Afghanistan Specialization Entry Exam Practice Questions - Afghanistan Medical Specialization (Takhasus) Entry Exam - Afghanistan Specialization Entry Exam Practice Questions - Afghanistan Medical Specialization (Takhasus) Entry Exam

Question 1

A 56-year-old male with a 20-pack-year smoking history presents with progressive dyspnea on exertion and chronic morning productive cough. Spirometry reveals a post-bronchodilator FEV1/FVC ratio of 0.58 and an FEV1 of 62% of predicted. He reports two moderate exacerbations in the past year requiring antibiotics. According to GOLD guidelines, what is the most appropriate initial maintenance pharmacotherapy?

Short-acting beta-2 agonist (SABA) as monotherapy on an as-needed basis only Long-acting muscarinic antagonist (LAMA) combined with a long-acting beta-2 agonist (LABA) Inhaled corticosteroid (ICS) monotherapy twice daily Oral systemic corticosteroid combined with low-dose theophylline

Correct Answer:

Long-acting muscarinic antagonist (LAMA) combined with a long-acting beta-2 agonist (LABA)

Question 2

A 48-year-old female presents with fatigue, cold intolerance, constipation, and weight gain over 6 months. Physical examination reveals delayed deep tendon reflex relaxation and a non-tender diffuse thyroid enlargement. Laboratory tests show TSH of 18.5 mIU/L (normal: 0.4-4.0) and Free T4 of 0.4 ng/dL (normal: 0.8-1.8). What is the most specific serum antibody marker to confirm the underlying etiology?

Anti-thyroid peroxidase (anti-TPO) antibodies Thyroid-stimulating immunoglobulin (TSI) Anti-smooth muscle antibodies (ASMA) Anti-double-stranded DNA (anti-dsDNA) antibodies

Correct Answer:

Anti-thyroid peroxidase (anti-TPO) antibodies

Question 3

A 62-year-old male with a history of long-standing hypertension presents with an acute right-sided hemiparesis and motor aphasia starting 75 minutes ago. Non-contrast CT of the head rules out intracranial hemorrhage and shows an ASPECTS score of 10. Blood pressure is 170/95 mmHg, and blood glucose is 130 mg/dL. He has no history of surgery, bleeding diathesis, or recent trauma. What is the most appropriate next step in management?

Administer oral aspirin 325 mg and clopidogrel 300 mg immediately Initiate intravenous unfractionated heparin with target aPTT of 60-80 seconds Administer intravenous recombinant tissue plasminogen activator (rtPA / alteplase) Lower systolic blood pressure to below 120 mmHg using intravenous sodium nitroprusside

Correct Answer:

Administer intravenous recombinant tissue plasminogen activator (rtPA / alteplase)

Question 4

During exploration of a groin wound, a surgeon identifies the femoral triangle. Which structures lie within the femoral triangle, and in what order are they arranged from lateral to medial?

Femoral nerve, femoral artery, femoral vein, and the femoral canal containing lymphatics (lateral to medial) Femoral vein, femoral artery, femoral nerve, and the inguinal ligament (lateral to medial) Femoral artery, obturator nerve, great saphenous vein, and the adductor canal (lateral to medial) Sciatic nerve, profunda femoris artery, femoral vein, and the pectineus muscle (lateral to medial)

Correct Answer:

Femoral nerve, femoral artery, femoral vein, and the femoral canal containing lymphatics (lateral to medial)

Question 5

A 28-year-old woman presents with symmetrical joint pain and morning stiffness lasting over an hour in her metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints bilaterally for 3 months. Physical examination shows synovitis in 8 joints. Lab tests reveal elevated ESR and positive Anti-Cyclic Citrullinated Peptide (anti-CCP) antibodies. What is the first-line disease-modifying anti-rheumatic drug (DMARD) of choice?

Oral Prednisone 40 mg daily as long-term monotherapy Methotrexate orally once weekly along with Folic acid supplementation Infliximab monotherapy administered intravenously every 2 weeks High-dose Ibuprofen 800 mg three times daily

Correct Answer:

Methotrexate orally once weekly along with Folic acid supplementation

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Prepare with the Afghanistan Specialization Entry Exam Practice Questions - Afghanistan Medical Specialization (Takhasus) Entry Exam practice quiz. This question bank includes 100 questions covering year-old, presents, male, reveals, and pain. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Afghanistan Specialization Entry Exam Practice Questions - Afghanistan Medical Specialization (Takhasus) Entry Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, male, reveals, and pain. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

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Afghanistan Specialization Entry Exam Practice Questions - Afghanistan Medical Specialization (Takhasus) Entry Exam

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