Q- A 65-year-old man with heart failure is started on spironolactone. Which adverse effect should be monitored most closely?
A- Gynecomastia
B- Hypocalcemia
C- Hypokalemia
D- Metabolic acidosis
Q- A 60-year-old man presents with weakness, fatigue, and splenomegaly. His complete blood count shows pancytopenia. Bone marrow aspiration is “dry,” but biopsy shows fibrotic marrow with atypical megakaryocytes.
What is the most likely diagnosis?
A- Acute lymphoblastic leukemia
B- Aplastic anemia
C- Chronic myeloid leukemia
D- Myelofibrosis
Q- A patient receiving chemotherapy develops severe nausea and vomiting. Which drug works by blocking serotonin (5-HT₃) receptors to control these symptoms?
A- Metoclopramide
B- Ondansetron
C- Promethazine
D- Scopolamine
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