EMT Practice Test

1. Question Content...

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Question1: The best test for diagnosis of adenomyosis:

Question2: A young boy presented with pain, swelling and redness of right side testes and scrotum. Sudden onset pain relieved on uplifting the scrotum.
What would be the diagnosis?

Question3: A male presented with headache, tinnitus and nausea thinking that he has a brain tumor. He had just secured a job in a prestigious company and he thinks that he might not meet its standards. CNS exam, CT, all within normal.
What is the diagnosis?

Question4: A female has burning sensation in vulva, after examination there was vesicle dew drop and tender and swelling in of the vulva.
What is the appropriate diagnosis?

Question5: A 45-year-old IV drug abuser is brought into the Emergency room with complaint of fever, shivering, malaise, dyspnea and productive cough. Exam: temp=39C, pulse=110bpm, BP=100/70mmHg. Inv: CXR= bilateral cavitating bronchopneumonia.
What is the single most likely causative organism?

Question6: Patient smoker and alcoholic come with difficulty in swallowing and neck mas.
What is an investigation?

Question7: Pregnant woman with UTI which is the best antibiotics to be given if she has no allergy?

Question8: A 26-year-old male has been operated for abdominal trauma and splenectomy was done. On the 3rd post-op day the developed acute abdominal pain and distention in the upper abdominal area with hypotension. On insertion of ryle's tubes, 2L of coffee ground fluid was aspirated.
What is the most probable diagnosis?

Question9: A third-year medical student is examining a patient who has acute onset of abdominal pain. The patient is a 65-year-old smoker with HTN and DM who has had dull abdominal pain gradually building for the last 12 hours. It is not related to food nor relieved by taking famotidine. On physical examination, auscultation reveals a bruit. Palpation shows a pulsatile mass. While lightly palpating the epigastrium, the patient suddenly becomes hypotensive and passes out.
What is the most likely diagnosis?

Question10: Which of the following is most sensitive for detecting diabetic nephropathy?

Question11: A patient who has recently undergone hip fracture repair develops the sudden onset of shortness of breath. His pulse is 110 per minute. The chest is clear to auscultation. Chest x-ray is normal, and the EKG shows sinus tachycardia. ABG shows pH 7.48, pCO2 28, pO2 75.
What is the next best step in management?

Question12: A 10-year-old child has got progressive bilateral hearing loss. He has started to increase the TV volume. All other is normal.
What is the most likely diagnosis?

Question13: A 70-year-old man with prostatic cancer has had severe acute back pain waking him up at night for 6wks.
What is appropriate investigation?

Question14: Female with recently inserted IUCD coming with watery brownish vaginal discharge & abdominal pain what is the most likely diagnosis?

Question15: A 45-year-old man presents to the ED after acute onset of lower back pain that began after he tried to lift an engine block at his job. He says he feels like lightning bolts are shooting down his legs and he is unable to move. Physical exam reveals a positive straight leg raise test and positive anal wink.
What is the most appropriate next diagnostic step?

Question16: 60 year's old patient has only HTN best drug to start with:

Question17: An old man undergoing planned brain surgery. He is on aspirin.
What is most appropriate recommendation for him prior to surgery?

Question18: A 32-year-old woman comes to the emergency department with lower abdominal pain and tenderness, fever leukocytosis, and cervical motion tenderness.
What is the next best step in the management of this patient?

Question19: 23-year-old man presents with severe pain in the right flank radiating to his groin. He is rolling about on the an IVU confirms a stone in the ureter which is 8mm in size.
Which transfusion modality will be most effective?

Question20: A study was done amongst 2 hospitals for the equal number of cancer patients. It was noted that hospital A higher of mortality than hospital B for treated cancer patients.
What is the study done here classified as?

Question21: A 28-year-old female presents with 1-week history of jaundice and 2days history of altered sleep pattern and moods. She was diagnosed with hypothyroidism for which she is receiving thyroxine. Thyroid function showed increased TSH. PT=70s.
What is the most probable diagnosis?

Question22: A 20 year's woman with no previous history of ear complains, presents with 1day history of severe pain in is extremely tender to examine.
What is the single most likely diagnosis?

Question23: A 11-year-old boy comes with decreased appetite and abdominal pain around his umbilicus. His parents think he doesn't want to go to school, and while in math class he begins to have sharp pain in his right lower abdomen. He is rushed to the ED and laboratory analysis shows a WBC of 12,500.
What is the most likely diagnosis?

Question24: A patient presents with mild dyskaryosis. 1 year ago smear was normal.
What is the most appropriate next test?

Question25: A 57-year-old man having hypertension on oral anti-HTN. However, he is finding it difficult to mobilize as he tries to get up.
What is the most appropriate investigation for him?

Question26: A 28-year-old man presents with a 2 hours' history of rapid palpitations. He feels a little light headed but is other exam: pulse=170 bpm and regular, BP=100/68 mmHg. He has had 2 similar episodes in the past.
What is the most disturbance?

Question27: A female presented with swelling over the neck that moves with swallowing with lymphadenopathy at external jugular vein. Swallowing diagnosed as thyroid carcinoma.
She has most likely which type?

Question28: A 78-year-old woman is admitted to the intensive care unit for acute pulmonary edema. She has rales to the apices and Jugular vein distention. Her EKG shows ventricular tachycardia.
Which of the following is the best therapy?

Question29: What is the most common serious complication of PM/DM?

Question30: Patient came with pitting edema grade 1, where fluid is will accumulate.

Question31: The most common cause of SAH (subarachnoid hemorrhage) is ________________________.

Question32: After starting Antidepressant drug, if patient is not improving then when you decide to stop drugs?

Question33: A person with suspicion of neisseria gonorrhoeae infection.
Which test is necessary?

Question34: A 50-year-old patient presents with muscle weakness of the girdle with an increased CPK and aldolase. Her anti-Jo-1 antibody is positive.
Which of the following is most likely to happen to her?

Question35: The child bought by a mother having bouts of severe abdominal pain that cause child to bring his legs to fold to abdomen, settles after sometime, now again he had this attack with vomiting. On examination child is distressed with pain and there is a mass in epigastrium.
What Investigation you will do?

Question36: A 65-year-old man with longstanding diabetes comes to the office with a "pins and needles" sensation in both his feet. He is also chronically bloated and constipated. On review of systems, you find he cannot maintain erection sufficiently to complete intercourse. Urinalysis shows microalbuminuria. His LDL is 147.
What is the best management for this patient?

Question37: Patient Chronic smoker with 30 cigarettes per day, got hoarseness of voice.
The most likely diagnosis is:

Question38: A 37-year-old woman presents with heavy bleeding. Investigation shows subserosal fibroid-4cm and intramu.
Which is the most appropriate treatment?

Question39: A patient with Type-1diabetes has a fundus showing micro-aneurysm and hard exudate.
What is the single diagnosis?

Question40: You are seeing a 45-year-old obese diabetic woman who reports bilateral lower extremity peripheral edema. In addition to diabetes, she has arthritis, hypertension, and depression.
Which of the following medications is the likely cause of her edema?

Question41: A 6-weeks postpartum presents with palpitations, tremors, insomnia. Diagnosis?

Question42: A 48-year-old woman always socially withdrawn has stopped going out of the house. She is afraid to socialize fears that people will criticize her.
What is the most probable diagnosis?

Question43: A 33 year's man has a temp-38.5C, cough and chest pain on the right side on inspiration. He also has puru.
What is the most likely organism to cause pneumonia in this patient?

Question44: A 77-years-old male presents with history of enuresis and change in behavior. Exam: waddling gait.
What is the most likely diagnosis?

Question45: Highest source/cause of increased ACTH in Cushing syndrome:

Question46: Patient with severe depression on SSRIs. When it will begin to start work?

Question47: 65years man had a bowel resection 5days ago. He is anuric and breathless. His BP=150/110mmHg.He has lung bases and sacral edema. Bloods: K+=6.8mmol/l, urea=58mmol/l, creatinine=600umol/l.
What is the single immediate management?

Question48: A 73-year-old woman has lymphadenopathy and splenomegaly. She feels well but has had recurrent chest infections recently.
Choose the single most likely blood film findings?

Question49: A 26-year-old political refugee has sought asylum in the UK and complains of poor concentration. He keeps his family whom he saw killed in a political coup. He is unable to sleep and feels hopeless about his survival. But he is afraid to go out.
What is the most likely diagnosis?

Question50: A 74-year-old woman, who has been followed for the past 25 years for chronic obstructive pulmonary disease (COPD) comes to the emergency department complaining of 48 hours of temperatures to 38.6 C (101.4 F) and worsening shortness of breath. She has a chronic productive cough, which has become more copious. On physical examination, she has rhonchi and increased fremitus in the posterior mid-lung field. A Gram's stain reveals many epithelial cells and multiple gram-positive and gram-negative organisms; no neutrophils are seen.
Which of the following is the most likely organism causing the symptoms?

Question51: A 28-weeks pregnant woman presents with uterine bleeding after sexual intercourse.
What is the most appropriate diagnosis?

Question52: 12 years old girl with malaise, fatigue, sore throat and fever. On examination there were petechial rash on palate, large tonsils with follicles, cervical lymphadenopathy and hepatosplenomegaly.
All are complications except:

Question53: A 61year man was found with K+=7.5 and ECG with prolong QRS complex.
What is the best possible treatment?

Question54: A patient presents with fever, dry cough and breathlessness. He is tachypneic but chest is clear Oxygen saturation is normal at rest but drops on exercise.
What is the single most likely diagnosis?

Question55: A baby born at 34 weeks with a heart murmur is kept in the incubator for almost 4 weeks. There is no murmur at discharge.
What is the likely cause of this murmur?

Question56: A baby born at 34 weeks with a heart murmur is kept in the incubator for almost 4 weeks. There is no murmur at discharge.
What is the likely cause of this murmur?

Question57: A 37-year-old woman presents to the office for a consultation about family planning. She is married for 11 years and she has never had any extra marital relationships. They have been tested negative for HIV infection. She hopes to become pregnant and to stop using condoms. She had normal Pap smears for the past 18 years. The last Pap smear was 1 year ago.
When does she need to have her next Pap smear?

Question58: 20-year-old patient with a red lesion on her face. She said this from birth.
What is your management?

Question59: 10 years old boy presented to clinic with 3-weeks history of limping that worsen in the morning, this suggests which of the following:

Question60: Patient works in a dusty environment had red eyes itching no trauma no mucopurulent discharge.
What to give to relieve his symptoms?

Question61: A 65-year woman is found on routine CBC to have a hematocrit of 32 percent (normal 37-42) and an MCV of 70 (normal 80-100). Her stool is heme-negative.
What should you do next?

Question62: 72-year-old lady is drowsy and her relatives want to take her home.
She has been prescribed diazepam 2.5m delivery route?

Question63: Patient with CHF (CONGESTIVE Heart Failure) loves to eat out door three times weekly. Your advice is:

Question64: A 10-month-old boy weighing 3 kg has polyuria, polydipsia and delayed motor milestones. His blood pressure is normal. Blood tests reveal: creatinine 80 mmol/l, sodium 128 mmol/l, chloride 90 mmol/l, potassium 3.0 mmol/l, calcium 2.7 mmol/l, bicarbonate 26 mmol/l and pH 7.46. Ultrasonography shows medullary nephrocalcinosis.
What is the most likely diagnosis?

Question65: A 25-year-old girl saw a tragic RTA in which a young boy was killed. The night of the event she couldn't sleep after she suddenly lost her vision. She was previously fine and there was no history of medical or psychologic What is the diagnosis?

Question66: Which of following favor diagnosis of SLE?

Question67: A 27-year-old man presents with abdominal pain. He says his urine is dark. Exam: BP=160/105mmHg.
What is investigation?

Question68: A patient with gross hematuria after blunt abdominal trauma has a normal appearing cystogram after the intravesical instillation of 400 ml of contrast. You should next order:

Question69: Which of the following will have the lowest glucose level on pleural effusion?

Question70: A 20 year's man presents with painful swallowing. Exam: trismus and unilateral enlargement of his tonsils Peritonsillar region is red, inflamed and swollen.
What is the most appropriate treatment?

Question71: 60-year-old male complains of decreased libido, decreased ejaculation, FBS= 6.5 mmol, increased prolactin, normal FSH and LH.
What is the next step?

Question72: A 27-year-old lady after C-section developed epigastric pain after 8h.
What is the appropriate investigations?

Question73: A woman with sickle cell disease complains of heavy menstrual blood loss.
What is the most appropriate combined oral contraceptive pills?

Question74: Most appropriate initial therapy for Postpartum Endometritis is:

Question75: A 80 year's man with prostatic cancer has confusion, thirst, abdominal pain and an abnormal ECG.
What is appropriate investigation?

Question76: Which type of contraceptive is contraindicative in lactation?

Question77: 7-year-old boy with red color urine.
Which initial test is necessary?

Question78: A 64 year's man believes a female newscaster is communicating directly with him when she turns a page.
Where is he suffering from?

Question79: The causes of systemic secondary insult to injured brain include all of the following except:

Question80: A 45-year-old woman has a 2-cm breast cancer tumor removed by lumpectomy, and the breast is irradiated. The cancer is negative for estrogen receptors and positive for progesterone receptors. Three of 14 nodes removed from the axilla are positive for cancer.
What is the next best step in management?

Question81: 29 year's Old female has a breast lump in the upper outer quadrant of the left breast, firm, 2 cm. in size, no Lymphnodes enlargement diagnosed as fibroadenoma.
What is the management for the above patient?

Question82: A mother presents with her 14months child. He holds furniture and other things to help him stand and says 'mama' and 'papa'. He makes eye contact and smiles. He can transfer objects from one hand to another.
What do you interpret from his development?

Question83: A 38-year-old man presents with acute infection of skin in the leg. Diagnosis of cellulitis has been made.
What should be prescribed?

Question84: You are supposed to keep a child NPO he's 25 kgs, how much you will give:

Question85: What is the most specific test for syphilis?

Question86: 60 years old patient has only HTN best drug to start with: