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General Medicine Practice

5 MCQs • Practice Free attempt

Practice Test

General Medicine — 5 Questions

1
General Medicine

A patient with chronic lymphocytic leukemia (CLL) is found to have a very high white blood cell (WBC) count. Which of the following is NOT a common physical examination finding in CLL?
1) Splenomegaly
2) Lymphadenopathy
3) Hepatomegaly
4) Fever

📝 Explanation:

Chronic lymphocytic leukemia is characterized by the accumulation of mature-looking but functionally incompetent lymphocytes in the blood, bone marrow, and lymphoid tissues. Common physical examination findings include splenomegaly, lymphadenopathy, and hepatomegaly due to infiltration by leukemic cells.

2
General Medicine

In a patient with a pulmonary embolism, which of the following is the most sensitive diagnostic test?
1) Chest X-ray
2) D-dimer assay
3) Computed tomography pulmonary angiogram (CTPA)
4) Ventilation-perfusion (V/Q) scan

📝 Explanation:

CTPA is the most sensitive diagnostic test for pulmonary embolism, as it directly visualizes the emboli in the pulmonary arteries.

3
General Medicine

A patient with a history of alcohol abuse presents with jaundice, hepatosplenomegaly, and thrombocytopenia. The most likely diagnosis is:
1) Alcoholic hepatitis
2) Cirrhosis
3) Pancreatitis
4) Hepatic encephalopathy

📝 Explanation:

The combination of jaundice, hepatosplenomegaly, and thrombocytopenia suggests that the patient has developed cirrhosis of the liver due to chronic alcohol abuse.

4
General Medicine

In a patient with suspected myasthenia gravis, which of the following is the most sensitive and specific diagnostic test?
1) Acetylcholine receptor antibody test
2) Tensilon (edrophonium) test
3) Repetitive nerve stimulation
4) Electromyogram (EMG)

📝 Explanation:

The presence of acetylcholine receptor antibodies in the serum is the most sensitive and specific diagnostic test for myasthenia gravis.

5
General Medicine

The primary mechanism of action of nitroglycerin in the treatment of angina pectoris is:
1) Dilatation of coronary arteries
2) Decreased cardiac contractility
3) Increased cardiac output
4) Decreased systemic vascular resistance

📝 Explanation:

Nitroglycerin is a vasodilator that primarily acts by relaxing vascular smooth muscles, which leads to dilatation of coronary arteries.

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