List of top Medicine Questions

A patient presents with the fingertip changes shown in the image. What is the most likely diagnosis?
A patient presents with dyspnea and tachycardia 7 days after undergoing knee replacement surgery. Which investigation will confirm the diagnosis?
A patient with HIV is recently diagnosed with multidrug-resistant tuberculosis. What is the appropriate regimen, and what should the patient be monitored for?
A patient arrives with hypotension, fever, joint pain, petechiae on limbs, and respiratory distress. Which of the following is the most likely diagnosis?
A 42-year-old woman presents with enlarged hands, coarsened facial features, and increased shoe size. Her IGF-1 level is elevated. Which of the following is the most specific test to confirm the diagnosis?
A 64-year-old man with chronic kidney disease presents with pallor, exertional breathlessness, and signs of heart failure. Investigations reveal normocytic anemia. What is the most appropriate next step in management?
A patient presents with irregularly irregular pulse and palpitations. He arrives 2.5 hours after symptom onset. There is no history of diabetes and BP is 160/100 mmHg. What is the next best step?
A 15-year-old adolescent with known type 1 diabetes mellitus presents with fatigue, vomiting and diarrhea. Random blood glucose is 700 mg/dL, serum sodium is 125 mEq/L, and potassium is 4.2 mEq/L. Which of the following is not recommended during initial management?
A 45-year-old female presents with 6-month history of paroxysmal nocturnal dyspnea, palpitations and breathlessness. JVP is elevated, pulse is irregularly irregular, tender hepatomegaly is present, apex is heaving, and a mid-diastolic murmur is heard at the apex. She has a history of acute rheumatic fever. Which statement is false?
A patient with atrial fibrillation and mitral stenosis presents within 4 hours of symptom onset and is hemodynamically stable. What is the next best step?
A 68-year-old female has breathlessness, poor health status and multiple metastases. She is awake and anxious. Doctors believe aggressive chemotherapy, radiotherapy and ICU admission will not help, but her daughter insists on trying everything. How should the doctor handle this scenario?
A recently diagnosed HIV-positive patient with a CD4 count of 250 cells/mm\(^3\) also tests positive for active tuberculosis. He has not yet been started on ART. What is the correct approach to initiating treatment?