Free EMLE Model, variant no. 20251217 0001

1.

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

What is the next best step?

2.

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

Most likely diagnosis?

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

4. Most effective treatment for OCD?

5. First step in medical ethics decision?

6. Best diagnostic test for acute appendicitis in adults?

7. Drug causing ototoxicity?

8. Confidentiality can be broken when:

9. Most common cause of thyroid nodule malignancy?

10.

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

Most likely cause?

11. Drug causing agranulocytosis?

12. Most common cause of hypothyroidism in adults?

13. Best screening test in public health?

14. Typical ECG in hyperkalemia?

15. Preeclampsia is diagnosed after:

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

17.

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

Best diagnostic test in adults?

18. Best test for diagnosing Down syndrome?

19. Best diagnostic test for TB?

20. Most common cause of neonatal jaundice?

21. What is the next step after finding thrombocytopenia?

22. Which antibiotic is contraindicated in pregnancy?

23. Best next step for suspected perforated ulcer?

24. Warfarin mechanism?

25. Drug causing Stevens-Johnson syndrome?

26. Common cause of intussusception?

27. Most common medication error?

28. Shoulder dystocia is managed first by:

29. Delirium is characterized by:

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

31.

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

Diagnosis?

32. Gold standard for diagnosing PE?

33. HbA1c threshold for diagnosing DM?

34. Which drug causes red man syndrome?

35.

A patient presents unconscious with pinpoint pupils and respiratory depression.

Best immediate management?

36. Classic triad of hepatic encephalopathy?

37. Primary prevention example?

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

39. Most common cause of bowel obstruction in adults?

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

41. First-line drug for acute psychosis?

42. Most common complication after thyroidectomy?

43. Management of strangulated hernia?

44.

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

Most likely diagnosis?

45. Best contraceptive for lactating mother?

46. Most common congenital heart disease?

47. Side effect of ACE inhibitors?

48. Herd immunity protects:

49. Antidote for opioid overdose?

50. What sign is associated with cholecystitis?

51. Most common cause of acute appendicitis?

52. Best vaccine for newborn?

53. Red currant jelly stool suggests:

54. Best feeding for infants <6 months?

55. Lithium toxicity causes:

56. Best initial treatment for CHF with pulmonary edema?

57. Best initial management of upper GI bleeding?

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

59. Adverse drug reaction type A is:

60. Best treatment for panic disorder?

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

62. Best initial test for suspected DVT?

63. Most common site of colorectal cancer?

64. Most common cause of acute pancreatitis?

65. Ovarian cancer marker?

66. Best initial treatment for hyperkalemia with ECG changes?

67. Most common cause of duodenal ulcer?

68. Golden rule in medical ethics?

69. Best test for breast cancer screening?

70.

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?

71. Most common cause of community-acquired pneumonia?

72. Treatment of choice for acute asthma attack?

73. Most common side effect of haloperidol?

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

75. Bioavailability is:

76. Most common cause of postpartum hemorrhage?

77. Boerhaave syndrome is caused by:

78. Most common cause of drug-induced hepatitis?

79. Most common cause of febrile seizure?

80. Most common cause of secondary amenorrhea?

81. Best test for suspected MI?

82. Most common cause of hyperthyroidism?

83. Initial management of suspected stroke within 3 hours?

84. Anaphylaxis first-line treatment?

85.

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

Most likely diagnosis?

86.

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

Best diagnostic test?

87. What heart murmur radiates to the carotids?

88. Most common cause of first-trimester bleeding?

89. Ectopic pregnancy most commonly occurs in:

90. Which is a sign of hypocalcemia?

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

92. Best initial treatment for acute gout flare?

93. Best immediate management of violent patient?

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

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

96. Most effective contraception method?

97. Best screening test for cervical cancer?

98. Triad of acute intestinal obstruction includes all EXCEPT:

99. First step in shock management?

100. Most common gynecological malignancy?