Multiple-choice questions for general practitioner (GP) Doctor: MCQS

Correct Answer: B

Indirect inguinal hernia. [Swelling in the groin; mass just above and lateral to the pubic tubercle mea hernia. It is reducible. On applying pressure on the internal ring there is no cough impulse; it means the hernia through deep ring, and enters scrotum passing through the Superficial ring. That means it is indirect inguinal hernia.

Correct Answer: B

A rash suggestive of Lyme is enough to indicate treatment. A 5-cm-wide targetshaped rash, particularly with a history of camping/hiking, is enough to indicate the need for antibiotic treatment with doxycycline. A characteristic rash is more specific than serology.

Correct Answer: B

Acute cholecystitis is a common inflammatory condition that occurs often in obese women in their 40s. A gallstone occludes the lumen of the cystic duct. Patients have peritoneal signs and a positive Murphy sign. A sonographic Murphy sign is the ultrasound probe causing a cessation of breathing when it presses against the abdominal wall. On ultrasound, cholecystitis is characterized by pericholecystic fluid and a thickened gallbladder wall. Diverticulitis would be lower left or right quadrant pain in an elderly person with a history of constipation. Pancreatitis would have deep epigastric.