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PrometricGPT – GP – 6
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A patient presents with sudden, severe epigastric pain and a history of heavy alcohol use. What is the most likely diagnosis?
Acute pancreatitis is commonly associated with sudden, severe epigastric pain, especially in patients with a history of heavy alcohol use.
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A 35-year-old male presents with a painful, red, and swollen big toe. What is the most likely diagnosis?
Gout commonly affects the big toe and is characterized by sudden onset of pain, redness, and swelling due to uric acid crystal deposition.
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Which of the following is the most common cause of hypothyroidism in developed countries?
Hashimoto’s thyroiditis, an autoimmune disease, is the most common cause of hypothyroidism in developed countries.
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What is the first-line treatment for hypertensive crisis?
Labetalol, a beta-blocker, is often used as the first-line treatment for hypertensive crisis due to its ability to lower blood pressure quickly.
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A 60-year-old male presents with difficulty swallowing solids but not liquids. What is the most likely diagnosis?
Progressive dysphagia for solids but not liquids is a classic symptom of esophageal cancer.
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Which of the following is the most common cause of upper gastrointestinal bleeding?
Peptic ulcers are the most common cause of upper gastrointestinal bleeding, often presenting with melena (black, tarry stools).
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What is the first-line treatment for generalized anxiety disorder?
SSRIs (Selective Serotonin Reuptake Inhibitors) are the first-line treatment for generalized anxiety disorder due to their efficacy and safety profile.
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A 40-year-old female presents with bilateral joint pain, morning stiffness, and swelling in her hands. What is the most likely diagnosis?
Rheumatoid arthritis typically presents with bilateral joint pain, swelling, and morning stiffness, especially in the hands.
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Which of the following is the most common cause of viral gastroenteritis in children?
Rotavirus is the most common cause of viral gastroenteritis in young children, especially in developing countries.
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A 65-year-old male presents with unilateral weakness, slurred speech, and facial drooping. What is the most likely diagnosis?
Stroke commonly presents with unilateral weakness, slurred speech, and facial drooping. It is a medical emergency requiring immediate intervention.
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Which of the following is the recommended treatment for bacterial meningitis in adults?
Ceftriaxone is the recommended first-line treatment for bacterial meningitis in adults due to its effectiveness against common pathogens.
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A 50-year-old male presents with severe epigastric pain radiating to the back. What is the most likely diagnosis?
Acute pancreatitis typically presents with severe epigastric pain that radiates to the back, often related to alcohol use or gallstones.
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Which of the following is the most common type of primary brain tumor in adults?
Glioblastoma is the most common and aggressive primary brain tumor in adults.
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A 70-year-old female presents with severe pain and swelling in her right knee. What is the most likely diagnosis?
Septic arthritis typically presents with sudden onset of pain, swelling, and decreased range of motion in the affected joint.
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Which of the following is the first-line treatment for acute otitis media in children?
Amoxicillin is the first-line antibiotic used to treat acute otitis media in children.
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What is the most common complication of chronic obstructive pulmonary disease (COPD)?
Pulmonary hypertension is a common complication of COPD due to chronic low oxygen levels.
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A 35-year-old male presents with sharp chest pain that worsens with inspiration. What is the most likely diagnosis?
Pleuritis is characterized by sharp chest pain that worsens with deep breaths or coughing.
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Which of the following medications is used for the acute management of asthma exacerbations?
Short-acting beta-agonists (e.g., albuterol) are the first-line treatment for asthma exacerbations due to their bronchodilatory effects.
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A 50-year-old female presents with chronic diarrhea, weight loss, and anemia. What is the most likely diagnosis?
Celiac disease presents with chronic diarrhea, weight loss, and iron deficiency anemia due to malabsorption of nutrients.
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Which of the following is the most common cause of urinary incontinence in elderly women?
Urge incontinence, often caused by detrusor overactivity, is the most common cause of urinary incontinence in elderly women.
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What is the recommended first-line treatment for Helicobacter pylori infection?
Triple therapy, consisting of a proton pump inhibitor and two antibiotics, is the first-line treatment for H. pylori infection.
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A 45-year-old female presents with weight loss, palpitations, and heat intolerance. What is the most likely diagnosis?
Hyperthyroidism typically presents with weight loss, palpitations, and heat intolerance due to excessive thyroid hormone production.
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Which of the following is the gold standard for diagnosing deep vein thrombosis (DVT)?
Venous ultrasound is the gold standard for diagnosing DVT by visualizing the blood clot in the affected vein.
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A 60-year-old male presents with fatigue, pallor, and glossitis. What is the most likely diagnosis?
Vitamin B12 deficiency often presents with fatigue, pallor, and glossitis (inflammation of the tongue) due to impaired red blood cell production.
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Which of the following is a common side effect of metformin?
Gastrointestinal upset, including diarrhea and nausea, is a common side effect of metformin, especially at the beginning of treatment.
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A patient presents with sudden severe headache, neck stiffness, and photophobia. What is the most likely diagnosis?
Wrong
Correct!
Meningitis presents with sudden onset of severe headache, neck stiffness, and sensitivity to light (photophobia).
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