Chapter 6: MCQs for Doctors

Chapter 6: MCQs for Doctors and Medical Students for Exams and Interviews

5000 Plus MCQs for Doctors and Medical Students for Exams and Interviews. MCQs have long been a staple of medical education, and they continue to play a crucial role in the assessment of doctors and medical students. These questions typically consist of a stem, or a statement that poses a problem or question, followed by several options or answer choices, only one of which is correct. Doctors MCQs cover a wide range of topics, from basic sciences to clinical medicine, and they are used in a variety of contexts, including medical school exams, licensing and certification exams, and continuing medical education.

251 to 300 MCQs for Doctors and Medical Students for Exams and Interviews

Doctors MCQs cover a wide range of topics, from basic sciences to clinical medicine, and they are used in a variety of contexts, including medical school exams, licensing and certification exams, and continuing medical education.

251 to 300 MCQs

251. What is the most common mole found in adults?
     1. Junctional nevus
     2. Compound nevus
     3. Intradermal nevus ✔
     4. Congenital nevus
252. What condition is associated with acanthosis nigricans?
     1. Type 2 diabetes and gastric adenocarcinoma ✔
     2. Rubella
     3. Varicella zoster
     4. Basal cell carcinoma
253. What disorder is characterised by an initial ‘herald patch’ which is then followed by scaly erythematous plaques usually in a ‘Christmas tree’ distribution?
     1. Pityriasis rosea ✔
     2. Herpes
     3. Varicella zoster virus
     4. Erysipelas
254. What is the infective agent implicated in acne?
     1. Staphylococcus aureus
     2. Streptococcus pyogenes
     3. Staphylococcus epidermidis
     4. Propionibacterium acnes ✔
255. What is a precursor to squamous cell carcinoma (SCC)?
     1. Keratoacanthoma
     2. Actinic keratosis ✔
     3. Leser-Trélat sign
     4. Measles
256. What is Leser-Trélat sign?
     1. Sudden appearance of multiple seborrhoeic keratoses and is an indicator of a gastrointestinal tract carcinoma. ✔
     2. A left supraclavicular node associated with gastric carcinoma
     3. Metastasis of gastric carcinoma to the periumbilical region
     4. Metastasis of gastric carcinoma to the bilateral ovaries
257. What skin condition is caused by poxvirus?
     1. Verruca
     2. Molluscum contagiosum ✔
     3. Impetigo
     4. Cellulitis
258. An elderly lady presents to her doctor with a raised, round discoloured plaque, ‘stuck on appearance’ on her face. What skin condition is this?
     1. Rubella
     2. Seborrheic keratosis ✔
     3. Basal cell carcinoma
     4. Melasma
259. What is the grading system for prostatic cancer?
     1. Breslow thickness
     2. Bloom Richardson
     3. Gleason ✔
     4. Fuhrman
260. What is priapism?
     1. Inability to void the bladder
     2. Abnormal curvature of the penis
     3. Painful erection lasting > 4 hours ✔
     4. Cyst due to a dilated testicular duct

261. What area does prostate cancer spread to most frequently?
     1. Brain
     2. Lung
     3. Pancreas
     4. Lumbar spine ✔
262. What tumour is characterised by findings of ‘Schiller Duval bodies’ on histology and raised levels of AFP on blood tests?
     1. Yolk sac tumour ✔
     2. Embryonal carcinoma
     3. Teratoma
     4. Sertoli cell tumour
263. What is the most common congenital male reproductive disorder?
     1. Hydrocoele
     2. Testicular torsion
     3. Peyronie’s disease
     4. Cryptorchidism ✔
264. What are the risk factors for developing germ cell tumours?
     1. Orchitis
     2. Hydrocoele and varicocele
     3. Klinefelter syndrome and cryptorchidism ✔
     4. Hypospadias and epispadias
265. How does testicular torsion typically present?
     1. Sudden pain in the scrotum and an absent cremasteric reflex ✔
     2. Swelling of the scrotum and fever
     3. A painless testicular mass that cannot be transilluminated
     4. ‘Bag of worms’ appearance of the scrotum
266. Are testicular tumours usually biopsied?
     1. Yes
     2. No ✔
267. What type of testicular tumour fits this description? A homogenous and painless mass with the absence of haemorrhage. On histology, findings include large cells in lobules with clear cytoplasm ‘fried egg appearance’.
     1. Teratoma
     2. Choriocarcinoma
     3. Leydig cell tumour
     4. Seminoma ✔
268. What is the causative agent of condyloma acuminatum?
     1. Chlamydia trachomatis
     2. HPV 6 or 11 ✔
     3. HSV
     4. E-coli
269. Do varicoceles typically appear on the right side or the left side?
     1. Right
     2. Left ✔
270. What is hypospadias?
     1. Opening of urethra on the ventral surface of the penis ✔
     2. Opening of urethra on dorsal surface of the penis
     3. Inflammation of the testicles
     4. Benign warty growth on genital skin
271. What is the best description for the area of the prostate that the carcinoma usually affects?
     1. Posterior and peripheral region ✔
     2. Anterior and peripheral region
     3. Periurethral region
     4. Entire anterior region
272. The vocal cords are attached anteriorly by the arytenoid cartilage.
     1. True
     2. False ✔
273. The bridge of the nose is made out of cartilage.
     1. True
     2. False ✔
274. Waldeyer’s ring is the ring that surrounds the tympanic membrane.
     1. True
     2. False ✔
275. The superior part of the tympanic membrane is known as the pars flaccida.
     1. True ✔
     2. False
276. The bones of the ear from the outside to inside are:
     • Incus
     • Stapes
     • Malleus
       1. True
       2. False ✔
277. The ‘cone of light’ is a reflection of light on the tympanic membrane that points superiorly.
     1. True
     2. False ✔
278. The Eustachian tube connects the eye to the nose.
     1. True
     2. False ✔
279. The tensor tympani is the only muscle present in the inner ear.
     1. True
     2. False ✔
280. The tongue is partially innervated by the facial nerve
     1. True ✔
     2. False

281. The cochlea is responsible for balance.
     1. True
     2. False ✔
282. A 28-year-old man presents to his GP with a 4cm mobile anterior neck mass. A fine needle aspirate is performed which reveals cells with ‘orphan Annie eye’ nuclei and psammoma bodies.
     What is the most likely diagnosis?
     1. Thyroglossal duct cyst
     2. Follicular carcinoma
     3. Medullary carcinoma
     4. Papillary carcinoma ✔
     5. Lingual thyroid
283. What is the most common type of thyroid carcinoma?
     1. Follicular carcinoma
     2. Papillary carcinoma ✔
     3. Medullary carcinoma
     4. Anaplastic carcinoma
284. Which of the following features is NOT typical for Graves disease?
     1. Hyperplasia of the follicles
     2. Scalloping of the colloid
     3. Irregular shaped follicles
     4. Infiltration of mononuclear cells into retro-orbital connective tissues
     5. Extensive infiltration of the mononuclear cells into the thyroid parenchyma ✔
285. A 37-year-old woman presents to the clinic with 2 days of sudden onset pain in the anterior neck radiating to the jaw. She is otherwise well having reported a full recovery from a ‘cold’ a week ago.
     What findings are NOT consistent with her diagnosis?
     1. Plasma cells aggregating around damaged thyroid follicles
     2. Dense fibrosis of the thyroid gland ✔
     3. Neutrophilic infiltration of the thyroid
     4. Formation of microabscesses
     5. Multinucleated giant cells encapsulating colloid fragments
286. A 62-year-old gentleman presents to the clinic with a 5cm painless neck mass as well as diarrhoea for the past 3 months. A biopsy is taken and he is subsequently diagnosed with medullary carcinoma.
     Which of the following features is consistent with a medullary carcinoma?
     1. Grossly soft and tender mass
     2. Diagnosis of MEN-1 syndrome
     3. Haematologic metastatic spread
     4. High levels of calcitonin ✔
     5. Localised amyloid deposits
287. Which of the following features is NOT consistent with follicular carcinoma?
     1. Malignant proliferation of follicular cells
     2. Follicular carcinomas are diagnosed via fine needle aspiration ✔
     3. More common in women than men
     4. Commonly have PI-3K/AKT signalling pathway mutations
     5. Uniform cells forming small colloid containing follicles
288. A 46-year-old female presents to the preadmission clinic and is found to have a 3cm anterolateral firm painless neck mass along with a minor decrease in calcium serum levels.
     What is the most likely diagnosis?
     1. Anaplastic carcinoma
     2. Medullary carcinoma ✔
     3. Follicular carcinoma
     4. Papillary carcinoma
     5. Parathyroid carcinoma
289. Which of the following features are NOT consistent with anaplastic carcinoma?
     1. Large, pleomorphic giant cells
     2. Occasional osteoclast-like multinucleated giant cells
     3. Spindle cells
     4. Poor prognosis
     5. Positive thyroglobulin markers ✔
290. What thyroid cancer has the worst prognosis? (choose the answer that shows the correct descending order, the first being the cancer with the worst prognosis and the last being the one with the best prognosis)
     1. anaplastic > medullary > follicular > papillary ✔
     2. anaplastic > medullary > papillary > follicular
     3. anaplastic > papillary > medullary > follicular
     4. medullary > anaplastic > papillary > follicular
     5. medullary > anaplastic > follicular > papillary
291. An 18-year-old female presents with a painless 1cm mass in the anterior neck region. A biopsy is taken revealing fluid contained within pseudostratified columnar epithelium.
     What is the most likely diagnosis?
     1. Follicular adenoma
     2. Branchial cyst
     3. Thyroglossal duct cyst ✔
     4. Thyroid cystitis
     5. Parotid tumour
292. Conjoint tendon is formed by ?
     1. External and internal oblique
     2. External oblique and transversus abdominis
     3. Internal oblique and transversus abdominis ✔
     4. Internal oblique
293. Multiple bilateral dentigerous cysts are seen in ?
     1. Down’s syndrome
     2. Maroteaux lamy syndrome ✔
     3. Teacher collin syndrome
     4. Gorlin Goltz syndrome
294. COC is now called as?
     1. Odontogenic ghost cell tumor
     2. Dentinogenic ghost cell tumor ✔
     3. Keratcysticodontogenic tumour
     4. A & C
295. Facial nerve paralysis is common with?
     1. Pleomorphic adenoma
     2. Epidermoid carcinoma
     3. Warthin’s stumour
     4. Lymphoepithelial carcinoma ✔
296. The most aggressive and destructive cyst is ?
     1. Periapical cyst
     2. Dentigerous cyst✔
     3. Globulomaxillary cyst
     4. Nasopalatine cyst
297. Standard treatment of ameloblastoma ?
     1. Segmental resection with 1 cm of normal bone ✔
     2. Enbloc resection
     3. Enucleation
     4. Enucleation with cauterization
298. The most common odontogenic cyst is ?
     1. Primordial cyst
     2. Dentigerous cyst
     3. Radicular cyst ✔
     4. Mucocele
299. Cyst arising from dental lamina ?
     1. Radicular cyst
     2. Paradental cyst
     3. Eruption cyst
     4. Glandular odontogenic cyst ✔
300. Adenomatoid odontogenic tumour is characterized histologically by ? (1)
     1. Polyhedral epithelial cells
     2. Tubular / duct like cells ✔
     3. Stellate shaped cells
     4. Stratified squamous epithelial cells

One of the advantages of MCQs is that they can test a large amount of information in a relatively short amount of time. This is especially important in medical education, where there is an overwhelming amount of information that needs to be learned and assessed. MCQs also allow for objective and standardized grading, which is essential for ensuring fairness and consistency in assessment.

However, designing effective MCQs can be a challenging task, and there are several key principles that need to be followed to ensure that these questions are reliable, valid, and useful. One of the most important principles is to ensure that the questions are written in a clear and concise manner, with a stem that accurately reflects the knowledge and skills that are being assessed. The answer options should be well-differentiated and plausible, and the correct answer should be defensible and based on sound clinical reasoning.

Another important principle is to ensure that the MCQs cover a representative sample of the knowledge and skills that are required for the specific exam or assessment. This means that the questions should be designed to test both basic and advanced knowledge, and they should cover a range of topics and clinical scenarios. The questions should also be designed to test different levels of cognitive complexity, from simple recall of facts to higher-order thinking and problem-solving.

There are several different types of MCQs that can be used to assess doctors, each with its own advantages and disadvantages. One common type is the single best answer MCQ, where the stem is followed by several options, only one of which is the correct answer. This type of MCQ is relatively straightforward to write and grade, and it is useful for testing basic knowledge and clinical reasoning.

Another type of MCQ is the extended matching item (EMI), which consists of a list of options that are matched to several stems or clinical scenarios. This type of MCQ is useful for testing a broad range of knowledge and skills, and it can be particularly effective for testing diagnostic reasoning and clinical decision-making.

A third type of MCQ is the key feature question (KFQ), which is designed to test the ability to identify important clinical features and to make appropriate management decisions. This type of MCQ is useful for testing advanced knowledge and clinical reasoning, and it can be particularly effective for testing the ability to integrate multiple pieces of information and to make complex decisions.

Regardless of the type of MCQ used, it is important to ensure that the questions are of high quality and that they accurately reflect the knowledge and skills required for the specific exam or assessment. This requires careful attention to the design and development of the questions, as well as rigorous testing and validation to ensure that they are reliable, valid, and useful.

---

Possible References Used

---