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    Apex Quizffh

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    Mwila Tumba
    A pathology quiz consisting of 20 multiple choice questions testing knowledge of endocrine disorders, pneumonia, tuberculosis, cardiovascular disease, and related topics. It also includes two short answer questions asking students to 1) diagnose a patient presenting with chest pain and shortness of breath and outline their medical management and 2) diagnose a patient presenting with excessive sweating and weight loss and list associated clinical features and diagnostic tests. The quiz tests core knowledge expected of pathology trainees.

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    Apex Quizffh

    Uploaded by

    Mwila Tumba
    19 views5 pages
    A pathology quiz consisting of 20 multiple choice questions testing knowledge of endocrine disorders, pneumonia, tuberculosis, cardiovascular disease, and related topics. It also includes two short answer questions asking students to 1) diagnose a patient presenting with chest pain and shortness of breath and outline their medical management and 2) diagnose a patient presenting with excessive sweating and weight loss and list associated clinical features and diagnostic tests. The quiz tests core knowledge expected of pathology trainees.

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    A pathology quiz consisting of 20 multiple choice questions testing knowledge of endocrine disorders, pneumonia, tuberculosis, cardiovascular disease, and related topics. It also includes two short answer questions asking students to 1) diagnose a patient presenting with chest pain and shortness of breath and outline their medical management and 2) diagnose a patient presenting with excessive sweating and weight loss and list associated clinical features and diagnostic tests. The quiz tests core knowledge expected of pathology trainees.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    19 views5 pages

    Apex Quizffh

    Uploaded by

    Mwila Tumba
    A pathology quiz consisting of 20 multiple choice questions testing knowledge of endocrine disorders, pneumonia, tuberculosis, cardiovascular disease, and related topics. It also includes two short answer questions asking students to 1) diagnose a patient presenting with chest pain and shortness of breath and outline their medical management and 2) diagnose a patient presenting with excessive sweating and weight loss and list associated clinical features and diagnostic tests. The quiz tests core knowledge expected of pathology trainees.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5

    FACULTY OF MEDICINE

    DEPARTMENT OF PATHOLOGY
    PTH 220
    QUIZ 1

    FRIDAY, 7TH ARPIL, 2022


    TIME: 30 MINUTES
    TOTAL MARKS: 50

    INSTRUCTIONS:
    CIRCLE THE BEST ANSWER IN SECTION A
    ANSWER ALL QUESTIONS IN NSECTION B
    SECTION A

    1. Hypothalamic disorders include?


    A. kallman syndrome C. diabetes insipidus
    B. syndrome of inappropriate antidiuretic D. all of the above
    hormone secretion (SIADH)

    2. A patient presents with Bitemporal Hemianopsia due to a tumor compressing the optic
    chiasm. What type of tumor could the patient have?
    A. growth hormone cell adenoma C. choroid plexus papilloma
    B. pituitary adenoma D. hemangioma

    3. Which of the following clinical features is present in Graves disease?


    A. cold intolerance C. cardiac arrhythmias
    B. carpal tunnel syndrome D. bradycardia

    4. A 26 year old female patient presents with moon face, buffalo hump, centripetal obesity,
    hirsutism and hypertension. What is your most likely diagnosis?
    A. addisons disease C. all of the above
    B. cushings syndrome D. none of the above

    5. The CURB 65 score is a practical method used in the assessment of the severity of
    pneumonia, components of the CURB 65 score includes all of the following except?
    A. cyanosis C. respiratory rate > 30bpm
    B. urea > 7mmol D. age >65

    6. Which of the following is correct with regards to the stages of pneumonia in their correct
    order of progression?
    A. red hepatization – congestion – resolution – gray hepatization
    B. congestion - gray hepatization – red hepatization – resolution
    C. congestion – red hepatization – gray hepatization – resolution
    D. congestion – resolution – red hepatization – gray hepatization

    7. Multi drug resistant tuberculosis refers to?


    A. resistance to rifampicin only
    B. resistance to rifampicin, isoniazide, fluoroquinolones and a 2nd line injectable drug
    C. resistance to rifampicin and isoniazide
    D. resistance to isoniazide only
    8. Which of the following is correct with regards to the treatment of pulmonary tuberculosis
    A. 1 month rifampicin + isoniazide – 4 months rifampicin + isoniazide + pyrazinamide+
    ethambutol
    B. 2 month rifampicin + isoniazide – 6 months rifampicin + isoniazide + pyrazinamide+
    ethambutol
    C. 2 month rifampicin + isoniazide – 4 months rifampicin + isoniazide + pyrazinamide+
    ethambutol
    D. 3 month rifampicin + isoniazide – 3 months rifampicin + isoniazide + pyrazinamide+
    ethambutol

    9. According to the NYHA classification of heart failure, class III comprises of


    A. no limitation at rest and during physical activity
    B. marked limitation at rest and during physical activity
    C. marked limitation during physical activity however, patient is comfortable at rest
    D. slight limitation during physical activity however, patient is comfortable at rest

    10. Modifiable risk actors of ischemic heart disease include


    A. genetics C. smoking
    B. gender D. all of the above

    11. Which of the following best describes unstable angina?


    A. caused by vasospasms D. has less risk of progressing to myocardial
    B. pain at rest infarction
    C. absence of pain at rest

    12. Which of the following is the earliest enzymatic marker for myocardial infarction?
    A. CK-MB C. LDH
    B. troponin I D. none of the above

    13. Clinical features of right sided heart failure include?


    A. Paroxysmal Nocturnal Dyspnea C. orthopnea
    B. unilateral pedal edema D. bilateral pedal edema

    14. Which of the following best describes primary hypertension?


    A. it is essential hypertension C. it is idiopathic
    B. mechanism is unknown D. all of the above
    15. Which of the following best describes arteriolosclerosis?
    A. affects large arteries C. characterized by calcium deposition is
    B. affects arterioles and small arteries muscular arteries
    D. none of the above

    16. Complications of atherosclerosis include


    A. cerebral vascular accident C. myocardial infarction
    B. gangrene D. all of the above

    17. A fifty-year-old man is admitted in emergency ward with acute myocardial infarction. Which
    of the following drug is used as acute reperfusion therapy?
    A. Aspirin C. Heparin
    B. Clopidogrel D. Streptokinase

    18. An old patient presented in emergency ward with history of weakness of right side of rapid
    onset. The most helpful first line investigation for management of this patient is:
    A. Fasting lipid profile C. Cerebral angiography
    B. Cerebro spinal fluid examination D. Computerized tomography scan brain

    19. A fifty-year-old man presents in emergency ward with central chest pain. On examination
    his blood pressure is 90/60mmHg and pulse is 106 per minute. He is pale and sweating
    profusely. The most likely diagnosis is
    A. hyperthyroidism C. Pericarditis
    B. Myocardial infarction D. Pneumothorax

    20 In a patient with history of shortness of breath, which of the following signs indicates left
    heart failure?
    A. Ascites C. Basal crepitation’s
    B. Dependent edema D. Engorged neck veins

    SECTION B
    1. A 50-year-old man has the sudden onset of substernal chest pain. The pain persists for the
    next three hours. He then becomes short of breath and diaphoretic. He goes to the emergency
    department and on physical examination his vital signs include T 37oC, Pulse 100/minute,
    RR26/minute and BP 130/90mmHg. A chest X-ray shows a slightly enlarged heart and mild
    pulmonary edema.
    1. What is the most likely diagnosis? (3marks)
    2. List 4 investigations you are going to do (4marks)
    3. Mention 1 possible ECG finding (2 marks)
    4. Discuss the medical management of your patient (6 marks)

    2. A 33 year old woman presents to you in outpatient department complaining of excessive


    sweating, awareness of her heart beat, heat intolerance and weight loss despite having an
    increased appetite, on physical examination, you notice exophthalmos and a staring gaze. Blood
    pressure is 130/70 mmhg, pulse is 105b/p.
    1. What is the most likely diagnosis (4 marks?)
    3. List 5 other clinical features you would look for (5 marks)
    4. List 3 diagnostic investigations you would carry out (6 marks)

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