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MOH EXAM QUESTIONS

MOH EXAM QUESTIONS


1. Mr. Albu Ainstin is a 66 year old man who had an intraventricular hemorrhage. He has an external
ventricular drain (EVD) that is open to drainage at 5 cmH20 above the reference level. It has been
draining ~20 ml per hour for the past 24 hours. The waveform suddenly becomes dampened with a
pressure reading of 8 mmHg, and there has been no CSF drainage during the past hour. How should
these findings be interpreted?
a. Lack of drainage is an expected finding
b. Clotting of the catheter should be suspected
c. The hydrocephalus has resolved
d. The drainage chamber should be raised

2. Mr. Mohammed Iqbal had an ischemic bowel requiring urgent total colectomy and ileostomy and TPN. One week
following admission to ICU, his Alanine Aminotransferase (ALT) and his Aspartate Aminotransferase
(AST) double, and his alkaline phosphatase and direct bilirubin increase 4 fold. His lipase and
pancreatic amylase are mildly elevated and his ammonia is normal. These findings are most
consistent with which complication?
a. Hepatic ischemia
b. Biliary track disease
c. Pancreatitis
d. Hemolysis

3. Mrs. Jibi Chakocha develops a sudden facial droop with dysphagia. Which diagnostic test is best for
identification of an acute cerebral infarction?
a. MRI
b. EEG
c. CT scan
d. Cerebral angiogram

4. Mrs. Simran Mathew is started on neuromuscular blocking agents. Which one of the following interventions is
a priority?
a. Titrate sedation using a sedation scoring tool
b. Maintain eyes in a closed position
c. Use of oral hydration solutions
d. Administration of prn analgesia

MOH EXAM QUESTIONS (repeatedly Asked Questions)


5. Following insertion of a nasogastric feeding tube, Mrs. Sindrella is started on continuous enteral
feeding infusion at 30 ml/hr. Three hours later, she has a residual volume of 100 ml. Which one of the
following interventions would be the priority?
a. Remove the feeding tube and replace with a nasal-jejunal tube
b. Position Mrs. Sindrella on her left side
c. Initiate metoclopramide (Maxeran)
d. Administer a dose of pantoprazole (Pantoloc)


6. Mr. Stalin is admitted with acute gallstone pancreatitis following ERCP. He develops ARDS and
requires intubation and mechanical ventilation, with fluid resuscitation for systemic inflammation. He
is experiencing nausea and vomiting. Which one of the following interventions would you anticipate?
a. Early initiation of TPN
b. NPO with gastric drainage
c. Nasal-jejunal enteral feeding
d. Avoidance of narcotics


7. Fernandis is a 18 year old who suffers from anorexia and bulimia. She is admitted with failure to thrive,
weighing 39 kg. Which one of the following interventions is a priority?
a. Initiate central TPN while encouraging oral intake
b. Initiate tube feeding at a rate that matches daily energy requirements
c. Monitor and replace phosphate, magnesium and potassium
d. Administer loperamide prn if diarrhea develops

8. Which one of the following interventions should be included in the care of a patient receiving Central
TPN?
a. Change lipid tubing every 72 hours
b. Change central line every 7 days
c. Weekly blood cultures
d. Routine liver function tests

9. Mrs. Flossy Rodrigus is admitted with a diagnosis of septic shock NYD. She received aggressive fluid
resuscitation, is started on broad spectrum antibiotics and steroids, and is now on levophed at 15
mcg/min and vasopressin at 2.4 units/hr. Despite maintaining a MAP of 65 mmHg, her lactate rises
from 4.5 to 8.8 and she develops new onset diarrhea. Which one of the following interventions would
you anticipate?
a. Repeat blood cultures
b. Hepatic ultrasound
c. CT abdomen
d. Insertion of rectal tube

10. Mr. Binu Abraham is admitted following an overdose of beta blockers. Which one of the following antidotes
would you anticipate?
a. Levothyroxine
b. Glucagon
c. Levophed
d. N-aceylcysteine Mucomyst


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