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PrometricGPT – GP – 1
1 / 50
A 25-year-old woman presents with vaginal discharge and vulvar pruritus. Examination shows a thin, malodorous green discharge. What is the most likely diagnosis?
Trichomonas is characterized by yellow-green, malodorous discharge.
2 / 50
What is the first-line treatment for hypertension in a patient with type 2 diabetes?
ACE inhibitors are the preferred first-line treatment for hypertension in diabetics because of their renal protective effects.
3 / 50
Which of the following is the most common cause of community-acquired pneumonia?
Streptococcus pneumoniae is the leading cause of community-acquired pneumonia in adults.
4 / 50
What is the normal range for serum potassium levels?
The normal range of potassium is 3.5-5.0 mmol/L. Abnormal levels can lead to arrhythmias and other complications.
5 / 50
Which drug is used as a first-line treatment for peptic ulcer disease associated with H. pylori?
Proton pump inhibitors (PPIs) are used in combination with antibiotics to eradicate H. pylori and treat peptic ulcers.
6 / 50
A 25-year-old male presents with acute scrotal pain. What is the most likely diagnosis?
Testicular torsion presents with acute scrotal pain and is a surgical emergency.
7 / 50
What is the recommended treatment for gonorrhea?
Ceftriaxone is the first-line treatment for gonorrhea, often combined with azithromycin for chlamydia co-infection.
8 / 50
Which of the following vaccines is contraindicated in pregnancy?
The MMR vaccine contains live viruses and is contraindicated in pregnancy.
9 / 50
What is the first-line treatment for acute bacterial sinusitis?
Amoxicillin is the first-line treatment for acute bacterial sinusitis due to its effectiveness against most causative organisms.
10 / 50
Which of the following is a common side effect of statins?
Statins can cause muscle pain and weakness, known as myopathy.
11 / 50
A 45-year-old woman presents with weight gain, fatigue, and cold intolerance. What is the most likely diagnosis?
Hypothyroidism presents with weight gain, fatigue, and cold intolerance. It is diagnosed by elevated TSH and low free T4.
12 / 50
Which of the following is the most appropriate initial test for a patient suspected of having a myocardial infarction (MI)?
An ECG is the first test performed in suspected MI to detect ST-segment changes and other abnormalities.
13 / 50
What is the first-line treatment for chronic stable angina?
Beta-blockers are the first-line treatment for chronic stable angina as they reduce myocardial oxygen demand.
14 / 50
Which of the following is a common cause of secondary hypertension?
Renal artery stenosis is a common cause of secondary hypertension, particularly in older patients.
15 / 50
What is the most common site of deep vein thrombosis (DVT)?
The most common site of DVT is the deep veins of the lower limbs.
16 / 50
A 60-year-old male presents with difficulty swallowing both solids and liquids. What is the most likely diagnosis?
Achalasia causes dysphagia for both solids and liquids due to failure of the lower esophageal sphincter to relax.
17 / 50
What is the preferred imaging modality for diagnosing acute appendicitis in adults?
CT scan is the most accurate imaging modality for diagnosing acute appendicitis in adults.
18 / 50
What is the most common cause of hyperthyroidism?
Graves’ disease is the most common cause of hyperthyroidism, an autoimmune condition leading to excess thyroid hormone production.
19 / 50
Which vitamin deficiency causes megaloblastic anemia?
Vitamin B12 deficiency leads to megaloblastic anemia, characterized by large, immature red blood cells.
20 / 50
What is the recommended first-line treatment for acute otitis media in children?
Amoxicillin is the first-line treatment for acute otitis media due to its effectiveness against the most common pathogens.
21 / 50
Which of the following conditions is associated with a positive Trendelenburg sign?
A positive Trendelenburg sign is seen in hip dysplasia due to weakness of the gluteus medius muscle.
22 / 50
Which of the following antihypertensive drugs is contraindicated in pregnancy?
ACE inhibitors are contraindicated in pregnancy due to their teratogenic effects.
23 / 50
What is the most common cause of acute pancreatitis?
Gallstones are the leading cause of acute pancreatitis, particularly in women.
24 / 50
What is the treatment of choice for anaphylaxis?
Epinephrine is the first-line treatment for anaphylaxis, as it rapidly reverses airway constriction and hypotension.
25 / 50
What is the first-line treatment for allergic rhinitis?
Intranasal corticosteroids are the most effective treatment for allergic rhinitis as they reduce inflammation.
26 / 50
What is the most common complication of chronic obstructive pulmonary disease (COPD)?
Pulmonary hypertension is a common complication of COPD due to chronic hypoxia-induced vascular changes.
27 / 50
Which test is most commonly used to monitor warfarin therapy?
INR (International Normalized Ratio) is used to monitor warfarin therapy to ensure therapeutic levels.
28 / 50
A 30-year-old woman presents with a butterfly-shaped rash on her face. What is the most likely diagnosis?
Systemic lupus erythematosus (SLE) often presents with a butterfly-shaped rash over the cheeks and nose.
29 / 50
Which of the following is the most common cause of gastroenteritis in children?
Rotavirus is the most common cause of gastroenteritis in children, especially in low-resource settings.
30 / 50
What is the most common cause of cirrhosis in the Western world?
Alcohol is the most common cause of cirrhosis in Western countries, followed by hepatitis C and non-alcoholic fatty liver disease.
31 / 50
Which of the following conditions is associated with hypercalcemia?
Hyperparathyroidism is a common cause of hypercalcemia due to excessive production of parathyroid hormone.
32 / 50
Which of the following antibiotics is recommended for the treatment of syphilis?
Penicillin is the drug of choice for all stages of syphilis.
33 / 50
Which condition is characterized by the presence of Reed-Sternberg cells?
Reed-Sternberg cells are characteristic of Hodgkin lymphoma, a type of lymphatic cancer.
34 / 50
What is the first-line treatment for major depressive disorder?
Selective serotonin reuptake inhibitors (SSRIs) are the first-line treatment for major depressive disorder due to their favorable side-effect profile.
35 / 50
Which of the following is a risk factor for deep vein thrombosis (DVT)?
Immobilization, such as after surgery or during long flights, increases the risk of DVT.
36 / 50
Which condition is associated with the triad of arthritis, urethritis, and conjunctivitis?
Reactive arthritis (Reiter’s syndrome) is characterized by arthritis, urethritis, and conjunctivitis and is typically triggered by an infection.
37 / 50
What is the first-line treatment for generalized anxiety disorder?
SSRIs are the first-line treatment for generalized anxiety disorder due to their efficacy and tolerability.
38 / 50
Which of the following is a common cause of sudden painless loss of vision in the elderly?
Retinal detachment can cause sudden, painless vision loss and is more common in the elderly and those with a history of eye trauma.
39 / 50
Which of the following is a potential complication of untreated streptococcal pharyngitis?
Rheumatic fever is a potential complication of untreated streptococcal pharyngitis and can lead to serious heart complications.
40 / 50
What is the recommended treatment for Clostridioides difficile infection (CDI)?
Oral vancomycin is the preferred treatment for Clostridioides difficile infection, especially for moderate to severe cases.
41 / 50
What is the hallmark of nephrotic syndrome?
Nephrotic syndrome is characterized by massive proteinuria, leading to hypoalbuminemia and edema.
42 / 50
Which of the following vaccines is routinely recommended for adults over the age of 65?
The pneumococcal vaccine is recommended for adults over the age of 65 to prevent pneumococcal infections, which are more common in this age group.
43 / 50
A 6-year-old child presents with a barking cough and stridor. What is the most likely diagnosis?
Croup is characterized by a barking cough and stridor, typically caused by a viral infection of the upper airways.
44 / 50
Which of the following is the most common cause of hyperkalemia?
Chronic kidney disease is a common cause of hyperkalemia due to impaired excretion of potassium.
45 / 50
Which test is used to confirm a diagnosis of HIV infection?
Western blot is used to confirm the diagnosis of HIV after an initial positive ELISA test.
46 / 50
What is the first-line treatment for hypothyroidism?
Levothyroxine is the synthetic form of thyroid hormone and is the first-line treatment for hypothyroidism.
47 / 50
Which condition is associated with the presence of a goiter?
Goiter can occur in both hypo- and hyperthyroidism due to thyroid gland enlargement.
48 / 50
A 50-year-old male presents with progressive difficulty swallowing solids, but not liquids. What is the most likely diagnosis?
Dysphagia for solids but not liquids is a common presentation of esophageal cancer.
49 / 50
Which of the following is a feature of Marfan syndrome?
Marfan syndrome is characterized by tall stature, long limbs, and joint hypermobility.
50 / 50
What is the most common cause of death in patients with myocardial infarction (MI)?
Arrhythmias, particularly ventricular fibrillation, are the most common cause of death in the early stages of a myocardial infarction.
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