Cardio
Pulmonary
GI
Endocrinology
Neuro
100
Crushing chest pain radiating to the left arm. Diaphoresis (sweating). Nausea.
A) Panic attack
B) GERD
C) Myocardial infarction
D) Costochondritis
C) Myocardial Infarction (AKA heart attack)
100
Wheezing that improves with albuterol inhaler.
A) COPD
B) Asthma
C) Pneumonia
D) PE
B) Asthma
100
Burning chest discomfort after meals, worse lying flat.
A) GERD
B) Angina
C) Pancreatitis
D) Gallstones
A) GERD
100
Weight gain, cold intolerance, and constipation.
A) Hyperthyroidism
B) Hypothyroidism
C) Depression
D) Cushing syndrome
B) hypothyroidism
100
Unilateral facial droop involving entire face including forehead.
A) Stroke
B) Bell palsy
C) MS
D) Migraine
B) bell palsy
200
23 y/o male with chest pain that gets better when leaning forward. Recent viral illness was reported.
A) Myocardial infarction
B) Pericarditis
C) Pneumonia
D) Anxiety
B) pericarditis
200
Fever, productive cough, localized crackles on exam.
A) Pneumothorax
B) Pneumonia
C) Bronchitis
D) Pulmonary edema
B) pneumonia
200
Right upper quadrant pain, fever, and positive Murphy sign.
A) Hepatitis
B) Gastritis
C) Pancreatitis
D) Cholecystitis
D) Cholecystitis
200
Weight loss, heat intolerance, palpitations, tremor.
A) Hypothyroidism
B) Anxiety Disorder
C) Hyperthyroidism
D) Pheochromocytoma
C) hyperthyroidism
200
Unilateral facial droop sparing forehead.
A) Stroke
B) Bell palsy
C) ALS
D) MG
A) Stroke
300
55-year-old with hypertension presents with sudden tearing chest pain radiating to the back. BP is significantly higher in one arm than the other.
A) STEMI
B) Aortic dissection
C) Pulmonary embolism
D) Pericarditis
B) aortic dissection
300
Long-time smoker with chronic cough for 4+ years, cyanosis (blueish skin color), overweight, and frequent infections.
A) Emphysema
B) Chronic bronchitis
C) Asthma
D) Lung cancer
B) Chronic bronchitis
300
Epigastric pain radiating to the back. Elevated lipase. History of heavy alcohol use.
A) Gastritis
B) Peptic ulcer disease
C) Pancreatitis
D) Gallstones
C) Pancreatitis
300
Hypertension + hypokalemia + metabolic alkalosis.
A) Cushing syndrome
B) Primary hyperaldosteronism
C) Renal failure
D) Addison disease
B) Primary hyperaldosteronism
300
Ascending weakness after diarrheal illness. Absent reflexes.
A) Myasthenia gravis
B) ALS
C) Multiple sclerosis
D) Guillain-Barré syndrome
D) Guillain-Barré syndrome
400
65 y/o woman with progressive shortness of breath, orthopnea, bilateral leg swelling, and elevated BNP (lab result). On exam: S3 heart sound.
A) COPD exacerbation
B) Pulmonary embolism
C) Congestive heart failure
D) Pneumonia
C) CHF
400
Young tall thin male presents with sudden unilateral chest pain and shortness of breath. Hyperresonance on percussion. No trauma.
A) Pulmonary embolism
B) Spontaneous pneumothorax
C) Asthma attack
D) Pneumonia
B) Spontaneous Pneumothorax
400
18 y/o female with right lower quadrant pain, fever, and rebound tenderness. Labs show elevated WBC. Pain started near the belly button and migrated.
A) Appendicitis
B) Cholecystitis
C) Crohn's disease
D) Ovarian Torsion
A) appendicitis
400
Episodic headaches, sweating, palpitations, and severe spikes in blood pressure. Symptoms triggered by surgery or stress.
A) Panic disorder
B) Hyperthyroidism
C) Pheochromocytoma
D) Carcinoid syndrome
C) pheochromocytoma
400
Young woman with episodes of blurry vision, numbness, and weakness occurring months apart. MRI shows plaques.
A) Stroke
B) Guillain-Barré
C) Multiple sclerosis
D) Migraine
C) Multiple Sclerosis