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