Free Questions and Answers for All Medical Students all over the World
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
Q- A 67-year-old man presents with sudden onset left arm weakness and facial droop that resolved completely within 30 minutes. CT scan of the head is normal. What is the most likely diagnosis? A- Intracerebral hemorrhage B- Ischemic stroke C- Subarachnoid hemorrhage D- Transient ischemic attack Q- A 34-year-old woman presents with heat intolerance, … Read more
Q- A 5-year-old boy presents with generalized edema and frothy urine. Urinalysis shows proteinuria (+++), but no hematuria. Serum albumin is low, and cholesterol is elevated. What is the most likely diagnosis? A- Acute poststreptococcal glomerulonephritis B- IgA nephropathy C- Membranous nephropathy D- Minimal change disease Q- A 28-year-old woman presents with acute shortness … 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