Pharmacology MCQs- 203

A 33-year-old woman presents to the clinic for her regular yearly physical examination. She has a long history of depression and takes fluoxetine regularly for two years. Which amino acid is the precursor of the neurotransmitter affected by this drug? A- Glycine B- Glutamate C- Methionine D- Phenylalanine E- Tryptophan Answer Fluoxetine is a selective … Read more

Heart Murmur

An 18 year-old student visits her physician for a routine physical examination. She has no complaints. Physical examination is unremarkable except for a mid-systolic click followed by a late systolic murmur heard at the lower left sternal border and apex. The murmur duration increases in standing and shortens with squatting. Electrocardiogram (ECG) shows no abnormalities. … Read more

Knee Discomfort

A 26-year-old woman visits her physician with a complaint of discomfort in her left knee for 2 weeks. It is exaggerated when she is sitting for a long time and relieved with analgesics. She admits that she had this discomfort on and off since she was at high school. On examination, the left knee does … Read more

Irregular Menstrual Periods

A 32-year-old woman with a long history of irregular menstrual periods visits her physician for consultation. She is married for 8 years and has been unable to conceive. Her menstrual period occurs once every 2-4 months.  She had normal Pap smear last year. Her height is 5.2″. Her weight is 205 pounds. Her vital signs … Read more

Pharmacology MCQs- 202

A 45 year-old man presents with progressive burning epigastric pain. He smokes and drinks alcohol socially. Physical examination, laboratory tests and imaging studies confirm the diagnosis of peptic ulcer. He is prescribed omeprazole. What is the effect of this medication that improves this condition? A-Anti-cholinergic effect B-Inhibition of H+/K+ ATPase pump C-Blocking of H2 receptor … Read more