FAMILY MED

Which three statements correctly describe hypothyroidism

Which vaccines can be administered during pregnancy?

With what volume should be inflate the balloon in Foley’s catheter?

Women should take daily:

Wounds should be

You will diagnose hypertension if SBP and DBP are :

A. 140/85 mmHg

B. 125/90 mmHg

C. 145/90 mmHg

D. 135/95 mmHg

E. 160/100 mmHg

Choose the correct answer :

Your records show patient weighed 72kg, 1.70m tall with a waist measurement of 82cm and 100cm hips. Calculate his body mass index (BMI). Which one of the following agrees with your calculation?

Your records show patient weighed 72kg, 1.70m tall with a waist measurement of 82cm and 100cm hips. Calculate his waist hip ratio (WHR). Which one of the following agrees with your calculation?

ß-hCG levels: 

‘Get up and go’ test is a screening test for :

‘Incontinence happens when the bladder can't handle the increased intra abdominal pressure

during exercise, coughing, laughing or sneezing’. Which type of urinary incontinence describes

this sentence?

‘Incontinence is caused by a sudden, involuntary bladder contraction and it is characterized byan abrupt and strong desire to void, urgency, nocturia. ‘Which type of urinary incontinence describes this sentence?

“Craniotabes” means:

“Tunnel vision” (central vision saved) is characteristic for:

”any planned combination of educational, political, environmental, regulatory or organisational mechanisms that support actions and conditions of living conductive to the health of individuals, groups and communities” - this is the definition of:

 Adenocacinoma of prostate mostly rises from:

28-year-old woman, from about 5 years suffers from bloating and diarrhea after ingesting milk. What is the next

procedure?

37-year-old woman comes to the physician because of a 3-year history of intermittent, mild, diffuse abdominal cramps and bloating. Her symptoms occur after meals and are relieved with bowel movements. She also has constipation four to six times monthly. She says the constipation resolves spontaneously, but she sometimes has diarrhea for 1 to 2 days afterwards.

She has not had any other symptoms. She has no history of serious illness and takes no medications. Examination shows no abnormalities. Which of the following is the most likely diagnosis?

50-year old patient complains of nocturia, ankle region edema particularly in the evenings, pain in the right

subcostal area, worsening of physical activity tolerance. The most probable reason of his condition is:

86 -year-old male complains of difficulty driving at night because of glare from oncoming vehicles and difficulty reading fine print . Which of the following is the most likely condition ?

A 14-year-old presents for a routine sports examination. You are examining his spine because a nurse at his school

told him that he had an “abnormal curvature of his spine.” On forward-bending test, there is slight elevation of the

right paravertebral muscle mass, which you estimate to be about 10 degrees. On radiographic films, there is 15

degrees of angulation. What is the most appropriate initial plan for management?

A 22-year-old man has an acute, painful, red right eye with blurring of vision for one day. He had a similar episode

one year ago and has had episodic back pain and stiffness relieved by exercise and diclofenac for four years. What

is the single most likely cause of his red eye?

A 23-year-old woman returns after an abnormal Pap smear result. Her results show LSIL with a positive HPV test.

She has had 3 male sexual partners in her life over the last 4 years and has been in an exclusive relationship with

the same man for the last 3 years. She denies consistent use of barrier protection during intercourse. Her periods

are regular, lasting 5 days every 20 days. She denies menorrhagia, vaginal discharge, abnormal bleeding, dysuria,

or past history of STIs. She had her first Pap smear 2 years ago with her regular doctor; she is uncertain of the

result. What is the appropriate step in the management of this patient?

A 25-year-old woman has a blood pressure of 160/90 mmHg at week 10 of her first pregnancy. She had recurrent

urinary infections in childhood. Her urinalysis shows protein but no blood. Her blood tests show: Hb 109, BUN 7.5,

Cr 125. What is the single most likely diagnosis of her hypertension?

A 31-year-old man with longstanding alcohol dependence has vertigo and a tremor every morning. What is the

single most likely diagnosis?

A 32-year-old woman has had a febrile illness and swelling of the small joints of her hands, feet, wrists, and knees

for 2 days. She has a maculopapular rash and a few palpable cervical lymph nodes. She was previously well. There

is no history of relevant travel outside of Poland. She has 2 young children. What is the single most likely

diagnosis?

A 38-year-old man with longstanding alcohol dependence has vertigo and a tremor every morning. What is the single most likely diagnosis?

A 4-year-old girl has a temperature of 38.5 for 2 days and has not wanted to eat her food. Yesterday she developed

a sore throat and small, painful ulcers inside her mouth. Today she has small blisters on the palms of her hands

and soles of her feet which are painful but not itchy. What is the single most likely underlying cause?

A 55-year-old female with T-score 1,5 in DEXA scan should be advised: