Bar

noot
aammasbar
noot
akanaat
a,uuqabakayyoonor
omoot
a

Eachoftheit
emsinthistesti
sfoll
owedbyf ourpossi
bler
esponses.Foreach
it
em,chooseONEcorrectanswer.Indi
cat
eyouranswerbycircl
ingthelet
terof
yourchoi
ce.Eachcor
rectresponseiswort
honepoi nt

1. A28year
-ol
dmanbr
oughti
ntot
hehospi
talwi
thacl
ini
calsi
gnandsympt
omsof
pol
ydypsi
a,pol
yphagi
a,andpol
yur
iaandwei
ghtl
oss.Af
terdet
ail
eddi
agnosi
s,t
he
physi
cianr
ecommendsl
if
elongi
nsul
int
her
apy.

Whi
cht
ypeofdi
abet
esmel
li
tusi
smostl
ikel
ydi
agnosed?

A. Gest
ati
onalDi
abet
esMel
li
tus

B. Secondar
yDi
abet
esMel
li
tus

C. TypeIDi
abet
esMel
li
tus

D. TypeI
IDi
abet
esMel
li
tus

2. A 20year
-ol
dmancomest
oaHospi
talwi
thDi
abet
esMel
li
tus.Af
terar
ri
valand
det
ail
edassessment
,thepat
ient
sever
yor
gansyst
em oft
hebodybecomeAf
fect
ed.
Whi
choneoft
hef
oll
owi
ngi
smacr
ovascul
arcompl
icat
ion?

A. Cor
onar
yar
ter
ydi
sease
B. Di
abet
icNephr
opat
hy
C. Di
abet
icNeur
opat
hy
D. Di
abet
icr
eti
nopat
hy
3. Mostpeopl
e wi
th newl
y di
scover
ed t
ype I
IDM ar
e over
wei
ght
.The i
mpor
tant
managementf
orsucht
ypeofpat
ient
sisdi
etandexer
cise.I
naddi
ti
ont
othi
s,whi
ch
oft
hef
oll
owi
ngOr
alagenti
srecommendi
ngasf
ir
stl
inet
her
apy?

A. Megl
it
ini
des

B. Met
for
min

C. Sat
agl
ipt
in

D. Sul
fonyl
ureas

4. Whi
choneoft
hef
oll
owi
ngI
nsul
ini
nject
ionar
eahast
hegr
eat
estspeedofabsor
pti
on
f
rom i
tssi
te?
 A. Abdomen
B. Ar
ms(
post
eri
orsur
face)
C. Hi
ps
D. Thi
ghs(
ant
eri
orsur
face)
5. Youexpl
aint
othepat
ientabouthypot
hyr
oidi
sm t
hatt
hesympt
omsshoul
dresol
veas
t
hemedi
cat
ionr
eachesanappr
opr
iat
elevel
.Whi
choft
hePr
esent
ingsi
gnsand
sympt
omsofhypot
hyr
oidi
sm i
ncl
ude:

A. Fat
igueandcol
dint
oler
ance.
B. Pol
ydypsi
aandpol
yphagi
a.
C. Tachycar
diaanddi
arr
hea.
D. Wei
ghtl
ossandhyper
glycemi
a.
6. Whent
her
eisadi
sor
derovert
hemuscul
oskel
etalsyst
em,wehavemanyopt
ionsof
di
agnost
icmodal
it
ies.Amongt
hosemodal
it
ies,
whi
choft
hef
oll
owi
ngpr
ocedur
eis
usedf
oraspi
rat
ionandexami
nat
ionofsynovi
alf
lui
dfr
om t
hej
oint
s?

A. Ar
thr
ocent
esi
s

B. Ar
thr
opl
ast
y

C. Ar
thr
oscopy

D. Myel
ogr
am

7. A pat
ientpr
esent
swi
thabdomi
nalpai
nthati
sini
ti
all
yper
iumbi
li
calbutovert
ime
movest
other
ightl
owerquadr
antar
ea.Whi
choft
hef
oll
owi
ngcl
ini
calcondi
ti
oni
s
mostl
ikel
ysuspect
ed?

A. Appendi
cit
is
B. Chol
ecyst
it
is
C. PUD
D. Di
ver
ti
cul
it
is

8.Whi
choft
hef
oll
owi
ngpr
obl
em i
smost
lyassoci
atedwi
thost
eopor
osi
s?
A. I
nfect
ioni
nthebone
B. Per
ipher
albl
oodcl
otf
ormat
ion.
C. Fr
act
uref
ormat
ion.
D. Pai
nfulj
ointi
nfl
ammat
ion
9.Assumeyouar
ewor
kingi
ntheemer
gencysur
gicalOPDwi
thanOr
thopedi
cianwho
 i
sexami
ningapat
ientwi
thf
act
ure.TheOr
thopedi
cianf
oundt
hatt
hebonei
sbr
oken
i
ntomanyf
ragment
swi
thcr
epi
tusandheasksyout
otel
lhi
mthet
ypeoff
ract
ure
t
hathasoccur
red.Whatshoul
dbeyouranswerf
rom t
hegi
venal
ter
nat
ives?

A. Commi
nut
edf
ract
ure

B. Compr
essedf
ract
ure

C. I
mpact
edf
ract
ure

D. Spi
ralf
ract
ure

10.
Whi
choft
hef
oll
owi
ngi
sthemostcommoncauseofacut
eOst
eomyel
it
is?

A. S.aur
eus

B. Gr
am negat
iver
ods

C. H.I
nfl
uenza

D. Ent
erococci

11.
Whi
choneoft
hef
oll
owi
ngshowst
hesequent
ialst
epsoff
ract
uremanagementi
n
t
hehospi
tal
?

A. Reduct
ion-
--
-r
ehabi
li
tat
ion-
--
-i
mmobi
li
zat
ion

B. I
mmobi
li
zat
ion-
--
-r
educt
ion-
--
-r
ehabi
li
tat
ion

C. Reduct
ion-
--
-i
mmobi
li
zat
ion-
--
-r
ehabi
li
tat
ion

D. Rehabi
li
tat
ion-
--
-i
mmobi
li
zat
ion-
--
-r
educt
ion

12.
Whi
choft
hef
oll
owi
ngi
sthemostcommonconf
ir
mat
orydi
agnost
icmechani
sm of
f
ract
ure?

A. Physi
calexami
nat
ion

B. Hi
stor
ytaki
ng

C. Labor
ator
ytest
s

D. X-
ray/
radi
ogr
aphy
13.
Ther
ear
edi
ff
erentf
act
orst
hataf
fectf
ract
ureheal
ingpr
ocess.Amongt
hosef
act
ors,
whi
choneoft
hef
oll
owi
ngenhancest
hef
ract
ureheal
ingt
ime?

A. Ext
ensi
vel
ocalt
rauma
B. Met
abol
icbonedi
sease
C. Pr
omptr
educt
ionofbonef
ragment
s
D. Spaceort
issuebet
weenbonef
ragment
s
14.
Whati
sthebi
ologi
calhal
lmar
kofHyper
uri
cemi
aingoutpat
ient
s?
A. I
ncr
easedur
icaci
dexcr
eti
onorur
icaci
dover
product
ionorbot
h.

B. Hyperpr
oduct
ionofur
icaci
dorr
educedur
icaci
dexcr
eti
onorbot
h.

C. Reducedur
icaci
dpr
oduct
ionordecr
easedur
icaci
dexcr
eti
onorbot
h.

D. I
diopat
hicor
igi
ns.

15.
A Twent
yei
ght
-year
-ol
dpat
ienthasr
ecent
lybeendi
agnosedwi
thDi
abet
esMel
li
tus.
Af
teraweek,t
hepat
ientcompl
ainspr
ogr
essi
ver
isei
nbl
oodgl
ucosef
rom bedt
imet
o
mor
ning.
Whi
choft
hef
oll
owi
ngchar
act
eri
sti
csofmor
ninghyper
glycemi
aisdescr
ibed?
A. Dawnphenomenon
B. Hypogl
ycemi
a
C. I
nsul
inwani
ng
D. Somogyi
eff
ect

16.
A25year
-ol
dmanwi
thknownt
ypeIDM i
sbr
oughtt
oahospi
tal
.Hei
sal
soaknown
hyper
tensi
vepat
ient
.Hi
sbl
oodgl
ucosel
eveli
s800mg/
dl,ur
ineket
on3+,andPCO2i
s
10mmHg.Whi
choneofi
sthef
oll
owi
ngf
lui
dismostappr
opr
iat
etobegi
vent
othi
s
pat
ient
?

A. 0.
45%sodi
um chl
ori
desol
uti
on
B. 0.
9%sodi
um chl
ori
desol
uti
on
C. DNSsol
uti
on
D. Dext
rose5%sol
uti
onj
17.
A 55year
-ol
dwomanbr
oughtt
oaHospi
talwi
thadi
agnosi
sofdehydr
ati
on.Af
ter
physi
cal
exami
nat
ion,
whati
nit
ial
assessmentf
indi
ngswoul
dyouexpectt
osee?
A. Br
adycar
dia,
slowedr
espi
rat
ions,
lowbodyt
emper
atur
e,andwei
ghtgai
n.
 B. Ral
es,
per
ipher
aledema,
pal
pit
ati
ons,
anddi
aphor
esi
s.
C. Tachycar
dia,
hypot
ensi
on,
poorski
ntur
gor
,anddecr
easedur
inar
yout
put
.
D. Mal
aise,
lymphadenopat
hy,
fever
,shor
tnessofbr
eat
h,andnausea

18.
Whati
sthedef
ini
ti
vet
reat
mentoft
hepat
ient
swi
thappendi
cit
is?
A. Bowelpr
epar
ati
onf
orcl
eansi
ng.
B. Medi
cat
ionst
olowerpHwi
thi
nthest
omach.
C. Sur
gicalr
emovalofappendi
x.
D. Tr
ansf
usi
ont
orepl
acebl
oodl
oss.
19.
Whati
sthepr
ocessofr
emovi
ngasmanymi
croor
gani
smsaspossi
blef
rom t
hehands
andar
msbymechani
calwashi
ngandchemi
calant
isepsi
sbef
orepar
ti
cipat
ingi
na
sur
gicalpr
ocedur
e?

A. Ant
isept
icHandr
ub

B. Handant
isepsi
s

C. Handwashi
ng

D. Sur
gicalscr
ub

20.
Whati
sthePr
ocessofr
emovi
ngsoi
landdebr
isandr
educet
ransi
entf
lor
afr
om t
he
handsusi
ngpl
ainsoapandwat
er?

A. Ant
isept
ichandr
ub
B. Handant
isepsi
s
C. Handwashi
ng
D. Sur
gicalscr
ub
21.
A25-year
-ol
dmal
epat
ienti
sbr
oughtt
oahospi
talandunder
goneabdomi
nalsur
ger
y.
Af
tert
wodays,
thepat
ient
’si
nter
nalor
ganswer
efoundpr
otr
udedt
hrought
hedi
srupt
ed
woundedge.Whi
choft
hef
oll
owi
ngt
erm mostl
ikel
ydescr
ibet
hisf
indi
ng?
A. Kel
oid
B. Hemat
oma
C. Dehi
scence
D. Evi
scer
ati
on
22.
Whi
choft
hef
oll
owi
ngpr
ocedur
erequi
rest
ri
ctasept
ict
echni
que?
A. Cat
het
eri
zat
ionB.Ret
ent
ionenema C.Cl
eansi
ngenema D.NGTi
nser
ti
on
23.
Whi
choft
hef
oll
owi
ngr
ati
odescr
ibest
hecor
rectal
coholt
ogl
ycer
inpr
epar
ati
onf
or
handr
ub?

A. 1:100ml

B. 2:100ml

C. 100:2ml

D. 200:1ml

24.
A35-year
-ol
dmanbr
oughtt
oahospi
talwi
thcaracci
dentonhi
slowerl
eg.Onphysi
cal
exami
nat
ion,hehasopen f
ract
ureon i
t.Whati
sthepr
efer
red met
hod t
o cont
rol
bl
eedi
ngont
hesi
te?

A. Di
rectpr
essur
e

B. I
ndi
rectpr
essur
e

C. El
evat
ionoft
heaf
fect
edl
imb

D. Appl
yTour
niquet

25.
Whi
ch one oft
he f
oll
owi
ng di
agnost
ic pr
ocedur
es i
sthe di
recti
nspect
ion and
exami
nat
ionoft
hel
arynx,t
rachea,andl
owerst
ruct
urest
hroughei
theraf
lexi
bleora
r
igi
dscope?

A. Br
onchoscopy
B. Endoscopy
C. Magnet
icResonanceI
magi
ng
D. Thor
acoscopy
26.
Whi
choft
hef
oll
owi
ngi
sthemosti
mpor
tantr
iskf
act
orsf
orRespi
rat
oryDi
sease?

A. Occupat
ion

B. Fami
lyhi
stor
yofl
ungdi
sease

C. Smoki
ng

D. Al
ler
gensandenvi
ronment
alpol
lut
ant
s
27.
A-29-
yearol
dpat
ientpr
esent
edwi
thani
nter
mit
tentcough,dyspneaandwheezi
ng.On
P/
E,hehasbi
lat
eraldecr
easedai
rent
ry,r
api
drespi
rat
ionandweakness.Whi
choft
he
f
oll
owi
ngi
sthemostl
ikel
y,pr
obl
em oft
hepat
ient
?

A. Br
onchi
alAst
hma

B. Chr
oni
cobst
ruct
ivepul
monar
ydi
sease

C. Pul
monar
ytuber
cul
osi
s

D. Pneumoni
a

28.
A42-year–ol
dpat
ienthadsur
ger
ybef
oret
womont
hsandbr
oughtt
oaHospi
talwi
th
cr
ampypai
nthati
swavel
ikeandcol
ickyi
nnat
ure.Ther
eisnopassageofbowel
cont
ent
sandonphysi
calexami
nat
iont
heabdomeni
sdi
stended.Whi
choneoft
he
f
oll
owi
ngi
sthepr
obabl
ecausef
orhi
sobst
ruct
ion?

A. I
ntussuscept
ion

B. Adhesi
on

C. Vol
vlus

D. Tumor
sandneopl
asm

29.
Yourpat
ienti
sexper
ienci
ngcongest
ivehear
tfai
lur
e.Whatmedi
cat
ionwoul
dyouexpect
t
oadmi
nist
ert
ost
rengt
henmyocar
dial
cont
ract
il
it
y?

A. Ni
tr
opr
ussi
de
B. Di
goxi
n
C. Ni
tr
ogl
ycer
ine
D. Fur
osemi
de

30.
A35-year
-ol
dpat
ienti
sbr
oughtt
oaHospi
talwi
thadi
agnosi
sofpneumoni
afol
lowi
nga
r
ecenti
ntr
athor
aci
csur
ger
y.Whi
choft
hef
oll
owi
ngdr
ugi
smostl
ikel
ypr
escr
ibed?

A. Gent
amyci
n
B. Amoxaci
ll
in
C. Levof
loxaci
n
D. Docycl
ine
31.
Whi
choneoft
hef
oll
owi
ngi
str
ueaboutpr
event
ionofpr
essur
eul
ceri
ncomat
ose
pat
ient
?

A. Posi
ti
oni
ngdi
stur
bpat
ient
sincoma
B. Changi
ngt
heposi
ti
onofabed-
ri
ddenpat
ientever
y8hour
s
C. Rubt
heski
nvi
gor
ousl
ywi
thal
cohol
D. Mi
nimi
zepr
essur
eont
hebonypr
omi
nenceofabed-
ri
ddenpat
ient

32.
A-40-yearol
dpat
ienti
sbr
oughtt
oaHospi
talwi
thadi
agnosi
sofnephr
oli
thi
asi
sand
advi
sedt
oincr
easef
lui
dint
ake.
Whati
sthei
mpor
tanceofi
ncr
easi
ngf
lui
dint
akei
nthi
s
pat
ient
?

A. Toconcent
rat
etheur
ine
B. Tohel
pfl
usht
hest
onest
hrought
heur
inar
ytr
act
C. Tocr
yst
all
izet
hest
ruvi
tef
rom t
her
enalt
ubul
es
D. Tobr
eakdownt
hest
onesi
ntosmal
lerpi
ecest
hatwi
llmor
eeasi
lypasst
hrough
t
heur
inar
ytr
act
33.
Oneofyourpat
ient
sisawai
ti
ngl
abr
esul
tsf
orki
dneyf
unct
ion.Thepat
ienthasr
ecent
ly
r
ecover
edf
rom ast
rept
ococcalt
hroati
nfect
ion.Whi
choneoft
hef
oll
owi
ngki
dney
di
sor
der
smi
ghtt
hepat
ienthave?

A. Chr
oni
crenalf
ail
ure
B. Gl
omer
ulonephr
it
is

C. Acut
erenalf
ail
ure
D. Pyel
onephr
it
is
34.
Whi
choft
hef
oll
owi
ngi
sanexampl
eoft
ypeI
Vhyper
sensi
ti
vit
yreact
ions?

A. Al
ler
gicr
hini
ti
s

B. Ast
hma

C. At
opi
cder
mat
it
is

D. Cont
actder
mat
it
is

35.
Whi
choft
hef
oll
owi
ngi
sthef
ir
stl
inedr
ugofchoi
cef
orahospi
talacqui
redgr
am
negat
ivebact
eri
alpneumoni
a?
 A. Met
roni
dazol
e500mgpot
id
B. Amoxi
cil
li
n500mgpo/i
vti
d
C. Gent
amyci
n80mgi
v/i
mti
d
D. Cl
oxaci
ll
in500mgpo/i
vqi
d
36.
Whi
choneoft
hef
oll
owi
ngvi
tal
signi
snotaf
fect
edbydi
urnalvar
iat
ions?

A. Bl
oodpr
essur
e

B. Bodyt
emper
atur
e

C. Respi
rat
oryr
ate

D. Pul
ser
ate

37.
Anur
singcar
ethatbegi
nswhent
hepat
ienti
str
ansf
err
edt
otheoper
ati
ngt
abl
eand
endswhent
hepat
ienti
sadmi
tt
edt
othepostanest
hesi
auni
t.
Whi
choneoft
hef
oll
owi
ng
t
erm descr
ibest
hisphaseofnur
singcar
e?

A. Per
ioper
ati
vecar
e
B. Pr
eoper
ati
vecar
e
C. Post
oper
ati
vecar
e
D. I
ntr
aoper
ati
vecar
e
38.
Whi
choneoft
hef
oll
owi
ngi
sthecor
rectsequencef
rom t
hesl
owestt
ofast
estr
ateof
absor
pti
onofdr
ugsatt
hesi
tesofadmi
nist
rat
ion?
A. Subl
ingual
,Or
al,
SC,
IV,
IM

B. Or
al,
Subl
ingual
,SC,
IM,
IV

C. SC,
oral
,Subl
ingual
,I
V,I
M

D. Or
al,
SC,
Subl
ingual
,I
M,I
V

39.
Whi
choneoft
hef
oll
owi
ngi
scor
rectt
omanageshar
pinj
uryoft
heabdomen?

A. Removi
ngt
heshar
pobj
ecti
shel
pst
omi
nimi
zef
urt
hert
issuedamage

B. Gi
vef
lui
dsbymout
htosever
elyt
hir
stedvi
cti
mst
ocount
eractbl
oodl
oss

C. Tr
ytor
epl
acepr
otr
udi
ngor
gans&coverwi
thdr
essi
ngst
opr
eventdr
yness
 D. Pl
acet
hevi
cti
m onsemif
owl
er’
sposi
ti
ont
oavoi
dbr
eat
hingdi
ff
icul
ty

40.
Evenasi
ngl
ebr
eaki
nthechai
nofasept
ic&st
eri
let
echni
quesi
nheal
thcar
eset
ti
ngswi
ll
r
esul
tini
ntr
oduct
ion ofmi
croor
gani
sms i
nto ourbody.Whi
ch oft
he f
oll
owi
ng
st
atementdescr
ibesani
nfect
ionacqui
redi
nsuchaway?

A. Oppor
tuni
sti
cinf
ect
ion

B. Nosocomi
ali
nfect
ion

C. Medi
calasepsi
s

D. Sur
gicalasepsi
s

41.Whati
sthedoseofTATt
obeadmi
nist
eredf
oranadul
tfol
lowi
nganopenwound?
A. 1500I
MIM
B. 1500I
USC
C. 3000I
UIM
D. 3000I
UID
42.
Whi
chWHOcl
ini
calst
agei
ssui
tabl
eforanHI
Vposi
ti
vepat
ientwi
thext
ra-
pul
monar
y
t
uber
cul
osi
sandpneumocyst
iscar
ini
ipneumoni
a/PCP/
?
A. St
age-
1
B. St
age-
2
C. St
age-
3
D. St
age-
4
43.
A-24-yearol
dwomani
sbr
oughtt
oahospi
talwi
thadi
agnosi
sofbl
ooddi
sor
der
.On
l
abor
ator
yanal
ysi
shemat
ocr
itbecome55%.Whi
cht
ypeofbl
ooddi
sor
derwi
llexpl
aini
t?
A. Hemol
yti
canemi
a
B. I
rondef
ici
encyanemi
a
C. Apl
ast
icanemi
a
D. Pol
ycyt
hemi
a
44.
Whi
choft
hef
oll
owi
ngi
snotasi
gn/
sympt
om ofdepr
essi
onaccor
dingt
otheDSM-
IV
cr
it
eri
a?
A.Mar
kedl
ydi
mini
shedi
nter
estorpl
easur
einal
l,
B.I
nsomni
aorhyper
somni
anear
lyever
yday.
C.Fat
igueorl
ossofener
gynear
lyever
yday.
 D.Feel
ingsofsel
f-
wor
thi
ness
45.
A30year
sol
ddai
lyl
abor
erpr
esent
edwi
thabel
ieft
hatpeopl
ear
etal
kingabouthi
m,
bei
ngpr
osecut
edandf
oll
owedbyot
her
s.Onf
urt
herhi
stor
yandP/
E,hehasnoi
nsi
ght
ont
hedi
seaseandf
eel
sangert
owar
dst
henur
seandhi
sat
tendant
.Whi
choft
he
f
oll
owi
ngwoul
dbet
hemostl
i
kel
ypr
obl
em oft
hispat
ient
?

A. Schi
zoi
dpsychosi
s

B. Par
anoi
dpsychosi
s

C. Mani
cdepr
essi
vepsychosi
s

D. Hypomani
a

46.
Whi
choft
hef
oll
owi
ngi
snotar
out
eofhepat
it
isBt
ransmi
ssi
on?
A. Bl
oodcont
act
B. Sexualcont
act
C. Ani
malcont
act
D. Per
inat
alt
ransmi
ssi
on
47.
Whati
sthef
ir
stt
hingyoushoul
ddof
orapat
ienthavi
ngepi
lept
icsei
zur
e?

A. Gi
vedi
azepam

B. Pr
eventt
ongbi
ti
ngbyi
nser
ti
ngor
alai
rway

C. Puthi
m orheront
hel
ater
alposi
ti
on

D. Rest
rai
nst
hepat
ient

48.
Apatienti
nICUhasfrequentoralandendot
reachalt
ubesecr
eti
on.Oneoft
hef
oll
owi
ng
stat
ementsiscor
rectaboutsucti
oningofapati
ent.

A. St
eri
li
tyi
smandat
ory

B. At
elect
asi
sisunl
ikel
y

C. Pr
e-oxygenat
ioni
snotmandat
ory

D. Thet
imeofsuct
ioni
ngexceeds30seconds

49.
Whatwoul
dbet
hef
ir
stl
ineemer
gencymanagementofapat
ientwi
thacut
east
hma?
 A. Ami
nophyl
ine C. Oxygen

B. Hydr
ocor
ti
sone D. Sal
but
amol

50.
A-32-yearoldknownRVIpat i
entwhohasdiarrheaforthepast1mont
hwithdecrease
int
akecamet otheEDwi t
hweaknessandchangei nment at
ionof1daydurat
ion.On
o o
physi
calexaminati
on,Bp-unr ecordabl
e,PR 140b/ m,RR 36b/ m,T 35c,Oxygen
satur
ati
on-80%.Whatisyourpri
ori
tymanagementforthi
spatient
?

A. Checkhi
sai
rway,
breat
hingandsecur
ewi
debor
ebi
lat
eralI
Vli
ne

B. Secur
ebi
lat
eral
IVl
i
ne

C. St
artwar
mingupt
hepat
ientbecausehei
shypot
her
mic

D. Takef
urt
herhi
stor
yregar
dingt
hedur
ati
onandt
hequal
it
yoft
hedi
arr
hea

51.
A- 20-
yearol dmal epat
ientwhosustainedcaraccidentcametoyouwi thlossof
consciousnessof5 hour sdur
ati
on.On P/ E,thepati
entissnor
ing wit
h excessive
secret
ionsfrom hi
smouth.Whatwil
lbetheprior
it
ynur
singmanagementforthi
spatient
?

A. Takevi
talsi
gns

B. Assessf
orpr
esenceofbl
eedi
ng

C. Openai
rwayandappl
ysuct
ioni
ng

D. Secur
ebi
lat
eral
IVl
i
nest
omanageshock

52.
Whati
sthepr
efer
abl
eposi
ti
onf
orf
emal
eur
inar
ycat
het
eri
zat
ion?

A. Leftl
ateralposi
ti
on
B. Dorsalrecumbentposit
ion
C. Supinepositi
on
D. Trendelenburgposi
ti
on
53.
Whi
chofthefoll
owingisthemostcommonl
yusedcat
het
ersi
zef
oranadul
tmal
e?

A. #14f
r C. #18f
r

B. #16f
r D. .#10f
r

54.
Whi
choft
hef
oll
owi
ngr
out
esofdr
ugadmi
nist
rat
ionhasf
astonsetofact
ion?

A. I
ntr
amuscul
arr
out
e C. Or
alr
out
e

B. I
ntr
avenousr
out
e D. Subcut
aneousr
out
e

55.
Which ofthe f
oll
owing i
s saf
est
,mostconveni
entand l
eastexpensi
ve r
out
e of
medicat
ionadmi
nist
rati
on?

A. Or
al B. I
ntr
amuscul
ar
 C. Subcut
aneous D. I
ntr
ader
mal

56.I
nject
ionofdr
ugi
ntot
het
issuej
ustbeneat
htheski
n.

A. I
ntr
avenous C. Subcut
aneous

B. I
ntr
amuscul
ar D. I
ntr
ader
mal

57.
W/roAlmazcomestoyourdepar
tmentwithshockandshehasnoper
ipheralpul
se.I
f
venouscutdownwouldbeanoptiontoresusci
tat
eher
,whichoft
hefoll
owingisthe
mostcommonlyusedvei
nfort
hecutdown?

A. Basal
icvei
n C. Femor
alvei
n

B. Cephal
icvei
n D. Sephaneousvei
n

58.
Whi
choft
hef
oll
owi
ngi
str
ueaboutbl
oodt
ransf
usi
on?

A. I
mmedi
ateTr
ansf
usi
onr
eact
ioni
sli
kel
yaf
ter24hour
s

B. Ski
nrashi
sani
mmedi
atecompl
i
cat
ion

C. Thebl
oodshoul
dbet
ransf
usedwi
thi
n30mi
nofi
tsr
emovalf
rom t
hebl
ood
bank

D. Thet
ransf
usi
onusual
l
ytakes12hour
s

59.
Whi
choneoft
hef
oll
owi
ngst
atementi
str
ue?

A. Parti
alpr
essur
eofcar
bondi
oxi
dei
sgr
eat
ert
han45mmHgi
ndi
cat
es
hypervent
il
ati
on

B. Par t
ialpr
essur
esofcar
bondi
oxi
dei
slesst
han35mmHgi
ndi
cat
es
hypovent
il
ati
on

C. Thenor
malAr
ter
ialpar
ti
alpr
essur
eofcar
bondi
oxi
dei
s35-
45mmHg

D. Thenor
malAr
ter
ial
Par
ti
alpr
essur
eofoxygeni
s70-
90mmHg

60.
W/roHannai
saknownChroni
cki
dneydi
seasepat
ientwi
thur
ineout
putof<300mlper
day.Howdoyour
epor
tW/
roHanna’
sfi
ndi
ng?

A. Anur
ia C. Ol
igur
ia

B. Noct
uri
a D. Pol
yur
ia

61.Whi
choneoft
hef
oll
owi
ngi
sthecor
rectsequenceofabdomi
nalassessment
?

A. Auscul
tat
ion→I
nspect
ion→pal
pat
ion→per
cussi
on
 B. I
nspect
ion→Auscul
tat
ion→pal
pat
ion→per
cussi
on

C. I
nspect
ion→Auscul
tat
ion→per
cussi
on→ pal
pat
ion

D. I
nspect
ion→Pal
pat
ion→Per
cussi
on→ Auscul
tat
ion

62.Whi
choneoft
hef
oll
owi
ngassessmenti
ssubj
ect
ivedat
a?

A. Tender
ness C. Fever

B. Pai
n D. BP=100/
60mmhg

63.A pati
enthas“ Fl
uid vol
umedef
ici
tr el
ated t
o per
sist
entnausea and vomi
ti
ng as
evi
dencedbyBp=70/40mmHg”.Whattypeofnursi
ngdiagnosi
sisi
t?

A. Act
ualnur
singdi
agnosi
s

B. Pot
ent
ialnur
singdi
agnosi
s

C. Syndr
omi
cnur
singdi
agnosi
s

D. Wel
lnur
singdi
agnosi
s

64.A pati
enthas“ Fl
uid vol
umedef
ici
trel
ated t
o persist
entnausea and vomi
ti
ng as
evi
dencedbyBp=70/40mmHg”.Whichpar
tofthestatementi
stheeti
ology?

A. Bp=70/
40mmHg

B. Fl
uidvol
umedef
ici
t

C. Per
sist
entnauseavomi
ti
ng

D. Per
sist
entnauseavomi
ti
ngevi
dencedbyBP

65.
Whatisthepri
ori
tynur
singi
nter
vent
ionf
orapat
ientwhohashypot
ensi
onsecondar
yto
diar
rheaandvomiti
ng?

A. Gi
vemedi
cat
ion

B. I
dent
if
yunder
li
necause

C. Resusci
tat
ewi
thf
lui
d

D. Taki
ngdet
ail
edhi
stor
y

66.APhysici
anorder
ed1000mlofnormalsal
inet
orunover6hour
s.Whati
sthedr
opr
ate
permi
nutetoadmini
stert
hef
lui
d?

A. 41dr
op/
min
 B. 42dr
op/
min

C. 52dr
op/
min

D. 56dr
op/
min

67.Whatisthecor
rectcompr
essi
ont
ovent
il
ati
onr
ati
oofanadul
tpat
ientr
ecei
vingCPR,
r
espect
ivel
y?

A. 15:
2 B. 2:
30

C. 30:
2 D. 60:
2

68.M/rAlemu hascer
vicalspi
nei
njur
y.Whatmaneuveri
srecommendedf
orai
rway
management
?

A. Headt
il
tandchi
nli
ft C. Chi
nli
ft
B. Jawtr
ust D. Headt
il
t,chi
nli
ftandj
aw
t
rust

69.W/ ro Al
emit
u has metastasi
zed ut
eri
ne cancerand she i
st er
minal
lyil
l.Up on
assessment
,Shesays‘
’Ifeelfi
ne.
’
’Inwhichstageofdeat
hisW/roAlemit
u?
A. Bargai
ning C. Depr
esi
on

B. Anger D. Deni
al

70.Whi
choneoft
hef
oll
owi
ngi
sabsor
babl
esut
uri
ngmat
eri
al?

A. Cat
gut C. Si
lk

B. Nyl
on D. St
ainl
essst
eel

71.Whi
choneoft
hef
oll
owi
ngi
sacl
eanpr
ocedur
e?

A. Cat
het
eri
zat
ion C. Enema

B. Endo-
tr
achealt
ubei
nser
ti
on D. Openi
ngI
Vli
ne

72.Whi
choft
hef
oll
owi
ngi
sther
out
eoft
ransmi
ssi
onofchol
era?

A. Ai
rbor
ne C. Feco-
oral

B. Bl
oodt
ransf
usi
on D. Vect
orbor
ne

73.Whi
choft
hef
oll
owi
ngi
snott
rueaboutt
hemanagementofchol
era?

A. Ant
ibi
oti
cs

B. Fl
uidr
esusci
tat
ion
 C. I
mmuni
zat
ion

D. Scr
eeni
ngandmanagementofcont
act

E.

74.Whi
choft
hef
oll
owi
ngi
str
ueaboutMDRTB?

A. Resi
stancet
oEt
hambut
olandI
sonai
zide

B. Resi
stancet
oIsonai
zide

C. Resi
stancet
oRef
ampci
n

D. Resi
stancet
oRef
ampci
nandI
sonazi
de

75.Whi
choneoft
hef
oll
owi
ngst
atementi
scor
rectaboutHI
V/AI
DS?

A. AI
DSi
scur
abl
edi
seases

B. AI
DSi
svi
rust
hatcausesHI
V

C. Ever
yonewhoi
sinf
ect
edwi
thHI
VhasAI
DS.

D. HI
Vist
hevi
rust
hatcausesAI
DS

76.Whi
choneoft
hef
oll
owi
ngwoundshoul
dnotbesut
ured?

A. Ani
malbi
t C. Fal
ldownacci
dent

B. Caracci
dent D. St
ick/
blowi
njur
y

77.
Whi
choneoft
hef
oll
owi
ngst
atementi
str
ueaboutt
ype1DM?

A. DKAi
slessl
ikel
ythant
ype2DM

B. Mor
ecommoni
nol
daget
hant
ype2DM

C. Necessar
il
yneedsi
nsul
int
her
apy

D. Nut
ri
ti
onalmanagementi
smandat
oryt
hant
ype2

78.Whi
choneoft
hef
oll
owi
ngf
eat
urechar
act
eri
zeduodenalul
cer
?

A. I
tisaggr
avat
edbyf
ood

B. I
tisRel
ivedbyf
ood

C. Vomi
ti
ngi
scommon

D. Wi
ghtl
ossi
scommon
79.
Whi
choft
hef
oll
owi
ngdr
ugi
susedf
ormanagi
ngnon-
car
diogeni
canaphyl
act
icshock?

A. Adr
enal
ine C. Dopami
ne

B. At
ropi
ne D. Doput
ami
n

80.Whi
choneoft
hef
oll
owi
ngi
nvest
igat
ioni
sagol
denst
andar
dtestf
orTB?

A. A.
X-r
ay

B. AFB

C. CT

D. Cul
tur
e

81.
W/roAbebechcomestoyourinst
it
uti
onwithi
nanhourofi
ngest
ionofr
atpoi
son.What
wil
lbet
heemer gencymanagementofthi
spati
ent
?

A. Cl
eansi
ngEnema C. Gast
ri
cGavage

B. Decompr
essi
on D. Gast
ri
cLavage

82.
Whi
choneoft
hef
oll
owi
ngi
sthemaj
orcr
it
eri
onf
ordi
agnosi
ngacut
erheumat
icf
ever
?

A. Ar
thl
argi
a C. Fever

B. Car
dit
is D. Labi
nvest
igat
ion

83.Whi
choneoft
hef
oll
owi
ngi
sposi
ti
vecl
ini
cal
findi
ngofmeni
ngi
ti
s?

A. Br
udzi
nskisi
gn C. Headache

B. Fever D. Vomi
ti
ng

84.Whi
choneoft
hef
oll
owi
ngi
simpor
tantf
ori
ronabsor
pti
onaf
termeal
/food?

A. Cocacol
a C. Fr
uitj
uice

B. Cof
fee D. Tea

85.Whi
choneoft
hef
oll
owi
ngi
str
ueabouthyper
tensi
veemer
gency?

A. Bp>180/
120mmhgandnoor
ganf
ail
ure

B. Bp>180/
120mmhgandor
ganf
ail
ure

C. Or
ganf
ail
ure

D. Sever
eri
sei
nbl
oodpr
essur
e(Bp>180/
120mmhg)
86.Whati
stheprefer
abl
esi
tef
oradmi
nist
eri
ngpent
aval
entvacci
nef
orani
nfant
i
ntr
amuscul
arl
y?

A. Del
toi
d C. Vast
usl
ater
als

B. Dor
sogl
uteal D. Vent
rogl
uteal

87.
Whi
choft
hef
oll
owi
ngi
sisot
oni
csol
uti
on?

A. 3%Nor
malsal
ine C. 0.
9%Nor
malsal
ine

B. 5%Nor
malsal
ine D. 0.
45%Nor
malsal
ine

88.
Whi
choneoft
hef
oll
owi
ngi
sthebestmani
fest
ati
onofr
ightsi
dehear
tfai
lur
e?

A. Cough

B. Decr
easedur
inepr
oduct
ion

C. Di
ff
icul
tyofl
ayi
ngf
lat

D. Jugul
arvei
ndi
stent
ion

89.
A-35-
yearoldpat
ientcomestoyourheal
thfaci
li
tywit
hBP=190/ 110mmhg,PR=72bpm,
o o
RR=18breat
h/minandT=35c.Whi chofthefol
lowingiscor
rectaboutt
hisf
indi
ng?

A. St
ageIhyper
tensi
on C. Syst
oli
chyper
tensi
on

B. St
ageI
Ihyper
tensi
on D. St
ageI
IIhyper
tensi
on

90.
Whatmakest
hepai
nofmyocar
dial
inf
arct
iondi
ff
erentf
rom t
hatofangi
napect
ori
s?

A. Thepai
nisl
ocal
ized

B. Thepai
nisseverandr
adi
ati
ng

C. Pai
nisr
eli
evedbyr
est

D. Thepai
nbegi
naf
tervi
gor
ousexer
cise

91.
Whichoneofthefol
lowingi
str
ueaboutsemi
-fowl
erposi
ti
onofapat
ientwi
th
congest
ivehear
tfai
lur
e?

A. Reducevenousr
etur
nfr
om t
hel
owerbody

B. Enhancer
enalper
fusi
on

C. Enhancedi
gest
ion

D. Reducej
ugul
arvenouspr
essur
e
 92.
Whichoneofthef
oll
owi
ngant
i-hyper
tensi
ve dr
ugsdoesnotactbyl
ower
ingvascul
ar
resi
stance?

A. Enal
apr
il

B. Hydr
ali
zine

C. Ni
fi
dipi
ne

D. Ni
tr
o-pr
ussi
de

93.A24-year-ol
dpati
entisbr
oughttoahospit
alwit
hacl i
nicalmani
festat
ionofDyspepsi
a,
di
scomfortontheepigast
ri
um andbur ni
ngsensationint heesophagealarea.Upon
Labor
ator
yexaminat
ion,
Ser
ologi
ctestr
evealedposi
ti
veforH.pyloriAg.

Whi
choft
hef
oll
owi
ngant
imi
crobi
alagentwi
llnott
reatt
hebact
eri
a?

A.Amoxaci
ll
in

B.Cl
ari
tr
omyci
n

C.Met
roni
dazol
e

D.Omepr
azol
e

94.
Whi
choft
hef
oll
owi
ngmani
fest
ati
ondescr
ibessever
ecer
ebr
almal
ari
a?

A.Fever

B.Chi
ll
s

C.Shi
ver

D.Hypogl
ycemi
a

95.
Whi
choft
hef
oll
owi
ngsi
tuat
ionwi
llbecont
rai
ndi
cat
edf
ordi
goxi
ntr
eat
ment
?

A. Hear
trat
e>80b/
m
B. Hear
trat
e>90b/m
C. Hear
trat
e<70b/
m
D. Hear
trat
e<60b/
m
j
96.
Whi
choft
hef
oll
owi
ngemer
gencysi
tuat
iondemandpr
ior
it
yint
ervent
ion?

A.Dehydr
ati
on

B.Mal
nut
ri
ti
on/
Mar
asmus

C.Poi
soni
ng

D.Bur
n
 97.
Whi
choft
hef
oll
owi
ngar
ethel
eadi
ngcausesofneonat
almor
tal
it
yinEt
hiopi
a?

A. Pr
etem,
jaundi
ceandmal
nut
ri
ti
on

B. Di
arr
hea,
mal
nut
ri
ti
onandasphyxi
a

C. Pr
eter
m,i
nfect
ionsandasphyxi
a

D. I
nfect
ions,
sepsi
sanddi
arr
hea

98.
Whi
choft
hef
oll
owi
ngi
str
ueaboutpat
hol
ogi
calj
aundi
ce?

A. Appearaf
ter24hour
sofl
if
e

B. Appearwi
thi
n24hour
sofl
if
e

C. Ser
um ofbi
li
rubi
n<12mg/dl

D. Ser
um bi
li
rubi
n<5mg/dl
/day

99.
Whi
choft
hef
oll
owi
ngi
snott
hef
eat
ureofr
espi
rat
orydi
str
esssyndr
ome(
RDS)
?

A. Bl
uishdi
scol
our
ati
onoft
hemucousmembr
ane
B. Chesti
ndr
awi
ng
C. Fl
ari
ngoft
heal
anasi
D. Hyper
vent
il
ati
on
100.
Whati
sther
ecommendedt
imet
obegi
ncompl
ement
aryf
eedi
ngt
oinf
ant
s?
A.At4t
o5mont
hsofage
B.At6mont
hsofage
C.Whent
hebi
rt
hwei
ghthast
ri
pled
D.Whent
oot
her
upt
ionhasst
art
ed
101.
Whi
choft
hef
oll
owi
ngi
sasi
gnofgoodat
tachment
?
A.Mout
hwi
deopen

B.Babyf
aci
ngt
owar
dst
hemot
her

C.Whol
ebodysuppor
ted

D.Babycl
oset
othemot
her

102.Anur
sei
nthewel
l-
babycl
ini
cisconduct
inganassessmentona6-
mont
h-ol
dinf
ant
.
Whi
choft
heseobser
vat
ionswoul
dwar
rantf
urt
heri
nvest
igat
ion?
A.Abl
etosi
tunsuppor
ted

B.Cr
yingwhent
henur
seappr
oaches

C.Rol
lsf
rom abdoment
obackonl
y

D.AbsenceofMor
oref
lex

103.A2-yearol
dchi
ldbr
oughtt
oyouwi
thhi
stor
yofl
abor
edbr
eat
hingassoci
atedwi
th
bar
kingcoughandi
nspi
rat
oryst
ri
dor
.Whatwi
llbet
hemostl
ikel
ypr
obl
em oft
hechi
ld?
A.Pneumoni
a

B.Cr
oup

C.Ver
ysever
edi
sease

D.Ast
hma

104.Bet
ty”whoi
s16mont
hofagecamet
oyourcl
ini
cwi
thvomi
ti
ngever
ythi
ng,
unabl
eto
dr
inkandsuckbr
east
,andhashi
stor
yofconvul
sion.Dur
ingP/
Eyouhavef
oundt
hat
shehassever
echest
-i
ndr
awi
ng,
str
idorandbr
eat
hingr
atei
s53br
eat
hspermi
nut
e.
Whati
sthepossi
blecl
assi
fi
cat
ionofBet
ty?
A. Possi
blesever
ebact
eri
ali
nfect
ion
B. Pneumoni
a
C. Nopneumoni
a:coughorcol
d
D. Sever
epneumoni
aorver
ysever
edi
seases
105.
Whi
chonei
sthef
ir
stl
inedr
ugf
orani
nfantpr
esent
edwi
thpneumoni
a?
A.Amoxi
cil
li
n

B.Ci
prof
loxaci
ll
in

C.Cot
ri
moxazol
e

D.Cef
tri
axone

106.
Whi
choft
hef
oll
owi
ngf
lui
dispr
efer
redf
orachi
ldpr
esent
edwi
thbot
hdehydr
ati
onand
mal
nut
ri
ti
onwi
thedema?
A.Ri
ngerl
act
ate

B.ORS
C.ReSoMal

D.Nor
malsal
ine

107.
A14-
mont
h-ol
dmal
einf
anti
sbr
oughtt
othecl
ini
cforeval
uat
ionofdi
arr
hea.Thechi
ld
hasanar
eaofhai
rlossovert
heocci
put
.Ri
bsar
epr
omi
nentandt
heski
nisl
oose,
but
muscl
etonei
sincr
eased.Thechi
ldwei
ghs5kg.Whati
stheBESTcour
seofact
ion?
A.Ur
gentout
pat
ientr
efer
ral
toanendocr
inol
ogi
st

B.Admi
ssi
on,
skel
etalsur
vey,
andsoci
alser
viceeval
uat
ion

C.El
imi
nat
iondi
etf
oreval
uat
ionoff
oodal
ler
gies

D.St
oolcul
tur
eandt
estf
orf
ecal
leukocyt
es

108.
Fir
ew,
aged2year
sisbr
oughtwi
thdi
arr
hea,
feverandvomi
ti
ng.OnP/
E,hei
sal
ertbut
i
rr
it
abl
eandr
est
lesswi
thT0=39oC,
eye-
bal
lsar
enotsunkenandhi
sski
npi
nchgoes
backqui
ckl
y.Whi
choft
hef
oll
owi
ngst
atementi
scor
rect
?
A.Fi
rewhassomedehydr
ati
on

B.Fi
rewshoul
dbegi
venant
ibi
oti
cs

C.Fi
rewshoul
dbet
reat
edaccor
dingt
otr
eat
mentpl
an“
B”

D.Fi
rewhasnodehydr
ati
on

109.
Achi
ldwi
thdi
arr
hoeai
sassessedf
oral
loft
hef
oll
owi
ngexcept
A) Si
gnsand/
orsympt
omsofdehydr
ati
on
B) Thepr
esenceorabsenceofbl
oodi
nthest
ool
C) Dur
ati
onoft
hedi
arr
hoea
D) Ageofchi
ld
110.
Sr.Yeshi
wor
kwasconduct
ingasur
veyt
oassesst
onut
ri
ti
onalst
atusofunderf
ive
chi
ldr
eni
nBahi
rDardi
str
ict
.Basedonwat
erl
owcl
assi
fi
cat
ion,
shef
oundt
hatmor
e
t
han8.
0%ofchi
ldr
enhave,
Hei
ght–f
or–age>95%,
Wei
ght–f
or–hei
ght<70%.What
i
syouri
nter
pret
ati
onoft
hef
indi
ngi
nthedi
str
ict
?
A. St
unt
ed
B. Under
wei
ght
C. Wast
ed
 D. St
unt
edandwast
ed
111.
Whi
choft
hef
oll
owi
nggr
oupasbei
ngmostatr
iskf
ordevel
opi
ngi
ron-
def
ici
ency
anemi
a?
A.School
-agedchi
ldr
en

B.Br
east
-f
edi
nfant
sundert
heageof6mont
hs

C.Chi
ldr
enages6mont
hst
o5year
sofage

D.3-t
o5-
year
-ol
dchi
ldr
en

112.
Whi
choft
hef
oll
owi
ngt
ypeofmal
nut
ri
ti
oni
schar
act
eri
zedbyf
lagsi
gnonhai
r?
A.Kwashi
orkor

B.Pel
lagr
a

C.Mar
asmus

D.Fol
atedef
ici
ency

113.
Whi
choft
hef
oll
owi
ngar
ether
ecommendedi
mmuni
zat
ionsf
orani
nfantcomi
ngi
nthe
secondvi
sit
?
A.Pol
io2,
penat
a2,
PCV2,
Rot
a2

B.Pol
io2,
penat
a2,
PCV2,
Rot
a1

C.BCG,
Pol
io2,
penat
a2,
PCV2

D.Pol
i
o2,
penat
a2,
PCV2,
Rot
a1

114.
Whatwoul
dbet
hemostl
ikel
ydi
agnosi
sofachi
ldpr
esent
edf
ever
,maccul
opapul
ar
r
ashandconj
unct
ivi
ti
s?
A.Rubel
la

B.Measl
es

C.Scabi
es

D.Chi
kenpox

115.
Whi
choft
hef
oll
owi
ngi
snott
rueaboutacut
erheumat
icf
everi
nchi
ldr
en?
A.
Iti
scommoncauseofacqui
redhear
tdi
seasei
nchi
ldr
en.

B.Acut
erheumat
icf
everi
spr
event
abl
e

C.Pr
opert
reat
mentofst
rept
ococcal
phar
yngi
ti
scanel
imi
nat
eit
sri
sk

D.Peakagef
oracut
erheumat
icf
everi
supt
o3year
s.

116.
Whi
choft
hef
oll
owi
ngcl
assi
fi
cat
ioni
sappr
opr
iat
eforani
nfantbor
ntoHI
Vposi
ti
ve
woman?
A.Conf
ir
medHI
Vinf
ect
ion

B.HI
Vexposedi
nfant

C.HI
Vinf
ect
ionunl
ikel
y

D.NoHI
Vinf
ect
ion

117.
Accor
dingt
oWHOcl
ini
cal
stagi
ngHI
V/ADSf
ori
nfantandchi
ldr
en,
achi
ldwi
th
esophagealcandi
diasi
s(orcandi
daoft
het
rachea)andr
ecur
rentsever
ebact
eri
al
i
nfect
ionscoul
dbecl
assi
fi
edas
A.St
ageI

B.St
ageI
I

C.St
ageI
II

D.St
ageI
V

118.
Whi
cht
hef
oll
owi
ngi
sthemostcommonmal
ignancyi
nchi
ldr
en?
A.Wi
lm'
stumor

B.CNSt
umor

C.Acut
eleukemi
a

D.Neur
obl
ast
oma

119.
Whi
choft
hef
oll
owi
ngi
snotf
eat
ureofDownsyndr
ome?
A.Si
ngl
esi
miancr
ease

B.Epi
cant
half
old
C.Gener
alhyper
toni
a

D.Fl
atf
aci
alpr
ofi
le

120.
Whi
choft
hef
oll
owi
ngneur
o-devel
opment
alpr
obl
em causesi
mpai
rmenti
n
soci
ali
zat
ion,
communi
cat
ionandbehavi
oral
domai
nsofchi
ldr
en?
A.Aut
ist
icspect
rum di
sor
der

B.Downsyndr
ome

C.Ment
alr
etar
dat
ion

D.Cer
ebr
alpal
sy

121.
Whati
sthebesti
ndi
cat
iont
othenur
set
hatant
ibi
oti
ctr
eat
mentf
oraur
inar
ytr
act
i
nfect
ioni
na6-
year
-ol
dgi
rli
sef
fect
ive?
A.Sympt
omshavesubsi
dedwi
thi
n24hour
s.

B.Theent
ir
eamountofpr
escr
ibedant
ibi
oti
chasbeent
akenasor
der
ed.

C.Fol
low-
upur
inecul
tur
ewi
thi
n72hour
sisnegat
ive.

D.Mot
herst
atest
hechi
ldi
svoi
dingnor
mal
ly.

122.
Whi
choft
hef
oll
owi
ngdi
seasesi
smostof
tenassoci
atedwi
thpol
yur
iaandpol
ydi
psi
a
i
nachi
ld?
A.Di
abet
esi
nsi
pidus

B.Nephr
it
icsyndr
ome

C.Addi
son'
sdi
sease

D.TypeIdi
abet
esmel
li
tus

123.
Whi
choft
hef
oll
owi
ngi
sapr
edi
sposi
ngf
act
orf
orur
inar
ytr
acti
nfect
ioni
nchi
ldr
en?
A.
Mal
esex

B.Fr
ontt
obackanal
cleani
ng

C.Useofdi
aper

D.Ur
inar
ytr
actcat
het
eri
zat
ion
 124.
Whi
choft
hef
oll
owi
ngi
sthemostcommonet
iol
ogi
cagentofur
inar
ytr
acti
nfect
ioni
n
chi
ldr
en?
A.Escher
ichi
a-Col
i
B.St
rept
ococcusSpeci
es
C.St
aphyl
ococcusaur
eus
D.Kl
ebsi
ell
a
125.
A5year
sol
dchi
ldcamet
oyourheal
thcent
erwi
thgener
ali
zededema.Labor
ator
y
i
nvest
igat
ionofur
ineshowedgr
osspr
otei
nur
iaandbl
oodt
estshowed
hypopr
oti
einemi
aandhyper
chol
est
erol
emi
a.Whatwoul
dbet
hepossi
bledi
agnosi
sof
t
hischi
ld?
A. Nephr
oti
csyndr
ome
B. Kwashi
orkor
C. Hear
tfai
lur
e
D. Acut
egl
omer
ulonephr
it
is
126.
Whi
choft
hef
oll
owi
ngar
ethemostcommoncausesofacut
eot
it
ismedi
ainchi
ldr
en?
A.St
rep.Pneumoni
aandH-
inf
luenza

B.H-
inf
luenzaandst
aph.aur
eus

C.St
rep.Pneumoni
aandst
aph.
aur
eus

D.H-
inf
luenzaandpseudomonasar
gunosa

127.
Whi
choft
hef
oll
owi
ngcondi
ti
oni
sthemostcommonr
out
eoft
ransmi
ssi
onofneonat
al
t
etanus?
A. I
nject
ionsi
tes
B. Umbi
li
calst
amp
C. Asept
icpr
ocedur
e
D. Ci
rcumci
sion
128.
Whendoyout
hinkaheal
thcar
eissuebecomesanet
hicaldi
lemma?
A. Acl
ient
slegal
right
scoexi
stwi
thaheal
thpr
ofessi
onal
sobl
i
gat
ion

B. Deci
sionsmustbemadequi
ckl
y,of
tenunderst
ressf
ulcondi
ti
ons

C. Deci
sionsmustbemadebasedonval
uesyst
ems
D. Thechoi
cesi
nvol
veddonotappeart
obecl
ear
lyr
ightorwr
ong
129.
Whi
choft
hef
oll
owi
ngpr
ofessi
onal
nur
singval
ueenhancenur
ses'
cul
tur
al-
compet
encyski
ll
stoappl
ysensi
ti
vit
ytowar
dst
oot
her
s?
A. Aut
onomy

B. St
rongcommi
tmentt
oser
vice

C. Bel
iefi
nthedi
gni
tyandwor
thofeachper
son

D. Commi
tmentt
oeducat
ion

130.
Thenur
sequest
ionsaphysi
cianor
derofMor
phi
nesul
fat
e50mg,
IMf
oracl
ientwi
th
pancr
eat
it
is.Whi
chr
oleoft
henur
sei
sdescr
ibedbyt
hisst
atement
?
A. Changeagent

B. Cl
ientadvocat
e

C. Casemanager

D. Col
labor
ator
131.
Whi
choft
hef
oll
owi
ngt
ermi
susedt
odescr
ibet
heabi
li
tyofanagentt
opr
oduce
cl
ini
cal
l
yappar
enti
nfect
ion?
A.I
nfect
ivi
ty
B.Vi
rul
ence
C.Pat
hogeni
cit
y
D.I
nfect
ionr
ate
132.
Dir
ectt
ransmi
ssi
oni
ncl
udeswhi
choft
hef
oll
owi
ngmodesoft
ransmi
ssi
on?
A.Ai
rbor
n
B.Tr
ans-
placent
alt
ransmi
ssi
on
C.Vehi
cle-
bor
net
ransmi
ssi
on
D.Vect
or-
bor
net
ransmi
ssi
on
133.
Whi
choft
hef
oll
owi
ngi
stheobj
ect
iveofPRI
MARYPREVENTI
ON?
A.Topr
eventexposur
eandpr
eventdi
sease
B.Tost
oporsl
owt
hepr
ogr
essi
onofdi
sease
C.Tol
imi
tthei
mpactofdamage
D.Forear
lydet
ect
ionandt
reat
mentofdi
sease
134.
Inonedi
str
ictschi
zophr
eni
cpat
ient
stakent
otr
adi
ti
onalmedi
cineandspi
ri
tualpl
aces
f
ort
reat
ment
.Thi
smakesdi
ff
icul
ttoknowt
hemagni
tudeofschi
zophr
eni
aint
he
di
str
ict
.Manageroft
hedi
str
ictheal
thbur
eauwant
stoknow“
whati
sthepr
eval
enceof
schi
zophr
eni
aint
hedi
str
ict
”.
Whi
chmet
hodofst
udydesi
gni
smostappr
opr
iat
e?
A.Cr
osssect
ional
B.Casecont
rol
C.Cohor
t
D.Exper
iment
al
135.
Resear
cherwant
stocheckef
fi
cacyofnewdr
ugovert
heol
ddr
ugf
ordepr
essi
on
t
reat
ment
.Her
ecr
uit
edpat
ient
sandr
andoml
yassi
gned150pat
ient
stot
aket
henew
dr
ugand120pat
ient
sonol
ddr
ug.Af
terpr
ovi
sionoft
het
reat
mentf
or3mont
hshe
measur
edt
her
ecover
yrat
efr
om depr
essi
on.Whi
chmet
hodofst
udydesi
gnt
he
i
nvest
igat
orused?
A.Exper
iment
al
B.Cohor
t
C.Casecont
rol
D.Cr
osssect
ional
136.
Whi
choneoft
hef
oll
owi
ngi
snotcor
rectaboutscr
eeni
ngpr
ogr
am?
A.Speci
fi
cit
yisi
mpor
tantwhenonei
sscr
eeni
ngf
orr
aredi
seases

B.I
nst
it
utedwhent
hedi
seasehasl
ongper
iodbet
weenf
ir
stsi
gnsandover
tdi
sease

C.Sensi
ti
vit
yandSpeci
fi
cit
yar
etwomeasur
esofval
idi
ty

D.Speci
fi
cit
yshoul
dbei
ncr
easedatt
heexpenseofSensi
ti
vit
ywhent
hedi
seasei
s
ser
ious

137.
Whi
choneoft
hef
oll
owi
ngi
snotanact
ionver
binwr
it
ingspeci
fi
cobj
ect
ives?
A.Todet
ermi
ne
B.Tocompar
e
C.Tover
if
y
D.Tounder
stand
138.
TheGener
alSoci
alSur
veyaskedr
espondent
stoassesst
hei
rownheal
thasexcel
lent
,
good,
fai
r,orpoor
.Whati
sthel
evelofmeasur
ementoft
hisvar
iabl
e?
A.Nomi
nal
.
B.Or
dinal
.
C.I
nter
val
D.Rat
io.
139.
Whi
choneoft
hef
oll
owi
ngi
str
ueaboutmode?
A.I
sfoundonl
yfordi
scr
etevar
iabl
es.
B.I
slesst
hant
hemean.
C.I
stheval
ueoft
hemostf
requent
lyoccur
ri
ngscor
e.
D.I
slessf
oror
dinalt
hanf
ori
nter
val
var
iabl
es.
140.
Whi
choft
hef
oll
owi
ngi
sapr
obabi
li
tysampl
i
ngt
echni
que?
A.Quot
asampl
ingt
echni
que
B.Conveni
encesampl
ingt
echni
que
C.Snowbal
lsampl
ingt
echni
que
D.Cl
ust
ersampl
ingt
echni
que
141.
Whi
choneoft
hef
oll
owi
ngi
scor
rectmeasur
eofmor
tal
it
yfor“
thepr
opor
ti
onofdeat
h
f
rom mal
ari
aoutoft
hoseadul
tswhodevel
opmal
ari
ainBahi
rDart
owni
ntheyear
2008”
?
A.Casef
atal
it
yrat
e
B.Pr
opor
ti
onat
emor
tal
it
yrat
io
 C.Cause-
speci
fi
cmor
tal
it
yrat
e
D.Cr
udedeat
hrat
e
142.
Youar
eappr
oachedbyaper
soni
nthest
reetwhoasksyout
opar
ti
cipat
einast
udyon
l
if
einsur
ancebyanswer
inganumberofquest
ions.Whati
sthet
ypeofsampl
ing
met
hodt
heper
sonhasused?
A.Random sampl
ing
B.Conveni
encesampl
ing
C.St
rat
if
iedr
andom sampl
ing
D.Syst
emat
icsampl
ing
143.
Whi
choneoft
hef
oll
owi
ngi
snotachar
act
eri
sti
cofsubst
ancest
hatar
enoteasi
ly
br
okendowni
ntohar
mlesssubst
ances?
A.Theyar
eenvi
ronment
all
yunf
ri
endl
y
B.Theyt
ravell
ongdi
stancef
rom t
hei
rsour
ce
C.Theyar
ewat
ersol
ubl
e
D.Theyaccumul
atei
nfat
144.
Whi
choft
hef
oll
owi
ngi
sst
ati
onar
ytypeofpol
lut
ion?
A.Wat
erpol
lut
ion
B.Soundpol
lut
ion
C.Ai
rpol
lut
ion
D.Soi
lpol
lut
ion
145.
Whi
choneoft
hef
oll
owi
ngi
snotusedasani
ndi
cat
orofsani
tat
ionandhygi
ene
cover
agei
nourcount
ry?
A.Lat
ri
necover
age
B.Lat
ri
neut
il
izat
ion
C.Accessi
bil
it
ytowat
er
D.Opendef
ecat
ionf
ree
146.
Whi
choneoft
hef
oll
owi
nggasi
sgr
eenhousegas?

A.Oxygen

B.Car
bondi
oxi
de

C.Ni
tr
ogen

D.Ni
tr
ogendi
oxi
de
147.
Whi
choneoft
hef
oll
owi
ngbehavi
our
alchanget
heor
iesandModel
sassumest
hatt
he
mosti
mpor
tantdet
ermi
nant
sofpeopl
e’
sbehavi
our
sar
ethei
rper
cept
ions?
A.Heal
thBel
iefModel

B.TheTheor
yofPl
annedBehavi
or

C.TheTr
ans‐t
heor
eti
cal
Model

D.Pr
ecede-
Proceedmodel

148.
Whi
choneoft
hef
oll
owi
ngi
snotachar
act
eri
sti
cofgoodmessage?
A.Epi
demi
ologi
cal
lycor
rect
B.Af
for
dabl
e
C.Requi
resmaxi
mum ef
for
t

D.Cul
tur
all
yaccept
abl
e
149.
Whati
sthei
mpor
tanceoft
hepr
esenceoft
heozonel
ayeri
ntheupperat
mospher
e?
A.I
tenhancest
hegr
eenhouseef
fect
B.I
tabsor
bsgr
eenhousegasses
C.I
tabsor
bsul
tr
avi
oletr
adi
ati
on
D.I
treducest
heamountofaci
drai
nandur
bansmog
150.
Whi
choft
hef
oll
owi
nggi
vesmor
ecal
ori
espergr
am t
hanot
her
s?
A.Fat
B.Car
bohydr
ates
C.Pr
otei
n
D.Al
cohol
151.
Whi
choft
hef
oll
owi
ngvi
tami
niswat
ersol
ubl
e?
A.Vi
tami
nD
B. Vi
tami
nA
C. Vi
tami
nB
D. Vi
tami
nK
152.
Whi
choft
hef
oll
owi
ngant
hropomet
ri
cindexi
ndi
cat
eschr
oni
cnut
ri
ti
onalst
atus?
A.Wei
ghtf
orHei
ght
B.Wei
ghtf
orage
C.Bodymassi
ndex
D.Hei
ghtf
orage
153.
Whi
choft
hef
oll
owi
ngi
schr
oni
ccompl
icat
ionofvi
tami
nAdef
ici
ency?
A.Ni
ghtbl
indness
B.Xer
opht
almi
a
C. Doubl
evi
sion
D.Conj
unct
ivi
ti
s
154.Whi
chOneoft
hef
oll
owi
ngi
snotcomponentofEssent
ialnut
ri
ti
onAct
ions(
ENA)i
n
Et
hiopi
a?
A.Pr
omot
ingopt
imalbr
east
feedi
ng.
B.Pr
omot
ingopt
imalcompl
ement
aryf
eedi
ngatbi
rt
h.
C.Nut
ri
ti
onalcar
eoft
hesi
ckchi
lddur
ingandaf
teri
ll
ness.
D.Vi
tami
nAdef
ici
encycont
rol
155.
Whatoft
hef
oll
owi
ngi
sthesmal
lestuni
teofpr
otei
ns?
A.Ami
noaci
ds
B.Fat
tyaci
ds
C.Li
popr
otei
ns
D.Tr
igl
ycer
ide
156.
Whi
chOneoft
hef
oll
owi
ngi
snotdi
rectcauseofmat
ernaldeat
h?
A. Hemor
rhage
B. Car
diovascul
ardi
sease
C. I
nfect
ion
D. Pr
eecl
ampsi
a
157.
Whi
choneoft
hef
oll
owi
ngi
ssaf
emot
her
hoodi
nit
iat
ivest
rat
egycur
rent
ly?
A.Accessest
ori
skassessmentheal
thf
aci
li
ti
es.
B.Pr
omot
euseoft
radi
ti
onal
bir
that
tendant
sforl
owr
iskwomen
C.Fami
lypl
anni
ngt
oavoi
dunwant
edpr
egnanci
esandunsaf
eabor
ti
on
D.Ear
lydet
ect
ionofcompl
icat
ionbyl
ocal
communi
tyheal
thwor
ker
s.
158.
Incounsel
ingawomanaboutt
headvant
agesoft
heCuTI
UCD,
Whatyoui
nfor
m her
?
A.ItI
spermanent
B.ItI
shighlyeffect
ive
C.ItHasnosi deeff
ect s
D.ItI
seffecti
veinpr event
inganemi
a
159.Whi
chofthefollowi
ngi snotdeli
ver
yser
vicesst
rat
egy?
A.Al
li
nst
it
uti
onaldel
iver
iesshoul
dbemoni
tor
edusi
ngpar
togr
aph.
B.Al
lwomenandbi
rt
hat
tendant
sshoul
dbeawar
eoft
her
equi
rement
sofi
nst
rument
al
 del
iver
y
C.Al
lwomenandt
hei
rbi
rt
hat
tendant
sshoul
dbeawar
eoft
heneedt
oref
erpr
olonged
l
abor
D.Al
lheal
thcar
epr
ovi
der
sshoul
dbet
rai
nedandpr
act
icecl
eanandsaf
edel
iver
y
t
echni
ques
160.
Whi
choft
hef
oll
owi
ngi
str
ueaboutr
epr
oduct
iveheal
thi
nEt
hiopi
a?
A.Qual
it
yrepr
oduct
iveheal
thser
vices
B.Hi
ghr
ateofgenderbasedvi
olence
C.Accesst
oar
angeofheal
thser
vicest
oadol
escent
s
D.Adequat
econt
racept
ivepr
eval
encer
ates
161.
Whi
chcomponentofcar
eisver
yessent
ial
toasphyxi
atednewbor
n?
A.Pr
event
ionandmanagementofopht
hal
micneonat
orum
B.Resusci
tat
ion
C.Ear
lyandexcl
usi
vebr
east
feedi
ng
D.Pr
event
ionandmanagementofhypot
her
mia
162.
Whi
chser
vicecomponenti
scommoni
nbot
hbasi
candcompr
ehensi
veessent
ial
obst
etr
iccar
e?
A.Par
ent
eral
ant
iconvul
sant
s
B.Sur
gicalobst
etr
ics
C.Anest
hesi
a
D.Bl
oodt
ransf
usi
on
163.
Whi
choft
hef
oll
owi
ngl
eader
shi
pst
ylei
smor
econcer
nedont
eam bui
ldi
ngandf
ull
par
ti
cipat
ion?
A.Lai
ssez-
fai
re
B.Aut
ocr
ats
C.Democr
ats
D.Consul
tat
ive
164.
Whi
choneoft
hef
oll
owi
ngi
snotr
ati
onal
ofmot
ivat
ionatwor
kpl
ace?
A.Reduceabsent
eei
sm andt
ardi
ness
B.I
ncr
easel
abort
urnover
C.Bui
ldi
ngofgoodr
elat
ionshi
p
D.I
ncr
easeef
fi
ciency
165.
Amongt
hef
oll
owi
ngwhi
chonei
snotchar
act
eri
sti
cofsoci
ali
nsur
ance?
 A.Soci
ali
nsur
ancei
snotar
ightofal
lci
ti
zensbutonl
ythosewhohavepai
dthe
cont
ri
but
ion.
B.Peopl
eper
cei
vet
hatt
heypai
dapr
emi
um cont
ri
but
ioni
nexchanget
ospeci
fi
ed
benef
it
s.
C.Cont
ri
but
ions pai
dforsoci
ali
nsur
ance pr
ogr
ams ar
e shar
ed equal
lyi
nthe
communi
ty.
D.Cont
ri
but
ion r
ates and benef
it
s cannotbe uni
lat
eral
ly changed by execut
ive
gover
nmentdeci
sion
166.
Whi
choneoft
hef
oll
owi
ngi
sthepr
ocessofat
tr
act
ingandsel
ect
ingqual
if
iedj
ob
candi
dat
est
ofi
llvacantposi
ti
ons?
A.Pr
ofi
li
ng
B.Recr
uit
ment
C.Est
imat
ing
D.For
ecast
ing
167.
Whi
chcommuni
cat
ionchannel
isbestt
oimmedi
atel
yannouncedi
seaseout
break?
A.Sci
ent
if
icj
our
nal
B.Newspaper
C.Newsmedi
a
D.Layheal
thwor
ker
s
168.
Whi
choft
hef
oll
owi
ngi
snotpr
inci
pleofheal
thet
hics?
A.Aut
onomy
B.Benef
icence
C. Mal
efi
cence
D.Just
ice
169.Whi
choft
hef
oll
owi
ngi
sar
elat
ivel
yhi
ghr
iskf
act
orf
ormot
hert
ochi
ldt
ransmi
ssi
on
ofHI
Vinf
ect
ion?
A.Secondi nf
anti nmult
ipl
ebi
rth
B.Vaginaldel
ivery
C.El
ectivecaesareansecti
ondel
iver
y
D.Earl
yi nf
antcleani
ngandeyecare

170.
Whi
choft
hef
oll
owi
ngi
scont
inuousf
unct
ionofmanagement
?
A.Pl
anni
ng
B.I
mpl
ement
ati
on
 C.Deci
sionmaki
ng
D.Eval
uat
ion
171.
Whi
choft
hef
oll
owi
ngi
sthel
eadi
ngcauseofmat
ernalmor
tal
it
yinEt
hiopi
a?
A.Pr
eecl
ampsi
a/ecl
ampsi
a

B.Hemor
rhage

C.Obst
ruct
edl
abor

D.Sepsi
s

172.
Whi
choft
hef
oll
owi
ngf
igur
eindi
cat
est
hecur
rentmat
ernalmor
tal
it
yrat
io(
MMR)i
n
Et
hiopi
a?
A.420/
100,
000l
ivebi
rt
hs

B.676/
100,
000l
ivebi
rt
hs

C.353/
100,
000l
ivebi
rt
hs

D.397/
100,
000l
ivebi
rt
hs

173.
A-30-
yearol
dpr
egnantwomancamet
oyourheal
thf
aci
li
tyf
orr
out
ineant
enat
alcar
e
(
ANC)
.Onhi
stor
y,shehadt
woabor
ti
ons,
twost
il
lbi
rt
hs,
oneneonat
aldeat
handt
hree
al
ivechi
ldr
en.Basedont
hei
nfor
mat
iongi
ven,
whatwi
llbeherGr
avi
da(
G)andPar
a(P)
r
espect
ivel
y?
A.G-
VII
IandP-
IV

B.G-
VII
IandP-
VI

C.G-
IXandP-
II
I

D.G-
IXandP-
VI

174.
Whi
choft
hef
oll
owi
ngi
sacl
assi
csi
gnsofpr
eecl
ampsi
a?
A.Hyper
tensi
on

B.Pr
otei
nur
ia

C.Edema

D.Convul
sion

175.
A-20-
year
-ol
dPr
imi
gravi
dawomanpr
esent
edwi
thachi
efcompl
aintofpushi
ngdown
pai
nandr
upt
ureofmembr
anes(
amni
oti
cfl
uid)
.Onphysi
calexami
nat
ion,
youf
ound
t
hatshehasst
rongur
get
opush,
ful
lydi
lat
edcer
vixandpal
pabl
epr
esent
ingpar
t.Based
 onyourf
indi
ng,
whi
choft
hef
oll
owi
ngsi
gnsobser
vedsi
gnal
sthatshei
sonsecond
st
ageofl
abor
?
A.St
rongur
get
opush

B.Di
lat
edcer
vix

C.Pal
pabl
epr
esent
ingpar
t

D.Rupt
ureofmembr
anes

176.
Whi
choft
hef
oll
owi
ngi
sthef
ir
stl
ineemer
gencyt
reat
mentofecl
ampsi
a?
A.Ant
iconvul
sant
s

B.Ant
ihyper
tensi
ve

C.Mai
ntai
ningABCofl
if
e

D.Ter
minat
ionofpr
egnancy

177.
Awomandi
agnosedt
ohavesever
epr
eecl
ampsi
ahasbeenonmagnesi
um sul
fat
e
mai
ntenancet
her
apy.Asanur
se,
whi
choft
hef
oll
owi
ngdr
ugt
oxi
cit
ywar
rant
syout
o
st
opt
hedr
ugi
nthi
spat
ient
?
A.Respi
rat
oryr
ate<16br
eat
hs/
minut
e

B.Ur
ineout
put30-
50ml
/mi
nut
e

C.Mi
nimaldeept
endonr
efl
ex

D.Decr
easedl
evelofconsci
ousness

178.
Basedont
hef
ocusedant
enat
alcar
e(FANC)model
,awomani
sadvi
sedt
ohavef
our
vi
sit
s;t
hef
ir
stvi
sitt edatabout16thweeksofgest
obeconduct ati
on.Whi
choft
he
f
oll
owi
ngassessmentdoesnotnecessar
il
ybedonedur
ingt
hef
ir
stANCvi
sit
?
A.HI
Vtest
ing

B.Di
agnosi
sofpr
eecl
ampsi
a

C.Syphi
li
sscr
eeni
ng

D.Det
ect
ionofanemi
a

179.
Del
ayi
nrecei
vingappr
opr
iat
ecar
eatt
heheal
thf
aci
li
tyi
soneoft
het
hreedel
aysi
n
car
eseeki
ngt
hataf
fectt
hesur
vival
ofbot
hmot
her
sandnewbor
ns.Whi
choft
he
f
oll
owi
ngf
indi
ng/
schar
act
eri
zepr
esencei
fsuchdel
ays?
A.Shor
tageofcompet
entpr
ovi
der
s
 B.Shor
tageofmoneyt
oreacht
otheheal
thf
aci
li
ty

C.Lackoft
ranspor
tat
ion

D.Lackofpowert
omakedeci
sionandseekheal
thcar
e

180.
A-31-
weekspr
egnantwomanpr
esent
edwi
thabdomi
nalpai
nandbr
ightr
edvagi
nal
bl
eedi
ngof6hour
sdur
ati
on.Thedet
ail
edhi
stor
yreveal
edt
hatt
hebl
eedi
ngbegi
nsaf
ter
af
alldownacci
dent
.OnP/
E,youi
dent
if
iedt
hatt
heabdomeni
stenderandnof
etal
hear
tbeati
sdet
ect
ed.Whatwoul
dbet
hemostl
ikel
ydi
agnosi
soft
hiswoman?
A.Vasapr
evea

B.Abr
upt
iopl
acent
a

C.Pl
acent
apr
evea

D.Mol
epr
egnancy

181.
Whi
choft
hef
oll
owi
ngi
sar
equi
rementf
orassi
stedi
nst
rument
aldel
iver
y?
A.Cephal
icpr
esent
ati
on

B.Ful
lydi
lat
edcer
vix

C.St
rongmat
ernalef
for
t

D.Al
i
vef
etus

182.
Whi
choft
hef
oll
owi
ngpar
amet
eri
dent
if
iedont
hepar
togr
aphsuggest
ssat
isf
act
ory
pr
ogr
essoff
ir
stst
ageofl
abor
?
A.Regul
arandpr
ogr
essi
veut
eri
necont
ract
ion

B.St
eadydecentoft
hef
etust
hrought
hebi
rt
hcanal

C.Pat
ter
nofcer
vicaldi
lat
ati
ongoest
other
ightoft
heal
ertl
ine

D.Fet
alhear
tbeat(
FHB)<100or>180beat
/mi
nut
e

183.
Whi
choft
hef
oll
owi
ngi
sthemostcommoncauseofut
eri
ner
upt
ure?
A.Obst
ruct
edl
abor

B.Pr
evi
ousCSscar

C.Twi
npr
egnancy

D.Excessi
veuseofoxyt
oci
n

184.
Whi
choft
hef
oll
owi
ngwomani
smor
eli
kel
ytodevel
opat
oni
cpost
par
tum hemor
rhage?
 A.Awomanwhohadbr
eechdel
iver
y

B.Awomanwhohadpr
olongedl
abor

C.Awomanwhohadi
nst
rument
aldel
iver
y

D.Awomanwhohadcesar
eansect
ion

185.
Whi
choft
hef
oll
owi
ngi
snotcomponentofact
ivemanagementoft
hir
dst
ageofl
abor
?
A.Manualr
emovalofpl
acent
a

B.Ut
eri
nemassage

C.Admi
nist
eri
ngut
erot
oni
cdr
ugs

D.Gi
vingappr
opr
iat
eIM/
IVant
ibi
oti
cs

186.
Apr
egnantwomanatt
erm pr
esent
edwi
thl
eakageofamni
oti
cfl
uid,
butshehasno
si
gnsofl
abor
.OnP/
E,t
henur
sef
oundt
hatmembr
anesar
erupt
uredandf
eel
sa
pul
sat
ingumbi
li
calcor
datt
hepel
vicf
loor
.Whati
sthedi
agnosi
sandi
mmedi
ate
managementoft
hiscl
ientatheal
thcent
erl
evel
,respect
ivel
y?
A.Cor
dpr
esent
ati
on,i
mmedi
ater
efer
ral
tohospi
tal

B.Cor
dpr
esent
ati
on,
reassur
anceoft
hewomant
ost
aycal
m

C.Cor
dpr
olapse,
immedi
ater
efer
ralt
ohospi
tal

D.Cor
dpr
olapse,
inducel
abort
osavet
hel
if
eoft
hef
etus

187.
Whi
choft
hef
oll
owi
ngdr
ugi
sthef
ir
stl
inet
reat
mentofchoi
cef
orawomanwi
thsever
e
mal
ari
ainEt
hiopi
a?
A.Coar
tum

B.I
VQui
nine

C.Ar
themet
er

D.Ar
tesunat
e

188.
Whi
choft
hef
oll
owi
ngnewbor
nrequi
resaspeci
alcar
ewi
thst
eroi
dsuppl
ement
?
A.Af
etusbor
nat32weeksofgest
ati
on

B.Af
etusbor
ntoawomanwi
thdi
abet
esmel
li
tus

C.Af
etusbor
nwi
thcongeni
tal
abnor
mal
it
y

D.Af
etusbor
ntoawomanwi
thHI
V
189.
An18yearol
duni
ver
sit
yst
udentpr
esent
edwi
thvagi
nalbl
eedi
ngandl
owerabdomi
nal
pai
n.Onhi
stor
y,shesai
dthatshehasbeensexual
lyact
iveandamenor
hicovert
hel
ast
t
hreemont
hs.Onvagi
nal
exami
nat
ion,
thecer
vixi
sopenandhasvagi
nalbl
eedi
ng,
but
t
her
eisnoexpul
sionofanypr
oductofconcept
ion.Basedont
hegi
veni
nfor
mat
ion,
whatwoul
dbet
hemostl
ikel
ydi
agnosi
sandmanagementoft
hispat
ient
,respect
ivel
y?
A.I
ncompl
eteabor
ti
on,
evacuat
ionoft
heconcept
ust
issue

B.I
nevi
tabl
eabor
ti
on,
evacuat
ionoft
heconcept
ust
issue

C.Mi
ssedabor
ti
on,
lett
hepr
egnancyendsbyi
tsel
f

D.Thr
eat
enedabor
ti
on,
lett
hepr
egnancycont
inuesast
hef
etusi
svi
abl
e

190.
Whi
choft
hef
oll
owi
ngi
snecessar
il
yat
ruesi
gnofl
abor
?
A.Engagementoft
hepr
esent
ingpar
tint
othepel
vicbr
im

B.Rupt
ureofamni
oti
cfl
uidmembr
anes

C.Regul
arut
eri
necont
ract
ionwi
thpr
ogr
essi
vecer
vicaldi
lat
ion

D.Pushi
ngdownpai
nandbackache

191.
Tocol
ysi
sisoneoft
hemanagementofpr
egnantwoman.Whi
choft
hef
oll
owi
ng
womanr
equi
rest
hist
reat
ment
?
A.Awomanwi
thpr
eter
mlabor

B.Awomanwi
tht
winpr
egnancy

C.Awomanwi
thpr
evi
ousCSscar

D.Awomanwi
thpr
eecl
ampsi
a

192.
Ethi
opi
adoesnotachi
evet
hemi
ll
enni
um devel
opmentgoalsett
oreduceneonat
al
mor
tal
i
ty.Whi
choneoft
hef
oll
owi
ngi
sthel
eadi
ngcauseofneonat
almor
tal
it
yint
he
count
ry?
A.Pr
emat
uri
ty

B.Bi
rt
hasphyxi
a

C.Neonat
alsepsi
s

D.Congeni
talabnor
mal
it
y

193.Whi
choft
hef
oll
owi
ngi
snor
mal
findi
ngi
nawomanonsecondst
ageofl
abor
?
A.FHB<100or>180beat
/mi
nut
e
 B.Vagi
nalbl
eedi
ng

C.Shoul
derdyst
oci
a

D.Spont
aneousr
otat
ionoff
etalhead

194.
Whi
choft
hef
oll
owi
ngi
mmedi
atenewbor
ncar
eneedst
obedoner
ightaf
terbi
rt
h?
A.Dr
ybaby’
sbodywi
thdr
ytowel

B.Wi
peeyes

C.Assessbr
eat
hingandcol
or

D.Ti
eandcutt
hecor
d

195.
Whi
choft
hef
oll
owi
ngvacci
nepr
event
sdi
arr
heaamongunder
-5chi
ldr
en?
A.Rot
a

B.PCV

C.Hi
b

D.HBV

196.
Whi
choneoft
hef
oll
owi
ngi
snotkeycomponentofheal
thsect
ort
ransf
ormat
ionpl
an?
A.Avai
li
ngcar
ing,
compassi
onat
eandr
espect
fulheal
thpr
ofessi
onal

B.Qual
it
yandequi
tyofheal
thcar
e

C.Ensur
ingaccesst
oheal
thser
vice

D.Wor
edat
ransf
ormat
ion

197.
Whi
choft
hef
oll
owi
ngmoder
ncont
racept
ivei
snotpr
efer
redt
oabr
east
feedi
ng
woman?
A.DMPA(
depo)

B.I
mpl
ant
s

C.I
UCD

D.COC

198.
Whi
choft
hef
oll
owi
ngwomanhasal
essorchanceofcer
vicalcancer
?
A.Awomanl
ivi
ngwi
thHI
V

B.Awomanhavi
ngmul
ti
plesexual
par
tner
s
 C.Awomanhavi
ngahi
stor
yofSTI

D.Awomanl
ivi
ngi
nmonogamousr
elat
ion

199.Thel
astnor
malmenst
rual
per
iodofapr
egnantwason22/
07/
2008.Whatwi
llbeher
expect
eddat
eofdel
iver
yaccor
dingt
otheEt
hiopi
ancal
endar
?
A.December27,
2009

B.Januar
y02,
20009

C.December2,
2009

D.Oct
ober28,
2009

200.
Whi
choft
hef
oll
owi
ngi
sinappr
opr
iat
ewhi
lemanagi
nganewbor
nwi
thbi
rt
hasphyxi
a?
A.Posi
ti
ont
henewbor
nsupi
newi
thnecksl
i
ght
lyext
ended

B.Cl
eart
hemout
handnosewi
thgauzeorbul
bsyr
inge

C.Vent
il
atewi
thappr
opr
iat
esi
zemaskandsel
f-
inf
lat
ingbag

D.St
opr
esusci
tat
ionaf
ter10mi
nut
esi
fther
eisnor
esponse