Free EMLE Model, variant no. 20251217 0001

1.

A 30-year-old pregnant woman at 32 weeks presents with BP 160/110 mmHg, proteinuria, and headache.

Diagnosis?

2. Herd immunity protects:

3. A patient has ST-elevations in leads II, III, aVF. Which artery is involved?

4. First step in shock management?

5. Best initial treatment for CHF with pulmonary edema?

6. A child with delayed walking and hypotonia—suspect?

7. Typical ECG in hyperkalemia?

8. Boerhaave syndrome is caused by:

9. First-line drug for acute psychosis?

10. Most common cause of duodenal ulcer?

11.

A 58-year-old man, smoker, presents with crushing chest pain radiating to the left arm for 45 minutes. ECG shows ST elevation in leads II, III, aVF.

What is the most likely affected artery?

12. Best immediate management of violent patient?

13. Most common congenital heart disease?

14. What sign is associated with cholecystitis?

15. Red currant jelly stool suggests:

16. Ectopic pregnancy most commonly occurs in:

17. Best diagnostic test for TB?

18. Best test for breast cancer screening?

19. Best initial management of upper GI bleeding?

20. Most common cause of first-trimester bleeding?

21.

A 60-year-old woman presents with sudden severe headache “worst in her life.” CT brain is normal.

What is the next best step?

22. Best screening test in public health?

23. Drug causing agranulocytosis?

24. Patient with delusions for >6 months—diagnosis?

25. Most common medication error?

26. Ovarian cancer marker?

27. Best initial treatment for hyperkalemia with ECG changes?

28. Common cause of intussusception?

29. Lithium toxicity causes:

30. Best initial treatment for acute gout flare?

31. Best test for diagnosing Down syndrome?

32. Most common complication after thyroidectomy?

33. Most effective contraception method?

34. Initial management of suspected stroke within 3 hours?

35. A 50-year-old with sudden severe headache: CT shows no bleed. Next step?

36. Which drug causes red man syndrome?

37.

A 25-year-old man presents with acute dyspnea, pleuritic chest pain, and hemoptysis. He had leg surgery 1 week ago.

Best diagnostic test?

38. Most common gynecological malignancy?

39. Most common cause of febrile seizure?

40. Most common cause of postpartum hemorrhage?

41. Golden rule in medical ethics?

42. Most effective treatment for OCD?

43. Confidentiality can be broken when:

44. A 65-year-old smoker presents with hematuria and weight loss. What is the most likely diagnosis?

45.

A 45-year-old man presents with epigastric pain relieved by food. Endoscopy shows a duodenal ulcer.

Most likely cause?

46. Most common cause of bowel obstruction in adults?

47.

A 9-month-old infant presents with intermittent crying, vomiting, and red currant jelly stool.

Most likely diagnosis?

48. Drug causing Stevens-Johnson syndrome?

49. Best feeding for infants <6 months?

50. Best screening test for cervical cancer?

51. A patient presents with painless jaundice, weight loss, and Courvoisier sign. Most likely diagnosis?

52. A patient with low mood for 2 years—diagnosis?

53. Bioavailability is:

54. Post-operative patient with sudden dyspnea and chest pain—most likely diagnosis?

55. Most common cause of acute appendicitis?

56. Triad of acute intestinal obstruction includes all EXCEPT:

57. Primary prevention example?

58. Best contraceptive for lactating mother?

59. Gold standard for diagnosing PE?

60. Warfarin mechanism?

61. Which is a sign of hypocalcemia?

62. Anaphylaxis first-line treatment?

63. Most common cause of hypothyroidism in adults?

64. Most common cause of thyroid nodule malignancy?

65. Preeclampsia is diagnosed after:

66.

A patient presents with right lower quadrant pain, fever, nausea, and localized tenderness at McBurney’s point.

Best diagnostic test in adults?

67. Best initial test for suspected DVT?

68. HbA1c threshold for diagnosing DM?

69. What fluid is preferred in initial resuscitation of burns?

70. Most common cause of neonatal jaundice?

71. Best next step for suspected perforated ulcer?

72. Most common site of colorectal cancer?

73. First step in medical ethics decision?

74.

A 28-year-old woman presents with amenorrhea, positive pregnancy test, and severe unilateral pelvic pain. Ultrasound shows empty uterus.

Most likely diagnosis?

75. Drug causing ototoxicity?

76. Most common side effect of haloperidol?

77. Most common cause of drug-induced hepatitis?

78. Child with barking cough and inspiratory stridor—diagnosis?

79. Best test for suspected MI?

80. Rule of 9s: one upper limb equals?

81. What is the next step after finding thrombocytopenia?

82. Most common cause of community-acquired pneumonia?

83. Which antibiotic is contraindicated in pregnancy?

84. Shoulder dystocia is managed first by:

85. Best diagnostic test for acute appendicitis in adults?

86. Most common cause of hyperthyroidism?

87. Antidote for opioid overdose?

88. Side effect of ACE inhibitors?

89. Best treatment for panic disorder?

90. Most common cause of acute pancreatitis?

91. Adverse drug reaction type A is:

92. Best vaccine for newborn?

93. What heart murmur radiates to the carotids?

94. Delirium is characterized by:

95.

A patient presents unconscious with pinpoint pupils and respiratory depression.

Best immediate management?

96. Treatment of choice for acute asthma attack?

97. Most common cause of secondary amenorrhea?

98.

A 23-year-old man has delusions, hallucinations, and disorganized speech for 8 months.

Most likely diagnosis?

99. Management of strangulated hernia?

100. Classic triad of hepatic encephalopathy?