Q1- A 56-year-old man presents with fatigue, pallor, and exertional dyspnea. Labs show Hb 9 g/dL, MCV 72 fL, and ferritin 8 ng/mL. What is the most likely cause of his anemia? A) Vitamin B12 deficiency B) Iron deficiency C) Anemia of chronic disease D) Thalassemia minor Q2-A 48-year-old woman with a history of type 2 diabetes presents with polyuria, polydipsia, and altered mental status. Labs: glucose 720 mg/dL, Na+ 128, K+ 4.9, pH 7.35, normal ketones. What is the most likely diagnosis? A) Diabetic ketoacidosis (DKA) B) Hyperosmolar hyperglycemic state (HHS) C) Hypoglycemia D)Type 1 Diabetes Q3-A 62-year-old man presents with chest pain radiating to the left arm, nausea, and diaphoresis. ECG shows ST elevations in leads II, III, and aVF. What is the most appropriate initial treatment? A) IV labetalol B) IV heparin C) Sublingual nitroglycerin and aspirin D) IV morphine only Q4- A 33-year-old woman presents with palpitations, heat intolerance, and weight loss. On exam, she has a diffusely enlarged thyroid and tremors. What is the most likely diagnosis? A) Hashimoto thyroiditis B) Subacute thyroiditis C) Graves disease D) Thyroid cancer Q5- A 70-year-old man with COPD presents with worsening dyspnea and cough. ABG shows pH 7.32, PaCO₂ 58 mmHg, PaO₂ 62 mmHg. What is the most likely acid-base disturbance? A) Respiratory alkalosis B) Metabolic acidosis C) Respiratory acidosis D) Metabolic alkalosis Q6- A 50-year-old male with chronic alcohol use presents with confusion and ataxia. Eye exam reveals nystagmus. What is the next best step? A) Start IV thiamine B) Give glucose IV C) Order head CT D) Start antibiotics Q7- A patient with atrial fibrillation has a CHA₂DS₂-VASc score of 3. What is the next step in management? A) Start aspirin B) Start warfarin or DOAC C) No treatment D) Start beta-blockers only Q8- A 25-year-old presents with severe headache, fever, photophobia, and neck stiffness. What is the most appropriate initial management? A) Start IV antibiotics and obtain CT before LP B) Immediate LP C) Give paracetamol D) Order brain MRI Q9- A 65-year-old smoker presents with hematuria and weight loss. What is the most likely diagnosis? A) Bladder cancer B) Renal calculi C) UTI D) Prostatitis Q10-A 29-year-old woman presents with joint pain, malar rash, and photosensitivity. ANA is positive. What is the most likely diagnosis? A) Rheumatoid arthritis B) Lupus (SLE) C) Psoriatic arthritis D) Sjogren syndrome Q11-A 55-year-old man with a history of hypertension presents with sudden onset of chest pain radiating to the back. His BP is 190/110 mmHg, and a chest X-ray shows a widened mediastinum. What is the most likely diagnosis? A) Pulmonary embolism B) Myocardial infarction C) Aortic dissection D) Pericarditis Q12-A 63-year-old woman presents with fatigue and pruritus. Labs show elevated alkaline phosphatase and positive antimitochondrial antibodies. What is the most likely diagnosis? A) Primary biliary cholangitis B) Hepatitis C C) Hemochromatosis D) Cholangitis Q13-A 45-year-old diabetic man presents with fever, flank pain, and dysuria. Urinalysis reveals white cell casts. What is the most likely diagnosis? A) Cystitis B) Acute glomerulonephritis C) Pyelonephritis D) Renal calculi Q14- A 28-year-old woman presents with palpitations, weight loss, and heat intolerance. Her TSH is low and T3/T4 levels are elevated. What is the most likely cause? A) Hashimoto’s thyroiditis B) Graves’ disease C) Thyroid carcinoma D) Subacute thyroiditis Q15-A 40-year-old man presents with fatigue and darkening of the skin. His fasting blood glucose is elevated. Labs show low cortisol and elevated ACTH. What is the most likely diagnosis? A) Cushing's syndrome B) Addison’s disease C) Diabetes mellitus D) Pheochromocytoma Q16- A 35-year-old woman presents with butterfly rash on the face, joint pain, and photosensitivity. ANA test is positive. What is the most likely diagnosis? A) Rheumatoid arthritis B) Psoriasis C) Systemic lupus erythematosus (SLE) D) Dermatomyositis Q17- A 70-year-old man has progressive shortness of breath and dry cough. Chest CT shows honeycombing of the lungs. What is the most likely diagnosis? A) COPD B) Asthma C) Idiopathic pulmonary fibrosis D) Lung cancer Q18-A 60-year-old woman presents with tremor, rigidity, and bradykinesia. What is the most likely diagnosis? A) Alzheimer’s disease B) Multiple sclerosis C) Parkinson’s disease D) Huntington’s disease Q19-A patient has recurrent episodes of chest pain at rest, usually at night. ECG during the episode shows transient ST-segment elevation. What is the most likely cause? A) Stable angina B) NSTEMI C) Prinzmetal’s angina D) Pericarditis Q20-A 45-year-old man presents with fatigue and hepatosplenomegaly. CBC shows pancytopenia, and bone marrow biopsy shows hairy cells. What is the most likely diagnosis? A) Acute myeloid leukemia B) Hairy cell leukemia C) Chronic lymphocytic leukemia D) Aplastic anemia Q21-A 28-year-old woman presents with a butterfly-shaped rash on her face that worsens with sunlight. She also reports joint pain and fatigue. Lab shows positive ANA. What is the most likely diagnosis? A) Rheumatoid arthritis B) Systemic lupus erythematosus C) Rosacea D) Dermatomyositis Q22-A 55-year-old male with a history of hypertension and diabetes presents with sudden onset of chest pain radiating to the back. BP is unequal in both arms. What is the most likely diagnosis? A) Acute pericarditis B) Pulmonary embolism C) Aortic dissection D) Acute coronary syndrome Q23- A child presents to the OPD with a barking cough, inspiratory stridor, and hoarseness. What is the most likely diagnosis? A) Epiglottitis B) Croup C) Bronchiolitis D) Asthma Q24- A 60-year-old male presents with resting tremor, bradykinesia, and rigidity. Which neurotransmitter is deficient? A) Serotonin B) Acetylcholine C) Dopamine D) GABA Q25-A 45-year-old woman presents with fatigue, cold intolerance, and constipation. Her TSH is elevated, and T3/T4 are low. What is the most likely diagnosis? A) Hyperthyroidism B) Hypothyroidism C) Thyroid cancer D) Subclinical hyperthyroidism Q26- A 6-month-old infant presents with projectile, non-bilious vomiting. On examination, a palpable olive-shaped mass is noted in the epigastrium. What is the most likely diagnosis? A) Intussusception B) Gastroesophageal reflux C) Pyloric stenosis D) Hirschsprung disease Q27- A 60-year-old male presents to the emergency department with sudden-onset chest pain radiating to the epigastrium and associated with nausea and sweating. He has a history of hypertension and smoking. On examination, blood pressure is 95/60 mmHg, heart rate is 50 bpm, and jugular venous pressure is elevated. ECG shows ST-segment elevation in leads II, III, and aVF, with reciprocal changes in leads I and aVL. Which of the following is the most likely diagnosis? A) Anterior wall myocardial infarction B) Lateral wall myocardial infarction C) Inferior wall myocardial infarction D) Pericarditis Q28 -60 year old man presented with complain of nausea and vomiting associated with Abdominal pain from one week , On and off constipation. Radiographic study showing Cofee bean sign. What will be the diagnosis. A) Dudenum perforation B) Sigmoid Volvulus C)Gastric Perforation D)Cardiac Temponade E) Gastric Mass Q29-A 34-year-old man presents with urethral discharge and dysuria. Gram stain shows gram-negative intracellular diplococci. What is the treatment of choice? A) Azithromycin only B) Ceftriaxone only C) Doxycycline only D) Ceftriaxone and azithromycin Q30-A newborn has a machine-like heart murmur and bounding pulses. What is the most likely diagnosis? A) Atrial septal defect B) Ventricular septal defect C) Patent ductus arteriosus D) Tetralogy of Fallot Q31- A 7-year-old child presents with periorbital edema and frothy urine. Urinalysis shows heavy proteinuria. What is the most likely diagnosis? A) Acute glomerulonephritis B) Nephrotic syndrome C) UTI D) Wilms tumor Q32-A patient with COPD is brought to the ER in respiratory distress. ABGs reveal pH 7.29, PaCO₂ 58, and HCO₃ 26. What is the acid-base disturbance? A) Metabolic alkalosis B) Respiratory alkalosis C) Respiratory acidosis D) Metabolic acidosis Q33-A 5-year-old boy is brought to the clinic with fever, drooling, and difficulty breathing. He is sitting in a tripod position and has a muffled voice. What is the most appropriate next step in management? A) Give IV antibiotics B) Obtain a lateral neck X-ray C) Immediate endotracheal intubation D) Administer oral corticosteroids Q34-A 2-month-old infant presents with poor feeding, weak cry, and hypotonia. The mother reports giving honey to the baby. What is the most likely diagnosis? A) Infantile botulism B) Neonatal sepsis C) Hypothyroidism D) Spinal muscular atrophy Q35-A 10-year-old boy presents with hematuria and periorbital edema one week after a sore throat. What is the most likely diagnosis? A) IgA nephropathy B) Henoch-Schönlein purpura C) Post-streptococcal glomerulonephritis D) Minimal change disease Q36-A 3-day-old infant has not passed meconium, has abdominal distension, and vomiting. A contrast enema shows a transition zone in the rectosigmoid. What is the likely diagnosis? A) Hirschsprung disease B) Meconium ileus C) Pyloric stenosis Q37-A 6-month-old infant presents with recurrent pneumonia and failure to thrive. Sweat chloride test is elevated. What is the diagnosis? A) Cystic fibrosis B) Asthma C) Bronchopulmonary dysplasia D) Congenital heart disease Q38-A 4-year-old boy presents with limping for 3 weeks. On examination, the hip is painful but there is no fever. X-ray shows flattening of the femoral head. What is the diagnosis? A) Septic arthritis B) Transient synovitis C) Legg-Calvé-Perthes disease D) Slipped capital femoral epiphysis Q39-A 7-year-old with sickle cell disease presents with sudden onset of pallor and fatigue. Labs show very low reticulocyte count. What is the most likely diagnosis? A) Aplastic crisis B) Hemolytic crisis C) Splenic sequestration D) Acute chest syndrome Q40-A 9-year-old presents with short stature. Growth charts show height below the 3rd percentile, but normal weight. Bone age is delayed. What is the most likely cause? A) Constitutional growth delay B) Growth hormone deficiency C) Hypothyroidism D) Turner syndrome Q41-A 5-year-old boy has recurrent ear infections and is now presenting with fever and swelling behind the ear. The auricle is displaced. What is the most likely complication? A) Otitis externa B) Mastoiditis C) Cholesteatoma D) Temporal bone fracture Q42-A 5-year-old boy presents with fever, barking cough, and inspiratory stridor. On examination, he has hoarseness and a steeple sign on X-ray. What is the most appropriate management? A) Amoxicillin B) Nebulized epinephrine and dexamethasone C) Bronchodilators D) Intubation Q43- A newborn fails to pass meconium within the first 48 hours and has abdominal distension. Which condition should be suspected? A) Intussusception B) Hirschsprung disease C) Pyloric stenosis D) Necrotizing enterocolitis C) Pyloric stenosis D) Necrotizing enterocolitis Q44-A 4-year-old child presents with petechiae, bruising, and low platelet count following a recent viral illness. What is the most likely diagnosis? A) Leukemia B) Hemophilia A C) Immune thrombocytopenic purpura (ITP) D) Disseminated intravascular coagulation (DIC) Q45-A 10-month-old infant presents with poor feeding, hypotonia, and constipation. Which of the following is most likely? A) Cystic fibrosis B) Iron deficiency anemia C) Infant botulism D) Gastroenteritis Q46- A 3-year-old has high-grade fever, sore throat, and a muffled voice. He is drooling and sitting in a tripod position. What is the most likely diagnosis? A) Croup B) Epiglottitis C) Retropharyngeal abscess D) Tonsillitis Q47- A 6-week-old infant presents with projectile non-bilious vomiting after feeds and a palpable olive-shaped mass in the abdomen. What is the next step in management? A) Oral rehydration therapy B) Upper GI endoscopy C) Pyloromyotomy D) Antiemetic medication Q48-A 7-year-old child presents with a pruritic rash on flexural surfaces, dry skin, and personal history of asthma. What is the most likely diagnosis? A) Scabies B) Atopic dermatitis C) Contact dermatitis D) Psoriasis Q49-A 2-year-old child presents with sudden onset of abdominal pain, vomiting, and red currant jelly stools. What is the most likely diagnosis? A) Appendicitis B) Gastroenteritis C) Intussusception D) Hirschsprung disease Q50-A 9-month-old infant presents with a bulging anterior fontanelle, fever, and irritability. What is the most appropriate next investigation? A) Skull X-ray B) MRI of the brain C) Lumbar puncture D) EEG Q51-A 6-year-old presents with limping and knee pain. On examination, the hip joint is tender. X-ray shows avascular necrosis of the femoral head. Most likely diagnosis? A) Septic arthritis B) Slipped capital femoral epiphysis C) Legg-Calvé-Perthes disease D) Juvenile idiopathic arthritis Q52-A 5-year-old presents with periorbital swelling and cola-colored urine following a sore throat two weeks ago. What is the most likely diagnosis? A) Nephrotic syndrome B) Acute post-streptococcal glomerulonephritis C) IgA nephropathy D) Urinary tract infection Q53-A child with known asthma presents with wheezing, tachypnea, and use of accessory muscles. What is the initial management? A) Oral antihistamines B) Inhaled corticosteroids C) Nebulized salbutamol D) Oral antibiotics Q54-A 4-year-old boy presents with pallor, fatigue, and frequent infections. CBC shows pancytopenia. Bone marrow biopsy reveals >25% blasts. What is the likely diagnosis? A) Aplastic anemia B) Acute lymphoblastic leukemia (ALL) C) Chronic myeloid leukemia D) Immune thrombocytopenia Q55-A neonate is born with a continuous machinery murmur. What congenital heart defect is this most characteristic of? A) Tetralogy of Fallot B) Patent ductus arteriosus (PDA) C) Atrial septal defect (ASD) D) Ventricular septal defect (VSD) Q56-A 2-week-old neonate presents with jaundice, pale stools, and dark urine. Which condition is most likely? A) Breast milk jaundice B) Neonatal hepatitis C) Biliary atresia D) Physiological jaundice Q57- A 6-year-old boy has itchy lesions on his scalp and hair shafts with white adherent nits. What is the diagnosis? A) Tinea capitis B) Seborrheic dermatitis C) Head lice infestation (pediculosis capitis) D) Psoriasis Q58-A 2-month-old baby with a loud murmur is thriving well and asymptomatic. What is the likely congenital defect? A) Atrial septal defect B) Coarctation of the aorta C) Ventricular septal defect D) Transposition of the great arteries Q59-A 3-year-old presents with fever, conjunctivitis, strawberry tongue, and a desquamating rash. Which of the following is the most feared complication? A) Coronary artery aneurysms B) Renal failure C) Hepatic failure D) Meningitis Q60-A 12-year-old girl presents with progressive breast development and menarche. These changes are due to: A) Progesterone B) Estrogen C) Testosterone D) Cortisol Q61-A 9-month-old has recurrent respiratory infections and failure to thrive. Stool shows fat globules. What is the most likely diagnosis? A) Gastroenteritis B) Primary ciliary dyskinesia C) Cystic fibrosis D) Lactose intolerance Q62-A 4-year-old child presents with pain and swelling in multiple joints for over 6 weeks. Labs show elevated ESR and ANA positivity. Likely diagnosis? A) Septic arthritis B) Systemic lupus erythematosus C) Rheumatic fever D) Juvenile idiopathic arthritis Q63- A 6-year-old has bedwetting at night but is dry during the day. What is the most likely diagnosis? A) Enuresis B) UTI C) Diabetes mellitus D) Seizure disorder Q64-A 5-day-old newborn is brought with vomiting, lethargy, and smells like maple syrup. What is the most probable diagnosis? A) Galactosemia B) Phenylketonuria C) Maple syrup urine disease D) Urea cycle defect Q65-A 13-year-old boy presents with tall stature, gynecomastia, and small testes. What is the most likely karyotype? A) 47, XXY B) 46, XX C) 45, XO D) 46, XY Q66-A 7-year-old boy presents with difficulty in climbing stairs and getting up from the floor. Gower's sign is positive. Most likely diagnosis? A) Spinal muscular atrophy B) Duchenne muscular dystrophy C) Becker muscular dystrophy D) Myasthenia gravis Q67- A patient presents with fatigue, pruritus, and elevated ALP. AMA antibodies are positive. Most likely diagnosis? A) Primary sclerosing cholangitis B) Autoimmune hepatitis C) Primary biliary cholangitis D) Hepatitis C Q68-A 65-year-old with chronic GERD develops dysphagia and weight loss. Next best step? A) Empirical PPI B) Upper GI endoscopy C) Barium swallow D) CT abdomen Q69-A 40-year-old man with asthma presents with eosinophilia and mononeuritis multiplex. Diagnosis? A) Polyarteritis nodosa B) Eosinophilic granulomatosis with polyangiitis (Churg-Strauss) C) systemic Lupus erytherematous (SLE) D) Sarcoidosis Q70-A patient develops fever and hypotension 2 hours after starting IV antibiotics for UTI. Most likely cause? A) Septic shock B) Jarisch-Herxheimer reaction C) Anaphylaxis D) TACO Q71-A woman has a chronic non-healing duodenal ulcer and high gastrin levels. Diagnosis? A) Zollinger-Ellison syndrome B) Peptic ulcer disease C) H. pylori D) Gastric cancer Q72-A patient presents with migratory thrombophlebitis. Imaging shows a pancreatic mass. What is this sign called? A) Trousseau’s syndrome B) Courvoisier’s sign C) Virchow’s node D) Murphy's sign Q73-A 62-year-old presents with progressive memory loss and difficulty performing tasks. MRI shows cortical atrophy. Diagnosis? A) Vascular dementia B) Alzheimer’s disease C) Normal pressure hydrocephalus D) Parkinson's disease Q74-A patient on long-term steroids suddenly stops them and becomes hypotensive. Likely cause? A) Anaphylaxis B) Acute adrenal insufficiency C) Sepsis D) DKA Q75-A young man with a history of recurrent pulmonary infections has foul-smelling sputum and clubbing. Most likely diagnosis? A) Asthma B) Bronchiectasis C) COPD D) Tuberculosis Q76-A 30-year-old female has hypertension, hypokalemia, and metabolic alkalosis. Renin is low, aldosterone is high. Diagnosis ? A) Addison’s disease B) Primary hyperaldosteronism C) Renal artery stenosis D) Pheochromocytoma Q77- A man with COPD suddenly develops chest pain and shortness of breath. Trachea is shifted to the left. What’s the next best step? A) Chest X-ray B) Needle decompression C) Bronchoscopy D) Start antibiotics Q78-A 24-year-old male presents after a road traffic accident with abdominal pain and hypotension. FAST (Focused Assessment with Sonography in Trauma) shows free fluid in the abdomen. What is the next best step? A) CT scan with contrast B) Diagnostic peritoneal lavage C) Immediate laparotomy D) Observation with serial exams Q79-A 65-year-old man complains of progressive dysphagia for solids, then liquids. Barium swallow shows a bird’s beak appearance. What is the most likely diagnosis? A) Esophageal carcinoma B) Esophageal stricture C) Achalasia D) GERD Q80-A patient presents with a painful, irreducible inguinal mass. There is erythema overlying the skin. What is the most likely diagnosis? A) Direct inguinal hernia B) Indirect inguinal hernia C) Incarcerated hernia D) Strangulated hernia Q81-A 52-year-old female with a history of gallstones presents with fever, right upper quadrant pain, and jaundice. What is the most likely diagnosis? A) Acute pancreatitis B) Acute hepatitis C) Cholangitis D. Cholecystitis Q82-A 22-year-old woman presents with lower abdominal pain and a positive cervical motion tenderness. What is the first-line treatment? A) Azithromycin and ceftriaxone B) Metronidazole C) Doxycycline only D) Vancomycin Q83-Which hormone is responsible for maintaining the corpus luteum in early pregnancy? A) Estrogen B) Progesterone C) LH D) hCG Q84-What is the most common cause of postpartum hemorrhage? A) Retained placenta B) Uterine atony C) Cervical laceration D) Uterine rupture Q85- A woman at 20 weeks gestation presents with blood pressure 150/100 mmHg and 2+ proteinuria. Diagnosis? A) Gestational hypertension B) Chronic hypertension C) Preeclampsia D) Eclampsia Q86-What is the definitive treatment for eclampsia? A) Labetalol B) Magnesium sulfate C) Delivery of the baby D) Hydralazine Q87-Which of the following is contraindicated in pregnancy? A) Labetalol B) Methyldopa C) ACE inhibitors D) Nifedipine Q88- A 40-year-old woman presents with menorrhagia and an enlarged, irregular uterus. Most likely diagnosis? A) Endometrial cancer B) Fibroids (leiomyoma) C) Endometriosis D) Polycystic ovaries Q89-Which type of episiotomy is most commonly performed? A) Midline B) Mediolateral C) Lateral D) J-shaped Q90-At what gestational age is a pregnancy considered full term? A) 34–36 weeks B) 37–42 weeks C) 35–40 weeks D) 38–44 weeks Q91-What is the best imaging modality to assess fetal well-being? A) CT scan B) MRI C) Ultrasound D) X-ray Q92-A molar pregnancy is characterized by which karyotype in complete mole? A) 46,XX (all paternal) B) 46,XY (maternal only) C) Triploidy D) 45,X Q93-What is the most common site of endometriosis? A) Cervix B) Ovaries C) Fallopian tubes D) Peritoneum Q94-A patient is noted to have a fundal height of 36 cm at 30 weeks gestation. What is the most likely cause? A) Fetal growth restriction B) Oligohydramnios C) Polyhydramnios D) Intrauterine fetal demise Q95- Which of the following vaccines is contraindicated during pregnancy? A) Tdap B) Hepatitis B C) MMR D) Influenza (inactivated) Q96-A pregnant woman at 32 weeks with painless bleeding and normal fetal heart rate most likely has: A) Placenta previa B) Abruptio placentae C) Uterine rupture D) Preterm labor Q97- The most common chromosomal abnormality in spontaneous abortions is ? A) Turner syndrome B) Trisomy 21 C) Trisomy 16 D) Klinefelter syndrome Q98-A 24-year-old G1P0 has a blood type O negative. What is the next step? A) Administer Rhogam B) No action needed C) Repeat blood typing D) Begin iron therapy Q99-The "triple screen" in pregnancy includes all of the following except? A) AFP B) hCG C) Estriol D) Inhibin A (only in quad screen) Q100-Which maneuver is used to deliver the shoulder in shoulder dystocia? A) McRoberts maneuver B) Valsalva maneuver C) Leopold maneuver D) Lovset maneuver Q101-A 36-week pregnant woman presents with hypertension, proteinuria, and seizures. What is the best immediate management? A) Start antihypertensives B) Administer magnesium sulfate C) Deliver the baby D) Give steroids Q102-A 30-year-old postpartum woman develops sudden shortness of breath and hypotension. What is the most likely diagnosis? A) Pulmonary embolism B) Amniotic fluid embolism C) Pneumothorax D) Anemia Q103-A postpartum patient presents with fever, uterine tenderness, and foul-smelling lochia. What is the diagnosis? A) UTI B) Mastitis C) Endometritis D) Preeclampsia Q104- A 25-year-old woman has bilateral nipple discharge and normal prolactin levels. Most likely cause? A) Pituitary tumor B) Galactorrhea C) Physiologic discharge D) Breast cancer Q105- A 32-year-old woman has heavy menstrual bleeding and biopsy shows endometrial hyperplasia with atypia. Next step? A) Repeat biopsy B) Start OCPs C) Hysterectomy D) Endometrial ablation Q106- Which of the following is the best screening test for cervical cancer? A) Colposcopy B) Pap smear C) HPV PCR D) Biopsy Q107-Most common site for breast cancer metastasis? A) Brain B) Liver C) Bone D) Lungs Q108-What is the most common cause of secondary amenorrhea after pregnancy is ruled out? A) Hyperthyroidism B) Pituitary adenoma C) PCOS D) Premature ovarian failure Q109-A 40-year-old man complains of a mass in his neck that moves with swallowing. What is the most likely diagnosis? A) Thyroid nodule B) Branchial cleft cyst C) Lymphadenopathy D) Carotid body tumor Correct Q110-A patient is diagnosed with a basal cell carcinoma on the cheek. What is the treatment of choice? A) Radiation therapy B) Cryotherapy C) Surgical excision with clear margins D) Chemotherapy Q111-A 60-year-old male smoker presents with painless gross hematuria. What is the most appropriate next step? A) Renal biopsy B) Cystoscopy C) Urinalysis D) Antibiotic therapy Q112-A young man presents with severe scrotal pain and swelling. Cremasteric reflex is absent. What is the most likely diagnosis? A) Epididymitis B) Hydrocele C) Testicular torsion D) Varicocele Q113-A postoperative patient develops shortness of breath and chest pain. ECG shows sinus tachycardia. What is the next best investigation? A) Chest X-ray B) ABG C) D-dimer D) CT pulmonary angiogram Q114-A patient complains of anal pain during defecation and sees bright red blood. On inspection, a tear in the anal mucosa is seen. What is the diagnosis? A) Anal fissure B) Hemorrhoids C) Anal abscess D) Rectal carcinoma Q115-A 75-year-old male presents with weight loss, anorexia, and an epigastric mass. What is the most likely diagnosis? A) Peptic ulcer disease B) Pancreatic cancer C) Chronic gastritis D) GERD Q116-A patient undergoes thyroid surgery and later develops hoarseness of voice. What nerve is most likely injured? A) Phrenic nerve B) Recurrent laryngeal nerve C) Superior laryngeal nerve D) Hypoglossal nerve Q117-A young male suffers from multiple gunshot wounds. He is hypotensive, tachycardic, and unresponsive. What is the priority? A) IV fluids B) Secure airway C) Chest X-ray D) Blood transfusion Q117- A 58-year-old man has crampy abdominal pain and vomiting. Abdominal X-ray shows multiple air-fluid levels. What is the most likely diagnosis? A) Peritonitis B) Bowel obstruction C) Gastroenteritis D) Acute appendicitis Q118- A 27-year-old female presents with right lower quadrant pain, fever, and leukocytosis. What is the best initial imaging modality? A) CT scan of abdomen B) MRI pelvis C) Abdominal ultrasound D) X-ray abdomen Q119-A patient with a history of smoking presents with hemoptysis and a lung mass on X-ray. What is the likely diagnosis? A) Bronchiectasis B) Lung abscess C) Pulmonary tuberculosis D) Bronchogenic carcinoma Q120-A man sustains a burn injury involving the entire left arm and anterior chest. What is the percentage of body surface area involved? A) 9% B) 18% C) 27% D) 36% Q121-A patient with a history of chronic venous insufficiency presents with an ulcer near the medial malleolus. What is the most likely cause? A) Diabetic ulcer B) Arterial ulcer C) Venous ulcer D) Pressure ulcer Q122-A 32-year-old woman has nipple discharge and a palpable breast lump. What is the most appropriate initial test? A) Mammography B) Breast MRI C) Ultrasound D) Biopsy Q123- A 45-year-old man presents with severe epigastric pain radiating to the back. Amylase and lipase levels are elevated. What is the diagnosis? A) Peptic ulcer B) Acute pancreatitis C) Cholecystitis D) Gastritis Q124-A 55-year-old man presents with progressive difficulty swallowing solids, then liquids. Barium swallow shows bird-beak appearance. What is the most likely diagnosis? A) Esophageal cancer B) Achalasia C) GERD D) Peptic stricture Q125-A young man presents with a stab wound to the chest. He is hypotensive with distended neck veins and muffled heart sounds. What is the most likely diagnosis? A) Hemothorax B) Tension pneumothorax C) Cardiac tamponade D) Myocardial contusion Q126-A patient develops fever, tachycardia, and severe abdominal pain 3 days after laparotomy. On exam, the abdomen is rigid with rebound tenderness. What is the next best step? A) Start broad-spectrum antibiotics B) CT scan abdomen C) Urgent re-exploration D) Abdominal X-ray Q127-A 60-year-old smoker has a non-healing ulcer on the lateral border of his tongue. What is the most appropriate diagnostic test? A) Incisional biopsy B) Fine-needle aspiration C) Excisional biopsy D) MRI Q128-A 40-year-old woman presents with a single, firm, mobile breast mass. Mammogram is inconclusive. What is the next best step? A) Excisional biopsy B) Ultrasound C) MRI D) Stereotactic biopsy Q129-A patient with polytrauma has a femur fracture. Shortly after admission, he becomes hypoxic with petechial rash. What is the most likely cause? A) Pulmonary embolism B) ARDS C) Fat embolism D) Tension pneumothorax Q130-A post-op patient develops confusion and hyponatremia. Urine sodium is high. What is the most likely diagnosis? A) Diabetes insipidus B) SIADH C) Hypervolemia D) Dehydration Q131-A 40-year-old male presents with severe right lower quadrant abdominal pain, fever, and leukocytosis. What is the most likely diagnosis? A) Acute cholecystitis B) Acute appendicitis C) Diverticulitis D) Renal colic Q132-A trauma patient has hypotension, tachycardia, and no breath sounds on the left. Trachea is shifted to the right. What is the immediate management? A) Chest X-ray B) Intubation C) Needle decompression D) Thoracotomy Q133-A patient presents with a thyroid nodule and hoarseness. Ultrasound shows calcifications and irregular borders. What is the next best step? A) Observe B) Thyroid scan C) Fine needle aspiration D) Total thyroidectomy Q134-A post-op patient develops sudden chest pain and shortness of breath. ECG shows sinus tachycardia. What is the most likely diagnosis? A) Myocardial infarction B) Pulmonary embolism C) Pneumothorax D) Pleural effusion Q135-A 65-year-old male with a history of alcohol abuse presents with abdominal pain radiating to the back and elevated lipase. What is the next best step? A) MRI B) Endoscopy C) NPO and IV fluids D) Surgery Q136-A patient undergoing surgery develops a sudden drop in blood pressure and rash. What is the most likely cause? A) Anesthetic overdose B) Hemorrhage C) Anaphylaxis D) Myocardial infarction Q137-A 45-year-old woman with gallstones presents with fever, jaundice, and right upper quadrant pain. What is the most likely diagnosis? A) Cholecystitis B) Gallstone ileus C) Cholangitis D) Pancreatitis Q138-A patient with a long-standing hernia now presents with vomiting and abdominal distention. What is the most likely complication? A) Strangulated hernia B) Obstructed hernia C) Incarcerated hernia D) Reducible hernia Q139-A patient is scheduled for elective surgery. His INR is 3.5 due to warfarin. What is the best next step? A) Proceed with surgery B) Give vitamin K C) Stop warfarin and start aspirin D) Lower dose of warfarin Q140-A diabetic patient presents with foot ulcer and foul-smelling discharge. The area is warm and swollen. What is the next best step? A) Oral antibiotics B) Debridement C) Topical antibiotics D) Amputation Q141-A 25-year-old man presents with hematuria and red-colored urine after an upper respiratory tract infection. What is the most likely diagnosis? A) IgA nephropathy B) Post-streptococcal glomerulonephritis C) Nephrotic syndrome D) Acute tubular necrosis Q142-A 67-year-old male presents with worsening shortness of breath and bilateral ankle swelling. Chest X-ray shows pulmonary edema. BNP is elevated. What is the most likely diagnosis? A) COPD B) Asthma C) Heart failure D) Pneumonia Q143-A 35-year-old woman presents with abdominal pain and bloody diarrhea. Colonoscopy reveals continuous inflammation from the rectum upward. What is the diagnosis? A) Crohn’s disease B) Ulcerative colitis C) Irritable bowel syndrome D) Ischemic colitis Q144-A 38-year-old man presents with fever, weight loss, night sweats, and generalized lymphadenopathy. A lymph node biopsy shows Reed-Sternberg cells. What is the most likely diagnosis? A) Non-Hodgkin lymphoma B) Hodgkin lymphoma C) Tuberculosis D) Sarcoidosis Q145- A 55-year-old man presents to the ER with severe tearing chest pain radiating to the back. His BP is 180/100, and a widened mediastinum is seen on chest X-ray. What is the most likely diagnosis? A) Acute myocardial infarction B) Aortic dissection C) Pulmonary embolism D) Pericarditis Q146-A patient with chronic renal failure has calcium 7.8 mg/dL, phosphate 6.0 mg/dL, and elevated PTH. What is the most likely cause? A) Primary hyperparathyroidism B) Secondary hyperparathyroidism C) Tertiary hyperparathyroidism D) Vitamin D toxicity Q147-A 40-year-old woman presents with dry eyes, dry mouth, and arthralgia. ANA and anti-Ro (SSA) antibodies are positive. What is the most likely diagnosis? A) Rheumatoid arthritis B) Sjögren's syndrome C) Systemic lupus erythematosus D) Scleroderma Q148-A 25-year-old man presents with urethritis, arthritis, and conjunctivitis. What is the most likely diagnosis? A) Gonorrhea B) Reactive arthritis C) Rheumatoid arthritis D) SLE Q149-A 70-year-old man presents with new-onset back pain and normocytic anemia. Serum protein electrophoresis shows an M spike. What is the most likely diagnosis? A) Waldenström macroglobulinemia B) Multiple myeloma C) Chronic lymphocytic leukemia D) Bone metastasis Q150-A 68-year-old woman with COPD presents with acute worsening of dyspnea, wheezing, and productive cough. What is the next best step? A) Oral corticosteroids and antibiotics B) Chest X-ray C) Bronchodilator only D) Hospital admission Q151-A 55-year-old male with a history of alcohol abuse presents with confusion, ophthalmoplegia, and ataxia. What is the most appropriate treatment? A) IV glucose B) IV thiamine C) Benzodiazepines D) Haloperidol Q152-A patient is found to have microcytic hypochromic anemia. What is the most likely diagnosis? A) Vitamin B12 deficiency B) Folate deficiency C) Iron deficiency anemia D) Anemia of chronic disease Q153-A 58-year-old man presents with persistent cough and hemoptysis. He has smoked 1 pack/day for 30 years. Chest X-ray reveals a central lung mass. What is the most likely diagnosis? A) Small cell lung carcinoma B) Adenocarcinoma C) Tuberculosis D) Pulmonary embolism Q154-A 23-year-old woman presents with fatigue and a sore throat. On examination, she has generalized lymphadenopathy and splenomegaly. Monospot test is positive. What is the most likely diagnosis? A) Streptococcal pharyngitis B) Cytomegalovirus infection C) Infectious mononucleosis D) Acute HIV infection Q155-A 58-year-old diabetic presents with burning foot pain at night and decreased ankle reflexes. What is the most likely cause? A) Spinal cord compression B) Diabetic peripheral neuropathy C) Guillain-Barré syndrome D) Hypothyroidism Q157-A patient with HIV has CD4 count of 40 and presents with headache, fever, and neck stiffness. India ink stain is positive. Most likely pathogen? A) Cryptococcus neoformans B) CMV C) Histoplasma D) HSV-2 Q158-A 35-year-old woman presents with palpitations and weight loss. TSH is low, and free T4 is elevated. What is the next best step? A) Thyroid ultrasound B) Radioactive iodine uptake scan C) MRI of the neck D) FNA biopsy Q159-A 30-year-old man presents with hematuria, palpable purpura, and arthralgia. Labs show elevated IgA. What is the most likely diagnosis? A) Goodpasture syndrome B) Henoch-Schönlein purpura (IgA vasculitis) C) SLE D) Polyarteritis nodosa Q160- A 40-year-old woman has positive ANA and anti-centromere antibodies with tight skin over her hands. What is the most likely diagnosis? A) Diffuse systemic sclerosis B) Limited systemic sclerosis (CREST) C) Dermatomyositis D) Sjögren's syndrome Q161-A 6-year-old child presents with a persistent dry cough, low-grade fever, and malaise for 7 days. Chest X-ray shows interstitial infiltrates. Cold agglutinin test is positive. What is the most likely diagnosis? A) Streptococcus pneumoniae pneumonia B) Mycoplasma pneumoniae pneumonia C) Viral bronchitis D) Tuberculosis Q162-A 4-month-old infant brought to peadiatric OPD due to projectile vomiting after feeding. On physical examination, a palpable olive-shaped mass is felt in the right upper abdomen. What is the most likely diagnosis? A) Intussusception B) Pyloric stenosis C) Gastroesophageal reflux D) Hirschsprung disease Q163-A 5-year-old child presents with sore throat, fever, and a sandpaper-like rash. The tongue appears red and bumpy ("strawberry tongue"). What is the most likely diagnosis? A) Kawasaki disease B) Scarlet fever C) Hand-foot-mouth disease D) Infectious mononucleosis Q164-A 3-year-old child has delayed speech development and poor eye contact. The child prefers to play alone and has repetitive hand flapping. What is the most likely diagnosis? A) Hearing impairment B) Autism spectrum disorder C) Attention-deficit hyperactivity disorder D) Selective mutism Q165-A 7-year-old girl complains of severe itching, especially at night. Examination shows excoriations and burrows in web spaces of the fingers. What is the most appropriate treatment? A) Oral antihistamines B) Oral antibiotics C) Topical permethrin D) Topical corticosteroids Q166- A neonate presents to the peadiatric ER with delayed passage of meconium, abdominal distension, and bilious vomiting. Barium enema shows a transition zone. What is the most likely diagnosis? A) Duodenal atresia B) Hirschsprung disease C) Meconium ileus D) Pyloric stenosis Q167-A 10-year-old boy presents with a fever, sore throat, and grayish-white membrane over his tonsils. He is unvaccinated. What is the most appropriate first step in management? A) Start IV antibiotics B) Administer diphtheria antitoxin C) Intubation D) Start Oral steroids Q168-An 8-month-old infant is found to have anemia, spoon-shaped nails, and irritability. The diet lacks solid foods. What is the most likely cause of anemia? A) Vitamin B12 deficiency B) Iron deficiency C) Thalassemia D) Lead poisoning Q169-A 6-year-old girl presents with periorbital swelling in the morning and frothy urine. Urine dipstick is 3+ for protein. What is the most likely diagnosis? A) Acute glomerulonephritis B) Nephrotic syndrome C) Urinary tract infection D) Renal tubular acidosis Q170-A 3-year-old boy presents with barking cough, hoarseness, and inspiratory stridor. Symptoms worsen at night. What is the most likely diagnosis? A) Epiglottitis B) Bronchiolitis C) Croup (laryngotracheobronchitis) D) Asthma Q171-A woman presents with sudden loss of vision but all investigations including fundoscopy, CT, and MRI are normal. What is the most likely diagnosis? A) Multiple sclerosis B) Retinal detachment C) Conversion disorder D) Somatic symptom disorder Q172-A patient with Parkinson’s disease presents with visual hallucinations and fluctuating cognition. What is the most likely diagnosis? A) Schizophrenia B) Vascular dementia C) Lewy body dementia D) Alzheimer’s disease Q173-A 30-year-old woman presents with a 3-week history of low mood, fatigue, loss of appetite, and early morning awakening. She has no suicidal ideation. What is the most likely diagnosis? A) Bipolar disorder B) Major depressive disorder C) Persistent depressive disorder D) Adjustment disorder Q174-A 10-year-old boy cannot sit still in class, interrupts others, and fails to complete assignments. What is the most likely diagnosis? A) Conduct disorder B) ADHD (Attention-deficit/hyperactivity disorder) C) Autism D) Learning disorder Q175- A 24-year-old man presents after a suicide attempt. He feels hopeless and has lost interest in all activities. What is the most important next step? A) Start SSRIs B) Ensure safety and hospitalization if needed C) Refer to social services D) Conduct family therapy Q176-A young adult female has recurrent intrusive thoughts about contamination and repeatedly washes her hands for hours daily. What is the most likely diagnosis? A) Phobia B) PTSD C) Obsessive-compulsive disorder D) Generalized anxiety disorder Q177-A patient with schizophrenia shows minimal response to risperidone and olanzapine. What is the next step in management? A) Increase dose of risperidone B) Start clozapine C) Start psychotherapy D) Switch to haloperidol Q178-A 65-year-old male presents with difficulty initiating urination, weak stream, and nocturia for the past 6 months. Digital rectal exam reveals a smooth, enlarged prostate. What is the next best step in management? A) Transrectal ultrasound B) PSA level C) Alpha-blocker therapy D) Prostate biopsy Q179-A 6-year-old child presents with itchy lesions in the web spaces of the fingers and on the abdomen. The mother reports similar symptoms. What is the most appropriate treatment? A) Oral antihistamines B) Topical steroids C) Permethrin cream D) Oral antibiotics 180-A 70-year-old diabetic woman presents with sudden vision loss in one eye. Fundoscopy shows retinal hemorrhages and cotton wool spots. What is the most likely diagnosis? A) Retinal detachment B) Central retinal artery occlusion C) Central retinal vein occlusion D) Diabetic macular edema Q181-A 3-month-old infant presents with projectile vomiting and a palpable olive-shaped mass in the abdomen. What is the most appropriate next step? A) Start IV fluids and schedule surgery B) Administer antiemetics C) Order abdominal CT D) Begin oral rehydration Q182- A patient with a long-standing history of hypertension presents with a BP of 180/110 and papilledema. What is the best next step? A) Oral antihypertensives B) IV labetalol C) Sublingual nifedipine D) Observation Q183-A 16-year-old female with primary amenorrhea, normal secondary sex characteristics, and absent uterus. Most likely diagnosis? A) Turner syndrome B) Androgen insensitivity C) Mullerian agenesis D) PCOS Q184- What is the treatment of choice for a Bartholin gland abscess? A) Antibiotics B) Needle aspiration C) Incision and drainage with Word catheter D) Observation E) Incision and drainage Q185-Which of the following is the most sensitive marker for ovarian cancer? A) CA 19-9 B) hCG C) CA-125 D) AFP Q186- A G2P1 patient at 41 weeks has a BPP score of 4. What is the next step? A) Repeat BPP in 24 hours B) Immediate delivery C) Non-stress test D) Continue monitoring Q187-What is the first-line treatment for mastitis? A) Stop breastfeeding B) Oral antibiotics (dicloxacillin) C) Incision and drainage D) Ice packs only Q188-A woman with PID is not improving on outpatient antibiotics. Next step? A) Increase oral dose B) Switch to antifungal C) Admit for IV antibiotics D) Perform laparoscopy Q189-Which hormone is primarily responsible for milk letdown? A) Prolactin B) Oxytocin C) Estrogen D) Progesterone Q190-A 26-year-old with history of Chlamydia has infertility. What is the most likely cause? A) Endometriosis B) Tubal scarring C) Cervical stenosis D) Anovulation Q191-What is the most appropriate management for a 6 cm simple ovarian cyst in a 24-year-old asymptomatic woman? A) Surgical removal B) Repeat ultrasound in 6–8 weeks C) Start oral contraceptives D) Biopsy Q192-A 33-year-old presents with sudden onset of severe unilateral pelvic pain mid-cycle. Most likely diagnosis? A) Ovarian torsion B) Ruptured ovarian cyst C) Ectopic pregnancy D) Appendicitis Q193-Which of the following is a risk factor for endometrial cancer? A) Smoking B) Early menopause C) Obesity D) Multiparity Q194-A 17-year-old with no menses and no breast development. Labs show high FSH. Likely diagnosis? A) Turner syndrome B) PCOS C) Androgen insensitivity D) Mullerian agenesis Q195-Emergency contraception is most effective within ? A) 6 hours B) 12 hours C) 24 hours D) 72 hours Q196-A 34-year-old presents with dysmenorrhea and a tender, fixed retroverted uterus. Most likely diagnosis? A) PCOS B) Endometriosis C) Fibroid D) PID Q197- A woman presents with postmenopausal bleeding. What is the most appropriate next step? A) Hormone replacement B) Pap smear C) Endometrial biopsy D) Ultrasound only Q198- Most effective treatment for premenstrual syndrome (PMS)? A) NSAIDs B) SSRIs C) OCPs Q199-A 26-year-old woman at 39 weeks gestation with a breech presentation. Best next step? A) C-section B) Vaginal delivery C) Induction of labor D) Wait until labor begins Q200-A 45-year-old man presents with complaints of hearing voices for the past 8 months. He believes the voices are coming from the TV and that people are watching him. He has no insight into his condition. What is the most likely diagnosis? A) Schizophrenia B) Bipolar disorder C) Schizoaffective disorder D)Delusional disorder Q201- A 35-year-old man believes his coworkers are plotting against him. He has had this belief for over a year and is otherwise functioning normally. What is the most likely diagnosis? A) Schizoaffective disorder B) Delusional disorder C) Paranoid schizophrenia D) Bipolar disorder Q202- A patient with depression is started on fluoxetine. After 2 weeks, they present with confusion, hyperreflexia, and myoclonus. What is the most likely cause? A) Seizure B) Serotonin syndrome C) Hypoglycemia D) Neuroleptic malignant syndrome Q203- A 55-year-old male presents for a routine check-up. He has a 30-pack-year smoking history and quit 2 years ago. He is otherwise asymptomatic. What is the most appropriate screening test? A) Chest X-ray B) Low-dose CT scan C) Pulmonary function test D) Sputum cytology Q204- A 2-year-old child presents with episodes of cyanosis that improve when he squats. On examination, there is a harsh systolic murmur at the left upper sternal border. What is the most likely diagnosis provided on radiographical finding? A) Ventricular septal defect B) Tetralogy of Fallot C) Transposition of great arteries D) Pulmonary stenosis Q205-A 20-year-old athlete undergoes pre-participation ECG screening. The ECG shows left ventricular hypertrophy, deep narrow Q waves in lateral leads (I, aVL, V5-V6), and T wave inversion. Which condition is most likely? A) Myocardial infarction B) Dilated cardiomyopathy C) Hypertrophic obstructive cardiomyopathy D) Pericarditis Q206-A 45-year-old male presents with epigastric pain that improves with eating. What is the most likely diagnosis? A) Gastric ulcer B) Duodenal ulcer C) GERD D) Pancreatitis Q207- A 2-year-old girl presents to the OPD with barking cough, stridor, and hoarseness. What is the most likely diagnosis? A) Epiglottitis B) Bronchiolitis C) Croup D) Asthma Q208-A 10-month-old infant presents with a 3-day history of high fever, followed by a maculopapular rash that started on the trunk and spread to extremities. What is the most likely diagnosis? A) Measles B) Roseola infantum C) Rubella D) Scarlet fever Q209-A 30-year-old male presents with fatigue, weakness, and hyperpigmentation of the skin. Labs show hyponatremia and hyperkalemia. What is the most likely diagnosis? A) Addison’s disease B) Cushing syndrome C) Hypothyroidism D) SIADH Q210-A 4-year-old child presents with limping and pain in the right hip. There is no history of trauma. X-ray shows increased joint space. What is the most likely diagnosis? A) Septic arthritis B) Legg-Calvé-Perthes disease C) Slipped capital femoral epiphysis D) Osteomyelitis Q211- A 52-year-old man with type 2 diabetes presents with sudden-onset chest pain radiating to the left arm. ECG shows ST elevation in leads II, III, and aVF. What is the best immediate management? A) Administer aspirin and call cardiology B) Give nitroglycerin and discharge C) Schedule stress test D) Observe in the ER Q212-A 7-year-old child is brought with frequent nosebleeds and bruising. CBC shows low platelets, normal WBC, and hemoglobin. What is the most likely diagnosis? A) Hemophilia A B) ITP C) Leukemia D) Von Willebrand disease Q213-A 58-year-old female presents with generalized bone pain and recurrent fractures. Labs reveal elevated calcium and PTH levels. What is the likely diagnosis? A) Osteomalacia B) Osteoporosis C) Primary hyperparathyroidism D) Multiple myeloma Q214-A 10-year-old child presents with fever, sore throat, and sandpaper-like rash. What is the most likely causative organism? A) Streptococcus pyogenes B) Staphylococcus aureus C) Corynebacterium diphtheriae D) Epstein-Barr virus Q215-A 68-year-old male with a history of smoking presents with hematuria. What is the most likely diagnosis? A) Bladder cancer B) Kidney stones C) UTI D) Glomerulonephritis Q216-A 2-year-old has failure to thrive, recurrent infections, and steatorrhea. What is the most likely diagnosis? A) Lactose intolerance B) Cystic fibrosis C) Celiac disease D) GERD Q217-A 45-year-old presents with tremor, palpitations, and weight loss. Labs show decreased TSH and increased T3/T4. What is the most appropriate initial treatment? A) Radioactive iodine B) Methimazole C) Thyroidectomy D) Levothyroxine Q218-A 59-year-old male with long-term alcohol use presents with confusion, ataxia, and ophthalmoplegia. What vitamin deficiency is most likely? A) Vitamin B1 (Thiamine) B) Vitamin B6 C) Vitamin B12 D) Folate Q219-A 47-year-old woman presents with fatigue, pallor, and spoon-shaped nails. Laboratory findings reveal low hemoglobin and microcytic, hypochromic red blood cells. What is the most likely diagnosis? A) Iron-deficiency anemia B) Aplastic anemia C) Vitamin B12 deficiency D) Anemia of chronic disease Q220-A 33-year-old female presents with episodes of palpitations, sweating, and headaches. Her BP is 170/100 mmHg. Which test is most appropriate for confirming the suspected diagnosis? A) ECG B) 24-hour urinary catecholamines C) Echocardiography D) Serum cortisol 5/5 - (2 votes)
