MDS PREP
A 2-year-old child is brought to the emergency department with fever and seizures. The child's mother reports that the child has been vomiting and has had diarrhea for the past 24 hours. What is the most likely diagnosis?
(1) Diabetic ketoacidosis
(2) Meningitis
(3) Sepsis
(4) Gastroenteritis
The combination of fever, vomiting, and diarrhea with seizures in a young child is more indicative of gastroenteritis, which can cause dehydration and electrolyte imbalances leading to seizures, rather than the other options listed.
In a patient with gestational diabetes, which of the following is NOT a risk factor for the development of the condition?
(1) Advanced maternal age.
(2) Obesity.
(3) Previous history of gestational diabetes.
(4) Being a non-smoker.
The risk factors for gestational diabetes include advanced maternal age, obesity, previous history of gestational diabetes, family history of diabetes, high blood pressure, and certain ethnic groups (e.g., African American, Hispanic, Native American). Being a non-smoker is not a risk factor for developing gestational diabetes; rather, smoking is generally associated with a lower risk of developing the condition.
Which of the following is NOT a common symptom of valvular heart disease?
1) Shortness of breath
2) Rapid heartbeat
3) Chest discomfort
4) Abnormal body temperature
Valvular heart disease symptoms typically include weakness on exertion, rapid heartbeat, chest discomfort, and fainting spells. However, an abnormal body temperature is not a common symptom associated with valvular heart disease.
A patient with a known history of peptic ulcer disease presents with severe abdominal pain and is found to have peritonitis. Which of the following is the most likely complication?
1) Perforated ulcer
2) Gastric outlet obstruction
3) Gastric cancer
4) Duodenal ulcer bleed
The development of peritonitis in a patient with peptic ulcer disease suggests a complication such as a perforated ulcer. This occurs when the ulcer erodes through the gastric or duodenal wall, allowing gastric contents to spill into the peritoneal cavity, causing inflammation and pain.
A patient presents with symptoms of chronic obstructive pulmonary disease (COPD). The physician suspects the presence of emphysema.
Which of the following conditions is likely to cause pulsus paradoxus in this patient?
(1) Pneumothorax
(2) Pleural effusion
(3) Emphysema/Asthma
(4) Cor pulmonale
Pulsus paradoxus is an exaggerated decrease in systolic blood pressure during inspiration, which can occur in patients with airflow obstruction conditions such as emphysema and asthma. These conditions can lead to increased intrathoracic pressure swings during respiration, which affects the cardiac output and arterial pulse amplitude.
In a patient with a history of chronic obstructive pulmonary disease (COPD), which of the following is NOT a common side effect of long-term inhaled corticosteroid therapy?
1) Oral thrush
2) Pneumonia
3) Osteoporosis
4) Tachycardia
Long-term inhaled corticosteroid therapy is commonly used in COPD management to reduce inflammation and exacerbations. Common side effects include oral thrush, pneumonia due to immunocompromise, and osteoporosis due to steroid-induced bone loss. Tachycardia is not a typical side effect of inhaled corticosteroids.
In which organism is echinococcosis most commonly found?
(1) Liver
(2) Lungs
(3) Brain
(4) Heart
Echinococcosis is a parasitic infection caused by the larvae of Echinococcus granulosus. The most common site for these larvae to form cysts is the liver.
What is the primary function of the aortic valve?
(1) To prevent backflow of blood from the aorta into the left ventricle during diastole
(2) To prevent backflow of blood from the pulmonary artery into the right ventricle during diastole
(3) To prevent backflow of blood from the pulmonary vein into the left atrium during systole
(4) To prevent backflow of blood from the left ventricle into the left atrium during systole
The aortic valve is located between the left ventricle and the aorta and is responsible for preventing the backflow of blood into the left ventricle during systole, ensuring that blood is efficiently pumped out of the heart into the systemic circulation.