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preventive medicine > notchtop 2019 > Flashcards

notchtop 2019 Flashcards

1
Q

After eliciting positive Murphy’s sign on physical examination of the abdomen, what is your primary consideration on what is the illness of your patient?

A. Acute hepatitis
B. Acute pancreatitis
C. Acute cholecystitis
D. Acute appendicitis

A

C. Acute cholecystitis

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2
Q

What basic principle in bioethics that mandates every action of the physician must not be harmful to other, must be moral and the intention must be with good effect

A. Subsidiarity
B. Stewardship
C. Solidarity
D. Double effect

A

c. Solidarity

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3
Q

A patient is being diagnosed for meningitis. You ask the patient to lie down in supine position with hips and knees FLEXED then ask him to EXTEND his legs passively. The test is positive for nuchal rigidity if there is pain on extension of the leg. You call this test?

A. Jolt accentuation
B. Brudzinski
C. Kernig
D. Babinski

A

C. Kernig

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4
Q

Which one is not a key initiative of the National TB Control Program (NTP)?

A. Generate financial support
B. Ensure community participation
C. Formation of TB task forces
D. Act as treatment partners

A

D. Act as treatment partners

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5
Q

Which statement is true about cough medicine?

A. Mucolytics, like acetylcysteine and carbocysteine have proven efficacy for the treatment of upper respiratory tract infection
B. Oral decongestants are recommended for use in children 12 years and under for treatment of common colds
C. Oral decongestants maybe given freely to adult patients suffering from URTI
D. No good evidence exists for or against the effectiveness of over the counter cough medications for reducing coughing in adults or children

A

D?

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6
Q

Which statement is false about the components of electrocardiogram (ECG)?

A. T wave represent the repolarization of the ventricles
B. P waves represent the repolarization of the atria
C. P waves represent the depolarization of atria
D. QRS complex represents depolarization of the ventricles

A

B. P waves represent the repolarization of the atria

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7
Q

What type of bioethics principle that says decisions must come from the patient and that the physician must give the patient human dignity and responsibility to make the decision for himself and only assist him?

A. Cooperation
B. Solidarity
C. Subsidiarity
D. Stewardship

A

C. Subsidiarity

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8
Q

The following statements are true about Organ Donation:

(1) the primary reason to donate organ is to help
(2) all expenses related to donation and follow-up care must be reimbursed to the donor
(3) the recipient must show gratitude by helping the donor improve his life, education or livelihood
(4) the rewards maybe considered paying for the organ if it become and undue incentive

A. 1,2,3,4
B. 1,2,4
C. 1,2,3
D. 2,3,4

A

B. 1,2,4?

(1) the primary reason to donate organ is to help
(2) all expenses related to donation and follow-up care must be reimbursed to the donor
(4) the rewards maybe considered paying for the organ if it become and undue incentive

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9
Q

Obturator, Rovsing, Psoas signs are hallmarks of what disease?

A. Acute pancreatitis
B. Acute appendicitis
C. Acute gastritis
D. Acute cholecystitis

A

B. Acute appendicitis

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10
Q

The following ECG changes are seen in HYPOKALEMIA:

  1. peaked T waves
  2. QT interval prolongation
  3. visible U wave

A. 2,3
B. 1,3
C. 1,2,3
D. 1,2

A

A. 2,3

  1. QT interval prolongation
  2. visible U wave
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11
Q

What is the most important consideration to be taken into account when determining the professional fee of a physician?

A. The expertise of the service provider
B. Type of service provided
C. Capacity of the patient to pay
D. Type of health facility

A

B. Type of service provided?

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12
Q

When does a physician-patient relationship start?

  1. the moment the doctor answer a call
  2. when the doctor reply to a text
  3. when face to face encounter occurs

A. 1
B. 1, 2, 3
C. 3
D. 2

A

C. 3

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13
Q

Which is not a positive Moro reflex in a 4-day old infant?

A. Leg extension
B. Abduction of the arms
C. Adduction of the arms
D. Hands open

A

C. Adduction of the arms

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14
Q

What principle of Primary Health Care is shown where there is involvement of the people, from organizing, prioritization of identified issues and development of action plans?

A. Provision of basic health services
B. Community participation
C. Decentralization
D. Social mobilization

A

D. Social mobilization

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15
Q

Which is not true about the mosquito carrying Dengue, Aedes?

A. Flying range is about 400 meters
B. Found in all continents of the world except in Antartica
C. Peak biting periods are early in the morning and before dusk
D. Thrive most in contaminated, murky water

A

C. Peak biting periods are early in the morning and before dusk

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16
Q

A medical doctor can refuse to care for a patient. When are the instances when a doctor can refuse to care for a patient?

(1) when there is more competent doctors available, like a pediatrician refusing a pregnant woman
(2) when the patient insists on a test or treatment which is contrary to the doctor’s conscience
(3) during end of life days of patient, request of family “to do everything”

A. 2
B. 1
C. 3
D. 1, 2, 3

A

A. 2

17
Q

Which statement is false about chest x-ray?

A. Lung tissue composed mostly of air will allow radiation to pass thru, hence will give dark image
B. Bones and ribs may absorb more radiation and thus will appear white
C. Image is usually taken from back to front giving the PA view of the chest
D. The amount of radiation is large, hence one has to use apron lead

A

D. The amount of radiation is large, hence one has to use apron lead

18
Q

A physician must not ask payment from another physician, a colleague for his professional services, neither should he bill immediate dependent relatives of another physician for his services, which include the following, except:

A. Minor children
B. Parents
C. Siblings
D. Grandparents

A

C. Siblings
and
D. Grandparents?

19
Q

What is the process of appraising the health status of a community, using health-related statistics and determinance of health?

A. Community diagnosis
B. Community evaluation
C. Community investigation
D. Community prognosis

A

B. Community evaluation

19
Q

The Philippines is facing the fastest growing HIV infection in the Western Pacific. What is the most common mode of transmission of HIV?

A. Unprotected sex
B. Blood transfusion
C. Placental transfer
D. Sharing of needles

A

A. Unprotected sex

preventive medicine (10 decks)

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