D320 Version (JYO2)
Which of the following is the most appropriate initial management for a patient
presenting with acute chest pain?
A) Administering aspirin
B) Ordering an electrocardiogram (ECG)
C) Initiating oxygen therapy
D) Administering nitroglycerin
Answer: B) Ordering an electrocardiogram (ECG)
A 65-year-old patient with a history of hypertension presents with sudden onset of
right-sided weakness and speech difficulties. What is the most likely diagnosis?
A) Transient ischemic attack (TIA)
B) Ischemic stroke
C) Hemorrhagic stroke
D) Bell’s palsy
Answer: B) Ischemic stroke
Which of the following laboratory tests is most commonly used to monitor long-term
glucose control in patients with diabetes mellitus?
A) Fasting blood glucose
B) Random blood glucose
C) Oral glucose tolerance test
D) Hemoglobin A1c
Answer: D) Hemoglobin A1c
What is the recommended first-line treatment for a patient diagnosed with major
depressive disorder?
,A) Cognitive-behavioral therapy (CBT)
B) Selective serotonin reuptake inhibitors (SSRIs)
C) Tricyclic antidepressants (TCAs)
D) Electroconvulsive therapy (ECT)
Answer: B) Selective serotonin reuptake inhibitors (SSRIs)
In patients with chronic obstructive pulmonary disease (COPD), which of the
following is the primary mechanism leading to airflow limitation?
A) Bronchoconstriction
B) Airway inflammation
C) Loss of elastic recoil
D) Increased mucus production
Answer: C) Loss of elastic recoil
Which of the following vaccines is recommended annually for adults to prevent a
common respiratory illness?
A) Influenza vaccine
B) Hepatitis B vaccine
C) Tetanus vaccine
D) Varicella vaccine
Answer: A) Influenza vaccine
A 50-year-old patient with a history of heavy alcohol use presents with confusion,
ataxia, and ophthalmoplegia. Which of the following is the most likely diagnosis?
A) Korsakoff syndrome
B) Wernicke encephalopathy
C) Alcoholic hallucinosis
D) Delirium tremens
, Answer: B) Wernicke encephalopathy
Which of the following is the most important lifestyle modification to reduce the risk
of cardiovascular disease?
A) Reducing dietary sodium
B) Increasing physical activity
C) Quitting smoking
D) Reducing alcohol consumption
Answer: C) Quitting smoking
What is the most appropriate initial diagnostic test for a patient presenting with
suspected deep vein thrombosis (DVT)?
A) D-dimer test
B) Venous ultrasound
C) CT angiography
D) Magnetic resonance imaging (MRI)
Answer: B) Venous ultrasound
Which of the following is a contraindication to the use of metformin in patients with
type 2 diabetes?
A) History of pancreatitis
B) Chronic kidney disease
C) Hypertension
D) Hyperlipidemia
Answer: B) Chronic kidney diseaseA patient with a history of atrial fibrillation
presents with sudden onset of severe abdominal pain. What is the most likely cause?
A) Appendicitis
B) Mesenteric ischemia
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