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PrometricGPT – GP – 4
1 / 50
Which of the following is the most common cause of endocarditis in intravenous drug users?
Staphylococcus aureus is the most common cause of endocarditis in intravenous drug users due to frequent introduction of bacteria through the skin.
2 / 50
Which of the following is the most common cause of hypothyroidism worldwide?
Iodine deficiency is the most common cause of hypothyroidism globally, especially in areas with iodine-poor diets.
3 / 50
A 55-year-old patient presents with fatigue, pruritus, and jaundice. What is the most likely diagnosis?
Primary biliary cirrhosis typically presents with fatigue, pruritus, and jaundice due to autoimmune destruction of the bile ducts.
4 / 50
Which of the following medications is used as a first-line treatment for hyperlipidemia?
Statins are the first-line treatment for hyperlipidemia as they effectively lower LDL cholesterol levels.
5 / 50
Which of the following is a common side effect of proton pump inhibitors (PPIs)?
Proton pump inhibitors (PPIs) can cause hypomagnesemia with prolonged use.
6 / 50
What is the most common cause of bacterial endocarditis?
Staphylococcus aureus is the most common cause of bacterial endocarditis, especially in intravenous drug users.
7 / 50
A 60-year-old male presents with progressive difficulty breathing on exertion. What is the most likely diagnosis?
COPD presents with progressive difficulty in breathing, especially during exertion, due to airflow limitation.
8 / 50
What is the first-line treatment for benign essential tremor?
Propranolol, a beta-blocker, is the first-line treatment for benign essential tremor.
9 / 50
Which of the following is the most common cause of bacterial gastroenteritis?
Salmonella is a common cause of bacterial gastroenteritis, particularly in foodborne outbreaks.
10 / 50
A patient presents with a unilateral headache and visual disturbances. What is the most likely diagnosis?
Migraines often present with unilateral headaches, visual disturbances, and other symptoms such as nausea.
11 / 50
Which of the following is a hallmark symptom of nephrotic syndrome?
Nephrotic syndrome is characterized by proteinuria, hypoalbuminemia, and edema.
12 / 50
Which of the following medications is the drug of choice for acute gout attacks?
NSAIDs are the first-line treatment for acute gout attacks to reduce pain and inflammation.
13 / 50
What is the most common complication of deep vein thrombosis (DVT)?
Pulmonary embolism is a common and potentially life-threatening complication of deep vein thrombosis.
14 / 50
Which of the following is the gold standard for diagnosing pulmonary tuberculosis (TB)?
Sputum culture is the gold standard for diagnosing TB by confirming the presence of Mycobacterium tuberculosis.
15 / 50
What is the most appropriate initial imaging modality for a patient with suspected stroke?
A CT scan is the preferred initial imaging modality for suspected stroke, especially to rule out hemorrhagic stroke.
16 / 50
Which of the following vaccines is recommended during pregnancy?
The Tdap vaccine is recommended during pregnancy to protect the newborn from pertussis.
17 / 50
Which of the following is a potential complication of untreated gastroesophageal reflux disease (GERD)?
Barrett’s esophagus is a complication of untreated GERD and is associated with an increased risk of esophageal cancer.
18 / 50
A 65-year-old male presents with progressive vision loss in the central field of vision. What is the most likely diagnosis?
Age-related macular degeneration (AMD) causes central vision loss and is a leading cause of blindness in older adults.
19 / 50
Which of the following is the most common cause of cirrhosis in the Western world?
Alcohol abuse is the most common cause of cirrhosis in the Western world, followed by viral hepatitis.
20 / 50
What is the most common cause of viral encephalitis?
Herpes simplex virus is the most common cause of viral encephalitis, particularly in immunocompromised patients.
21 / 50
Which of the following is a characteristic feature of Graves’ disease?
Exophthalmos (bulging eyes) is a characteristic feature of Graves’ disease, an autoimmune cause of hyperthyroidism.
22 / 50
A 40-year-old male presents with jaundice, dark urine, and clay-colored stools. What is the most likely diagnosis?
Biliary obstruction can cause jaundice, dark urine, and pale stools due to reduced bile flow.
23 / 50
Which of the following is the most common cause of dementia?
Alzheimer’s disease is the most common cause of dementia, especially in older adults.
24 / 50
What is the recommended treatment for vitamin B12 deficiency?
Intramuscular vitamin B12 is the treatment of choice for vitamin B12 deficiency, especially in cases of malabsorption.
25 / 50
A 45-year-old female 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.
26 / 50
Which of the following is a potential complication of untreated diabetes mellitus?
Diabetic ketoacidosis is a potentially life-threatening complication of untreated or poorly controlled diabetes mellitus.
27 / 50
What is the most common cause of acute pancreatitis?
Gallstones are the most common cause of acute pancreatitis, followed by alcohol abuse.
28 / 50
Which of the following conditions is associated with Charcot’s triad (fever, jaundice, and right upper quadrant pain)?
Charcot’s triad is associated with acute cholangitis, often caused by bile duct obstruction and infection.
29 / 50
A 70-year-old male presents with difficulty starting urination and a weak urinary stream. What is the most likely diagnosis?
BPH is the most common cause of difficulty starting urination and a weak urinary stream in older men.
30 / 50
Which of the following is the most common cause of an upper gastrointestinal bleed?
Peptic ulcers are the most common cause of upper gastrointestinal bleeding, often presenting with melena (black, tarry stools).
31 / 50
Which of the following is a complication of untreated hypertension?
Untreated hypertension can lead to heart failure due to increased pressure and strain on the heart.
32 / 50
A patient presents with right lower quadrant pain, nausea, and vomiting. What is the most likely diagnosis?
Appendicitis typically presents with right lower quadrant pain, nausea, and vomiting.
33 / 50
What is the first-line treatment for allergic conjunctivitis?
Antihistamine eye drops are the first-line treatment for allergic conjunctivitis to reduce itching and inflammation.
34 / 50
Which of the following is the most common sexually transmitted infection (STI) worldwide?
HPV is the most common sexually transmitted infection worldwide and is associated with cervical and other cancers.
35 / 50
What is the primary treatment for acute bronchitis?
Acute bronchitis is typically caused by viruses and is treated with supportive care, including rest and hydration.
36 / 50
A 50-year-old patient presents with fatigue, muscle weakness, and darkening of the skin. What is the most likely diagnosis?
Addison’s disease is characterized by fatigue, muscle weakness, and hyperpigmentation due to adrenal insufficiency.
37 / 50
Which of the following is the preferred treatment for osteoporosis?
Bisphosphonates are the preferred treatment for osteoporosis as they inhibit bone resorption and increase bone density.
38 / 50
Which of the following is a common side effect of antihistamines?
Drowsiness is a common side effect of antihistamines due to their sedative properties.
39 / 50
A 35-year-old male presents with a painless testicular lump. What is the most likely diagnosis?
Testicular cancer often presents with a painless testicular lump and requires prompt evaluation.
40 / 50
What is the first-line treatment for hypertension in pregnancy?
Methyldopa is the first-line treatment for hypertension in pregnancy as it has a good safety profile for both mother and fetus.
41 / 50
Which of the following is the most common cause of acute pyelonephritis?
Escherichia coli is the most common cause of acute pyelonephritis, a bacterial infection of the kidneys.
42 / 50
A 45-year-old female presents with a history of fatigue, pallor, and shortness of breath. What is the most likely diagnosis?
Iron deficiency anemia is the most common cause of fatigue, pallor, and shortness of breath due to reduced hemoglobin levels.
43 / 50
Which of the following conditions is associated with polyuria, polydipsia, and polyphagia?
Diabetes mellitus is characterized by polyuria, polydipsia, and polyphagia due to high blood sugar levels.
44 / 50
What is the most common cause of lower back pain in adults?
Musculoskeletal strain is the most common cause of lower back pain in adults, often related to overuse or injury.
45 / 50
Which of the following is the first-line treatment for stable angina?
Beta-blockers are the first-line treatment for stable angina as they reduce the heart’s oxygen demand.
46 / 50
A 30-year-old female presents with recurrent headaches, nausea, and sensitivity to light. What is the most likely diagnosis?
Migraines often present with recurrent headaches, nausea, and photophobia (sensitivity to light).
47 / 50
Which of the following is the most common cause of vitamin D deficiency?
Lack of sunlight exposure is the most common cause of vitamin D deficiency, as the skin produces vitamin D in response to sunlight.
48 / 50
A patient presents with epigastric pain that improves with eating. What is the most likely diagnosis?
Duodenal ulcers typically cause epigastric pain that improves with eating, unlike gastric ulcers where pain worsens with food intake.
49 / 50
Which of the following is a characteristic finding in chronic bronchitis?
Chronic bronchitis is characterized by a productive cough due to mucus hypersecretion in the airways.
50 / 50
What is the most common cause of acute hepatitis?
Hepatitis A is the most common cause of acute hepatitis, often transmitted through contaminated food and water.
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