public health coc exam

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public health coc exam part one direction: each of the following questions is followed by four possible alternative answers. read each question carefully and blacken the letter of your best choice on the separate answer sheet provided. 1. a 21 yrs old male pt. came with compliant of productive cough of one month duration. he also has law grade fever, night sweet, weight loss & loss of appetite. on examination he is chronically sick looking with vital signs in the normal rang. he has no remarkable syndromes. laboratory investigation of sputum microscopy showed mycobacterium bacilli. what is the best next step of the management of the pt? a) ———————————————————————————————— 2. a 40yr old known rvi pt. who has been on art for the last three yrs came with a compliant of whitish loading over his tongue with difficulty & pain during swallowing of two wks duration. his vital signs are …

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duration. he was repeatedly treated with anti acid & omeprazole for the last three yrs. he is chronically sick looking with vital sign in the normal range. on examination he has pale conjunctiva & non icteric and there is mild epigastric tenderness. laboratory investigation results shows hemoglobin level of 8.4mg/dl and negative h.pylori test. what is the most likely anticipated complication in this pt? a) gastric outlet obstruction c) perforated peptic ulcer b) gastrointestinal bleeding d) gastric lymphoma 6. a 26 yrs old male presented with complaints of bloody diarrhea & fever of 12 hrs duration. he reported that a day back he had eaten raw vegetables at a local restaurant. his pr is 116/min, temp 38 o c , bp 90/60mmhg and rr 20/min. he has no remarkable systemic findings on examination. what is the most likely dx of this pt? a) shigellosis c) taeniasis b) giardiasis d) choler …

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clarithromycine c) ceftriaxone b) augumentin d) cefalexine 9. a 28 yr old male presented with complaints of shortness of breath & dry cough of two wks duration. he also has low grade fever & decrease appetite. he is chronically sick looking with vital signs in the normal range. on respiratory examination, there is dullness and abscess air entry over the posterior lower 1/3 rd of the left chest. what is the most likely explanation for this finding? a) consolidation c) bronchieotasis b) lung abscess d)pleural effusion 10. a 29 yr old female who is known asthmatic pt. on intermittent salbutamol puff for the last two yrs came for routine follow up. she states that she has been using her salbutamol puff more than three times a day to get relieved to the last one month. what is most appropriate step to the management of this pt? a) oral corticosteroid c) …

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d) advise on life style modification & send him home 13. a 28 yr male came to an em opd with a compliant of shortness of breath of six days duration. he also had pleuritic type of chest pain which improves with leaning forward & worst with supine position, high grade fever & dry cough of four days duration. he is mostly sick looking with bp of 70/50 mmhg, pr of 112/min, rr of 32/min, temp. of 38.7oc . distended neck veins & distal heart are the findings on cardiovascular examination. what is the most likely dx of the pt.? a) severe pneumonia c) pulmonary embolism b) carotide temponade d) spontaneous pneumothorax 14. a 36 yr old male came with compliant of watery diarrhea & vomiting of two days duration. he was being treated with oral antibiotic & ors but has no improvement. three days back he treated to complain …

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uloskeletal examination joints of toe affected & toe swelling, warm to touch & extremely tender. what is the most likely clinical dx? a) rheumatoid arthritis c) septic arthritis b) acute gouty arthritis d) osteoarthritis 17. a 19 yr old male pt presented with a compliant of easy fatigability associated with occasional fever for the past three weeks. he also had repeated episodes of epistaxis in the past three days. he is acutely sick looking, in pain. with bp of 100/70 mmhg, pr of 124/min, rr of 24/min and temp. of 37.8oc. on examination he has pale conjunctiva, cbc results revealed wbc count of 40,000/mm3, hgb level of 10 mg/dl & platelet count 60,000/ml. what is the most likely clinical dx? a) severe sepsis c) acute osteomyelitis b) hemolytic anemia d) hematologic malignancy 18. a 40yr old female pt. was admitted to a medical ward with a diagnosis of severe community …

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public health coc exam part one direction: each of the following questions is followed by four possible alternative answers. read each question carefully and blacken the letter of your best choice on the separate answer sheet provided. 1. a 21 yrs old male pt. came with compliant of productive cough of one month duration. he also has law grade fever, night sweet, weight loss & loss of appetite. on examination he is chronically sick looking with vital signs in the normal rang. he has no remarkable syndromes. laboratory investigation of sputum microscopy showed mycobacterium bacilli. what is the best next step of the management of the pt? a) ———————————————————————————————— 2. a 40yr old known rvi pt. who has been on …

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