Old MCQs practical

Question 1

2. A 9-year-oId female child come to the family medicine clinic complaining of loss of
   concentration and dyspnea. Her mother complains of her short stature. Height 125 cm.
   BMI 16 kg. Hb10 gm/dl (12-15), MCV 71 (75-96). What is the suspected iron profile in this case?

a) Increased serum iron and increased TIBC (total iron binding capacity)
b) Increased ferritin and increased serum iron)
c) Decreased ferritin and increased TIBC
d) Decreased serum iron and decreased TIB
e) Increased ferritin and decreased TIBC

Question 2

3. An 11 year old male patient came for nutritional education, you advised him to cat
   balanced diet, which one of these statements in this advice is NOT Accurate?

a) Calcium and vitamin D to accommodate bone growth
b) Adolescent males’ energy aid caloric requirements are higher than adolescent girls
c) Adolescent males require additional iron needs than adolescent females
d) Dietary recommendations suggest that 50% or more of total daily calories_should
come from carbohydrates
e) Amino acids for growth of striated muscle

Question 3

4. The mother of a healthy 15-year-old boy is concerned that he is the shortest child in his class, recurrent chest infections, angular stomatitis, his diet is mainly pasta, potatoes and he refuse to eat meat and chicken, on examination you noticed signs of delayed puberty, what is the cause of his illness?

a) Inadequate carbohydrates intake
b) Vitamin C deficiency
c) Vitamin D deficiency
d) Zinc deficiency
e) Calcium deficiency

Question 4

5. A mother of one month old infant presented to you complaining that her infant not having enough milk, his birth weight was 3.2 kg, he has exclusive breastfeeding, his weight now is 6 kg, on 50th percentile of growth curve. What are the signs indicating proper breastfeeding?

a) Regular breastfeeding
b) Weight gain
c) Sleep 6-8 hours daily
d) Urine output 2 to 3 times daily
e) Passing stool every 3 days

Question 5

6. A Mother, who had just delivered, attend to the clinic to discuss breastfeeding. As regards the positioning in the figure NO (I) W hat would you instruct this mother to correct the position of the baby?

a) The head should be supported only
b) The chin should be away from the breast
c) The nose should touch the breast
d) The ear and the shoulder should be in parallel line J
e) The face and the abdomen should face the mother

Question 6

7. A 25-year-old mother presented to family physician complaining of pain in the left
   breast during lactation, you ask her to breastfeed her baby and observe her. As regards the positioning in the figure NO (2). W hat would you instruct this mother to correct the attachment?

a) The mouth should be widely opened
b) The lower lip should be inverted inward
c) The nose should be closed by the breast
d) The chin shouldn’t touch the breast
e) The areola should be seen more from above than downward

Question 7

8. A 67 years old male patient, his weight is 66 kg & his height is 167cm, clinical examination is normal. He is taking warfarin. What is the proper nutritional advice for this patient to prevent food drug interaction?

a) He should eat a diet limited in vitamin K.
b) He should eat a diet rich in vitamin K.
c) He should eat a diet rich in calcium.
d) He should eat a diet limited in calcium.
e) He should eat a diet rich in vitamin Bl2.

Question 8

3.29-year-old primipara who gave birth to a healthy baby weighing 3500 grams
at 39 weeks gestation. She expresses to you that it is very important to her that
her son be exclusively breastfed. W hich of the following is recommended to
encourage successful breastfeeding?
a) Initiation of breastfeeding within 2 hours of birth
b) Continuous rooming in with breastfeeding on demand
c) encourage the use of pacifiers and artificial nipples in term breastfeeding infants
d) Restricting length of breastfeeding time to prevent nipple soreness and
engorgement

Question 9

25-year-old mother who delivered her baby at 3 days ago. presented to
family physician complaining of pain in the left breast during lactation you ask
her to breastfeed her baby and observe her. W hich of the following is a correct
about the Latch on according to the photo?
a) the mouth is widely open
b) the lower lip is turned foreword
c) more areola seen from above
d) the face of the baby facing the breast of the mother

Question 10

5. A newly delivered mother, attend the clinic complaining that, both her
   breasts are swollen and painful, so she does not let her baby suck for very
   long. Her milk is not dripping out as fast as it did before. The most likely
   cause of her condition is:
   a) High prolactin levels
   b) Breast mastitis
   c) Breast engorgement
   d) Soreness of the nipple

Question 11

6. A mother with a 3-day-old baby presents with sore nipples. The problem
   began with the first feeding and has persisted with every feeding. The most
   likely source of the problem is:

a) Baby’s suck is too strong
b) Feeding time is too long
c) Inverted nipples
d) Poor attachment to the breast

Question 12

7. Mrs. Mona is 60 years old. Her dietary history revealed that she has balanced
   diet with excessive use of fibers and dairy products. Also, she is used to take all
   her medications including levothyroxine after meals. She used to drink a cup of
   coffee with her morning calcium capsule, which of the following statements is
   true?

a) Excessive intake of fibers and dairy products is good for her
b) Taking of all medications at the same time is preferred to increase compliance.
c) Coffee increases calcium absorption
d) Calcium intake is necessary for this age group

Question 13

8. Mrs. Nadia is a 60-year-old white female presenting to the Family Medicine
   Clinic, while examination, you found her height is 170 cm and weight is 80 Kg.
   W hat do you think regarding her BMI? She is

a) Overweight
b) Obese
c) Underweight
d) Normal

Question 14

9. W hat’s unhealthy in this food label?

a) High Sodium
b) 2 Carb. Servings
c) Contains Trans, fats
d) A&C
e) Low vitamin C

Question 15

10- 14-year-old female patient presented to family medicine clinic for routine
checkup, her stature for age is on:

a) 10th percentile
b) 25th percentile
c) 50th percentile
d) 75th percentile

Question 16

11- 14-year-old female patient presented to family medicine clinic for routine
checkup Regarding W eight for age, she is
a) underweight
b) Normal
c) Overweight
d) Obese

Question 17

12. Mrs,Magda’s waist circumference is 98 cm. W hat do you think regarding
    her waist circumference?
    a) She is at low risk
    b) She is at medium risk
    c) She is at high risk
    d) There is no risk

Question 18

4. Mrs. Mona is 60 years old. Her dietary history revealed that she has balanced
   diet with excessive use of fibers and dairy products. Also, she is used to take all
   her medications including levothyroxine after meals. She used to drink a cup of
   coffee with her morning calcium capsule. She asked you about the proper way
   of levothyroxine intake. W hat would you advise?

a) Taking levothyroxine first thing in the morning, 2hours before eating is
preferred.
b) Taking of fibers and dairy products at the same time with levothyroxine is
preferred.
c) Taking Coffee with levothyroxine to increase its absorption.
d) Taking Calcium with levothyroxine is necessary for its absorption.

Question 19

5. A newly delivered mother (Figure No 1), attends the clinic complaining of
   painful swelling in her left breast for three days. It is extremely tender, and the
   skin of a large part of the breast looks red. She has a fever and feels too ill, so
   she does not let her baby suck for very long. Her milk is not dripping out as fast
   as it did before. W hat is the most likely cause of her condition?

a) High prolactin levels
b) Breast mastitis
c) Breast engorgement
d) Soreness of the nipple

Question 20

6. A mother with a 4-day-old baby presents with sore nipples. The problem
   began with the first feeding and has persisted with every feeding. She mentioned
   that she allows the baby feeds when he wants and she left him about 10 min on
   each breast. W hat is the most likely cause of her problem?

a) Baby’s suck is too strong
b) Feeding time is too long
c) Poor attachment to the breast
d) Inverted nipples

Question 21

7. A 25-year-old mother who delivered her baby at 3 days ago. presented to
   family physician complaining of pain in the left breast during lactation you ask
   her to breastfeed her baby and observe her. According to figure No (2). W hich
   of the following is wrong about the Latch on?

a) The mouth is not widely open
b) The lower lip is turned outward
c) The baby’s chin is touching the breast
d) The face of the baby facing the breast of the mother

Question 22

9. W hat is the type of fat which present in packed cookies?
   a) PUFA (Polyunsaturated fatty acids)
   b) Saturated fats
   c) MUFA (Monounsaturated fatty acids)
   d) Trans. Fats

Question 23

12. How frequently do you usually recommend that infants be breastfeed during
    the first month of life?

a) Every hour
b) Every 2 hours
c) Every 4 hours
d) On demand, approximately 8-12 times per day

Question 24

1. R.M female is 25 years old is coming with her first 4 months child to receive
   the scheduled vaccination, she went to the family physician discussing her
   concern about breastfeeding. She feels that her breast milk is not sufficient and
   the child is always crying. How would you proceed with the mother?

A. Advise her to drink plenty of fluids
B. Prescribe to her drugs to increase milk
C. Prescribe artificial complementary feeding
D. Advise her to start weaning of the child
E. Examine her breast and watch while she breastfed her child

Question 25

6. A 52-year-old obese female attends your clinic to help her with losing weight.
   She is not suffering from any medical problem. Her waist circumference is 100
   cm. W hich of the following items will help you to diagnose metabolic syndrome
   in this patient?

A. Elevated Total cholesterol and elevated LDL
B. Elevated triglycerides and Low HDL
C. Hypertension and elevated HDL
D. Impaired fasting glucose and elevated HDL.
E. Type 1 DM and elevated uric acid.

Question 26

8. A 25-year-old mother who delivered her baby at 3 days ago, presented to
   family medicine clinic complaining of pain in the left breast during lactation. You
   ask her to breastfeed her baby and observe her. According to the latch on in figure
   No (2). W hich of the following is not fulfilled (done wrong)?
   A. The mouth is covering most of the areola
   B. The lower lip is turned outward
   C. The baby’s chin is touching the breast
   D. The face of the baby facing the breast of the mother
   E. The ear and shoulder in same line.

Question 27

1. A 22-years-old primipara (Figure No 1), who gave birth 5 days ago presents
   to you with right sided breast pain and sensation of fullness, not associated with
   redness, hotness or fever and she tells you that her baby is always crying. W hat
   should you discuss with a mother to relieve her symptoms?
   A. Advise her to stop breastfeeding till pain is relieved
   B. Advise her to breastfeed every 4 hours
   C. Advise her to feed for 5 minutes per breast
   D. Advise her to respond promptly to infant feeding cues
   E. Advise her to start Antibiotic

Question 28

2. A 25-year-old mother who delivered her baby at 3 days ago, presented to
   family medicine clinic complaining of pain in the left breast during lactation.
   You ask her to breastfeed her baby and observe her. According to the latch on
   in Figure No (2). W hich of the following is a sign of bad latch on?
   A. The mouth is covering most of the areola
   B. The lower lip is turned inward
   C. The baby’s chin is touching the breast
   D. The face of the baby facing the breast of the mother
   E. The ear and shoulder in same line.

Question 29

3. Mrs. Noha is 25 years old female coming with her first 1-week child to receive his 1st
   vaccine, she went to the family physician discussing how frequently infants be breastfed
   during the first month of life?

a) Every hour
b) Every 2 hours
c) Every 3 hours
d) Every 4 hours
e) on demand, approximately 8-12 times per day

Question 30

. A 25-year-old mother who delivered her baby 3 days ago presented to family
physician complaining of pain in the left breast during lactation, you ask her to
breastfeed her baby and observe her. W hich of the following is a sign of poor Latch on
according to the Figure No (1)?
a) the mouth is widely open
b) the lower lip is turned inward
c) more areola seen from above
d) the face of the baby facing the breast of the mother

Question 31

5. A newly delivered mother, attend the clinic complaining that, both her breasts are
   swollen and painful, so she does not let her baby suck for very long. Her milk is not
   dripping out as fast as it did before. According to figure No (2), The most likely cause of
   her condition is:
   a) High prolactin levels
   b) Breast mastitis
   c) Breast engorgement
   d) Soreness of the nipple

Question 32

6. A mother with a 3-day-old baby presents with sore nipples. The problem began with
   the first feeding and has persisted with every feeding. The most likely source of the
   problem is:

a) Baby’s suck is too strong
b) Feeding time is too long
c) Inverted nipples
d) Poor attachment to the breast

Question 33

7. Mrs. Mona is 60 years old. Her dietary history revealed that she has balanced diet
   with excessive use of fibers and dairy products. Also, she is used to take all her
   medications including levothyroxine after meals. She used to drink a cup of coffee with
   her morning calcium capsule. She asked you about the best time of levothyroxine
   intake. You advised her to:
   a) Take their levothyroxine first thing in the morning, 2hours before eating.
   b) Taking of fibers and dairy products at the same time with levothyroxine is preferred.
   c) Coffee increases levothyroxine absorption
   d) Calcium intake is necessary for levothyroxine absorption

Question 34

9. The type of fat which present in milk is
   a) PUFA (Polyunsaturated fatty acids)
   b) Saturated fats
   c) MUFA (Monounsaturated fatty acids)
   d) Trans. Fats