Free Questions and Answers for All Medical Students all over the World
Q- A 32-year-old woman presents with fatigue and pruritus. Labs show elevated alkaline phosphatase and positive anti–mitochondrial antibodies. What is the most appropriate initial treatment? A- Azathioprine B- Prednisone C- Ursodeoxycholic acid D- Vitamin K Q- A 70-year-old hospitalized patient suddenly develops dyspnea and hypotension. CT angiography confirms a massive pulmonary embolism. What is … Read more
Q- A 45-year-old woman presents with fever and a productive cough. She has been started on antibiotics for community-acquired pneumonia. Two days later, she develops profuse watery diarrhea. The stool test is positive for toxin. What is the most appropriate treatment? A-Ciprofloxacin B-Loperamide C-Oral vancomycin D-Stop antibiotics only Q- A 72-year-old woman presents with … Read more
Q- A 26-year-old woman at 34 weeks’ gestation presents with severe headache, visual disturbances, and right upper quadrant pain. Blood pressure is 170/110 mmHg. Labs show platelets 85,000/mm³ and elevated AST/ALT. Fetal monitoring is reassuring. What is the most appropriate next step in management? A- Administer IV labetalol and observe B- Administer magnesium sulfate and … Read more
Q- A 64-year-old man presents to the emergency department with severe epigastric pain radiating to the back. He is febrile and tachycardic. Labs show lipase 1,800 U/L. RUQ ultrasound shows gallstones. Despite IV fluids and pain control, he develops hypotension and worsening hypoxemia over the next 12 hours. What is the best next step in … Read more
Q- A 67-year-old man with a history of chronic kidney disease presents with progressive shortness of breath and lower extremity edema. Echocardiography shows concentric left ventricular hypertrophy with normal ejection fraction. BNP is elevated. Which of the following pathophysiologic mechanisms is most responsible for this patient’s condition? A- Decreased myocardial contractility B- Impaired ventricular relaxation … Read more
Q- A 59-year-old man presents with progressive exertional dyspnea and fatigue. Cardiac exam reveals a harsh systolic murmur best heard at the right upper sternal border that radiates to the carotids. What is the most likely diagnosis? A- Aortic regurgitation B- Aortic stenosis C- Mitral regurgitation D- Mitral stenosis Q- A 26-year-old woman presents … Read more