A 65-year-old man presents with shortness of breath and bilateral leg swelling. On examination, you find elevated JVP and bilateral basal crepitations. What is the most likely diagnosis?

Which of the following investigations is most appropriate as an initial test for suspected pulmonary embolism in a hemodynamically stable patient?

A patient on the ward develops new-onset confusion and tremor. He is on digoxin. What lab test should be ordered urgently?

Which of the following is NOT a feature of nephrotic syndrome?

A 70-year-old diabetic male presents with confusion, dehydration, and a blood glucose of 680 mg/dL. Serum osmolality is high, but there are no significant ketones. What is the most likely diagnosis?

Which electrolyte abnormality is most commonly associated with chronic loop diuretic use?

Which of the following antihypertensives is contraindicated in bilateral renal artery stenosis?

A patient is admitted with upper GI bleeding. What is the most appropriate next step after IV access and fluid resuscitation?

Which of the following findings is most consistent with hepatic encephalopathy?

A patient with chronic liver disease presents with hematemesis. What is the most likely cause?

A 55-year-old woman presents with fatigue, pallor, and glossitis. Lab tests show MCV of 112 fL. What is the most likely diagnosis?

Which drug is used as the first-line treatment in ANAPHYLACTIC shock?

What is the most appropriate next step in the management of a patient with suspected acute stroke who presents within 2 hours of symptom onset?

Which one of these is NOT a common cause of hospital-acquired pneumonia?

A 58-year-old man with a 15-year history of type 2 diabetes mellitus presents with mild shortness of breath and vague chest discomfort for 2 hours. He is diaphoretic and mildly tachycardic. ECG shows nonspecific ST-T changes. Troponin-I is pending.

What is the most appropriate next step in management?

A 67-year-old smoker presents with 3 days of fever, productive cough, and pleuritic chest pain. On exam: RR 24/min, crackles over the right lower zone. Chest X-ray shows consolidation in the right lower lobe.

What is the most appropriate initial antibiotic therapy?

A 70-year-old diabetic on insulin therapy becomes confused and sweaty on the ward. Fingerstick glucose is 42 mg/dL.

What is the next best step?

A 60-year-old man with chronic kidney disease presents with muscle weakness. Labs: K+ 6.8 mmol/L, ECG shows peaked T-waves.

What is the most urgent next step?

An 82-year-old woman is admitted with fever, hypotension, and confusion. Temp 39°C, BP 90/60 mmHg, HR 112, RR 26. Suspected urosepsis.

What is the most appropriate initial step?

A 58-year-old male presents with BP 230/140 mmHg, headache, and visual blurring. Fundoscopy shows papilledema.

Which of the following is the most appropriate initial management?

An 84-year-old woman becomes confused on the ward. She was admitted with pneumonia 3 days ago.

Your Task:

• Assess and identify possible causes of confusion.

• Recommend immediate investigations and management.

Select all expected actions that apply.

A patient with poorly controlled diabetes presents with a non-healing foot ulcer with foul-smelling discharge.

Your Task:

• Perform a focused examination

• Plan investigations and treatment

• Select all expected actions that apply.