Which of the following peripheral manifestations of endocarditis causes painful

nodules when it occurs?

A. Janeway's lesions

B. Osler's nodes

C. Petechiae

D. Splinter hemorrhage

Untreated gonorrhea leads to the diseases, ______ in women and ______ in men
A. PID (Pelvic Inflammatory Disease) / Epididymitis

B. Herpes / AIDS

C. Vaginal Cancer / Testicular Cancer

D. Chlamydia / PID

Which of the following empirical regimens would be the most appropriate

treatment choice for a endocarditis patient with a history of IV drug use?

A. Penicillin G, 12 million units every 2 to 4 hours

B. Ampicillin, 2 g every 6 hours

C. Vancomycin, 1 g every 12 hours

D. Piperacillin/tazobactam, 4.5 g every 6 hours

Babies who have contracted gonorrhea of the eye from their infected mother

have the disorder called ?

A. Cervicitis

B. Epididymitis
C. Pharengeal gonorrhea

D. Opthalmia neonatorum

Which of the following assessments is crucial for the diagnosis of Infective

Endocarditis?
A. Vital signs

B. Hematology tests

C. Erythrocyte sedimentation rate

D. Blood cultures

Gonorrhea is caused by which microorganism ?

A. Neisseria gonorrhoeae

B. Ventral pallidium

C. CTreponema pallidum

D. C. perfringes

Which of the following antibiotic regimens would be the most appropriate for a

patient with viridans group streptococcal IE (penicillin MIC greater than 0.5 mcg/

mL)?
A. Ampicillin

B. Penicillin G

C. Cefazolin

D. Ceftriaxone

There are _____ stages of kidney disease.

A. 3

B. 5

C. 6

D. 7
Which of the following stage is found to be most infective stage ?
A Primary syphilis stage

B Tertiary syphilis stage

C Secondary syphilis stage

D All of the above

People with gonorrhea usually also have this disease

A. Swine flu

B. Herpes

C. Chlamydia

D. AIDS

_________________ is the leading cause of kidney failure

A Diabetes

B Infection

C Injury

D Smoking

Gout is caused by the buildup of what substance in the body?

A White blood cells

B Synovial fluid (found in joints)

C Uric acid

D Blood plasma

doctor who specializes in kidney diseases is called a ________________.

A. Urologist

B. Endocrinologist

C. Nephrologist

D. Immunologist
Symptoms of gout may include…
A. Warmth, severe pain, and swelling in the joint

B. Red or purple skin

C. Peeling, itching skin at the site of the gout attack

D. All of the above

People on dialysis should maintain diets high in __________________.

A. Protein

B. Fiber

C. Carbohydrates

D. Lipids

Syphilis is caused by which microorganism ?

A. C. oerfringes

B. C. botulinum

C. Ventral pallidum

D. Treponema pallidum

Types of Hemodialysis access…....include:

A. Fistula

B. Graft

C. Catheter

D. All of the above

Patients with kidney diseases must manage fluid intake because fluid...
A. Retention can cause swelling and weight gain

B. Affects blood pressure

C. Overload can result in heart trouble

D. All of the above

Which of the following drugs should be avoided in an anuric patient?
A. Torsemide

B. Dopamine

C. Fenoldopam

D. Mannitol

Which of the following is the recommended first-line urate-lowering

therapy to consider?
A. Febuxostat

B. Allopurinol

C. Probenecid

D. Benzbromarone

Gout attack commonly occurs at this ________site.

A. Knee

B. Foot

C. Ankle

D. Big toe

Antibiotics treat infections from:

A. Viruses

B. Bacteria

C. Fung

D. None of the above

STIs are most common in which age group?

A. Teens and young adults up to age 24

B. People ages 30 to 45

C. People 60 and older

D. All of the above

This is not a first-line option for pharmacological treatment of gout

A. Corticosteroids

B. Aspirin

C. Oral colchicine

D. NSAIDS

Which of the following Is not absolute contraindications to renal transplant?

A Active substance abuse

B Active malignancy

C Life expectancy less than 2 years

D GFR <20mL/min

What is the most common healthcare acquired infection (HAI) among

hospitalized patients?
A. Ventilator-associated pneumonia

B. Surgical site infection

C. Urinary tract infection

D. None of the above

In the following which is not a feature of malignant tumor ?

A Infiltrative type of growth

B Metastasis is present

C Contained within a capsule

D Grows rapidly

What type of organism causes scabies?

A. Mite

B. Mouse
C. Fungus

D. Bacteria

Which is the most common symptom of a scabies infestation?

A. Rash

B. Itching

C. Formation of skin crust

D. All of the answers are common symptoms of scabies

What is meant by antibiotic resistance?

A. It means our body has become resistant to the antibiotic

B. It means the bacteria have developed antibiotic resistance

C. Both (a) and (b)

D. None of the above

The common clinical features of surgical site infections include:

A. Spreading erythema

B. Localised pain

C. Pus or discharge from the wound

D. All of the above

Cancer of the blood cells is referred to as ______________.

A. Kaposi Sarcoma

B. Leukemia

C. Basal Cell Carcinoma

D. Mesothelioma

Which is the infective form of the malaria parasite?

A. Oocyst

B. Sporozoite
C. Bradyzoite

D. Tachyzoite

Chemoprophylaxis of Malaria can be done by all except?

A. Chloroquine
B. Mefloquine
C. Proguanil
D. Primaquine
DNA replication occur in which stage of cell cycle
A. G1- phase

B. S-phase

C. G2- phase

D. M-phase

What medication are used to treat osteoarthritis

A. Acetaminophen
B. Non steroidal anti-inflametory
C. Hyaluronate injection
D. Narcotic analgesic
What is lupus flair
A. Symptoms of a disease cause pain
B. Symptoms of a chronic disease or condition are suddenly worse
C. Any form of itching, pain or fever associated with a disease
D. None of the above
Which of these is a common symptom of systemic lupus?
A. Fever

B. Skin rash

C. Swollen joints

D. All of the above

Which is a complication of lupus?
A. Glaucoma

B. Inflammation of the kidneys

C. Lung cancer

D. Dislocated shoulders

Spread of cancer to other parts of body is

A. Hyperplasia

B. Metastasis

C. Neostasis

D. None Of them

How is psoriasis treated?

A. Topical Medicine

B. Photography

C. Immune system treatment

D. All of the above

Rheumatology is the branch of medicine that involve the study of ?

A. The immune system

B. Musculoskeletal system

C. Rheumatic disease

D. All of the above

Which of these suggestions can help relieve the itching?

A. Apply hot packs

B. Spend brief periods of time in the sun

C. Use a skin moisturizer

D. B and C
The term arthritis refers to ?
A. Stiffness in joint

B. Inflammation of the joints

C. Both A & B

D. None of the above

Invasion capacity of cancerous cell is called....

A. Hyperplasia

B. Metastasis

C. Neostasis

D. None of them

Recommended treatment for eczema

A. Steroid creams

B. Antihistamine

C. Antibiotics

D. All of the above

With atopic eczema,the first symptoms are usually

A. Swelling and oozing

B. Crusting and itching

C. All of the above

D. None of the above

What plays a major role in psoriasis

A. Digestive system

B. Circulatory system

C. Immune system

D. Nervous system
It is recommended to avoid __________ for people with gout
A. Dairy products

B. Alcohol

C. Both (A) and (B)

D. None of the above

The -------- State implies the exit of cells from the cell cycle
A. S Phase.

B. G1 Phase.

C. G2 Phase..

D. G0 Phase

Which organism is least likely to show the characteristic periodicity of fever in malaria?
A. P. Malaria
B. P. Falciparum
C. P. Vivax
D. P. Ovale

Which does not require post exposure prophylaxis for rabies?

A. Scratch
B. Bite on face
C. Skin contact with blood, urine or faces
D. Bite on extremity
What are early signs and symptoms of rheumatoid arthritis (RA)?
A. Joint pain, tenderness, redness, and swelling
B. Loss of joint range of motion
C. Limping
D. All of the above
Cancer cells can easily be destroyed by radiations........
A. First mutation
B. Rapid cell mutation
C. Lack of mutation
D. Lack of oxygen
Gonorrhea is caused by which microorganism?
A. Neisseria gonorrhoeae
B. Ventral palladium
C. Treponema pallidum
D. C. Perfringes
Which antibiotic is not recommended as first line therapy for the associated bug?
A. Legionella – Erythromycin
B. Chlamydia Pneumoniae– Doxycycline
C. Mycoplasma Pneumoniae – Roxythromycin
D. Coxiella Burnetti – Doxycycline

What gives people the best possible chance of survival?

A. Chemotherapy
B. Cancer Screenings
C. Healthy Lifestyle Choices
D. Early Diagnosis
Which of the following is not recommended for the management of gout?
A. Reduced amount of purines in the diet
B. Weight reduction
C. Intravenous colchicines
D. Decrease alcohol intake

How long is the life cycle of scabies mite?

A. 60 days
B. 30 days
C. 6 months
D. 1 year
What is the infective agent implicated in acne?

A. Staphylococcus aureus
B. Streptococcus pyogenes
C. Staphylococcus epidermidis
D. Propionibacterium acnes

What is the most common cause of a urinary tract infection (UTI)?

A. Escherichia coli (E. coli)

B. Staphylococcus aureus (S. aureus)

C. Chlamydia

D. Mycoplasma

Patients with kidney diseases must manage fluid intake because fluid.........

A. Retention can cause swelling and weight gain

B. Affects blood pressure

C. Overload can result in heart trouble

D. All of the above

Which cancer treatment uses cell killing (cytotoxic) drugs?

A. Biological Therapy
B. Chemotherapy
C. Radiotherapy
D. Total Body Irradiation
How long after the onset of an acute gout attack should pharmacologic therapy be
initiated?
A. Within 1 hour

B. Within 24 hours

C. After 48 hours

D. After 24 hours
The only significant Gram-negative residents which are part of normal flora of skin are?

A. Klebsiella

B. Micrococcus species

C. Coryneforms

D. Acinetobacter

What are signs and symptoms of a UTI in adults?

A. Frequent urge to urinate

B. Pain during urination

C. Milky/cloudy urine

D. All of the above

There are ……….stages of kidney disease.

A. 3
B. 5
C. 6
D. 7

In a patient with invasive pulmonary aspergillosis, which antifungal treatment would

you choose before antifungal susceptibility data were available?
A. Voriconazole + caspofungin.

B. Liposomal amphotericin B 3 mg/kg/d.

C. Amphotericin B + voriconazole.
D. Voriconazole.

People on dialysis should maintain diets high in……………….

A. Protein

B. Fiber
C. Carbohydrates
D. Lipids
Gonorrhea causing bacteria is which type of bacteria?
A. Gram – negative

B. Gram – positive

C. Both A and B

D. None of the above

Meningitis refers to?

A. Inflammation of the brain

B. Blockage in nerves

C. Both A and B

D. None of these

Which of the following are required for an accurate and appropriate diagnosis of
osteoarthritis?
A. Patient history and physical examination
B. Patient history, physical examination and radiologic evaluation
C. Examination and magnetic resonance imaging
D. Patient history, physical examination and positive response to pharmacologic
treatment
Which of the following is NOT a first-line option for the pharmacologic treatment of
acute gout?
A. NSAIDs

B. Corticosteroids
C. Oral colchicine
D. Aspirin

How does impetigo present?

A. Golden honey coloured crust over an erythematous base
B. Salmon coloured plaque with silvery scale
C. Comedones, pustules and nodules
D. Flesh coloured papule with a rough surface
Which of the following is a benefit of torsemide over furosemide treatment?
A. Torsemide can be given as a continuous infusion.
B. Torsemide has a more consistent oral bioavailability.
C. Torsemide is less expensive.
D. Torsemide is associated with superior patient outcomes

Classic symptoms of meningitis usually include?

A. Backache, Hallucination, Indigestion
B. Rash, Inner ear pain, Itching
C. Fever, Headache, Stiff neck
D. Dry skin, Dehydration, Cold sores
The major problem associated with the use of colchicine in the treatment of acute gouty
arthritis is:
A. Gastrointestinal side effects
B. Slow onset of action
C. Renal toxicity
D. Hepatotoxicity
Which of the following disease is an STD?
A. Gonorrhea
B. Syphilis
C. Leprosy
D. Both A and B
Which one of the following electrolytes usually must be restricted in patients with acute
renal failure?
A. Chloride
B. Potassium
C. Bicarbonate
D. Calcium

Renal replacement therapy should be considered if the patient is experiencing:

A. Hyperkalemia
B. Metabolic acidosis
C. Fluid overload
D. All of the above

Which of the following is an fungal meningitis?

A. Tuberculous meningitis
B. Crytococcal meningitis
C. Both A and B
D. None of the above

Which one of the following is an inappropriate diuretic combination to use in a patient

who has developed diuretic resistance?
A. Ethacrynic acid and furosemide
B. Furosemide and metolazone
C. Bumetanide and chlorothiazide
D. Torsemide and amiloride

What material in the body builds up and causes gout?

A. White blood cells

B. Synovial fluid (found in joints)
C. Uric acid
D. Blood plasma

Risk factors for the development of osteoarthritis includes:

A. Smoking
B. Participation In Running
C. Being Underweight
D. Advanced Age

Which of the following empirical regimens would be the most appropriate treatment
choice for a patient with a history of IV drug use?
A. Penicillin G, 12 million units every 2 to 4 hours
B. Ampicillin, 2 g every 6 hours
C. Vancomycin, 1 g every 12 hours
D. Piperacillin/tazobactam, 4.5 g every 6 hours

What are signs and symptoms of the common cold?

A. Runny nose and sore throat

B. Ear pain
C. Chills
D. All of the above

The cause of rheumatoid arthritis is………………….

A. Heterophile antibodies

B. EBV
C. IgM
D. IgG
Which of these causes of gastroenteritis usually requires treatment with antibiotics?
A. Shigella
B. Salmonella
C. E-Coli
D. Giardia
A doctor who specializes in kidney diseases is called as……………..
A. Urologist

B. Endocrinologist

C. Nephrologist

D. Immunologist

Which of the following statements is true of palliative treatment of metastatic breast cancer?

A. Hypercalcaemia should be treated with increased oral fluids and oral bisphosphonates.

B. Increased back pain and 'weak legs' requires prompt investigation.

C. Bisphosphonates are used in treatment of liver metastases.

D. Neuropathic pain usually responds quickly to opioid analgesics

What is the cure for the common cold?

A. Antiviral medications
B. Antibiotics
C. The common cold vaccine
D. There is no cure for the common cold.
Which of the following is most likely site for acute monaarticular gouty arthritis?
A First metatarsophalangeal joint
B Ankle
C Heel
D Knee
The sudden appearance or worsening of RA symptoms is referred to as a(n)…
A Outbreak
B Flare
C Burst
D Eruption
Which medicine can fight viral meningitis?
A Antibiotic medicines
B Anti- inflammatory medicines
C Hydrating fluids
D None of the above
Which of the following are true of breast cancer?
A The life time risk for a woman of developing breast cancer is 19.
B For most women a specific cause of their breast cancer is known.
C Prognosis is worse for affluent women.
D Incidence of breast cancer is decreasing.
All of the following are the common pathogens which cause pharyngitis/sore throat,
Except?
A Streptococcus pyogenes
B Candida albicans
C Herpes Simplex virus
D Adenovirus

What are the histological findings of psoriasis?

A Inflammation of the dermal-epidermal junction
B Peripheral palisading of basal cells
C Acanthosis, Parakeratosis and Munro microabscesses
D Keratin pseudocysts
To prevent urinary tract infections, some doctors recommend that people drink which
liquid?
A Lemonade
B Cranberry juice
C Green tea
D Apple juice
The majority of mutations affecting the coding region of a tumor are……………….
A Deletions
B Amplifications
C Single base substitutions
D Small insertions
Which of the following agents are implicated in the majority of cases of infectious
diarrhea?
A Protozoa
B Anaerobes such as Bacteroides fragilis
C Gram positive bacteria such as Clostridium and Staphylococcus
D Viruses