Free Questions and Answers for All Medical Students all over the World
Q- A 28-year-old woman presents with palpitations and tremor. ECG shows atrial fibrillation. Labs reveal suppressed TSH and elevated T4. What is the most appropriate initial treatment? A- Methimazole B- Propranolol C- Radioactive iodine therapy D- Thyroidectomy Q- A 35-year-old man presents with fever, hypotension, and a diffuse rash after a minor surgical procedure. … Read more
Q- A 63-year-old woman with diabetes presents with fever, flank pain, and dysuria. CT scan shows gas within the renal parenchyma. What is the most likely diagnosis? A- Acute pyelonephritis B- Emphysematous pyelonephritis C- Renal abscess D- Xanthogranulomatous pyelonephritis Q- A 74-year-old woman presents with acute onset right-sided weakness and slurred speech that began … Read more
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