Family medicine exam 2021

What is the most probable diagnosis of the 18-year-old patient with sore throat, temp 37.,4 white patches on the tonsils, enlarged lymph nodes, enlarged lymph nodes, splenomegaly and rash occurring after administration of amoxicillin?
Scarlet fever
Herpangina
Mononucleosis
Strep throat
Diphtheria
Which vaccinations are safe and recommended during pregnancy?
Rubella
Flu
BCG
Pertussis
True regarding vaccination:
Vaccination is a form of active immunization and is performed by introducing live and/or killed pathogens, their parts or metabolic products
Vaccination is a form of passive immunization and is performed by introducing live and/or killed pathogens, their parts of metabolic products
Vaccination is a form of passive immunization and is performed by giving prepared antibodies to the patient
Vaccination is a form of active immunization and is performed by giving prepared antibodies to the patient
All are false
(1) Fagerstrom questionnaire is used in assessment of severity of nicotine addiction. (2) the higher the score, the more addicted the patient is:
Both sentences are true and coherent
Both sentences are false and incoherent
Sentence number 1 is true, sentence number 2 is false
Both sentences are true but incoherent
Sentence number 1 is false, sentence number 2 is true
Characteristic feature of scarlet fever is NOT:
Kolpik spots
Filatows triangle
Pastias lines
Red rash that feels like sandpaper
Strawberry (raspberry) tongue
The incubation period of varicella lasts:
From 2-3 weeks
1-5 days
6 weeks
About one week
5. Depends on the child’s age
The most common cause of chronic cough is:
Asthma
GERD
ACEI
Chronic rhinitis with nasal discharge irritating back of the throat
Psychogenic etiology of the cough
What are possible complications of measles:
Encephalitis
Subacute sclerosing panencephalitis
Medial otitis
Pneumonia
All
First follow-up visits for the patient with newly diagnosed hypertension and started pharmacological therapy should be schedules after:
3 months
2 days
6 weeks
3 weeks
1 week
A 58-year-old woman comes to your office complaining of fatigue. She has also noticed a burning sensation in her feet for the past 6 months. A CBC shows anemia with an increased MCV. Which of the following is the most likely cause of her anemia?
Chronic GI blood loss
Strict vegetarian diet
Anemia associated with chronic disease
Lack of intrinsic factor
Inadequate dietary folate supply
There is no vaccination against
HCV
SARS-CoV2
S. pneumonia
H. influenzae
Hepatitis viral type A
During a home visit at the 75-year-old female patient suffering from IHD and diabetes type II, GP notices that the lady has disturbed orientation regarding people, place and time. On examination the patient presented with fine rattle in left sub-scapular area. BP is 90/60 mmHg. Which of the following scales will be useful while deciding about necessity of hospitalization of this patient?
CURB-65
CHADS-VaSc
Wells scale
Centros scale
SCORE
A 43-year-old woman is noted to have 10-lb (5kg) of unintended weight gain, hair loss, dry skin and fatigue. She is diagnosed with probable hypothyroidism. Which of the following laboratory test result is most consistent with hypothyroidism?
Elevated TSH levels and low T4&T3 levels
Elevated TSH levels and normal T4/T3
Low TSH and elevated T4/T3 levels
Normal TSH and elevated T4/T3 levels
Elevated TSH levels and elevated T4/T3 levels
A 52-year-old man comes into GPs clinic for an annual checkup. He is in good health and has a relatively unremarkable family history. He has never smoked cigarettes. For which of the following should a screening test be performed:
Colorectal cancer
Gastric cancer
Lung cancer
Prostate cancer
Abdominal aortic aneurysm
False regarding pertussis
Infection and/or immunization gives the patient full and lasting immunity
Drugs of choice are macrolide antibiotics
The highest infectiousness is related to the first-phase of the disease
Post-infectious cough might last up to 6 months
Possible complications are deafness or seizures
B-blocker contraindications is NOT:
Arteriosclerosis obliterans
Asthma bronchiole
High-grade sinoatrial or atrioventricular block
Hypertoxicosis
Bradycardia < 50/min
Which diseases of the digestive tract might lead to chest pain?
GERD
Gastric ulcer
Achalasia
Pancreatitis
All
The most common cause of conjunctivitis is
Viral etiology (adenovirus, herpesvirus)
Pollen allergy
Atopic inflammation
Unknown etiology
Bacterial etiology (S. aureus, S. pneumonia)
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