MDS PREP
A patient with severe bronchospasm secondary to an asthma attack is administered a beta2 agonist. What is the primary mechanism of action of beta2 agonists?
(1) Stimulation of beta2 receptors in the heart
(2) Relaxation of bronchial smooth muscles
(3) Constriction of bronchial blood vessels
(4) Stimulation of mucus production
Beta2 agonists, such as albuterol, work by binding to beta2 receptors on the smooth muscles surrounding the airways, leading to relaxation of these muscles and bronchodilation, which helps alleviate the bronchospasm characteristic of an asthma attack.
What is the most commonly damaged heart valve in rheumatic heart disease?
1) Aortic valve
2) Mitral valve
3) Tricuspid valve
4) Pulmonary valve
Rheumatic heart disease is most commonly associated with damage to the mitral valve, which is situated between the left atrium and left ventricle of the heart.
Wound contraction can be most effectively minimized by
1) Split skin graft
2) Full thickness grafting
3) Allowing secondary granulation
4) Dressing with placenta
Oral medicine
Answer: 2
Full thickness grafting is effective in minimizing wound contraction because it provides a more stable and vascularized tissue bed for healing
In which condition is the plasma cholesterol level increased?
1) Hyperthyroidism
2) Obstructive jaundice
3) Nephrotic syndrome
4) Diabetes mellitus
Obstructive jaundice is associated with increased cholesterol levels due to impaired cholesterol metabolism.
What is the target INR range for a patient on warfarin therapy to undergo minor oral surgery?
(1) Less than 2
(2) 2-3
(3) 3-4
(4) Less than 1.5
For a patient on warfarin therapy, the target INR (International Normalized Ratio) for undergoing minor oral surgery is typically 2-3. This range provides adequate thromboprophylaxis while minimizing the risk of excessive bleeding. However, the decision to proceed with surgery should be made on a case-by-case basis, considering the patient's overall health and surgical risks.
What is the treatment for respiratory alkalosis?
1) Inhalation of carbon dioxide
2) Injection of sodium bicarbonate
3) Ingestion of antacids
4) Increase in respiratory rate
The treatment for respiratory alkalosis typically involves correcting the underlying cause. However, if symptoms are severe, inhalation of a small amount of carbon dioxide can be administered.
Delayed wound healing is seen in all except
1) Malignancy
2) Hypertension
3) Diabetes
4) Infection
Oral medicine
Answer: 2
While hypertension can have various health implications, it is not typically
associated with delayed wound healing. In contrast, malignancy, diabetes, and
infection are known to impair the healing process.
A patient with a history of hypothyroidism presents with fatigue, cold intolerance, and weight gain. The most likely cause of these symptoms is:
1) Subclinical hypothyroidism
2) Hyperthyroidism
3) Thyroid cancer
4) Adrenal insufficiency
The symptoms of fatigue, cold intolerance, and weight gain are more consistent with hypothyroidism than hyperthyroidism. Subclinical hypothyroidism is a milder form of hypothyroidism where the patient may have a normal T4 level but an elevated TSH level.