MEDICAL DOCTOR (MD) DEGREE QZ20

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High specificity means a test is good at: [MD Practice Set 20, Case 128]

A Measuring disease duration B Identifying all true cases regardless of false positives C Increasing prevalence D Determining causality E Correctly identifying people without the disease

A patient has haematuria, hypertension, oedema and red-cell casts. Which syndrome is most consistent? [MD Practice Set 20, Case 49]

A Nephrotic syndrome only B Nephritic syndrome C Diabetes insipidus D Renal stone only E Simple cystitis

A 62-year-old man presents with 45 minutes of crushing retrosternal chest pain and ST elevation in contiguous leads. What is the most appropriate next step? [MD Practice Set 20, Case 131]

A Give oral antibiotics and review in one week B Perform an exercise stress test immediately C Activate urgent reperfusion management while providing indicated acute coronary care D Wait for cardiac enzymes before any treatment E Discharge if the first troponin is normal

A patient with HIV has severe headache, fever, neck stiffness and altered consciousness. What is required? [MD Practice Set 20, Case 125]

A Urgent evaluation for central nervous system opportunistic or other infection B Discharge without examination C Exercise D Routine review next year E Vitamins only

A newborn develops jaundice within the first 24 hours. How should this be regarded? [MD Practice Set 20, Case 44]

A Normal in every newborn B Pathological jaundice requiring prompt evaluation C An indication for discharge without review D A sign of excellent feeding E Always physiological

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