Free EMLE Model, variant no. 20251217 0001

1.

A patient presents unconscious with pinpoint pupils and respiratory depression.

Best immediate management?

2. First-line drug for acute psychosis?

3. Which drug causes red man syndrome?

4. Management of strangulated hernia?

5. Preeclampsia is diagnosed after:

6. Best feeding for infants <6 months?

7. Initial management of suspected stroke within 3 hours?

8. What is the next step after finding thrombocytopenia?

9. Most common cause of bowel obstruction in adults?

10. What sign is associated with cholecystitis?

11. Best initial treatment for acute gout flare?

12. Best diagnostic test for acute appendicitis in adults?

13. Drug causing ototoxicity?

14. Best screening test for cervical cancer?

15. Most common cause of duodenal ulcer?

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

17. Most effective treatment for OCD?

18. Lithium toxicity causes:

19.

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

Most likely diagnosis?

20. Warfarin mechanism?

21.

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?

22. Best test for diagnosing Down syndrome?

23. Bioavailability is:

24. Antidote for opioid overdose?

25. Most common cause of community-acquired pneumonia?

26. Best test for breast cancer screening?

27. Ovarian cancer marker?

28. Gold standard for diagnosing PE?

29. Delirium is characterized by:

30. Drug causing Stevens-Johnson syndrome?

31.

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

What is the next best step?

32. Best treatment for panic disorder?

33. Common cause of intussusception?

34. First step in medical ethics decision?

35. Classic triad of hepatic encephalopathy?

36. Most common cause of febrile seizure?

37. Most common cause of hyperthyroidism?

38. Best initial management of upper GI bleeding?

39. Best diagnostic test for TB?

40.

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

Most likely diagnosis?

41. Triad of acute intestinal obstruction includes all EXCEPT:

42. Most common cause of neonatal jaundice?

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

44. Best screening test in public health?

45. Most common cause of drug-induced hepatitis?

46. Most common cause of postpartum hemorrhage?

47. Typical ECG in hyperkalemia?

48. Best initial treatment for hyperkalemia with ECG changes?

49. Adverse drug reaction type A is:

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

51. Best vaccine for newborn?

52. Best initial treatment for CHF with pulmonary edema?

53. Most common cause of acute pancreatitis?

54. Anaphylaxis first-line treatment?

55.

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

Diagnosis?

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

57.

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

Best diagnostic test?

58.

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

Best diagnostic test in adults?

59. What heart murmur radiates to the carotids?

60. Most common cause of first-trimester bleeding?

61. Most common cause of acute appendicitis?

62. Confidentiality can be broken when:

63. Boerhaave syndrome is caused by:

64. Primary prevention example?

65. Most common medication error?

66. Most common cause of secondary amenorrhea?

67. Most common congenital heart disease?

68. Which is a sign of hypocalcemia?

69. Most common complication after thyroidectomy?

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

71. Best test for suspected MI?

72. Red currant jelly stool suggests:

73. Best contraceptive for lactating mother?

74. HbA1c threshold for diagnosing DM?

75. First step in shock management?

76. Side effect of ACE inhibitors?

77. Which antibiotic is contraindicated in pregnancy?

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

79. Most common gynecological malignancy?

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

81.

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

Most likely diagnosis?

82. Best next step for suspected perforated ulcer?

83. Shoulder dystocia is managed first by:

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

85. Most common cause of hypothyroidism in adults?

86. Most common cause of thyroid nodule malignancy?

87. Best immediate management of violent patient?

88. Drug causing agranulocytosis?

89. Herd immunity protects:

90. Most common side effect of haloperidol?

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

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

93. Ectopic pregnancy most commonly occurs in:

94. Best initial test for suspected DVT?

95. Treatment of choice for acute asthma attack?

96. Most effective contraception method?

97. Most common site of colorectal cancer?

98. Golden rule in medical ethics?

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

100.

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

Most likely cause?