PasTest Quiz - for April 2008

(Closing date: 31st April 2008)

Please take part in our quiz, kindly provided by PasTest. These are sample questions from the new PasTest undergraduate medical student revision website, which has many many more questions along with answers to help with your revision.

The winner of this month's quiz will receive the book: 'Medical Finals: Short Cases with Structured Answers, 2nd Edn', kindly supplied by PasTest.

The closing date is 31st April 2008. This quiz is open to everyone to enter. The winner will be picked at random from all entries. In order to contact the winner, please enter your name and email address at the bottom of this page.

Learn as you test yourself. Detailed answers with teaching points will be given after you complete this page.

Single Best Answer (SBA) Questions:

Question 1:

A 34-year-old nutritionally deplete patient requires insertion of a nasogastric (NG) tube to commence enteral feeding.

What is the best precaution to take before commencing the feeding regime?

	(a) Aspirate 10 ml from tube and inspect
	(b) Insert 50 ml of air and auscultate over the stomach
	(c) Aspirate 10 ml and check pH
	(d) Chest X-ray
	(e) Abdominal X-ray

Question 2:

This 65-year-old woman was admitted with headache and a reduced level of consciousness. Her prescribed medications include aspirin. A CT scan of the head was performed:

CT Brain

Which of the following is most likely the underlying cause?

	(a) Hypertension
	(b) Arterio-venous malformation
	(c) Intracranial aneurysm
	(d) Anti-platelet medication
	(e) Tumour haemorrhage

Question 3:

A 34-year-old woman is admitted to hospital with a short history of renal impairment following a recent episode of sinusitis. Chest X-ray reveals multiple cavitating lung lesions. A clinical diagnosis of Wegener's granulomatosis is proposed.

Which is the single best blood test to confirm this diagnosis?

	(a) c-ANCA (antineutrophil cytoplasmic antibody)
	(b) Antiglomerular basement membrane antibody
	(c) Antimitochondrial antibody
	(d) p-ANCA (perinuclear ANCA)
	(e) Anticholinesterase antibody

Multiple True/False questions (MTFs):

Question 4:

Which of the following are causes of a pathological fracture?

	(a) Paget's disease
	(b) Multiple myeloma
	(c) Cushing's disease
	(d) Osteomyelitis
	(e) Osteomalacia

Question 5:

In the imaging of pulmonary emboli:

	(a) Chest x-ray is the initial imaging test
	(b) CT pulmonary angiography (CTPA) is the favoured test in the haemodynamically unstable
	(c) An embolus is visualised as a filling defect within the pulmonary vein
	(d) CTPA and V/Q scan are contraindicated in pregnancy
	(e) Echocardiography is the favoured test in the haemodynamically unstable

If you wish to enter the draw for a free copy of the very useful book on 'Medical Finals: Short Cases with Structured Answers, 2nd Edn' very kindly provided by PasTest then please enter your name and contact email address below:

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