Free Questions and Answers for All Medical Students all over the World
Q- A 59-year-old man presents with crushing chest pain for 1 hour. ECG shows ST elevation in the anterior leads. The hospital does not have a catheterization laboratory, and transfer would take 3 hours. What is the most appropriate next step? A- Administer fibrinolytic therapy B- Begin aspirin therapy only C- Start intravenous heparin and … 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 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 22-year-old man is brought to the emergency department after a motor vehicle accident. He is hypotensive, tachycardic, and has distended neck veins. Breath sounds are absent on the right, and the trachea is deviated to the left. What is the best next step in management? A- Give IV fluids B- Insert a chest … Read more
Q- A 68-year-old woman presents with a sudden onset of chest pain that radiates to her back. Blood pressure is 190/100 mmHg. She has a history of long-standing hypertension. CT angiography shows a tear in the intimal layer of the aorta. Which of the following is the most appropriate initial treatment? A- Give aspirin B- … Read more
Q- A 54-year-old man with a history of alcohol use disorder presents with confusion, ataxia, and nystagmus. Which of the following is the most appropriate immediate treatment? A- IV dextrose B- IV thiamine C- IV glucose followed by thiamine D- Oral folic acid Q- A 72-year-old woman presents with shortness of breath and swelling … Read more