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1. A premature baby is born at 28 weeks' gestation in your ED. They are at risk of respiratory distress syndrome due to lack of surfactant What best describes the composition of this substance?
A) Sphingolipid
B) Phospholipid
C) Phosphoglyceride
D) Fatty acid
E) Glycolipid
2. A doctor about to sit an important examination has become aware of the urge to detaecate Involuntary relaxation of which muscle is most likely to have occurred?
A) Internal anal sphincter
B) External anal sphincter
C) Puborectalis
D) Abdominal wall
E) Circular muscle coat of sigmoid
3. A 78 year old woman presents with a painful shoulder after a fall. On examination she is unable to lift the dorsum of her hand off her mid-lumbar spine (lift-off test).
Which muscle is most likely to have been injured?
A) Teres major
B) Infraspinatus
C) Supraspinatus
D) Teres minor
E) Subscapulars
4. A patient is brought into the ED unconscious Calculation from the venous blood gas confirms a low anion gap acidosis What is the most likely cause of this abnormality?
A) Hypoalbummaemia
B) Methanol
C) Diabetic ketoacidosis
D) Salicylates
E) Rhabdomyolysis
5. An 87 year old man is brought to the ED from his nursing home with loose stools and abdominal pain. You suspect Clostridium difficile infection because he had a recent course of antibiotics for pneumonia.
What measure is most likely to reduce the spread of infection to other patients?
A) Wearing gloves and aprons for patient contact
B) Treatment with metronidazole
C) Hand washing with soap and water
D) Use of alcohol hand gel
E) Isolation of the patient in a side room
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: A | Question # 3 Answer: E | Question # 4 Answer: A | Question # 5 Answer: C |
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