Prometric MCQS for general practitioner (GP) Doctor MCQS Exam Questions

1. A 38-year-old man presents with acute infection of skin in the leg. Diagnosis of cellulitis has been made.

What should be prescribed?

2. 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?

3. A 29-year-old lady who is a bank manager is referred by the GP to the medical OPC due to a long history of tin in the joints. An autoimmune screen result showed smooth muscle antibodies positive.

What is the most appropriate investigation?

4. A 65-year-old man presents with significant weight loss and complains of cough, SOB and chest pain. Exam constricted, drooping of left eyelid.

What is the most likely diagnosis?

5. 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?

6. Victim of RTA came with multiple injuries to abdomen, chest and limbs. BP is 80/ 50. upper limb has upper third near amputation that bleeds profusely, what is your first thing to do:

7. lady presents with hot flashes and other symptoms of menopause.

What is the treatment option?

8. 40-year-old manual worker presents with a swelling in the groin. Exam: mass is found to be just above and l pubic tubercle. It is reducible. On applying pressure on the internal ring there is no cough impulse seen.

What probable diagnosis?

9. During a basketball match, one of the players suddenly collapsed to the ground with coughing and SOB.

What choice?

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

What is investigation?

11. 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?

12. A 62-year-old man diagnosed with T2DM with BMI=33. Lifestyle modifications have failed to control blood. Labs: urea=3.6mmol/l, creatinine=89mmol/l.

What is the next appropriate management?

13. A 65-year-old man presents with significant weight loss and complains of cough, SOB and chest pain. Exam constricted, drooping of left eyelid.

What is the most likely diagnosis?

14. The strongest type of epidemiological studies is:

15. A 2-year-old baby with atrophy of the buttocks, distended abdomen with frequent offensive smelly stool.

What is the most likely investigation?

16. 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?

17. A new screening test has been devised to detect early stages of prostate cancer.

However, the test tends t of people with no cancer, although they do have cancer as diagnosed by other standard tests.

What is this flaw?

18. A 24-year-old woman known to be suffering from panic disorder presents to the hospital with tingling and nu fingers. ABG: pH=7.52, PCO2=2.2kPa, PO2=11kPa, Bicarbonate-20.

What is the most likely condition?

19. 19-year-old sexually active lady came for her annual check-up, she is otherwise healthy using no contraceptive, her pap smear and all investigations are normal.

What will you suggest regarding her next check-up?

20. An 8 year’s boy has his tonsils and adenoids removed. On the 7th post-op day, he comes back to the hemoptysis and fever.

What is the most appropriate management?

21. Which type of contraceptive is contraindicative in lactation?

22. A 2-days baby’s mother is worried about the baby’s hearing. Mother has a history of conductive hearing lo most appropriate test?

23. 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?

24. An 8-week baby boy is noted to be jaundiced. He is breast-feeding well and has gained 300g since birth. His s and his urine is pale straw colored.

What is the most likely diagnosis?

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

26. A young woman fell and hit her knee. Exam: valgus test +ve.

What ligament was most probably injured?

27. A 32-year-old man with schizophrenia and a history of violence and distressing auditory hallucinations was a ward with aggressive behavior and has already smashed his room. He is refusing any oral meds.

What is the s appropriate injection?

28. A 14-year-old girl presents with primary amenorrhea and a short stature.

What is the most likely diagnosis?

29. A 65-year-old lady who is on thiazide suffers from falls in the morning.

What is the cause for her symptoms?

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

31. 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?

32. A 27-year-old lady after C-section developed epigastric pain after 8h.

What is the appropriate investigations?

33. Healthy parents have 2 children, a child with Cystic fibrosis and a healthy child.

They want to have another are the chances of that child being a carrier?

34. A 30-year-old female has chronic diarrhea, mouth ulcers and skin tags. She complains of visual problems, low morning stiffness. Inv: ESR & CRP=raised, Hgb=10mg/dl.

What is the most probable diagnosis?

35. 14-year-old boy has been diagnosed with nephrotic syndrome. 5days later he presents with flank pain, hem urea levels. A diagnosis of renal vein thrombosis is made.

What is the most likely cause for renal vein thrombo?

36. 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?

37. A 54-year-old patient wakes up with right sided weakness. His current medication is bendroflumethiazide for BP=160/90mmHg. CT shows left cerebral infarct.

What is the most appropriate treatment?

38. A 45-year-old man has developed an annular rash with a scaly edge on his thigh. The rash has been spreading. He has some general aches and pains.

What is the single most useful investigation?

39. Drug of choice of generalized anxiety disorder is ______________.

40. Fluoxetine half-life after acute administration is ______________________________

41. 72-year-old lady is drowsy and her relatives want to take her home.

She has been prescribed diazepam 2.5m delivery route?

42. A 53-year-old lady presents with hot flash and night sweats. Her LMP was last year. She had Myocardial infarction.

What is the most appropriate management for her?

43. A 64-year-old man complains of increasing dyspnea and cough for the past 18months. He coughs up a Table mucopurulent sputum with occasional specks of blood.

What is the most likely underlying cause?

44. 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?

45. Best method to maintain air way in conscious multiple injury is _______________________.

46. You are supposed to keep a child NPO he’s 25 kgs, how much you will give:

47. A 73-year-old man who is recovering from surgery on the left carotid artery in his neck. He has slurred speech of his tongue, the tip deviated to the left.

What is the single most appropriate option?

48. 33-year-old female complains of diplopia on upright gaze. Exam: ptosis can be seen. There are no other co significant Past medical history.

What is the most appropriate test for him?

49. A 6-year-old boy fell in the playground and has been holding his forearm complaining of pain. Exam: no sign swelling.

However, there is minimal tenderness on exam.

What is the diagnosis?

50. A 37-year-old woman presents with heavy bleeding. Investigation shows subserosal fibroid-4cm and intramu.

Which is the most appropriate treatment?

51. Which vitamin has a protective effect against colon cancer?

52. A 32-year-old woman presents with malaise fatigue and fever. She complains about weight loss. Exam: malar nasolabial fold can be seen.

What is the most appropriate investigation?

53. 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?

54. A 72years presents with polyuria and polydipsia. The fasting blood sugar is 8 and 10mmol/l.BP=130/80mm cholesterol=5.7mmol/l. There is microalbuminuria.

What is the single most appropriate next management?

55. A middle aged woman has some weakness of hand after an injury.

Which vertebra will be the lowest to be x-ray to diagnosis the injury?

56. A 80 year’s man with prostatic cancer has confusion, thirst, abdominal pain and an abnormal ECG.

What is appropriate investigation?

57. 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?

58. An 18years female has periorbital blisters. Some of them are crusted, others secreting pinkish fluid.

What likely diagnosis?

59. A patient presented to you who is known case of hypothyroidism and on thyroxin, he also has increase PT normal Vitamin D, Creatinine is very high.

On examination tapping of the angle of jaw produce facial spasms, what diagnosis?

60. An 82-year-old man has woken up with incoherent speech and difficulty in finding the right words. Exam: good comprehension.

Which anatomical site is most likely to be affected?

61. A HTN patient on bendroflumethiazide 2.5mg/d has come for his routine checkup.

Exam: BP=145/85mmHg.

What is the most appropriate management for this patient?

62. Which of the following is not a degenerative corneal disease?

63. A terminally ill with metastatic carcinoma presents with dysphagia and difficulty in swallowing.

What is possible treatment?

64. A lady developed breast abscess after delivery.

What is the most likely organism?

65. A 55 year’s man who is hypertensive suddenly lost his vision. The retina is pale and fovea appears as a spot.

What is the single most appropriate treatment?

66. 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?

67. A 28-weeks pregnant woman presents with uterine bleeding after sexual intercourse.

What is the most appropriate diagnosis?

68. 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?

69. 33-year-old lady who is a drug addict wants to quit. She says she is ready to stop the drug abuse.

What drug treatment would you give her?

70. A patient with Type-1diabetes has a fundus showing micro-aneurysm and hard exudate.

What is the single diagnosis?

71. A 3-month-old female infant is brought in because her parents say she will not eat anymore. Upon physical examination, a loud pansystolic murmur is appreciated. The child also appears small for her age, but her records show no maternal or delivery complications.

Which of the following is the most likely finding on EKG?

72. 70 year’s woman is admitted with diarrhea, vomiting and dehydration. Exam: yellow visual halos in her e ECG=bradycardia. She has a history of chronic Atrial-fib.

Which drug causes the above mentioned side effects?

73. 17 year’s female with lump in the breast, freely mobile, not attached to the skin.

What is the next investigation?

74. 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?

75. 60 year’s old patient has only HTN best drug to start with:

76. A 78 year’s retired teacher was admitted for a hernioplasty procedure. After the operation he became agitate and confused.

What is the most appropriate management?

77. A woman with sickle cell disease complains of heavy menstrual blood loss.

What is the most appropriate combined oral contraceptive pills?

78. A 28 year’s woman has been on treatment for Rheumatoid arthritis for 3yrs. She has gradual loss of vision Her ocular pressure is normal. Red reflex is absent in both eyes.

What is the single most likely diagnosis?

79. A young girl presented to gynecologist for assessment with lower abdominal pain and per vaginal bleedin of hysterosalpingograph as a part of her infertility treatment. Observation: BP=90/50mmHg, pulse-120bpm, and revealed rigid abdomen.

What is the most appropriate next investigation?

80. What is the most specific test for syphilis?

81. A patient presents with mild dyskaryosis. 1 year ago smear was normal.

What is the most appropriate next test?

82. Patient with major depression what is the first line treatment?

83. 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?

84. 45 year’s female looking pale has bluish discoloration of hands whenever she goes out in the cold. She has reddish spots on her body. She has symmetrical peripheral arthroplasty for the last year.

What is the most appropriate diagnosis?

85. A 64 year’s man believes a female newscaster is communicating directly with him when she turns a page.

Where is he suffering from?

86. Which of following favor diagnosis of SLE?

87. A 61year man was found with K+=7.5 and ECG with prolong QRS complex.

What is the best possible treatment?

88. The patient passed a 4 mm stone in his urine. Does he have a 3mm stone in the renal pelvis found on an ultrasound?

89. A young man comes up with a headache, which he describes that this headache is the most severe headache in his life.

Which of the following will be less useful?

90. An asymptomatic 56years man who has never consumed alcohol came for a routine checkup. Exam: increase spider angioma, Cardiomegaly, S3 gallop, liver firm with 8cm span, no ascites.

He is in the risk of which condition?

91. A 75-yearold man has been attending the clinic for lower urinary tract symptoms. His mood is very low and he is unhappy, anxious and unable to sleep. He has been diagnosed with moderate depression.

What treatment would you use for this patient?

92. A 30 years’ woman presents with acute headache. She complains of seeing halos especially at night.

What is likely defect?

93. A 75 year’s lady who had mitral valve replacement 13 years ago has developed recurrent breathlessness. There is a prominent pulsation in her neck. She complains of abdominal pain and ankle swelling.

What is the most probably diagnosis?

94. A homeless lady presents with cough and fever. She complains of night sweats and weight loss. CXR has opacity.

What is the next appropriate management?

95. 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?

96. A child with a small head, minor anomalies of the face including a thin upper lip, growth delay, and developmental disability can have all of the following, except:

97. A 24-year-old male with a history of gang violence presents to the emergency room with 3 stab wounds to the abdomen. He was intubated in the field for airway protection and is barely conscious. Blood pressure is 70/30 mm Hg and pulse is 140/min. On exam, 3 penetrating wounds covered by abdominal pressure pads are noted.

Which of the following is the best next step in management of this patient?

98. A 47-year old man comes to the emergency department with fever, headache, photophobia, and a stiff neck.

What is the next best step in the management of this patient?

99. Condition not associated with increased alpha fetoprotein:

100. A pregnant woman comes with weakness and elevated liver function tests. She is in her 35th week of pregnancy. The prothrombin time is normal. The smear of blood shows fragmented red cells. Platelet count is low.

What is the treatment?