A couple underwent in vitro fertilization (IVF) but have since divorced. What should be done with the stored embryos?
Anonymous Quiz
7%
Give to mother
2%
Give to father
40%
Preserve until reconciliation
51%
Discard them
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In a high lead exposure area, 50 children were selected. Which of the following statistical measures can best assess the degree of lead exposure of each individual?
Anonymous Quiz
20%
Mean
6%
Mode
14%
Median
60%
Standard deviation
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In a high tuberculosis (TB) prevalence area, a new screening test was developed to detect even the missed cases. Which of the following characteristics is most likely high in this test?
Anonymous Quiz
12%
Specificity
71%
Sensitivity
14%
Positive predictive value
4%
Negative predictive value
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Two groups of children were divided as follows:
Group A watches TV for 2 hours daily, and Group B does not watch TV. What type of study design does this represent?
Group A watches TV for 2 hours daily, and Group B does not watch TV. What type of study design does this represent?
Anonymous Quiz
48%
Cohort
34%
Case-control study
10%
Cross-sectional study
8%
Randomized controlled trial
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A nurse reviewing a patient's file before surgery notices that allergy history is not mentioned. At what point should allergies be checked and confirmed?
Anonymous Quiz
90%
Sign in
3%
Sign out
4%
Time out
3%
Postoperative
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A first-trimester scan reveals a severe fetal anomaly, and the mother requests an abortion. Which of the following should be given the highest consideration in this situation?
Anonymous Quiz
15%
Fetal rights
2%
Societal interest
79%
Maternal autonomy
4%
Physician’s personal beliefs
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An elderly man in poor health is not eating and flinches whenever his son raises his voice. What is the most appropriate next step in management?
Anonymous Quiz
76%
Report elder abuse
7%
Transfer to a nursing home
5%
Start enteral feeding
12%
Provide nutritional counseling
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A COPD patient has a recorded Do Not Intubate (DNI) order. His condition deteriorates, and the medical team believes that intubation might prolong his life. What should be done in this situation?
Anonymous Quiz
79%
Respect his DNI
8%
Consult his family before making a decision
7%
Proceed with intubation as it may prolong his life
7%
Intubate the patient regardless of his DNI
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In a study of colon cancer in a population of 100,000 people, there are 300 new cases and 75 existing cases. What is the cumulative prevalence?
Anonymous Quiz
58%
0.375%
6%
0.45%
31%
0.375 per 1000
4%
0.45 per 1000
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A new screening test for breast lesions was compared with a mammogram. Out of 1000 patients, the mammogram detected 200 positive cases. The new test detected 180 cases and missed 20 (false negatives). What is the sensitivity of the new test?
Anonymous Quiz
10%
95%
67%
90%
20%
80%
3%
70%
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In a community where influenza is common, you tried to convince the population to take the vaccine but they refused. What is the best approach for health education and prevention in this situation?
Anonymous Quiz
7%
Make posters and distribute
1%
Through podcasts
1%
Through emails
91%
Provide community leaders with reliable information
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A 60-year-old patient with controlled Type 2 Diabetes Mellitus has missed their last two scheduled appointments at the diabetes clinic. Which of the following IOM domains of quality would help improve the patient’s adherence to appointments?
Anonymous Quiz
73%
Patient-Centeredness
13%
Timeliness
10%
Efficiency
4%
Safety
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A woman joins a health program for obesity. The leading physician posts a picture of the patient without showing her face, but her body shape clearly makes her identifiable. What ethical principle has been breached?
Anonymous Quiz
15%
Autonomy
14%
Informed consent
67%
Confidentiality
4%
Non-maleficence
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A 16-year-old pregnant girl requests an abortion due to socioeconomic reasons. The doctor personally believes abortion is wrong and tries to persuade her not to terminate the pregnancy. What should the physician’s stance be?
Anonymous Quiz
65%
Give advice in a non-biased way
9%
Say abortion is prohibited by religion
19%
Take the physician’s stance and refuse abortion
7%
Refer her to another doctor without discussion
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Researchers conducted a cohort study (obese vs non-obese). The results showed that obese participants had a relative risk (RR) of 2.8 for CVD, but after adjusting for HTN, DM, and smoking, the RR decreased to 1.8. What is the correct interpretation?
Anonymous Quiz
17%
The adjustment increased the likelihood of cardiovascular disease
72%
Diabetes, hypertension, and smoking are confounders
8%
The initial relative risk is inaccurate
3%
Obesity has no relationship with cardiovascular disease
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A clinical trial on a new drug for glycemic control in diabetic patients. One of the participants develops severe hypoglycemia, but the researcher is concerned that stopping the drug might cause the study to fail. What is the most appropriate action?
Anonymous Quiz
76%
Stop the drug for the patient’s safety
2%
Continue the drug to ensure the study’s success
9%
Modify the study protocol to fit this patient
14%
Discuss with the research team before taking any action
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An elderly patient with a history of hypertension and diabetes presented with chest pain and developed cardiac arrest. Despite resuscitation efforts, the patient passed away. What should be written in the medical report?
Anonymous Quiz
3%
Dead due to hypertension and diabetes
8%
Only write “cardiac arrest” without details
88%
Write “cardiac arrest” and include clinical details
0%
Do not mention the cause of death
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During a school trip, 30 out of 150 children developed gastroenteritis. What is the attack rate?
Anonymous Quiz
63%
20%
18%
15%
14%
25%
5%
10%
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