A 45-year-old male presents with severe right flank pain. Imaging reveals a 7mm renal stone. What is the most appropriate initial management? A. Observation B. Ureteroscopy C. Percutaneous nephrolithotomy D. Extracorporeal shock wave lithotripsy (ESWL) E. Open surgery Which of…
1. A 2-year-old boy weighing 12 kg is prescribed amoxicillin for acute otitis media. The recommended dosage is 80-90 mg/kg/day divided into two doses. What is the appropriate dose per administration? A) 240 mg B) 480 mg C) 540 mg…
What is the first step in Basic Life Support? a) Call for help b) Check for responsiveness c) Start chest compressions d) Give rescue breaths What is the recommended rate for chest compressions during CPR? a) 60-80 per minute b)…
What does the cerebroplacental ratio (CPR) measure in gestational ultrasound? A) Blood flow between the brain and the heart B) Ratio of blood flow between the fetal middle cerebral artery and the umbilical artery C) Blood flow from the placenta…
1. A 65-year-old male presents with painless lymphadenopathy and night sweats. A lymph node biopsy reveals a diffuse proliferation of large B cells with a high mitotic index. Which translocation is most likely associated with this condition? 2. A patient…
1. Which of the following is not a type of renal dialysis? A) Hemodialysis B) Peritoneal dialysis C) Renal transplantation D) Conservative management 2. Hemodialysis access is usually achieved through: A) Arteriovenous fistula B) Peritoneal catheter C) Renal vein catheterization…
1. A 28-year-old woman presents for a routine prenatal ultrasound at 20 weeks’ gestation. The ultrasound shows a single umbilical artery. The most appropriate next step is: A. Amniocentesis B. Detailed fetal echocardiogram C. Repeat ultrasound in 4 weeks D.…
1. A 45-year-old woman presents with chronic cough and hemoptysis. A chest radiograph shows a spiculated mass in the right upper lobe. The most appropriate next step in the management of this patient is: A. CT-guided biopsy B. Bronchoscopy C.…
1. Which of the following BEST describes a public health approach to dental care? A) focuses on individual treatment B) emphasizes prevention for populations C) provides care primarily through private practices D) relies on out-of-pocket payments from patients 2. Which…
1. A researcher wants to investigate the effect of a new medication on blood pressure. Which of the following is the most appropriate null hypothesis? A) The new medication has no effect on blood pressure. B) The new medication…
1. A 55-year-old man with a history of alcohol abuse presents with new-onset ascites. Which of the following is the most appropriate next step in management? A. Initiate diuretic therapy B. Recommend large-volume paracentesis C. Recommend liver transplantation D. Recommend…
1. A 65-year-old man with cirrhosis secondary to hepatitis C is found to have a 3 cm liver mass on routine abdominal imaging. Which of the following is the most appropriate next step in management? A. Initiate treatment with sorafenib…
1. A 55-year-old man with alcohol-related cirrhosis presents with new-onset ascites. Which of the following is the most appropriate next step in management? A. Initiate diuretic therapy B. Recommend large-volume paracentesis C. Recommend liver transplantation D. Recommend salt restriction and…
1. A 35-year-old man presents with acute hepatitis, nausea, vomiting, and jaundice. Serologic testing is positive for IgM anti-hepatitis E virus (HEV) antibodies. Which of the following is the most appropriate next step in management? A. Initiate treatment with ribavirin…
1. A 55-year-old man presents with fatigue and jaundice. Laboratory tests reveal elevated AST, ALT, and bilirubin levels. Hepatitis C antibody is positive, and HCV RNA is detected. Which of the following is the most appropriate next step in management?…
1. A 35-year-old man is found to have positive hepatitis B surface antigen (HBsAg) and positive hepatitis B e antigen (HBeAg) on routine screening. Which of the following is the most appropriate next step in management? A. Initiate treatment with…
1. A 30-year-old man presents with 1 week of nausea, vomiting, and abdominal pain. Physical examination reveals scleral icterus and hepatomegaly. Laboratory testing shows elevated transaminases and positive IgM anti-hepatitis A virus (HAV) antibodies. Which of the following is the…
1. A 50-year-old obese man with a history of type 2 diabetes presents with fatigue and right upper quadrant abdominal pain. Liver function tests reveal elevated aspartate aminotransferase (AST) and alanine aminotransferase (ALT) levels. Ultrasonography shows a hyperechoic liver consistent…
1. A 65-year-old man with a history of hypertension and coronary artery disease presents with palpitations, shortness of breath, and decreased exercise tolerance. Electrocardiography reveals irregular, chaotic atrial activity and an irregularly irregular ventricular response. Which of the following is…