Free Questions and Answers for All Medical Students all over the World
Dr Ray Makar 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 … Read more
Q- A 65-year-old woman with long-standing rheumatoid arthritis presents with progressive shortness of breath and dry cough. Chest X-ray shows bilateral interstitial infiltrates. Which of the following medications is most likely responsible? A- Etanercept B- Hydroxychloroquine C- Methotrexate D- Prednisone Q- A 70-year-old man presents with progressive difficulty walking. He reports urinary incontinence and … Read more
Q- A patient treated for latent tuberculosis develops elevated liver enzymes. Which drug is most likely responsible? A- Cycloserine B- Ethambutol C- Isoniazid D- Streptomycin Q- A 55-year-old woman with osteoporosis is prescribed a bisphosphonate. Which instruction is most important to prevent esophageal irritation? A- Remain upright for 30 minutes after ingestion B- Take … Read more
Q- A 52-year-old man presents with chronic cough, hemoptysis, and digital clubbing. Chest X-ray reveals a coin lesion in the lung. Biopsy shows malignant glandular structures producing mucin. What is the most likely diagnosis? A- Adenocarcinoma B- Large cell carcinoma C- Small cell carcinoma D- Squamous cell carcinoma Q- A 36-year-old woman presents with … Read more
Q- A 60-year-old man with a history of alcohol use presents with vomiting of bright red blood. He is hypotensive and tachycardic. Endoscopy reveals dilated veins in the lower esophagus. What is the best initial management step? A- Beta-blocker therapy B- Endoscopic band ligation C- IV octreotide and fluid resuscitation D- IV proton pump inhibitor … Read more
Q- A 25-year-old woman is taking oral contraceptive pills (OCPs). Which antibiotic can decrease the effectiveness of her contraceptive therapy? A- Amoxicillin B- Azithromycin C- Ciprofloxacin D- Rifampin Q- A 60-year-old man with benign prostatic hyperplasia (BPH) and hypertension is prescribed terazosin. Which of the following adverse effects should he be warned about? A- … Read more