D. Stage C, Class III 11. A 50 year-old man was found to have a BP=170/100 He has a history of asthma. Which one is the most appropriate drug of choice? A. Atenolol Q. Hydralazine B. Enalapril D. Furosemide National Licensing Examination for Health Professionals by NBE July 2015 12. A 40 year-old man presented with fever shaking chills of three days duration. He also has non- productive cough and right-sided pleuritic chest pain. He has no significant past medical history. Physical examination revealed crepitation on the posterior right lower chest.Which one is the best initial investigation to confirm the diagnosis? A. Chest X-ray B. Culture of sputum C. Gram stain of sputum D. White blood cell count 13. A 25 year-old woman who was diagnosed with pulmonary tuberculosis and started anti- tuberculosis treatment two weeks ago is found to be HIV positive on screening On physical examination, she has pale conjunctiva and laboratory investigation shows CD4 count of 100cells/ul. Which one is the most appropriate first line antiretroviral regimen for this patient? A ABC/3TC/NVP A. TDE/3TC/EFV C. AZTI3TC/EFV D. D4T/3TC/NVP 14. A24 year-old man has generalized lymphadenopathy , aphthous ulcers, and gray-white plaques around his scrotum . Dark field microscopic examinatior demonstrates spirochetes Which of the following is the treatment of choice? A. Ceftriaxone Q. Penicillin B. Erythromycin D. Tetracycline 15. A 30 year-old prisoner presents with intermittent fever and headache of two days duration. He claims that three of his roommates had similar symptoms and were treated in the prison .Blood film examination showed a spirochete . Which one of the following is the most appropriate antibiotic choice for this patient? A. Ceftriaxone C. Procaine penicillin B. Ciproflocacillin D. Vancomycin 16. A 20 year-old Imale patient presents with abdominal swelling of three weeks duration. She lives in a rural village where the water source used is river water. Ultrasound examination reveals peri-portal fibrosis Which one of the following is most likely cause for the patient's condition? A. River blindness C. Leishmaniasis B. Ascariasis D. Schistosomiasis

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D. Stage C, Class III 11. A 50 year-old man was found to have a BP=170/100 He has a history of asthma. Which one is the most appropriate drug of choice? A. Atenolol Q. Hydralazine B. Enalapril D. Furosemide National Licensing Examination for Health Professionals by NBE July 2015 12. A 40 year-old man presented with fever shaking chills of three days duration. He also has non- productive cough and right-sided pleuritic chest pain. He has no significant past medical history. Physical examination revealed crepitation on the posterior right lower chest.Which one is the best initial investigation to confirm the diagnosis? A. Chest X-ray B. Culture of sputum C. Gram stain of sputum D. White blood cell count 13. A 25 year-old woman who was diagnosed with pulmonary tuberculosis and started anti- tuberculosis treatment two weeks ago is found to be HIV positive on screening On physical examination, she has pale conjunctiva and laboratory investigation shows CD4 count of 100cells/ul. Which one is the most appropriate first line antiretroviral regimen for this patient? A ABC/3TC/NVP A. TDE/3TC/EFV C. AZTI3TC/EFV D. D4T/3TC/NVP 14. A24 year-old man has generalized lymphadenopathy , aphthous ulcers, and gray-white plaques around his scrotum . Dark field microscopic examinatior demonstrates spirochetes Which of the following is the treatment of choice? A. Ceftriaxone Q. Penicillin B. Erythromycin D. Tetracycline 15. A 30 year-old prisoner presents with intermittent fever and headache of two days duration. He claims that three of his roommates had similar symptoms and were treated in the prison .Blood film examination showed a spirochete . Which one of the following is the most appropriate antibiotic choice for this patient? A. Ceftriaxone C. Procaine penicillin B. Ciproflocacillin D. Vancomycin 16. A 20 year-old Imale patient presents with abdominal swelling of three weeks duration. She lives in a rural village where the water source used is river water. Ultrasound examination reveals peri-portal fibrosis Which one of the following is most likely cause for the patient's condition? A. River blindness C. Leishmaniasis B. Ascariasis D. Schistosomiasis

Answer 1

11. The correct answer is B. Enalapril. Enalapril is an angiotensin-converting enzyme (ACE) inhibitor that helps to lower blood pressure by relaxing blood vessels. It is often preferred in patients with hypertension and a history of asthma because it does not cause bronchoconstriction, unlike beta-blockers such as atenolol. 12. The correct answer is A. Chest X-ray. A chest X-ray is the best initial investigation to confirm the diagnosis of pleuritic chest pain with crepitations, as it can reveal the presence of pleural effusion or other abnormalities in the chest. 13. The correct answer is B. TDF/3TC/EFV. This regimen is a combination of tenofovir (TDF), lamivudine (3TC), and efavirenz (EFV). It is a commonly used first-line antiretroviral regimen for HIV-positive patients, especially those with a low CD4 count. 14. The correct answer is B. Penicillin. Penicillin is the treatment of choice for syphilis, which is characterized by generalized lymphadenopathy, aphthous ulcers, and gray-white plaques around the scrotum. Dark field microscopy demonstrating spirochetes confirms the diagnosis. 15. The correct answer is C. Procaine penicillin. Procaine penicillin is an effective antibiotic for treating syphilis, which is caused by a spirochete. It is often used as a treatment option for prisoners with syphilis. 16. The correct answer is D. Schistosomiasis. Schistosomiasis, also known as bilharzia, is a parasitic infection caused by Schistosoma species. It can lead to peri-portal fibrosis and abdominal swelling, especially in areas where river water is used as a source of drinking water.

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