1103 USMLE QUESTIONS BANK November 16, 2022 1 Min Read 1 USMLE QUESTION BANK USMLE quiz helps us to increase our knowledge Read moreScrape Multiple-Choice Questions from the Web1 / 20 1) A 7-year-old boy has a difficult time at school. He sleeps during most of the classes and doesn’t interact with his teachers in class. He is fighting with many of his classmates because of stealing their lunches but he has never started a fight. When teachers tried to contact his family, they found out that his family left a fake address and phone number. What is the most likely cause of this boy’s behavior? A) Attention-deficit-hyperactive disorder (ADHD) B) Antisocial personality C) Child abuse D) Oppositional defiant disorder (ODD) E) Mental retardation Read moreCookie Policy This boy sleeps in class because he does not sleep well at home. He also steals because he doesn’t eat or bring food from home. There is no certain abnormality in his behavior. The most likely cause of this boy’s behavior is child abuse. 2 / 20 2) A 70-year-old woman, having had an appendectomy 25 years ago, is brought to the emergency room with severe abdominal pain. The patient describes the pain as being crampy and colicky. She also says that the pain seems to increase and then improve on its own. She has already vomited 10 times since the pain started in the morning. She has also not had a bowel movement since last 2 days or passed flatus in last couple of days. Physical examination shows that the abdomen is distended slightly. Auscultation of the abdomen shows peristaltic rushes and high-pitched bowel sounds. Tympanic abdomen is revealed during percussion. The patient is also diffusely tender with palpitation but there is no rebound tenderness. Rectal examination also shows an absence of stool. What would be the likely diagnosis? A) Intestinal obstruction B) Gastroenteritis C) Diverticulitis D) Pancreatitis The patient is suffering from intestinal obstruction, which is a condition in which a blockage occurs that prevents food and beverages from passing through either the small intestine or the large intestine. One of the common causes of intestinal obstruction is the formation of fibrous bands of tissues or adhesions in the abdomen after a surgery. As the patient earlier had an appendectomy this could be the most likely cause of intestinal obstruction. 3 / 20 3) A 72-year-old man presents to his physician for a follow up after a stroke. The physician pays more attention for the care of this patient, as he reminds the physician of his father who passed away 3 years ago after having a stroke. This is an example of which one of these mechanisms? A) Acting out B) Displacement C) Projection D) Transference E) Countertransference This is an example of countertransference, which is redirection of the physician’s feeling toward his patient. It is opposite to transference, which is redirection of the patient’s feeling of a significant person to the physician. Other options have different definitions. 4 / 20 4) Which one of the following oral anti-diabetic drugs is associated with lactic acidosis? A) Glipizide B) Metformin C) Nateglinide D) Pioglitazone 5 / 20 5) Meissner’s plexus of nerves is located within which layer of the gastrointestinal tract? A) External layer B) Mucosa C) Muscularis Externa D) Submucosa 6 / 20 6) A patient with a history of diabetes presents with dark bronze skin pigmentation and multiple arthralgia. Which of the following would be detected in a joint aspirate? A) Copper B) Hemosiderin C) Monosodium urate crystals D) Negatively birefringent particles 7 / 20 7) Which of the following is not a feature of Tetralogy of Fallot? A) Atrial septal defect B) Overriding aorta C) Pulmonary stenosis D) Right ventricular hypertrophy 8 / 20 8) During spermatogenesis, which type of cells enter meiosis 1 to from primary spermatocytes? A) Primordial germ cells B) Spermatids C) Type A spermatocytes D) Type B spermatocytes 9 / 20 9) Which of the following is the major indication of ondansetron in patients receiving chemotherapy? A) Hair loss B) Nausea and vomiting C) Headache D) GERD 10 / 20 10) Which of the following adverse effects of L-dopa is the most likely the reason to limit the use of it? A) Depression B) Dyskinesia C) Nausea and occasional vomiting D) Orthostatic hypotension Other side effects are temporary and relieved in a short time. 11 / 20 11) Which of the following locations is the site of action of furosemide to inhibit sodium reabsorption? A) Ascending limb of loop of Henle B) Collecting tubules C) Descending limb of loop of Henle D) Distal convoluted tubules 12 / 20 12) Epinephrine acts to dilate bronchial smooth muscle through which one of the following receptors? A) Alpha-1-adrenoreceptors B) Alpha-2-adrenoreceptors C) Beta-1-adrenoreceptors D) Beta-2-adrenoreceptors 13 / 20 13) Which one of the following is the best treatment of trigeminal neuralgia? A) Carbamazepine B) Fluoxetine C) Methylphenidate D) Riboflavin It is the only one on the list effective to subsides trigeminal neuralgia. 14 / 20 14) Which of the following conditions is characterized by the presence of periventricular calcified densities on brain imaging? A) Cytomegalovirus infection B) Down syndrome C) Huntington’s disease D) Toxoplasmosis Calcification only occurs in CMV and toxoplasmosis but they are scattered in the cortex in toxoplasmosis. 15 / 20 15) An athletic girl presents with amenorrhea for 3 weeks. Pregnancy test is negative and her vital signs are within normal limits. Which is the most likely cause of this amenorrhea? A) Estrogen deficiency B) Progesterone deficiency C) Testosterone deficiency D) Thyroid hormone deficiency Low caloric intake decreases LH and GTRH leading to low estrogen level resulting in infertility, vaginal and breast atrophies. 16 / 20 16) Which of these substances should be taken before consumption of milk in a patient who complains of abdominal pain and cramping after drinking milk? A) Acetaminophen B) Aspirin C) Lactase D) Niacin This is most likely a case of lactose intolerance. Lactase may help before consumption of dairy products. 17 / 20 17) Which of the following layers of the heart forms the cardiac valves and continues with the intima of the aorta? A) Endocardium B) Epicardium C) Myocardium D) Pericardium The endocardium lines the lumen of the heart, forms the valves and continues as the intima of the great vessels entering and leaving the heart. 18 / 20 18) Which of the following conditions is characterized by the presence of smooth, painless, wart-like lesions on genital organs? A) Candida infection B) Chlamydia infection C) Gonococcal infection D) Secondary syphilis These are condylomata lata and are found in secondary syphilis. 19 / 20 19) Laboratory tests for a patient are as follows: Plasma creatinine concentration is 0.8 mg/dL A) ine creatinine concentration is 80 mg/dL Urine volume is 1 ml/min B) ich of the following is the creatinine clearance? C) 50 ml/min D) 100 ml/min E) 200 ml/min F) 300 ml/min Creatinine clearance = urine volume X urine creatinine conc./ plasma creatinine conc. 20 / 20 20) Drug-to-drug interaction based on absorption, transformation, distribution and excretion is considered which one of the following types of interaction? A) Chemical interaction B) Pharmaceutical interaction C) Pharmacodynamic interaction D) Pharmacokinetic interaction Pharmacokinetics of a drug is related to the drug’s absorption, transformation, distribution and excretion while pharmacodynamics deals with receptors, cells, enzymes and organs. Your score is 0% Restart quiz Uncategorized Show Comments Leave a Reply Cancel reply Save my name, email, and website in this browser for the next time I comment. Hover or click the text box below Share Article:
