QUESTIONS WITH CORRECT ANSWERS
GRADED A 2025 LATEST
Your patient has been noticing cracking and peeling on their hands and having some vesicular rash
component. Which of the following is not likely the diagnosis?
A. Dyshidrotic eczema
B. Psoriasis
C. Pompholyx
D. Palmoplantar eczema
B
Ischemic strokes are often caused by:
A. Amyloid deposition
B. Hypertensive arteriolar disease
C. Arteriovenous malformation
D. Atherosclerosis
D
,A 7-year-old child presents with group A streptococcal infection confirmed by throat culture. Past
history includes treatment for positive streptococcal infection with erythromycin (EryPed oral
suspension) 3 weeks ago. What is the most appropriate next intervention?
A. Intramuscular Penicillin.
B. Obtain culture for all household members.
C. Treat with azithromycin (Zithromax) for 10 days.
D. Treat with amoxicillin for 10 days.
D
Which of the following agents is a common cause of bacterial pneumonia?
A. Haemophilus influenzae
B. Aspergillosis
C. Influenza A
D. covid-19
A
A 25-year-old athlete presents with shoulder pain and difficulty with overhead activities. Physical
examination suggests impingement syndrome. What is the most appropriate initial treatment?
A. Physical therapy focusing on rotator cuff strengthening
B. Nonsteroidal anti-inflammatory drugs (NSAIDs) and physical activity modification
C. Surgical intervention
,D. Corticosteroid injection
A
Your patient has presented with an acute GI bleed. In working up potential causes, which of the
following scenarios is most probable as a reason for the bleed?
A. Chronic low-dose acetaminophen for rheumatoid arthritis pain
B. Four days of high dose of naproxen sodium for joint pain after a long hike
C. Tapered dose of prednisone for a contact dermatitis
D. Chronic topical use of diclofenac gel over a knee with arthritic pain
B
An adult female with a BMI of 31 has pain and weakness in her legs, buttocks, and upper thighs after
prolonged walking or standing. She has osteoporosis of the hips. The patient obtains short term relief by
leaning forward (stooping) when grocery shopping or sitting. The suspected diagnosis is:
A. lumber spinal stenosis
B. peripheral vascular disease
C. herniated disc
arterial insufficiency
A
Patients who have been in a multi-car pileup should be evaluated for which of the following elements of
the secondary survey?
A. Deformities
B. Evidence of adequate circulation
, C. Work and depth of breathing
D. Airway patency
A
The most specific test for gout is:
A. Synovial fluid with monosodium urate crystals
B. Hyperuricemia greater than 7mg/dL
C. Normalized uric acid level after a trial of allopurinol (Zyloprim)
D. Serum purine level
A
Elevated calcium levels may suggest which of the following?
A. Vitamin D deficiency
B. Calcitonin deficit
C. Bone cancer
D. Effective bisphosphonate therapy
C
An 84-year-old patient present with complaints of diffuse bilateral lower back pain which is made worse
by standing. On exam the patient maintains a posture of forward flexing at the waist. The most likely
diagnosis is?
A. Nerve root impingement
B. Lumbar strain