November 2026
A patient presents with 12 hours of lower limb weakness. All vital signs are normal. Coagulation profile and platelet count are normal. Imaging shows a small to moderate ischemic core with proximal anterior circulation occlusion. What is the most appropriate management?
A) tPA
B) Manual embolectomy
C) tPA and embolectomy
D) Observe
A patient presents with 12 hours of lower limb weakness. All vital signs are normal. Coagulation profile and platelet count are normal. Imaging shows a small to moderate ischemic core with proximal anterior circulation occlusion. What is the most appropriate management?
A) tPA
B) Manual embolectomy
C) tPA and embolectomy
D) Observe
November 2026
A patient underwent laparoscopic cholecystectomy and presents to the ER with vague abdominal pain. A CT scan shows a collection in the subhepatic area. Which of the following is the most appropriate next step?
A) Operative drainage
B) Laparoscopic drainage
C) Ultrasound-guided drainage
D) MRCP (Magnetic Resonance Cholangiopancreatography)
A patient underwent laparoscopic cholecystectomy and presents to the ER with vague abdominal pain. A CT scan shows a collection in the subhepatic area. Which of the following is the most appropriate next step?
A) Operative drainage
B) Laparoscopic drainage
C) Ultrasound-guided drainage
D) MRCP (Magnetic Resonance Cholangiopancreatography)
November 2026
A 25-year-old male presents with rectal bleeding and abdominal pain. Both his sibling and mother have the same condition. The guaiac stool test is positive. What is the most likely diagnosis?
A) Diverticulosis
B) Ulcerative colitis
C) Peutz-Jeghers syndrome
D) Familial adenomatous polyposis
A 25-year-old male presents with rectal bleeding and abdominal pain. Both his sibling and mother have the same condition. The guaiac stool test is positive. What is the most likely diagnosis?
A) Diverticulosis
B) Ulcerative colitis
C) Peutz-Jeghers syndrome
D) Familial adenomatous polyposis
November 2026
A man in his 60s with a BMI of 25 has no complaints except two elevated blood pressure readings. All laboratory investigations are normal. What is the most appropriate next step?
A) Ambulatory blood pressure monitoring for 1 week
B) Renal ultrasound to assess for renal artery stenosis
C) Echocardiography
D) Start an ACE inhibitor now
A man in his 60s with a BMI of 25 has no complaints except two elevated blood pressure readings. All laboratory investigations are normal. What is the most appropriate next step?
A) Ambulatory blood pressure monitoring for 1 week
B) Renal ultrasound to assess for renal artery stenosis
C) Echocardiography
D) Start an ACE inhibitor now
November 2026
A postoperative patient on day 4 after surgery presents with fever as the only complaint. What is the most appropriate next step in management?
A) Order complete blood count
B) Send urine culture
C) Assess the surgical site
D) Review current medications
A postoperative patient on day 4 after surgery presents with fever as the only complaint. What is the most appropriate next step in management?
A) Order complete blood count
B) Send urine culture
C) Assess the surgical site
D) Review current medications
November 2026
Which of the following is a common cause of disseminated intravascular coagulation (DIC)?
A) Uterine rupture
B) Placenta previa
C) Placental abruption
D) Abortion
Which of the following is a common cause of disseminated intravascular coagulation (DIC)?
A) Uterine rupture
B) Placenta previa
C) Placental abruption
D) Abortion
November 2026
In a patient who undergoes surgery and receives lidocaine, and the physician administers a dose higher than recommended, what is the earliest sign of lidocaine toxicity?
A) Bradycardia
B) Confusion
C) Tinnitus
D) Dizziness/blurry vision
In a patient who undergoes surgery and receives lidocaine, and the physician administers a dose higher than recommended, what is the earliest sign of lidocaine toxicity?
A) Bradycardia
B) Confusion
C) Tinnitus
D) Dizziness/blurry vision
November 2026
A G3P2 woman with a singleton pregnancy has a history of postpartum hemorrhage; what is the strongest risk factor for PPH in her current pregnancy?
A) Multiparity
B) Previous postpartum hemorrhage
C) Multiple gestation
D) Macrosomic baby
A G3P2 woman with a singleton pregnancy has a history of postpartum hemorrhage; what is the strongest risk factor for PPH in her current pregnancy?
A) Multiparity
B) Previous postpartum hemorrhage
C) Multiple gestation
D) Macrosomic baby
November 2026
A patient has premature prelabor rupture of membranes (PPROM). What protein will you find in amniotic fluid?
A) ALP
B) Vasopressinase
C) Protein 14
D) Alpha 1 microglobulin
A patient has premature prelabor rupture of membranes (PPROM). What protein will you find in amniotic fluid?
A) ALP
B) Vasopressinase
C) Protein 14
D) Alpha 1 microglobulin
November 2026
A 4-month-old baby presented with signs of UTI. The baby is stable, not dehydrated, alert and feeding well. Urinalysis: positive nitrite, positive leukocytes. Fever: 39.1°C. What is the appropriate empirical antibiotic to be started?
A) Oral azithromycin
B) Oral amoxicillin
C) IV Ceftriaxone
D) IV Cefepime
A 4-month-old baby presented with signs of UTI. The baby is stable, not dehydrated, alert and feeding well. Urinalysis: positive nitrite, positive leukocytes. Fever: 39.1°C. What is the appropriate empirical antibiotic to be started?
A) Oral azithromycin
B) Oral amoxicillin
C) IV Ceftriaxone
D) IV Cefepime