answer 6

Kernig

Question 7

Sign of meningeal irritation, when passive forward flexion of the neck causes the patient to involuntarily raise the knees or hips in flexion

Answer 7

Brudzinki’s sign

Question 8

Hallmarks of Acute Appendicitis? (3)

Answer 8

1. Obturator sign
2. Rovsings sign
3. Psoas sign

Question 9

Performed by passive internal rotation of the flexed right thigh with the patient supine position. Positive if with hypogastric pain on stretching the obturator internus muscle.

Answer 9

Obturator sign

Question 10

Pain at the RLQ when palpatory pressure exerted at the LLQ.

Answer 10

Rovsing Sign

Question 11

When a patient lies on the left side , examiner slowly extends right thigh stretching the iliopsoas muscle. Positive if extension produces pain.

Answer 11

Psoas sign

Question 12

Evidence on cough medicine for reducing cough in the adult and children population.

Answer 12

No good evidence exists for or against the effectiveness of OTC cough medications on the reduction of cough.

Question 13

ECG Components?

Answer 13

-P wave : represents atrial depolarization
-QRS: represents ventricular depolarization
-T wave : represents ventricular repolarization

Question 14

ECG changes seen in hypokalemia? (4)

Answer 14

1. Flattening and inversion of T waves
2. Followed by QT interval prolongation
3. Visible U wave
4. Mild ST depression in more severe hypokalemia

Question 15

Positive Moro reflex in a 4-day old infant.

Answer 15

1. Leg extension
2. Arm abduction
3. Arm adduction

Question 16

Involved in management of palpitations?

Answer 16

1. Beta adrenergic blockers like propranolol for patients requiring pharmacotherapy
2. Patients with structural cardiac problem should undergo echocardiography
3. In cases no abnormality could be identified after thorough evaluation, health education, counseling and reassurance would be appropriate.

Question 17

Diagnostic tests that can help in diagnosing complaint of a female elderly having a hard time holding her urine , with increasing severity of symptoms.

Answer 17

1. Urinalysis
2. Urine culture and sensitivity
3. Papanicolaou smear

Question 18

Type of incontinence occurring in this patient : Female elderly having a hard time holding her urine , with increasing severity of symptoms and noted occasional coughing and laughing out loud triggers of wetting underwear.

Answer 18

Urinary Stress Incontinence

Question 19

Included in treatment of incontinence?

Answer 19

1. Medications
2. Kegel’s exercise
3. Bladder training

Question 20

Indication for urologic referral of incontinence among male patients?

Answer 20

Prostate evaluation

Question 21

Lab tests that best diagnose Group A Beta Hemolytic Tonsillopharyngitis?

Answer 21

Strep throat culture

Question 22

DOC for treating Group A Beta Hemolytic Tonsillopharyngitis?

Answer 22

Penicillin

Question 23

Symptoms indicative of obstructive adenoids?

Answer 23

1. Snoring
2. Mouth breathing
3. Airway obstruction

Question 24

Main causes of acne?

Answer 24

1. Excess oil
2. Clogged hair follicles by oil or dead skin
3. Bacteria
4. Inflammation

Question 25

Skin lesions of acne

Answer 25

1. Whiteheads 2. Blackheads 3. Nodules 4. Cysts 5. Postules 6. Papules

Question 26

Health education that must be imparted to patient diagnosed with acne vulgaris to assure compliance to medications?

Answer 26

1. Treatment will control acne not cure it. 2. Acne not caused by dirt and that too frequent washing with hard soap will aggravate condition 3. Long term treatment up to 6-8 weeks for medications to work

Question 27

First line pharmacotherapy of acne vulgaris?

Answer 27

1. Topical antibiotics 2. Topical retinoids 3. Topical dapsone

Question 28

Cardiac causes of palpitations?

Answer 28

1. Wolff-Parkinson - White Syndrome 2. Sick sinus syndrome 3. Atrial fibrillation

Question 29

Device patients wear that records a continuous ECG, Usually for 24-72 hours that may detect heart palpitations not found in the regular ECG exams.

Answer 29

Holter monitor

Question 30

Most common cause of severe emergency illness of the GIT in neonates?

Answer 30

Necrotizing enterocolitis

Question 31

Fat, Female, Forty, Fertile

Answer 31

Cholecystitis

Question 32

Premature uncontrolled death of cells in living tissues caused by external factors?

Answer 32

Necroptosis

Question 33

Disease with Microcytic hypochromic anemia?

Answer 33

1. Thalassemia 2. Anemia of chronic disease 3. Iron deficiency anemia 4. Lead poisoning 5. Sideroblastic anemia

Question 34

Cause of Wernicke- Korsakoff Syndrome

Answer 34

Thiamine deficiency COAT RACK Confusion Ophthalmoplegia Ataxia Thiamine deficiency Retrograde amnesia Anterograde amnesia Confabulation Korsakoff syndrome : lack of muscle coordination affecting posture, balance, tremors, drooping of eyelid.

Question 35

Reflex Mediated Syncope?

Answer 35

1. Vasovagal syncope 2. Situational syncope 3. Carotid sinus syncope

Question 36

Scabies treatment?

Answer 36

1. Permethrin 5% lotion from neck to toes including interdigital webs in adult patients 2. Include the face and scalp in the treatment of infants and young children 3. Active treatment of household contact 4. Wash off permethrin lotion after 8-14 hours

Question 37

Pain , erythema, plaque like edema with sharply defined margin to normal tissues?

Answer 37

Erysipelas

Question 38

Characteristics of Chest X-ray?

Answer 38

1. Lung tissue composed mostly of air will allow radiation to pass thru , hence giving dark image. 2. Bones and ribs may absorb radiation and thus appear white 3. Image is usually taken from back to front giving PA projection of chest

Question 39

Leptospirosis blood results .

Answer 39

1. Leukocytosis: inc leukocytes 2. Neutrophilia : inc neutrophil 3. Thrombocytopenia : low platelet