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Medical Student Finals Question Bank

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Medical Student Finals and Trainee MCQ Revision Question Bank

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Category: Statistics

A study is conducted to determine the relationship between smoking and lung cancer. The study includes 1000 participants, 800 of whom are smokers and 200 are non-smokers. The results show that the incidence of lung cancer in smokers is 20% and the incidence in non-smokers is 5%. What is the relative risk of lung cancer in smokers compared to non-smokers?

ID106

2 / 15

Category: Statistics

A study is conducted to evaluate the relationship between body mass index (BMI) and the risk of developing diabetes. The study includes 1000 participants and the results show that the prevalence of diabetes is higher in individuals with a BMI >25. What is the appropriate statistical test to determine the strength of the association between BMI and diabetes?

ID101

3 / 15

Category: Cardiology

A 55-year-old male presents with chest pain and shortness of breath. An electrocardiogram shows ST elevation in leads V1-V4 and cardiac enzymes (troponin) are elevated. What is the most likely diagnosis?

ID59

4 / 15

Category: Anatomy

A patient presents with difficulty moving their shoulder and arm. A physical examination shows weakness in shoulder abduction. What nerve is most likely involved in this presentation?

ID110

5 / 15

Category: Respiratory

A 35-year-old male presents with a persistent cough, shortness of breath and fatigue. His chest X-ray shows diffuse infiltrates and his blood test results show a positive anti-neutrophil cytoplasmic antibody (ANCA). What is the most likely diagnosis?

ID63

6 / 15

Category: Endocrinology

A 25-year-old woman presents with a diffuse, nontender goiter, heat intolerance, and tremors. Laboratory studies reveal low TSH and high free T4 and free T3 levels. What is the most likely diagnosis?

ID87

7 / 15

Category: Oncology

A 45-year-old female presents with a rapidly growing, painless mass in the right side of her neck. Fine needle aspiration (FNA) of the mass reveals that it is a thyroid neoplasm. What is the most likely histological type of this neoplasm?

ID89

8 / 15

Category: Anatomy

A patient presents with severe neck pain, weakness in the left arm and hand, and numbness in the left thumb and index finger. What nerve root is most likely involved in this presentation?

ID112

9 / 15

Category: Respiratory

A 35-year-old woman presents with a 3-week history of lower abdominal pain and constipation. She has a medical history of Crohn's disease. On examination, she is found to have a palpable mass in the left lower quadrant. What is the most likely diagnosis?

ID78

10 / 15

Category: Cardiology

A 45-year-old female with a history of hypertension presents with chest pain and shortness of breath. Her ECG shows sinus tachycardia and ST elevation in leads V2-V4, with reciprocal ST depression in leads I and aVL. What is the most likely diagnosis?

ID69

11 / 15

Category: Cardiology

What type of murmur is caused by aortic regurgitation?

ID45

12 / 15

Category: Cardiology

A 55-year-old man with a history of hypertension and obesity presents with acute decompensated heart failure. He is tachypneic, diaphoretic, and has bilateral crackles on lung examination. He has a BNP level of 1550pg/mL. Examination shows heart rate 95bpm, BP 108/78, SpO2 94% on room air. What is the most appropriate initial therapy for this patient?

ID73

13 / 15

Category: Cardiology

A 70-year-old woman with a history of hypertension and heart failure presents to clinic with signs of worsening heart failure, including increased shortness of breath and fatigue. She is currently on a regimen of an ACE inhibitor, a beta-blocker, and a diuretic. What is the next step in management?

ID71

14 / 15

Category: Abdominal

What is the most common cause of chronic pancreatitis?

ID54

15 / 15

Category: Cardiology

What is the most common cause of acute mitral regurgitation?

ID41

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