Health Quiz: Medical Diagnosis Trivia Questions!

21 Questions | Total Attempts: 191

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Health Quiz: Medical Diagnosis Trivia Questions!

Are you about to start your medical career as a doctor and can feel a little nervous? Getting to review some of the things you will come across when it comes to patients is a good way to see how ready you are. Do you think you would correct diagnoses in all the cases? This health quiz is made up of medical diagnosis trivia questions to use in testing your knowledge.


Questions and Answers
  • 1. 
    A newborn infant, delivered prematurely at 35 weeks of gestation, is tachypneic and cyanotic. A slight heart murmur is detected.  Which of the following vascular defects is the most likely cause of the infant’s problems?
    • A. 

      Patent ductus venosus

    • B. 

      Patent foramen ovale

    • C. 

      Patent ductus arteriosus

    • D. 

      Patent left-to-right shunt

  • 2. 
    Which of the following factors are the bases of maternal serum screening for Down syndrome?
    • A. 

      B and D are correct

    • B. 

      A median value for MSAFP in pregnancies with Down syndrome is 0.75 times that of normal pregnancies

    • C. 

      The median value for hCG in pregnancies with Down syndrome is 0.5 times that of normal pregnancies

    • D. 

      Unconjugated estriol is approximately 30% lower in Down syndrome pregnancies compared to normal pregnancies

  • 3. 
    • A. 

      Formation of pores through fungal cell membranes

    • B. 

      Inhibition of fungal B-(1→3)-D-glucan synthase

    • C. 

      Prevents dephosphorylation of a bacterial lipid carrier

    • D. 

      Inhibition of bacterial 50S ribosomal subunits

    • E. 

      Disruption of fungal mitotic spindle

  • 4. 
    A 25-year-old woman undergoing orthoscopic surgery on her left knee is administered spinal anesthesia with bupivacaine.  Which of the following types of nerve fibers will be least sensitive to this agent?
    • A. 

      Type A delta fibers

    • B. 

      Type B fibers

    • C. 

      Type A beta fibers

    • D. 

      Type C dorsal root fibers

    • E. 

      Type C sympathetic fibers

  • 5. 
    A 32-year-old female was being investigated for primary infertility. Physical examination showed no abnormality. She had pelvic ultrasonography and hysterosalpingogram performed which are also normal. On the HSG shown below where is the most common site for fertilization?
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 6. 
    The skin lesion shown which measures 4mm in diameter would be  best described as a/an:
    • A. 

      Plaque

    • B. 

      Macule

    • C. 

      Patch

    • D. 

      Papule

    • E. 

      Pustule

  • 7. 
    A patient comes to your office with the following lesions and biopsy results. What is the most likely diagnosis?
    • A. 

      Keratacanthoma

    • B. 

      Actinic keratosis

    • C. 

      Invasive squamous cell carcinoma

    • D. 

      Basal cell carcinoma

    • E. 

      Malignant melanoma

  • 8. 
    During your internal medicine rotation, you are asked to evaluate a patient in the ICU with mucosal and skin blisters.  An H&E and immunofluorescent biopsy of the lesion are shown.  What is the most likely diagnosis?
    • A. 

      Bullous pemphigoid

    • B. 

      Dermatitis Herpetiformis

    • C. 

      Bullous vulgaris

    • D. 

      Pemphigus vulgaris

    • E. 

      Pemphigus erythematosus

  • 9. 
    A 22-year-old woman was admitted to the hospital because of an erythematous, macular eruption on the extremities, followed by the appearance of vesicles and bullae on the lips, oral mucosa, anogenital region and conjunctiva. A few days previously she was started on a treatment with trimethoprim-sulfamethoxazole for a urinary tract infection. Vital signs on admission were: temperature 103 F, pulse 125 bpm, blood pressure 100/68 mm Hg, respirations 32/min. Which of the following best explains this patient’s symptoms?
    • A. 

      Stevens-Johnson syndrome

    • B. 

      Lupoid syndrome

    • C. 

      Disulfiram-like reaction

    • D. 

      Dermatophytosis

    • E. 

      Bilirubin encephalopathy

  • 10. 
    A 9-year-old South Carolinian boy is brought in by his father to the ER in August with complaints of a three-day fever, malaise, and headache. He had not told his dad he was feeling unwell, since he wanted to continue to go to baseball camp, but he was too sick to stand up today. If Rocky Mountain Spotted Fever is suspected, what type of skin lesions would be present?
    • A. 

      Vesicular lesions starting on the body and spreading to the palms

    • B. 

      Maculopapular lesions developing into petechiae eventually covering most of the body

    • C. 

      Asynchronous papular lesions in various stages starting with the face and progressing down to the body

    • D. 

      Purpura developing into petechial lesions

    • E. 

      Ulcerating lesions found on genitals.

  • 11. 
    A 25-year-old semi-professional baseball player presents with erythema and itching of his groin. What would a skin scrape took from the inflamed area show once it was digested with 10% KOH and examined microscopically?
    • A. 

      Septate hyphae

    • B. 

      Hyaline yeasts

    • C. 

      Yeasts, pseudohyphae

    • D. 

      Encapsulated yeasts

    • E. 

      Non-septate hyphae

  • 12. 
    A 10-year-old boy playing with matches decides to see how much gas is remaining in the gas can using a lit match. He suffers 3rd-degree burns on his face, neck, and hands. What waterborne organism, normally not a threat to a healthy kid, now may cause cellulitis and septicemia? 
    • A. 

      Pseudomonas aeruginosa

    • B. 

      Clostridium perfringens

    • C. 

      Treponema pallidum

    • D. 

      Bacillus anthracis

    • E. 

      Staphylococcus aureus

  • 13. 
    Mothers in the maternity ward at the Princess Margaret Hospital are advised to put their newborns to the breast immediately after delivery. Which of the following did factors outline below justify the continuation of this practice?
    • A. 

      Colostrum, secreted in the first five postpartum days is rich in beta-lactoglobulin, which aids baby’s digestion.

    • B. 

      Colostrum contains IgG, which prevents eczema in the newborn

    • C. 

      Colostrum is lower in cholesterol than formula and thus protects against heart disease in later life.

    • D. 

      Colostrum is low in protein and cannot meet the growth needs of the new born

    • E. 

      Colostrum is rich in immunoglobulins A and M, which protect against Salmonella, Shigella and other bacteria which cause infantile diarrhea

  • 14. 
    • A. 

      Negri bodies

    • B. 

      Immortalization

    • C. 

      Owl's eye inclusion bodies

    • D. 

      Integration of the viral genome

    • E. 

      Multinucleated giant cells

  • 15. 
    A 30-year-old man comes to your clinic for a pre-employment physical. He is accompanied by his pregnant girlfriend. As part of the physical, the patient is asked to provide a urine sample. Neisseria gonorrhoeae are present in the patient’s urine indicating that the patient is infected with gonorrhea. You tell the patient about the positive test result and he asks you not to tell his girlfriend as he has been unfaithful to her and doesn’t want her to find out. You counsel him at length regarding the risks to his girlfriend and unborn child’s health if they are not tested and treated, but he still refuses to tell his girlfriend or let you tell her. What should you do?
    • A. 

      Tell the patient you are dismissing him from your practice because you find his behavior offensive.

    • B. 

      Respect his autonomy but continue to encourage him to tell his girlfriend.

    • C. 

      Ask the clinic’s senior physician what the appropriate course of action is in a situation like this one.

    • D. 

      Tell the girlfriend that she has been exposed to gonorrhea and encourage her to get tested and treated.

  • 16. 
    • A. 

      It is predominantly macular.

    • B. 

      It is palpable with a “sandpaper” feel.

    • C. 

      It is oozy and has some crusting

    • D. 

      It has excoriations due to her scratching.

  • 17. 
    A 3600 gm baby girl is delivered by caesarian section at 36 weeks of gestation. Initially, her condition seems to be good, but soon thereafter she begins to exhibit respiratory distress and then develops some seizure activity. Her plasma glucose is found to be 40 mg/dL. Which of the following is the most likely cause of all of her problems?
    • A. 

      Hemolytic disease of the newborn

    • B. 

      Maternal alcoholism

    • C. 

      Folate deficiency

    • D. 

      CFTR gene mutation

    • E. 

      Gestational diabetes

  • 18. 
    • A. 

      Subpleural petechiae and multiple peribronchial patchy inflammatory infiltrates

    • B. 

      Subpleural and subepicardial petechiae

    • C. 

      Diffuse dilation of heart chambers with subepicardial petechiae

    • D. 

      Widespread petechiae and ecchymoses, and grey bone marrow

    • E. 

      Subserosal and submucosal petechiae with hepatosplenomegaly

  • 19. 
    • A. 

      Mitral valve regurgitation and prolapse

    • B. 

      An atrial septal defect

    • C. 

      A conotruncal defect

    • D. 

      Coarctation of the aorta

    • E. 

      A ventricular septal defect

  • 20. 
    An 11-month old female infant (the picture is shown) is admitted to the pediatric ward for evaluation of repetitive bouts of viral and fungal infections. Physical examination is remarkable only for a cleft palate. Complete blood reveals a low total lymphocyte count. A lymph node biopsy is remarkable for paracortical cell depletion but is otherwise normal. Immunoglobulin levels are normal. Which of the following is the most likely diagnosis?
    • A. 

      Down syndrome

    • B. 

      Hurler syndrome

    • C. 

      Hunter syndrome

    • D. 

      Velocardiofacial syndrome

    • E. 

      Gaucher disease

  • 21. 
    A 27-year-old G2P1 woman gives birth to an LGA female infant at 36 weeks gestation.  On newborn examination, the infant is severely hydropic and jaundiced. Laboratory studies reveal an oxygen saturation of 88%, severe anemia, and unconjugated hyperbilirubinemia. Chest ultrasound detects heart enlargement with proportionate dilation of all four chambers. Which of the following is the most likely cause for the infant’s findings?
    • A. 

      Down syndrome

    • B. 

      Turner syndrome

    • C. 

      Tetralogy of Fallot

    • D. 

      Parvovirus B19 infection

    • E. 

      Alpha-thalassemia