During your 6-week observership in the urology clinic, you observed a testicular biopsy (a cut made on the testes and sent for pathology examination). The resident supervising you asked you to check for the result. The pathology diagnosis stated: GUMMA. Your supervising resident asked you what a gumma is? Your correct answer will be:

A. Tuberculosis
B. Chlamydia
C. Gonorrhea
D. Syphilis
E. Sarcoidosis

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Today you are with your preceptor, Dr. S, in the general surgery outpatient clinic. Dr. S asked you to get him a hand Doppler so that he could assess the dorsalis pedis artery. You will look for the dorsalis pedis artery:

A. On the face
B. On the forearm
C. On the dorsum of the foot
D. In the groove behind the knee
E. On the skull

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Dr. S called you to show you a cancerous lesion on a mammogram. Then he asked you whether you have read anything about breast cancer before. You are an avid reader and you did study some research methodology in one of your undergrad courses, and one of the topics was on the epidemiology of breast cancer. Dr. S then asked you the incidence of breast cancer among women. You fascinated him and he promised you an excellent letter of recommendation. The correct response you gave that made him happy was:

A. 20%
B. 9%
C. 30%
D. 15%
E. 3 %

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Prep for ‪#‎Premed‬ Observership

You have been doing observership in the neurology clinic for 5 weeks now. A patient just came in and is being examined by the first year neurology fellow. The fellow asked the patient to stick out her tongue, which she did, the tongue deviated to the left. The fellow then asked you what nerve was damaged. The correct answer is:

A. Hypoglossal nerve
B. Trigeminal nerve
C. Facial nerve
D. Glossopharyngeal nerve
E. Accessory nerve

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You are in the General Surgery Outpatient Clinic today and you just arrived late. A 60-year old woman was just examined by the third year surgery resident. The resident asked the other pre-med student who came early to present the case to you. She was brought to the Emergency Department by her niece because of pain around her right femur. There was no history of trauma/fall or any injury. The resident then asked you what we call this kind of non-traumatic fracture. You came in late and this was the best chance for you to redeem yourself. The best response from you should be:

A. Jones fracture
B. Fracture of unknown origin
C. Colles fracture
D. Pathological fracture
E. Infectious fracture

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You just came in for your observership in Neurology, and your preceptor asked you how many pairs of cranial nerves are there in the human body. The correct answer is:

A. 6 pairs
B. 10 pairs
C. 24 pairs
D. 17 pairs
E. 12 pairs

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Prep for ‪#‎Premed‬ Observership:

You have been doing your observership in the OB/GYN department. You have just requested Dr. S, your preceptor, for a letter of recommendation. Since you have been working with a resident and the resident has spoken highly of you, Dr. S still wanted to be certain. He asked you this question: “ What is infertility?” The correct answer will be:
A. A woman who was previously pregnant with a miscarriage
B. A woman with a deformed uterus
C. A woman who has not been able to conceive despite trying for at least 12 months
D. A woman with deformed ovaries
E. A woman who has not been able to conceive after trying for six months

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This afternoon you find yourself in the Internal Medicine Outpatient Clinic with Dr. S. He is discussing the consequences of diabetes. Then he turned to you and asked: “When I mentioned afferent and efferent arterioles, which organ comes to mind? Think diabetes.” Your correct response will be:

A. Pancreas
B. Kidney
C. Retina
D. Heart
E. Foot

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You observed a delivery on the ward and the baby appeared like the picture above. The OB Chief resident asked you the name of the condition. You happen to have read the delivery notes and the OB Chief resident was all smiles when you gave the right response. Your response was:

A. Anancephaly
B. Anophthalmia
C. Anotia
D. Arrhinia
E. Cyclopia

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How many toes do you have? This condition is known as:

A. Syndactyly
B. Polydactyly
C. Syndesmosis
D. Polyarthroses
E. Polyostosis

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A 35-year old patient presented at the urgent care center where you were doingyour premed observership. The main complaints were: pain and peri-ungual swelling on the right middle finger (see image above). Dr. S gave you the diagnosis as paronychia which you had seen before. He now asks you the following question: Which of the following will be the most likely cause of this condition?

A. Trichophyton rubrum
B. Candida albicans
C. Herpes simplex
D. Human papilloma virus type 13
E. Staphylococcus aureus

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You have been doing observership in the eye clinic. A patient just came in with the following complaints: pain in the eye with excessive tearing. There is a small swelling that looks like the one in the image above). Since you have seen this case before, the fellow supervising you asks you for a diagnosis. You are thrilled and you shouted the correct diagnosis as:

A. Keratitis
B. Human papilloma virus
C. Cataract
D. Stye
E. Herpes of the eye

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you should post this in health section or open your own blog.

You are in the STI clinic for your observership, and the Chief Resident just asked you this question because you are late: “Which of the following is not typically associated with MouthAction?”

A. Staphylococcus aureus
B. Neisseria gonorrhoeae
C. Chlamydia trachomatis
D. Human papilloma virus
E. Herpes simplex type 2.

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Ta da.

Dr. S, your preceptor, is about to go in for a major surgery that he calls BSO (bilateral salpingo-oophorectomy). You wanted to go in and observe. Dr. S would let you in only if you can answer the following question: “What structure attaches the ovary to the uterus?”

A. Fallopian tube
B. Utero-sacral ligament
C. Ovarian ligament
D. Round ligament of the uterus
E. Douglas pouch

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You were in the delivery room and observed the delivery of the patient who had features as in the picture above. The chief resident doctor asked you “what do you think?” You looked, were confused and replied “what?” Then she said: “What do we call this?” Unfortunately, you did not care to read the prenatal notes and you uttered some staccato kind of speech, and the entire delivery room was surprised you were so ignorant about a delivery you participated in. Then the chief resident turned to the other premed student who easily answered and everyone was relieved. The chief resident asked you to see her in the resident’s room for a special talk. Apparently, everyone was not happy with you. What a bad day. The correct answer as given by the other premed student is:

A. Anancephaly
B. Anophthalmia
C. Anotia
D. Arrhinia
E. Aphasia

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You are in the STI (sexually transmissible infections) clinic and a young man of about 24 years of age is complaining of sore throat. The patient had non-protective sexual intercourse with a stranger and engaged in receptive MouthAction. Gram staining of the smear of the exudates from the patient’s throat shows organisms that resemble the picture below. The resident supervising you asks you whether you still remember your microbiology and you answered in the affirmative. You told him you completed your microbiology course with an A+++. You answered his question correctly and your supervising resident was very pleased and impressed. The correct response you gave was:

A. Staphylococcus aureus
B. Neisseria gonorrhoeae
C. Chlamydia trachomatis
D. Human papilloma virus
E. Klebsiella granulomatis (causes granuloma inguinale or donovanosis)

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During your observership in OB/GYN you were asked to prepare a presentation on a 30-year old woman who has had treatment for infertility. You came across the image below in her files which is likely to be:

A. A magnetic resonance image of two uteri
B. An ultrasound image of two uteri
C. An ultrasound image of two fibroid tumors
D. A magnetic resonance image of the two ovaries
E. An ultrasound image of twins

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You are in trauma doing observership and there is a patient being taken for a head CT Scan. The doctors keep on repeating the word “the pterion”, and you are confused since that language is new to you. However, you realize that you need to know what that means to understand the medical conversation going on. You ask another smart pre-med student that has been answering questions correctly all day, and who seems to be comfortable understanding what is going on. The student gives you the correct answer as:

A. The back of the skull
B. The middle of the skull
C. The frontal end of the skull
D. The weakest part of the skull
E. The strongest part of the skull

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You are premed and you just got yourself an observership in psychiatry. Dr. S is your preceptor and he is now on a teaching round for the residents. At the end of the round, one of the residents asked you to verify whether patient X is taking any narcotic agent. You went through a list of medications that the patient is actively taking. Which of the following medications will confirm that the patient is on a narcotic agent?

A. Diazepam (Valium)
B. Fentanyl
C. Carbamazepine
D. Gabapentin
E. Phenytoin

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You are doing your observership in the occupational medicine outpatient clinic. As part of pre-employment screening, a 25-year old man offered his urine and Dr. S is now discussing the results. At the end, Dr. S concluded that the patient may be taking cocaine. One of the residents then asks you from your chemistry class which substance in the urine shows up in a case of cocaine consumption. You look dazed and speechless and everyone’s attention is on you. Finally, you gave up. Another pre-med student who just joined the discussion yelled out the correct response. Which of these substances did the student mention as the correct answer?

A. Benzoylecgonine
B. Tetrahydrocannabinol
C. EDDP (2-ethylidene-1,5-dimethyl1-3,3-diphenylpyrrolidine)
D. Normeperidine
E. MDA (3,4-methylenedioxyamphetamine (MDA)

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Today, you are in the Family Medicine Outpatient Clinic. A patient presented with signs and symptoms of middle ear infections. Dr. S wanted to know if you are conversant with basic human anatomy. He asked you about the smallest bone in the human body. Your answer should be:

A. Capitate
B. Scaphoid
C. Incus
D. Lunate
E. Stapes

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Today you are in the OB/GYN (Obstetrics and Gynecology Clinic). The resident doctor just presented an interesting case of a woman who is in her third trimester and developing high blood pressure. She is G3P1011. The attending physician, Dr. S, asks you what G3P2011 stands for. You look dazed and clueless. Another smart premed student gave the right answer and Dr. S was impressed and congratulated the student. Dr. S was not pleased with you and advised you to read more patient notes and pay more attention during your observership. You should have given the correct response as:

A. Total of three pregnancies with the current one, one term, no preterm, one miscarriage and one child alive
B. Total of three pregnancies with the current one, one preterm, no term, one miscarriage and one child alive
C. Total of three pregnancies exclusive of the current one, one term, no preterm, one miscarriage and one child alive
D. Total of three pregnancies exclusive of the current one, one term, no preterm, one miscarriage and one child alive
E. Total of three pregnancies with the current one, one term, no preterm, two miscarriages and one child alive

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You are in pediatrics doing observership, and a child is presenting with difficulty walking. A diagnosis of DMD (Duchenne muscular dystrophy) was obtained. One of the medical students was asked the cause of this disease. She said: “DMD is caused by a nonsense mutation of the dystrophin gene.” Your preceptor (Dr. S) now asks you what a nonsense mutation is. Your correct answer is:

A. A mutation that is caused by insertions or deletions of a number of nucleotides in a DNA sequence that is not divisible by three leading to a completely different translation

B. A mutation that results in a premature stop codon leading to a truncated, incomplete, and usually non-functional protein product

C. A mutation where a single neucleotide is changed to cause substitution of a different amino acid

D. A mutation occurring in non-coding regions of the DNA

E. A mutation that results in a variation of a single base pair in a DNA sequence

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In which organ do you find the portal triad (see image below)?

A. Brain
B. Lung
C. Liver
D. Heart
E. Testis

Answer
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Which of the following cells produces testosterone (image below)?
A. Sertoli cell
B. Kulchitsky
C. Leydig cell
D. Alpha cell
E. Delta cell

Answer
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