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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A doctor sends cancer screening results to an elderly patient via his personal email. What is the main problem with this action?
Anonymous Quiz
63%
Email may be accessed by unauthorized individuals
29%
Patient may not understand the terms used
4%
Patient may have forgotten his password
4%
Patient might delete the email accidentally
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A patient shared his BP readings on a health well being group asking for an advice, his physician is also in the group and he identified him. Which of the following is the appropriate response?
A- advice him in the group
B- message him privately with advice
C- answer publicly in the group without telling his identity
D- ignore him
My answer:
Considering it is a group to benefit people, I see no issue in addressing his concern in the form of general advice without revealing his identity. I would go for C but pay attention to any other details to this question in the exam.
A- advice him in the group
B- message him privately with advice
C- answer publicly in the group without telling his identity
D- ignore him
My answer:
Considering it is a group to benefit people, I see no issue in addressing his concern in the form of general advice without revealing his identity. I would go for C but pay attention to any other details to this question in the exam.
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A female patient with a history of anxiety disorder presents with lethargy and fatigue, requesting a few days off. She reports being under significant stress but has no physical symptoms. What is the most appropriate ethical approach?
Anonymous Quiz
18%
Give sick leave
3%
Do not give sick leave
71%
Refer to stress management and do not give sick leave
8%
Give medication for anxiety
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A physician plans to prescribe a biologic inhaler for a child with asthma. The inhaler is very expensive, and the doctor has previously given a conference about this drug. Which of the following statements is ethically correct?
Anonymous Quiz
20%
The physician has no justification for prescribing an expensive medication
14%
The physician should have prescribed the cheaper generic version
8%
The doctor does not have a financial interest
58%
The physician must disclose the potential conflict of interest to the patient or guardian
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A couple completed the IVF process and are ready for embryo transfer, but they have since divorced. The wife now wants to proceed with the embryo transfer. What is the most appropriate action?
Anonymous Quiz
4%
It is allowed to do it
18%
It is allowed only if the ex-husband agrees
62%
Do not proceed with the transfer
16%
Wait for legal confirmation
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In the following numbers: 2, 5, 5, 5, 5, 5, 3, 3, 5, 5, 5, 5, 5, 5, 6, 4, 5
Which of the following is the mode?
Which of the following is the mode?
Anonymous Quiz
5%
3
6%
4
86%
5
4%
6
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A pediatric patient with a history of medulloblastoma underwent surgery, chemotherapy, and radiotherapy. After two years, the cancer recurred with metastases. The family and team have agreed on DNR. What is the most appropriate management approach?
Anonymous Quiz
21%
Provide ventilatory support
13%
Provide inotropic support
54%
Do not administer resuscitative medications
12%
Initiate full code resuscitation
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A researcher investigates an outbreak of food poisoning after a group trip. He conducts interviews and identifies which specific food item caused the illness. What type of study design is this?
Anonymous Quiz
52%
Case-control study
16%
Cohort study
8%
Randomized controlled trial
23%
Cross-sectional study
👍5
A pediatric patient presents with headache and other symptoms. MRI confirms a diagnosis of medulloblastoma. The parents refuse to believe the diagnosis. What is the most appropriate response by the physician?
Anonymous Quiz
4%
“You are in denial, accept it.”
87%
“I know this is difficult, but it's confirmed brain tumor.”
3%
“Let's ignore the diagnosis and treat her symptoms.”
6%
“Don't worry about it, it's mostly benign.”
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